• Title/Summary/Keyword: Arterial

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Developing the Traffic Accident Severity Models by Vehicle Type (차량유형에 따른 교통사고심각도 분석모형 개발)

  • Kim, Kyung-Hwan;Park, Byung-Ho
    • Journal of the Korean Society of Safety
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    • v.25 no.3
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    • pp.131-136
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    • 2010
  • This study deals with the accident models of arterial link sections by vehicle type. The objectives are to analyze the characteristics of accidents, and to develop the models by type. In pursuing the above, this study uses the data of 414 accidents occurred on 24 major arterial links in 2007. The main results analyzed are as follows. First, the number of accidents is analyzed to account for about 47% in passenger car, 15% in SUV and 10% in trucks. Second, 3 Poisson regression models which are all statistically significant are developed using passenger car, SUV and truck as dependant variables. Finally, AADT and the number of traffic islands as common variables, and the number of pedestrian crossings, lanes, connecting roads, intersections(4-Leg), rate of medians and the number of bus stops as specific variables of the models are selected.

Noninvasive Detection of Radial Pulse Wave by Fiber-Optic Transducer (광파이버 트랜스듀서에 의한 맥파의 무침습적 검출)

  • 박승환;정동명
    • Journal of Biomedical Engineering Research
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    • v.10 no.3
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    • pp.229-236
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    • 1989
  • This paper describes an idea of design and construction for a radial pulse wave detector, In acquiring arterial pulse signal noninvasively, a new combinational fiber-optic transducer was used which has a detecting part and a sensing part. The mechanism of detecting part is composed of special form of structure that can detect changing pulses in contact with skin, and transmits arterial wall movements to the sensing part. It consists of elastic reflector and optical fibers, which are arranged in a fiber pair. Then, the intensity of the reflected light will be proportional to the displacement changed by inclined reflector. Using this transducer, it expected to make a clinically useful tool for arterial pulse wave diagnosis, especially on the application of "MACK- CHIN" in the field of Korean traditional medicine, since : his transducer has a simple structure and has an easy and clear signal acquisition method.on method.

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Changes in Plasma Protein Concentration and Alveolar -Arterial Oxygen Tension Differnce Associated with CPB- (체외순환에 따른 혈장 단백 함량과 폐포모세혈관 산소 분압차의 변화)

  • 전태국
    • Journal of Chest Surgery
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    • v.23 no.6
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    • pp.1084-1089
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    • 1990
  • Plasma protein concentration, plasma albumin concentration, hematocrit, and arterial blood gas tension were measured in 15 mongrel dogs undergoing heart transplantation with cardiopulmonary bypass. The hemodilution due to priming solution resulted in a 49% decrease in plasma protein concentration, a 57% decrease in plasma albumin concentration, a 46%a decrease in hematocrit. The measurements had returned to preperfusion values 1 hour after the end of cardiopulmonary bypass. The intraoperative changes in plasma protein and albumin concentration did not correlate with changes in alveolar-arterial oxygen tension gradients[D[A\ulcorner PO2]]. It is concluded that, in the absence of an increase in left atrial pressure, marked decrease in plasma protein concentration can be tolerated without the occurrence of pulmonary edema. And further study should be done to determine how to prepare an ideal priming solution.

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Unusual Communication between the Pulmonary Artery and Vieussens' Arterial Ring Causing Infective Endocarditis

  • Lee, Sang Ho;Ko, Taek Yong;Cho, Seong Ho
    • Journal of Chest Surgery
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    • v.52 no.6
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    • pp.425-427
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    • 2019
  • Coronary artery fistula is an abnormal communication between the coronary artery and the cardiac chambers. In particular, an abnormal connection between the conus branch of the right coronary artery and the proximal left anterior descending coronary artery is defined as Vieussens' arterial ring. Coronary artery fistulas are usually asymptomatic, but some can cause complications such as infective endocarditis. Here, we report a case of Vieussens' arterial ring causing infective endocarditis with severe mitral regurgitation.

Medeical Therapy For Pulmonary Arterial Hypertention (폐동맥고혈압에서 폐혈관계 작용약물)

  • Choi, Hye Sook;Lee, Sang Do
    • Tuberculosis and Respiratory Diseases
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    • v.60 no.2
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    • pp.142-150
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    • 2006
  • Pulmonary arterial hypertension (PAH) is often difficult to diagnose and challenging to treat. Untreated, it is characterized by a progressive increase in pulmonary vascular resistance leading to right ventricular failure and death. The past decade has seen remarkable improvements in therapy, driven largely by the conduct of randomized controlled trials. Still, the selection of most appropriate therapy is complex, and requires familiarity with the disease process, evidence from treatment trials, complicated drug delivery systems, dosing regimens, side effects, and complications. We tried to provide evidence-based treatment recommendations for physicians involved in the care of these complex patients. Due to the complexity of the diagnostic evaluation required, and the treatment options available, it is strongly recommended that consideration be given to referral of patients with PAH to a specialized center.

급성 실혈성 쇽시의 (hypovolemic shock) 구강조직의 혈류량 변동에 관한 연구

  • Park, Heung-Gi;Kim, Su-Gyeong
    • The Journal of the Korean dental association
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    • v.19 no.4 s.143
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    • pp.347-352
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    • 1981
  • This experiment was performed to estimate the changes on blood flow of the oral structures in hemorrhagic shock. Rabbits were anesthetized by intravenous injection of nembutal(30mg/kg). The Femoral artery was exposed and cannulated with polyethylene tubing filled with heparinized saline. Hypovolemic shock was induced by collecting the bloos of which amount was equaled as 2 % of body weight through arterial cannula for about 30 minutes. During hemorrhage, arterial blood pressure was recorded on recorder. In hypovolemic shock, arterial blood pressure decreased from 116.2±4.1 mmHg to 62.6±4.0 mmHg. Distribution of blood flow in oral tissues decreased to 30-50 % of control group. But blood flow of the masseter muscle was increased and the mandibular angle was not changed.

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The effect of perioperative inhaled iloprost on congenital heart disease with severe pulmonary arterial hypertension (심한 폐동맥 고혈압을 동반한 선천성 심장병 환자에서 수술 전후 Iloprost 효과)

  • Kim, Su Nam;Choi, Deok Young
    • Clinical and Experimental Pediatrics
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    • v.53 no.1
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    • pp.93-96
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    • 2010
  • A 47-year-old male patient in whom atrial septal defect (ASD) had been diagnosed 15 years previously was admitted for cardiac catheterization. He had definite cyanotic lips and nail beds and severe pulmonary arterial hypertension (PAH). He had received medical treatment only for the last few years after being diagnosed with Eisenmenger syndrome. After cardiac catheterization, he received iloprost inhalation therapy pre and postoperation and was discharged after successful surgical closure of the ASD.

Surgical Treatment of Coarctation of the Aorta: A Case Report (대동맥 교약증 수술 1례)

  • 송요준
    • Journal of Chest Surgery
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    • v.6 no.1
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    • pp.47-50
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    • 1973
  • A 16 years old Korean boy was admitted with chief complaints of exertional dyspnea, precordial pain, and headache. His brachial and femoral arterial pressure were 180/100 mmHg and 120/95 mmHg respectively. Aortogram by Seldinger technique revealed postductal adult type coarctation and marked dilation of the poststenotic aortic portion. With arfonad 40mg infusion during clamping, resection of the coarctation segment, and end-to-end anastomosis of the aorta maximal brachial arterial pressure was maintained below 180 mmHg. Postopertive course was uneventful and the patient was discharged two weeks after operation. Precordial pain and headache diasappeared. Brachial and fernoral arterial pressure were 140/80 mmHg and 110/90 mmHg at the time of discharge.

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Rapid Left ventricular Training after Arterial Switch Operation in Transposition of Great Arteries with Left Ventricular Outflow Tract Obstruction and ventricular Septal Defect -1 case report- (심실 중격 결손과 좌심실 유출로 협착을 동반한 대혈관 전위 -동맥 전활술후 좌심실의 트레이닝 1례-)

  • 조준용;김웅한;김수진;전양빈
    • Journal of Chest Surgery
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    • v.33 no.3
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    • pp.252-256
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    • 2000
  • There have been few reports documenting the outcome of arterial swich operations(ASO) in selected patients with transposition of great arteries(TGA) and with left ventricular outflow tract obstruction(LVOTO). In the case of TGA with LVOTO, if the atrial septal defect(ASD) is large and the ventricular septal defect(VSD) is restricive, this deprives the left ventricle(LV) of approporiate preload and could lead to underdevelopment of the ventircular mass and lead poor LV performance after the arterial switch operation, dspite a high pressure in the LV preoperatively. Because an increase in the systolic ventricular pressure is not necessarily paralleled by an increase in ventricular mass, which is also essential for optimal ventricular performance after the operation. We report here a case of rapid LV training after ASO in TGA with unprepared LV (because of large ASD and restrictive VSD) despite a high pressure in the LV(due to LVOTO) preoperatively.

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Deleterious Effects of Hyperoxemic Extracorporeal Circulation during Cardiovascular Surgery

  • Park, Seok-Cheol
    • Biomedical Science Letters
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    • v.7 no.1
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    • pp.7-15
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    • 2001
  • Although extracorporeal circulation (ECC) has been routinely used for cardiovascular surgery, hyperoxemia during ECC may produce oxygen toxicity and cellular injury. This study was performed to investigate the clinical influences of hyperoxemic ECC during cardiovascular operation. 40 adult patients scheduled for elective cardiovascular surgery were classified into normoxemic (arterial oxygen tension: 115 mmHg, n=20) and hyperoxemic (arterial oxygen tension: 380 mmHg, n=20) ECC. At preoperative and postoperative period, total leukocyte and neutrophil counts, platelet counts, iron, glucose, aspartate aminotransferase (AST), alanine aminotransferase (ALT), blood urea nitrogen (BUN), and creatinine in peripheral arterial blood, malondialdehyde (MDA) and troponin-T concentration (TnT) in coronary sinus blood, pulmonary vascular resistance (PVR), and postoperative blood loss volume (BLS) were measured and compared between groups. Hyperoxemic group had postoperatively higher total leukocyte and neutrophil counts, MDA, TnT, PVR total BLS, iron, glucose, AST, ALT, BUN, and creatinine than normoxemic group (p<0.05).0 conclusion, hyperoxemic ECC results in greater inflammatory response and oxidative damaging effects on the heart lung, liver and kidney, probably being adverse to postoperative patient recovery. For reducing these deleterious effects and improving postoperative outcomes, management lowering oxygen tension during ECC is recommended.

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