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Surgical Repair for Ebstein's Anomaly (Ebstein 기형의 수술 -2례 보고-)

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    • Journal of Chest Surgery
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    • v.12 no.3
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    • pp.289-296
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    • 1979
  • For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

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Late Results of Total Correction for Tetralogy of Fallot (활로 4징증의 완전교정술에 대한 장기 성적)

  • Lee, Yeon-Jae;Hwang, Sang-Won;Kim, Han-Yong;Yu, Byeong-Ha
    • Journal of Chest Surgery
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    • v.30 no.12
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    • pp.1184-1189
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    • 1997
  • Tetralogy of Falloff is the most common cyanotic congenital cardiac malformation. Between April 1984 and December 1993, we experinced with 39 cases of total correction for the tetralogy of Falloff at the department of Thoracic and Cardiovascular Surgery, Masan Samsung General Hospital. The results were as follows; There were 14 males and 25 females, and their ages ranged from 2 to 36 years, with an average age of 13.33 $\pm$7.40 years. There was type I VSD in 10 cases(25.6%), type II VSD in 19 cases(48.8%) and type 1+ II VSD in 10 cases(25.6%) Types of right ventricular outflow tract obstruction were valvar + infundibular stenosis in 19 cases(48.7%), valvar + infundibular + annular stenosis in 10 cases(25.6%), infundibular stenosis in 9 cases(23.1%)and pure valvar stenosis in 1 case(2.6%). Right ventricular outflow tract patch widening was necessary in 33 cases(84.6%) and a Iransannular patch including 2 cases of Monocusp-bearing outflow patch was used in 10 cases. n 36 hospital survivors, 23 patients were evaluated by 2 dimensional and doppler echocardiography. The most common complication was arrthymia, especially complete right bundle branch block, in 30 cases (76.9%). The operative mortality was 7.7%, and the cause of death was low cardiac output syndrome.

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Effects of Seeding Method on the Winter Survival, Dry Matter Yield and Nutrient Value of Italian Ryegrass in Paddy Field (논에서 이탈리안 라이그라스의 파종방법이 월동, 건물수량 및 사료가치에 미치는 영향)

  • Kim, Meing-Jooung;Choi, Gi-Jun;Yook, Wan-Bang;Lim, Young-Chul;Yoon, Sei-Hyung;Kim, Jong-Geun;Park, Hyung-Soo;Seo, Sung
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.27 no.4
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    • pp.269-274
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    • 2007
  • This experiment was conducted to determine the effect of seeding method on winter survival and dry matter yield of Italian ryegrass(Lolium multiflorum Lam. "Kospeed") in paddy field for two years. The experiment was arranged in randomized complete block design with three replications. The treatment consisted of four different seeding methods, R-LS-P(rotary-line sowing-packing), R-BS-P(rotary-broadcast seeding-packing), R-BS(rotary-broadcast seeding), R-BS-TR(rotary-broadcast seeding-trifling rotary), BS-TR(broadcast seeding-trifling rotary). The emergence ratio of broadcast was decreased by 12% and winter survival was decreased by 17% compared with line sowing. The R-BS-TR treatment which was practical seeding method of rye was decreased seeding stand ratio by 65.2% and winter survival by 6.7% compared with others seeding methods. Dry matter yield of line sowing(8,151 kg/ha) was higher than that of broadcast(6,281 kg/ha) and R-BS-P treatment was the highest DM yield as 7,166 kg/ha. There was not found significant difference among seeding method in forage quality. The results of this experiment indicated that R-BS-P(rotary-broadcast seeding-packing) was recommendable the best seeding method after harvested whole crop rice in paddy field.

Evaluation of Agronomic Characteristics and Forage Production of Domestic and Foreign Italian Ryegrass Cultivar in Korea (국내육성 및 외국도입 이탈리안 라이그라스 품종의 생육특성 및 사초 생산성 평가)

  • Ko, Ki Hwan;Kim, Jong Kwan;Kim, Jong Duk
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.35 no.4
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    • pp.297-302
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    • 2015
  • This experiment was conducted to evaluate the agronomic characteristics and forage production of Italian ryegrass cultivars at three locations (Gurae, Sungju and Cheonan) from 2013 to 2014. The experiment employed a randomized complete block design with three replications. The seven cultivars used in this experiment were 'Korwinearly', 'Florida80', 'YounbongI', 'YounbongII', 'YounbongIII', 'KeimyungI' and 'KeimyungII' varieties. Italian ryegrass varieties were seeded on October 4 at Gurae, October 8 at Seongju and October 3 at Cheonan in 2013. The Italian ryegrass varieties were harvested on April 26 at Gurae and Seongju, and on April 24 at Cheonan in 2014. Although the seven cultivars had resistance to foliar diseases and insects and high winter survival, they has little lodging resistance. The heading dates for 'Younbong I', 'Younbong II' and 'Keimyung I' were earlier than for other varieties at the three locations. Dry matter (DM) content and plant height in the early maturing cultivars were higher than in other cultivars at the three locations. The fresh and DM yields of the early maturing cultivars were also higher than others at the three locations. The results of this experiment indicate that the heading date for early maturing cultivars is earlier, and the plant height is higher than for other cultivars. Early maturing cultivars had higher DM content as well as fresh and DM yields of Italian ryegrass. Therefore, early maturing cultivars should be recommended as high-yield forage in double-cropping systems because of their superior production of forage and early heading date.

Growth Characteristics and Yield Comparisons of Domestic and Foreign Italian ryegrass (Lolium multiflorum Lam) Varieties in Yecheon area of Korea (예천지역에서 이탈리안 라이그라스 국내육성 품종과 외국품종의 생육특성 및 수량성 비교)

  • Kim, Ki-Yong;Lee, Sang-Hoon;Ji, Hee Chung;Hwang, Tae-Young;Lee, Ki-Won;Park, Sung Min
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.35 no.1
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    • pp.43-49
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    • 2015
  • This experiment was conducted to evaluate the agronomic characteristics and forage productivity of Italian ryegrass cultivars in Yecheon, Kyeongbuk from 2011 to 2013. The experimental design was a randomized complete block design (RCBD) with three replications. Italian ryegrass cultivars were seeded on Sep. 26 in 2011 and Sep. 25 in 2012. The Italian ryegrass cultivars were harvested on the heading date of the variety. The cold-resistance of domestic cultivars was stronger than other foreign varieties. Among early-maturing cultivars, the dry matter (DM) yield of the "Kowinearly" was 10,031 kg/ha, which was significantly higher than that of other cultivars (p<0.05). In medium-maturing cultivars, the DM yield of the "Kowinmaster" and "Tam 90" were 10,484 and 8,191 kg/ha, respectively. Of the two, the former's DM yield was higher than the latter's (p<0.05). Among late-maturing cultivars, the DM yield of "Hwasan 104" was 10,641 kg/ha, which was similar to that of "Hwasan 101" and significantly higher than the other late-maturing cultivars (p<0.05). According to the results obtained from this study, an early-maturing variety with cold-tolerance and high productivity is required for the paddy field cultivation of an Italian ryegrass cultivar after rice harvest in the mid-northern region of Korea. A medium- or late-maturing variety is more advantageous for the field cultivation of the maximum quantity that is possible. In conclusion, to select which variety/ies to grow, the climate of the growing area, weather conditions, and the cropping system must all be considered.

Comparison of Growth Characteristics, Forage Production and Feed Values of Bermudagrass, Teffgrass and Kleingrass as Annual Forage Crop in Summer (여름철 버뮤다그라스, 클라인그라스 및 테프그라스의 생육특성, 생산성 및 사료가치 비교)

  • Park, Hyung Soo;Choi, Ki Choon;Kim, Ji Hea;Lee, Sang-Hoon;Jung, Jong Seong
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.35 no.1
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    • pp.36-42
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    • 2015
  • This study was conducted from 2013 to 2014 to explore the feasibility of the cultivation of warm-season grass as an annual Korean forage crop, while concurrently evaluating the characteristics and forage production of warm-season grass in Korea. The experimental design was a randomized block design (RBD) with three replications. Five bermudagrass [Cynodon dactylon (L.) Pers.] cultivars, two teffgrass (Paspalum notatum Flugge) cultivars, and a Kleingrass [Panicum coloratum L.] cultivar were compared for forage production and quality in the middle region of Korea. After seeding, the numbers of days until seedling emergence for bermudagrass and kleingrass were observed at approximately day 11 and day 12, respectively. The heading dates of teffgrass and kleingrass were on July 12 and July 26, respectively. The dry matter (DM) yield of bermudagrass Tifton 85 was usually greater than the other entries. The crude protein content (CPC) and total digestibility nutrient (TDN) for the teffgrass cultivars were usually greater than the other entries at all study sites. The acid detergent fiber (ADF) and in vitro DM digestibility (IVDMD) were similar across all cultivars.

Study on Nutritive Values of Whole Crop Barley Varieties Grown in a Paddy Field (논토양에서 재배한 청보리 품종의 사료가치 비교 연구)

  • Lee, Sang Moo;Kim, Eun Joong
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.33 no.1
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    • pp.30-38
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    • 2013
  • This study was carried out to investigate the growth characteristics, yield, chemical compositions and nutritive yield of whole crop barley varieties harvested in a paddy field. The experimental design was arranged in a randomized block design with three replications. The treatments consisted of five whole crop barley varieties (Yuyeon, Youngyang, Wooho, Dami, Soman). The planting date was on 21 October 2009 and the samples were harvested on 21 May 2010. Dry matter yield was higher in Youngyang and Dami than other varieties (p<0.05). Crude protein, crude fat, crude ash, ADF and TDN were not significantly different. Crude fiber was the highest at Dami (31.4%), and Youngyang (31.4%) exhibited the lowest crude fiber compared to other varieties (p<0.05). NDF was higher in the order of Wooho > Dami > Soman > Yuyeon > Youngyang (p<0.05). Total mineral content was higher in the order of Youngyang > Wooho > Dami > Soman > Yuyeon (p<0.05). The contents of both essential and non-essential amino acids were not different among whole crop barley varieties. Yields of crude protein was the highest in Wooho (p<0.05), and yields of mineral, amino acid, free sugar and TDN were the highest in Youngyang. Based on the results from this study, it can be suggested that Youngyang and Wooho showed to have higher productivity and high nutritive values compared to other varieties.

The Stability Analysis of the 8 Ton Class Fishing Vessel in Seaway (파랑중 8톤급 어선의 복원력 분석)

  • 이희상
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.35 no.2
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    • pp.147-155
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    • 1999
  • In this study, the stability analysis of a fishing vessel in a seaway was done. The stability analysis is an important item in the ship design, and so the ship registers of each nation constrain the ships to be followed the stability criterion. Stability variation, exciting forces due to wave and wind, and the broaching phenomena cause the capsizing of a ship. In this study, the stability analysis to study of the capsizing of a fishing vessel was performed. The relation between the speed of the ship and the wave length, that makes the encountering frequency vanish, was obtained. It was found that the encountering frequency tend to be zero when the wave whose length and direction are similar to those of ship. In this case, the possibility of dangerous situation becomes high. The calculated restoring arm becomes small when the ship is located near the wave crest. In general, the selected small fishing vessel is better than the large ship with respect to the stability, however the wave height becomes relatively high because of her small length Kim(l994) calculated the stability variation of the large cargo ship, the results of which showed the changes in stability great. But in the selected small fishing vessel in this study, the changes was small in comparison with the larger ship. This reason seems to be the shape of her midship section. In large cargo ships, the block coefficient is large, but that of the fishing vessel is relatively small and the small fishing vessel has chine, therefore the center of buoyancy moves much when the ship is inclined. It is desirable that the dynamic stability analysis for a fishing vessel, whose speed and direction are similar to those of waves, shall be done in the near future.

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A Study on the Behaviour of Fish Schools in the Process of Catch of the Purse Seine Fishing Method (선망어법의 어획과정에 있어서 어군행동에 관한 연구)

  • Park, Jeong-Sik;Kim, Seok-Jong;Kim, Sam-Gon
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.33 no.3
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    • pp.173-182
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    • 1997
  • This study is a basic research in purse seine fishery : on the behaviour of fish schools of tilapia Tilapia mossambica in the process of catch of the purse seine fishing method. The experiment was carried out for the mackerel purse seine which using of power block by fishing fleet system in the near sea of Cheju Island and as a forecast in the near future on the purse seine fishing, using of triplex net winch by one boat system in the near sea of Norway. These model purse seines were made of the scale of 1/180 of its full scale. The model purse seine test on the escaping behaviour of fish school by gap, area reducing of gap and tension of purse line was carried out in the stagnant water of experimental water tank. Designing and testing for the model purse seines were based on the Tauti's law. The results obtained were as follows : 1. When the time for the completing of pursing was 20 minutes, average swimming speed of fish school through a gap was 9.71cm/sec for powerblock seine and 9.97cm/sec for triplex seine. 2. In the case of pursing time in actual value was 20minutes, at 50 percent of the pursing, swimming behaviour of fish school in purse seine was 10% to I section, 80% to II section, 10% to III sectional direction for powerblock seine and a similar tendency for triplex seine. 3. In the case of pursing time in actual value was 20 minutes, at the time of 10 minutes have proceeded since then, area reducing rate of gap of the seine in projected front view was 63.5% for powerblock seine and 67.5% for triplex seine. 4. In the case of pursing time in actual value was 20 minutes, escaping rate of fish school by gap in projected front view was 70% for powerblock seine and 30% for triplex seine. Maximum tension of purse line was about 8.1 tons for powerblock seine and about 8.3 tons for triplex seine.

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Analysis of Flavor Pattern from Different Categories of Cheeses using Electronic Nose (전자코를 이용한 다양한 유형의 치즈 제품 풍미성분 분석)

  • Hong, Eun-Jung;Kim, Ki-Hwa;Park, In-Seon;Park, Seung-Yong;Kim, Sang-Gee;Yang, Hae-Dong;Noh, Bong-Soo
    • Food Science of Animal Resources
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    • v.32 no.5
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    • pp.669-677
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    • 2012
  • The objective of this study was to analyze the flavor pattern of different varieties of cheeses. Four of the each following cheese varieties such as shred type pizza cheese, Cheddar cheese, Mozzarella block cheese, and white mold-ripened cheeses, stored at $4^{\circ}C$ during 2 wks were examined before and after cooking at $70^{\circ}C$ and $160^{\circ}C$. Flavor patterns of these cheeses were analyzed using an electronic nose system based on mass spectrometer. All data were treated by multivariate data processing based on discriminant function analysis (DFA). The results showed the discriminant model by DFA method. Data revealed that flavor patterns of pizza cheeses were well separated as storage prolonged and obviously discriminated as the higher the cooking temperature. The result of pattern recognition analysis based on discriminant function analysis showed that new brand of pizza cheese produced by Imsil Cheese Cooperative was located at middle between the flavors of the imported brands of pizza cheese and those of domestic brand of pizza cheeses. Imsil cheese has a unique flavor pattern among other variety of cheeses. Application of pattern recognition analysis by electronic nose might be useful and advanced technology for characterizing in flavor pattern of cheese products from different origins and different categories of cheeses.