• Title/Summary/Keyword: shunt

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Clinical Value of Intraoperative Flow Measurements of Brachiocephalic Arteriovenous Fistulas for Hemodialysis

  • Lee, Jonggeun;Lee, Seogjae;Chang, Jee Won;Kim, Su Wan;Song, Jung-Kook
    • Journal of Chest Surgery
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    • v.53 no.3
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    • pp.121-126
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    • 2020
  • Background: The aim of this study was to analyze the clinical outcomes of autogenous brachiocephalic arteriovenous fistulas and to investigate the factors associated with 1-year patency after initiation of hemodialysis. Methods: We retrospectively reviewed the medical records of 41 patients who underwent surgery to create an autogenous brachiocephalic arteriovenous fistula between January 2015 and December 2017, received hemodialysis at the same hospital for longer than 1 year, and were monitored for their vascular access status. Intraoperative flow was measured using transit-time ultrasonography. Results: The 1-year primary and secondary patency rates were 61% (n=25) and 87.8% (n=36), respectively. The functional group (subjects who required no intervention to maintain patency within the first year after hemodialysis initiation) displayed a significantly higher median intraoperative flow rate (450 mL/min) than the non-functional group (subjects who required intervention at least once regardless of 1-year patency) (275 mL/min) (p=0.038). Based on a receiver operating characteristic curve analysis, all patients were additionally subdivided into a high-flow group (>240 mL/min) and a low-flow group (≤240 mL/min). The high-flow group included a significantly greater number of functional brachiocephalic arteriovenous fistulas than the low-flow group (74.2% vs. 20%, respectively; p=0.007). Conclusion: Transit-time flow, as measured with intraoperative transit-time ultrasonography, was associated with patency without the need for intervention at 1 year after initiation of hemodialysis.

Compact Hybrid Branch-line Couplers and Rat-Race Couplers with Periodic Stepped Stubs (주기적인 계단형 스터브를 갖는 소형화된 하이브리드 Branch-Line 결합기와 Rat-Race 결합기)

  • Lee Chang On;Kim Won-Ki;Kim Sang-Tae;Shin Chull-Chai
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.41 no.12
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    • pp.115-124
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    • 2004
  • In this paper, we introduce the advanced compact transmission line with periodic stepped stubs. They are more effective than normal stubs in ATL. The short stepped stubs loading of transmission line work as effective shunt capacitance and that was proved by equivalent circuit based on transmission line theory and quasi-static analysis. And the compact branch-line coupler and the compact rat-race coupler via proposed compact microstrip line were designed at 1.8 ㎓. They have 677 ㎟ and 913 ㎟, respectively, and they are 62% and 45% of normal design.

A Study on the Out-of-Band Rejection Improvement of TFBAR Ladder Filter using On-Wafer Inductors (기판상의 인덕터를 이용한 박막 공진 여파기의 대역 외 저지특성 개선 연구)

  • 김종수;구명권;육종관
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.15 no.3
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    • pp.284-290
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    • 2004
  • In this paper, two types of thin nim bulk acoustic resonator(TFBAR) ladder filters are desisted and fabricated to analyze the effects of on-wafer inductor integration. To suppress the overmode phenomenon a 1 $\mu\textrm{m}$ thick air-gap is fabricated under the TFBAR and aluminum nitride is used for piezoelectric material, while platinum is employed for the top and bottom electrodes. The Tx filter in a duplexer, which usually has a steeper skirt characteristics o the right side of the passband, is designed with four serial and two shunt resonators, namely, a 4/2 stage. Similarly, the Rx filter is devised with a 3/4 stage to create a mirrored image of the Tx filter passband characteristics. Fabricated on-wafer spiral inductors with underpass reveals the Q factor of 5~9 at 2 ㎓. Inductor integrated filters have approximately 10 to 12 ㏈ out-of-band rejection improvement, when compared to the original filters.

Waveguide Broad-Wall Slot Array Monopulse Antenna for Millimeter-Wave Seeker Using Dip Brazing Method (딥 브레이징 제작 기법을 이용한 밀리미터파 탐색기용 도파관 광벽 슬롯 배열 모노펄스 안테나)

  • Baek, Jong-Gyun;Jung, Chae-Hyun;Lee, Kook-Joo;Park, Chang-Hyun
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.26 no.11
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    • pp.1020-1026
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    • 2015
  • In this paper, the design of longitudinal shunt slot array monopulse antenna in the broad wall of waveguide for Ka band millimeter-wave seeker, Dip-Brazing method for fabrication and experiment results are presented. The proposed antenna consists of radiating slots by using Elliot's array synthesis procedure, probe-exciting feed structure for improving the return loss bandwidth and monopulse comparator. Element weigthings in the array have been calculated by continuous Taylor aperture distribution. Also, the simulation tool has been used to characterize the individual isolated slot, which has subsequently been used in Elliot's method to design the slot array efficiently. The designed antenna is fabricated using Dip-Brazing method. The gain of measured antenna is 28.4 dBi. Antenna beamwidth and side lobe levels are similar to the design result we expect.

Small Epsilon Negative ZOR Antenna with Improved Bandwidth (확장된 대역폭을 갖는 소형 Epsilon Negative ZOR 안테나)

  • Ko, Seung-Tae;Park, Byung-Chul;Park, Jae-Hyun;Lee, Jeong-Hae
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.19 no.8
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    • pp.920-926
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    • 2008
  • In this paper, small epsilon negative(ENG) zeroth-order resonance(ZOR) antenna with improved bandwidth is presented. To reduce the size of ENG ZOR antenna without narrowing bandwidth, large shunt inductance is introduced by adding patterns on patch and meandered via. The effective permittivity of meandered via is less dependent of frequency than that of straight via in same size. Thus, ENG ZOR antenna with meandered via has broader bandwidth. As a result, the bandwidth of ENG ZOR antenna with meandered via is 1.38 times as broad as that of spiral ENG ZOR antenna with straight via. On the other hand, the area of ENG ZOR antenna is reduced by 64 % compared with that of conventional mushroom ZOR antenna.

Flexible Zeroth-Order Resonant(ZOR) Antenna Independent of Curvature Diameter (곡률에 독립적인 플렉서블 기판 위에 설계된 영차 공진 안테나)

  • Lim, In-Seop;Chung, Tony J.;Lim, Sung-Joon
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.23 no.1
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    • pp.21-28
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    • 2012
  • In this paper, we propose a flexible zeroth-order resonant(ZOR) antenna. Its zero phase constant ensures that the antenna performance is independent of substrate deformation. A composite right/left-handed transmission line is designed based on coplanar waveguide technology to realize the zeroth-order resonance phenomenon. The CRLH is an implementation of metamaterial(left handed material) which is composed of shunt inductance and series capacitance. In order to yield additional circuital parameter, chip inductor and gap capacitor is added, respectively. The proposed ZOR antenna provides good performances: reasonable bandwidth(6.5 %) and peak gain(0.69~1.39 dBi). Simulated and measured results show that the antenna's resonant frequencies and radiation patterns are almost unchanged at different curvature diameters of 30, 50, 70 mm, as well as for a flat surface.

Approximate Method of Transmission Lines Crossing a Rectangular Aperture in a Backplane (백 플레인의 사각형 개구를 관통하는 전송 선로의 근사 해석법)

  • Jung, Sung-Woo;Choi, Beom-Jin;Choi, Bong-Yeol;Kim, Ki-Chai
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.21 no.9
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    • pp.1056-1064
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    • 2010
  • This paper presents the approximate analysis method for the symmetric transmission line crossing the aperture in an backplane. The method of moments is used to determine the aperture impedance for the construction of the equivalent transmission line that the aperture impedance apply to the transmission line as the shunt impedance. As the results, the insertion loss increases at the specific frequency range for the impedance matching. In the case of the mismatching, we are confirmed to the insertion gain at the specific frequency. Also the horizontal length of the aperture affects to the transmission line better than vertical length. The measurement of the insertion loss is performed to verify the theoretical analysis.

Efficient Fault Location Detecting Mechanism for Optical Submarine Cable (해저광케이블 고장지점 탐지기법)

  • Park, Hong-Tae;Yoo, Jae-Duck;Yoon, Suk-Min;Jo, Gi-Rayng;Shin, Hyun-Sik
    • The Journal of the Korea institute of electronic communication sciences
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    • v.1 no.1
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    • pp.63-69
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    • 2006
  • The optical submarine cable has a long distance cable and the repeater for optical amplification compared to territorial optical cable so conventional OTDR utilization for the optical submarine cable is limited. in case the optical core in the optical submarine cable system cut, by using Coherent OTDR that utilize OTDR path in repeater the cable fault point can be detected and in case the faulty of the copper tube in the cable that provide power for the repeater to amplify optical signal, the ways using the current/voltage characteristic, the capacitance per Km and so on is required. this report suggest efficient fault location detecting mechanism by categorized cable fault type.

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Unusual paradoxical embolic stroke in a patient with persistent left superior vena cava (지속성 좌측 상대정맥 환자에서 발생한 드문 색전성 뇌졸중)

  • Kwon, Tae-hun;Choi, Kang-un;Kim, Byung-jun;Cho, Jae-ho;Lee, Jae-young;Park, Kyu-hwan;Lee, Sang-hee;Son, Jang-won
    • Journal of Yeungnam Medical Science
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    • v.32 no.2
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    • pp.118-121
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    • 2015
  • Cardiogenic embolic stroke accounts for approximately 20% of ischemic strokes and the likelihood of its recurrence is high. Paradoxical embolism may be an important cause of cardioembolic stroke, which can be evaluated through multiple diagnostic modalities including transesophageal echocardiography (TTE) or transcranial Doppler. A persistent left superior vena cava (PLSVC) is a rare congenital vascular anomaly, which mainly drains to the right atrium via the coronary sinus. Although rare, PLSVC draining into the left heart predisposes the patient to paradoxical embolism through a right-to-left shunt. We report on a 78-year-old female patient with an ischemic stroke associated with PLSVC draining into the left atrium through the pulmonary vein, which was investigated via TTE with an agitated saline test and computed tomography.

Recurrent Brain Abscess In Chronic Sinusitis : A Case Report (만성부비동염을 가진 환자에서 재발된 뇌농양 : 증례보고)

  • Yi, SangHak;Hwang, Yong;Lee, Hak Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.275-279
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    • 2018
  • A brain abscess is caused by an infection in the central nervous system and leads to significant neurological sequelae. Despite advances in neurocritical care, high morbidity and mortality rates are still associated with brain abscess, especially in certain high-risk patients. Thus, a brain abscess is a medical emergency requiring prompt diagnosis and treatment with antibacterial therapy. However, the recurrence of brain abscess is rare. A 59-year-old man presented at our neurology clinic with a headache and was found to have chronic otitis media. Serial brain magnetic resonance imaging (MRI) scans of the patient demonstrated a brain abscess in the right frontal lobe. Following stereotactic aspiration of the brain abscess and proper antimicrobial treatment, the patient recovered completely. Five months after discharge, the patient revisited our clinic with a headache and seizure symptoms, and recurrence of the brain abscess was confirmed by brain MRI. Recurrent brain abscess has been documented in patients with predisposing conditions such as retained foreign bodies, chronic sinusitis, arteriovenous fistula, and right-to-left shunt.