• Title/Summary/Keyword: Closing Department

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Effect of Posture on the Distribution of Pulmonary Ventilation in Patients with Increased Closing volume (폐쇄용적(Closing Volume)이 증가된 만성 폐질환 환자에서 체위에 따른 폐환기량의 변화)

  • Kim, Young-Tae;Kim, Mee-Kyung;Lim, Chae-Man;Koh, Youn-Suck;Kim, Woo-Sung;Ryu, Jin-Sook;Lee, Myung-Hae;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.6
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    • pp.631-637
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    • 1993
  • Background: In normal adults, ventilation is uneven and greater in the base than the apex of the lung in tidal volume breathing. However infants have fragile chest wall and reduced elastic recoil, resulting in easy closure of peripheral airways especially in the dependent portion of the lung. So ventilation in infants is greater in the apex than the base of the lung. We assumed that in adults whose closing volume is increased, dependent portion could be easily collapsed during tidal breathing and ventilation could be greater in the uppear than than the lower portion of the lung. Methods: We measured spirometry and closing volume(CV) in normal controls and in patients with chronic lung disease. Also we measured fractional distribution of ventilation at supine, left lateral and right lateral decubitus with $^{133}Xe$ ventilation scan in normal controls, patients with normal closing volume and patients with increased closing volume. Results: The subjects consisted of 7 normal controls(mean $age{\pm}SD$, $62.9{\pm}6.1$ years). 6 patients with normal CV($62.8{\pm}8.2$ years) and 7 patients with increased CV($63.0{\pm}15.3$ years). 1) Normal controls have mean(${\pm}SD$) FVC $104{\pm}11%$ of predicted value, $FEV_1\;120{\pm}16%,\;FEV_1/FVC\;112{\pm}5%$ and CV $86.9{\pm}12.5%$. Patients with normal CV have FVC $62{\pm}11%,\;FEV_1\;54{\pm}17%,\;FEV_1/FVC\;84{\pm}23%$ and CV $92.6{\pm}15.5%$. Patients with increased CV, have FVC $53{\pm}9%,\;FEV_1\;38{\pm}13,\;FEV_1/FVC\;69{\pm}16%$ and CV $176.1{\pm}36.6%$, CV was significantly different between two patient groups(p<0.02) 2). In normal controls mean fractional ventilation to left lung was $48.1{\pm}5.3%$ at supine, $54.1{\pm}9.8%$ at dependent and $40.9{\pm}6.5%$ at left uppermost position. In patients with normal CV mean fractional ventilation to left lung was $44.6{\pm}2.1%$ at supine, $59.7{\pm}5.6%$ at left dependent and $31.7{\pm}8.3%$ at left uppermost position. In patients with increased CV mean fractional ventilation to left lung was $48.7{\pm}4.5%$ at supine, $41.7{\pm}6.6%$ at left dependent and $60.9{\pm}15.7%$ at left uppermost position. In normal controls and patients with normal CV, ventilation to left lung at left dependent position tends to be higher than that at supine position but without statisitical significance and it was significantly lower at left uppermost than at left lung dependent position. In patients with increased CV, ventilation to left at left dependent position tends to be higher than that at supine position but without significance and it was significantly higher at left uppermost than that at left dependent position. Conclusion: These data suggest that in patients with increased CV ventilation to one side of lung could be higher at uppermost than at dependent position on lateral decubitus during tidal breathing and this fact should be taken into account in positioning of patients with unilateral lung disease.

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A STUDY ON TEMPOROMANDIBULAR JOINT DYSFUNCTION USING MAGNETIC RESONANCE IMAGING (자기 공명 영상을 이용한 악관절 기능 장애에 관한 연구)

  • Lee Moon Bae;Kim Jae Duk
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.22 no.1
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    • pp.29-37
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    • 1992
  • The temporomandibular joint was evaluated using magnetic resonance imaging using a urface coil in 11 patients having reciprocal clicking or locking and compared with the normal joint in five subjects. Serial multisection 3㎜-thick parasagittal, paracoronal, and axial image on both closing and opening mouth were obtained with a 1.5 Tesla MR system and surface coil using CSMEMP, GRASS, MPGR, powerful extensions of fast imaging that is currently under clinical evaluation. MR images obtained were analized correlating with the theory of internal derangement. The obtained results were as follows: 1. The serial findings of structures in joint were determined on the serially sectioned images of joint with reciprocal clicking or locking by CSMEMP and MPGR on closing mouth. 2. The delta shaped white images of synovial fluid in the glenoid fossa and on the posterior surface of condyle were revealed on the parasagittal images by MPGR on opening mouth as in the normal joints. 3. The white image of joint fluid surrounding meniscus was recognized on the paracoronal image by GRASS on opening mouth as in the normal joints. 4. In joints having temporomandibular dysfunction the smooth image of displaced meniscus was recognized, but otherwise in the normal joints the image of muscle was noted on the paracoronal image sectioned at the anterior portion of condyle by GRASS. 5. The more thickened fascial plane between superior and inferior belly of lateral pterygoid muscle was not recognizable in joints having temporomandibular dysfunction than in the normal joints.

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Bio-Monitoring System Using Shell Valve Movements of Pacific Oyster (Crassostrea gigas) -I. Detecting Abnormal Shell Valve Movements Under Low Salinity Using a Hall Element Sensor (굴(Crassostrea gigas)의 패각운동을 이용한 생물모니터링시스템 연구 -I. 홀 소자를 이용한 저염분하에서 비정상적인 패각운동 측정)

  • Oh, Seok Jin;Lee, Jun-Ho;Kim, Seok-Yun
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.16 no.2
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    • pp.138-142
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    • 2013
  • As an early warning system to reduce the damage of aquacultured mollusks due to low salinity water, we investigated the possibility of a biomonitoring system measuring the shell valve movement (SVM) of Pacific oyster (Crassostrea gigas) by using the Hall element sensor. In high salinity water of 27 psu, SVMs of Pacific oyster showed spikes which mean a relatively fast closing condition after opened condition of average 10-15 mm, and then the SVM showed back to opening condition slower than closing speed. In water salinity of 20-27 psu, the SVMs were similar to that of 27 psu. However, below 17 psu, it showed abnormal valve movements such as spending more time for shell closure. In 10 psu, we could not detected SVMs due to closed condition during experiment periods. Thus, if we quickly detect abnormal environmental variations like low salinity using bio-monitoring of SVM, it may be contribute to increased productivity by dramatically reducing damages in aquaculture.

Comparative Study of Vertical Axillary Muscle Sparing and Posterolateral Thoracotomy (수직액와 근육보존 개흉술과 후측방개흉술의 비교연구)

  • Seong, Suk-Hwan;Won, Tae-Hui
    • Journal of Chest Surgery
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    • v.27 no.12
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    • pp.1008-1014
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    • 1994
  • Increased interest in alternative approach to thoractomy has developed because of the considerable morbidity associated with the standard posterolateral thoracotomy[ST]. Muscle sparing thoracotomy is appeared as excellent alternative because of less postoperative pain and morbidity than standard posterolateral one. Vertical axillary muscle sparing thoracotomy[VM] is the newly revised modified muscle sparing thoracotomy that overcomes the disadvantages of previous lateral muscle sparing thoracotomy such as seroma, cosmetic problems, and need of subcutaneous drains. We conducted a prospective study of 45 consecutive patients to compare postoperative pain, muscle strength of serratus anterior and latissimus dorsi, and range of motion of the shoulder girdle between ST and VM group. There were no difference in preoperative status, surgical procedure, morbidity, mortality and hospital stay between two groups. But there were significant less postoperative narcotics requirements, more preserved latissimus dorsi and serratus anterior muscle strength, nd larger range of motion of shoulder girdle [ especially flexion and internal rotation in VM group. The opening time was prolonged[p<0.01] but closing time was less in VM group [p<0.01]. The sum of opening and closing time was not different in two group. The length of incision line was shorter in VM group. The vertical skin incision was concealed by the upper arm.In conclusion vertical axillary muscle sparing thoracotomy is good alternative for various intrathoracic procedures with less postoperative pain, well preserved muscle strength,increased range of motion of the shoulder girdle and impressive cosmetic outcome.

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A Study on the Trail Mangement in National Park Using Habitat Suitability Assessment: A Case Study of Yellow-throated Marten Habitats in Mt. Mudeung National Park (서식지 적합성 평가를 통한 국립공원 탐방로 관리 방안 연구 - 무등산 국립공원 내 담비 서식지를 중심으로 -)

  • Lim, Chi-Hong;Lee, Chang-Seok;Jung, Song-Hie;Park, Yong-Su
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.20 no.4
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    • pp.63-75
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    • 2017
  • This study carried out for establishing the synthetic restoration plan to improve ecological quality of Mt. Mudeung National Park based on the results of conservation value assessment for yellow-throated marten habitats. Yellow-throated marten has significant implications as umbrella species for the wildlife habitats conservation, therefore, this species could be used to ecological restoration plan of the damaged forest ecosystem in Mt. Mudeung National Park. In this study, we diagnosed the quality of yellow-throated marten habitats in Mt. Mudeung National Park based on five natural and two artificial factors. In addition, we evaluated the integrity of each zone divided by trails quantitatively based on land use intensity. As a result, forest landscape quality in Mt. Mudeung National Park was influenced greatly by human activity and the degree was depended on the intensity of trails. Therefore, in this study, we suggested the closing of trails composed of the illegal and 36 legal trails. And then, we modeled the changes of habitats quality of Yellow-throated marten for each closing step. As a result the area of core habitats increased by two times and wildlife habitats quality improved in the whole area of the Mt. Mudeung National Park. As a result, the results of this study indicate that man-made linear landscape elements play a key role in the quality of habitats for predators, which require large habitats area like the Yellow-throated marten. Therefore, in order to establish an ecological restoration plan in the mountainous area, we recommend the concept of the linear landscape should be applied with the concept of area landscape.

Surgical Correction of an Antebrachial Deformity with Severe External Rotation in Two Dogs (심각한 외측 회전을 동반한 전완 기형의 외과적 교정 치료 2 증례)

  • Yoon, Hun-Young;Roh, Mi-Young;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.28 no.3
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    • pp.328-331
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    • 2011
  • Two dogs presented to the Dueckso Animal Hospital with a history of intermittent lameness of the left forelimb. On physical examination, a visible antebrachial deformity that resulted in gross external rotation of approximately $90^{\circ}$ was observed in two dogs. Medial-lateral radiographic views revealed distal ulnar subluxation, cranial bowing of the radius, radial and ulnar shortening, and external rotation of the paw. A distal ulnar ostectomy and distal radial closing wedge osteotomy were performed in two dogs. A proximal ulnar osteotomy was performed, adjacent to the elbow joint in case 1. Then, the osteotomized site was supported with an intramedullary pin. A T-plate and cortical screws were applied to the proximal and distal radial segments after derotating the distal segment internally. Postoperative radiographic view verified the correction of the angular deformity in two dogs. The follow-up was completed by physical examination 6 and 10 months after surgery respectively. There was no evidence of lameness of the left forelimb in two dogs. Gross observation of the limb revealed an apparent appropriate correction of the rotational and angular deformity in two dogs.

A STUDY ON THE MANDIBULAR MOVEMENT CHANGES AFTER ORTHOGNATHIC SURGERY IN SKELETAL CLASS III PATIENTS (악교정 수술 후 골격성 III급 부정교합 환자의 하악운동 변화에 관한 연구)

  • Nahm, Dong-Seok;Suhr, Cheong-Hoon;Yang, Won-Sik;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.27 no.2
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    • pp.273-282
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    • 1997
  • The purpose of this study was to evaluate changes in mandibular movement patterns after orthognathic surgery in skeletal Class III patients. The sample consisted of 20 Class III malocclusion patients(9 males, 11 females). Just before and after(2-7months) surgery, maximum opening & closing movement, mandibular border movement on sagittal, frontal and horizontal planes were recorded using Sirognathograph & BioPak EGN. On each record, 21 items were measured and statistically analyzed. The results were as follows 1. Angle of protrusive movement on sagittal plane showed greatest change after surgery. Also, as the incisal guidance was established by surgery, straight path of protrusive movement became curved line. 2. Maximum opening distance and maximum antero-posterior distance on maximum opening & closing movement, maximum opening distance on sagittal plane, angle of left lateral excursion on frontal plane were statistically significant after snrgery(p<0.01). 3. Maximum width of lateral excursion on frontal plane, distane of right lateral excursion and angle of maximum left lateral excursion on horizontal plane were statistiraily significant after surgery(p<0.05). 4. Maximum opening distance and maximum antero-posterior distance on maximum opening & closing movement showed significant differences according to post-surgical time(p<0.05). More recovery of range of movement occured in 5-7month group than in 2-3month group. 5. As the occlusal interferences were removed by orthognathic surgery, irregular opening & closing path became smooth curve.

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A coupled wind-vehicle-bridge system and its applications: a review

  • Cai, C.S.;Hu, Jiexuan;Chen, Suren;Han, Yan;Zhang, Wei;Kong, Xuan
    • Wind and Structures
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    • v.20 no.2
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    • pp.117-142
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    • 2015
  • The performance of bridges under strong wind and traffic is of great importance to set the traveling speed limit or to make operational decisions for severe weather, such as controlling traffic or even closing the bridge. Meanwhile, the vehicle's safety is highly concerned when it is running on bridges or highways under strong wind. During the past two decades, researchers have made significant contributions to the simulation of the wind-vehicle-bridge system and their interactive effects. This paper aims to provide a comprehensive review of the overall performance of the bridge and traffic system under strong wind, including bridge structures and vehicles, and the associated mitigation efforts.

Fabrication and Characteristics of Thermopneumatic-Actuated Polydimethylsiloxane microfluidic systems (Lab-on-a-chip과 m-TAS를 위한 미세 유체 시스템)

  • Moon, Min-Chul;Kim, Ju-Ho;Kim, Jin-Ho;Kang, C.J.;Kim, Yong-Sang
    • Proceedings of the KIEE Conference
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    • 2004.07c
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    • pp.2099-2101
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    • 2004
  • 본 연구에서 제안하는 마이크로 시스템은 열공압 방식으로 구동되고 제작비용이 저렴한 indium tin oxide (ITO) 및 polydimethylsiloxane (PDMS)로 제작되었다. 제안된 마이크로 밸브와 마이크로 펌프의 구조는 ITO 히터, SU-8 층, PDMS membrane, 그리고 PDMS 채널로 구성 되어 있다. 제안된 마이크로 펌프와 마이크로 밸브는 제작 공정 및 구조가 간단하고 값이 저렴하며, 마이크로 펌프와 마이크로 밸브를 같은 기판 위에 쉽게 직접화할 수 있는 장점을 가진다. 마이크로 밸브의 유량은 채널 폭에 비례하며 밸브가 closing 되는 전력은 채널의 폭과 상관없이 100 mW이다. 마이크로밸브의 ITO 히터의 온-오프에 따라 유량이 매우 잘 제어되었다. 제안된 마이크로 펌프의 경우, 히터의 인가 펄스 전압이 증가함에 따라 유량은 선형적으로 비례 증가함을 관찰할 수 있다. 마이크로 펌프의 최대 유량은 펄스 전압과 duty 비가 55V와 10%일 때 6 Hz에서 78 nl/min이 측정 되었다.

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EFFECT OF COMPRESSIVE RESIDUAL STRESS FOR CORROSION PROPERTY OF SUP-9 STEEL USING AS SUSPENSION MATERIAL

  • Park, K.D.;Ki, W.T.;Shin, Y.J.;Ryu, H.J.
    • International Journal of Automotive Technology
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    • v.8 no.3
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    • pp.343-349
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    • 2007
  • One of the useful technologies for light-weightening of components required in the automobile and machine industry is to use high strength materials. To improve material properties, the carbonizing treatment, nitrifying treatment, and shot-peening method are representatively applied. However, the shot-peening method is generally used to remove surface defect on steel and to improve the fatigue strength of the surface. Benefits of shot-peening are increasing resistance against fatigue, stress corrosion cracking, fretting, galling, erosion and closing of pores. In this paper, the effect of shot-peening on the corrosion of SUP-9 steel immersed in a 3.5% NaCl solution and corrosion characteristics from heat treatment during the shot peening process has been investigated. The immersion test was performed on four kinds of specimens. Corrosion potential, the polarization curve, residual stress etc. Were analyzed from the experimental results.