• Title/Summary/Keyword: 김상익

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Pulmonary Trunk Translocation from LV to RV in Double-Outlet Left Ventricle -A case report- (양대혈관 좌심실기시에서 좌심실에서 우심실로의 폐동맥간 전위술의 치험 -1례 보고-)

  • 김상익;최진호;전태국;박표원
    • Journal of Chest Surgery
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    • v.34 no.11
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    • pp.854-857
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    • 2001
  • Double-outlet left ventricle(DOLV) is a rare congenital cardiac malformation, defined as the origin of both the aorta and the pulmonary artery being entirely or predominantly above the morphologically left ventricle, which is difficult to diagnose accurately. A 3-year old male was admitted for cyanosis and dyspnea. At the age of 2 months, he had undergone pulmonary artery banding and coarctoplasty. He was diagnosed as DOLV with subaortic ventricular septal defect(VSD). Biventricular repair was achieved by patch closure of VSD, primary closure of PFO, and pulmonary trunk translocation from left ventricle to right ventricle. The advantages of this procedure using native tissue for right ventricular outflow tract reconstruction are growth potential and preserved valve function, which contribute to a decreased likelihood of reoperation related to the right ventricular dysfunction related to pulmonary insufficiency.

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Right Ventricular Outflow Tract Reconstruction with Bicuspid (이엽성 동종이식판막을 이용한 우심실 유출로 재건술)

  • 김정철;현성열;김상익;박철현;박국양
    • Journal of Chest Surgery
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    • v.32 no.11
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    • pp.1042-1045
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    • 1999
  • Background: Recently, open heart surgerys using homograft are progressively increasing in complex cardiac anomalies, and even though the use of homograft tissues harvested from hearts of transplant recipients and brain-death patients are allowed and their use is increasing, the supply of homograft tissue is very limited. Material and Method: The large diameter homografts are difficult to apply directly for RVOT reconstruction of small neonatal and infant hearts due to the size mismatching. Therefore, were surgically down-sized the large diameter tricuspid homograft into bicuspid conduits by means of a longitudinal incision of the oversized homograft, excision of one cusp, and oversewing of the“Bicuspid homograft”wrapped around a Hega dilator of the appropriate size. Result: 3 patients(Male 1, Female 2: tetralogy of Fallot with pulmonary atresia), ranging in age from 5 months to 4 years and ranging in weight from 5.5Kg to 12.95Kg underwent reconstruction of the RVOT with bicuspid conduits obtained by appropriate tailoring from large-diameter homografts. The mean follow-up period was 4.3 months(range, 2 to 6 months). There were no complications related to the homograft tissues. Conclusion: In the short term follow-up, the bicuspid homografts provided good competence and excellent hemodynamics although a long term follow-up is needed to assess the functions of the bicuspid homografts in RVOT. We believe this technique may be a more effective alternative than the use of synthetic conduits when the use of an appropriate-sized homograft is not possible.

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Combined Repair of Coronary Artery Disease and Left Subclavian Artery Occlusion (관상동맥질환에 병발한 좌측쇄골하동맥폐색의 치험)

  • Kim, Sang-Ik;Kim, Byung-Hun;Noh, Jeong-Sup
    • Journal of Chest Surgery
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    • v.40 no.11
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    • pp.773-776
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    • 2007
  • A 47-year-old male with hypertension, diabetes mellitus and heavy smoking, but no anginal symptoms, presented with claudication of the lower extremities. Extremity angiography with coronary angiography revealed peripheral arterial lesions including a left subclavian artery occlusion with coronary artery disease. The patient underwent an initial off-pump coronary artery bypass with an ascending aorto-axillary bypass. The right internal mammary artery was anastomosed to the left anterior descending coronary artery. The greater saphenous vein graft was connected from the ascending aorto-axillary bypass graft to the diagonal branch. At postoperative day 18, femorofemoral and bilateral femoropopliteal bypasses were performed. We report a case of the combined repair of coronary artery disease and a left subclavian artery occlusion.

Storm Surges in West Coast of Korea by Typhoon Bolaven (1215) (태풍 볼라벤 (1215)의 서해안 폭풍해일 분석)

  • Seo, Seung Nam;Kim, Sang Ik
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.26 no.1
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    • pp.41-48
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    • 2014
  • To analyze the surface elevation data of Typhoon Bolaven, simple analytical models are employed to investigate major causes of the storm surges in the west coast of Korea. Although the simple models cannot reproduce the storm surges by Typhoon Bolaven accurately, they are able to provide sufficient evidence of physical processes involved in the storm surges. Surges in islands located at deeper water were mainly driven by typhoon low pressure rather than associated winds. In contrast, bigger storm surge heights more than 1m were recorded in shallow coastal areas during low tide, which were dominantly produced by typhoon winds.

Three-Dimensional Numerical Modelling of Water Circulation and Thermal Diffusion (해수순환과 온배수 확산에 관한 3차원 수치모델링)

  • Jung Tae Sung;Kim Sang Ik;Kang See Whan
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.1 no.1
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    • pp.93-101
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    • 1998
  • Numerical models have been widely used to understand the structure of coastal currents and the transport mechanisms in regard to the fate of pollutants. This study focuses on the development of a three-dimensional model of coastal circulation and mass transport. The model was used to calculate coastal currents and temperature distributions of the thermal plume discharged from a power plant. The model results were compared with field-observed data. They showed the relatively good agreements with the data. The model can be used to estimate the currents and its mass transport in coastal waters.

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Multi-body Dynamics and Position Control Simulation for 2-Axes Gimbals in Naval Shipboard (함정용 2축 안정화 장치의 다물체 동역학 및 위치 제어 해석)

  • Yun, Chan-Shik;Ku, Ki-Young;Kim, Sang-Ik;Jeon, Hee-Ho;Lee, Seung-Joon;Byun, Gi-Sig
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.13 no.2
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    • pp.330-340
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    • 2009
  • A naval shipboard inevitably movies in a pitch and roll direction under the influence of wave and wind in the sea. As a result, the shipboard gets in a continuous turning motion back/front and right/left. And the shipboard is also constantly exposed to many different kinds of disturbance signals including the vibrations of various frequencies from the internal equipments and their vibrations, strong waves, and impact from explosion. This paper formulates multi-body dynamic models similar to an actual system and simulates the pitch/roll positions of a 2-axes gimbals with PI controller for consecutive behavior of a naval shipboard including disturbance.

Ocean Wind Retrieval from RADAR SAR images in Korean seas (SAR자료를 이용한 해상풍 산출 및 현장 자료간의 비교.검정)

  • Yoon Hong-Joo;Park Kwang-Soon;Kim Sang-Ik
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.10 no.4
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    • pp.706-711
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    • 2006
  • In order to retrieve ocean wind from SAR() image, and to estimate and validate between SAR-derived wind and in-situ wind, with RADAR SAR ocean images and real time marine meteorological data. It was used images with more than 10km to analyze the band of wind in SAR image by FFT(First Fourier Transformation) method and was used CMOD5 as wind retrieval model to retrieve ocean wind. In this study, generally it showed good results as RMS presented 0.8m/s for speed and 8 degree for direction, and especially when wind was hish speed, it presented very good results.

Observation of Abnormal Waves from South in Winter (겨울철에 발생한 이상 남파 관측)

  • 김태림;전기천;박광순;김상익
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.12 no.1
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    • pp.11-18
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    • 2000
  • On the 25th of November in 1997 winter season, unprecedented high waves were recorded at the southern part of Korea Peninsular. The significant wave heights over 4 m were recorded at Marado, Pusan and Ulrungdo successively with time lags. Seoguipo breakwaters which were under construction were damaged by the unexpected high waves. These unprecedented southerly high waves in winter seem to be caused by unusual development and traveling of low pressure. Weather charts and wave fields calculated by a numerical model were analyzed to examine the unusual development of these waves. Protection against the southerly high waves in winter must be considered in coastal constructions and structures.

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A Hybrid Boundary Integral Equation Model Applied for the Calculation of Normal Incident Waves (혼합경계적분 요소법을 사용한 직교입사파랑의 반사률계산 모델)

  • 서승남;김상익
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.3 no.3
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    • pp.170-175
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    • 1991
  • In order to calculate reflection coefficients of surface waves due to underwater obstacles, the hybrid boundary integral equation method is used. Numerical results based on the linear element are verified to the exact solutions for a flat bottom. Reflection coefficient and transmission coefficients for a step are compared to Young's results and the results by EFEM (Kirby et al., 1987), in which reflection coefficients decrease to zero as the periods of incident waves decrease. Reflection coefficients for a sinusiodal hump located on a constant depth increase due to the interaction between humps.

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Analysis of the Wave Induced Downtimes in Pohang New Harbor (포항신항내 파랑에 의한 Downtime 분석)

  • 정원무;오세범;채장원;김상익
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.9 no.1
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    • pp.24-34
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    • 1997
  • To find the causes of the downtime problems in Pohang New Harbor, extensive field measurements of short- and long-period waves for 1.5 months and their analyses were made taking into account of wind and downtime records. Measured wave height ratios inside the harbor are appeared to be slightly larger than predicted ones using numerical methods in the previous studies. It is shown that the major causes of the downtime are the wind wave (or swell) higher than loading criteria and also swell with even smaller wave height but longer period(more than 10 sec). Waves of long-period components[0(min)] were recorded as 20 cm high in case of dominant seiche phenomena but they might not be related with the downtime problems.

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