• Journal of Chest Surgery
• /
• 제37권10호
• /
• pp.856-860
• /
• 2004

심내기형을 동반한 대동맥궁 단절은 매우 중한 자연경과를 갖고 있는 희귀한 선천성 심장 기형이다. 식도 폐쇄증과 기관 식도루를 동반한 심첨부 근육성 심실 중격 결손과 대동맥궁 단절을 생후 3일된 체중 2.6 kg의 신생아에서 단계적 수술법으로 치료한 경험을 보고한다. 1차 수술로서 우측 개흉술을 통한 식도 폐쇄증의 교정과 함께 좌측 개흉술에 의한 대동맥궁 광범위 단-단 문합술 및 폐동맥 교약술을 시행하였다. 1차 수술 후 87일째 정중 흉골 절개를 통해 심첨부 근육성 심실 중격 결손을 폐쇄하였다. 심실 중격 결손 폐쇄 전 유문부 근육절개술, 대동맥 전방고정술, 대동맥 풍선확장술 등의 추가 시술이 필요하였다. 최종 수술 후 3개월째 양호한 추적 결과를 경험하였기에 보고하는 바이다.

• 대한토목학회논문집
• /
• 제31권5D호
• /
• pp.623-631
• /
• 2011

본 연구에서는 단속류 도로에서의 유고상황을 감지할 수 있는 새로운 유고감지기법을 제시하였다. 유고감지를 위하여 적용된 방법은 교통특성들을 이용한 라틴방격(Latin Square)분석법이다. 라틴방격분석법을 이용하여 기존 연구사례에서 시도했던 방법과는 다르게 차로별, 시간대별 교통특성의 변화를 분석하여 유고상황을 감지하였다. 사용된 교통특성자료는 맑은 기상상태에서 정상운영시 또는 유고발생시 관측된 교통량, 속도, 점유율 자료이며, 유고시 자료는 2차로에서 10분간 유고가 발생했었던 자료이다. 정상운영시 및 유고발생시에 대한 교통상황을 감지하기 위하여 교통량, 속도 및 점유율 등을 기준으로 각각 라틴방격분석을 시행했다. 분석결과, 라틴방격분석을 이용하여 교통상황을 감지하는 경우, 교통량을 기준으로 교통상황을 감지하는 것이 다른 교통특성을 기준으로 교통상황을 감지하는 것보다 감지능력이 우수한 것으로 나타났다.

• The Plant Pathology Journal
• /
• 제32권1호
• /
• pp.1-7
• /
• 2016

Responses of Botryosphaeria dothidea to interrupted wetness periods were investigated under in vivo and in vitro conditions. Conidia of B. dothidea were allowed to germinate on apple fruits under wetting condition at $25^{\circ}C$ for 5 hr. They were air-dried for 0, 1, 2 or 4 hr, and then rewetted at $25^{\circ}C$ for 5 hr. Following an initial wetness period of 5 hr, 83% of the conidia germinated. The percent conidial germination increased to 96% when wetting was extended continuously another 5 hr. However, no further conidial germination was observed when wetting was interrupted by dry periods of 1, 2 and 4 hr, resulting in 83, 81 and 82%, respectively. The mean length of the germ tubes was $37{\mu}m$ after 5 hr of wetting and elongated to $157{\mu}m$ after 10 hr of continuous wetting. On the other hand, interruption of wetting by a dry period of 1 hr or longer after the 5 hr of initial wetting arrested the germ tube elongation at approximately $42{\mu}m$ long. Prolonged rewetting up to 40 hr did not restore germ tube elongation on slide glasses under substrate treatments. Model simulation using weather data sets revealed that ending infection periods by a dry period of at least 1 hr decreased the daily infection periods, avoiding the overestimation of infection warning. This information can be incorporated into infection models for scheduling fungicide sprays to control apple white rot with fewer fungicide applications.

• 한국치위생학회지
• /
• 제16권5호
• /
• pp.741-750
• /
• 2016

Objectives: This study aims to identify dentists' opinions about the return to work of the dental hygienists with career interrupted. Convenience sampling was made of 22 dentists with the clinical experience (about 0.25%) of the 4,944 members of Gyeonggi-do Dental Association. Data were collected through an electronic survey using e-mails and telephone interviews and analyzed using the constant comparison method. Methods: Open coding was assigned to the initial data from the survey in an explicit language, and focusing on the types of their employment, working conditions, etc. Summarization and conceptualization were made of the second data in an implicit language. Results: Most of the dentists were found to have positive attitudes toward the return to work of career interrupted dental hygienists and hope to adjust their wages based on their job performance or after their probational period expires. Most of the dentists were found to have positive attitudes towards the hygienists' flexible working although their concerns about work efficiency and hospital atmosphere. This study is a qualitative study that describes dentists' opinions and presents the need for the career interrupted dental hygienists to return to work. Conclusions: The study proposed that the educational institutions should take into account the hygienists' opinions when implementing the programs for promoting their return to work and their evaluative studies.

• International Journal of Automotive Technology
• /
• 제7권1호
• /
• pp.25-34
• /
• 2006

For decades, simulation technique has been well validated in areas such as computer and communication systems. Recently, the technique has been much used in the area of transportation and traffic forecasting. Several methods have been proposed for investigating complex traffic flows. However, the dynamics of vehicles and diversities of driver characteristics have never been considered sufficiently in these methods, although they are considered important factors in traffic flow analysis. In this paper, we propose a traffic simulation tool called Multi-Agent for Traffic Simulation with Vehicle Dynamics Model (MATDYMO). Road transport consultants, traffic engineers and urban traffic control center managers are expected to use MATDYMO to efficiently simulate traffic flow. MATDYMO has four sub systems: the road management system, the vehicle motion control system, the driver management system, and the integration control system. The road management system simulates traffic flow for various traffic environments (e.g., multi-lane roads, nodes, virtual lanes, and signals); the vehicle motion control system constructs the vehicle agent by using various vehicle dynamic models; the driver management system constructs the driver agent capable of having different driving styles; and lastly, the integrated control system regulates the MATDYMO as a whole and observes the agents running in the system. The vehicle motion control system and driver management system are described in the companion paper. An interrupted and uninterrupted flow model were simulated, and the simulation results were verified by comparing them with the results from a commercial software, TRANSYT-7F. The simulation result of the uninterrupted flow model showed that the driver agent displayed human-like behavior ranging from slow and careful driving to fast and aggressive driving. The simulation of the interrupted flow model was implemented as two cases. The first case analyzed traffic flow as the traffic signals changed at different intervals and as the turning traffic volume changed. Second case analyzed the traffic flow as the traffic signals changed at different intervals and as the road length changed. The simulation results of the interrupted flow model showed that the close relationship between traffic state change and traffic signal interval.

• Journal of Chest Surgery
• /
• 제34권6호
• /
• pp.485-489
• /
• 2001

배경: 수술 후 흉골 합병증을 유발하는 원인 인자들 중 흉골 봉합선의 견고성이 차지하는 비중은 매우 크다. 본 저자들은 흉골 봉합 방법에 따른 흉골 열개 및 감염의 발생빈도를 조사하여 합병증이 적은 가장 효과적인 흉골 봉합 방법을 찾고자 하였다. 대상 및 방법: 1995년 1월부터 1999년 7월까지 개심술을 받았던 환자들중 45세 이상의 환자 489예를 대상으로 하였다. 봉합 철사 6개로 단순 봉합을 한 159예, 흉골병에 2개의 단순 봉합 후 3개의 8자형 봉합을 한 119예, 각 늑간에 2개씩 10개의 단순 봉합한 150예, 단순 봉합과 8자형 봉합을 혼합하여 사용한 61예를 대상으로 하였다. 234예에서 판막수술을, 213예에서 관상동맥 우회술을 시행하였으며, 42예에서 그 외의 수술을 하였다. 결과: 총 12예(2.5%)에서 흉골 열개 및 감염의 합병증이 발생하였다. 수술 후 흉골 절개부의 합병증은 철사 6개를 이용한 단순 봉합 환자군의 3.1%(5/159)에서, 8자형 봉합 환자군의 3.4%(4/119)에서, 철사 10개를 이용한 겹치기 단순 봉합 환자군의 2.0%(3/150)에서 발생하였으며, 단순 봉합과 8자형 봉합을 혼합하여 사용한 환자 군에서는 합병증이 없었다(교차비에서 유의성은 없으나 다른 세 봉합방법에 대한 상대위험도에서는 유의성을 보임). 판막수술을 받은 환자군의 7예(3.0%), 관상동맥 우회술을 받은 환자군의 5예(2.3%)에서 흉골 합병증이 발생하여 수술 종류에 따른 흉골 감염의 차이는 없었으며, 당뇨병은 흉골 합병증의 독립적인 위험인자가 될 수 있었다(교차비 및 다량분석에서 p = 0.00). 결론: 흉골 봉합 때 단순 봉합과 8자 봉합의 혼합방법을 사용함으로써 흉골봉합이 용이하고 수술 후 흉골의 열개나 감염의 합병증을 줄일 수 있다고 생각된다. 비해 64.5 $\pm$ 4.6%, 63.8 : 4.4%로 유의하게 개선된 소견을 보였으나(P<0.05), ll, III군에서 reserpine 및 prazosin으로 전처치 조건을 차단한 V, Vl군은 동일한 재관류 시간이 경과한 후 developed pressure는 52.2 $\pm$ 5.2%, 49.8 $\pm$ 5.7%로 단위시간당 수축기 좌심실압의 회복율은 54.8 $\pm$ 5.1%, 53.3 $\pm$ 3.6%로 II, III군에 비해 유의한 회복율의 감소를 보였고 이러한 회복율은 I군에 비해 유의한 차가 없었다. 결론: 교감신경 $\alpha$-수용체 작용약물에 의한 약물학적 전처치는 재관류 후 심근기능 회복에 유익한 효과를 나타냈으며, 이러한 전처치 효과는 교감신경계 신경전달물질의 고갈이나 $\alpha$1-수용체 차단제에 의해 소멸되는 것으로 보아 전처치에 의한 심근보호효과는 교감신경계 전달물질 및 $\alpha$1-수용체를 통해 유도됨을 알 수 있다.380$\pm$71 mL, p=0.05).방 및 치료에 도움이 될 수 있는 물질을 개발할 가치가 있다고 사료된다을 공급한 대조구에 비해 높았다. 어미의 성 성숙 및 산란은 두 번의 실험에서 대조구보다 저염분구에서 원만히 이루어졌다. 암컷 성숙 개체의 경우 1차 실험은 대조구 6마리, 저염분구 12마리였으며, 2차 실험은 대조구 5마리, 저염분구 12마리였으며, 2차 실험은 대조구 5마리, 저염분구 14마리로서 성숙유도에 있어 염분의 조절에 의한 성숙이 이루어진 것을 알 수 있다. 산란 시기는 1차 실험에서 대조구나 저염분구의 산란 개시 시점이 거의

• International Journal of Air-Conditioning and Refrigeration
• /
• 제15권3호
• /
• pp.122-128
• /
• 2007

Heat transfer distributions and friction factors in square channels (3.0 ${\times}$ 3.0 cm) with twisted tape inserts and with twisted tape inserts plus interrupted ribs are respectively investigated. The rib height-to-channel hydraulic diameter ratio, $e/D_h$, is kept at 0.067 and test section length-to-hydraulic diameter ratio, $L/D_h$ is 30. The square ribs are arranged to follow the trace of the twisted tape and along the flow direction defined as axial interrupted ribs. The twisted tape is 0.1 mm thick carbon steel sheet with diameter of 2.8 cm, length of 90 cm, and 2.5 turns. Two heating conditions are investigated for test channels with twisted tape inserts and rib turbulators: (1) electric heat uniformly applied to four side walls of the square duct, and (2) electric heat uniformly applied to two opposite ribbed walls of the square channel. Results show that the twisted tape with interrupted ribs provides a higher overall heat transfer performance over the twisted tape with no ribs.

• Journal of Chest Surgery
• /
• 제36권10호
• /
• pp.759-765
• /
• 2003

대동맥궁 차단증을 동반한 동맥간은 매우 중한 자연경과를 갖고 있는 희귀한 선천성 심장 기형이다. 생후 25일,체중 3.1 kg의 신생아에서 정중흉골절개술에 의한 일차 완전교정술을 시행하였다. A형 대동맥궁 차단증은 하행대동맥을 원위부 상행대동맥에 직접 문합하였으며, 폐동맥을 동맥간으로부터 분리하여 동맥간의 앞쪽에 위치한 다음 처리하지 않은 무판막 자가심낭도관을 사용하여 우심실 유출로를 재건하였다. 성공적 교정술 후 약 1년간의 양호한 추적결과를 경험하였기에 보고하는 바이다.

• 한국전산유체공학회:학술대회논문집
• /
• 한국전산유체공학회 2008년도 춘계학술대회논문집
• /
• pp.117-120
• /
• 2008

Numerical simulations and experiment of a hydrodynamic and thermally developed turbulent flow through square ducts (3.0 ${\times}$ 3.0 cm) with twisted tape inserts and with twisted tape inserts plus interrupted ribs are conducted to investigate regionally averaged heat transfer and friction factors. Turbulent swirl flows having Reynolds numbers ranging from 8,900 to 29,000, a rib height-to-channel hydraulic diameter(e/D$_h$) of 0.067, and a length-to-hydraulic diameter(L/D$_h$) of 30, are considered. The square ribs are arranged to follow the trace of the twisted tape and along the flow direction defined as axial interrupted ribs. The twisted tape has 0.1 mm thick carbon steel sheet with diameter of 2.8 cm, length of 90 cm, and 2.5 turns. Each wall is composed of isolated aluminum sections, and two cases of surface heating are set. The results show that uneven surface heating enhances the heat transfer coefficient over uniform heating conditions, and square ducts with twisted tape inserts plus interrupted ribs produces the best overall transfer performance.

• 한국산업융합학회 논문집
• /
• 제6권2호
• /
• pp.131-139
• /
• 2003

The links operating interrupted flow are intend to yield the traffic between the out flow and inflow part effect zone of street section, we build the delay model using the time gap between under construction and not. We review the applicability of interrupted flow, and thus we can put this data to practical use as the basis data to compute the inducement charge for traffic delay. Also building about traffic effect zone of interrupted flow wouldn't produce at the section beside occupying roads and construction cross section, thus we must review the plan to minimize traffic delay by the construction occupying road. In future there must be advanced the incomplete in this study, and groping for the various alternatives to minimize the traffic delay by the road occupying construction, with developing the various sets of detailed analyzing models, that is analysis on the street strength, crossroads geometrical forms of crossroads, public traffics, pedestrians, occupying types.