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Clinical Experiences of Open Heart Surgery - A Report of 126 Case - (개심술 126례의 임상적 고찰)

  • 이종국
    • Journal of Chest Surgery
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    • v.22 no.6
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    • pp.1025-1035
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    • 1989
  • Since we first performed open heart surgery on December 30, 1986, 126 cases were operated on up to August 31, 1989. Among the 126 cases, 65 cases were congenital heart disease of which 63 were acyanotic disease, and 61 cases were acquired heart disease, most of which were valvular heart disease. The age distribution of congenital heart disease was from 1 years 2 months to 48 years, and males had a slightly higher incidence. The age of acquired heart disease was from a minimum of 15 years to a maximum of 68 years, and the male to female ratio was 1;1.5. Midsternotomy was performed in all cases, and the aortic cannula was inserted through ascending aorta and the venous cannula inserted into the SVC and IVC through the right atrium. Vent was inserted through the right superior pulmonary vein. Cardioplegia solution was used in all cases; it was composed of sodium bicarbonate 3.5 ampule, KCL 14 mEq, 2% lidocaine 2.5 ml, 20 % albumin 50 ml and heparin 1000 units mixed to 950 ml with Hartman solution, and was made to 4oC and infused 10 ml per Kg every 20 minutes. The congenital heart disease had a variety of VSD in 32 cases, ASD 23 cases, PS 6 cases, PDA 2 cases, and one case each of Ebsteins anomaly and tricuspid atresia. The operations performed for acquired heart disease were 4 cases of OMC, 33 cases of MVR, and 5 cases of AVR, and 1 case of AVR with CABG. DVR was perfomed in 13 cases, and triple valve replacement was done in 1 case. Other than these, excision of LA myxoma was 2 cases, and repair of traumatic VSD and removal of a pulmonary embolism were one case each. The surgical mortality was 5 cases[4%], all of which occurred in valve replacement cases. Follow-up study revealed 2 late deaths. One died after a traffic accident and one died due to sepsis after he had received a gastrectomy for ulcer bleeding. The remaining patients were in good condition.

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Fabrication of Electroconductive Textiles Based PLA Nanofiber Web Coated with PEDOT:PSS (PEDOT:PSS로 코팅된 PLA 나노섬유 웹의 전기전도성 텍스타일 제조)

  • Shin, Sungeun;Cha, Sujin;Cho, Gilsoo
    • Fashion & Textile Research Journal
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    • v.22 no.2
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    • pp.233-239
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    • 2020
  • We proposed a simple process of fabricating electroconductive textiles by coating conductive polymer PEDOT:PSS (Poly(3,4-ethylenedioxythiophene)-poly(styrenesulfonate)) on biocompatible PLA (Poly Lactic Acid) nanofiber web for application to smart healthcare. Electroconductive textiles were obtained by a drop-coating process using different amounts of PEDOT:PSS solutions., DMSO (dimethyl sulfoxide) was then used as an additive in the post-treatment process to improve conductivity. The surface morphology of the specimens was observed by FE-SEM. The chemical structures of the specimens were characterized using FTIR. The electrical properties (linear and sheet resistance) of the specimens were measured. The effect of the bending angles on the electrical properties was also investigated to confirm their applicability as wearable smart textiles. FE-SEM and FTIR analysis confirmed that the deposition of PEDOT:PSS on the PLA nanofiber web surface was successful. The conductivity of the PEDOT:PSS/PLA nanofiber web was enhanced up to 1.5 ml with an increasing amount of PEDOT:PSS solutions, but there was no significant difference at 2.0 ml. The optimum condition of PEDOT:PSS deposition was established to 1.5 ml. Even when the specimen coated with 1.5 ml was bent every 30°, the change in the electrical resistance values was still low within 3.7 Ω. It confirmed that stable electrical performance was maintained and proved the applicability as a flexible textile sensor.

Development of DC-DC Converter for Ancillary Power Supply in Hybrid Electric Vehicle (하이브리드 자동차 보조전원 공급용 DC-DC 컨버터 개발)

  • Kim, Jong-Cheol;Choi, Deok-Kwan;Park, Hae-Woo
    • Proceedings of the KIPE Conference
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    • 2005.07a
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    • pp.261-265
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    • 2005
  • This paper describes the DC-DC Converter for Ancillary Power Supply in Hybrid Electric Vehicle. DC-DC Converter is used for charging 12V auxiliary battery supplying electric power to head ramp, audio, ECU etc in automobiles. used DC-DC Converter Topology is PS-ZVS FB(Phase Shifted Zero Voltage Switching Full-Bridge) to reduce switching loss and EMI noise induced by high frequency operating condition. And For easy compensation and stable system response characteristic, current mode control method including slope compensation is employed. Constant current / constant voltage charging control method guarantee stable electric charging of auxiliary battery. Simulation toll PSIM6.0 is used for initial circuit parameter settings and H/W debuging. Thermal problems of Switching components in DC-DC Converter is improved by using Thermo Tracer.

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Decomposotion of EtOH and Oxidation of H2S by using UV/Photocatalysis System (UV/Photocatalysis 시스템을 이용한 EtOH의 분해 및 H2S의 산화)

  • Kim, Jin-Kil;Kim, Sung-Su;Hong, Sung-Chang;Lee, Eui-Dong;Kang, Yong
    • Korean Chemical Engineering Research
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    • v.51 no.3
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    • pp.297-302
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    • 2013
  • Enhancement of photocatalytic activity of UV/photocatalysis was carried out to oxidize the gaseous $H_2S$ in a tubular reactor coated with photocatalyst of sol type $TiO_2$. EtOH was used as the standard material to select the photocatalyst, and it was confirmed that the reactor activity was dependent on the coated surface characteristics. The selected photocatalytic reactor, which coated with STS-01, showed about 80% conversion when the gas linear velocity was 0.01 m/s and relative humidity was 40%. However, the conversion level of the reaction decreased significantly with increasing gas linear velocity. Pt was loaded on the photocatalyst to enhance and maintain the performance of the reactor, which enhanced the conversion level of $H_2S$ more than 95% under the same experimental condition.

The Homologous Region 3 from Bombyx mori Nucleopolyhedrovirus Enhancing the Transcriptional Activity of Drosophila hsp70 Promoter

  • Tang, Shun-Ming;Yi, Yong-Zhu;Zhou, Ya-Jing;Zhang, Zhi-Fang;Li, Yi-Ren;He, Jia-Lu
    • International Journal of Industrial Entomology and Biomaterials
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    • v.9 no.2
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    • pp.235-239
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    • 2004
  • Drosophila melanogaster heat shock protein 70 gene promoter (Dhsp70p) is widely used in transgenic insect to drive exogenous gene, and the homologous region 3 from Bombyx mori nucleopolyhedrovirus (BmNPVhr3) functions as an enhancer for several promoters. To test whether BmNPVhr3 can enhance the Dhsp70ps transcriptional activity, the reporter plasmids, which contain the Dhsp70p, the reporter $\beta$-galactosidase gene with SV40 terminator and BmNPVhr3 fragment, are constructed and transfected into the insect cell lines (Bm-N cells and Sf-21 cells) by lipofectin-mediated method. The results from the transient expression assay show that BmNPVhr3 significantly increases transcriptional activity of Dhsp70p both under the normal condition and under the heat-shock treatment, although the effects are significantly different between in Bm-N cells and in sf-21 cells. The enhancing behavior of BmNPVhr3 on the Dhsp70p is in an orientation-independent manner. Meanwhile, the effects of heat-shock treatment on Dhsp70p alone or Dhsp70p/BmNPVhr3 combination present no significant difference, indicating that BmNPVhr3 only enhances the transcriptional activity of Dhsp70p, but cant alter its characteristic of the response to the heat-shock stress. The above results suggest that the Dhsp70p/BmNPVhr3 combination is more effective one to drive exogenous gene for transgene or stable cell expression system in insects.

Effects of Myofascial Release and Posture Correction Exercise on the Neck Movement and the Quality of Sleep in Patients with Chronic Tension-Type Headaches

  • Cho, Sunghak
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.4
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    • pp.1897-1902
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    • 2019
  • Background: Tension-type headaches, which make up the highest proportion of headaches, are prone to develop into chronic tension-type headaches (CTTH). The characteristic of CTTH in patients is that the active myofascial trigger point (ATrP) which causes pain in the muscles of the back of the head is increased, compared to the normal headache and moves the head position forward. Objective: The aim of this study was to investigate the effects of myofascial release (MFR) and posture correction in effectively improving neck function and sleep quality in the symptoms of CTTH patients. Design: Observer-blind study Methods: To reduce ATrP, MFR was applied and exercise was also applied to correct posture. The subjects of this study were 48 individuals randomly divided into three groups; The MFR group using the MFR technique; The MFR with exercise group subject to both the MFR technique and forward head position correction exercises (MFREx), and the control group. MFR and MFREx groups were given the relevant interventions twice a week for four consecutive weeks, and went through the number ATrPs, range of motion (ROM) of neck, Neck Disability Index (NDI) and the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. A physical therapist, who was fully familiar with the measuring methods of the equipment, was the measurer and not aware of the target's condition was blinded to take measurements only before and after intervention. Results: There was a significant improvement in the ATrP, Neck ROM, NDI and PSQI in the group of patients to whom the MFR technique and MFREx were applied. MFREx was more effective in increasing neck mobility. Conclusions: According to this study, the application of MFR is effective in improving neck movement and sleep quality in chronic tension headache patients.

Relationship between Alternating Attention and Context Use during Sentence Processing in Older and Younger Adults (정상노인과 젊은 성인의 문맥을 이용한 문장처리와 교대주의력의 관계)

  • Park, Youngmi
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.527-539
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    • 2018
  • Cognitive decline in aging is known to yield detrimental effects in syntactic processing and working memory capacity is the most crucial cognitive function in understanding older adults' sentence processing skills. This study examined how young and older adults utilize contextual information while resolving NP-attached Ps vis word-by-word self-paced reading paradigm. In addition, the study asked which cognitive functions play roles on the use of a NP-supporting context during processing of NP-attached PP. When NP-attached PP was presented in a supporting context, both age groups performed faster than in the null context condition. Among different cognitive functions, alternating attention skills were correlated with the ability utilizing context during syntactic ambiguity resolution and working memory capacity was not found to be crucial for this study. In conclusion, this study suggests that aging does not always affect older adults' syntactic processing negatively and relevant cognitive function may vary depending on the type of syntactic structure.

Analysis on the fishing conditions of tuna purse seiner belonging to the Korea-Ghana joint venture in the Atlantic Ocean (대서양 한-가나 합작법인 소속 다랑어 선망어선의 조업실태 분석)

  • KWON, Ki-Jun;LEE, Chun-Woo;KIM, Hyung-seok;RYU, Kyung-Jin;LEE, Yoo-Won
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.57 no.3
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    • pp.194-204
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    • 2021
  • The research was analyzed the catch data of the five years (2016-2020) for six joint venture company tuna purse seiners in the Atlantic Ocean, with the aim of suggesting improvement measures for responsible and sustainable fishing according to changes of recommendation by International Commission for the Conservation of Atlantic Tuna (ICCAT) on the tropical tunas. In the last five years, the average catch of six tuna purse seiner gradually increased to 7,745 tons, 8,364 tons and 9,053 tons from 2016 to 2018, but decreased to 7,761 tons in 2019 and 6,214 tons in 2020. The reason for the decrease in fishing volume in 2019 and 2020 was the fluctuation of the formation of the cold water zone (22-23℃), and the total ICCAT convention area of FAD closure in January and February due to the expansion of the FAD closure area and poor free school catching during two months period, respectively. The analysis on fishing area showed that the percentage of fishing in the high sea was about 85% although the FAD closure area included the EEZ zone in coastal countries; the rise of the fishing license in coastal countries is also believed to be a factor. In order to overcome such situations and improve catching volume, it will be possible if excellent manpower is secured, school fishing is expanded, and the production of high value-added catch (purse seine special: PS).

평행식 진동탄환 암거 천공기의 연구 (IV)(V)-실기 설계 제작 및 보장실험-Development of Balanced-Type Oscillating Mole Drainer(IV)(V)

  • 김용환;이승규;서상용
    • Journal of Biosystems Engineering
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    • v.2 no.1
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    • pp.7-24
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    • 1977
  • This paper is the forth and fifth one of the study on balanced type oscillating mole drainer. In the light of the results from previous reports about the model tests, some design criteria were established and a prototype machine was set up for experimental purpose. Motion characteristics and functionof the each parts of the machine were checked and analyzed. After that, performance tests of the prototype machine were carried out in thefield. Obtained results are summarized as follows ; 1. Ten centimeter of the bullet diameter was determined so as to be able to attach it to the tractors with capacity of 30 PS to 40 PS. 2. To maintain the balance between the moments of the front shank and rear shank, the oscillating amplitude of the rear bullet was determined to be larger than that of the front bullet. At the same time , the oscillating direction of the rear bullet was designed with the inclines of ten to thirty degrees. 3. An octagonal dynamo transduced was developed for measuring the compressive force of the upper link is measuring the draft force of the machine. Acceptable linear relationship between forces and strain responses from O.D.T. was obtained. 4. Analysing the balancing mechanism of the acting part of the machine , it was found that the total draft force of the machine was equal to the difference between the sum of the draft force produced from the right and left side bending moments of the lower drawber and the compressive force on the upper link. 5. There are acceptable linear relationship between the strain and twisting moment by driving shaft, and between strain and shank moment. Above results enable us to carry out the field experiment with prototype machine. 6. When the test machine was used in the field, it was possible to reduce the oscillating acceleration by forty percent in average as compared it with the single bullet mole drainer. 7. When the test machine was used under the oscillating condition, the dratt torce was reduced by 27 percent to 59 percent as compared it with the test machine under non-oscillating condition, while the draft force was increased by 7 percent to 20 percent as compared it with the mole drainer having oscillating single bullet. The reasoning behind this fact was considered as the resistance force due to the rear shank and bullet. 8. As the amplitude and frequency of the bullet were increased, the torque was increased accordingly. This tendency could be varied with the various characteristics of the given soils. And the larger frequency and amplitute, the more increasing oscil\ulcornerlating power but decreasing draft brce were needed, and draft force was increased as the velocity was increased.9. When the amplitude of the rear bullet was designed to be larger than that of the front bullet, the minimum value of the moment was lowered and oscillating acceleration was reduced. And when the oscillating direction of the rear bullet was declined back\ulcornerwards, oscillating acceleration was increased along with the increasing angle of decli\ulcornernation. When the test machine was operated in high speed, the difference between maximum moments and minimum ones became narrow. This varying magnitude of moments appeared on the moment oscillogram seems to be correlated to the oscillating acceleration and draft force. 10. From the analysis of variance, it was found that those factors such as frequency, amplitude, and operating velocity significantly affected in the oscillating acceleration, the draft resistance, the torque, the moment, and the total power required. And interaction between frequency and amplitude affected in the oscillating acceleration. 11. Within the given situation of this study, the most preferable operating conditions of the test machine were 7 Hz in oscillating frequency, 0.54 m/sec in operating velocity, and 39.1 mm in oscillating amplitude of front and rear bullets. However, it is necessary to select the proper frequency and magnitude of oscillation depending on the soil properties of the field in which the mole drainer is practiced by use of a bal1nced type oscillating mole drainer. 12. It is recommended that a comparative study of the mole drainers would be performed in the near future using two separate balanced oscillating bullet with the one which is operated by oscillating the movable bullet in a single cylinder or other balanced type which may be single oscillating bullet with spring, damper or balancing weight, and that of thing. To expand the applicability of the balanced type oscillating mole drainer in practical use, it is suggested to develop a new mechanism which perform mole drain with vinyl pipe or filling material such as rice hull.

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A Model Experiment on the Basic Efficiency of Midwater Rope Trawl Net (로프 트롤 그물의 기본성능에 관한 모형실험)

  • Yae, Young-Hee;Lee, Byong-Gee
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.29 no.3
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    • pp.200-213
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    • 1993
  • A model experiment on a midwater rope trawl net which is used in the North Pacific to catch alaska pollack is carried out in the circulating tank to examine the basic efficiency of the net. The prototype is the net used by M/S Hanil(1, 179GT, 2, 700PS), a Korean trawler. The model net was made according to the Tauti's Similarity Law of Fishing Gear in 1/100 scale by considering the condition of the tank. To measure the basic efficiency of the standard model net, the vertical opening and width between some points marked on the net were measured, and the hydrodynamic resistance were determined. Then the constructive conditions of the net were varied as follows and the factors were measured again to compare the efficiency of those nets with that of the standard net(A-1 type) front weight multiplied 1.5 times: A-2 type. buoyancy and depressing force multiplied 1.7 times: A-3 type. front weight multiplied 1.5 times on A-3 type: A-4 type. depressors rigged at ground rope: B type. cod-end stuffed with cashmylon wad: C type. The results obtained can be summarized as follows: 1. The vertical opening at the center of head rope was steeply decreased with the flow velocity increasing and the vertical opening H(m) can be expressed in H=1.2v super(-1.2)(v : flow velocity in m/sec). The width of the net varied a little when the flow velocity was over 0.4m/sec, and the width of net mouth showed about 37% of the distance between the fore tips of net pendant. The shape of net mouth was almost a circle at 0.2m/sec and then steeply flatted elliptically with the flow velocity increasing and the area of mouth S(m super(2)) can be expressed in S=(1.65-2.3v)$\times$10 super(-2). The hydrodynamic resistance of the net increased almost linearly with the flow velocity increasing and the resistance R(kg) can be expressed in R=3.2$\times$d/l$\times$abv. where d/l denotes the mean of d(diameter of netting twine) and l(length of a leg in a mesh) from wing tip to the end of bag-net except cod-end on the side pannel, and a denotes the strectched circumference of the net at the fore end of a meshed part and b the stretched length of the whole net from wing tip to the end of cod-end. 2. In the condition-varied nets, the vertical opening of head rope showed some increase in every type net except the C type, and the increase showed the greatest in the B type by 30~54%, whereas it showed decrease in the C type by 5~10%. Variation of the area of net mouth showed almost the same tendency as the vertical opening and the increase showed the greatest in the B type by 20%, whereas it showed decrease in the C type by 12%. Hydrodynamic resistance showed some increase in every type compared with the standard net, and the rate of increase indicated 5~10% in the A-2, A-3 and A-4 type, 22% in the B type and 3% in the C type.

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