• Title/Summary/Keyword: Left to right ratio

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Surgical Repair of Secundum Type Atrial Septal Defects Using Extracorporeal Circulation in 48 Patients (심방중격 결손증의 외과적 완전교정 48례 보고)

  • 서경필
    • Journal of Chest Surgery
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    • v.10 no.2
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    • pp.268-273
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    • 1977
  • During the period from March, 1963, to November, 1977, forty-eight patients with secundum type atrial septal defects have undergone surgical repair using cardiopulmonary bypass with a pump oxygenator at the Seoul National University Hospital. Twenty-six [55 percent] of the patients were females and Twenty-two [45 percent] were males. The patients varied in age from 3 years to 51 years. We have divided secundum defects into three types. These are: 1] the high defect; 2] Ovale type defect; and 3] low defect including the defect in the area of the coronary sinus. An ovale type defect was present in forty-one cases [85 percent]. Partial anomalous pulmonary venous connections were present in two patients in the high defect group. All of the forty-eight patients had had right heart catheterization before operation. The pulmonary to systemic flow ratio [Qp/Qs] was determined in our 38 patients. The Qp/Qs was less than 1.5/1 in only five of the 38 patients. Among the 33 patients with moderate and severe left-to-right shunts [Qp/Qs 1.6-3.5/1], the systolic pulmonary artery pressures. ranged from 30 to 80 mm Hg. Large left-to-right shunts [Qp/Qs>3.6/1] were present in 13 patients. The postoperative complications occurred in 13 patients [27. 1 percent]. Postoperative wound infections were the most frequent complications being present in 6 patients [12.5%]. Forty-six of the patients with secundum atrial septal defects survived surgical repair of their defects. Thus the hospital mortality of surgery was 4.2 percent. The causes of death in the early postoperative period were: 1] low cardiac output syndrome related to severe pulmonary hypertension in one case; and 2] postoperative several bleeding in one case.

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Assessment of Channel Stability with Groynes (수제 설치에 의한 하도 안정성 평가)

  • Kim, Gi Jung;Jang, Chang-Lae;Lee, Kyung Su
    • Ecology and Resilient Infrastructure
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    • v.6 no.4
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    • pp.314-327
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    • 2019
  • This study investigates channel stabilities with groynes by developing the assessment of it and applying a 2-dimensional numerical model, which simulates flow and sediment transport with various flows in the channel. Evaluation inventories are composed of five items, which are width to depth ratio, sinuosity, bed slopes, velocities in the flow flied, Shields number with discharges and geomorphic characteristics in the study reach. The channel stability is evaluated by applying the evaluation indicators to the channel with and without groynes in the study reach between Dalseong-weir and Gangjeonggoryeong-weir in the Nakdong river. Width to depth ratio, sinuosity, and bed slopes, which are index of river characteristics, little affect the channel stability. However, velocities in the flow flied, and Shields number, which is dimensionless tractive, near the banks of the channel strongly affect the stability. The evaluation values of the stability in the channel on the left and right banks decrease as the number of groynes increase in both the left and right banks, which means that the bank stability increases with the groynes.

A COMPARATIVE ELECTROMYOGRAPHIC STUDY OF THE MASSETER AND ANTERIOR TEMPORAL MUSCLES DURING MASTICATORY FUNCTION OF SUBJECTS WITH NATURAL TEETH AND COMPLETE DENTURE WEARERS (유치악자와 총의치 장착자의 저작운동시 교근과 측두근의 근할성도에 관한 비교연구)

  • Choi, Seung-Hyun;Choi, Boo-Byung;Choi, Dae-Gyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.29 no.1
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    • pp.53-71
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    • 1991
  • This study was performed to investigate the muscular activity of the complete denture wearers compare with subjects with natural teeth. For the study, 10 subjects with natural dentition and 18 upper and lower complete denture wearers selected and the Bio-electric Processor EM2(Myo-tronics Reaserch, Inc., U.S.A.) with the surface electrodes was used to record electromyographic activity from the right and left middle of masseter and anterior temporal muscles of each subject during mandibular postural rest position, tapping of teeth from postural rest position, maximal clench, and right and left gum and raw carrow chewing. This results of this study were as follows : 1. In mandibular postural rest position, the denture wearers produces high muscular activity in contrast to natural objects(P<0.05) but, there was no difference between the state of denture removal and insertion, and the muscle activity of the anterior temporal muscle was high than the middle of masseter muscle in natural objects and denture wearers. 2. In tapping of teeth, there was no difference in muscle activity between natural objects and the state of denture removal of denture wearers. 3. In maximal clench, there was markedly lower denture wearers than natural objects in muscle activity, and the ratio of mean voltages was about 36 percentages. 4. In gum and raw carrow chewing, the activity was lower than natural object, the ratio was about 59 percentages. 5. In chewing, the mean voltages of the middle of masster muscle on the chewing side was highest, followed by the anterior temporal on the chewing side, the anterior temporal and masster muscles on the non-chewing side.

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A Clinical Study on Primary Lung Cancer (폐암의 임상적 고찰)

  • Lee, Jeong-Cheol;Lee, Jong-Tae;Kim, Gyu-Tae
    • Journal of Chest Surgery
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    • v.19 no.1
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    • pp.140-147
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    • 1986
  • A clinical study was made on 72 cases of primary lung cancer operated in the department of thoracic & cardiovascular surgery, Kyungpook national university hospital from January 1975 to May 1985. The ratio of male to female was 13.4: I and mean age was 53. Histologically, squamous cell carcinoma comprised 72.2% of 72 operated cases. Before admission to our hospital, the erroneous diagnoses were made at local clinics on the 43 cases[59.7%] and a large percentage of them was diagnosed as pulmonary tuberculosis. And then, total of 56 cases received inadequate treatment or delayed the operation. For the location of the tumor, right to left ratio is 1.2:1 and the right upper lobe was most often involved [23.6%]. Operation was performed on the 72 cases and resection on the 59 cases[8.2%]. Postsurgical staging showed that stage III was found most frequently [59.4%] and T,N,M, was 28% of total cases. Two common surgical complications were bleeding in 7 and acute respiratory failure in 6 cases, and these 6 cases of acute respiratory failure were all died. On the basis of these experiences, we conclude that aggressive effort is needed for the early accurate diagnosis and adequate treatment of lung cancer.

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Correlation between the Asymmetric Ratio of Occlusal Force and the Thickness of the Middle Scalene Muscle (교합력 비대칭률과 중간 목갈비근 근육 두께의 비대칭률 상관관계)

  • Chae, Jung-Byung;Cho, Hyun-Rae
    • PNF and Movement
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    • v.14 no.1
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    • pp.53-57
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    • 2016
  • Purpose: This study aimed to examine the correlation between the asymmetric ratio of occlusal force of the temporomandibular joint and the thickness of the middle scalene muscle. Methods: The study measured the occlusal force of the right and left temporomandibular joints in 30 subjects (12 males and 18 females). Pearson's correlation analysis was performed to examine the effect of occlusal force on the asymmetric ratio of the thickness of their middle scalene muscles by measuring the force using ultrasound after the break. Results: The correlation between the asymmetric ratio of occlusal force and muscle thickness is 0.41, according to Pearson's correlation coefficient. Therefore, the result shows a moderate correlation with the asymmetric ratio of the temporomandibular joint depending on differences in the thickness of the middle scalene muscle. Conclusion: Based on the above results, the asymmetric ratio of occlusal force was found to correlate with the thickness of the middle scalene muscle. Thus, therapeutic intervention is required for the middle scalene muscle in the case of temporomandibular joint disorder.

Anatomical Structures of the Aortic Root in Koreans (한국인 대동맥 근부의 해부학적 구조)

  • Kang, Min-Woong;Yu, Jae-Hyeon;Lim, Seung-Pyung;Lee, Young;Kim, Si-Wook;Kim, Su-Il;Chung, In-Hyuk;Na, Myung-Hoon
    • Journal of Chest Surgery
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    • v.40 no.5 s.274
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    • pp.321-328
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    • 2007
  • Background: It is very important to determine the surgical anatomy of the aortic root when performing spreading aortic root preserving heart surgery. This study focuses on the surgical aspect of the aortic root anatomy by performing dissection of Korean cadavers. Material and Method: The subjects were 62 cadavers. We measured the intercommissural distances, heights of the sinuses and the circumference of the sinotubular junction and the aortic annulus. Result: The mean age of death was 61.3 years. The intercommissural distance for the right coronary sinus was $0.73{\pm}2.23mm$, that for the non coronary sinus was $19.34{\pm}2.03mm$, and that for the left coronary sinus was $18.58{\pm}2.15mm$. The height of sinus was $20.59{\pm}2.48mm$ for the right coronary sinus, $18.61{\pm}2.26mm$ for the non coronary sinus and $17.95{\pm}19mm$ for the left coronary sinus. The circumference of the sinotubular junction was $70.73{\pm}5.94mm$ and that of the aortic annulus was $77.94{\pm}5.63mm$. There is no correlation between age and STJ, aortic annulus and the ratio of STJ of aortic annulus respectively (p=0.920, p=0.111, p=0.073). The tilting angle of the sinotubular junction and aortic annulus is from $2.03^{\circ}$ to $7.77^{\circ}$ $(mean=4.90^{\circ})$. Conclusion: The intercommissural distance and the height of the sinus were largest in the right coronary sinus, and the position of the sinotubular junction to the aortic annulus is obliquely tilted levo-posteriorly.

22 Bochdaleck*s Hernia in Infant - A Clinical Review - (영아 Bochdalek 탈장의 임상적 고찰)

  • Lee, Seong-Cheol;Seong, Suk-Hwan
    • Journal of Chest Surgery
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    • v.20 no.4
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    • pp.825-828
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    • 1987
  • Authors carried out a retrospective study in 22 infants with Bochdaleck`s hernia who were operated upon, the results are; 1] the male to female ratio was 2:1 and the incidence of left side was threefold prevalent than right, 2] the chief complaint of those who were operated upon in neonatal period was dyspnea and diagnosis was possible by chest A-P, 3] primary repair was possible except one patient in whom a prosthesis was used. 4] complication occurred in 41% and pulmonary complication was most common including 5 pneumothorax, 5] mortality rate was 14%, the deaths occurred in infants who were operated upon within 48 hours of life and the lesion was left without sac, the defect was larger than average and all died within 72 hours after operation.

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A Study of Behavioral Characteristic of Elders during Showering (고령자의 샤워 시 행동 특성 분석)

  • Park, Kyung-Ryul;Jeong, Woo-Won;Rhee, Kye-Han;Chun, Keyoung-Jin
    • Journal of the Korean Society for Precision Engineering
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    • v.24 no.7 s.196
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    • pp.120-125
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    • 2007
  • Analysis of elders' behavioral characteristic during showering provides important fundamental data when developing an automatic showering system. We recorded showering behavior of 37 elders' at the front, back, left and right view using four CCTV cameras. The photographic data were analyzed by counting the frequencies of body scrub and identifying zones where hands could reach. And we measured their body sizes, and conducted questionnaire of showering for 302 peoples. Analysis was done according to the analysis criteria established. The human body was divided into 14 zones from a body, and the numbers of body scrub for each zone were counted. The average total numbers of body scrub were 170.8 excluding the head, the face and the neck. The average numbers of body scrub with right hand were 70.2, left hand were 88.2, and both hands were 81.8. The percentages of body scrub frequencies were 16.3% (breast), 12.2%(crotch), 8.8% (abdomen), 7.5% (waist), 8.8% (shoulder), 7% (hips), 0.4% (back), 15.2% (arm), and 23.9% (leg). Elders scrubbed the breast, crotch and abdomen more frequently than the back and hips. According to the video analysis and questionnaire results, the distribution of shower heads (or nozzles) at the front side should be arranged at the ratio of 40% of the trunk(breast, shoulders, abdomen), 20% of the thighs, the calves, and the crotch, respectively. The distribution of shower heads (or nozzles) of the back side were arranged at the ratio of 20% of the waist and the arms, 20% of the back, the thighs, the calves, and the hip, respectively.

Measurement of the left ventricular regurgitation by gated cardiac blood pool scan: Before and after valvular replacement surgery (대동맥 및 승모판 판막폐쇄부전증에서 방사성동위원소 심혈관촬영술을 이용한 혈역류량 측정에 관한 연구)

  • Shin, Seong-Hae;Chung, June-Key;Lee, Myung-Chul;Cho, Bo-Youn;Seo, Jung-Don;Lee, Young-Woo;Koh, Chang-Soon;Suh, Kyung-Phill;Lee, Yung-Kyoon
    • The Korean Journal of Nuclear Medicine
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    • v.16 no.2
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    • pp.29-36
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    • 1982
  • Quantification of the regurgitation amount is important before and after valvular replacement surgery. Until now cardiac catheterization with cineventriculography, echocardiography have been used to measure the regurgitation amount, but also have many limitations. EKG gated cardiac blood pool scan provides a simple, non-invasive -method for quantify the regurgitation amount. By calculating the ratio of left ventricular to right ventricular stroke counts (stroke volume ratio) in gated bood pool scan, we measured the left ventricular regurgitation amount in 28 cases of valvular regurgitation and 25 cases of normal group. 1. Stroke volume ratio was higher in cases of valvular regurgitation $(2.11{\pm}0.58)$ than in cases of normal control $(1.15{\pm}0.31)$. (p<0.01). 2. Stroke volume ratio was classified by regurgitation grade using X-ray cineventriculography. In grades of mild regurgitation $(Grade\;I{\sim}II)$, stroke volume ratio was $2.02{\pm}0.29$, and in grades of severe regurgitation $(Grade\;III{\sim}IV)$, stroke volume ratio was $2.55{\pm}0.34$, so stroke volume ratio was well correlated with the grade of X-ray cineventriculography. 3. Stroke volume ratio was classfied by functional class made in New York Heart Association. In classes of mild regurgitation $(class\;I{\sim}II)$, stroke volume ratio was $2.08{\pm}0.26$, and in classes of severe regurgitation $(class\;III{\sim}IV)$, stroke volume ratio was $2.55{\pm}0.38$, Stroke volume ratio well represented the functional class. 4. After aortic and mitral valve replacement in 28 patients, the stroke volume ratio, decreased from $2.11{\pm}0.58\;to\;1.06{\pm}0.26$. Gated blood pool scan provides a noninvasive method of qnantifying valvular regurgitation and assessing the result of surgical interventions.

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Non-invasive Evaluation of the Patients after Total Correction of Tetralogy of Fallot (활로 4 징증의 완전교정술후 비관혈적 방법에 의한 추적관찰)

  • 안홍남
    • Journal of Chest Surgery
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    • v.22 no.2
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    • pp.234-245
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    • 1989
  • Between January 1984 and December 1986, sixty nine patients, aged 16 months to 25 years [mean age 10.05*6.40 years], underwent total correction of tetralogy of Fallot in Kyungpook national university hospital. In 66 hospital survivors, 30 patients were followed up for 12 to 48 months [mean 30.10*10.26 months]. These 30 patients were classified in two groups, TAP [transannular patch] and Non-TAP group. There were 9 patients in TAP group, and 21 in Non-TAP group. There were no significant differences between two groups in terms of age at operation, follow up duration, ACC time, and bypass time. All patients were evaluated by two dimensional echocardiography, Doppler echocardiography, standard 12-lead electrocardiography, and plain chest X-ray. Right ventricular systolic pressure, pulmonary arterial systolic pressure, pressure gradient between the right ventricle and the pulmonary artery, presence or absence of pulmonary regurgitation and its grading, fractional shortening of the left ventricle, and Qp/Qs in case of remnant ventricular septal defect were obtained by echocardiographic examination. Cardiothoracic ratio was measured by plain chest film, and ventricular dysrrhythmia was detected by electrocardiogram. Comparing the data between two groups, there was significant difference in incidence of postoperative pulmonary regurgitation [p< 0.05], 100%[9/9] in TAP group and 47.6 %[10/21] in Non-TAP group, but all the regurgitations were not severe. There were no significant differences in other comparisons, despite of higher incidence of cardiomegaly in TAP group [CT ratio: 59.3*5.3% VS 54.7*6, 4 %].

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