• Title/Summary/Keyword: Rare Class

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Surgical Correction of Ebstein's Anomaly -11 cases- (Ebstein 기형의 외과적 치료 - 11례 -)

  • 이선희;김시훈;윤정섭;김치경;조건현;왕영필;곽문섭;김우찬
    • Journal of Chest Surgery
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    • v.29 no.11
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    • pp.1202-1206
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    • 1996
  • Ebstein's anomaly is an unusual and a rare congenital cardiac malformation but characteristic abnormality of the development of the tricuspid valve, right atrium and ventricle. The characteristic findings are a displaced tricuspid valve with a septal leaflet spiralling into the right ventricle. The surgical correction is variable and are left unsolved problem in surgical treatment of anomaly. Between January 1988 & December 1995, we experienced 11 cases of Ebstein's anomaly and associated cardiac anomalies are ASD, PFO, ASD with VSD. The typically displaced tricuspid valve leaflet was found in all cases. In the NYHA functional classification, three were in class II, seven were in class III, and one was in class IV. Nine patients were operated by tricuspid annuloplasty & plication with Danielson's method and two patients were done by tricuspid valve replacement with plication, and in all cases associated anomaly was corrected. Postoperatively, five patients suffered from complication - low cardiac output syndrome, arrhythmia and wound infection. There was no operative mortality and the postoperative courses were relatively good conditions with more improvement of symptoms.

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Long-Term Management of Seizures after Surgical Treatment of Supratentorial Cavernous Malformations : A Retrospective Single Centre Study

  • Dziedzic, Tomasz A.;Koczyk, Kacper;Nowak, Arkadiusz;Maj, Edyta;Marchel, Andrzej
    • Journal of Korean Neurosurgical Society
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    • v.65 no.3
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    • pp.415-421
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    • 2022
  • Objective : Seizure recurrence after the first-ever seizure in patients with a supratentorial cerebral cavernous malformation (CCM) is almost certain, so the diagnosis and treatment of epilepsy is justified. The optimal method of management of these patients is still a matter of debate. The aim of our study was to identify factors associated with postoperative seizure control and assess the surgical morbidity rate. Methods : We retrospectively analysed 45 consecutive patients with a supratentorial CCM and symptomatic epilepsy in a single centre. Pre- and postoperative epidemiological data, seizure-related patient histories, neuroimaging results, surgery details and outcomes were obtained from hospital medical records. Seizure outcomes were assessed at least 12 months after surgery. Results : Thirty-five patients (77.8%) were seizure free at the long-term follow-up (Engel class I); six (13,3%) had rare, nocturnal seizures (Engel class II); and four (8.9%) showed meaningful improvement (Engel class III). In 15 patients (33%) in the Engel I group; it was possible to discontinue antiepileptic medication. Although there was not statistical significance, our results suggest that patients can benefit from early surgery. No deaths occurred in our study, and mild postoperative neurologic deficits were observed in two patients (4%) at the long-term follow-up. Conclusion : Surgical resection of CCMs should be considered in all patients with a supratentorial malformation and epilepsy due to the favourable surgical results in terms of the epileptic seizure control rate and low postoperative morbidity risk, despite the use of different predictors for the seizure outcome.

The Flora of Habitats Distributed with Allium victorialis var. platyphyllum Populations in the South Korea (우리나라 산마늘 개체군 자생지의 식물상)

  • Kim, Hye-Jin;Doh, Eun-Soo;Chang, Jun-Pok;Choi, Myung-Suk;Yang, Jae-Kyung;Cho, Hyun-Je;Bae, Kwan-Ho;Shin, Hak-Sub;Park, Hee-Kwon;Lee, Seo-Hui;Yun, Chung-Weon
    • Korean Journal of Environment and Ecology
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    • v.25 no.3
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    • pp.284-294
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    • 2011
  • This study was conducted to investigate the flora of habitats distributed with Allium victorialis var. platyphyllum populations in the South Korea. The vascular plants were surveyed 4 times from March 2009 to June 2010. The flora of studied area was listed as 214 taxa; 64 families, 142 genus, 181 species, 2 subspecies, 30 varieties, 1 forma. According to the specific plant species by classes, class I has 17 taxa; 15 families, 16 genus, 15 species, 2 varieties. Class II has 16 taxa; 13 families, 16 genus, 15 species, 2 varieties. Class III has 20 taxa; 16 families, 19 genus, 18 species, 2 varieties. Class III has 20 taxa; 16 families, 19 genus, 18 species, 2 varieties. Class IV has 23 taxa; 20 families, 23 genus, 19 species, 4 varieties. Class V has 2 taxa; 2 families, 2 genus, 2 species. Rare plant was 12 taxa; 9 families, 11 genus, 10 species, 2 varieties. Endemic plant was 21 taxa; 17 families, 19 genus, 18 species, 3 varieties. Endangered plant was not present in study area. It was considered that the ecosystem was probably stabilized for nothing of naturalized species and ecosystem disturbance species there. The characteristics of growth environments in the habitats with Allium victorialis var. platyphyllum were considered to be related to valley species and subalpine species such as Actinidia polygama, Cornus controversa, Rhododendron brachycarpum and Sorbus commixta.

The Spatial and Environmental Characteristics Analysis of Wild Animals Using GIS: a Case Study of Baekdudaegan Region, Gangwon-do (GIS를 이용한 야생동물의 공간적·환경적 분포특성 분석: 강원도 백두대간 보호지역을 대상으로)

  • Park, Jeongmook;Lee, Jungsoo
    • Journal of Forest and Environmental Science
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    • v.29 no.1
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    • pp.90-98
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    • 2013
  • The purpose of this study was to understand the geographical and environmental distribution of wild animals in Baekdudaegan region using field survey and GIS data. Crucial factors were selected and analyzed to understand the distributional characteristics of wild animals (7 species in 6 families) and rare endemic plants (14 species in 11 families). These crucial factors include stand factors (forest type, DBH class, and crown density), soil factors (bed rock, soil texture, and organic matter), geographical factors (elevation, slope, aspect) and climatic factors (temperature, rain fall, humidity). Finally, 10 factors were selected by statistical analysis and categorized for analyzing geographical and environmental features. Four families such as Muridae, Sciuridae, Suidae and Talpidea in wild animal showed the similar habitat characteristics with the 10 factors.

Mucormycosis: A Case Report and Review of Literature

  • Lee, Guem-Sug;Lee, Kyung-Hwa;Kim, Byung-Gook;Im, Yeong-Gwan
    • Journal of Oral Medicine and Pain
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    • v.39 no.1
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    • pp.29-33
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    • 2014
  • Mucormycosis is a rare but fatal fungal infection with low survival rate in immune-compromised patients. It is caused by a fungus belonging to the Mucoraceae family of the Zygomycetes class. Mucormycosis is classified as rhino-orbital-cerebral, pulmonary, cutaneous, gastrointestinal, disseminated, and miscellaneous types according to its clinical manifestations. Early diagnosis and treatment along with correction of the underlying medical condition is important for favorable results. This case presentation describes mucormycosis involving the anterior maxillary region in a leukemic patient with prolonged neutropenia. The patient benefited from a timely biopsy and immediate treatment with amphotericin B, and was successfully managed with an interdisciplinary team approach consisting of dental and several medical specialists.

Surgical Angioplasty of Isolated Left Coronary Ostial Stenosis (좌관상동맥 입구협착의 외과적 확장술)

  • 서필원
    • Journal of Chest Surgery
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    • v.28 no.3
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    • pp.247-252
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    • 1995
  • The isolated coronary ostial stenosis is rare and a critical lesion which requires urgent surgical intervention. Recently direct angioplasty is assumed as a preferable approach to conventional bypass grafting. From Mar. 1990 to Aug. 1993, six patients underwent direct angioplasty in Sejong Heart Institute. The mean age of 6 patients was 48 years [range 37 to 63 and they consisted with 5 females and one male. All had severe angina [class III or IV of short duration [mean 5.3 months and a low incidence of risk factors. Despite the crucial location of the lesion, most patients had well preserved left ventricular function and normal wall motion. We performed direct angioplasty with autologous pericardium via anterior approach except one patient who underwent direct angioplasty and CABG. One patient died 4 hours after angioplasty probably due to acute coronary dissection. The survived 5 patients maintain normal life without symptoms during 26.2 months follow up [range 5 to 47 months .Our preliminary results suggest that angioplasty of isolated coronary ostial stenosis in highly selected patient can be carried out with good results and relatively low operative risks.

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Clinical Study of the Left Atrial Plication in Giant Left Atrium (거대좌심방 환자의 좌심방 봉축술에 대한 임상적 고찰)

  • 김승철
    • Journal of Chest Surgery
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    • v.20 no.1
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    • pp.92-100
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    • 1987
  • On rare occasions, the left atrium may become extremely large in the mitral valvular disease, showing giant left atrium. The giant left atrium frequently produce compressing effects to the adjacent organs, resulting in the postoperative problems with regard to the hemodynamic and respiratory management. We experienced 13 patients with giant left atrium combined with mitral valvular disease from Oct. 1980 through June 1986. Eleven cases underwent mitral valve replacement with left atrial plication and the other 2 cases were underwent mitral valve replacement without left atrial plication. The follow-up period was 19.3 months in average. There were remarkable postoperative improvements in the chest roentgenogram, echocardiogram, lung function test, NYHA functional class in patients who underwent plication procedure. The postoperative mortality was 9% in plication cases and 50% in non-plication cases.

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Observational Evidence for the Coevolution between Supermassive Black Holes and Host Galaxies

  • Kim, Minjin
    • The Bulletin of The Korean Astronomical Society
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    • v.41 no.2
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    • pp.29.5-30
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    • 2016
  • (1) The correlation between the mass of supermassive black holes (SMBHs) and the properties of their host galaxies suggests that SMBHs and host galaxies are closely linked in their formation and evolution. While the exact origin of their relationship is still under debate, theoretical models often invoke feedback from active galactic nuclei as a crucial mechanism for establishing the BH-host correlation. In the first part of my talk, I will present our efforts to find observational sign of the AGN feedback in young luminous AGNs. (2) While intermediate-mass black hole (IMBH) is thought be cosmologically important class to understand the link between stellar mass black holes and SMBHs, it is extremely rare in the present-day Universe. In the second part of this talk, I will report a Gemini/GMOS-N IFU study of an ultraluminous X-ray source in NGC 5252, which is a possible candidate of an off-nuclear non-stellar black hole.

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Structural Vibration Characteristics of a MW-Class Wind Turbine Tower Considering Earthquake Base Excitation (지진기반 가진효과를 고려한MW 급 풍력발전기 타워의 구조진동 특성연구)

  • Kim, Dong-Man;Park, Kang-Kyun;Kim, Dong-Hyun;Kim, Su-Hyun
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2009.04a
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    • pp.616-620
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    • 2009
  • Modern wind turbines have been mainly erected in region where earthquake are rare or normally weak, especially Korea was thought as safety zone from earthquake. But recently, the earthquake occurs more and more frequently. So, the wind turbine design is required the structural and functional stability under the earthquake. The earthquake can influence normal operation, even if a weak earthquake. There are two ways to review the design under earthquake using Computer Applied Engineering (CAE). One is the Response Spectrum Analysis (RSA) the other is Time History Analysis (THA). In this research, dynamic response on time is obtained under the earthquake by taking into account ground accelerogram consistent with the relevant standards applied to the turbine foundation.

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An Exploratory Study on Late Parenthood (늦부모됨에 관한 탐색적 고찰)

  • Kim, Yong-Mi
    • Journal of Families and Better Life
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    • v.23 no.6 s.78
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    • pp.167-178
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    • 2005
  • The purpose of this study was to investigate various assects of late parenthood among Korean parents, including motivation, emotional response, advantages and disadvantages of late parenthood, intimacy, and effects on child. Subjects were IS mothers who gave birth after 35 years old for both mother and father. The study was conducted by means of a questionnaire and an in-depth interview. The most significant reason for late parenthood was found to be a son preference. brothers of the only could expressed very special emotional responses toward the child, compared to those who gave a birth to the second or the third child after 35. Respondents identified advantages and disadvantages of late parenthood in terms of child rare attitudes, maturity, financial conditions, and physical strength. However, most of the respondents would not recommend late parenthood to others. Directions for future research were given in terms of subjects of study, such as parents from rural area, working class, and wide range of ages.