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Clinical Studies on Congenital Atrial Septal Defects in Koreans (심방중격결손증에 대한 임상적 고찰)

  • 이두연
    • Journal of Chest Surgery
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    • v.10 no.2
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    • pp.230-240
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    • 1977
  • Atrial septal defect is one of the most frequently encountered congenital heart disease. Up to December 31, 1976, 1682 cardiac patients received cardiac catheterization in the cardiac department of Yonsei university medical college. Out of the 1682 cardiac patients 723 cases had congenital heart disease and only 116 cases had congetial atrial septal defect. This amounted to 16.04% of all those with congenital heart disease. 58 cases of congenital atrial septal defect operated in the chest surgery department were presented. Of these 58 cases of atrial septal defect, 27 cases were male and 31 cases were female. Their ages ranged from 5 years to 54 years. The systolic pressure of the main pulmonary artery of 40 out of the 58 cases of atrial septal defect was below 40% of that of the systemic blood pressure: in 6 cases, the range of the systolic pressure of the main pulmonary artery was 50-90mmHg; in 12 cases, the range of the systolic pressure of the main pulmonary artery was 40-50mmHg. Average age of these was 30. 1 years. This study tends to show that Korean patients with atrial septal defect even though younger have a slight higher systolic pressure of the main pulmonary artery than Western patients have. The pulmonary blood is 1.5-2.5 times of systemic blood flow in 52 cases out of 58 cases of atrial septal defect.In only one of the 58 cases of atrial septal defect, the Rp was found to be as high as 45% of Rs. All other cases were below this level.51 cases had ostium secundum defect, 4 out of these cases had ostium secundum defect combined with mitral incompetence and 6 out of them had double ostium secundum defect. The remaining 7 cases had ostium primum defect. Their atrial defects were repaired under direct vision utilizing extracorporeal circulation, by hemodilution technic combined with moderate hypothermia. 44 cases [2nd atrial septal defect] were repaired by direct sutures while 14 cases, including the 7 cases ostium primum defects needed patches [1 pericardium and 13 teflon patch]. In 4 cases there were single defects while showed two defects. However the associated septal defect was so small that it could be closed by direct sutures. The size of the defect ranged between 6.0cm2and 10.0cm2 in 19 cases[33.7%]: the smallest being 0. 5cm2 and the largest 24cm2. The surgical mortality was 2 cases [3.4%]. These one case with ostium primum defect, could not be resuscitated on operation table. The cause of death in this case was myocardial failure and MI. The other, a case of ostium primum defect had a second operation on the first operative day due to massive bleeding from LV vent-line insertion site.The patient died on 26th post-operative day due to sepsis.

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THE EFFECT OF THE LENGTH OF THE LINGUAL FRENUM AND THE TONGUE MOTION ON SPEECH (설소대의 크기와 운동이 발음에 미치는 영향)

  • Park, Seong-Hee;Son, Woo-Sung;Kim, Yong-Deok;Shin, Sang-Hun;Kim, Uk-Kyu;Chung, In-Kyo;Kwon, Soon-Bok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.6
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    • pp.526-534
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    • 2001
  • Purpose : The objective of this study is to ascertain whether the positive exists among the frenum length, the tongue movement and the speech and to present the normal range of tongue movement and guidelines for the choice of surgery, observation if necessary. Materials and Methods : 180 patients were evaluated. We divided 180 patients into 6 group by age. Each group was separated as follows; the age of 2.5-4, 5-6, 7-9, 10-12, 16-18. We measured the frenal length, the range of tongue motion and evaluated the speech so that we really questioned about the positive relationship between the tongue-tie and speech. We let the patient exercise the protrusive both(right, left) laterotrusive superior movement of the tongue. During these movements, we measured the distance between the vermilion border and the tongue tip. We also measured the distance from the tongue tip to the point contacting the upper lip with dorsum of the tongue during the maximal protrusive movement of the tongue. Three linear measurement of the anterior, inferior segment of the tongue including the lingual frenum, are made. These measurements are as follows: 1. Distance A. Free anterior portion of the tongue from the point of frenular insertion to the tongue tip. 2. Distance B. The distance from the initiating point of the lingual frenum to the point connecting the two sublingual carundcles to the lingual frenum perpendicularly. 3. Distance C. The distance from the point contacting the line crossing the sublingual caruncles with the lingual frenum to the terminating point of the lingual frenum. We transform three linear measures into a statistical ratio, A/(A-B+C), representing the length of the free portion of the tongue compared with the total sublingual dimensions. In addition, we assessed the speech through Picture Consonant Articulation Test(PCAT) and tried to find out the relationship between the length of the lingual frenum and speech. Conclusion : As people are born, they have small and restricted tongue. As people grow old, tongue motions are more liberate, and unrestricted and they can speak so freely. Therefore we suggest that until age 5, oral and maxillofacial surgeons postpone the surgery if not urgent, evaluate the maximal lingual motions and PCAT according to this article and observe their changes.

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Optical True Time-Delay for Planar Phased Array Antennas Composed of a FBG Prism and a Fiber Delay Lines Matrix (FBG 프리즘과 광섬유 지연선로 행렬을 이용한 평면 위상 배열 안테나용 광 실시간 지연선로)

  • Jung, Byung-Min;Shin, Jong-Dug;Kim, Boo-Gyoun
    • Korean Journal of Optics and Photonics
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    • v.17 no.1
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    • pp.7-17
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    • 2006
  • In this paper, we proposed an optical true time-delay (TTD) for planar phased array antennas (PAAs), which is composed of a wavelength-dependent optical true time delay (WDOTTD) followed by a wavelength-independent optical true time delay (WIOTTD). The WDOTTD is a fiber Bragg gratings (FBGs) Prism and the WDOTTD is a fiber delay-lines matrix of which each component consists of a certain length of fiber connected to cross-ports of a 2${\times}$2 MEMS switch. A 10-GHz 2-bit${\times}$4-bit two-dimensional optical TTD has been fabricated by cascading a WDOTTD with a maximum time delay of 810 ps to a WIOTTD of $\pm$50 ps. Time delay and insertion loss for each radiation angle have been measured. Time delay error for the WIOTTD has been measured to be less than $\pm$1 ps. We have also designed a two-dimensional 10-GHz PAA composed of 8${\times}$8 microstrip patch antenna elements driven by the proposed TTD. The radiation patterns of this PAA have been obtained by simulation and analyzed.

Differentiation of Border Cells During Oogenesis in Drosophila melanogaster (노랑초파리 난자 형성과정 동안의 경계세포의 분화)

  • Gye, Myung-Chan;Cho, Kyoung-Sang;Lee, Chung-Choo
    • Development and Reproduction
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    • v.2 no.1
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    • pp.45-52
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    • 1998
  • An enhncer detector line(EDL) having P[1ArB] insertion in X chromosome with expression of reporter gene (lacZ) in the polar cells and border cell of egg chamber was established and used to monitor the differentiation and migration of border cells during the oogenesis of Drosophila. differentiation of border cell from the anterior polar follicle cells was evident in stage-9 egg chamber of EDL149 which was characterized by migration of columnar follicle cells toward posterior of egg chamber surrounding the oocyte. Migration of border cells was observed in the stage-9 and -10 egg chambers. \beta -galactosidase activities were rapidly increased during the first 4 days after eclosion, and it coincided with the timing of border cell differentiation in the ovary during adult life. Homozygote of EDL149 showed some retardation of border cell migration , resulting absence of migration of some border cells in the anterior part of egg chamber or delayed migration of some border cells in the stage-10 egg chamber. These results suggest that the P[1ArB] of EDL149 is inserted at the locus of the structural gene required for the border cell migration. In addition to the expression in egg chambers, lacZ expression was also detected in the meiotic germ cells of testis and antenna, suggesting the possible requirement of the trapped gene function in these organ. this EDL and enhancer trapped gene might be useful for the study of developmentally regulated cell migration.

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The Realization of Intensity-modulated Radiation Therapy Using the Liquid Shielding Material (액체 차폐물을 이용한 강도변조방사선치료의 구현)

  • 오영기;김진기;신교철;김기환;윤상모;김재철;박인규
    • Progress in Medical Physics
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    • v.12 no.2
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    • pp.155-160
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    • 2001
  • We developed a new method that the radiation field shape and intensity could be controlled automatically with a insertion of the liquid shielding material box having a rotatable model imitated the 3-dimensional target volume within. The molded box filled with the mercury was mounted to the tray. A acrylic model imitated the 3-dimensional target volume was fixed into the center of the interior of the box. Although the gentry rotate, the acrylic model can be returned to the original direction of the target due to the action of the gravity. The film measurements at the gantry rotation angle 0$^{\circ}$, 45$^{\circ}$, and 90$^{\circ}$, respectively were shown that the radiation intensities were modulated properly and the field shapes were conformed to the target. We verified the dose distribution for our method with a cylindrical acrylic phantom inserted a film within. In the case of the 8-field irradiation, the 80% isodose line was enclosed the target shape properly. This results show the realization of a new intensity-modulated radiation therapy(IMRT).

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Design of Active Antenna Diplexers Using UWB Planar Monopole Antennas (초광대역 평면형 모노폴 안테나를 이용한 능동 안테나 다이플렉서의 설계)

  • Kim, Joon-Il;Lee, Won-Taek;Chang, Jin-Woo;Jee, Yong
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.18 no.9
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    • pp.1098-1106
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    • 2007
  • This paper presents active antenna diplexers implemented into an ultra-wideband CPW(Coplanar Waveguide) fed monopole antennas. The proposed active antenna diplexer is designed to direct interconnect the output port of a wideband antenna to the input port of two active(HEMT) devices, where the impedance matching conditions of the proposed active integrated antenna are optimized by adjusting CPW(Coplanar Waveguide) feed line to be the length of 1/20 $\lambda_0$(@5.8 GHz) in planar type wideband antenna. The measured bandwidth of the active integrated antenna shows the range from 2.0 GHz to 3.1 GHz and from 5.25 GHz to 5.9 GHz. The measured peak gains are 17.0 dB at 2.4 GHz and 15.0 dB at 5.5 GHz.

Effect of a Bonding Layer between Electrodes on the Performance of a λ/4-Mode PVDF Ultrasound Transducer (λ/4 모드 PVDF 초음파 트랜스듀서에 있어서 전극 사이의 접합층이 성능에 미치는 영향)

  • Cao, Yonggang;Ha, Kanglyeol;Kim, Moojoon;Kim, Jungsoon
    • The Journal of the Acoustical Society of Korea
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    • v.33 no.2
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    • pp.102-110
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    • 2014
  • The effect of a bonding layer on the performance of a quarter-wave (${\lambda}/4$) mode PVDF ultrasound transducer having not only a piezoelectric layer but also a non-piezoelectric layer between two electrodes was analyzed. The equivalent circuit of a transmission line model by Kikuchi et al.[Sound of IEICE, 55-A, 331-338 (1981)] was introduced for the analysis. The validity of the model was confirmed by comparison with a KLM model for three postulated adhesion cases of a $80{\mu}m$ thick piezoelectric PVDF film to a copper (Cu) backer. The pulse-echo responses of five PVDF transducers, each fabricated with a different thickness ($5{\mu}m{\sim}20{\mu}m$) of the bonding layer, were measured and the results were compared with those by simulation. The two results were in good agreement with each other and it was noted that the effect of the bonding layer on the performance of the transducer could be analyzed by the Kikuchi model. In detail, the $20{\mu}m$ bonding layer decreased the center frequency and the bandwidth by about 19.7 % and 25.0 %, respectively, and increased the insertion loss by 57.2 %.

CPW Phase Shifter and Shunt Stub with Air-Bridge Fabricated on Oxidized Porous Silicon(OPS) Substrate (산화된 다공질 실리콘 기판 위에 제작된 에어브리지를 가진 CPW Phase Shifter와 Shunt Stub)

  • Sim, Jun-Hwan;Park, Dong-Kook;Kang, In-Ho;Kwon, Jae-Woo;Park, Jeong-Yong;Lee, Jong-Hyun;Jeon, Joong-Sung;Ye, Byeong-Duck
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.39 no.9
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    • pp.11-18
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    • 2002
  • This paper presents a CPW phase shifter and shunt stub with air-bridge on a 10-${\mu}m$-thick oxidized porous silicon(OPS) substrate using surface micromachining. The line dimensions of the CPW phase shifter was designed with S-W-Sg = 100-30-400 ${\mu}m$. And the width and length of the air-bridge with "ㄷ“ shape were 100 ${\mu}m$ and 400-460-400 ${\mu}m$, respectively. In order to achieve low attenuation, stepped air-bridge CPW phase shift was proposed. The insertion loss of the stepped air-bridge CPW phase shift is more improved than that of no stepped air-bridge CPW phase shift. The measured phase characteristic of the fabricated CPW phase shifter is close to 180$^{\circ}$ over a very broad frequency range of 28 GHz. The measured working frequency of short-end series stub is 28.7 GHz and the return loss is - 20 dB. And the measured working frequency of short-end shunt stub is 28.9 GHz and the return loss is - 23 dB at midband. As a result, the pattering of stub in the center conductor of CPW lines can offer size reduction and lead to high density chip layouts.

Treatment of crown-root fracture with a modified crown fragment reattachment technique (변형된 치관부 파절편 재부착술식을 이용한 치관치근파절의 치료)

  • Song, Chang-Won;Song, Min-Ju;Shin, Su-Jung;Park, Jeong-Won
    • Restorative Dentistry and Endodontics
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    • v.35 no.5
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    • pp.395-400
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    • 2010
  • The development of adhesive dentistry has allowed that the crown fragment reattachment can be another option in the treatment of crown fracture. However, additional crown lengthening procedure or extrusion of the tooth may be necessary in the treatment of crown root fracture because subgingival fracture line in close proximity to the alveolar bone leads to challenges for restorative procedure and the violation of the biologic width. This case report presents a modified crown fragment reattachment technique of crown root fracture with pulp exposure, which was done without additional crown lengthening procedures. After the endodontic treatment, the patient was treated using a post insertion and the fragment reattachment technique, which made it possible to preserve the space for the biologic width and maintain a dry surgical field for adequate adhesion through the modification of the fractured coronal fragment. Since a coronal fracture was occurred and reattached afterward, it was observed that the coronal fragment was well maintained without the additional loss of periodontal attachment through 2-year follow up.

Design and fabrication of Ka-band high-power, high-efficiency spatial combiner using TM01 mode Transducer (TM01 모드 변환을 이용한 Ka 대역 고출력 고효율 공간 결합기 설계 및 제작)

  • Kim, Hyo-Chul;Cho, Heung-Rae;Lee, Ju-Heun;Lee, Deok-Jae;An, Se-Hwan;Lee, Man-Hee;Joo, Ji-Han;Kim, Hong-Rak
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.21 no.6
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    • pp.25-32
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    • 2021
  • In this study, it proposes a mode converter that is relatively easy to implement and can shorten the transmission line length of the final combining port and it was fabricated and tested by applying it to an 8-way spatial combiner. The proposed mode converter converts the signal converted from the doorknob-shaped circular disk connected to the ground into the TM01 mode by opening it in the circular waveguide. The 8-way waveguide spatial combiner is designed and implemented so that 8 signals input from the H-plane are combined in a circular waveguide at the center, and the final combining mode is TM01. The test results confirmed excellent performance with an insertion loss of less than 0.4dB and a combining efficiency of 95% or more. In addition, it was confirmed that it is suitable for high output by calculating the breakdown voltage and discharge threshold power of the new mode conversion structure through electric field analysis. The results confirmed through this study are expected to be applicable to high-power, high-efficiency SSPA in various fields in the future.