• Journal of Chest Surgery
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• v.31 no.8
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• pp.804-810
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• 1998

Background: Multiple trauma patients have rapidly increased due to traffic accidents, industrial disasters, incidental accidents, and violence. Multiple trauma can involve injuries to the heart, lung, and great vessels and influence the lives, necessitate prompt diagnosis and treatment. Most of the thoracic injuries can be managed with conservative method and simple surgical procedures, such as closed thoracostomy, but in certain cases open thoracotomy is necessary. Materials and methods: The author analyzed the surgical result of 70 cases of open thoracotomy after multiple organ injury including thoracic organ. Results: The most common type of thoracic lesion was hemothorax with or without pneumothorax and diaphragmatic rupture was the second. Sixty percent of the patients were associated with bone fractures, 42.9% with abdominal injuries, and 37.1% with head injuries. The modes of operation were ligations of torn vessels for bleeding control(48.6%), repair of diaphragm(35.7%), and repair of lung laceration(25.7%) in this order of frequency and additional procedures were splenectomy(14.3%), hepatic lobectomy (8.6%) and repair of liver lacerations(5.7%). Postoperative complications were atelectasis (8.6%), wound infection (8.6%), and pneumonia(4.3%). Postoperatively six patients died(The mortality rate was 8.6%) and the causes of death were respiratory failure(2), acute renal failure(2), sepsis(1), and hypovolemic shock(1).

• Journal of Chest Surgery
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• v.29 no.12
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• pp.1366-1372
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• 1996

Bronchoplasty has gained popularity in the selected cAses of bronchogenic carcinoma with poor pulmonary reserve, and also has been a choice of treatment for obstructive bronchial diseases since it can cure patient completely with preservation of pulmonary function. From Apr. 1990 to hpr. 19'96 two methods of bronchoplastic procedures, d patch dilating bronchoplasty and a segmental bronchial resection with end-to-end anastomosis, were performed with or without concominant pulmonary resection in 13 patients with benign bronchial stenosis and obstruction. The patients were 8 men and 5 women with average age of 43years(range 19 to 64 years). Patch dilating bronchoplasty using autogenous perichondrium and pericardium was applied in 5 cases of bronchial stenosis. Antecedan diseases of bronchial stenosls were 3 inflammatory bronchiectas is, and 2 endobronchial tuberculose is mixed with bronchi,ectas is. Segmental bronchial resection with end-to-end anastomosis was applied in 8 cases of bronchial obstruction, which were caused by endobronchial tuberculosis in 6 and cicatrization after trauma and foreign body in one case each. Bronchial obstructive symptoms and signs including recurrent pulmonary infection, dyspnea and wheezing were disappeared postoperatively with satisfactory recovery of physical activity. There was no operative mortality. Morbidity occured in 2 patients which were one case of unstability of applied bronchial patch resulting atelectasis and one case of bronchial restenosis at the anastomotic site. Based upon our experiences, we conclude that bronchoplastic procedure can be done with great success in patients with lung atelectasis caused by bronchial obstruction or stenosis and it restores physiologic function of collapsed lung with acc ptable complication.

• Journal of the Korean Society of Propulsion Engineers
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• v.16 no.3
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• pp.34-40
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• 2012

A pressure control law to regulate pressure of gas generator is suggested. To design a model based control law, the governing equation which consists of Robert and conservation equation is built and verified through the ground burning test. PID and nonlinear adaptive control laws are designed to analyze the loop response characteristics under the system which has varying eigen properties arisen from combustion volume change. It is suggested that new approach, gain scheduling design, is required to overcome the defects identified from numerical simulation results of the two control laws. The newly suggested scheme shows good control performance even under disturbances and measurement noise.

• Journal of Chest Surgery
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• v.36 no.9
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• pp.699-702
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• 2003

Endoscopic removal is acceptable for the treatment of endotracheal/endobronchial mass, because it is less invasive in high-risk patients and a conservative procedure for benign tumors. Two benign tumors in the lumen of the trachea (pure lipoma) and in the intermediate bronchus (hamartoma) were completely eradicated by our procedures, which involved diathermic snaring and residual mass removal with biopsy forceps under the guidance of fiberoptic bronchoscopy. No tumor recurrence was evident after extended follow-up (6 years for endotracheal lipoma and 2.5 years for endobroncheal hamartoma). Our method is safe and less invasive for the patient and provides the surgeon with better view during procedure.

• Journal of Chest Surgery
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• v.29 no.1
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• pp.63-66
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• 1996

Postoperative empyema thoracis with bronchopleural fistula (BPF) Is uncommon but serious complication. The management remains troublesome area in the field of the general thoracic surgery During the period of October 1993 to December 1994, four patients with postresectional empyema thoracic with BPF were treated consecutively in Ewha Womans University Mokdong Hosp tal. The treatment procedures include irrigation and debridement of the empyema cavity and muscle flap transposition. Follow-up periods after surgery were 4-12 months. Three patients were thought successful, one patient failed. We think that the cause of failure is muscle necrosis of rectos abdominis muscle flap due to vascular injury and infection of muscle due to residual infected debridement of empyema cavity.

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 2011.11a
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• pp.618-623
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• 2011

A pressure control law to regulate pressure of gas generator is suggested. To design a model based control law, the governing equation which is consisted of Robert and conservation equation is built and verified through the ground burning test. PID and nonlinear adaptive control laws are designed to evaluate the loop response characteristics under the system which has varying eigen properties as combustor volume is increased. It is suggested that new approach, gain scheduling design, is required to overcome the defects identified from numerical simulation results of the two control laws. The newly suggested scheme showed good control performance even under disturbances and measurement noise.

• Journal of Chest Surgery
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• v.34 no.8
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• pp.640-643
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• 2001

A case of endobronchial tuberculosis with left main bronchial stenosis and atelectasis of left lower lobe in a 26-year-old female is reported. She had taken antituberclous agents for 9 months, but she complained of chest pain and coughing. Bronchoscopy revealed patency of left upper bronchus and bronchiectasis of left lower lobe. She underwent left lower lobectomy with bronchoplasty. After the operation she had significant improvement of pulmonary function. Although surgical treatment of endobronchial tuberculosis is controversial, bronchoplastic surgery can be an effective treatment of tuberculous bronchial stenosis because it relieves patients from symptoms by preserving lung functions.

• Proceedings of the Korea Water Resources Association Conference
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• 2004.05b
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• pp.1395-1399
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• 2004

절개지사면에 구조물이 설치될 경우 배수압소산과 식생복원을 위해서는 기본적으로 다공성이 뛰어나고 식생의 서식이 가능한 구조물로 설계되어야 하며, 동시에 사면의 안정을 제공해주는 기능을 할 수 있어야 한다. 구조물이 설치될 지역에 Mattress/Filter를 사용할 경우 배수압의 소산과 식생의 활착이 가능한 구조물로 사면의 안정과 식생복원효과를 검토하였다. 본 연구에서는 절개지사면에 토목구조물이 설치될 경우 식생의 복원과 구조물의 안정성을 높이기 위한 기법으로 Mattress/Filter에 Slag를 채워서 다공성을 부여함으로써 사면의 배수압소산과 식생촉진 뿐만 아니라 사면의 안정성을 제공해줄 수 있는 구조이다. 특히, Mattress/Filter는 다공성이 뛰어나 자연배수가 가능한 구조물로서 그 구변 생태계에 필수적인 물의 상호교류 즉, 투수와 배수가 가능하고 배수압의 소산이 가능하여 식생복원과 사면안정에 우수한 것으로 나타났다. Mattress옹벽은 배면의 지하수 배제를 촉진시켜 사면의 안정화에 기여하게 되려, 식생의 복원에 뛰어난 효과가 있는 것으로 나타났다. 또한 Mattress에서 Fitter의 채움 재료로 산업계기물(Slag) 및 건설폐기물(폐콘크리트, 사석) 등을 재활용할 수 있으므로 Mattress는 채움재료의 비용이 저렴하고 유지관리가 용이하며, 생태계의 보존에도 Mattress/Filter의 사용은 매우 효과적임을 알 수 있었다.

• Journal of Chest Surgery
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• v.38 no.6 s.251
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• pp.450-453
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• 2005

Broncholithiasis is uncommon in patients with silicosis. Bronchoesophageal fistula complicated by broncholithiasis is especially rare and only one case has been reported in Korea. Surgical treatment of broncholithiasis should be as conservative as possible to preserve the adequate pulmonary function. Meticulous dissection and division of the fistula with the interposition of viable tissues will prevent recurrence, We report a rare case of bronchoesophageal fistula complicated by broncholithiasis in a patient with silicosis.

• The Journal of Korean Society for Radiation Therapy
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• v.20 no.1
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• pp.37-43
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• 2008

Purpose: To evaluate dosimetry results of three different techniques for whole breast irradiation after conservative surgery of large pendulous breast patient. Materials and Methods: Planning computed tomography (CT) scans for three techniques were performed on a GE Hi-speed advantage CT scanner in the supine (SP), supine with breast supporting Device (SD) and prone position on a custom prone mattress (PP). Computed tomography images were acquired at 5 mm thickness. The clinical target volumes (CTV), ipsilateral lung and heart were delineated to evaluate the dose statistic, and all techniques were planned with the tangential photon beams (Pinnacle$^3$, Philips Medical System, USA). The prescribed dose was 50 Gy delivered in 25 fractions. To evaluate the dose coverage for CTV, we analysed percent volume of CTV receiving minimum of 95%, 100%, 105%, and 110% of prescription dose ($V_{95}$, $V_{100}$, $V_{105}$, and $V_{110}$) and minimal dose covering 95% ($D_{95}$) of CTV. The dosimetric comparison for heart and ipsilateral lung was analysed using the minimal dose covering 5% of each organs ($D_5$) and the volume that received >18 Gy for the heart and >20 Gy for the ipsilateral lung. Results: Target volume coverage ($V_{95}$ and $V_{100}$) was not significantly different for all technique. The V105 was lower for PP (1.2% vs. 4.4% for SP, 11.1% for SD). Minimal dose covering 95% ($D_{95}$) of target was 47.5 Gy, 47.7 Gy and 48 Gy for SP, SD and PP. The volume of ipsilateral lung received >20 Gy was 21.7%, 11.6% and 4.9% for SP, SD and PP. The volume of heart received >18 Gy was 17.0%, 16.1% and 9.8% for SP, SD and PP. Conclusion: Prone positioning of patient for large pendulous breast irradiation enables improving dose uniformity with minimal heart and lung doses.