• Journal of Chest Surgery
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• v.34 no.9
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• pp.724-728
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• 2001

We report a case of an 8 years and 11 month-old male patient who had developed severe tricuspid insufficiency(TI) after correction of anomalous origin of the left coronary artery from the pulmonary artery(ALCAPA). Transthoracic echocardiogram and coronary angiography confirmed ALCAPA, ischemic mitral regurgitation and trivial TI. He underwent direct reimplantation of the left coronary artery to the aortic root by using additional cannulation at the main pulmonary artery for arterial inflow and cardioplegia delivery to the left coronary artery. After the correction of ALCAPA, transesophageal echocardiogram(TEE) revealed good antegrade flow at the aortic implantation site of the left coronary artery and severe TI(Gr III-IV/IV). Cardiopulmonary bypass was reestablished and tricuspid valve was repaired with Kay-type annuloplasty, artificial chordae formation and chordal shortening plasty. The postrepair TEE revealed trivial to mild TI.

• The Journal of the Korean bone and joint tumor society
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• v.14 no.2
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• pp.157-162
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• 2008

Nowadays, most of the malignant bone tumor patient underwent limb salvage operation, however, reconstructive options for skeletally immature group are still controversial. There are three necessary conditions of most ideal reconstructive method in treating the skeletally immature children. As the epiphyseal plate sacrification is usually inevitable in malignant bone tumor around knee joint, ideal reconstructive technique would be as follows; 1)minimal or no damage to theadjacent epiphyseal plate, 2) maintaining mobile joint, 3) index procedure does not disturb subsequent operation such as lengthening. Segmental resection and reconstruction using autogenous pasteurized graft was done for 4 years old meta-diaphyseal osteosarcoma of femur. At 6 months from index operation, plain radiograph showed pasteurized bone resorption and loosening of fixation devise. To overcome the complication, we used allograft reconstruction by impacting the proximal host bone to the fluted portion of allobone. Three months later, proximal bone union was observed and patient showed good functional outcome.

• Journal of the KSME
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• v.33 no.8
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• pp.739-745
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• 1993

60년대 이후 경제개발과 더불어 건설된 화력발전소는 장기사용 및 주기 운전 (cycling operation)에 따라 경년열화가 상당히 진행된 상태로 가동되고 있다. 또한 설비운용 기 술도 고장보수(failure maintenance), 예방보수(protective maintenance) 단계를 거쳐 80년대 후 반기부터는 예측보수(predictive maintenance)에 주안점을 두게 되었으며 사회변화에 따른 신규 발전설비의 건설부지 확보, 환경 규제의 엄격 등이 당면 과제로 대두되었다. 따라서 경년화력의 장수명화, 고효율, 저공해 발전방식의 실용화 등이 현실적인 대책이므로 경년화력의 정밀진단 및 평가기술의 고도화 신형발전설비의 개발 등이 연구개발의 주측이 되고 있다. 이 글에서는 국내 에서 추진되고 있는 이들 기술개발의 현황과 향후계획을 제시하여 산 . 학 . 연의 보다 긴밀한 연구활동에 기여하고자 한다.

• The Magazine for Energy Service Companies
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• s.39
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• pp.70-73
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• 2006

클린 에너시 시장 "2015년 1672억 달러로 성장"/대림산업 양주 택지지구에 구역형 집단에너지 사업/산자부 에너지진단의무화 입법예고/동아전람 '제2회 동아 빌딩박람회'참가업제 모집/에너지기술연 제지설비 응축열 재활용 '열교환기'상용화/산자부 환경친화 산업구조개선 법률 개정/미국 냉동공조공학회 이진원 교수·이상민 박사에 최고논문상/광주시 그린빌리지, 수소연료전지 본격가동/대전 신동아파트 소형열병합 ESCO자금 상황 '끝'/기획예산처 교육세 일부 환경,에너 지 분야에 활용/유기태양전지 개방 '청신호'/중소기업청 신기술 제품 공공구매 본격 확대/에노지관리공담 혁신도시 건설을 위한 신·재생에너지보급 촉진 간담 회 개최/산자부 온실가스 배출통계 시스템 구축

• Proceedings of the KIEE Conference
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• 2008.07a
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• pp.322-324
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• 2008

현재 배전용변전소 대용량변압기 냉각방식은 주로 유입자냉식, 유입풍냉식, 송유풍냉식 및 수냉각 방식이 채용되고 있다. 유입풍냉식의 경우는 대기 공기의 자연대류 또는 냉각팬에 의한 강제대류에 의해 방열기 내부로 유입된 절연유의 온도를 낮추는 방식이고 송유풍냉식은 변압기 내부 절연유를 강제순환 시키면서 냉각팬을 가동하는 방식이다. 도심지 복합건물내 주변압기 냉각은 수냉식을 채용하여 절연유를 강제로 순환시키면서 열교환기 2차측에 냉각수를 순환시켜 열교환기 내로 유입된 절연유의 온도를 낮추는 방식이다. 그러나 도심지 변전소의 냉각방식 채택에 있어 냉각성능, 소음, 설비의 건전성등 여러 가지 문제점이 드러나 새롭고 획기적인 냉각방식이 요구되고 있다.

• The Magazine of the Society of Air-Conditioning and Refrigerating Engineers of Korea
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• v.31 no.9
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• pp.16-23
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• 2002

현재 우리나라는 1980년대 후반부터 도시폐기물 소각시설을 설치하기 시작하여 전국적으로 20 여곳의 대형 소각장이 가동되고 있으며 대기오염 방지 기술도 발전에 발전을 거듭하여 불과 10 여년 동안에 선진국 수준의 대기오염 배출기준을 만족하는데 아무 문제가 없을 정도로 되었다. 그러나 소각후 발생 하는 소각재의 경우 비산재는 고형화등의 처리 후 매립하고 바닥재는 별도 처리없이 매립하는 실정이어서 매립 후 시간이 흐를수록 매립된 소각재에서 용출되는 다이옥신과 소각재 중에 포함된 중금속 등에 의한 토양오염과 수질오염의 우려가 남아 있는 것이 사실이다. 소각후 남는 소각재는 폐기물량의 약 15 %, 비산재는 약 1.5 % 정도 발생하는 것으로 볼 때 매립은, 특히 다음 세대에 유산으로 남겨진다는 점에서 더 이상 적절하지 않은 해결책으로 생각되며 유럽과 일본 등 선진국에서는 이미 이와 같은 소각재에 대한 무해화 처리기술이 개발되고 속속 상용화되고 있으므로 우리나라도 하루빨리 열분해용융시설등 신기술을 개발하거나 도입하여 세계적 환경 기술경쟁 에서 선진국과 어깨를 나란히 함은 물론 청정한 국토를 후손에게 물려줄 수 있도록 하는 대책이 강구되어 야 할 것이다. 본 고에서는 폐기물 처리기술의 세계 적 동향을 살펴보고 폐기물의 완전 자원화에 성공한 대우 써모셀렉트 열분해용융 기술의 특성에 대해 소개하고자 한다.

• Proceedings of the Korea Information Processing Society Conference
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• 2018.10a
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• pp.89-92
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• 2018

QbD(Quality by Design)는 제약분야에서 혁신적 신기술로 제조공정과 품질관리를 일원화하는 방법이다. QbD는 의약품의 품질을 높은 수준으로 향상시켜 제조공정 과정을 개선하여 효율성을 증대시키고 불량률 뿐만 아니라 공정 중 불필요한 장치의 가동을 최소화하여 비용을 절감시킬 수 있다. 본 논문은 제약분야에서 QbD 적용의 필요성에 따라 에지 컴퓨팅 기반 QbD 플렛폼 설계를 제안한다. 특히, 이 QbD 플렛폼을 통해 대조약과 시험약 간의 생물학적 동등성 의약품 제조에 필요한 실험설계방법을 획기적으로 개선하고자 한다. 이를 위해 본 논문은 먼저 QbD의 단계 중 실험설계법을 제형연구의 예를 들어 설명하고 본 논문이 계획한 QbD 플랫폼의 구조를 제안한다.

• Journal of Chest Surgery
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• v.40 no.12
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• pp.825-830
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• 2007

Background: Minimally invasive cardiac surgery appears to offer certain advantages such as earlier postoperative recovery and a greater cosmetic effect than that achieved through conventional sternotomy. However, this approach has not yet been widely adopted in Korea to replace complex open heart surgery such as mitral valve reconstruction. This study compared the results of robot assisted minimally invasive mitral valve repair with those results of conventional sternotomy. Material and Method: From December 1993 to December 2005, 520 consecutive patients underwent mitral valve reconstruction for mitral regurgitation in our institution. These patients were subdivided according to those whose surgery used the conventional sternotomy approach (Group S, n=432) and those who underwent minimally invasive right anterior thoracotomy (Group M, n=88); we then compared the clinical results of both groups. When we performed minimally invasive right thoracotomy, we used a robot (AESOP 3000) and made an incision less than 5 cm. Result: Our study patients in both groups were similar for their age, gender and preoperative ejection fraction. There were two hospital mortalities in group S. but there was no mortality in the group M patients. Significant reductions in the ICU stay and the postoperative hospital stay were observed in the group M patients compared with the group S patients. However, both the bypass time and the aortic cross-clamp time were significantly longer in the group M patients. In spite of the confined incision in the group M patients, there were no limitations on the mitral valve repair techniques. There was a similar frequency of postoperative significant residual mitral regurgitation in both groups. Conclusion: In this study, the minimally invasive mitral valve repair showed comparable early results with the conventional sternotomy patients. We will now need long-term follow-up of these patients who underwent minimally invasive mitral valve repair, but we anticipate that based on the results of this study, we will begin to routinely perform minimally invasive cardiac surgery as out primary approach for mitral valve reconstruction.

• Physical Therapy Korea
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• v.25 no.2
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• pp.13-21
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• 2018

Background: After a stroke, the patient may have abnormal muscle tone due to abnormal alignment. Physical therapists have used stretching, neural mobilization other methods to treat patients after stroke. In addition, joint mobilization is also used to stimulation in pathway of cervical segmental region and to normal cervical spine alignment. Objects: The purpose of this study was to determine whether Maitland cervical spine mobilization has an immediate effect on muscle tone and stiffness of upper extremity. Methods: Thirty subjects were divided into a experimental group ($n_1=10$), a placebo group ($n_2=10$), and a control group ($n_3=10$). The Maitland cervical spine mobilization was applied in the supine position. Immediately after the intervention, muscle tone and stiffness of biceps brachii, brachioradialis, deltoid, and pectoralis major were measured using Myoton(R)PRO. In the placebo group, sham mobilization was applied to the fifth and sixth cervical vertebra, and the control group was instructed to control breathing. Results: In the experimental group, significant differences were found in muscle tone and stiffness of biceps brachii and brachioradialis in comparison with the affected side and the non-affected side before the intervention (p<.05), whereas there was no significant difference after the intervention (p>.05). Muscle tone of biceps brachii on the non-affected side and pectoralis major on the affected side was significantly decreased before and after the intervention (p<.05). The placebo and control group showed no changes on the non-affected and affected side, and no significant differences were detected before and after the intervention. All the groups revealed no significant differences in muscle tone and stiffness of upper extremity before and after the intervention. Conclusion: This study suggests that the application of Maitland cervical spine mobilization enhanced muscle tone of upper extremity on the involved side symmetrically, and influenced a decrease in muscle tone.

• Journal of the Korean Society of Physical Medicine
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• v.4 no.3
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• pp.149-156
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• 2009

Purpose：The hamstring muscle has an important role in standing, walking and other functions related to daily living. Most people with Cerebral Palsy(CP) have muscle tightness, especially in the hamstring, which may cause abnormal alignment in the lower extremities. To investigate an effective treatment for hamstring muscle tightness by observing the effects of heat pack or Soft tissue mobilization(STM) on hamstring muscles. Methods：Thirteen-two volunteers with CP aged between 9 and 13 years($M\pmSD$: $11\pm1.46$), were recruited and divided into four groups of four: (1) the STM for people with Spastic CP group, (2) the heat pack(HP) for people with Spastic CP group, (3) the STM for people with Mixd CP group, and (4) the heat pack for people with Mixed CP group. All received treatment three times per week for six weeks. A inclinometer was used to measure for hip flexion & knee extension joint range motion(ROM). Results：The ROM of hip flexion & knee extension were improved at the STM and HP for people with Spastic CP groups. The ROM and hip flexion were improved at the STM and HP for people with Mixed CP groups. The amount of increase ROM are differenced by the types of CP. Conculusion：STM and heat pack, both are effective for people with CP especially for Spastic CP.