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Intraoperative Balloon Angioplasty Using Fogarty Artertial Embolectomy Balloon Catheter for Creation of Arteriovenous Fistula for Hemodialysis: Single Center Experience

  • Jin, Moran;Yoon, Young Chul;Wi, Jin Hong;Lee, Yang-Haeng;Han, Il-Yong;Park, Kyung-Taek
    • Journal of Chest Surgery
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    • v.48 no.2
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    • pp.120-125
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    • 2015
  • Background: The purpose of this study was to evaluate the use of a Fogarty arterial embolectomy catheter (Fogarty catheter) in intraoperative balloon angioplasty of the cephalic vein, in order to determine its effect on the patency of arteriovenous fistulas (AVFs) created for hemodialysis access. Methods: A total of 156 patients who underwent creation of an AVF were divided into two groups, based whether a Fogarty catheter was used during AVF creation. Group A (89 patients) comprised the patients who underwent balloon angioplasty with a Fogarty catheter during the operation. Group B (67 patients) included the patients in whom a Fogarty catheter was not used during the operation. Patient records were reviewed retrospectively and documented. The patency rate was determined by the Kaplan-Meier method. Results: The records of 156 patients who underwent the creation of an AVF from January 2007 to October 2011 were included. The mean follow-up duration was $40.2{\pm}19.4$ months (range, 1 to 97 months). The patency rates in group A at 12, 36, and 72 months were $83.9%{\pm}3.9%$, $78.3%{\pm}4.6%$, and $76.3%{\pm}4.9%$, respectively, while the corresponding patency rates in group B were $92.5%{\pm}3.2%$, $82.8%{\pm}0.5%$, and $79.9%{\pm}5.7%$, respectively. The patency rates in group B were found to be slightly higher than those in group A, but the difference was not statistically significant (p=0.356). Conclusion: Intraoperative balloon angioplasty of the cephalic vein using the Fogarty catheter is a simple and easily reproducible procedure, and it can be helpful in increasing AVF patency in cases of insufficient runoff or a suboptimal cephalic vein.

Postoperative Arrhythmias after Open Heart Surgery in Adults (성인에서의 개심술후 부정맥)

    • Journal of Chest Surgery
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    • v.31 no.11
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    • pp.1056-1062
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    • 1998
  • Background: We prospectively investigated types, incidences, and risk factors for arrhythmias after open heart surgery in adults. Materials and methods: From June 1994 to May 1995, we performed 302 cases of adult cardiac surgery at our department. This study group consisted of 150 men and 152 women, with a mean age of 43.9±28.0(range 16 to 75)years. We included all the patients irrespective of their operative types or disease entities. Results: The overall incidence of arrhythmias after open heart surgery in adults was 58.3%. The incidence of postoperative arrhythmias for redo-valvular heart surgery was 77.8%, and those for simple valvular procedure, coronary artery bypass surgery, aortic surgery, and congenital heart disease were 70.8%, 45.3%, 40.0%, and 29.5%, respectively. Eight out of twelve risk factors showed statistical significance for the development of postoperative arrhythmias. They were preoperative history of arrhythmias, antiarrhythmic drug medication, previous cardiac surgery, larger left ventricular end-diastolic, end-systolic dimension, left atrial dimension on preoperative echocardiogram, longer cardiopulmonary bypass time and aortic cross clamping time. Univariated analyses for age and types of cardioplegic solution did not show statistical significance. Conclusions: Prospective study on postoperative arrhythmias occurrence, treatment and prevention of is warrauted to draw more clear conclusion.

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Estimation of Rice Yield by Province in South Korea based on Meteorological Variables (기상자료를 이용한 남한지역 도별 쌀 생산량 추정)

  • Hur, Jina;Shim, Kyo-Moon;Kim, Yongseok;Kang, Kee-Kyung
    • Journal of the Korean earth science society
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    • v.40 no.6
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    • pp.599-605
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    • 2019
  • Rice yield (kg 10a-1) in South Korea was estimated by meteorological variables that are influential factors in crop growth. This study investigated the possibility of anticipating the rice yield variability using a simple but an efficient statistical method, a multiple linear regression analysis, on the basis of the annual variation of meteorological variables. Due to heterogeneous environmental conditions by region, the yearly rice yield was assessed and validated for each province in South Korea. The monthly mean meteorological data for the period 1986-2018 (33 years) from 61 weather stations provided by Korean Meteorological Administration was used as the independent variable in the regression analysis. An 11-fold (leave-three-out) cross-validation was performed to check the accuracy of this method estimating rice yield at each province. This result demonstrated that temporal variation of rice yield by province in South Korea can be properly estimated using such concise procedure in terms of correlation coefficient (0.7, not significant). Furthermore, the estimated rice yield well captured spatial features of observation with mean bias of 0.7 kg 10a-1 (0.15%). This method may offer useful information on rice yield by province in advance as long as accurate agro-meteorological forecasts are timely obtained from climate models.

Clinical Analysis of Posterior Thoracic and Endoscopic Surgical Approach for Essential Hyperhidrosis (본태성 다한증의 후흉추 접근법 및 내시경수술의 임상고찰)

  • Cheon, Hyo Cheol;Kim, Jae Hyoo;Lee, Jung Kil;Kim, Tae Sun;Jung, Shin;Kim, Soo Han;Kang, Sam Suk;Lee, Je Hyuk
    • Journal of Korean Neurosurgical Society
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    • v.30 no.8
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    • pp.992-997
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    • 2001
  • Objectives : Essential hyperhidrosis is a common condition characterized by excessive body sweating. Excessive sweating beyond what is necessary to maintain normal body temperature need not be considered pathological unless it interferes with one's occupation and/or life-style. The existing non-operative therapeutic options seldom give sufficient relief or show a transient effect. In this regard, the thoracic sympathectomy may provide a definitive cure. In the past, surgical procedures were highly invasive and caused significant morbidity, but the minimally invasive thoracoscopic procedure provided detailed visualization of sympathetic ganglia and is associated with minimally postoperative morbidity. Nowadays, thoracoscopic transthoracic sympathectomy is accepted as the treatment of choice for essential hyperhidrosis. In palmar hyperhidrosis, however, the level of sympathetic chain to be blocked has been somewhat obscure. It is assumed that the incidence of compensatory hyperhidrosis may closely related to the extent of thoracic sympathectomy. Material & Methods : To compare the results of posterior midline approach with endoscopic sympathectomy, and the results of T2 with T2, 3 sympathectomy or sympathicotomy, we retrospectively studied 62 patients treated for palmar hyperhidrosis between September 1993 and May 2000. We reviewed medical records and recently interviewed the patients by telephone calls. Results : The treatment effect of T2 sympathectomy is no different from T2, 3 sympathectomy. But, the incidence of compensatory hyperhidrosis is less in the T2 sympathectomy group than the T2, 3 sympathectomy group. Conclusion : Thoracoscopic sympathectomy is considered a simple, safe, and effective method for treating palmar hyperhidrosis, with a shorter operation time, fewer hospital days, and a better cosmetic result, as compared with the open approaches. However, sympathicotomy seems to provide the advantages of a limited extent of denervation and the resultant decrease of compensatory hyperhidrosis compared to sympathectomy.

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Design and Implementation of Priority Retrieval Technique based on SIF (SIF기반 우선순위 검색기법의 설계 및 구현)

  • Lee, Eun-Sik;Cho, Dae-Soo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.11
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    • pp.2535-2540
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    • 2010
  • In traditional Publish/Subscribe system, the first procedure to deliver event from publisher to subscriber is that publisher publishes publisher's event to broker. Next step is that broker checks simple binary notion of matching : an event either matches a subscription or it does not. Lastly, broker delivers the event matched with subscriptions to the corresponding subscribers. In this system, information delivery has been accomplished in one way only. However, current some applications require two way delivery between subscriber and publisher. Therefore, we initiate an extended Publish/Subscribe system that supports two way delivery. Extended Publish/Subscribe system requires additional functions of delivering subscription to publisher and especially deciding top-n subscriptions using priority because broker might has a number of subscriptions. In this paper, we propose two priority retrieval techniques based on SIF using IS-List with deciding priority among subscriptions and defining SIF(Specific Interval First). The performance measurements show that RSO(resulting set sorting) technique results in better performance in index creation time and ITS&IS(insertion time sorting and inverse search using stack) technique results in better performance in search time.

Development and Application of Mode II Fracture Toughness Test Method Using Rock Core Specimen (시추코어를 이용한 암석의 mode II 파괴인성 시험법 개발과 적용)

  • Jung, Yong-Bok;Park, Eui-Seob;Kim, Hyunwoo
    • Tunnel and Underground Space
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    • v.26 no.5
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    • pp.396-408
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    • 2016
  • Rock fracture mechanics has been widely applied to various fields of rock and civil engineering. But most researches covered mode I behavior, though mode II behavior is dominant in rock engineering. Until now, there is only one ISRM suggested method for mode II toughness of rock. A new SCC (Short Core in Compression) mode II toughness test method was developed considering 1) application of confining pressure, 2) easiness of notch creation, 3) utilization of existing equipment, 4) simple test procedure. The stress intensity factors were determined by 3D finite element method considering line and distributed loading conditions. The tests with granite specimens were carried out using MTS 815 rock test system with a loading rate of 0.002 mm/s. The mean value of mode II fracture toughness of granite showed $2.33MPa{\sqrt{m}}$. Mode I toughness of the same granite was $1.12MPa{\sqrt{m}}$, determined by Brazilian disk test and $K_{IIC}/K_{IC}=2.08$. The smooth fracture surface with rock powder formation also supported mode II behavior of SCC method. The SCC method can be used for the determination of mode II fracture toughness of rocks based on the current results.

A Study of Structural Stress Technique for Fracture Prediction of an Auto-Mobile Clutch Snap-Ring (클러치 스냅링부 파괴 예측을 위한 구조응력기법 연구)

  • Kim, Ju Hee;Myeong, Man Sik;Oh, Chang Sik;Kim, Yun Jae
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.40 no.2
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    • pp.175-183
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    • 2016
  • The endurance reliability assessment of a highly complex mechanism is generally predicted by the fatigue life based on simple stress analysis. This study discusses various fatigue life assessment techniques for an automobile clutch snap ring. Finite element analyses were conducted to determine the structural stress on the snap ring. Structural stress that is insensitive in regards to the mesh size and type definition is presented in this study. The structural stress definition is consistent with elementary structural mechanics theory and provides an effective measure of a stress state that pertains to fatigue behavior of welded joints in the form of both membrane and bending components. Numerical procedures for both solid models and shell or plate element models are presented to demonstrate the mesh-size insensitivity when extracting the structural stress parameters. Conventional finite element models can be used with the structural stress calculations as a post-processing procedure. The two major implications from this research were: (a) structural stresses pertaining to fatigue behavior can be consistently calculated in a mesh-insensitive manner regardless of the types of finite element models; and (b) by comparing with the clutch snap-ring fatigue test data, we should predict the fatigue fractures of an automobile clutch snap ring using this method.

Adjustment Factor for Heavy Vehicles in Estimating Capacity at Unsignalized Intersections (비신호 교차로의 중차량 용량 보정계수에 관한 연구)

  • 이용재;김석근
    • Journal of Korean Society of Transportation
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    • v.19 no.2
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    • pp.89-98
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    • 2001
  • The objective of this Paper is to derive an adjustment factor for the presence of heavy vehicles when estimating capacity at unsignalized intersections (and/or at modern roundabouts). According to the 1997 and 2000 Highway Capacity Manual (HCM), potential capacity in such cases is estimated by simply adjusting base critical gap and base follow-up time. However, the procedure suggested in the HCM may lead to some errors in the adjustment, hence resulting in poor evaluation and design for the intersections, because it determines the value of adjusting factors by only the number of lanes on main streets regardless of the types of heavy vehicles. This paper shows a simple formula for making the adjustment. This formula is much like the HCM formula used for heavy vehicles in estimating highway capacity by the adoption of passenger car units (PCU). In contrast to the traditional approaches seen in the HCM, the PCU value of this case is explicitly expressed by the flow rate in the major streams and the gap difference in critical gaps chosen by passenger cars and particular heavy vehicles. Computational results of the adjustment factor are graphically illustrated.

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Comparisons of sample preparation (acid digestion and microwave digestion) and measurement (inductively coupled plasma mass spectrometry and graphite furnace atomic absorption spectrometry) in the determination of bone lead (골중납 측정의 시료 전처리 (산분해법과 마이크로웨이브 분해법)와 측정 방법 (유도결합 플라즈마 질량분석법과 흑연로 원자 흡수 분광 광도법)의 비교)

  • Yoon, Chungsik;Choi, Inja;Park, Sungkyun;Kim, Rokho
    • Analytical Science and Technology
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    • v.16 no.2
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    • pp.152-158
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    • 2003
  • This study was conducted to evaluate two sample digestion procedures and instrumental determination parameters for analysis of lead in bone. Amputated human legs were treated by acid digestion or microwave dissolution prior to spectrometric analysis. Inductively coupled plasma mass spectrometry (ICP-MS) and graphite furnace atomic absorption spectrometry (GF-AAS) were used for determining bone lead levels. Recovery efficiencies using standard reference material from acid digestion measured by ICP-MS were in good agreement with those of the certified value, but in cases of acid digestion by GF-AAS and microwave digestion by both two methods, recovery underestimated and overestimated, respectively. For the bone samples, the lead concentrations obtained by ICP-MS after acid digestionwere in good agreement with those by GF-AAS (correlation coefficient = 0.983), but GF-AAS gave systematically higher values than ICP-MS. While a good agreement between two analytical methods after microwave digestion was also obtained (correlation coefficient = 0.950), bone lead concentrations from microwave were relatively higher than those from acid digestion. In conclusion, the use of the simple nitric acid digestion procedure at an ambient temperature coupled to ICP-MS seems to be efficient for the determination of lead in bone in consideration for both the convenience and validity.

Development of New Vitrification Method for Preimplantation Mouse Embryo

  • Ha, A-Na;Fakruzzaman, Md.;Lee, Kyeong-Lim;Wang, Erdan;Lee, Jae-Ik;Min, Chan-Sik;Kong, Il-Keun
    • Journal of Embryo Transfer
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    • v.28 no.2
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    • pp.141-147
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    • 2013
  • The purpose of this study was attempted to new methods in mammalian embryos vitrification. This method was affected to increase of the embryo vitrification efficiency and it would be applied to the field of embryo transfer to recipient by modified loading method of embryo into 0.25 ml plastic straw. The frozen mouse embryos were carried out warmed from two different cell stages (8-cell and blastocyst, respectively) by attachment of an embryo in the vitrification straw (aV) method. All groups were cultured in M-16 medium to determine the development and survivability for 24 h, respectively. Results shown that, the survivability of two different groups were significantly different (94.8% vs. 70.9%). Total cell number was not significantly different the non-frozen blastocyst ($99.7{\pm}12.4$) compared to the post-thaw blastocyst ($94.8{\pm}15.1$). From the 8-cell embryo, total cell number of frozen blastocysts were significantly lower than others groups ($74.7{\pm}14.6$, p<0.05). In the case of cell death analysis, the blastocysts from non-frozen and frozen-thawed 8-cell group were not different ($0.0{\pm}0.0$ vs. $1.9{\pm}3.1$, p>0.05). However, the apoptotic nuclei of blastocyst were significantly observed the frozen-thawed group ($5.4{\pm}4.4$) compared to non-frozen group (p<0.05). Therefore, this new method of embryos using in-straw dilution and direct transfer into other species would be more simple procedure of embryo transfer rather than step-wise dilution method and cryopreservation vessels, so we can be applied in animal as well as human embryo cryopreservation in further.