• Journal of Chest Surgery
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• 제28권7호
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• pp.666-670
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• 1995

A total of and consecutive 87 patients underwent concomitant double mitral and aortic valve replacement with the St. Jude Medical prosthesis between January 1985 and December 1993. They were 44 males and 43 females with the ages ranging from 18 to 59 years[mean$\pm$SD: 40.9$\pm$9.5 years . Fifteen patients[17.2% had a history of previous cardiac valve replacement. There were 2 early deaths[2.3% , and 85 early survivors were followed up for a total of 352.6 patient-years[mean$\pm$SD: 4.1 $\pm$2.6 years . All were anticoagulated with coumadin keeping the target international normalized ratio within the range of 1.5 and 2.5. There was a single late death[late mortality of 0.284%/patient-year . Thromboembolism was the most frequent complication[1.985%/patient-year , and bleeding related to anticoagulation was experienced in one patient [0.284%/patient-year . The incidences of prosthetic valve endocarditis and of paravalvular leak were also low[0.284%/patient-year, respectively . The survival including operative mortality was 96.1%$\pm$2.2% at 10 years. The actuarial probabilities of freedom from thromboembolism and from all events were 77.9%$\pm$11.1% and 72.4%$\pm$10.7%, respectively, at 10 years. There was no structural failure of the prosthesis. Results from a series of clinical studies suggest strongly that the use of lower intensity of anticoagulation therapy lowers the thromboembolic as well as bleeding rates in patients with the ST. Jude Medical prosthesis.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제42권
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• pp.33.1-33.8
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• 2020

Background: We investigated the efficacy of a maxillary Jackson-Pratt (J-P) suction drain for preventing maxillary sinus hematoma and facial swelling after maxillary Le Fort I osteotomy (LF1). Methods: We retrospectively evaluated 66 patients who underwent LF1 at a single institution. Of these, 41 had a J-P suction tube inserted in the mandible and maxilla (maxillary insertion), and 25 had a J-P drain inserted in the mandible only (no maxillary insertion). Facial CT was obtained before and 4 days after surgery. We compared mean midfacial swelling and maxillary sinus haziness by t test and examined correlations between bleeding amount and body mass index (BMI). Results: For the maxillary-insertion group, the ratio of total maxillary sinus volume to haziness (57.5 ± 24.2%) was significantly lower than in the group without maxillary drain insertion (65.5% ± 20.3; P = .043). This latter group, however, did not have a significantly greater midfacial soft tissue volume (7575 mm³) than the maxillary-insertion group (7250 mm³; P = .728). BMI did not correlate significantly with bleeding amount or facial swelling. Conclusions: Suction drainage in the maxilla reduced maxillary sinus haziness after orthognathic surgery but did not significantly reduce midfacial swelling.

• 한국건설순환자원학회논문집
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• 제7권4호
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• pp.349-357
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• 2019

본 연구에서는 현장 굴착토를 활용한 유동화 채움재의 실용화 기술개발의 일환으로서 유동화 채움재의 배합요인별 유동성, 재료분리 저항성, 조기강도 및 재굴착강도 등의 공학적 특성을 검토하여 최적 배합비를 도출하였으며, 이를 토대로 이동식 B/P를 활용한 현장 적용성 평가를 수행하였다. 이동식 B/P를 활용한 현장평가 결과 요구성능을 확보할 수 있었다. 유동화 채움재의 타설 후 후속공정 개시기 확보를 위한 검토에서는 타설 5시간 후 노반재 투입 등 후속공정이 가능한 것으로 확인되었다. 유동화 채움재의 재굴착성 검토를 위해서는 타설 28일 코어 채취 및 강도측정, 기계 및 인력 재굴착 시연으로 재굴착성을 확보할 수 있는 것으로 나타났으며, 타설 단면 굴착 후 관 주변부 충진성 확보를 육안으로 확인할 수 있었다. 또한 품질 지속성을 평가하기 위해 타설 후 침하량을 측정하였으며, 우수한 체적 안정성을 확보할 수 있는 것으로 나타나 굴착토를 활용한 유동화 채움재의 실용화 가능성을 확인할 수 있었다.

• 한국건축시공학회지
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• 제7권1호
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• pp.91-98
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• 2007

In this study, the property and plastic cracking pattern of concrete were compared and analyzed with the replacement ratio of fly ash 0, 5, 10, 15, 20% by cement weight. And curing conditions of concrete were given variously such as indoors(with wind speed as 0, 300, 500m/min), outdoors and chamber. The hydration temperature had a tendency to decrease as the replacement ratio of fly ash increased, and in the case of the wind speed 0m/min, it was showed that the moment that the amount of evaporation of water from surface of reference concrete was more than the volume of bleeding was 90 min since casting concrete. The time that the crack initiated had a tendency to be more quickly as the replacement ratio of fly ash increased. The number, length, width and area of crack in the indoor curing, exposed outdoor curing, enclosed outdoor curing had a tendency to decrease as the replacement ratio of fly ash increased. The crack had a tendency to decrease in sequence of exposed outdoor, enclosed outdoor curing, indoors curing. The outbreak of cracking by the change of temperature and humidity was affected by relative humidity more than temperature and the cracking had a tendency to increase as relative humidity lowered.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2005년도 춘계 학술기술논문발표대회 논문집
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• pp.25-28
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• 2005

This study shows the early quality improvement of concrete with calcium sulfa aluminate(CSA). For the properties of slump, plain concrete incorporating BS $35\%$ and UP $15\%$ resulted in high fluidity compared with OPC without any admixture. As displacement ratio of CSA increased. the fluidity decreased. The fluidity also declined with setting time. Increase of incorporation ratio of CSA declined bleeding and accelerated setting time. Importantly, using more CSA helped to improve early compressive strength and decrease drying shrinkage. In term of water curing, drying shrinkage hardly ever occurred.

• 한국구조물진단유지관리공학회 논문집
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• 제17권3호
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• pp.136-144
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• 2013

본 연구에서는 각종 산업부산물 및 도시형 리싸이클링 재료 등의 재생자원을 안전하게 유효 이용할 수 있는 방안으로 BFS 및 SS를 활용한 저강도 콘크리트의 기초적 물성을 파악하기 위하여 플로우 및 블리딩, 일축압축강도, 환경오염평가를 중심으로 실험을 실시하였다. BFS 및 SS를 활용한 저강도 콘크리트의 경우 최소단위수량의 확보를 통한 유동성 개선 및 블리딩율 억제 또한, 현장 적용성을 고려한 일축압축강도의 확보에 있어 사용 잔골재의 차이에 상관없이 BFS 6000 이상을 30% 범위에서 혼입하는 것이 가장 유효한 것으로 나타났다. 특히, SS의 유효 활용 측면에서 BFS 8000을 30% 범위에서 혼합하여 사용하면 유동성 개선 및 블리딩율 억제, 일축압축강도의 확보는 물론 현장 적용에 있어 가장 최적의 배합조건으로 나타났다. 한편, SS를 활용한 시멘트 개량토를 대상으로 유해물질 함유량 및 용출시험을 실시한 결과 모두 환경 기준치 이하를 만족하는 것으로 나타나 주변 환경에 미치는 영향은 없는 것으로 확인되었다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권2호
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• pp.155-162
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• 2001

This is a clinical study on patients who had visitied the Emergency Room of Pusan National University Hospital and then been treated in the Department of Oral and Maxillofacial Surgery during recent 5 years, from 1992 to 1996. The results were as follow ; 1. The total number of patients was 2,680 and the ratio of male to female was 1.96:1, The highest monthly incidence was shown in September(12.1%) and October(10.5%) and the age distribution peaks was the third decade(24.3%), followed by the first(23.1%) and the fourth decade(17.2%). 2. Soft tissue injury group(29.1%) was the most prevalent, followed by tooth injury group(16.1%), facial bone injury group (16.0%), toothache group(11.2%), socket bleeding group(11.1%), infection group(9.8%) and TMJ dislocation group(5.9%). 3. The percentage of in-patients and out-patient were 21.6% and 78.4%, respectively. The frequent causes of admission were facial bone fracture(73.8%), infection(20.8%) and soft tissue injury(4.8%) in order. However, soft tissue injury was the most frequent cause in out-patient, followed by tooth injury(20.5%), toothache(14.3%), socket bleeding(14.2%) and TMJ dislocation(7.6%). 4. In the facial bone injury group, the mandibular fractures(70.6%) showed the highest incidence, followed by zygomatic bone and arch fractures(7.5%), maxillary bone fractures(4.0%) and nasal bone fractures(4.0%). 5. In the mandibular bone fracture, the most common location was symphysis(36.7%), followed by the mandibular angles(33.1%) and the condyles(21.8%). 6. The common causes of facial bone fractures were violence, fall and traffic accident in order. 7. The common causes of soft tissue injury were fall down, fight and traffic accident in order and the highest incidence was observed in infants before the age of 10 years(44.0%). 8. In the group of tooth injury, tooth luxation(38.5%) showed the highest incidence followed by tooth fracture(33.2%) and tooth loss(17.1%). The common causes of tooth injury were fall, fight and traffic accident in order. 9. In infected patients group, the ratio of in-patients to out-patients was 1 : 1.28, Buccal(24,7%) and infraorbital space abscess(23.3%) showed the highest incidence. 10. The pain caused by dental caries(39.0%) and pericoronitis(26.6%) showed high incidence in the toothache group. 11. The high incidence was observed during third(34.0%) and fourth (24.5%) decades in TMJ dislocation group. 12. In the group of socket bleeding patients, 92% was post-operative hemorrhage and 8% was accompanied with other systemic hemorrhagic diseases.

• 대한한의학원전학회지
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• 제29권1호
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• pp.17-41
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• 2016

Subjects : A literature research on the constitution and medicinal effect & adaptation diseases of "Bullsusan". "Bullsusan" is a herbal prescription composed of Angelicae Gigantis Radix(當歸) and Cnidii Rhizoma(川芎). Objectives : Through the researching on the records of "Bullsusan" in Korean Traditional Medical Books, gain the literature evidence for adaptation to these days child labor as a pre-labor keeping herbal medicine. And have detailed consideration on the constitution of prescription and medicinal effect & adaptation diseases of "Bullsusan". Methods : First, researched the records of "Bullsusan" in Korean Traditional Medical Books which were included at A Series of Korean Medicine(韓國醫學大系) and analysed component ratio, nickname, herbal manufacture and drug processing method, medicinal effect and adaptation diseases. Second, referred related Korean and Chinese researches that examined the medicinal effect and adaptation diseases of "Bullsusan" by scientific experimentation. Conclusions : We found total 46 records of "Bullsusan" from 20 kinds of Korean Traditional Medical Books included at A Series of Korean Medicine. Prescription component ratio of Angelicae Gigantis Radix and Cnidii Rhizoma were 3:2, 1:1, 2:1, 1:1. 3:2 had most 20 records and 1:1 had second 14 records. Especially 1:1 had a tendency of having nickname "Goonguitang", but not must had. First herbal manufacture was powder, it had 8 records. First drug processing method was decocting with water and alcohol, had 19 records. Medical Effects of "Bullsusan" can be induced to next 8, that were "remove get bad blood, give birth new blood", "easy labor by reducing fetal volume", "acceleration of labor", "test of fetal survival, elimination of dead embryo", "elimination of placenta", "revive", "allaying pain", "nourish the blood". From these medical effects, 9 adaptation diseases can be induced. That were "threatened abortion", "womb ache and vaginal bleeding by spontaneous abortion", "pre-labor keeping(prevention of hard labor)", "acceleration of labor", "hard labor", "missed abortion", "postnatal vaginal bleeding, dizziness, asthma, headache, womb ache", "postnatal mastoptosis and mastodynia", "first aid symptom like as dizziness, unconsciousness, stroke caused by excessive bleeding". The medical effect of "acceleration of labor" and "elimination of placenta" have been examined by modern clinical research. The effect of "remove get bad blood, give birth new blood", "allaying pain" and "nourish the blood" have been examined by modern experimental study. But overdosing on "Bullsusan" to pregnant mouse can cause natural abortion, so the proper dose of "Bullsusan" in pregnant period is very important.

• 콘크리트학회논문집
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• 제29권3호
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• pp.315-322
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• 2017

본 연구는 결합재에 따른 자기충전 콘크리트의 현장 최적배합비의 선정 및 이에 따른 현장 시공성과 경제성을 평가하기 위한 것이다. 결합재로 슬래그 함량이 46.5%인 슬래그계와 $C_2S$함량이 51.4%인 벨라이트계, 그리고 석회석 미분말이 사용되었다. 물-시멘트비를 대상으로 유동성, 충전성, 재령별 압축강도를 측정하여 현장 최적배합조건을 선정하였으며, 이에 따른 평가항목으로 응결시간, 블리딩, 침하깊이, 단열온도 상승시험을 실시하였다. 현장 시공성 및 경제성 평가를 위하여 현장시공에 따른 콘크리트 물량과 재료비를 분석하였다. 실험결과, 유동성 및 압축강도에 만족하는 물-시멘트비는 슬래그계 41.0%, 벨라이트계 51.0%이며, 응결시간 및 블리딩량 종료시간은 슬래그계가 빨랐지만, 블리딩량은 슬래그계가 큰 것으로 나타났다. 단열온도 상승량 및 상승속도는 벨라이트계가 낮은 것으로 나타났다. 또한 배처 플랜트의 최적 배합시간은 75초가 적합하였으며 생산량은 $100{\sim}110m^3/hr$이었다. 재료비 및 콘크리트 물량에서 벨라이트계가 슬래그계보다 각각 14.0% 및 3.3% 절감되는 것으로 나타났기 때문에, 재령별 압축강도 발현을 제외하면 벨라이트계 자기충전 콘크리트가 시공성 및 경제성 등에서 우수하였다.

• Advances in pediatric surgery
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• 제19권2호
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• pp.81-89
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• 2013

The purposes of this study was to describe the clinical correlation of mass size and gestational age, prognostic factors in sacrococcygeal teratoma (SCT) at a tertiary pediatric surgery, University of Ulsan College of Medicine and Asan Medical Center (AMC), Seoul, Korea. Fifty five patients admitted to the AMC with a SCT between May 1989 and April 2013 were included in this retrospective review. Mean follow up was 861 days. Mean maternal age at delivery was $30{\pm}2.7$ year, mean gestational age (GA) was $36.9{\pm}3.6$ wks, and preterm delivery was 21.8%. Birth body weight was $3182{\pm}644$ g and male vs. female ratio was 1:2.05. We can't find significant difference between Caesarean section and maternal age at delivery (p =0.817). But, caesarean section was favored by gestational age (p = 0.002), larger tumor size (p =0.029) or higher tumor weight fraction rate to birth body weight (p =0.024). Type I was 13, II 21, III 17, and IV 3 according to Altman et al. classification. The tumor component was predominantly cystic(> 50%) in 73.1 %. And the majority histological classification of tumors were mature teratoma (70.3%). The motality rate was 5.5%. Three patients expired because of postpartum bleeding, post-op bleeding related complication such as DIC. SCT recurred in four patients. The interval between first and second operation was $206.2{\pm}111.0$ d (range 53~325 d). In two patients, serum AFP levels were elevated at a regular checkup without any symptom, and subsequent imaging studies revealed SCT. The most common cause of death was bleeding and bleeding related complication. So Caesarean section and active peripartum and perioperative management will be needed for huge solid SCT. In the case of Yolk sac tumor or huge immature teratoma, possibility of recurrence have to be always considered, so follow up by serial AFP and MRI is important for SCT management.