Twenty eight patients had undergone repair of an isolated complete atrioventricular septal defect between April 1986 and September 1990 in Seoul National University Children`s Hospital. The group comprised 13 male and 15 female patients. They ranged in age from 2 months to 8 years[mean 18.6months] and in weight from 3. 4kg to 23kg[mean 9.0$\pm$4.6kg]. They were analysed as Rastelli type A in 17 patients, Rastelli type B in 2 patients, and Rastelli type C in 9 patients. Seven patients had concomitant Down`s syndrome. All patients had large left-to-right shunt[mean pulmonary to systemic flow ratio 3.5 $\pm$2.2 ranging from 0.68 to 10.0] and high pulmonary systolic pressure[mean 74$\pm$18.8mmHg, ranging from 35 to 110]. In 11 patients, one patch technique was used to close the atrial and ventricular septal defect and 16 patients were undergone by two patch technique. We urgently managed only one patient by pulmonary artery banding whose anatomy was Rastelli type C and severe mitral regurgitation was identified. Postoperative complete A - V block was noted in 3 patients, two of whom were dead in operating room due to combined LVOTO and myocardial failure, and one patient with Rastelli type C was undergone by VVI type permanent pacemaker insertion 1wk later after two patch technique, but we had to manage him by modified Konno operation and total correction due to LVOTO and VSD leakage and severe mitral regurgitation 3 years later. Another two reoperation cases due to severe mitral regurgitation after two patch technique were undergone, one of whom we managed by mitral annuloplasty 3 months later but aggravated mitral regurgitation made us to control him by MVR 3 months later. Another one case of VSD leakage and tricuspid regurgitation was managed by total correction but she died of respiratory insufficiency 14 days later. We experienced pulmonary hypertensive crisis in 3 patients, who were dead in two cases comparing with one control case. So operative mortality is 9/27[33.6%], in one patch group of 3/11[29.2%] comparing with two patch group of 6/16[37.5%]. In summary, causes of death were pump weaning failure, myocardial failure and low cardiac output syndrome and pulmonary hypertensive crisis, resp. failure, complete AV block. Mean follow up period is 15.8$\pm$10.7 months[ranging from 3months to 37 months]
Lee Sang-Yong;Lee Eun-Kyong;Kwon So-Hee;Jung He-Kyong;Kim Sam-Tae;Chong Myong-Soo;Lee Ki-Nam
Journal of Society of Preventive Korean Medicine
/
v.7
no.2
/
pp.121-130
/
2003
The Musculoskeletal Disease has been ignored or turned away due to the difficulty of diagnosis and the vagueness of judgement up to now. Contrary to other diseases, there were many cases where the character of the Musculoskeletal Disease wasn't revealed through the objective inspection. And that's because the Musculoskeletal Disease appears for the most part due to muscular defect so it is impossible to diagnose the muscle by X-ray diagnosing the bone and it is also impossible to diagnose the fine damage of the muscle or tendon even by advanced device like MRI. As the nervous blood vessels or acupunctures pass through or are next to the muscle, the tension of the muscle put pressure on these so can become the direct or indirect causes of various kinds of pains or intern diseases. But in spite of that, for lack of proper equipment diagnosing the state of the muscle(Shortened.. Relaxed... or Hardened...) the muscle has been disregarded or neglected intentionally or unintentionally. While many people think themselves to be a muscular expert, if they don't see the shape of the muscle, that is just like blind treatment. But as now the equipment diagnosing the state of the muscle is developed, it seems that this problem can be settled. It was attempted in this study that the muscle or skeleton of the Musculoskeletal disease patients was diagno the treatment order and method were decided by a questionnaire survey and simple inspection, and the Musculoskeletal correction exercise using the muscle management and sling system made them escape from the Musculoskeletal disease, turning their muscle into more flexible and stronger muscle. As a result notwithstanding the limited treatment period '12 times', the improvement rate was as high as 74%, which showed that the muscle management and Musculoskeletal correction exercise had a great effect on the symptom improvement of the patients. If the treatment times had increased, the improvement rate also would have increased more.
Since 2000, as importance of sourcing energy emphasized caused by instability of international oil price, interests toward Caspian countries as an alternative markets has increased. Especially, Azerbaijan, as middle Asian emerging exporting country, has performed drastic economic boom because of massive amount of foreign capital flowed in and construction of BTC pipeline. However, despite this economic surge, there are unbalanced economy which is merely focusing on energy industry and pressure from increase in real exchange rate and inflation. In order to analyze the sustainability of Azerbaijan economy, the total sample time period of this paper is from January 2001 to December 2007 and the term is divided into before and after BTC line construction. Vector Error-Correction Model has been applied to analysis confirming short-term and long-term effect. As a result, Azerbaijan now face the symptoms of the recession during the time period and this is due to high oil price and increase in export influenced by BTC oil pipeline resulting in decrease in real interest rate. This conclusion is to affect competitiveness of manufacturing industry, base industry for economic proliferation, in a negative way.
Previous settlement prediction methods based on settlement monitoring were developed under instantaneous loading condition and have restriction to be applied to soft ground under ramp loading condition. In this study, settlement prediction method under ramp loading was developed. New settlement prediction method under ramp loading considered influence factors of consolidation settlement such as thickness of clayed layer, quantity of surcharge load and preconsolidation pressure, etc. Geometrical correction method based on hyperbolic method (1991) and correction method based on probability theory were applied to increase accuracy of settlement prediction using field monitoring data after ramp loading. Large consolidation tests for ideally controlled one dimensional consolidation under ramp loading condition were performed and the settlement behavior was predicted based on the monitoring data. New prediction method yielded good result of entire settlement behavior by using data during an early stage of ramp load. Additionally, new prediction method offered better settlement prediction which had final settlement prediction in close proximity and low RMSE(Root Mean Square Error) than previous method such as hyperbolic method did.
Many industrial processes require reliable temperature measurements in harsh environments with high temperature, dust, humidity, and pressure. However, commercially-available conventional temperature measurement devices are not suitable for use in such conditions. This study thus proposes a reliable, durable two-color radiation thermometer (RT) for harsh environments that was developed by selecting the appropriate components, designing a suitable mechanical structure, and compensating environmental factors such as absorption by particles and gases. The two-color RT has a simple, compactly-designed probe with a well-structured data acquisition system combined with efficient LabVIEW-based code. As a result, the RT can measure the temperature in real time, ranging from 300 to $900^{\circ}C$ in extremely harsh environments, such as that above the burden zone of a blast furnace. The error in the temperature measurements taken with the proposed two-color RT compared to that obtained using K-type thermocouple readouts was within 6.1 to $1.4^{\circ}C$ at a temperature range from 200 to $700^{\circ}C$. The effects of absorption by gases including $CO_2$, CO and $H_2O$ and the scattering by fine particles were calculated to find the transmittance of the two wavelength bands of operation through the path between the measured burden surface and the two-color probe. This method is applied to determine the transmittance of the short and long wavelength bands to be 0.31 and 0.51, respectively. Accordingly, the signals that were measured were corrected, and the true burden surface temperature was calculated. The proposed two-color RT and the correction method can be applied to measure temperatures in harsh environments where light-absorbing gases and scattering particles exist and optical components can be contaminated.
Journal of Korean Society of Occupational and Environmental Hygiene
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v.8
no.2
/
pp.186-195
/
1998
The objective of this study was to determine if MWF(metalworking fluids) mass sampled on PVC filter lose during flowing airstream and desiccating and to present direction to correct the underestimated MWF mass. Flowing airstream caused MWF sampled on PVC filter to be breakthrough and lost. Loss of MWF on PVC filter increased in proportion to time of flowing airstream. Meanwhile, loss of MWF was observed during desiccating without flowing airstream. Vapor pressure of MWF is so low that it would not normally be thought to evaporate. However, MWF mist sampled on PVC filter has so great a surface area that loss by flowing airstream and evaporation can be appreciable. Loss between fresh and used MWF was also different. Those study results mean that NIOSH method(#0500 method) to take airborne MWF mist with PVC filter is not valid. Media to sample airborne MWF accurately still have not been introduced. It seems to be needed to estimate how much MWF on PVC filter may be lost during sampling. Regression model between sampling time including 1 day desiccating and total loss of MWF was "Total loss(%)=18.4%+0.06 sampling time(p=0.000, r2=49.6%)". This model help correct MWF lost when one measures airborne MWF using NIOSH # 0500 method.
Twenty one cows in Goyang and Paju cities were referred due to displacement of the abomasum and foreign body in the rumen. Omentopexy and rumenotomy through a right flank celiotomy were performed for treatment of abomasal displacement and the foreign body removal in the rumen. The right paralumbar fossa is clipped and prepared surgically. Local anesthesia is instituted by performing inverted L block. The abdomen was entered through 25 to 30 cm vertical incision in the right paralumbar fossa starting 4 to 5 cm ventral to the transverse processes of the lumbar vertebrae. A 14-gauge needle with rubber tubing attached is inserted to relieve the gaseous pressure and to facilitate further exploration and manipulation. The rumen was gently pulled out of the abdominal cavity and incision was made at the omentum. Rumenotomy was done and retrieved the foreign body. After the rumen was rinsed with sterile saline, the rumen wall was closed by a Lembert suture technique. The omentum was closed by a simple continuous suture. Right flank omentopexy was performed for the surgical correction of abomasal displacement. Recovery results among 21 cows included 9 excellent, 5 good, 2 fair and 5 bad. It was considered that operation of abomasal displacement and foreign body removal in the rumen through right flank celiotomy was a good surgical technique to reduce expenses, surgical pain, and surgery time.
Moderns have desire likely to be further good-looking concomitant with a qulitative advancement of the life. Orthognathic surgery for the correction of dentofacial deformities is a common elective procedure. It's possible to occur many complication during the operations and especially, an excessive bleeding of those may be fatal and so a tranfusion is performing for the prevention and management of that. The most notable of these for reduction of blood loss is the utilization of induced hypotensive anesthetic technique to reduce the mean arterial pressure between 55 and 60 mmHb. Another method for dealing with blood loss following orthognathic surgery is the transfusion of blood obtained as an autologous tranfusion or from banked blood. Some of the disadvantage of banked blood are overcome with the use of predeposited autologous transfusion. But currently, surgeons try so that even autologous transfusion may not transfuse the patients. We made a comparative study of hematologic change and transfusion requirement based on a series of 200 patients who had an orthognathic surgical procedure at Chonbuk National University during the period 2001-2005. This study is to make a comparative analysis of an post-operative hematologic (Hemoglobin, Hematocrit, Red blood cell) change and duration of the procedure under induced hypotensive anesthesia in healthy orthognathic patients.
Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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v.18
no.5
/
pp.9-15
/
2004
The most shortcoming of metalhalide lamps is what the instant restarting cannot be realized when the arc tube is in the hot condition. The discharge starting voltage of arc tube in the hot condition is much higher than in the cold condition. Therefore it takes about five minutes to restart the metalhalide lamps, that is to say, it is possible to start when the pressure and the temperature are decreased. But, if the lamp is restarted in the hot condition, we must supply the high voltage pulse with 20[kV] at the both electrode of lamp. The proposed electronic ballast is consist of a electromagnetic interference(EMI) filter, a power factor correction(PFC) circuit, a flyback converter, a half-bridge inverter, and a high voltage igniter circuit. By this composition we can start/restart the lamp with the voltage 20[kV], even if the lamp is in the hot condition.
Park, Jong-Won;Shin, Dong-Hoon;Lee, Mi-Young;Suh, Suk-Kwon
Journal of Preventive Medicine and Public Health
/
v.28
no.3
s.51
/
pp.543-550
/
1995
The authors conducted a cross-setional study to evaluate the differences of screening test results between clerks and laborers in an occupational health center in Taegu, 1992. A total of 10, 207 workers was included in the study. Of these, male were 6,597 and female 3,610. Constitutional variables included were items of health examination and some confounding variables(sex, age, body weight and work duration). All analyses were conducted separately for each sex through the use of multiple logistic regression analysis on occupation, controlling for age, work duration, and body weight. Laborers showed abnormal hearing test more often than clerks in both sexes. The blood pressure that showed statistical significance in univariate analysis in both sexes lost its significance after controlling covariates. Liver function and urine protein had statistically significant differences between two occupational groups in males and visual correction did in females. The results suggest that there are differences clerks and laborers in some of screening tests and analytic studies are needed to identify the causes of the differences.
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