• Journal of Chest Surgery
• /
• v.28 no.7
• /
• pp.666-670
• /
• 1995

A total of and consecutive 87 patients underwent concomitant double mitral and aortic valve replacement with the St. Jude Medical prosthesis between January 1985 and December 1993. They were 44 males and 43 females with the ages ranging from 18 to 59 years[mean$\pm$SD: 40.9$\pm$9.5 years . Fifteen patients[17.2% had a history of previous cardiac valve replacement. There were 2 early deaths[2.3% , and 85 early survivors were followed up for a total of 352.6 patient-years[mean$\pm$SD: 4.1 $\pm$2.6 years . All were anticoagulated with coumadin keeping the target international normalized ratio within the range of 1.5 and 2.5. There was a single late death[late mortality of 0.284%/patient-year . Thromboembolism was the most frequent complication[1.985%/patient-year , and bleeding related to anticoagulation was experienced in one patient [0.284%/patient-year . The incidences of prosthetic valve endocarditis and of paravalvular leak were also low[0.284%/patient-year, respectively . The survival including operative mortality was 96.1%$\pm$2.2% at 10 years. The actuarial probabilities of freedom from thromboembolism and from all events were 77.9%$\pm$11.1% and 72.4%$\pm$10.7%, respectively, at 10 years. There was no structural failure of the prosthesis. Results from a series of clinical studies suggest strongly that the use of lower intensity of anticoagulation therapy lowers the thromboembolic as well as bleeding rates in patients with the ST. Jude Medical prosthesis.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.42
• /
• pp.33.1-33.8
• /
• 2020

Background: We investigated the efficacy of a maxillary Jackson-Pratt (J-P) suction drain for preventing maxillary sinus hematoma and facial swelling after maxillary Le Fort I osteotomy (LF1). Methods: We retrospectively evaluated 66 patients who underwent LF1 at a single institution. Of these, 41 had a J-P suction tube inserted in the mandible and maxilla (maxillary insertion), and 25 had a J-P drain inserted in the mandible only (no maxillary insertion). Facial CT was obtained before and 4 days after surgery. We compared mean midfacial swelling and maxillary sinus haziness by t test and examined correlations between bleeding amount and body mass index (BMI). Results: For the maxillary-insertion group, the ratio of total maxillary sinus volume to haziness (57.5 ± 24.2%) was significantly lower than in the group without maxillary drain insertion (65.5% ± 20.3; P = .043). This latter group, however, did not have a significantly greater midfacial soft tissue volume (7575 mm³) than the maxillary-insertion group (7250 mm³; P = .728). BMI did not correlate significantly with bleeding amount or facial swelling. Conclusions: Suction drainage in the maxilla reduced maxillary sinus haziness after orthognathic surgery but did not significantly reduce midfacial swelling.

• Journal of the Korean Recycled Construction Resources Institute
• /
• v.7 no.4
• /
• pp.349-357
• /
• 2019

Controlled low strength material(CLSM) has been developed using variety of material such as excavated soil, industrial by-product and industrial waste. But theses research limited at laboratory test and failed at commercialization. So in this paper evaluates CLSM used excavated soil characteristics such as flowability, bleeding rate, early strength for following process and 28day strength for re-excavatability. Also, various mix proportion of CLSM by water-binder ratio and soil-binder ratio were evaluated in laboratory. And derive the optimized CLSM mix proportion for using at field application test by movable batch plant. After applying CLSM at trench, evaluate core sample strength and excavatability by shovel, pickax and excavator for verify re-excavation. Furthermore, measure the level change after casting CLSM to inspect subsidence stability. As results of these assessments, not only confirmed the characteristics of CLSM at field but the fillability around pipe and subsidence stability.

• Journal of the Korea Institute of Building Construction
• /
• v.7 no.1 s.23
• /
• pp.91-98
• /
• 2007

In this study, the property and plastic cracking pattern of concrete were compared and analyzed with the replacement ratio of fly ash 0, 5, 10, 15, 20% by cement weight. And curing conditions of concrete were given variously such as indoors(with wind speed as 0, 300, 500m/min), outdoors and chamber. The hydration temperature had a tendency to decrease as the replacement ratio of fly ash increased, and in the case of the wind speed 0m/min, it was showed that the moment that the amount of evaporation of water from surface of reference concrete was more than the volume of bleeding was 90 min since casting concrete. The time that the crack initiated had a tendency to be more quickly as the replacement ratio of fly ash increased. The number, length, width and area of crack in the indoor curing, exposed outdoor curing, enclosed outdoor curing had a tendency to decrease as the replacement ratio of fly ash increased. The crack had a tendency to decrease in sequence of exposed outdoor, enclosed outdoor curing, indoors curing. The outbreak of cracking by the change of temperature and humidity was affected by relative humidity more than temperature and the cracking had a tendency to increase as relative humidity lowered.

• Proceedings of the Korean Institute of Building Construction Conference
• /
• 2005.05a
• /
• pp.25-28
• /
• 2005

This study shows the early quality improvement of concrete with calcium sulfa aluminate(CSA). For the properties of slump, plain concrete incorporating BS $35\%$ and UP $15\%$ resulted in high fluidity compared with OPC without any admixture. As displacement ratio of CSA increased. the fluidity decreased. The fluidity also declined with setting time. Increase of incorporation ratio of CSA declined bleeding and accelerated setting time. Importantly, using more CSA helped to improve early compressive strength and decrease drying shrinkage. In term of water curing, drying shrinkage hardly ever occurred.

• Journal of the Korea institute for structural maintenance and inspection
• /
• v.17 no.3
• /
• pp.136-144
• /
• 2013

In this study, in order to establish a plan that will enable safe use of renewable resources such as diverse industrial by-products and urban recycled materials, we conducted experiments that focused on flow, bleeding, compressive strength and environmental pollution evaluation to evaluate the material properties of low strength concrete using BFS and SS. In the case of low strength concrete using BFS and SS, blending of at least BFS 6000 within a 30% range regardless of the type of sand used was found to be the most effective approach for improving the workability by securing the minimum unit quantity of water, restraining the bleeding ratio and establishing compressive strength by taking account of the applicability at the work site. In particular, in view of the efficient use of SS, the optimal mixing condition was found to be the mixing of BFS 8000 with in the 30% range, not only for improving the workability restraining the bleeding ratio and establishing the compressive strength but also for application to the work site. Further, the results of tests on hazardous substance content and those of elution tests conducted on soil cement using SS indicated that all values satisfied the environmental standards without any harmful effects on the surrounding environment.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.23 no.2
• /
• pp.155-162
• /
• 2001

This is a clinical study on patients who had visitied the Emergency Room of Pusan National University Hospital and then been treated in the Department of Oral and Maxillofacial Surgery during recent 5 years, from 1992 to 1996. The results were as follow ; 1. The total number of patients was 2,680 and the ratio of male to female was 1.96:1, The highest monthly incidence was shown in September(12.1%) and October(10.5%) and the age distribution peaks was the third decade(24.3%), followed by the first(23.1%) and the fourth decade(17.2%). 2. Soft tissue injury group(29.1%) was the most prevalent, followed by tooth injury group(16.1%), facial bone injury group (16.0%), toothache group(11.2%), socket bleeding group(11.1%), infection group(9.8%) and TMJ dislocation group(5.9%). 3. The percentage of in-patients and out-patient were 21.6% and 78.4%, respectively. The frequent causes of admission were facial bone fracture(73.8%), infection(20.8%) and soft tissue injury(4.8%) in order. However, soft tissue injury was the most frequent cause in out-patient, followed by tooth injury(20.5%), toothache(14.3%), socket bleeding(14.2%) and TMJ dislocation(7.6%). 4. In the facial bone injury group, the mandibular fractures(70.6%) showed the highest incidence, followed by zygomatic bone and arch fractures(7.5%), maxillary bone fractures(4.0%) and nasal bone fractures(4.0%). 5. In the mandibular bone fracture, the most common location was symphysis(36.7%), followed by the mandibular angles(33.1%) and the condyles(21.8%). 6. The common causes of facial bone fractures were violence, fall and traffic accident in order. 7. The common causes of soft tissue injury were fall down, fight and traffic accident in order and the highest incidence was observed in infants before the age of 10 years(44.0%). 8. In the group of tooth injury, tooth luxation(38.5%) showed the highest incidence followed by tooth fracture(33.2%) and tooth loss(17.1%). The common causes of tooth injury were fall, fight and traffic accident in order. 9. In infected patients group, the ratio of in-patients to out-patients was 1 : 1.28, Buccal(24,7%) and infraorbital space abscess(23.3%) showed the highest incidence. 10. The pain caused by dental caries(39.0%) and pericoronitis(26.6%) showed high incidence in the toothache group. 11. The high incidence was observed during third(34.0%) and fourth (24.5%) decades in TMJ dislocation group. 12. In the group of socket bleeding patients, 92% was post-operative hemorrhage and 8% was accompanied with other systemic hemorrhagic diseases.

• Journal of Korean Medical classics
• /
• v.29 no.1
• /
• pp.17-41
• /
• 2016

Subjects : A literature research on the constitution and medicinal effect & adaptation diseases of "Bullsusan". "Bullsusan" is a herbal prescription composed of Angelicae Gigantis Radix(當歸) and Cnidii Rhizoma(川芎). Objectives : Through the researching on the records of "Bullsusan" in Korean Traditional Medical Books, gain the literature evidence for adaptation to these days child labor as a pre-labor keeping herbal medicine. And have detailed consideration on the constitution of prescription and medicinal effect & adaptation diseases of "Bullsusan". Methods : First, researched the records of "Bullsusan" in Korean Traditional Medical Books which were included at A Series of Korean Medicine(韓國醫學大系) and analysed component ratio, nickname, herbal manufacture and drug processing method, medicinal effect and adaptation diseases. Second, referred related Korean and Chinese researches that examined the medicinal effect and adaptation diseases of "Bullsusan" by scientific experimentation. Conclusions : We found total 46 records of "Bullsusan" from 20 kinds of Korean Traditional Medical Books included at A Series of Korean Medicine. Prescription component ratio of Angelicae Gigantis Radix and Cnidii Rhizoma were 3:2, 1:1, 2:1, 1:1. 3:2 had most 20 records and 1:1 had second 14 records. Especially 1:1 had a tendency of having nickname "Goonguitang", but not must had. First herbal manufacture was powder, it had 8 records. First drug processing method was decocting with water and alcohol, had 19 records. Medical Effects of "Bullsusan" can be induced to next 8, that were "remove get bad blood, give birth new blood", "easy labor by reducing fetal volume", "acceleration of labor", "test of fetal survival, elimination of dead embryo", "elimination of placenta", "revive", "allaying pain", "nourish the blood". From these medical effects, 9 adaptation diseases can be induced. That were "threatened abortion", "womb ache and vaginal bleeding by spontaneous abortion", "pre-labor keeping(prevention of hard labor)", "acceleration of labor", "hard labor", "missed abortion", "postnatal vaginal bleeding, dizziness, asthma, headache, womb ache", "postnatal mastoptosis and mastodynia", "first aid symptom like as dizziness, unconsciousness, stroke caused by excessive bleeding". The medical effect of "acceleration of labor" and "elimination of placenta" have been examined by modern clinical research. The effect of "remove get bad blood, give birth new blood", "allaying pain" and "nourish the blood" have been examined by modern experimental study. But overdosing on "Bullsusan" to pregnant mouse can cause natural abortion, so the proper dose of "Bullsusan" in pregnant period is very important.

• Journal of the Korea Concrete Institute
• /
• v.29 no.3
• /
• pp.315-322
• /
• 2017

The purpose of this study is to investigate experimentally the construction performances and economical evaluation of the self-compacting concrete in actual site work after selecting the optimum mix proportions according to cementitious materials. Slag cement type of 46.5% slag powder and belite cement of 51.4% $C_2S$ content, lime stone powder as binders are selected for site experiment including water cement ratio. Also, test items for optimum mix proportion are as followings ; (1) Slump flow, 500 mm reaching time, V-type flowing time and U-box height (2) Setting time, bleeding, shortening depth and adiabatic temperature rising (3) Mixing time in plant (4) Concrete quantity and cost, quality control in actual concrete work. As test results, (4) Optimum water-cement ratio ; Slag cement type 41.0% and belite cement 51.0% (2) Setting time and bleeding finishing time of slag cement are faster, bleeding content of slag cement is higher, shortening depth and adiabatic temperature rising of belite cement type are lower (3) Optimum mixing time in batcher plant is 75 seconds and concrete productive capacity is about $100{\sim}110m^3/hr$. (4) Belite cement type is lower than slag cement type in material cost 14.0%, and concrete quantity in actual concreting work save 3.3% in case of belite cement type. Therefore, self-compacting concrete of belite cement type is definitely superior to that of slag cement type in various test items without compressive strength development.

• Advances in pediatric surgery
• /
• v.19 no.2
• /
• pp.81-89
• /
• 2013

The purposes of this study was to describe the clinical correlation of mass size and gestational age, prognostic factors in sacrococcygeal teratoma (SCT) at a tertiary pediatric surgery, University of Ulsan College of Medicine and Asan Medical Center (AMC), Seoul, Korea. Fifty five patients admitted to the AMC with a SCT between May 1989 and April 2013 were included in this retrospective review. Mean follow up was 861 days. Mean maternal age at delivery was $30{\pm}2.7$ year, mean gestational age (GA) was $36.9{\pm}3.6$ wks, and preterm delivery was 21.8%. Birth body weight was $3182{\pm}644$ g and male vs. female ratio was 1:2.05. We can't find significant difference between Caesarean section and maternal age at delivery (p =0.817). But, caesarean section was favored by gestational age (p = 0.002), larger tumor size (p =0.029) or higher tumor weight fraction rate to birth body weight (p =0.024). Type I was 13, II 21, III 17, and IV 3 according to Altman et al. classification. The tumor component was predominantly cystic(> 50%) in 73.1 %. And the majority histological classification of tumors were mature teratoma (70.3%). The motality rate was 5.5%. Three patients expired because of postpartum bleeding, post-op bleeding related complication such as DIC. SCT recurred in four patients. The interval between first and second operation was $206.2{\pm}111.0$ d (range 53~325 d). In two patients, serum AFP levels were elevated at a regular checkup without any symptom, and subsequent imaging studies revealed SCT. The most common cause of death was bleeding and bleeding related complication. So Caesarean section and active peripartum and perioperative management will be needed for huge solid SCT. In the case of Yolk sac tumor or huge immature teratoma, possibility of recurrence have to be always considered, so follow up by serial AFP and MRI is important for SCT management.