• Journal of Chest Surgery
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• v.28 no.8
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• pp.754-758
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• 1995

Between February 1987 and April 1994,30 modified Blalock- Taussing shunts[MBTS were carried out at the Department of Thoracic and Cardiovascular Surgery of the Keimyung University Dongsan Medical Center.The operation consists of interposing between the subclavian artery and the pulmonary artery a polytetrafluoroethylene graft.There were 19 boys and 11 girls.The average age at the time of shunt construction was 14 months [range 4 days to 5 years .Seventy-six percent [23/30 were less than 1 year of age.Cardiac defects treated with MBTS included tetralogy of Fallot[10 , pulmonary atresia with ventricular septal defect[8 , pulmonary atresia with intact ventricular septum[4 , uni-ventricular heart[3 , and other complex cardiac anomalies[5 .Prosthesis of 4mm were used in 13 cases, and 5mm in 17.Of the 30 operations, 21 were performed on the right side and 9 on the left side.The hemoglobin level decreased from 21.1 gm/dl preoperatively to 16.3 gm/dl postoperatively and systemic oxygen saturation level increased from 60.5 % preoperatively to 85.4 % postoperatively.In the 30 patients who recieved MBTS, there were one early [3% and three late deaths [10% .Seven patients have had an corrective operation and two patient required second palliative procedure.The remaining patients are awaiting further operation with ingestion of aspirin [5 mg/kg/day as an antiplatelet agent.These results indicate that the MBTS provide excellent palliation at a low operative mortality for most patients.

• Clinical and Experimental Pediatrics
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• v.46 no.6
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• pp.610-614
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• 2003

Pulmonary hypertension may be associated with variable conditions such as the hyperkinetic state or pulmonary vascular obstruction. In these, stenosis of the individual pulmonary veins without any cardiac or vascular malformation is very rare. We experienced stenosis of individual pulmonary veins in a 10 months old boy who was admitted with recurrent dyspnea and cyanosis and then underwent angiogram and a lung perfusion scan.

• Journal of Sericultural and Entomological Science
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• v.35 no.2
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• pp.145-148
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• 1993

생산성 저해 요인의 제거는 바로 생산성 향상으로 연결된다. 뽕밭의 생산성을 저해하는 요인은 여러가지지만 그 중에서 토양의 이화학적 불량과 농약 공해가 비중이 가장 크다고 볼 수 있다. 우리나라 뽕밭은 입지가 경사지에 많으므로 토심이 얕은데 비해, 뽕나무는 영년성 심근성 작물이므로 식재후 근권의 물리성에 따라 생산성이 좌우되는 비중이 매우 크다. 그러나 식재후 토양 물리성 개량은 화학성 개량보다도 어려우므로 그 결과 생산성이 낮은 상태를 벗어날 수 없다. 따라서 정기적인 심경이나 심토 파쇄를 통한 물리성 개량이 요망된다. 계속적인 금비위주의 비배관리에 의해 강산성 반응을 보이는 토양이 대부분이므로 석회에 의한 산성개량이 필요하다. 질소질의 과다시비는 수량을 감소시킬 뿐만 아니라, 엽질을 악화시키고 질산태 질소가 지하로 흘러 들어가 지하수의 오염을 일으켜 청색증과 암을 일으키는 원인이 될 수 있다. 심각한 정도로 축적된 인산과 칼리도 수량을 떨어뜨리고 환경을 해치는 원인이 되므로, 축적 양분의 재활용에 대한 연구가 계속되어져야 한다. 특히 사용의 편리성 때문에 고농도의 복합비료 위주의 비배관리가 반복되고 있는 실정이므로 토양검정을 받아서 단비를 이용하여 적정한 시비를 해야 할 것이다. 이러한 방법은 생산성의 향상, 영농비의 절감, 공해의 유발을 억제하는 여러가지 효과가 있다. 농약과 산업공해로부터 양잠의 보호를 위해서는 안전지대에 잠업의 단지화, 인근 농과와의 대화를 통해서 양잠에 안전한 농약을 사용토록 하는 한편, 연구분야에서는 심도 있는 연구를 통해 양잠농가를 보호할 수 있는 대책의 수립이 요망되고 있다. 종합해서 말하자면 연구기관의 심도있는 연구가 더욱 활발히 이루워져야 할 것이며, 농민은 개발된 새기술에 보다 깊은 관심을 갖고 활용하는 한편, 필요로 하는 기술을 연구기관에 개발을 요청할 정도의 적극적인 자세가 요구된다. 또한 연구기관의 농민의 중간 교량역할을 하는 지도부문에서도 보다 적극적인 활동이 요청된다.

• Clinical and Experimental Pediatrics
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• v.52 no.3
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• pp.385-388
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• 2009

An 8-year-old girl visited the emergency room with perioral cyanosis and dyspnea, which had developed 20 hrs prior to the hospital visit. She had taken a Chinese herbal medication for 3 days prior to the onset of the symptoms. A co-oximeter examination revealed a methemoglobin level of 23.7%. An intravenous infusion of methylene blue was administered. Chemical analysis of the herbal medication revealed an ammonia (NH$_{3}$) level of 239.41 mg/L. More studies are needed on the correlation between methemoglobinemia and the components of Chinese herbal medicines.

• Proceedings of the Korea Water Resources Association Conference
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• 2011.05a
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• pp.471-471
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• 2011

2012년 가축분뇨 해양투기가 전면 금지됨에 따라 가축분뇨의 자원화의 필요성이 대두되고 있다. 하지만 현재 가축분뇨 발생량의 일부는 퇴비화로 농경지로 환원되고 있으며, 지역에 따라 일부 지역에서는 농경지면적 대비 가축분뇨 필요량을 초과하는 것으로 나타나, 산림지 및 조림지역으로의 가축분뇨 환원이 새로운 대안중 하나로 대두되고 있다. 특히, SCB (Slurry Composting and Biofiltration) 액비는 성분이 비교적 균질하고 저농도이며 냄새가 없어 산림유역에 시비가 가능할 것으로 판단된다. 하지만, 액비 시비량에 따라 수분 및 영양성분 수지 불균형 등을 초래하여 토양에 축적될 우려가 있고, 지하수로 침출될 가능성이 있어 이에 대한 모니터링이 필요할 것으로 판단된다. 따라서 본 연구에서는 산림유역 중 백합나무 조림지인 바이오순환림과 포플러 조림지인 유휴지에 SCB액비를 시용하였을 때 지하수에 미치는 영향을 살펴보기 위하여 매주 지하수 수질 모니터링을 실시하였다. 특히, 청색증 등을 유발시켜 지하수 오염의 지표인 질산성질소를 중심으로 지하수 수질 분석을 하였으며 질산성질소의 오염원을 판단하기 위하여 질소 동위원소비를 분석하였다. 시험림의 물리적 특성이 다른 두 산림유역에서의 SCB액비 시용에 따른 지하수 모니터링 결과는 향후 지속적인 모니터링이 이루어진다면 산림지에서 SCB액비 시용에 따른 수질영향 평가 및 모델링 기초 자료로 활용될 수 있을 것으로 판단된다.

• Journal of Chest Surgery
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• v.21 no.1
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• pp.136-142
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• 1988

Between February, 1983, and March, 1987, thirty-one systemic-pulmonary shunts were performed in 28 patients with cyanotic congenital heart disease. Age ranged from 8 months to 28 years [mean age, 5.4 years, Weight ranged from 7 kg to 48 kg [mean weight, 16kg]. There were 4 classic Blalock-Taussig shunts, 5 central polytetrafluoroethylene shunts, 1 aorta-right pulmonary artery shunt with graft, and 21 modified Blalock-Taussig shunts. One patient required another shunt immediately due to insufficient pulmonary blood flow with patent graft. There was no postoperative death. Conduit diameters included 4mm [2 cases], 5 mm [22 cases], and 6 mm [3 cases]. Long term follow up was available in 27 patients [96.4%] with mean period of 20 months [range, 4 months to 49 months]. The effectiveness of shunt was evaluated by cardiac catheterization with angiography [15 patients] or clinically. They showed improvement of systemic oxygen saturation values by 12% and decrease of hemoglobin by 2.3gm/dl [P<0.01]. There were 2 shunt occlusion in central shunts at 32 and 48 months respectively, and one narrowing of graft in modified Blalock-Taussig shunt at 12 months. The patency rate was 91.6% at 24 months for 5 mm grafts in modified Blalock-Taussig shunt.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1987.05a
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• pp.20.3-21
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• 1987

저자들은 1977년 10월부터 1987년 3월까지 한양대학교 부속병원 이비인후과에서 경험한 기도 이물환자 20명을 대상으로 임상적 관찰 후 다음과 같은 결과를 얻었다. 1) 성별은 남자 16예(80%) 여자 4예(20%)로 남자에서 4:1의 비율로 많았고, 연령별은 4세이하가 16예로써 80%를 차지하였다. 2) 발병후 내원까지의 기간은 24시간이내가 12예(60%), 2-3일이 3예(15%), 그 이후가 5예(25%)이었다. 3) 개재부위로는 좌측 기관지 10예(50%)로 가장 많았으며, 우측 기관지 6예(30%), 기관 2예 (lo%) 순이었다. 4) 이물의 종류는 식물성 9예(45%)로 가장 많았으며 그 외에 플라스틱 5예(25%), 금속성 3예(15%), 골편이 1예(5%), 미발견이 2예(10%)순이었다. 5) 내원 당시 주증상으로는 기침 10예(50%), 호흡곤란 6예(30%), 청색증 4예(20%), 무증상 3예(15%), 전흉부동통 1예(5%)순이었다. 6) 초진시 이학적 소견으로는 호흡음감소 14예(70%)가 가장 중요한 소견이었으며 수포음 5예(25%), 흡기성 천명 3예(15%), 흉벽함몰 3예(15%), 특기소견 없는 경우 3예(15%)순이었다. 7) 흉부 X-선 소견으로는 무기폐 8예(40%), 무소견 6예(30%), 폐기종 4예(20%), 이물음영 3예(15%), 폐렴소견 2예(10%)순이었다. 8) 적출은 ventilating bronchoscope를 이용하였다.

• Journal of Veterinary Clinics
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• v.25 no.5
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• pp.400-404
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• 2008

A 10-year-old intact female Yorkshire terrier dog (weighing 3 kg) was referred with the primary complaint of severe dyspnea, cyanosis and occasional syncopal episode. Physical examination revealed irregularly irregular bradycardia with persistent pulse deficits. The 12-lead surface ECG showed high grade atrioventricular blocks. Thoracic radiography revealed severe intrathoracic collapse. The dog was successfully treated with an intraluminal self-expanding stent ($COOK^{(R)}$) under the aid of transcutaneous cardiac pacing.

• Journal of Chest Surgery
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• v.31 no.12
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• pp.1183-1194
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• 1998

Background: From Sept. 1985 to Sept. 1997, 2,000 cases of open heart surgery(OHS) were performed in the Department of Thoracic & Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University. Material and Method: Among the total of 2,000 cases of OHS, 1532 cases were congenital heart disease(CHD) and 468 cases were acquired heart disease(AHD). The age distribution was 9 days(4.0kg) to 68 years in CHD and 11 to 66 years in AHD. In 1532 cases of CHD, there were 1403 acyanotic cases and 129 cyanotic cases. Result: The CHD cases consisted of 940 ventricular septal defects(61.4%), 324 atrial septal defects(21.1%), 112 tetralogy of Fallot(7.3%), 46 pulmonary stenosis(3%), 38 endocardial cushion defects(2.5%), 15 valsalva sinus ruptures(1%), 4 transposition of great arteries (0.3%), 4 double outlet right ventricles(0.3%), and etc. Corrective operations were applied for congenital heart disease with a result of 3.1% hospital mortality. Of 468 AHD, 381 cases were valvular heart diseases, 48 ischemic heart diseases, 12 cardiac tumors, 8 annuloaortic ectasias, 16 dissecting aortic aneurysms and etc. In the 381 valvular heart diseases, there were 226 single valve replacements(36 aortic valve replacements(AVR), 188 mitral valve replacements(MVR), and 2 tricuspid valve replacements(TVR), among these were 71 cases of double valve replacements(AVR & MVR), 54 cases of MVR with tricuspid valve annuloplasty(TVA), and 18 cases of AVR, MVR with TVA. The total implanted prosthetic valves were 466. In MVR, 123 St. Jude Medical valves, 90 Carpentier-Edwards valves, 65 CarboMedics valves, 42 Sorin valves and 16 other valves were used. In AVR, 68 St. Jude Medical valves, 36 CarboMedics valves, 14 Carpentier-Edwards valves and 9 other valves were used. Coronary Artery Bypass Surgery(CABG) were performed in 48 cases. The patterns of bypass graft were 14 patients of single vessel graft, 21 patients of two vessels graft, 10 patients of three vessels graft and 3 patients of four vessels graft. Conclusion: The hospital operation mortality rate of congenital acyanotic, cyanotic and acquired heart diseases were 2.0%, 15.5%, and 5.1% respectively. The overall mortality rate was 3.6%(72/2,000).

• Journal of Chest Surgery
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• v.31 no.8
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• pp.749-755
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• 1998

Background: Twelve patients with acyanotic tetralogy of Fallot(TOF), characterized by the combination of a malaligned ventricular septal defect(VSD) and infundibular pulmonic stenosis with the clinical finding of acyanosis at rest, underwent surgical correction between January 1988 and July 1997. Materials and methods: 9.92% of patients with the diagnosis of TOF were acyanotic TOF in the same period. Ages ranged from 12 to 42 months(mean 25.2 months). 2D-echocardiographic studies, cardiac catheterization, and angiocardiograms were performed in all patients before operation. The preoperative mean systemic arterial oxygen saturation was 93.5%. According to the 2D-echocardiographic analysis, there was Lt-to-Rt shunt through VSD in 4 patients, bidirectional shunt in 2 patients, and no shunt in 6 patients. Results: The preoperative mean right ventricle to pulmonary artery(RV-PA) pressure gradients were 52.3 mmHg on 2D- echocardiogram and 48.4 mmHg on cardiac catheterization. The repair of ventricular septal defect was performed through a right atrial approach and the hypertrophic infundibular muscle bundles were resected by the transatrial and transpulmonary approach. Six patients(50%) received a transannular patch. The mean cardiopulmonary bypass time was 135.0 minutes, and the aortic crossclamp time was 87.8 minutes. Postoperative complications included bleeding necessitating reentry in one and chylothorax in one. No patient died after operation and there were no late deaths. Postoperative 2D-echocardiograms revealed tiny patch dehiscence in 5 cases and a moderate RV-PA pressure gradients(mean 15.3 mmHg). All patients were in New York Heart Association functional class 1 after operation. Conclusions: acyanotic TOF is the uncommon form of TOF, and acyanotic TOF can be repaired with a good outcome.