• Journal of Korean Neurosurgical Society
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• v.64 no.2
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• pp.297-308
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• 2021

Objective : Shunt infection is a common complication while treating hydrocephalus. The antibiotic-impregnated shunt catheter (AISC) was designed to reduce shunt infection rate. A meta-analysis was conducted to study the effectiveness of AISCs in reduction of shunt infection in terms of age, follow-up time and high-risk patient population. Methods : This study reviewed literature from three databases including PubMed, EMBASE, and Cochrane Library (from 2000 to March 2019). Clinical studies from controlled trials for shunt operation were included in this analysis. A subgroup analysis was performed based on the patient's age, follow-up time and high-risk population. The fixed effect in RevMan 5.3 software (Cochrane Collaboration) was used for this meta-analysis. Results : This study included 19 controlled clinical trials including 10105 operations. The analysis demonstrated that AISC could reduce the infection rate in shunt surgery compared to standard shunt catheter (non-AISC) from 8.13% to 4.09% (odds ratio [OR], 0.48; 95% confidence interval [CI], 0.40-0.58; p=0.01; I2=46%). Subgroup analysis of different age groups showed that AISC had significant antimicrobial effects in all three groups (adult, infant, and adolescent). Follow-up time analysis showed that AISC was effective in preventing early shunt infections (within 6 months after implant). AISC is more effective in high-risk population (OR, 0.24;95% CI, 0.14-0.40; p=0.60; I2=0%) than in general patient population. Conclusion : The results of meta-analysis indicated that AISC is an effective method for reducing shunt infection. We recommend that AISC should be considered for use in infants and high-risk groups. For adult patients, the choice for AISC could be determined based on the treatment cost.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.67 no.3
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• pp.374-382
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• 2018

This paper has done a hardware-based approach to increase the modulation index in 3-phase inverters, unlike the conventional software algorithm-based approaches. The minimum required time to measure the currents in a three-phase inverters with shunt resistors has also been analyzed. By the analysis, the longest time in minimum required time is AD conversion time. To shorten the minimum required time, this paper proposed a sample-and-hold(S/H) circuit implemented at the inverter current signal output to retain the current signal. When the linear operation region of an inverter with S/H was compared with that without it, the modulation index was increased by 7.8 %. Inverters with S/H circuits can employ the traditional software algorithms, such as the voltage injection method or current restoration method, and it will yield further increase the modulation index.

• Journal of Power Electronics
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• v.8 no.4
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• pp.317-324
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• 2008

This paper proposes a Multiband Shunt Hybrid Active Filter (SHAF) with sensorless control. A plant is modeled in the discrete- time domain and a controller is designed using the Pole shifting law in the polynomial domain. This control approach is very useful for filtering the load harmonics with reduced sensor counts where a low cost solution like SHAF is required. Multiple Synchronous Reference Frames (MSRF) and low pass filters are used to measure the $5^{th}$ and $7^{th}$ harmonic components separately from the load and filter currents. Individual current controllers are designed for the $5^{th}$ and $7^{th}$ harmonic currents. Control is realized in the stationary, three-phase (abc) reference frame. Performance of the controller is validated through simulation, using realistic plant and controller models, as well as experimentally on a full-scale distribution system.

• Journal of Chest Surgery
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• v.24 no.7
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• pp.725-731
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• 1991

Four patients with traumatic rupture of aorta underwent operative repair at Seoul national university hospital. All cases were confirmed by preoperative aortography. Rupture site was aortic isthmus or just distal to it. Operations were somewhat delayed due to the low degree of suspicion and difficulties in diagnosis: ranging from 5 hours to 8 days. Operation was performed as same manners in all cases: resection of the ruptured portion and tubular woven dacron graft interposition in conjunction with shunt or bypass procedures, TDMAC-Heparin shunt between ascending and descending aorta was used in 3 cases, and LA-femoral centrifugal pump was used in one case. There were no intraoperative or postoperative mortality. Hoarseness was developed in all patients but paraplegia or other significant complications were not found in any of patients. We concluded that 1] high degree of suspicion is essential in the early diagnosis and treatment of traumatic aortic rupture and 2] any kind of shunt or bypass procedure is necessary in operative repair of traumatic aortic rupture and use of centrifugal pump without systemic heparinization is easier and safer procedure than others for the maintenance of adequate distal flow.

• Journal of Korean Neurosurgical Society
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• v.53 no.6
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• pp.383-385
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• 2013

We present an unusual case of peritoneal catheter migration following a ventriculoperitoneal shunt operation. A 7-month-old infant, who had suffered from intraventricular hemorrhage at birth, was shunted for progressive hydrocephalus. The peritoneal catheter, connected to an 'ultra small, low pressure valve system' (Strata$^{(R)}$; PS Medical,Gola, CA, USA) at the subgaleal space, was placed into the peritoneal cavity about 30 cm in length. The patient returned to our hospital due to scalp swelling 21 days after the surgery. Simple X-ray images revealed total upward migration and coiling of the peritoneal catheter around the valve. Possible mechanisms leading to proximal upward migration of a peritoneal catheter are discussed.

• Journal of Chest Surgery
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• v.25 no.11
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• pp.1250-1253
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• 1992

A patient with intravascular hemolysis due to residual shunt and right ventricular outflow track obstruction after total correction of TOF was presented. The patient was 29 years old female. She underwented VSD closure with dacron patch, infundibulectomy, pulmonic valvotomy and direct closure of PFO. 8 months after the operation, severe intravascular hemolysis and hemolytic anemia appeared. Conservative therapies were not effective, her general condition and laboratory finding got worse gradually. She underwent reoperation, the shunt was closed and right ventricular outflow tract obstruction was corrected by pulmonary valvotomy, infudibulectomy and transannular patch. After operation, hemolysis disappeared dramatically. Severe hemolysis may induce renal failure and necessitate transfusion frequently. If hemolytic anemia is not corrected by conservative treatment, early reoperation is required.

• Journal of Korean Neurosurgical Society
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• v.30 no.7
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• pp.939-942
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• 2001

Thirty nine-year-old man who required urgent shunt operation due to rapidly deteriorating visual acuity suffered from ventriculitis after aneurysmal operation. Daily dose of 20mg of vancomycin and amikyn were given intraventricularly via external ventricular catheter after failure of various kinds of systemic antibiotics. The exit of the catheter was made on the upper chest wall to prevent superinfection. External ventricular drainage could finally be switched to ventriculo-peritoneal shunt and he was discharged with clinical improvement.

• Journal of Electrical Engineering and Technology
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• v.7 no.5
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• pp.689-697
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• 2012

This paper proposes a new coordinated voltage control scheme between STATCOM (Static Synchronous Compensator) and reactive power compensation devices, such as shunt elements(shunt capacitor and shunt reactor) and ULTC(Under-Load Tap Changer) transformer in a local substation. If STATCOM and reactive power compensators are cooperatively used with well designed control algorithm, the target of the voltage control can be achieved in a suddenly changed power system. Also, keeping reactive power reserve in a STATCOM during steady-state operation is always needed to provide reactive power requirements during emergencies. This paper describes the coordinative voltage control method to keep or control the voltage of power system in an allowable range of steady-state and securing method of momentary reactive power reserve using PSS/E with Python. In the proposed method of this paper, the voltage reference of STATCOM is adjusted to keep the voltage of the most sensitive bus to the change of loads and other reactive power compensators also are settled to supply the reactive power shortage in out range of STATCOM to cope with the change of loads. As the result of simulation, it is possible to keep the load bus voltage in limited range and secure the momentary reactive power reserve in spite of broad load range condition.

• Journal of Korean Neurosurgical Society
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• v.37 no.6
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• pp.436-442
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• 2005

Objective: The detection rate of traumatic subdural hygroma(TSH) has increased after the development of computed tomography and magnetic resonance imaging. The treatment method and the mechanism of development of the TSH have been investigated, but they are still uncertain. This study is performed to evaluate the effectiveness of subduroperitoneal shunt in traumatic subdural hygroma. Methods: Five hundred thirty six patients were diagnosed as TSH from 1996 to 2002, among them, 55 patients were operated with subduroperitoneal shunt. We analyzed shunt effect on the basis of clinical indetails, including the patient's symptoms at the diagnosis, duration from diagnosis to operation, changes of GCS, hygroma types. We classified the TSH into five types (frontal, frontocoronal, coronal, parietal and cerebellar type) according to the location of the thickest portion of TSH. Results: The patients who have symptoms or signs related to frontal lobe compression (irritability, confusion) or increased intracranial pressure (headache, mental change), had symptomatic recovery rate above 80%. However, the patients who have focal neurological sign (hemiparesis, seizure and rigidity), showed recovery rate below 30%. The improvement rate was very low in the case of the slowly progressing TSH for over 6weeks. We experienced complications such as enlarged ventricle, chronic subdural hematoma, subdural empyema and acute SDH. Conclusion: Subduroperitoneal shunt appears to be effective in traumatic subdural hygroma when the patients who have symptoms or signs related to frontal lobe compression or increased ICP and progressing within 5weeks.

• KEPCO Journal on Electric Power and Energy
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• v.6 no.4
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• pp.393-397
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• 2020

Shunt reactor, a facility for reactive power compensation, is switched several times a day depending on the load pattern. When the circuitbreaker opens the shunt reactor over-voltage is generated by several factors which degrade the insulating performance of internal parts of the circuit-breaker and cause severe voltage stress on the equipment in the power system. Transient phenomenon occurring during the switching of shunt reactor are available in laboratories that verify the performance of the circuit-breaker by simulating the power system. However, it is difficult to measure the transient phenomenon that occurs during actual operation in actual power system due to many limitations. Therefore, this paper deals with the modeling using EMTP to analyze the reignition and current chopping which causes more severe transient recovery voltage in the small inductive current breaking in actual power systems. In addition, this paper analyzes the main phenomenon that cause circuit-breaker failure in opening shunt reactor using EMTP model.