• 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].

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 한국추진공학회 2008년도 제31회 추계학술대회논문집
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• pp.310-313
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• 2008

Magnetohydrodynamics (MHD) devices have received considerable attention in recent years as a means to either improve the propulsive characteristics of hypersonic cruise missiles or as a means to generate power at low cost in drag and weight aboard scramjet powered vehicles. Based on more complete physical models than previously used, it is here argued that the use of MHD is not valuable in improving the performance of hypersonic propulsion systems through prevention of boundary layer separation or power bypass. This is due to the inevitable high amount of Joule heating accompanying MHD flow control having considerable undesired adverse effects on the engine performance. On the other hand, preliminary estimates indicate that MHD is likely to succeed in generating high amounts of power with little additional drag to feed megawatt-class energy weapons on-board scramjet engines.

• 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.

• Transactions of the Korean Society of Pressure Vessels and Piping
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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.

• Journal of the Korean GEO-environmental Society
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• 제16권1호
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• pp.29-36
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• 2015

Current domestic research is to demonstrate the effectiveness and efficiencies of flood prevention measures through one-dimensional numerical analysis and this study's object is to help water managers to make the efficient decisions by applying the two-dimensional urban run off model XP-SWMM model in the flooded area and comparing with the flood prevention measures. Statistics were analyzed, based on the data collected from Cheongju Weather Service from 1967 to 2011 for 45 years. 50 years Flood frequency simulations of water flow capacity analysis of the target area for flooded areas $539,548m^2$, inundation depth 1.0 m, was analyzed by inundation time of 48 minutes. When comparing with the constructions of bypass road and underground storage facilities to increase the water flow capacity of A1 small drainage areas as flood protection, if you install a batching target underground detention basin with a capacity of $13,500m^3$, it is expected that the flood by rainfall with frequency of 50 years will be resolved completely. In preparation for extreme weather in the future flood mitigation measures, underground storage tank installation is considered a better efficient way.

• Journal of Korean Society for Atmospheric Environment
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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

Postoperative brain damage is one of most serious complications of cardiopulmonary bypass (CPB). To prevent brain damage during CPB, adequate cerebral perfusion for cerebral oxygen demand should be maintained. This study monitored jugular venous oxyhemoglobin saturation ($SjO_2$), which reflects the overall balance of cerebral oxygen supply and demand, intermittently in 10 patients undergoing cardiac surgery. At the initiation of CPB, in spite of a significant decrease in mean arterial pressure, $SjO_2$ did not change, and it was stable during the hypothermic period of CPB. But a significan reduction in $SjO_2$ was observed during the rewarming period, and $SjO_2$ had an inverse linear correlation with esophageal temperature. Furthermore, the percent decrease of $SjO_2$ was related to rewarming speed. Therefore, therapeutic approaches for $SjO_2$ desaturation include slower rewarming, increasing cerebral blood flow, decreasing the cerebral metabolic rate for oxygen, increasing oxygen content, and increasing perfusion flow rate.

• 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.