• Title/Summary/Keyword: history and closure

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Thermal and uplift histories of Mesozoic granites in Southeast Korea: new fission track evidences

  • Shin, Seong-Cheon;Susumu Nishimura
    • The Journal of the Petrological Society of Korea
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    • v.2 no.2
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    • pp.104-121
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    • 1993
  • Fission track (FT) thermochronological analyses on Mesozoic granites provide new information about cooling and uplift histories in Southeast Korea. Twenty-nine new FT sphene, zircon and apatite ages and seven track length measurements are presented for eleven granite samples. Measured mineral ages against assumed closure temperatures yield cooling rates for each sample. Relatively rapid (7-$15^{\circ}C$/Ma) and simple cooling patterns from the middle Cretaceouss (ca. 90-100 Ma) granites are caused mainly by a high thermal contrast between the intruding magma and country rocks at shallow crustal levels (ca. 1-2.5 km-depths). On the contrary, a slow overall cooling (1-$4^{\circ}C$/Ma) of the Triassic to Jurassic granites (ca. 250-200 Ma), emplaced at deep depths (>>9 km), may mainly depend upon very slow denudation of the overlying crust. The uplift history of the Triassic Yeongdeog Pluton in the Yeongyang Subbasin, west of the Yangsan Fault, is characterized by a relatively rapid uplift (~0.4 mm/a) before the total unroofing of the pluton in the earliest Cretaceous (~140 Ma) followed by a subsidence (~0.2mm/a) during the Hayang Group sedimentation. Stability of original FT zircon ages (156 Ma) and complete erasure of apatite ages suggest a range of 3 to 5.5 km for the basin subsidence. Since 120 Ma up to present, the Yeongyang Subbasin has been slowly uplifted (~0.04 mm/a). The FT age patterns of Jurassic granites both from the northeastern wing of the Ryeongnam Massif and from the northern edge of the Pohang-Kampo Block indicate that the two geologic units have been slowly uplifted with a same mean rate (~0.04 mm/a) since early Cretaceous. Estimates of Cenozoic total uplifts since 100 Ma are different: Ryeongnam Massif (~6 km)=Pohang-Kampo Block (~6 km)>Yeongyang Subbasin(~4 km).

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Surgical Treatment of Patent Ductus Arteriosus in Preterm and Infants with Severe Heart Failure and Cardiac Cachexia (중증 심부전 또는 심인성 악액질을 동반한 미숙아및 영아기 동맥관개존증에 대한 수술요법)

  • 이석재
    • Journal of Chest Surgery
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    • v.26 no.12
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    • pp.915-919
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    • 1993
  • The management of Patent Ductus Arteriosus[PDA] with heart failure and cardiac cachexia in premature infants have been a disturbing and controversial problem in the field of pediatric cardiovascular surgery.We analysed our experiences to determine the rationale of surgical closure of PDA in infants . During a period of 7 years from January 1986 to December 1992, 12 infants under 2 months of age underwent operations for "hemodynamically significant" PDA which had caused severe heart failure.There were 6 male and 6 female patients. Their mean gestational age was 33.8 weeks and their mean body weight was 1990 g. ranged from 710 g. to 2900 g. Mean age at operation was 28.5days. Seven patients had history of Indomethacin trial. All patients were operated with double ligation technique under general anesthesia.There was no mortality and blood transfusion was not necessary in any patient during the operation.In all cases, we could confirm the complete closure of PDA after operation by follow-up echocardiography.Two patients died during their hospital stay and 1 patient died at 6 months after operation. The causes of death were sepsis with congestive heart failure, necrotizing entero colitis and pneumonia respectively.We can not detect any operation related complication which resulted in permanent sequelae as well as delayed complications related to nerve damage. These results indicate that surgical ligation of PDA in infants with severe heart failure is relatively safe and effective.effective.

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Management of Recurrent Paravalvular Leakage in a Very High-Risk Patient: A Case Report

  • Park, Sung Jun;Kim, Young Woong;Yoo, Jae Suk;Kim, Joon Bum;Lee, Jae Won
    • Journal of Chest Surgery
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    • v.48 no.1
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    • pp.59-62
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    • 2015
  • Interventional device closure has emerged as a less invasive alternative to surgery in the management of paravalvular leakage. However, this procedure involves various problems such as a high probability of residual leakage or hemolysis. Here, we report a case of residual paravalvular leakage despite two attempts at interventional closure in a patient with a history of four previous mitral valve replacements. The fifth operation for the primary repair of paravalvular leakage was performed successfully. Careful evaluation before the procedure and specially designed devices are essential for the interventional treatment of paravalvular leakage. Surgery can be performed adequately in the management of paravalvular leakage even in high-risk patients.

Transsternal Approach for BPF closure -A Case Report (정중흉골절개를 통한 기관늑막루의 폐쇄술 -1례 보고-)

  • 정원상;양수호;전순호;신성호;김영학;서정국;김경헌;이준영
    • Journal of Chest Surgery
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    • v.31 no.5
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    • pp.540-543
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    • 1998
  • A patient with post-pneumonectomy empyema was treated sucessfully by modification of Clagett's operation after closure of bronchopleural fistula using a transsternal, transpericardial approach. His primary disease was pulmonary tuberculosis, and he had a past history of left upper lobe lobectomy 34 year ago. Recently recurred pulmonary tuberculosis with aspergilloma in the remaining left lung, empyema with bronchopleural fistula had developed on the post-operative 4th day after completion pneumonectomy. Closed thoracostomy was done at the lowest point of the left pleural cavity immediately. The pleural cavity was irrigated with small amount of normal saline through pigtail catheter. The 2nd operation was done by closure of bronchopleural fistula using a stapler through transsternal, transpericardial approach, and then the pleural space was irrigated with normal saline with Tobramycin which shows sensitivity to isolated organism from pleural cavity. After negative conversion of pleural fluid culture, we performed modified Clagett's operation under local anesthesia. The patient had no evidence of recurrence of empyema and discharged from hospital after 10 days of the 3rd procedure.

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A study on the Digital diorama AR using Natural history Contents (자연사 콘텐츠를 활용한 디지털디오라마 AR연구)

  • Park, Ki-Deok;Chung, Jean-Hun
    • Journal of Digital Convergence
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    • v.19 no.6
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    • pp.293-297
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    • 2021
  • This paper applies the natural history contents of the Science Museum and combines the Gestalt theory to develop the butterfly arrangement structure of the butterfly sample box and the butterfly sample information necessary for the sample box as AR (Augmented Reality). Existing analog sample information is expressed as digital information by combining place, butterfly information, and graph to maximize the effect of digital diorama exhibition. Digital natural history information is increased or decreased, and an environment optimized for real samples and suitability is constructed, and natural history contents are arranged in the principles of collectiveness, closure, simplicity, and continuity using the Gestalt visual perception principle to increase attention and increase the attention of butterfly collection information. Was applied as an application plan of AR.

Long-Term Follow-Up Study of Young Adults Treated for Unilateral Complete Cleft Lip, Alveolus, and Palate by a Treatment Protocol Including Two-Stage Palatoplasty: Speech Outcomes

  • Kappen, Isabelle Francisca Petronella Maria;Bittermann, Dirk;Janssen, Laura;Bittermann, Gerhard Koendert Pieter;Boonacker, Chantal;Haverkamp, Sarah;de Wilde, Hester;Van Der Heul, Marise;Specken, Tom FJMC;Koole, Ron;Kon, Moshe;Breugem, Corstiaan Cornelis;van der Molen, Aebele Barber Mink
    • Archives of Plastic Surgery
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    • v.44 no.3
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    • pp.202-209
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    • 2017
  • Background No consensus exists on the optimal treatment protocol for orofacial clefts or the optimal timing of cleft palate closure. This study investigated factors influencing speech outcomes after two-stage palate repair in adults with a non-syndromal complete unilateral cleft lip and palate (UCLP). Methods This was a retrospective analysis of adult patients with a UCLP who underwent two-stage palate closure and were treated at our tertiary cleft centre. Patients ${\geq}17$ years of age were invited for a final speech assessment. Their medical history was obtained from their medical files, and speech outcomes were assessed by a speech pathologist during the follow-up consultation. Results Forty-eight patients were included in the analysis, with a mean age of 21 years (standard deviation, 3.4 years). Their mean age at the time of hard and soft palate closure was 3 years and 8.0 months, respectively. In 40% of the patients, a pharyngoplasty was performed. On a 5-point intelligibility scale, 84.4% received a score of 1 or 2; meaning that their speech was intelligible. We observed a significant correlation between intelligibility scores and the incidence of articulation errors (P<0.001). In total, 36% showed mild to moderate hypernasality during the speech assessment, and 11%-17% of the patients exhibited increased nasalance scores, assessed through nasometry. Conclusions The present study describes long-term speech outcomes after two-stage palatoplasty with hard palate closure at a mean age of 3 years old. We observed moderate long-term intelligibility scores, a relatively high incidence of persistent hypernasality, and a high pharyngoplasty incidence.

Diagnosis of Right Ventricular Vegetation on Late Gadolinium-Enhanced MR Imaging in a Pediatric Patient after Repair of a Ventricular Septal Defect

  • Jeong, Jewon;Kim, Hae Jin;Kim, Sung Mok;Huh, June;Yang, Ji-Hyuk;Choe, Yeon Hyeon
    • Investigative Magnetic Resonance Imaging
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    • v.20 no.2
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    • pp.114-119
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    • 2016
  • We report a case of vegetation in a 4-year-old female with infective endocarditis, diagnosed by late gadolinium-enhanced (LGE) cardiovascular magnetic resonance (CMR) imaging. The patient had a history of primary closure for ventricular septal defect and presented with mild febrile sensation. No remarkable clinical symptoms or laboratory findings were noted; however, transthoracic echocardiography demonstrated a 14 mm highly mobile homogeneous mass in the right ventricle. On LGE CMR imaging, the mass showed marginal rim enhancement, which suggested the diagnosis of vegetation rather than thrombus. The extracellular volume fraction (${\geq}42%$) of the lesion was higher than that of normal myocardium. Based on the patient's clinical history of congenital heart disease and pathologic confirmation of the lesion, a diagnosis of infective endocarditis with vegetation was made.

Dento-maxillofacial Abnormalities Caused by Radiotherapy and Chemotherapy

  • Park Cheol-Woo;Hwang Eui-Hwan;Lee Sang-Rae
    • Imaging Science in Dentistry
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    • v.30 no.4
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    • pp.287-292
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    • 2000
  • A case of dento-maxillofacial abnormality involving a 10-year-old male patient with a history of esthesioneuro-blastoma is presented. This patient had been treated with 54 Gy /sup 60/Co-gamma-radiation to the nasal cavity for 6 weeks and 6 cycles of combination chemotherapy of Cyclophosphamide, Cisplatin, Adriamycin, VM-26 (Tenipo-side), and DTIC (Dacarbazine) when he was 16 months of age. Five years after cessation of cancer therapy, he was disease free and transferred for extensive dental care to Kyung Hee University Dental Hospital. A clinical and radiologic follow-up over last 4 years showed root stunting, premature closure of the root apices, microdontia, developmental arrest, small crowns, and partial anodontia. Maxillofacial morphology evaluated by cephalometric analysis showed deficiency of maxillary development.

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Diagnostic Role of Stroboscopy (후두 내시경의 진단적 역할)

  • Lee, Sang-Hyuk
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.21 no.1
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    • pp.13-16
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    • 2010
  • Diagnosis of a patient with dysphonia begins with a thorough history and physical examination. Larynx can be visualized either indirectly or directly with a rigid or flexible laryngoscope. One notable limitation of simple indirect laryngoscopy is that the examination dose not yields a recordable and reproducible image of the larynx and vocal tract. And unaided human eye is unable to visualize the vibratory patterns of the true vocal cord during phonantion. When available, stroboscopy provides useful information regarding vocal told closure, vibration, and mucosal wave which is useful to decide between microsurgery, vocal reeducation or a combined treatment Even there are some limitations, recognition of the advantages and disadvantages of stroboscopy allows for optimal appreciation and stroboscopy remains an essential diagnostic tool in the assessment of dysphonia.

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Ventricular Septal Defect Closure in a Neonate with Osteogenesis Imperfecta

  • Jang, Woo Sung;Choi, Hee Jeong;Kim, Jae Bum;Kim, Jae Hyun
    • Journal of Chest Surgery
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    • v.52 no.3
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    • pp.162-164
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    • 2019
  • A male patient weighing 2.5 kg was admitted for respiratory difficulty, and a large ventricular septal defect (VSD) was diagnosed. During care, sudden right leg swelling with a femur shaft fracture occurred. The patient's father had a history of recurrent lower extremity fractures; thus, osteogenesis imperfecta was considered. The patient's respiratory difficulty became aggravated, and VSD repair in the neonatal period was therefore performed with gentle sternal traction and great vessel manipulation under total intravenous anesthesia to prevent malignant hyperthermia. The patient was discharged without notable problems, except minor wound dehiscence. Outpatient genetic testing revealed that the patient had a COL1A1/COL1A2 mutation.