• Title/Summary/Keyword: Gore-Tex

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Early Results of Extracardiac Fontan Operation (심장외폰탄수술의 조기성적)

  • 김웅한;정도현;김수철;전홍주;이창하;김욱성;오삼세;정철현;나찬영
    • Journal of Chest Surgery
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    • v.31 no.7
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    • pp.650-659
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    • 1998
  • Between August 1996 and August 1997, 22 patients underwent extracardiac Fontan operations. The basic diagnoses included univentricular heart of the right ventricular type (n=12); univentricular heart of the left ventricular type (n=4); tricuspid atresia (n=4); left isomerism, transposition of great arteries, ventricular septal defect and pulmonary stenosis (n=1); and criss-cross heart with uneven ventricle (n=1). The median age of the 14 men and 8 women was 29 months (range from 21 months to 26 years). Previous procedures included bidirectional cavopulmonary shunt (n=15, interval=15.6$\pm$3.4 months), Kawashima operation (n=4, interval=37.5$\pm$20 months), and classic Glenn shunt (n=1, interval=14 years). In 2 patients, extracardiac Fontan operations were done without any previous procedures. A 16- to 22-mm flexible Gore-Tex tube graft (n=18), Hemashield graft (n=3), or, alternatively, a nonvalved aortic allograft (n=1) was cut and anastomosed end-to-end between inferior vena cava and undersurface of pulmonary artery using Gore-Tex or Prolene suture in a running fashion. In risk Fontan patients (n=12), a communication between the extracardiac conduit and the right atrium was constructed. In the most 13 recent patients, the procedures were done without cross-clamping of the aorta and with a beating heart. Operative mortality was 9.1% (n=2). Complications included persistent chest tube drainage for more than 7 days (n=5), chorea (n=2), and low cardiac output (n=1). There were no late deaths. Follow-up echocardiogram (mean: 6 months) demonstrated satisfactory hemodynamic results in the surviving 20 patients. Potential advantages of this technique consist of minimization of surgical manipulation of atrial tissue, reduction or elimination of myocardial ischemia, creationof a uniform and stable inferior vena cava-to-pulmonary artery conduit, and increased flexibility and safety in certain high-risk patients such as those with increased pulmonary vascular resistance, pulmonary hypertension, and impaired ventricular function. Further investigations during a longer follow-up are needed to confirm the intermediate and long-term results, especially the reduction of late atrial arrhythmias.

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Parachordoma of the Chest Wall -1 case report- (흉벽에 발생한 유척삭종(Parachordoma) -1예 보고-)

  • 박기성
    • Journal of Chest Surgery
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    • v.37 no.10
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    • pp.892-895
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    • 2004
  • Parachordoma is a very rare, slow-growing, and low-grade malignant tumor that occurs in the extremities and trunk. The differential diagnosis includes extraskeletal myxoid chondrosarcoma and chordoma in the histologic finding. Thus, histologic findings with immunohistochemistry may be helpful in distinguishing parachordoma from extraskeletal myxoid chondrosarcoma and chordoma. I report with a brief review of literatures one case of parachordoma of the chest wall which was successfully treated by en-bloc resection and chest wall reconstruction using 2 mm Gore-Tex$^{\circledR}$ soft tissue patch and free from recurrence for 16 months.

A Study on the Perstraction Process Using Microporous Hollow Fiber -The Characteristics of Perstraction Using PP and Hollow Fiber- (다공성 실관막을 이용한 투과추출 공정에 관한 연구 -PP 및 PTFE실관막을 이용한 에탄올의 투과추출 특성에 관한 연구-)

  • Cheong, Won;Hwang, Eui-Yoon;Lee, Ho-Won;Kim, Woo-Sik
    • Membrane Journal
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    • v.1 no.1
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    • pp.65-77
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    • 1991
  • The perstraction of ethanol and acetic acid were performed for three systems of xylene-acetic acid-water, MIBK-ethanol-water, and TBP-ethanol-water, The operating variables were pressure difference between aqueous and organic phase, and superfial velocities of aqueous and organic phases. The tortuosities of PP hollow fiber membrane of Celgard X10-400 and PTFE hollow fober membrane of Tex TA001 were found to be 1.82 and 1.43 respectively, They were obtained from mass tranfer coeffidents in membrane phase for xylene-acetic acid-water systems. The permeation flux and overall mass transfer coefficient for MIBK-ethanol-water system are larger than those for TBP-ethanol-water system. This tendency is magnified with increasing the superficial velocity of organic phase. Overall mass transfer coefficient($K_o$) increases nonlinearly with the increase of superficial velocity of organic phase($V_{or}$), and the relationship between $K_o$ and $V_{or}$ is that $K_o {\propto} V_{or}^{-0.35}$. For ethanol perstraetion using the hollow fiber membrane of Gore Tex TA001, the mass transfer in membrane phase is the rate-limiting step.

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The performance of PEMFC after hydrogen sulfide poisoning under various operating conditions (황화수소 피독이 고분자전해질 막 연료전지의 성능에 미치는 영향)

  • Lee, Soo;Jin, Seok-Hwan;Kim, Sang-Myoung
    • Journal of the Korean Applied Science and Technology
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    • v.28 no.1
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    • pp.57-63
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    • 2011
  • Polymer electrolyte membrane fuel cell (PEMFC) performance degrades when hydrogen sulfide ($H_2S$) is present in the fuel hydrogen gas; this is referred to as $H_2S$ poisoning. This paper reveals $H_2S$ poisoning on PEMFC by measuring electrical performance of single cell FC under various operating conditions. The severity of $H_2S$ poisoning depended on $H_2S$ concentration under best operating conditions($65^{\circ}C$ of cell temperature and 100% of anode humidification). $H_2S$ adsorption occured on the surface of catalyst layer on MEA, but not on the gas diffusion layer(GDL) by analyzing SEM/EDX data. In addition, MEA poisoning by $H_2S$ was cumulative but reversible. After poisoning for less than 150 min, performance of PEMFC was recovered up to 80% by just inert nitrogen gas purging.

A Study on Interdisciplinary Education Model of Using Climate Change Film-Focusing on Documentary An Inconvenient Truth (기후변화 영화를 활용한 융합교육 모형연구: 다큐멘터리 <불편한 진실>을 중심으로)

  • Hwang, Young-mee;Oh, Jung-jin
    • Journal of Engineering Education Research
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    • v.19 no.5
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    • pp.57-64
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    • 2016
  • This study is about interdisciplinary education model of using Davis Guggenheim's documentary film on global warming which is a big concern in climate change issues, An Inconvenient Truth. It based on Al Gore's slide speech. Through a course student analyzed the cause and phenomenon of global warming resulted from increase of $CO_2$ by using fossil fuel and its environmental science effects-heat wave, desertification, tornado, hurricane, sea level rise caused by melting glaciers, destroying ecosystem like habitat degradation of wild animals, for example polar bear, extreme cold wave caused by change of ocean currents- of global warming. After, student discussed of efforts to prevent global warming. This educational model is appropriate for lower grade student of environmental engineering and also available for converged majors or general education class.

IMMUNOHISTOCHEMICAL STUDY ON THE DISTRIBUTIONS OF GROWTH FACTORS RECEPTORS IN THE NEWLY FORMING GRANULATION TISSUES (신생치주조직의 성장인자 수용채 분포에 대한 면역조직화학적 연구)

  • Kim, Keun-Seock;Kim, Sung-Jo;Choi, Jeom-Il
    • Journal of Periodontal and Implant Science
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    • v.25 no.3
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    • pp.518-528
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    • 1995
  • The immunohistochemical study has been performed on the distribution of receptors for various growth factors in the newly forming granulation tissues following the guided tissue regeneration procedures. Two specimens from 2 different patients were collected from the newly forming granulation tissues at 2 weeks following GTR procedures using Gore-tex menbrane and rubber dam, respectively. For immunohistochemical localization of each recptor, anti-platelet-derived growth factor $receptor-{\alpha}$, anti-platelet-derived growth factor $receptor-{\beta}$. anti-insulin-like growth factor receptor, anti-basic fibroblast growth factor receptor, anti-transforming growth $factor-{\beta}$ receptor and anti-fibronectin receptor were incubated onto the specimens as primary antibodies. After the reaction, FITC-conjugated second antibodies have been applied. When the total numbers of immunoreactive cells and the true positive cells were counted, there were high variability among receptors tested in the present study. The mean number of immunoreactive cells were highest in the case for anti-IFG-1 receptor. However the number of true positive cells were highest in the case for $TGF-{\beta}$ receptor. The present investigation indicated that the receptor for $TGF-{\beta}$ were stongly expressed in the newly forming granulation tissues following the guided tissue regeneration therapy.

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Perfonnance Evaluation of Single Cell and Stack of PolymerElectrolyte Fuel Cell by Using Transfer Printing Technique

  • KIM, CHANG SOO;CHUN, YOUNG-GAB;PECK, DONG-HYUN;YANG, TAE-HYUN
    • Journal of Hydrogen and New Energy
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    • v.11 no.1
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    • pp.19-27
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    • 2000
  • The polymer electrolyte membrane fuel cell (PEMFC) system was developed. In order to enhance the performance of membrane electrode assembly (MEA), the transfer printing method of the electrocatalyst layer on membrane was developed. The $H_2/O_2$ single cell with an electrode area of $50cm^2$ was fabricated and tested using 20 wt.% Pt/C as an electrocatalyst and the commercial and hand-made MEA such as Nafion 115, Hanwha, Dow, Flemion T and Gore Select. The 100-cell PEMFC stack with an active electrode area of $300cm^2$ was designed and fabricated using 40 wt.% Pt/C and 30 wt.% Pt-Ru/C as a cathode and anode electrocatalysts, respectively. The performance of PEMFC system was obtained to be 7kW (250A at 28V) and 3.5kW (70A at 50V) at $80^{\circ}C$ by flowing $H_2/air$ and methanol reformed fuel gas/air, respectively.

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Characteristics of Electrolyte/Electrode Assemblies(MEA) for Polymer Electrolyte Fuel Cells(PEFC) (고분자 연료전지(PEFC)용 전해질/전극 접합체(MEA)의 특성)

  • Peck, D.H.;Chun, Y.G.;Kim, C.S.;Jung, D.H.;Shin, D.R.
    • Proceedings of the KIEE Conference
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    • 1999.07d
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    • pp.1824-1826
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    • 1999
  • In order to develop key technologies for a kW class for polymer electrolyte fuel cell (PEFC), various membranes (Nafion(112, 115, 117), Dow, Flemion, Gore, and Hanwha), and electrocatalysts (Pt/C, PtNi/C PtNiCo/C and PtRu/C) were used in the fabrication of the MEAs by using transfer printing technique. The effects of the thickness of Nafion membranes, electrocatalysts and the operating conditions (e.g. temperature, reactant gas pressure, and composition) on the performance of the MEA were investigated in the PEFC single cell($O_2/H_2$, and Air/$H_2$ cell). The performances of the MEAs for $O_2/H_2$ and Air/$H_2$ cells has been evaluated.

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Right Ventricular Myxoma Obstructing Right Ventricular Outflow Tract (점액종에 의한 우심실 유출로 협착)

  • Song Kwang-Jae;Yun Tae-Jin
    • Journal of Chest Surgery
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    • v.39 no.8 s.265
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    • pp.637-639
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    • 2006
  • Cardiac myxoma is the most common primary tumor of the heart, but right ventricular myxoma causing outflow obstruction is relatively rare. A 15 years old girl developed dyspnea on exertion and intermittent syncope caused by a right ventricular mass obstructing the right ventricle outflow tract. Transthoracic echocardiography revealed $3.6{\times}3.0\;cm$ sized pedunculated subpumonic mass originating from the right ventricular anterior free wall. The patient underwent an emergency operation, consisting of the removal of the mass by wide excision of the tumor base and PTFE (polytetrafluoroethylene) patching of the right ventricular anterior free wall defect. Pathological findings of the mass were compatible with myxoma, and the patient was discharged uneventfully 7 days after the operation.

The rastelli operation with a valveless conduit (for pulmonary atresia, VSD, PDA) -A case report- (판막없는 도관을 이용한 Rastelli 수술 -치험 1예-)

  • Kim, Eung-Su;Jeong, Won-Sang;Kim, Chang-Ho
    • Journal of Chest Surgery
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    • v.19 no.2
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    • pp.306-312
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    • 1986
  • The development of extracardiac valved conduits for establishment of RV-PA continuity has permitted repair of previously uncorrectable congenital heart anomalies and has facilitated the repair of other complex lesions. But the distressing problem of neointimal peel formation with eventual conduit obstruction in patients with Dacron valved conduits has led to the need for premature replacement in many patients. Therefore in the absence of pulmonary hypertension, hypoplastic pulmonary arteries, significant right ventricular dysfunction or unrepaired tricuspid regurgitation, preference of a valveless conduit to a valved conduit gives excellent results and may diminish the need for late reoperation. In our Hanyang University Hospital, the Rastelli operation was performed for the repair of pulmonary atresia with a valveless Gore-Tex conduit. The patient was operated on with good result. The CVP after operation was 8-13 mmHg at POD #0 and 4-6 mmHg from POD #3-4. Postoperatively the patient was acyanotic and had improved physical capacity compared with his preoperative status.

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