• Title/Summary/Keyword: closure operation

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Surgical Treatment of Post-Infarction Ventricular Septal Defect with Left Ventricular Rupture -A Case Report- (심근 경색후 발생한 좌심실 파열을 동반한 심실중격 결손의 외과적 치료 -1례 보고-)

  • Kim, Hyun-jo;Kim, Doo-Sang;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.28 no.9
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    • pp.857-860
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    • 1995
  • In a 53-year old male with post-infarction ventricular septal defect [VSD , owing to an acute exacerbation of pulmonary edema, respiratory failure developed, and the ventilatory support and intraaortic balloon counterpulsation [IABP were applied. At the following day, operation was performed with the aid of IABP. Under the cardioplumonary bypass, he underwent infarctectomy, trimming of VSD margin, patch closure of VSD and infarctectomy site. Left ventricular free wall rupture was detected during operation, which was confined with pericardial adhesion. Post-operative course was uneventful, and he could be discharged with minimal degree of dyspnea [NYHA class II .

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A Unified Theory for Certain Weak Forms of Open Sets and Their Variant Forms

  • Roy, Bishwambhar;Seny, Ritu
    • Kyungpook Mathematical Journal
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    • v.52 no.4
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    • pp.405-412
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    • 2012
  • The purpose of the present paper is towards working out a unified version of the study of certain weak forms of generalized open sets and their neighbouring forms, as are already available in the literature. In terms of an operation, as initiated by $\acute{A}$. Cs$\acute{a}$sz$\acute{a}$r, we introduce unified definitions of ${\wedge}_{\psi}$-sets, ${\vee}_{\psi}$-sets, $g{\cdot}{\wedge}_{\psi}$-sets and $g{\cdot}{\vee}_{\psi}$-sets and derive results concerning them.

Management of Mediastinitis after Open Heart Surgery (개심술후 발생한 종격동염의 치료)

  • 최세영
    • Journal of Chest Surgery
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    • v.28 no.4
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    • pp.360-364
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    • 1995
  • Between January 1984 and January 1994, 13 patients developed mediastinitis after cardiac operations. There were 7 women and 6 men with a mean age of 24.2 years[range 0.7 - 61 . Initial operation included 7 valve replacements and 6 congenital cardiac repairs. The duration between initial operation and diagnosis was 13.5 days[range 4-57 . Organisms cultured from debridement material included S.aurus[n=9 , S.epidermidis[n=3 and Enterobacter[n=1 . Fever was the most frequent complaint and purulent drainage was noticed in 9 patients[69% . Seven patients were treated with radical debridement followed by closed irrigation. In other 6 patients, the wounds were managed by debridement, open granulation and delayed wound closure. Two hospital deaths [15.4% following open granulation method, resulted from sepsis. The 11 survivors were followed-up for 1-120 months, averaging 42 months and had healed wounds. One late death occurred due to massive hemorrhage.

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FINITELY t-VALUATIVE DOMAINS

  • Chang, Gyu Whan
    • Korean Journal of Mathematics
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    • v.22 no.4
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    • pp.591-598
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    • 2014
  • Let D be an integral domain with quotient field K. In [1], the authors called D a finitely valuative domain if, for each $0{\neq}u{\in}K$, there is a saturated chain of rings $D=D_0{\varsubsetneq}D_1{\varsubsetneq}{\cdots}{\subseteq}$ $D_n=D[x]$, where x = u or $u^{-1}$. They then studied some properties of finitely valuative domains. For example, they showed that the integral closure of a finitely valuative domain is a Pr$\ddot{u}$fer domain. In this paper, we introduce the notion of finitely t-valuative domains, which is the t-operation analog of finitely valuative domains, and we then generalize some properties of finitely valuative domains.

Chronic Traumatic Femoral Arteriovenous Fistula after Gunshot Vascular Injury - A case report - (총상 후 발생한 만성 외상성 대퇴동정맥루의 치험 -1예 보고 -)

  • Kim, Sang-Ik;Kim, Byung-Hun
    • Journal of Chest Surgery
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    • v.41 no.1
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    • pp.120-123
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    • 2008
  • A 60-year-old man with a history of gunshot vascular injury on the right inguinal area, and this happened in the military service 40 years ago, was admitted to our hospital with claudication and dyspnea on exertion. The patient was diagnosed with a chronic traumatic femoral arteriovenous fistula. The patient underwent a successful operation for arteriovenous fistula closure with bovine pericardium and for femoropopliteal bypass with using a right greater saphenous vein graft. The patient is well at 14 months after the operation.

Intralobar Pulmonary Sequestration with Hemoptysis and Hemothorax (혈흉과 각혈을 동반한 내엽성 폐분리증)

  • Park, Jeong-Min;Oh, Bong-Suk
    • Journal of Chest Surgery
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    • v.40 no.10
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    • pp.708-710
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    • 2007
  • A 60-year-old female entered the emergency unit with a chief complaint of hemoptysis. Based on the computer tomographic image analysis of the chest, the patient was diagnosed as having an intralobar pulmonary sequestration that accompanied a hemothorax, and the hemothorax was do to the rupture of a pseudocyst. Pulmonary lobectomy of the left lower lobe and primary closure of an aberrant artery were both performed as an emergency operation. After one week following the operation, the patient was discharged without any postoperative complications.

Development of Finger Gestures for Touchscreen-based Web Browser Operation (터치스크린 기반 웹브라우저 조작을 위한 손가락 제스처 개발)

  • Nam, Jong-Yong;Choe, Jae-Ho;Jung, Eui-S.
    • Journal of the Ergonomics Society of Korea
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    • v.27 no.4
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    • pp.109-117
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    • 2008
  • Compared to the existing PC which uses a mouse and a keyboard, the touchscreen-based portable PC allows the user to use fingers, requiring new operation methods. However, current touchscreen-based web browser operations in many cases involve merely having fingers move simply like a mouse and click, or not corresponding well to the user's sensitivity and the structure of one's index finger, making itself difficult to be used during walking. Therefore, the goal of this study is to develop finger gestures which facilitate the interaction between the interface and the user, and make the operation easier. First, based on the frequency of usage in the web browser and preference, top eight functions were extracted. Then, the users' structural knowledge was visualized through sketch maps, and the finger gestures which were applicable in touchscreens were derived through the Meaning in Mediated Action method. For the front/back page, and up/down scroll functions, directional gestures were derived, and for the window closure, refresh, home and print functions, letter-type and icon-type gestures were drawn. A validation experiment was performed to compare the performance between existing operation methods and the proposed one in terms of execution time, error rate, and preference, and as a result, directional gestures and letter-type gestures showed better performance than the existing methods. These results suggest that not only during the operation of touchscreen-based web browser in portable PC but also during the operation of telematics-related functions in automobile, PDA and so on, the new gestures can be used to make operation easier and faster.

Aortoenteric Fistula - A Report of a Case - (대동맥장루 -1예 보고-)

  • 김성수
    • Journal of Chest Surgery
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    • v.22 no.5
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    • pp.823-828
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    • 1989
  • Aortoenteric fistula is an uncommon important complication of aortic reconstruction with a prosthetic graft. The complication often is difficult to diagnose and is associated with poor prognosis. Aortoenteric fistula could be divided into true aortoenteric fistula and paraprosthetic-enteric fistula. In case of true aortoenteric fistula, an actual communication between the gastrointestinal tract and the aortic lumen is present. So, massive gastrointestinal hemorrhage is the presenting manifestation. In paraprosthetic-enteric fistula, characterized by communication between the gastrointestinal tract and the external surface of synthetic vascular prosthesis without actual fistularization into the vascular lumen, the predominant clinical manifestation were sepsis, fever and anemia. We experienced one case of paraprosthetic-enteric fistula in a 16 years old male after abdominal aortic reconstruction with a prosthetic graft. The interval from the operation to onset of symptoms was 40 months. The initial clinical manifestation was sepsis, fever and anemia without massive gastrointestinal hemorrhage. Surgical treatment consists of complete excision of infected graft, two layers closure of jejunal wall defect and pledgets suture of aortic stump with surrounding health tissue. Anatomic revascularization was not able to be done: because of extensive retroperitoneal inflammation and extraanatomic revascularization did not performed due to adequate distal blood supply through rich collateral circulation. After operation, he complained numbness on left foot on moderate exertion and felt coldness on left leg compared with right leg but not showed skin color change. 43 days after operation, he discharged without gait disturbance except numbness on left foot on moderate exertion.

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Analysis of the Impact of COVID-19 on Port Operation (컨테이너 항만운영에 대한 코로나19의 영향 분석 연구)

  • Kim, Sung-Ki;Kim, Chan-Ho
    • Journal of Navigation and Port Research
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    • v.45 no.3
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    • pp.155-164
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    • 2021
  • The major factors that threaten port operation are diversie. Coronavirus disease-19, (COVID-19), which has recently disrupted operations worldwide, is one of them. Port operation was completely stopped due to a confirmed coronavirus involving a Russian sailor in Gamcheon Port, Busan, Korea in 2020, resulting port closure due to the infectious disease outbreak. The port is a national infrastructure facility that controls most of Korea's import and export logistics, and it is absolutely necessary to secure resilience against threats such as infectious diseases. However, due to insufficient data, this study was undertaken to determine a cause-effect relationship of infectious diseases during the container port operation using system dynamics. In addition, the port's resilience against infectious diseases was measured in terms of productivity and cargo volume through simulation. The model built via simulation analysis can actually be used to measure the resilience of a port. In the event of an infectious disease outbreak at a port, a quarantine policy scenario can be implemented and the effect compared, thereby improving the resilience.

Temporary Abdominal Coverage with Malex Mesh Prosthesis in Cases of Severely Injured Abdominal Trauma Patients (중증 외상환자에서 mesh를 이용한 일시적 수술창 봉합의 경험)

  • Kim, Yeon Woo;Jung, Yong Sik;Kim, Wook Hwan;Min, Young Gi;Kim, Ki Woon;Lee, Kug Jong
    • Journal of Trauma and Injury
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    • v.18 no.1
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    • pp.70-79
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    • 2005
  • Background: Abdominal compartment syndrome has multiple etiologies that are not only related to trauma but also any problem condition in the absence of abdominal injury. To determine whether prevention of the abdominal compartment syndrome after celiotomy for trauma victims justifies the use of temporary abdominal coverage with monofilament knitted polypropylene mesh (Malex mesh) in severely injured patients. Method: Medical records at the Ajou University Medical Center were reviewed for a 32-month period from May 1st, 2002 to December 31st, 2004. Twenty-nine consecutive patients requiring celiotomy who were survived until at the end of celiotomy received temporary abdominal coverage and staged abdominal repairs with Malex mesh. One of them was dissecting aortic aneurysm patient and the others were all trauma victims. Malex mesh prosthesis coverage was used in cases of abdominal compartment syndrome due to excessive fascial tension, severe bowel edema and retroperitoneal hemorrhage or edema followed by staged abdominal repairs. Result: Eighteen of twenty-nine patients were survived. Demographic characteristics, injury severity number of abdominal-pelvic bone injuries, mortality rate, complications, number of operations for permanent closure, required time for permanent closure showed no difference between man and women or child and adult. Except one dissecting aortic aneurysm patient, trauma cases showed $3.24{\pm}0.98$ injury sites. All cases that received temporary abdominal coverage and staged abdominal repairs did not show abdominal compartment syndrome. $10.08{\pm}5.85$ days and $2.27{\pm}0.82$ times of operation required making permanent abdominal closure after temporary abdominal coverage followed by staged abdominal repairs. Most of surviving patients have shown antibiotic-resistant organism and fungus infection. Patients who received permanent closure recovered from infectious problem completely. Conclusion: The use of Malex mesh for temporary abdominal coverage in severely injured patients undergoing celiotomy was effective treatment method.