• Journal of Chest Surgery
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• 제39권8호
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• pp.633-636
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• 2006

부분 심내막상 결손증은 일차공 결손과 승모판 전엽에 열공을 동반하는 질환으로 완전형 심내막상 결손증에 비해 임상 증상이 심하지 않으나, 승모판 부전이 진행할수록 심비대, 심부전, 폐동맥 고혈압 등이 더욱 쉽게 발현되어 그 예후가 좋지 않고, 따라서 고령에서는 보기 힘든 질환이다. 본원으로 30년 전부터 증상이 있던 67세 부분 심내막상 결손증 환자가 내원하였다. 심도자 검사상 폐동맥압이 45/22 mmHg, 평균 압력은 32 mmHg로 약간의 폐동맥 고혈압이 있었고, 수술 소견상 $3.5{\times}2.5\;cm$ 크기의 일차공 결손과 심한 석회화를 동반한 승모판 전엽의 열공이 보여 일차공 결손 첨포 봉합과 승모판막 치환술을 시행하였다. 수술 후 11일째부터 심한 방설 차단이 발생하여, 영구 심박동기를 삽입하였고, 수술 27일 후 퇴원하였다. 저자들은 임상적으로 보기 드문 고령에서의 부분 심내막상 결손증을 수술적으로 교정하였기에 문헌 고찰과 함께 보고하는 바이다.

• 한국화재소방학회논문지
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• 제20권3호
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• pp.1-8
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• 2006

본 논문의 목적은 Ethyl Benzene 플랜트의 공정에서 과압 현상이 Column 상부의 반응폭주 및 화재 폭발의 원인이 되기 때문에 안전장치시스템의 신뢰도가 압력방출밸브가 요구하는 안전건전성수준으로 설계되어 있는지를 정량적으로 분석한 것이다. 압력방출밸브의 요구시 실패확률은 일반신뢰도 자료 조사결과를 근거로 하여 안전장치시스템에 대한 안전건전성수준의 목표등급을 SIL3으로 설정하였고, 이에 대한 PFD를 1.00E-3에서 1.00E-4로 결정하였다. 신뢰도 모델의 구축 및 결함수 분석기법을 이용하여 SIS의 요구시 실패확률에 대한 정량화를 수행한 결과 SIS에 대한 PFD는 Benzene Prefractionator Column, Benzene Column, EB Column에 대해 각각 8.97E-04, 5.37E-04, 5.37E-04로 계산되었다. 따라서 SIS의 신뢰도가 SIL3 등급에 요구되는 안전건전성수준으로 설계되어 있다고 판단되며 컨트롤밸브에 대한 6개월 주기의 Partial Stroke Test가 수행될 경우 각 Column의 SIS는 약 $22{\sim}27%$의 신뢰도 향상이 기대된다.

• Journal of Chest Surgery
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• 제12권3호
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• pp.281-288
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• 1979

For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

• Journal of Chest Surgery
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• 제12권3호
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• pp.289-296
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• 1979

For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

• 한국가스학회지
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• 제25권2호
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• pp.22-27
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• 2021

이 논문은 LPG 자동차용 엔진의 고장사례를 연구하여 자동차 생산에 활용함이 목적이다. 첫번째 사례는 엔진의 실린더헤드를 분해하여 확인한 결과 실린더 헤드의 점화플러그가 조립되는 나사부 마멸때문에 점화플러그의 불꽃이 누설되어 출력이 떨어지면서 엔진의 부조화 현상이 가끔 유발되는 것을 발견하였다.. 두 번째 사례는 캠샤프트의 위치와 크랭크 샤프트 위치를 맞춘 타이밍 마크가 0.5칸 틀어져 엔진의 부조화 현상이 발생된 것을 확인되었다. 세 번째 사례는 실린더 헤드를 분해하여 확인한 결과, 실린더 헤드에 제거되지 못한 이물질이 3번 흡기포트에서 공기 흐름에 따라 이동하다가 흡기밸브의 닫힘시기를 원활하지 못하여 하여 고장이 발생된 것을 확인하였다. 따라서, 자동차 관리자는 철저하게 점검해야 하고, 자동차 생산자는 철저한 품질확보를 통해 고장의 원인을 제거해야 할 것으로 판단된다.

• 한국산학기술학회논문지
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• 제19권6호
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• pp.160-166
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• 2018

세계적으로 반도체장비 시장은 오래전부터 성장하고 있다. 유체제어시스템은 반도체 제조 장비에 사용되어지는 배관을 집적화시켜 유체의 공급을 제어할 수 있도록 모듈화, 소형화한 시스템이다. 반도체의 제조공정은 여러 종류의 맹독성 가스를 필수적으로 다루어야 한다. 특히 실제 작업 공정에서는 이러한 맹독성 가스의 정밀한 제어가 필요하다. 이러한 맹독성가스를 제어하는 시스템은 피팅, 밸트, 튜브, 필터, 레귤레이터 등 다양한 부품들로 구성되어 있다. 이 부품들은 누출 없이 고압 가스를 계속 제어해야 하기 때문에 정밀하게 제조되어야 하고 내부식성이 있어야 한다. 이를 위해 금속 블록 및 금속 가스킷의 표면 가공 및 경화 기술을 연구해야 한다. 본 논문에서는 이러한 유체제어시스템에서 가장 기본이 되는 V-Block의 직경, 유량, 각도를 다르게 설계하여 내부에서 어떠한 유동흐름을 보이는지 파악하고자 하며, 유체제어시스템에서 가장 기본이 되는 유체제어벨브 시스템의 내부 유동해석을 통하여 안정적인 유량을 공급할 수 있는 설계의 최적화에 대해 연구하고 분석하였다.

• 한국자동차공학회논문집
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• 제18권1호
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• pp.14-22
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• 2010

Hybrid Electronic Vehicle (HEV) is one of the solutions of high oil price and environment problem. Recently, study of HEV is important for automobile industry. However HEV has a lot of components and there are many cases for assembling, it's impossible to test results from assembling by using real vehicles. To solve this problem, hybrid system simulator is required. The purpose of this study is to develop and optimize of engine module for hybrid system simulator. The commercial 1-D engine simulation program, WAVE is used to get the engine capacity and performance data and 1-D simulation model of base engine is compared with engine experiment results. Using the data, the engine module is developed based on the MATLAB Simulink. There are blocks of base engine, Single-CVVT engine and Dual-CVVT engine. The effect of acceleration and deceleration is applied to each engine block. In addition, the control and processing logics for CIS technology are developed. Finally the simulator operates FTP-72 mode test.

• Journal of Chest Surgery
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• 제22권4호
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• pp.620-629
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• 1989

A clinical analysis of 138 cases of ventricular septal defect operated on from 1983 to June 1988 at the department of Thoracic and Cardiovascular Surgery, School of Medicine, Chung-nam National University was done. The following results were obtained. 1. The VSD were 27.6 % and 41.0 % respectively of 500 open heart surgery cases and 334 congenital heart disease. 2. The range of age when the VSD was repaired was 3 months to 45 years, the mean age was 10.4 years and the 53.6 % of patients were under 7 years. The sex ratio was 6:4 in males favor. 3. The two common symptoms were frequent upper respiratory infection and dyspnea whose frequency was 62.5 % and 58.7% respectively. 4. 52% of the patients was below 25 percentile of the standard body weight. 5. The most common chest PA findings were cardiomegaly and increased pulmonary vascularity. 6. On anatomical classification, perimembranous type was most common [65.5%], subpulmonary arterial type was 27.6 %, perimembranous plus subpulmonary arterial type was 3.4 % multiple VSD was 0.8 % and LV-RA defect was 2.6 %. 7. Associated cardiac anomalies were founded in 39 cases [35.5 %] and PDA and aortic valve prolapse were most common associated anomalies and extracardiac anomalies were founded in 6.7 % of patients. 8. Mean extracorporeal circulation time was 68 min. and mean aortic cross-clamping time was 42 min. 9. The postoperative complications developed in 26 % of patients and the most common one was minor wound infection. 10. Right bundle branch block developed in 54.8% of the patients who had right ventriculotomy, 40.0% of the patients who had right atriotomy and 10.5% of the patients who had pulmonary arteriotomy. 11. The overall operative mortality was 5.1 % and the operative mortality of the patients who body weigh under 10 Kg was 23.8%.

• Journal of Biosystems Engineering
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• 제35권1호
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• pp.21-30
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• 2010

This study was performed to develop an active tire pressure control system that can adjust tire pressure to the optimum level according to traveling and working condition of agricultural tractor. For the development of active tire pressure control system, pneumatic supplier, solenoid valve block including pneumatic supply line, infinite rotation type pneumatic supplier with rotary joint unit, tire pressure transceiver module and control algorithm were developed. Also, tire simulator was developed. Using this tire simulator, the feasibility of each part constructing actual system was tested by checking the performance. The average communication success ratio was 98.3% between tire pressure transmitter and receiver module according to the various tire rotational speed and data receipt position of receiver module. The communication performance of the developed transmitter and receiver module was very stable in any condition. The tire pressure control system was accomplished by using the proportional control algorithm in this study. Also tire pressure control performance of developed control system was analyzed by using the tire simulator. As a result of control performance analysis to the developed system, the developed control system took 307 seconds to inflate agricultural tractor's tire from 50 kPa to 180 kPa. In opposite case, it took 210 seconds. Also it was able to control the tire pressure accurately under ${\pm}0.9%$ (FS) in any condition.

• 한국추진공학회지
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• 제21권2호
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• pp.102-110
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• 2017

발사대시스템의 산화제공급계(Liquid Oxygen Filling System)는 발사체의 추진제(Propellant) 중 연료의 연소를 위한 산화제(Oxidizer)로 사용되는 액체산소(Liquid Oxygen)를 저장하고, 발사체 요구조건에 맞게 공급하는 하는 설비이다. 본 논문에서는 한국형발사체(KSLV-II) 발사대시스템 상세설계(Critical Design, 2015년 8월에서 2016년 4월, 8개월) 동안 수행된 한국형발사체 발사대시스템 추진제 공급설비의 산화제공급계 설계 내용을 주요 설비 구성에 대하여 구조적 관점으로 소개한다.