• 제목/요약/키워드: total correction

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개심술 치험 10례 보고 (Clinical experience of open heart surgery: report of 10 cases)

  • 임승평
    • Journal of Chest Surgery
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    • 제16권1호
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    • pp.75-82
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    • 1983
  • This report is concerned to our experience of 10 cases of open heart surgery under the extracorporeal circulation at the Department of Thoracic and Cardiovascular Surgery, Capital Armed Forces General Hospital during the period between May, 1982 and February, 1983. 1. Six cases were male and two cases were female. Age was varied from 21 years to 50 years and mean age was 34 years. 2. The cases included 2 Ventricular Septal Defects, 1 Atrial Septal Defect, I Tetralogy of Fallot and 6 acquired valvular heart diseases. 3. The surgical managements were 3 primary repairs for Ventricular Septal Defects and Atrial Septal Defect, I total correction for Tetralogy of Fallot and 6 mitral valve replacements with bovine xenograft by Ionescu-Shiley combining 3 Tricuspid annuloplasties [ De Vega method ] and 1 deauricularization of left atrial appendage for acquired valvular heart diseases. 4. The average cardiopulmonary bypass time was 37 minutes for acyanotic congenital heart diseases and 92 minutes for cyanotic heart disease and acquired valvular heart diseases. And the average aortic cross clamping time was 19 minutes for the former and 70 minutes for the latter. 5. Postoperatively, there were 1 hemolytic anemia, 1 congestive heart failure, 1 hemolytic jaundice and 1 thermal burn as complications, but there was no operative mortality. 6. All patients received valve replacement were recommended anticoagulation with Persantin and Aspirin.

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Development of a Pulmonary Arteriovenous Fistula after a Modified Glenn Shunt in Tetralogy of Fallot and Its Resolution after Shunt Takedown in a 57-Year-Old Patient

  • Kim, Sang Yoon;Kim, Eung Rae;Bang, Ji Hyun;Kim, Woong-Han
    • Journal of Chest Surgery
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    • 제50권3호
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    • pp.215-219
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    • 2017
  • Pulmonary arteriovenous fistula (PAVF) is a complication of the Glenn shunt. A 57-year-old tetralogy of Fallot (TOF) patient, who had undergone a Glenn shunt and TOF total correction, complained of dyspnea and cyanosis. PAVFs were present in the rig ht lung, and rig ht lung perfusion was nearly absent. After coil embolization, takedown of the Glenn shunt, and reconstruction of the rig ht pulmonary artery, the patient's symptoms were relieved. Extrapulmonary radioisotope uptake caused by the PAVFs shown in lung perfusion scans decreased, and right lung perfusion increased gradually. Although the development and resolution of PAVFs after a Glenn shunt have been reported in the pediatric population, this may be the first report on this change in old age.

Right ventricular failure in congenital heart disease

  • Cho, Young Kuk;Ma, Jae Sook
    • Clinical and Experimental Pediatrics
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    • 제56권3호
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    • pp.101-106
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    • 2013
  • Despite developments in surgical techniques and other interventions, right ventricular (RV) failure remains an important clinical problem in several congenital heart diseases (CHD). RV function is one of the most important predictors of mortality and morbidity in patients with CHD. RV failure is a progressive disorder that begins with myocardial injury or stress, neurohormonal activation, cytokine activation, altered gene expression, and ventricular remodeling. Pressure-overload RV failure caused by RV outflow tract obstruction after total correction of tetralogy of Fallot, pulmonary stenosis, atrial switch operation for transposition of the great arteries, congenitally corrected transposition of the great arteries, and systemic RV failure after the Fontan operation. Volume-overload RV failure may be caused by atrial septal defect, pulmonary regurgitation, or tricuspid regurgitation. Although the measurement of RV function is difficult because of many reasons, the right ventricle can be evaluated using both imaging and functional modalities. In clinical practice, echocardiography is the primary mode for the evaluation of RV structure and function. Cardiac magnetic resonance imaging is increasingly used for evaluating RV structure and function. A comprehensive evaluation of RV function may lead to early and optimal management of RV failure in patients with CHD.

Geometrically non-linear transient C° finite element analysis of composite and sandwich plates with a refined theory

  • Kommineni, J.R.;Kant, T.
    • Structural Engineering and Mechanics
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    • 제1권1호
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    • pp.87-102
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    • 1993
  • A $C^{\circ}$ continuous finite element formulation of a higher order displacement theory is presented for predicting linear and geometrically non-linear in the sense of von Karman transient responses of composite and sandwich plates. The displacement model accounts for non-linear cubic variation of tangential displacement components through the thickness of the laminate and the theory requires no shear correction coefficients. In the time domain, the explicit central difference integrator is used in conjunction with the special mass matrix diagonalization scheme which conserves the total mass of the element and included effects due to rotary inertia terms. The parametric effects of the time step, finite element mesh, lamination scheme and orthotropy on the linear and geometrically non-linear responses are investigated. Numerical results for central transverse deflection, stresses and stress resultants are presented for square/rectangular composite and sandwich plates under various boundary conditions and loadings and these are compared with the results from other sources. Some new results are also tabulated for future reference.

Information Sources for Serbian Women on Cervical Carcinoma Risk Factors

  • Dugandzija, Tihomir;Mikov, Marica Miladinov;Rajcevic, Smiljana;Kacavenda, Dragana;Malenkovic, Goran;Ristic, Mioljub
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권6호
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    • pp.2931-2934
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    • 2012
  • Background: The epidemiological situation regarding cervical carcinoma in Serbia is rather unfavorable and one of contributing factors is the insufficient interest of women concerning the risk factors responsible for occurrence of this disease. The aim of this study was to determine the sources of relevant information for women Methods: An anonymous questionnaire was used for questioning of patients, students and women undergoing systematic examinations. There were 600 women in total in 2006, 2009 and 2010, and the data were statistically processed by the ${\chi}^2$ test with Yates correction and the Fisher test. Results: When observed for certain groups of tested women, and summed up for all three periods, there was a statistically significant difference for the answer "without any knowledge" (p=0.0001). When observed for certain years and summed up for all three tested groups, there was a statistically significant difference in answers regarding the source of information, the "doctor" (p=0.0011), "media" (p=0.0349) and "encyclopedia-internet" (p=0.0136). Conclusion: The media are a dominant source of information for women on risk factors for cervical cancer. The significance of the Internet increased during the three observed periods, while the students considered themselves least informed of all concerning risk factors.

계절변화에 따른 PSC 균형 켄틸레버 교량의 장기거동 특성 (Long-term Behavior of FCM Bridges considering Seasonal Temperature Variation - Part 1)

  • 이선호;이학은
    • 한국방재학회 논문집
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    • 제1권2호
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    • pp.93-101
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    • 2001
  • 본 연구에서는 계절에 따른 온도 변화를 고려한 건조수축의 예측모델을 제시하여, 실제구조물에서의 계절에 따른 온도변화에 대한 장기 거동 특성을 보다 향상된 방법으로 파악할 수 있는 방법을 제시하였다. 본 연구에서 사용된 건조수축 보정계수식은 계절에 따른 온도변화를 포함한 건조수축의 실제 실험적 데이터들을 사용하여 제안되었으며, FCM 교량의 장기 거동 조사는 현장에서 건조수축의 수치해석 결과를 적용할 수 있는지 없는지를 결정하기 위해 수행되었다. 본 연구에서 채택된 수치해석 방법은 실제 변형율과 차이가 발생하는 일반적인 방법과는 달리 실제 구조물의 거동특성을 매우 유사하게 모사할 수 있는 것으로 나타났다. 결과적으로 본 연구에서 제안된 방법은 FCM 교량의 장기 처짐에 대한 예측을 향상 시킬 것이다.

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THE EFFECT OF SURFACE METEOROLOGICAL MEASUREMENTS ON GPS HEIGHT DETERMINATION

  • Huang, Yu-Wen;Wang, Chuan-Sheng;Liou, Yuei-An;Yeh, Ta-Kang
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2006년도 Proceedings of ISRS 2006 PORSEC Volume II
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    • pp.748-751
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    • 2006
  • Positioning accuracy by the Global Positioning System (GPS) is of great concern in a variety of research tasks. It is limited due to error sources such as ionospheric effect, orbital uncertainty, antenna phase center variation, signal multipath, and tropospheric influence. In this study, the tropospheric influence, primarily due to water vapour inhomogeneity, on GPS positioning height is investigated. The data collected by the GPS receivers along with co-located surface meteorological instruments in 2003 are utilized. The GPS receivers are established as continuously operating reference stations by the Ministry of the Interior (MOI), Central Weather Bureau (CWB), and Industrial Technology Research Institute (ITRI) of Taiwan, and International GNSS Service (IGS). The total number of GPS receivers is 21. The surface meteorological measurements include temperature, pressure, and humidity. They are introduced to GPS data processing with 24 troposphere parameters for the station heights, which are compared with those obtained without a priori knowledge of surface meteorological measurements. The results suggest that surface meteorological measurements have an expected impact on the GPS height. The daily correction maximum with the meteorological effect may be as large as 9.3 mm for the cases of concern.

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Buckling analysis of functionally graded hybrid composite plates using a new four variable refined plate theory

  • Fekrar, A.;El Meiche, N.;Bessaim, A.;Tounsi, A.;Adda Bedia, E.A.
    • Steel and Composite Structures
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    • 제13권1호
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    • pp.91-107
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    • 2012
  • In this research, mechanical buckling of hybrid functionally graded plates is considered using a new four variable refined plate theory. Unlike any other theory, the number of unknown functions involved is only four, as against five in case of other shear deformation theories. The theory presented is variationally consistent, does not require shear correction factor, and gives rise to transverse shear stress variation such that the transverse shear stresses vary parabolically across the thickness satisfying shear stress free surface conditions. The plate properties are assumed to be varied through the thickness following a simple power law distribution in terms of volume fraction of material constituents. Governing equations are derived from the principle of minimum total potential energy. The closed-form solution of a simply supported rectangular plate subjected to in-plane loading has been obtained by using the Navier method. The effectiveness of the theories is brought out through illustrative examples.

Interaction between thyroglobulin and ADAMTS16 in premature ovarian failure

  • Pyun, Jung-A;Kim, Sunshin;Kwack, KyuBum
    • Clinical and Experimental Reproductive Medicine
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    • 제41권3호
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    • pp.120-124
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    • 2014
  • Objective: The aim of the present study was to examine whether interactions between polymorphisms in the thyroglobulin and ADAM metallopeptidase with thrombospondin type 1 motif, 16 (ADAMTS16) genes are associated with the development of premature ovarian failure (POF). Methods: A total of 75 patients with POF and 196 controls were involved in this study. We used a GoldenGate assay to genotype single nucleotide polymorphisms (SNPs). Logistic regression analysis was performed to identify POF-associated polymorphisms and synergistic interactions between polymorphisms in the thyroglobulin and ADAMTS16 genes. Results: Single gene analyses using logistic regression analysis showed no significant association between polymorphisms in the two genes and POF. In the results from interaction analyses, we found seven synergistic interactions between the polymorphisms in thyroglobulin and ADAMTS16, although there was no combination showing p-values lower than the significant threshold using the Bonferroni correction. When the AG genotype was present at the rs853326 missense SNP, the A and G alleles at the tagging SNPs rs16875268 and rs13168665 showed significant interactions (odds ratios=5.318 and 16.2 respectively; 95% confidence intervals, 1.64-17.28 and 2.08-126.4; p=0.0054 and 0.0079). Conclusion: Synergistic interactions between polymorphisms in the thyroglobulin and ADAMTS16 genes were associated with an increased risk of POF development in Korean women.

Development of a Virtual Frisch-Grid CZT Detector Based on the Array Structure

  • Kim, Younghak;Lee, Wonho
    • Journal of Radiation Protection and Research
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    • 제45권1호
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    • pp.35-44
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    • 2020
  • Background: Cadmium zinc telluride (CZT) is a promising material because of a high detection efficiency, good energy resolution, and operability at room temperature. However, the cost of CZT dramatically increases as its size increases. In this study, to achieve a large effective volume with relatively low cost, an array structure comprised of individual virtual Frisch-grid CZT detectors was proposed. Materials and Methods: The prototype consisted of 2 × 2 CZTs, a holder, anode and cathode printed circuit boards (PCBs), and an application-specific integrated circuit (ASIC). CZTs were used and the non-contacting shielding electrode method was applied for virtual Frisch-grid effect. An ASIC was used, and the holder and the PCBs were fabricated. In the current system, because the CZTs formed a common cathode, a total of 5 channels were assigned for data processing. Results and Discussion: An experiment using 137Cs at room temperature was conducted for 10 minutes. Energy and timing information was acquired and the depth of interaction was calculated by the timing difference between the signals of both electrodes. Based on obtained three-dimensional position information, the energy correction was carried out, and as a result the energy spectra showed the improvements. In addition, a Compton image was reconstructed using the iterative method. Conclusion: The virtual Frisch-grid CZT detector based on the array structure was developed and the energy spectra and the Compton image were successfully acquired.