Yu Song Hyeon;Park Han Ki;Cho Bum Koo;Park Young Hwan
Journal of Chest Surgery
/
v.38
no.3
s.248
/
pp.181-190
/
2005
The results of biventricular repair for double outlet right ventricle have been improved in recent series. We studied the surgical and long term results for total correction of double outlet right ventricle by the type of ventricular septal defect. Material and Method: Between November 1979 and December 2003, 126 patients had biventricular repair for double outlet right ventricle. The mean age was 1.8 years (range 1$\~$44) and 86 patients ($68.3\%$) were male. We classified and studied this disease by the type of VSD. Result: The locations of VSD were subaortic in 79 ($62.7\%$), subpulmonary in 17 ($13.5\%$), doubly committed in 16 ($12.7\%$) and noncommitted in 14 ($11.1\%$). 28 patients had palliative operation before total correction and the mean interval to total correction was 41.0$\pm$45.1 months. The methods of total correction were intraventricular baffling in 37 ($29.4\%$), intraventricular baffling with patch enlargement of right ventricular outflow tract in 49 ($38.9\%$), intraventricular baffling with Rastelli procedure in 15 ($11.9\%$), arterial switch operation in 8 ($6.3\%$) and REV procedure in 4 ($3.2\%$), etc. Hospital mortality rate was $10.3\%$ (13 patients) and 25 reoperations were performed in 24 patients ($19.0\%$). The risk factors for hospital mortality and reoperation were cardiopulmonary bypass time (p=0.020) and previous palliative operation (p=0.013), respectively. Follow up was possible in 98 patients and mean follow up period was 118.9$\pm$70.7 months. The percent survival and survival for freedom from reoperation at 15 years were $82.5\%$ and $66.7\%$, respectively. The survival rate was significantly lower (p=0.003) in transposition of great artery type and remote type than in simple ventricular septal defect type and tetralogy of Fallot type, but there was no statistical differences in survival rate for freedom from reoperation. Conclusion: It is thought to be that acceptible surgical and long term results can be obtained with application of appropriate methods of repair for double outlet right ventricle.
Ku, Jung Hoei;Cho, Hyung Lae;Park, Man Jun;Kim, Jeong Cheol
Journal of Korean Orthopaedic Sports Medicine
/
v.10
no.2
/
pp.61-68
/
2011
Purpose: We evaluated the clinical outcome after arthroscopic repair in full thickness rotator cuff tears with and without delamination. Materials and Methods: From March 2006 to October 2008, we included 48 consecutive shoulders (31 males, 17 females; mean age 57.6 years; 45~68) who had arthroscopic double row repair for fullthickness tears of the rotator cuff. Mean rotator cuff tear size was 2.8 cm (range: 1.2~3.6) and the techniques of tendon-to-bone fixation varied according to the presence of delamination; separate row fixations of bursal and articular layer were used in delaminated tear. The mean follow-up was 26 months (range: 18~33) and functional and structural results were evaluated by American Shoulder and Elbow Surgeons (ASES), University of California at Los Angeles (UCLA) scale, isokinetic strength testing and magnetic resonance imaging (MRI) obtained mean 8 months (range:6~13) postoperatively. The patterns of delamination, age, sex, symptom duration, size of tear, satisfaction rate, retear rate ware compared and significance was set at p values < 0.05. Results: Postoperative functional shoulder score improved significantly in 44 shoulders (91.7%). Delamination was observed in 15 shoulders (31%) and it extended proximally and posteriorly in the majority of shoulders, and the articular layer was thicker (8/15, 53%) and more retracted (9/15, 60%) compared with the superficial bursal layer. Final follow up functional shoulder scores showed no differences between non-delaminated and delaminated tears and the presence of delamination had no correlations with sex, symptom duration, tear size and satisfaction rate, however, older age had more delaminated tears (p=0.041). Follow up MRI in 29 shoulders revealed that fourteen (48%) shoulders had complete healing; nine (31%), partial healing; six (21%), complete retear but the half of the retear group showed favorable clinical results. 79% (15/19) in non-delaminated tear and 80% (8/10) in delaminated tear were judged as healed tendon on MRI and double-layer double row repairs in delaminated tears resulted in nearly same rate of structural integrity of single-layer double row repairs (p=0.165). Conclusion: The incidence of delamination in our series was 31% and older age had more delaminated tears. Sex, symptom duration, preoperative size of the tear, functional results and satisfaction rate had no significant correlations with the presence of delamination. Nearly the same postoperative structural integrity was noted in both delaminated and non-delaminated tears.
Purpose: The purpose of this study is to introduce the double bundle posterior cruciate ligament(PCL) reconstruction using Achilles allograft by the tibial inlay method and evaluate the clinical results of 11 cases who had PCL reconstruction using this method and were followed for more than 2 years after surgery. Materials and Methods: Our series consists of 11 cases of PCL reconstruction due to chronic posterior instability of knee and acute PCL rupture. The clinical results were assessed using the IKDC(International Knee Documentation Committee) scoring system, posterior stress radiographs and the maximum posterior displacement using a KT-1000TM arthrometer. Results: The average preoperative posterior displacement in 90 degree flexion stress radiograph was measured 13.4 mm and in 10 degree flexion the average posterior displacement using the KT-1000TM arthrometer was measured 11.4 mm. Postoperatively the 13.4 mm reduced to 4.4 mm and the 11.4 mm reduced to 3.9 mm. According to IKDC scoring system, 9 cases(81.8%) were satisfied. One case showed limitation of flexion with mild stiffness in the knee and another one case was not improved the posterior instability sufficiently and no complication of allograft was noticed. Conclusion: The double bundle PCL reconstruction using Achilles allograft by the tibial inlay method is a useful method for acute PCL rupture and chronic posterior instability of the knee including failed PCL reconstruction, because it will also make the posterior stability in the extension and 90 degree flexion position, and avoid the grafted tendon abrasion by acute turn of tibial tunnel.
An incremental approach to predict the time dependent flexural behavior of composite girder is presented in the framework of incremental finite element method. Age dependent nature of creep, shrinkage, and maturing of elastic modulus of concrete is prescribed in the incremental tangent description of constitutive relation derived based on the first order Taylor series expansion applying to the total from of stress-strain relation. The loop phenomenon in which age dependent nature of concrete causes stress redistribution and it causes creep in turn is taken into account in the formulation through the incremental representation of constitutive relation. The developed algorithm predicts the time dependent deflections of 4.8m long two span double composite box girder subjected to shrinkage, maturing of elastic modulus, and creep initially induced by self weight. Comparison shows a good agreement between the predicted and measured results.
The Journal of Korean Institute of Electromagnetic Engineering and Science
/
v.21
no.4
/
pp.371-380
/
2010
The CATR(Compact Antenna Test Range) is a testing facility which is to provide the uniform plane wave by using the reflector. As the ripple of the uniform plane wave caused by the diffraction rays at the edge of the reflector, serrations are attached at the edge of the reflector to minimize the ripple of the uniform plane wave in the CATR. The diffraction field of the serration is normally analyzed by the Fresnel diffraction formula which is expressed as the double integration, and the structure of the serration is expressed as Fourier series to apply the double integration of the Fresnel diffraction formula. In this paper, the novel shark-fin shaped serrations which have the height modulation of the adjacent serrations are proposed. And the triangular serrations and the novel shark-fin shaped serrations are compared to confirm that the performance of the quiet zone by the shark-fin shaped serrations is better than by the triangular serrations. It is also confirmed that the novel shark-fin shaped serrations which have the height modulation of the adjacent serrations are lower ripple than which have the same height of the adjacent serrations. Accordingly, the novel shark-fin shaped serrations with the height modulation can be used at the edge of the reflector to provide the uniform plane wave in CATR.
This study has been conducted to estimate the proper amount of phosphatic fertilizer required to increase-yield in growing soybeans on newly reclaimed-sterile land which is short of phosphatic fertilizer. IKSAN, the variety chosen for this study, was planted, using the plant spacing $60cm{\times}30cm$. Phosphatic fertilizer was applied in 4 levels in none, standard, double, and triple amount. and at the same time, nitrogen and postassium were applied only in standard amount. Randomized block design was applied in arranging the experimental plots. A series of results acquired are summarized as follows. 1. The fact was recognized that only the standard amount of phosphatic fertilizer is effective for increasing the pod numbers and the soybean yield per l0a. 2. The difference in stem length and stem diameter was very remarkable even among individual plants in the same plot, Throughout all four of the plots there were difference in stem length and stem diameter. That is to say, any invariable tendency on them due to the amount of phosphatic fertilizer applied could not be observed at all. 3. It was recognized that amount of phosphatic fertilizer applied did not have a considerable influence upon the weight of the seeds and the number of seeds contained in 0.l8ι. 4. It was observed that the weight of 1000 seeds was strikingly increased as far as double the amount phosphatic fertilizer.
The Journal of Korean Institute of Electromagnetic Engineering and Science
/
v.13
no.7
/
pp.657-666
/
2002
In this paper, a new broadband phase shifter to adjust the slope of dispersive phase characteristic for frequency of transmission network was proposed. The new fundamental network consists of a fixed main line with a length of λ/2 at the center frequency and two double stubs, each with a length of λ/8 at the center frequency, which are open and shorted, respectively, and which are shunted at the edge points of the main line. Characteristic impedances of the main line and two parallel double stubs are adjusted to produce a minimum phase error and to obtain an input and output match at the desired phase shift. Especially, the proposed structure is especially suitable for a broadband phase shifter with large phase shifts more than 90$^{\circ}$, and it is operated in the octave bandwidth. To verify the usefulness of a new broadband phase shifter, each 45$^{\circ}$-, 90$^{\circ}$-, 180$^{\circ}$-bit phase shifter and 3-bit phase shifter(45$^{\circ}$-phase step), which is cascaded in series, operated at the center frequency 3 GHz were designed, fabricated and experimented. The measured results were in very close agreement with the corresponding simulation results over the bandwidth of I/O impedance match and phase error for each phase shift.
France has allowed a deprivation of nationality for terrorism since 1996 Law. After then, a series of law revision (1998, 2006 law and 2010, 2015-2015 reform tries) have not only linked an act of terror with nationality deprivation but also put the dual national and their deprivation at the centre of dispute. Both 2010 Immigration Law by Sarkozy and 2015-2016 constitutional amendment by Hollande had been not adopted but have combined immigrants and security issue together by firmly solidifying the relationship between dual national and terrorist. Especially in 2015-2016, the constitutional amendment that failed to be adopted has extended a state of emergency and left the nationality deprivation of dual national as controversial issue. After over 4 months of discussion, the amendment that contains a clause of a state of emergency and extension plan for nationality deprivation was abolished but the dual national issues which had been non-politicized has now become politicized, defined as security issues and finally securitized. It shows very two-stage process of securitization argued by Copenhagen school including Buzan. The importance of securitization notion by Copenhagen school lies on the fact that it scrutinizes the constructive elements of the process of securitization. The concept of securitization allows us to see the problem of the process that defines a non-politicized issue as security one by making it political matter. Applying this process of securitization into the controversy of nationality deprivation of dual nationals in France, we can find out the development of non-controversial and non-politicized dual national issues into social agenda by politicization through speech-act or announcement effect.
A number of perforated plates are utilized for the passage of the crew and the equipment, reducing weight and the arrangement of piping. Hull girders in double bottom and floor plates are the typical parts which have those plates in a ship structure, and the perforated plate is usually positioned at the place which has less loading without local strength problems. In the case of utilizing the plate inevitably at the place which has large strength, an opening of the plate has large effect on the buckling strength due to in-plane rigidity and ultimate strength. Therefore the assessments of the elastic buckling strength and the ultimate strength for the perforated plate are the essential requirements for determining the dimensions of the parts at the initial design stage. With above reason, a need of the reasonable assessments for the elastic buckling strength and the ultimate strength has evolved. The numerical series analysis with the consideration of the effect due to various aspect ratios and slenderness ratios were performed using finite element method in this research. Simple formulas for the design are also proposed from the above analysis.
Park, Chan Woo;Lee, Sun Hee;Yang, Kwang Moon;Lee, In Ho;Lim, Kyung Teak;Lee, Ki Heon;Kim, Tae Jin
Clinical and Experimental Reproductive Medicine
/
v.43
no.2
/
pp.119-125
/
2016
Objective: The aim of this study was to report a case series of in vitro matured (IVM) oocyte freezing in gynecologic cancer patients undergoing radical surgery under time constraints as an option for fertility preservation (FP). Methods: Case series report. University-based in vitro fertilization center. Six gynecologic cancer patients who were scheduled to undergo radical surgery the next day were referred for FP. The patients had endometrial (n=2), ovarian (n=3), and double primary endometrial and ovarian (n=1) cancer. Ex vivo retrieval of immature oocytes from macroscopically normal ovarian tissue was followed by mature oocyte freezing after IVM or embryo freezing with intracytoplasmic sperm injection. Results: A total of 53 oocytes were retrieved from five patients, with a mean of 10.6 oocytes per patient. After IVM, a total of 36 mature oocytes were obtained, demonstrating a 67.9% maturation rate. With regard to the ovarian cancer patients, seven IVM oocytes were frozen from patient 3, who had stage IC cancer, whereas one IVM oocyte was frozen from patient 4, who had stage IV cancer despite being of a similar age. With regard to the endometrial cancer patients, 15 IVM oocytes from patient 1 were frozen. Five embryos were frozen after the fertilization of IVM oocytes from patient 6. Conclusion: Immature oocytes can be successfully retrieved ex vivo from macroscopically normal ovarian tissue before radical surgery. IVM oocyte freezing provides a possible FP option in patients with advanced-stage endometrial or ovarian cancer without the risk of cancer cell spillage or time delays.
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