Background: Background: Computed tomography (CT) is the main tool for detecting abnormalities of the thoracic aorta, but conventional CT only shows the cross-sectional images. These CT images have some limitations fo accuratly measuring the thoracic aortic diameters at various levels. Multidetector computed tomography (MDCT) overcomes these limitations. We measured the thoracic aortic diameter perpendicular to the loop-shaped thoracic aortic course and this was studied in relation to age, gender, height, weight, the body surface area, the body mass index and the presence of hypertension. Material and Method: Thirty hundred thirty one patients (males: 141 patients and females: 190 patients) who had no abnormalities of the thoracic aorta were investigated using MDCT aortography. They were divided into three age categories: 20~39 years old, 40~59 years old and over age 60. The image was reformed with multiplanar reconstruction and the diameter of the aorta was measured perpendicular to the aortic course at 5 anatomic segments. Level A was the mid-ascending aorta, level B was the distal ascending aorta, level C was the aortic arch, level D was the aortic isthmus and level E was the mid-descending aorta. Result: The mean age was 49.5 years old for males and 54.9 years old for females (p<0.05). The mean diameter of the thoracic aorta at level A was 31.1 mm, that at level B was 30.2 mm, that at level C was 26.5 mm, that at level D was 24.0 mm and that at level E was 22.6 mm. The diameters at all the levels were gradually increased with age. Hypertensive patients had larger diameters than did the non-hypertensive population. There was a positive correlation between the ascending aortic diameter (levels A&B) and height and the body surface area, but there were no statistical differences at the aortic arch (level C) and the descending aorta (levels D&E). There were no statistical differences of the weight and body mass index at all levels. Conclusion: The diameters of the thoracic aortas were directly correlated with gender, age and hypertension. Height and the body surface area were only correlated with the ascending aorta. Weight and the body mass index have no statistical difference at all levels. We measured the age related thoracic aortic diameters and the upper normal limits and we provide this data as reference values for the thoracic aortic diameter in the Korean population.
Proceedings of the Korea Concrete Institute Conference
/
1999.10a
/
pp.869-881
/
1999
Inchon International Airport Elevated Road Way is located between the Passenger Terminal Building and Transportaion Center which are Inchon International Airport core construction projects. The deck of the bridge is consists of 5-span or 6-span continuous pre-stressed concrete slab. Steel form has been used to enhance the quality of texture on concrete slab. Steel form has been used to enhance the quality of texture on concrete surface, lower surface of deck slab with the two way arch has been manufactured by highly professional manner in order to get an beautiful exterior architectural looks. The prestressed concrete deck slab is mass concrete structures with a high-specified concrete strength and a varying section in the range of 0.95-2.8m thickness. Therefore high risks of thermal cracking occurrence by heat of hydration highly are expected. To resolve such problem, we adopted type 1 cement and pipe cooking method at construction site through mass concrete specimen test and 3-dimensional analysis. For Pipe cooling we used 25mm diameter stainless pipes with wrinkles. Cooling pipe with spacing 50-60cm has been installed. And continuous pipe cooling with cooling water of 15$^{\circ}C$ was conducted for 2days. In present 8 span of all 29 spans construction has been completed. No thermal cracking heat hydration has been observed yet.
Kim, Tae-Won;Jung, Shin;Jung, Tae-Young;Kang, Sam-Suk
Journal of Korean Neurosurgical Society
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v.40
no.2
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pp.117-121
/
2006
The surgical removal of solid deep-seated hemangioblastomas remains challenging, because treatment of these lesions is often complicated by severe bleeding associated with the rich vascularity of this tumor, and by severe neural tissue injury associated with the difficulty of en bloc resection, especially when the tumor is located at the cervicomedullary junction. Therefore, preoperative embolization of deep-seated solid hemangioblastomas may play an important role in successful surgical removal by reducing major bleeding and neural tissue damage. A 24-year-old woman, 28-weeks pregnant, was admitted to our hospital for the evaluation of quadriparesis, and brain magnetic resonance imaging[MRI] revealed intra-axial mass lesion in the cervicomedullary junction. After delivery, her neurologic symptoms became aggravated, and we decided to operate. Preoperative angiography revealed a hypervascular tumor in the posterior fossa, and embolization of the main feeding artery using gelfoam and microcoil, resulted in marked reduction of tumor vascularity. She underwent a midline suboccipital craniotomy involving the removal of the arch of C-1. The tumor was totally removed through a midline myelotomy, and at her 6-month follow-up she walked independently. We report on the combined use of the preoperative embolization of feeding vessels and subsequent operative resection in a patient with a solid hemangioblastoma at the cervicomedullary junction immediately after delivery.
In this study, the environment variations and distributions in different types of greenhouses were measured and analyzed. The elements of environment analyzed were temperature, relative humidity, illumination, carbon dioxide and wind velocity. The analyzed greenhouse types were auto-multi type which has an automatic environment control system and multiple continuous arches, regular-multi type which has an temperature control system and multiple continuous arches, and single arch type which has no environment control system without manual temperature keeping method. The results of this study can be used for the greenhouse building and managements.
Bulletin of the Society of Naval Architects of Korea
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v.38
no.3
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pp.88-92
/
2001
H. Kim, B.K. Lee and C.K. Rheem have been experimentally studied to clarified the mechanism of thrust force generated by sculling motion for the propulsion of Korean small boats. The experimental investigations have been conducted under the bollard condition by installing a scull at the end of a trimming tank of towing tank. The sculling motion produced by the skilful fisherman and the resultant venerated forces have been measured in respect to the Cartesian coordinate fitted to the pivot point of the scull. ("An Experimental Study on the Propulsive Characteristics of Sculls". J. of the Soc. of Naval Arch. of Korea, Vol. 26, No. 3, 1989, pp.13-24) Through these experiments the trajectory of the blade tip and the angular displacement of the blade section have been measured as shown in Fig. 1 and 2 of this paper. And at the same time the resultant hydrodynamic force components are expressed in Fig. 3 and 4. These three dimensional data of sculling motion and generated real time force components are the unique experimental information which could clarify the thrust force generating mechanism of sculling motion. The experimental results have been reanalyzed by focusing the relation between instantaneous attack angle of blade section and the resultants real time force components. Through these investigation it is found out that the conventional imagination that the 7cull motion should be effective in generating lift force must be reconsidered because the attack angle of scull blade are too great to free from stall phenomena during the sculling operation.
Nickel and chromium are two major metals used in the alloys of most orthodontic appliances. But these metals are known to cause hypersensitivity, dermatitis, and asthma. In addition, a significant carcinogenic and mutagenic potential has been demonstrated for compounds containing these metals. The purpose of this study was to find out how much nickel and chromium was released from orthodontic appliances, and which factors would influence the release. The simulated orthodontic appliances were constructed for a half of a mandibular arch and incubated in $0.05\%$ NaCl solution at $37^{\circ}C$. Nickel and chromium release was quantified with an Inductively Coupled Plasma (ICP) spectroanalyzer. The results were as follows : 1. From simulated orthodontic appliances, nickel was released $9.83-70.0{\mu}g/day$ but the release of chromium was not detectable in Limit of 10ppb. 2. The amount of nickel release was significantly different between the types of appliances. 3. The galvanic condition increased the amount of nickel release, which was not statistically significant. 4. The sand blasting increased the amount of nickel release, which was also not statistically significant.
Park Il;Kim Kyu Tae;Lee Jong Tae;Chang Bong Hyun;Lee Eung Bae;Cho Joon Yong
Journal of Chest Surgery
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v.38
no.7
s.252
/
pp.489-495
/
2005
In the surgical treatment of aortic dissection, aortic arch replacement under total circulatory arrest is often performed after careful inspection to determine the severity of disease progression. Under circulatory arrest, antegrade or retrograde cerebral perfusion is required for brain protection. Recently, antegrade cerebral perfusion has been used more, because of the limitation of retrograde cerebral perfusion. This study is to compare these two methods especially in the respect to neurological complications. Material and Method: Forty patients with aortic dissection involving aortic arch from May 2000 to May 2004 were enrolled in this study, and the methods of operation, clinical recovery, and neurological complications were retrospectively reviewed. Result: In the ACP (antegrade cerebral perfusion) group, axillary artery cannulation was performed in 10 out of 15 cases. In the RCP (retrograde cerebral perfusion) group, femoral artery Cannulation was performed in 24 out of 25 cases. The average esophageal and rectal temperature under total circulatory arrest was $17.2^{\circ}C\;and\;22.8^{\circ}C$ in the group A, and $16.0^{\circ}C\;and\;19.7^{\circ}C$ in the group B, respectively. Higher temperature in the ACP group may have brought the shorter operation and cardiopulmonary bypass time. However, the length of period for postoperative clinical recovery and admission duration did not show any statistically significant differences. Eleven out of the total 15 cases in the ACP group and thirteen out of the total 25 cases in the RCP group showed neurological complication but did not show statistically significant difference. In each group, there were 5 cases with permanent neurological complications. All 5 cases in the ACP group showed some improvements that enabled routine exercise. However all 5 cases in RCP group did not show significant improvements. Conclusion: The Antegrade, cerebral perfusion, which maintains orthordromic circulation, brings moderate degree of hypothermia and, therefore, shortens the operation time and cardiopulmonary bypass time. We concluded that Antegrade cerebral perfusion is safe and can be used widely under total circulatory arrest.
Profound hypothermia protects . cerebral function during total circulatory arrest(TCA) in the surgical treatment of a variety of cardiac and aortic diseases. Despite its importance, there is no ideal technique to monitor the brain injury from ischemia. Since 1994, we have developed compressed spectral array(CSA) of electroencephalography(EEG) and monitored cerebral activity to reduce ischemic injury. The purposes of this study are to analyse the efficacy of CSA and to establish objective criteria to consistently identify the safe level of temperature and arrest time. We studied 6 patients with aortic dissection(AD, n=3) or aortic arch aneurysm(n=3, ruptured in 2). Body temperatures from rectum and esophagus and the EEG were monitored continuously during cooling and rewarming period. TCA with cerebral ischemia was performed in 3 patients and TCA with selective cerebral perfusion was performed in 3 patients. Total ischemic time was 30, 36 and 56 minutes respectively for TCA group and selective perfusion time was 41, 56 and 92 minutes respectively for selective perfusion group. The rectal temperatures for flat EEG were between 16.1 and 22. $1^{\circ}C$ (mean: 18.4 $\pm$ 2.0): the esophageal temperatures between 12.7 and $16.4^{\circ}C$ (mean $14.7\pm1.6).$ The temperatures at which EEG reappeared $5~15.4^{\circ}C$ for esophagus. There was no neurological defic t and no surgical mortality in this series. In summary, the electrical cerebral activity Teappeared within 23 minutes at the temperature less than $16^{\circ}C$ for rectum. It seemed that $15^{\circ}C$ of esophageal temperature was not safe for 20 minutes of TCA and continuous monitoring the EEG with CSA to identify the electrocerebral silence was useful.
It is difficult to install a ventilation window on the roof of single span greenhouses of arch shape. Investigation on the roof ventilation structures for those greenhouses was conducted. In small greenhouses with spans of 5 to 8 m, circular or chimney type ridge vents made of plastic were employed. In large greenhouses with spans of 12 to 18 m, even span roll-up ridge vents made of steel pipe were employed. The effect of roof ventilation was evaluated by comparative experiments between greenhouse installing ridge vents and having controlled side vents only. Roof ventilation contributed greatly to restraint of temperature rise and maintenance of uniform temperature distribution in greenhouses. And ventilation efficiency was analyzed by experiments on the opening and closing operation of the ridge and side vent. There were no temperature differences according to opening and closing sequence of ventilation window. But for greenhouse temperature control by ventilation, it is desirable to open side vents after ridge vents and to close ridge vents after side vents.
A 5-year-old Chihuahua dog was evaluated for a tetraparesis. The dog was presented with a non-ambulatory tetraparesis and neck pain. Radiography demonstrated an atlantoaxial (AA) subluxation and increased distance between the dorsal arch of the C1 and the dorsal spinous process of the C2. The AA joint was fixed with ventral transarticular fixation using two screws under fluoroscopic guidance. Neck brace was applied during 3 weeks post-operation. After 4 weeks, the dog was fully ambulatory with improved neurological function. Postoperative radiographs confirmed reduction of the luxation and no migration of screws. The dog showed complete resolution of clinical signs without signs of recurrence till 4 months after operation. Proper angulations of screws provided under fluoroscopic guidance, enabled adequate stabilization of the AA joints using ventral transarticular screw fixation which improved neurologic outcome of the patient.
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