• Journal of Chest Surgery
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• v.43 no.6
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• pp.734-738
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• 2010

A 43 year-old female, who underwent bilateral lung transplantation for Eisenmenger syndrome 10 years previously, visited our hospital complaining of progressive severe dyspnea. She was diagnosed as having. bronchiolitis obliterans syndrome, which was presumably caused by chronic graft rejection following lung transplantation. Due to the aggravated dyspnea despite medical treatment, she required ventilator care and then she underwent lung retransplantation. We report here on a case of lung retransplantation for treating chronic graft rejection following the previous lung transplantation for the first time in Korea.

• Journal of the Korean Crystal Growth and Crystal Technology
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• v.23 no.3
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• pp.146-151
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• 2013

In this study, the effect of addition of waste glassy slag produced from recycling of spent catalyst (denoted as waste glass hereafter) on the physical properties of artificial aggregates made of coal bottom ash and dredged soil (7 : 3 by weight base) was evaluated. Especially, the bloating behavior of artificial aggregates was analyzed by performing the relation study between the apparent density, water absorption and microstructure. The apparent density of artificial aggregates increased slightly with sintering temperature at $1050{\sim}1150^{\circ}C$, but decreased above $1150^{\circ}C$ showing bloating phenomenon. The bloating behavior of artificial aggregates was decreased so the apparent density increased with amount of waste glass added. Also, the water absorption of artificial aggregates decreased with sintering temperature. Above $1200^{\circ}C$, big fissure and much liquid were formed at the surface of artificial aggregates and these phenomena could be suppressed by increasing amount of waste glass added. The artificial aggregates fabricated in this study had an apparent density of 1.1~1.6 and water absorption of 8~22 % which meet KS requirements for the artificial lightweight aggregates.

• Clinical and Experimental Pediatrics
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• v.46 no.12
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• pp.1200-1206
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• 2003

Purpose : This study was conducted for the use of nasal continuous positive airway pressure (CPAP), by comparing the early use of non-invasive nasal CPAP with low intermittent mandatory ventilation(low IMV) and endotracheal CPAP in weaning a mechanical ventilator from infants with moderate respiratory distress syndrome(RDS). Methods : Thirty infants in the study group, with moderate RDS from November 2001 to June 2002, were administered surfactants and treated with the mechanical ventilator, and applied the nasal CPAP in weaning. Thirty infants of the control group, from January 1999 to September 2001, were applied low IMV and endoctracheal CPAP in weaning. Results : There were no significant differences in the characteristics, the severity of clinical symptoms, the initial laboratory findings and settings of the mechanical ventilator. After weaning, the study group showed no significant changes in $PaCO_2$. However, the control group showed a slight $CO_2$ retension after one and 12 hours. Twenty eight infants(93.3%) of the study group and 24 infants(80%) of the control group were successfully extubated. The primary cause of failure was apnea. There were no significant differences in the duration of weaning and the mechanical ventilator treatment between the groups. Complications in weaning were related to the fixation of nasal CPAP and the mechanical problems caused by endotracheal tube. Conclusion : Aggressive weaning is possible for moderate RDS, in which the nasal CPAP was used without the low IMV and the endotracheal CPAP process. It had no difficulties. In conclusion, the nasal CPAP is an adequate weaning method for moderate RDS.

• Korean Chemical Engineering Research
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• v.49 no.2
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• pp.230-237
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• 2011

In this study, the characteristic of fluid flow in the new type lung assist devices has been established using computational fluid dynamics(CFD). For the modeling, the hollow fiber was ignored, and vertical types and tangential types were used for the model. Which was to analyze the flow characteristics of the fluid flow model when there exists 1 and 2 input/output ports, and when the input/output ports is located at the center of the cylinder and at the tangential direction with the cylinder wall. The modeling results showed that it was possible to eliminate no-flow region(stagnant layer) as shown in the vertical type when an inlet and an outlet were installed on the tangential direction of the cylinder as shown in the tangential type. Also, in the tangential type, vortex-type flow appeared as dominant, and it showed a complicated flow not deviated to one side. When the number of input/output was two, there was no deviated flow, and complicated flows were generated all across the tube. From the test result, it was found that input/output of flow was tangential type and complicated flows with no stagnant layer would be generated when there are two inputs/outputs, respectively.

• Journal of Chest Surgery
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• v.30 no.4
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• pp.413-418
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• 1997

From January, 1992 to June, 1996, )7 patients with flail chest were treated at Sonnchunhyang university hospital. 15 patients were managed by internal fixation of fractured ribs, whereas the remaining 22 patients were managed by endotracheal intubation and intermittent positive-pressure ventilation alone. There were no difference between two groups in age, sex, the severity of injury to the chest wall and the nature of associated injuries. Average dur'Btion of assisted ventilation was 5.7 $\pm$ 1.7 days in the patients treated by internal fixation versus 8.7 $\pm$ 3.3 days In the patients treated by continuous me hanical ventilation. Average stay in the intensive care unit was 8.3 $\pm$ 3.9 days for the patients treated by internal fixation, whereas it was $13.2\pm4.1$ days in the group treated by continuous mechanical ventilation alone. In the group treated by internal fixation, complications were 3 atelectases(20.0%), 1 pneumonia(6.7%), 2 operative wound problems(12.3%) and 1 barotrauma(6.7%). In the other group, 7 atelectases(31.8%), 4 pneumonitis(18.2%), 2 empyemas(9.1%) and 3 barotraumas(1).6%). The mortality rate was 13.3%(2/15) in the surgically treated patients, whereas it was 22.7%(5122) in the other group. The treatment of flail chest by internal fixation resulted in speedy recovery, decreased complications and mortalities, and better ultimatc cosmetic and functional results.

• Proceedings of the KOSOMBE Conference
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• v.1998 no.11
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• pp.237-238
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• 1998

The kinetics of sulfite oxidation must be fast and the concentration of sulfite must be low to emulate oxygen uptake by blood. The kinetics were studied yielding a first order rate constant in sulfile, zero order in oxygen. Limitations of the technique were evaluated using the experimental rate constant and an adaptation of Lightfoot's approximation, while the reaction of hemoglobin is reversible and essentially instantaneous, that for sulfite is irreversible and finite. Thus if the approach to saturations not monotonic or if the mass transfer resistance is significantly lowered, e. g. when blood film thicknesses are thinner than a few hundred microns, deviations may occur.

• The Korean Journal of Nuclear Medicine
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• v.26 no.2
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• pp.230-234
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• 1992

뇌와 뇌간의 모든 기능이 정지되어 인공적으로 심폐 기능은 유지되고 있더라도 뇌의 혈액순환은 중지되고 전체 뇌에 경색이 있어 회복이 불가능한 상태를 뇌사라 한다. 이렇게 뇌와 뇌간의 모든 기능이 정지된 이후에는 곧 심장 정지가 뒤따른다. 심장과 폐의 기능 정지에 의해 죽음을 정의하는 것은 심폐소생 장치 및 생명유지 장치의 효과적인 발달로 이제는 뇌자체의 기능을 평가하는 것으로 대치되게 되었다. 최근 장기 이식술의 발달로 혈액순환을 비롯한 식물적인 기능은 인공적으로 유지되는 상태에서 가능한한 빠른시간내에 적용할 수 있는 뇌사판정 방법의 필요성이 대두되었다. 그래서 이러한 판정을 하는데 소요되는 시간을 줄이기 위한 뇌사를 확신할 수 있는 여러가지 진단 방법에 대한 관심이 고조되었다. 동위원소 뇌혈관촬영술도 이런 진단방법중 하나로 뇌혈액순환의 정지를 보여줌으로써 임상적으로 뇌사를 진단하는 데 보조적인 방법으로 사용될 수 있다.

• Journal of Chest Surgery
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• v.34 no.3
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• pp.246-251
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• 2001

심장 탈장은 심낭을 열고 전폐절제술을 시행 후 드물게 발생되는 합병증으로 수술이 끝날때나 수술직후 발생된, 44세 남자환자에서 심낭을 열고 좌측 폐를 전절제술 후 심낭 결손부위를 인공조직으로 봉합하였다. 수술이 종료될 때 심장탈장이 발생되어 개흉에 의한 응급 복원을 시행하였으나 심한 저 산소성 뇌 손상이 발생되었다.

• Proceedings of the Korea Air Pollution Research Association Conference
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• 2000.04a
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• pp.183-184
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• 2000

도시화가 진행될수록 인구 집중과 고충 건물의 점유 증가를 초래하고 이로 인해 도심내 공장의 증가, 자동차의 폐열량 증가, 겨울철 연료와 여름철 냉방에 의한 에너지 사용량이 증가된다. 이때 방출된 열원으로 인해 도시 열섬의 강도는 커지게 된다. 단위면적에 대해 방출되는 열플럭스가 도시마다 큰 차이를 보이는데(Landsberg, 1981) 시드니 외곽부에 비해 도심내의 연간 에너지 사용량이 360배에 달한다는 것을 보였다. (중략)

• Journal of Chest Surgery
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• v.36 no.12
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• pp.979-984
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• 2003

Primary pulmonary artery sarcoma is very rare disease. The diagnosis of pulmonary artery sarcoma is frequently confused with pulmonary embolism because its clinical symptom and radiologic findings are similar with pulmonary embolism. It was often diagnosed at autopsy as it progresses rapidly. So Pulmonary artery sarcoma must be suspected if the origin of thrombus is not known and anticoagulation therapy is not effective. In this case, a 57 years old man who has been diagnosed pulmonary embolism was transferred to our department because of ineffective anticoagulant therapy and its worsening lesion despite of 5 month-therapy. In operative findings, it was pulmonary artery sarcoma that invaded to pericardium. There was angiosarcoma in right pulmonary artery, which metastasized to lung parenchyme. Under cardiopulmonary bypass, we resected main pulmonary artery and right lung. The Gore-tex graft was interposed between main pulmonary artery and left pulmonary artery. He was discharged after chemotherapy.