• Title/Summary/Keyword: Abnormal Operation

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Giant Coronary Artery Aneurysm Presenting as a Calcified Mediastinal Mass a, Coronary Artery Fistula - A case report - (종격동 종양으로 오인된 거대관상동맥류와 관상동맥루 - 치험 1례 -)

  • Yoon, You-Sang;Lee, Cheol-Joo;Choi, Ho;Kang, Jun-Kyu;Choi, Jin-Wook;Kim, Hyung-Tae
    • Journal of Chest Surgery
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    • v.34 no.10
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    • pp.787-791
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    • 2001
  • Coronary artery aneurysm is a rare disorder. It is defined as abnormal dilatation of coronary artery with diameter exceeding 1.5 times the adjacent normal segments. The incidence of coronary aneurysm is 2.6% in Caucasians and 0.25% in Asians. Over half of the former were associated with atherosclerotic coronary artery disease. However, 70 percents of the latter were nonobstructive coronary artery aneurysms. Coronary artery fistula is a rare disorder. It has been identified in only 0.2% of routine cardiac angiographic studies conducted over a 10-year period. The clinical spectrums are various, asymtomatic, asymptomatic murmur, dyspnea on exertion, fatigue, and congestive heart failure. The right coronary artery (56%) and left coronary artery(36%) are mainly involved in the origin site of congenital coronary artery fistula. The draining site of fistula are right ventricle(39%), right atrium(33%), and pulmonary artery(20%) and so on. This 54 years-old woman had intermittent chest tightness and an abnormal mediastinal shadow on chest roentgenogram and chest C-T examination, which was diagnosed as a mediastinal mass such as teratoma. We performed the operation under left anterolateral thoracotomy for mass excision. However, we knew the mass had the pulsating arterial blood flow through a fine needle puncture of the mass and that it was attached to the left ventricle. We believed the excision of mass on beating heart would be very dangerous. Therefore, we closed the wound without excising the mass. After several days, we performed an echocardiography and coronary angiography, We knew it was cardiac tumor. Incidentally, the patient had a tortuous coronary fistula from the right coronary artery to pulmonary trunk. Using cardiopulmonary bypass with moderate systemic hypothermia, the mass was resected and the fistula was clipped with surgical clips. Pathology of the specimen was a giant coronary arterial aneurysm.

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The Development of 12 channel ECG Measurement and Arrhythmia Discrimination System with High Performance Medical Analog Front-End(AFE) (고성능 의료용 아날로그 프론트 엔드(AFE)를 이용한 12채널 심전도 획득 및 부정맥 판단 시스템 개발)

  • Ko, Hyun-Chul;Lee, SeungHwan;Heo, JungHyun;Lee, Jeong-Jick;Choi, Woo-Hyuk;Choi, Sung-Hwan;Shin, TaeMin;Yoon, Young-Ro
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.2217-2224
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    • 2014
  • This paper deals with system development which measures 12 channel ECG using medical analog front end(AFE) and discriminates arrythmia through signal analysis. Recently, occurrences of cardiac arrest have been increased. So the need of system that diagnoses an arrythmia which results in cardiac arrest is increasing. There are some drawbacks of conventional 12 channel ECG system that it occupies bulk and consists of complicated circuit. To improve those, we made up the system composed of medical AFE, algorithm for discriminating arrythmia and DSP for signal processing. This system can be monitored 12 channel ECG waveforms and the discriminant analysis result of arrhythmia through 7" LCD and received the input through touch pannel. In this study, we conducted normal operation test about output signal of ECG simulator(normal/abnormal ECG signal) to verify the implemented system and performance evaluation of the optimization process for applying arrhythmia algorithm to an embedded environment.

Study of literature on the Trigeminal Neuralgia for cooperative treatment of Oriental and Occidental medicine (韓.洋方 協診治療를 위한 三叉神經痛의 文獻的 硏究)

  • Sung, Byung-Gon;Oh, Chun-Keun;Lim, Kyu-Sang
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.13 no.2
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    • pp.112-139
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    • 2000
  • I examined and referred to literatures of every generations on the nicknames, causes, herb medications and acupucture treatments of ptosis(上胞下垂). And then the results were obtained as follows. We've compared and analyzed Occidental and Oriental medical causes, symptoms and treatments of Primary trigeminal neuralgia and wanted to get better effects by a cooperative analysis. So the examination and analysis of the recent treatment tendency and reference bibliography show the following results. 1. Trigeminal neuralgia is nerve systematic disease appearing in the distribution scope of trigeminal nerve. It's characterized by extreme pain accompanying with a repeated and simultaneous fit from several seconds to 1-2 minutes. 2. Though there are many hypothesis on the trigeminal neuralgia, but now many doctors agree that when trigeminal nerve is under the local out of sheath conditions resulting from receiving a chronic stimulus, and the nucleus of trigeminal nerve fire, owing to decrease of pain control function and abnormal occurrence of action potential, it would be appeared. 3. The Oriental medical name of trigeminal neuralgia is generally Dootong, Doopoong, Myuntong, Pyundootong, Pyundoopoong, and Myuntong is the nearest in Occidental medicine. 4. The Oriental medical cause of trigeminal neuralgia is usually divided into Wekam and Naesang. The first one is caused by Poonghan, Poongyul, Damhwa and wicked energy enter into the body, the mechanical energy is obstructed and can't move any more, so the pain appears by them. The other cause is the hurt by emotion. And it would be loss of the transportain of liver and obstructed, so result into Kanwulhwahwa, Kanpoongnaedong and the pain appears. 5. There are two methods of curing trigeminal neuralgia. As a medication, primary method is prescribing Carbamazepine and the second is using Phenytoin or Baclofen. And as a operation, Drug injection of trigeminal nerve, Amputation of branches of trigeminal nerve, Retrogasserian glycerol rhizotomy, Radiofrequency gangliolysis, Neurovascular decompression can be used. 6. There are several herb medicines for Trigeminal neuralgia. First, Chungung is good for Hwaejeetong, Keopoongjedam, Hwalhyuljeetong. Second, Jeongal, Jiryong, Okong is used for Sikpoonghekyung, Tongkyungjeetong. Third, Baekjee, Sesin, Cheonma, Manhyungja is efficacious in Sinonhepyo. Sanpoongjeetong. Fourth, for falling of liver's Wulhwa, Yongdamcho, Hyungge, Kukwha can be used. And also Saengjihwang, Hwangkm is good for going down the fever of Yangmyungwiyul and finally, Baekkangjam. Moryu can be effective for Jaumjamyang, Haekyungjitong. The other medicines can be used as assistant analgesics, and it also efficacious. 7. Generally the points of pain on the face and the points of Soyangkyung and Yangmyungkyung is used for Acupuntual therapy, because the two meridians passed on the face. Hakwan. Sabaek, Kwanryo, Keoryo, Hyubkeo, Taeyang, Jeechang, Younghyang, Eoyo, Chanjuk. Yangbaek. Sajukkong. Dooyoo, Kwangsangjum, Sengjang, Poongjee is used for taking near point and Joksamlee, Naejung, Habkok is used for taking distant point. 8. Dansam or Danggui injection which have a effect for Hwalhyulhwaeo, Sokyunghwalak and Vit B1, Vit B2, Vit B12, $2\%$ Hydrochloroprocaine, $1\%$ Lidocaine injection to pain point for local analgesics had so good effect. And external application and moxibustion are used for another treatment. 9. It proved that through mouse model, both Herb medication group and Drug medication group are efficacious for trigeminal neuralgia similarly and also the cooperative medication group shows more effective result than the only drug medication group.

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DISTRIBUTION IN FIBRONECTIN OF THE RABBIT TEMPOROMANDIBULAR JOINT TISSUES FOLLOWING SURGICAL INDUCTION OF ANTERIOR DISK DISPLACEMENT : IMMUNOHISTOCHEMICAL STUDY (악관절원판의 인위적 전방변위술시행후 악관절구성조직에서 Fibronectin의 분포변화)

  • Kim, Uk-Kyu;Chung, In-Kyo;Park, Bong-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.25 no.4
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    • pp.337-349
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    • 1999
  • The extracellular matrix(ECM) is a complex network of different combination of collagens, glycosaminoglycans, laminin, fibronectin, and many other glycoproteins including proteolytic enzymes. The composition and organization of the ECM contributes to the uniques physical or biomechanical properties of a tissue. Fibronectins(FN) are dimeric glycoproteins located on cell surfaces, in the matrix of connective tissue, and in blood. Fibronectins mediate cell attachment to collagen substratum and have been implicated in a variety of important biological processes, including embryogenesis and cell differentiation. The purpose of this study was to determine the effects of surgical induction of anterior disk displacement(ADD) on distribution of fibronectin in the rabbit temporomandibular joint(TMJ) tissues included the articular cartilage, disc, retrodiscal tissue, articular eminence using an immunohistochemical technique. The left TMJ was exposed surgically, and all discal attachments were severed except for the posterior attachment. The disk was then repositioned anteriorly and sutured to the zygomatic arch. The right TMJ served as a shamoperated control. Normal joints were used as a nonoperated control. Fourty-five rabbits were used for experiments in total. For fibronectin immunohistochemical study, eighteen rabbits (one normal group and 5 experimental groups, each group consists of 3 rabbits) were used. The experimental rabbits were sacrified after operation period of 2, 3, 4, 6 and 8 weeks on fibronectin. The obtained results were as follows ; 1. Fibronectin immunoreaction on all TMJ tissues(mandibular condyle, articular disc, retrodiscal tissue, articular eminence) in the normal rabbit was observed. Especially the reverse cell layer and proliferation zone of articular cartilage of condyle show strong positive reaction. 2. Depletion of fibronectin in the all TMJ tissues except hypertrophic zone of articular cartilage occurred at 2 weeks following induction of ADD. 3. The restoration of immunoreaction at 4 weeks was observed and a progressive increasing reaction at 6 weeks, 8 weeks also was found. Our study generally showed degenerative changes in TMJ tissues after ADD although TMJ tissues adapted or degenerated to abnormal loads and stress distribution according to the remodeling capacity of TMJ tissues.

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Evaluation of bone formation by recombinant human BMP-2 and rapid prototype titanium cap in rabbit calvaria using micro computed tomography (RP titanium cap과 rhBMP-2를 이용하여 형성된 신생골의 미세전산화단층촬영을 이용한 평가)

  • Han, Man-Seung;Jung, Seung-Gon;Kim, Bang-Sin;Yang, Ji-Woong;Kook, Min-Suk;Park, Hong-Ju;Ryu, Sun-Youl;Oh, Hee-Kyun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.6
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    • pp.466-472
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    • 2010
  • Introduction: This study examined the effect of recombinant human bone morphogenetic protein (rhBMP)-2 and $\beta$-tricalcium phosphate ($\beta$-TCP) on new bone formation in a rabbit calvarium using a rapid prototype titanium cap (RP Ti cap). Materials and Methods: Eight New Zealand white rabbits were used in this study. Hemispherical RP Ti caps (10 mm in diameter) were implanted subperiosteally on the rabbit calvaria. $\beta$-TCP was filled in the RP Ti cap in the control group, and rhBMP-2 soaked $\beta$-TCP was used in experimental group. The rabbits were sacrificed 2 and 4 weeks after the operation. The volume and pattern of newly formed bone was analyzed by micro computed tomography (CT). Results: Macroscopically, there were no abnormal findings in any of the animals. The micro CT images revealed new bone from the calvaria that expanded gradually toward the top of the titanium cap, particularly along the inner surface of the titanium cap in the experimental group at 4 weeks after grafting. There was no significant difference in new bone volume ratio between the control and experimental groups at 2 weeks after grafting. There was a statistically significant difference in the new bone volume ratio between the experimental ($14.1{\pm}1.8\;%$) and control ($7.2{\pm}1.5\;%$) groups at 4 weeks after grafting (P<0.01). Conclusion: The RP Ti cap can effectively guide new bone formation and rhBMP-2 can induce the new bone formation.

Study on the Characteristics of Noise/Vibration in the Upright Laying Hen House (직립식 산란계사 내의 소음 진동 발생 현황 조사연구)

  • Lee S.J.;Chang D.I.;Chang H.H.
    • Journal of Animal Environmental Science
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    • v.12 no.1
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    • pp.21-28
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    • 2006
  • This study was carried out to measure and analyze the characteristics of noise and vibration, and to analyze their effects on the productivity of layers, mechanical troubles, and abnormal wear-out failure of facilities and equipment of the layer house. The measurements of noise and vibration were taken at 13 layer farms nationwide for the operations of feed supplier system, feed distribution system, automatic egg collection system, ventilation system, blot conveyer for layer feces, and fur the case of with and without their operation by a sound level meter and a vibration measuring system in the layer house equipped with upright multi-tier cages. Measurement results showed that normal times were noise(N) 82 dB and vibration(V) 0.2072 cm/s, feed supplier system were 90 dB(N) and 2.8560 cm/s(V), feed distribution system were 90 dB(N) and 2.0222 cm/s(V), automatic egg collection system were 87 dB(N) and 0.1865 cm/s(V), ventilation system 88 dB(N) and 2.5364 cm/s(V), belt conveyer fur layer feces were 88 dB(N) and 0.2387 cm/s(V), and then maximum values of noise and vibration were 90 dB and 2.8560 cm/s, respectively, when feeding systems(feed supplying system and feed distribution system) were operated. Based on these results, an experiment is being conducted to find out the effect of noise and vibration on the productivity of layers in the layer house equipped with upright multi-tier cages.

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Inquiry on Post Surgery Induced Consumption in HyungSang Medicine View (각종 수술 후 유발되는 허로(虛勞)의 형상의학적 고찰)

  • Kim, Jong-Won;Ji, Gyu-Yong;Kim, Kyung-Chul;Lee, In-Sun;Kim, Hyung-Gyu;Lee, Yong-Tae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.4
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    • pp.930-942
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    • 2008
  • Following conclusions were derived from researching various consumption caused after surgical operation. The meaning of surgery in HyungSang medical point of view is a big flaw of the original configuration. Therefore meaning, the loss of container to store something. Changes of the body after surgery can be formation of stagnated blood and abnormal cyst of the removed part and entangled undigested food and stagnant blood. After surgery when the symptoms become chronic or the patients develop side effects as they age, consumption and aging process begins. HyungSang medical treatments of consumption caused after surgery are the followings. We should prevent aging of the framework by using appropriate medication to make up for faults in Gall Bladder, Bladder type and six meridian type by considering its form, color, pulse and symptoms. Stability of emotion that can endure various mental stimulation is needed. Prevent stagnation, indigestion, obstruction and numbness by smoothing up the constructive energy and the defensive energy in the operated part. The Heart and Kidney should be under control and Stomach and Spleen should be reinforced so that food intake is accelerated and produce vital substances and Ki and blood. Eum blood and Yang Ki should circulate around the body well. Examine daily life and if small changes in skin complexion, appetite, sleep and excretion occur, also difference in adaptation of external stimulation and mental health occurs immediate treatment and care is necessary. Treatment of side-effects caused from both aging process and post-surgery in HyungSang's view point is considered better than other ways of treatment and will contribute in expanding the field of medical science.

A Study of the "erlaubtes Risiko" in Aviation (항공 운항에서의 허용된 위험 법리에 대한 연구)

  • Ham, Se-Hoon
    • The Korean Journal of Air & Space Law and Policy
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    • v.25 no.2
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    • pp.201-230
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    • 2010
  • With starting the industry of automobiles, railroads and mining, the legal principle of "erlaubtes Risiko" that began as a means of maintaining the revitalized world for the cause of social utility has interpreted as a system of negligence theory in the precedent while it has gained academic recognition. Yet in aircraft operation, which is one area of high technology, CAT which can be the cause of some accidents or events or thunderstorm with turbulence is an abnormal meteorological phenomenon with frequent change that cannot be monitored perfectly just as some patient with unstable condition and that cannot be ascertained about not only the possibility of its happening but also the degree of how big the accident is. Yet the use of jet current which has the possibility of CAT can be an act of high social utility where we not only drastically cut down on time fuel also guarantee the arrival and departure on schedule when landing in airports that have thunderstorm which does not appear as fatal risk. Although we could take some measures where we can predict and avoid the potential risk, easing the regular duty of care is necessary by applying the legal principles of permitted risk concerning the incidents and accidents caused by operating in areas with the risk of turbulence or CAT with the low probability by the reason of social utility.

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A Study on the Subsurface Drainage of Artesian Groundwater in Wetted Paddy for the Mechanized Farming to be Prepared Against Uruguay Round (UR대비에 도움을 줄 논의 기계화재배를 위한 논의 용수처리에 관한 연구)

  • Hwang, Eun;Hur, Nam-Jo
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.34 no.4
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    • pp.59-68
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    • 1992
  • A Study was made to improve soil and water temperature and mechanized farming for a wetted paddy under the influence of artesian groundwater located at Samcheon-Dong, Chuncheon City, Kangweon Province. Half perforated PVC drainage pipes were installed in the test paddy to observe temperature change of water and soil. The temperature of the water in the paddy and soil itself raised significantly after the installation of the half perforated PVC pipes. A subsequent improvement of growth and yield of rice on the paddy was achieved. Harvesting operation was also improved with firm ground condition so that cutting and threshing could be done simultaneously within the paddy plot. Following results were obtained from the study. 1.Temperature of the water in a paddy under the influence of artesian groundwater was not changed notably although air temperature was fluctuated during the crop period. Soil temperature was mostly affected by the artesian groundwater. However, the half perforated PVC pipe drainage system made it possible to raise temperature of water and soil remarkably up to the level of optimum farming. 2.Total precipitation was 534.Omm during the crop period of the paddy for 118 days from May 26 to September 20 in 1992. Due to heavy rainfalls of 105.6mm and 109.8mm occurred on August 7 and August 27.1992, respectively, the rate of the artesian groundwater increased to 35 litter per minute with two to three days of time lag. 3.Average rate of the artesian groundwater was 28 litter per minute from the one year of observation. The rate varied by 0.7 to 1.3 times of average during the observation period. Peak rate of the artesian groundwater decreased to 14.5 litter per minute when daily precipitation maintained at the amount of 20 to 30mm for a long time period. Contrarily, it showed a tendency to increase to 35 to 40 litter per minute when heavier precipitation of 50 to l00mm occurred in a short period of three to five days. 4.Growth and yield of Yemyung variety of rice planted on the paddy that was facilitated with a drainage system with half perforated PVC pipes were confirmed at a normal level, while paddy without this perporated drainage system showed abnormal growth with low yield.

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Failure Analysis on High Pressure Steam Piping of 500 MW Thermal Power Plant (500 MW 화력발전소 고압 증기 배관 손상 원인 분석)

  • Kim, Jeongmyun;Jeong, Namgeun;Yang, Kyeonghyun;Park, Mingyu;Lee, Jaehong
    • KEPCO Journal on Electric Power and Energy
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    • v.5 no.4
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    • pp.323-330
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    • 2019
  • The 500 MW Korean standard coal-fired power plant is the largest standardized power plant in Korea and has played a pivotal role in domestic power generation for over 20 years. In addition to the aging degradation due to long term operation, the probability of failure of power generation facilities is increasing due to frequent startup and stop caused by the lower utilization rate due to air pollution problem caused by coal-fired power plants. Among them, steam piping plays an important role in transferring high-temperature & pressure steam produced in a boiler to turbine for power generation. In recent years, failure of steam piping of large coal-fired power plant has frequently occurred. Therefore, in this study, failure analysis of high pressure piping weld was conducted. We identify the damage caused by high stress due to abnormal supporting structure of the piping and suggest improved supporting structure to eliminate high stress through microstructure analysis and piping stress analysis to prevent the occurrence of the similar failure of other power plant in the case of repetitive damage to the main steam piping system of the 500 MW Korean standard coal-fired power plant.