• Title/Summary/Keyword: 바이패스 비

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Total Arterial 011-Pump Coronary Revascularization with Multiple Y Arterial Composite Grafts (다중 복합 Y 동맥 이식편(Multiple Y Composite Craft)을 이용한 완저너 동맥 무인공 심폐바이패스 관상동맥우회술)

  • Kim Do-kyun;Lee Kyo Jgon;Joo Hyun Chul;Li Gyjong;Ahn Jiyoung;shim Yungee;Yoo Kyung Jong
    • Journal of Chest Surgery
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    • v.38 no.8 s.253
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    • pp.551-556
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    • 2005
  • Background: Complete arterial off-pump coronary artery bypass grafting (OPCAB) by sequential anastomoses with one or two arterial grafts provides favorable outcomes. However, problems of insufficient graft length, hypopefusion, kinking of graft, and unfavorable course of graft may be encountered. To solve these problems, we have used different technique with multiple arterial Y composite graft to allow end-to-side rather than sequential anastomoses and evaluated the results of this method. Material and Method: Between February 2003 and October 2004, If patients underwent total arterial OPCAB using multiple arterial V composite grafts with left internal mammary artery (LIMA), radial artery (RA), and right internal mammary artery (RIMA). We divided RA into multiple segments by number of distal target site after measuring of individual proper length and constructed arterial composite graft. One of segments was sutured end-to-side to LIMA and other segment was sutured end-to-side to the previously constructed radial graft. Postoperative graft patency was evaluated in 6f patients by multi-slice computed tomegraphy. Result: An average of $2.5\pm0.6$ arteries and $3.7pm0.7$ distal anastomoses per patient were done. There was no perioperative myocardial infarction, clinical hypoperfusion syndromes, and operative mortality. Postoperative mean CK-MB level was $17.4pm29.7\;IU/L.$Overall graft patency was $99.1\%\;(214/216)(LIMA:\;100\%,\;RA:\;98.4\%,\;RIMA:\;100\%).$ Conclusion: This technique allows total arterial OPCAB without technical problems and provides excellent early clinical results and graft patency. We believe that this technique is more convenient in the obtuse marginal area compared to sequential technique, and helpful in patients who require complex arterial grafting.

Comparison of System Performances of Hot-gas Bypass and Compressor Variable Speed Control of Water Coolers for Machine Tools (핫가스 바이패스 및 압축기 가변속 제어에 의한 공작기계용 수냉각기의 성능 비교)

  • Jeong, Seok-Kwon;Lee, Dan-Bi;Yoon, Jung-In
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.24 no.1
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    • pp.1-8
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    • 2012
  • Recently, the needs of system performances such as working speed and processing accuracy in machine tools have been increased. Especially, the speed increment generates harmful heat at both moving part of the machine tools and handicrafts. The heat is a main drawback to progress accuracy of the processing. Hence, a cooler system to control temperature is inevitable for the machine tools. In general, two representative control schemes, hot-gas bypass and variable speed control of a compressor, have been adopted in the water cooler system. In this paper, comparisons of system performances according to the control schemes in a cooler for machine tools were conducted in detail. Each proportional-integral feedback controller for the two different control systems is designed. The system performances, especially the temperature control accuracy and coefficient of performance which is a criterion of energy saving, were mainly analyzed through various experiments using 1RT water cooler system with different two types of control scheme. These evaluations will provide useful information to choose suitable water cooler system for the engineers who design controllers of the cooler system for machine tools.

A New Replacement Method of Distribution Transformers without Outage using the Phase Converter (위상변환장치를 이용한 새로운 배전변압기 무정전 교체방법)

  • Shin, Dong-Yeol;Kim, Suk-Cheol;Yoon, Gi-Gab;Cha, Han-Ju
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.21 no.10
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    • pp.166-175
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    • 2007
  • Nowadays, the power quality issue becomes very important in the electric distribution system. Especially, when a distribution transformer is replaced, the customers who are supplied electricity from the transformer feel inconvenience due to electric outage. Therefore, an advanced method for the distribution transformer replacement without outage is strongly required. The conventional method is the primary-secondary high voltage bypass method according to the transformer utilization factor and the field condition. But it is inconvenient and has some problems such as breakdown and security troubles of the workers according to the unauthorized and temporary work. Therefore, the new scheme for the replacement with uninterruptable power supply is demanded. This paper proposes the new replacement method using the phase converter. The proposed method can reduces the process of replacement work and also ensures worker's safety. Therefore, the method is reasonable in comparison with the conventional method. The proposed method is able to contribute the national economy growth and elevate the convenience of national life by uninterruptable power supply.

Conceptual Study of an Exhaust Nozzle of an Afterburning Turbofan Engine (후기연소기 장착 터보팬엔진의 배기노즐 개념연구)

  • Choi, Seongman;Myong, Rhoshin;Kim, Woncheol
    • Journal of the Korean Society of Propulsion Engineers
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    • v.18 no.3
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    • pp.62-69
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    • 2014
  • This paper presents a preliminary study of a convergent divergent nozzle in an afterburning turbofan engine of a supersonic aircraft engine. In order to design a convergent divergent nozzle, cycle model of a low bypass afterburning turbofan engine of which thrust class is 29,000 lbf at a sea level static condition is established. The cycle analysis at the design point is conducted by Gasturb 12 software and one dimensional gas properties at a downstream direction of the turbine are obtained. The dimension and configuration of an model turbofan engine are derived from take-off operation with wet reheat condition. The off-design cycle calculation is conducted at the all flight envelope on the maximum flight Mach number of 2.0 and maximum flight altitude of 15,000 m.

End Point Temperature of Rewarming and Afterdrop After Hypothermic Cardiopulmonary Bypass in Pediatric Patients (소아에서의 저체온 심폐바이패스후 재가온 종료온도와 후하강)

  • Kim, Won-Gon;Lee, Hae-Won;Lim, Cheong
    • Journal of Chest Surgery
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    • v.30 no.2
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    • pp.125-130
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    • 1997
  • Separating the patient from hypothermic cardiopulmonary bypass(CPB) before achieving adequate rewarming often results in afterdrop, which can predispose to electrolyte disturbances, arrhythmia, hemodynamic alterations, and shivering-induced increase of oxygen consumption. In an attempt to find an adequate end point temperature of rewarming after hypothermic CPB, 50 pediatric cardiac surgical patients were r ndomly assigned for end point temperature of rewarming of 35.5$^{\circ}C$ (Group 1) or 37t (Group 2), rectal temperature. Thereafter the rectal temperature was measured half, one, four, eight, and 16 hour after arrival to the intensive care unit(ICU), with heart rate and blood pressure. Additionally the rectal temperature was compared with esophageal temperature during CPB, and axillary temperature luring stay in the ICU. Nonpulsatile perfusion with a roller pump was used in all patients and a membrane or bubble oxygenator was used for oxygenation. Both groups were comparable with respect to age, sex, body surface area, total bypass time, and rewarming time. There was no afterdrop in both groups, and there were no statistical differences in the rectal temperatures between two groups. There were also no statistical dilyerences with respect to the heart rate and blood pressure between two groups. At the end of rewarming the esophageal temperature was higher than the rectal temperature. The axil ary temperature measured in ICU was always lower than the rectal temperature. No shivering was noted in all patients. In conclusion, with restoration of rectal temperature above 35.5$^{\circ}C$ at the end of CPB in pediatric patients, we did not observe an afterdrop.

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THE PREVENT10N MttSURE FOR IflECOMMUNICATlON SYSTEM FROM LIGHTNING SURGE (정보통신설비의 뇌서지 보호대책)

  • Lee, Ki-Sik;Kim, Dong-Jin;Kim, Kwang-Ho
    • Proceedings of the KIEE Conference
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    • 2006.05a
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    • pp.2-4
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    • 2006
  • 오늘날 사회가 복잡화 다양화 되면서 각종 정보통신기기 네트워크가 거미줄처럼 연결되어 365일 정보를 교환하고 있으며 정보의 실시간 처리 및 전송등으로 업무처리가 이루지는 상황에서 통신설비의 장애는 한 회사의 업무를 정지시키는것은 물론이고 사회 전체가 정지하는 결과를 초래하고 있다. 과거에 비하여 이상기후 등으로 낙뢰 발생빈도는 점차 증가하고 있으며 이로 인한 정보통신기기의 뇌서지로 인한 피해도 같이 증가하고 있다. 뇌서지의 유입경로를 추적하여 보호대책을 실시하고 있는데 주로 전원측이나 통신선로측으로 유입되고 있으며 접지를 통하여 뇌서지가 유입되는 경우도 많이 발생하고 있다. 뇌서지 억제대책으로 절연화, 바이패스화, 등전위화, 전원측에 피뢰기나 서지보호기등을 설치하는 방법을 설치하고 있으나 피서지 유입경로가 어느 한 부분으로 침입하기 보다는 복합적으로 침입하는 경우가 되부분 이므로 피서지 억제대책 또한 복합적인 피서지억제 시스템을 고려하여야 한다.

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Aircraft Engine Performance Test Technologies by 150K lbf Thrust Test Cell (15만 파운드급 테스트 셀을 이용한 엔진성능 시험기술)

  • Kim, Woocheol;Kim, Chul;Kim, Sangbaek
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2017.05a
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    • pp.180-187
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    • 2017
  • Major design targets such as test cell type, cell flow, cell bypass ratio, approach velocity, cell depression, front cell distortion, noise level and vibration level to construct a new 150,000 lbf thrust aircraft engine test facility were established. Based on the final aerodynamic and acoustic performance tests conducted at the newly constructed test facility, it was found that the new test facility is judged to be excellent and meets design targets.

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Control Algorithm of Differential Power Processing Module for Power Generation from Photovoltaic Panels Including Multiple Strings (복수의 스트링을 가지는 PV 패널에 대응 가능한 차동 전력 조절기의 동작 알고리즘)

  • Kim, Geun-wook;Kim, Mina;Jung, Jee-Hoon
    • Proceedings of the KIPE Conference
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    • 2020.08a
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    • pp.10-12
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    • 2020
  • 차동 전력 조절기 시스템은 PV 모듈의 부분 음영으로 인해 전체 발전량이 감소하는 현상을 방지하기 위해서 사용한다. 기존의 차동 전력 조절기는 PV 패널과 바이패스 다이오드를 연결하여 구성한 PV 스트링당 한 개의 전력변환 장치가 필요하므로, 전력변환 장치의 개수가 증가하고 전력 시스템의 설치비용이 증가한다. 본 논문에서는 복수의 스트링에 단일 전력변환장치를 사용할 수 있는 차동 전력 조절기 모듈의 구조와 동작 알고리즘을 제안한다. 차동 전력 조절기에 대한 동작 알고리즘을 통해 다양한 부분 음영 조건 시에도 기존의 직렬 연결방식이나 차동 전력 조절 방식에 비하여 최대 발전량을 유지할 수 있다. 제안하는 차동 전력 조절기의 동작 알고리즘은 Matlab/Simulink 시뮬레이션을 통해 성능을 검증하였다.

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Status and Characteristics of Unmanned Aerial Vehicle Gas Turbine Engines (무인 항공기 가스터빈 추진기관의 현황 및 특성 연구)

  • Joo, Milee;Choi, Seongman;Jo, Hana
    • Journal of the Korean Society of Propulsion Engineers
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    • v.24 no.2
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    • pp.61-72
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    • 2020
  • Performance characteristics of propulsion systems applied to UAVs that under development or completed in foreign countries were analyzed. In this study, aircraft mission and performance characteristics of ten UAVs were reviewed and compared with current available civil and military aircraft. Also performance characteristics of UAVs propulsion systems were summarized and engine design parameters were analyzed. Thrust, SFC and design parameters such as pressure ratio and bypass ratio of UAV propulsion system were compared with the current existing civil and military aircraft engines. From this study, the design parameters of the propulsion system applied to the UAV were well understood.

Saphenous Vein Graft as a Composite Graft in Patients Who Are Undergoing Off-pump Coronary Artery Bypass: The Early Results (복재정맥 복합도관을 이용하여 시행한 심폐바이패스를 사용하지 않는 관상동맥우회술의 조기 결과)

  • Hwang, Ho-Young;Kim, Jun-Sung;Choi, Eun-Seok;Lee, Jae-Hang;Kim, Ki-Bong
    • Journal of Chest Surgery
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    • v.42 no.3
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    • pp.324-330
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    • 2009
  • Background: The long term patency of the free saphenous vein graft, which is the most commonly used conduit, anastomosed to the ascending aorta has been reported to be lower than that of arterial grafts. We evaluated early clinical outcome and the angiographic patency of the saphenous vein composite graft based on the left internal thoracic artery, and compared these results with those of using arterial composite grafts. Material and Method: From September 2006 to October 2008, 419 patients underwent off-pump coronary revascularization. Among those, 295 patients (70.4%) were revascularized using composite grafts (group I: saphenous vein composite graft, n=71, group II: arterial composite graft, n=224). The clinical results were compared between the 2 groups. Early postoperative coronary angiograms were performed in all the patients. ($1.6{\pm}1.6$ days) Result: The number of the distal anastomosis per patient was $3.5{\pm}1.0$ and $3.1{\pm}0.8$ in group I and II, respectively (p=.002). The operative mortality (n=2, 0.7%) and postoperative complications such as atrial fibrillation (n=73, 24.7%), perioperative myocardial infarct (n=6, 2.0%), acute renal failure (n=6, 2.0%), reoperation for bleeding (n=5, 1.7%), cerebrovascular accident (n=3, 1.0%), and mediastinitis (n=1, 0.3%) were not related with the use of saphenous vein graft. Early coronary angiograms revealed a 96.9% (126/130) for the saphenous vein grafts and a 98.8% (479/485) for the composite graft in group II (p=.231). Conclusion: Our data suggested that a saphenous vein graft might be used as analtemative conduit to the arterial graft for constructing a composite graft, as based on our early clinical and angiographic results. Further study is required to establish the long-term efficacy of using a saphenous vein as a composite graft.