• Title/Summary/Keyword: 즉시형

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Immediate Reoperation for Failed Mitral Valve Repair (승모판막성형술 실패 직후에 시행한 재수술)

  • 백만종;나찬영;오삼세;김웅한;황성욱;이철;장윤희;조원민;김재현;서홍주;김욱성;이영탁;박영관;김종환
    • Journal of Chest Surgery
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    • v.36 no.12
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    • pp.928-928
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    • 2003
  • 승모판성형술 직후에 시행한 재수술에 대한 연구보고는 많지 않다. 저자들은 승모판성형술 직후 성형술 실패로 판단되는 환자에서 즉시 시행한 재수술 결과에 대해 알아보았다. 대상 및 방법: 1995년 4월부터 2001년 7월까지 세종병원에서 승모판성형술을 받은 환자 중 체외순환 이탈 직후 시행한 경식도초음파 검사에서 승모판막폐쇄부전 혹은 협착이 의미있게 잔존하거나 다른 이유로 재수술이 즉시 필요하였던 18명을 대상으로 후향적으로 조사하였다. 남녀비는 5 : 13이었고 평균 연령은 44세였다. 승모판막 질환은 폐쇄부전 12명, 협착 3명, 그리고 혼합형이 3명이었다. 원인은 류머치스성 9명, 퇴행성 8명, 그리고 심내막염이 1명이었다. 재수술의 원인은 잔존 승모판폐쇄부전 13명, 협착 4명, 그리고 좌심실천공이 1명이었다. 14명(77.8%)에서 재성형술을, 4명에서는 인공기계판막치환술이 시행되었다. 결과: 조기사망은 없었다. 조기결과는 승모판막치환을 한 4명을 제외한 14명 중 13명(92.9%)에서 0-I도의 폐쇄부전을 보였고 협착은 14명 모두 경도 이하 상태였다. 평균 33개월을 추적조사 한 결과 1명이 술 후 4개월 후 심기능부전으로 사망하였다. 승모판폐쇄부전은 9명(64.3%)에서 0-I도를, 승모판협착은 11명(78.6%)에서 경도 이하였고 재수술은 1명에서 시행되었다. 6년 생존율과 재수술로부터의 자유도는 각각 94%와 90%였다. 4년 후 승모판폐쇄부전 및 협착 재발로부터의 자유도는 각각 56%와44%였다. 결론: 승모판막성형술 직후 재수술은 양호한 조기 및 중기 생존율을 보이며 일차성형술 실패 후에도 높은 빈도에서 재성형술이 가능하다. 하지만 재성형술 시 특히 류머치스성 판막질환에서는 판막 기능부전 발생률이 높기 때문에 성형술 후 판막부전의 재발을 줄이기 위해서는 성형술의 적절한 적용 및 적응증 선별이 중요할 것으로 생각된다.

The Effects of Gubo-eum(Jiubao-yin) and Kamigubo-eum(Jiameijiubao-yin) on the Pulmonary Thromboembolism and the Immediately Type Hypersensitivity (구보음(九寶飮)과 가미구보음(加味九寶飮)이 폐혈전색전(肺血栓塞栓) 및 즉시형(卽時型) Allergy반응(反應)에 미치는 영향(影響))

  • Kim, Gyoung-Min;Gang, Byoung-Ryoung;Park, Dong-Il;Jeong, Gwang-Sik
    • The Journal of Internal Korean Medicine
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    • v.21 no.4
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    • pp.633-639
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    • 2000
  • Objective : Experimental studies were done to research the effects of Gubo-eum(Jiubao-yin) and Kamigubo-eum(Jiameijiubao-yin) on the pulmonary thromboembolism and the immediately type hypersensitivity. Methods : For measuring the response about the pulmonary thromboembolism, we investigated a survival rate after the intravenous injection of sodium arachidonate and adenocine diphophate(ADP). For measuring the response about the immediately type hypersensitivity, we did the intravenous injection of histamin and serotonin, and phlebotomized and excoriated skin and investigated the amount of escaped pigment. Results : The each solid extract of Gubo-eum(Jiubao-yin) and Kamigubo-eum(Jiameijiubao-yin) revealed significant decrease effect on viscosity of mucin solution. The each solid extract of Gubo-eum(Jiubao-yin) and Kamigubo-eum(Jiameijiubao-yin) revealed significant effect on the pulmonary thromboembolism induced by sodium arachidonate and adenocine diphophate(ADP). The each solid extract of Guboeum(Jiubao-yin) and Kamigubo-eum(Jiameijiubao-yin) revealed significant on vascular permeability responses to intradenmal histamine and serotonine. conclusions : The each solid extract of Gubo-eum(Jiubao-yin) and Kamigubo-eum(Jiameijiubao-yin) revealed significant effect on the immediately type hypersensitivity and the pulmonary thromboembolism.

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Mechanism of Inhibitory Action of Anaphylaxis by Aqueous Extract of Poncirus trifoliata (즉시형(卽時型) 알레르기 반응(反應)에 있어서 물추출액(抽出液)의 억제작용기전(抑制作用機轉))

  • Hwang, Gwang-Ho;Lee, Eon-Jeong;Song, Bong-Keun;Kim, Hyeong-Kyun
    • The Journal of Korean Medicine
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    • v.18 no.1
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    • pp.316-325
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    • 1997
  • The dried unripe fruit of Poncirus trifoliata L. is widely used to treat urticaria, itch and indigestion in folk medicine. And recently it was reported the component of the fruit was found to exhibit an inhibitory effect on histamine release from mast cells. So to evaluate the effect of aqueous extract of Poncirus trifoliata L.(PTFE) on compound 48/80-induced histamine release, the study was carried out in rat peritoneal mast cell. PTFE $(10^{-3}{\sim}1mg/ml)$ inhibits the histamine release induced by compound 48/80 $(5{\mu}g/ml)$ in rat peritoneal mast cells. To clarify the mechanism of these inhibition, we investigated the effect of PTFE on cAMP and intracellular calcium content. The increase in cAMP content, when PTFE was added, was transient. At concentration of 1mg/ml, the cAMP content of mast cells was significantly increased at a rate of 53 times of basal cells at 10sec. PTFE inhibits histamine release by augmenting the cAMP content in mast cells. Moreover, PTFE inhibits intracellular calcium release induced by compound 48/80. This result suggests that PTFE may be useful for the prevention and treatment of allergy-related disease.

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Full mouth rehabilitation of a patient with severe periodontitis using immediate loading after computer aided flapless implant surgery (심한 치주질환을 가진 환자에서 computer aided flapless surgery와 즉시 부하를 통한 전악 구강 회복 증례)

  • Kang, Seong hun;Choi, Yeon jo;Ryu, Jae jun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.1
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    • pp.46-55
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    • 2018
  • Oral rehabilitation of a patient having severe periodontitis with alveolar bone resorption and periodontal inflammation presents a challenge to clinicians. However, if appropriate implant placement according to the bone shape is selected, unnecessary bone grafting or soft tissue surgery can be minimized. In recent years, using cone beam CT and software, it has become possible to operate the planned position with the surgical guide made with 3D printing technology. This case was a 70 years old female patient who required total extraction of teeth due to severe periodontitis and performed a full-mouth rehabilitation with an implant - supported fixed prosthesis. During the surgery, the implant was placed in a flapless manner through a surgical guide. Immediate loading of the temporary prosthesis made by CAD/CAM method before surgery was done. Since then, we have produced customized abutments and zirconia prostheses, and have reported satisfactory aesthetic and functional recovery.

Effects of immediate and delayed light activation on the polymerization shrinkage-strain of dual-cure resin cements (즉시 광중합과 지연 광중합이 이원 중합 레진시멘트의 중합 수축량에 미치는 영향)

  • Lee, So-Yeoun;Kim, Sung-Hun;Ha, Seung-Ryong;Choi, Yu-Sung;Kim, Hee-Kyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.195-201
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    • 2014
  • Purpose: This study was designed to compare the amount of polymerization shrinkage of dual-cure resin cements according to different polymerization modes and to determine the effect of light activation on the degree of polymerization. Materials and methods: Four kinds of dual-cure resin cements were investigated: Smartcem 2, Panavia F 2.0, Clearfil SA Luting and Zirconite. Each material was tested in three different polymerization modes: self-polymerization only, immediate light polymerization and 5 minutes-delayed light polymerization. The time-dependent polymerization shrinkage-strain was evaluated for 30 minutes by Bonded-disk method at $37^{\circ}C$. Five recordings of each material with three different modes were taken. Data were analyzed using one-way ANOVA and multiple comparison Scheffe′test (${\alpha}$=.05). Results: All materials, except Panavia F 2.0, exhibited the highest polymerization shrinkage-strain through delayed light-activated polymerization. No significant difference between light activation modes was found with Panavia F 2.0. All materials exhibited more than 90% of polymerization rate in the immediate or delayed light activated group within 10 minutes. Conclusion: As a clinical implication of this study, the application of delayed light activation mode to dual-cure resin cements is advantageous in terms of degree of polymerization.

Correlation between Depression and Memory According to Apolipoprotein E Genotype in Elderly with Alzheimer's Dementia (알츠하이머 치매노인의 Apolipoprotein E 유전형에 따른 우울과 기억력의 상관관계)

  • Kim, Kwang-Jae;Noh, Dong-hee;Han, Seung-Hyup;Cha, Yun-Jun;Kam, Kyung-Yoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.477-486
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    • 2020
  • This study was undertaken to analyze the correlation between depression and memory, by considering the occurrence of ApoE ɛ4 and clinical dementia rating in the elderly with Alzheimer's dementia. This study included 50 participants over 65 years of age, evaluated with CDR 0.5 to 2. We performed CDR, SVLT-E, RCFT, SGDS-K, and ApoE genotyping. Spearman's correlation analysis was used for determining the correlation between depression and memory. The results indicate a significant negative correlation between depression and immediate recall verbal memory in the CDR 1 and 2 without ApoE ɛ4 carrier group (p<0.05). Furthermore, a significant negative correlation was also determined between depression and delayed recall verbal memory in the CDR 1 of the same group. Ed. Notes: The previous sentence already shows this correlation. I suggest this should be deleted from this statement. However, no significant correlation was observed between depression and visual memory. This study found a significant correlation between depression and immediate recall verbal memory. Also, the presence of ApoE ɛ4 indicates a significant correlation between depression and delayed verbal recall memory. Taken together, our results indicate that verbal memory training rather than visual memory training can be more effective in early AD. Also, the treatment of depression will provide a complementary effect.

Immediate Connection of Customized Zirconia Abutment Using Flapless Guided Surgery: A Clinical Report (무절개 수술을 이용한 맞춤형 지르코니아 지대주의 즉시 장착 증례)

  • Lee, Gyeong-Je;Choi, Byung-Ho;Kim, Hee-Jun;Jung, Seng-Mi
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.2
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    • pp.201-212
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    • 2012
  • There are some similar aspects at histological and morphological characteristics between the peri-implant tissue and periodontal tissue and the direct attachment between the titanium and soft tissue around the implant called as "Functional ankylosis" can prevent the apical infiltration of inflammatory and bone resorption around implant. But, the repeated connection and disconnection of the abutment can destroy the mucosal barrier of soft tissue around the implant and can cause the marginal bone resorption. The amount of marginal bone resorption may reduced if the prosthetic abutment is placed at that time of surgery. Connection of the prosthetic abutment at surgery was limited because the low accuracy of conventional method, but by using of Cone Beam Computed Tomography(CBCT) and guide surgery, the 3-dimensional accuracy of implant placement became much higher than before and it became possible. This is a clinical case of immediate connection of prosthetic abutment and provisional restoration by using of precise CBCT diagnosis and pre-fabricated zirconia customized abutment at surgery and the alternative method is described in this article because of the clinically contentable results.

Development of distance sensor module with object tracking function using radial arrangement of phototransistor for educational robot (교육용 로봇을 위한 포토트랜지스터의 방사형 배열을 이용한 물체추적기능을 갖는 거리 센서 모듈 개발)

  • Cho, Se-Hyoung
    • Journal of IKEEE
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    • v.22 no.4
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    • pp.922-932
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    • 2018
  • Radial distance sensors are widely used for surveying and autonomous navigation. It is necessary to train the operation principle of these sensors and how to apply them. Although commercialization of radial distance sensor continues to be cost-effective through lower performance, but it is still expensive for educational purposes. In this paper, we propose a distance sensor module with object tracking using radial array of low cost phototransistor which can be used for educational robot. The proposed method is able to detect the position of a fast moving object immediately by arranging the phototransistor in the range of 180 degrees and improve the sensing angle range and track the object by the sensor rotation using the servo motor. The scan speed of the proposed sensor is 50~200 times faster than the commercial distance sensor, thus it can be applied to a high performance educational mobile robot with 1ms control loop.

The Study on the Behavior of Closed-Faced Shield Tunneling by Two Dimensional Elasto-Plastic Analysis (2차원 탄소성해석에 의한 밀폐형 실드터널의 거동에 관한 연구)

  • 진치섭;이홍주;한상중
    • Computational Structural Engineering
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    • v.9 no.4
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    • pp.199-207
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    • 1996
  • In the past decade soft clay shield tunneling technology have been improved to permit continuous support to the face of a tunnel. These advanced shield can be operated such that an initial heaving is created, this helps to decrease the inward soil movement into the tail void. In this paper, the measurement of slurry shield and EPB shield were used and two dimensional elasto-plastic programs EPSHILD developed for shield tunnel analysis were approved. The excavation steps corresponding with construction stages were settled and heaving load, load factors were considered. This study is based on the instantaneous settlement which is occured in the process of shield construction but not the secondary settlement by consolidation.

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Integrated duel LED marine lantern with auxiliary and main functions (주·예비기능을 통합한 이중 LED 등명기)

  • Back, Young-Seon;Ye, Seong-Hyeon;Han, Soonhee
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.17 no.9
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    • pp.2160-2166
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    • 2013
  • The usability of marine lantern has been improved significantly by using the LED bulb and applying IT technology, However it is hard to fix immediately when the failure occurs, and there would be some additional costs in maintenance. Therefore, alternatives for those problems are required. In this regard, in this paper, we proposed the integrated duel-function LED marine lantern that has main and auxiliary light source at the same time so that it can operate auxiliary light source when the main light source has breakdowns or malfunctions.