• Title/Summary/Keyword: 좌주

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Hemodynamic Analysis of Pig's Left Common Coronary Artery (I) (좌주간부 관상동맥에 관한 혈류역학적 분석 (I))

  • Park, Jung-Su;Chang, Ju-Hee;Moon, Su-Yeon;Shin, Se-Hyun
    • Proceedings of the KSME Conference
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    • 2003.04a
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    • pp.1923-1929
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    • 2003
  • The present study investigated the microcirculation of blood in the left common artery (LCCA). In order to develop a mathematical model for microcirculation in LCCA, the present study adopted preexisted set of measured morphological data on anatomy, mechanical properties of the coronary vessels, viscosity of blood, the basic laws of physics, and the appropriate boundary conditions. In this study, the statistical distribution of blood pressure, blood flow, and blood volume in the LCCA were determined based on the anatomical branching pattern of the coronary arterial tree and the statistical data of blood vessel dimensions. Our calculations were in good agreement with the previous studies. The present results showed that the mean longitudinal pressure drop profile was function of the vessel order numbers. It was found that the normalized pressure drop was a logarithmic function of the compliance.

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Hemodynamic Analysis of Pig's Left Common Coronary Artery (LCCA) (II) (좌주간부 관상동맥(LCCA)에 관한 혈류역학적 분석 (II))

  • Moon, Su-Yeon;Jang, Ju-Hee;Park, Jung-Su;Shin, Seh-Yun
    • Proceedings of the KSME Conference
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    • 2003.04a
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    • pp.2043-2047
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    • 2003
  • The distributions of blood pressure, blood flow, and blow volume in the left common artery (LCCA) were determined using the lumping parameter method. In order to develop a mathematical model for microcirculation in LCCA, the present study adopted preexisted set of measured morphological data on anatomy, mechanical properties of the coronary vessels, viscosity of blood, the basic laws of physics, and the appropriate boundary condition. Pressures and volumes of blood and flow resistance were expressed in terms of electrical voltages, current, and resistances, respectively, in the electrical analog model. The results of two mathematical models, symmetrical and asymmetrical models, were compared with other investigator's data. The present results were in good agreement with previous studies. It was found that the mean pressure profiles were similar in both models.

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A Case of Biphasic Flow-volume Loop in Left Mainstem Bronchial Stenosis (이상성 기류유량곡선(biphasic flow-volume loop)을 보인 결핵에 기인한 좌주기관지협착 1예)

  • Choi, Soo-Jeon;Jo, Moon-Suk;Lee, Hyuk-Pyo;Kim, Joo-In;Yum, Ho-Kkee
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.2
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    • pp.416-420
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    • 1998
  • Flow-volume loop is known to be useful in the diagnosis of upper airway obstruction. In cases of tracheal obstruction, characteristic features such as fixed or variable upper airway obstruction patterns give clue to the diagnosis. But the flow-volume loop of unilateral mainstem bronchial stenosis is not known well. There is controversy in patterns of flow-volume loop in unilateral mainstem bronchial stenosis (restrictive pattern or biphasic pattern). We report a case of biphasic flow-volume loop in left mainstem bronchial stenosis(4-5 mm in diameter) as a sequela of endobronchial tuberculosis, which recovered normal flow-volume loop after metallic stent insertion and 2 months later showed reappearance of biphasic pattern because of restenosis of left mainstem bronchus due to growth of granulation tissue at the stent site.

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예부선의 운항관리 및 지위에 관한 고찰

  • Yu, Jang-Jong;Sim, Jae-Jin;Kim, Hyeon-Cheol
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2019.11a
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    • pp.54-56
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    • 2019
  • 최근 빈번하게 발생하는 예부선 관련 사고(충돌, 좌주 등)의 사례를 들어 각 사고별 요소별 원인을 분석하고, 향후 재발 방지를 위한 실현 가능한 대책을 제시한다. 또한, 예부선 선원의 고령화, 선박의 노후화 등과 관련해 현재 한국해양수산연수원에서 실시중인 예부선 종사자 교육 기간 및 과정의 적절성에 대한 의견을 제시하며, 마지막으로 선박입출항법, 해사안전법의 예부선 지위 관련 조항을 검토하여 현장의 혼란을 해소할 수 있는 문구로의 법령 개정을 제안함.

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Correlation Between Atherosclerosis and Geometrical Characteristic Changes of Blood Vessels (혈관의 형태학적 특성변화와 동맥경화와의 상관관계)

  • Suh, Sang-Ho;Roh, Hyung-Woon;Kwon, Hyuck-Moon;Lee, Byoung-Kwon;Kim, Gye-Young;Lee, Na-Young
    • 순환기질환의공학회:학술대회논문집
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    • 2005.12a
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    • pp.23-24
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    • 2005
  • 위와 같은 결과로부터 개인마다 다르게 형성되는 혈관의 형상이 혈류역학적 특성을 변화시켜 동맥경화의 발생에 영향을 미치고 있음을 알 수 있었다. 즉, 동일한 관상동맥일지라도 기하학적 형태변화에 따라 좌주간지의 길이가 짧을수록, 좌전하행지와 좌회선지의 분지부 각도가 넓을수록, 동맥경화의 발생이 용이한 형태가 되는데, 이로 미루어 혈관의 형상이 혈류의 유동조건을 변화시켜 혈관내피세포의 손상, 혈류의 정체시간 연장 등으로 나타나 동맥경화가 발생되는 인자가 된다.

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Capillary Hemangioma of the Left Main Bronchus in an Infant

  • Park, Seung-Il;Park, Esther;Kim, Yong-Hee;Park, Seong-Hae;Park, In-Chul
    • Journal of Chest Surgery
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    • v.35 no.10
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    • pp.736-739
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    • 2002
  • Capillary hemangioma is the most common vascular tumor in childhood; however, its occurrence in the bronchus is extremely rare. We recently performed a sleeve resection of the left main bronchus on a four-month-old infant with a severe emphysema caused by bronchial capillary hemangioma.

긴급상황 시 선박 대피항로 선정 지원 기술 시뮬레이션 검증 : 비상투묘와 충돌위험도 중심으로

  • Sin, Dae-Un;Yang, Chan-Su;Jeon, Ho-Gun
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2019.05a
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    • pp.82-82
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    • 2019
  • 해상에서 긴급상황 발생 시 선박운항자는 짧은 시간에 신속 정확한 의사 결정을 할 필요가 있다. 이를 위해서 해양사고(충돌, 좌초, 화재, 엔진고장, 조타고장) 심각성에 따른 대피항로(해경선, 비상투묘, 표류, 임의좌주, 주변선박) 선정 알고리즘을 설계하였고, 선박운항자를 위한 긴급대피지원안내 시스템을 개발 중에 있다. 본 연구에서는 대피항로 선정 지원 기술 중 비상투묘와 충돌위험도를 중심으로 시스템 적용 모델의 타당성의 평가하고 알고리즘의 신뢰성을 검증하였다. 비상투묘 지원 기술의 검증을 위해 국내외 해양사고 보고서 및 재결서를 분석하고 알고리즘에 적용해 결과를 비교하였다. 충돌위험도를 검증하기 위해 재결서의 선박 충돌 사고 사례를 시뮬레이션으로 재현하였고, 시뮬레이션 기록 데이터를 기반으로 PARK model, IWRAP MK2 프로그램을 이용해 충돌위험도를 평가하였다. 본 연구의 결과를 통해 해양사고 발생 시 선박과 인명 피해를 최소화할 수 있을 것으로 예상된다.

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The Study on the Independent Predictive Factor of Restenosis after Percutaneous Coronary Intervention used Drug-Eluting Stent : Case on MDCT Calcium-Scoring Implementation Patient (약물용출 스텐트를 이용한 관상동맥중재술 후 재협착의 독립적 예측인자에 관한 연구 : MDCT calcium-scoring 시행 환자 대상으로)

  • Kim, In-Soo;Han, Jae-Bok;Jang, Seong-Joo;Jang, Young-Ill
    • Journal of radiological science and technology
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    • v.33 no.1
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    • pp.37-44
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    • 2010
  • We sought to confirm an independent factor about in-stent restenosis (ISR) in the patients who underwent drug-eluting stent (DES) and know a possibility as a predictor of measured coronary artery calcium score by MDCT. A total of 178 patients (159 men, $61.7{\pm}10.0$ years of age) with 190 coronary artery lesions were included in this study out of 1,131 patients who underwent percutaneous coronary intervention (PCI) with DES implantation for significant stenosis on MDCT at Chonnam National University Hospital between May 2006 and May 2009. All lesions were divided into two groups with the presence of ISR : group I (re ISR, N = 57) and group II (no ISR, N = 133). Compared to group II, group I was more likely to be older ($65.8{\pm}9.0$ vs. $60.2{\pm}9.9$ years, p = 0.0001), diabetic (21.8% vs. 52.6%, p = 0.0001), have old myocardial infarction (8.8% vs. 2.3%, p = 0.040), left main stem disease (5.3% vs. 0.8%, p = 0.047), and smaller stent size ($3.1{\pm}0.3\;mm$ vs. $3.3{\pm}0.4\;mm$, p = 0.004). Group II was more likely to be smokers (19.3% vs. 42.1%, p = 0.003), have dyslipidemia (8.8% vs. 23.3%, p = 0.019). Left ventricular ejection fraction, lesion complexity, and stent length were not different between the two groups. Total CAC score was $389.3{\pm}458.3$ in group I and $371.2{\pm}500.8$ in group II (p = 0.185). No statistical difference was observed between the groups in CAC score in the culprit vessel, left main stem, left anterior descending artery, left circumflex artery, and right coronary artery. On multivariate logistic regression analysis, left main stem disease (OR = 168.0, 95% CI = 7.83-3,604.3, p = 0.001), male sex (OR = 36.5, 95% CI = 5.89-2,226.9, p = 0.0001), and the presence of diabetes (OR = 2.62, 95% CI = 1.071-6.450, p = 0.035) were independent predictors of ISR after DES implantation. In patients who underwent DES implantation for significant coronary stenosis on MDCT, ISR was associated with left main stem disease, male sex, and the presence of diabetes. However, CAC score by MDCT was not a predictor of ISR in this study population.

Acute myocardial infarction with a giant left main aneurysm in atypical Kawasaki disease (비전형적인 가와사키 병 환자에서 발생한 좌주간지 거대 동맥류를 동반한 급성심근경색)

  • Kim, Min Wook;Kim, Hyun Soo;Lee, Myung Dong;Jung, Hyun Sook;Yoon, Seong-Bo;Kim, Young Woo
    • Journal of Yeungnam Medical Science
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    • v.34 no.1
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    • pp.106-110
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    • 2017
  • Kawasaki disease (KD) is an acute vasculitis of small and medium sized arteries. Even many years after onset, aneurysms and stenosis in coronary arteries may lead to an acute myocardial infarction, which is described as atypical or missed KD in childhood. KD is an underlying disease of young adults with acute myocardial infarction. We report on a rare case involving a total occlusion in the proximal left anterior descending coronary artery combined with a giant left main aneurysm in a young adult patient with acute myocardial infarction ascribed to antecedent KD that is undefined but almost certain.