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Bivalvation Valvuloplasty for Common Atrioventricular Valve Regurgitation in Functional Single Ventricle; Early and Mid-term Results (기능적 단심설에서 공통방실판 역류의 판막성형술; 판막 이분성형술(bivalvation)의 조기 및 중기 결과)

  • Chang, Yun-Hee;Sung, Si-Chan;Kim, Seon-Hee;Lee, Hyoung-Doo;Ban, Ji-Eun
    • Journal of Chest Surgery
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    • v.42 no.5
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    • pp.597-603
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    • 2009
  • Background: Atrioventricular valve regurgitation in pediatric patients with a functional single ventricles (FSV) - has been known as one of the important risk factors for death and unfavorable long-term results after a Fontan operation. We evaluated early and mid-term results of bivalvation valvuloplasty in FSV patients. Material and Method: We retrospectively evaluated 11 patients with a functional single ventricle who underwent bivalvationvalvuloplasty between 1999 and 2007. The degree of common atrioventricular valve regurgitation (CAVVR) was determined by color Doppler echocardiography (regurgitation grade scoring, trivial; 1, mild; 2, moderate; 3, severe; 4). Mean age at valve surgery was $6.9{\pm}7.0$ months (median 4 months, 24 days$\sim$21 months)and mean body weight was $6.2{\pm}2.8\;kg$ ($3.1{\sim}11.3\;kg$). Nine patients had isomerism heart and two of them had TAPVC. The concomitant procedures were performed in all but one patient. Additional commissural closure was performed in 3 patients and commissural annuloplasty in another 3 patients. Result: There was one hospital death after. surgery. A 32-day old patient who had been preoperatively dependent on a ventilator died of air way and lung problems 4.3 months after pulmonary artery banding and bivalvation valvuloplasty. Mean follow-up duration was 40 months ($4.3{\sim}114$ months). Mean preoperative CAVVR score was $3.3{\pm}0.6$, which decreased to $1.9{\pm}0.7$ postoperatively (p<0.0001). This residual regurgitation slightly increased to $2.2{\pm}0.4$ (no statistical significance) after a mean follow-up of 1.4.3 months. Six patients (60%) required re-operations for residual regurgitation at a subsequent bidirectionalcavopulmonary shunt or Fontan operation. One patient with Ebsteinoid malformation of the right sided atrioventricular valve required valve replacement due to stenoinsufficiency. Another patient required edge-to-edge repair at the right sided AV valve (between the right mural leaflet and the bridging leaflets). The remaining 4 patients required additional suture placements between bridging leaflets with or without commissural annuloplasty. All survivor had trivial or mild CAVVR at the latest follow-up. Conclusion: Bivalvation valvuloplasty for CAVVR in FSV patients is. an effective and safe procedure. However, significant numbers of the patients have small residual regurgitation and require additional valve procedures at subsequent operations. Long-term observations to monitor progression of the CAVVR is mandatory.

Performance of Uncompressed Audio Distribution System over Ethernet with a L1/L2 Hybrid Switching Scheme (L1/L2 혼합형 중계 방법을 적용한 이더넷 기반 비압축 오디오 분배 시스템의 성능 분석)

  • Nam, Wie-Jung;Yoon, Chong-Ho;Park, Pu-Sik;Jo, Nam-Hong
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.46 no.12
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    • pp.108-116
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    • 2009
  • In this paper, we propose a Ethernet based audio distribution system with a new L1/L2 hybrid switching scheme, and evaluate its performance. The proposed scheme not only offers guaranteed low latency and jitter characteristics that are essentially required for the distribution of high-quality uncompressed audio traffic, and but also provide an efficient transmission of data traffic on the Ethernet environment. The audio distribution system with a proposed scheme consists of a master node and a number of relay nodes, and all nodes are mutually connected as a daisy-chain topology through up and downlinks. The master node generates an audio frame for each cycle of 125us, and the audio frame has 24 time slotted audio channels for carrying stereo 24 channels of 16-bit PCM sampled audio. On receiving the audio frame from its upstream node via the downlink, each intermediate node inserts its audio traffic to the reserved time slot for itself, then relays again to next node through its physical layer(L1) transmission - repeating. After reaching the end node, the audio frame is loopbacked through the uplink. On repeating through the uplink, each node makes a copy of audio slot that node has to receive, then play the audio. When the audio transmission is completed, each node works as a normal L2 switch, thus data frames are switched during the remaining period. For supporting this L1/L2 hybrid switching capability, we insert a glue logic for parsing and multiplexing audio and data frames at MII(Media Independent Interlace) between the physical and data link layers. The proposed scheme can provide a good delay performance and transmission efficiency than legacy Ethernet based audio distribution systems. For verifying the feasibility of the proposed L1/L2 hybrid switching scheme, we use OMNeT++ as a simulation tool with various parameters. From the simulation results, one can find that the proposed scheme can provides outstanding characteristics in terms of both jitter characteristic for audio traffic and transmission efficiency of data traffics.

Studies on the Lipids of Shiitake Mushroom, Lentinus edodes (표고버섯의 지질(脂質)에 관(關)한 연구(硏究))

  • Tsuyuki, Hideo
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.14 no.4
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    • pp.419-427
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    • 1985
  • The properties of lipids in cap and stalk of 'Koshin' (Shiitake, Lentinus edodes, withxpanded cap) were studied. It was also carried out that the characteristics of lipids in fresh 'Donko'(unexpanded cap) and the changes of lipids in those samples by various drying process. The total lipid (TL) content in the cap and stalk of 'Koshin' were 4.58% and 2.65% respectively. It was found that the contents of neutral lipids (NL, $46.7{\sim}48.8%$) and phospholipids (PL, $42.0{\sim}43.8%$) were high, while that of glycolipids(GL, $9.2{\sim}9.5%$) was low. The main lipid in NL was triacylglycerol (TG, $58.0{\sim}58.5%$) followed by sterolester (SE, $16.9{\sim}17.4%$), sterol (ST, $15.6{\sim}16.4%$), diacylglycerol (DG, $5.8{\sim}6.0%$) and monoacylglcerol (MG, $1.1{\sim}1.3%$). The main lipids in PL was phosphatidyl ethanolamine (PE, $58.3{\sim}6.02%$) followed by phosphatidyl choline (PC, $17.3{\sim}19.5%$), cardiolipin (CA, $12.8{\sim}14.0%$) and lyso-phophatidyl choline (LPD, $4.8{\sim}6.6%$). Fatty acid composition was significantly different among TL, NL, GL and PL contained in cap and stalk. The main fatty acids was $C_{18:2}$ followed by $C_{16:0}$ and $C_{18:1}$ acids. The TL contents in cap and stalk of fresh 'Donko' were 3.7% and 2.5%. The changes of TL contents, PoV by drying were not almost observed. AV(acid value) of TL in the sun dried samples was a little lower than those of the fresh and hot air dried samples, on the contrary NL content in TL of the former was a little higher than those of the latters. The main lipid in NL of the three samples was TG followed by SE, ST, DG, MG and free fatty acid (FFA). In the above lipids, FFA contents in NL of the sun dried sample was a little higher than those of the fresh and hot air dried samples, but TG content in NL of former was a little lower than those of the latters. The main lipid in GL of the three samples was digalactosydiglycerol (DGDG) followed by acylsterylglucoside(ASG), sterylglucoside (SG), monogalactosyldiglycerol (MGD) and cerebroside (CER). Influence of drying on these lipid content were nol almost recognized. The main lipid in PL of the three samples was PE followed by PC, CA, LPC and phosphat idyl serine (PS). In the above lipids, PE and PC contents in PL of the sun dried one were a little lower than those of the fresh and hot air dried ones. The main fatty acid in TL, NL, GL and PL of the three samples was $C_{18:2}$ followed by $C_{16:0},\;C_{18:1}$. The $C_{18:2}$ acid contents of the sun dried sample was a little lower than those of the fresh and hot air dried ones, while $C_{16:0}$ content of the former was a little higher than those of the former was a little lower than those of the latters.

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Effect of Relative Humidity on the Changes of Lipids in Freeze-Dried Fish during Storage (동결건조 어육지질의 변화에 미치는 상대습도의 영향)

  • LEE Hyeung-Il;PARK Yeung-Ho
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.18 no.6
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    • pp.519-528
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    • 1985
  • Fillets of mackerel (Scomber japonicus) and flounder (Xystrias grigorjewi) which, are representatives in red fleshed fish and white fleshed fish, respectively, were freeze-dried and stored in tightly sealed containers which were controlled to different relative humidity at $25^{\circ}C$. The changes of lipids were examined periodically by measuring the peroxide value (POV), the thiobarbituric acid (TBA) and the acid value (AV). And the fatty acid composition of lipids was investigated by gas-liquid chromatography (GLC). The results obtained are summarized as foollows: From the changes of POV and TBA value during storage, the oxidation of lipids was distinct at the lower relative humidities, $0\%\;and\;23\%$, while inhibited at the higher relative humidities, $52\%\;and\;81\%$. The changes in acid value during storage were more prominent at the hifger relative himidites than at the lower relative humidities. The content of $C_{16:0},\;C_{18:0}\;and\;C_{22:6}$ acids in the fatty acid composition of total lipids was abundant in both fleshed fishes. The content of $C_{18:1}$ acid in the nonpolar lipid and that of $C_{16:0}$ acid in the polar lipid were higher than other fatty acids. In the fatty acid composition of total lipids during storage, polyenoic acids decreased with storage period at $0\%\;and\;23\%$ relative humidities, while the fatty acid composition didn't show a great change at $52\%\;and\;81\%$ relative humidities. In the non-polar lipid, polyenoic acids coherently decreased under all the conditions of relative humidities but the saturated acids and the monoenoic acids increased. In the polar lipid, polyenoic acids decreased at $0\%\;and\;23\%$ relative humidities, while the saturated acids and monoenoic acids decreased at $52\%\;and\;81\%$ relative humidities. On the other hand, the oxidation of lipids was more significant in mackerel than in the flounder, and the changes of fatty acid composition were shown a similar pattern.

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Antioxidative Effect of Ginger Extracts on Fish Oil (생강 추출물의 어유에 대한 항산화효과)

  • BYUN Han-Seok;YOON Ho-Dong;KIM Seon-Bong;PARK Yeung-Ho
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.19 no.4
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    • pp.327-332
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    • 1986
  • The present study was carried out to investigate the antioxidative effect of ginger extracts on fish oil. The changes of sardine oil with and without ginger extract were estimated by periodically measuring peroxide value (POV), thiobarbituric acid (TBA) value, weighing method, acid value (AV) and fatty acid composition. The results obtained are summarized as follow : The POV of sardine oil by $80\%$ ethanol extract and fat soluble fraction obtained from ginger during storage was rapidly increased after 10 days, while water soluble fraction was slowly increased during storage for 25 days. TBA value of sardine oil by water soluble fraction was appeared to increase slowly until 10 days, but that of $80\%$ ethanol extract and fat soluble fraction was remarkably increased in early stages of storage. The weighing change of sardine oil by $80\%$ ethanol extract and fat soluble fraction were shown $3.5\%\;and\;1.7\%$ for 15 days, but by water soluble fraction was marked $0.5\%$ of weight gain. Docosahexaenoic acid (DHA) in polyunsaturated fatty acid of sardine oil during storage markedly decreased, but by the addition of each fraction of ginger extracts, the oxidative degradation of DHA was effectively inhibited, of which water soluble fraction was most effective.

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Quality Comparison of Canned ana Retort Pouched Sardine (정어리 통조림 및 레토르트파우치 제품의 품질 비교)

  • AHN Chang-Bum;LEE Eung-Ho;LEE Tae-Hun;OH Kwang-Soo
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.19 no.3
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    • pp.187-194
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    • 1986
  • For the purpose of obtaining basic data which can be applied to evaluate the quality of the retortable pouch and tin-plated canned product, the canned sardine and the retort pouched sardine were prepared and compared in terms of thermal sterilization times required and product duality during storage. Retort pouched sardine required $20\%$ less thermal sterilization time than the canned sardine. Volatile basic nitrogen (VBN) and amino nitrogen ($NH_2-N$) contents in both canned and retort pouched sardine showed little difference during processing and storage. During storage, peroxide value (POV) and thiobarbituric acid (TBA) value of the canned sardine had a slightly higher value compared to the retort pouched sardine, but acid value (AV) revealed little difference between both canned and retort pouched sardine. Trimethylamine (TMA) content of the both canned and retort pouched sardine showed little difference during processing and storage. The inosinic acid (IMP) content in canned and retort pouched sardine was $8.39{\sim}9.80{\mu}mole/g$ range, and had no significant change during processing and storage. The retort ponched sardine revealed a smaller reduction in polyenoic acid than the canned sardine during processing and storage. Among the TPA (texture profile analysis) parameters, hardness maintained a slightly higher value in the retort pouched sardine than in the canned sardine. Color values showed that the retort pouched sardine was generally lighter than the canned sardine. In sensory evaluation, the retort pouched sardine was scored slightly higher, in most cases, for color, flavor, texture, taste and overall acceptance than the canned sardine. It was concluded from the results that the retort pouched sardine was at least equal to the canned sardine in product quality.

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Clinical Outcomes and Prognosis of Patients with Stent Fracture after Successful Drug-Eluting Stent Implantation (관상동맥 약물 방출 스텐트 삽입 후 스텐트 골절에 대한 임상결과 및 예후)

  • Kim, In-Soo;Han, Jae-Bok;Jang, Seong-Joo
    • Journal of radiological science and technology
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    • v.37 no.2
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    • pp.109-116
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    • 2014
  • Many studies have suggested that in the era of Drug-Eluting Stents(DES) are one of the causes of In-Stent Restenosis(ISR) of Stent Fracture(SF). The present study sought to evaluate clinical characteristics of patients with stent fracture after successful DES implantation. The 4,701 patients were selected for analysis who underwent a follow-up coronary angiography irrespective of ischemic symptoms. The overall incidence of SF was 32 patients(male:female=19:13, Av. age $62.44{\pm}9.8$year, 0.68%). Fractures of Sirolimus-Eluting Stents(SES), Paclitaxel-Eluting Stents(PES), Biolimus A9-Eluting Stents(BES), Everolimus-Eluting Etents(EES), Endothelial Progenitor Cell Capture Stent(EPC) and Zotarolimus-Eluting Stents(ZES) are accounted for 19(59.4%), 9(28.1%), 2(6.3%), 1(3.1%), 1(3.1%) and 0(0%) respectively. SF developed in the left Anterior Dscending(LAD) artery in 16 patients(50%) and in complex(type B2, C) lesions in 25 patients(69.4%). Ten patients were treated with heterogenous DES, the rest being treated with either homogenous DES(3 patients), plain old balloon angioplasty(3 patients), or conservative medical treatment(17 patients). None of the patients with SF suffered from cardiac death during a follow-up period of $32.9{\pm}12.4$ months. The overall rate of DES fracture over up to 3.7 years of follow-up was 0.68% with higher incidence in SES than in PES. SF frequently occurred in the LAD artery and in complex lesions. Of the patients with SF, coronary intervention was performed only when the binary restenosis lesion was significant. During the follow-up, patients with SF have continued on combination antiplatelet therapy. There is a very low rate of major adverse cardiac events(post-detection of SF), especially cardiac death associated with SF.

Arrhythmia Surgery in Fontan Operation (폰탄 수술에서의 부정맥수술)

  • 임홍국;한국남;김웅한;이정렬;노준량;김용진
    • Journal of Chest Surgery
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    • v.37 no.8
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    • pp.644-651
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    • 2004
  • Background: Refractory atrial arrhythmias in patients late after the Fontan operation result in significant morbidity and mortality. We reviewed our experience with arrhythmia surgery in patients who had Fontan operation. Material and Method: Between July 1986 and December 2003, 275 early survivors after Fontan operation were reviewed. Fourteen patients underwent. arrhythmia surgery at reoperation after Fontan operation, and mean age at reoperation was 16.8$\pm$7.1 (range: 4.5 ∼ 30.6) years. Mechanisms of arrhythmia included atrial flutter in 8 patients, and atrial fibrillation in 2. Arrhythmia surgery has evolved from isthmus cryoablation in 12 patients to right-sided maze in 2 patients. Thirty-two patients. underwent prophylactic isthmus cryoablation concomitantly at initial Fontan operation. Result: Postoperative arrhythmias occurred in 68 patients (24.7%) among 275. There was no early and late mortality after the arrhythmia surgery. After redo Fontan operation, all patients maintained normal sinus rhythm. Atrial flutter recurred in 3 patients who had sinus conversion with medication and 7 required permanent pacemakers with a mean follow-up of 26.5$\pm$29.1 (range: 2 ∼ 73) months. All patients have improved to NYHA class I or II. After prophylactic cryoablation at initial Fontan operation, 29 patients (90.6%) had sinus rhythm, 1 patient had junctional tachycardia, 1 patient had sinus nodal dysfunction, and 1 patient had AV block with a mean follow-up of 51.3$\pm$19.8 (range: 4∼80) months. Conclusion: Redo Fontan operation, and concomitant arrhythmia surgery reduced atrial arrhythmias and improved NYHA functional classification.

Dry Matter Yield and Forage Quality at Mixture of Annual Legumes and Italian ryegrass on Paddy Field (논에서 이탈리안 라이그라스와 두과 사료작물 혼파에 따른 생산성 및 사료가치 비교)

  • Kim, Won-Ho;Kim, Ki-Young;Jung, Min-Woong;Ji, Hee-Chung;Lim, Young-Chul;Seo, Sung;Kim, Jong-Duk;Yoon, Bong-Ki;Lee, Hyo-Won
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.31 no.1
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    • pp.33-38
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    • 2011
  • This experiment was conducted to compare the dry matter yield and forage quality according to the seed mixture of annual legumes and Italian ryegrass (Lolium multiflorum, IRG) on paddy field at the experimental field of Jeollanam-Do Agricultural Research and Extension Services from 2007 to 2008. The five treatments used in this experiment were IRG single (cv. Kowinearly), IRG+Chinese milk vetch mixture, IRG + Crimson clover (cv. Linkarus) mixture, IRG + Austrian winter pea (Pisum sativum subsp. arvense cv. forage Pea) mixture and IRG + Hairy vetch (Vicia villosa. cv. Oregon Common) mixture. And the mixing ratio of Italian ryegrass + annual legumes were 70 : 30 as based mono seed rate. The dry matter (DM) percentage at harvest was 23.6~26.8%. The DM percentage among IRG single and mixture treatments were similar. The yields of fresh and CP were high in IRG + Forage pea mixtures as a 40,100 kg and 625 kg per ha, respectively (p<0.05). The yields of dry matter were high in IRG + Forage pea and IRG + hairy vetch pea mixtures as a 9,470 kg and 9,500 kg per ha, respectively (p<0.05). But the forage quality did not show difference between Italian ryegrass mono-culture and annual legumes mixture. The Av. $P_2O_5$ in IRG+Forage pea mixture was 78 mg/kg and concentration of K were 0.52~0.88. In conclusion, the mixture of IRG and Forage pea, dry matter yield, protein yield increased, and was effective in enhancing the stability of cultivation.

Effect of Forage Feeding Level on the Milk Production Characteristics of Holstein Lactating Cows (조사료 급여 수준이 Holstein 착유우의 산유 특성에 미치는 영향)

  • Lee, Bae Hoon;Nejad, Jalil Ghassemi;Kim, Hyeon Shup;Sung, Kyung Il
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.33 no.1
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    • pp.45-51
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    • 2013
  • This study was performed on two groups (10 cows) for primiparous Holstein lactating cows (av. 98 days in milk : DIM) which were divided into low forage diet (LF) and high forage diet (HF) groups based on forage : concentrate ratio (F : C ratio). The F : C ratios of LF and HF groups were 37:63 and 62:38, respectively. Concentrate intake was significantly higher in the LF group than the HF group whereas the HF group showed higher forage intake (12.9 kg) compared to the LF group (7.4 kg) (p<0.05). No significant difference was observed in total feed intake between the HF (20.9 kg) and LF (19.4 kg) group (p>0.05), but the HF group tended to be higher. CP, TDN and NEL intake showed no significant difference between the two groups (p>0.05). Though, there was no significant difference on actual milk between the two groups (26 vs. 23.9 kg/d, p>0.05), the LF group tended to be higher. 4% FCMs of LF and HF groups were 22.8 and 22.3 kg/d, respectively, and showed no significant difference (p>0.05). The HF group was higher in fat content and lower in MUN. C14:0, C16:0 and C16:1n7 of milk fatty acid were significantly higher in the HF group (p<0.05), but there were no differences in other milk fatty acids between the two groups. As a result, increasing high quality forage such as BIRG silage and hay in the diet will not only fulfill nutrient requirements but also reduce milk production.