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Surgical Treatment for Aneurysm of Sinus of Valsalva Combined with Ventricular Septal Defect (심실중격결손을 합병한 Valsalva's 동 동맥류 파열의 치험예)

  • 권중혁
    • Journal of Chest Surgery
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    • v.12 no.1
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    • pp.43-49
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    • 1979
  • This is a case report of surgically treated rupture of Valsalva Sinus aneurysm combined with VSD. He has been relatively healthy until about one month before admission, when during bath, he felt abruptly palpitation, left chest pain and exertional dyspnea. These symptoms have progressed. On admission, thrill was palpable and continuous machinery murmur was audible on 2nd and 3rd intercostal space along the left sternal border. A rupture of Valsalva`s sinus aneurysm was confirmed by aortography and echocardiography but a small VSD was found by cardiotomy in open heart surgery. On 11th Sep. 1978, open heart surgery was performed. Valsalva`s sinus aneurysm came out from right coronary aortic sinus and ruptured into the right ventricle. It sized 1.2X1.5X1.5 cm. Ruptured opening was noted on apex of aneurysm [0.8X0.8cm], VSD [1. 0X0. 3cm in size] was just below the aortic annulus. The aneurysmal sac was removed on neck. After that, VSD and aneurysmal orifice were closed together with interrupted mattress sutures on same plane. The postoperative course was uneventful and discharged three weeks after open heart surgery.

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A case of bochadalek hernia in adult (성인에서 발생한 Bochdalek Hernia 수술치험 1예)

  • 권우석
    • Journal of Chest Surgery
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    • v.19 no.2
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    • pp.331-334
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    • 1986
  • Bochdalek hernia in adult is relatively uncommon. We experienced a surgical case of Bochdalek hernia in a 29 year old housewife. She was admitted via E-R due to left chest pain and nausea for 1 months. 5 days before admission, she had Cesarean section on private hospital. After delivery, nausea and exertional dyspnea were aggravated. On admission, chest PA showed herniated stomach, colon, small intestine on left thorax. She was diagnosed of diaphragmatic hernia and operated. Operative findings were as follows: 1. hypoplastic: lower lobe of left lung, 2. stomach, colon, small intestine, spleen were herniated, 3. the defect was located on posterolateral portion of diaphragm, measuring 10 x 8 cm in size. Herniated intestines were reduced and diaphragmatic defect was repaired as interrupted sutures with 2-0 Mersilene. Postoperative courses were uneventful and the patient was discharged on POD 10th.

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Surgical Treatment of Atrioventricular Septal Defect (방실중격 결손증의 외과적 치료)

  • 오태윤
    • Journal of Chest Surgery
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    • v.23 no.1
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    • pp.41-48
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    • 1990
  • Thirteen patients underwent repair of atrioventricular septal defect [AVSD] from January 1980 to July 1989 at Kyungpook National University Hospital. Two patients had complete AVSD [Rastelli type A] and eleven patients had partial AVSD [ostium primum atrial septal defect and cleft of anterior mitral leaflet]. In all the patients of partial AVSD, atrial septal defect was closed with Dacron patch and the mitral cleft was approximated with interrupted simple sutures. In one patient of complete AVSD, one patch technique was used to close the atrial and ventricular septal defect, and in the other patient of complete AVSD, two patch technique was used. In six patients, there were associated anomalies; four had isolated ostium secundum ASD, two had patent foramen ovale. Postoperative complete A-V block was noted in a patient of partial AVSD, but it was returned to 1st degree A-V block 30 months later and in another case of partial AVSD, severe congestive heart failure [NYHA functional class IV] due to residual mitral insufficiency was developed postoperatively, but this patient was recovered to the state of functional class I after receiving mitral valve replacement. There was one hospital death [8 %] resulting from low cardiac output.

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Multi-level linear Tracking to the Reservoir System Control (저수지 시스템제어에 대한 다단계 선형추적-)

  • 권오헌
    • Water for future
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    • v.17 no.1
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    • pp.37-43
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    • 1984
  • Linear tracking problem I analytically solved with the buadratic performance measure. This theory has the inherent drawbacks in application, because the tracking assumes no boundness of the control and state vectors. The tracking was performed to the discrete system and interrupted subject to the violation. Multi-level tracking was intended based on the concept of the Bellman's Principle of Optimality in this paper. The tracking is iterated to get the desired trajectory which is not known in advance. An application was made to real operation of 6 rervoirs over 36 monthly periods for the Han river.

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Analysis of the Factors affecting Reverberation Time in Small Room (소규모 공간에서의 잔향시간 영향요인 분석)

  • Kim, Myung-Jun;Lee, Byoung-Ki
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2006.11a
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    • pp.492-497
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    • 2006
  • This study gives the results of the measurements and analysises of the reverberation times in a small room such as apartment houses. We measured the RT by changing measurement conditions, which were sound sources. sound source's positions, receiving point & height, sampling time and so on. The critical factor affecting reverberation time was sound source in unoccupied houses and the reverberation time differences between result of RT using impulsive and interrupted sound source was 0.3sec at 500Hz frequency. And the difference of RT due to sound sources affected the sound insulation such as apparent sound reduction index and sound level difference about 1dB at each frequency in unoccupied houses.

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A study on the algorithm for Digital Control System with intermittant computer interruptions and its simulation (컴퓨터의 간헐적 차단시 디지탈제어시스템의 알고리즘 연구와 시뮬레이션)

  • Jang, S.Wh.;Du, P.S.;Jang, S.M.
    • Proceedings of the KIEE Conference
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    • 1991.07a
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    • pp.885-887
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    • 1991
  • A mathematical model under intermittant computer interruptions and its simulation results are presented. As a reasult have simulated for example to digital PID controller presented by Salama, it occured transient phenomena intermittant computer interruption on real time. That is, it presented reason that, is occured instantaneous vibration phenomena when digital computer is interrupted intermittantly

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Carbon Fibers for the Repair of External Abdominal Hernias in Bovines, Caprines and Canines: A Review of 18 Clinical Cases

  • Kumar, Naveen;Sharma, A.K.;Gangwar, A.K.;Maiti, S.K.;Gupta, O.P.;Kumar, N.;Mathur, R.B.
    • Carbon letters
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    • v.7 no.2
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    • pp.81-86
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    • 2006
  • During a 3-year period (2001-2004) 18 animals were surgically treated because of abdominal wall defects (hernia). Out of 18 animals 8 were bovines, 5 caprines and 5 canines. In each case the defect was bridged with carbon fibres. Carbon fibres were placed either in simple interrupted pattern or as mattress overlapping pattern. All the cases were successfully treated and no complication was observed up to six months postoperatively.

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Isolated Cleft in the Anterior Mitral Leaflet One Case Report (전소엽의 열구에 의한 승모판막부전치험 1례)

  • Kim, Gi-Bong;Jo, Dae-Yun;Seo, Gyeong-Pil
    • Journal of Chest Surgery
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    • v.18 no.1
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    • pp.92-96
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    • 1985
  • A cleft in the anterior mitral valve leaflet is commonly associated with atrioventricular septal defects, but may occur as an isolated phenomenon. The cleft mitral valve can cause regurgitation, and surgical treatment of the cleft leaflet should conserve the existing valve if possible. But if satisfactory hemodynamic security cannot be obtained with a reconstructive procedure, the valve should be replaced. We present one case of an isolated cleft in the anterior mitral valve leaflet. The patient showed marked mitral regurgitation in the preoperative left ventriculogram. We managed him successfully by interrupted suture repair of the cleft, and he was discharged uneventfully.

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Interrupted Aortic Arch Associated with AP Window, PDA, and Aberrant Origin of the Right Subclavian Artery from Proximal Descending Aorta [A Case Report] (대동맥폐동맥 중격결손증, 개방성 대동맥관 및 우측 쇄골하동맥 이상기시를 동반한 대동맥궁 결손증)

  • Lee, Jeong-Ryeol;No, Jun-Ryang
    • Journal of Chest Surgery
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    • v.18 no.2
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    • pp.360-370
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    • 1985
  • A case of complete interruption of aortic arch with aortopulmonary window, patent ductus arteriosus, and aberrantly originated right subclavian artery from proximal descending aorta, in a four year old boy is reported in detail. This is the only reported case in Korea, who has had a successful one-stage total anatomical correction of this combination of defects. Under deep hypothermia and total circulatory arrest, aortic continuity was established using patent ductus arteriosus and anterior wall of pulmonary artery, which was anastomosed obliquely to anteromedial side of ascending aorta. Aortopulmonary window was closed using Impra patch via pulmonary arteriotomy. Then pulmonary arteriotomy was reconstructed primarily except at the junction of right pulmonary artery and main pulmonary artery, where a small piece of pericardium was used to close the defect to prevent kinking and narrowing of right pulmonary artery. Postoperative cardiac catheterization demonstrated a good reconstruction.

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A Study on Side and Rear-Side Collision Warning System of Vehicle using Fuzzy Control Algorithms (퍼지 제어 알고리즘을 이용한 차량 후측방 충돌 경보 시스템)

  • 김병기;이화조
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.10a
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    • pp.939-943
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    • 2004
  • The side and rear-side collision warning system using fuzzy control algorithms is discussed in this paper. Common rearside warning system has many problems. For example if target vehicle comes into the warning area, it must unconditionally warn. Drivers could be interrupted by it. To solve the problem, I divided measuring area into two sections. One section is blind area of vehicle and the other rear-side area. For blind area, obtained data was filtered inefficient warning signal by using relative velocity method. For rear-side area, a fuzzy logic algorithm is used to recognition of obstacles. According to our experiment relative velocity method and fuzzy logic algorithms were very efficient.

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