• Journal of Chest Surgery
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• 제17권2호
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• pp.189-196
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• 1984

Although the conventional methods of cardiopulmonary bypass for open heart surgery have been employed, it has been usual method to repair of congenital heart disease in infancy using deep hypother-mia and circulatory arrest technique. In 1980, we reported total correction of congenital heart disease using surface induced hypothermia-total circulatory arrest and rewarming with limited cardiopulmonary bypass. in 1981, three patients below 10 kilogram, who had ASD and PDA, and two of VSD with pulmonary hypertension were operated on using simple deep hypothermia without cardiopulmonary bypass. During surface cooling, there were no ventricular fibrillation and arrhythmia. There were no difficulties to resuscitate the heart. Postoperative respiratory and neurologic complication were not occurred. Follow up examination for two to three years gave no evidence of cerebral damage due to circulatory arrest.

• Journal of Chest Surgery
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• 제18권1호
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• pp.13-18
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• 1985

Cortriatriatum is rare congenital heart disease characterized by the presence of a fibromuscular diaphragm that subdivides the left atrium into a proximal or "accessory" and a distal or "true" left atrial chamber. A 15 year old girl with cortriatriatum underwent surgical correction at the department of Thoracic and Cardiovascular Surgery, Soonchunhyang College in November, 1984. This case was preoperatively diagnosed as a single atrium with functional tricuspid regurgitation But on operation, we found that there were transverse septum in the left atrium through large ASD, low chamber receives the pulmonary veins, and the upper chamber gives rise to the left atrial appendage and leads to the mitral valve. And the anomalous membrane has no fenestrations. We excised completely the anomalous septum, reconstructed atrial septal defect with dacron patch and performed the tricuspid annuloplasty with DeVega method. Postoperative course was uneventful during follow up, during follow up.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제22권2호
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• pp.254-261
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• 2000

Since callus distraction technique was applied clinically for the correction of dentofacial deformity to the patients with hemifacial dysplasia by McCarthy in 1992, many surgeons have tried to apply this method to the maxillofacial region. But this technique has some drawbacks. One of the disadvantages of this technique is extensive scar formation in the facial area, which is a sequelae of extraoral approach for supraperiosteal dissection of the periosteum overlying the mandible. Recently, we have made an effort to perform this technique through intraoral approaches to prevent scar formation on the submandibular area and modified the design of the osteotomy, that is step osteotomy technique, to increase the raw bone surface on both osteotomized segments. The rationale for the application of this step osteotomy technique is to increase the amount of regenerated bone and the length of distraction, to avoid damage of inferior alveolar neurovascular bundle, and to increase initial stability of the splitted segments. Step osteotomy procedure can be done with fine micro-osteotomy saw through subperiosteal tunneling. Extraoral pins should be inserted before making the osteotomy. Since 1994 we have applied this technique at 8 sites In 5 patients with mandibular deficiencies: 2 cases of hemifacial microsomia, 1 case of developmental facial asymmetry and 2 cases of mandibular bony defect. Mandibular elongation have been achieved from 12 to 20mm in length. 1 out of 8 site, we experienced non-union in the case of mandibular body defect. Some skeletal relapse and growth retardation phenomenon have been observed in some cases with the longest follow-up of 48 months.

• Journal of Chest Surgery
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• 제18권2호
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• pp.241-249
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• 1985

Twenty-one patients with Double Chambered Right Ventricle [DCRV] associated with Ventricular Septal Defect [VSD] were treated by open heart surgery under cardiopulmonary bypass with moderate hypothermia in the Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital between June 1982 and October 1984. The following results were obtained 1. The symptoms and physical signs, specific for DCRV, could not be identified. 2. The radiologic findings on simple chest X-ray, specific for DCRV, could not be identified. 3. Electrocardiographic findings, specific for DCRV, could not be identified. 4. Cardiac catheterization was found to be the most important diagnostic method, revealing pressure gradient between proximal chamber and distal chamber in the right ventricle. The average pressure gradient between two chambers showed 48.1523.29 mmHg[varying from 15mmHg to 94mmHg]. 5. Cardiac angiography was found to visualize the anomalous muscle bundles in right ventricle [in 17 cases, 81%] but the evidence of pressure gradient between two chambers within right ventricle is considered necessary for the diagnosis of DCRV. 6. Via surgical observation, anatomical and pathologic findings of the anomalous muscle bundles, associated DCRV were identified. 7. As the direct pressure was measured on the operating table before and after surgery, the average pressure gradient across the muscle bundles showed 40.5219.75mmHg [varying from 16 to 89mmHg] preoperatively and 8.909.72mmHg [varying from 0 to 32mmHg] postoperatively, indicating significant surgical correction of the obstruction present. 8. The presence of anomalous muscle bundles, dividing the right ventricle into two separated chambers, and the presence of the pressure gradient over 15mmHg are considered necessary for the diagnosis of DCRV.

• 비파괴검사학회지
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• 제29권5호
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• pp.421-426
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• 2009

열화상 카메라와 대상물의 측정 위치에 따른 방사각도에 따라 방사율은 달라지게 된다. 이로 인해 열화상 시스템을 이용한 온도 측정시 나타나는 온도 분포는 절대적 온도로 볼 수 없다. 대상체의 실제 표면 온도가 일정하더라도 열화상 카메라로 측정된 온도는 방사율 값에 따라 오차를 가지게 된다. 본 논문에서는 동일 온도로 가열된 원통 형태를 가지는 대상체와 평면 형태를 가지는 대상체의 온도를 열화상 카메라를 이용하여 측정하였다. 측정된 표면 온도값을 통하여 화각에 의한 방사율 보정표와 방사각도의 영향에 의한 반사율 보정식을 구하였으며 이를 바탕으로 측정 온도의 오차보정을 수행하였다. 그리고 방사 각도와 화각에 따른 온도 영향을 원자력 배관의 결함 검출에 적용하여 더욱 신뢰성 있는 표면 온도값을 획득하였다.

• Journal of Chest Surgery
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• 제35권12호
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• pp.871-875
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• 2002

급성 심근경색 후 발생한 심실중격결손은 조기에 적극적인 치료에도 수술 사망률이 매우 높은 질환이다. 저자들은 10년간 급성 심근경색 후 심실중격결손으로 수술한 환자들의 수술 결과와 장기 결과를 분석하였다. 대상 및 방법: 1991년 1월부터 2001년 5월까지 연세대학교 흉부외과에서 급성 심근경색 후 발생한 심실중격결손으로 수술 받은 17명을 조사하였다. 환자들의 평균 나이는 63.2$\pm$9.1세로 남자가 10명, 여자가 7명이었으며, 16명의 환자는 전방부 중격결손 이었고, 1명은 하부 중격결손 이었다. 12명의 환자는 수술 전 심인성 쇽으로 대동맥내풍선펌프를 삽입하였다. 심근경색 후 심실중격결손 발생까지의 기간은 평균 5.6일이었으며, 급성기에 수술 한 환자는 14례로, 심실중격결손 진단 후 수술까지의 평균 기간은 2.5일 이었다. 11명의 환자들은 관상동맥 우회술을 함께 시행받았다. 결과: 수술 후 4명이 30일 이내에 사망하였으며(30일 사망률＝23.5%), 이는 모두 심인성 쇽이 있던 12명의 환자군에서 발생하였다(사망률＝33.3%). 평균 52개월간의 관찰기간에서 1명의 환자가 원인 불명으로 사망하였으며, 퇴원한 환자들의 10년 생존률은 66.7%였다. 추적이 되지 않은 1명을 제외한 10명의 환자들은 마지막 외래 관찰시 모두 NYHA functional class I이나 II였다. 결론: 급성 심근경색 후 발생한 심실중격결손은 가능한 조기에 수술하는 것이 환자의 생존에 매우 중요하다고 생각하며, 장기 결과도 양호 하다고 생각한다.

• Clinical and Experimental Pediatrics
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• 제61권7호
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• pp.210-216
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• 2018

Purpose: The present study aimed to evaluate progression and prognosis according to the palliation method used in neonates and early infants aged 3 months or younger who were diagnosed with pulmonary atresia with ventricular septal defect (PA VSD) or tetralogy of Fallot (TOF) with severe pulmonary stenosis (PS) in a single tertiary hospital over a period of 12 years. Methods: Twenty with PA VSD and 9 with TOF and severe PS needed initial palliation. Reintervention after initial palliation, complete repair, and progress were reviewed retrospectively. Results: Among 29 patients, 14 patients underwent right ventricle to pulmonary artery (RV-PA) connection, 11 palliative BT shunt, 2 central shunt, and 2 ductal stent insertion. Median age at the initial palliation was 13 days (1-98 days). Additional procedure for pulmonary blood flow was required in 5 patients; 4 additional BT shunt operations and 1 RV-PA connection. There were 2 early deaths among patients with RV-PA connection, one from RV failure and the other from severe infection. Finally, 25 patients (86%) had a complete repair. Median age of total correction was 12 months (range, 2-31 months). At last follow-up, 2 patients had required reintervention after total correction; 1 conduit replacement and 1 right ventricular outflow tract (RVOT) patch enlargements. Conclusion: For initial palliation of patients with PA VSD or TOF with severe PS, not only shunt operation but also RV-PA connection approach can provide an acceptable outcome. To select the most proper surgical strategy, we recommend thorough evaluation of cardiac anomalies such as RVOT and PA morphologies and consideration of the patient's condition.

• 한국재료학회지
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• 제28권12호
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• pp.685-690
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• 2018

In this study, a multifunctional ophthalmic lens material with an electromagnetic shielding effect, high oxygen permeability, and high water content is tested, and its applicability is evaluated. Metal oxide nanoparticles are applied to the ophthalmic lens material for vision correction to shield harmful electromagnetic waves; the pyridine group is used to improve the antibacterial effect; and silicone substituted with urethane and acrylate is employed to increase the oxygen permeability and water content. In addition, multifunctional tinted ophthalmic lens materials are studied using lens materials with an excellent antibacterial effect (2,6-difluoropyridine, 2-fluoro-4-pyridinecarboxylic acid) and functional (UV protection, high wettability) lens materials (2,4-dihydroxy benzophenone, 2-hydroxy-4-(methacryloyloxy)benzophenone). To solve problems such as air bubbles generated during the polymerization process for the manufacturing and turbidity of the lens surface, polymerization conditions in which the defect rate is minimized are determined. The results show that the polymerization temperature and time are most appropriate when they are $110^{\circ}C$ and 40 minutes, respectively. The optimum injection amount of the polymerization solution is 350 ms. The turbid phenomenon that appears in lens processing is improved by 10 to 95 % according to the test time and conditions.

• 한국측량학회지
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• 제20권2호
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• pp.111-118
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• 2002

오늘날 측량장비 개발의 급속한 발전과 더불어 정밀도가 많이 향상되고 있고 컴퓨터를 이용한 지형공간정보체계기술의 발달로 더욱 정밀한 3차원 지형의 재현이 가능하게 되었다. 그런데 실제 현장에서 이루어지고 있는 면적 및 체적산출방법에 있어서는 재래적인 측량방법인 평판측량으로 지형을 만들어낸 후 구적기나 기타 다른 방법을 통해서 2차원 면적을 산출한다. 여기에 일정량의 경사보정계수를 곱하여 3차원 면적을 산출하는 방법을 사용하고 있다. 본 연구에서는 재래적인 측량방법 및 면적산출방법에 대한 비효율성 및 비정밀성을 제시하고 광파거리측량기와 GPS를 이용하여 불규칙삼각형방식과 격자형방식으로 측량을 실시하였다. 두 가지 측량데이터를 가지고 각각의 방법에 따라 3차원 지형모델을 구축한 후 2차원 및 3차원 면적을 산출하였으며 재래적인 측량방법을 이용한 면적산출량을 기준으로 불규칙삼각형방식과 격자형방식으로 산출한 면적산출량을 비교 분석함으로써 정밀하고 효율성이 높은 3차원 면적산출기법을 제시하였다.

• 한국컴퓨터정보학회논문지
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• 제29권1호
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• pp.77-84
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• 2024

본 논문에서는 컴퓨터 비전을 사용하여 6가지 측정값(눌린 단자의 길이, 단자 끝의 치수(폭), 눌린부분(와이어 부분, 코어 부분)의 폭)을 계산하여 와이어 하네스의 결함을 정확하고 빠르게 탐지할 것을 제안한다. 두 가지 유형의 데이터에서 Harris 코너 검출을 활용하여 물체의 위치를 탐지하고 측정 영역별 특징과 배경과 물체 사이의 음영 차이를 활용하여 각 샘플의 기울기를 반영하는 측정값을 추출하기 위한 기준점을 생성한다. 이후 유클리드 거리 방법과 보정 계수를 사용하여 예측값을 계산하는 방법을 통해 와이어의 위치 변화에 관계 없이 측정값을 예측할 수 있다. 각 측정 유형별로 99.1%, 98.7%, 92.6%, 92.5%, 99.9%, 99.7% 정확도를 달성하였으며, 모든 측정값에서 평균 97%의 정확도로 우수한 결과를 얻었다. 해당 검사 방법은 기존 검사 방법인 육안 검사의 문제점을 보완하고, 작은 양의 데이터만을 이용하여 우수한 결과를 도출 가능하다. 또한 이미지 처리만 이용하기 때문에 딥러닝 방법보다 더 적은 데이터와 비용으로 적용 가능할 것으로 기대된다.