• Journal of Chest Surgery
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• 제19권4호
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• pp.578-583
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• 1986

Tetralogy of Fallot is the most common cyanotic congenital anomaly, which needs some operation for the survival. Perioperative mortality of the Tetralogy of Fallot was lowered remarkably in recent years, but some discussions were presented for the criteria of the corrective surgery and the corrective method of the pulmonary stenosis. In the Department of Thoracic and Cardiovascular Surgery of the Chunbug National University Hospital, 17 cases of tetralogy of Fallot were corrected totally from July in 1983 to August in 1984. In correction of the pulmonary stenosis, transannular patch was applied in B patients, infundibulectomy in 5, RVOT patch without transannular patch in 3, and isolated patches on RVOT and pulmonary trunk. Preoperative and early postoperative hemodynamic study revealed increased RA pressure in transannular patch group, which was significant statistically. [p<0.01]. Clinically, perioperative death occurred only in transannular patch group, and right heart failure signs including hepatomegaly, ascites, pleural effusion and peripheral edema were high in frequency in transannular patch group.

• 대기
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• 제33권1호
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• pp.49-59
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• 2023

Blocking refers to a class of weather phenomena appearing in the mid and high latitudes, whose characteristics are blocked airflow of persistence. Frequently found over the Pacific and Atlantic regions of the Northern Hemisphere, blocking affects severe weather in the surrounding areas with different mechanisms depending on the type of blocking patterns. Along with lots of studies about persistent weather extremes focusing on the specific types of blocking, a new categorization using Rossby wave breaking has emerged. This study aims to apply this concept to the classification of blockings over the Pacific and examine how different wave breakings specify the associated cold weather in the Korean peninsula. At the same time, we investigate a strongly developing ridge around the Pacific by designing a new detection algorithm, where a reversal method is modified to distinguish ridge-type blocking patterns. As result, Kamchatka blocking (KB) and strong ridge over the Central Pacific are observed the most frequently during 20 years (2001~2020) of the studied period, and anomalous low pressures with cold air over the Korean Peninsula are accompanied by blocking events. When it considers the Rossby wave breaking, cyclonic wave-breaking is dominant in KB, which generates low-pressure anomalies over the Korean Peninsula. However, KB with anticyclone wave breaking appears with the high-pressure anomalies over the Korean Peninsula and it generates the warm temperature anomaly. Lastly, the low-pressure anomalies are also generated by the strong ridge over the Central Pacific, which persists for approximately three days and give a significant impact on cold surge on the Korean Peninsula.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2008년도 학술발표회 논문집
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• pp.294-298
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• 2008

Snow cover is a potential water resource for later spring and summer seasons as well as a thermal mirror with high reflectivity causing decreases of surface air temperature during cold winter seasons. In this study, current and future changes in Northern Hemisphere snow extent and their potential linkages with atmospheric circulation are examined. The NOAA AVHRR visible snow extent (1967-2006) data as well as observational (NCEP-DOE 1979-2006) and modeled (GFDL 2.1 2081-2100) pressure and surface air temperature data are used. Analyses of observational data demonstrate that the snow extent in meteorological spring (March to April) and summer (June to August) has significantly decreased since the late 1980s. The offset of snow seasons (the timing of snow melt in spring) have also significantly advanced particularly in Europe, East Asia, and northwestern North America. Analyses of pressure fields reveal that the spatial patterns of the earlier snow melt are associated with changes in atmospheric circulation such as the Arctic Oscillation (AO). In the positive winter AO years, multiple positive pressure departure cores in the upper troposphere (200hPa) are observed over the mid-latitude regions from March to mid-April, while a negative pressure departure core (70hPa) prevails over the Arctic Ocean. The reversed anomaly patterns related to later snow melt occur in negative winter AO years. The comparison between current and future thermal spring onsets suggest that snow melt patterns will intensify with larger greenhouse gas emissions, indicating earlier hydrological spring onset.

• Journal of Chest Surgery
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• 제17권4호
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• pp.644-656
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• 1984

In Tetralogy of Fallot, the most common congenital cyanotic heart disease, the mortality is decreasing continuously with adequate type and timing of operation. At S.N.U.H., 195 patients were operated from January 1982 to December 1983 and 176 patients among them were analysed in the view of pre-operative pulmonary arterial condition measured by cardiac cineangiogram. The most common associated anomaly was PFO and ASD and they did not affect the postoperative course and mortality. The overall mortality rate was 8.5% in 1982 and 6.8% in 1983 but under 2 years of age, the mortality rate was relatively high as 25% in 1982 and 16.7% in 1983, and when transannular patch widening of Right Ventricular Outflow Tract was used, the mortality rate was 12.5% in 1982 and 27.3% in 1983. Preoperative angiographic measurements of the pulmonary arterial status for prediction of the ratio between the Left Ventricular and Right Ventricular peak systolic pressure were calculated retrospectively according to the Blackstones formula, and the predicted value of PRV/LV greater than 0.6 carried apparently high complication and mortality rate as 16.6% M.R. in 1982 and 11.1 % in 1983. Among postoperative complications, c-RBBB occurred most frequently about 50% but did not influenced to mortality, Low Cardiac Output Syndrome was developed in about 40%. If we select the patient who should have the staged operation including shunt operation and choose the type of RVOT relief, we expect the improvement of postoperative clinical results.

• 지구물리
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• 제9권3호
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• pp.209-217
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• 2006

The major continental blocks in NE-Asia are the North China Block and the South China Blo, which have collided, starting from the Korean peninsula. The suture zone in NE China between two blocks is well defined from the QinIing-Dabie-Orogenic Belt to the Jiaodong (Sulu) Belt by the geological and geophysical interpretation. The discovery of high pressure metamorphic rocks in the Hongsung area of the Korean peninsula can be used to estimate the suture zone. This indicates that the suture zone in the Jiaodong Belt might be extended to Hongsung area. However, due to the lack of geological and geophysical data over the Yellow sea, the extension of the suture zone to the Korean peninsula across the Yellow Sea is obscure. To find out the tectonic relationship between NE China and the Korean peninsula it is necessary to complete U-ie homogeneous geophysical dataset of NE Asia, which can be provided by satellite observations. The CHAMP lithospheric magnetic field (MF3) and CHAMP-GRACE gravity field, combined with surface measured data, allow a much more accurate in-ference of tectonic structures than previously available. The CHAMP magnetic anomaly map reveals significant magnetic lows in the Yellow Sea near Nanjing and Hongsung, where are characterized by gravity highs on U-ie CHAMP-GRACE gravity anomaly map. To evaluate the depth and location of poten-tial field anomaly causative bodies, the Euler Deconvolution method is implemented. After comparing the two potential field solutions with the simplified geological map containing tectonic lines and the distribution of earthquakes epicenters, it is found that the derived structure boundaries of both are well coincident with the seismic activities as well as with the tectonic lineaments. The interpretation of the CHAMP satellite magnetic and GRACE satellite gravity datasets reveal two tectonic boundaries in U-ie Yellow Sea and the Korean peninsula, indicating U-ie norttiern and southern margins of the suture zone between the North China Block and the South China Block. The former is extended from the Jiaodong Belt in East China to the Imjingang Belt on the Korean peninsula, the later from Nanjing, East China, to Hongsung, the Korean peninsula. The tectonic movement in or near the suture zone might be responsible for the seismic activities in the western region of the Korean Peninsula and the development of the Yellow Sea sedimentary basin.

• 한국지구과학회지
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• 제43권1호
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• pp.23-29
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• 2022

열대저기압이 한반도로 접근할 때 중심최대풍속이 34 knot보다 약해졌더라도(weak tropical cyclone; WTC) 수도권 지역으로 상륙하면 상당한 피해를 일으키지만 WTC만 독립적으로 조사한 학술연구는 거의 없다. 본 연구에 따르면 WTC 활동은 Pacific Decadal Oscillation (PDO)와 관련되어 있는 것으로 보인다. PDO가 음의 위상일 때는 양의 위상일 때보다 95% 신뢰구간에서 유의하게 더 많은 WTC가 한반도에 영향을 미치는 것으로 나타났다. PDO 양의 위상에 비해 음의 위상 시기에는 북서태평양 북부에서 양의 상대소용돌이 아노말리가 나타난 반면, 북서태평양 남부에서는 강한 연직바람시어와 음의 상대소용돌이 아노말리가 나타났다. 이런 조건 하에서 열대저기압의 발생위치가 보다 북쪽으로, 즉 동아시아 대륙에 더욱 근접할 수 있었던 것으로 보이며 이에 따라 열대저기압의 전체 생애가 짧아졌을 것이다. 게다가 PDO 음의 위상 시기에 일본열도 상공에 자리한 고기압성 아노말리는 열대저기압의 진로를 좀 더 서쪽으로 밀어내어 육지에 의한 마찰과 황해 저층 냉수대의 영향도 증가하였을 것이다. 이에 따라 열대저기압의 생애최대강도와 상륙 시 강도가 약해져 PDO 음의 위상 때 WTC 활동이 한반도에서 증가한 것으로 분석된다.

• 대한지리학회지
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• 제43권1호
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• pp.1-19
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• 2008

본 연구에서는 20세기 후반 관측자료를 분석하여 최근 한반도 겨울철 강수현상에 나타난 변화 양상과 그 원인을 밝히고, 21세기 후반 기후모델(GFDL 2.1) 자료를 바탕으로 미래의 겨울강수 변화추세를 예측해 보고자 한다. 61개 지점 관측자료를 분석한 결과 에 따르면, 지난 35년 동안$(1973/74\sim2006/07)$ 우리나라 겨울철($11\sim4$월) 총 강수량은 변화가 없었지만, 강설량은 약 4.3cm/10년의 비율로 감소하였다. 1980년대 후반 이후 강설일수가 감소하고, 강설강도가 약해지고, 강설계절의 길이가 줄어들면서 설수일율(전체 강수일 수에서 강설일이 차지하는 비율)도 낮아졌다. 이러한 패턴은 겨울철 강수형태가 점차 강설에서 강우의 형태로 바뀌어가고 있음을 보여준다. 이러한 우리나라 겨울철 강수 형태의 변화는 겨울철 양(+)의 북극진동(Arctic Oscillation)에 의해 한반도 주변의 겨울철 기압이 상승함에 따라 나타난 기온상승과 관련되어 있다. 1980년대 후반 이후의 동북아시아 지역의 기압 상승은 한반도 주변의 대기와 해양 온도를 차별적으로 상승시킴으로써 대기안정도 증가에 의한 눈구름 형성 감소와 관련된 대기-해양간 온도경도를 감소시켰다. 모델생산 미래$(2081\sim2100)$ 기후자료와 20세기 후반$(1981\sim2000)$ 기후자료 비교 분석 결과, 21세기 말에는 대기 중 온실기체의 양이 증가할수록 온난화가 강화되어 겨울철 강설기간이 더 짧아지고 강설불가능일이 더 증가할 것으로 예상된다.

• 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.

• 대기
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• 제23권4호
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• pp.401-412
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• 2013

East Asia experienced extremely cold weather in January 2011, while the previous December and the following February had normal winter temperature. In this study National Centers for Environmental Prediction/National Center for Atmospheric Research (NCEP/NCAR) reanalysis data are used to investigate the characteristic features observed in the meteorological fields such as temperature, sea-level pressure, geopotential height, and wind during this winter period. In January the planetary-wave pattern is dominated by stationary-wave form in the mid-to-high latitude region, while transient waves are significant in the previous month. To understand the planetary-wave features quantitatively, harmonic analyses have been done for the 500-hPa geopotential height field. In the climatological-mean geopotential heights the wave numbers 1, 2, and 3 are dominant during the whole winter. In January 2011 the waves of number 1, 2, and 3 are dominant and stationary as in the climatological-mean field. In December 2010 and February 2011, however, the waves of number 4, 5, and 6 play a major role and show a transient pattern. In addition to the distinctive features in each month the planetary-wave patterns dependent on the latitude are also discussed.

• 대기
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• 제31권1호
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• pp.61-71
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• 2021

The relationship between the Arctic Oscillation (AO) and surface air temperature (SAT) over Korea is re-examined using the long-term observation and reanalysis datasets for the period of December 1958 to February 2020. Over the entire period, Korean SAT is positively correlated with the AO index with a statistically significant correlation coefficient, greater than 0.4, only in the boreal winter. It is found that this correlation is not static but changes on the decadal time scale. While the 15-year moving correlations are as high as 0.6 in 1980s and 1990s, they are smaller than 0.3 in the other decades. It is revealed that this decadal variation is partly due to the AO structure change over the North Pacific. In the period of 1980s-1990s, the AO-related sea level pressure fluctuation is strong and well defined over the western North Pacific and the related temperature advection effectively changes the winter SAT over Korea. In the other periods, the AO-related circulation anomaly is either weak or mostly confined within the central North Pacific. This result suggests that Korean SAT-AO index relationship, which becomes insignificant in recent decades is highly dependent on mean flow change in the North Pacific.