• 제목/요약/키워드: Left to right ratio

검색결과 589건 처리시간 0.024초

Prognostic Significance of Left Axis Deviation in Acute Heart Failure Patients with Left Bundle branch block: an Analysis from the Korean Acute Heart Failure (KorAHF) Registry

  • Choi, Ki Hong;Han, Seongwook;Lee, Ga Yeon;Choi, Jin-Oh;Jeon, Eun-Seok;Lee, Hae-Young;Lee, Sang Eun;Kim, Jae-Joong;Chae, Shung Chull;Baek, Sang Hong;Kang, Seok-Min;Choi, Dong-Ju;Yoo, Byung-Su;Kim, Kye Hun;Cho, Myeong-Chan;Park, Hyun-Young;Oh, Byung-Hee
    • Korean Circulation Journal
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    • 제48권11호
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    • pp.1002-1011
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    • 2018
  • Background and Objectives: The prognostic impact of left axis deviation (LAD) on clinical outcomes in acute heart failure syndrome (AHFS) with left bundle branch block (LBBB) is unknown. The aim of this study was to determine the prognostic significance of axis deviation in acute heart failure patients with LBBB. Methods: Between March 2011 and February 2014, 292 consecutive AHFS patients with LBBB were recruited from 10 tertiary university hospitals. They were divided into groups with no LAD (n=189) or with LAD (n=103) groups according to QRS axis <-30 degree. The primary outcome was all-cause mortality. Results: The median follow-up duration was 24 months. On multivariate analysis, the rate of all-cause death did not significantly differ between the normal axis and LAD groups (39.7% vs. 46.6%, adjusted hazard ratio, 1.01; 95% confidence interval, 0.66, 1.53; p=0.97). However, on the multiple linear regression analysis to evaluate the predictors of the left ventricular ejection fraction (LVEF), presence of LAD significantly predicted a worse LVEF (adjusted beta, -3.25; 95% confidence interval, -5.82, -0.67; p=0.01). Right ventricle (RV) dilatation was defined as at least 2 of 3 electrocardiographic criteria (late R in lead aVR, low voltages in limb leads, and R/S ratio <1 in lead V5) and was more frequent in the LAD group than in the normal axis group (p<0.001). Conclusions: Among the AHFS with LBBB patients, LAD did not predict mortality, but it could be used as a significant predictor of worse LVEF and RV dilatation (Trial registry at KorAHF registry, ClinicalTrial.gov, NCT01389843).

전폐절제 수술후 발생한 농흉치험 (Surgical Treatment of Post-pneumonectomy Empyema Thoracis)

  • 이두연
    • Journal of Chest Surgery
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    • 제24권6호
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    • pp.555-559
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    • 1991
  • Post-pneumonectomy empyema thoracis is an uncommon, but very serious problem. Early diagnosis & adequate drainage followed by thoracoplasty and or myoplasty are very important principles for the management of the empyema thoracis & will enable patient to recover from the toxic effects. During the period of January, 1985 to December, 1990, 13 patients with post-pneumonectomy empyema thoracis were treated in the department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine. There were 10 males % 3 females ranging from 31 years to 79 years of age. The occurrence ratio of left to right side was 8: 5. The underlying pathologic lesions of empyema thoracis were pulmonary tuberculosis[7], lung ca. [2] pneumothorax[2], lung abscess[1] pneumonia[1]. We treatment procedure for post-pneumonectomy empyema thoracis were open window thoracostomy in 10 cases, Clagett procedures in 2 cases, one thoracoplasty, and two cases of Clagett procedures followed by open window thoracostomy in one cases.

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Odds Ratio and Probability of Conception of Holstein Friesian Dairy Cows in the Kingdom of Saudi Arabia

  • Ali, A.K.A.;ALEssa, A.A.;Alshaikh, M.A.;Aljumaah, R.S.;Al-Haidary, A.A.;Alkraidees, M.S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제18권3호
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    • pp.308-313
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    • 2005
  • Logistic Regression Analysis was used to compute the odds ratio (OR) and probability of conception of Holstein dairy cows of AL-MARAIE company. Data consisted of 103,778 reproductive records collected from three farms in the central region in the Kingdom of Saudi Arabia. Records were classified according to lactation number, season of calving and milk level. At first lactation, OR of first service was 0.63 of other services and probability of pregnancy from first services was 0.39. Odds ratio increased to 1.72 at fourth lactation or probability of conception reached 0.63. The probability of conception increased from 0.39 for cows inseminated at first services to 0.75 at fifth service insemination. Odds ratio of cows calving in winter were higher than those calving in summer. Odds ratio of conception of low producing cows is about twice as likely to occur from first service as from other services. However, OR of conception of high producing cows was higher than one (probability=0.56) from first service and increased to 1.63 (probability=0.65) from third service. Odds ratio was in favor of the right uterus horn where probability of conception from first service was slightly greater than 50% in first and second lactations and less than 50% in favor of left horn in later lactations.

한국재래산양 머리뼈에 대한 두개계측학적 연구 (Craniometric studies on the skull of Korean native goat)

  • 이성준;이흥식
    • 대한수의학회지
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    • 제34권4호
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    • pp.705-714
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    • 1994
  • This study was carried out to identify the craniometric characteristics of the skull of Korean native goat. The results were as follows; The skull index, cranial index, facial index, right orbital index and left orbital index were $55.86{\pm}2.14$, $59.97{\pm}3.68$, $107.03{\pm}5.71$, $92.22{\pm}4.54$and $90.47{\pm}5.48$, respectively. The ratio of facial length to cranial length was 1:1.15 and the ratio of length of cranial base to palatal length was 1:1.35. The skull length was more correlated to the facial length than to the cranial length(p<0.01). The skull width was more correlated to the width between foramina supraorbitales than to the width between foramina infraorbitales. It also showed negative correlation to the medial width between bases of processus cornualis but positive correlation to the lateral width between bases of processus cornualis(p<0.01). The width between tips of both horns showed high positive correlation to the medial width between processus cornualis, but negative correlation to the lateral width(p<0.01).

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외상성 횡격막 손상 (Traumatic Injury of Diaphragm)

  • 백광제
    • Journal of Chest Surgery
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    • 제25권10호
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    • pp.1001-1012
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    • 1992
  • 13 cases of traumatic diaphragmatic ruptures were treated at the department of thoracic and cardiovascular surgery in Lee-Rha general hospital, Cheong-Ju, Choong Cheong Buk Do, between Oct. 1989 and Feb. 1992. The above 13 cases were reviewed in this study. And the following results were obtained. 1. Sex ratio is 11: 2 with male dominance 2. The 9 cases were due to blunt trauma and other 4 cases were due to penetrating injury. 3. Right side injury was more common than left[7: 5] and there was 1 case of central type which ruptured through subepicardial diaphragm. 4. All of the cases had association injury. 5. Preoperative diagnosis was possible in the 9 cases and others were diagnosed during operation under other indication. 6. Finger exploration was one of effective diagnostic procedure. 7. All of diaphragmatic ruptures was corrected through thoracotomy and exploratory laparotomy was done in 6 cases. 8. A patient died after operation due to associated injuries.

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선천성 횡경막 내번증 (Congenital Diaphragmatic Eventration: Report of 4 Cases)

  • 김자억
    • Journal of Chest Surgery
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    • 제11권1호
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    • pp.92-96
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    • 1978
  • Congenital diaphragmatic eventration is a rare disease and generally accepted as an abnormally high position of part or all of the diaphragm, usually associated with a marked decrease in muscle fibers and a membranous appearance of the abnormal area. There were 4 cases of the congenital diaphragmatic eventration at the Dept. of Thoracic Surgery, Seoul National University Hospital, from 1957 to 1977. They were two boys and two girls and ranging from 1 day to 3 years of age. They were all repaired by surgical operation and one was expired postoperatively, another one was dead one year later due to complication. The ratio between right and left was 1:3 and their symptoms were cyanosis, dyspnea and frequent respiratory disease. In physical examination there was noted decreased breathing sound on the affected lung field and bowel sound was audible in some cases. Diagnosis was done by Chest X-ray and plication of the affected diaphragm was usually done in operation. There were noted atelectasis and cystic change of the affected side lung. And the liver, colon, spleen and small intestine were found in the dome of the eventrated diaphragm.

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Directivity Pattern Simulation of the Ears with Two Pairs' Hearing Aid Microphone Arrays by BEM

  • Jarng Soon Suck;Kwon You Jung
    • The Journal of the Acoustical Society of Korea
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    • 제24권2E호
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    • pp.38-45
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    • 2005
  • The noise reduction of the In-The-Ear (ITE) hearing aid (HA) can be achieved by arrays of microphones. Each of the right and the left ears was assumed to have two HA microphones. These arrays of HA microphones produce particular patterns of directivity by some time delay between two microphones. The directivity pattern geometrically increase the S/N ratio. The boundary element method (BEM) was used for the three dimensional simulation of the HA directivity pattern with the two pairs' microphone arrays. The separation between two microphones was fixed to 10 mm. The time delay between the two microphones was calculated to produce the most narrow directivity pattern in the fore front of the head. The variation of the time delay was examined in accordance with input frequencies. This numerical analysis may be then applied for the calculation of the time delay parameter of the digital hearing aid DSP chip.

Behavior of Lateral Earth Pressure around the Underpass Constructed by the STS Construction Method

  • Jin, Kyu-Nam;Kim, Hyo-Jin;Sim, Young-Jong
    • 토지주택연구
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    • 제7권4호
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    • pp.271-279
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    • 2016
  • Recently developed trenchless construction methods ensure stability for the ground settlement by inserting steel pipes along the underpass section and integrating steel pipes before ground excavation to form pipe-roof. This study is to confirm the reinforcing effect of pipe-roof by measuring lateral earth pressure acting on the underpass constructed by the STS (Steel Tube Slab) construction method. For this purpose, lateral earth pressure was measured at the left and right side of the pipe-roof after installing earth pressure cells. As a result, lateral earth pressure was measured with considerable reduction because the integrated pipe-roof shared surcharge. Therefore, economic design for the underpass could be expected by sharing design load by pipe-roof. In addition, construction cost was analyzed according to the design-load sharing ratio by pipe-roof. As pipe-roof shares design load by 40%, the total construction cost can decrease by almost 10% in the case of four-lane underpass.

외상성 횡경막 손상치험 12예 (Traumatic Diaphragmatic Injuries -Report of 12 cases-)

  • 이종국
    • Journal of Chest Surgery
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    • 제13권1호
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    • pp.52-59
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    • 1980
  • Twelve cases of traumatic diaphragmatic injuries were treated at the Chosun University Hospital from Feb. 1977 to Inn. 1980. The following results were obtained. l. Sex ratio incidence was 5:1, which male patients were predominant. 2. The age distribution at these cases, were ranged from 16 to 43 years of age, and average age was 27 years. 3. Left sided traumatic diaphragmatic injuries were far more common than right, which approximately incidence of 5:1 diaphragmatic injuries were due to blunt trauma [7 cases-traffic accident, 1 case-fall down], and stab wound [4 cases] in etiology. 4. Surgical repairs were done through only thoracotomy incision in blunt trauma cases, and through each thoracic and abdominal incision same time in 2 cases of stab wound. 5. 2 cases {16.7%] of blunt trauma were died before operation at emergency room, and no man died during or following operation. An overall mortality was 16.7%.

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그릴 스펙트로미터를 적용한 하다마드 트랜스폼 이미징 스펙트로미터에 대한 연구 (A Study on Hadamard Transform Imaging Spectrometers utilizing Grill Spectrometers)

  • 박영재;박진배;최윤호;윤태성
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1998년도 하계학술대회 논문집 B
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    • pp.601-603
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    • 1998
  • In this paper, Hadamard transform imaging spectrometers utilizing Grill spectrometers are proposed. General Hadamard Transform Spectrometers (HTS) carry out one-encoding through input masks, but Grill spectrometers carry out double-encoding through entrance and exit masks. Thus Grill spectrometers increase the signal-to-noise ratio by double-encoding. we reconfigure the system by using the Grill spectrometers which use a left cyclic S-matrix instead of the conventional right cyclic one. Then, we model the system and apply the mask characteristics method, i.e. $T^{I}$ method, to complete fast algorithm. Through computer simulations, we want to prove the superiority of the proposed system by comparing with the conventional HTS. From Observations concerning the average mean square error(AMSE) associated with estimates from the $T^{I}$ spectrum-recovery method, the relative performances of the two systems are compared.

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