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좌심저형성 증후군 경험 1 (Hypoplastic Left Heart Syndrome - Experience in one Patient -)

  • 장봉현
    • Journal of Chest Surgery
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    • 제20권2호
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    • pp.404-410
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    • 1987
  • An 18-day-old male neonate with hypoplastic left heart syndrome underwent surgical intervention by modification of the Norwood procedure on September 23, 1986. Hypoplastic left heart syndrome is a serious congenital cardiac anomaly that has a fatal outlook if left untreated. Included in this anomaly are [1] aortic valve atresia, and hypoplasia of the ascending aorta and aortic arch, [1] mitral valve atresia or hypoplasia, and [3] diminutive or absent left ventricle. Patent ductus arteriosus is essential for any survival, and there is usually a patent foramen ovale. Coarctation of the aorta is frequently associated with the lesion.z With a limited period of cardiopulmonary bypass, deep hypothermia, and circulatory arrest, the ductus arteriosus was excised. The main pulmonary artery was divided immediately below its branches, and the distal stump of the divided pulmonary artery was closed with a pericardial patch. The aortic arch was incised, and a 1 5mm tubular Dacron prosthesis was inserted between the main pulmonary artery and the aortic arch. A 4mm shunt of polytetrafluoroethylene graft was established between the new ascending aorta and the right pulmonary artery to provide controlled pulmonary blood flow. Following rewarming, the heart started to beat regularly, but the patient could not be weaned from cardiopulmonary bypass. At autopsy, the patient was found to have hypoplasia of the aortic tract complex with mitral atresia and aortic atresia. A secundum atrial septal defect was noted. Right atrial and ventricular hypertrophy was present, and the left ventricle was entirely absent. Although unsuccessful in this case report, continuing experience with hypoplastic left heart syndrome will lead to an improvement in result.

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압력 파형을 이용한 좌심실 확장 이완율의 실시간 추정 (Real Time Estimation of the Left Ventricular Diastolic Relaxation Rate using Intraventricular Pressure Waveform)

  • 천홍구;김희찬;손대원
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 추계학술대회
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    • pp.415-419
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    • 1997
  • The left ventricular relaxation rate is used as a golden standard which describes the left ventricular diastolic unction. So far, to get the rate of relaxation one should calculate the data after full recording, that is, off-line method. Therefore one cannot get the rate of relaxation in real-time while changing loading condition or infusing drug. But real time monitoring of the relaxation rate is necessary while changing loading condition or infusing drug to control the mechanics of heart and to get more information. We propose a new criterion to get the left ventricular relaxation rate and a real time algorithm. By comparison, it was turned out that our criterion outperforms others criterion.

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Assessment of Vertebral Left Atrial Size and C-reactive Protein in Dogs With Myxomatous Mitral Valve Disease

  • Hwang, Sun-Hwee;Song, Kun Ho
    • 한국임상수의학회지
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    • 제38권1호
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    • pp.16-20
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    • 2021
  • Recently, a new method of evaluating left atrial size called vertebral left atrial size (VLAS) was introduced in dogs. Total 155 dogs were examined at the Veterinary Medical Teaching Hospital of Chungnam National University. In this study, myxomatous mitral valve disease (MMVD) stage and VLAS showed a significant correlation in those dogs. Also, the relationship between C-reactive protein (CRP) and VLAS has yet to be examined. We found a strong positive correlation between VLAS and CRP-a significant increase in CRP was observed with increasing VLAS values. Thus, it would be beneficial to measure VLAS besides employing the current radiological and echocardiographic methods when evaluating heart size. Measuring VLAS could be an additional diagnostic tool for diagnosing MMVD in dogs.

Real- Time Estimation of the Ventricular Relaxation Time Constant

  • Chun Honggu;Kim Hee Chan;Sohn Daewon
    • 대한의용생체공학회:의공학회지
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    • 제26권2호
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    • pp.87-93
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    • 2005
  • A new method for real-time estimating left ventricular relaxation time constant (T) from the left ventricular (LV) pressure waveform, based on the isovolumic relaxation model, is proposed. The presented method uses a recursive least squares (RLS) algorithm to accomplish real-time estimation. A new criterion to detect the end-point of the isovolumic relaxation period (IRP) for the estimation of T is also introduced, which is based on the pattern analysis of mean square errors between the original and reconstructed pressure waveforms. We have verified the performance of the new method in over 4,600 beats obtained from 70 patients. The results demonstrate that the proposed method provides more stable and reliable estimation of τ than the conventional 'off-line' methods.

A New Species of the Genus Cavernocypris Hartmann, 1964 (Crustacea, Ostracoda) from Gosu cave in Korea

  • Kim, Byung-Woo;Kwon, Jung-Kyun;Lee, Won-Cheol
    • 한국전자현미경학회:학술대회논문집
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    • 한국현미경학회 2004년도 제35차 추계학술대회 및 제2회 HVEM 이용자 워크샵
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    • pp.105-110
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    • 2004
  • Cavernocypris gosuensis n. sp. (Cyprididiae, Cypridopsinae), a new subterranean ostracod species is described with figures of female valves, mouthparts, appendeges and SEM photos from Gosu cave, Danyang-Gun, Chungcheongbuk-Do in Korea. The new stygobiont speices is sixth of the genus Caveroncypris Hartmann, 1964 that characterized by both valeves with a median concave part in ventral view and two groove lines in dorsal view, the reduction of the furca, which is flagellum like in female and the left valve ventrally overlaps the right valve when the carapace is closed and can be distinguished from its congers by left valve with 6 muscle scars in innerpart, mandible palp with one claw and 3 setae on the terminal segment and without seta on the exterodistal border of segment III. The animals were collected within pH 7.31-8.74, temperature ($^{\circ}C$) 13.0-14.6 and dissolved oxygen (mg/l 6.75-14.84 from Aug.2003 to Sep.2004.

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Development of De Novo Cavernous Hemangioma after Radiosurgery for Cavernous Hemangioma

  • Yeon, Je-Young;Suh, Yeon-Lim;Kim, Jong-Hyun;Lee, Jung-Il
    • Journal of Korean Neurosurgical Society
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    • 제48권6호
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    • pp.532-533
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    • 2010
  • We report a rare case of cavernous hemangioma (CH) which developed in adjacent location to a preexisting CH after gamma knife radiosurgery (GKRS). A 36-year-old woman underwent GKRS for a CH in the left lentiform nucleus. Three-and-half years after radiosurgery, MRI revealed a new CH in the left caudate nucleus. Surgical excision of the new lesion was performed. The pathological examination confirmed the diagnosis of CH. In radiosurgery for CH, it should be noted that a new CH may develop, which is likely to result from the interaction between radiation and predisposing factors of the patient.

프로와 아마추어 골퍼의 골프스윙 동작시 족저압력 비교 분석 (Analysis of Plantar Foot Pressure During Golf Swing Motion of Pro & Amateur Golfer)

  • 이중숙;이동기
    • 한국운동역학회지
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    • 제15권2호
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    • pp.41-55
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    • 2005
  • In this study, weight carrying pattern analysis and comparison method of four foot region were suggested. We used three types of club(driver, iron7, pitching wedge). This analysis method can compare between top class golfer and beginner. And the comparison data can be used to correct the swing pose of trainee. If motion analysis system, which can measure the swing speed and instantaneous acceleration at the point of hitting a ball, is combined with this plantar foot force analysis method, new design development of golf shoes to increase comfort and ball flight distance will be available. 1. Regional change of force acting, in address, is evenly distributed on both feet. In back swing top, 76% on right foot, 75% on left foot as impact, and 86% on left foot as finish. As regional force acting, in address, pros get high marks on rare and inside of right foot and rare and outside for amateurs. In back swing top, it is higher as fore and inside of left foot, pros as rare part of right foot and amateurs as forefoot. In impact, it is higher for pros and amateurs in outside and rare part of left foot and fore and inside of right foot. In finish, for both pros and amateurs, it is higher for outside and rare parts of left foot. 2. For each club, forces are evenly distributed on both feet in address. In back swing top, the shorter a club is, the higher impact on right foot and the higher finish distribution on left foot. For all the clubs used, in each region, pros get higher on rare and inside of right foot and as amateurs on rare and outside of left foot in address. In back swing top, for all clubs, pros get higher on rare and outside of right foot as fore and outside for amateurs. In impact acting, for all clubs, rare and outside of left foot get higher. In finish, force concentrates on rarefoot. 3. On both feet force, right foot forces of amateurs is higher than those of pros in back swing top. In impact and finish, pros get higher on left foot.

저주파 대역에서 좌/우 구분이 가능한 지향성배열센서 구조 및 신호처리 기법 (A structure and signal processing of directional linear array for left/right discrimination in low frequency band)

  • 김대경;배은현;전상태;김태환
    • 한국음향학회지
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    • 제37권4호
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    • pp.188-195
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    • 2018
  • 본 논문은 기존 선배열센서에서 발생하는 좌/우 구분 모호성을 해결하기 위해 저주파 대역에서 좌/우 구분이 가능한 지향성배열센서 구조 및 신호처리 방안을 제안한다. 지향성배열센서는 기존 음향배열센서에 지향성을 가지는 DIFAR(Directional Frequency Analysis and Recording)배열센서를 추가 확장한 선배열센서 구조이며, 음향배열센서의 빔형성 결과와 DIFAR배열센서의 빔형성 결과를 융합/처리하는 신호처리 구조를 가진다. 이러한 지향성배열센서는 좌/우 구분이 가능한 기존의 이중 선배열센서와 비교하여 낮은 신호 대 잡음비 및 저주파수 대역에서 높은 좌/우 구분 성능을 나타낸다.

An Assessment of Vertebral Left Atrial Size in Relation to the Progress of Myxomatous Mitral Valve Disease in Dogs

  • Kim, Sun Hwa;Seo, Kyoung Won;Song, Kun Ho
    • 한국임상수의학회지
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    • 제37권1호
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    • pp.9-14
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    • 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.

에너지절약을 위한 반보호 좌회전 교차로의 신호시간설계 (Traffic Signal Timing at Semi-Protected Left-Turn Intersections for Energy Saving)

  • 김경환
    • 대한교통학회지
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    • 제5권2호
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    • pp.19-35
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    • 1987
  • Transportation energy saving is a national concern because all national petroleum energy is imported. A number of intersections are operating as semi-protected intersections, which have left-turn signal but not exclusive left-turn lanes, because of limited roadways in urban areas. Since the traffic signal methods for the intersections having left-turn signal/lanes cannot be applied to the semi-protected intersection, it is needed to develop a new technique. The purpose of this study was to develop a traffic signal timing method at semi-protected intersections for energy saving and to computerize the method for the practical use. A probability model which could estimate left-turn utilization factors of through traffic during green signal was developed based on field studies. Employing the factors, macro-models to estimate vehicular average delay and proportions of vehicles stopped at the semiprotected intersections were developed. The calculated values of the delay model agreed well with the simulated values of a simulation model using SLAM Ⅱ, a simulation language. Using the two models and the idling fuel consumption rate and the excess fuel consumption per stop-go speed change of vehicles. a traffic signal timing method at semi-protected intersections for energy saving was developed and computerized. The method can be used for other measures of effectiveness such as minimum delay, minimum stop ratio, etc.

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