• Title/Summary/Keyword: Conduction block

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Polyneuropathy and Recurrent Focal Neuropathy in Anorexia Nervosa (다발성 신경병증과 재발성 국소 신경병증을 보인 신경성 식욕부진)

  • Kim, Han-Joon;Kim, Sung Hun;Lee, Kwang-Woo
    • Annals of Clinical Neurophysiology
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    • v.3 no.1
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    • pp.40-42
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    • 2001
  • Anorexia nervosa(AN) is a disorder characterized by disturbance of body image, fear of gaining weight, severe weight loss and, in female, amenorrhea. Compared with normal persons, patients with AN have neuropathic symptoms more frequently. But electrophysiologic abnormalities have rarely been reported. We experienced a case with recurrent neuropathic symptoms after severe weight loss. Further evaluation revealed AN. Electrophysiologic study showed sensorimotor polyneuropathy and focal neuropathy with conduction block. As far as we know, this feature of neuropathy in AN has not been described. We describe unusual feature of neuropathy in our patient with literature review.

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Temperature Analysis of Nozzle in a FDM Type 3D Printer Through Computer Simulation and Experiment

  • Park, Jung Hyun;Lyu, Min-Young;Kwon, Soon Yong;Roh, Hyung Jin;Koo, Myung Sool;Cho, Sung Hwan
    • Elastomers and Composites
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    • v.51 no.4
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    • pp.301-307
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    • 2016
  • Additive manufacturing (AM), so called 3D Printing is a new manufacturing process and is getting attraction from many industries. There are several methods of 3D printing. Among them fused deposition modeling (FDM) type is most widely used by reason of cheap maintenance, easy operation and variety of polymeric materials. Articles manufactured by 3D printing have weak deposition strength compared with conventionally manufactured products. Deposition strength of FDM type 3D printed article is highly dependent of deposition temperature. Subsequently the nozzle temperature in the FDM type 3D printing is very important and it is controlled by heat source in the 3D printer. Nozzle is connected with heat block and barrel, and heat block contains heat source. Nozzle becomes hot through heat conduction from heat source. Nozzle temperature has been predicted for various thermal boundary conditions by computer simulation and compared with experimental measurement. Nozzle temperature highly depends upon thermal conductivities of heat block and nozzle. Simulation results are good agreement with experiment.

Complete atrioventricular block during tunneled cuffed hemodialysis catheter insertion in a patient with pre-existing left bundle branch block

  • Choi, Eun Woo;Jung, Ji Yoon;Su, Jun Huck;Park, Sae Huyn;Cho, Kyu Hyang;Yoon, Kyung Woo;Park, Jong Won;Do, Jun Young;Kang, Seok Hui
    • Journal of Yeungnam Medical Science
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    • v.32 no.2
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    • pp.152-154
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    • 2015
  • Arrhythmias are complications of tunneled cuffed hemodialysis catheter insertion. Most complications associated with arrhythmias occur during guide-wire access, where the guide wire can cause traumatic damage to the conduction system of the heart. Conducting system injury in tunneled cuffed hemodialysis catheter insertion often involves the right bundle, causing right bundle branch block (RBBB). Transient RBBB with sinus rhythm is not usually accompanied by abnormal vital signs. However if patients already have left bundle branch block (LBBB), new onset RBBB can cause complete atrioventricular block (AVB), which can lead to fatal complications requiring invasive treatment. We report on a patient with LBBB who developed complete AVB during hemodialysis catheter insertion.

Block Copolymer Photonic Crystals (블록공중합체 광자결정)

  • 윤보경;박철민
    • Polymer Science and Technology
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    • v.15 no.3
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    • pp.317-326
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    • 2004
  • 광자 (photon)를 이용하여 정보의 전달, 표시, 감지 그리고 저장이 가능한 다양한 형태의 소자들은 현재 그 주를 이루고 있는 전자 (electron)가 매개인 소자를 대체할 수 있는 가능성을 가지고 활발히 연구되고 있다. 전자의 움직임은 재료 내에 주기적으로 배열되어 있는 원자나 분자의 결정구조에 의해 제어된다. 이는 전도밴드 (conduction band)와 원자가 밴드(valance band) 사이에 존재하는 전자 밴드갭 (electronic band gap)을 조절함으로써 가능하다. 이와 유사한 개념으로 광자의 움직임은 유전체의 주기적인 배열을 통해서 가능함이 제안되었다. 규칙적인 유전체의 결정구조를 가진 재료에 빛이 조사되었을 때, 그 재료를 통과하지 못하는 특정파장이 결정되며 이를 광자 밴드갭 (photonic band gap: PBG)이라 한다. (중략)

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Surgical Treatment of Ebstein`s Anomaly Report of a case (Ebstein 심기형의 개심술 1례)

  • Park, Guk-Yang;Lee, Jeong-Ho;Yu, Hoe-Seong
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.436-439
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    • 1985
  • A patient of Ebstein`s anomaly underwent surgical repair on Oct. 24th, 1984. Tricuspid valve was replaced by 31mm St. Jude mechanical valve without plication of atrialized right ventricle. The annulus has been placed below the coronary sinus, with care not to damage the conduction system. But postoperatively complete heart block developed. Permanent pacemaker was implanted on his 12th POD. Now he has been followed up for 9 months. There was no hemodynamic problems yet.

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Bentall Operation in a Patient with a Unicommissural Unicuspid Aortic Valve

  • Park, Sung Joon;Lee, Jae Hoon;Chung, Eui Suk
    • Journal of Chest Surgery
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    • v.52 no.5
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    • pp.368-371
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    • 2019
  • A unicuspid aortic valve is a rare congenital malformation that frequently presents with valvular dysfunction and dilatation or aortic aneurysm, requiring combined aortic valve surgery and aortic repair. Some patients show severe valve calcification extending into the interventricular septum, possibly resulting in damage to the conduction system during debridement for valve replacement. We present a rare case of severe aortic stenosis with a unicommissural unicuspid aortic valve diagnosed by preoperative transesophageal echocardiography in a 36-year-old man. After composite graft replacement of the aortic valve, aortic root, and ascending aorta, a permanent pacemaker was placed because of postoperative complete heart block.

A family with NKX2.5 gene mutations presenting as familial atrial septal defect and atrioventricular block: A case report

  • Choi, Youn Young;Woo, Min Hyung;Kim, Gi Beom;Song, Mi Kyoung;Lee, Sang Yoon;Bae, Eun Jung;Choi, Murim;Kim, Young-Sook
    • Journal of Genetic Medicine
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    • v.15 no.1
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    • pp.20-23
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    • 2018
  • Point mutations in the human cardiac homeobox gene NKX2.5 are associated with familial atrial septal defect (ASD), atrioventricular (AV) conduction disturbance, as well as sudden cardiac death. To date, more than 60 NKX2.5 mutations have been documented, but there are no reports in Korea. We are reporting the first Korean family with ASD and AV block associated with a novel mutation in the NKX2.5 coding region. A 9-year-old boy presented with a slow and irregular pulse, and was diagnosed with secundum ASD and first degree AV block. The boy's father, who had a history of ASD correction surgery, presented with second degree AV block and atrial fibrillation. The boy's brother was also found to have secundum ASD and first degree AV block. There were two sudden deaths in the family. Genetic testing revealed a novel mutation of NKX2.5 in all affected members of the family.

Development of New Device to Improve Sucess Rate of Maze Procedure with Radiofrequency Energy (고주파에너지를 이용한 미로술식의 성적향상을 위한 새로운 기구의 개발)

  • 박남희;유양기;이재원
    • Journal of Chest Surgery
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    • v.37 no.6
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    • pp.467-473
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    • 2004
  • Background: The sinus conversion rate after the maze procedure in chronic atrial fibrillation using radiofrequency energy is lower than with either conventional 'cut and saw' technique or cryothermia. The creation of incomplete transmural lesions due to poor tissue-catheter contact is thought to be the main cause. To address this problem, the current study was aimed to evaluate the effectiveness of a specially constructed compression device designed to enhance tissue catheter contact during unipolar radiofrequency catheter ablation. Material and Method: Circum-ferential right auricular epicardial lesions were created with a linear radiofrequency catheter in 10 anesthetized pigs. A device specially designed to increase contact by compression of the catheter to the atrial wall was used in 5 pigs (study group). This device was not used in the control group (5 pigs). Conduction block across the right auricular lesion was assessed by pacing, and the transmurality of the lesions were confirmed by microscopic examination. Result: Conduction block was observed in a total of 8 pigs; 5 in study group and 3 in control group. Transmural injury was confirmed microscopically by the accumulation of acute inflammatory cells and loss of elastic fibers in the endocardium. In two pigs with failed conduction block, microscopic examination of the endocardium appeared normal. Conclusion: Failed radiofrequency ablation is strongly related to non-transmural energy delivery. The specially constructed compression device in the current study was successful in creating firm tissue-catheter contact and thereby generating transmural lesions during unipolar radiofrequency ablation.

A Case of Bradycardia with Atrioventricular Block Treated with Korean Medicine (방실차단에 의한 서맥을 보이는 환자 한방 치험 1례)

  • Lee, Hyoung-min;Kim, Jeong-hwa;Lee, Sang-hwa;Jeong, Hye-seon;Yang, Seung-bo;Cho, Seung-yeon;Park, Seong-uk;Park, Jung-mi;Ko, Chang-nam
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.839-845
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    • 2018
  • This is a case report of a 57-year-old patient diagnosed with bradycardia and atrioventricular (AV) block. The chief complaint of the patient was palpitation and dizziness. An electrocardiogram (ECG) showed a second degree AV block with 2:1 AV conduction. The patient was treated with Korean medicine, including herbal medicine, for 35 days. After 2 weeks of treatment, the heart rate increased from 33 to 56 and the follow-up electrocardiogram showed normal findings. The symptoms of palpitation and dizziness were also improved. The effect on heart rate, ECG, and symptoms lasted until the end of the treatment. This case report demonstrated that Korean medicine could be effective for treatment of symptomatic bradycardia with AV block.

Driving System of 7-Phase BLDC Motor Speed Control by Fuzzy Controller (Fuzzy 제어기를 이용한 7상 BLDC 전동기 속도제어 구동시스템)

  • Yoon, Yong-Ho
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.66 no.11
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    • pp.1663-1668
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    • 2017
  • A BLDC motor with higher number of phases has several advantages, compared to the conventional three-phase BLDC motors. It can reduce the commutation torque ripple and the iron loss without increasing the voltage per phase and increase the reliability and power density. Higher number of phases increase the torque-per-ampere ratio for the same machine volume and output power by widening the electrical conduction period. In this paper, the proposed seven-phase BLDC motor drive system is made into several functional modular blocks, so that it can be easily extended to other ac motor applications: back-EMF block, hysteresis current control block, pwm inverter block, phase current block, and speed/torque control block. Also in a system of BLDC motor drive, the PI controller has been widely used in the speed controller because of the simple implementation. To obtain a good speed response in a general drive system using the PI controller, the high bandwidth of a controller is established. therefore, in this paper, a Fuzzy controller is applied to the 7-phase BLDC motor drive system in order to improve the speed control performance. The Fuzzy controller is compared with a conventional PI controller through the experiment with respect to speed dynamic responses. These experimental results show that the Fuzzy controller of the 7-phase BLDC motor drive system is superior over the conventional PI controller. The algorithm using the Fuzzy controller can improve a comfortable ride in the field of high performance 7-phase BLDC motor drive applications.