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Surgical Repair of Ventricular Septal Defect after Myocardial Infarction: A Single Center Experience during 22 Years

  • Park, Sung Jun;Kim, Joon Bum;Jung, Sung-Ho;Choo, Suk Jung;Chung, Cheol Hyun;Lee, Jae Won
    • Journal of Chest Surgery
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    • v.46 no.6
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    • pp.433-438
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    • 2013
  • Background: Surgical repair of post-infarct ventricular septal defect (VSD) is considered one of the most challenging procedures having high surgical mortality. This study aimed to evaluate the outcomes of the surgical repair of post-infarct VSD. Methods: From May 1991 to July 2012, 34 patients (mean age, $67.1{\pm}7.9$ years) underwent surgical repair of post-infarct VSD. A retrospective review of clinical and surgical data was performed. Results: VSD repair involved the infarct exclusion technique using a patch in all patients. For coronary revascularization, 12 patients (35.3%) underwent concomitant coronary artery bypass graft, 3 patients (8.8%) underwent preoperative percutaneous coronary intervention, and 9 patients (26.5%) underwent both of these procedures. The early mortality rate was 20.6%. Six patients (17.6%) required reoperation due to residual shunt or newly developed VSD. During follow-up (median, 4.8 years; range, 0 to 18.4 years), late death occurred in nine patients. Overall, the 5-year and 10-year survival rates were $54.4%{\pm}8.8%$ and $44.3%{\pm}8.9%$, respectively. According to a Cox regression analysis, preoperative cardiogenic shock (p=0.069) and prolonged cardiopulmonary bypass time (p=0.008) were independent predictors of mortality. Conclusion: The early surgical outcome of post-infarct VSD was acceptable considering the high-risk nature of the disease. The long-term outcome, however, was still dismal, necessitating comprehensive optimal management through close follow-up.

Estimation of Genetic Parameters for First Lactation Monthly Test-day Milk Yields using Random Regression Test Day Model in Karan Fries Cattle

  • Singh, Ajay;Singh, Avtar;Singh, Manvendra;Prakash, Ved;Ambhore, G.S.;Sahoo, S.K.;Dash, Soumya
    • Asian-Australasian Journal of Animal Sciences
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    • v.29 no.6
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    • pp.775-781
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    • 2016
  • A single trait linear mixed random regression test-day model was applied for the first time for analyzing the first lactation monthly test-day milk yield records in Karan Fries cattle. The test-day milk yield data was modeled using a random regression model (RRM) considering different order of Legendre polynomial for the additive genetic effect (4th order) and the permanent environmental effect (5th order). Data pertaining to 1,583 lactation records spread over a period of 30 years were recorded and analyzed in the study. The variance component, heritability and genetic correlations among test-day milk yields were estimated using RRM. RRM heritability estimates of test-day milk yield varied from 0.11 to 0.22 in different test-day records. The estimates of genetic correlations between different test-day milk yields ranged 0.01 (test-day 1 [TD-1] and TD-11) to 0.99 (TD-4 and TD-5). The magnitudes of genetic correlations between test-day milk yields decreased as the interval between test-days increased and adjacent test-day had higher correlations. Additive genetic and permanent environment variances were higher for test-day milk yields at both ends of lactation. The residual variance was observed to be lower than the permanent environment variance for all the test-day milk yields.

Short-term grazing behavior of cattle under indoor housing for a new-bred tetraploid ruzigrass (Brachiaria ruziziensis Germain et Everard)

  • Ishigaki, Genki;Nitthaisong, Pattama;Prasojo, Yogi Sidik;Kobayashi, Ikuo;Fukuyama, Kiichi;Rahman, Mohammad Mijanur;Akashi, Ryo
    • Asian-Australasian Journal of Animal Sciences
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    • v.31 no.5
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    • pp.748-754
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    • 2018
  • Objective: The preference evaluation of cattle is an important factor for estimation and improvement of the grazing amounts of newly introduced or bred grasses or cultivars in barn. This study was performed to assess the grazing behavior (the amount of grazing and/or the grazing speed) of cattle as indirect method using newly bred Brachiaria ruziziensis tetraploid strain 'OKI-1'(BR) hay as treatment group and Cloris gayana 'Callide' (CG) hay as control group. It also compared the feasibility of using behavioral differences between two groups as one criteria for evaluating preference by Japanese black cattle in barn. Methods: Three experiments were carried out using 12 growing Japanese Black cattle including 6 males and 6 females. In each experiment, the four Japanese Black cattle (2 males and 2 females) were placed in separated stall and allowed to graze BR and CG in manger that was separated into two portions for about 30 min. The position and behavior of the cattle were recorded, and weighed the residual of each gay at 15 and 30 minutes after experiment start. Results: The BR was superior to CG in chemical composition such as protein, fibers and non-fibrous carbohydrate. The cattle, over all, tended to prefer BR over CG in the first half 15 minutes in terms of the time spent and amount of grazing. Additionally, growing cattle exhibited neophilia for BR bred newly. Conclusion: These findings indicated the current approach could be applied for one of criteria to evaluate the preference of hay by Japanese black cattle under indoor housing environment.

Evaluation of Material Properties of Fire-damaged Concrete Under Post-fire Curing Regimes Using Impact Resonance Vibration Method (충격 공진 기법을 이용한 화재 손상 콘크리트의 재양생 조건별 재료물성 평가)

  • Park, Sun-Jong;Yim, Hong Jae
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.21 no.5
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    • pp.42-48
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    • 2017
  • When concrete structures expose to fire, the structures were damaged accompanied with degradation of material properties of concrete. In order to determine the reuse of fire-damaged concrete structures, it is needed a careful determination considering conditions of fire damage, such as exposure temperature and exposure time, and also potential to restore fire damage. This study investigates on the evaluation of residual material properties of fire-damaged concrete under different post-fire curing regimes. An experimental study was performed on concrete samples to measure the dynamic elastic modulus by the impact resonance vibration method. Upon the experimental results, the evidence of restoration of material properties was confirmed on specific post-fire curing regimes, higher humidity conditions. Additionally, a correlation analysis was performed on the dynamic elastic modulus with the tensile strength for identifying the effects of post-fire curing regimes on both material properties of fire-damaged concrete.

A Performance Comparison of VSCA and VSDA Adaptive Equalization Algorithm using Distance Adjusted Approach in QAM Signal (QAM 신호에서 Distance Adjusted Approach를 이용한 VSCA와 VSDA 적응 등화 알고리즘의 성능 비교)

  • Lim, Seung Gag
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.15 no.1
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    • pp.139-145
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    • 2015
  • This paper compare the VSCA (Variable stepsize Square Contour Algorithm) and VSDA (Variable stepsize Square contour Decision directed Algorithm) adaptive equalization algorithm that is used for the minimization of the intersymbol interference which occurs in the time dispersive channel for the transmission of 16-QAM signal.. In the SCA, it is possible to compensates the amplitude and phase in the received signal that are mixed with the intersymbol interference by the constellatin dependent constant by using the 2nd order statistics of the transmitted signal. But in the VSCA and VSDA, it is possible to the improving the equalization performance by varing the stepsize using the concept of distance adjusted approach for constellation matching. We compare the performance of the VSCA and VSDA algorithm by the computer simulation. For this, the equalizer output signal constellation, residual isi, maximum distortion and MSE were used in the performace index. As a result of computer simulation, the VSCA algorithm has better than the VSDA in every performance index.

A Retrospective study on upper single tooth implants (상악 단일 치아 임프란트의 후향적 연구)

  • Jo, Soo-Jin;Lee, Keun-Woo;Cho, Kyoo-Sung;Moon, Ik-Sang
    • Journal of Periodontal and Implant Science
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    • v.33 no.3
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    • pp.383-393
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    • 2003
  • The aim of this retrospective study was to compare the amount of marginal bone loss between upper anterior area and upper posterior area with 71 upper single-tooth restorations on 2 stage machined $Br{{\aa}}nemark$ implants since Jan 1995. The second aim was to compare the bone defect group which had dehiscence and fenetration and the others in the upper anterior region. The results were as follows. 1. The most frequent reason of missing tooth in the upper anterior region was trauma by 61%. While upper posterior region showed various reasons such as congenital missing, advanced periodontitis, trauma. 2. Peri-implantitis with fistula occurred 1 of 41 implants in the upper anterior group in 1 year after loading and 2 of 32 implants in the upper posterior group failed before loading. The 1 year success rate of upper anterior group was 97.56 %, and 93.75 % for upper posterior group. 3. The mean marginal bone loss in the upper anterior group was 0.44${\pm}$0.25 mm, while 0.57${\pm}$0.32 mm in the upper posterior group. There was statistically significant difference in the amount of mean marginal bone loss (P${\pm}$0.10 mm at one year, and 0.48${\pm}$0.26 mm for the control group. No statistically significant difference of mean marginal bone loss was showen between bone defect group and the others at implantation. According to the results, the upper anterior region showed less marginal bone loss than the upper posterior region. In case of missing single upper tooth, careful consideration on recipient residual ridge to determine proper implant diameter and length, sufficient healing time, proper loading would lead to implant success. Single tooth implants in the maxilla seemed to be an alternative to fixed partial dentures without damage to adjacent teeth.

Robust Outlier-Object Detection in Image Pairs Based on Variable Threshold Using Empirical Correction Constant (실험적 교정상수를 사용한 가변문턱값에 기초한 영상 쌍에서의 강인한 이상 물체 검출)

  • Kim, Dong-Sik
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.46 no.1
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    • pp.14-22
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    • 2009
  • By calculating the differences between two images, which are captured with the same scene at different time, we can detect a set of outliers, such as occluding objects due to moving vehicles. To reduce the influence from the different intensity properties of the images, a simple technique that reruns the regression, which is based on the polynomial regression model, is employed. For a robust detection of outliers, the image difference is normalized by the noise variance. Hence, an accurate estimate of the noise variance is very important. In this paper, using an empirically obtained correction constant is proposed. Numerical analysis using both synthetic and real images are also shown in this paper to show the robust performance of the detection algorithm.

Open Treatment of Anterior Impingement Syndrome of the Ankle in Elite Level Soccer Players (축구 선수에서 발생한 족관절 전방 충돌 증후군의 개방적 수술의 치료 결과)

  • Lee, Kyung-Tai;Young, Ki-Won;Kim, J-Young;Kim, Eung-Soo;Cha, Seung-Do
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.1
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    • pp.76-80
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    • 2004
  • Purpose: We assessed the results of open treatment of anterior impingement syndrome of the ankle in elite level soccer players and concomitant injuries were idenfied. Materials and Methods: We retrospectively reviewed twenty one elite level soccer players diagnosed with anterior impingement syndrome who underwent open debridement between January 1997 and January 2002. All were men and the mean age at the operation was 21 years (range 16 to 27). The mean follow-up duration was 31 months (13 to 71). Concomitant abnormalities were idenfied through physical examination, bone scan and MRI. On a preoperative lateral radiograph, patients were classified according to McDermott's stage. Anteromedial or anterolateral approach was used at the operation and osteophyte was removed with osteotome and rongeur. When chronic ankle instability was accompanying, we performed Modified Brostrom-Gould procedure and for osteochondral lesion, multiple drilling was applied. The Ogilvie-Harris scoring system was used as a clinical scale to evaluate pain, swelling, stiffness and limitation of activity. The results were scored as excellent (15 to 16 points), good (13 to 14) and otherwise unsatisfactory. The time to return to full activity including sports activity was determined. Results: Eighteen of twenty one patients had an excellent outcome. Three patients were graded unsatisfactory and two of them abandoned their career due to the persistence of residual pain. Concomitant abnormalities were found including twelve cases of chronic ankle instability, three cases of osteochondral lesion and two cases of flexor hallucis longus tendinitis. Conclusion: Open debridement was successfully applied to the elite level soccer player with anterior impingement syndrome of the ankle. Considerable coexistence of other abnormalities such as chronic ankle instability may encourage us to consider additional operative procedure.

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Preparation of Porous Carbon by Chlorination of SiC (SiC의 염소화에 의한 다공성 탄소 입자 제조)

  • Park, Hoey Kyung;Park, Kyun Young;Kang, Tae Won;Jang, Hee Dong
    • Particle and aerosol research
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    • v.8 no.4
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    • pp.173-180
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    • 2012
  • SiC particles, 8.3 ${\mu}m$ in volume average diameter, were chlorinated in an alumina tubular reactor, 2.4 cm in diameter and 32 cm in length, with reactor temperature varied from 100 to $1200^{\circ}C$. The flow rate of the gas admitted to the reactor was held constant at 300 cc/min, the mole fraction of chlorine in the gas at 0.1 and the reaction time at 4 h. The chlorination was negligibly small up to the temperature of $500^{\circ}C$. Thereafter, the degree of chlorination increased remarkably with increasing temperature until $900^{\circ}C$. As the temperature was increased further from 900 to $1200^{\circ}C$, the increments in chlorination degree were rather small. At $1200^{\circ}C$, the chlorination has nearly been completed. The surface area of the residual carbon varied with chlorination temperature in a manner similar to that with the variation of chlorination degree with temperature. The surface area at $1200^{\circ}C$ was 912 $m^{2}/g$. A simple model was developed to predict the conversion of a SiC under various conditions. A Langmuir-Hinshelwood type rate law with two rate constants was employed in the model. Assuming that the two rate constants, $k_{1}$ and $k_{2}$, can be expressed as $A_{1e}^{-E_{1}/RT}$ and $A_{2e}^{-E_{2}/RT}$, the four parameters, $A_{1}$, $E_{1}$, $A_{2}$, and $E_{2}$ were determined to be 32.0 m/min, 103,071 J/mol, 2.24 $m^{3}/mol$ and 39,526 J/mol, respectively, through regression to best fit experimental data.

Evidence for the Luminosity Evolution of Type Ia Supernovae from the Ages of Early-type Host Galaxies

  • Lee, Young-Wook;Kang, Yijung;Kim, Young-Lo;Lim, Dongwook;Chung, Chul
    • The Bulletin of The Korean Astronomical Society
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    • v.38 no.2
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    • pp.56.1-56.1
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    • 2013
  • Supernovae type Ia (SNe Ia) cosmology is providing the only direct evidence for the presence of dark energy. This result is based on the assumption that the look-back time evolution of SNe Ia luminosity, after light-curve shape correction, would be negligible. However, the most recent compilation of SNe Ia data shows systematic difference in the Hubble residual (HR) between the E and Sd/Irr galaxies, indicating that the light-curve fitters used by the SNe Ia community cannot quite correct for a large portion of the population age effect. In order to investigate this possibility more directly, we have obtained low-resolution spectra for 30 nearby early-type host galaxies. This data set is used to estimate the luminosity-weighted mean ages and metallicities of host galaxies by employing the population synthesis models. We found an interesting trend between the host galaxy age and HR, in the sense that younger galaxies have positive residuals (i.e., light-curve corrected SNe Ia luminosity is fainter). This result is rather independent of the choice of the population synthesis models employed. Taken at face value, this age (evolution) effect can mimic a large fraction of the HR used in the discovery of the dark energy. This result is significant at 1.4 - 3 sigma levels, depending on the light curve fitters adopted, and further observations and analyses are certainly required to confirm the trend reported here.

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