• Title/Summary/Keyword: 비폐쇄

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Conversion Arterial Switch Operation for Failed Sensing Procedure in TGA with VSD -One Case Report- (심방교체수술을 시행한 대혈관 전위증환자에서의 동맥전환술-1례 보고-)

  • 조유원;서동만
    • Journal of Chest Surgery
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    • v.29 no.1
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    • pp.86-89
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    • 1996
  • This is a report of successful conversion arterial switch operation for failed Sunning procedure in transposition of the great arteries(TGA) with ventricular septal defect(VSD). A 15 month-male patient was admitted due to intractable congestive heart failure after Sunning operation was done at the age of 8 months. Angiography revealed marked dysfunction of the morphologic right ventricle with tricuspid regurgitation and residual VSD. The pulmonary ventricle 1 systemic ventricle pressure ratio' of 75/85 at catheter study enabled us to do the take down of denning repair, patch closure of VSD and arterial switch without pulmonary artery banding. After the operation, the baby showed good growth with normal ventricular function.

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A Study on Adaptive Multi-screen Service in Next Generation Smart TV System (차세대 스마트 TV 환경에서의 적응형 멀티스크린 서비스에 관한 연구)

  • Kim, Jae-Ho;Kim, Chang-Ki;Jeon, Ju-Il;Kim, Tae-Jung;Yoo, Jeong-Ju
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2013.06a
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    • pp.36-39
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    • 2013
  • 본 논문에서는 차세대 스마트 TV 환경에서의 적응형 멀티스크린 서비스 시스템 구조를 제안하고, 이를 실제 스마트 TV 에 적용 가능하도록 프로토타입 시스템으로 구현한 결과를 보여준다. 제안 시스템은 적응형 콘텐츠 부호화 기술과 하이브리드 네트워크 전송 기술, 멀티스크린 서비스 발견 및 제어 기술을 포함하고 있다. 스마트 TV 를 중심으로 다양한 종류의 멀티스크린 장치가 연결되는 서비스 소비환경에 적응적인 콘텐츠를 제공하기 위해서 H.264/SVC 기반의 다계층 비디오 부호화/복호화 기법을 적용하였다. 또한, 다계층 부호화된 콘텐츠를 방송망과 인터넷 등 이종 멀티네트워크를 이용해 동시에 전송함으로써, 전송 대역의 가용성을 확장하는 하이브리드 네트워크 기반의 미디어 전송 기술과 UPnP 기반의 사용자 중심 멀티스크린 서비스 발견 및 이동기술을 제안한다. 기존의 멀티스크린 서비스가 단말의 소비환경에 비 적응적이고, 홈 네트워크 환경 및 플랫폼 폐쇄적인 환경에서 제공되는 단방향 멀티스크린 서비스인 반면, 본 논문에서 제안하는 적응형 멀티스크린 서비스 시스템은 네트워크 및 단말의 소비환경에 적응적이고 효과적인 웹 기반의 양방향 멀티스크린 서비스를 제공할 수 있다.

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A Study on Characteristic of Extinguishment for Solid Propellants Composition by Rapid Depressurization (압력 강하에 따른 추진제 조성별 소화 특성 분석)

  • Choi, Jaesung;Lee, Choonghee;Lim, Jaeil;Lee, Hyoungjin
    • Journal of the Korean Society of Propulsion Engineers
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    • v.21 no.5
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    • pp.37-45
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    • 2017
  • Extinguishment of a burning solid propellant is difficult, however, dynamic extinction can be induced by fast depressurization in combustion chamber. This paper describes experimental results for the characteristics of extinguishment for composite solid propellants by rapid depressurization. For various composition of solid propellants, depressurization ratio which can induce extinguishment of combustion was obtained using experimental apparatus with rupture disk. Experimental results showed that particle size of oxidizer, mixing ratio of oxidizers with different particle size and contents of metal fuel can affect on the characteristics extinguishement for solid propellant.

A Correlation of Testicular Size with Testicular Function in Non-Obstructive Infertile Male (비폐쇄성 남성불임증환자의 고환용적과 고환기능)

  • Myong, Sun-Chul;Kim, In-Gyu;Kim, Sae-Chul
    • Clinical and Experimental Reproductive Medicine
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    • v.18 no.1
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    • pp.107-111
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    • 1991
  • The testicular volume measured by a Prader orchidometer was compared with sperm count in semen, the levels of serum FSH, LH, testosterone, prolactin, estradiol and progesterone in 59 nonobstructive infertile men. 1. The causes of infertility were primary hypogonadisms in 50 patients (35 unknown, 9 Klinefelter syndromes, 6 varicocels) and secondary hypogonadism in 9 (5 isolated FSH deficiencies, 1 hyperprolactinerriia, 3 pituitary hypogonadisms). 2. Decreased levels of serum FSH (less than 4 mIU/ml) did not correlate with testis volume but increased level of serum FSH (more than 20 mIU/ml) were mostly noted in the testis less than 10ml. 3. Decreased level of serum testosterone (less than 3 ng/ml) were distinguishably noted in the atrophied testis less than 5 ml. 4. There was no correlation between the testicular volume and the levels of serum prolactin, estradiol, and progesterone. Coclusively, testicular volume less than 11 ml suggests poor spermatogenesis, but normal testicular volume dose not nessarily rule out poor spermatogenesis. Function of Leydig cell is relatively well preserved in atrophied testis of 5 to 10 ml comparing with that of seminiferous tubule.

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Hypertrophic Pyloric Stenosis Occurring in Fasting State with Gastrostomy After Surgery for Esophageal Atresia with Tracheoesophageal Fistula (선천성 식도 폐쇄 환자에서 출생 후 위루관 삽입술과 계속적인 금식상태에서 근본수술 후 발생한 비후성 유문 협착증 - 1예 보고 -)

  • Jung, Eun-Young;Choi, Soon-Ok;Park, Woo-Hyun
    • Advances in pediatric surgery
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    • v.17 no.1
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    • pp.88-92
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    • 2011
  • The onset of hypertrophic pyloric stenosis in the postoperative course of esophageal atresia with tracheoesophageal fistula is rarely reported. The diagnosis could be delayed due to its mimicking symptoms of other postoperative complications including gastroesophageal reflux or anastomotic stricture. We present an infant who had surgery for esophageal atresia with tracheoesophageal fistula. He had never fed since birth. The infant presented with an increased amount of orogastric tube drainage and consistently distended gastric air on simple abdominal X-ray. Abdominal ultrasonography showed hypertrophic thick pyloric muscle. The diagnosis of pyloric stenosis was confirmed d is rarely reported. The diagnosis could be delayed due to its mimicking symptoms of other postoperative complications including gastroesophageal reflux or anastomotic stricture. We present an infant who had surgery for esophageal atresia with tracheoesophageal fistula. He had never fed. The infant presented with uring surgery, After pyloromyotomy, the patient's condition improved.

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Surface Microtopography of Pyrophyllite Crystals from Gussi Deposit, Korea (전남 구시광산에서 산출하는 엽납석 결정의 표면 미세형태)

  • Mayumi Jige;Ryuji Kitagawa;Hwang, Jin-Yeon
    • Journal of the Mineralogical Society of Korea
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    • v.17 no.2
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    • pp.115-121
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    • 2004
  • The surface microtopography of pyrophyllite collected from the Gussi deposit, Korea was observed by mean of transmission electron microscopy (TEM) with the gold decoration technique. As results, closed step patterns with malformed circular islands were characteristically observed on the (001) surface of pyrophyllite, contrasting with spiral step patterns common in illite and kaolinite. Gussi pyrophyllite was likely crystallized from hydrothermal solution of higher temperature and/or higher supersaturation than those of other clay minerals. Comparing with micro-topographies of pyrophyllite from the Shokozan and the Uku deposits, southwest Japan, growth mechanism of Gussi pyrophyllite is almost equivalent to those from the Shokozan and the Uku deposits.

Extraction of an Infected Permanent Pacemaker Lead Using Cardiopulmonary Bypass - 2 case reports - (체외 순환을 이용한 감염된 영구 심박동기 도선의 제거 - 2예 보고 -)

  • Oh, Tak-Hyuck;Kim, Gun-Jik;Lee, Jong-Tae
    • Journal of Chest Surgery
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    • v.43 no.1
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    • pp.86-88
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    • 2010
  • Implanting a pacemaker is the most often used intervention for treating bradycardia. The most commonly used pacemaker is the intracardiac pacemaker, yet it can have many complications. An infected pacemaker can spread to systemic infection and the condition of the patient can quickly get worse, so if an infected pacemaker is suspected, then the pacemaker must be removed. Apart from the use of interventional methods such as a loop or a weight, we can take a more aggressive approach by using extracorporeal circulation for removal of the pacemaker. We report here on two cases in which extracorporeal circulation was used to remove the infected pacemakers.

Non-occlusive Mesenteric Ischemia (NOMI) Secondary to Traumatic Hemorrhagic Shock: Case Report (외상성 출혈성 쇼크 환자에서 발생한 비 폐쇄성 장간막 허혈)

  • Lim, Kyoung Hoon;Jung, Hee Kyung;Cho, Jayun;Lee, Sang Cjeol;Park, Jinyoung
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.204-207
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    • 2014
  • Non-occlusive mesenteric ischemia (NOMI) encompasses all forms of mesenteric ischemia with patent mesenteric arteries. NOMI is commonly caused by decreased cardiac output resulting in hypoperfusion of peripheral mesenteric arteries. We report a case of NOMI secondary to hemorrhagic shock and rhabdomyolysis due to trauma. A 42-year-old man presented to our trauma center following a pedestrian trauma. On arrival, he was drowsy and in a state of hemorrhagic shock. He was found to have multiple fractures, both lung contusion and urethral rupture. An initial physical examination and abdominal computed tomography (CT) scan revealed no evidence of intra-abdominal injury. High doses of catecholamine were administered for initial 3 days due to unstable vital sign. On day 25 of hospitalization, follow-up abdominal CT scan demonstrated that short segment of small bowel loop was dilated and bowel wall was not enhanced. During exploratory laparotomy, necrosis of the terminal ileum with intact mesentery was detected and ileocecectomy was performed. His postoperative course was uneventful and is under rehabilitation.

A Case Report of Tracheal Bronchus Associated with Pulmonary Actinomycosis (폐방성균증을 동반한 기관기관지 환자 수술 치험 1예)

  • 양승인;이형렬;박준호;이민기;박순규;김건일;이창훈
    • Journal of Chest Surgery
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    • v.36 no.11
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    • pp.878-882
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    • 2003
  • Tracheal bronchus is an aberrant, accessory or ectopic bronchus arising almost invariably from the right lateral wall of the trachea and may be related to inflammatory conditions affecting the lung, including recurrent pneumonia, bronchiectasis. Recently we experienced a case of tracheal bronchus associated with pulmonary actinomycosis. The 37-year-old male patient had suffered recurrent hemoptysis and had been medicated as a presumptive diagnosis of tuberculosis, but either clinical or radiologic improvement was not seen. Right upper lobectomy was performed and pulmonary actinomycosis was confirmed by the histologic examination. Postoperatively, the patient was medicated with penicillin and ampicillin for 3 months and completely recovered without any evidence of recurrence during the 6month follow-up period.

A CLINICAL REVIEW OF FOREIGN BODIES IN THE FOOD AND AIR PASSAGES (식도 및 기도 이물의 임상적 관찰)

  • 김광옥;이화식;조승호;김병우
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.15.1-15
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    • 1987
  • 1980년 1월 1일부터 1986년 12월 31일까지 7년 동안 가톨릭의과대학부속 성모병원 이비인후과에 내원한 식도 및 기도이물환자 246명을 분석하여 다음과 같은 결론을 얻었다. 1) 식도 및 기도이물의 빈도는 4.5 : 1이었다. 2) 식도이물의 종류별 빈도는 주화가 55.2%로 가장 많았고 다음이 골편, 식품류 등의 순이었다. 기도이물에서는 콩류가 57.8%로 가장 많았고 첨단 철물류와 식품류는 다음으로 많았다. 3) 식도이물의 56.7%가 5세이하이었으며 주화 및 원반류는 5세 이하가 대부분이었다. 기도이물의 88.9%가 5세이하이었으며 콩류에서는 96.2%가 5세 이하이었다. 4) 식도이물은 남자가 58.7%로 여자보다 많았으며 기도이물은 남자가 82%로 여자보다 많았다. 5) 식도이물의 개재부위는 제 1협착부에 78.1%로 가장 많았으며 식품류는 제 2협착부에서 높은 빈도를 보였다. 기도이물에서는 기관지가 84.4%로 가장 많았고 좌우기관지별 이물의 비는 1 : 1로 같았다. 6) 이물의 개재기간은 식도이물이 1일 이내가 72.6%, 기도이물이 1일 이내가 17.8%이었다. 7) 기도이물의 흉부 X-선 소견은 폐쇄성 폐기종과 폐염이 각각 37.8%, 26.7%로 가장 많았다.

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