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Unroofed Coronary Sinus Syndrome (Report of one case) (관상정맥동 천정 결손증 (치험 1례))

  • 조광현
    • Journal of Chest Surgery
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    • v.22 no.4
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    • pp.655-660
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    • 1989
  • The unroofed coronary sinus syndrome is a spectrum of cardiac anomalies in which part or all the common wall between the coronary sinus and the left atrium is absent. This defect is part of a developmental complex which includes absence of the coronary sinus and termination of a persistent left superior vena cava in the left atrium. Recognition of this complex is important so that interruption or diversion of the left superior vena cava may be done to prevent subsequent central nervous system complications. Surgical correction uses an intraatrial baffle to divert flow from the left superior vena cava to right atrium and to close the atrial septal defect. This report describes a 7 years old female patient in whom the left superior vena cava was identified preoperatively and the complex [unroofed coronary sinus syndrome, common atrium, mitral valve cleft] recognized at the time of operation. Surgical correction, following repair of cleft mitral valve, utilized a Dacron patch baffle to route the left caval blood to the right atrium and included closure of the atrial septal defect

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Bilateral Partitioning of Systemic Venous Chamber in Conjunction with Atriopulmonary Anastomoses [Fontan - Kreutzer] - A new technique - (체정맥환류이상을 동반한 복잡심기형환자에 있어 체정맥심방 양분을 이용한 Fonatan 씨 술식 체험 -새로운 수술방법-)

  • Kim, Jin-Guk;Kim, Yong-Jin;Seo, Gyeong-Pil
    • Journal of Chest Surgery
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    • v.21 no.5
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    • pp.948-953
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    • 1988
  • A technique applicated for physiologic correction of complex congenital cardiac disease suitable for Fontan procedure in which drainage of left superior vena cava and hepatocardiac vein to left atrium combined is described. We made one systemic venous baffle from left hepatocardiac vein to left superior vena cava and another systemic venous baffle from right inferior vena cava to the right superior vena cava with rigid prosthetic material[0.5mm thickness PTFE patch]. And then we anastomosed directly between the right sided atrial appendage and right pulmonary artery, and left-sided atrial wall beneath the appendage and left pulmonary artery. We believe that this procedure is superior to the method using intraatrial tube graft to divert the left hepatocardiac venous blood to right atrium, and applicable for physiologic correction of any complex congenital cardiac disease suitable for Fontan-type procedure in which anomalies of systemic venous drainage combined.

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A note on jordan left derivations

  • Jun, Kil-Woung;Kim, Byung-Do
    • Bulletin of the Korean Mathematical Society
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    • v.33 no.2
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    • pp.221-228
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    • 1996
  • Throughout, R will represent an associative ring with center Z(R). A module X is said to be n-torsionfree, where n is an integer, if nx = 0, $x \in X$ implies x = 0. An additive mapping $D : R \to X$, where X is a left R-module, will be called a Jordan left derivation if $D(a^2) = 2aD(a), a \in R$. M. Bresar and J. Vukman [1] showed that the existence of a nonzero Jordan left derivation of R into X implies R is commutative if X is a 2-torsionfree and 3-torsionfree left R-module.

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Successful Surgical Resection of Left Atrial Myxoma by Total Cardiopulmonary Bypass - Report of a Case- (좌심방점액종의 개심술절제치험예)

  • 김근호
    • Journal of Chest Surgery
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    • v.10 no.1
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    • pp.164-172
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    • 1977
  • This is a report of a case in which a left atrial myxoma was successfully removed by total cardiopulmonary bypass with total hemodilution and moderate hypothermia. The patient was a 17 old girl with mitral valvular symptoms that occured suddenly three months prior to operation. After the onset of symptoms. it was progressively aggravated to serious general condition. The preoperative diagnosis of left atrial tumor was made from echocardiography. and the tumor was confirmed as myxoma by the histopathological examination of the tumor tissue removed during operation. The myxoma was unusually originated from posterior wall of the left atrium. which was located between drainage orifices of right and left pulmonary veins, The tumor developed in the left atrial cavity and one of the polypoid processes of the myxoma was prolapsed into the the left ventricle through the mitral orifice. Following operation. there was no evidence for peripheral vascular embolism, and all valvular symptoms disappeared. The postoperative course was uneventful.

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Surgical Managements for Refractory Pupillary Block Glaucoma after Phacoemusification in a Dog (초음파 유화흡인술 후 발생된 난치성 동공 차단 녹내장의 수술적 치료)

  • Park, Young-Woo
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.130-134
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    • 2015
  • A 13-year-old, castrated male Yorkshire terrier was presented with acute blepharospasm 2 months after phacoemulsification with intraocular lens implantation in the left eye. Menace response was weakly positive in the left eye. Intraocular pressure (IOP) was 98 mmHg in the left eye. On ophthalmic examination using slit lamp biomicroscope, episcleral injection and corneal edema were observed in the left eye. Aqueous flare (1+) and iris bombe with peripheral anterior synechia were also detected in the left eye. In spite of medical treatments, IOP was remained more than 50 mmHg. Synechiolysis and radial iridectomy with irrigation/aspiration of anterior chamber were performed in the left eye. One week after the surgery, tissue plasminogen activator was injected to resolve the blood and fibrin clot in the left anterior chamber. Menace response was recovered completely 1 month after the surgery and IOP was maintained less than 20 mmHg more than 6 months.

Diagnostic imaging of congenital pulmonary aplasia in a dog

  • Kim, Soochan;Choi, Hojung;Lee, Youngwon
    • Korean Journal of Veterinary Research
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    • v.57 no.4
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    • pp.253-255
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    • 2017
  • A 2-year-old, female Pomeranian dog was referred for dyspnea. Thoracic radiographs revealed left-sided mediastinal shift, increased soft tissue opacity in the caudal aspect of left thorax with loss of the left diaphragmatic silhouette, and dorsal elevation of mediastinal structures and heart from the sternum by lung tissue. The left main bronchus was visualized as an air-bronchogram and observed to abruptly discontinue at the level of the 10th rib. Thoracic computed tomography (CT) revealed absence of the left lung parenchyma and left pulmonary vessels with a rudimentary left main bronchus. The case was congenital pulmonary aplasia diagnosed via radiography and CT.

FIXED POINTS AND FUZZY STABILITY OF QUADRATIC FUNCTIONAL EQUATIONS

  • Lee, Jung Rye;Shin, Dong Yun
    • Journal of the Chungcheong Mathematical Society
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    • v.24 no.2
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    • pp.273-286
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    • 2011
  • Using the fixed point method, we prove the Hyers-Ulam stability of the following quadratic functional equations $${cf\left({\displaystyle\sum_{i=1}^n\;xi}\right)+{\displaystyle\sum_{i=2}^nf}{\left(\displaystyle\sum_{i=1}^n\;x_i-(n+c-1)x_j\right)}\\ {=(n+c-1)\;\left(f(x_1)+c{\displaystyle\sum_{i=2}^n\;f(x_i)}+{\displaystyle\sum_{i in fuzzy Banach spaces.

Factors Influencing Care Left Undone among Newly Graduated Nurses (신규간호사의 간호업무누락 영향요인)

  • Kim, Eun Young;Oh, Yun Kyung
    • Journal of East-West Nursing Research
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    • v.25 no.1
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    • pp.33-40
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    • 2019
  • Purpose: The purpose of this study was to identify factors that affect care left undone among newly graduated nurses. Methods: Participants were 236 newly graduated nurses with less than 1 year of experience from 5 general hospitals in Busan. Self-report questionnaires were completed by nurses between October and November, 2016. Data were analyzed using t-test, ANOVA and multiple regression analysis with the SPSS/WIN 25.0 Program. Results: The mean score for care left undone was $2.18{\pm}1.43$. Factors influencing care left undone were monthly income and working environment. Regression analysis showed that working environment and monthly income explained 11.0% of the variance while controlling for participants' demographics and work characteristics. Conclusion: The findings suggest that better working environment and appropriate monthly income are important to reduce care left undone in hospitals. The quality of nursing and patient safety may be ensured by reducing care left undone.

Left Ventricular-Right Atrial Canal Three Cases Treated Surgically (좌심실-우심방 단락 치험 3예)

  • 송명근
    • Journal of Chest Surgery
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    • v.13 no.3
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    • pp.233-236
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    • 1980
  • Left Ventricular-Right atrial canal, which permits a communication between the left ventricle and right atrium has been reported with increasing frequency. Kirby made the first successful surgical correction in 1957. Recently we experienced 3 cases of left ventricular-Right atrial canal, which were corrected surgically. In one patient the diagnosis of left ventricular-Right atrial canal had been suggested before operation. Preoperative diagnosis had been incorrect in 2 cases; one as an atrial septal defect and the other as combined atrial septal defect and ventricular septal defect. The entire patients were discharged with good results within 2 weeks after operation.

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