• Title/Summary/Keyword: closure method

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Congenital Cystic Adenomatoid Malformation(CCAM) (선천성 낭포성 유선종 기형)

  • 김수원
    • Journal of Chest Surgery
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    • v.21 no.6
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    • pp.1084-1094
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    • 1988
  • Conservative management of 3 iatrogenic perforations of intrathoracic esophagus was reviewed. The primary disorders were achalasia in 2 patients and congenital tracheoesophageal fistula in 1 patient. Perforation occurred after treatment of the primary disorders in the distal esophagus in 2 patients and mid-thoracic esophagus in 1 patient. All the perforations appeared late after the previous treatments and the inflammation spread to mediastinum and pleural cavity in all the 3 patients. Conservative management of esophageal perforation was carried out with intraluminal drainage from the perforated site of esophagus[insertion of Levin`s tube and continuous suction], pleural drainage and feeding of liquid diet through gastrostomy tube with Fowler`s position. The patients revealed spontaneous closure of perforated sites about 3 to 4 weeks after this conservative management without open thoracotomy. This result suggests that this conservative management may be accepted as therapeutic method in the thoracic esophageal perforations regardless of cause and time of the perforation.

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The Clinical Study to the Mechanism of Remained Murmur after VSD Repair (심실중격결손증 폐쇄술후 잔존심잡음의 발생기전에 관한 임상적 연구)

  • 정황규
    • Journal of Chest Surgery
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    • v.22 no.4
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    • pp.630-637
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    • 1989
  • Author studied 30 cases of remained heart murmur patients after VSD repair. The age ranged from 7months to 27 years, and sex ratio was 29: 1 in male and female. Perimembranous trabecular type of VSD was the most common causes of remained murmur after operation 11 cases, and the next was subpulmonic type 9 cases. The VSD size between 1.1 and 2.0cm in diameter was the most common in 15 cases. The operative method frequently used was patch closure in 21 cases, and commonly used surgical approaching way was through right atrium. Mechanisms of origin of postoperative remained murmur was from TR 9 cases, PI 6 cases, PS 5 cases, remnant shunts 5 cases, pulmonary artery dilatation 2 cases, MR 2 cases, and subaortic stenosis 1 cases.

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Surgical Treatment of Postoperative Leakage with Pedicled Omental Flap (유경성 대망이식편을 이용한 술후 식도천공 치험1례)

  • Im, Chang-Yeong;Kim, Yo-Han;Yu, Hoe-Seong
    • Journal of Chest Surgery
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    • v.26 no.4
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    • pp.325-328
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    • 1993
  • The pedicled omental flap has been used for treatment of various kind of complications in thoraxcic surgery. Its property of promoting neovascularization , immunilogic properties that limiting the spread of infection, providing soft tissue coverage are very effective in treatment esophageal fistulas. Also, congenital broncho-esophageal fistula [ BEF ] is a rare disease entity which was reported about 100 cases around the world. We experienced 27 years old female patient with Braimbridge type I congenital BEF. We performed division of BEF using stapler and pericardial patch coverage of esophageal side with concomittent left lower lobectomy. This patient was complicated with postoperative esophageal leakage with empyema thoracis. We have successfully managed these problems with re-thoracotomy and re-closure of esophageal fistula using Right Gastroepiploic Artery based pedicled omental flap wrapping around the esophageal anastomosis site. It is felt that pedicled omental flap is a very effective method to manage esophageal complication such as postoperative esophageal leakage.

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Activation Energy Asymptotics Revisited (II) - Diffusion-Flame Structure in the Premixed-Flame Regime (활성화에너지점근법의 재고찰 (II) - 예혼합화염영역에서 확산화염구조)

  • Kim, Jong-Soo
    • Journal of the Korean Society of Combustion
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    • v.9 no.4
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    • pp.35-46
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    • 2004
  • Activation energy asymptotics (AEA) for Linan#s premixed-flame regime is revisited in this paper. First, the detailed AEA procedure for the premixed-flame regime is demonstrated, so that the practitioners of AEA could easily apply the method to their own problems. In addition, the controversies surrounding the premixed-flame regime, namely the closure controversy and fast-time instability paradox, are explained. Finally, the limitation of AEA, mainly arising from the wrong prediction of fuel leakage through the reaction zone, is examined and the Zel#dovich-Linan kinetics is introduced as an alternative to meet the needs of modern combustion analysis, where the detailed chemical structure of flame is demanded.

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Millard's Cheiloplasty (밀라드 구순성형술)

  • Park, Jung-Min;Park, Young-Wook
    • Korean Journal of Cleft Lip And Palate
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    • v.10 no.2
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    • pp.97-108
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    • 2007
  • For many years a wide variety of surgical techniques for closure of cleft lip has been used. Still many surgeons prefer the Millard's rotation-advancement lip repair because the surgical scar is masked in the philtral crest and the nostril floor, and it improves the relationship of the alar base of the cleft side, producing harmonious symmetry of the nostril and the nostril sill. In addition, it uses and preserves the lip anatomy, returning lip tissue into its normal position, minimizing the amount of tissue that is discarded, and reconstructing the orbicular oris muscle. One of the major disadvantages of this procedure is the lack of accurate measurements. The object of this study is to help in the cleft lip surgery with investing its features and design.

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SEVERAL KINDS OF INTUITIONISTIC FUZZY OPEN SETS AND INTUITIONISTIC FUZZY INTERIORS

  • Kim, Chang-Su;Kang, Jeong-Gi;Kim, Myoung-Jo;Ko, Mi-Young;Park, Mi-Ran
    • Honam Mathematical Journal
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    • v.32 no.2
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    • pp.307-331
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    • 2010
  • The notion of intuitionistic fuzzy semi-pre interior (semi-pre closure) is introduced, and several related properties are investigated. Characterizations of an intuitionistic fuzzy regular open set, an intuitionistic fuzzy semi-open set and an intuitionistic fuzzy ${\gamma}$-open set are provided. A method to make an intuitionistic fuzzy regular open set (resp. intuitionistic fuzzy regular closed set) is established. A relation between an intuitionistic fuzzy ${\gamma}$-open set and an intuitionistic fuzzy semi-preopen set is considered. A condition for an intuitionistic fuzzy set to be an intuitionistic fuzzy ${\gamma}$-open set is discussed.

Surgical Treatment of Ventricular Septal Defect Associated with Aortic Insufficiency (대동맥판 폐쇄부전을 동반한 심실중격결손의 외과적 치료)

  • 허동명
    • Journal of Chest Surgery
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    • v.24 no.2
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    • pp.135-142
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    • 1991
  • From January 1980 to December 1989, thirteen patients underwent operation for ventricular septal defect associated with aortic insufficiency in Kyungpook national university hospital. Ten male and three female patients ranged in age from 3 years to 25 years, with an average age of 11.5 years. Aortic cusp prolapse was found in eight cases[61.5%]. The aortic regurgitation was classified by Sellers` method with grade I in 2 cases, grade II in 9 cases, and grade III in 2 cases. Direct suture or patch repair of ventricular septal defect was performed through the right ventricle. Eight cases were treated only by closure of VSD, 3 cases by plication, but two of the letter were reoperated due to the persistent of aortic regurgitation and fungal endocarditis respectively. Aortic valve replacement were performed in 2 cases at the first operation. There was only one late death[7.7%], which was caused by postoperative fungal endocarditis. Follow-up for twelve patients except one death were followed up for 3 months to six years after operation. Residual aortic regurgitation was noted in six cases[46.2%], but the postoperative course of them were uneventful.

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Time-Dependent Differential Equation of PSC Flexural Member with Constant Eccentricity (직선배치 긴장재를 갖는 PSC 휨 부재의 시간종속적 지배미분방정식)

  • 강병수;김택중;조용덕;이용학
    • Proceedings of the Korea Concrete Institute Conference
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    • 2002.05a
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    • pp.303-308
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    • 2002
  • A governing differential equation (GDE) of PSC flexural member with constant eccentricity considering the long-term losses including concrete creep, shrinkage, and PS steel relaxation is derived based on the two approaches. The first approach utilizes the force and moment equilibrium equations derived based on the geometry of strains of the uniform and curvature strains while the second one utilizes the principle of minimum total potential energy formulation. The identity of the two GDE's is verified by comparing the coefficients consisting of the GDE's. The boundary conditions resulting from the functional analysis of the variational calculus are investigated. Rayleigh-Ritz method provides a way to get the explicit form of the continuous deflection function in which the total potential energy is minimized with respect to the unknown coefficients consisting of the trial functions. As a closure, the analytically calculated results are compared with the experiments and show good agreements.

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ON THE QUASITORIC BRAID INDEX OF A LINK

  • BAE, YONGJU;SEO, SEOGMAN
    • Journal of the Korean Mathematical Society
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    • v.52 no.6
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    • pp.1305-1321
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    • 2015
  • We dene new link invariants which are called the quasitoric braid index and the cyclic length of a link and show that the quasitoric braid index of link with k components is the product of k and the cycle length of link. Also, we give bounds of Gordian distance between the (p,q)-torus knot and the closure of a braid of two specific quasitoric braids which are called an alternating quasitoric braid and a blockwise alternating quasitoric braid. We give a method of modication which makes a quasitoric presentation from its braid presentation for a knot with braid index 3. By using a quasitoric presentation of $10_{139}$ and $10_{124}$, we can prove that $u(10_{139})=4$ and $d^{\times}(10_{124},K(3,13))=8$.

A clinical evaluation of spontaneous pneumothorax (특발성 기흉에 대한 임상적 연구)

  • 정덕용
    • Journal of Chest Surgery
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    • v.17 no.3
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    • pp.511-515
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    • 1984
  • In this study, 213 cases of the spontaneous pneumothorax experienced at the department of thoracic and cardiovascular surgery, Chungnam National University Hospital during from April, 1977, till Dec, 1983 were reviewed. 1.Sex ratio of the studied patients was 7.19;1 showing high incidence male patients. The incidence according to the age group showed that 20.2%, 18.3% of the patients belong to the age group 6th, 5th decade respectively. 2.The etiologic factors were as follows, tuberculous origin in 50.2%, unknown origin in 28.2%, COPD in 3.3%, bullae in 8.5%. The site was right in 47.9% and left in 44.1%, bilateral in 8%. 3.The clinical symptoms were frequently dyspnea in 35%, chest pain in 27.5%. 4.The employed method of treatment were as follow, bed rest with oxygen inhalation in 1.9%, closed thoracostomy in 95.8%, open thoracotomy in 7.98%, which bullectomy was performed in 12 cases and pneumonectomy in 3 cases and lobectomy in 1 case and decortication with simple closure of bleb was performed in remaining 1 case. 5.The duration of closed thoracostomy was longer in tuberculosis, which average duration was 11.28 days. 6.The overall recurrent rate was 12.3%.

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