• Journal of Chest Surgery
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• 제23권3호
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• pp.430-437
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• 1990

We clinically evaluated 121 cases of ventricular septal defect which we operated from April, 1986 to December, 1989 at Inha General Hospital, Seong-Nam, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inha University. These patients were occupied 54.8% of all congenital heart diseases operated on its same period. Of the 121 patients, 63 patients were male[52.1%] and 58 patients were female[47.9i]. The two most common symptoms were frequent upper respiratory infection and dyspnea on exertion. By Kirklin s anatomical classification, type I constituted 34.7%, type II 61.98%, type III 0.03% and type IV not occupied. Associated cardiac anomalies were found in 34 cases, and PDA was most common associated anomaly, occupied in 22 cases. On the cardiac catheterization data, there were statistically significant correlation between VSD size[cm2 /BSAm2] and systolic pulmonary arterial pressure[sPAP], pulmonary to systemic flow ratio[Qp/Qs] & pulmonary to systemic pressure ratio[Pp/Ps] respectively, Type II [r=0.53, p<0.01] was more correlated than type I [r=0.49, p<0.05] between VSD size and Qp /Qs. We could not found the correlationship between age and Qp/Qs [Type I; r=0.16, Type II; r=-0.15] All cases were operated under cardiopulmonary bypass and 58 cases[46.3%] were operated through the right atrial approach, and 34 cases[28.1%] through the pulmonary arterial approach. Operative mortality rate was 4.13%[5 cases].

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2008년도 제31회 추계학술대회논문집
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• pp.310-313
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• 2008

스크램젯 비행체에서 극초음속 순항미사일의 추진 특성을 향상시키고 항력을 적게 발생하면서 전력을 생산하는 장치로써 MHD 장치가 최근 들어 큰 관심을 받아왔다. 이전에 보였던 것보다 보다 완전한 물리적 모델을 바탕으로 하면, 경계층 박리 억제나 파워 바이패스를 통해 극초음속 추진 시스템의 성능 향상을 하는 MHD의 쓰임새를 논의하는 것은 불필요한 일이 된다. MHD 유동 제어를 하게 되면 엔진 성능에 상당한 역효과를 미치는 불가피한 Joule 가열이 크게 발생한다. 하지만, 예비 조사에 따르면 MHD는 약간의 항력만을 더 발생하면서 스크램젯 엔진을 장착한 무기에 메가와트 단위의 큰 전력을 생산해 낼 수 있을 것으로 여겨진다.

• Journal of Korean Neurosurgical Society
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• 제62권2호
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• pp.136-143
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• 2019

Moyamoya disease (MMD) is a progressive cerebrovascular disease with unknown etiology, characterized by bilateral steno-occlusive changes at the terminal portion of the internal carotid artery and an abnormal vascular network formation at the base of the brain. MMD has an intrinsic nature to convert the vascular supply for the brain from internal carotid (IC) system to the external carotid (EC) system, as indicated by Suzuki's angiographic staging. Insufficiency of this 'IC-EC conversion system' could result not only in cerebral ischemia, but also in intracranial hemorrhage from inadequate collateral anastomosis, both of which represent the clinical manifestation of MMD. Surgical revascularization prevents cerebral ischemic attack by improving cerebral blood flow, and recent evidence further suggests that extracranial-intracranial bypass could powerfully reduce the risk of re-bleeding in MMD patients with posterior hemorrhage, who were known to have extremely high re-bleeding risk. Although the exact mechanism underlying the hemorrhagic presentation in MMD is undetermined, most recent angiographic analysis revealed the characteristic angio-architecture related to high re-bleeding risk, such as the extension and dilatation of choroidal collaterals and posterior cerebral artery involvement. We sought to update the current management strategy for hemorrhagic MMD, including the outcome of surgical revascularization for hemorrhagic MMD in our institute. Further investigations will clarify the optimal surgical strategy to prevent hemorrhagic manifestation in patients with MMD.

• 한국압력기기공학회 논문집
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• 제19권1호
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• pp.27-35
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• 2023

Pressure tubes are the main components of PHWR core and serve as the pressure boundary of the primary heat transport system. However, because pressure tubes have changed their geometrical dimensions under the severe operating conditions of high temperature, high pressure and neutron irradiation according to the increase of operation time, all dimensional changes should be predicted to ensure that dimensions remain within the allowable design ranges during the operation. Among the deformations, the diameter expansion due to creep leads to the increase of bypass flow which may not contribute to the fuel cooling, the decrease of critical channel power and finally the deration of the power to maintain the operational safety margin. This study is focused on the modeling of the expansion of the pressure tube diameter based on the operating conditions and measured diameter data. The pressure tube diameter expansion was modeled using the neutron flux and temperature distributions of each fuel channel and each fuel bundle as well as the measured diameter data. Although the basic concept of the current modeling approach is simple, the diameter prediction results using the developed methodology showed very good agreement with the real data, compared to the existing methodology.

• Journal of Chest Surgery
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• 제13권4호
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• pp.338-345
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• 1980

We have modified an isolated perfusion rat heart model of cardiopulmonary bypass, with which we are able to screen the effects of various cardioplegic solutions and hypothermia upon the ability of the heart to survivie during and recover from period of ischemic arrest. The modified experimental model was differed from the original as follow : a heat coil chamber of atrial and aortic reservoir provided temperature control, and the perfusate was gassed with each pure oxygen and pure carbon dioxide in 95:5 ratio. The Langendorff perfusion was initiated for a 10 minute period by introducing perfusate at $37^{\circ}C.$ into the aorta from the aortic reservoir located 100 cm above the heart. The isolated perfused working rat heart model was a left heart preparation in which oxygenated perfusion medium (at $37^{\circ}C.$) entered the cannulated left atrium at a pressure of 20 cm $H_{2}O$ and was passed to the ventricle, from which it was sponeously elected(no electrical pacing) via an aortic cannula, against a hydrostatic pressure of 100cm $H_{2}O$. during this working period various indices of cardiac functin were measured. The cardiac functions were stable for over 3 hour with perfusion of Krebs-Henseleit bicarbonate buffer solution containing only glucose (11.1 mM/L). The percentage of cardiac functins were maintained about 94% on heart rate, 80.6% on peak aortic pressure, 87.7% on coronary flow and 76.3% on aortic flow rate after 3 hour of working heart perfusion at a pressure of 20 cm $H_{2}O$. We believe this preparation to be a good biochemical model for the human heart which offers many advantages including economic, speed of preparation, reproducibility, and the ability to handle large numbers.

• Nuclear Engineering and Technology
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• 제41권5호
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• pp.691-708
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• 2009

In order to analyze thermal hydraulic phenomena during a DVI (Direct Vessel Injection) line break LOCA (Loss-of-Coolant Accident) in the APR1400 (Advanced Power Reactor 1400 MWe), we performed experimental studies with the SNUF (Seoul National University Facility), a reduced-height and reduce-pressure integral test loop with a scaled down APR1400. We performed experiments dealing with eight test cases under varied tests. As a result of the experiment, the primary system pressure, the coolant temperature, and the occurrence time of the downcomer seal clearing were affected significantly by the thermal power in the core and the SI flow rate. The break area played a dominant role in the vent of the steam. For our analytical investigation, we used the MARS code for simulation of the experiments to validate the calculation capability of the code. The results of the analysis showed good and sufficient agreement with the results of the experiment. However, the analysis revealed a weak capability in predicting the bypass flow of the SI water toward the broken DVI line, and it was insufficient to simulate the streamline contraction in the broken side. We, hence, need to improve the MARS code.

• 한국지반환경공학회 논문집
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• 제16권1호
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• pp.29-36
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• 2015

현재 국내 연구는 1차원 수치해석을 통한 침수방지대책의 효과분석 및 효율성을 입증하는 형태로 본 연구에서는 2차원 도시유출모형인 XP-SWMM 모형을 침수지역에 적용, 침수방지대책을 상호 비교 분석함으로써 수자원관리자의 효율적인 정책결정에 반영할 수 있도록 하는 것이 본 연구의 목적이다. 기상데이터는 지난 1967년부터 2011년까지 45년간 청주 기상대에서 수집한 것으로 통계 분석하여 사용하였다. 대상 배수구역 통수능력 분석을 50년 빈도 모의 결과 침수면적 $539,548m^2$, 최대침수심 1.0m, 침수시간 48분으로 분석되었다. 침수대책으로 A1 소배수구역의 통수능력 증대를 위해 우회수로 및 지하저류시설 건설을 비교한 결과 대상유역에 용량이 $13,500m^3$인 지하저류시설을 설치할 경우 50년 빈도의 강우까지 침수가 완전 해소될 것으로 판단된다. 향후 침수 저감대책으로 이상기후에 대비할 수 있는 지하저류조 설치가 효율성이 좋을 것으로 판단된다.

• 한국대기환경학회지
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• 제26권2호
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• pp.219-233
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• 2010

Understanding the Nano size particles is of great interest due to their chemical and physical behaviors such as compositions, size distributions, and number concentrations. Therefore, accurate measurements of size distributions and number concentrations in ultrafine particles are getting required because expected losses such as diffusion for the instrument system from ambient inlet to detector are a significant challenge. In this study, the data using the computed settling losses, impaction losses, diffusion losses for the sampling lines (explored different sampling line diameters, horizontal length, number of bending, line angles, flow rates with and without a bypass), and diffusion losses for the Scanning Mobility Particle Sizers are examined. As expected, the settling losses and impaction losses are very minor under 100 nm, however, diffusion loss corrections for the sampling lines and the size instrument make a large difference for any measurement conditions with high numbers of particles smaller mobility size. Both with and without the loss corrections, which can affect to size distributions and number concentrations are described. First, 80% or more of the smallest particles (less than 10 nm) can be lost in the condition of a flow rate of 0.3 liter per minute and the length of sampling line of 1.0 m, second, total number concentrations of measurements are quite significantly affected, and the mode structure of the size distribution changes dramatically after the loss corrections applied. With compared to the different measurements, statistically diffusion loss corrections yield a required process of the ambient particle concentrations. Based on the current study, as an implication, a possibility of establishing direct revelation mechanisms is suggested.

• Journal of Yeungnam Medical Science
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• 제11권1호
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• pp.49-54
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• 1994

숭모판 치환술이 예정된 10명의 환자를 대상으로 심폐우회술 동안 발생할 수 있는 뇌산소 요구량과 소모량 사이의 불균형을 조사하기 위해 내경정맥 내의 산소포화도를 체외순환 5분전과 시작후 1분 이내, 저체온 상태가 안정되었을 때와 재가온하여 체온이 $34^{\circ}C$가 되었을 때, 그리고 체외순환 종료 후 15분 이내 등 5단계로 나누어 혈액을 채취하여 평균 동맥압, 체온, 동맥내 이산화탄소 분압, 혈색 소치, PH 등을 비교 분석하여 다음과 같은 결과를 얻었다. 1. 심폐우회술 중 이산화탄소 분압과 혈색소치 및 PH의 특이한 변화는 없었다. 2. 체외순환 직후 체온 및 평균 동맥압과 혈색 소치의 급격한 변화가 있었으나 임상적인 의미는 없었으며, $SjO_2$의 변화도 없었다. 3. 저체온 상태가 안정되었을때 $SjO_2$ 평균치가 72.4%이었으나 체온을 $34^{\circ}C$로 재가온하였을 때 56.1%로 감소하였다. 4. 재가온 시기에 $SjO_2$감소를 예방하기 위해 재가온 속도를 천천히 하고 이산화탄소를 증가시킴으로써 뇌혈류를 증가시키고 마취약제 등을 이용하여 산소에 대한 뇌대사율을 관류지수를 증가시켜야 하겠다.

• Journal of Preventive Medicine and Public Health
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• 제50권1호
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• pp.29-37
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• 2017

Objectives: The accurate measurement of geographic patterns of health care utilization is a prerequisite for the study of geographic variations in health care utilization. While several measures have been developed to measure how accurately geographic units reflect the health care utilization patterns of residents, they have been only applied to hospitalization and need further evaluation. This study aimed to evaluate geographic indices describing health care utilization. Methods: We measured the utilization rate and four health care utilization indices (localization index, outflow index, inflow index, and net patient flow) for eight major procedures (coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty, surgery after hip fracture, knee replacement surgery, caesarean sections, hysterectomy, computed tomography scans, and magnetic resonance imaging scans) according to three levels of geographic units in Korea. Data were obtained from the National Health Insurance database in Korea. We evaluated the associations among the health care utilization indices and the utilization rates. Results: In higher-level geographic units, the localization index tended to be high, while the inflow index and outflow index were lower. The indices showed different patterns depending on the procedure. A strong negative correlation between the localization index and the outflow index was observed for all procedures. Net patient flow showed a moderate positive correlation with the localization index and the inflow index. Conclusions: Health care utilization indices can be used as a proxy to describe the utilization pattern of a procedure in a geographic unit.