• Title/Summary/Keyword: Uijeongbu

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Coronary Artery Bypass Grafting in Patients with Acute Myocardial Infarction with an Abnormal Origin of the Right Coronary Artery (우관상동맥 이상기시를 동반한 급성 심근경색 환자에서의 관상동맥우회술)

  • Choi, Si-Young;Kim, Yong-Hwan;Suh, Jong-Hi
    • Journal of Chest Surgery
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    • v.41 no.5
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    • pp.636-639
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    • 2008
  • An abnormal origin of the right coronary artery can be responsible for sudden death, myocardial ischemia, arrhythmia and syncope, and it may be associated with the accelerated development of atherosclerotic disease. The mechanisms of ischemia in the case of an abnormal origin of the right coronary artery are currently unclear and several surgical methods have been proposed to treat this malady. Multidetector Computed Tomography shows the course of the abnormal coronary artery, it helps to clarify the mechanism of the ischemia and it aids in choosing the best surgical approach. We report here on a case of acute myocardial infarction with an abnormal origin of the right coronary artery. Coronary artery bypass grafting was subsequently carried out to treat this patient.

A Comparison of Anterior Cervical Discectomy and Fusion versus Fusion Combined with Artificial Disc Replacement for Treating 3-Level Cervical Spondylotic Disease

  • Jang, Seo-Ryang;Lee, Sang-Bok;Cho, Kyoung-Suok
    • Journal of Korean Neurosurgical Society
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    • v.60 no.6
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    • pp.676-683
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    • 2017
  • Objective : The purpose of this study is to evaluate the efficacy and safety of 3-level hybrid surgery (HS), which combines fusion and cervical disc replacement (CDR), compared to 3-level fusionin patient with cervical spondylosis involving 3 levels. Methods : Patients in the anterior cervical discectomy and fusion (ACDF) group (n=30) underwent 3-level fusion and the HS group (n=19) underwent combined surgery with fusion and CDR. Clinical outcomes were evaluated using the visual analogue scale for the arm, the neck disability index (NDI), Odom criteria and postoperative complications. The cervical range of motion (ROM), fusion rate and adjacent segments degeneration were assessed with radiographs. Results : Significant improvements in arm pain relief and functional outcome were observed in ACDF and HS group. The NDI in the HS group showed better improvement 6 months after surgery than that of the ACDF group. The ACDF group had a lower fusion rate, higher incidence of device related complications and radiological changes in adjacent segments compared with the HS group. The better recovery of cervical ROM was observed in HS group. However, that of the ACDF group was significantly decreased and did not recover. Conclusion : The HS group was better than the ACDF group in terms of NDI, cervical ROM, fusion rate, incidence of postoperative complications and adjacent segment degeneration.

POLARIZATION OF THOMSON SCATTERED LINE RADIATION FROM BROAD ABSORPTION LINE OUTFLOWS IN QUASARS

  • Baek, Kyoung-Min;Bang, Jeong-Hoon;Jeon, Yeon-Kyeong;Kang, Suna;Lee, Hee-Won
    • Journal of The Korean Astronomical Society
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    • v.40 no.1
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    • pp.1-7
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    • 2007
  • About 10 percent of quasars are known to exhibit deep broad absorption troughs blueward of prominent permitted emission lines, which are usually attributed to the existence of outflows slightly above he accretion disk around the supermassive black hole. Typical widths up to 0.2c of these absorption roughs indicate the velocity scales in which special relativistic effects may not be negligible. Under he assumption of the ubiquity of the broad absorption line region in quasars, the broad emission line flux will exhibit Thomson scattered components from these fast outflows. In this paper, we provide our Monte Carlo calculation of linear polarization of singly Thomson scattered line radiation with the careful considerations of special relativistic effects. The scattering region is approximated by a collection of rings that are moving outward with speeds ${\upsilon}=c{\beta}<0.2c$ near the equatorial plane, and the scattered line photons are collected according to its direction and wavelength in the observer's rest frame. We find that the significantly extended red tail appears in the scattered radiation. We also find that the linear degree of polarization of singly Thomson scattered line radiation is wavelength-dependent and hat there are significant differences in the linear degree of polarization from that computed from classical physics in the far red tail. We propose that the semi-forbidden broad emission line C III]1909 may be significantly contributed from Thomson scattering because this line has small resonance scattering optical depth in the broad absorption line region, which leads to distinct and significant polarized flux in this broad emission line.

Cranioplasty Using Autologous Bone versus Porous Polyethylene versus Custom-Made Titanium Mesh : A Retrospective Review of 108 Patients

  • Kim, Jun-Ki;Lee, Sang-Bok;Yang, Seo-Yeon
    • Journal of Korean Neurosurgical Society
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    • v.61 no.6
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    • pp.737-746
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    • 2018
  • Objective : The purpose of this study was to compare the cosmetic outcome and complications after cranioplasty (CP) due to three different implant materials, and analyze the mean implant survival and cumulative survival rate based on these results. Methods : We reviewed 108 patients retrospectively who underwent CP between January 2014 and November 2016. Autologous bone (AB; 45 patients) and synthetic materials with porous polyethylene (PP; 32 patients) and custom-made 3-dimensional printed titanium mesh (CT; 31 patients) were used as implants. Results : Regardless of implanted materials, more than 89.8% of the CP patients were satisfied with the cosmetic outcome. No statistically significant difference was observed among the three groups. The overall postoperative complication rates of each group were 31.1% in the AB group, 15.6% in the PP group and 3.2% in the CT group. The CT group showed lower complication rates compared with AB and PP groups (${\chi}^2$-test : AB vs. PP, p=0.34; AB vs. CT, p=0.00; PP vs. CT, p=0.03). The AB and PP groups demonstrated a higher post-CP infection rate (11.1% and 6.3%) than the CT group (3.2%). However, no significant difference in the incidence of post-CP infection was observed among the three groups. The PP and CT groups demonstrated a higher mean implant survival time and cumulative survival rate than the AB group at the last follow-up (p<0.05). Conclusion : In comparison with AB and PP, cranioplasty with CT shows benefits in terms of lower post-CP complication, less intraoperative bleeding loss, shorter operation time and in-hospital stay. The PP and CT groups showed higher implant survival time and cumulative survival rate compared with the AB group.