• Title/Summary/Keyword: Functional Connection

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Mid-term results of IntracardiacLateral Tunnel Fontan Procedure in the Treatment of Patients with a Functional Single Ventricle (기능적 단심실 환자에 대한 심장내 외측통로 폰탄술식의 중기 수술성적)

  • 이정렬;김용진;노준량
    • Journal of Chest Surgery
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    • v.31 no.5
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    • pp.472-480
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    • 1998
  • We reviewed the surgical results of intracardiac lateral tunnel Fontan procedure for the repair of functional single ventricles. Between 1990 and 1996, 104 patients underwent total cavopulmonary anastomosis. Patients' age and body weight averaged 35.9(range 10 to 173) months and 12.8(range 6.5 to 37.8) kg. Preoperative diagnoses included 18 tricuspid atresias and 53 double inlet ventricles with univentricular atrioventricular connection and 33 other complex lesions. Previous palliative operations were performed in 50 of these patients, including 37 systemic to pulmonary artery shunts, 13 pulmonary artery bandings, 15 surgical atrial septectomies, 2 arterial switch procedures, 2 resections of subaortic conus, 2 repairs of total anomalous pulmonary venous connection and 1 Damus-Stansel-Kaye procedure. In 19 patients bidirectional cavopulmonary shunt operation was performed before the Fontan procedure and in 1 patient a Kawashima procedure was required. Preoperative hemodynamics revealed a mean pulmonary artery pressure of 14.6(range 5 to 28) mmHg, a mean pulmonary vascular resistance of 2.2(range 0.4 to 6.9) wood-unit, a mean pulmonary to systemic flow ratio of 0.9(range 0.3 to 3.0), a mean ventricular end-diastolic pressure of 9.0 (range 3.0 to 21.0) mmHg, and a mean arterial oxygen saturation of 76.0(range 45.6 to 88.0)%. The operative procedure consisted of a longitudinal right atriotomy 2cm lateral to the terminal crest up to the right atrial auricle, followed by the creation of a lateral tunnel connecting the orifices of either the superior caval vein or the right atrial auricle to the inferior caval vein, using a Gore-Tex vascular graft with or without a fenestration. Concomitant procedures at the time of Fontan procedure included 22 pulmonary artery angioplasties, 21 atrial septectomies, 4 atrioventricular valve replacements or repairs, 4 corrections of anomalous pulmonary venous connection, and 3 permanent pacemaker implantations. In 31, a fenestration was created, and in 1 an adjustable communication was made in the lateral tunnel pathway. One lateral tunnel conversion was performed in a patient with recurrent intractable tachyarrhythmia 4 years after the initial atriopulmonary connection. Post-extubation hemodynamic data revealed a mean pulmonary artery pressure of 12.7(range 8 to 21) mmHg, a mean ventricular end-diastolic pressure of 7.6(range 4 to 12) mmHg, and a mean room-air arterial oxygen saturation of 89.9(range 68 to 100) %. The follow-up duration was, on average, 27(range 1 to 85) months. Post-Fontan complications included 11 prolonged pleural effusions, 8 arrhythmias, 9 chylothoraces, 5 of damage to the central nervous system, 5 infectious complications, and 4 of acute renal failure. Seven early(6.7%) and 5 late(4.8%) deaths occured. These results proved that the lateral tunnel Fontan procedure provided excellent hemodynamic improvements with acceptable mortality and morbidity for hearts with various types of functional single ventricle.

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A Study on the Housing Choice Behavior of Residents the Plan of Apartment in New Housing Area, Ulsan (울산시 신주거지의 아파트 계획을 위한 거주자 주거선택행동에 관한 연구)

  • Kim Sun-Joong;Kwon Myung-Hee
    • Journal of the Korean housing association
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    • v.17 no.4
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    • pp.1-13
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    • 2006
  • The purpose of the study was to identify the level of housing choice behavior by using the factors of residential satisfaction level, mobility motivation, and housing needs of potential purchasers in Bukgu New Housing Area, Ulsan. The survey used questionnaire from 326 households living in Bukgu and nearby area and analyzed using descriptive statistics. The research results showed low degree of residential satisfaction in storage space and neighborhood. The mobility motivations were improvement of physical environment improvement, education environment, walking road, view and lighting. The housing needs for indoor spaces showed to want more functional arrangement than the room size. The housing needs for outdoor spaces showed to want neighborhood environment in connection with the education or hospital facilities, the welfare facilities for pre-kindergarten children and elders and the leisure facilities. And the housing needs for facilities were floor furnishing for health, crime prevention system for safety needs, housekeeping appliance against environmental pollution, additional function for energy saving. The housing needs for common spaces showed that the residents preferred playing facilities by age group, exercise facilities, the community hall and the rest room which can do games or meetings.

Research into the Connections between the Sarangche of the Chosun Dynasty and Modern Residential Work Spaces (조선시대 사랑채와 현대주거 내 업무공간의 연계성 연구)

  • Noh, Jin-Hee;Choi, Kyung-Ran;Sung, Yun-Jung
    • Journal of the Korean housing association
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    • v.22 no.5
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    • pp.37-46
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    • 2011
  • Residential space has come to maintain a degree of specialization dependent upon the division of space according to function, while roles and functions have either expanded or ceased to exist corresponding to shifts in social values. However, various human behaviors connected to lifestyle habits and values are in fact becoming obsolete. This research will examine the mental, social, and functional aspects of the relationship between residential work spaces in modern homes and the sarangche as well as the communal space of daily and social life of the Chosun Dynasty to enhance the value and function of traditional residential space. As the boundary between family and work blurs with the home office environment of today, we are experiencing a deterioration of health and seeing problems in securing family domain as well as the prolonging of overwork. While the function of the traditional sarangchae encompassed a wider variety of activities than today's homes, the sarangchae achieved an efficient use of space divisions between rooms according to the particular purpose and situation. Accordingly, a reinterpretation of modern residential work space is needed through its connection to the sarangchae with consideration to the philosophy and values of the life of the noble class and the habits of our traditional lifestyle that have previously taken place within the sarangchae in an exterior space.

Management of Coronary Sinus Ostial Atresia during a Staged Operation of a Functional Single Ventricle

  • Kang, Seung Ri;Park, Won Kyoun;Kwon, Bo Sang;Ko, Jae Kon;Goo, Hyun Woo;Park, Jeong-Jun
    • Journal of Chest Surgery
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    • v.51 no.2
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    • pp.130-132
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    • 2018
  • Coronary sinus ostial atresia (CSOA) with persistent left superior vena cava (LSVC) in the absence of an unroofed coronary sinus is a benign and rare anomaly that may be taken lightly in most instances. However, if overlooked in patients undergoing univentricular heart repair such as bidirectional Glenn or Fontan-type surgery, fatal surgical outcomes may occur due to coronary venous drainage failure. We report a case of CSOA with a persistent LSVC that was managed through coronary sinus rerouting during a total cavopulmonary connection, and provide a review of the literature regarding this rare anomaly.

Comparative Analysis of the Design Elements for Public Space in Compact City type Multi-Use Complex - Focused on the Central City, COEX and Western Dome Facility - (디자인 계획요소로 본 컴팩트 시티형 복합용도시설의 공공공간 - 센트럴 시티, 코엑스, 웨스턴돔의 비교연구를 중심으로 -)

  • Kim, Sun-Young
    • Korean Institute of Interior Design Journal
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    • v.19 no.2
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    • pp.126-135
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    • 2010
  • As public space such as plaza and square in the compact city type multi-use complex is a social public space that various communication and cultural exchange take places in city environment. The purpose of this study is to analyse and categorize the design elements as a valuation basis for the public space in the compact city type multi-use complex. The scope of contents of this study is focused on the Central City, COEX and Western Dome facilities in Korea. This study review based on the previous studies and statistical analysis about questionnaires obtained from 131 users of three facilities were conducted for this study. The results of the survey as follows accessibility, comfort, exchange were extracted as the aspects for evaluation for functional activity and connection, openness, hierarchy were extracted as the aspects for evaluation for space formation. The K facility's priority aspect is the accessibility and the S and the W facilities' are the openness.

Improvement plan for Function Definition using CAFAT in the Construction VE (건설 VE에서 CAFAT을 이용한 기능정의 개선방안)

  • Choi, Chang-Hoon;Kim, Soo-Yong
    • Korean Journal of Construction Engineering and Management
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    • v.7 no.3 s.31
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    • pp.102-111
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    • 2006
  • In the analysis of function, which is the core and early phase among the procedure of construction VE Job Plan, the accuracy of function definition directly connects to VE result. However, the method of defining function, which is currently used is not accurate and comprehended or is difficult to utilize it systematically. Also, there is not a clear definition about the function for selecting VE so that many difficulties occur in the organic connection between each of functions in the summarization of function after defining function. Therefore, this study cleared the definition of function and made up any counter measured problem occurred in FAST Diagram later on and suggested CAFAT(Combined Antithetic Function Analysis Technique) in order to induce better phase in functional analysis.

Evaluation of Landing Impact Force of Court Sport Shoes at Running by Finite Element Analysis (유한요소 해석을 통한 코트 스포츠화의 런닝시 충격력 평가)

  • Kim, Seong-Ho;Cho, Jin-Rae;Ryu, Sung-Heon;Choi, Joo-Hyung
    • Proceedings of the KSME Conference
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    • 2004.11a
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    • pp.498-503
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    • 2004
  • A fundamental function of court sport shoes has been considered as the protection of human feet from unexpected injuries. But, recently its role for improving the playing competency is being regarded as a more important function. In connection with this situation, intensive efforts are being world-widely forced on the development of court sport shoes proving the excellent playing competency, by taking kinesiology and biomechanics into consideration. However, the success of this goal depends definitely on the shoes design based upon the reliable evaluation of shoes functional parts. This paper addresses the application of finite element method to the evaluation of landing impact force of court sport shoes. In order to reflect the coupling effect between leg and shoes accurately and effectively, we construct a fully coupled shoes-leg FEM model which does not rely on the independent experimental data any more. Through the numerical experiments, we assess the reliability of the coupled FEM model by comparing with the experimental results and investigate the landing impact characteristics of court sport shoes.

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An Economic Analysis for Remodeling of High-rise Apartment (비도심지 고층아파트 리모델링의 경제성 분석)

  • Kim Eun-Jung;Han Choong-Hee;Kim Sun-Kuk
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.559-562
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    • 2002
  • Re-construction and remodeling were presented by the alternative in reply by inventory extension of dilapidated high-rise apartment. functional, social, economical dilapidation is enforced for reason than deterioration that reconstruction congratulatory address household mascot is physical and various kinds problem such as social cost by early loss of house was presented. Regulation about re-construction is intensified and remodeling connection system will be improved. Existent research about economic performance analysis of remodeling business development profit such as Gangnam and jamsil is preponder .Wish to present one inside about re-construction and remodeling city economic performance examination in gang of bandits mind apartment owner's situation in this research..

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The Expressive Characteristics of Origami Fashion based on Functionality (기능성이 반영된 오리가미 패션의 표현특성)

  • Choi, Jung-Hwa;Choi, Yoo-Jin
    • Fashion & Textile Research Journal
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    • v.11 no.4
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    • pp.515-526
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    • 2009
  • From traditional ceremony to science technology, origami was used as technique for artistic creativity and functionality based on formative characteristics. The purpose of this study is to analyze the expressive characteristics of functionality in fashion design using origami technique. The method of this study was to analyze recent documentaries, fashion books, fashion magazines, internet web site and so forth. The results were as follows: In various fields of design, the category of the expressive characteristics was classified as efficient correspondence of space, compositive convergence of function, variable potentiality of form and human ergonomic optimum. In recent origami fashion based on functionality, the efficient correspondence of space was expressed constructive or decorative pocket design, using on clothing surface and varied design by lifestyle. The compositive convergence of function was expressed innovative connection of fashion items or non-fashion items and deconstructed classical clothing pattern. The variable potentiality of form was expressed control of form by irregular fold, dynamic metamorphosis by organic fold and creation of varied clothing silhouette. The human ergonomic optimum was expressed metamorphosis mechanism from two dimension to three dimension, suitable construction to physical ability and limit and organic form based on articular folding. The functional origami fashion means reflection of nomadic lifestyle, maximum of usability, pursuit of playful sensibility, creation of new body aesthetic and pursuit of technology and humanism. And the result of these study may be used for creative inspiration in fashion design because of unique characteristics.

A Study on the Optimal Method for Mal-function of Re-closer at the Distribution Feeders Interconnected with PV Systems (태양광발전이 연계된 배전계통의 보호기기 오동작에 대한 최적 운용방안에 관한 연구)

  • Kim, Chan-Hyeok;Park, Hyeon-Seok;Rho, Dea-Seok;Shin, Chang-Hoon;Yoon, Gi-Gab
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.58 no.8
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    • pp.1512-1518
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    • 2009
  • Recently, new dispersed power sources such as photovoltaics, wind power, fuel cell etc. are energetically interconnected and operated in the distribution systems, as one of the national projects for alternative energy. This paper deals with the optimal countermeasures for the mal-function of protective devices at primary feeder in distribution systems when new power sources like photovoltaic (PV) systems are interconnected, based on the symmetrical components of short circuit studies. When new power sources are considered to be interconnected to distribution systems, bi-directional power flow and interconnection transformer connection of new power sources may cause the operation problems of protective devices (mainly re-closer), since new power sources can change typical characteristics of distribution systems. Therefore, this paper shows an analysis skill of the mal-functional mechanism of protective relay and proposes the optimal solution for the mal-function problem using the symmetrical components of fault analysis. And, this paper also shows the effectiveness of proposed method by the simulation at the field distribution systems.