• Journal of Chest Surgery
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• 제37권8호
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• pp.722-725
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• 2004

Mitral valve surgery is most commonly performed through the left atriotomy via the inter-atrial groove or trans-septal approach. An alternative method for approaching to the mitral valve is via the dome of the left atrium located between the ascending aorta and superior vena cava. Although this approach was described 30 years ago, it has not been popularized in mitral valve surgery. We introduce our recent experiences with mitral valve surgery carried out through the dome of the left atrium with brief review of literature.

• Journal of Chest Surgery
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• 제24권7호
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• pp.732-738
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• 1991

Membranous obstruction of the inferior vena cava[IVC] is a rare congenital anomaly that may present clinical features of Budd-Chiari syndrome caused by chronic obstruction of hepatic drain. We have experienced a case of IVC obstruction caused by hour-glass constriction and membrane in its center. Operative correction was accomplished using profound hypothermia [20%] and total circulatory arrest of 26 minutes. This technique permitted resection of membrane with direct vision and removal of thrombus of IVC and hepatic vein. After then constricted IVC was repaired with autologous pericardial patch. Total circulatory arrest was used intermittently for good visual field. Postoperative course was smooth and postoperative angiography showed unobstructed flow through the IVC in spite of slight constriction of cavoatrial junction and nearly complete disappearance of collateral vessels.

• Journal of Biomedical Engineering Research
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• 제35권3호
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• pp.62-67
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• 2014

The purpose of the study was to identify the effect of laser parameters on photocoagulation to maximize safety and efficacy during varicose vein treatment. CW and pulsed modes at 1470 nm were initially compared as a function of power on bovine liver tissue. In the pulsed mode, various parameters including repetition rate, duty cycle, and irradiation time were compared to evaluate tissue response during thermal treatment. The results demonstrated that CW and pulsed modes yielded almost similar coagulation development possibly due to shorter irradiation time of 5 sec. Regardless of laser mode, both repetition rate and duty cycle presented constant coagulation rate whereas longer irradiation time facilitated coagulation process.

• Clinical and Experimental Reproductive Medicine
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• 제24권3호
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• pp.341-345
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• 1997

The management of varicoceles was performed on 24 patients with testicular dragging pain and/or left lower abdominal pain under local anesthesia. The surgery was completed within 20 to 45 minites, postoperative complications were severe cord edema 3 cases, wound infection 1 case, epididymitis 1 case, and postoperative anesthetic duration was 90 to 150 minites. Therefore, these procedures is cost effective and safe surgical method.

• Progress in Medical Physics
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• 제23권3호
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• pp.177-187
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• 2012

Magnetic resonance angiography (MRA) techniques are widely used in diagnosis of vascular disorders such as hemadostenosis and aneurism. Especially, phase contrast (PC) MRA technique, which is a typical non contrast-enhanced MRA technique, provides not only the anatomy of blood vessels but also flow velocity. In this study, we developed the 2- and 3-dimensional PC MRA pulse sequences for a low magnetic field MRI system. Vessel images were acquired using 2D and 3D PC MRA and the velocities of the blood flow were measured in the superior sagittal sinus, straight sinus and the confluence of the two. The 2D PC MRA provided the good quality of vascular images for large vessels but the poor quality for small ones. Although 3D PC MRA gave more improved visualization of small vessels than 2D PC MRA, the image quality was not enough to be used for diagnosis of the small vessels due to the low SNR and field homogeneity of the low field MRI system. The measured blood velocities were $25.46{\pm}0.73cm/sec$, $24.02{\pm}0.34cm/sec$ and $26.15{\pm}1.50cm/sec$ in the superior sagittal sinus, straight sinus and the confluence of the two, respectively, which showed good agreement with the previous experimental values. Thus, the developed PC MRA technique for low field MRI system is expected to provide the useful velocity information to diagnose the large brain vessels.

• Korean Journal of Environment and Ecology
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• 제34권4호
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• pp.318-333
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• 2020

The Nakdong-Jeongmaek extends north and south from Taebaek-si of Gangwon-do to Busan metropolitan city and includes a wide range of forest zone from temperate to the warm-temperature forest. The purpose of this study was to analyze the vegetation structural characteristics of the Quercus mongolica-dominant community, which was distributed in the largest area in Baekdudaegan and Jeongmaek, by region and communities in the Nakdong-Jeongmaek. For the study, a representative 6 sites were selected: Baekbyeongsan, Chilbosan, Baegamsan, Unjusan, Goheonsan, and Gudeoksan. The survey of the 6 sites showed that the canopy had over 85% the importance percentage of Quercus mongolica. In the understory, Rhododendron schlippenbachii, Fraxinus sieboldiana, etc. were located and Fraxinus sieboldiana, Lespedeza maximowiczii, Tripterygium regelii and so on were found in the shrub. The importance percentage of 4 communities of Quercus mongolica, which were separated by TWINSPAN, in the canopy was more than 80%, and the dominant species in the understory and shrub were the same. Currently, Quercus mongolica has been identified as the understory following the canopy, and the Quercus mongolica-dominant community is expected to continue unless there are external factors. In the temperate forest regions in Korea, Quercus spp.and Carpinus laxiflora form the major forest physiognomy in the natural forest state. Based on these characteristics, the Quercus mongolica-dominant community on the ridge of the Nakdong-Jeongmaek is considered to have characteristics of temperate forests in Korea. The Quercus mongolica community is a representative cool-temperate deciduous forest and known as a climatic climax in the upper section of the mountains in the Korean Peninsula. Trees of the same species should be distributed at each layer to maintain the dominant species' status in the canopy's climax forest. Therefore, the Quercus mongolica community is considered the climax forest in the ridge of the Nakdong-Jeongmaek.

• Korean Journal of Environment and Ecology
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• 제35권2호
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• pp.106-114
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• 2021

This study was conducted to provide basic data for the systematic management and preservation of Nak-nam Jeongmaek. Of the Nak-nam Jeongmaek, six priority research areas, Gilmajae, Mt. Cheonwang, Mt. Yeohang, Mt. Muhak, Mt. Cheonju, Mt. Sineo, with consideration to terrain and environmental characteristics, were selected for this study. Two fixed plots for each bird habitat type were selected for each site and were surveyed from May to October in 2018. The survey conducted in the six priority research areas of Nak-nam Jeongmaek identified 48 species with 1,181 individual birds. The largest number of species and individuals occupying a particular habitat type were found in the developed land with 35 species and 567 individuals. Species diversity was the highest at 2.66 in the forest road. According to the results of nesting guild analysis of Nak-nam Jeongmaek (Pearson Chi-square test, 𝛘²=16.681, p<0.05) by each habitat type, the communities that belong to the canopy nesting guild showed a high frequency in the developed land, the valley, and the forest road. The results of the Pearson Chi-Square test (𝛘²=16.217, p<0.005) showed that the communities that belonged to the bush foraging guild were the most frequent in the developed land, and the communities that belonged to the canopy foraging guild were the most frequent in the valley and the forest road. The results of these studies suggest that the various habitats of the Nak-nam Jeongmaek provide a variety of resources for bird habitats.

• Journal of Chest Surgery
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• 제34권1호
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• pp.45-50
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• 2001

배경: 관상동맥우회술은 허혈성 심질환 환자에서 증상을 완화하고 급사를 방지할 수 있는 효과적인 치료방법으로 확립되었다. 그러나 80년대에 들어와 지금까지 사용되었던 대복재정맥편에 비해 동맥이식편의 장기개통율이 월등함이 알려지면서 좌내유동맥과 함께 사용할 수 있는 동맥이식편에 대한 관심이 증가하였다. 본원에서는 1998년부터 다동맥이식편을 이용하여 관상동맥 우회술을 시행하고 있으며, 조기성적에 대해 대복재정맥을 사용한 경우와 비교하고자 하였다. 대상 및 방법: 1998년 6월부터 1999년 5월까지 본원에서 관상동맥우회술을 시행받았던 355명의 환자중 심정지액을 이용하여 시행했던 153명을 대상으로 하였다. 76명의 단일 동맥편을 사용한 환자를 I군, 두 개 이상의 다동맥편을 사용한 77명의 환자를 II군으로 분류하여 수술전후 임상기록, 심초음파 및 관상동맥 조영술 소견등을 후향적으로 분석하였다. 결과: 술전 양군간에는 II군의 환자가 I군의 환자에 비해 더 젊고 흡연자가 많다는 것 이외에는 통계학적으로 차이는 없었다. 술후 조기사망은 각 군에서 1례씩 있었고 환자당 문합갯수에 통계학적으로 차이가 있는 것 이외에는 수술과정 및 술후 결과에서 차이는 없었다. 결론: 다동맥편을 이용한 관상동맥우회술을 시행한 결과 본원에서 학습기(learning period)임에도 불구하고 조기성적에 있어 대복재정맥을 이용한 경우와 차이가 없었다. 물론 중기 및 장기성적에 대한 지속적인 추적관찰이 필요하겠으나 이러한 조기성적은 동맥이식편을 이용한 관상동맥우회술이 환자의 장기생존에 도움을 줄 수 있으리라 사료된다. 또한 이러한 결과를 토대로 완전 동맥이식편 관상동맥우회술로의 전환이 이루어질 수 있으리라 생각된다.

• Journal of Chest Surgery
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• 제32권6호
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• pp.532-535
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• 1999

Background: The purpose of this study was to evaluate and analyze the surgical techniques and postoperative complications in patients undergoing operations for descending thoracic aortic aneurysms. Material and Method: The data of 22 major operations between March 1987 and August 1997 were retrospectively reviewed. Result: There were 18 men and 4 women with a mean age of 49 years (range 33 years to 82 years). The cause of the aneurysm was aortic dissection in 13 patients, atherosclerosis in 3, mycotic in 3, trauma in 2 and uncertain in 1. The operative techniques were resection and graft replacement in 16, axillofemoral bypass graft in 2, femorofemoral bypass graft in 2, exclusion, aneurysmorrhaphy in 1 and transfemoral stent insertion in 1. During the operation, 16 cases were performed under total aortic clamp. Among the 16 patients, femorofemoral bypass was used in 14 cases and previously made shunt in 2 cases. The mean total aortic clamp time was 91 minutes and the mean extracorporeal circulation time was 116 minutes. One death occurred in an excluded patient on the 52 postoperative day due to a rupture of the aneurysm. Postoperative complications were paraplegia in 1 case, acute renal failure in 1 case and acute respiratory failure in 1 case. Conclusion: Although surgical treatment of the descending thoracic aneurysm has many postoperative complications, good surgical results can be achieved with a proper patient selection and fine surgical techniques.

• Clinical and Experimental Pediatrics
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• 제49권9호
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• pp.987-990
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• 2006

Intravenous immunoglobulin (IVIG) infusion is an effective therapy for acute Kawasaki disease (KD). Nonetheless, approximately 10 percent to 20 percent of patients have persistent or recrudescent fever despite IVIG treatment, leading to a higher risk for coronary artery aneurysms (CAA). This unresponsiveness may pose a challenge to the clinicians. Tumor necrosis $factor-{\alpha}$ levels are elevated in the acute phase of the disease, especially in patients who develop CAA. We report a 10-month-old male with KD who failed to respond to multiple doses of IVIG and methylprednisolone and who then was treated with infliximab (5 mg/kg single dose). After infliximab treatment, he became afebrile with normalization of inflammatory markers and no further progression of CAA.