• 한국기계가공학회지
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• 제9권5호
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• pp.1-6
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• 2010

The wavelet transform is a popular tool for studying intermittent and localized phenomena in signals. In this study the wavelet transform of cutting force signals was conducted for the detection of a tool failure in turning process. We used the Daubechies wavelet analyzing function to detect a sudden change in cutting signal level. A preliminary stepped workpiece which had intentionally a hard condition was cut by the inserted cermet tool and a tool dynamometer obtained cutting force signals. From the results of the wavelet transform, the obtained signals were divided into approximation terms and detailed terms. At tool failure, the approximation signals were suddenly increased and the detailed signals were extremely oscillated just before tool failure.

• Tuberculosis and Respiratory Diseases
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• 제42권5호
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• pp.723-730
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• 1995

Background: Noninvasive ventilation has been used extensively for the treatment of patients with neuromuscular weakness or restrictive chest wall disorders complicated by hypoventilatory respiratory failure. Recently, noninvasive positive pressure ventilation has been used in patients with alveolar hypoventilation, chronic obstructive pulmonary disease(COPD), and adult respiratory distress syndrome. Sanders and Kern reported treatment of obstructive sleep apnea with a modification of the standard nasal CPAP device to deliver seperate inspiratory positive airway pressure(IPAP) and expiratory positive airway pressure(EPAP). Bi-level positive airway pressure(BiPAP) unlike nasal CPAP, the unit delivers a different pressure during inspiration from that during expiration. The device is similar to the positive pressure ventilator or pressure support ventilation. Method and purpose: Bi-level positive airway pressure(BiPAP) system(Respironics, USA) was applied to seven patients with acute respiratory failure and three patients on conventional mechanical ventilation. Results: 1) Two of three patients after extubation were successfully achieved weaning from conventional mechanical ventilation by the use of BiPAP ventilation with nasal mask. Five of seven patients with acute respiratory failure successfully recovered without use of conventional mechanical ventilation. 2) $PaO_2$ 1hour after BiPAP ventilation in acute respiratory failure patients significantly improved more than baseline values(p<0.01). $PaCO_2$ 1hour after BiPAP ventilation in acute respiratory failure patients did not change significantly more than baseline values. Conclusion: Nasal mask BiPAP ventilation can be one of the possible alternatives of conventional mechanical ventilation in acute respiratory failure and supportive method for weaning from mechanical ventilation.

• International Journal of Fluid Machinery and Systems
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• 제10권3호
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• pp.296-306
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• 2017

Hydropower is now changing its role from the energy generator into the most powerful and reliable tool for stabilizing the electrical network, especially under the increase of intermittent power sources like wind-power and solar-power. Although the hydropower plants are the most robust generating facilities, they are not immune from unexpected severe incidents having long downtime, considerable restoration cost and sometimes fatalities. The present paper provides some study results about severe incidents in the conventional hydropower plants, mainly about the flood, fire and electro-mechanical troubles, except for the incidents of civil facilities. It also provides some possible scenarios which may lead some measures how to avoid such incidents. Finally, it provides some comprehensible recommendations to avoid severe incidents based on experiences.

• 대한수의학회지
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• 제47권2호
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• pp.255-257
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• 2007

Familial renal amyloidosis was found in a four-year-old male Shar Pei dog. The dog had intermittent fever with signs of renal failure. Another sibling of this dog also showed subclinical signs of renal amyloidosis. Despite aggressive therapy with peritoneal dialysis, the dog died after 10 days of the first presentation. With special staining for amyloid, the renal amylodosis was confirmed.

• 한국항행학회논문지
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• 제18권4호
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• pp.381-386
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• 2014

전기 커넥터에 영향을 주는 프레팅 부식 요인 중 하나인 접촉 부하의 영향을 조사하기 위하여, 프레팅 부식 표본 쌍을 두께 $3{\mu}m$의 두께를 갖는 주석으로 도금된 황동 표본을 사용하여 제조하였다. 접점의 전기저항은 프레팅 부식 시험 기간 동안 측정되었다. 프레팅 주기에서 저항은 증가하였다. 저항의 변화는 3단계로 나눌 수 있다. 첫 번째 단계는 미미하고 안정적인 저항을 나타내었다. 두 번째 단계는 저항이 꾸준한 증가를 보여 주었다. 그리고 세 번째 단계는 매우 높고 간헐적인 저항을 보여주었다. 실패주기(Nf)와 접촉력(P) 사이의 관계는 다음과 같이 표현될 수 있다. 각각의 하중, 변위, 온도 등 다양한 조건에서 프레팅 테스트를 통해 다양한 환경 조건 하에서 매우 높고 간헐적인 저항에 대응 전기 커넥터의 실패주기 예측공식의 표현이 가능할 것이다.

• Journal of Trauma and Injury
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• 제34권4호
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• pp.299-304
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• 2021

Atypical hemolytic uremic syndrome (aHUS) is a rare, progressive, life-threatening condition of thrombotic microangiopathy characterized by thrombocytopenia, microangiopathic hemolytic anemia, and renal impairment. The mechanisms underlying aHUS remain unclear. Herein, we present the first case in the literature of aHUS after a traumatic injury. A 55-year-old male visited the emergency department after a traumatic injury caused by a tree limb. Abdominal computed tomography revealed a rectal wall defect with significant air density in the perirectal space and preperitoneum, implying rectal perforation. Due to the absence of intraperitoneal intestinal perforation, we performed diverting sigmoid loop colostomy. An additional intermittent simple repair was performed due to perianal and anal injuries. One day postoperatively, his urine output abruptly decreased and serum creatinine level increased. His platelet level decreased, and a spiking fever occurred after 2 days. The patient was diagnosed with acute renal failure secondary to aHUS and was treated with fresh frozen plasma replacement. Continuous renal replacement therapy (CRRT) was also started for oliguria and uremic symptoms. The patient received CRRT for 3 days and intermittent hemodialysis thereafter. After hemodialysis and subsequent supportive treatment, his urine output and renal function improved. The hemolytic anemia and thrombocytopenia also gradually improved. Dialysis was terminated on day 22 of admission and the patient was discharged after recovery. This case suggests that that a traumatic event can trigger aHUS, which should be considered in patients who have thrombocytopenia and acute renal failure with microangiopathic hemolytic anemia. Early diagnosis and appropriate management are critical for favorable outcomes.

• Journal of Chest Surgery
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• 제26권4호
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• pp.276-281
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• 1993

During the 3 years through December 1992, 118 cases of coronary bypass graft were performed at Department of Cardiothoracic Surgery, Asan Medical Center. They consisted of 80 males and 38 females with the mean age of 59. History of myocardial infarction was noted in 23 cases[20%], congestive heart failure in 11[10%], left ventricular aneurysm in 6, postinfarct VSD in 2, and mitral regurgitation in 1. The angina was stable in 13 cases, and unstable in 104 cases[89%]. Left main stem disease were 41 cases[35%], triple vessel 36[31%], double vessel 30[26%] and single vessel involvement[LAD] in 10. We performed 335 distal bypasses out of 117 cases, with single bypass in 9, double 29, triple 52, quadruple 23, and quintuple 4. Myocardial protections were cardioplegia in 29 and intermittent aortic occlusion 79 and continuous aortic perfusion 7. The ischemic time per graft was 13 minutes[intermittent aortic occlusion group] and 20 minutes [cardioplegia group] respectively, and the mean number of graft per patient is 2.85. Early mortality was 6.8% [8/117]. If we exclude the patients with LV aneurysm, the surgical mortality could be downed to 4.5% [5/111]. The causes of deaths were cardiogenic shock[6], aortic dissection[1], and neurologic complication[1]. We conclude that noncardioplegic myocardial protection may be equally beneficial or sometimes advantageous to cardioplegic technique in aortocoronary bypass graft surgery.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제2권1호
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• pp.99-103
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• 1999

저자들은 출생 후부터 1년에 수 회 반복되는 담즙이 포함된 사출성 구토가 있었던 9세 여아에서 발견된 십이지장 격막과 동반된 장이상회전 1례를 경험하였기에 보고하는 바이며, 장의 완전 폐쇄가 아닌 경우에는 년장아에서도 선천성 장폐쇄의 소견이 나타날 수 있으므로 구토가 심하게 반복되는 경우에는 항상 주의깊게 감별진단해야 한다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제5권1호
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• pp.79-82
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• 2002

저자들은 간헐적인 구토와 복통을 주소로 내원한 6세 된 남아에서 상부 위장관 조영술과 복부단층촬영으로 진단된 중장염전을 동반한 장 이상회전 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Elastomers and Composites
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• 제45권4호
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• pp.263-271
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• 2010

간헐 CSR 측정법을 이용하여 FKM 오링의 노화 거동과 수명 예측에 관하여 연구하였다. Intermittent CSR 지그는 오링의 실제 사용환경을 고려하여 설계 제작하였다. 각 측정 조건에 따른 마찰 영향, 열 손실 영향 및 Mullins 효과에 의한 간헐 CSR의 응력 거동 변화를 관찰하였다. 오링의 노화 거동은 $60{\sim}160^{\circ}C$에서의 가속 노화 연구를 통하여 관찰하였다. 고온 영역($100{\sim}160^{\circ}C$)에서 오링은 선형 노화 거동을 나타내었으며, 아레니우스 관계를 만족시켰다. 이때의 활성화 에너지는 60.2 kJ/mol로 나타났다. 아레니우스 도식으로 부터, 오링의 예측 수명은 고장 조건 50%와 40%에 대하여 각각 43.3 년과 69.6 년으로 나타났다. 시간-온도 중첩 원리를 이용하여 $60^{\circ}C$에서의 노화 거동을 관찰하였으며, 실험 시간을 절약 할 수 있었다. $60{\sim}100^{\circ}C$의 저온 영역에서의 활성화 에너지는 48.3 kJ/mol로 감소하였다. WLF(William-Landel-Ferry) 도식을 통하여 FKM 오링은 $100^{\circ}C$ 이하에서 비선형 노화 거동을 나타내는 것을 확인하였다. 시간-온도 중첩 원리로부터, FKM 오링의 수명은 고장 조건 50%와 40%에 대하여 각각 19.1년과 25.2년으로 나타났다. 시간-온도 중첩 원리를 이용하여 예측한 오링의 수명이 아레니우스 관계에 의한 수명 보다 보수적인 것으로 나타났다.