• Title/Summary/Keyword: total correction

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Surgical correction of adult tetralogy : Results of repair in 123 patients (성인 활로 4징증에 대한 개심술)

  • An, Hyuk;Suh, Kyung-Phill;Lee, Yung-Woo
    • Journal of Chest Surgery
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    • v.19 no.4
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    • pp.627-632
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    • 1986
  • This report describes our 17-years experience with intracardiac repair in 123 patients older than 15 years with tetralogy of Fallot. Major clinical manifestation was cyanosis and clubbing [102 Pts], but other minor associated manifestation were infective endocarditis, pulmonary tuberculosis, brain abscess, congestive heart failure, nephrotic syndrome, and tuberculous spondylitis. Prior palliative shunts had been performed in 10 patients. Preoperative hemoglobin ranged from 9.7 gm/dl to 25 gm/dl [mean 19 gm/dl]. The type of ventricular septal defect were typical perimembranous type, and total canal defect [13%]. The right ventricular outflow tract obstruction was due to combined [58.5%], infundibular [35%], and valvular stenosis [6.5%]. Transannular patch was used in 17% of patients. Hospital mortality was 9.8% in overall, but decreased to 1.7% since 1982. There was two late death [12 year actuarial survival [97%] due to fulminant hepatitis, residual abnormalities [PS, VSD]. Ninety two percent of survivors at follow-up are asymptomatic and leading an active normal life. Residual ventricular septal defect was detected with radionuclide single pass study in 15.3% of patients but almost cases were Qp/Qs less than 1.5, and only two patients had been candidates for reoperation.

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Surgical Correction of TO in Adults - 42 Cases Report - (성인 활로씨 사징증의 외과적 교정)

  • 안욱수
    • Journal of Chest Surgery
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    • v.24 no.1
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    • pp.1-7
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    • 1991
  • This report describes our 10-year experience with intracardiac repair in 42 patients older than 16 year with tetralogy of Fallot. The mean age was 22.0$\pm$5.18 years[range 16~41]. The preoperative clinical manifestations were cyanosis & clubbing[93%], frequent URI [55%], anoxic spell[40%], pulmonary tuberculosis[21%], tuberculous empyema[7%], chronic renal failure[7%], congestive heart failure[7%] and subacute bacterial endocarditis [2%], etc. The previous shunt procedure for palliation had been performed in 7 patients. The type of VSD were typical perimembranous type[67%], total canal defect[28%] and combined type[5%]. The right ventricular outflow tract obstruction were combined type[69%], infundibular type[21%] and valvular type[10%]. Transannular patch was used in 50% of patients. Associated cardiovascular anomalies were ASD[33%], PFO[31%], Rt. aortic arch[10%], Lt. SVC[10%], single Rt. pulmonary artery, single Lt. coronary artery, ASI, proximal stenosis of Rt. pulmonary artery and anomalous systemic venous return, etc. Hospital mortality was 7.1%[3 cases]in overall. The causes of hospital deaths were revealed low cardiac output & acute renal failure[2 cases], postoperative bleeding[1 case]. There were 2 late deaths 3 & 68 months after surgery. Residual intracardiac shunt was detected in 2 patients. one patient was successfully reoperated and another patient had Qp /Qs ratio less than 1.5.

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Image deblurring via adaptive proximal conjugate gradient method

  • Pan, Han;Jing, Zhongliang;Li, Minzhe;Dong, Peng
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.9 no.11
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    • pp.4604-4622
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    • 2015
  • It is not easy to reconstruct the geometrical characteristics of the distorted images captured by the devices. One of the most popular optimization methods is fast iterative shrinkage/ thresholding algorithm. In this paper, to deal with its approximation error and the turbulence of the decrease process, an adaptive proximal conjugate gradient (APCG) framework is proposed. It contains three stages. At first stage, a series of adaptive penalty matrices are generated iterate-to-iterate. Second, to trade off the reconstruction accuracy and the computational complexity of the resulting sub-problem, a practical solution is presented, which is characterized by solving the variable ellipsoidal-norm based sub-problem through exploiting the structure of the problem. Third, a correction step is introduced to improve the estimated accuracy. The numerical experiments of the proposed algorithm, in comparison to the favorable state-of-the-art methods, demonstrate the advantages of the proposed method and its potential.

Studies on the Identification Test of Herbal Medicines and its Preparations (한약엑스제의 확인시험법에 관한 연구)

  • Kim, Hye-Jin;Suh, Yong-Taek;Lee, Jong-Pill;Cho, Jung-Hee;Jang, Young-Pyo
    • Korean Journal of Pharmacognosy
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    • v.40 no.2
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    • pp.155-160
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    • 2009
  • The reference herbal extracts and their identification methods by Korean Pharmacopoeia IX were established based on the organic solvent extracts to detect their marker compounds. However, most of herbal medicine decoctions in the market are prepared with water as extracting solvent. As the reference herbal extracts and their identification methods are not appropriate for the practical test, new preparation of alternative reference herbal extracts and their identification test methods are essential for the correction of test methods and identification of herbal drugs. Three novel identification test methods were developed for Evodiae Fructus, Cimicifugae Rhizoma and Aurantii Fructus Immaturus. Total 10 reference herbal extracts and their identification methods were optimized for Ephedrae Herba, Schisandrae Fructus, Curcuma longae Rhizoma, Citri Unshius Pericarpium, Puerariae Radix, Corni Fructus, and Cinnamomi Cortex.

Transconjunctival capsulopalpebral fascia fixation for the correction of orbital fat buldging (결막접근을 통한 근막초 고정법(capsulopalpebral fascia fixation)을 이용한 안와지방 돌출의 교정)

  • Lee, Eun Jung
    • Archives of Plastic Surgery
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    • v.36 no.2
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    • pp.194-199
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    • 2009
  • Purpose: The orbital fat buldging may cause irregular contour of lower eyelid, which is not youthful appearance. The conventional method of fat excision may cause the eyeball to move backward and downward, making enopthalmia is inevitable. The transcutaneous approach to reach the orbital septum can increase the risks of scleral show resulting from scarification at the level of the septum orbicularis junction and damaging the vertical motor branches of the preseptal orbicularis oculi muscle of the lower eyelid. Method: From July 2007 to March 2008, total of 21 patients underwent transconjunctival capsulopapebral fascia fixation procedure. In 8 patients, the herniated fat pad of the lower eyelid was relocated back into the orbit without external skin excision using capsulopalpebral fascia fixation. But in 13 patients, excision of redundant skin of the lower eyelid was performed using pinching technique, not involving orbicularis oculi muslce. In 5 patients, lateral canthotomy was done bilaterally for good visual field. In 6 patients, lateral canthopexy was also combined to correct loosening of lower eyelid. Results: Most of the patients were satisfied after at least 5 months of follow up. No patient showed scleral show. But 2 patients complained of undercorrection slightly, without secondary operation in 1 patient and re - capsulopalpebral fascia fixtation through transconjunctival approach in another patient. Conclusion: Orbital fat repositioning using transconjunctival capsulopalpebral fascia fixation is a good procedure to show youthful appearance without increasing the risk of scleral show and also showed fast recovery compared to the conventional transcutaneous approach.

Initial Palliation of the Pulmonary Atresia with Interventricular Communication (심실간 중격결손을 동반한 폐동맥 폐쇄증의 일차 고식적 수술)

  • 김삼현
    • Journal of Chest Surgery
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    • v.25 no.1
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    • pp.23-31
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    • 1992
  • The ideal approach in the staged management of patients with pulmonary atresia has been a challenging problem and the result has not been always satisfactory. We reviewed our early result of initial palliative surgeries in fifteen cases of pulmonary atresia with interventricular communication Included are eight cases of simple pulmonary atresia with ventricular septal defect and seven cases of pulmonary atresia associated with other complex cardiac anomalies. The ages of the patients were less than one year except one. The morphology of pulmonary vasculature was highly variable and showed unfavorable conditions in most cases. Pulmonary artery was nonconfluent in two. Two-thirds of all cases showed significant problems such as juxtaductal stenosis or diffuse hypoplasia. The ductus arteriosus usually narrowed at its pulmonic end. Initial palliation was done by modified Blalock-Taussig shunt in six, central shunt with or without pulmonary angioplasty in five, right ventricular outflow tract [RVOT] reconstruction in three and direct connection of nonconfluent pulmonary arteries with bilateral cav-opulmonary shunt in one patient. There were 3 hospital deaths. Two of them underwent simultaneous repair of the associated anomaly of TAPVR. Among the six patients who received modified Blalock-Taussig shunt, three needed early second palliative procedure by central shunt, RVOT patch reconstruction and pulmonary angioplasty in each case, All patients who received central shunt showed marked clinical improvement. Among the twelve patients who survived the palliative procedures, two patients underwent total correction 13 months and 18 months after initial palliation respectively. We think that the choice of palliative procedure must be individualized according to the morphology of the pulmonary arteries. More experience and long term follow-up data are necessary to meet this challenging problem.

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Distal Type of Aortopulmonary Septal Defect with Aortic Origin of Right Pulmonary Artery and Interruption of the Aortic Arch - A Case of Successful Surgical Report -

  • Jeong, Yun-Seop;Song, Myeong-Geun
    • Journal of Chest Surgery
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    • v.24 no.7
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    • pp.693-700
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    • 1991
  • A rare case of the association of distal aortopulmonary septal defect, aortic origin of the right pulmonary artery, intact ventricular septum, patent ductus arteriosus and interrupted aortic isthmus in a 40-day-old infant is reported. The infant was suffered from two operations with an interval of nine days. At the first operation a 10mm polytetrafluoroethylene prosthesis was inserted instead of the interrupted aortic isthmus and ductus was ligated via the left posterolateral thoracotomy. But the patient could not be weaned from the respirator because of large amount of left-to-right shunt. So the total correction was subsequently performed after an interval of nine days. At the second operation, tunneling of the right pulmonary artery to the main pulmonary artery through the aortopulmonary septal defect was performed using the Dacron patch via a longitudinal transaortic approach and a separate autologous pericardial patch was applied to the longitudinally incised margins of the anterior wall of the ascending aorta. The second postoperative course was relatively uneventful except some respiratory distress and nutritional problems. Now he is at 6 months of age and thrives well without any symptom. Because the success of the surgical repair of this complex anomalies depends upon the accurate diagnosis and meticulous design of each step of procedure prior to operation these problems are also discussed.

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Numerical investigation on the response of circular double-skin concrete-filled steel tubular slender columns subjected to biaxial bending

  • Abu-Shamah, Awni;Allouzi, Rabab
    • Steel and Composite Structures
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    • v.37 no.5
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    • pp.533-549
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    • 2020
  • Recently, Concrete-filled double skin steel tubular (CFDST) columns have proven an exceptional structural resistance in terms of strength, stiffness, and ductility. However, the resistance of these column members can be severely affected by the type of loading in which bending stresses increase in direct proportion with axial load and eccentricity value. This paper presents a non-linear finite element based modeling approach that studies the behavior of slender CFDST columns under biaxial loading. Finite element models were calibrated based on the outcomes of experimental work done by other researchers. Results from simulations of slender CFDST columns under axial loading eccentric in one direction showed good agreement with the experimental response. The calibrated models are expanded to a total of thirty models that studies the behavior of slender CFDST columns under combined compression and biaxial bending. The influences of parameters that are usually found in practice are taken into consideration in this paper, namely, eccentricity-to-diameter (e/D) ratios, slenderness ratios, diameter-to-thickness (D/t) ratios, and steel contribution ratios. Finally, an analytical study based on current code provisions is conducted. It is concluded that South African national standards (2011) provided the most accurate results contrasted with the Eurocode 4 (2004) and American Institute of Steel Construction (2016) that are found to be conservative. Accordingly, correction factors are proposed to the current design guidelines to provide more satisfactory results.

A Study on the Consumer's Dissatisfaction for the Clothing Product -with YWCA Consumer's claims- (시판 의류제품에 관련된 소비자 불만에 관한 연구 -YMCA 소비자 고발자료를 중심으로-)

  • Choi, Hae Woon;Cha, Ok Seon
    • Journal of the Korean Society of Clothing and Textiles
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    • v.17 no.4
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    • pp.550-564
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    • 1993
  • The purpose of this study is to investigate the consumer's claims related to clothing merchandise. By th origination stage of claims, details of claims, and treatments of claims purchasing places of clothing merchandise, the consumer's claims are analyzed which were lodged to in consumer's complaint center, Seoul YWCA, in 1981-1990. To analyze these data statistically, frequency and percentile are used. The results of analysis for consumer's claims are as next : 1. Concerning the sex distinction, female complainers are more than male complainers. About the age bracket, twenties and thirties are the most numerous. The originations of claims being various. It is laundry and dry cleaning stage out of them that rank first, and total numbers of claims for clothing products continually have increased during 1981-1990. Out of the clothing items, outerwears are of the first rank and formal wear and coat are highest in rank of outerwears. For claims about purchasing places, agency ranked first and market, department store, custome-made and discount store came after in order. 2. Concerning the contents, quality of clothing product ranks first, inferior service, price, contrast, unfair transaction ranks in order. There are claims about quality of clothing product that color change ranks first and damage and form change rank in order. 3. The treatments of claims are that counsel, exchange, refund, repair and correction rank in order.

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Determination of Protein Content in Pea by Near Infrared Spectroscopy

  • Lee, Jin-Hwan;Choung, Myoung-Gun
    • Food Science and Biotechnology
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    • v.18 no.1
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    • pp.60-65
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    • 2009
  • Near infrared reflectance spectroscopy (NIRS) was used as a rapid and non-destructive method to determine the protein content in intact and ground seeds of pea (Pisum sativum L.) germplasms grown in Korea. A total of 115 samples were scanned in the reflectance mode of a scanning monochromator at intact seed and flour condition, and the reference values for the protein content was measured by auto-Kjeldahl system. In the developed ground and intact NIRS equations for analysis of protein, the most accurate equation were obtained at 2, 8, 6, 1 math treatment conditions with standard normal variate and detrend scatter correction method and entire spectrum (400-2,500 nm) by using modified partial least squares regression (n=78). External validation (n=34) of these NIRS equations showed significant correlation between reference values and NIRS estimated values based on the standard error of prediction (SEP), $R^2$, and the ratio of standard deviation of reference data to SEP. Therefore, these ground and intact NIRS equations can be applicable and reliable for determination of protein content in pea seeds, and non-destructive NIRS method could be used as a mass analysis technique for selection of high protein pea in breeding program and for quality control in food industry.