• Title/Summary/Keyword: operating room

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Mid-Term Results of Minimally Invasive Direct Coronary Artery Bypass Grafting

  • Seo, Dong Hyun;Kim, Jun Sung;Park, Kay-Hyun;Lim, Cheong;Chung, Su Ryeun;Kim, Dong Jung
    • Journal of Chest Surgery
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    • v.51 no.1
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    • pp.8-14
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    • 2018
  • Background: Minimally invasive direct coronary artery bypass grafting (MIDCAB) has the advantage of allowing arterial grafting on the left anterior descending artery without a sternotomy incision. We present our single-center clinical experience of 66 consecutive patients. Methods: All patients underwent MIDCAB through a left anterior small thoracotomy between August 2007 and July 2015. Preoperative, intraoperative, postoperative and follow-up data - including major adverse cardiovascular and cerebrovascular events (MACCE), graft patency, and the need for re-intervention - were collected. Results: The mean age of the patients was $69.4{\pm}11.1years$ and 73% were male. There was no conversion to an on-pump procedure or a sternotomy incision. The 30-day mortality rate was 1.5%. There were no cases of stroke, although 2 patients had to be re-explored for bleeding, and 81.8% were extubated in the operating room or on the day of surgery. The median stay in the intensive care u nit and in the hospital were 1.5 and 9.6 days, respectively. The median follow-up period was 11 months, with a 5-year overall survival rate of $85.3%{\pm}0.09%$ and a 5-year MACCE-free survival rate of $72.8%{\pm}0.1%$. Of the 66 patients, 32 patients with 36 grafts underwent a postoperative graft patency study with computed tomography angiography or coronary angiography, and 88.9% of the grafts were patent at $9.7{\pm}10.8months$ postoperatively. Conclusion: MIDCAB is a safe procedure with low postoperative morbidity and mortality and favorable mid-term MACCE-free survival.

Global Prostate Cancer Incidence and Mortality Rates According to the Human Development Index

  • Khazaei, Salman;Rezaeian, Shahab;Ayubi, Erfan;Gholamaliee, Behzad;Pishkuhi, Mahin Ahmadi;Khazaei, Somayeh;Mansori, Kamyar;Nematollahi, Shahrzad;Sani, Mohadeseh;Hanis, Shiva Mansouri
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.3793-3796
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    • 2016
  • Background: Prostate cancer (PC) is one of the leading causes of death, especially in developed countries. The human development index (HDI) and its dimensions seem correlated with incidence and mortality rates of PC. This study aimed to assess the association of the specific components of HDI (life expectancy at birth, education, gross national income per 1000 capita, health, and living standards) with burden indicators of PC worldwide. Materials and Methods: Information of the incidence and mortality rates of PC was obtained from the GLOBOCAN cancer project in year 2012 and data about the HDI 2013 were obtained from the World Bank database. The correlation between incidence, mortality rates, and the HDI parameters were assessed using STATA software. Results: A significant inequality of PC incidence rates was observed according to concentration indexes=0.25 with 95% CI (0.22, 0.34) and a negative mortality concentration index of -0.04 with 95% CI (-0.09, 0.01) was observed. Conclusions: A positive significant correlation was detected between the incidence rates of PC and the HDI and its dimensions including life expectancy at birth, education, income, urbanization level and obesity. However, there was a negative significant correlation between the standardized mortality rates and the life expectancy, income and HDI.

Effects of Neutron Irradiation and Heat Treatment for GaMnN (GaMnN 박막의 중성자 조사 및 열처리 효과)

  • 이계진;강희수;김정애;우부성;김경현;김도진;김봉구;강영환;유승호;김창균;김창수;김효진;임영언
    • Korean Journal of Materials Research
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    • v.13 no.7
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    • pp.409-414
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    • 2003
  • The room-temperature operating semiconductor GaMnN is known to be improved in its magnetic property when a highly conductive precipitate $Mn_3$GaN exists. Therefore, it is useful to investigate the behavior of the precipitate through heat treatments for further improvement of its magnetic property. Furthermore, neutron irradiation may further influence the behavior of the precipitates, and consequently, their effects on the magnetization. With the heat treatment, $Mn_3$GaN decomposed and a new phase of $Mn_3$Ga has generated. The kinetics was accelerated by neutron irradiation, which might generate defects that can help the decomposition of N and/or the formation of $Mn_3$Ga. The increase and decrease of the magnetization of the heat-treated GaMnN thin films were explained consistently by the behavior of the precipitates.

Surgical Management of Traumatic Cardiac Injury (외상에 의한 심장 손상의 수술적 치료)

  • 강준규;윤유상;김형태;박인덕;소동문;이철주
    • Journal of Chest Surgery
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    • v.37 no.4
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    • pp.335-341
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    • 2004
  • Traumatic cardiac injury is very rare but mortality is very high when the diagnosis and management are delayed. We reviewed our case retrospectively. Material and Method: From March 1995 to July 2003, 17 patients were diagnosed as having traumatic cardiac rupture. Five patients were stabbed, seven patients were motor vehicle accidents, four patients had fallen down, and the cause was unknown in one patient. Emergency operations were done and six patients were operated under CPB. Result: Four patients died during or after operation. The mean ICU stay period was 3.86$\pm$3.35 days and the mean hospital stay was 18.27$\pm$14.99 days. No mortality was observed in those whose vital signs were stable in the operating room. Conclusion: Preoperative vital status was very important and thoracic traumatic patient should be suspected as having cardiac injury.

Development of Performance Measurement Indicators in S Hospital (S병원 성과평가지표 개발에 관한 연구)

  • Lee, Hee-Won;Yu, Seung-Hum;Lee, Hae-Jong;Park, Chang-Il
    • Korea Journal of Hospital Management
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    • v.5 no.1
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    • pp.1-23
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    • 2000
  • This study was undertaken to develop performance measurement indicators in S Hospital, which is the largest component of Y Medical Center which implemented the Responsible Management System in 1993. To begin, strategic initiatives for S Hospital were reestablished based on Y Medical Center's goals and objectives. The BSC(Balanced Scorecard) was used to develop performance measurement indicators after validity checks by specialists. The results were that total 16 indicators were developed to measure performance for strategic initiatives. Those included the growth rate of patient revenues, operating profit to gross revenues, reduction rate in administrative expenses from a financial perspective; average medical expenses per adjusted patient, patient satisfaction survey for inpatients and outpatients and emergency room patients, return rate for treatment results from the customer's perspective; reduction rate in average length of hospital stay, expenses for lost cases of medical disputes, rate for contracted employees, the number of published reports per faculty member from an internal perspective; educational expenses for training medical staff and full time employees, adjusted patient per medical staff, and the number of cases implemented which were proposed by employees. Any organization needs to have its own explicit objectives to grow and develop and it is absolutely necessary to measure performance to accomplish them. The performance measurement indicators developed by this study are expected to be used as a tool to attain the objectives of S Hospital.

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A Study on the Operations of School Safety Experience Education Space (초등학교 안전체험교육 공간 운영 방안에 관한 연구)

  • Lee, Geun-Im;Lee, Yong-Hwan
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.16 no.3
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    • pp.61-68
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    • 2017
  • The purpose of this study is to suggest the necessary measures for the school safety experience education space to provide the elementary school students with the ability to provide safety education through experiences routinely and repeatedly. For this purpose, we investigated the conditions of safety experience in Jeollabuk-do and the case of other cities as a factor for operating the school safety experience educational space. In order to clarify the appropriateness of this, a questionnaire was conducted for the teachers in the local area. As a result of the analysis, it was found that the use of two classrooms in the place and the scale in the operation of the school safety experiential education space should be sought in various places such as hall, multipurpose room, and gymnasium according to the school condition. Experiential areas should be operated by elementary school students customized, but specialized facilities or large scale should be used for professional safety experience facilities. For efficient operation, the base school wanted to be located in a place where accessibility of other school students was easy, and that a school with sufficient space would be selected.

Assessment of Spatial Dose Distribution in the Diagnostic Imaging Laboratory by Monte Carlo Simulation (몬테카를로 전산해석에 의한 X선 실습실의 공간선량분포 평가)

  • Cho, Yun-Hyeong;Kang, Bo Sun
    • Journal of the Korean Society of Radiology
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    • v.11 no.6
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    • pp.423-428
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    • 2017
  • In this study, the calculation of the effective spatial dose distribution of the diagnostic imaging laboratory of K university was performed by the Monte Carlo simulation. The radiation generator has a maximum tube voltage of 150 kVp and a maximum current of 700 mA. Using the results, we compared the spatial effective dose distributions of diagnostic imaging laboratory when the shielding door was closed and opened. In conclusion, it was found that the effective dose in the operating room of the diagnostic imaging laboratory does not exceed the annual dose limit (6 mSv/y) of the student (occasional visitor) even when the door is opened. However, since the effective dose when the door is open is about 16 times higher in front of the lead glass window and about 3,000 times higher in front of the doorway than the case when the door is closed, closing the shielding door at the time of the practical exercising reduces unnecessary radiation exposure by great extent.

Comparison Analysis of Donor Liver Volumes Estimated with 3D Magnetic Resonance and 3D Computed Tomography Image Data

  • Kim, Myeong-Seong;Park, Kyeong-Seok;Cho, Jae-Hwan
    • Journal of Magnetics
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    • v.19 no.3
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    • pp.261-265
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    • 2014
  • Three-dimensional computed tomography is an effective tool to estimate the liver volume of living donors for the live liver transplantation. When additional operation is required, magnetic resonance imaging is conducted to determine the safety of the donor. This study compared the accuracy of magnetic resonance imaging and computed tomography in estimating 3D liver volume of 23 male and 7 female donors who underwent both magnetic resonance imaging and computed tomography tests before the transplantation. The analysis was conducted to see whether the liver's estimated total volumes and the left lobe volumes obtained from 3D-magnetic resonance imaging and 3D-computed tomography were identical. Volumes of the right lobe estimated with 3D-magnetic resonance imaging and 3D-computed tomography were compared with the actual volume of the right lobe harvested in the operating room because the volume of the right lobe is an important determinant in the safety of the donor. The total volume of the liver estimated from 3D-magnetic resonance imaging and 3D-computed tomography differed (1238.1904 units and 1402.364 units respectively). The left lobe volume of the liver estimated with 3D-magnetic resonance imaging and 3D-computed tomography also differed (450.530 units and 554.490 units, respectively). The right lobe volume of the liver estimated with 3D-magnetic resonance imaging and 3D-computed tomography were 787.660 units and 847.545 units, respectively, while the actual average right lobe volume of the harvested liver was 678.636 units. 3D-computed tomography has been widely used to estimate the right lobe volume of the donors' liver. However, 3D-magnetic resonance imaging was also very effective in estimating the volume of the liver. Thus, 3D-magnetic resonance imaging is also expected to become an important tool in determining the safety of the donors before transplantation.

940-nm 350-mW Transverse Single-mode Laser Diode with AlGaAs/InGaAs GRIN-SCH and Asymmetric Structure

  • Kwak, Jeonggeun;Park, Jongkeun;Park, Jeonghyun;Baek, Kijong;Choi, Ansik;Kim, Taekyung
    • Current Optics and Photonics
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    • v.3 no.6
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    • pp.583-589
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    • 2019
  • We report experimental results on 940-nm 350-mW AlGaAs/InGaAs transverse single-mode laser diodes (LDs) adopting graded-index separate confinement heterostructures (GRIN-SCH) and p,n-clad asymmetric structures, with improved temperature and small-divergence beam characteristics under high-output-power operation, for a three-dimensional (3D) motion-recognition sensor. The GRIN-SCH design provides good carrier confinement and prevents current leakage by adding a grading layer between cladding and waveguide layers. The asymmetric design, which differs in refractive-index distribution of p-n cladding layers, reduces the divergence angle at high-power operation and widens the transverse mode distribution to decrease the power density around emission facets. At an optical power of 350 mW under continuous-wave (CW) operation, Gaussian narrow far-field patterns (FFP) are measured with the full width at half maximum vertical divergence angle to be 18 degrees. A threshold current (Ith) of 65 mA, slope efficiency (SE) of 0.98 mW/mA, and operating current (Iop) of 400 mA are obtained at room temperature. Also, we could achieve catastrophic optical damage (COD) of 850 mW and long-term reliability of 60℃ with a TO-56 package.

Experimental Study on Separation of Cephalosprotin C by Spiral-Wound Reverse Osmosis Module (나권형 역삼투 모듈에 의한 Cephalosporin C의 농축분리에 관한 실험연구)

  • Shin, Dong-Youp;Ryu, Jeung;Lee, Yong-Chul
    • Applied Chemistry for Engineering
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    • v.10 no.4
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    • pp.563-567
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    • 1999
  • Reverse osmosis concentration for cephalosproin C was studied using a polyamide composite membrane, FT-30 in spiral wound type with high solute rejection. The experiments were carried out in the aqueous solution of cephalosporin C for water flux, solute rejection and mass transfer coefficient under applied pressure of $4{\sim}20kg/cm^2$, feed concentration of 100~1000 mg/L and feed velocity of 2.8 and 5.6 L/min at room temperature. The effect of operating pressure on the separation of cephalosporin C showed that permeate flux increased with increasing operation pressure. These results are consistent with those predicted by Kedem-Katchalsky model. Solute rejection was nearly 1. The increase of feed concentration caused the reduction of cephalosporin C rejection, which was higher at low concentration than at high concentration, but degree of reduction was small.

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