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Surgical Treatment of Coarctation of Aorta -The Report of Two Cases- (대동맥 축착증 수술치험 2례)

  • Park, Cheol-Ho;U, Jong-Su;Jo, Gwang-Hyeon
    • Journal of Chest Surgery
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    • v.21 no.3
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    • pp.567-573
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    • 1988
  • Coarctation of the aorta is classically a congenital narrowing of the upper descending thorac aorta adjacent to the site of attachment of the ductus arteriosus which is sufficiently severe that there is a pressure gradient across the area. Recently we have experienced two cases of coarctation of the aorta and successfully performed resection of the sites of coarctation and end to end anastomosis of the aorta. The first case was a juxtaductal type of coarctation of the aorta with PDA and the pathology of the lesion was a diaphragm with central narrow opening. And the resection length was about 0.5cm and aortic clamping time was 20 minutes. The second case was also juxtaductal type coarctation of the aorta with mild tubular hypoplasia of aortic isthmus, left SVC and the pathology was also a diaphragm with central narrow opening. And the resection length was about 0.5cm and aortic clamping time was 29 minutes. Both postoperative course was uneventful and the patients were discharged two weeks after operation.

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Case Report of Solitary Benign Papilloma Arising at Opening of Left Major Bronchus (좌측 주기관지 입구에 발생한 고립성 양성 유두종 1례)

  • 이정호;이호일;유회성
    • Journal of Chest Surgery
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    • v.4 no.2
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    • pp.91-94
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    • 1971
  • Benign papillary tumors commonly arise in the upper respiratory tract but are rare in the lower respiratory tract, especially in the bronchi. Solitary benign papillary tumors arising at the bronchi,covered with stratified squamous epithelium and associated with little or no inflammatory cell response,seem to be rarest of all types of benign bronchial tumors. Only six cases of such tumors had been reported in the medical literature over the past 74 years until 1968. The following is a case report of solitary benign papilloma arising at the opening of the left main bronchus which was treated with bronchoscopic removal at Chest Surgery Depariment, N.M.C. on Sept.

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An Experimental Study on Behavior of Box Girder considering Middle Diaphragm Shapes (중간격벽의 형상을 고려한 상자형 거동에 대한 실험적 연구)

  • 정희효;이승열
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.15 no.3
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    • pp.501-510
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    • 2002
  • The middle diaphragm of box girder is to prevent the deformation of the cross section of box girder, to distribute load produced at upper flange onto the both sides of web. But if inner space of box girder is barred by the middle diaphragm, it is impossible to use in inner space of box girder and it is felt constraint on maintenance-management. The effect of middle diaphragm of box girder is intended to be expressed by the stiffness of diaphragm in comparing the diaphragm with opening of box girder with diaphragm without opening of box girder through the experiment.

Characteristics of Connecting Space in Emerging Upper Class Houses of later Chosun Dynasty (조선 후기 신흥 양반주거의 연속적 공간 특성)

  • Park, Hyung-Jin
    • Korean Institute of Interior Design Journal
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    • v.24 no.1
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    • pp.115-123
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    • 2015
  • It is commonly known that upper class house in Chosun Dynasty has characteristics of connecting space in combination with 'Chae' and 'Madang'. But living territory of traditional residence is connected each other by means of the necessity of dwelling life. So, it can be a fragmentary understanding about traditional houses to consider it as connecting space only from the viewpoint of visual perception. Residential space in later Chosun Dynasty is affected by practical life-style rather than building principle of 'Confucianism' due to the erosion of the caste system and the spread of the modern residential culture. So, it is necessary to consider dwelling life at that time in order to understand spatial characteristics of the residences. Researcher made an assumption that these characteristics were observed in the emerging upper class houses which appear in the process of change of the caste system rather than the traditional upper class houses. The researcher investigated connecting space from 'Bakat-ma-dang' to An-ma-dang of the emerging upper class houses in Gyong-gi province. The goal of this study is to find the properties of connecting space related to dwelling life of the emerging upper class houses in Gyong-gi Province. With this study, the followings are the characteristics of connecting space in emerging upper class houses in later Chosun Dynasty. First, 'An-ma-dang(Courtyard)' comes into close contact with 'Bakat-chae(Outer quarters)' which accommodate the complex functions, 'An-ma-dang' plays an mediating role between 'An-chae' and 'Bakat-chae' Second, 'Bakat-chae' generally encases 'An-ma-dang' which is central territories of dwelling life, and the men's area of 'Bakat-chae' considerably has opening space towards the outside. Third, 'Anmadang' plays an mediating role of male's and female's living territory, and it plays an important role in connecting space where labor forces are concentrated.

Cor triatriatum(A case report) (삼중방심 치험 1예)

  • 정경영
    • Journal of Chest Surgery
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    • v.16 no.3
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    • pp.331-336
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    • 1983
  • Cor triatriatum is a rare congenital malformation of the heart, in which a septum stretches in a transverse or oblique plane through the left atrium, thus separating it into two compartments. The upper one connects with the pulmonary veins, and the lower one connects with the left ventricle. Due to the rarity of, and great difficulty in-diagnosing, cor trlatrlatum, data On the surgery of this disease are of necessity very limited and so accurate pre-operative diagnosis was very difficult to make. `We experienced a case of the cyanotic congenital heart disease which was diagnosed as a large atrlal septal defect with streaming venous blood from inferior vena cava to left atrium through atrial septal defect in August, 1982. We found that there were transverse septum in the left atrium through atrlal septal defect, the pulmonary venous drainage were located in the upper chamber of the left atrium, and the lower chamber was connected with the left atrial appendage, mitral valve and `left ventricle. But our case had not any opening in this transverse septum and the right atrium was connected with the upper chamber of the left atrium through the upper part of the atrlal septal defect, and was communicated with the lower chamber of the left atrium through the lower part of the atrlal septal defect. We excised the transverse septum and repair this atrial septal defect with Woven Dacron patch accompanying with the drainage of coronary sinus to right atrium. The post-operative course was not eventful and he was discharged with good result on the post-operative 8th day, and has been in good .condition up to now for longer than 10 months.

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TREATMENT OF IMPACTED CANINE : CASE REPORTS (매복견치의 치료: 증례보고)

  • Ahn, Byung-Duk;Kim, Young-Jae;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Chong-Chul;Hahn, Se-Hyun;Kim, Jung-Wook
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.1
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    • pp.151-158
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    • 2008
  • Upper and lower cuspids are very important teeth in point of function as well as esthetic. However, failure of eruption of the canine sometimes happens and is frequently encountered clinical problems. Upper cuspids are more frequently impacted as compared with lower cuspis and palatally impaction is more frequent event than labially impaction. Impaction of the mandibular canine is unusual event, especially crossing the midline (transmigration) is very rare. Because of, in most cases, there is no signs and symptoms, impacted teeth can be detected by periodic radiograph examination. The etiology of impaction is unclear and multifactorial. The treatment of impacted canine is influenced by presence of obstacles, location and direction of impaction, space for alignment and development of root. There are several treatment options; (1) Surgical removal and/or observation, (2) Window opening and orthodontic traction, (3) Autotransplantation. The first patient (impaction of upper right cuspid) is treated with window opening and orthodontic traction. The second patient (bilaterally impaction of lower cuspids) is treated with autotransplantation, because of transmigration.

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A Case Report: Limitation of Mouth Opening in Dermatomyositis (개구장애를 동반한 피부근염 환자 증례)

  • Kim, Hye-Kyung;Kim, Ki-Suk;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • v.35 no.2
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    • pp.155-163
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    • 2010
  • Dermatomyositis (DM) is an idiopathic inflammatory connective tissue disorder and a systemic autonomic immune disease which shows a progressive muscle weakness and characteristic rash. It is identified by a characteristic rash accompanying, or more often preceding muscle weakness. Pathognomonic skin lesions are a blue-purple discoloration on the upper eyelids with edema (heliotropic rash), a flat red rash on the face and upper trunk, and erythema of the knuckles with a raised violaceous scaly eruption (Gottron's papule). The myopathy represents inflammatory and degenerative changes primarily affecting proximal muscles. DM often involves GI tract and respiratory system with as risk of 15-25% internal malignancy. It's managed with sun protection since muscle weakness as well as a rash could be aggravated by sun exposure. Systemic corticosteroid is an initial therapy and other immunosuppressive agent has been used as alternatives. Facial muscles are unaffected and masticatory muscles are rarely affected in DM. We present trismus close to muscle contracture in a patient with DM. Therefore, it needs continuous mouth-opening exercise to prevent progressive muscle contracture and to ensure normal mouth opening.

Prediction of Sprinkler activation time using two-layer zonal model (Zone 모델을 이용한 스프링클러의 작동시간 예측)

  • 김명배;한용식;윤명오
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 1996.11a
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    • pp.15-18
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    • 1996
  • A general description of sprinkler activation time in compartment-fire-generated smoke layers is made. For calculation of the time hot layer temperature is obtained from two-layer zonal model and time constant of sprinkler is measured. Upper-layer thickness at the instant of sprinkler activation is also presented with changes of opening area. The outputs of the present study provide inputs for the interaction modeling of sprinkler spray and compartment fire environment, which simulates fire suppression phenomena.

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The Study on Changes of Exhaust Efficiency and Fine Particle Concentration at a Ventilation Opening by a Air Curtain Flow in a Subway Model Tunnel (지하철 모사터널에서 에어커튼을 이용한 환기구의 배기효율 및 미세입자 농도 변화 연구)

  • Han, Bang-Woo;Kim, Hak-Joon;Kim, Yong-Jin;Jeong, Sang-Hyeon;Kim, Yong-Min;Kim, Jong-Ryul
    • Journal of Korean Society for Atmospheric Environment
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    • v.27 no.5
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    • pp.614-622
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    • 2011
  • In this study, a new tunnel ventilation method with a high velocity air curtain flow has been investigated for improving the ventilation exhaust efficiency and removing air pollutants in subway tunnels. At upper or lower position right downstream of a main duct connected with a ventilation opening, air curtain flows were suppled into the main duct where the air flow velocity was in the range of 2~6 m/s. Exhaust efficiency was monitored for both cases with and without air curtain flow for different air velocities, locations and injection angles of the air curtain. Particulate matter concentrations (PM10, PM2.5 and PM1.0) were also checked at both the main duct and ventilation opening before and after supplying air curtain flows. Lower air velocity of the main duct flow, higher air velocity of the air curtain led to higher exhaust efficiency and the air curtain condition of 30..inclined injection toward the main flow showed the maximum exhaust efficiency. The exhaust efficiency of about 24% without the air curtain could be improved to about 34% after using the air curtain flow. PM concentration decreased at the main duct and increased at the ventilation opening after using the air curtain flow. Therefore, the suggested method to use air curtain flows in tunnels will be probably one of the promising tools to reduce air pollutants in subway tunnels.

Numerical Study on the Effect of Heat Release Rate and Interior Opening on Fire Flow Velocity in the Case of Interior Fire in an Apartment Building (공동주택 화재 시 화재크기 및 실내 개구부 크기가 화재풍속에 미치는 영향에 관한 수치해석적 연구)

  • Seo, Chanwon;Shin, Weon Gyu
    • Fire Science and Engineering
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    • v.28 no.5
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    • pp.37-43
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    • 2014
  • In the case of interior fire in an apartment building, contamination of vestibule area by fire smoke before air fan operating when fire doors are open makes the evacuation of people very difficult. In order to investigate the effect of heat release rate (HRR) and interior opening on fire flow velocity, numerical simulations using Fire Dynamics Simulator were carried out. In simulations, actual dimensions and configuration of an apartment building were considered and interior leakage and HRR were varied. From simulation results, it was found that fire flow velocity distribution is significantly influenced by HRR and interior opening resulting in the change of the location of a neutral plane. Also, it is shown that there is a larger difference of the fire flow velocity between upper and lower part of the fire door when the neutral plane becomes closer to the ceiling.