• Journal of Chest Surgery
• /
• v.31 no.5
• /
• pp.456-465
• /
• 1998

Cardiopulmonary bypass(CPB) in children is associated with the accumulation of body water after cardiac operation, as a consequence of an inflammatory capillary leak. Following work by Elliott in 1991, modified ultrafiltration(MUF) was introduced after bypass as a means of hemoconcentrating patients and a potential way of removing water from the tissues. We have carried out a prospective randomized study of 20 children undergoing open heart surgery, comparing MUF with nonfiltered controls. MUF was carried out for a mean of 18.9 minutes after completion of CPB to a hematocrit of 37.1%(mean). The mean water volulme removed by the ultrafiltration was 38.4 ml/kg and the mean blood volume retransfused from the oxygenator during the ultrafiltration was 32.1 ml/kg. Fluid balance, hemodynamics, hematocrit, osmolarity and dosage of drug treatment were recorded for 4∼12 hours postoperatively. The results were analyzed using Student t-test and ANOVA, comparing controls(n=10) to MUF(n=10). Blood loss(ml/kg/24hr) was 14.5(mean) in MUF versus 13.7 in controls; blood transfused(ml/kg/24hr) 6.6 in MUF versus 15.2 in controls; plasma transfused(ml/kg/24hr) 65.7 in MUF versus 59.6 in controls. There was rise in arterial blood pressure and hematocrit during MUF. Percent rise of systolic blood pressure was 28.8% in MUF versus 18.7% in controls(p=0.366); percent rise of diastolic blood pressure was 28.8% in MUF versus 8.5% in controls(p=0.135); and percent rise of mean blood pressure was 36.2% in MUF versus 8.2% in controls (p=0.086). Percent rise of hematocrit was 40.0% in MUF versus 23.5% in controls(p=0.002). There was no significant difference in the inotropic requirement and the postoperative serum osmolarity between two groups. The number of days on the ventilator, the duration of stay in the intensive care unit, and the postoperative hospital stay were not significantly different between the two groups.

• Proceedings of the Korean Society of Dyers and Finishers Conference
• /
• 2011.11a
• /
• pp.60-60
• /
• 2011

염색폐수의 정화에는 필연적으로 다량의 슬러지 폐기물이 발생한다. 염색폐수 슬러지는 그간 인근 공해 해상에 투기하는 해양 배출로 저렴하게 처리하였으나, 해양오염을 우려하는 국제협약(1972년 런던협약, 1996년 교토의정서)에 의하여 2008년 8월부터 배출기준이 강화되고 2012년 2월부터는 해양배출이 금지 될 예정이다. 염색폐수 슬러지의 해양 배출이 금지되면 대체 처리방법으로는 지정매립장을 통한 매립처리 방법이나 고온 소각시설에서의 소각처리 방법이 거론되고 있다. 그러나 매립처리는 슬러지 내 함유 수분으로 인한 침출수의 문제와 더불어 장기간 안정적으로 저렴하게 사용할 수 있는 대규모 처분장을 확보하기 어려운 실정이며 소각처리는 슬러지의 높은 함수율로 인해 소각 시보조 연료의 투입이 필연적으로 최근 원유가 급등 등 에너지 비용이 지속적으로 상승함을 고려할 때 소각처리비용 또한 상당한 고가가 될 것으로 예측된다. 이와 같이 슬러지 해양배출이 금지되면 섬유 염색업체들은 많은 환경비용 부담을 안을 것이다. 본 연구에서는 대규모 염색산업단지 공동폐수처리장에서 발생하는 염색폐수 슬러지의 효율적인 건조를 위해 산업단지 내의 열병합발전소에서 발생하는 보일러 폐열을 이용하였으며, 조건 특성 및 효율을 파악하기 위해 보일러 폐열의 특성을 고려하여 슬러지 두께 및 체류시간 등 건조공정 운영조건에 따른 변수별 연구를 수행하였다. 열병합발전소 보일러에서 배출되는 폐열은 온도가 $150^{\circ}C$ 정도로 기존의 슬러지 건조에서는 사용되는 $700^{\circ}C$에 비해서는 매우 저온이다. 하지만 보일러 배가스의 경우, 온도에 비해 많은 풍량을 가지고 있으므로 열량으로 환산시 충분히 가치가 있는 것으로 조사되었다. 염색폐수 슬러지의 경우, 함수율 70% 이내의 탈수 Cake 형태이므로 두께가 두꺼울수록 건조효율이 감소하였으며, 체류시간이 길어질수록 건조효율은 증가하나 20mm 이상에서는 건조효율이 급격히감소하였다. 이를 바탕으로 5톤/일 규모 슬러지 건조 Pilot Plant를 제작하여 운영하였는데, 염색폐수슬러지의 투입공정에서 슬러지와 열풍의 접촉면적을 넓혀 건조효율을 높이기 위하여 슬러지를 압출노즐을 이용하여 슬라이스 칩 형태로 제조하여 건조공정에 투입하였으며, 건조실 내에서도 건조효율의 상승을 위하여 내부열풍순환팬을 설치하여 운영하였다. Pilot 운영결과, 체류시간 52분에서 슬러지의 함수율은 70%에서 10%이하로 감소하였다.

• Journal of Chest Surgery
• /
• v.35 no.4
• /
• pp.267-273
• /
• 2002

Background: We performed a phase IV clinical trial to examine the usefulness of a continuous infusion of nicardipine hydrochloride to control hypertension in patients with acute aortic dissection. material and Method: Systolic/diastolic blood pressure, and heart rate were monitored before and after the intravenous administration of nicardipine in 31 patients with aortic diseases. The period of nicardipine administration in each patient was from 3 to 14 days. Efficacy was evaluated by determining the average amount of blood pressure reduction on the 3rd day of drug administration. The dosage of another antihypertensive agent was slowly tapered down, and ultimately replaced by the test drug. Result: 28 patients were diagnosed as acute aortic dissection, 2 patients as rupture of the aortic arch aneurysm, and 1 patient as traumatic aortic rupture. Mean age was 53.9 $\pm$ 14.9(29~89) years, and 21 patients(67.7%) were male. 14 patients(32.3%) had complications associated with underlying aortic disease: aortic insufficiency in 7, hemopericardium in 6, acute renal failure in 1, paraplegia in 1, lower extremity ischemia in 1, and hemothorax in 1. The time needed to reach the target blood pressure was within 15 minutes in 16, from 15 to 30 minutes in 10, from 30 to 45 minutes in 3 and from 45 to 60 minutes in 2, and their baseline average systolic, diastolic, and mean arterial blood pressures(mmHg) were 147$\pm$23, 82.3$\pm$ 18.6, and 104 $\pm$ 18, respectively. Average systolic, diastolic, and mean arterial blood pressures(mmHg) on the third day of nicardipine infusion were 119$\pm$ 12, 69$\pm$9, and 86$\pm$8, and they all showed statistically significant decrease(p<0.05). The average systolic, diastolic, and mean arterial blood pressure(mmHg) after the discontinuation of the nicardipine infusion were 119 $\pm$ 15, 71 $\pm$ 14, and 86$\pm$ 13, respectively. No significant difference was observed between the average pressures measured on the third day and those measured after the discontinuation of the nicardipine infusion, and no definite side effects were observed during the study period. Conclusion: Nicardipine hydrochloride was both effective and safe at controlling blood pressure in patients with acute aortic dissection.

• 한국신재생에너지학회:학술대회논문집
• /
• 2010.06a
• /
• pp.249.2-249.2
• /
• 2010

최근의 고유가와 환경오염에 대한 대응 수단으로 수송용 바이오연료의 보급에 대한 관심이 세계적으로 높아지고 있다. 이 중 바이오디젤은 동식물성 기름으로부터 메탄올과의 전이에스테르화 반응에 의해 생산되는 경유대체 연료로서 환경 친화성과 지속가능성이 인정됨에 따라 그 생산량이 급격히 증가하고 있다. 바이오디젤의 생산량이 증가함에 따라 대두유, 유채유, 팜유 등의 원료유 가격 상승 및 수급 불안정 문제가 대두되고 있으며 식량자원과의 충돌 문제도 발생되고 있다. 이를 해결하기 위한 방안으로 유리지방산 함량이 높은 저가유지 자원(폐식용유, 폐돈지, 폐우지, soapstock, trapped grease)을 이용한 공정 개발 연구가 활발히 진행되고 있다. 본 연구에서는 비활용되고 있는 해외 열대작물 열매씨앗에서 착유한 식물성 오일의 바이오디젤 원료유로서의 사용 가능성을 검토하였다. 열대작물 오일의 물성 분석 결과 고형물, 수분, 인, 유리지방산 함량이 대두원유보다 매우 높게 나타났다. 오일 중의 인지질은 바이오디젤 제조 반응후 에스테르와 글리세린의 층분리를 방해하여 공정 효율을 감소시키고 유리지방산은 염기촉매와 결합하여 지방산염을 생성해 생산수율을 감소시키는 문제를 일으킨다. 고형물과 수분은 여과와 감압증발에 의해 쉽게 제거가 가능하였다. 15~20%의 유리지방산 함유 열대작물 오일의 전처리를 위해 균질계 산촉매와 비균질 고체 산촉매를 이용해 에스테르화 반응 효율을 조사한 결과 황산이 가장 높은 효율을 보였다. 반응표면분석법(Response Surface Method, RSM)을 적용해 메탄올과 촉매량의 2변수 에스테르화반응 최적화를 수행한 결과 메탄올 26%, 촉매 0.98%로 최적 조건이 도출되었으며 초기 산가 33mgKOH/g에서 0.98mgKOH/g으로 감소됨을 확인하였다. 전처리 정제한 오일의 물성분석 결과 고형물 0.1%, 수분 0.10%, 산가 1.0mgKOH/g, 인함량 20ppm 이하로 바람직한 원료유가 생산됨을 알 수 있었다. 제조된 원료유를 이용해 전이에스테르화 반응 최적화 실험을 RSM에 근거하여 진행한 결과 KOH 0.8%, 메탄올:오일 몰비 6.2:1, 반응온도 $60^{\circ}C$, 교반속도 200rpm, 반응시간 30분으로 나타났으며 증류 정제전 97.3%, 증류후 100.0%의 바이오디젤을 생산 할 수 있었다. 열대작물 오일의 전처리 공정은 메탄올을 과잉양으로 사용함으로 효과적인 알콜 회수 공정이 중요하다. 전처리 후 층분리를 통해 회수되는 메탄올 중의 수분함량은 2%~7%로서 이를 전처리 반응에 재사용하기 위해서는 0.3%이하의 수분함량으로 정제가 필요하다. 본 연구에서는 고가의 증류탑 형태가 아닌 단증류방식으로 2단계 내지 3단계로 0.3% 수분의 메탄올 회수 조건을 도출하였으며 파일롯 공정 설계를 진행하고 있다. 이로서 본 연구의 열대작물 오일은 저가로 충분한 물량의 확보가 가능하다면 바이오디젤 원료 자원으로서 큰 활용가치가 있는 것으로 판단된다.

• Korean Journal of Environmental Agriculture
• /
• v.15 no.1
• /
• pp.91-104
• /
• 1996

The viability loss or death of weed seeds buried in soil can be induced by infrared irradiation which has good penetration in moist soil. By using this principle of pre-emergence soil-treatment, the study was carried out to obtain basic information needed to develop the effective weed control method for the production of less polluted agricultural products. An apparatus for irradiating infrared was constructed by using ceramic material with high emissivity. The LPG was used as fuel for producing infrared by heating ceramic material. The soil heated in this study was loam with four levels of moisture contents (0.6, 5.7, 10.7, 15.1 % wb). The temperature distribution was measured at various soil depths when soil with different moisture content was irradiated with infrared for three different times (30, 60, 90 sec). The soil depths with duration time of minimum 3 minutes over $80^{\circ}C$, temperature inducing viability loss of weed seeds, were investigated. When the moisture content of soil was 0.6 and 5.7 % wb, the soil depths which can induce viability loss of weed seeds was greatly increased with increasing irradiation time. However, any depths of soil tested in this study was not reached to the temperature of $80^{\circ}C$ when 30 seconds of irradiation time was applied on soil with moisture content of 10.7 or 15.1 % wb. Generally, the soil depth needed for viability loss of weed seeds was decreased with increasing moisture content of soil. Also, longer irradiation time was required to induce viability loss of weed seeds with increasing moisture content of soil.

• Journal of Chest Surgery
• /
• v.37 no.12
• /
• pp.983-986
• /
• 2004

Background: The indications of closed thoracostomy drainage in management of primary spontaneous pneumothorax is well known, but there is no special specification for the size to be inserted. Recently, various minimally invasive operational techniques have been introduced and researched. According to the trend, we tried to ascertain the efficacy of 12 Fr. chest tubes instead of the existing 24 Fr. chest tubes. Material and Method: Patients who were younger than 30 years old and diagnosed as primary spontaneous pneumothorax and treated with closed thoracostomy drainage were enrolled in this study. We retrospectively compared group A who were drained with 24 Fr. chest tubes from January to May 2003 with group B with 12 Fr. chest tubes from November 2003 to April 2004 on procedure time for closed thoracostomy drainage, duration of chest tube drain, duration of hospital stay, complication, and recurrence. Result: The male to female ratio was 16 : 3 in group A and 18 : 2 in group B. The mean age of patients of group A was 21.7$\pm$4.0 and group B was 20.0$\pm$3.7. The mean procedure time for closed thoracostomy drainage in group A (21.6$\pm$2.9 minutes) was significantly longer than group B (10.8$\pm$1.9 minutes)(p < 0.05). The mean duration of chest tube drain was 3.8$\pm$ 1.7 days in group A and 4.3$\pm$2.2 in group B, and the mean duration of hospital stay was 5.6$\pm$1.9 days in group A and 5.2$\pm$1.5 days in group B. There was no complication in both groups and 6 cases in group A (35%) and 5 cases in group B (25%) were operated because of recurrence and persistent air leakage. In conclusion, there was no statistical difference except for the procedure time for closed thoracostomy drainage between two groups. Conclusion: We concluded that there were no significant differences in efficacy between 12 Fr. chest tube and 24 Fr. chest tube in closed thoracostomy drainage for primary spontaneous pneumothorax and we found advantages of 12 Fr. chest tube in shortening procedure time because of easy and simple techniques.

• Journal of Chest Surgery
• /
• v.30 no.11
• /
• pp.1077-1082
• /
• 1997

To assess the early results, risk factors and optimal timing for coronary artery bypass graft surgery(CABG) after an acute myocardial infarction(AMI), we reviewed our 19 patients who underwent CABG within 30 days after AMI, between June 1994 and October 1996. This study excluded 1 patient whose diagnosis was AMI with ventricular septal rupture. 14 of the patients were male and 5 were female. Their ages ranged from 41 to 77 years(mean age, 60.6$\pm$ 10.4 years), and the amount of time between AMI and CABG ranged from 8 hours to 24 days(mean time, 10.6$\pm$6.4 days). There were 11 anteroseptal infarctions and 8 inferior wall infarctions. 11 patients had trsnsmural infarctions and 8 had subendocardial infarctions. Indications of operations were p imary revascularization and postinfarction angina. Three patients required preoperative intra-aortic balloon pump(IABP) support, and 4 additional patients required IABP to be separated from cardiopulmonary bypass. An average of 3.6 $\pm$ 0.6 vessels per patient were bypassed. The early mortality rate for these 19 patients was 5.3% and late mortality rate was 5.5%, 1-year and 2-year actuarial survival rates were 89.5% Univariate analysis of mortality showed that an ejection fraction less than 30% and intraopretative IABP supports were associated with risk factors(p value=0.018 and 0.015 respectively). Age, sex, time to CABG, emergency operations, types and locations of infarctions were not significant. Although our studies have weak p.oints in that there was only a small number of patients and the lack of long-term results, we could conclude that early myocardial revascularization is relatively safe after AMI for those individuals with an ejection fraction greater than 30%.

• Journal of Chest Surgery
• /
• v.35 no.6
• /
• pp.420-429
• /
• 2002

Moderate hypothermic cardiopulmonary bypass (CPB) has commonly been used in cardiac surgery. Several cardiac centers recently practice normothermic CPB in cardiac surgery, However, the clinical effect and safety of normothermic CPB on cerebral metabolism are not established and not fully understood. This study was prospectively designed to evaluate the clinical influence of normothermic CPB on brain metabolism and to compare it with that of moderate hypothermic CPB. Material and Method: Thirty-six adult patients scheduled for elective cardiac surgery were randomized to receive normothermic (nasopharyngeal temperature ＞34.5 $^{\circ}C$, n=18) or hypothermic (nasopharyngeal temperature 29~3$0^{\circ}C$, n=18) CPB with nonpulsatile pump. Middle cerebral artery blood flow velocity (VMCA), cerebral arteriovenous oxygen content difference (CAVO$_{2}$), cerebral oxygen extraction (COE), modified cerebral metabolic rate for oxygen (MCMRO$_{2}$), cerebral oxygen transport (TEO$_{2}$), cerebral venous desaturation (oxygen saturation in internal jugular bulb blood$\leq$50 %), and arterial and internal jugular bulb blood gas analysis were measured during six phases of the operation： Pre-CPB (control), CPB-10 min, Rewarm-1 (nasopharyngeal temperature 34 $^{\circ}C$ in the hypothermic group), Rewarm-2 (nasopharyngeal temperature 37 $^{\circ}C$ in the both groups), CPB-off and Post-CPB (skin closure after CPB-off). Postoperaitve neuropsychologic complications were observed in all patients. All variables were compared between the two groups. Result： VMCA at Rewarm-2 was higher in the hypothermic group (153.11$\pm$8.98%) than in the normothermic group (131.18$\pm$6.94%) (p＜0.05). CAVO$_{2}$ (3.47$\pm$0.21 vs 4.28$\pm$0.29 mL/dL, p＜0.05), COE (0.30$\pm$0.02 vs 0.39$\pm$0.02, p＜0.05) and MCMRO$_{2}$ (4.71 $\pm$0.42 vs 5.36$\pm$0.45, p<0.05) at CPB-10 min were lower in the hypothermic group than in the normothermic group. The hypothermic group had higher TEO$_{2}$ than the normothermic group at CPB-10 (1,527.60$\pm$25.84 vs 1,368.74$\pm$20.03, p＜0.05), Rewarm-2 (1,757.50$\pm$32.30 vs 1,478.60$\pm$27.41, p＜0.05) and Post-CPB (1,734.37$\pm$41.45 vs 1,597.68$\pm$27.50, p＜0.05). Internal jugular bulb oxygen tension (40.96$\pm$1.16 vs 34.79$\pm$2.18 mmHg, p＜0.05), saturation (72.63$\pm$2.68 vs 64.76$\pm$2.49 %, p＜0.05) and content (8.08$\pm$0.34 vs 6.78$\pm$0.43 mL/dL, p<0.05) at CPB-10 were higher in the hypothermic group than in the normothermic group. The hypothermic group had less incidence of postoperative neurologic complication (delirium) than the normothermic group (2 vs 4 patients, p＜0.05). Lasting periods of postoperative delirium were shorter in the hypothermic group than in the normothermic group (60 vs 160 hrs, p<0.01). Conclusion: These results indicate that normothermic CPB should not be routinely applied in all cardiac surgery, especially advanced age or the clinical situations that require prolonged operative time. Moderate hypothermic CPB may have beneficial influences relatively on brain metabolism and postoperative neuropsychologic outcomes when compared with normothermic CPB.

• Journal of the East Asian Society of Dietary Life
• /
• v.23 no.6
• /
• pp.681-689
• /
• 2013

The purpose of this study was to investigate the effect of alcoholic drinking on the dietary habits among university students. The data was collected from 355 students (male : 188, female : 167) living in Busan. The questionnaire composed of general information, person with the lunch meal time, skipping meal, meal type place overeating, snacking eating out, food intake pattern. For statistics analysis, SPSSWIN 12.0 was used. The results were summarized as follows. First, the rates of alcohol drinking in male and female students were 94.1% and 93.4% respectively and the rate of under 19 years old's drinking were 94.4%. Second, in the appearance of drinking, the difference in dietary habits wasn't shown to be significant. However in term of dinner, few female students sometimes haven't dinner (p<0.01). And female group showed frequently eating out (p<0.05) and overeating more than male group(p<0.001). Third, the alcohol drinking group and non-alcohol drinking group showed significantly similar consumption frequency of cereal, meat products, fruits vegetable, oil sugars. But the intakes of milk and dairy products in male students were significantly higher than in female students (p<0.001). These results indicated that more attention should be taken to university students, having habits of skipping meal, alcohol drinking and low intake for nutrition knowledge or attitude so as to improve their health.

• Journal of Hospice and Palliative Care
• /
• v.18 no.3
• /
• pp.196-207
• /
• 2015

Purpose: We comprehensively analyzed domestic studies on the effects of death preparation education in order to present objective data. Methods: Meta-analysis was conducted with a total of 22 master's and doctoral theses published between 2004 and 2014. Results: According to our analysis, the death preparation education had a mid-size effect. The effect size of a moderator variable was the greatest in infants and children, and the effect size was bigger in younger ages. The effect size was the greatest when education was given through a total of 10~15 sessions, twice a week, and less than 60 minutes per session. The effect variable and death-related variable showed a significant effect size, and sub-variables were equivalent to the death-related variable with a biggest effect size. Non-death related variables had a mid-level effect size and sub-variables were found to have the highest ego integrity. Conclusion: The significance of this study lies its systematic integration of advanced research on the effects of death preparation education through meta-analysis. By suggesting guidelines for the design of a death preparation education program, evidence-based basic data were proposed which will more likely strengthen intervention effects. Based on these results, more studies are needed to develop and extensively carry out a death preparation program which can meet needs of specific age groups from children to seniors.