• Journal of Veterinary Clinics
• /
• v.37 no.1
• /
• pp.9-14
• /
• 2020

Left atrial enlargement (LAE) is an important diagnostic factor in dogs with myxomatous mitral valve disease (MMVD). It is associated with the onset of congestive heart failure (CHF). Recently, a new radiographic left atrial measurement called vertebral left atrial size (VLAS) was introduced. This can be considered as a left atrial enlargement above 2.3. It appears to be related to the severity of MMVD. However, serial changes in VLAS in relation to disease progression and improvement in patients have yet to be studied. This study aims to assess the value of VLAS as a left atrial size monitoring indicator by examining correlations with VHS, LA/Ao ratio and LVIDDN, and comparing serial changes in dogs. A total of 126 dogs were studied with their owners' consent. The dogs were classified into four MMVD groups (Control, B1, B2, C-D) following the ACVIM Guideline by performing a physical examination, radiography and echocardiography. Besides, 24 and 17 dogs were reevaluated to compare values in relation to the progression and improvement of MMVD. VLAS showed significant increase according to the progress of the MMVD stage. This was the same in the Maltese breed group. A strong positive correlation was found between LVIDDN, VHS, LA/Ao ratio, and VLAS. The results of this study found VLAS to be significantly different according to left atrium size, and there was a correlation between disease progression and VLAS levels in each dog. Therefore, VLAS may be used to detect changes in left atrium size as an additional monitoring index of MMVD.

• Journal of Chest Surgery
• /
• v.17 no.4
• /
• pp.593-606
• /
• 1984

With the ligation of patent ductus arteriosus by Gross in 1938, surgeons first entered the field of congenital heart disease. Interruption of a ductus is one of the most satisfactory and curative operations in the field of surgery for congenital heart disease. 27 cases of isolated patent ductus arteriosus were operated from Jan. 1978 to July 1984 at the Department of Thoracic & Cardiovascular Surgery in Kyung-Hee University Hospital. Retrospective clinical analysis of these patients were: 1. Sex ratio, female: male, was 2:1. 2. Mean age at operation was 9.85\ulcorner.58 years. The youngest patient was a 23 month-old girl and the oldest one was a 24 year-old male. 3. More than half of the patients had less than 50 percentile of growth retardation. 4. Chief complaints of the patients were frequent URI [52%], dyspnea on exertion [33%], generalized weakness [22%], palpitation [7%], but 7 patients [26%] had no subjective symptoms. 5. Continuous machinery murmur could be heard at the 2nd or 3rd intercostal space on the left sternal border in 22 patients [81%]. The other S patients made systolic murmur with accentuation of the second heart sound and those were associated with pulmonary hypertension. 6. Radiologic findings of Chest P-A were cardiac enlargement in 15 patients [55%], enlargement of pulmonary conus and/or increasing density of pulmonary vascularity in 20 patients [74%]. 7. Electrocardiographic findings of the patients were within normal limit in 13 patients [48%], LVH in 4 patients [15%], biventricular hypertrophy in 3 patients [11%]. 8; echocardiogram was obtained from 11 patients. Ductus was directly visualized in 7 patients. Left atrial enlargement is the secondary change of left to right shunt, 10 patients had LA/Ao ratio more than 1.2. 9. Cardiac catheterization performed in 25 patients. The mean value of the results were:SO2[PA-RV]= 14.72\ulcorner6.01%, Qp/Qs=2.22\ulcorner.80, peak systolic pulmonary arterial pressure=48.28\ulcorner1.60 mmHg. 10. 26 patients were operated through the left posterolateral thoracotomy: closure of ductus by double ligation in 14 cases, triple ligation in 5 cases, and division with suture in 8 cases. One patient suffer from aneurysmal rupture of main pulmonary artery, endocarditis, hemopericardium was treated with cardiopulmonary bypass via median sternotomy and closure of ductus through the ruptured main pulmonary artery. 11.There was no death associated with the operation, but 3 cases were experienced with intraoperative rupture around the ductus resulting in massive bleeding. The other complications were transient hoarseness in one patient, atelectasis in left lower lobe in 3 patients, and postoperative systemic hypertension in 4 patients with unknown etiology. 12. Pulse pressure was reduced, 11.47+5.92 mmHg, postoperatively, as compare to preoperative status. 13. Intraoperative wedge lung biopsy from lingular segment for the evaluation of the pulmonary vascular disease was taken in S patients with severe pulmonary hypertension. The result was Heath-Edward grade I in one case, grade II in two cases, and grade III in two cases.

• Journal of Chest Surgery
• /
• v.20 no.4
• /
• pp.780-785
• /
• 1987

Pulmonary atresia with VSD is uncommon congenital anomaly with high mortality in neonatal period. Recently we experienced surgical correction of 2 cases of pulmonary atresia with VSD. The first case was 7-year old female patient and diagnosed as pulmonary atresia with VSD combined PDA. So, total correction was undertaken which consisted of PDA ligation, patch repair of VSD, transannular enlargement of RVOT with woven Dacron vascular graft, and closure of PFO. Postoperative systemic Rt. ventricular and radial artery pressure ratio was 0.44 and her postoperative course was uneventful. The second case was 6-year old male patient diagnosed as pulmonary atresia with VSD and large systemic-pulmonary collateral arteries. There were two large systemic-pulmonary collaterals, one was simply controlled by ligation, but the other was considered to supply Rt. upper lung. So end to side anastomosis was performed to the RVOT patch. Postoperative systolic Rt. ventricular and radial artery pressure ratio was 0.54. During the follow up period he showed clinical picture of Rt. heart failure, which is relatively well controlled with anticongestive therapy.

• Journal of the Korean Institute of Educational Facilities
• /
• v.2 no.3
• /
• pp.19-30
• /
• 1995

The primary purpose of this study is to suggest the policy for the effective utilization of empty classrooms in elementary school. The empty classroom in this study means the classroom that is not used now since the number of students decreases, but can be usable for other needs in future. The following results are obtained through this survey; 1) about forty percent of classrooms are empty classrooms, 2) the ratio of empty classrooms is higher in urban area than rural area, 3) the smaller the size of classroom is, the higher the ratio is, and 4) 56.5% of the schools have one to three empty classrooms and 30.0% have four to six empty classrooms. In conclusion it is suggested that 1) the reutilization plan of empty classrooms be established according to particular situation of each school, 2) the government develop the guidelines for reutilization and administrative procedures for renewal, 3) the reutilization plan be established from the view point of the quality improvement of schooling, and 4) the enlargement and rearranagemt of learning space be considerd when reutilization is planned.

• Proceedings of the KIEE Conference
• /
• 2005.07b
• /
• pp.951-953
• /
• 2005

The current transformer is used for the insulation of measuring instrument, enlargement of measurement scope, standardization of measuring instrument, control of protective device. It's required various performance as the intention of service, site of establishment, insulation. especailly, current transformer has small ratio errors. if current transformer has large ratio error, it's caused a electricity failure. so in this paper, we examine the theory of current transformer, major factor of errors, output performance on over-current.

• Korean Journal of Medicinal Crop Science
• /
• v.5 no.1
• /
• pp.1-6
• /
• 1997

The experiment was conducted to investigate the effect of water stress on yield and quality of Ligusticum chuanxiong Hort. The water stress treatment was imposed artificially on seedling, flowering and rhizome enlargement stage of the plant. The root yield rate decreased to 19.1%, 18.2% and by the water stress treatment at rhizome enlargement, seedling and flowering stage, respectively. Portion of the products having commercial quality grade (above 20g of rhizome weight) was 93.4% at control plot, while it was 85%, 81.7% and 78.3% when stressed for water at seedling, flowering and root enlargement stage, respectively. Content of extract was the higher in the order of control, water stressed at rhizome enlargement, flowering and the seedling stage. Postive correlationship was found between yield of rhizome and rootlet yield or economic production ratio, and between dry weight of stem and rootlet yield.

• Journal of Chest Surgery
• /
• v.22 no.4
• /
• pp.594-600
• /
• 1989

Primary intracardiac repair of tetralogy of Fallot with low mortality and early good results, has been accomplished in recent years. But palliative procedures have been reserved for those hypoplastic pulmonary arteries, a hypoplastic left ventricle or anomalies of the coronary artery would make total correction difficult. And the Blalock-Taussig shunt operation is recognized as a standard and popular palliative procedure. I undertook a retrospective determination of the effect of the Blalock-Taussig shunt operation on the development of the main pulmonary artery and the right and left pulmonary arteries. Between January, 1980, and April, 1987, at the Severance Hospital, 16 patients were studied by cardiac catheterization and angiocardiography, before undergoing Blalock-Taussig shunting procedures for the palliation of severe symptoms of tetralogy of Fallot, and some time later, usually prior to a second procedure. The mean interval between catheterizations was 22.25 months. Patients with tetralogy of Fallot and pulmonary atresia or with an occluded shunt were not included. The primary and secondary angiograms of each patient were reviewed, and measurements of the diameter of the main pulmonary artery, the right and left pulmonary arteries, and the descending thoracic aorta were taken. The results are as follows; 1. The hematocrit decreased from 56.39% to 50.34%[p< 0.05], and the arterial oxygen saturation increased from 62.00 % to 81.31 %[p< 0.001] following shunt procedures 2. The ratio of the diameter of the right pulmonary artery plus the left pulmonary artery to the diameter of the descending thoracic aorta increased 1.30 k 0.28 times [p< 0.01]; but the ratio of the diameter of the main pulmonary artery to the diameter of the descending thoracic aorta increased 1.10 * 0.33 times, which was not. significant[p< 0.05]. 3. The interval between shunting and second catheterization was not related to the magnitude of change in the pulmonary arteries[r=0.141, p >0.05]. 4. The changes in the ratio of the diameter of the right pulmonary artery plus the diameter of the left pulmonary artery to the diameter of the descending thoracic aorta was inversely related to the initial ratio[r=0.757, p >0.001], but the change in the ratio of the diameter of the main pulmonary artery to the descending thoracic aorta was not related[r=0.059, p >0.05]. 5. There were no differences in enlargement of the pulmonary artery on the side of the shunt [ipsilateral] versus enlargement on the opposite side [p >0.05], nor according to the size of the shunt[p >0.05]. In conclusion, this study suggests that the Blalock-Taussig shunt is effective for the development of the right and left pulmonary arteries but not effective for the main pulmonary artery.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.11
• /
• pp.4677-4681
• /
• 2014

Background: This study aimed to characterize the histopathological pattern of lymph node pathology among Saudi patients and to highlight the age and gender variations of these lesions as base line data. Materials and Methods: We retrospectively analyzed the data from lymph node biopsy specimens received at the Department of Pathology, King Fahad Hospital, Madinah, Saudi Arabia from January 2006 to December 2013. Results: Of the 289 lymph node biopsy specimens received, 154 (53.3%) were from males and 135 (46.7%) from females giving a male: female ratio of 1.14:1. Age of the patients ranged from 2.5 to 96 years with a mean age 33.9 years. The commonest lymph node group affected was the cervical (30.4%) followed by axillary (9.7%) and inguinal (8.7%). Malignant lymphoma [71 Hodgkin's disease (HD), 57 non Hodgkin's lymphoma (NHL)] 128 (44.3%), reactive hyperplasia 68 (23.5%), and tuberculosis 41 (14.2%) were the common causes of lymph node enlargement. While HD, reactive hyperplasia and tuberculosis were commonest in young adult patients (10-29 years old) and rare above the age of 50 years; NHL was the predominant cause of lymph node enlargement above 50 years. Conclusions: Lymph node biopsy plays an important role in establishing the cause of lymphadenopathy. Among the biopsied nodes, lymphomas were the most common (44.3%) followed by non-specific reactive hyperplasia (23.5%) and tuberculous lymphadenitis (14.2%).

• Earthquakes and Structures
• /
• v.12 no.2
• /
• pp.237-250
• /
• 2017

There has been increasing attention in many countries on seismic retrofit of old fashioned RC structures in recent years. In such buildings, the joints lack transverse reinforcement and suffer inadequate seismic dimensional requirements and the reinforcement is plain bar. The behavior of the joints is governed by sliding of steel bars and diagonal shear failure is less influential. Different methods to retrofit beam-column joints have been proposed in the literature such as wrapping the joint by FRP sheets, enlargement of the beam-column joint, and strengthening the joint by steel sheets. In this study, an enlargement technique that uses external prestressed cross ties with steel angles is examined. The technique has already been used for substructures reinforced by deformed bars and has advantages such as efficient enhancement of seismic capacity and lack of damage to the joint. Three reference specimens and two retrofitted units are tested under increasing lateral cyclic load in combination with two levels of axial load. The reference specimens showed relatively low shear strength of 0.150${\surd}$($f_c$) and 0.30${\surd}$($f_c$) for the exterior and interior joints, respectively. In addition, relatively brittle behavior was observed and large deformations extended into the panel zone of the joints. The retrofit method has increased ductility ratio of the interior beam-column joints by 63%, and energy dissipation capacity by 77%, relative to the control specimen; For external joints, these values were 11%, and 94%. The retrofit method has successfully relocated the plastic joints far from the column face. The retrofit method has improved shear strength of the joints by less than 10%.

• Journal of the Architectural Institute of Korea Structure & Construction
• /
• v.35 no.7
• /
• pp.139-146
• /
• 2019

This study examined the effect of various arrangement methods for forming peripheral closed hoops in the jacket section on the axial behavior of section enlargement strengthening columns. Four types of peripheral closed hoops arranged in the jacket section were prepared as follows: 1) Closed connection of prefabricated bar units (column P); 2) V-clip installation across the overlapped legs of channel-type bars (column V); 3) Use of glass fiber mesh for an alternative of steel bars (column F); and 4) combination of prefabricated bar units and glass fiber mesh (column PF). The V-clip is designed to form the closed hoops in the jacket section using the overlapped channel-type bars, preventing the opening of the channel bar legs. The glass fiber mesh is to examine the feasibility to apply for closed hoops in the jacket section as an alternative for steel bars, considering the easy construction. In the jacket section of all the strengthened columns, V-ties were arranged for supplementary ties, avoiding the interruption of the existing column. The axial stiffness and strength of the strengthened columns were insignificantly affected by the arrangement methods of closed hoops in the jacket section. The axial ductility ratio of the strengthened columns P, V, and PF was enhanced more than twice of that measured in the non-seismic existing column. However, the column F exhibited a lower ductility than the other strengthened columns because of the fracture of the mesh at the ultimate strength of the column. The V-clip approach was favorable to enhance the ductility of the strengthened column, preventing the opening of the legs of channel-type bars.