In 1980, 416 cases of open heart surgery were done in this Department with over all operative mortality of 12.3%. 1. There were 288 congenital anomalies consisting of 174 acyanotic and 114 cyanotic varieties, which showed operative mortality of 6.9% and 25.4% respectively. 2. There were 128 cases of acquired lesions, 124 valvular disease and 3 myxoma being the main lesions. 3. There were 128 cases of valve replacement with operative mortality of 7.8%. 4. The most frequently operated anomaly was VSD, 90 pure VSD and 21 cases were associated with one or 2 cardiac anomalies. Over all operative mortality in 111 VSD cases was 8.1% but in 90 pure VSD cases it was 6.7%. 5. Tetralogy of Fallot showed the highest incidence in cyanotic group with 88 cases, consisting of 68 pure and 20 with other cardiac anomalies. Over all mortality in 88 cases was 19.3% but in pure form 16.2%. 6. In 128 valve replacement cases over all mortality was 9.4%. There were 85 mitral, 11 aortic, 2 tricuspid, 21 mitral with aortic, 6 mitral with tricuspid, 3 mitral, aortic, and tricuspid valve replacement cases. For mitral valve replacement operative mortality was 5.9%. 7. Twenty-one cases of babies under 10kg body weight were operated on with over all operative mortality of 28.6%. Sixteen cases of VSD were found with operative mortality of 25%. 8. Among 128 cases of valve replacement 7 were under the age of 15 years and 12 were between 15 and 20 years old. Five pediatric cases underwent mitral valve replacement without mortality, 9 year old boy was the youngest among them. In this Department open heart surgery for infancy and complex anomalies showed still hip operative risk which should be improved in the coming years. For open heart surgery Shiley oxygenators and 2 sets of A-O de-lux 5 head roller pump were utilized exclusively. For valve replacement Ionescu-Shiley bovine pericardial xenografts were mainly used. In pediatric and rural patients Persantin with aspirin regimen was satisfactorily administered for anticoagulation after valve replacement. Routinely Coumadin was administered for one year after valve replacement* In patients who had thrombus on valve sites, chronic atrial fibrillation, and giant left atrium Persantin-Aspirin regimen was used when one year coumadin administration was discontinued.
Branchial cleft anomalies are the second most common head and neck congenital lesions seen in children. Amongst the branchial cleft malformations, second cleft lesions account for 95 % of the branchial anomalies. This article analyzes all the cases of second branchial cleft anomalies operated on at Seoul National University Hospital from September 1995 to February 2011. We analyzed sex, age, symptom and sign, accompanied anomaly, diagnosis, treatment, pathologic report and outcome via retrospective review of medical records. In this series, we had 61 patients (27 female and 34 male). The mean age at the time of operation was 38 months. 31 lesions were on the right, 20 were on the left and 10 were bilateral. The most frequent chief complaints at presentation were non-tender mass and cervical opening without any discharge. According to anatomic type, 29 patients had branchial cleft sinuses, 14 had cysts, 14 had fistulas and 4 had skin tags. Complete excision was attempted if possible and antibiotics challenged when infection was suspected. Complete excision was achieved in 96.7 % of cases. Incision and drainage was done in 2 cases due to severe inflammation, and both recurred. Postoperative complications included wound infection in 2 cases. Microscopic examonation revealed squamous epithelium in 90.2 % and squamous metaplasia in one case in the branchial cleft cyst wall. In summary, second branchial anomaly is found more frequently on right side of neck. Fistulas are diagnosed earlier than cystic forms. Most cases could be diagnosed by physical examination. The definitive treatment is complete excision and sufficient antibiotics coverage for cases with inflammation. After drainage of infected lesions, follow up excision after 1 year might be beneficial for preventing recurrence.
KSCE Journal of Civil and Environmental Engineering Research
/
v.13
no.1
/
pp.141-149
/
1993
The gravimetric geoid of the South Korea Region was computed on Geodetic Reference System 1980(GRS80) using a combination of satellite-derived potential coefficients and terrestrial gravaty data. $10^{\prime}{\times}10^{\prime}$ mean gravity anomalies were obtained from surface gravity data for the outer zones, $1^{\circ}{\times}1^{\circ}$ equal area mean anomalies were used for the inner zones, and point gravity anomalies were used for the innermost zones in the Stokes integration. The GRS80 potential coefficients were obtained from modification of GEM9 data and Integration was extended over a spherical cap of $30^{\circ}$ from the integration area. The results of a free-air geoid show that the systematic mean difference of approximately 2~3m in comparison of OSU89B model.
To investigate the air mass modification related with Yeongdong Heavy snowfall events, we examined sensible and latent heat fluxes on the East Sea, the energy exchange between atmosphere and ocean in this study. Sensible and latent heats were calculated by a bulk aerodynamic method, in which NCEP/NCAR reanalysis data and NOAA/AVHRR weekly SST data with high resolution were used. Among winter precipitation events in the Yeongdong region, 19 heavy precipitation events $(1995{\sim}2001)$ were selected and classified into three types (mountain, cold-coastal, and warm types). Mountain-type precipitation shows highly positive anomalies of sensible and latent heats over the southwestern part of the East Set When separating them into the two components due to variability of wind and temperature/ specific Humidity, it is shown that the wind components are dominant. Cold-coastal-type precipitation also shows strong positive anomalies of sensible and latent heats over the northern part and over the central-northern part of the East Sea, respectively. It is shown that the sensible heat anomalies are caused mostly by the decrease of surface air temperature. So it can be explained that cold-coastal-type precipitation is closely related with the air mass modification due to cold air advection over warm ocean surface. But in warm-type precipitation, negative anomalies are found in the sensible and latent heat distributions. From this result, it may be postulated that warm-type precipitation is affected by the internal process of the atmosphere rather than the atmosphere-ocean interaction.
Fifty cases of open heart surgery were done in the Department of Thoracic and Cardiovascular Surgery, Busan National University Hospital during 16 months from July, 1981 to October, 1982. The clinical data were analyzed and summerized as follows. 1. There were 34 cases (68%) of congenital anomalies and 16 cases (32%) of acquired heart diseases. Among the congenital cases, 27 were acyanotic and 7 were cyanotic. All of the acquired heat diseases, 16 cases were valvular diseases and they had valvular replacement surgery. 2. The age distribution of the congenital anomalies ranged from 6 to 27 years with mean age of 14.2 years, and the acquired heart diseases from 18 to 44 years mean age of 27.5 years. The difference of sex distribution was no significance. 3. The clinical minifestations in acyanotic congenital anomalies were exertional dyspnea (81.5%), recurrent respiratory infection (55.6%) and palpitation (22.2%), and in cyanotic congenital anomalies were exertional dyspnea (100%), syncope(57.1%) and growth retardation(57.1%), and in acquired heart diseases were dyspnea(100%), edema (62.5%) and general weakness (62.5%) 4. During the cardiopulmonary bypass, mild to moderate core cooling was performed and added topical cooling for more accurate myocardial preservation. 5. Two kinds of cardioplegic solution used in our institute were Bretschneider solution for the first 7 cases and mixed Harmann's solution 1 L with glucose 5gm, potassium chloride 26 mEq and sodium bicarbonate 24 mEq, making 376 mosmol/L and pH 8.3 at $25^{\circ}C$, for the rest 43 cases. 6. Various kinds of postoperative complications occurred in 14 cases (28%) and showed overall mortality 12%. The mortality along with each disease was 7.4% in congenital acyanotic cases, 42.9% in congenital cyanotic cases and 6.3% in acquired valvular diseases. 7. Pre-and postoperative diagnostic incompatibility was seen in 6 cases (12%). 8. The artificial valves used in the replacement surgery were lonescu-Shiley bovine xenograft in 6 cases and Carpentier-Edwards porcine xenograft in 10 cases.
Kim, Chang-Hwan;Park, Chan-Hong;Min, Kyung-Duck;Han, Hyun-Chul;Kwon, Moon-Sang;Shim, Jae-Seol;Choi, Sung-Ho;Oh, Soon-Bock
Ocean and Polar Research
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v.24
no.4
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pp.491-500
/
2002
Magnetic anomalies in the Dokdo and it's surroundings were investigated with respect to structure and origin of the Dokdo and surrounding seamounts. After normal and diurnal correction of measured magnetic data, crossover correction was applied to reduce errors between sets of magnetic anomalies. The errors from crossover operation result in decrease of about 51%, from 62.2 nT to 30.1 nT in standard deviation. Reduction-to-the-pole, second vertical derivative and analytic signal processing were applied to explore magnetic anomaly signatures in detail. Magnetic anomalies are most complicated in the 1st-Dok seamount, show SWW-NEE linear pattern in the 2nd-Dok seamount and lower to the 3rd-Dok seamount. Different magnetic anomaly patterns in three seamounts imply that three volcanic seamounts were formed at different times and are composed of rocks that were produced in different conditions. It seems that the 3rd-Dok seamount was first to form and followed by the 1st-Dok seamount. The complicated magnetic and second vertical derivative anomaly patterns in the 1st-Dok seamount may be due to subsidiary cones around crater or the presence of intruded magma bodies below sea surface and the Dokdo is probably a marginal subsidiary part of crater.
Seventy-three patients with isolated total anomalous pulmonary venous connection the patients associated with other major cardiac anomalies such as single ventricle, DORV[Double Outlet Right Ventricle and large VSD[Ventricular Septal Defect were excluded were underwent surgical repair from January 1980 through October 1993. There were 45 boys and 28 girls. The mean age at operation was 19.9 months[range 6 days to 24 years and mean body weight was 7.1kg[range 2.6kg to 45kg . The anomalous locations of connection were supracardiac in 38, cardiac in 21, infracardiac in 5, and mixed in 9. In 38 patients[52% , the venous drainage was obstructed. The obstruction ratios according to the connection type were as follows: 53%[28/38 in supracardiac, 52%[11/21 in cardiac, 100%[5/5 in infracardiac, 22%[2/9 in mixed type. The associated cardiac anomalies were persistent left SVC[2 , tricuspid valve regurgitation[3 , cor triatriatum[1 , and mitral cleft[1 . And associated noncardiac anomalies were imperforate anus[1 and Neil Weightman syndrome[1 . The operative mortality was 23%. The causes of death were pulmonary hypertensive crisis, perioperative myocardial failure, pneumonia with sepsis, arrhythmia and etc. The statistically significant factors in postoperative mortality were the pulmonary venous obstruction and age [p<0.01 . The operative mortality was high in groups of age under 1 month and pulmonary venous obstruction. The mean follow-up was 27.1 months. There were two late deaths. The first patient was three months old boy with supracardiac type and severe obstructive symptoms. The postoperative echocardiography was showed anastomotic stenosis and reoperations were performed twice but the patients expired due to pneumonia and sepsis. The second patient was three month old boy with supracardiac type and total correction was done and was doing well postoperatively. Eight years later, he expired suddenly due to arrhythmia. But all the other patients were in NYHA Fc I and received no medications. The 5-year survival rate excluding early expired patients is 97.1 $\pm$ 0.03 %. In conclusion, although the operative mortality of total anomalous pulmonary venous connection was relatively high compared to other major cardiac anomalies, we could expect excellent long-term results by early surgical correction.
Mucedero, Manuela;Rozzi, Matteo;Cardoni, Giulia;Ricchiuti, Maria Rosaria;Cozza, Paola
The korean journal of orthodontics
/
v.45
no.4
/
pp.190-197
/
2015
Objective: The aim of the study was to analyze the prevalence and distribution of ectopic eruption of the permanent maxillary first molar (EEM) in individuals scheduled for orthodontic treatment and to investigate the association of EEM with dental characteristics, maxillary skeletal features, crowding, and other dental anomalies. Methods: A total of 1,317 individuals were included and randomly divided into two groups. The first 265 subjects were included as controls, while the remaining 1,052 subjects included the sample from which the final experimental EEM group was derived. The mesiodistal (M-D) crown width of the deciduous maxillary second molar and permanent maxillary first molar, maxillary arch length (A-PML), maxillomandibular transverse skeletal relationships (anterior and posterior transverse interarch discrepancies, ATID and PTID), maxillary and mandibular tooth crowding, and the presence of dental anomalies were recorded for each subject, and the statistical significance of differences in these parameters between the EEM and control groups was determined using independent sample t -tests. Chi-square tests were used to compare the prevalence of other dental anomalies between the two groups. Results: The prevalence of maxillary EEM was 2.5%. The M-D crown widths, ATID and PTID, and tooth crowding were significantly greater, while A-PML was significantly smaller, in the EEM group than in the control group. Only two subjects showed an association between EEM and maxillary lateral incisor anomalies, which included agenesis in one and microdontia in the other. Conclusions: EEM may be a risk factor for maxillary arch constriction and severe tooth crowding.
This study explores the synoptic characteristics of cold days over South Korea and their relationship with large-scale climate variability. The cold day, which is different from cold surge, is defined when daily-mean surface air temperature, averaged over 11 KMA stations, is colder than 1-percentile temperature in each year by considering its long-term trend over 1960~2012. Such event is detected by quantile regression and the related synoptic patterns are identified in reanalysis data. Composite geopotential height anomalies at 500 hPa show that cold days are often preceded by positive anomalies in high latitudes and negative anomalies in midlatitudes on the west of Korea. While the formers are quasi-stationary and quasi-barotropic, and often qualified as blocking highs, the latters are associated with transient cyclones. At cold days, the north-south dipole in geopotential height anomalies becomes west-east dipole in the lower troposphere as high-latitude anticyclone expands equatorward to the Northern China and mid-latitude cyclone moves eastward and rapidly develops over the East Sea. The resulting northerlies cause cold days in Korea. By performing composite analyses of large-scale climate indices, it is further found that the occurrence of these cold days are preferable when the Arctic Oscillation is in its negative phase and/or East Asian monsoon circulation and Siberian high are anomalously strong.
In this paper, we propose a spatial filtering scheme using factorial kriging, one of geostatistical filtering methodin order to separate regional and residual gravity anomaly. This scheme is based on the assumption that regional anomalies have longer distance relation and residual anomalies have effected on smaller range. We decomposed gravity anomalies intotwo variogram models with long and short effectiveranges by means of factorial kriging. And decomposed variogram models produced the regional and residual anomalies. This algorithm was examined using by a synthetic gravity data, and applied to a real microgravity data to figure out abandoned mineshaft.
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