• Title/Summary/Keyword: external chamber

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단심실 -III C Solitus 형의 수술치험- (Surgical Repair of Single Ventricle (Type III C solitus))

  • naf
    • Journal of Chest Surgery
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    • 제12권3호
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    • pp.281-288
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    • 1979
  • For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

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Ebstein 기형의 수술 -2례 보고- (Surgical Repair for Ebstein's Anomaly)

  • naf
    • Journal of Chest Surgery
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    • 제12권3호
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    • pp.289-296
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    • 1979
  • For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

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금궤요략${\cdot}$부인잡병맥증병치제이십이(婦人雜病脈證幷治第二十二)에 대(對)한 연구(硏究) (Study on the 'Diagnosis and Treatment of the Woman Various Diseases' in Synopsis Golden Chamber)

  • 이태호;임동국;고승욱;정헌영;금경수
    • 동의생리병리학회지
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    • 제22권1호
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    • pp.32-50
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    • 2008
  • This study is concerned with examining the causes and symptoms of Woman various diseases and clearing up the situations of pulses and their treatment. Woman various diseases are said to be various kinds of diseases including the disorder of menstruation and genitals except pregnancy and postpartum diseases. The main contents are the penetration of heat into worm, the discharge of much blood, stomachache, and the postpartum cyst diseases. Among them, the nature of the diseases which often occur in the gynecology, such as the menstrual diseases and stomachache, were described comparatively in detail. The reason why heat penetrates into the worm is that the external germs come into it under its weakness. To treat it, heat should be removed and lumping blood should be sent out of body. Especially only after whether the disease is serious or not is examined, and just after the process of the disease is examined, the lumping blood can be eliminated. The ways to cure it by sweating a patient too much, getting him or her to vomit, or forcing him or her to be urinated too much, should be avoided. The disorder of menstruation, as the disease which most often occur among the diseases of gynecology, includes menstrual irregularity and blood discharge, and non-menstruation. Among them, non-menstruation and blood discharge are comparatively often discussed. When they are treated, lumping blood and cold energy should be cured well through getting rid of the lumping blood and making the blood vessel flow well. The difficult urination after childbirth, which comes from the weak urinary cist, makes symptoms such as the stuffy chest, the difficulty of lying down, and breathing with his or her back something. To urinate better, the ability of the urinary cist should be supplemented and improved. The principle of the treatment for Woman various diseases is to examine the situation of the pulse closely, then set up the way to treat it, and prescribe a patient. In this study, besides the treatment of Chinese herb medicine, the medicine for washing genitals and the medicine placed in the worm were used to cure Woman various diseases. This treatment is the beginning of the surgical treatment in the gynecology.

단일처리 후 LEDs 광도에 따른 절화국의 줄기 신장과 광합성반응 (Stem Elongation and Photosynthesis Response of Cut Chrysanthemum under Different LEDs Light Intensity)

  • 정성우
    • 농업생명과학연구
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    • 제44권5호
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    • pp.23-27
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    • 2010
  • 초장은 절화국의 외적 품질을 결정하는 매우 중요한 요소이다. 본 실험은 단일처리 후 광량의 차이에 따른 절화국화 광합성 효율과 줄기 신장에 미치는 영향을 알아보기 위하여 growth chamber내에서 수행되었다. 정식 7일 후 단일처리 (day/night, 11/13h)를 개시하였으며 이때 광량은 LEDs array (blue+red)를 이용하여 60, 100, 140, 그리고 $180mol{\cdot}m^{-2}{\cdot}s^{-1}$로 각각 유지하였다. 본 실험의 결과, 광도의 증가에 따른 순 광합성률은 꾸준히 증가하는 직선 회귀의 상관관계가 있었다. 광도의 차이가 꽃눈 분화의 시기에는 영향을 미치지 않았다. 초장, 엽면적, 그리고 건물중 등의 생육은 광도의 증가에 따라 증가 하였으나 140과 $180mol{\cdot}m^{-2}{\cdot}s^{-1}$에서는 처리 간 차이가 나타나지 않았다. 이상의 결과에서 LEDs array를 이용한 $140mol{\cdot}m^{-2}{\cdot}s^{-1}$이상의 광도는 절화국의 줄기 신장에 효과가 없는 것으로 판단되었으며 광도의 증가에 따른 순 광합성률의 증가가 생육의 증가와 일치하지는 않음을 알 수 있었다.

온조도건에 따른 외벽방수용 아스팔트 씰계 재료의 흘러내림 특성에 관한 실험 (Experimental Study on the Characteristics of Asphalt Seal Waterproofing Material for Underground External Walls According to Temperature)

  • 엄태호;김영삼;신홍철;조재우;김영근
    • 한국구조물진단유지관리공학회 논문집
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    • 제22권1호
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    • pp.1-5
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    • 2018
  • 콘크리트 구조물이 점차 대형화, 고층화됨에 따라 지하구조물이 증가하고 있으며 지하실, 지하상가, 지하주차장, 지하철 등 그 종류 또한 다양해지고 있다. 이에 따라 지하구조물에 사용된 방수공법으로는 아스팔트계, 가황고무계, 점착형 시트재 등의 시트계 방수재를 이용한 외 방수공법을 주로 사용하였으나, 조인트 부분, 균열 발생 시 방수층의 파단 등 시트 방수공법의 문제점이 나타나 최근 방수층이나 외벽방수의 품질 확보와 구조물 거동에 대한 하자 발생률을 줄이고자 아스팔트 씰과 아스팔트 방수시트를 복합으로 사용하는 복합공법이 널리 사용되어 지고 있다. 그러나 일부 민간 건설 현장에서 아스팔트 씰의 누유현장으로 매스컴에 오르내리면서 아스팔트 씰의 적정품질 확보가 중요시되는 시점이다. 이에 본 연구에서는 국내에서 사용되고 있는 아스팔트 씰계 제품을 대상으로 옥외 수직부 흘러내림 특성을 평가하였다.

무수치 표백술에서 근관내 Base가 표백약제의 누출 방지에 미치는 영향 (THE EFFECT OF INTRACANAL BASE ON PREVENTION OF APICAL LEAKAGE OF BLEACHING AGENTS)

  • 최승호;노병덕;박성호;이승종
    • Restorative Dentistry and Endodontics
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    • 제24권3호
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    • pp.453-464
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    • 1999
  • The non-vital bleaching technique has been used widely as a very effective treatment method on discolored non-vital teeth. But periodontal tissue deterioration and cervical external root resorption have been reported because of the high toxicity of hydrogen peroxide in bleaching agents. So in previous studies, placement of base over the root canal obturation prior to bleaching has been suggested in order to prevent microleakage of bleaching agents, however, the effectiveness of base is still controversial. The purpose of this study was to evaluate the effects of base and root canal sealer on prevention of leakage of bleaching agents in non-vital bleaching. Fifty-two extracted sound teeth with single root were used. For root canal obturation, Tubuli seal$^{(R)}$(Kerr Co., USA) was used in 39 teeth and in others, AH-26$^{(R)}$(De Trey Dentsply, Inc., Switzerland) was used as a root canal sealer. 26 teeth among the teeth obturated with Tubuli seal$^{(R)}$ were divided into two groups, and Dentin cement$^{(R)}$(GC corp., Japan) and JRM$^{(R)}$(De Trey Dentsply, Inc. Germany) were used in each group as a intracanal base. In all teeth, non-vital bleaching using bleaching agent mixed with methylene blue dye was performed and all specimens were stored in $37^{\circ}C$ water bath for 72 hours. After sectioning longitudinally, the depth of dye leakage was measured with digital vernier calipers under the stereobinocular microscope using ${\times}40$ magnification. It can be concluded as follows: 1. The microleakage of bleaching agent was observed ill all groups regardless of type of the base and the sealer. 2. The microleakage in the groups using AH-26$^{(R)}$ as a sealer was significantly reduced (p<0.05). 3. In the groups with intracanal base, micro leakage was observed through almost the whole depth of the base and there was no significant difference between Dentin cement$^{(R)}$ and IRM$^{(R)}$ group(p>0.05). In conclusion, all the basing materials and the sealers in this study did not prevent the microleakage of bleaching agent. Therefore further studies and attempts to seal off the pulp chamber will be necessary.

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효율적인 광전기화학적 태양에너지 전환과 저장을 위한 Solar Water Battery의 최적화 (Optimization of Solar Water Battery for Efficient Photoelectrochemical Solar Energy Conversion and Storage)

  • 고현주;박이슬
    • 청정기술
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    • 제27권1호
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    • pp.85-92
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    • 2021
  • 태양에너지를 활용하여 전력을 생산하는 시스템인 Solar water battery는 광전기화학전지와 에너지저장시스템을 결합한 것으로 추가적인 외부 전압 없이 태양에너지의 전환과 저장을 동시에 할 수 있다. Solar water battery는 광전극, 저장전극 그리고 상대전극으로 구성되어 있고, 이들의 선택과 조합은 시스템의 성능과 효율에 있어 중요한 역할을 한다. 본 연구에서는 Solar water battery의 구성요소들을 변화시켜 시스템에 미치는 영향을 알고자 하였다. 상대전극이 방전 시 미치는 영향, 광전극과 저장전극의 전극 재료, 전해질의 종류에 따른 태양에너지 전환 효율과 저장 용량에 미치는 영향에 대해 연구하였다. 이들의 최적화된 구성(TiO2 : NaFe-PB : Pt foil)에서 15시간동안의 광조사 후의 방전 용량이 72.393 mAh g-1으로 시스템 구성 조건에 따라 광전환/저장 효율이 크게 영향을 받음을 확인 할 수 있었다. 또한, 유기 오염물질을 광전극 반응조내 전해질에 첨가하여 광전하를 효율적으로 분리시킴으로써 광전류 증가시켰으며, 이로 인해 저장용량이 향상되고, 동시에 오염물질도 분해시킬 수 있음을 확인하였다. 이처럼 Solar water battery는 추가적인 외부 전압이 필요없는 새로운 친환경 태양에너지 전환/저장 시스템이며, 나아가 수처리에도 활용할 수 있을 것으로 기대된다.

CO2 추적가스 농도감소법을 이용한 공동주택의 급·배기구 조합에 따른 환기 성능 분석 (Evaluation of Ventilation Performances for Various Combinations of Inlets and Outlets in a Residential Unit through CO2 Tracer-Gas Concentration Decay Method)

  • 이상윤;이수만;김종엽;김길태;곽병창
    • 토지주택연구
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    • 제14권4호
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    • pp.111-120
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    • 2023
  • 주거 공간에서의 시간 증가와 외부 미세먼지, 황사 등의 영향 그리고 코로나 19 이후에 실내 공기질에 대한 중요성이 점차 중요해지고 있다. 이를 해결하기 위해 주거 공간에서 기계환기의 영향이 중요해지고 있고, 국내에서는 시간당 환기횟수 0.5회에 대한 법적 기준이 있다. 하지만, 급배기구의 위치는 구체적인 기준이 없어서 관습적으로 사용되고 있다. 본 연구에서는 급배기구 위치에 따른 주거 공간의 환기 성능 영향을 분석하고자 하였다. 실험은 외부 영향을 최소화할 수 있는 대형 챔버안에 있는 목업주택에서 추적가스법 중 농도감소법을 이용해서 실제 현장시험을 진행하여 실험을 진행했다. 실험 결과 거실 공간에서 일반적으로 사용하는 급기구 2개, 배기구 2개 조합은 급기 1개 배기 2개 조합보다 공기연령이 낮았으며, 급기와 배기를 1개씩 사용하는 것보다 급기나 배기를 여러개 사용하는 것이 측정점에서 오차율이 적어 실내 환기성능이 유사한 것을 확인했다.

섬진강 수계에 출현하는 양측회유성과 육봉형 은어 Plecoglossus altivelis 후각기관의 해부 및 조직학적 구조 비교 연구 (A Comparative Anatomical and Histological Study of the Olfactory Organ of Amphidromous and Land-locked Sweet Fish, Plecoglossus altivelis(Osmeriformes, Osmeridae), in Seomjingang River System, Korea)

  • 최민정;박종영
    • 한국어류학회지
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    • 제36권3호
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    • pp.230-239
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    • 2024
  • 2021년 8월에 섬진강 수계인 전라북도 임실군 신평면 덕암리와 경상남도 하동군 고정면 대덕리에 서식하는 육봉형과 양측회유성 은어의 후각기관의 형태와 조직학적 특징을 확인하기 위해 실체현미경, 광학현미경, 주사전자현미경을 이용하였다. 그 결과, 두 유형의 은어의 외부 형태는 유사하였으며 타원형의 전비공, 반원형의 전비공과 비경계판이 한 쌍을 이루었다. 20~22개의 후판이 로제트 구조를 형성하였으며 이차 주름이 후판의 표면에서 확인되었다. 조직학적 결과에서도 두 유형은 서로 유사하였다. 감각상피는 연속분포 유형이었으며 후감각뉴런, 지지세포, 기저세포, 섬모, 미확인 세포가 확인되었으며 비감각상피에서는 편평상피세포, 기저세포, 점액세포가 확인되었다. 본 연구에서 육봉형 은어와 양측회유성 은어의 해부·조직학적 차이는 확인할 수 없었으나 다른 소하성 어류보다 많은 후판의 개수와 이차 주름의 존재로 인해 다른 소하성 어류보다 후각 민감도가 높을 것으로 사료된다.

전치부 외상성 손상시 치아고정술 후의 예후에 관한 연구 (A STUDY ON THE PROGNOSIS AFTER STABILIZATION OF THE TRAUMATIZED ANTERIOR TEETH)

  • 김미영;이의웅
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제12권1호
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    • pp.62-71
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    • 1990
  • This study was to evaluate the nature of traumatic injuries on anterior teeth of 530 patients and the prognosis of stabilized cases of 102 patients, including possible 18-follow up cases among them, treated at Dental Hospital, Yonsei Medical Center from Mar. 1983 to Feb. 1988. The obtained results were as follows. 1. The peak of monthly distribution of trauma to the anteriors was June and was the lowest in November. The ratio of male to female was 2.6 : 1. The most common incidence of the trauma to the anteriors was seen in the 3rd decades. The most chiefly involved teeth were central incisors in both upper and lower jaws. The causes of trauma were as followed in descending order by first blows, traffic accidents, falls, slip downs, and sports. The types of traumatic injuries of anterior teeth consisted of periodontal tissue injuries(55.9%), the injuries to the hard dental tissues and pulp(31.3%), and alveolar bone injuries(12.8%). 2. 35.1% stabilized anteriors were treated with root canal therapy. The success rate of stabilization was 95.3%, and 92.3% in replantation of avulsed teeth. 3. External root resorption, internal root resorption with calcification of pulp chamber or root canal, ankylosis of root, and other periapical pathosis were seen in follow-up radiographic findings. 4. Success rate of stabilization of the traumatized anteriors after 3 years showed 71.4% average.

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