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Surgical correction of complex cyanotic cardiac malformations (청색증성 복잡심기형의 교정수술)

  • 김종환
    • Journal of Chest Surgery
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    • v.16 no.1
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    • pp.18-29
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    • 1983
  • Thirty-two patients with a cyanotic cardiac malformations having more complex intracardiac defects than ones in a tetralogy of Fallot underwent complete intracardiac repairs in a-full-year period from July 1981 to June 1982. Twenty-two patients [68.8%] died within 30 days after surgery: Transposition of the great arteries, seven of 10 patients; Double-outlet right ventricle, four of 6 patients; Tricuspid atresia, four of 6 patients; Single ventricle, all of 4 patients; Pulmonary atresia, two of 3 patients; Double-outlet left ventricle, none of 2 patients; and Truncus arteriosus, one of a single patient. All deaths occurred with a low cardiac output syndrome or a failed off-bypass, and they were almost always accompanied with other grave postoperative complications. The complex intracardiac anatomy itself was one of the risk factors by making a complete intracardiac repair of the defects difficult in a small heart. The reconstruction of the right ventricular outflow carried a difficulty in balancing an adequate relief of the obstruction with an avoidance of making too much pulmonary valvular insufficiency as well. On the other hand, the presence of an elevated pulmonary arterial pressure and a high pulmonary vascular resistance was also the factors affecting the postoperative surviv als. The importance of detailed knowledge of intracardiac anatomy and hemodynamics from the careful preoperative evaluation of the patient was discussed along with the necessity of technical refinement of the correction.

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Seepage Characteristics under Concrete Dam (콘크리트댐 하부에서의 침투특성)

  • Lee, Seung-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2773-2778
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    • 2012
  • Formulation of finite difference method for analyzing seepage under concrete dam was carried out in order to find out characteristics of flow net. For the situation without curtain, slope of equipotential line of nonhomogeneous soil is greater in the region which has higher value of coefficient of permeability. By comparing analysis results between the situations with locating curtain at the center portion and left end, velocity of flow along with the face of the right hand side of the curtain for the situation with left end curtain is lower than that for the situation with center curtain. Considering flow in the region of the right of the curtain, streamline for the situation with left curtain gets horizontal relatively.

Differences in electric potential of meridian system -Comparing electrical potentials of patients with Lumbago due to strain and contusion- (좌섬요통 환자의 12경맥 전위측정 연구)

  • Choi, Hwan-soo;Nam, Bong-hyun
    • Journal of Acupuncture Research
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    • v.21 no.5
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    • pp.101-111
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    • 2004
  • Objective : Assuming that the characteristic of meridian system has been similar to this of electric potentials in human body and that measurements of electric potential at well(井穴) and sea (合穴) points in branches of the twelve meridians(WSBTM) will be representative of measurements of the twelve meridians, to measure the electric potentials of 13 patients with Lumbago due to strain and contusion(좌섬요통<挫閃腰痛>, LSC), to find out the characteristic of meridian system in patients with LSC. Methods : Electric potentials of well and sea points in the meridians in twenty one patients with the pain in the lion diagnosed as LSC were repeatedly measured by physiograph(PowerLab). Measurements of those electrical potentials were analyzed by factor analysis. Results : The electric potentials of WSBTM at the left side were divided into four factors. On the other hand those at the right side Were divided into four factors. Conclusion : In conclusion, their electrical potentials at the left and right side were factors which are different from each side. Thus electrical potentials of well and sea points might be the representative meridian to show their characteristics.

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Biomechanical Analysis on Kinematic Chains Type of Trunk (체간의 운동연쇄 형태에 따른 운동역학적 분석)

  • Han, Je-Hee;Woo, Byung-Hoon
    • Korean Journal of Applied Biomechanics
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    • v.20 no.3
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    • pp.277-284
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    • 2010
  • The purpose of this study was to investigate the trunk rotation type by wheel and axle. In order to analysis, 3D-motion analysis and electromyography were conducted on kinematic variables, impulse, average-EMG and integrated-EMG. Twelve healthy (age: $21.8{\pm}2.2$ yrs, height: $175.4{\pm}5.0cm$, weight: $66.7{\pm}6.4kg$) participated in the experiment. The results were as follows; in hand's velocity and acceleration, wheel and axial rotating movement using kinematic chain(type 3) were much faster. In impulse, type 3 was much stronger. In average-EMG, right and left, latissimus dorsi muscles was much stronger. In integrated-EMG, left erector spinae, right/left latissimus dorsi, and left external oblique muscles was much stronger. These results considered that, in the trunk rotation utilizing the kinematic chains action, latissimus dorsi muscles highly contribute to the muscle utilization that makes the rotating movement maximally effective.

Chromosome 11q13 deletion syndrome

  • Kim, Yu-Seon;Kim, Gun-Ha;Byeon, Jung Hye;Eun, So-Hee;Eun, Baik-Lin
    • Clinical and Experimental Pediatrics
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    • v.59 no.sup1
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    • pp.10-13
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    • 2016
  • Chromosome 11q13 deletion syndrome has been previously reported as either otodental syndrome or oculo-oto-dental syndrome. The otodental syndrome is characterized by dental abnormalities and high-frequency sensorineural hearing loss, and by ocular coloboma in some cases. The underlying genetic defect causing otodental syndrome is a hemizygous microdeletion involving the FGF3 gene on chromosome 11q13.3. Recently, a new form of severe deafness, microtia (small ear) and small teeth, without the appearance of eye abnormalities, was also reported. In this report, we describe a 1-year-old girl presenting with ptosis of the left upper eyelid, right auricular deformity, high-arched palate, delayed dentition, simian line on the right hand, microcephaly, and developmental delay. In this patient, we identified a deletion in the chromosome 11q13.2-q13.3 (2.75 Mb) region by using an array-comparative genomic hybridization analysis. The deletion in chromosome 11q13 results in a syndrome characterized by variable clinical manifestations. Some of these manifestations involve craniofacial dysmorphology and require a functional workup for hearing, ophthalmic examinations, and long-term dental care.

The Study on Difference in Height Cognition Ability in Dominant and Non-dominant Eye (우세눈과 비우세눈의 높낮이 식별 인지능력 차이에 관한 연구)

  • Choi, Yul-Jung;Lee, Jun-Yong;Sim, Hyun-Po
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.22 no.2
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    • pp.29-33
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    • 2016
  • Background: The purpose of this study was to investigate the difference of height cognition ability according to dominant or non-dominant eye. Methods: Forty one healthy adults (male: 19, female: 22, 22-43 years) participated in this study. Hole in the card test was performed to identify dominant eye. To figure out height cognition ability between dominant and non-dominant eye, we had subjects answer which point is higher or even on the monitor. Results: The Right answer on dominant eye was $8.15{\pm}1.44$ point and the right answer on non-dominant eye was $7.56{\pm}1.55$ point. There was a statistically significant difference between dominant eye group and non-dominant eye group (p<.05). Conclusion: We think that the dominant eye may be used for reliable diagnosis. In future study, investigate on relation between dominant hand and dominant eye and the difference of dominant eye and non-dominant eye when to palpation are required.

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Differences in electric potential of meridian system -Comparing electrical potentials of patients with Lumbago due to the kidney deficiency- (신허요통 환자의 12 경맥 전위측정 연구)

  • Nam, Bong-Hyun;Choi, Hwan-Soo
    • Korean Journal of Oriental Medicine
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    • v.9 no.1
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    • pp.103-111
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    • 2003
  • Objectives : Assuming that the characteristic of meridian system has been similar to this of electric potentials in human body and that measurements of electric potential at well(井穴) and sea(合穴) points in branches of the twelve meridians(WSBTM) will be representative of measurements of the twelve meridians, to measure the electric potentials of 16 patients with Lumbago due to the kidney deficiency(腎虛腰痛, LKD), to find out the characteristic of meridian system in patients with LKD. Methods : Electric potentials of welt and sea points in the meridians in twenty one patients with the pain in the lion diagnosed as LKD were repeatedly measured by physiograph(PowerLab). Measurements of those electrical potentials were analyzed by factor analysis. Results : The electric potentials of WSBTM at the left side were divided into five factors. On the other hand those at the right side Were divided into t1vee factors. Conclusions : In conclusion, their electrical potentials at the left and right side were four different factors search side. Thus electrical potentials of welt and sea points might be the representative meridian to show their characteristics.

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An Analysis of Assessment Items Based on Strands of Mathematical Proficiency (수학 실력(Mathematical Proficiency)의 구성요소별 평가 문항 분석)

  • Jeong, Gap-Nyeon;Ryu, Sung-Rim
    • Education of Primary School Mathematics
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    • v.13 no.1
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    • pp.1-11
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    • 2010
  • Assessment provides valuable information for both teachers and students regarding how well each is doing. Assessment also defines what students must know and be able to do to succeed in a teacher's class. The purpose of this study is to analysis the mathematics assessment items based on strands of mathematical proficiency of National Research Council. According to the study results, the rate of right answers was high in adaptive reasoning and conceptual understanding(over 80%). On the other hand, the rate of right answers was lower in strategic competence(62%) than other strands.

A Case Report of Sweet's Syndrome with Parotitis

  • Jo, Myoung-Soo;Lim, Young-Bin;Shin, Hea-Kyeong;Choe, Joon;Seul, Jung-Hyun;Jang, Tae-Jung
    • Archives of Plastic Surgery
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    • v.39 no.1
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    • pp.59-62
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    • 2012
  • Sweet's syndrome is characterized by clinical symptoms, physical features, and pathologic findings which include fever, neutrophilia, tender erythematous skin lesions, and a diffuse infiltrate of mature neutrophils. This is a report of our experience of Sweet's syndrome with parotitis. A 57-year-old man initially presented with tender swelling on the right cheek similar to parotitis. His symptoms relapsed despite the use of an oral antibiotic agent for 3 weeks. He additionally presented with erythematous papules and plaques on the periocular area and dorsum of both hands. Histiopathologic findings on punch biopsy of the right dorsum of the hand showed superficial perivenular histiocytic infiltration without vasculitis. We confirmed this as histiocytoid Sweet's syndrome and used systemic corticosteroid. After initiation of treatment with systemic corticosteroids, there was a prompt recovery from both the dermatosis-releated symptoms and skin lesions. Sweet's syndrome should be considered in patients with therapy-refractory parotitis and unclear infiltrated nodules. We present a confusing case who initially appeared to have parotitis but turned out to have histiocytoid Sweet's syndrome.

Some Results on δ-Semiperfect Rings and δ-Supplemented Modules

  • ABDIOGLU, CIHAT;SAHINKAYA, SERAP
    • Kyungpook Mathematical Journal
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    • v.55 no.2
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    • pp.289-300
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    • 2015
  • In [9], the author extends the definition of lifting and supplemented modules to ${\delta}$-lifting and ${\delta}$-supplemented by replacing "small submodule" with "${\delta}$-small submodule" introduced by Zhou in [13]. The aim of this paper is to show new properties of ${\delta}$-lifting and ${\delta}$-supplemented modules. Especially, we show that any finite direct sum of ${\delta}$-hollow modules is ${\delta}$-supplemented. On the other hand, the notion of amply ${\delta}$-supplemented modules is studied as a generalization of amply supplemented modules and several properties of these modules are given. We also prove that a module M is Artinian if and only if M is amply ${\delta}$-supplemented and satisfies Descending Chain Condition (DCC) on ${\delta}$-supplemented modules and on ${\delta}$-small submodules. Finally, we obtain the following result: a ring R is right Artinian if and only if R is a ${\delta}$-semiperfect ring which satisfies DCC on ${\delta}$-small right ideals of R.