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Predictive Factors of Sustained Sinus Rhythm and Recurrent Atrial Fibrillation after the Maze Procedure

  • Choi, Jong Bum;Park, Hyun Kyu;Kim, Kyung Hwa;Kim, Min Ho;Kuh, Ja Hong;Lee, Mi-Kyung;Lee, Sam Youn
    • Journal of Chest Surgery
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    • v.46 no.2
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    • pp.117-123
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    • 2013
  • Background: We examined perioperative predictors of sustained sinus rhythm (SR) in patients undergoing the Cox maze operation and concomitant cardiac surgery for structural heart disease. Materials and Methods: From October 1999 to December 2008, 90 patients with atrial fibrillation (AF) underwent the Cox maze operation and other concomitant cardiac surgery. Eighty-nine patients, all except for one postoperative death, were followed-up with serial electrocardiographic studies, 24-hour Holter monitoring tests, and regular echocardiographic studies. Results: Eighty-nine patients undergoing the maze operation were divided into two groups according to the presence of SR. At the time of last follow-up (mean follow-up period, $51.0{\pm}30.8$ months), 79 patients (88.8%) showed SR (SR group) and 10 patients (11.2%) had recurrent AF (AF group). Factors predictive of sustained SR were the immediate postoperative conversion to SR (odds ratio, 97.2; p=0.001) and the presence of SR at the 6th month postoperatively (odds ratio, 155.7; p=0.002). Duration of AF, mitral valve surgery, number of valves undergoing surgery, left atrial dimension, and perioperative left ventricular dimensions and ejection fractions were not predictors of postoperative maintenance of SR. Conclusion: Immediate postoperative SR conversion and the presence of SR at the 6th postoperative month were independent predictors of sustained SR after the maze operation.

A Study on the Mechanical Properties of EMC and Thermal Stress Anlaysis in Electronic Packagings (전자패키지용 EMC의 기계적 성질 및 패키지내의 열응력해석)

  • Shin, Dong-Kil;Lee, Jung-Ju
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.20 no.11
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    • pp.3538-3548
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    • 1996
  • In this study, as a part of basic study for developing the simulation program for the assemssment of reliability of electronic EMC packaging which covers from EMC mixing step to thermal analysis, comparison between a measured and predicted values of material properties of EMC and finitde element analysis of thermal stress are performed. For the experimental testing specimens of fifty, sixty hive and eighty percent filler($13\mu m$, spherical silica) weight fraction are fabricated using tranfer molding. Coefficient of thermal expansion, elastic modulus and thermla conductivity are measured using these specimens and then these measured values are compared with the predicted values by various equations ( such as dilute suspension method. self consistent method, generalized self consistent method, Hashin-Shtrikman's bounds. Shapery's bounds, Nielsen's method and others). Measured values are distributed within the upper and lower bounds of equations. Measured elastic modulus and coefficient of thermal expansion approaches closely the perdicted values with self consisten mehtod and upper bound of Shaperys equation respectively. However small differences of thermal conductivity between the different filler volume fraction are obserbed. FEM analysis indicates that firstly stress is concentrated at the corner section of EMC and secondly EMC with eighty percent filler weight fraction shows less thermal stress when package is cooling down and relatively high thermal stress when package is heating up.

Cytologic Analysis of Malignant Effusion (악성 체강삼출액의 세포학적 분석)

  • Kim, Sang-Pyo;Bae, Ji-Yeon;Park, Kwan-Kyu;Kwon, Kun-Young;Lee, Sang-Sook;Chang, Eun-Sook;Kim, Chung-Sook
    • The Korean Journal of Cytopathology
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    • v.6 no.2
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    • pp.116-124
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    • 1995
  • Eighty cases of malignant effusion were cytologically studied to elucidate the incidence of primary tumor site and cytologic characteristics of each tumor types. Eighty fluid specimens were composed of 43 ascitic, 35 pleural, and 2 pericardial effusion and primary tumor site had been confirmed by histology. The frequent primary sites were stomach(22 cases, 28%), lung(21 cases, 26%), ovary(11 cases, 14%), liver(7 cases, 9%), and breast (4 cases, 5%). The principal malignant tumors were adenocarcinoma (56 cases, 70%), squamous cell carcinoma (7 cases, 9%), liver cell carcinoma (7 cases, 9%), small cell carcinoma (4 cases, 5%), and non-Hodgkin's lymphoma (4 cases, 5%). The distinctive cytologic findings according to primary tumor types were as follows; the gastric adenocarcinomas were mainly characterized by isolated cells and irregular clusters sometimes with signet ring cells. Papillary serous cystadenocarcinoma of ovary showed frequently papillary clusters and occasional psammoma bodies. Breast carcinoma of ductal type showed cell balls with smooth margins. Colonic adenocarcinoma showed rather irregular clusters or palisading pattern of cylindrical cells. Metastatic squamous cell carcinoma, liver cell carcinoma, small cell carcinoma, and non-Hodgkln's lymphoma showed also characteristic features. These findings Indicate that the cytological features observed in the great majority of malignant effusion are similar to those of primary tumor types, which are very helpful to indentify the primary tumor site.

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Isolation of Vibrio vulnificus Serotype Strains for Vaccine Preparation (Vibrio vulnificus 백신제조원의 혈청형균주 분리)

  • Ju, Jin-Wo
    • The Journal of the Korean Society for Microbiology
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    • v.22 no.4
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    • pp.393-402
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    • 1987
  • The halophilic bacterium Vibrio vulnificus, previously called lactose-positive(L+) Vibrio and Beneckea vulnifica, causes acute, fulminating wound infections and septicemia in humans. Septicemia is very serious infection with a fatality rate of about 50%. Most patients with primary septicemia due to V. vulnificus have preexisting liver disease. V. vulnificus also cause severe wound infections usually after trauma and exposure to marine animals or the marine environment. The mortality rate is not nearly as high as in primary septicemia caused by this organism. In most cases human disease results from ingestion of contaminated seafood or from infection of a wound, frequently of seawater or crab origin. The author made an attempt to isolation of the V vulnificus from seawater, seamud, fish, shellfish, and algae on the southern sea of Korea from January to September in 1987, using for the purpose of vaccine preparation. The author investigated for bacteriological identification, hemolysis and determination of serotypes of isolated V. vulnificus strains. Eighty-five strains(5.9%) out of 1450 specimens collected of V. vulnificus were isolated. The distribution of the 85 isolates were as follows: 21 strains from seawater, 11 strains from seamud, 28 strains from fish, 19 strains from shellfish, and 6 strains from algae, respectively. All 85 isolates were positive reaction on human blood agar. The distribution of serotypes of V. vulnificus isolates were O1 to O8: 13 strains of O1, 6 strains of O2, 11 strains of O3, 9 strains of O4, 10 strains of O5, 7 strains of O6, 15 strains of O7, and 10 strains of O8, respectively. Eighty-one strains showed agglutination with O antisera, but 4 strains failed to show agglutination. In this study, the author suspected that serotypes of V. vulnificus isolates distributed also in the seaside of Korea as well as in most seaside of the world, and new serotypes were in existence in the seaside of Korea except reported up to now.

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A Study for Development of a Korean Pain Measurement Tool(II). A Study for Testing Ranks of Words in each Subclass of a Korean Pain Measurement Tool (동통 평가도구 개발을 위한 연구 -한국 통증 어휘별 강도 순위의 유의도 및 신뢰도 검사-)

  • 이은옥;송미순
    • Journal of Korean Academy of Nursing
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    • v.13 no.3
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    • pp.106-118
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    • 1983
  • The main purpose of this study is to systematically classify words indicating pain in terms of their ranks in each subclass. This study is a part of developing a Korean Pain Measurement Tool. This study didnot include exploration of each word's dimension such as sensory or affective. Eighty three Korean words tentatively classified in 19 subclasses in previous study were used for this study. At least three to six words were included in each subclass and the words were randomly placed in which each subject indicates their rank of pain degree. One hundred and fifty nursing students and one hundred clinical nurses were requested to indicate the rank of each word. One hundred and sixteen students and eighty three nurses completed the ratings for analysis. The data were collected from June 1983 to July 1983. The data using ordinal scale were analyzed by Friedman ANOVA to test significant difference between rank means. All of pain words indicated significant rank mean difference in all of 19 subclasses. Some of the words were either cancelled or replaced by other words, or rearranged for their ranks. Subclasses of which words were cancelled were 1) Simple stimulating pain, 2) Punctuate pressure, 3) peripheral nerve pain, 4) radiation pain, 5) punishment-related pain, and 6) suffering-related pain. Subclasses of which words were replaced or rearranged were 1) incisive pressure, 2) constrictive pressure, 3) dull pain, 4) tract pain, 5) digestion-related pain and 6) fear-related pain. Four subclasses such as traction pressure, thermal, cavity pressure, and fatigue- elated pain indicated significant differences among rank means in each subclasses and showed no visible overlaps of the ranks among means. Further research is needed using high level measurement of pain degree of each word and more sophisticated analysis of the pain degrees. Three pain words which would be related to chemical stimulation were newly explored and included as a new subclass. Through this study, the total number of subclasses increases from 19 to 20 and the total number of Korean words in the scale decreases from 83 to 80.

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Folate Status of Korean Pregnant Women and Their Pregnancy Outcomes -Across Sectional Study- (한국 임신 여성의 엽산영양상태와 임신의 결과 -횡단적 연구-)

  • 임현숙
    • Journal of Nutrition and Health
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    • v.32 no.5
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    • pp.592-597
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    • 1999
  • The purpose of this study were to determine the folate status of pregnant women living in kwangju, Korea and to assess the relationships between folate status and pregnancy outcome. Eighty-one women took part in the study: 26 in their first trimester of pregnancy, 23 in the second, and 32 in the final trimester. The folate intake data both from their diets and supplementasage was obtained using a 24-hour recall method and by measuring the use of supplements. Folate levels of serum and erythrocytes were determined by a microbiological assay using Lactovacillus casei(ATTC 7469) as the test organism. A series of determinations for pregnancy outcome was conducted, including birth weight, length, Apgar score at 5 min after birth, and gestational period. The dietary folate intake in each trimester was 118$\pm$85, 148$\pm$117, and 137$\pm$69ug/d, respectively. All levels were far below the Korean recommended diet allowances(RDA)for folate. Eighty-four percent of the subjects consumed supplemental folate after the 20th week of pregnancy until delivery. the supplemental folate intakes in the second and third trimester were 651$\pm$142 and 688$\pm$150ug/d, respectively. Therefore, the women who took folate supplements consumed more folate than the RDA. Serum folate levels for each trimester were 9.0$\pm$3.8, 11.4$\pm$6.0, and 16.3$\pm$11.0ng/ml respectively, greadually increasing as the pregnancy progressed; the serum folate level in the third trimester was significantly higher(p<0.05) than that in first trimester. The erythrocyte folate concentrations in each trimester were recorded as 369.8$\pm$108.8, 396.2$\pm$107.5, and 420$\pm$7 162.6ng/ml respectively. There was no significant differences among the erythrocyte folate concentrations unlike the serum folate levels. There was no significant difference among the erythrocyte folate concentrations unlike the serum folate levels. There was no signifcant correlation between trimester to be important in maintaining adequate folate status, however these results imply that the serum and erythrocyte folate levels were adequate to support the growth of the fetus.

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Numerical and analytical investigation of parameters influencing the behavior of shear beams strengthened by CFRP wrapping

  • Ceyhun Aksoylu;Yasin Onuralp Ozkilic;Sakir Yazman;Mohammed Alsdudi;Lokman Gemi;Musa Hakan Arslan
    • Steel and Composite Structures
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    • v.47 no.2
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    • pp.217-238
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    • 2023
  • In this study, a parametric study was performed considering material properties of concrete, material properties of steel, the number of longitudinal reinforcement (reinforcement ratio), CFRP ply orientations, a number of layers as variables by using ABAQUS. Firstly, the parameters used in the Hashin failure criteria were verified using four coupon tests of CFRP. Secondly, the numerical models of the beams strengthened by CFRP were verified using five experimental data. Finally, eighty numerical models and eighty analytic calculations were developed to investigate the effects of the aforementioned variables. The results revealed that in the case of using fibrous polymer to prevent shear failure, the variables related to reinforced concrete significantly affected the behavior of specimens, whereas the variables related to CFRP composite have a slight effect on the behavior of the specimens. As a result of numerical analysis, while the increase in the longitudinal tensile and compression reinforcement, load bearing capacity increases between 23.6%-70.7% and 5.6%-12.2%, respectively. Increase in compressive strength (29 MPa to 35 MPa) leads to a slight increase in the load-carrying capacity of the specimens between 4.6% and 7.2%. However, the decrease in the compressive strength (29 MPa to 20 MPa) significantly affected (between 6.4% and 8.1% decrease observed) the behavior of the specimens. As the yield strength increases or decreases, the capacity of specimens increase approximately 27.1% or decrease 12.1%. The effects of CFRP ply orientation results have been obtained as a negligible well approximately 3.7% difference. An increasing number of CFRP layers leads to almost no effect (approximately 2.8%) on the behavior of the specimen. Finally, according to the numerical analysis, the ductility values obtained between 4.0 and 6.9 indicate that the beams have sufficient ductility capacity.

A STUDY ON THE ROOT CANAL MORPHOLOGY OF HUMAN MAXILLARY CANINE WITH TRANSPARENT SPECIMENS (투명표본에 의한 상악견치의 근관형태에 관한 연구)

  • Lee, Chung-Sik
    • The Journal of the Korean dental association
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    • v.15 no.11
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    • pp.753-756
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    • 1977
  • Eighty-two maxillary canine were injected with china ink, decalcified, cleared and used in a study, in vitro, to determine the number of root canals, the frequency and location of lateral canals, the location of apical foramens, and the curvature of root canals. The results were as follows; 1.All of the maxillary canines showed the single canals. 2. Of the 82 canals studied, 20.7% of the canals were found to have lateral canals and most ramification of them were located in the apical third of the root. 3. In the case of the curvature, the mesial curvature of the canals (40.3%) usually showed more than the distal curvature of them (13.4%) 4. 41.2% of the apical foramen were located directly on the root apex and 58.5% of them laterally.

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OBSERVATION ON PATCH TEST USING A FEW DENTAL MEDICAMENTS BASED ON NURSING ASPECT (치과용 약제 접촉이 인체피부조직에 미치는 영향에 관한 간호학적 고찰)

  • Han, Song-Ja
    • The Journal of the Korean dental association
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    • v.16 no.12 s.115
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    • pp.941-944
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    • 1978
  • The author studied skin reactions and their incidences among 100 dental students and dental nurses to 2% Lidocaine HC1, 3% H₂O₂, Euginol, 5% Sodium Hypochlorite, Dycal and Adhesive plaster by means of Patch test. Following are the results of the study. 1. Eighty six cases out of 100 revealed slight response to 1 or 2 allergens. 2. 2% Lidocaine HC1 showed 1 case, 3% H₂O₂cases, Euginol 2 cases, 5% Sodium Hypochlorite 74 cases, Dycal 1 case Adhesive plaster 8 cases. 3. 5% Sodium Hypochlorite was the most influential to skin. 32 cases showed grade 1+, 20 cases showed grade 2++, 16 cases showed grade 3+++, 6 cases showed grade 4++++,

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THE RELATIVE SUNSPOT NUMBERS IN 1996 (1996년 혹점 상대수)

  • Sim, Kyung-Jin
    • Publications of The Korean Astronomical Society
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    • v.12 no.1
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    • pp.23-33
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    • 1997
  • We have analyzed 223 data of the daily sunspot observations during the period of January 1 to December 31 in 1996 and present the daily relative sunspot numbers. During the 1996, the preliminary annual average of the relative sunspot numbers found to be 8.8 based on 3.7 distinct spots in a single group for 0.6 spot groups According to the appearance of 123 spot groups, our analysis shows that the mean life time of spot group is about 5 day and 5.8 hours. The proper conversion factor of the Korea Astronomy Observatory(KAO) derived from a comparison of one thousand one hundred and eighty observational sunspot numbers from 1992 to 1996 with those of international sunspot numbers is determined to be 1.17 instead of 0.97 which is in use.

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