• Journal of Chest Surgery
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• 제10권2호
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• pp.299-314
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• 1977

Clinical experience on 16 cases of open heart surgery under the extracorporeal circulation with mild or moderate hypothermia and partial hemodilution technique at the National Medical Center during the period from June 1976 to October 1977. Nine of sixteen were congenital heart disease and seven were acquired heart disease. The age of the patient ranged between 6 and 48 years. The body weight varied from 18.5kg to 60kg and body surface area 0. 79-1.70m2. The average priming volume of pump oxygenator was 2080 ml, which was consisted fresh ACD blood, buffered Hartmann`s solution, Mannitol, 50% dextrose in water and Vit. C. The average hemodilution rate was 27%. The average flow 2.3 L/min/m2 or 80 ml/min and the duration of perfusion varied from 31 min to 270 min with average of 107 min. The perfusion was carried out under the mild or moderate hypothermia using core cooling alone in 10 cases, core cooling and local myocardial cooling with $0-4^{\circ}C$ physiologic saline in 2 cases. From a hemodynamic point of view, the blood pressure dropped down around 80 mmHg after the initiation of perfusion follwed by increase to safety level and stable during the perfusion. The central venous pressure remained within normal limits. In most cases, hemoglobin and hematocrit decreased during and after the perfusion. Hemogiobin level was decreased, average of 20.6 %, hematocrit 18.6%, pletelets 55% postoperatively. Plasma hemoglobin increased moderately, from preperfusion average valve of 7.79 mg % to post-perfusion value of 54.7 mg %. Electrolytes changes during cardiopulmonary bypass showed definite hypokalemia but changes of Na, Ca were not definite. Arterial blood gas analysis during cardiopulmonary bypass suggested that the metabolic acidosis which was accompanied by respiratory alkalosis which was corrected postoperatively. As the opera tive complication, transient hemoglobinuria in 4 cases and neurological signs in 2 cases were all cured. There were 2 death cases and operative mortality rate was 12.5%.

• Journal of Chest Surgery
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• 제23권1호
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• pp.73-80
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• 1990

A total of 129 patients with a confirmed diagnosis of primary lung cancer were treated at Dep. of Thoracic k Cardiovascular Surgery, National Medical Center, Seoul, Korea, between July, 1981 and Dec., 1988. Particular emphasis was given in this review to the 72 patients that underwent surgical resection of their primary lung lesion. Factors such as histology, type of resection, sex, age, staging, and degree of dissemination were considered possible influences on survival. The age group of fifty k sixty decade occupied 55.8 %, and the youngest being 24 years and oldest 78 years. The incidence ratio of male to female was 3,2:1. The subjective symptoms of the patients were coughing [72.6%], chest pain [48.2%] and hemoptysis [35.6%], which were due to primary local influence. The confirmed diagnostic procedures were bronchoscopic biopsy, sputum cytology needle aspiration biopsy, open lung biopsy, anterior mediastinotomy & lymph node biopsy. By pathologic classifications, the squamous cell carcinoma was the most prevalent, 67 cases [51.9 %], and the adenocarcinoma in 36 cases [27.9%], undifferentiated small cell carcinoma in 13 cases [10.1 %], undifferentiated large cell carcinoma in 9 cases [6.9%], bronchioloalveolar carcinoma was 4 cases [3.1%]. The lymph node dissection with pneumonectomy [42 cases], lobectomy [14 cases] and pneumonectomy [6 cases], lobectomy [9 cases] without lymph node dissection were performed. The post operative TNM Staging[AJC] in 72 cases were Stage I in 24 cases, Stage II in 27 cases, and Stage III in 21 cases. Overall resectable was possible in 72 cases [55.8 %], and the operation mortality was 5.6 % [4 cases].

• Journal of Chest Surgery
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• 제8권2호
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• pp.101-108
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• 1975

Since 1959 the authors experienced 43 cases of chronic constrictive pericarditis treated surgically at the Department of Thoracic & Cardiovascular Surgery, the National Medical Center in Seonl. Of 43 cases, detailed patients' records could be obtainable in 36 cases, and most of our studies. were made on the basis of these 36 available cases. About 84 per cent of the cases were male with several pediatric cases, and duration of symptoms ranged between 2 months and 10 years. The diagnosis of this condition is not difficult, however, about half of our cases were previously treated under the impression rf various other conditions such as liver cirrhosis or nephrotic syndrome at other hospitals and clinics. Many of our cases showed hepatic functional disturbances and about 89 per cent of the cases showed reversed A/G ratio, and we are sure that some of them had so-called protein losing enteropathy. Three of 36 cases showed normal electrocardiogram, and most peculiar electrocardiographic findings were ST or T changes and low amplitude of QRS complexes. Seven cases showed auricular fibrillation and five had first degree A-V block. Mean preoperative peripheral venous pressure at the antecubital fossa and arm-to-tongue circulation time were 273 mm $H_2O$and 20.2 seconds, respectively, and they were markedly reduced postoperatively to 152 mm $H_2O$ and 13 seconds, respectively. Several different approaches were made with various extents of pericardial decortication according to patients' condition and probably surgeon's preference. In 12 cases we met cardiovascular injuries during decortication and one of them died of massive bleeding through the torn right atrium, and we experienced excellent postoperative result in a grave case operated on just a small pericardial window. Eleven of 35 cases were tuberculous pericarditis and others were non-specific pericarditis histopathologically, and 6 of total 43 cases operated on passed away by various ways with the mortality rate of 13.9 per cent.

• Journal of Chest Surgery
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• 제21권6호
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• pp.1060-1070
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• 1988

Since Jan. 1957, 142 cases of benign esophageal stricture, 55 males and 87 females, were managed in our hospital, and their ages ranged from 3 to 77 years. old[mean 31.2yrs]. The most common cause was caustic burns and they all complained dysphagia and some loss of weight, general malaise and substernal pain, which usually appeared in 1 month to 1 year after ingestion of corrosive agents. The mid 1/3 of the thoracic esophagus was the most prevalent portion[29%] but rather evenly distributed along the entire esophagus. Operations were done on 129 patients, of whom 50 patients had ECG[esophagocologastrostomy], 5 PCG[pharyn-gocologastrostomy], 34 EG[esophagogastrostomy], 4 EJG[esophagojejunogastrostomy], 3 PG[pharyngogastrostomy], 2 esophageal end to end anastomosis and 31 Gastrostomy. There were 6 deaths in the postoperative period, so its operative mortality was 4.7%, among them 3 were ECG cases, 2 EG and 1 EJG. And 34 complications occurred so it recorded 24% complication rate. and in details in ECG 46%, PCG 60%, EG 17.6%, EJG 25%, and PG 33%. When we reviewed periodic variations, the mortality rate of the first 20 yrs. period was 6.9%, next 10yrs. 2.6% and now for last 2yrs non.

• Journal of Chest Surgery
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• 제6권2호
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• pp.225-230
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• 1973

Five cases of esophageal cancer developed at the site of esophageal lye stricture were reported. Duration of lye stricture was between 13 and 40years, and all 5 cases had taken normal diet without appreciable troubles after recovery from the acute stage of burn till the suspected onset of esophageal malignaney. Outstanding symptoms of this grave condition were rather acute progressive dysphagia and frequent episodes of esophageal foreign bodies, Diagnosis could be confirmed easily by endoscopic biopsy in suspected eases, and all were epidermoid carcinoma histopathologically. Curative resection of this condition was made in neither of the cases, and their prognoses were more grave than other esophageal malignancies in our experience. The development of esophageal carcinoma at the site of corrosive esophagitis with resulting benign stricture has now been suspected as a cause and effect relationship between these two conditions, and Kiviranta: stated that the incidence of esophageal cancer in patients with lye stricture of longer duration is a thousand times higher than normal population. During last one decade the authors experienced 5 cases of esophageal carcinoma developed at the site of lye stricture of the esophagus among about 350 cases of lye burned esophagus at the Department of Thoracic & Cardiovascular Surgery, the National Medical Center in Seoul, Korea. In Korea they still use lye as a detergent in rural area, and there are still many persons ingesting lye for suicidal attempt or on accident. Lye stricture of the esophagus is, therefore, the most common esophageal disease needing surgical procedures, and the authors believe that there will be much more eases of lye stricture complicated by esophageal eareinoma repoted in near future in this Country.

• 한국조명전기설비학회지:조명전기설비
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• 제10권6호
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• pp.96-103
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• 1996

본 논문은 저자들에 위해 결정된 전자충돌단면적을 사용하여 몬테칼로 시뮬레이션 볼쯔만 방정식법에 의해 E/N:150∼180[Td] 범위에서 계산된 {{{{ { SF}_{ 6} }}}}가스의 전자수송 특성과 TOF법에서 구한 전자군 파라미터 값들을 나타냈다. 전자이동 속도 전자전력 또는 부착계숙, 종·횡방향 확산계수 등의 전자군 파라미터 값들은 E/N범위에서 실험치와 이론치가 일치하였다. 전자사태의 특성은 전자에너지의 비평형영역에서 고려되었다. 전자에너지 분포함수 는 평균에너지의 평형영역에 대하여 E/N:150∼180[Td]에서 해석하였다. 그 결과의 타당성은 TOF법에 의해 입증되었다.

• 전자공학회논문지C
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• 제34C권11호
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• pp.1-11
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• 1997

The transient current components of the dRAM are analyzed and the sensing current, data path operation current and DC leakage current are revealed to be the major curretn components. It is expected that the supply voltage of less than 1.5V with low VT MOS witll be used in multi-giga bit dRAM. A low voltage dual VT self-timed CMOS logic in which the subthreshold leakage current path is blocked by a large high-VT MOS is proposed. An active signal at each node of the nature speeds up the signal propagation and enables the synchronous DRAM to adopt a fast pipelining scheme. The sensing current can be reduced by adopting 8 bit prefetch scheme with 1.2V VDD. Although the total cycle time for the sequential 8 bit read is the same as that of the 3.3V conventional DRAM, the sensing current is loered to 0.7mA or less than 2.3% of the current of 3.3V conventional DRAM. 4 stage pipeline scheme is used to rduce the power consumption in the 4 giga bit DRAM data path of which length and RC delay amount to 3 cm and 23.3ns, respectively. A simple wave pipeline scheme is used in the data path where 4 sequential data pulses of 5 ns width are concurrently transferred. With the reduction of the supply voltage from 3.3V to 1.2V, the operation current is lowered from 22mA to 2.5mA while the operation speed is enhanced more than 4 times with 6 ns cycle time.

• 한국기계가공학회지
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• 제16권3호
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• pp.16-23
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• 2017

For most machine tools, it is necessary to remove chips and coolant oil because it they will continue to be created during the manufacture of workpieces. Existing products that are in use are installed and used as they reflect depending on the characteristics of each device separately. This study proposes a method to remove the security chip as well as developing an integrated system capable of reducing coolant damage. The Leverage AutoCAD and CATIA program was used for 2D and 3D design, shapes were identified by utilizing the KeyShot program, and the load and displacement analysis of the development apparatus was performed utilizing the ANSYS program. After the prototype underwent sufficient design review, the mixed oil separation device had a complete sensor control program using the LabVIEW program. The chip design process for transferring experiments and experiments on the mixed oil cooling device were developed for performance tests of the product. The final product resulted in an increase in space utilization during commercialization, reduced installation costs, and caused social effects such as pulmonary flow reduction, which, through the economic costs, reduces pollution, resulting in various benefits to the industry, such as deceased errors in the workplace decreases.

• 대한용접접합학회:학술대회논문집
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• 대한용접접합학회 2010년도 춘계학술발표대회 초록집
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• pp.30-30
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• 2010

고강도강의 용접성은 저온균열 저항성으로 대변되는데, TMCP강과 HSLA강 등이 개발되면서 고강도강의 저온균열저항성이 크게 향상되어 무예열 용접성이 확보되었다. 그러나 용접재료 측면에서는 그에 상응하는 재료의 개발이 지연되어 강재 개발로 인한 우수한 성능을 충분히 발휘하지 못하고 있으며 용접부의 건전성 문제가 심각하게 인식되고 있다. 이로 인해 고강도강에 적용시킬 수 있는 무예열 용접재료의 필요성이 대두되어 개발이 진행되고 있으며 상용화를 앞두고 있다. 이러한 용접재료의 개발단계에서 합금설계는 가장 중요한 항목으로 합금 조성에 따라 용착금속의 강도 및 인성에 상당한 변화를 가져오기 때문이다. 합금원소 중 Al은 강재의 탈산을 돕기 때문에 가능한 많은 양의 첨가를 요구하지만 적정량 이상을 초과하게 되면 오히려 용착금속의 저온인성 특성에 부정적인 영향을 미치게 된다. 본 연구에서는 고강도 GMA 용착금속의 Al함량을 단계적으로 변화시켜 용착금속 내 최적의 Al의 함량을 찾고자 하였다. 또한 높은 비용 및 많은 시간을 필요로 하는 와이어로드를 제작하지 않고도 Al함량을 조절 할 수 있는 방법을 고안하고자 하였다. 실험의 모재는 HSLA-100강을 사용하였으며 용접재료는 ER120S-G급의 GMA용접 재료를 사용하였다. 모재 성분과의 희석을 방지하기 위해 V-Groove 가공 후 6패스 Buttering 용접을 실시하였고, 다시 Buttering용접부에 V-Groove 가공을 하여 최종 용접을 실시하였다. 이 때 Al함량을 조절하기 위해 최종 용접 개선부 밑면에 홈을 판 후 Al fiber(직경 0.3mm)를 깔고 용접(입열량 20kJ/cm)하여 Al함유량을 총 3가지(0.003~0.04% Al)로 제어하였다. 용접 후 각각의 시편에 대해 미세조직, 충격시험, O/N분석, 성분분석 등의 시험을 수행하여 저온인성과의 상관관계를 알아보았다.

• 대한용접접합학회:학술대회논문집
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• 대한용접접합학회 2010년도 춘계학술발표대회 초록집
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• pp.18-18
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• 2010

최근에 건조되는 선박이나 구조물들은 점차 대형화 되어가고, 이에 사용되는 판재들은 점차 고강도 극후판재화 되어가고 있다. 극후판재의 용접성을 향상시키기 위해서는 대입열 용접이 주로 적용되고 있는 실정인데, 30 mmt 이상의 후판을 1 pass로 용접하기 위해서는 EGW(Electro-gas welding) 기법을 사용한다. 대입열 용접은 용접입열(heat input)이 매우 높아 용착금속과 열영향부의 냉각속도가 매우 느려 용접열영향부에서 특히 fusion line 근처의 열영향부는 결정립 조대화 및 취약한 미세조직을 형성함으로서 저온인성을 크게 저하시키고, 연화 현상(softening effect)을 발생시켜 강도가 저하되는 문제점이 주로 발생하였다. 하지만 이런 문제점을 해결하기 위해 대입열용접에 사용된는 강재의 미세조직을 제어하여 AlN, TiN, $TiO_2$ 등의 석출물을 이용한 용접열영향부의 저온인성을 향상시켰다. 이러한 문제점이 발생하는 대입열용접에서 저온인성 시험은 주로 fuison line + 1, 2mm에서 수행한다. 하지만 대입열 용접시 용착금속의 냉각속도도 매우 느리기 때문에 용착금속의 위치에 따라 저온 인성 특성이 다르게 나타날 수 있다. 본 연구에서는 EGW 용착금속의 위치에 따른 저온인성 특성을 평가하기 위해 EH-36N, 40mmt 판재를 사용하여 1pole EG 용접 하였다. 용착금속의 저온인성 특성을 평가하기위해 충격 시편의 노치 위치가 fusion line - 2mm와 용접부 중앙을 기준으로 4곳을 선정하여 충격시험을 수행하였다. 또한 용착금속의 경도 분포를 알아보기 위해 micro vickers hardness tester(mitutoyo UR-501)을 사용해 hardness mapping 시험을 하였다. 용착금속의 저온인성은 미세조직과, 산소량에 따라 변화 할 수 있기 때문에 용착금속 위치를 달리하여 미세조직과 산소량도 각각 분석하였다. 용착금속의 저온인성을 향상시킬 수 있는 침상형페라이트와 비금속개재물의 상관관계에 관해 검토 하였다.