• Journal of Chest Surgery
• /
• v.56 no.6
• /
• pp.414-419
• /
• 2023

Background: The recurrence of ventricular arrhythmias (VAs) in patients who have already undergone treatment with antiarrhythmic medication, catheter ablation, and the insertion of implantable cardioverter defibrillators is not uncommon. Recent studies have shown that bilateral cardiac sympathetic denervation (BCSD) effectively treats VAs. However, only a limited number of studies have confirmed the safety of BCSD as a viable therapeutic option for VAs. Methods: This single-center study included 10 patients, who had a median age of 54 years (interquartile range [IQR], 45-65 years) and a median ejection fraction of 58.5% (IQR, 56.2%-60.8%), with VAs who underwent video-assisted BCSD. BCSD was executed as a single-stage surgery for 8 patients, while the remaining 2 patients initially underwent left cardiac sympathetic denervation followed by right cardiac sympathetic denervation. We evaluated postoperative complications, the duration of hospital stays, and VA-related symptoms before and after surgery. Results: The median hospital stay after surgery was 2 days (IQR, 2-3 days). The median surgical time for BCSD was 113 minutes (IQR, 104-126 minutes). No significant complications occurred during hospitalization or after discharge. During the median follow-up period of 13.5 months (IQR, 10.5-28.0 months) from surgery, no VA-related symptoms were observed in 70% of patients. Conclusion: The benefits of a short postoperative hospitalization and negligible complications make BCSD a safe, alternative therapeutic option for patients suffering from refractory VAs.

• The Journal of the Institute of Internet, Broadcasting and Communication
• /
• v.15 no.5
• /
• pp.207-212
• /
• 2015

Continuous, high-quality supply of electrical energy is the backbone of any modern economy. Any equipment operating at a power station must be reliable and safe. All major power supply components such as transformers, cables, generators, and switchgear need to be kept in perfect operating condition. The lifetime of power cables, used as the main means of transferring electric power, is understood to be about 30 years, from the time of manufacturing. The dielectrics between two conductors of a cable must be able to withstand electrical stresses from high-voltage input. This condition should be verified throughout the lifetime of the cable system. Several techniques, such as VLF-tan${\delta}$, partial discharge, and insulation resistance are used in order to determine the operating conditions of cables. In this paper, we present our work on insulation resistance to diagnose cables in operation at the Western Power station in Taean, Chungcheong Namdo Province, South Korea. As a result we have found cables the life time of which is 38 years.

• Archives of Plastic Surgery
• /
• v.40 no.4
• /
• pp.330-334
• /
• 2013

Background Ultrasound-aided fixation is a recently developed alternative method of treatment of zygomatico-maxillary (ZM) fracture, and it can resolve the problems of excessive torsion force and subsequent fractures of screws. We conducted this study to evaluate the clinical usefulness of ultrasound-aided fixation as compared with the conventional fixation method using a drill and an expander in patients with ZM fracture. Methods We conducted a retrospective study in 35 patients with ZM fracture who had been treated at our hospital during a period ranging from March of 2008 to December of 2010. We divided them into two groups: an ultrasound-aided fixation group, comprising 13 patients who underwent ultrasound-aided fixation (SonicWeld Rx, KLS Martin), and a conventional group, comprising 22 patients who underwent conventional fixation (Biosorb FX, Linvatec Biomaterials Ltd.). We compared such variables as sex, direction, age at operation, follow-up period, operation duration, number of fixed holes, and time to discharge between the two groups. Results The ultrasound-aided fixation reduced the operation duration by about 30 minutes as compared with that of conventional fixation. There was no significant difference in follow-up period, number of fixed holes, or time to discharge between the two groups. Furthermore, there were no complications in either group. Conclusions The ultrasound-aided fixation of fractured ZM bone using an absorbable implant system is safe and effective in promptly reducing the bone fracture and providing satisfactory cosmetic outcomes over time.

• Journal of Korean Neurosurgical Society
• /
• v.47 no.4
• /
• pp.258-264
• /
• 2010

Objective : The objectives of this study were to analyze the outcome and hemorrhagic risk of intravenous (IV) argatroban in patients with acute ischemic stroke presenting beyond six hours of ischemic symptom onset. Methods : Eighty patients with acute ischemic stroke who were admitted to the hospital beyond six hours from ischemic symptom onset were retrospectively analyzed. We could not perform IV thrombolysis or intra-arterial thrombolysis because of limited time window. So, IV argatroban was performed to prevent recurrent thrombosis and progression of infarcted area. The outcome was assessed by the National Institute of Health Stroke Scale (NIHSS) score and related hemorrhagic risk was analyzed. Also, each outcome was analyzed according to the initial stroke severity, subtype, and location. Results : The median NIHSS was 8.0 at admission, 4.1 upon discharge, and 3.3 after three months. A good outcome was achieved in 81% of patients upon discharge and 88% after three months. Symptomatic hemorrhage occurred in only two patients (3%). IV argatroban was effective regardless of initial stroke severity, subtype, and location. Conclusion : IV argatroban may be an effective and safe treatment modality for acute ischemic stroke presenting beyond six hours of ischemic symptom onset.

• Textile Coloration and Finishing
• /
• v.33 no.4
• /
• pp.250-257
• /
• 2021

Laundry industry has traditionally been considered an industry that generates large amounts of wastewater and Volatile Organic Compounds(VOCs). This is still the case until now. Household laundry detergents are produced and distributed within the safety regulations on the amount of harmful substances detected. While industrial laundry detergents are often distributed without safety regulations, and even laundry workers manufacture and use them on their own. This contaminates water and air and also threatens the safety of workers. This study is a basic study for distributing eco-friendly detergents(EFD-A) developed through previous studies to the laundry industry. Safety, washability and wastewater quality of EFD-A are evaluated. Three existing commercial detergents(PD1, PD2, LD4) are also evaluated to compare with EFD-A. The safety of detergents is confirmed by the content of optical brightener, VOCs, and arsenic. Washability is evaluated by the difference in reflectance of washed and unwashed artificial soiled fabrics according to detergent concentration, washing temperature, and washing time. TOC is used as the index of assessing the wastewater quality. The results are as follows; EFD-A doesn't contain the optical brighteners, VOCs, and arsenic. The optimal washing conditions for EFD-A are 3 g/L concentration, 40 ℃ washing temperature, and 30 min washing time. The soil removal efficiency is about 71 %, which was similar to or somewhat superior to that of PD1, PD2, and LD4. TOC is 63.5 %, which is about 15 % lower than the discharge limit. Through this study, the developed detergent EFD-A can be used as a safe and eco-friendly detergent for the human body and the environment.

• Journal of The Geomorphological Association of Korea
• /
• v.26 no.4
• /
• pp.1-20
• /
• 2019

In order to establish appropriate policy to control sediment-associated problems, it is necessary to identify the physical characteristics of the reservoir sediments in particulate form in the Yeongsan River. Two time-integrated suspended sediment samplers were installed at Seungchon and Juksan weir on the upper and middle Yeongsan River in July 2012. Reservoir sediment samples were obtained at monthly intervals until October 2014. During the monitoring period, a total of 38 sediment samples were obtained and analyzed. Seasonal trends of suspended sedimentation rates and grain size distributions were examined based on variations in precipitation and discharge fluctuations. Moreover, stream flow characteristics, which has a great influence on the physical characteristics of the river sediment, was analyzed using flow duration curve for the period 2003-2019 at Naju gauging station. Sedimentation rates during summer, when heavy rainfall was concentrated due to the monsoonal front and typhoon, were very high, indicating the positive relationship between sediment concentration and discharge. Particle size analysis of the collected sediment showed that coarse silt and very fine sand-sized sediment dominated most of the Seungchon weir sediment. On the other hand, medium silt-sized sediment dominated the downstream Juksan weir except for a few summer samples. These results implied that the physical characteristics of the suspended sediment are determined not only due to flow fluctuations, but also with regard to the antecedent rainfall conditions, hillslope-channel connectivity, and the supply of materials from various contributing regions. This information about flow characteristics and temporal variations in reservoir sediment can be used for safe management of the weir and discussing the issues on the dismantling of the weirs.

• Clinics in Shoulder and Elbow
• /
• v.26 no.4
• /
• pp.351-356
• /
• 2023

Background: Total elbow arthroplasty (TEA) is uncommon, but growing in incidence. Traditionally an inpatient operation, a growing number are performed outpatient, consistent with general trends in orthopedic surgery. The aim of this study was to compare TEA outcomes between inpatient and outpatient surgical settings. Secondarily, we sought to identify patient characteristics that predict the operative setting. Methods: Patient data were collected from the American College of Surgeons National Quality Improvement Program. Preoperative variables, including patient demographics and comorbidities, were recorded, and baseline differences were assessed via multivariate regression to predict operative setting. Multivariate regression was also used to compare postoperative complications within 30 days. Results: A total of 468 patients, 303 inpatient and 165 outpatient procedures, were identified for inclusion. Hypoalbuminemia (odds ratio [OR], 2.5; P=0.029), history of chronic obstructive pulmonary disorder or pneumonia (OR, 2.4; P=0.029), and diabetes mellitus (OR, 2.5; P=0.001) were significantly associated with inpatient TEA, as were greater odds of any complication (OR, 4.1; P<0.001) or adverse discharge (OR, 4.5; P<0.001) and decreased odds of reoperation (OR, 0.4; P=0.037). Conclusions: Patients undergoing inpatient TEA are generally more comorbid, and inpatient surgery is associated with greater odds of complications and adverse discharge. However, we found higher rates of reoperation in outpatient TEA. Our findings suggest outpatient TEA is safe, although patients with a higher comorbidity burden may require inpatient surgery. Level of evidence: III.

• Journal of the Korean Institute of Gas
• /
• v.14 no.1
• /
• pp.37-41
• /
• 2010

The most important element for improving the process safety that occurs from the flare system installed to convert into safe materials by burning the inflammable or toxic gases within the process and this is specified in the API 521 Code so that the radiation does not cause a risk factor. The flames that occur from the flare stack holds the shape of jet fire due to the pressure and flow velocity of discharge gas. This study has identified the shape of flames by using the Chamberlain Model rather than the API 521 Code method, analyzing the radiation due to this.

• Structural Engineering and Mechanics
• /
• v.51 no.1
• /
• pp.15-37
• /
• 2014

In this study, the optimum silo dimensions for the barrel-type steel-concentrated silo with a conical outlet port usable in the hazelnut storage were investigated. Three different types of silo models as Model 1 (1635 tons), Model 2 (620 tons) and Model 3 (1124 tons) were used in the study. Varying wall thicknesses were used for Model 1 (10, 11, 12, 13, 14, 15 and 20 mm), Model 2 (10, 15 and 20 mm) and Model 3 (10, 15 and 20 mm) silos. For Model 1 silo has the most storage capacity here, to determine its optimum wall thickness, the wall thicknesses of 11, 12, 13 and 14 mm were used as different from the other models. Thus the stresses occurring in different lines with ANSYS finite element software were examined. In the study it was determined that the 10, 11 and 12 mm wall thicknesses of the Model 1 silo are not safe in terms of the stresses caused by the vertical pressure loads in the filling conditions. From the view of the filling and discharge conditions, other wall thicknesses and model silos were diagnosed to be secure. The optimum silo dimensions which won't cause any structural problems have been found out as the Model 1 silo with a 13 mm wall thickness when the filling capacity and the maximum von Mises stresses are taken into account. This barrel-type silo with conical outlet port sets forth the most convenient properties in hazelnut storing in terms of engineering.

• Proceedings of the KSR Conference
• /
• 2005.05a
• /
• pp.485-490
• /
• 2005

With the historical opening of the express rail, Korea has joined the league of France, Japan, Germany and Spain and entered into the super high-speed train era. Opening of the express rail will not only bring about enormous changes to the lives of Koreans, but it will also have a huge influence on the economic, social and cultural aspects of the country. With construction of the Seoul - Busan KTX line, railway passenger transportation capacity and freight transportation capacity will increase. Fast, safe, convenient and environmentally friendly, the express rail is a product of the latest technology and will secure its position as the newest and most preferred method of transportation for the next generation. As the traffic noise, train noise from KTX will become a social problems with the acceleration of speed and increase in the lines. In order to predict the train noise propagation from KTX, this paper presents the sound source system, the calculation model and the scale model experiment. Noise level unit patterns of a KTX that take the rolling noise, the motor noise and aerodynamic noise into consideration are simulated by the scale model experiment and numerical analysis.