• Title/Summary/Keyword: 에코

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Late Results of Total Correction for Tetralogy of Fallot (활로 4징증의 완전교정술에 대한 장기 성적)

  • Lee, Yeon-Jae;Hwang, Sang-Won;Kim, Han-Yong;Yu, Byeong-Ha
    • Journal of Chest Surgery
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    • v.30 no.12
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    • pp.1184-1189
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    • 1997
  • Tetralogy of Falloff is the most common cyanotic congenital cardiac malformation. Between April 1984 and December 1993, we experinced with 39 cases of total correction for the tetralogy of Falloff at the department of Thoracic and Cardiovascular Surgery, Masan Samsung General Hospital. The results were as follows; There were 14 males and 25 females, and their ages ranged from 2 to 36 years, with an average age of 13.33 $\pm$7.40 years. There was type I VSD in 10 cases(25.6%), type II VSD in 19 cases(48.8%) and type 1+ II VSD in 10 cases(25.6%) Types of right ventricular outflow tract obstruction were valvar + infundibular stenosis in 19 cases(48.7%), valvar + infundibular + annular stenosis in 10 cases(25.6%), infundibular stenosis in 9 cases(23.1%)and pure valvar stenosis in 1 case(2.6%). Right ventricular outflow tract patch widening was necessary in 33 cases(84.6%) and a Iransannular patch including 2 cases of Monocusp-bearing outflow patch was used in 10 cases. n 36 hospital survivors, 23 patients were evaluated by 2 dimensional and doppler echocardiography. The most common complication was arrthymia, especially complete right bundle branch block, in 30 cases (76.9%). The operative mortality was 7.7%, and the cause of death was low cardiac output syndrome.

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Analysis of Risk factors & Morphological Ultrasound Image for Gallbladder Polyp in Adults Living in Busan and Gyeongnam Provinces (부산·경남 지역 성인의 담낭용종 위험인자 및 초음파 영상의 형태학적 분석)

  • An, Hyeon;Hwang, Chul-Hwan;Ko, Sung-Jin;Kim, Chang-Soo
    • Journal of radiological science and technology
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    • v.39 no.3
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    • pp.353-359
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    • 2016
  • This study were to evaluate risk factors of GB polpy in Busan and Gyeongnam area. This study was performed with patients by abdominal ultrasonography among the patients who came to the P hospital from January to May 2016. Among them, risk factors were analyzed on 399 people at the same time when abdominal ultrasonography and hematological test. The statistical analysis of risk factors related to the GB ployp was performed by independent t-test and chi-square test. In consider of difference verification result for calculations odds ratio about independent variables, multiple logistic regression analysis to conduct verify adequacy by calculating forecasting model from variable. As a result, GB polyp risk factors have relevance to male, HBsAg positive, triglyceride. GB polyp risk factors confirmed to male, HBsAg positive, triglyceride were calculated forecasting model and forecasting probability value. Forecasting probability sensitivity 61.0%, specificity 76.8%, ROC area under curve 0.735 showed, it confirmed validity of forecasting model. When analyzing the GB polyps morphologically, among the GB polyp types observed from abdominal ultrasonography, the hyperechoic and homogeneous pattern with neck was the largest as shown from 27.5% and two GB polyps were shown most from 38%, sizes were shown most by maximum diameter, 5 to 10mm from 53%. As a disease accompany with GB polyp showed mild fatty liver(23%), diffuse hepatopathy(21%).

Unilateral Renal Subcapsular Abscess Associated with Pyelonephritis in a Cat (고양이의 신우신염을 동반한 편측신장의 피막하 농포 증례)

  • Lee, Hye-Yeon;Chang, Jin-Hwa;Jung, Joo-Hyun;Oh, Sun-Kyung;Kim, Jae-Hong;Kim, Wan-Hee;Yoon, Jung-Hee;Choi, Min-Cheol
    • Journal of Veterinary Clinics
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    • v.27 no.1
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    • pp.79-82
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    • 2010
  • A 1-year-old intact male Russian blue cat was admitted with a history of depression, partial anorexia, vomiting and dysuria. Through the blood analysis, ultrasonography and urinalysis, this cat was diagnosed as feline lower urinary tract disease with cystitis. Despite antibiotic therapy the cat showed stranguria and urinary catheterization were repeated several times. One week after, this patient appeared depression, hyperthermia and leukocytosis. Ultrasonography revealed a small amount of hypoechoic fluid around the right kidney and bacteria were found in the urine. The amount of the right subcapsular fluid was increased and bacteria were found in the fluid. On the excretory urography, leakage of contrast media were detected. The right kidney was surgically removed and suppurative fluid between the renal parenchyma and the thickened capsule was identified. After surgery, subcapsular abscess of the right kidney associated with pyelonephritis was confirmed histologically and this cat recovered without complications.

Alternative Technique of Aortic Valve Replacement -Implantation of Mechanical Aortic Valve at a Supra-Annular Level- (기계판막을 판륜상연에 위치시킨 대동맥판 치환술)

  • 최종범;이삼윤
    • Journal of Chest Surgery
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    • v.29 no.5
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    • pp.504-509
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    • 1996
  • When a valve prosthesis is to be implanted in the aortic position, simple interrupted suture, figure-of- eight suture, or horizontal mattress suture technique is used as a suture method. However, the suture techniques may be unacceptable for aortic valve replacement in patients with friable annulus caused by some lesions, such as endocarditis and degenerative change. We used an alternative technique for the aortic vlave replacement in 4 patients with valve endocarditis, ) patients with degenerative valvular lesion, and 1 with rheumatic valvular disease. Mattress sutures through the annulus were placed with pledgets on the ventricular side of the annulus, whi h resulted in implantation of the prosthesis at a supra-annular level. Mechanical valves of 21 mm or larger were implanted in the supra-annular position in all patients and there was no impeded motion of leaflets during the follow-up period of mean 13.3 mouths. The transvalvular pressure gradient was less than 6 mm Hg in 3 patients and 20 to 40 mm Hg in 5 patients. The supra-annular implantation of mechanical aortic valve using a vertical mattress suture technique may be a useful alternative method of aortic valve replacement for the selected patients with friable or destroyed aortic annulus.

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Evaluation of Size for Crack around Rivet Hole Using Lamb Wave and Neural Network (초음파 판파와 신경회로망 기법을 적용한 리뱃홀 부위의 균열 크기 평가)

  • Choi, Sang-Woo;Lee, Joon-Hyun
    • Journal of the Korean Society for Nondestructive Testing
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    • v.21 no.4
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    • pp.398-405
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    • 2001
  • The rivet joint has typical structural feature that can be initiation site for the fatigue crack due to the combination of local stress concentration around rivet hole and the moisture trapping. From a viewpoint of structural assurance, it is crucial to evaluate the size of crack around the rivet holes by appropriate nondestructive evaluation techniques. Lamb wave that is one of guided waves, offers a more efficient tool for nondestructive inspection of plates. The neural network that is considered to be the most suitable for pattern recognition has been used by researchers in NDE field to classify different types of flaws and flaw sizes. In this study, clack size evaluation around the rivet hole using the neural network based on the back-propagation algorithm has been tarried out by extracting some features from the ultrasonic Lamb wave for A12024-T3 skin panel of aircraft. Special attention was paid to reduce the coupling effect between the transducer and the specimen by extracting some features related to time md frequency component data in ultrasonic waveform. It was demonstrated clearly that features extracted from the time and frequency domain data of Lamb wave signal were very useful to determine crack size initiated from rivet hole through neural network.

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A Study on Eco-Port Policy of Japan and Its' Implications (일본의 친환경항만정책과 시사점)

  • Choi, Seok-Beom;Nam, Jung-Woo
    • Journal of Korea Port Economic Association
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    • v.27 no.3
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    • pp.331-348
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    • 2011
  • Recently, international society strongly concerns global green house effect. As a result each nation introduces green policy for their economy and sustainable development. The emissions of carbon dioxide come from various sources, such as ports and port activities. Especially, port is a logistics hub for shipping, road and railways. Therefore, successful reduction of emissions in the port may encourage other transportations to reduce emissions. Korea as developing country is excused from Annex I countries which committed themselves to reduce four greenhouse gases. However, Korea is going to be placed in Annex I countries in 2013. Korean economy is heavily dependent on international trade and especially, 99.8% of its international trade cargoes is transported through the ports. Therefore, Eco-port plays a very important role in future Korean sustainable development. By introducing the most advanced port pollution regulations, Japan has taken a immediate step for Eco-port policy. International trade is very significant in Korea as well as in Japan, both nations have similar industrial structure. Therefore, Korea should pay attention to Japanese Eco-port policy and activities. This paper examines Japanese Eco-port policy and its' implications in order for Korea to find the most efficient way to reduce the emissions as Korea should reduce greenhouse gas emissions in post kyoto system.

Treatment of Malignant Peripheral Nerve Sheath Tumor Using Surgery and Metronomic Chemotherapy in a Dog (개에서 발생한 악성 말초 신경집 종양의 외과적 절제와 메트로놈 화학요법을 이용한 치료 증례)

  • Son, Jin-Na;Park, Seong-Kyu;Choi, Seok-Hwa;Kim, Gon-Hyung
    • Journal of Veterinary Clinics
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    • v.28 no.3
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    • pp.310-313
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    • 2011
  • A 6-year-old female Shih-tzu dog was referred with left elbow joint mass associated with weight bearing lameness. Ultrasonography demonstrated an encapsulated hyperechoic mass at the left elbow joint. Radiography was performed on elbow joint, chest, and abdomen, but there was no evidence of metastasis. Clinicopathologic examination revealed the existence of neoplastic cells with anisocytosis, pleomorphism and increased nuclear-cytoplasmic ratio. The left forelimb was amputated for cure. Histopathological examination diagnosed the mass as a malignant peripheral nerve sheath tumor. During the 4 weeks follow-up, the patient showed full remission and adopted to walk with remaining three legs. Thereafter, the tumor recurred after 5 months of first surgery at the operation site and other two cutaneuos regions. Cytology test revealed the mesenchymal originated tumor cells with malignancy. These tumors were surgically removed and histopathological examination of the resected tissue revealed the recurrence of primary tumor and metastasis. Metronomic therapy with cyclophophamide (10 mg/$m^2$, PO, sid) and piroxicam (0.3 mg/kg, PO, sid) had been adopted for 5 months. At 26 months of follow up after the first surgery, the dog alive with satisfactory quality of life. Aggressive surgical resection with metronomic chemotherapy should be the most effective treatment for malignant peripheral nerve sheath tumor.

Portal Vein Thrombosis in a Dog with Dirofilariasis (심장사상충에 감염된 개에서 발생한 문정맥혈전증)

  • Yun, Seok-Ju;Cheon, Haeng-Bok;Han, Jae-Ik;Kang, Ji-Houn;Chang, Jin-Hwa;Na, Ki-Jeong;Chang, Dong-Woo
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.600-604
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    • 2010
  • A ten-year-old female mongrel dog was presented to Veterinary Medical Center, Chungbuk National University with the signs of anorexia, weakness, and hemoglobinuria. Patient had been diagnosed as dirofilariasis based on heartworm antigen test and treated with adulticide (melarsomine) at local hospital one day before admission. On laboratory examinations, there were hypochromic and microcytic regenerative anemia, thrombocytopenia, moderate neutrophilia, and increase ALT, AST, and ALP. Radiographic exam showed main pulmonary artery bulging, pulmonary infiltration and hypervascularity, reduced abdominal serosal detail and mild hepatomegaly. Abdominal ultrasonographic exam showed mild peritoneal effusion and large hyperechoic thrombi at trifurcation of the porta hepatica and the splenic vein. In addition, intraluminal low density area and intravascular filling defect were confirmed on contrast enhanced CT scanning at the same anatomic locations. Patient was treated with anticoagulant and thrombolytic therapy. On day 42 after treatment, complete resolution of thrombi was confirmed via ultrasonography and improvement of clinical signs was observed.

Application of Very Short-Term Rainfall Forecasting to Urban Water Simulation using TREC Method (TREC기법을 이용한 초단기 레이더 강우예측의 도시유출 모의 적용)

  • Kim, Jong Pil;Yoon, Sun Kwon;Kim, Gwangseob;Moon, Young Il
    • Journal of Korea Water Resources Association
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    • v.48 no.5
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    • pp.409-423
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    • 2015
  • In this study the very short-term rainfall forecasting and storm water forecasting using the weather radar data were implemented in an urban stream basin. As forecasting time increasing, the very short-term rainfall forecasting results show that the correlation coefficient was decreased and the root mean square error was increased and then the forecasting model accuracy was decreased. However, as a result of the correlation coefficient up to 60-minute forecasting time is maintained 0.5 or higher was obtained. As a result of storm water forecasting in an urban area, the reduction in peak flow and outflow volume with increasing forecasting time occurs, the peak time was analyzed that relatively matched. In the application of storm water forecasting by radar rainfall forecast, the errors has occurred that we determined some of the external factors. In the future, we believed to be necessary to perform that the continuous algorithm improvement such as simulation of rapid generation and disappearance phenomenon by precipitation echo, the improvement of extreme rainfall forecasting in urban areas, and the rainfall-runoff model parameter optimizations. The results of this study, not only urban stream basin, but also we obtained the observed data, and expand the real-time flood alarm system over the ungaged basins. In addition, it is possible to take advantage of development of as multi-sensor based very short-term rainfall forecasting technology.

Hierarchical Analysis of the Application of U-Eco City Services in Urban Space -Focused on the Service Classification by Planning Factors and its Spatial Adaptability - (U-Eco City 서비스의 공간위계별 적용가능성 분석 -계획요소별 서비스 분류와 공간단위 적용성을 중심으로-)

  • Lee, Sangho;Leem, Yountaik;Kim, Heeyoung
    • The Journal of the Korea Contents Association
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    • v.12 no.11
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    • pp.458-468
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    • 2012
  • The purpose of this study is to define U-Eco City services and to analyze the possibility and easiness of application in urban space. The most significant meaning of this study is that these results could be used as the design and planning guidelines for integrated U-Eco City. This study progress as follows; First, U-Eco City concept and their services were defined and the spatial units of U-Eco City were distinguished through literature review. Second, U-Eco City spaces are classified into four levels such as building, street, facility and district. Finally, the application of U-Eco city services was analyzed together by the statistical technique of cross-tabulation. 35.7% of U-city services was serviced in urban district and 38.8% of Eco City services was applied to Building. U-City and/or Eco city services were adapted differently according to the urban spatial hierarchy. Those services should be applied in terms of the characteristics of urban space in designing and planning U-Eco City.