• Journal of Chest Surgery
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• v.39 no.5 s.262
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• pp.387-393
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• 2006

Background: Esophageal perforation is an uncommon problem, but it is associated with high mortality. We performed a retrospective review of patients with instrumental esophageal perforation to assess the outcome of current management techniques. Material and Method: We retrospectively analyzed all cases of instrumental esophageal perforation diagnosed at our hospital from January 1999 through to March 2005. The study group consisted of 12 patients (8 women and 4 men) with a mean age of 48.8 years (range, $21{\sim}83$ years). We reviewed the effects of the surgical or medical treatments in various conditions of patients, such as of various sites of perforation and time delayed after injury. Result: Perforations were due to diagnostic endoscopy (50.0%, 6/12), esophageal bougination for benign stricture (33.3%, 4/12), endoscopic port insertion (8.3%, 1/12), and tracheal intubation (8.3%, 1/12). The perforated sites were thoracic in 7 patients and cervical in 5. The treatment included resection and reconstruction (5 cases), incision and drainage (4 cases), medical treatment (2 cases), and closed thoracostomy drainage only (1 case). Post-operative complications of transient pneumonia and wound infection were developed in 1 patient respectively. Both occurred in two patients with diffuse mediastinal abscess formation. The overall mortality was 8.3% (1/12) in one old patient who was managed medically for cervical esophageal perforation. Conclusion: We concluded that surgical treatment for esophageal perforations was safe and effective whether diagnosed early or lately.

• Journal of Chest Surgery
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• v.39 no.3 s.260
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• pp.214-219
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• 2006

Background: Perforation of esophagus is relatively uncommon. but it is associated with high morbidity and mortality. Treatment and outcome are largely determined by the time of presentation. We performed a retrospective review of patients with esophageal perforation to assess the outcome of current management techniques. Material and Method: A retrospective chart review was performed on all patients treated for perforation of esophagus from March 1990 to March 2005. There were 28 patients (22 men and 6 women: mean age 51 years, range 17 to 82 years) The causes of the perforations were as follows: foreign body retention (9 patients), trauma (7 patients), spontaneous rupture (7 patients), and iatrogenic (5 pati-ients). 18 patients were presented within 24 hours and 10 patients were presented after 24 hours., Esophageal repair was performed in 21 ($75\%$) of them, 4 patients were treated with esophagectomy, 3 patients were treated with feeding gastrostomy and drainage. Result: Hospital mortality was $18\%$ and iatrogenic was increase the mortality rate (p < 0.05). Site of perforation, time from perforation, and treatment method had no influence on mortality. Postoprative leaks occurred in 4 patients after primary repair and were treated conservatively. Conclusion: Esophageal perforation remains a devastating event which is difficult to diagnose and manage. Primary repair can be performed in most patients with esophageal perforation regardless of time to presentation with a low mortality. Accurate diagnosis and early treatment are essential to the successful management of patients.

• Korean Journal of Bronchoesophagology
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• v.2 no.2
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• pp.182-193
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• 1996

식도내 이물은 종종 어린이나 식도질환을 가진 환자, 죄수들, 정신박약자 및 정신질환자등의 위험성이 높은 성인에서 흔히 발생한다. 그러나 대부분의 이물은 저절로 위장관을 통과하나 날카롭고 뾰족하며 긴 이물은 위장관의 천공이나 혈관과 누공형성 및 다른 합병증을 초래할 수도 있다. 이물의 섭취는 대개 환자나 다른 목격자에 의하여 복용한 병력으로 진단할 수 있다. 그러나 어린이나 정신박약자는 병력을 얻을 수 없기 때문에 우선 의심하는 것이 중요한 진단방법이 될 수밖에 없다. 연하곤란과 연하통은 식도이물의 통상적인 증상이다. 주변기도의 압박으로 인한 호흡기 증상은 어린이에 흔하며 종종 성인에서도 관찰된다. 식도내 이물을 제거하는데 많이 사용되는 방법은 굴곡형내시경을 사용하여 제거하는 것이다. 이방법은 성인이나 어린이에서 전신마취없이 기존의 진정제 투여방법으로 시술할 수 있다. 이물제거에 사용되는 파지겸자와 올가미는 내시경이물제거술을 가능하게 하였고 굴곡형내시경에 사용되는 overtube는 기존의 강직 형내시경의 장점을 얻을 수 있어 뽀족하거나 날카로운 이물을 제거하는데 사용하게 되었다. 이런 내시경적이물제거 원칙을 잘 지키고 적절한 준비가 된다면 합병증이 거의 없이 98% 정도의 이물을 제거할 수 있다. 내시경을 사용하지 않는 여러 가지 방법은 천공의 위험성이 높고 흡인성폐렴을 유발할 수 있기 때문에 사용하지 않는 것이 낫다. 수술적인 처치는 천공이 되었거나 다른 이물로 인한 합병증이 있는 경우에만 드물게 적용된다.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.36 no.1
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• pp.109-116
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• 2012

There are a number of studies concentrating on drilling equipment and drilling methods, but none investigates the impact performance and optimization of DTH (down-the-hole) drilling. It is very difficult to experimentally evaluate the performance of a DTH hammer, because putting together an experimental setup for DTH drilling requires a great deal of money and time. Therefore, this paper examines the characteristics and performance of DTH hammers through pneumatic simulation after a thorough investigation of their working mechanism. In addition, the parameters linked to the performance of DTH hammers were selected using the design-of-experiment method, and then the optimization of performance factors, which are the impact rate and impact energy, was investigated using Taguchi method.

• The Journal of the Acoustical Society of Korea
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• v.36 no.5
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• pp.305-313
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• 2017

In this paper, sound absorption of thin elastic plates installed in a rigid duct is discussed using an analytic method. The number of plates can be one or two, and each plate might have micro-perforation. Vibration of the plates and sound pressure fields inside the duct and air cavity are expressed in terms of an infinite series of modal functions. Under the plane wave assumption, a low frequency approximation is derived by including the first few plate modes. It is found that the sound absorption coefficient of the plates without micro-perforation shows sharp peaks at resonance frequencies, and due to the interaction between the plates and air cavity, the resonance frequencies move as the cavity depth changes. For the case of micro-perforated plates, it is found that the sound absorption is mainly affected by the perforation ratio. When the perforation ratio is order of few percent, the sound absorption is almost independent of plate vibration.

• Food Science and Preservation
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• v.15 no.3
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• pp.347-351
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• 2008

The effect of microperforated packaging films on fresh-cut apples was studied Apples (Malus domestica Borkh. cv. Red Delicious) were cored and cut, packaged in laser microperforated film or non-microperforated polyolefin film, and stored for 3 weeks at 4C. The flesh firmness of apples packaged in microperforated film during the storage period was significantly higher than that of apples packaged in non-microperforated film, and the level of soluble solids was also higher. The browning index, titratable acidity, pH, acetaldehyde and ethanol levels were not affected by microperforation. These results show that microperforated films could be used for retention of flesh firmness in fresh-cut apples.

• 한국신재생에너지학회:학술대회논문집
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• 2011.11a
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• pp.49.1-49.1
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• 2011

집광채광 설비는 건축물의 조명에너지 절감 및 자연광의 실내 유입을 위해 적용 가능한 태양에너지설비로써 다른 신 재생 에너지 설비와 다르게 연간에너지생산에 대한 정량적 데이터가 아직까지 부재하다. 집광채광 설비의 설치효과를 판단하기 위해서는 집광채광 설비 설치에 따른 연간 에너지생산량 산출이 필요하며, 이를 위해서는 각 구성부분(집광부, 전송부 및 산광부)의 광전송 효율에 대한 데이터가 구축되어야 한다. 본 연구는 집광채광 설비의 효율 분석에 관한 첫 번째 단계로써 외부광속에 대한 집광부 통과 직후의 내부광속의 비율을 예측하였다. 국내에 보급된 집광채광 설비는 대부분 프리즘형과 광덕트형이며, 우선적으로 집광부 입사면의 경사각과 방위각이 다양하여 내부광속 산출방법론이 매우 복잡한 프리즘형을 분석대상으로 삼았다. 전일사량, 외부조도 및 집광부 내부조도가 측정되었으며, 외부광속으로부터 내부광속을 산출하는 공식을 유도하기 위해 천공상태에 따라 전일사량 측정치가 직산분리 되었다. Perez model과 Liu and Jordon에 의해 제시된 계산식과 입사면 및 집광부 면적을 고려하여 수평면 외부조도 측정치로부터 외부광속이 그리고 내부조도로부터 내부광속이 산출되었다. 입사면의 투과율이 동일하다는 전제 하에 천공상태에 따른 태양광 투과 비율을 도출한 결과, 담천공(Kt ${\leq}$ 0.3)에서 0.39, 부분담천공(0.3${\geq}$ 0.78)에서 1.0으로 나타났다. 도출된 투과비율을 외부광속에 적용하여 내부광속을 계산한 결과치와 측정치는 약 ${\pm}9%$ 정도의 차이를 보였다. 연간 기상데이터에 위와 같은 방법론이 적용되면 프리즘형 집광부의 연간 내부광속이 산출될 수 있다. 또한 기존 연구에서 제시된 발광효율 산출식과 일사 파장에 따른 시감도를 고려하면 매 시간별 외부조도도 산출이 가능하다. 일사량 측정치와 외부조도 측정치 사이의 상관관계를 분석한 결과 결정계수 $R^2$이 0.99인데 반해 일사량 측정치와 외부조도 계산치 사이의 상관관계 결정계수는 0.95로 측정치 보다 약간 작은 값을 갖는다. 이렇게 산출된 외부조도는 각 입사면의 면적을 반영하여 외부광속으로 변환되고, 앞서 산출된 천공상태별 투과비율이 적용됨으로써 내부광속이 도출될 수 있다. 이와 같은 집광부에 대한 연구를 바탕으로 향후 전송부와 산광부 효율을 도출하고 궁극적으로 집광채광 설비를 통해 실내에 전달되는 연간 빛에너지를 예측할 수 있을 것이다. 또한 본 연구의 방법론은 다른 형태의 집광채광 설비에도 적용이 가능할 것으로 판단되며, 국내 집광채광 설비의 연간 에너지생산량에 대한 폭 넓은 데이터 구축이 가능할 것으로 기대된다.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.11 no.2
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• pp.11-18
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• 1989

Advancement of surgical techniques has made it necessary to accurately diagnose internal derangements. Arthrography and computerized tomography have been used to diagnose the majority of temporomandibular joint disorders, however, these methods have had their disadvantages. Magnetic resonance imaging utilizing surface coils has greatly improved the ability to diagnose meniscus abnormalities without using intrarticular injections or ionizing radiation. Ninety-two patients (184 joints) were evaluated by means of magnetic resonance imaging(MRI). Thirty-one patients (39 joints) were diagnosed as having meniscus perforation. Retrospective review of fifteen patients (20 joints) with a perforated meniscus diagnosed by magnetic resonance imaging pre-operatively demonstrated a sixty-five percent correlation between the radiographic diagnosis and the surgical findings.

• Clinics in Shoulder and Elbow
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• v.13 no.1
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• pp.72-78
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• 2010

Purpose: Too develop a flexible drill device that can be inserted into the shoulder joint so that arthroscopic transosseous suture repair for Bankart lesion is possible. Materials and Methods: We created a device composed of a flexible drill unit and a guide pipe unit. The flexible drill unit was made of flexible multifilament wires (1.2 mm in diameter) that was twisted into one cord so that it can flex in any direction and a drill bit (1.2 mm in diameter) that is attached onto one end of the flexible wire. The guide pipe unit was a 150 mm long metal pipe (2.0 mm in inner diameter and 3.0 mm in outer diameter), with one end bent to 30 degrees. The flexible drill set was inserted into the shoulder joint through the posterior portal of the joint. The guide pipe component was placed onto the medial wall of the glenoid so that the pipe was placed 5 mm posterior to the margin of the anterior glenoid rim. The flexible drill was driven through the glenoid by the power drill so that holes were made in the glenoid. A non- absorbable suture was passed through the hole. Tying of a sliding knot tying was accomplished over the capsule and labrum after making a stitch through the capsule and labrum with a suture hook loaded with suture passer. The same procedures were done at the 2 and 4 O'Clock positions of the glenoid. Results: Five cases with Bankart lesion received arthroscopic transosseous repair with our flexible drill device. There were no intraoperative problems. Neither redislocation nor subluxation was reported at final follow-up. Conclusion: Arthroscopic transosseous suture repair without suture anchors and easy tying of a sliding knot are possible with a flexible drill set.

• Journal of Chest Surgery
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• v.34 no.6
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• pp.477-484
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• 2001

Background: Initial symptoms for esophageal perforation have not been clarified, but when there is no early diagnosis and proper treatment to follow immediately after the diagnosis, it is fatal for the patients. Therefore, this study attempted to discover the factors that influence the prognosis of esophageal perforation to contribute to the improvement of the treatment result. Material and Method: The subjects of this study are 32 patients who came to the hospital with esophageal perforation from October, 1984 to June, 2000. This study examined the items for clinical observation such as patients' sex, age, cause of the perforation, perforation site, the time spent until the beginning of the treatment, symptoms caused by the perforation and its complication, and treatment methods. This study tried to find out the relationship between the survival of patients and each item. Result: There were 24 male and 8 female patients and their mean age was 49.7+16.4. For the causes of perforation, there were 14 cases(43%) of iatrogenic perforation, which ranked first, caused by the medical instrument operation and surgical damage. As for the perforation sites, thoracic esophagus was the most common site(26 cases of 81.2%) and chest pain was the most frequent symptom. The complication caused by esophageal perforation showed the highest cases in the order of mediastinitis, empyema, sepsis and peritonitis. After the treatment, there were 23 cases of survival and 9 cases of mortality. The total mortality rate was 28.1% and the main causes of mortality were sepsis and acute respiratory distress syndrome(ARDS). As for the treatment, 8 cases(25.0%) treated the perforation successfully using conservative treatment only. As for the surgical treatment, there were 5 cases(15.6%) of cervical drainage, 7 cases (21.8%) of primary repair and 12 cases(37.5%) of esophageal reconstruction after performing an exclusion-diversion. There were 18 cases(56.2%) of complete treatment of esophageal perforation at its initial treatment and in 14 cases(43.8%) of treatment failure at its initial treatment, patients were completely cured in the next treatment stage or died during the treatment. The cases of perforation in thoracic esophagus, complication into severe mediastinitis or sepsis and the cases of failure at initial treatment showed a statistically significant mortality rate (p<0.05).