• Title/Summary/Keyword: 기도 수축

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The Usefulness of Transesophageal Echocardiography During Heart Surgery (개심술을 시행하는 환자에서 경식도 심초음파의 이용)

  • 조규도;김치경
    • Journal of Chest Surgery
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    • v.30 no.12
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    • pp.1205-1213
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    • 1997
  • This study reviewed useful aspects of the intraoperative transesophageal echocardiography among the patients in whom heart surgery were undertaken between January 1996 and July 1996 at St.Pauls hospital, Medical College of Catholic University, Seoul, Korea. During that period, 61 patients were operated on because of valvular heart disease(25 patients), coronary artery disease(22 patients), congenital heart disease(13 patients), and combined coronary artery disease and valvular heart disease(1 patient). Two patients(1 redo-VSD and 1 valvular heart diease) needed repeated aortic cross clamping and complementary procedures because of incomplete initial procedures. There was no incidence of air embolism. We could observe significant relationship of cardiac output monitoring methods either by thermodilution technique and transesophageal echocardiography by linear regression analysis(p<0.001). We tested myocardial response(percentage of systolic wall thickness, PSWT) with low dose dobutamine challenge to predict post-CABG myocardial perfusion. And the test showed statistically significant resp.onse(sensitivity 76%, specificity 94.7%, positive predictive value 95%, negative predictive value 75%). These results suggest that cardiac surgeon could draw more benefits by intraoperative transesophageal echocardiography.

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Extracorporeal Membrane Oxygenation in the Patient with Cardiopulmonary Resuscitation Failure after Open Heart Surgery. - A case report - (개심술 후 심폐소생술 실패환아에서의 체외막산소화 치험 1례)

  • 전희재;성시찬;우종수;이혜경
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.53-57
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    • 1999
  • We describe a case of successful extracorporeal membrane oxygenation(ECMO) in a small infant with cardiopulmonary resuscitation(CPR) failure after an open heart surgery. A 35-day-old male infant weighing 4.4 kg who had congestive heart failure and pulmonary hypertension underwent patch closure of ventricular septal defect without any intraoperative event. Postoperative course was unremarkable in the intensive care uint for about 5 hours before the junctional ectopic tachycardia developed. Sudden cardiac decompensation with bradycardia occurred about 50 minutes after the development of junctional ectopic tachycardia. He was put on ECMO by arterial cannulation at the ascending aorta and by venous cannulation at the right atrial appendage after 4 hours' CPR. The hemodynamics were stable with enough urine output during ECMO. He was weaned from ECMO 38.5 hours after initiation. Delayed sternal closure was attempted. He was extubated on postoperative day 7 and discharged home on postoperative day 21 without any neurologic sequelae.

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Left Ventricular Outflow Obstruction due to a Left Ventricular Myxoma (좌심실 점액종에 의해 발생한 좌심실 유출로 협착증)

  • Park, Jeong-Min;Ahn, Byung-Hee
    • Journal of Chest Surgery
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    • v.41 no.1
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    • pp.98-101
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    • 2008
  • Once it is diagnosed, immediate surgical extirpation is desirable for treating left ventricle myxoma that's accompanied with stenosis of the left ventricle outflow tract. This is because this condition may potentially induce fatal complications such as cerebral infarction or myocardial infarction that's triggered by myxoma embolus, or even sudden death due to coronary malperfusion. An 18-year-old male with the chief complaint of NYHA class II exertional dyspnea was found to have a $4{\times}3\;cm^2$ sized mass on transthoracic ultrasonography, which was shown to move down the left ventricle outflow tract on the systolic phase. The mass was immediately extirpated by incision of the left ventricle; the mass was finally diagnosed as a myxoma. The patient was discharged on at the 10th day postoperatively without any complications. On the 22-month follow-up observation made at the out-patient clinic after discharge, there have been no noticeable, significant changes seen on physical examination or the cardiac ultrasonography.

Application of CAE in Injection Molding Process of Automobile Part (컴퓨터지원공학(CAE)을 활용한 자동차 부품 개선)

  • Cho, Junghwan;Chang, Woojin;Park, Young Hoon;Choe, Soonja
    • Applied Chemistry for Engineering
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    • v.18 no.5
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    • pp.407-414
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    • 2007
  • Using the MPI (Moldflow Plastics Insight) software from Moldflow Co., the optimum conditions for producing the upper part of the automobile air cleaner were obtained for 20% talc filled polypropylene (PP). The analysis was carried out to solve the cracking problem between upper and lower parts and the improved process was proposed using the flow balance. The comparative results between the conventional process, CASE-1, with one-pin gate and the new process (CASE-2) comprising two-pin gate system are the followings. In the case of CASE-2, the shorter filling time and reduced cycle time induced an improved production and processibility. In addition, the orientation and volumetric shrinkage are similar to those observed in the lower part, but the assembly, deformation, and physical characteristics are enhanced. The problem induced by the CASE-1 did not originate from the residual stress, but from the difference in the size of the upper part air cleaner after shrinkage. Thus, the orientation problem was expected to improve by optimizing the gate structure.

The Effects of Distal Sinus on the Hydrodynamic Performance of the Prosthetic Heart Valves (인공판막 후부 공동부가 판막의 수력학적 성능에 미치는 영향)

  • 이계한;서종천
    • Journal of Biomedical Engineering Research
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    • v.19 no.3
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    • pp.297-303
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    • 1998
  • The sinus distal to the prosthetic heart valve influences the valve closure behavior and velocity field near the valve, therefore affects the hydrodynamic performance of the prosthetic heart valve. In order to study the effects of valve distal geometry on the hydrodynamic performance of the prosthetic valves, mechanical bileaflet valve(SJMV), monoleaflet polymer valve(MLPV) and trileaflet polymer valve(FTPV) are inserted in the test sections which have the straight and the sinus shape distal to the valve. Leakage volumes and systolic mean pressure drops are measured in the pulsatile mock circulation flow loop. Leakage volumes are slightly less and systolic mean pressure drops are higher in the sinus test section comparing to those in the straight test section, but the differences are statistically insignificant. Flow waveforms are analyzed in order to predict the valve closure behavior. The distal sinus does not affect the closure of the MLPV, but early valve closure of SJMV is observed in the sinus test section. This effect is more significant in FTPV, and the reverse flow peak of FTPV is reduced in the sinus test section. Therefore the sinus distal to the valve can reduce the reverse flow jet caused by sudden valve closure.

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Morphology and Electrical Conductivity of Polystyrene/Carbon Nanotube Microcellular Foams Polymerized by High Internal Phase Emulsions (고내상 에멀젼 중합법으로 제조한 폴리스티렌/탄소나노튜브 미세기공 발포체의 모폴로지 및 전기 전도도)

  • Noh, Won-Jin;Kang, Myung-Hwan;Lee, Seong-Jae
    • Polymer(Korea)
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    • v.36 no.5
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    • pp.579-585
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    • 2012
  • Polystyrene/carbon nanotube (CNT) microcellular foams were prepared to have electrically conductive properties via high internal phase emulsion polymerization. In this study, we have investigated the effects of surface modification of CNT, surfactant content and dispersion time to improve the stability of emulsion and the electrical conductivity of foam. Acid treatment and a surfactant were used to effectively disperse CNTs in the aqueous phase. In the organic phase, CNTs were used after a surface modification with organic functional groups. The degree of dispersion of CNTs was estimated by the electrical conductivity of resultant microcellular foams. With raw CNTs dispersed with the surfactant in the aqueous phase, substantial conductivity increase was observed but the foams were slightly shrunk. The foams prepared with organically modified CNTs dispersed in the organic phase showed stable cell morphology without shrinkage, but displayed limitation to improve the conductivity.

Study on Crosslinking Properties of Acrylic Pressure-Sensitive Adhesives (아크릴계 점착제의 제조와 가교물성에 관한 연구)

  • Kim, Pan Soo;Lee, Sang-Mu;Jung, Sin-Hye;Lee, Won-Ki
    • Journal of Adhesion and Interface
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    • v.14 no.1
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    • pp.43-48
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    • 2013
  • The physical properties of the acrylic pressure sensitive adhesives (PSAs) can be easily controlled by a proper functional monomer which has functional groups for crosslinking. This study was to investigate the effect of crosslinking agents, isocyanate and epoxy types, of acrylic PSAs on adhesive properties. 2-Ethylhexyl acrylate, acrylic acid (AA), and 2-hydroxy ethyl methacrylate as monomer were used. The obtained samples with different AA contents were partially crosslinked with epoxy- or isocyanate-typed agent. Peel strength, balltack, holding power test and contraction percentage of the obtained PSA were evaluated. Most properties of acrylic PSAs were increased with AA content and acrylic PSAs with epoxy-typed crosslinking agent (4 crosslinking sites) which produces flexible link (ether), showed better properties than those of isocyanate-typed one (3 crosslinking sites).

Studies on the Sorption and Fixation of Cesium by Vermiculite (II)

  • Lee, Sang-Hoon
    • Nuclear Engineering and Technology
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    • v.6 no.2
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    • pp.97-111
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    • 1974
  • The adsorption mechanism of Cs-137 in low level radioactive solution by vermiculite treated with Na ion is studied in order to investigate its effective utilization for the radioactive effluent treatment. The beneficial role of Na-vermiculite is that Na ion can induce the wider c-axis spacing in which Cs ion can be sorbed in vermiculite. Cation exchange capacity and distribution coefficient of cesium seems to be influenced by the variation of c-axis spacing of vermiculite. Comparative identification and detection with the characteristic analyses of X-ray diffraction and electron diffraction patterns, diffrential thermal analysis and electron microscopy of Na-, K- and Cs-vermiculite are studied for the phemomena of Cs adsorption by vermiculite. This importance of the utilization in terms of adsorption and fixation of cesium involving vermiculite is discussed. It is found that the Na-vermiculite is valuable outside charging material for high level radioactive liquid waste storage tank of underground to protect the pollution of the underground water.

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The effect of cavity configuration on the mechanical properties of resin composites (중합환경에 따른 복합레진의 물리적 성질에 관한 연구)

  • Ryu, Gil-Joo;Park, Sang-Jin;Choi, Kyoung-Kyu
    • Restorative Dentistry and Endodontics
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    • v.27 no.3
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    • pp.239-248
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    • 2002
  • 이 연구의 목적은 와동의 형태가 굴곡강도와 탄성계수 등 복합레진의 물리적 성질에 미치는 영향을 평가하는 것이다. 복합레진은 Clearfil$^{TM}$ AP-X(Kuraray, Japan)와 Esthet-X$^{TM}$(Dentsply, USA)가 이용되었으며, 상아질 접착제는 Clearfil$^{TM}$ SE Bond(Kuraray, Japan)와 Prime & Bond NT$^{TM}$(Dentsply, USA)를 사용하였다. 대조군의 시편은 split steel mold(25mm$\times$2mm$\times$2mm) 내에 상기 2종류의 복합레진을 충전하여 2개의 대조군 시편을 제작하였으며, 2.4 및 3.4의 C-factor를 부여하기 위한 유리 모형와동을 제작하고, 와동 내에 상기 2종류의 복합레진을 충전하기 전 유리와동의 내면은 sandblasting 처리하고 각각의 복합레진과 동일회사 제품의 상기 상아질 접착제로 처리한 후, 복합 레진을 각각 충전하여 4개의 실험군을 제작하였다. 제작된 실험군 시편은 저속 diamond saw로 충전된 복합레진 부위의 중심부를 통과하도록 절단하여 레진기둥(25mm$\times$2mm$\times$2mm)이 되도록 제작하였다. 제작된 시편을 37$^{\circ}C$의 증류수에 24시간 동안 보관 후, 만능시험기(EZ Test, Shimadzu, Japan)를 이용하여 분당 1mm의 crosshead speed로 3점 굴곡강도를 측정하였다. 또 Linometer(R&B, Korea)를 이용하여 복합레진의 중합수축량을 측정하였으며 굴곡강도측정 후 시편의 파단면은 주사전자현미경(S-2300, Hitachi, Japan)을 이용하여 관찰하였다. 실험결과의 통계분석은 95% 수준의 one-way ANOVA/Tukey's test를 이용하여 결과를 얻었다. 실험에 이용된 2종류 복합레진의 굴곡강도와 탄성계수는 C-factor치 증가에 따라 감소하였으며, 파단면 또한 C-factor의 증가에 따라 더 불규칙해지는 양상을 나타내었다. 본 실험의 결과 hybrid형 복합레진이 micro-hybrid형 복합레진에 비해 C-factor의 영향을 더 많이 받는 것으로 나타났으며, 와동의 C-factor증가가 굴곡강도나 탄성계수와 같은 복합레진의 물리적 성질을 저하시킨다는 것을 의미하였다.

Study on the Contractile Force of the Isolated Hearts from Ginseng Components Treated Rats (흰쥐 심장의 수축력에 미치는 인삼성분의 효과)

  • 김낙두;김봉기;이혜선
    • YAKHAK HOEJI
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    • v.26 no.4
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    • pp.239-251
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    • 1982
  • The rate of deterioration of contractile force of isolated hearts from control and panax ginseng treated rats was determined and response of contractile force of the hearts from ginseng treated rats to several autonomic and other drugs was investigated. Rats weighing 150-250g were administrered orally with ginseng ethanol extract (100mg/kg) and total ginseng saponin (50mg/kg/day) for a week. Ginsenoside Rb$_{1}$ (5mg/kg/day) and ginsenoside Re (5mg/kg/day) were administered respectively for a week. The isolated hearts from rats were perfused with Krebs-Henseleit solution by using Langendorff perfusion apparatus. The control group was only able to maintain approximately 75.5% of their initial strength after 60 min of perfusion, whereas ginseng ethanol extract, total ginseng saponin treated hearts were able to sustain nearly their initial strength even after 60 min. Ginsenoside Rol treated hearts also sustained 93% of their initial strength, but there was no significant difference in the deterioration percentage of the contractile force of ginsenoside Re treated hearts. Experiments were conducted to study the response to perfusion of ginseng treated animal heart with epinephrine, isoproterenol, propranolol, and phenobarbital. The isolated hearts were perfused with Krebs-Henseleit solution containing epinephrine (10$^{-6}$ M), isoproterenol ($10^{-7}$M), propranolol ($10^{-6}$M) and phenobarbital (7{\times}10^{-3}M$) respectively. The maximum inotropic effect of epinephrine and isoproterenol was observed after 2~3 minutes of drug perfusion. Effect of epinephrine on ginseng ethanol extract and total ginseng saponin treated hearts was reduced compared with control. On the other hand, this phenomenon was not observed in ginsenoside Re treated rats but on ginsenoside $Rb_{1}$ treated rats. The positive inotropic effect of isoproterenol was reduced in the hearts from ginseng treated rats compared with control heart, Propranolol or phenobaribital decreased the contractile force in the control rats. The depressant effect of propranolol and phenobarbitat on ginseng treated rat hearts was less than those of control rat hearts. The result suggest that ginseng ethanol extract , ind total ginseng saponin and ginsenoside $Rb_{1}$ may protect the deterioration of contractile force of the heart and may attenuate the response to several drugs on hearts.

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