• Title/Summary/Keyword: appendage

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Extracorporeal Membrane Oxygenation in the Patient with Cardiopulmonary Resuscitation Failure after Open Heart Surgery. - A case report - (개심술 후 심폐소생술 실패환아에서의 체외막산소화 치험 1례)

  • 전희재;성시찬;우종수;이혜경
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.53-57
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    • 1999
  • We describe a case of successful extracorporeal membrane oxygenation(ECMO) in a small infant with cardiopulmonary resuscitation(CPR) failure after an open heart surgery. A 35-day-old male infant weighing 4.4 kg who had congestive heart failure and pulmonary hypertension underwent patch closure of ventricular septal defect without any intraoperative event. Postoperative course was unremarkable in the intensive care uint for about 5 hours before the junctional ectopic tachycardia developed. Sudden cardiac decompensation with bradycardia occurred about 50 minutes after the development of junctional ectopic tachycardia. He was put on ECMO by arterial cannulation at the ascending aorta and by venous cannulation at the right atrial appendage after 4 hours' CPR. The hemodynamics were stable with enough urine output during ECMO. He was weaned from ECMO 38.5 hours after initiation. Delayed sternal closure was attempted. He was extubated on postoperative day 7 and discharged home on postoperative day 21 without any neurologic sequelae.

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Congenital Partial Pericardial Defect Presenting as Chest Pain (가슴 통증을 동반한 선천성 부분 심낭 결손증)

  • Kim, Yong-Ho;Kang, Min-Woong;Lim, Seung-Pyung;Lee, Young;Gil, Hong-Ryang;Yu, Jae-Hyeon
    • Journal of Chest Surgery
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    • v.40 no.10
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    • pp.719-721
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    • 2007
  • Patients with congenital pericardial defect display few symptoms and this is an unusual disease, so it is generally found incidentally in most of the cases. In some cases, symptoms such as chest pain are found due to partial cardiac herniation. We report here on a 14-year-old girl with dyspnea and chest pain that started during physical activity 3 months before the hospital visit. She was diagnosed with herniation of the left atrial appendage with a partial pericardium defect and she was treated with an operation.

Development of the Central Nervous System in the Wolf Spider Arctosa kwangreungensis (Araneae: Lycosidae) (광릉늑대거미(Arctosa kwangreungensis) 중추신경계 발생에 관한 연구)

  • Yang, Sung-Chan;Moon, Myung-Jin
    • Applied Microscopy
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    • v.42 no.2
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    • pp.77-86
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    • 2012
  • The morphological and histologic differentiation of the central nervous system (CNS) in the wolf spider Arctosa kwangreungensis with respect to postembryonic development are studied using light and scanning electron microscopes. The organization of CNS which consisted of supraesophageal ganglion (SpG) and subesophageal ganglion (SbG) are established prior to the postembryo stage. The brain of first instar spiderling after a molt of the postembryo is also made up of supraesophageal ganglion and subesophageal ganglion. Although development of the optic nerve and optic lobe in SpG are not completed during the postembryoic stage, completion of whole neural system resemble to that of adult are established during the second instar stage. In particular, optic gangalion is developed from the undifferentiated cell clusters of the SpG, moreover four pairs of appendage ganglia and another pairs of abdominal ganglia are produced from the SbG. Nerve cells of the most developing stages are composed of typical monopolar neur1ons, and total three types of neurons can be identified through the histological and morphological basis of present study. These cell clusters are differentiated into neurons and grow dendritic fibers according to further development of the CNS.

Model Test of Dual-Buoy Wave Energy Converter using Multi-resonance (다중 공진을 이용한 이중 부이 파력발전장치의 모형실험)

  • Kim, Jeong-Rok;Hyeon, Jong-Wu;Koh, Hyeok-Jun;Kweon, Hyuck-Min;Cho, Il-Hyoung
    • Journal of Ocean Engineering and Technology
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    • v.29 no.2
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    • pp.191-198
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    • 2015
  • In this study, we proposed a new type of dual-buoy wave energy converter (WEC) exploiting multi-resonance and analyzed the experimental results from a model test in a 2-D wave flume. A dual-buoy WEC using multi-resonance has two advantages: high efficiency at the resonant frequencies and the potential to extend the frequency range available to extract wave power from the WEC. The suggested WEC was composed of an outer buoy and an inner buoy sliding vertically inside the outer buoy. As the power take-off device, a linear electric generator (LEG) consisting of permanent magnets and coils fixed at each buoy was adopted. Electricity was produced by the relative heave motion between the two buoys. To search for the optimal shape of a dual-buoy WEC, we conducted experiments on the heave motion of a two-body system in regular waves without an LEG installed. Model tests with six combinations of experimental models were conducted in order to find the motion characteristics of a dual-buoy WEC. It was found that model 2, which included a ring-shaped appendage to move the resonant frequency of the outer buoy toward a high value, showed a higher relative heave response amplitude operator (RAO) curve than model 1. In addition, the double-peak shape of the heave RAO curve shown for model 2 indicated the extension of the frequency range for extracting wave power in irregular waves.

Experimental investigation of dynamic trim control devices in fast speed vessel (고속선의 트림제어 장치가 항주 자세 및 저항 성능에 미치는 영향)

  • Seo, Kwang-Cheol;Gopakumar, Nithin;Atlar, Mehmet
    • Journal of Navigation and Port Research
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    • v.37 no.2
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    • pp.137-142
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    • 2013
  • The displacement Deep-V catamaran concept was developed in Newcastle University(UNEW) through development of the systematic Deep-V catamaran series. One of the most important Deep-V catamaran launched to date is Newcastle University's own multi-purpose research vessel, The Princess Royal. The vessel was launched in 2011 and enhanced the Deep-V catamaran concept further with the successful adoption of a novel anti-slamming bulbous bow and tunnel stern for improved efficiency. It was however identified that the vessel has substantial amount of dynamic trim that limited the visibility of the captain. The dynamic trim also increased the wave-making resistance thereby preventing the vessel from attaining its maximum speed in certain sea states. This paper therefore presents the application of devices such as Trim Tabs, Interceptors, Transom Wedges and Integrated Transom Wedges-Tabs to control the dynamic trim and improvement of fuel efficiency of the vessel. All of these energy saving devices were fitted into a model for tests in Newcastle University's Towing Tank. Model test verification confirmed that the optimum appendage was the interceptors, they produced a 5% power saving and 1.2 degree trim reduction at 15 knots, and investigations of full scale trials will be scheduled with and without application of device to compare the improvement of performance.

A Study on the Comparison of Resistance Performance for shape of fin keel of sailing yacht (세일링요트 핀킬 형상별 저항특성 비교연구)

  • Choo Kyung-Hoon;Sim Sang-Mok;Park Choung-Kwan;Jin Song-Han;Kwon Seong-Hoon
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2006.06b
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    • pp.235-239
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    • 2006
  • The keel attached on bottom of hull part prevents yacht from flowing sideway by sailing posture. So this study has compared with characteristics of resistance depending on the shape af the lower part of fin keel in the same surface af water submersion, we have attached three different types of models of lower part of fin keels to the model ships using circulating water channel and analyzed resistance characteristics per shape to arrive at the optimum shape of reduction of resistance.

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Management of Acute Fulminant Myocarditis Using a Left Ventricular Assist Device - A case report - (좌심실 보조장치를 이용한 전격성 심근염의 치료 - 1례 보고 -)

  • Kang, Shin-Kwang;Park, Sang-Soon;Na, Myung-Hoon;Yu, Jae-Hyeon;Lim, Seung-Pyung;Lee, Young;Seong, In-Whan
    • Journal of Chest Surgery
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    • v.34 no.6
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    • pp.490-493
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    • 2001
  • A 17 year-old high school girl was admitted for anterior chest pain. Pulmonary edema and circulatory collapse progressed in spite of the medical treatment and intra-aortic balloon pump. Left ventricular assist device(LVAD, Bio-Pump, Medtronic Bio-Med, USA) was instituted under the impression of acute fulminant myocarditis. The inlet cannula was inserted in the left atrium(LA) via left submammary anterior thoracotomy. Biopsy was taken from left atrial appendage. The outlet cannula inserted to the left femoral artery using PTFE cuff. After 158 hours of extracorporeal circulation, LVAD was able to be weaned successfully with nearly normalized LV motion on echocardiogram, Coxsakievirus was identified with immunochemistry and serum neutralization test. She was discharged without any heart failure symptoms after 23 days of hopitalization.

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Implantation of a permanent pacemaker through the coronary sinus in a patient who underwent mechanical valve replacement for infective endocarditis with a complete atrioventricular block (완전방실차단을 동반한 감염성 심내막염 환자에서 판막치환술 후 관정맥동을 통해 좌심실을 조율하는 심박조율기 시술)

  • Jo, Kwan Hoon;Kim, Inho;Ann, Soe Hee;Oh, Yong Seog
    • Journal of Yeungnam Medical Science
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    • v.31 no.2
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    • pp.113-116
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    • 2014
  • A 52-year-old man was referred to our hospital due to fever and myalgia that occurred 2 weeks earlier. He showed a complete atrioventricular block on his electrocardiogram, and his vital signs were unstable. On his transthoracic echocardiograph, the 1.5 cm vegetation in the aortic valve with severe aortic regurgitation suggested infective endocarditis. His transesophageal enchocardiograph showed abscess in his mitral-aortic intervalvular fibrosa and vegetation was suspected on his anterior mitral valve leaflet. The patient underwent an emergent operation for valve replacement with temporary epicardial pacing. Intraoperatively, the septal leaflet of his tricuspid valve was injured during the debridement of the abscess pocket that was extended to the membranous septum. The aortic, mitral, and tricuspid mechanical valves were replaced with annular reconstruction without complications. After 14 days of intravenous antibiotics, we successfully changed the epicardial pacemaker into a transvenous DDD-type permanent pacemaker by placing a left ventricular lead via the coronary sinus and an atrial lead in the right atrium appendage. The patient was discharged in a tolerable state and was examined uneventfully in our hospital's outpatient clinic for 8 months.

Numerical Analysis of the Wake of a Surface Ship Model Mounted in KRISO Large Cavitation Tunnel (KRISO 대형 캐비테이션터널 시험조건의 함정 모형선 반류에 대한 수치해석적 연구)

  • Park, Il-Ryong;Kim, Je-In;Kim, Ki-Sup;Ahn, Jong-Woo;Park, Young-Ha;Kim, Myoung-Soo
    • Journal of the Society of Naval Architects of Korea
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    • v.53 no.6
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    • pp.494-502
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    • 2016
  • The accurate assessment of hull-appendage interaction in the early design stage is important to control the inflow to the propeller plane, which can cause undesirable hydrodynamic effects in terms of cavitation phenomenon. This paper describes a numerical analysis for the flow around a fully appended surface ship model for which KRISO has carried out a model test in the Large Cavitation Tunnel(LCT). This numerical study was performed with the LCT model test in a complementary manner for a good reproduction of the wake distribution of surface ships. A second order accurate finite volume method provided by a commercial computational fluid dynamics(CFD) program was used to solve the governing Reynolds Averaged Navier-Stokes(RANS) equations, where the SST $k-{\omega}$ model was used for turbulence closure. The numerical results were compared to available LCT experimental data for validation. The calculations gave good predictions for the boundary layer profiles on the walls of the empty cavitation tunnel and the wake at the propeller plane of the fully appended hull model in the LCT.

Alaria alata (Digenea: Diplostomidae) from Korean Raccoon Dog, Nyctereutes procyonoides koreensis, in Korea

  • Lee, Heon Woo;Hong, Eui Ju;Kim, Hyeon Cheol;Ryu, Si Yun;Park, Bae Keun
    • Parasites, Hosts and Diseases
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    • v.60 no.5
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    • pp.361-365
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    • 2022
  • We report a species of diplostomid fluke recovered from 3 carcasses of wild Korean raccoon dog, Nyctereutes procyonoides koreensis, in Korea. A total of 107 diplostomid flukes were recovered from the small intestines of Korean raccoon dogs, which were obtained from the Gangwon Wildlife Medical Rescue Center. Worms fixed with 10% neutral formalin were subjected to microscopic observation and those fixed in 70% ethanol were used for molecular genomic analysis. The worm was divided into 2 separate parts, forebody and hindbody, with a total length of 3,020-4,090 (3,855) ㎛ and a width of 1,210-1,770 (1,562) ㎛. The boat-shaped forebody has a pair of characteristic tentacular appendage, 2 suckers, holdfast organ, and vitelline follicles. The oval to cylindrical hindbody has reproductive organs. The ovary was round or elliptical and located in the anterior of the testes. Two large testes were slightly segmented and tandemly arranged, occupying almost half of hindbody. The short uterus contained a relatively small number of unembryonated eggs sized 130-140×85-96 ㎛. The partial sequence of 18S rRNA of this fluke was consistent with Alaria alata. Based on the morphological and molecular characteristics, the diplostomid flukes recovered from the small intestine of Korean raccoon dogs were identified as A. alata (Digenea: Diplostomidae).