• Journal of Chest Surgery
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• 제19권4호
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• pp.618-626
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• 1986

Univentricular heart is a rare congenital cardiac anomaly in which the atrial chambers are connected to only one ventricular chamber and it consists of a diverse group of cardiac malformation characterized by both AV valves or a common AV valve opening into the same ventricle, or the presence of only a solitary AV valve. In spite of recent development in cardiac surgery, corrective operations for univentricular heart still have high mortality and complication rate. Twenty eight patients underwent corrective operation for univentricular heart at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital from February 1979 to July 1986. Of the 28 patients, 7 patients were operated on by ventricular septation and 21 patients by modified Fontan operation. Of the 28 patients, 19 patients were male and 9 patients female and ages ranged from 5 months to 18 years old with the average age of 7.3 years. There were 2 mortalities in 7 patients operated on by septation with the mortality rate of 28.6% and 5 complications, 3 complete AV block, 1 low cardiac output and 1 arrhythmia. All survived patients are being followed up without specific problem till now. There were 10 mortalities in 21 patients operated on by modified Fontan operation with the mortality rate of 47.6% and 10 complications, 2 low cardiac output, 2 respiratory failure necessitating tracheostomy, 2 persistent cyanosis, 2 arrhythmia, 1 missing of left AV valve in situs inversus patient due to misdiagnosis and one rupture of closed right AV valve. Incremental risk factors for operative mortality are young age less than 5 years old, anomalous pulmonary and systemic venous drainage and atrial septation procedure. In 11 survived patients, 9 patients show good follow-up results but one patient complains of persistent cyanosis and another one patient is suffered from CHF. In our series, results of corrective operation for univentricular heart shows continuing improvement but still high mortality and complication rate. So there must be continuing improvement in surgical result by selection of patient, by adequate decision making for timing and method of operation and by improving operative methods.

• 한국화재소방학회논문지
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• 제32권5호
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• pp.34-39
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• 2018

본 연구에서는 구획 공간 화재 시 발열량이 급격히 변하는 조건에서 스프링클러헤드의 손실인자 변화에 따른 작동시간을 분석하였다. 이를 위해서 내화보드로 구성된 구획 공간의 크기가 폭 0.3 m, 세로 0.5 m, 길이 3.0 m인 구조물을 제작하고 헵탄(n-Heptane) 풀 화재 실험을 수행하여 구획 공간 내부의 온도 분포, 헵탄의 질량감소율 그리고 발열량을 산출하였다. 또한, Fire Dynamics Simulator (FDS) Version 6.5를 사용하여 실험 조건과 동일한 발열량을 가정하고 스프링클러헤드의 설치위치 및 손실인자(C-factor) 변화에 따른 작동 시간을 분석하였다. 그 결과 반응시간지수(Response Time Index, RTI)가 $100(m{\cdot}s)^{0.5}$이고 작동온도가 $72^{\circ}C$인 스프링클러는 화원 상층부의 기류 온도가 $100^{\circ}C$에서 $300^{\circ}C$로 상승하고, 기류의 속도가 약 0.7 m/s인 경우 C-factor = 0과 1일 때 스프링클러의 작동시간은 최소 30 s~60 s, C-factor = 3일 때 62 s에서 최대 92 s, C-factor = 5일 때 120 s 이상으로 나타났다.

• 대한영양사협회학술지
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• 제6권1호
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• pp.33-43
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• 2000

Environmental pressures from such sources an economic condition, the government and inter-institutional competition create managerial challenges. Economic pressures may be forcing dietetic dept, in hospital to utilize cost∙benefit analysis to assist them in their problem solving. Cost∙benefit analysis have been widely used in business, industry and many other fields with only limited application to foodservice. Due to the lack or this information the purposes of this study were to identify use of cost∙benefit analysis in hospital foodservice system to evaluate the economic efficiency of alternatives, and to make recommendation for operation system change. Using the cost∙benefit method, cash flows are separated into cost and benefits. For an alternative to be selected, indicators, such as NPV, benefit-cost ratio (B/C ratio) with 5% discount rate per annum. The sensitivity analysis was also conducted with difference rate 3%, 7% respectively and reduced employee payroll change. The result of this study can be summarized as follows : 1. The total cost of investment for operation system change was 390,570 thousand won and the total benefit through operation system change was 865,808 thousand won. 2. Net present value(NPV) for 5 years was 475,239 thousand won and benefit-cost ratio was 2.22. 3. In sensitivity analysis with different discount rate 3%, 7%, benefit-cost ratio was 2.25, 2.18 respectively, with total reduced employee payroll change, benefit-cost ratio was 2.86. In conclusion, total benefits were exceeded total costs. Therefore, the project of operation system change in hospital foodservice was found to be economically efficient.

• Journal of Chest Surgery
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• 제17권1호
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• pp.26-31
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• 1984

From Jan. 1962 to Aug. 1983, one hundred patients with cyanotic heart disease underwent various palliative operations at the department of thoracic and cardiovascular surgery, S.N.U.H. In the period from Jan. 1962 to Dec. 1973, in which the open heart surgery was not routinely performed, sixty-two operations including 2 cases of second shunt operation were performed in sixty patients, and all of them were tetralogy of Fallot except three cases. Various palliative procedures such as Glenn, Brock, Waterston and Blalock-Taussing operation were used in this period with overall mortality rate of 16%. In the period from Jan. 1980 to Aug. 1983, forty patients with cyanotic heart disease were operated and majority of them was complex anomalies. Only Blalock-Taussing operation was used in this period with a mortality rate of 20%. These two groups of patients were compared according to age, diagnosis and results of operations, and it appears that Blalock-Taussing operation is effective palliation for patients with cyanotic heart disease, especially with complex anomaly, with an acceptable mortality.

• 조명전기설비학회논문지
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• 제25권1호
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• pp.64-69
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• 2011

A novel concept of the gridable desalination plant is to provide an operation management to enable an electricity plant operation cost reduction. Adjusting recovery rate responded to electricity price, an electricity plant operation cost can be saved. To show a suggested approach, the data of 10 [MIGD](Million Imperial Gallons per Day) SWRO testbed are used. The result shows that total cost reduction rate is calculated about 1.6[%] of annual total electric plant operation cost.

• 한국도로학회논문집
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• 제17권3호
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• pp.125-132
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• 2015

PURPOSES : The present study aims to evaluate the added $CO_2$ emissions incurred from accelerating operation when to increase the speed up to the allowed level. METHODS : The methodology used are basically the relationship between emission rates and vehicle speeds or acceleration rate. These rates together are used to calculate the added $CO_2$ emissions incurred from accelerating operation. RESULTS : It was resulted that the all the emission rates are increasing proportionally to vehicle speeds or acceleration rates. Additionally, it was also resulted that allowable speeds increasing, the added emission rates are increasing rapidly. CONCLUSIONS : It may be concluded that if the allowable speed ranges are managed, $CO_2$ emissions during vehicle operation are much reduced. From this reason, it was found that the allowable speed during highway design and operation would be much necessary

• 대한안전경영과학회지
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• 제6권4호
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• pp.215-226
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• 2004

This study develops a improved gate assignment algorithm and decision support system using its algorithm to extract a assignment result minimizing a walking distance of passengers in airport and maximizing the utilization rate of avaliable gates in domestic airports. By operation support system, it may contribute greatly in efficient enlargement of airport operation and increase the airport reliability through quickly coping with takeoff and landing delay of flight due to weather change, preservation and repair of gate, etc. Also, passengers who use airport terminal can minimize time and walking distance for departure, arrival, and transit, and it may greatly reduce the additional operation cost for common gates through maximizing the utilization rate for exclusive usage gates for airplanes which use gates.

• 대한안전경영과학회:학술대회논문집
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• 대한안전경영과학회 2004년도 추계학술대회
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• pp.221-227
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• 2004

This study develops a improved gate assignment algorithm and decision support system using its algorithm to extract a assignment result minimizing a walking distance of passengers in airport and maximizing the utilization rate of avaliable gates in domestic airports. By operation support system, it may contribute greatly in efficient enlargement of airport operation and increase the airport reliability through quickly coping with takeoff and landing delay of flight due to weather change, preservation and repair of gate, etc. Also, passengers who use airport terminal can minimize time and walking distance for departure, arrival, and transit, and it may greatly reduce the additional operation cost for common gates through maximizing the utilization rate for exclusive usage gates for airplanes which use gates.

• 산업공학
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• 제13권4호
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• pp.680-687
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• 2000

The objectives of this research are to establish the operation scheduling and the preventive maintenance system in order to optimize the operation of mailing center. For the optimal operation scheduling of mailing process, the existing workflow of mailing process and that of required time are investigated prior to simulation modeling. The simulation experiments are conducted to increase the nextday delivery rate. The best alternative whose nextday delivery rate up to 100% is selected based the AHP(Analytic Hierarchy Process) method. The optimal work scheduling of all mailing centers are also presented. In addition, the CMMS(Computerized Maintenance Management System) for preventive maintenance is introduced for efficient operation of highly automated facilities of mailing center.

• 상하수도학회지
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• 제13권4호
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• pp.54-61
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• 1999

SBR process used to evaluate the removal of organics, nitrogen and phosphorus on the basis of a report of research on a precedence at various operation cycle and condition change. Effluent concentration of COD were 50mg/l, 50mg/l, 90mg/l respectively, The removal rates of COD were nearly over 95% at Run 1, 2 and 4. But at Run 3, Effluent concentration of COD was 255.0mg/l, The removal rate of COD was 87% at Run 3. As Oxic/Anoxic rate was fixed and operating cycle of Oxic/Anoxic was changed, the removal rates of T-N were 74.7%, 46.9%, 28.5%, 63.3% respectively at Run 1~4. The case of Run 1 was best result. The removal rates of T-P was appeared in proportion to T-N removal rates and rest of $NO_2-N$. The removal rates of T-P were 51.2%, 35.5%, 41.5%, 51.9% respectively. The removal rates of COD, T-N, T-P were influenced on the change of SBR operation cycle. As organic loading rate was $1.43kgCOD/m^3day$ and C/N ratio was 3.0, operation cycle of Run 1 was best condition of T-N removal rates and T-P removal.