• Neonatal Medicine
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• v.16 no.1
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• pp.55-63
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• 2009

Purpose: This study was conducted to investigate the incidence and clinical manifestations of rotaviral infections in the neonatal intensive care unit (NICU). We also investigated whether neonates referred from other hospitals cause outbreaks of rotaviral infections in the NICU. Methods: Neonates diagnosed wit rotaviral infections in the NICU at Korea University Ansan Hospital between January 2002 and December 2006 were evaluated retrospectively. Results: Of 1,501 neonates admitted to the NICU, the number of rotaviral infections was 94 (6.3%) and the prevalence was 4.9 cases per 1,000-hospital days. Of 223 neonates referred from other hospitals to our NICU, 24 (10.8%) were confirmed to have rotaviral infections at the time of referral. Common symptoms of rotaviral infections were jaundice diarrhea or loose stools, vomiting, fever, apnea, irritability, seizures, and moaning sounds. Necrotizing enterocolitis of stage II or more was diagnosed in 3 premature neonates, accounting for 3.2% of total infected neonates and 6.8% of premature infected patients. There were no statistically significant differences in the prevalence of symptoms between term and preterm neonates, except for jaundice that is more frequent in premature infants. In time series analysis, the admission of neonates who were born at other hospitals and diagnosed with rotaviral infections were associated 1 month later by increased cases of neonates with rotaviral infections who were born at our hospital, whereas new cases of rotaviral infections among inborn neonates were decreased 2 and 4 months later (P<0.05). Conclusion: Rotaviral infections in NICU were not rare and showed vague symptoms. Three cases (3.2%) were diagnosed with stage II or more necrotizing enterocolitis. The referred neonates with rotaviral infections may induce outbreaks in the NICU, therefore awareness and strict surveillance for rotaviral infections should be performed at the time of referral.

• Journal of Ocean Engineering and Technology
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• v.32 no.4
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• pp.279-286
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• 2018

The use of eco-friendly energy in the offshore plant system is expanding because conventional generators are operated by fossil fuel or natural gas. Eco-friendly energy, which replaces existing power generation methods, should be capable of generating the power for lighting protection equipment, airborne fault indication, parameter measurement, and others. Most of the eco-friendly energy used in offshore plant facilities is solar and wind power. In the case of using photovoltaic power, because the structure must be constructed based as flat solar panels, it can be damaged easily by the wind. Therefore, there is a need for a new generation system composed of a spherical structure that does not require a separate structure and is less influenced by the wind. Considering these characteristics, in this study we designed, fabricated, and tested a unit that could provide the most efficient spherical photovoltaic power generation considering wind direction and wind pressure. Our test results indicated that the proposed system reduced costs because it did not require any separate structure, used eco-friendly energy, reduced carbon dioxide emissions, and expanded the proportion of eco-friendly energy use by offshore plant facilities.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2002.05a
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• pp.529-534
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• 2002

It was recommended for all ship engaged in international voyages to carry the dedicated Digital Selective Calling receiver, DSC equipment, VHF transceiver, etc according to Global Maritime Distress & Safety System. Also International Maritime Organization recommended for navigation and communication equipments to applicate the EMC regulations, therefore most of electronic equipments using in the vessel to be faced with problems to cope with new regulations. This study has applied and analyzed the EMC for an equipment integrated with Ch.70 dedicated DSC receiver, DSC equipment, VHF transceiver and groped for solutions to cope with. The test has applied the electromagnetic interference such as the measurement for unwanted emissions from conductive & radio emission and the electromagnetic susceptibility such as the immunity from voltage, frequency variation and electro static discharge, hence comes to be understand the problems related with the power and the earth.

• The Korean Society of Law and Medicine
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• v.18 no.1
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• pp.297-341
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• 2017

We searched out court rulings on medical affairs through court library search sites and specialized articles on medically relevant judgments sentenced in 2016. And we selected and analyzed the judgements of the court we considered important as follows. In relation to the medical civil judgements, (1) In the case of applying surgery for female infertility during cesarean section operation but it has not been done, we expressed the regret for the lack of judgment in the process of entering the medical contract, introducing the rights infringed and the scope of compensation, (2) We pointed out that the ruling on the medical malpractice estimation goes out of limit of negligence estimation doctrine, and that the court asked very high degree duty of the traditional Korean medicine doctors to cooperate with Western medicine doctors. (3) In the case of admitting hospital's 100% responsibility, we pointed out the court overlooked the uncertainty and good intention of the medical practice. (4) Additionally, We introduced the cases admitted the hospital's responsibility in the accident related to the psychiatric patients in closed ward. Relating to a medical criminal ruling, we analyzed the supreme court decision about whether the dentist's Botox injection on the patient's face is a medical practice within the scope of the license from the viewpoint whether it is within the possible range of the word. And, concerning decisions on healthcare administration, (1) we analyzed the case about when medical personnel operate multiple medical institutions, whether it is possible to get back medical care costs under the National Health Insurance Law, (2) We commented on the ruling regarding explanation obligation in terms of object, degree, subject of explanation as a prerequisite for permissible arbitrary uninsured benefits. Finally, we reviewed the decision of the Constitutional Court about the Article 24 of the Mental Health Law, which it had allowed for a mental patient to be hospitalized forcibly by the consent of two guardians and a diagnosis of a psychiatrist. Also we indicated the problems of the revised Mental Health Law.

• Journal of Chest Surgery
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• v.37 no.9
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• pp.774-780
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• 2004

Although traumatic thoracic aortic rupture is potentially a fatal condition requiring surgical attention, the presence of concomitant injury involving other parts of the body may greatly increase the risk of cardio-pulmonary bypass. We report our experience of treating associated injuries prior to the thoracic aortic rupture in these patients. Material and Method: From 1997 to 2003, the medical records of 24 traumatic aortic rupture patients were retrospectively reviewed and checked for the presence of associated injury, surgical method, postoperative course, and complications. Surgical technique comprised thoracotomy with proximal anastomosis under deep hypothermic circulatory arrest followed by side arm perfusion to reestablish cerebral circulation. CSF drainage was performed to prevent lower extremity paraplegia. Result： Major concomitant injuries (n=83) were noted in all of the reviewed patients, Of these, there were 49 thoracic injuries, 18 musculoskeletal injuries, and 13 abdominal injuries, Operations for associated injuries (n=16) were performed in 12 patients on mean 7.6$\pm$12.6 days following the injury. The diagnosis of aortic rupture at the time of injury was detected in only 18 patients. Delayed surgery of the thoracic aorta was performed on average 695$\pm$1350 days after injury and there were no deaths or progression of rupture in any of these patients during the observation period. There were no operative deaths and no major postoperative complications. Conclusion: Treating concomitant major injuries prior to the aortic injury in traumatic aortic rupture may reduce surgical mortality and morbidity.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.3
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• pp.1288-1295
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• 2012

Korea Ministry of Knowledge Economy has estimated that wind power (WP) will be occupied 37% in 2020 and 42% in 2030 of the new energy sources, and also green energies such as photovoltaic (PV) and WP are expected to be interconnected with the distribution system because of Renewable Portfolio Standard (RPS) starting from 2012. However, when a large scale wind power plant (over 3[MW]) is connected to the traditional distribution system, protective devices (mainly OCR and OCGR of re-closer) will be occurred mal-function problems due to changed fault currents it be caused by Wye-grounded/Delta winding of interconnection transformer and %impedance of WP's turbine. Therefore, when Double-Fed Induction Generator (DFIG) of typical WP's Generator is connected into distribution system, this paper deals with analysis three-phase short, line to line short and a single line ground faults current by using the symmetrical components of fault analysis and PSCAD/EMTDC modeling.

• Neonatal Medicine
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• v.18 no.1
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• pp.124-129
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• 2011

Purpose: To evaluate the effect of oral sildenafil therapy in neonates with persistent pulmonary hypertension of the newborn (PPHN) Methods: We conducted a retrospective review of 32 neonates ${\geq}$35 weeks' gestation and fraction of inspired oxygen ($FiO_2$) 1.0 with PPHN. The first dose (0.5 mg/kg) of oral sildenafil was started and 1 mg/kg was given every 6 hour thereafter. Mean airway pressure (MAP), $FiO_2$, oxygenation index (OI), mean arterial blood pressure (MBP) were documented before and 6, 12, 24, and 48 hours after sildenafil. For adverse effects, gastrointestinal symptoms, brain ultrasound, funduscopy and auditory brainstem response results were evaluated. Results: The underlying diseases of PPHN (n=32) were meconium aspiration syndrome (n=9), respiratory distress syndrome (n=8), pneumonia (n=3), and idiopathic (n=12). Thirty-one neonates survived; 3 neonates were transferred for inhaled nitric oxide (iNO) and all of them survived. In 28 infants, $FiO_2$ and OI improved significantly by 6 hours and MAP improved significantly by 48 hours after initiation of sildenafil. There were no clinically significant adverse effects of sildenafil. Conclusion: Sildenafil may be an effective and safe agent for near-term and term neonates with PPHN, providing significant improvement in oxygenation, and thus may be especially useful in the treatment of PPHN in hospitals without iNO.

• Journal of the Korea Convergence Society
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• v.2 no.2
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• pp.47-56
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• 2011

Korea Ministry of Knowledge Economy has estimated that wind power (WP) will be occupied 37% in 2020 and 42% in 2030 of the new energy sources, and also green energies such as photovoltaic (PV) and WP are expected to be interconnected with the distribution system because of Renewable Portfolio Standard (RPS) starting from 2012. However, when a large scale wind power plant (over 3[MW]) is connected to the traditional distribution system, protective devices (mainly OCR and OCGR of re-closer) will be occurred mal-function problems due to changed fault currents it be caused by Wye-grounded/Delta winding of interconnection transformer and %impedance of WP's turbine. Therefore, when Double-Fed Induction Generator (DFIG) of typical WP's Generator is connected into distribution system, this paper deals with analysis three-phase short, line to line short and a single line ground faults current by using the symmetrical components of fault analysis and PSCAD/EMTDC modeling.

• Journal of Energy Engineering
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• v.17 no.2
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• pp.54-66
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• 2008

After the Kyoto Protocol has been ratified in Feb. 16 2005, the developed countries which is involved in Annex-1 have tried to mitigate GHG to the reduction objective. To accomplish this objective, EU developed EU-ETS, CDM project, and so on. Korea has faced pressure to be a member of Annex-1, because Korea and Mexico are only non-Annex-1 countries in the OECD nations. In this study, we simulated power plant expansion plan and calculated $CO_2$ emission with changing Carbon Tax. Especially, we focused on the competitiveness of IGCC and carbon capture technology. In our result, even though carbon tax rise, nuclear power plant does not always increase, it increase up to minimum load. LNG combined cycle power plants substitute the coal fired power plants. If there are many alternatives like IGCC, these substitute a coal fired power plant and we can reduce more $CO_2$ and save mitigation cost.

• Journal of Korean Philosophical Society
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• v.139
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• pp.213-238
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• 2016

This paper examines how Dasan Jeong Yak-yong developed self-healing and his perspective of happiness during the hardest point of his political and social career. Just after the death of King Jeongjo (正祖, reign. 1766-1800) the arrest and persecution of those who accepted Christian knowledge from the West began. Among them were Jeong's family members and friends. Jeong, who had learned but had not accepted Christianity as a religious belief, was exiled to Ganggin 康津 in southern Jeolla Province where he was to spend the next 18 years. The two things that helped Jeong through his exile were the Book of Changes 易經 and his commitment to the study of Confucian thought, political, and social reforms. His life-long commitment to writing and his progressive understanding of the principle of changes of the universe in the Book of Changes, represented processes of self-healing and cultivation, depriving Jeong of self-pity and enabling him to attain the highest level in self-realization. According to Jeong, there are two kinds of happiness; "secular happiness" (yeolbok 熱福) related to power and wealth, and "pure happiness" (cheongbok 淸福), a free and idyllic life. For Jeong, the latter was more valuable than the former. Jeong believed that life pursing ethical virtues only could bring authentic joy to people. Furthermore, his devotion to the issues of systematic, social reforms was out of his desire to bring the public happiness by "practical learning", silhak 實學.