• Title/Summary/Keyword: 생체 판막

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A Case Report of Surgical Management of Tricuswpid Valve Endocarditis (삼첨판막에 국한된 심내막염 환자의 치험 1례)

  • 김준현;서동만
    • Journal of Chest Surgery
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    • v.31 no.1
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    • pp.55-58
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    • 1998
  • Surgical treatment is recommended in tricuspid valve endocarditis not responding to antibiotics or presenting severe heart failure. However, risk of early prosthetic valve endocarditis especially in drug addictors is principal concern in the treatment. A 37 year-old man with tricuspid valve endocarditis underwent staged operation of primary tricuspid valvulectomy and secondary bioprosthetic valve implantation successfully. We report it with references of literature.

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The laterally closed tunnel for the treatment of mandibular gingival recession in thin biotype patients: case report (얇은 치주 생체형 환자에서 교정 치료 후 발생한 하악 전치부 치은 퇴축에 대한 laterally closed tunnel procedure의 처치: 증례보고)

  • Kim, Hyun-Joo;Kwon, Eun-Young;Lee, Ju-Youn;Joo, Ji-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.4
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    • pp.253-259
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    • 2019
  • In this case report, gingival recession of the mandibular anterior teeth was treated with a laterally closed tunnel technique. Two patients had altered the inclination of mandibular anterior tooth during past orthodontic treatment and had periodontal thin biotype. The recipient site was formed by tunneling method, and the connective tissue graft obtained from the palatal side was placed in the tunnel, and the margins of flap were gathered at the center of the root and sutured. Despite the thin periodontal biotype, the root coverage was successfully obtained, keratinized gingiva was increased, and aesthetics were achieved by harmonizing with surrounding tissues in terms of shape and color.

Comparison of Spectral Analysis Methods of Prosthetic Heart Valve Sound (인공판막의 판막음 스펙트럼 분석방법 비교)

  • Lee, H.J.;Kim, S.H.;Chang, B.C.;Tack, G.;Cho, B.K.;Yoo, S.K.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.402-405
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    • 1997
  • The analysis of heart sounds is a noninvasive diagnostic method useful to diagnose heart valve function. In this paper we compared the ability of spectral analysis method for prosthetic heart valve sounds. Phonocardiograms of prosthetic heart valve were analyzed in order to derive frequency domain feature suitable for the classification of the valve state. The FFT-based methods did not provide sufficient frequency resolution to completely characterize the spectrum of prosthetic heart valve sounds. A high resolution parametric methods were shown to give superior frequency resolution. In parametric methods, all methods provide a 1st & 2nd & 3rd frequency component. But Shank method provided a most dominant frequency peak.

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An Experimental Study on the Impact Force of a Mechanical HeBrt Valve Prostheses (기계식 심장판막의 충격력에 관한 실험적 연구)

  • 이정한;천길정
    • Journal of Biomedical Engineering Research
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    • v.17 no.2
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    • pp.215-220
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    • 1996
  • Impact force and strains induced by impact between the occluder and the struts have been measured with force sensor and strain gages. The maximum reaction force was about 25N, and the calculated impact force on the root of the struts amount about 9-17W. Impact force on the inlet strut is greater than that of the outlet strut, but the strain on the outlet strut is much higher than that of the inlet strut. These values might cause severe damage on the valve in the critical cases. The results of this study may be extended for the analysis of the endurance limit and optimal design of the struts and occluder.

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Basis or In-Vivo and In-Vitro Thrombosis Detection of Mechanical Valve (In-Vivo 및 In-Vitro 실험을 통한 기계식 판막의 혈전현상 검출을 위한 기초연구)

  • Lee, H.S.;Lee, S.H.;Kim, S.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.113-117
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    • 1997
  • In this paper we detected the thrombosis formation by spectral analysis and neural network. Using microphone and amplifier, we measured the sound from the mechanical valve which is attached to the pneumatic ventricular assist device. The sound was sampled by A/D converter and the periodogram is the main algorithm or obtaining spectrum. We made the valvular thrombosis models using pellethane and silicon and they are thrombosis model on the disk, around the sewing ring and fibrous tissue growth across the orifice of valve. The spectrum of normal and 5 kinds of thrombotic valve were obtained and primary and secondary peak appeared in each spectrum waveform. So to distinguish the secondary peak of normal and thrombotic valve quantatively, 3 layer back propagation neural network.

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In Vitro Analysis of Supplementary Valve (보조판막의 생채외 실험 연구)

  • Kim, S.H.;Park, Y.H.;Yoon, C.S.;Kim, H.M.;Cho, B.K.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.329-332
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    • 1997
  • To develop the supplementary heart valve which could reduce the complications of prosthetic heart valve, in vitro experiments were performed to analyze the movement of the supplementary valves. The autologous pericardium was attached to deficient portion of the porcine valve which was dissected completely and partially. The instantaneous motion of the leaflet was pictured by the 35mm camera and the pressure drop through the valve and cardiac output were measured in mock circulatory system. The durability of the valves were tested in severe hemodynamic conditions.

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New Sound Spectral Analysis of Prosthetic Heart Valve (인공판막음의 새로운 스펙트럼 분석 연구)

  • Lee, H.J.;Kim, S.H.;Chang, B.C.;Tack, G.;Cho, B.K.;Yoo, S.K.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.75-78
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    • 1997
  • In this paper we present new sound spectral analysis methods or prosthetic heart valve sounds. Phonocardiograms(PCG) of prosthetic heart valve were analyzed in order to derive frequency domain feature suitable or the classification of the valve state. The fast orthogonal search method and MUSIC (MUltiple SIgnal Classification) method are described or finding the significant frequencies in PCG. The fast orthogonal search method is effective with short data records and cope with noisy, missing and unequally-spaced data. MUSIC method's key to the performance is the division of the information in the autocorrelation matrix or the data matrix into two vector subspaces, one a signal subspace and the other a noise subspace.

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인공심장판막의 현황

  • 김형묵
    • Journal of Biomedical Engineering Research
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    • v.10 no.2
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    • pp.94-96
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    • 1989
  • Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained.

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In Vitro Test of a Monoleaflet Polymer Valve (단엽식 고분자판막의 모의순환실험)

  • Kim, S.H.;Kim, W.K.;Chang, B.C.;Cho, B.K.
    • Proceedings of the KOSOMBE Conference
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    • v.1993 no.05
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    • pp.51-53
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    • 1993
  • We have developed a monoleaflet polymer valve in order to be used as an inlet valve of the ventricular assist device, because it could help to improve the fluid dynamic characteristics in the ventricle. Mean systolic transvalvular pressure drops were measured for the monoleaflet polymer valve and their results were compared wi th that of the mechanical valve.

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