• Journal of Chest Surgery
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• 제29권3호
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• pp.360-364
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• 1996

유미흉이란 유미액이 유출되는 현상이다. 그리고 드물게 미만성 폐림프관종증도유미흥을유발하나 이에 대해서는 잘 알려져 있지 않다. 본 교실에서는 유미흥을 동반한미만성 폐림프관종증을경험하였기에 보고하는바이다. 환자는 3세된 여자로 기 침과 발열감을 주소로 내원하였다. 단순 흉부 될영상 양측성 흥막 유출 소견과 간질성 침윤 소견을 보였다. 검사실 소견상흥막 유출은유미액으로밝혀 졌으며,폐쇄식 흥강내 삽관술로조절되지않아흥관결찰술을시행하였다. 병리 조직 검사상흥막과 소엽간중격에서 림프관을따라내퍼세포들이 연결되어 있었으며 림프관이 증식된간질부위에평활근조직을관찰할수있었다. 술후, 수차례의 화학적 홍막 유착술을 시행하여 유미흥을 치료하였으며 환자는 퇴원후 10개월동안 특별한 문제없이 잘 지내고 있다.

• 한국결정성장학회:학술대회논문집
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• 한국결정성장학회 1996년도 The 9th KACG Technical Annual Meeting and the 3rd Korea-Japan EMGS (Electronic Materials Growth Symposium)
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• pp.508-508
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• 1996

;The growth of films have considerable interest in the field of superlattice structured multi-layer epitaxy led to realization of new devices concepts. Molecular beam epitaxy (MBE) with in situ observation by reflection high-energy electron diffraction (RHEED) is a key technology for controlled layered growth on the atomic scale in oxide crystal thin films. Also, the combination of radical oxygen source and MBE will certainly accelerate the progress of applications of oxides. In this study, the growth process of single crystal films using by MBE method is discussed taking the oxide materials of Bi-Sr-Ca-Cu family. Oxidation was provided by a flux density of activated oxygen (oxygen radicals) from an rf-excited discharge. Generation of oxygen radicals is obtained in a specially designed radical sources with different types (coil and electrode types). Molecular oxygen was introduced into a quartz tube through a variable leak valve with mass flowmeter. Corresponding to the oxygen flow rate, the pressure of the system ranged from $1{\;}{\times}{\;}10^{-6}{\;}Torr{\;}to{\;}5{\;}{\times}{\;}10^{-5}$ Torr. The base pressure was $1{\;}{\times}{\;}10^{-10}$ Torr. The growth of Bi-oxides was achieved by coevaporation of metal elements and oxygen. In this way a Bi-oxide multilayer structure was prepared on a basal-plane MgO or $SrTiO_3$ substrate. The grown films compiled using RHEED patterns during and after the growth. Futher, the exact observation of oxygen radicals with MBE is an important technology for a approach of growth conditions on stoichiometry and perfection on the atomic scale in oxide. The oxidization degree, which is determined and controlled by the number of activated oxygen when using radical sources of two types, are utilized by voltage locked loop (VLL) method. Coil type is suitable for oxygen radical source than electrode type. The relationship between the flux of oxygen radical and the rf power or oxygen partial pressure estimated. The flux of radicals increases as the rf power increases, and indicates to the frequency change having the the value of about $2{\times}10^{14}{\;}atoms{\;}{\cdots}{\;}cm^{-2}{\;}{\cdots}{\;}S^{-I}$ when the oxygen flow rate of 2.0 seem and rf power 150 W.150 W.

• Journal of Advanced Marine Engineering and Technology
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• 제32권6호
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• pp.893-900
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• 2008

The heat exchangers in the ships have been changed from the conventional shell & tube type to the plate type due to some merits as a compactness, a high thermal efficiency and a light-weight. In recent. it is reported that the vacuum phenomena were occurred in the seawater outlet piping of a main central cooler (MCC) on the ships. From the viewpoints of a common sense, the vacuum pressure in the seawater piping is rare event and difficult to be convinced because the seawater is pumped into the piping by a seawater pump with a high discharge head. However, the occurrence of a vacuum pressure in the seawater line of an MCC is real situation and often gives a severe damage to a rubber gasket of an MCC with a plate type heat transfer area. In this study, we analyzed the vacuum pressure in the seawater line of an MCC by using the simpl Bernoulli's equation and found that the vacuum pressure in the seawater line of an MCC is inevitable untill the installation postion of an MCC is not lowered.

• 대한영양사협회학술지
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• 제22권1호
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• pp.53-69
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• 2016

The purpose of this study was to analyze the importance-performance of clinical nutrition management in convalescent hospitals. The research was carried out based on questionnaires administered from March to April, 2015 to 73 dietitians at 40 convalescent hospitals in the Gyeongnam area. There was a statistically significant difference between the mean scores for importance (4.01/5.00) and performance (2.95/5.00) of clinical nutrition management. The importance and performance grid analysis showed that participation in a nutritional management committee, administration of patients using a cooperation program among hospital departments, cooperation with a medical team on patient's nutrition status, nutrition initial assessment, nutrition care process for patients showing malnutrition, nutrition care process for tube feeding patients, management of a therapeutic diet, meal management using dietary slip instructions including a therapeutic diet, and explication of a therapeutic diet for patients scored high regarding importance and performance (doing great area). Medical records on patient's nutrition management, and nutrition counseling for requested patient scored low regarding the importance and high regarding performance (overdone area). Participation in medical rounds, personal nutrition education for patients, group nutrition education for patients, nutrition education for medical teams, development of a menu for therapeutic diet and standardized recipes, and provision of information on diet therapy for patients after discharge scored low regarding importance and performance (low priority area). Accreditation of convalescent hospitals and interest of medical professionals in clinical nutrition management were effective variables for the importance-performance gap of clinical nutrition management. In conclusion, the accreditation process and positive awareness of medical professionals with regard to clinical nutrition management had positive effects on reduction of the importance-performance gap in clinical nutrition management at convalescent hospitals. The strength of clinical nutrition management in the accreditation and development of an education program for increasing medical team or administrator interest in clinical nutrition management could lead to improvement of clinical nutrition management for elderly patients in convalescent hospitals.

• Archives of Plastic Surgery
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• 제39권6호
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• pp.612-617
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• 2012

Background Packing after closed reduction of a nasal bone fracture causes inconvenient nasal obstruction in patients. We packed the superior meatus with Vaseline gauze to support the nasal bone, and packed the middle nasal meatus with a Doyle Combo Splint consisting of an airway tube, a silastic sheet, and an expandable sponge to reduce the inconvenience. In addition, we aimed to objectively identify whether this method not only enables nasal respiration but also sufficiently supports the reduced nasal bone. Methods Nasal ventilation was measured via spirometry 1 day before surgery and compared to 1 day after surgery. To compare support of the reduced nasal bone by the 2 methods, 2 plastic surgeons assessed the displacementon X-rays taken after the surgery and after removing the packing. The extent of nasal obstruction, dry mouth, sleep disturbance, headache, and swallowing difficulty were compared with visual analog scales (VAS) on a pre-discharge survey. Results In the experimental group, the nasal respiration volume 1 day after surgery remained at $71.3%{\pm}6.84%$ on average compared to 1 day prior to surgery. Support of the reduced bone in the experimental group ($2.80{\pm}0.4$) was not significantly different from the control group ($2.88{\pm}0.33$). The VAS scores for all survey items were lower in the experimental group than in the control group, where a lower score indicated a lower level of inconvenience. Conclusions The nasal cavity packing described here maintained objective measures of nasal respiration and supported the reduced bone similar to conventional methods. Maintaining nasal respiration reduced the inconvenience to patients, which demonstrates that this packing method is useful.

• 비파괴검사학회지
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• 제21권5호
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• pp.501-509
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• 2001

증기발생기 전열관에서 1차측 응력부식균열의 발생빈도가 증가하고 있으므로 이의 정확한 탐지와 평가를 위해서는 균열 형상에 따른 와전류 신호특성을 규명하고 적합한 탐촉자를 선정하는 것이 매우 중요하다. 본 연구에서는 증기발생기 전열관의 내면 축방향 균열에 대한 와전류 검사의 검출능과 크기예측에 대한 신뢰도를 정량적으로 평가하고 pancake coil과 plus coil과의 신호특성 차이를 비교하였다. 이를 위하여 전열관 내면에 EDM으로 노치를 가공한 시편과 실제 증기발생기에서 1차측 응력부식균열이 발생하여 인출한 전열관을 시험편으로 사용하였다. 본 연구에서 얻어진 결과를 토대로 내면 축방향 균열에 대한 와전류 검사 신뢰도 향상을 위한 방안을 제시하였다.

• 비파괴검사학회지
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• 제22권2호
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• pp.198-202
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• 2002

가동중인 증기발생기 전열관에서 발생하는 결함 유형 중의 하나인 입계부식은 방전가공에 의한 모의 시편 제작이 불가능하므로 입계부식에 대한 와전류검사 신호의 특성이 잘 알려져 있지 않다. 본 연구에서는 0.1 M sodium tetrathionate 용액에서 비확관 전열관에 입계부식을 형성시키고 와전류검사 신호를 수집하여 평가하였다. 이를 통하여 탐촉자의 종류와 주파수에 따른 선호 특성 및 입계부식의 깊이 변화에 따른 검출능을 비교하였다.

• 한국안전학회지
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• 제33권1호
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• pp.22-27
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• 2018

Many electronic devices are powered by various rechargeable batteries such as lithium-ion recently, and occasionally the batteries undergo thermal runaway and cause fire, explosion, and other hazards. If a battery fire should occur in an electronic device of vehicle and aircraft cabin, it is important to quickly extinguish the fire and cool the batteries to minimize safety risks. Attempts to minimize these risks have been carried out by many researchers but the results have been still unsatisfied. Because most rechargeable batteries are operated on the ion state during charge and discharge of electricity and the combustion of ion state has big difference with normal combustion. Here we focused on the effect of ions including an electron during combustion process. The effects of an ionized fuel on the flame stability and the combustion products were experimentally investigated in the propane jet diffusion flames. The burner used in this experiment consisted of 7.5 mm diameter tube for fuel and the propane was ionized with th ionizer (SUNJE, SPN-11). The results show that toe overall flame stability and shape such as flame length has no significant difference even in the higher ion concentration. However the fuel ionization affects to the pollutant emissions such as NOx and soot. NOx and CO emissions measured in post flame region decreased by fuel ionization, especially high fuel velocity, i.e. high ion density. TGA analysis and morphology of soot by TEM indicates that the fuel ionization makes soot to be matured.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2002년도 하계학술대회 논문집 C
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• pp.1733-1735
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• 2002

The important parameters deciding the fluctuation of laser beam are smoothing capacitor, frequency and the characteristics of laser resonator. In this thesis, we control the fluctuation of $CO_2$ laser in realtime by changing Duty-Ratio of IGBT and switching frequency with fixed the smoothing capacitor to improve the fluctuation of laser beam. We detect the light on laser resonator using a CdS photo sensor to improve ripple factor of laser beam and feedback fluctuated signals refined by a band pass filter into the control circuit to stabilize fluctuation actively. There is much to be desired in the realtime controlling technique of the light on laser discharge tube in electrical signal. We propose switching control technique with microprocessor and photo sensing technique by controlling switch devices optimum operation and feedback signals detected by a photo sensor into the laser power supply in order to improve ripple factor of the $CO_2$ laser beam.

• Journal of Chest Surgery
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• 제53권1호
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• pp.16-21
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• 2020

Background: Patients undergoing cardiac surgery require postoperative chest drainage. However, the drain is difficult to keep in place in children with congenital heart disease. Since 2015, at Kyungpook National University Hospital, the chest tube is removed on postoperative day 1 in patients who have undergone simple congenital cardiac surgery (i.e., closure of an atrial or ventricular septal defect). In this study, we evaluated the relationship between the duration of drain placement and the likelihood of pericardial effusion after congenital cardiac surgery. Methods: The medical records of patients who underwent closure of an atrial or ventricular septal defect at our hospital between January 2014 and December 2016 were reviewed. In total, 162 patients who received follow-up echocardiography and had information available on postoperative pericardial effusion after the repair procedure were enrolled. Results: Echocardiography was performed at a median of 5 days (range, 4 to 6 days) postoperatively before discharge from the hospital. Pericardial effusion occurred in 21 patients (13.0%), of whom only 3 (1.9%) had moderate or greater pericardial effusion, regardless of the drain duration. All patients improved during outpatient follow-up without invasive management. No patient had severe complications because of pericardial effusion. The duration of drain placement did not affect the incidence of postoperative pericardial effusion (p=0.069). Operative survival was 100%. Conclusion: Based on our study, we recommend removing the drain as soon as its role is complete, generally on postoperative day 1, because early removal does not increase the incidence of pericardial effusion in patients undergoing simple congenital cardiac surgery.