• Korean Circulation Journal
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• 제52권5호
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• pp.368-378
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• 2022

Background and Objectives: Recurrence rates after radiofrequency catheter ablation (RFCA) in atrial fibrillation (AF) patients are not low especially in non-paroxysmal AF. The diameter of left atrium (LA) has been widely used to predict the recurrence after RFCA for decades. However, LA diameter represents structural remodeling of LA and does not reflect electrical remodeling. We aimed to determine the predictive value of electrical remodeling of LA which is represented by the amount of low voltage zone (LVZ). Methods: We performed a retrospective cohort analysis of AF patients who underwent de novo RFCA in a single-center. Results: A total of 3,120 AF patients with de novo RFCA were analyzed. Among these patients, 537 patients underwent an electroanatomic mapping with bipolar voltage measurement of LA. The diameter of LA and flow velocity of LA appendage (LAA) differed significantly according to quartile group of LVZ area and percentage: patients with high LVZ had large LA diameter and low LAA flow velocity (p<0.001). Freedom from late recurrence (LR) was significantly lower in patients with high LVZ area and percentage (p<0.001). The diameter and surface area of LA had area under curve (AUC) of 0.592 and 0.593, respectively (p=0.002 for both). The predictive value of LVZ area (AUC, 0.676) and percentage (AUC, 0.671) were both superior compared with LA diameter (p=0.011 and 0.027 for each comparison). Conclusions: In conclusion, LVZ can predict freedom from LR after RFCA in AF patients. Predictive value was higher in parameters reflecting electrical rather than structural remodeling of LA.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2006년도 추계학술발표대회 논문집
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• pp.366-369
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• 2006

Multi Housing design has not considered the remodeling even at the beginning of the construction. This severely hindered systematic maintenance, providing fundamental causes of consuming society. In general, in about 20 years when the buildings become too old, they are brought down or removed with a trail of waste left behind. In addition, since the current remodeling or future remodeling type is a general remodeling that leaves only a frame, some question the role of the remodeling as a solution to the reconstruction from economically and environmentally efficient aspects. This study intends to find a solution for long-life span multi-family housing design, promoting sequential remodeling by stating the life cycle of components. Problems were identified by analyzing joints, design and construction of multi-family housing based on the previous researches. Conclusion from characterization of the design plan according to joint parts can be summarized as the following firstly, the problem of the wet was seen in joints between the structure and a finishing materials and ones between separate finishing materials. Secondly, the problem of overlap was frequently seen in joints between the structure and a door/window, ones between a door/window and a finishing materials, and ones between a finishing materials and an electrical/mechanical device.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2006년도 추계학술발표대회 논문집
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• pp.370-373
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• 2006

Lastly, the problem of filling occurs in the process of concealed joint of adjacent components and was seen in joints between the structure and an electrical or mechanical device. Therefore, the dry processing which replaces wet joint was seen in joints between the structure and a door, ones between the structure and a finishing materials, ones between a gypsum board and electrical device, and ones between a water pipe and a tile finishing. And a process of separating the area of jointed parts in order to eliminate the problem of overlap was seen in joints between a door and a finishing material and ones between a gypsum board on the ceiling and a light. Lastly, an analysis of a process of exposing concealed parts indicated that the problem of filling could be applied to joints between the structure and an electrical or mechanical device and ones between a finishing material and a mechanical device. This study sought out methods to apply Environment Friendly Multi Housing Remodeling that allow easy remodeling as part of environment- preserving policies. It also contains basic data useful to implement long-life houses in the future by presenting a comprehensive design standard for them

• Journal of Medicine and Life Science
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• 제21권3호
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• pp.112-116
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• 2024

Complete left bundle branch block (CLBBB) is a significant cardiac conduction abnormality often associated with dilated cardiomyopathy (DCM). This case report highlights the improvement in CLBBB and symptom relief through reverse cardiac remodeling in a patient diagnosed with DCM following an optimized heart failure treatment regimen consisting of an angiotensin-converting enzyme inhibitor, beta-blocker, and mineralocorticoid receptor antagonist. This case highlights the potential of electrical remodeling and conduction system improvement in patients with DCM receiving optimized medical therapy.

• 조명전기설비학회논문지
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• 제15권5호
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• pp.8-13
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• 2001

건물 개보수의 의사결정과정에서는 개보수후의 건물의 경제적 가치 및 건물의 현재 상태에 대한 철저한 조사가 필요하고, 에너지 절약적 개보수의 방향 설정을 위해서는 정확한 진단과 신뢰성 있는 개보수 대안이 제시되어야 한다. 본 논문에서는 건물의 개보수를 계획하고 있던 서울 K사의 본관 및 별관의 사무 공간과 서울 S호텔 객실 공간의 빛환경 측정사례를 통해 건물 조명시스템의 개보수 과정을 고찰해보고자 한다. 이 사례들에서 측정된 빛 환경요소를 통해 현재 상태에 대한 진단과 컴퓨터 시뮬레이션에 의한 개보수의 대안을 제시하였다.

• 한국주거학회논문집
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• 제21권3호
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• pp.67-76
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• 2010

The purposes of this study are to understand residents' needs in regard to living space and to suggest how to provide layout options for the infill, based on their needs, so that the residents can change their living space to suit their own need. This study analyzed residents' needs in terms of living spaces through literature reviews on apartment remodeling and related previous studies. The results are as follows: First, the residents remodeled the various infill, and remodeling works are then classified into five infill groups according to the flexible features: 1) structural elements, such as flooring, ceilings, interior walls, and windows/doors; 2) equipment elements, such as lighting and electricity, electrical wiring, heating arrangements, and water supply & drainage systems: 3) finishing material elements, such as finishing materials for floors, walls, and ceilings, skirting boards, moldings, and art walls; 4) furniture elements, such as built-in wardrobes, storage closets, and kitchen cabinets; and 5) bathroom facility elements such as faucets and sinks. Second, based on the remodeling features, four ways to provide options can be suggested. 1) options are provided for each room; 2) options are provided in connection with structural elements; 3) options are provided for each finishing material element; and 4) options are provided with the combinations of different bathroom facilities.

• 한국태양에너지학회 논문집
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• 제24권3호
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• pp.85-92
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• 2004

Environmental issues become one of today's central concerns due to draining natural resources and environmental pollution. Architecture is given a great deal of weight on the evoking environmental pollution. In this point of view, polluting factors in architectural planning and construction were predicted in advance and alternative plans were studied, In investigation of alternative plans, both environmental pollution and economical efficiency of various alternatives were considered. A office building was analyzed for energy consumption and construction environmental load by appling LCA. Applying LCA to a office building includes a total amount of materials and energy consumption, environmental impacts and economical efficiency evaluation. In present study, LCA applied to electrical part of a office building and economical efficiency evaluation was considered.

• 교육시설
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• 제13권4호
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• pp.15-23
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• 2006

The purpose of this study is to establish the objective deterioration grades and evaluation criteria of building equipment system of educational facilities available for reasonable maintenance and remodeling of them. For the purpose of it, the actual conditions of building equipment systems of the 148 buildings of 84 middle and high schools in Seoul 20 years after construction are investigated and surveyed through one-on-one interviews and questionnaires. And, deterioration grades of them are estimated by the evaluation criteria which is proposed in this study. As a result of this study, the 10 deterioration grades and the 4 evaluation criteria of the 6 performances of building equipment system, which are heating and cooling, water supply and drainage, hot water supply and electrical power performance, are suggested. And, as a result of the survey, it showed that 24% of the investigated school buildings were estimated C grade which needs partial remodelling, and 51% of the school buildings were estimated D grade which needs extensive remodelling. And, 25% of the school buildings were estimated E grade which needs overall remodelling or alteration of building equipment system.

• 수산해양기술연구
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• 제47권4호
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• pp.435-442
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• 2011

In an attempt to respond to the increase in international oil prices and reduce operating expenses, ship remodeling was carried out on a 740ton class tuna purse seiner. To strengthen the competitiveness of the fisheries industry by improving vessel performance, a bulbous bow was newly equipped. The slipway and rudder area were also lengthened and enlarged with the propeller and main engine remained unchanged. To reduce the hull resistance, a circle type bulbous bow was attached on the hull behind bow thruster and thus the cost for exchanging electrical equipment for bow thruster was reduced. The new rudder area was expanded 15% more than the old one within the extent that the existing mechanical control part and rudder stock were not changed. To prevent fishing net damage and stabilize wake field, slipway was lengthened to the optimal position. All of the new design of remodeling parts went through the model tests in towing tank and CWC. Besides resistance test, all of necessary model test results were delivered for hydrodynamic character for the modified ship. The maneuvering simulation to verify that the remodeled ship satisfies the IMO rules was performed in both zigzag and turning tests. The estimated resistance with new bulbous bow and lengthened stern was reduced by 4.8% in the 2-dimensional analysis and 17.4% in the 3-dimensional analysis in comparison of conventional ship. The average reduction of resistance was estimated about 10%. Maneuvering character of modified hull form was found to satisfy all regulations under IMO. The remodeling of tuna purse seiner can not only improve fishing performance but also contribute to reduction of operating cost by saving energy for the fisheries industry.

• Molecules and Cells
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• 제43권4호
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• pp.408-418
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• 2020

The sinus node (SN) is located at the apex of the cardiac conduction system, and SN dysfunction (SND)-characterized by electrical remodeling-is generally attributed to idiopathic fibrosis or ischemic injuries in the SN. SND is associated with increased risk of cardiovascular disorders, including syncope, heart failure, and atrial arrhythmias, particularly atrial fibrillation. One of the histological SND hallmarks is degenerative atrial remodeling that is associated with conduction abnormalities and increased right atrial refractoriness. Although SND is frequently accompanied by increased fibrosis in the right atrium (RA), its molecular basis still remains elusive. Therefore, we investigated whether SND can induce significant molecular changes that account for the structural remodeling of RA. Towards this, we employed a rabbit model of experimental SND, and then compared the genome-wide RNA expression profiles in RA between SND-induced rabbits and sham-operated controls to identify the differentially expressed transcripts. The accompanying gene enrichment analysis revealed extensive pro-fibrotic changes within 7 days after the SN ablation, including activation of transforming growth factor-β (TGF-β) signaling and alterations in the levels of extracellular matrix components and their regulators. Importantly, our findings suggest that periostin, a matricellular factor that regulates the development of cardiac tissue, might play a key role in mediating TGF-β-signaling-induced aberrant atrial remodeling. In conclusion, the present study provides valuable information regarding the molecular signatures underlying SND-induced atrial remodeling, and indicates that periostin can be potentially used in the diagnosis of fibroproliferative cardiac dysfunctions.