• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.8 no.2
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• pp.137-142
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• 2005

Purpose: To evaluate the safety, efficacy and technical problems of the endoscopic balloon dilatation of esophageal anomalies in children. Methods: The medical records of 8 children treated by endoscopic balloon dilatation for esophageal anomalies over a 10-year period at Pusan National University Hospital were reviewed retrospectively. The balloon catheter (Maxforce TTS or CRE, Boston Scientific Co., USA) was positioned across the area of narrowing by direct visualization. The balloon was slowly inflated with normal saline to specified pressures for each balloon and maintained for 60 seconds and then deflated. After 60 seconds pause, the procedure was repeated with a larger sized balloon (increments of 1 mm for each subsequent dilation) till effective dilatation was confirmed by direct visualization without complications. Results: Three male and five female were included and their mean age was 4.2 years. A total of 27 (average of 3.2 per patient) dilatation were performed. Underlying diseases of patients are postoperative stricture of esophageal atresia in 3 cases, esophageal ring in 2 cases, achalasia, corrosive esophagitis and hypertensive LES in one case respectively. The size of initial dilating balloon was chosen on the basis of the diameter of the narrowing determined by endoscopy. The first dilation in patients with severe esophageal stricture was made with a 6 mm sized balloon. Complications observed were esophageal perforation and respiratory holding during the procedure in one case respectively. Successful outcome was seen in 6 patients (75%). Conclusion: Endoscopic balloon dilatation can provide a safe and effective mean of treating esophageal anomalies in children and should be considered the treatment of choice in the initial management of those cases.

• Journal of Chest Surgery
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• v.34 no.9
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• pp.680-685
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• 2001

Background: Tricuspid valve replacement is very rarely performed procedure and its long-term result is not yet satisfactory. Moreover, it is not well known whether bioprosthesis or mechanical prosthesis is the best selection for artificial valve. We reviewed 72 cases of tricuspid valve replacements in 71 patients between January 1989 and December 1998, trying to analyze the overall results and risk factors for mortality and morbidity. Material and Method: Average age of the patients at the time of operation was 42$\pm$13 years(range 16 to 65 years) and the sex ratio of male versus female was 32/39. Primary diagnosis consisted of 50 cases of aquired valvular heart disease and 18 cases of congenital heart disease, such as Ebstein’s anomaly. 4 cases had isolated tricuspid valve regurgitation. Implanted valves were 69 mechanical prosthesis and 3 bioprosthesis. Concomitant mitral or aortic valve replacements were performed in 50 cases. One patient received concomittant pulmonary valve replacement. Result: There were 7(9.72%) operative deaths and 7(13.0%) late deaths. Actuarial survival at 10 years was 59.2$\pm$7.2%. Prosthetic tricuspid valve thrombosis occurred 11 times in 5 patients. Reoperation for prosthetic tricuspid valve failure was performed in 1 patient. In this case, examination of the explanted prostheses showed that the tricuspid stenosis was the result of valve thrombosis. Among the 47 survivors, 46 patients(98%) were in functional class I or II. Conclusion: In our ten-year experience of tricuspid valve replacement, mortality and morbidity were satisfactory. Mechanical prosthesis in tricuspid position showed comparable clinical results as bioprosthesis.

• Journal of Mushroom
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• v.16 no.3
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• pp.131-139
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• 2018

The king oyster mushroom (Pleurotus eryngii) is widely consumed because of its flavor, texture, and its functional properties such as antioxidant activity and prebiotic effects. However, long-term product storage and transportation (e.g., export) are difficult because of its limited durability. The shelf-life of king oyster mushroom is affected by environmental factors such as temperature, humidity, gas composition, and ventilation, which may affect sensory characteristics including respiration rate, texture, moisture, flavor, color, and pH. The major problems regarding storage of mushrooms are browning, flavor changes, and softening. To address these problems, novel preservation techniques were developed, and more durable variants were bred. Different drying methods, gamma irradiation, chitosan coating, modified atmosphere (MA) packaging, and controlled atmosphere (CA) storage were evaluated in order to extend the shelf-life of king oyster mushrooms. Freeze drying showed better results for the preservation of mushrooms than other drying methods. Irradiation with 1 kGy was more effective for extending mushroom shelf-life than higher doses. The preservative performance of chitosan-based films was improved by combining the compound with other hydrocolloids, such as oil, protocatechuic acid, and wax. The CA storage conditions recommended for king oyster mushrooms are 5kPa $O_2$ and 10 to 15kPa $CO_2$ at temperatures below $10^{\circ}C$. Active MA packaging with microperforated PP film was also effective for maintaining quality during storage.

• 한국신재생에너지학회:학술대회논문집
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• 2011.11a
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• pp.154-154
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• 2011

화석연료의 가격 및 공급의 불안정과 온실가스감축 국제 규제 강화 등에 대한 대안으로 여기는 신 재생에너지는 높은 초기 투자 부담으로 인하여 관련기술의 연구개발과 보급정책 등 전과정에 걸친 정책 지원체계가 필요하다. 본 연구에서는 지열에너지를 이용하는 지열냉난방기술에 중점을 두고 이에 대한 중장기 정책 포트폴리오 작성을 위한 기술 및 정책적 접근방안을 제시하고자한다. 지열에너지의 가장 큰 특징은 기후 등에 영향을 크게 부하가 변하는 태양광, 풍력 등과 달리 일정한 부하를 유지함으로써 안정적인 에너지공급이 가능하다는 것이다. 또, 품질 측면에서도 화석연료를 이용한 기존의 연료보다 쾌적한 환경을 조성하여 고급에너지로 평가받고 있다. 반면, 설비를 갖추기 위한 천공, 히트펌프 설치 등에 큰 비용이 든다는 단점을 가지고 있다. 현재 히트펌프 제작기술은 국산화를 완료한 상태로 사실상 기술개발에 의한 큰 폭의 원가절감은 기대하기 힘든 상황이다. 하지만, 유사분야인 시스템 에어컨이 표준화 및 대량생산을 통한 시장 보급 확대로 보급단가가 하락한 것을 고려해 볼 때 이를 통한 가격하락은 어느 정도 기대해 볼 수 있을 것으로 생각된다. 에너지 외적인 측면에서 볼 때도 지열에너지의 공급은 상당한 의미를 갖는다. 건물 냉 난방용 이외에 다양한 용도의 개발을 통해 비닐하우스나 온실 등에 지열에너지를 이용할 경우 정부차원에서 농어촌에 대한 지원이 가능하다. 또, 기존의 에너지원을 조달하는데 어려움이 있는 산간, 도서지방에서는 도시지역보다 투자대비 큰 효과를 볼 수 있어 지역간 에너지 불균형 해도에도 도움이 될 수 있다. 이와같은 지열에너지의 특성에 따라 향후 발전방향을 정리해 보았다. 핵심기술인 지열 히트펌프의 산업구조와 시장 보급 확대를 통한 가격하락을 기대한다. 지역개발 및 고립지역에서 타 신 재생에너지와 함께 독립적인 전력, 냉난방 등의 완전 에너지 공급시스템을 갖출 수 있다. 또한 특수 작물 등의 고급 농수산물 생산등의 용도개발을 통해 지열에너지 공급역량을 성장시킬 수 있을 것이다. 이와 함께 중장기 비젼을 제시하기 위해 추진되어야 할 연구과제로는 시장 보급 확대에 따른 가격경쟁력 도달 가능성에 대한 연구를 통해 산업육성 방안 마련, 타 신 재생에너지기술과 복합 설치에 의한 시너지 효과 및 이에따른 초기 투자비 증가에 대한 대책, 보급 잠재량 조사, 지열시스템의 자금 조달 및 관련 정책 검토 등이 있을 수 있다.

• Journal of Advanced Marine Engineering and Technology
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• v.40 no.9
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• pp.786-790
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• 2016

This paper discusses numerically explored orientation effects on the thermal performance of hollow hybrid fin heat sinks (HHFHSs) under natural convection. A HHFHS consists of an array of hollow pin fins concatenated with plate fins and having perforations near the fin bases. Orientation effects on the footprint-based and mass-based thermal performance of the HHFHS were numerically studied for orientation angles ranging from $0^{\circ}$ to $180^{\circ}$. The performance of the HHFHS was compared with that of a pin fin heat sink (PFHS) having similar physical parameters. The results show that the thermal resistance of the HHFHS did not vary considerably from $0^{\circ}$ to $45^{\circ}$. The thermal resistance increased from $45^{\circ}$ to $90^{\circ}$, reached its maximum at $90^{\circ}$, and decreased consistently from $90^{\circ}$ to $180^{\circ}$. Dissimilar behaviors of the thermal resistance of the HHFHS vs. the PFHS resulted mainly from the effect of heat pumping induced by the internal flows of the hollow fins. Despite various orientations, the mass-based thermal resistance of the HHFHS was found to be nearly 30% smaller than that of the PFHS. This result shows the feasibility of the HHFHS for the lightweight thermal management of electronics under natural convection.

• The Journal of the Convergence on Culture Technology
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• v.10 no.2
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• pp.419-427
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• 2024

This study assessed the potential impact of gas leakage resulting from accidental damage to buried urban gas pipelines during perforating operation near subway construction sites. The risk of explosions due to ignition sources such as static electricity, arising from gas infiltrating the subway construction site through storm sewers and sewage pipes, was evaluated using the ALOHA program. The results of the threat zone calculation, which input various parameters of urban gas pipelines such as length, diameter, and pressure, indicated that the flammable area within the vapor cloud extended from 1.2 to 1.4 km (red zone), the blast area ranged from 0.8 to 1.0 km (yellow zone), and the jet fire extended from 45 to 61 m (red zone). This study demonstrates that within the flammable area of the vapor cloud, a specific combination of concentration and conditions can increase flammability. The blast area may experience explosions with a pressure of 1.0 psi, sufficient to break glass windows. In the event of a jet fire, high temperatures and intense radiant heat exposure lead to rapid fire propagation in densely populated areas, posing a high risk of casualties. The findings are presented in terms of the sphere of influence and threat zone ranges.

• Journal of the Korean Society of Radiology
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• v.85 no.3
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• pp.661-667
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• 2024

Afferent loop syndrome (ALS) is a rare complication of gastrectomies and gastrointestinal reconstruction. This can predispose patients to fatal conditions, such as cholangitis, pancreatitis, and duodenal perforation with peritonitis. Therefore, emergency decompression is necessary to prevent these complications. Herein, we report two cases in which transcholecystic duodenal drainage, an alternative decompression treatment, was performed in ALS patients without bile duct dilatation. Two patients who underwent distal gastrectomy with Billroth II anastomosis sought consultation in an emergency department for epigastric pain and vomiting. On CT, ALS with acute pancreatitis was diagnosed. However, biliary access could not be achieved because of the absence of bile duct dilatation. To overcome this problem, a duodenal drainage catheter was placed to decompress the afferent loop after traversing the cystic duct via a transcholecystic approach. The patients were discharged without additional surgical treatment 2 weeks and 1 month after drainage.

• Journal of Chest Surgery
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• v.32 no.6
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• pp.567-572
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• 1999

Background: Surgical correction of the full spectrum of esophageal atresia with tracheoesophageal fistula has improved over the years, but the mortality and morbidity assoiated with repair of these anomalies still remains high. Material and Method: We retrospectively analyzes 27 surgically treated patients with esophageal atresia and tracheoesophageal fistula at Dong-A University Hospital between January 1992 and March 1997. Result: There were 21 male and 6 female patients. Mean birth weight was 2.62$\pm$.385 kg(2.0~3.4 kg). Twenty- four(88.9%) had esophageal atresia with distal tracheoesophageal fistula, and 3(11.1%) had pure esophageal atresia. Four(14.8%) infants were allocated to Waterston risk group A, 18(66.7%) to group B, and 5(18.5%) to group C. In eighteen(66.7%) infants with associated anomalies, cardiovascular anomalies were the most common. Three had a gap length of 3.5 cm or greater(ultra-long gap) between esophageal segments, 7 had 2.0 to 3.5 cm(long gap), 8 had 1.0 to 2.0 cm(medium gap), and 9 had 1 cm or less(short gap) gap length. Among 27 neonates, 3 cases underwent staged operation, late colon interposition was done in 2, and all other 24 cases underwent primary esophageal anastomosis. Oerative mortality was 2/27(7.4%). Causes of death included acute renal failure(n=1), empyema from anastomotic leak(n=1), necrotizing enterocolitis(n=1), sepsis(n=1), insulin-dependent diabetus mellitus(n=1 . There were 4 anastomosis- related complications including stricture in 3, leakage in 1. Mortality was related to the gap length(p<.05). Conclusion: Although the complication rate associated with surgical repair of these anomalies is high, this does not always implicate the operative mortality. The overall survival can be improved by effective treatment for combined anomalies and intensive postoperatve care.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1982.05a
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• pp.13.2-14
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• 1982

Otitis media with effusion, described first by Politzer (1867), is closely related with the function of auditory tube, but its etiology and pathogenesis are not clearly defined yet. There are many theories about its pathogenesis including hydrops ex vacuo theory which was most reliable nowadays. In this paper, using cats in experimental animals, hydrops ex vacuo theory was proved and cytological study of the effusion and light microscopic observation of the middle ear mucosa in otitis media with effusion were done. The results were as follows: 1) The effusion was found in all experimental groups after eighteen hours of the auditory tube obstruction. 2) In the cytological study of effusion by smear technic, Polymorpholeukocytes were dominant in earlier days but monoculear cells were soon increased and no eosinophils were found. 3) In the culture of the effusion, no bacteria was cultured. 4) By opeating microscope, hypertrophy of the middle ear mucosa observed especially in the fourteen days after auditory tube obstruction and effusion was most remarkable in the fourteen days, also. 5) By light microscopy, there were epithelial hyperplasia, proliferation of goblet cells, capillaries and infiltration of inflammatory cells which showed same distribution as smear technic.

• Journal of Chest Surgery
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• v.43 no.3
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• pp.280-284
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• 2010

Background: The postoperative management following lung transplantation has dramatically improved in the recent decade. However, some complications still remain as troublesome problems. We retrospectively reviewed the gastrointestinal complications and their management after lung transplantation. Material and Method: We performed a retrospective review of the medical records of 25 cases in 23 patients who underwent lung and heart-lung transplantations from July 1996 to March 2009. The definition of gastrointestinal complication was the gastrointestinal tract-related disease that occurred after lung transplantation. There were eight postoperative deaths (within postoperative 30 days) that were excluded from the analysis. Result: Twenty three gastrointestinal complications occurred in 11 (64.7%) of the 17 cases. The median follow-up period was 6.9 months (range: 2 months to 111 months), and chronic gastritis (23.5%, 4 of 17 cases) was the most common complication. Severe, prolonged (more than 2 weeks) diarrhea occurred in 3 cases. Three patients had gastric ulcer with one case requiring gastric primary closure for gastric ulcer perforation. This patient had gastric bleeding due to recurrent gastric ulcer 2 months after laparotomy. Cytomegalovirus gastritis and esophagitis occurred in 2 cases and 1 case, respectively, and esophageal ulcer occurred in 2 cases. There were esophageal strictures in 2 patients who underwent esophageal stent insertion. Other complications were one case each of ileus, early gastric cancer requiring endoscopic mucosal resection, gall bladder stone accompanied with jaundice, and pseudomembranous colitis. Conclusion: The incidence of gastrointestinal complication is relatively high in patients after they undergo lung transplantation. Since gastrointestinal complications can induce malnutrition, which might be related to considerable morbidity and mortality, close follow-up is necessary for the early detection and proper management of gastrointestinal complications.