• Title/Summary/Keyword: total correction

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Repair of Aortic Coarctation in Infants (유아기 대동맥교약증의 외과적 치료)

  • 전상훈
    • Journal of Chest Surgery
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    • v.22 no.5
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    • pp.739-747
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    • 1989
  • Between September 1986, and August 1989, eight infants underwent operation for repair of coarctation of the aorta in the first year of life. The patients included 7 males and 1 female ranging in age 19 days and 9 months. Weights ranged from 3.5 Kg to 7 Kg [mean 5 Kg]. All patients had preductal coarctation of the aorta. Each infant had associated cardiac anomalies, including ventricular septal defect [7 infants] and patent ductus arteriosus [5 infants]. All had intractable congestive heart failure, despite aggressive medical therapy. Pressure gradient across the coarctation ranged from 10 mmHg to 60 mmHg. Operative techniques were subclavian flap aortoplasty in five cases, Gore-Tex patch aortoplasty in three cases. In addition to coarctation repair, six infants had concomitant banding of the pulmonary artery. Four infants required ventilator support for several days. There was no operative death. Complications developed in two. One infant had tracheal stenosis after a tracheostomy. Another infant had restenosis of the aorta revealed by cardiac catheterization 30 months after surgery. The pressure gradient was 30 mmHg, necessitating balloon dilatation aortoplasty. Results were satisfactory. During follow up, we performed total correction procedures [patch closure of the ventricular septal defect, infundibulectomy, pulmonary valvotomy and pulmonary artery angioplasty] in one case. Continuing follow-up finds all patients in good condition.

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Tetralogy of Fallot Associated with Multiple Cardiac Rhabdomyomas - A case report - (다발성 심장 횡문근종과 동반된 활로씨 사징증 - 1예 보고 -)

  • Jung, Hee-Suk;Jhang, Won-Kyoung;Yun, Tae-Jin
    • Journal of Chest Surgery
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    • v.42 no.6
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    • pp.770-773
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    • 2009
  • Rhabdomyoma has been reported to be the most common type of cardiac tumors in fetuses and children, and multiple cardiac rhabdomyomas almost certainly signify the association with tuberous sclerosis. We report here on a case of Tetralogy of Fallot (ToF) that was associated with multiple rhabdomyomas and tuberous sclerosis. A two-year-old boy, who had undergone systemic-pulmonary shunt during the neonatal period, received total correction of his ToF after the complete regression of the cardiac tumor. The postoperative course was uneventful, and he has been follow-up for 2 months. The boy is currently in an excellent condition.

Extracardiac Conduit Fontan Operation and Right Ventricular Exclusion Procedure for Right Ventricle Failure after Repair of Partial Atrioventricular Septal Defect

  • Yang, Chan Kyu;Jang, Woo Sung;Choi, Eun-Suk;Cho, Sungkyu;Choi, Kwangho;Nam, Jinhae;Kim, Woong-Han
    • Journal of Chest Surgery
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    • v.47 no.3
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    • pp.275-279
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    • 2014
  • A 13-year-old girl, who had undergone the total correction of partial atrioventricular septal defect at the age of 4 years, was admitted with severe tricuspid regurgitation in echocardiography. She had received one-and-a-half ventricle repair during follow-up. Her right ventricle showed global akinesia, and the ejection fraction of the left ventricle was 25% with paradoxical interventricular septal motion. We performed right ventricular exclusion adjunct to the Fontan procedure. She is doing well two years after the operation without complications.

Familial Chromosome No. 9 Pericentic Inversion Producing Scimitar Syndrome

  • Kim, Jong-Wan;Kim, Young-Yoo;Shin, Jong-Chul;Lee, Won-Bae
    • Journal of Genetic Medicine
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    • v.3 no.1
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    • pp.1-4
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    • 1999
  • Scimitar syndrome is a rare congenital anomaly that is characterized by hypoplasia of the right lung and the right pulmonary artery with anomalous pulmonary venous drainage to the inferior vena cava. The scimitar vein is usually visible on chest radiographs, but may be obscured by the heart. It is essential for surgical correction to establish the point of drainage of the anomalous vein and associated anomalies. There are recent reports of familial total anomalous pulmonary venous return suggesting heritable forms of this anomaly. Although genetic factors are believed to have important roles in congenital heart disease, few genes involved in heart development have been located. We report a case of familial chromosome 9 inversion with Scimitar syndrome in an offspring who presented with dextrocardia. Evaluation with magnetic resonance cineangiograph imaging demonstrated an anomalous pulmonary vein draining into the inferior vena cava above the diaphragm and hypoplasia of the right lung and the right pulmonary artery. Chromsome analysis showed pericentric inversion of chromosome 9, inv 9 (p13, q21), in the patient and his mother as well. A brief review of the related literature is also included.

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Three-phase Three-level Boost-type Front-end PFC Rectifier for Improving Power Quality at Input AC Mains of Telecom Loads

  • Saravana, Prakash P.;Kalpana, R.;Singh, Bhim
    • Journal of Power Electronics
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    • v.18 no.6
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    • pp.1819-1829
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    • 2018
  • A three-phase, three-switch, and three-level boost-type PWM rectifier (Vienna rectifier) is proposed as an active front-end power factor correction (PFC) rectifier for telecom loads. The proposed active front-end PFC rectifier system is modeled by the switching cycle average model. The relation between duty ratios and DC link capacitor voltages is derived in terms of the system input currents. Furthermore, the feasible switching states are identified and applied to the proposed system to reduce the switching stress and DC ripples. A detailed equivalent circuit analysis of the proposed front-end PFC rectifier is conducted, and its performance is verified through simulations in MATLAB. Simulation results are verified using an experimental setup of an active front-end PFC rectifier that was developed in the laboratory. Simulation and experimental results demonstrate the improved power quality parameters that are in accordance with the IEEE and IEC standards.

Influence of Slashpipe Exercise on Symmetrical Contraction of Trunk Muscle in Normal Adults

  • Choi, Young In;Kim, Jung Sun;Kim, Shin Young
    • The Journal of Korean Physical Therapy
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    • v.31 no.5
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    • pp.298-303
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    • 2019
  • Purpose: This study examined the effects of slashpipe exercise on reducing the thickness of the left and right external oblique, internal oblique, transverse abdominis, erector spinae, and multifidus muscles. Methods: A total of 29 healthy adult men and women were included in the study. They performed trunk flexion in the supine position and trunk extension in the prone position with a slashpipe and weight bar. The external oblique, internal oblique, and transverse abdominis muscles were measured in the supine position, while the erector spinae and multifidus muscles were measured in the prone position. The data were analyzed using the SPSS ver 21.0 statistical program. The difference in thickness between the right and left sides of the trunk muscle was analyzed by repeated measures analysis. The statistical significance level was set to p<0.05. Results: The results showed that the slashpipe exercise reduced significantly the difference in thickness of the oblique internus and erector spinae muscles compared to the weight bar exercise. Conclusion: The chaotic fluidity of the fluid filled inside the slashpipe could be used as sensory feedback information on body mal-alignment, which would have positively affected the symmetrical contraction of the trunk muscles as a trigger for self-correction. Therefore, it will have a useful effect not only on the health of the general public, but also on low back patients and athletes with muscle asymmetry.

A new hierarchic degenerated shell element for geometrically non-linear analysis of composite laminated square and skew plates

  • Woo, Kwang-Sung;Park, Jin-Hwan;Hong, Chong-Hyun
    • Structural Engineering and Mechanics
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    • v.17 no.6
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    • pp.751-766
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    • 2004
  • This paper extends the use of the hierarchic degenerated shell element to geometric non-linear analysis of composite laminated skew plates by the p-version of the finite element method. For the geometric non-linear analysis, the total Lagrangian formulation is adopted with moderately large displacement and small strain being accounted for in the sense of von Karman hypothesis. The present model is based on equivalent-single layer laminate theory with the first order shear deformation including a shear correction factor of 5/6. The integrals of Legendre polynomials are used for shape functions with p-level varying from 1 to 10. A wide variety of linear and non-linear results obtained by the p-version finite element model are presented for the laminated skew plates as well as laminated square plates. A numerical analysis is made to illustrate the influence of the geometric non-linear effect on the transverse deflections and the stresses with respect to width/depth ratio (a/h), skew angle (${\beta}$), and stacking sequence of layers. The present results are in good agreement with the results in literatures.

The Analysis of Korean Medicine Treatment for Anal Disease and Skin Disorder around Anal (항문질환 및 항문주위 피부과질환의 한의학적 치료에 대한 국내 임상 연구 경향)

  • Hong, Hyeon-Jin;Lee, Su-Kyung;Lee, Hyun-Bum;Lee, Chang-Won
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.32 no.1
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    • pp.1-15
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    • 2019
  • Objectives : The purpose of this study is to analyze the trend of Korean medical treatments on Anal diseases and skin disorder around anal. Methods : Based on KCI, OASIS, NDSL, KISS with the keyword 'Anal', 'Hemorrhoid', 'Ani', 'Anal fistula', 'incontinence', 'anal prolapse', 'anal fissure'. published in 2000-2018.11.10., total 9 studies have been found and analyzed. Results : Among 9 studies, 15 cases were selected. Acupuncture, herb medicine, phamacopuncture, moxibustion, fumigation therapy and habit correction were used as treatment for Anal disease. All of research which selected have reported that the Korean medical treatment was effective. Conclusions : According to the results, Korean medical treatments can be effective treatment for anal diseases. Based of this result, studies which is multifocal will be needed steadily.

BDNF Methylation and Suicidal Ideation in Patients with Acute Coronary Syndrome

  • Kang, Hee-Ju;Bae, Kyung-Yeol;Kim, Sung-Wan;Shin, Il-Seon;Hong, Young Joon;Ahn, Youngkeun;Jeong, Myung Ho;Yoon, Jin-Sang;Kim, Jae-Min
    • Psychiatry investigation
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    • v.15 no.11
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    • pp.1094-1097
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    • 2018
  • Objective Patients with acute coronary syndrome (ACS) are at an increased risk of suicide. It is well known that epigenetic mechanisms may explain the pathophysiology of suicidal behavior including suicidal ideation (SI), but no study has explored these mechanisms in ACS populations. Methods In total, 969 patients were initially recruited within 2 weeks of the acute coronary event and, 711 patients were successfully followed up 1 year after ACS. SI was evaluated using the relevant items on the Montgomery-${\AA}sberg$ Depression Rating Scale and covariates potentially affecting SI were estimated. Results Brain-derived neurotrophic factor (BDNF) hypermethylation was associated with SI in both the acute and chronic phases of ACS, although the association was not statistically significant in the acute phase after applying Bonferroni's correction. Conclusion These results suggested that BDNF hypermethylation may have played a role in an epigenetic predisposition for SI in ACS patients, particularly during the chronic phase.

Comparative Analysis of the Difference in the Midgut Microbiota between the Laboratory Reared and the Field-caught Populations of Spodoptera litura

  • Pandey, Neeti;Rajagopal, Raman
    • Microbiology and Biotechnology Letters
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    • v.47 no.3
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    • pp.423-433
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    • 2019
  • Midgut microbiota is known to play a fundamental role in the biology and physiology of the agricultural pest, Spodoptera litura. This study reports the difference in the larval midgut microbiota of field-caught and laboratory-reared populations of S. litura by performing 16S rDNA amplicon pyrosequencing. Field populations for the study were collected from castor crops, whereas laboratory-reared larvae were fed on a regular chickpea based diet. In total, 23 bacterial phylotypes were observed from both laboratory-reared and field-caught caterpillars. Fisher's exact test with Storey's FDR multiple test correction demonstrated that bacterial genus, Clostridium was significantly abundant (p < 0.05) in field-caught larvae of S. litura as compared to that in the laboratory-reared larvae. Similarly, bacterial genera, such as Bradyrhizobium, Burkholderia, and Fibrisoma were identified (p < 0.05) predominantly in the laboratory-reared population. The Bray-Curtis dissimilarity matrix depicted a value of 0.986, which exhibited the maximum deviation between the midgut microbiota of the laboratory-reared and field-caught populations. No significant yeast diversity was seen in the laboratory-reared caterpillars. However, two yeast strains, namely Candida rugosa and Cyberlindnera fabianii were identified by PCR amplification and molecular cloning of the internal transcribed space region in the field-caught caterpillars. These results emphasize the differential colonization of gut residents based on environmental factors and diet.