• Title/Summary/Keyword: 편조기

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Treament of Sternal Dehiscence or Infection Using Muscle Flaps (근육편을 이용한 흉골열개 및 감염의 치료)

  • 최종범;이삼윤;박권재
    • Journal of Chest Surgery
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    • v.34 no.11
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    • pp.848-853
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    • 2001
  • Background: Sternal infection or dehiscence after cardiac surgery through median sternotomy is rare. If suitable treatment is not performed for the complication, however, the mortality is high. For 12 patients with sternal dehiscence or infection, we performed wide excision of the infected and necrotic tissue and covered with muscle flap(s) to obliterate the mediastinal dead space. Material and method: Sternal infection or dehiscence occurred in 13 of patients who underwent cardiac surgery One patient, who died of cerebral infarction before the sternal complication was treated, was excluded in this study. The sternal wound complication occurred in 6 of patients with valve replacement and 6 of patients with coronary bypass surgery, respectively. Since 1991, 9 patients underwent definite surgical debridement and muscle transposition as soon as fever was controlled with closed irrigation and drainage. The necrotic tissue and bone was widely excised and the sternal dead space was eradicated with the single flap or the combined flaps of right pectoralis flap(turnover flap), left pectoralis flap(turnover flap or rotation-advancement flap), and right rectus muscle flap. Result : There was no mortality in 12 patients with coverage of muscle flap(s) for sternal infection or dehiscence The mean interval between the diagnosis of sternal complication and the myoplasty was 6.6$\pm$3.9 days. In 4 patients, one pectoralis muscle flap was used, and in 8 patients both pectoralis muscle flaps were used. For each 1 patient and 2 patients in each group, right rectus muscle flap was added. For the last 3 patients, a single pectoralis flap was used to eradicate the mediastinal dead space and the longer placement of the mediastinal drain catheter was needed. One patient, who had suffered from necrosis of left pectoralis flap(rotation-advancement flap) with subsequent chest wall abscess after coverage of both pectoralis flaps, was managed with reoperation using right rectum flap. Conclusion : Sternal dehiscence or infection after cardiac operation can be readily managed with wide excision of necrotic infected tissue(including bone) and muscle flap coverage after short-term irrigation of sternal wound. The sternal(mediastinal) dead space may be completely eradicated with right pectoralis major muscle flap alone.

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Suggestion for Non-Destructive Testing Equation to Estimate Compressive Strength of Early Strength Concrete (조기강도 콘크리트의 압축강도 추정을 위한 비파괴검사 실험식의 제안)

  • Lee, Tae-Gyu;Kang, Yeon-Woo;Choi, Hyeong-Gil;Choe, Gyeong-Choel;Kim, Gyu-Yong
    • Journal of the Korea Institute of Building Construction
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    • v.16 no.3
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    • pp.229-235
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    • 2016
  • In construction field, it used various technique for concrete formwork. Part of them, non-destructive test has been conducted to estimate a compressive strength of concrete easily such as rebound method and ultrasonic pulse velocity method etc. Former research has recommend proposed equation based on experimental data to investigate strength of concrete but it was sometimes deferent actual value of that from in field because of the few of data in case of early strength concrete. In this study, an experiment was conducted to analyze strength properties for early strength concrete using cylinder mold and $1,000mm{\times}1,000mm{\times}200mm$ rectangular specimen. And compressive strength of concrete was tested by non-destructive test, and calculated by the equation proposed former research. As a result, the non-destructive test results showed approximately 70 percent of the failure test value for all conditions, and worse reliability was obtained for high strength concrete samples when the ultrasonic pulse velocity method was used. Based on the scope of this study, the experimental equation for estimating compressive strength of early strength concrete from 24MPa to 60MPa was proposed.

Adjustment of Korean Immigrant and Overseas Students in Australia (호주 한인학생의 적응: 교민과 조기유학생을 중심으로)

  • Lee, Hye-Kyung
    • Korea journal of population studies
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    • v.28 no.2
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    • pp.63-95
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    • 2005
  • In the era of globalization, a significant number of young students go abroad to learn English. By reviewing the trends and characteristics of this phenomenon, this study will focus on the adjustment of young Korean students in Australia. During June and July 2002, two questionnaire surveys were conducted for year 7 to year 12 Korean students at the Saturday Schools in Sydney Australia and for the youth group at the Sydney Catholic Church. More data was collected from interviews with 31 Korean teachers at the Saturday Schools and Linfield Korean school, as well as observations of the students in the Sydney area. The study divided the students into four groups: 1) Korean immigrant students, whose parents immigrated to Australia; 2) Individual Korean students who went alone to Australia to study; 3) Students whom live in Australia with one parent (usually their mother), whilst the other parent (usually their father) who provides financial support by working in Korea; and 4) students who accompanied their parents whom were dispatched for temporary employment or study in Australia. Moreover the study focused on the following; their academic performance, school activities, motivation, social relations, and their overall satisfaction with their studies and their stay in Australia. The findings indicated that the temporary overseas Korean students, especially those that are not with their parents do not adjust as well as the Korean immigrant students. The students who were not accompanied by their parents to Australia had the most difficulties adjusting as they were more vulnerable and fell behind with their studies. Therefore, the results support the concerns of Korean teachers in Australia about parents sending young students alone abroad.

Some Aspects of Physiology of Estrous Cycle in Goats (산양의 발정주기의 생리에 관한 고찰)

  • 박충생
    • Journal of Embryo Transfer
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    • v.1 no.1
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    • pp.59-68
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    • 1986
  • 산양의 발정주기의 생리와 조절에 관한 최근 연구 보고들과 한국 재래산양의 대한 이들 연구 결과를 모아 고찰하였다. 온대지역에서 산양의 번식계절은 분명하나 한국재래산양의 경우는 비번식계절이 비교적 짧거나 계절적 무발정율이 낮은 편이며, 비번식계절에는 기능적 황체가 유지되지 않는다. 한국재래산양의 발정주기와 발정지속기간은 타품종과 비슷하며, 발정지속기간의 반복력은 매우 낮으며, 발정주기중의 progesterone과 estradiol-17$\beta$의 소장을 규명하였다. 한국재래산양의 경우 황체기에 PGF2 1-3mg을 투여하면 항체퇴행을 유기할 수 있으나 주기중의 투여시기에 따라 투여후 발정개시 시간에 차이가 있었다. 그리고 pro-gesterone priming후 PGF$\alpha$를 투여함으로써 효과적인 발정동기화를 이룰 수 있었다. 분만후 1개월경과 유상후 12일경에 발정이 재귀되었으며, 첫 발정 후 80%의 산양에서 5-7일의 단발정주기를 나타냈으며, 대부분의 과배란유기 산양에서도 단발정주기를 나타냈는데 이는 황체의 조기퇴행 때문이었다. 초발정후 3-5일에 GnRH를 연속 주사하면 단발정주기의 발생율이 유의적으로 감소되었다.

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Effects of a Plastic Ankle Foot Orthosis on Balance and Gait of Adult with Poststroke Hemiplegia: A Systematic Review of Forcusing on Korea's Thesis (플라스틱 단하지보조기 중재가 뇌졸중 후 편마비 성인의 보행과 균형에 미치는 효과: 국내 학위 논문을 중심으로 고찰)

  • Cho, Byeongmo
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.4
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    • pp.33-39
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    • 2016
  • Purpose : The aim of this study was to investigate the effects of plastic ankle foot orthosis on adult post-stroke hemiplegic patients walking ability and balance. Method : The searched for the case controlled clinical trials about the effects of plastic ankle foot orthosis(pAFO) for walking ability and balance using quantitative gait analysis in adult post-stroke patients. Ten trials were selected from Riss4U databases published until June 2016 in Korea. The selected trials contained a control group with pre-test and post-test design, measured walking ability and balance as a dependent variable. Result : The selected ten trials involved a total of 180 patients. The walking speed, cadence, the portion of double limb supporting, stride length on affected side were improved by plastic ankle foot orthosis. Conclusion : The plastic ankle foot orthosis has some evidence to improve the walking ability and balance in post-stroke hemiplegic patients.

Frequency Modulated Quartz Oscillator Using V.V.C. Diode (VVC 다이오드를 사용한 수정주파수변조기)

  • Jeong, Man-Yeong;Kim, Yeong-Ung;Kim, Byeong-Sik
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.8 no.5
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    • pp.27-39
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    • 1971
  • It is described in this paper that a newly developed quartz frequency modulator using V. V. C. diode would be more suitable for mobile FM portable transmitter, than conventional reactance modulator because of less need for multiplier stages in the former type. It is realized by theoretical and experimental results what is the most optimum relationship between the quartz oscillator, V. V. C. diode and coupled circuit elements in order to get the desired modulation linearity and carrier frequency stability depending upon the variation of circumference temperature and suplied source voltages.

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Neonatal Jatene Operation for Transposition of Great Arteries with Intact Ventricular Septum -Two Cases Report- (심실중격결손이 동반되지 않은 신생아 대혈관전위증에서의 Jatene 술식 -수술치험 2례-)

  • O, Bong-Seok;Kim, Bo-Yeong;Min, Yong-Il
    • Journal of Chest Surgery
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    • v.27 no.5
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    • pp.386-389
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    • 1994
  • 신생아에서 심실중격결손을 동반하지 않은 대혈관전위증 (Transposition of th egreat arteries with intact ventricular septum)의 해부학적교정은 저체중등의 외과적 위험인자에도 불구하고 심방내 교정보다 생리적이다는 점에서 선호되고 있고 조기수술성적이 향상되었다고는 하나 아직도 국내사망율은 높은 편이다. 저자들은 최근 3.5Kg(생후 19일), 3.6 Kg(생후 16일)된 신생아에서 Jatene operation 2례를 치험하였기에 보고하는 바이다.

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Surgical Results for Treating Postpneumonectomy Empyema with BPF by Using an Omental Pedicled Flap and Thoracoplasty (전폐절제술 후 기관지 흉막루를 동반한 농흉에서 유경성 대망 이식편과 흉곽성형술을 이용한 수술적 치료에 대한 임상 고찰)

  • Jeong, Seong-Cheol;Kim, Mi-Jung;Song, Chang-Min;Kim, Woo-Shik;Shin, Yong-Chul;Kim, Byung-Yul
    • Journal of Chest Surgery
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    • v.40 no.6 s.275
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    • pp.420-427
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    • 2007
  • Background: Postpneumonectomy empyema (PPE) due to bronchopleural fistula (BPF) can be a surgical challenge for surgeons. We analyzed the follow-up outcomes after performing omentopexy and thoracoplasty for the treatment of PPE with BPF after pneumonectomy. Material and Mehod: Between December 1991 and January 2006, 9 patients underwent BPF closure using an omental pedicled flap for the treatment of PPE with BPF after pneumonectomy. There were 7 males and 2 females (mean age: $45.9{\pm}9$ years). The patients were followed up for a mean of 58 months (median: 28 months, range: $6{\sim}169$). When we performed omentopexy, the surgical procedures for empyema were thoracoplasy for 8 patients and the Clagett procedure for 1 patient. Thoracoplasty was performed for the latter patient due to recurrence of empyema, Result: For the 8 patients who were treated by omentopexy and thoracoplasty, there was 1 operation-related death due to sepsis. During follow up, 1 patient, who was treated by omentopexy and a Clagett procedure, died of acute hepatitis 40 months postoperatively. The early mortality was 11.1% (8/9). Of the 8 patients, including the 1 late death patient, successful closure of the BPF were achieved in all patients (8/9) and the empyema was cured in 7 patients (7/8). Conclusion: The BPF closure using an omental pedicled flap was an effective method for treating PPE with BPF due to 75-destroyed lung, and thoracoplasty with simultaneous omentopexy was effective and safe for removing dead space if the patient was young and in a good general condition.

A New Flowering, Spray Chrysanthemum Cultivar for Cut Flower, "Yellow Eye" with Single Type and Light Yellow Petals (황색 홑꽃인 조기개화성의 절화용 스프레이국화 "옐로우아이" 육성)

  • Hwang, Ju-Chean;Chin, Young-Don;Kim, Jin-Ki;Kim, Su-Gyeong
    • Korean Journal of Breeding Science
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    • v.40 no.4
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    • pp.541-545
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    • 2008
  • A new spary chrysanthemum (Dendranthema grandiflorum) cultivar 'Yellow Eye' was developed from a cross between 'Angela' and 'Angaesoguk' followed by selections of seedlings and lines at the Flower Research Institute, Gyeongnam Agricultural Research and Extension Services (ARES) from 2003 to 2007. Its characteristics were investigated three times from 2005 to 2007 under forcing culture in spring and retarding culture in autumn. The natural flowering time of 'Yellow Eye' was October 24th, but year-round production was possible by shading and lighting. Its flower was 3.3 cm in diameter, and had 31.7 petals and 27.9 flowers per stem in autumn. It has pollenless, single type flowers with yellow petals and green flower center. To flower in under the short day condition, for 'Yellow Eye' was about 41 days in spring, and 'Yellow Eye' showed a vase life of 23.1 days in autumn. This cultivar was registered for a commercialization in 2007. 'Yellow Eye' would be cultured under the greenhouse and rain shelter condition in Korea.

Availability of the Skeletonized Gastroepiploic Artery as a Free Graft for Coronary Artery Bypass Grafting (관상동맥 우회로 조성술에 있어 유리 이식편으로 사용된 골격화 우위대망 동맥의 효용성)

  • Ryu Sang-Wan;Ahn Byong-Hee;Hong Seong-Beom;Song Sang-Yun;Jung In-Suk;Beom Min-Sun;Park Jung-Min;Lee Kyo-Sun;Ryu Sang-Woo;Yoon Ju-Sik;Kim Sang-Hyung
    • Journal of Chest Surgery
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    • v.38 no.9 s.254
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    • pp.601-608
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    • 2005
  • Background: To maximize the histological advantage and minimize the physiological disadvantage, we have been using the skeletonized gastroepiploic artey (GEA) as a free graft for total arterial revascularization. The aims of the current study was to assess the efficacy of the skeletonized GEA as a composite or extended graft for total arterial revascularization. Material and Method: Between January 2000 and Feburary 2005, 133 patients (43 female, mean age=61.8 yrs) undergoing coronary artery bypass grafting (CABG) with a skeletonized GEA as free graft (22 extended, 107 composite and 4 others) were enrolled in this study. Coronary angiograms were performed in the immediate (median 44 days, n=86), early (median 366 days, n=56) and midterm (median 984 days, n=29) postoperative periods. Result: There were 3 ($2.2\%$) early and 4 ($3.3\%$) late cardiac-related deaths. The mean number of distal anastomoses per patient was 3.34 for total graft and 1.92 for GEA graft. The immediate, early, and midterm GEA patency were 157/159 ($98.7\%$), 106/142 ($94.6\%$), and 53/56 ($94.6\%$), respectively. During follow-up, four patients required percutaneous intracoronary intervention because of GEA and target coronary artery stenosis or competitive flow. Conclusion: These data demonstrate satisfactory clinical and angiographic results in the skeletonized GEA as free graft for total arterial revascularizatioh. Although we need a careful longer follow-up, the skeletonized GEA as a free graft will be a valuable option 'to be' for CABG.