• Journal of Medicine and Life Science
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• 제19권2호
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• pp.46-56
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• 2022

The incidence of fever complicating percutaneous coronary intervention (PCI) is rare. However, little is known regarding the cause of fever after PCI. Therefore, this study aimed to determine the clinical characteristics of patients with acute myocardial infarction (AMI), with or without fever, after PCI. We enrolled a total of 926 AMI patients who underwent PCI. Body temperature (BT) was measured every 4 hours or 8 hours for 5 days after PCI. Patients were divided into two groups according to BT as follows: BT<37.7℃ (no-fever group) and BT ≥37.7℃ (fever group). The 2 years clinical outcomes were compared subsequently. Fever after PCI was associated with higher incidence of major adverse cardiac events (MACE) (hazard ratio [HR], 1.56; 95% confidence interval [CI], 1.07-2.28; P=0.021), all-cause death (HR, 2.32; 95% CI, 1.18-4.45; P=0.014), cardiac death (CD) (HR, 2.57; 95% CI, 1.02-6.76; P=0.049), and any revascularization (HR, 1.69; 95% CI, 1.02-2.81; P=0.044) than without fever. In women, prior chronic kidney disease, lower left ventricular (LV) ejection fraction, higher LV wall motion score index, white blood cell count, peak creatine kinase-myocardial band level, and longer PCI duration were associated with fever after PCI. Procedures such as an intra-aortic balloon pump, extracorporeal membrane oxygenation, continuous renal replacement therapy, central and arterial line insertion, and cardiopulmonary resuscitation were related to fever after PCI. Fever after PCI in patients with AMI was associated with a higher incidence of MACE, all-cause death, CD, and any revascularization at the 2 years mark than in those without fever.

• 암석학회지
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• 제19권4호
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• pp.255-267
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• 2010

최근 많은 발전을 이룬 (U-Th)/He 온도-연령 측정법은 광물내의 빠른 He 확산 특성을 이용해 지각 천부의 열역사 혹은 매우 짧은 열적 교란 등을 규명하는데 널리 쓰이고 있다. 이번 논평에서는 이 방법이 어떻게 화성운석의 열역사, 특히 화성(Mars)에서 방출시의 열적교란을 규명하는데 이용될수 있는지에 대한 기존 연구 및 전망에 대해 기술하였다. 모든 화성운석은 화성에서 방출될 당시 충격변성작용을 겪은 것으로 알려져 있는데, 이러한 작용의 온도조건을 규명하기 위해 충격실험을 통한 암석 조직 비교, 고지자기학적 연구, $^{40}Ar/^{39}Ar$ 및 (U-Th)/He 온도-연령측정법 등이 이용되었다. 각각의 방법은 장단점이 있으며 열역사를 밝히는데 단편적인 정보만을 제공하지만, 이러한 다양한 방법들이 동시에 적용되었을때 보다 신빙성있는 열역사를 알아낼 수 있다. ALH84001 화성운석의 경우 화성에서 방출될 당시의 조건에 대해 논란이 많은데 이는 위에 언급한 방법들로부터 서로 상반된 결론이 도출되었기 때문이다. 최근 단입자 (U-Th)/He 및 $^{40}Ar/^{39}Ar$ 결과를 동시에 만족하는 열역사를 규명한 연구가 ALH84001 화성운석에 대해 이루어 졌는데, 이는 앞으로의 운석 연구에 좋은 방법론을 제시할 수 있으리라 본다.

• Nuclear Engineering and Technology
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• 제49권7호
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• pp.1547-1554
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• 2017

VESTA (Verification of Ex-vessel corium STAbilization) and VESTA-S (-small) test facilities were constructed at the Korea Atomic Energy Research Institute in 2010 to perform various corium melt experiments. Since then, several tests have been performed for the verification of an ex-vessel core catcher design for the EU-APR1400. Ablation tests of an impinging $ZrO_2$ melt jet on a sacrificial material were performed to investigate the ablation characteristics. $ZrO_2$ melt in an amount of 65-70 kg was discharged onto a sacrificial material through a well-designed nozzle, after which the ablation depths were measured. Interaction tests between the metallic melt and sacrificial material were performed to investigate the interaction kinetics of the sacrificial material. Two types of melt were used: one is a metallic corium melt with Fe 46%, U 31%, Zr 16%, and Cr 7% (maximum possible content of U and Zr for C-40), and the other is a stainless steel (SUS304) melt. Metallic melt in an amount of 1.5-2.0 kg was delivered onto the sacrificial material, and the ablation depths were measured. Penetration tube failure tests were performed for an APR1400 equipped with 61 in-core instrumentation penetration nozzles and extended tubes at the reactor lower vessel. $ZrO_2$ melt was generated in a melting crucible and delivered down into an interaction crucible where the test specimen is installed. To evaluate the tube ejection mechanism, temperature distributions of the reactor bottom head and in-core instrumentation penetration were measured by a series of thermocouples embedded along the specimen. In addition, lower vessel failure tests for the Fukushima Daiichi nuclear power plant are being performed. As a first step, the configuration of the molten core in the plant was investigated by a melting and solidification experiment. Approximately 5 kg of a mixture, whose composition in terms of weight is $UO_2$ 60%, Zr 10%, $ZrO_2$ 15%, SUS304 14%, and $B_4C$ 1%, was melted in a cold crucible using an induction heating technique.

• Journal of Astronomy and Space Sciences
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• 제28권2호
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• pp.123-132
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• 2011

It is generally believed that the occurrence of a magnetic storm depends upon the solar wind conditions, particularly the southward interplanetary magnetic field (IMF) component. To understand the relationship between solar wind parameters and magnetic storms, variations in magnetic field polarity and solar wind parameters during magnetic storms are examined. A total of 156 storms during the period of 1997~2003 are used. According to the interplanetary driver, magnetic storms are divided into three types, which are coronal mass ejection (CME)-driven storms, co-rotating interaction region (CIR)-driven storms, and complicated type storms. Complicated types were not included in this study. For this purpose, the manner in which the direction change of IMF $B_y$ and $B_z$ components (in geocentric solar magnetospheric coordinate system coordinate) during the main phase is related with the development of the storm is examined. The time-integrated solar wind parameters are compared with the time-integrated disturbance storm time (Dst) index during the main phase of each magnetic storm. The time lag with the storm size is also investigated. Some results are worth noting: CME-driven storms, under steady conditions of $B_z$ < 0, represent more than half of the storms in number. That is, it is found that the average number of storms for negative sign of IMF $B_z$ (T1~T4) is high, at 56.4%, 53.0%, and 63.7% in each storm category, respectively. However, for the CIR-driven storms, the percentage of moderate storms is only 29.2%, while the number of intense storms is more than half (60.0%) under the $B_z$ < 0 condition. It is found that the correlation is highest between the time-integrated IMF $B_z$ and the time-integrated Dst index for the CME-driven storms. On the other hand, for the CIR-driven storms, a high correlation is found, with the correlation coefficient being 0.93, between time-integrated Dst index and time-integrated solar wind speed, while a low correlation, 0.51, is found between timeintegrated $B_z$ and time-integrated Dst index. The relationship between storm size and time lag in terms of hours from $B_z$ minimum to Dst minimum values is investigated. For the CME-driven storms, time lag of 26% of moderate storms is one hour, whereas time lag of 33% of moderate storms is two hours for the CIR-driven storms. The average values of solar wind parameters for the CME and CIR-driven storms are also examined. The average values of ${\mid}Dst_{min}{\mid}$ and ${\mid}B_{zmin}{\mid}$ for the CME-driven storms are higher than those of CIR-driven storms, while the average value of temperature is lower.

• 한국산학기술학회논문지
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• 제17권7호
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• pp.510-517
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• 2016

고압을 사용하는 초음속 제트기술은 작동유체와 관련하여 다양한 형태의 산업 및 공학응용분야에 널리 이용되고 있다. 본 연구에서는 고압파이프에서 분출되는 초음속 제트유동에 의해 생성되는 충격파의 영향을 고찰하기 위해 ANSYS FLUENT v.16를 가지고 SST $k-{\omega}$ 난류모델을 적용하여 작동유체(공기, 산소, 수소)에 따른 압력비 및 Mach수의 유동특성을 해석하였다. CFD 해석시 경계조건으로 입구의 가스온도는 300 K이고, 압력비율은 5:1로 설정하였으며, 밀도함수는 이상기체의 법칙을 이용하였고, 점성함수는 Sutherland 점성의 법칙을 이용하였다. 그 해석결과로 작동유체의 밀도가 작은 기체일수록 분출거리에 따라 압력비가 더 크게 떨어짐을 알 수 있었고, Mach수는 작동유체의 밀도가 높을수록 낮음을 알 수 있었다. 따라서 작동유체의 밀도에 따라 충격파의 영향이 크다는 점을 알았다. 본 연구를 토대로 다양한 작동유체에 따른 제트의 형상 및 직경 변화, 압력비의 변화 등에 따른 초음속 제트유동이 충격파에 미치는 영향에 대한 실험 및 CFD 해석연구와 실증연구가 병행하여 진행된다면 해석결과의 신뢰성은 더 높아질 것으로 사료된다.

• Journal of Chest Surgery
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• 제12권3호
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• pp.281-288
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• 1979

For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

• Journal of Chest Surgery
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• 제12권3호
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• pp.289-296
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• 1979

For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

• Journal of Chest Surgery
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• 제37권8호
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• pp.660-664
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• 2004

배경: 냉혈심정지액은 저온에서 적혈구응집현상을 방지하고 미세순환을 좋게 하기 위해 심정지액을 4 : 1로 희석하여 사용하도록 권장되었는데 간헐적전방온혈심정액(IAWBC)에서는 심정지액을 냉각하지 않기 때문에 희석할 필요가 없이 고농도 포타슘을 바로 사용할 수 있게 되었다. 본 연구는 IAWBC에서 희석되지 않은 고농도 포타슘 사용의 안전성과 유용성을 알아보고자 한다. 대상 및 방법: 관상동맥우회로 조성수술을 받은 환자 중 IAWBC를 이용한 환자 30명을 대상으로 하였다. 1 : 4로 희석된 온혈심정지액을 사용한 군을 dilutedplegia군으로 하고 희석되지 않은 포타슘을 사용한 군을 microplegia군으로 하였다. dilutedplegia군의 심정지액은 1 : 4 delivery kit를 이용하여 상행대동맥뿌리에 주입되었고 microplegia군에서는 희석되지 않은 포타슘을 infusion pump를 이용하여 산소포화 된 혈액에 직접 연결하여 대동맥뿌리에 주입하였다. 걸과: microplegia군이 16명, 대조군인 dilutedplegia군이 14명으로 나이, 성별, 좌심실 구획률, 이식혈관 수, 대동맥차단시간, 수술 후 심근효소치에서는 두 군에서 차이가 없었다(p＞0.05). 모든 환자에서 수술 후 심근경색과 수술사망은 없었다. dilutedplegia군에서 사용된 crystalloid심정지액의 양은 1346$\pm$597 mL (평균$\pm$표준편차)이었고 microplegia군에서는 28$\pm$9mL이었다. 체외순환 중 적혈구 구획률은 microplegia군에서 24$\pm$3%로 dilutedplegia군의 21$\pm$4%에 비해 약간 높았으나 통계학적 의의는 없었다. 체외순환 중에 수혈을 받은 환자는 microplegia군에서 4명인데 비해 dilutedplegia군에서는 11명으로 높았다(p＜0.05). 수술 중 환자의 소변량과 혈액여과한 양에서 microplegia군이 959$\pm$410 mL와 1481$\pm$784 mL로 dilutedplegia군의 1250$\pm$810mL와 1689$\pm$548 mL에 비해 통계학적으로 의의 있게 적었다(p<0.05). 결론: 관상동맥우회로 조성수술에서 전방온혈심정지액을 사용할 때 희석되지 많은 고농도 포타슘은 fliud overload와 수혈을 피하고 delivery kit를 사용하지 않음으로써 효과적이고 만족할 만한 심근보호 효과를 보였다.