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Active Infective Endocarditis with Vegetation of Right Atrium in Patient with End-stage Renal Disease (말기신부전환자에서 우심방 우종을 동반한 심내막염 환자의 수술 1례)

  • Kim, Chang-Young;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.35 no.9
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    • pp.680-683
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    • 2002
  • Infective endocarditis that involves the right side of the heart has been estimately 5% of all cases of infective endocarditis. It has been shown that about 70% of right-sided heart infective endocarditis cases have preexisting congenital heart disease or acquired valvular lesion. It would occur in intravenous drug users or end-stage renal disease patients with indwelling venous dialysis catheter. Antibiotic therapy is more effective in the right and, when it fails, the consequence of valve disruption and emboli are less. Patients receiving long-term hemodialysis are a unique population with regard in the risk of bacteremia and subsequent infective endocarditis. We experienced one case of the active infective endocarditis with right atrial vegetation without tricuspid or pulmonary valve involvement in patient with end-stage renal disease receiving long-term hemodialysis, who needed surgical correction after medical treatment failure. Then we reported it with references that right-sided heart infective endocarditis is rare, but difficult to diagnose, life-threatening because of delayed medical treatment.

Heat/Mass Transfer Characteristics on Rib-roughened Surface for Impingement/Effusion Cooling System with Initial Crossflow (초기 횡방향 유동이 존재하는 충돌제트/유출냉각에서 요철이 설치된 유출면에서의 열/물질전달 특성)

  • Rhee, Dong-Ho;Nam, Yong-Woo;Cho, Hyung-Hee
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.28 no.3
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    • pp.338-348
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    • 2004
  • The present study is conducted to investigate the effect of rib arrangements on an impingement/effusion cooling system with initial crossflow. To simulate the impingement/effusion cooling system, two perforated plates are placed in parallel and staggered arrangements with a gap distance of 2 times of tile hole diameter. Initial crossflow passes between the injection and effusion plates, and the square ribs (3mm) are installed on the effusion plate. Both the injection and effusion hole diameters are 10mmand Reynolds number based on the hole diameter and hole-to-hole pitch are fixed to 10,000 and 6 times of the hole diameter, respectively. To investigate the effects of rib arrangements, various rib arrangements, such as 90$^{\circ}$transverse and 45$^{\circ}$angled rib arrangements, are used. Also, the effects of flow rate ratio of crossflow to impinging jets are investigated. With the initial crossflow, locally low transfer regions are formed because the wall jets are swept away, and level of heat transfer rate get decreased with increasing flow rate of crossflow. When the ribs are installed on the effusion plate, the local distributions of heat/mass transfer coefficients around the effusion holes are changed. The local heat/mass transfer around the stagnation regions and the effusion holes are affected by the rib positions, angle of attack and rib spacing. For low blowing ratio, the ribs have adverse effects on heat/mass transfer, but for higher blowing ratios, higher and more uniform heat transfer coefficient distributions are obtained than the case without ribs because the ribs prevent the wall jets from being swept away by the crossflow and increase local turbulence of the flow near the surface. Average heat transfer coefficients with rib turbulators are approximately 10% higher than that without ribs, and the higher values are obtained with small pitch of ribs. However, the attack angle of the rib has little influence on the average heat/mass transfer.

Intravenous Patient-Controlled Analgesia with Nalbuphine: Could be an Alternative to Epidural Patient-Controlled Analgesia with Morphine-Bupivacaine for Pain Relief after Cesarean Delivery? (제왕절개술후 자가진통법을 이용한 정맥내 Nalbuphine은 경막외 Morphine과 Bupivacaine 혼합제를 대치할 수 있나?)

  • Lee, Jong-Seok;Lee, Youn-Woo;Yoon, Duck-Mi;Nam, Yong-Taek;Song, Keun-Ho
    • The Korean Journal of Pain
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    • v.10 no.1
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    • pp.34-41
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    • 1997
  • Background : Patient-controlled analgesia(PCA) is a safe and effective technique for providing postoperative pain relief. Studies that compare epidural vs intravenous routes of opiate administration show conflicting results. We designed a prospective, randomized, controlled study to evaluate the safety and efficacy of epidural(EPI-PCA) morphine-bupivacaine versus intravenous (IV-PCA) nalbuphine when administered with a PCA system. Methods : Forty healthy women were randomly assigned to receive an epidural bolus of morphine 3 mg and 0.5% bupivacaine 10 ml, followed by a EPI-PCA with 0.01% morphine and 0.143% bupivacane (basal infusion 1 ml/hr, bolus 1 ml, lock-out interval 30 min) or intravenous bolus of nalbuphine 0.1 mg/kg followed by a IV-PCA with nalbuphine(basal infusion 1 mg/hr, bolus 1 ml, lock-out interval 20 min) for pain relief after cesarean delivery. This study was conducted for 2 days after cesarean section to compare the analgesic efficacy, side effects, patient satisfaction either as EPI-PCA or as IV-PCA. Results : EPI-PCA group had significant lower visual analog pain scale(VAS) at immediate postoperative period, whereas no significant difference was observed when pain was assessed at other time sequence. Urinary retention and pruritus were more frequent with EPI-PCA group, although the incidence of other side effects were the same. Conclusions : Although EPI-PCA with morphine-bupivacaine was of significantly lower VAS at immediate postoperative period, IV-PCA with nalbuphine is a safe and effective alternative to EPI-PCA with morphine-bupivacaine for providing pain relief after cesarean delivery. Further studies about IV-PCA with nalbuphine are needed to control the immediate postoperative pain and to further improve effective pain management.

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The Efficacy of Stellate Ganglion Block in the Treatment of Idiopathic Sudden Sensorineural Hearing Loss (성상신경절 차단의 돌발성 난청에 대한 효과)

  • Nam, Sang-Beom;Yoon, Duck-Mi;Lee, Youn-Woo;Kim, Jung-Sub;Nam, Yong-Taek
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.30-35
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    • 1998
  • Background: Idiopathic sudden sensorineural hearing loss(ISSHL) has been generally defined as an abrupt loss of auditory acuity without precipitating factors. Since ISSHL was first described as a disease entity, numerous reports assessing a variety of treatment regimens have been published. But its etiology, pathogenesis, treatment, and prognosis are controversial at the present time. Stellate ganglion block(SGB) has been used for the treatment of ISSHL by vasodilatation and increased blood flow to the inner ear. Methods: We reviewed the records of 152 patients to investigate the efficacy of SGB for ISSHL. The control group was managed with medications such as hypaque, heparin, steroid, nicotinic acid, and vitamins. The SGB group was managed with SGB and the same medications. SGB was performed with 8 ml of 1.0% mepivacaine. The efficacy of treatment was evaluated by pure-tone average following therapy. The recovery of hearing was defined as Siegel's criteria I, II, or III. Results: The recovery rate of the SGB group was higher than that of the control group(61.5 vs. 42.9%, p<0.05). The recovery rate was higher in patients who were treated early, within 7 days from the onset of symptoms, especially in the SGB group(79.7%). And in the case that initial hearing loss was severe (>70dB), the SGB group had a higher recovery rate(64.2%) than the control group(42.5%). Conclusions: SGB is thought to be a useful therapy for ISSHL, especially in the patients who were treated soon after onset or whose initial hearing loss was severe.

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Prototype Implementation of OWS(Open Web Store) interworking scenario (OWS(Open Web Store) 연동 시나리오 프로토타입 구현)

  • Kim, Ji-Hun;Baek, Ji-Hun;Nam, Yong-Woo;Park, Sang-Won;Jeon, Jong-Hong;Lee, Seung-Yoon
    • Proceedings of the Korean Information Science Society Conference
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    • 2012.06d
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    • pp.137-139
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    • 2012
  • 최근 다양한 모바일 플랫폼과 애플리케이션 스토어에 대한 문제가 점점 커져가고 있다. 그에 발맞추어 최근 애플리케이션 시장규모는 대대적으로 웹으로 넘어가고 있으며, 스토어 또한 같이 성장해 가고 있다. 그러나 현재 출시된 웹 애플리케이션 스토어는 한 스토어에 종속적인 단점을 가지고 있어, 사용자로부터 스토어에 종속된 애플리케이션에 대하여 타 플랫폼에서는 애플리케이션을 사용할 수 없어 사용자에게 폭넓은 선택을 제한하며 불편을 가져다준다. 본 논문에서는 이러한 단점에 대한 해결책으로 웹 애플리케이션 스토어의 연동 모듈을 설계하고, 이를 토대로 웹 애플리케이션 연동 시나리오를 구현한다. 웹 애플리케이션 스토어의 기본 구조는 OMA(Open Mobile Alliance)에서 제안한 TAS(Telco's Application Store)를 따랐으며 기존 TAS의 모듈에 연동을 위한 모듈을 추가 확장하여 설계하고 이를 OWS(Open Web Store)라 명한다. OWS는 차세대 웹 언어를 사용하는 웹 애플리케이션을 다루기 때문에 애플리케이션 플랫폼에 독립적인 성향을 가지므로 소비자는 운영체제, 브라우저, 단말기 등의 종류에 구애 받지 않고 다양한 애플리케이션을 접할 수 있다. 본 논문에서 OWS간 연동을 위한 시나리오를 구상하고 프로토타입을 구현하여 기존의 애플리케이션의 단점을 보완할 수 있는 방법을 제시한다.

A Protocol for interworking Open Web Application Store (개방형 웹 애플리케이션 스토어 연동을 위한 프로토콜)

  • Baek, Ji-Hun;Kim, Ji-Hun;Nam, Yong-Woo;Park, Sang-Won;Jeon, Jong-Hong;Lee, Seung-Yoon
    • Proceedings of the Korean Information Science Society Conference
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    • 2012.06d
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    • pp.70-72
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    • 2012
  • 최근 휴대용 기기들이 대중화되어 한사람이 하나 이상의 휴대용 기기를 소지하고 있고 스마트폰 활용도 또한 늘어나는 추세이다. 때문에 폭발적인 스마트폰 응용 활용이 늘어나고 있지만 현재의 애플리케이션 스토어는 각 플랫폼별로 애플리케이션을 개발해줘야 하는 종속적인 면이 있다. 앱스토어는 크게 애플의 앱스토어와 구글의 안드로이드 마켓으로 양분되어 있고 각 플랫폼에 맞춰 애플리케이션이 개발되어야 한다. 각각의 플랫폼에 맞춰서 애플리케이션을 개발하면 비용도 더 들고 다른 소규모 플랫폼(Ex 바다)들은 애플리케이션 개발자들을 끌어 모아야만 자신들의 플랫폼에 맞는 애플리케이션이 나오는 단점이 있다. 각 플랫폼에 맞춰서 개발된 네이티브 애플리케이션의 범용성에 대한 해결책과 모바일에서의 다양한 요구사항을 수용하기 위해 웹 애플리케이션이 각광받고 있다. 웹 애플리케이션은 플랫폼에 종속되지 않고 어느 휴대용 기기에서도 동작하기 때문에 각 플랫폼별로 개발하지 않아도 된다. 따라서 웹 애플리케이션 스토어끼리의 연동 프로토콜을 통하여 애플리케이션들을 어느 웹 애플리케이션 스토어에서도 볼 수 있고 플랫폼에 구애받지 않는 거대한 시장이 생겨날 수 있다. 하지만 아직 웹 애플리케이션 스토어라는 표준이 없고 존재하는 웹 애플리케이션 스토어가 없다. 이를 위해 본 논문에서는 연동에 관한 프로토콜을 제안한다.

Emotional Factors in Calligraphic TV Drama Title with CM Super (캘리그래피를 활용한 CM Super된 TV 드라마 타이틀의 감성요소)

  • Won, Kang-Sik
    • The Journal of the Korea Contents Association
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    • v.8 no.11
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    • pp.125-133
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    • 2008
  • Recently, the emotional design has become one of the central issues. The interest to Calligraphy also has increased. This study is to examine the effect of calligraphic TV title to viewers through questionnaires. As a result of the questionnaire analysis, calligraphic title makes a favorable impression on viewers. On the other hand, viewers have an antipathy to a drama program with a calligraphic title. The appropriate use of calligraphic title is requested. The viewers prefer that CM Super TV drama title is located to the right side in TV screen. They also prefer the animated moving title to colored background title. This study contributes to the further research about the correlation between TV commercial zap-rate and calligraphic title.

An Economic Feasibility Study of Wind-Diesel Hybrid Power Systems for an Island in the Yellow Sea (서해 도서지역의 풍력-디젤 하이브리드 발전에 대한 경제성 분석)

  • Lee, Tak-Kee;Nam, Yong-Yun;Kim, Jae-Dong;Han, Jeong-Woo
    • Journal of Navigation and Port Research
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    • v.35 no.5
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    • pp.381-385
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    • 2011
  • In this paper, an economic feasibility study of wind-diesel hybrid power systems for an island in the Yellow Sea, where the maximum power generation is about 500kW, was performed. For the study, annual electric load variation and wind resource data of the island were collected and analyzed. HOMER program - a typical hybrid optimization model for electric renewables including wind resource, developed by the National Renewable Energy Laboratory - was used. Wind speed and diesel price were picked out as variables for the sensitivity analysis in order to find the economic accountability for the wind-diesel hybrid power system. As the result, even though it is not feasible economically under the present condition, if mean wind speed is over 3 m/sec. or diesel price goes up to 2.4 $ per liter, the wind-diesel hybrid power system for the island becomes a prospective candidate.

Design Research of Blockchain, Machine Learning for the management of financing fund (융자성 기금관리를 위한 블록체인, 머신러닝 설계 연구)

  • Oh, Rag-seong;Park, Dea-woo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.10
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    • pp.1201-1208
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    • 2019
  • The government has operated financing fund under the National Finance Act for the smooth conduct of national policy. But, It is exposed to problems such as the possibility of abuse of fund and the lack of after-loan management. In this paper, It uses fintech such as the blockchain and machine learning to solve these problems. The fund operation procedure is designed as a consortium blockchain, and it suggests the application of PBFT negotiation algorithm and the smart contract. In case of the fund management, it suggests utilizing multilayer artificial neural network model of machine learning and a module of result interpretation. The introduction of this research approach will improve the transparency and efficiency of the financing fund, ensure the credibility and also contribute to the improvement of the fund management and the establishment of the fund policy.

A Study on the Safety of Hydrogen Embrittlement of Materials Used for Hydrogen Electric Vehicles (수소전기차 사용소재의 수소취성 안전성에 관한 고찰)

  • HYEONJIN JEON;WONJONG JEONG;SUNGGOO CHO;HOSIK LEE;HYUNWOO LEE;SEONGWOO CHO;ILHO KANG;NAMYONG KIM;HO JIN RYU
    • Transactions of the Korean hydrogen and new energy society
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    • v.33 no.6
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    • pp.761-768
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    • 2022
  • In the hope of realizing carbon neutrality, Korea has established the goal of expanding the supply of hydrogen electric vehicles through a roadmap to revitalize the hydrogen economy. A prerequisite for successful supply expansion is securing the safety of hydrogen electric vehicles. Certain parts, such as the hydrogen transport pipe and tank, in hydrogen electric vehicles are exposed to high-pressure hydrogen gas over long periods of time, so the hydrogen enters the grain boundary of material, resulting in a degradation of the parts referred to as hydrogen embrittlement. In addition, since the safety of parts utilizing hydrogen varies depending on the type of material used and its environmental characteristics, the necessity for the enactment of a hydrogen embrittlement regulation has emerged and is still being discussed as a Global Technical Regulation (GTR). In this paper, we analyze a hydrogen compatibility material evaluation method discussed in GTR and present a direction for the development of Korean-type hydrogen compatibility material evaluation methods.