• Journal of Chest Surgery
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• v.20 no.2
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• pp.281-288
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• 1987

A total and consecutive 163 patients underwent cardiac valve replacement using the Hancock porcine xenograft cardiac valves from 1 976 to 1984. Of 198 substitute valves, 177 were the Hancock valves. One hundred twenty-nine patients[79.1%] had single valve replacement: MVR 118, AVR 8 and TVR 3; 33[20.3%] had double valve replacement: MVR+AVR 27 and MVR+TVR 6; and a single case had triple valve replacement. Other surgical procedures were added in 34 patients. The operative mortality rate within 30 days of surgery was 6.1%, and it was, however, 4.2%, with single MVR. Late mortality rate was 6.7% or 1.95%/patient-year of a linealized mortality rate. Early survivors of 153 patients were followed up for a total of 565.1 patient-years [a mean of 44.3*27.1 months]. The linealized annual complication rates were: 1.95% emboli/patient-year, 0.89% bleeding/patient-year 1.24% endocarditis/patient-year, and 4.25% overall failure/patient-year. Primary tissue failure occurred at a rate of 1.59%/patient-year. The actuarial survival rates including operative mortality were 87.0*4.1% and 77.3*6.6% at 5 and 11 years after surgery respectively. The probability of freedom from thromboembolic complication of 89.2*3.4% at 5 years after surgery lasted unchanged upto 11 years. The probability of freedom from overall valve failure was 81.3*4.5% at postoperative 5 years, and it dropped down to 26.2*19.4% at 11 years, although the latter was statistically insignificant because of a small number of patients entering into the years approaching the follow-up end. However, the probability of freedom from the primary tissue failure was 81.3*10.6% at postoperative 9 years, which coincides closely with the speculated rate of tissue degeneration of about 20% in 10 years. These clinical results confirm the low thrombogenicity of the Hancock porcine valve and the reasonable failure rate of tissue degeneration.

• The Journal of the Acoustical Society of Korea
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• v.30 no.6
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• pp.344-352
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• 2011

In this paper, the resonant characteristic of a Tonpilz transducer with a fixed tail mass has been studied by means of an equivalent circuit approach. An equivalent circuit has been designed to describe the characteristic of a Tonpilz transducer that has an additional resonance because of its fixed tail mass. The transmitting voltage response of the transducer calculated by the designed circuit has been compared with that by the FEA (finite element analysis) to confirm the validity of the circuit. This equivalent circuit approach produces identical results with the FEA, in which the variation of resonant frequencies and TVR has been clearly figured out in relation to the stiffness of the mounting fixture and the mass of the tail mass. The suggested equivalent circuit can be utilized to figure out the characteristics of the Tonpilz transducer more efficiently than FEA that requires much calculation time and revision of the models in accordance with the variation of design variables.

• Journal of the Korean Society of Tobacco Science
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• v.16 no.1
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• pp.3-13
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• 1994

To minimize the time ordinarily spent in mono filter cigarette design, we studied the relationship between major seven independant variables ; filament(X1) and total denier(X2), porosity of the aller plug wrap(X3), filter length(X4), Porosity of the tip paper(X5) and cigarette paper(X6) and net weight of the reference cut tobacco(X7). Ninty trial numbers were obtained as a results of using rotatable central composite design and it is analyzed by the multiple regression analysis with stepwise in SAS/pc under restricted conditions. That is, UPD (Y1) = 82.96 - 3.80X1 + 2.50X2 - 3.29X3 - 3.15X5 - 0.83X22 + 1.88X5X6 - 1.38 X5X7(R2: 0.63), EPD(Y2) : 120.91 - 5.70X1 + 3.60X2 + 4.23X4 - 0.93X6 + 4.06X7 (R2=0.84), TVR(Y3) = 49.70 - 0.78X1 + 3.60X3 + 2.00X4 + 4.20X5 - 0.93X6 + 2.64X7 - 1.07X1X2 + 1.0IX1 X3 + 1.05X2X6 + 0.45X22 - 0.64X42 + 1.29X4X6 - 0.97X4X7 - 1.28X5X6 + 1.53X5X7 + 1.39X6X7(R2=0.65), and EVR(Y4) : 3.24-0.21X3-0.20X4 -0.24X5+0.67X6+0.26X4X7 (R2=0.55), where EPD : encapsulated pressure drop, VPD : unencapsulated pressure drop, TVR ; tip ventilation rate, and En : envelope ventilation rate. All variables in the model are significant at the 0.05 level.

• Journal of the Korean Society of Fisheries and Ocean Technology
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• v.46 no.2
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• pp.173-183
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• 2010

In a split beam echo sounder, the transducer design needs to have minimal side lobes because the angular position and level of the side lobes establishes the usable signal level and phase angle limits for determining target strength. In order to suppress effectively the generation of unwanted side lobes in the directivity pattern of split beam transducer, the spacing and size of the transducer elements need to be controlled less than half of a wavelength. With this purpose, a 50 kHz tonpilz type transducer with a half-wavelength diameter in relation to the development of a split beam transducer was designed using the equivalent circuit model, and the underwater performance characteristics were measured and analyzed. From the in-air and in-water impedance responses, the measured value of the electro-acoustic conversion efficiency for the designed transducer was 51.6%. A maximum transmitting voltage response (TVR) value of 172.25dB re $1{\mu}Pa/V$ at 1m was achieved at 52.92kHz with a specially designed matching network and the quality factor was 10.3 with the transmitting bandwidth of 5.14kHz. A maximum receiving sensitivity (SRT) of -183.57dB re $1V/{\mu}Pa$ was measured at 51.45kHz and the receiving bandwidth at -3dB was 1.71kHz. These results suggest that the designed tonpilz type transducer can be effectively used in the development of a split beam transducer for a 50kHz fish sizing echo sounder.

• Journal of Chest Surgery
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• v.24 no.4
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• pp.382-389
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• 1991

The clinical observations on the 63 cases of the mitral valvular heart disease treated in the department of Thoracic and Cardiovascular Surgery, Kosin medical college, during the period of 5 years from January, 1986 to December, 1989, are as follows. 1. Total 63 cases, 23 were male and 40 were female with sex ratio of 1: 1.7. 2. The age distribution was widely varied from 7 years of the youngest to 65 years oldest, average age was 35.3 year old. 3. The main clinical symptom and sign were D.O.E, general weakness, fatigability, palpitation, chest pain, hepatomegaly, pitting edema and both neck vein distension. 4. The preoperative N.Y.H.A functional classification were class II, III, IV in 28%, 54%, 16%. 5. The preoperative diagnosis were MS - 6.3%, MR - 53.9%, MSR - 36.5%, MVP - 3.1%. 6. All 63 patients were operated on the under direct vision using extracorporeal circulation, MVR in 18 cases, MVR and Tricuspid annuloplasty in 24 cases, DVR in 3 cases, DVR and Tricuspid annuloplasty in 5 cases, TVR in 1 case, Mitral annuloplasty in 4 cases, mitral valvuloplasty in 7 cases and mitral commissurotomy in 2 cases 7. The operative mortality was 7.9%, and 5 years actuarial survival rate was 89%.

• Journal of the Korean Institute of Electrical and Electronic Material Engineers
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• v.29 no.9
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• pp.532-538
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• 2016

In this paper, a underwater acoustic Tonpilz transducer with the piezoelectric single crystal(72PMN-28PT) is developed. The thickness and the number of piezoelectric elements are theoretically designed with the equivalent circuit analysis to have the desired resonance frequency. In order to compare the performances, a piezoelectric ceramic transducer is also manufactured and their electrical impedance, TVR (transmitting voltage response), RVS (receiving voltage response) and beam pattern are compared.

• Journal of Chest Surgery
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• v.22 no.5
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• pp.748-752
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• 1989

We experienced 6 patients with the sinus Valsalva aneurysm rupture during last 12 years [Jan. 1977-Sep. 1989]. Of them. 5 cases were reviewed. They consist of 3 males and 2 females, and the age ranged from 12 years to 40 years with the mean age of 25 years. 4 patients showed congestive heart failure symptoms. The diagnosis was made by 2D-Echo and cine-angiogram. In 4 patients. sinus Valsalva aneurysm ruptured from the Rt. coronary sinus to the Rt. ventricle, and in one from non-coronary sinus to the Rt. atrium. In 2 cases, resection of the aneurysm and simple stitch closure was made. Resection of the aneurysm k patch closure and AVR in one, closure of the fistula, AVR and patch closure of the associated VSD in one, and closure of the fistula, AVR k TVR in one were made in another 3 cases. There was no postoperative mortality case.

• Journal of Chest Surgery
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• v.20 no.2
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• pp.289-299
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• 1987

A total of 1,239 patients had cardiac valve replacement using 1,514 substitute valves at Seoul National University Hospital from 1968 to 1986. Of the total substitute vales, 84.9% were the glutaraldehyde-treated xenograft valves. Six hundred ninety-four patients who had 820 bioprosthetic tissue valves were studied for their clinical characteristics. They were a total and consecutive cases to the end of the study. Four hundred sixty-four patients had the lonescu-Shiley pericardial valves: MVR 291, AVR 66 and MVR+AVR 107; 163 had the Hancock porcine valves; 46 had the Angell-Shiley porcine valves; and 21 had the Carpentier-Edwards porcine valves. Five hundred forty patients underwent single valve replacement: MVR 460, AVR 76 and TVR 4; 154 had multiple valve replacement: MVR+AVR 141, MVR+TVR 12 and one triple valve replacement. Additional surgery was necessary in 22.3% of the cases. Operative mortality rate within 30 days of surgery was 6.77% for the total patients: 5.2% and 4.2% with MVR, 13.6% and 12.5% with AVR, and 7.5% and 7.4% with MVR+AVR using the lonescu and the Hancock valves respectively. A linealized annual late mortality rate was 2.56%/patient-year. Six hundred forty-three operative survivors were followed up for a total of 1482.7 patient-years [a mean 27.7 months], and the follow-up rate was 67.7%. The Idealized complication rates were: 2.02% emboli/patient-year, 0.94% bleeding/patient-year, 1.21% endocarditis/patient-year, and 3.84% overall valve failure/patient-year. A linealized rate of primary tissue failure was 0.87%/patient-year. Actuarial survival rates including the operative mortality were: 87.8*2.6%, 82.3*4.9% and 82.2*4.7% with MVR, AVR and MVR+AVR using the lonescu valves at 4 years after surgery respectively; and they were 88.0*4.1% with MVR at 8 years, 82.3*4.9% with AVR at 4 years and 84.9*7.0% with MVR+AVR at 6 years after surgery using the Hancock valves respectively. Probabilities of freedom from thromboembolism were 89.8*6.3% with MVR using the lonescu valves at postoperative 5 years and 89.2*3.8% with MVR using the Hancock valves at postoperative 7 years, and 93.3*3.9% with AVR using the lonescu valves at postoperative 5 years. None had embolic complication after AVR using the Hancock valves. Probabilities of freedom from valve failure [according to the Stanford criteria] were 81.0*7.1% with MVR using the lonescu valves at postoperative 4 years and 57.4*12.5% with MVR using the Hancock valves at postoperative 9 years. These clinical results prove the excellent antithrombogenicity of the glutaraldehyde-treated xenograft substitute valves and confirm the previously speculated rate of tissue failure. At the present situation, it may be concluded that there is a room for the further development of more durable bioprosthetic valves.

• Journal of Chest Surgery
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• v.37 no.4
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• pp.328-334
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• 2004

There are only limited numbers of reports about long-term results of tricuspid valve replacement(TVR) with bioprosthetic and mechanical prostheses. We analyzed risk factors for tricuspid valve replacement and compared long-term clinical results of bioprosthetic and mechanical valves in tricuspid position. Material and Method: We reviewed 77 cases of TVR, which were performed between October 1978 and December 1996. Mean age was 38.8 15.9 years. Bioprostheses were implanted in 26 cases and mechanical prostheses were implanted in 51 cases. Result The operative mortality was 15.6% and late mortality was 12.3%. Survival for bioprosthetic and mechanical valve group at 5, 10 and 13 years was 81.3% vs. 100%, 66.1% vs. 100%, 60.6% vs. 100% (p=0.0175). Free from valve related re-operation for bioprosthetic and mechanical valve group at 5, 10 and 13 years was 100% vs. 93.9%, 100% vs. 93.9% and 58.3% vs. 93.9% (p=0.3274). Linealized incidences of valve related re-operation for bioprosthetic and mechanical valve group was 2.27 %/patient-years and 1.10 %/patient-years. Risk factor analysis showed that presence of preoperative ascites, hepatomegaly larger than 2 finger breaths, poor preoperative NYHA functional class and number of tricuspid valve replacement were risk factors for early mortality, and the use of bioprosthetic valve and number of open heart surgery were risk factors for late mortality. Conclusion: Long-term survival of mechanical valve was superior to bioprosthetic valve in tricuspid position. We recommend mechanical valve in tricuspid position if the patient can be closely followed up.

• Korean Journal of Fisheries and Aquatic Sciences
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• v.47 no.3
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• pp.292-301
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• 2014

The objective of this study was to design and develop a broadband ultrasonic transducer that has both wide bandwidth and high sensitivity to measure broadband echoes related to identifying fish species. A broadband ultrasonic transducer providing a nearly flat transmitting response band of 40.2-75.5 kHz with a -12 dB bandwidth of 35.3 kHz was achieved by integrating 12 tonpilz transducer elements operating at different resonance frequencies. The average transmitting voltage response, receiving sensitivity, and figure of merit values in this frequency band were 168.4 dB (re $1{\mu}Pa/V$ at 1 m), -196.8 dB (re $1V/{\mu}Pa$), and -28.4 dB, respectively. The results suggest that bandwidth and sensitivity can be widened and improved by adjusting the array pattern and the structure of tonpilz transducer elements.