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Transatrial-Transpulmonary Repair of Tetralogy of Fallot (우심방 및 폐동맥 절개를 통한 활로 4증 교정술)

  • Baek, Wan-Gi;No, Jun-Ryang
    • Journal of Chest Surgery
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    • v.24 no.2
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    • pp.153-160
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    • 1991
  • Tetralogy of Fallot was repaired by a transatrial-transpulmonary approach in 91 of 250 patients treated surgically [including redo operations] between April 1986 and December 1989. Their age ranged from 6 months to 14 years [mean 39.7 months]. Associated cardiovascular anomalies were right aortic arch [n=22], ASD [n=12], PDA [n=5], persistent left SVC [n=5], and others [n=6]. PA index was measured pre-operatively since 1987 to estimate pulmonary artery size and safe total correction[mean 289$\pm$110mm2/BSA]. Eight patients received previous shunt take down procedure concomitantly. Pulmonary arteriotomy was extended through small pulmonary annulus to a minimal distance upon the right ventricular infundibulum and transannular patch was applied in 38 patients [41.3%], in 31 of them monocuspid patch was utilized. pRV/LV was measured at operation room in 77 patients [mean 0.58$\pm$0.36]. Operative mortality was 6.6% [6/91]. The causes of death were low cardiac output [n=5], arrhythmia[n=1] and respiratory failure [n=1]. At follow-up between 12 months and 57 months [mean 30.8 months] most patients were in New York Heart Association class I without cardiac medication. There was no late death, but reoperations were required in 3 patients to relieve residual right ventricular outflow obstruction. Thus successful repair of tetralogy of Fallot can be accomplished in most patients including infants by transatrial-transpulmonary approach and the better result can be anticipated with respect to postoperative right ventricular function and arrhythmia than the conventional transventricular approach.

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S-N Curve Deduction of a KTX High-Speed Train Structure for an Accelerated Life Testing (가속수명시험을 위한 KTX고속열차 구조물의 S-N 선도 추정)

  • Jung, Dal-Woo;Choi, Nak-Sam;Park, Su-Han
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.33 no.4
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    • pp.388-395
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    • 2009
  • An accelerated fatigue test is essentially required to maintain the reliability of the actual structures of KTX under operation conditions. However, actual fatigue life cannot be obtained because the conventional fatigue tests are not adequate to the real load conditions. Moreover foreign component makers have not provided data of the loading stresses (S) versus cycles at the failure (N). In this study, we suggested a deduction method of the S-N curve for establishing an accelerating test under various load levels. Load history was acquired from the field tests. A Rainflow method was used on the cycle counting of the field load data. After that, an S-N curve was obtained through the iteration process under the condition that the damage index satisfies to 1 in the Miner's rule. The deduced S-N curve was applied to the performance evaluation of Korean-made sealed knuckles compared with imports.

Method for Measuring Prompt Fission Neutron Energy Spectrum by Means of Threshold Activation Detectors (발단 방사화 검출기를 이용한 핵분열 즉발 중성자 에너지 스펙트럼 측정방법)

  • 노성기;신희성;박종묵
    • Nuclear Engineering and Technology
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    • v.22 no.4
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    • pp.410-415
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    • 1990
  • Prompt fission neutron energy spectrum as a function of energies of neutron inducing fission has been calculated en the basis of the Madland-Nix(MN) model. The resultant spectra have been weighted to excitation functions of $^{27}$ Al(n, $\alpha$), $^{32}$ S(n, p) and $^{115}$ In(n, n') threshold reactions in order to get the average cross sections and then spectral indices which are defined as the average cross section ratio for two selective threshold reactions among the above three. It is appeared that spectral indices together with the neutron spectra are varying with energies of neutron inducing fission. This may indicate that the prompt fission neutron energy spectrum can be determined by measuring experimentally the spectral index.

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A Study on Trust Improvement of Packets Transmission using ZCN and N2N Authentication Technique (ZCN과 N2N 인증 기법을 이용한 패킷 전송에 대한 신뢰성 향상에 관한 연구)

  • Yang, Hwanseok
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.11 no.4
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    • pp.61-68
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    • 2015
  • MANET has various vulnerability in wireless network and is more vulnerable in security because central management is not performed. In particular, routing attack may decrease performance of the overall network because the mobile node acts as a router. In this paper, we proposed authentication technique for improving the reliability of the network by increasing the integrity of the routing control packet and blocking effectively attacks that occur frequently in the inside. The proposed technique is consisted of two authentication methods of ZCN and N2N. ZCN authentication method is to elect CA nodes and monitor the role of the CA nodes. N2N authentication method is for an integrity check on the routing packets between nodes. Index key is determined by combining the hop count value to shared key table issued from CA in order to increase the robustness of the internal attack. Also, the overhead of key distribution was reduced by distributing a shared key to nodes certificated from CA. The excellent performance of the proposed method was confirmed through the comparison experiments.

Effects on the Stability of Aerobic Granular Sludge (AGS) at Different Carbon/Nitrogen Ratio (C/N비 변화가 호기성 그래뉼 슬러지의 안정성에 미치는 영향)

  • Kim, Hyun-Gu;Ahn, Dae-Hee
    • Journal of Environmental Science International
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    • v.28 no.9
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    • pp.719-727
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    • 2019
  • In this study, the effect on the stability of Aerobic Granular Sludge (AGS) with different Carbon/Nitrogen (C/N) ratios was investigated. The C/N ratios were controlled to 10.0, 7.5, 5.0, and 2.5 using the sequencing batch reactor, and the results showed that the removal efficiency of organic matter and total nitrogen decreased simultaneously with the decrease of C/N ratio. The removal efficiency of organic matter and total nitrogen at C/N ratio of 2.5 was 70.7% and 52.3% respectively. In addition, the AGS/mixed liquor suspended solids (MLSS) ratio showed a tendency to decrease from 85.7% to 73.7%, while the sludge volume index showed a tendency to increase from 82 mL/g to 102 mL/g as the C/N ratio decreased. At the same time, the apparent deviation of polysaccharide (PS) content in extracellular polymeric substances was observed, and polysaccharides/protein (PS/PN) ratio decreased from 0.62 to 0.31 as the C/N ratio decreased. Optical microscope observations showed that the reduction in C/N ratio caused the growth of filamentous bacteria and significantly affected the stability of AGS.

An Improved Anti-Islanding Algorithm for Utility Interconnection of Multiple Distributed Fuel Cell Powered Generations

  • Jeraputra Chuttchaval;Hwang In-Ho;Choi Se-Wan;Aeloiza Eddy C.;Enjeti Prasad N.
    • Journal of Electrical Engineering and Technology
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    • v.1 no.2
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    • pp.192-199
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    • 2006
  • This paper presents an improved anti-islanding algorithm for utility interconnection of multiple distributed fuel cell powered generations (DFPGs). A cross-correlation method is proposed and implemented in conjunction with the anti-islanding algorithm developed in the previous work [I]. While the power control algorithm continuously perturbs $({\pm}5%)$ the reactive power supplied by the DFPG, the proposed algorithm calculates the cross-correlation index of a rate of change of the frequency deviation with respect to $({\pm}5%)$ the reactive power to confirm islanding. If this index is above 50%, the algorithm further initiates $({\pm}10%)$ the reactive power perturbation and continues to calculate the correlation index. If the index exceeds 80%, the occurrence of islanding can be confirmed. The proposed method is robust and capable of detecting the occurrence of islanding in the presence of several DFPGs, which are independently operating. Viability of the cross-correlation method is verified by the simulation. Experimental results are presented to support the findings of the proposed method.

Analysis of Pinching Motion of a Finger Dummy Actuated by Electro-active Polymer Actuators (전기활성 고분자 구동체에 의한 손가락 모형의 집기 운동 분석)

  • Lee, Doo Won;Min, Min Sik;Lee, Soo Jin;Jho, Jae Young;Kim, Dong Min;Rhee, Kyehan
    • Journal of the Korean Society for Precision Engineering
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    • v.31 no.7
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    • pp.643-649
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    • 2014
  • In order to demonstrate the possibility of applying an ionic polymer metal composite (IPMC) to a finger exoskeleton, pinching motion analysis was performed for a thumb-index finger dummy actuated by IPMC actuators. The IPMC actuators of 5mm in width and 40mm in length with 2.4mm thickness generated 1.52N of blocking force for the applying voltage of 4.0V. Three actuators were installed on the three rotary joint of an index finger, and one actuator was installed on one proximal joint. Positions of each joint and finger tip were recorded on the video camera, and motion was analyzed. Power supply to the index finger actuators preceded power supply to the thumb actuator, and key pinching motion was accomplished in 180s. Tip pinching was accomplished in 135s as power supply to the thumb preceded power supply to the index finger.

Evaluating the Validity of the Pediatric Index of Mortality Ⅱ in the Intensive Care Units (소아중환자를 대상으로 한 PIM Ⅱ의 타당도 평가)

  • Kim, Jung-Soon;Boo, Sun-Joo
    • Journal of Korean Academy of Nursing
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    • v.35 no.1
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    • pp.47-55
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    • 2005
  • Purpose: This study was to evaluate the validity of the Pediatric Index of Mortality Ⅱ(PIM Ⅱ). Method: The first values on PIM Ⅱ variables following ICU admission were collected from the patient's charts of 548 admissions retrospectively in three ICUs(medical, surgical, and neurosurgical) at P University Hospital and a cardiac ICU at D University Hospital in Busan from January 1, 2002 to December 31, 2003. Data was analyzed with the SPSSWIN 10.0 program for the descriptive statistics, correlation coefficient, standardized mortality ratio(SMR), validity index(sensitivity, specificity, positive predictive value, negative predictive value), and AUC of ROC curve. Result: The mortality rate was 10.9% (60 cases) and the predicted death rate was 9.5%. The correlation coefficient(r) between observed and expected death rates was .929(p<.01) and SMR was 1.15. Se, Sp, pPv, nPv, and the correct classification rate were .80, .96, .70, .98, and 94.0% respectively. In addition, areas under the curve (AUC) of the receiver operating characteristic(ROC) was 0.954 (95% CI=0.919~0.989). According to demographic characteristics, mortality was underestimated in the medical group and overestimated in the surgical group. In addition, the AUCs of ROC curve were generally high in all subgroups. Conclusion: The PIM Ⅱ showed a good, so it can be utilized for the subject hospital. better.

Trophic State Index (TSI), Spatial Gradient Characteristics and the Empirical Models for Eutrophication Evaluations in Daecheong Reservoir (대청호 수질오염 평가를 위한 부영양도 지수산정, 공간적 구배 특성 및 경험적 모델)

  • Kwon, Hyuk-Hyun;An, Kwang-Guk
    • Journal of Environmental Science International
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    • v.23 no.9
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    • pp.1537-1549
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    • 2014
  • The objectives of this study were to analyze reservoir trophic state, based on Trophic State Index (TSI), spatial variation patterns of three zones (riverine, transition, and lacustrine zone), and empirical models through 20-years long-term data analysis. Trophic variables of TP and CHL-a were highest during the summer monsoon, and decreased along the main axis from the riverine to lacustrine zone. In the mean time, TN did not show the trend. Ratios of N:P and Secchi disc transparency (SD) increased from the riverine to lacustrine zone. The analysis of trophic state index (TSI) showed that mean TSI (TP) and TSI (CHL-a) were 62 and 57, respectively, and these values were highest in the transition zone during the summer. This zone should be managed well due to highest lake water pollution. The analysis of Trophic State Index Deviation (TSID) showed that algal growth was primarily limited by light penetration, and this was most pronounced in the monsoon season. The analysis of empirical models showed that the value of $R^2$, based on CHL-SD model, was 0.30 (p < 0.0001) in the transition zone and the $R^2$, based on TP-SD model, was 0.41 (p < 0.0001) in the transition zone.

Polarizing Group Attached Acrylates and Polymers Viewing High Refractive Index

  • Kwon, Ji-Yun;Kim, Bong-Gun;Do, Jung-Yun;Ju, Jung-Jin;Park, Seung-Koo
    • Macromolecular Research
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    • v.15 no.6
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    • pp.533-540
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    • 2007
  • We designed and successfully synthesized UV curable, functional acrylate monomers having a polarizing group, i.e., an electron-withdrawing and/or electron-donating group for the optical materials of high refractive index. Optical polymer films made from the functional methacrylate monomers were achieved with photo crosslinking under UV illumination. A monomer having amino and cyano groups (Dimer-CN) exhibited the highest refractive index ($n_{TE}$=1.595 at 850nm) among the studied methacrylate derivatives, due to the large polarizability of the dipolar monomer structures with electron-donating and withdrawing groups. By controlling the compositions of the functional acrylate monomer of copolymers, the refractive indices of the polymers were readily adjusted within a wide range of 1.498-1.595. The copolymers showed a high glass transition temperature $(T_g)$ and good thermal stability, which are desirable for optical applications. $T_g$ and $T_{10%}$ (10%-weight loss occurred) of the copolymers ranged from $120-140^{\circ}C$ and from $329-387^{\circ}C$, respectively.