• Title/Summary/Keyword: AHD

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Open Heart Surgery:Clinical Analysis of 180 Cases (개심술 180례에 대한 임상적 고찰)

  • 나명훈
    • Journal of Chest Surgery
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    • v.27 no.6
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    • pp.460-471
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    • 1994
  • Between Feb. 1990 and Aug. 1993, 180 cases of the open heart surgery were performed under cardiopulmonary bypass in the Department of Thoracic & Cardiovascular surgery, Gil General Hospital. There were 83 cases with congenital heart diseases [CHD] and 97 cases with acquired heart diseases [AHD]. The CHD consisted of 78 acyanotic[mortality: 3.8 %] and 5 cyanotic cases with heart anomaly[mortality:l case]. The AHD were 97 cases, which contained 53 valvular, 27 ischemic heart diseases, 10 aortic diseases, 5 cases with myxoma, 1 case with post-infarct VSD, and 1 case with removal of infected pacing wire in right ventricle. In the 53 valvular heart diseases, there were 45 cases with valve replacement[MVR 27, AVR 9,MVR + AVR 9] and 8 cases with valvuloplasty. The number of the implanted prosthetic valves were 53. In MVR, 25 St. Jude, 6 Sorin, 3 Carpentier-Edward and 2 Intact medical valves were used. In aortic position, 13 St. Jude, 3 Sorin and 1 Intact medical valves were applied. The operative mortality was 5.6 % [3/53]. The annuloplasty applying artificial ring was performed in 17 patients[4 cases associated with MVR] and the number of the implanted ring was 19, which included 14 Duran ring[10 mitral, 4 tricuspid] and 5 Carpentier ring [3 mitral, 22 tricuspid]. In the 27 ischemic heart diseases, there were 9 cases with left main coronary artery lesions, 7 one vessel, 5 two vessels, and 6 three vessels. Average number of anastomosis was 2.8 per patient. The operative mortality was 14.3 % [4/27]. Among the 10 patients with aortic diseases, 7 cases were aortic dissection[type A: 5, type B: 2] and 3 cases were descending thoracic aortic aneurysm. The operative morality occurred in 3 cases. The overall mortality and the operative mortality of congenital and acquired heart disease was 7.8 %, 4.8% and 10.4%, respectively.

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Nitric Oxide Generation from Peritoneal Macrophages by Human Chorionic Gonadotropin (사람 융모 성선 자극 호르몬에 의한 복강 대식세로로부터 산화질소의 발생)

  • Lee, Eun-Hee;Shin, Tae-Yong;Kim, Hyung-Min
    • YAKHAK HOEJI
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    • v.41 no.3
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    • pp.365-369
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    • 1997
  • Human chorionic gonadotropin (hCG) is a placental hormone and is involved in maintenance of the corpus luteum during pregnancy. In the present study, effect of hCG on nitiric ox ide (NO) generation from peritoneal macrophage was examined. hCG ahd no effect on NO generation by itself, whereas recombinant interferon- ${\gamma}$ (rIFN-${\gamma}$) alone had modest activity. When hCG was used in combination with rIFN-${\gamma}$, there was a marked cooperative induction of NO generation in a dose-dependent manner. The optimal effect of hCG on NO generation was shown at 6 hr after treatment with rIFN-${\gamma}$. Furthermore, northern blot analysis of showed that hCG increased the expression of inducible NO synthase(iNOS) gene. These results suggest that hCG induces NO generation from macrophages by increasing the expression of iNOS gene.

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Efficient finite element analysis for the ultimate strength estimation of cylindrical structure (원통구조의 최종강도 추정을 위한 효율적인 유한요소해석)

  • 박치모
    • Journal of Ocean Engineering and Technology
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    • v.10 no.4
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    • pp.28-37
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    • 1996
  • A finite element analysis code considering elasto-plastic large deformation is developed to predict the ultimate strength of circular cylinders subject to external pressure loading by introducing a new type of axisymmetric shell element which can take into account the plasticity effect due to the circumferential bending while drastically saving the computing efforts compared with the tree dimensional finite element analysis. It is observed that analsis results of present approach show good agreement with the test results of previous works. Parametric study gives the effects of initial imperfections on ultimate strength ahd this information is recommended to be used to modify the actual test data to the ones which can be used more reasonably in making empirical design formulas.

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Review of Somato Sensory Evoke Potential Test (체성감각유발전위검사에 대한 고찰)

  • Kim Myung-Chul;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.64-74
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    • 2002
  • The SSEP(SomatoSensory Evoke Potentials) test is a valid and repeatable technique which correlates with clinically assessed joint position & vibration sense, skin touch & pressure sense. Also SSEP study is a simple and quantitative test, and has been used to evaluate the sensoty system along the somatosensory pathway from peripheral sensory receptor to the cortex. The ascending pathway of SSEP has been know to be posterior column-lemniscal pathway, but not without controversy. There are two kind of test mathods : one of test is median nerve SSEP and other test is posterior tibial nerve SSEP. Recently, SSEP used to performed to evaluate the usefulness of dermatomal SSEP(D-SSEP) and segmental SSEP(5-SSEP) for the diagnosis of lumbasacral radiculopathy, and it can be measure of ingual ahd palatine evoked potentials & indicator of medullary function useful for the diagnosis of brain death.

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Study on HD Analog video surveillance system (HD Analog 영상감시시스템에 관한 연구)

  • Ha, Kyung-Su
    • Proceedings of the Korean Society of Disaster Information Conference
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    • 2015.11a
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    • pp.317-318
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    • 2015
  • 이 연구에서는 아날로그 기반의 고화질 전송 시스템(HD Analog system)에 관하여 고찰하였다. 오늘날 영상감시시스템은 고해상도 적용을 위한 기술개발을 통해 고품질의 영상을 구현할 수 있는 HD-SDI나 Network camera로 전환되고 있다. 그러나 Network camera는 기존 시스템과의 현격한 구성 차이로 전체 시스템을 다시 구축해야 하고, HD-SDI는 저가형 케이블 등에서는 만족할 만한 성능이 보장되지 않았다. 이러한 배경에서 등장한 것이 HD Analog system이다. HD Analog system은 기존 동축케이블을 이용할 수 있으며 저가형 케이블에서도 최대 500m 이상 전송이 가능하고, 구축비용을 절감할 수 있는 장점이 있다. 그러나 제조사별 시스템의 호환 문제 등을 해소하기 위한 표준화는 HD Analog system의 성장을 위한 선결과제로 제기된다.

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Clinical Experiences of Open Heart Surgery (개심술(開心術) 2,000례의 임상적 고찰)

  • 김하늘루;박경택;곽기오;한일용;소영환;최강주;이양행;조광현
    • 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).

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The Immediate Effects of Pectoralis Minor Self-stretching Exercise on Muscle Length and Acromio-humeral Distance in Normal Adults (작은가슴근 자가 신장운동이 정상 성인의 작은가슴근 길이와 봉우리-위팔 거리에 미치는 즉각적인 효과)

  • Nam, Seung-Min;Kim, Kyoung;Lee, In-Gyu;Lee, Do-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.380-386
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    • 2019
  • Shoulder joint pain is a very common musculoskeletal disorder, in which about 20 percent of adults experience it more than once in their lives. In this study, an objective assessment was made that subacromial space was increased by pectoralis minor stretching exercise, which has a positive effect on impingement syndrome and shoulder pain. Also, This study examined the effects on pectoralis minor length(PML) and acromio-humeral distance(AHD) following pectoralis minor self-stretching exercise in normal adults. In this study, a total of 30 subjects were recruited and randomly divided into a self-stretching exercise group(n=15) and manual stretching exercise group(n=15) to compare the immediate effects of treatment. Studies have shown that both groups have significantly increased both PML and AHD within the group(p<.05). There was no statistically significant difference in the comparison between the groups(p>.05). The results suggest that self-stretching exercise can be recommended as a treatment method for impingement syndrome and prevention of shoulder disease.

Effects of stimuli and reaction methods on error rate and time of choice reaction (자극의 종류와 반응방법이 선택반응에 미치는 영향에 관한 연구)

  • 장성록
    • Journal of the Ergonomics Society of Korea
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    • v.13 no.1
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    • pp.27-35
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    • 1994
  • Automation and mechanization of work make people put the machine into operation and control the state of operation. In the process of those works they are apt to have accidents caused by their carelessness. To reduce such accidents, we can practice "TOUCH '||'&'||' CALL", which is to indicate and ascertain the dangerous parts at every process before performing tasks. The objectives of this study are to examine the effects of S-R compatibility and to show quantitatively the efficiency of TOUCH '||'&'||' CALL. The results show that: 1. Reaction time in case of indicating with fingers and shouting is slightly longer (0.138sec. .approx. 0.279sec. ) than that of responding only visually. However, the error rate decreases by 1/3.3 .approx. 1/4.2 times. Frome this, it is considered to verify quantitative estimation on multiple feedback of TOUCH '||'&'||' CALL. 2. In the stimulus-response relation aspect, numeric numeric stimulus-numeric response shows lower error rate (0.033% .approx. 0.133%) than any other stimulus-response relation, ahd shorter reaction time is proven ( 0.556sec. .approx. 0.835sec. ). These data suggest that having the order of stimulus-response arranged in accordance with the experimental knowledges and conceptional compatibility can bring down the error rate considerably.

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A Study on the Effect of the Buliding Up by Welding on the Fatigue Fracture Behaviors for the Forged Steel (축계용 단조강재 보수 용접부의 피로 파괴 특성에 관한 연구)

  • 김영식;김종호;한명수;손병영
    • Journal of Ocean Engineering and Technology
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    • v.5 no.1
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    • pp.97-105
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    • 1991
  • In this paper, the fatigue strength and the fatigue crack propagation behaviors of the round bar specimens which were spirally built up by welding and subsequently hardened by quenching were investigated. The material used was SF60 which was whdely employed in mechanical components, especially shafts. Fatigue tests were conducted at the fully reversed condition(R=-1) and axial and load control in the room temperature ahd air environment. The experimental results were expressed by both the range of stress intensity factor ($\Delta{K}$) and the effective range of stress intensity factor ($\Delta{K}_{eff}$). It was clarified that applying of quenching after the building up welding process improved the fatigue strength and the gatigue crack propagation property in the low range of $\Delta{K}$ of the built up round bar specimen.

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Analysis of wave induced vibration of a typical very large floating-type offshore airport platform (초대형 부유식 해상공항의 파도에 의한 진동응답특성 해석)

  • 이현엽;전영기;신현경
    • Journal of Ocean Engineering and Technology
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    • v.10 no.4
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    • pp.10-16
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    • 1996
  • The vibration due to progressive ocean waves is analyzed for a typical footing-type offshore airport platform. The platform is modelled as a spring-supported Euler beam and buoyancy change due to wave is considered as excitation force, under the assumption that the wave propagates without distortion by the structure. The results show that the natural frequencies of this structure are distributed very closely and are little affected by boundary conditions and that the response charateristics due to ocean waves are quite different according to the wave frequency. In this study, the wave frequencies are divided into three regions; the resonance region at which the response is governed by the resonance between the natural mode at the wave frequency and the corresponding modal component of the wave excitation force, the bending governed region at which the response is governed by the bending stiffness, and the spring (buoyancy) governed region at which the response is governed by the spring constant ahd therefore is same as the incident wave form.

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