• Journal of Chest Surgery
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• v.17 no.4
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• pp.753-761
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• 1984

Most patients having annuloaortic ectasia are associated with marked dilatation of the sinuses of Valsalva and the aortic annulus as well as the huge aneurysm of the ascending aorta. A 19 year old male patient complaining of tightness on left posterior chest wall underwent cardiac angiography in which demonstrated annuloaortic ectasia with ascending aortic aneurysm and aortic insufficiency. The patient had corrective operation replacing the ascending aorta and aortic valve with a composite graft[Dacron prosthesis containing a Bjork-Shiley aortic valve] within the aneurysmal sac. The coronary orifices were anastomosed to the tubular Dacron prosthesis [30 mm in diameter] by means of a second smaller Gore-Tex tube [8mm in diameter]. The aneurysmal sac was trimmed by removing the redundant wall and then wrapped outer wall of the Dacron prosthesis. Postoperatively, mediastinal bleeding was temporarily observed in the operative day and satisfactory blood pressure was maintained with small dose of dopamine. One week later, large amount of serous effusion was drained out of the retrosternal space making partial disruption of the skin which was healed well by daily local dressing. The patient discharged in good condition on postoperative 29th day with no residual complications and is doing very well on the 4 months follow-up.

• Journal of Chest Surgery
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• v.29 no.1
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• pp.86-89
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• 1996

This is a report of successful conversion arterial switch operation for failed Sunning procedure in transposition of the great arteries(TGA) with ventricular septal defect(VSD). A 15 month-male patient was admitted due to intractable congestive heart failure after Sunning operation was done at the age of 8 months. Angiography revealed marked dysfunction of the morphologic right ventricle with tricuspid regurgitation and residual VSD. The pulmonary ventricle 1 systemic ventricle pressure ratio' of 75/85 at catheter study enabled us to do the take down of denning repair, patch closure of VSD and arterial switch without pulmonary artery banding. After the operation, the baby showed good growth with normal ventricular function.

• Geomechanics and Engineering
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• v.11 no.3
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• pp.421-438
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• 2016

Explosions inside transportation tunnels might result in failure of tunnel structures. This study investigated the failure mechanisms of circular cast-iron tunnels in saturated soil subjected to medium internal blast loading. This issue is crucial to tunnel safety as many transportation tunnels run through saturated soils. At the same time blast loading on saturated soils may induce residual excess pore pressure, which may result in soil liquefaction. A series of numerical simulations were carried out using Finite Element program LS-DYNA. The effect of soil liquefaction was simulated by the Federal Highway soil model. It was found that the failure modes of tunnel lining were differed with different levels of blast loading. The damage and failure of the tunnel lining was progressive in nature and they occurred mainly during lining vibration when the main event of blast loading was over. Soil liquefaction may lead to more severe failure of tunnel lining. Soil deformation and soil liquefaction were determined by the coupling effects of lining damage, lining vibration, and blast loading. The damage of tunnel lining was a result of internal blast loading as well as dynamic interaction between tunnel lining and saturated soil, and stress concentration induced by a ventilation shaft connected to the tunnel might result in more severe lining damage.

• Environmental Engineering Research
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• v.22 no.4
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• pp.432-438
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• 2017

Slum settlement, a direct result of the rapid worldwide urbanization is a common site in most developing countries. Uganda is among the top African countries with high number of slums. The status of Katanga slum located in the low-lands between Mulago national hospital and Makerere University is a typical of many other slums within Uganda. This project proposal seeks to tackle urbanization challenges by specializing in slum upgrading as a sustainable way of curbing the menace. An integrated toilet, biogas, poultry and backyard gardening project is proposed as a channel of boosting the Katanga slum dwellers' economic, sanitation and domestic energy status. Designed to serve up to 30 households, the project will utilize residual wastes from poultry houses and toilets to produce biogas and slurry. The biogas yield will provide clean cooking fuel and energy for lighting, while the slurry used as organic fertilizers to improve vegetable yields. The social, economic and environmental impacts of the project will empower the vulnerable women and children within the slums and reduce water pollution and land degradation. This affordable project can be applied in developing countries experiencing slum settlement challenges as a strategy for reducing urbanization pressure.

• Transactions of the Korean Society of Automotive Engineers
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• v.17 no.4
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• pp.93-100
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• 2009

Intake/exhaust valve timing and exhaust cam lift were changed to control the internal exhaust gas recirculation (IEGR) and combustion phase of homogeneous charge compression ignition (HCCI) engine. To measure the IEGR rate, in-cylinder gas was sampled during from intake valve close to before ignition start. The lower exhaust cam made shorter valve event than higher exhaust cam and made IEGR increase because of trapping the exhaust gas. IEGR rate was more affected by exhaust valve timing than intake valve timing and increased as exhaust valve timing advanced. In-cylinder pressure was increased near top dead center due to early close of exhaust valve. Ignition timing was more affected by intake valve timing than exhaust valve timing in case of exhaust valve lift 8.4 mm, while ignition timing was affected by both intake and exhaust valve timing in case of exhaust valve 2.5 mm. Burn duration with exhaust valve lift 2.5 mm was longer than other case due to higher IEGR rate. The fuel conversion efficiency with higher exhaust valve lift was higher than that with lower exhaust valve lift. The late exhaust and intake maximum open point (MOP) made the fuel conversion efficiency improve.

• The Journal of Asian Finance, Economics and Business
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• v.7 no.3
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• pp.137-148
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• 2020

The purpose of this study is to investigate factors influencing risk assessment of material misstatement in Vietnamese enterprises listed on stock market. Expert interview method was conducted to discover the scales for three variables including information system, trademark, and risk assessment of material misstatement. Survey method was used to examine the impacts of eight factors on risk assessment of material misstatement. Data is collected from 317 auditors who have excellent experience in auditing financial statements of companies listed on stock market. Then, data is processed by descriptive statistics, reliability analysis, factor extracted analysis, correlative regression analysis, and analysis variance of residual change. The research findings showed that business characteristic, stakeholder pressure, and economic environment have positive relationships with risk assessment of material misstatement. Three variables including operation control and monitor, control environment, and information system negatively affect to risk assessment. Specially, business characteristic and information system, which are elements in internal control, have strongest impact on risk assessment. One the other hand, assessment of internal control plays an important role not only in the audit plan stage but also throughout the stages of the audit implementation and ending. Therefore, appropriate solutions are proposed to carry out all audit stages.

• Journal of Yeungnam Medical Science
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• v.3 no.1
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• pp.49-51
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• 1986

Atracurium was used in 10 parturients undergoing elective cesarian section under general Anesthesia. An initial bolus of 0.4 mg/kg of the atracurium was injected after recovery from succinylcholine block. Complete neuromuscular block resulted in all cases. Muscular relaxation was maintained by incremental dose of 0.2mg/kg of atracurium. Administration of atracurium did not cause significant change in blood pressure, pulse rate and infants Apgar score. The residual neuromuscular block could be antagonized at the end of the procedure by mixture of 0.005mg/kg glycopyrrolate and 0.03 mg/kg of neostigmine. In all parturients, antagonism was adequate as evidenced by respiratory response and head lift test. Atracurium may be advantageous in parturients undergoing cesarian section under general anesthesia cause it maintained cardiovascular stability, is non-cumulative, is readily antagonized by neostigmine and has no deleterious effect on the newborn.

• Proceedings of the KIEE Conference
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• 1999.11a
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• pp.1-3
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• 1999

EM (ElectroMagnetic) pump is used for the purpose of transporting liquid sodium coolant with electrical conductivity in the LMR(Liquid Metal Reactor). (In the present study, pilot EM pump has been designed by using of equivalent circuit method which is commonly employed to analyze linear induction machines for the test of removal of residual heat. The length and diameter of the pump have fixed values of 840 mm and 101.6 mm each by taking account of geometrical size of circulation loop for the installation of EM pump. Flowrate versus developing pressure is related from Laithwaite's standard design formula and the characteristic analyses of developing force and efficiency are carried out according to change of input frequency. From the characteristic curve, input frequency of 13 Hz is determined as the design frequency. On the other hand, The annular air gap size of 6.05 mm is selected not to bring about too much hydraulic loss. Resultantly design analysis makes pump have the electrical input of 604 VA and the hydrodynamical capacity of 1.3 bars and 40 l/min.

• Korean Journal of Bronchoesophagology
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• v.14 no.1
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• pp.50-53
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• 2008

Subcutaneous cervicofacial, mediastinal emphysemas are complications associated with head and neck surgery, trauma, infectious processes, tooth extraction. Drill cooling stream and dental syringe air ject are the sources of high pressure air that may enter exposed soft tissue. Since the introduction of the high-speed air turbine drill in the 1960s, The incidence of iatrogenic subcutaneous emphysema has increased. Most cases begin to resolve after 2 to 3 days and residual swelling is usually minimal at the end of 7 to 10 days. Surgical approach is not advised because it is likely to be ineffective. The differential diagnosis of neck swelling after dental procedure includes hematoma, cellulitis, angioedema, allergic reaction, subcutaneous emphysema. We report a rare case of patient with subcutaneous cervicofacial emphysema and mediastinal emphysema secondary to third molar extraction.

• Proceedings of the Korean Geotechical Society Conference
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• 2007.09a
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• pp.481-501
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• 2007

Excessive rainfalls due to climatic changes can trigger an increase in rainfall-induced slope failures that pose real threats to both lives and properties. Many high slopes in residual soils could stand at a steep angle, but failed during or after rainfall. Commonly, these slopes have a deep groundwater table and negative pore-water pressures in the unsaturated zone above the groundwater table contribute to the shear strength of soil and consequently to factor of safety of the slope. Stability assessment of slope under rainfall requires information on rate of rainwater infiltration in the unsaturated zone and the resulting changes in pore-water pressure and shear strength of soil. This paper describes the application of unsaturated soil mechanics principles and theories in the assessment of rainfall effect on stability of slope through proper characterization of soil properties, measurement of negative pore-water pressures, seepage and slope stability analyses involving unsaturated and saturated soils. Factors controlling the rate of changes in factor of safety during rainfall and a preventive method to minimize infiltration are highlighted in this paper.