• Title/Summary/Keyword: Branch system

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Complete A-V Block 3 Months after Total Correction of Tetralogy of Fallot (활로 4징증의 근치수술후의 원격 방실전도 차단)

  • 송요준
    • Journal of Chest Surgery
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    • v.11 no.3
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    • pp.326-332
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    • 1978
  • There appears some conduction defects frequently after total correction of Tetralogy of Fallot. Common defect is right bundle branch block due to surgical intervention. We experienced complete A-V block which occured 3 months later after total correction of Tetralogy of Fallot in a 8 year old boy. The patient was completely free of any A-V block after the operation for 3 months, and sudden onset of A-V block with coupled premature ventricular contractions resulted him in shock state during the attack of severe bronchopneumonia for 4 days prior to the second visit. Emergency implantation of Cordis demand type temporary pacemaker was necessary to control the complete heart block with bradyarrhythmia and frequent ventricular fibrillation. Permanent cardiac pacemaker was implanted two weeks later as indicated with Cordis Stanicor lambda demand pacemaker, and the patient was discharged uneventfully on the 8th post implantation day with the heart rate of 72/min. Another 3 months after the implantation, the patient was transported to this hospital as dead on arrival after an accidental fall from a 2 meter height, and all possible cardiopulmonary resuscitation was performed for 60 minutes at the emergency room in vain. Autopsy was done to find out the cause of sudden death and the etiology of complete heart block. Microscopic focal infarctions with scar formation were noted along the course of conduction system in the interventricular septum, which might be the main cause of complete heart block during the attack of severe bronchopneumonia complicated with acute bacterial endocarditis. The tip of the pacemaker wire was slipped from the granulation scar at the apex of the right ventricular cavity, and this might be the direct cause of pacing failure and death.

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Wavelet Analysis of Elastic Wave for Wall Thinned High-Pressure Service Pipes (감육을 가지는 고압배관에 대한 탄성파의 Wavelet해석)

  • Kim, Jin-Wook;Ahn, Seok-Hwan;Lee, Si-Yoon;Nam, Ki-Woo;Do, Jae-Yoon
    • Journal of the Korean Institute of Gas
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    • v.9 no.3 s.28
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    • pp.1-8
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    • 2005
  • We studied on the nondestructive evaluation of the elastic wave signals of locally wall thinned straight pipe. Wavelet transform was applied for the time-frequency analysis of waveforms obtained by fracture wave detector due to the dropping steel ball. The time-frequency analysis provides time variation of each frequency component involved in a waveform, which makes it possible to evaluate the shape of local wall thinning at each frequency. In this study, comparison by wavelet transform of the AE signals and monotonic bending tests without internal pressure are conducted on 1.91 inch diameter full-scale carbon steel pipe specimens. As the results of tests, fracture behaviors could be shown by the characteristic of mechanical strength of locally wall thinned pipes and the waveforms could be evaluated for the integrity insurance of the piping system according to the length and depth range of the deffeted shape pipes in the real field.

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Effect of Ambient Temperature on the AC Electrical Treeing Phenomena in an Epoxy/Layered Silicate Nanocomposite

  • Park, Jae-Jun
    • Transactions on Electrical and Electronic Materials
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    • v.14 no.4
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    • pp.221-224
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    • 2013
  • Effects of ambient temperature on the ac electrical treeing and breakdown behaviors in an epoxy/layered silicate (1 wt%) were carried out in needle-plate electrode geometry. A layered silicate was exfoliated in an epoxy base resin,, using our ac electric field apparatus. To measure the treeing initiation and propagation, and the breakdown rate, constant alternating current (ac) of 10 kV (60 Hz) was applied to the specimen in a needle-plate electrode arrangement, at $30^{\circ}C$, $90^{\circ}C$ or $130^{\circ}C$ of insulating oil bath. At $30^{\circ}C$, the treeing initiation time and the breakdown time in the epoxy/layered silicate (1 wt%) system were 1.4 times higher than those of the neat epoxy resin. At $90^{\circ}C$ (lower than Tg), electrical treeing was initiated in 55 min, and propagated until 1,390 min at the speed of $0.35{\times}10^{-3}mm/min$, which was 4.4 times higher than that at $30^{\circ}C$; however, there was almost no further treeing propagation after 1,390 min. At $130^{\circ}C$ (higher than Tg), electrical treeing was initiated in 44 min, and propagated until 2,000 min at the speed of $0.96{\times}10^{-3}mm/min$. Typical branch type electrical treeing was obtained from the neat epoxy and epoxy/layered silicate at $30^{\circ}C$, while bush type treeing was observed out from the needle tip at $90^{\circ}C$ and $130^{\circ}C$.

Study on the Characteristics of Bus Traffic Accidents by Types Using the Decision Tree (의사결정나무를 활용한 업종별 버스 교통사고 특성 연구)

  • Park, Wonil;Kim, Kyung Hyun;Han, Eum;Park, Sangmin;Yun, Ilsoo
    • International Journal of Highway Engineering
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    • v.18 no.5
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    • pp.105-115
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    • 2016
  • PURPOSES : This study was initiated to analyze the characteristics of bus traffic accidents, by bus types, using the decision tree in order to establish customized safety alternatives by bus types, including the intra-city bus, rural area bus, and inter-city bus. METHODS : In this study, the major elements involved in bus traffic accidents were identified using decision trees and CHAID algorithm. The decision tree was used to identify the characteristics of major elements influencing bus traffic accidents. In addition, the CHAID algorithm was applied to branch the decision trees. RESULTS : The number of casualties and severe injuries are high in bus accidents involving pedestrians, bicycles, motorcycles, etc. In the case of light injury caused by bus accidents, different results are found. In the case of intra-city bus accidents, the probability of light injury is of 77.2% when boarding a non-owned car and breaching of duty to drive safely are involved. In the case of rural area bus accidents, the elements showing the highest probability of light injury are boarding an owned car, vehicle-to-vehicle accidents, and breaching of duty to drive safely. In the case of intra-city bus accidents, boarding owned car, streets, and vehicle-to-vehicle accidents work as the critical elements. CONCLUSIONS : In this study, the bus accident data were categorized by bus types, and then the influential elements were identified using decision trees. As a result, the characteristics of bus accidents were found to be different depending on bus types. The findings in this study are expected to be utilized in establishing effective alternatives to reduce bus accidents.

Traffic Accident Reduction Effects of Section Speed Enforcement Systems(SSES) Operation in Freeways (고속도로 구간과속단속시스템 운영에 따른 교통사고 감소효과)

  • Jung, Yong Il;Beak, Tae Hun;Kim, Yoon Hwan;Park, Byung Ho
    • Journal of Korean Society of Transportation
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    • v.32 no.2
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    • pp.119-129
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    • 2014
  • This study aims to evaluate the accident reduction effects of 'Section Speed Enforcement System' (SSES) operation in freeways. In pursuing the above, this study collects the accident data for 5 years (2 years before operation and 3 years after operation) at all 9 sections where SSESs are operated, and evaluates annually the effects before and after operation using the comparison group method (C.G. Method). The measures of effectiveness are total accidents (TAs), fatal and serious accidents (FSAs), total injuries (TIs) and fatal and serious injuries (FSIs). The main results are as follows. First, TAs and TIs are reduced to 41.7 and 17.1%, respectively. Second, FSAs and FSIs are reduced to 41.7 and 32.2%, respectively. Therefore, SSES has more effectiveness at fatal and serious accident. Third, the accident reduction effect has been increasing, and particularly the effect of 'after three years' is evaluated to be notable.

Evaluation of Antioxidative Activity of Agrimonia pilosa-Ledeb Leaves on Non-lipid Oxidative Damage

  • Hah, Dae-Sik;Kim, Chung-Hui;Kim, Eui-Kyung;Kim, Jong-Shu
    • Toxicological Research
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    • v.25 no.4
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    • pp.243-251
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    • 2009
  • Present study was conducted to evaluate the anti oxidative activity of the Agrimonia pilosa-Ledeb leaves on non-lipid oxidative damage. The antioxidative activity of methanolic (MeOH) extract of the Agrimonia pilosa-Ledeb leaves on non-lipid oxidation, including liposome oxidation, deoxyribose oxidation, protein oxidation, chelating activity against metal ions, scavenging activity against hydrogen peroxide, scavenging activity against hydroxyl radical and 2'-deoxyguanosine (2'-dG) oxidation were investigated. The MeOH extract of the Agrimonia pilosa-Ledeb leaves exhibited high anti oxidative activity in the liposome model system. Deoxyribose peroxidation was inhibited by the MeOH extract of the Agrimonia pilosa-Ledeb leaves and MeOH extract of the Agrimonia pilosa-Ledeb leaves provided remarkable protection against damage to deoxyribose. Protective effect of MeOH extracts of the Agrimonia pilosa-Ledeb leaves on protein damage was observed at $600{\mu}g$ level (82.05%). The MeOH extracts of the Agrimonia pilosa-Ledeb leaves at $300{\mu}g$ revealed metal binding ability (32.64%) for hydrogen peroxide. Furthermore, the oxidation of 2'-deoxyguanosine (2'-dG) to 8-hydroxy-2-deoxyguanosine (8-OH-2'dG) was inhibited by MeOH extracts of the Agrimonia pilosa-Ledeb leaves and scavenging activity for hydroxyl radical exhibited a remarkable effect. From the results in the present study on biological model systems, we concluded that MeOH extract of the Agrimonia pilosa-Ledeb leaves was effective in the protection of non-lipids against various oxidative model systems.

Production of Lactosucrose from Sucrose and Lactose by a Levansucrase from Zymomonas mobilis

  • Han, Woo-Cheul;Byun, Sun-Ho;Kim, Mi-Hyun;Sohn, Eun-Hwa;Lim, Jung-Dae;Um, Byung-Hun;Kim, Chul-Ho;Kang, Soon-Ah;Jang, Ki-Hyo
    • Journal of Microbiology and Biotechnology
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    • v.19 no.10
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    • pp.1153-1160
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    • 2009
  • Lactosucrose ($4^G-\beta$-D-galactosylsucrose) is an oligosaccharide consisting of galactose, glucose, and fructose. In this study, we prepared lactosucrose from lactose and sucrose using a levansucrase derived from Zymomonas mobilis. Optimum conditions for lactosucrose formation were $23^{\circ}C$, pH 7.0, 18.0% (w/v) lactose monohydrate, and 18% (w/v) sucrose as substrates, and 1 unit of enzyme/ml of reaction mixture. Under these conditions, the lactosucrose conversion efficiency was 28.5%. The product was purified and confirmed to be O-$\beta$-D-galactopyranosyl-($1{\rightarrow}4$)-O-$\beta$)-D-glucopyranosyl-($1{\rightarrow}2$)-$\beta$-D-fructofuranoside, or lactosucrose. A mixed-enzyme system containing a levansucrase and a glucose oxidase was applied in order to increase the efficiency of lactose and sucrose conversion to lactosucrose, which rose to 43.2% as a result.

Development of fragility curves for RC bridges subjected to reverse and strike-slip seismic sources

  • Mosleh, Araliya;Razzaghi, Mehran S.;Jara, Jose;Varum, Humberto
    • Earthquakes and Structures
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    • v.11 no.3
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    • pp.517-538
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    • 2016
  • This paper presents a probabilistic fragility analysis for two groups of bridges: simply supported and integral bridges. Comparisons are based on the seismic fragility of the bridges subjected to accelerograms of two seismic sources. Three-dimensional finite-element models of the bridges were created for each set of bridge samples, considering the nonlinear behaviour of critical bridge components. When the seismic hazard in the site is controlled by a few seismic sources, it is important to quantify separately the contribution of each fault to the structure vulnerability. In this study, seismic records come from earthquakes that originated in strike-slip and reverse faulting mechanisms. The influence of the earthquake mechanism on the seismic vulnerability of the bridges was analysed by considering the displacement ductility of the piers. An in-depth parametric study was conducted to evaluate the sensitivity of the bridges' seismic responses to variations of structural parameters. The analysis showed that uncertainties related to the presence of lap splices in columns and superstructure type in terms of integral or simply supported spans should be considered in the fragility analysis of the bridge system. Finally, the fragility curves determine the conditional probabilities that a specific structural demand will reach or exceed the structural capacity by considering peak ground acceleration (PGA) and acceleration spectrum intensity (ASI). The results also show that the simply supported bridges perform consistently better from a seismic perspective than integral bridges and focal mechanism of the earthquakes plays an important role in the seismic fragility analysis of highway bridges.

Development and Performance Tests of the Waste Water Diffusers using Acoustic Resonance and Oscillatory Pulsation (음향공진과 맥진동 현상을 이용한 폐수처리용 산기관 개발 및 성능시험)

  • Hong, Suk-Yoon;Moon, Jong-Duck
    • The Journal of the Acoustical Society of Korea
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    • v.15 no.6
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    • pp.52-58
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    • 1996
  • Using the acoustic resonances and oscillatory pulsations considered as the branch of wave technologies, the concept of the acoustic resonance diffusers for waste water treatment which maximize the oxygen transfer efficiency in gas-liquid two phase medium have been proposed, and studies for the principles and performance tests were accomplished. Besides, the design concepts for the low pressure Helmholtz resonator, cylinder and annular type reflection resonator and combined type resonance system have been implemented. The acoustic resonance energy which can speed up the mass transfer process increase the oxygen transfer efficiency, and periodic pulsations generated from the instability of air jet from nozzle make very small air bubbles. Then, the annular type jet resonator(AJR) applying these two principles successfully was evalulated as the most promising device and also the efficiency showing $20{\sim}30%$ better than conventional diffusers has been verified experimentally.

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An Study on the Nature of Nursing as Perceived by Clinical Nurses (간호사가 인식하는 간호본질에 대한 탐색적 연구 - 환자중심 병원서비스 전략구축을 위한 기초단계)

  • Suh, Moon Ja;Kim, Hea Sook;Kim, Kuem Soon;Lim, Nan Young;Kim, Kwuy Bun;Sung, Ok Hee;Ju, Hee Joo
    • The Korean Nurse
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    • v.35 no.1
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    • pp.66-80
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    • 1996
  • Reacently one the main issues has been to develop useful strategies to improve hospital services for patients in the health care delivery system in our rapidly changing society. This study has focused on exploring the perceptions that the clinical nurses have concerning who they are and what they are going to become in the days ahead as medical care reaches a new stage of advancement centered around the patient and hospital services. This study in also based upon the premise that the role of the clinical nurse practitioner. is central to the progress of any patient centered nursing program. This study was carried out by the members of the academic committee of Seoul Branch of Korean Nurses Association from January 1995 to February 1995. The interview method was a semi-structured questionnaire used to collect data from 25 staff nurses who were working more than 3 years at 3 different university hospitals in Seoul. The 6 interviews were selected from each hospital and they were trained for the interviewing techniques. The data were analysed qualitatively and 10 elements of the nurse's responsibilities classified such as caring for the patients (which includes specific medical care as well as general); assessing; diagnosing; coordinating with other health personnel; careful listening; teaching and the patient guiding; administering the prescriptions; giving information and counseling the patient; ward management. Although the premise of this study was based on a wholistic concept, the overall behavioral aspects of hospital clinical nursing were the major thrust of the questionnaire. Broad philosophical questions regarding the nature of nursing need to be further explored. The data gathered for this questionnaire should be useful as a reenforcement tool in educating nursing students as well as in continuing education for clinical nurses. For the future, another study should be done to determine the nursing/patient relationship.

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