• Journal of Cardiovascular Imaging
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• v.31 no.1
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• pp.18-23
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• 2023

BACKGROUND: Three-dimensional (3D) transesophageal echocardiogram (TEE) is the gold standard for the diagnosis of degenerative mitral regurgitation (dMR) and preoperative planning for transcatheter mitral valve repair (TMVr). TEE is an invasive modality requiring anesthesia and esophageal intubation. The severe acute respiratory syndrome coronavirus 2 pandemic has limited the number of elective invasive procedures. Multi-detector computed tomographic angiography (MDCT) provides high-resolution images and 3D reconstructions to assess complex mitral anatomy. We hypothesized that MDCT would reveal similar information to TEE relevant to TMVr, thus deferring the need for a preoperative TEE in certain situations like during a pandemic. METHODS: We retrospectively analyzed data on patients who underwent or were evaluated for TMVr for dMR with preoperative MDCT and TEE between 2017 and 2019. Two TEE and 2 MDCT readers, blinded to patient outcome, analyzed: leaflet pathology (flail, degenerative, mixed), leaflet location, mitral valve area (MVA), flail width/gap, anterior-posterior (AP) and commissural diameters, posterior leaflet length, leaflet thickness, presence of mitral valve cleft and degree of mitral annular calcification (MAC). RESULTS: A total of 22 (out of 87) patients had preoperative MDCT. MDCT correctly identified the leaflet pathology in 77% (17/22), flail leaflet in 91% (10/11), MAC degree in 91% (10/11) and the dysfunctional leaflet location in 95% (21/22) of patients. There were no differences in the measurements for MVA, flail width, commissural or AP diameter, posterior leaflet length, and leaflet thickness. MDCT overestimated the measurements of flail gap. CONCLUSIONS: For preoperative TMVr planning, MDCT provided similar measurements to TEE in our study.

• Journal of Chest Surgery
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• v.28 no.12
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• pp.1107-1112
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• 1995

Between December 1993 and December 1994, fifty-eight percent of the mitral valve patients[33/57 had undergone mitral valve repair. Their mean age was 49[SD-16 years[range 11 - 75 and they were consisted with 15 males and 18 females. The causes of mitral disease in 33 patients were classified as follows: 19 cases[58% were degenerative, 9[27% were rheumatic, 3[9% were congenital and 2[6% were infectious. Carpentier`s functional classification was consisted with Class I 4 cases[12% , II 25 [76% and III 4 [12% . Surgical techniques included prosthetic annuloplasty in 32 cases[97% , leaflet resection in 16[48% , chorda shortening in 13[39% , chorda transfer in 9[27% , new chorda formation in 7[21% , commissurotomy in 7[21% , leaflet mobilization in 4[12% , chorda resection in 3[9% , papillary muscle splitting in 2[6% , cleft repair in 2[6% , leaflet patching in 1[3% and vegetation removal in 1[3% . Average number of mitral anatomical lesions per patient was 3.3 and We used average 3.0 procedures upon mitral valve apparatus per patient. Intraoperative transesophageal echocardiography was carried out in 27 patients[82% for providing an immediate and accurate assessment of the adequacy of the reconstruction before closure of the chest. Operative mortality was absent. The mean functional class[NYHA was 2.87 preoperative and improved to 1.03 postoperatively. Postoperative Doppler echocardiography showed much improvement from grade II MR[5 , grade III[5 , grade IV[21 to no MR[26 , only trace MR[3 , grade III MR[2 . Postoperative mean mitral valve area was 2.4$\pm$0.6cm2[range 1.5 - 4.0 . We conclude that cautiously evaluated mitral valve reconstruction is stable and predictable operation with minimal postoperative left ventricular dysfunction.

• Journal of Mechanical Science and Technology
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• v.17 no.9
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• pp.1339-1348
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• 2003

Several factors, including peak dp/dt of the ventricular pressure and maximum closing velocity of leaflet have been studied as indices of the cavitation threshold. In the present study, just before closing velocity of the leaflet has been studied as indices of the cavitation threshold, and cavitation erosion on the surface of a mechanical valve was examined by focusing on squeeze flow and the water hammer phenomenon during the closing period of the valve. A simple solenoid-actuated test device that can directly control the valve closing velocity was developed, and opening-closing tests of 3,000 and 40,000 cycles were performed at various closing velocities. There was a closing velocity threshold to occur erosion pitting of valve surface, and its value was about 0.4 m/s in this study. Cavitation-induced erosion pits were observed only in regions where squeeze flow occurred immediately before valve closure On the other hand, the number of the pits was found to be closely related to an area of water hammer-induced pressure wave below the critical pressure defined by water vapor pressure. Therefore, it was concluded that cavitation is initiated and augmented by the two pressure drops due to squeeze flow and water hammer phenomenon, respectively.

• Journal of Chest Surgery
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• v.21 no.5
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• pp.893-898
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• 1988

A number of centers have recorded a significant incidence of primary tissue valve failure with the Ionescu-Shiley pericardial valve. Clinically, Endothelialization and host tissue ingrowth on the cloth and the leaflets at the edge of the frame greatly reduced the amounts of abrasion and the incidence of tissue failure. In most cases severe regurgitation was caused by leaflet tears adjacent to the edge of the cloth-covered stent. We report a case of spontaneous disruption of one cusp on the Ionescu-Shiley pericardial xenograft in mitral position at 6years and its successful management.

• Horticultural Science & Technology
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• v.19 no.4
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• pp.483-487
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• 2001

This study was carried out to investigate the role of attached leaflet on rooting and growth by one nodal cutting in tomato. As cutting sources 4 to 6 nodes could be obtained from one nursery seedling. Medium for cutting was a mixture with perlite plus peat moss (1 : 1, v/v), and each plug capacity was 30mL in the 72 cells-plug tray. Plant height and the number of leaves were significantly increased by attached leaflet cutting in 'Pepe' and 'Coco' cherry tomato. Dry weights of top and root were increased as much as 3 to 15 times in the cutting attached leaflet. Rooting percentage was 93.5% in one node cutting and 86% in the cutting with hypocotyl node part. At 20 to 24 days after nodal cutting, healthy nursery plant could be produced to transplant in field. The nursery plants by nodal cutting (NPNC) showed more fibrous roots and less tap roots than that of seedling. In terms of rooting pattern, NPNC rooted at the whole ground stem part, while rooting of seedling occurred at basal part of hypocotyl.

• Korean Journal of Clinical Pharmacy
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• v.21 no.3
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• pp.280-291
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• 2011

Vaccines are products for immunization which can provoke antibodies by eliciting immune reponses without causing disease and have played an important role in preventing fatal and contagious diseases as well as H1N1 influenza. They are classified by two following categories; lived attenuated vaccine and killed vaccine and currently commonly using vaccines are BCG, diphtheria, tetanus, mumps, measles, rubella, polio, Haemophilus influenza type b, hepatitis B, influenza etc. All vaccines must be used correctly to reach optimal therapeutic goals and also informed well to patients to decrease potential problems. In order to do, pharmacists must have good knowledge of vaccines. The purpose of this study is to evaluate the necessity of vaccine education for pharmacists and develop a vaccine leaflet for patient counseling. We have performed a survey with questionnaire for a total of 176 pharmacists and nurses(hospital pharmacists, n=65; community pharmacists, n=50; hospital nurses, n=61) from January 27th to March 12th, 2010. The questionnaire includes items about vaccine education and counseling and 12 quizzes to evaluate responders' knowledge of vaccines. We used the SPSS(Version 12. for windows) program to analyze the data. In results, 94.9% of all responders said they had not been educated on vaccines. And only 1.1% of all responders said they know about vaccines enough to counsel patients. Pharmacists who have an experience recommending vaccines to other people are 21.7%. On the other hand, nurses who have an experience recommending vaccines to other people are 55.7%(p=0.000). The mean number of correct answers at the 12 quizzes are followings; hospital pharmacist, 8.1; community pharmacist, 6.1, hospital nurses, 6.2(p=0.000). A vaccine leaflet for patient counseling is developed with several references. In conclusion, due to no opportunity of vaccine education, pharmacists have no confidence to counsel patients and lack of knowledge of vaccine. But importance of vaccine's role is increasing, pharmacists should counsel patients in vaccination. So they need vaccine education and a vaccine leaflet will be helpful for their counseling.

• Korean journal of applied entomology
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• v.37 no.2
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• pp.151-157
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• 1998

Infestations of two spotted spider mite (TSSM), Tetranychus urticae Koch, on glasshouse rose (Rosa sp.) grown by an arching method, were determined by counts of the number of TSSM per leaflet in Buyeo, Chungnam Province, for a 2-yr period. Binomial sampling plans were developed based on the relationship between mean density per leaflet (m), and proportion of leaflets infested with ( T mites (PT), according to the empirical model In (m) = a+p In (-ln (1 -PT)). T was defined as tally threshold, and set to 1, 3, 5, 7, and 9 mites per leaflet. Increasing sample size had little effects on the precision of the binomial sampling plan, regardless of tally threshold. However, the precision increased with higher tally thresholds. There was a negligible improvement in precision with T ) 7 mites per leaflet. T= 7 was chosen as the best tally threshold for estimating densities of TSSM based on the precision of the model. Independent data set was used to evaluate the model. The binomial model with T= 7 provided reliable predictions of mean densities of TSSM observed on the commercial glasshouse roses.

• Journal of Chest Surgery
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• v.23 no.6
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• pp.1128-1138
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• 1990

The mitral valve is not a simple but a complex structure, mitral valve complex. This complex is composed of mitral orifice, annulus, valve leaflet, chordae tendineae and papillary muscles. There were many controversies about this structures. We studied mitral valve complex in 63 cases of normal Korean adults, such as the circumference of mitral annulus, the intercommissural diameter, height and breadth of the cusps, including commissure, the ratio of rough to clear zone, breadth of the achordal zone, the number of scallops of posterior cusp, the number, length and the pattern of arrangement of the several types of chordae, the number and morphological characteristics of papillary muscles.

• Korean journal of applied entomology
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• v.55 no.4
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• pp.405-412
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• 2016

Infestation of adults and pupae of sweetpotato whitefly, Bemisia tabaci, on paprika (Capsicum annuum var. angulosum) grown in greenhouses in Jinju, Gyeongnam province during 2014was determined by counts of the number of target stage of B. tabaci per leaflet. Binomial sampling plans were developed based on the relationship between the mean density per leaflet (m) and the proportion of leaflets infested with less than T whiteflies ($P_T$), according to the empirical model $(({\ln}(m)={\alpha}+{\beta}({\ln}(-{\ln}(1-P_T))))$. T was defined as the tally threshold, and set to 1, 2, 3, 4, 5 (adults) and 1, 3, 5, 7 (pupae) per leaflet in this study. Increasing the sample size, regardless of tally threshold, had little effect on the precision of the binomial sampling plan. Based on the precision of the model, T = 1 was chosen as the best tally threshold for estimating densities of B. tabaci adults and T = 3 was best tally threshold in B. tabaci pupae. Using the results obtained in the greenhouse, a simulated validation of the developed sampling plan by RVSP (Resampling Validation for Sampling Plan) demonstrated the plan's validity. Above all, the binomial model with T = 1 and T = 3 provided reliable predictions of the mean densities of B. tabaci adults and pupae on greenhouse paprika.

• Journal of Bio-Environment Control
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• v.16 no.2
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• pp.115-120
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• 2007

An experiment was conducted to measure rooting and growth of cuttings of rose as affected by cutting length, number of leaflets and cutting position. Test plants were two cultivars of Rosa hybrida 'Red Sandra'(standard) and 'Little Marble'(miniature). Cutting length was 4, 7 or 10cm for 'Red Sandra' and 3, 5 or 7 cm for 'Little Marble'. The number of leaflets left on the five-leaflet leaf was 0, 2, 4 or 5. The cutting position on the stem was between $1{\sim}2,\;3{\sim}4,\;5{\sim}6\;or\;7{\sim}8$ nodes from the shoot tip, which have five leaflet leaves. The most efficient cutting length was 7cm in both cultivars. Treatment with all leaflets left and cutting position at $1{\sim}2$ nodes resulted in good rooting ratio for both cultivars.