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Clinical Experiences of Open Heart Surgery - A Report of 126 Case - (개심술 126례의 임상적 고찰)

  • 이종국
    • Journal of Chest Surgery
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    • v.22 no.6
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    • pp.1025-1035
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    • 1989
  • Since we first performed open heart surgery on December 30, 1986, 126 cases were operated on up to August 31, 1989. Among the 126 cases, 65 cases were congenital heart disease of which 63 were acyanotic disease, and 61 cases were acquired heart disease, most of which were valvular heart disease. The age distribution of congenital heart disease was from 1 years 2 months to 48 years, and males had a slightly higher incidence. The age of acquired heart disease was from a minimum of 15 years to a maximum of 68 years, and the male to female ratio was 1;1.5. Midsternotomy was performed in all cases, and the aortic cannula was inserted through ascending aorta and the venous cannula inserted into the SVC and IVC through the right atrium. Vent was inserted through the right superior pulmonary vein. Cardioplegia solution was used in all cases; it was composed of sodium bicarbonate 3.5 ampule, KCL 14 mEq, 2% lidocaine 2.5 ml, 20 % albumin 50 ml and heparin 1000 units mixed to 950 ml with Hartman solution, and was made to 4oC and infused 10 ml per Kg every 20 minutes. The congenital heart disease had a variety of VSD in 32 cases, ASD 23 cases, PS 6 cases, PDA 2 cases, and one case each of Ebsteins anomaly and tricuspid atresia. The operations performed for acquired heart disease were 4 cases of OMC, 33 cases of MVR, and 5 cases of AVR, and 1 case of AVR with CABG. DVR was perfomed in 13 cases, and triple valve replacement was done in 1 case. Other than these, excision of LA myxoma was 2 cases, and repair of traumatic VSD and removal of a pulmonary embolism were one case each. The surgical mortality was 5 cases[4%], all of which occurred in valve replacement cases. Follow-up study revealed 2 late deaths. One died after a traffic accident and one died due to sepsis after he had received a gastrectomy for ulcer bleeding. The remaining patients were in good condition.

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Performance analysis of an experimental plant factory

  • Ryu, Dong-Ki;Kang, Sin-Woo;Chung, Sun-Ok;Hong, Soon-Jung
    • Korean Journal of Agricultural Science
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    • v.40 no.4
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    • pp.395-403
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    • 2013
  • Plant factory has drawn attention in many countries in the world due to capability of environmental control not only for better yield and quality, but also for increase in functional and medicinal components of the products. In this paper, an experimental plant factory was constructed for various tests under different environmental conditions, and the operations were evaluated. A production room was constructed with adiabatic materials with dimensions of $6,900{\times}3,000{\times}2,500$ mm ($L{\times}W{\times}H$). Four sets of $2,890{\times}600{\times}2,320$ mm ($L{\times}W{\times}H$) production frame unit, each with 9 light-installed beds and an aeroponic fertigation system, resulting in 36 beds, were prepared. Accuracy and response were evaluated for each environmental control component with and without crops. Air temperature, humidity, $CO_2$ concentration, light intensity, frequency, and duty ratio, fertigation rate and scheduling were controllable from a main control computer through wireless communication devices. When the plant factory was operated without crop condition, the response times were 8 minutes for change in temperature from 20 to $15^{\circ}C$ and 20 minutes from 15 to $20^{\circ}C$; 7 minutes for change in humidity from 40 to 65%; and 4 minutes for change in $CO_2$ concentration from 450 to 1000 ppm. When operated for 24 hours with crop cultivation; average, maximum, and minimum values of temperatures were 20.06, 20.8, and $18.8^{\circ}C$; humidity were 66.72, 69.37, and 63.73%; $CO_2$ concentrations were 1017, 1168, and 911 ppm, respectively. Photosynthetic Photon Flux Density was increased as the distance from the light source decreased, but variability was greater at shorter distances. Results of the study would provide useful information for efficient application of the plant factory and to investigate the optimum environment for crop growth through various experiments.

The Application of Fuzzy Delphi Method in Forecasting of the price index of stocks (주가지수의 예측에 있어 Fuzzy Delphi 방법의 적용)

  • 김태호;강경식;김창은;박윤선;현광남
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.15 no.26
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    • pp.111-117
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    • 1992
  • In the stock marketing. investor needs speedy and accurate decision making for the investment. A stock exchange index provides the important index of the early of 1993 in Korea using Fuzzy Delphi Method(F. D. M) which is widely used to a mid and long range forecasting in decision making problem. In the Fuzzy Delphi method, considerably qualified experts an first requested to give their opinion seperately and without intercommunication. The forecasting data of experts consist of Triangular Fuzzy Number (T.F.N) which represents the pessimistic, moderate, and optimistic forecast of a stock exchange index. A statistical analysis and dissemblance index are then made of these subject data. These new information are then transmitted to the experts once again, and the process of reestimation is continued until the process converges to a reasonable stable forecast of stock exchange index. The goal of this research is to forecast the stock exchange index using F.D.M. in which subjective data of experts are transformed into quasi -objective data index by some statistical analysis and fuzzy operations. (a) A long range forecasting problem must be considered as an uncertain but not random problem. The direct use of fuzzy numbers and fuzzy methods seems to be more compatible and well suited. (b) The experts use their individual competency and subjectivity and this is the very reason why we propose the use of fuzzy concepts. (c) If you ask an expert the following question: Consider the forecasting of the price index of stocks in the near future. This experts wi11 certainly be more comfortable giving an answer to this question using three types of values: the maximum value, the proper value, and the minimum value rather than an answer in terms of the probability.

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Forecasting a Gyeongju's Local Society Change Using Urban Dynamics Model (도시동태모델을 이용한 경주 지역사회변화 예측)

  • Lee, Young-Chan
    • Korean Management Science Review
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    • v.25 no.3
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    • pp.27-43
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    • 2008
  • This study analyzes the changes of Gyeongju local society because of setting up low and intermediate level radioactive waste disposal site by using urban dynamics model. Specifically, after examining 'Gyeongju Long-Term Development Plan' announced in 2007, I establish the number of industries, population, gross local product, residents' income, and the long term employment condition as essential change-causing factors in Gyeongju local society based on the Big3 government project, and forecast it by using 'Gyeongju long-Term Development Plan' and all sorts of statistical data. In this stage, I assume 3 scenarios(basic, optimistic, and pessimistic view) to estimate the changes of local society more exquisitely, and scenarios are composed through mediation about variables of a growth rate and an inflow or outflow rate. The result shows that Gyeonaju local society would have growing changes by 2020. The essential change-causing factors are as follows. The case of population is estimated that it starts going down at the level of approximately 270 thousand by 2009, starts going up continuously after 2009, the year of completion of low and intermediate level radioactive waste disposal site, and increases from the level of about 300 thousand as minimum to 340 thousand as maximum in 2020. The estimates of other cases are made that the number of Industries has about 10 thousand increases, gross local product has almost 6 trillion increases, nominal gross national income doubles, as well as residences have approximately 280 thousand increases, and also made that employment condition also improves continuously, and diffusion ratio of house starts going up but the amount of supplies is a little bit insufficient in the long view.

Simulations of a System Dynamics Model for Operations and Maintenance of Activated-Sludge Wastewater Treatment Plants (활성슬러지 하수처리시설 운영 및 유지관리를 위한 시스템다이내믹스 모델의 모의에 관한 연구)

  • Park, Suwan;Kim, Bong Jae;Jun, Hwan Don;Kim, In Chul
    • Journal of Korean Society on Water Environment
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    • v.22 no.5
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    • pp.905-912
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    • 2006
  • In this paper, simulation methods of the system dynamics model developed by Das et al. (1997) for activated-sludge wastewater treatment plants are illustrated in an attempt to determine the operating rules and the policies related to capacity expansion of an activated-sludge wastewater treatment plant. For existing conditions, the analyses were performed by varying activated-sludge return rate to observe changes in effluent water quality and treatment efficiency. The effluent water quality is also analyzed for various average daily inflow conditions and activated-sludge return rates. As a result, without expanding the aeration tank, maximum average daily inflow that can satisfy the effluent water quality standard of BOD $0.02kg/m^3$ was determined as $2,840m^3/hr$, subject to 100% of activated-sludge return rate while other factors remain constant. When the activated-sludge return rate is less than 100%, expansion of the aeration tank is necessary and minimum sizes of the aeration tank to satisfy the effluent water quality standard were determined for various activated-sludge return rates. In addition, the total operating and maintenance as well as unit treatment cost regression equations for activated-sludge wastewater treatment plants are suggested by using the cost data that are obtained from Water and Wastewater Division, Ministry of Environment. The regression analyses showed that the economies of scale phenomena exist in the operating and maintenance costs of activated-sludge wastewater treatment plants.

The Clinical Analysis of the Nasal Septal Cartilage by Measurement Using Computed Tomography

  • Hwang, So Min;Lim, On;Hwang, Min Kyu;Kim, Min Wook;Lee, Jong Seo
    • Archives of Craniofacial Surgery
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    • v.17 no.3
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    • pp.140-145
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    • 2016
  • Background: The nasal septal cartilage is often used as a donor graft in rhinoplasty operations but can vary widely in size across the patient population. As such, preoperative estimation of the cartilaginous area is important for patient counseling as well as operating planning. We aim to estimate septal cartilage area by using facial computed tomography (CT) studies. Methods: The study was performed using facial CT images taken from 200 patients between January 2012 to July 2015. Using the mid-sagittal image, the boundary of cartilaginous septum was delineated from soft tissue using the mean difference in signal intensity (or brightness). The area within this boundary was calculated. The calculated area for septal cartilage was then compared across age groups and sexes. Results: Overall, the mean area of nasal septal cartilage was $8.18cm^2$ with the maximum of $12.42cm^2$ and the minimum of $4.89cm^2$. The cartilage areas were measured to be larger in men than in women (p<0.05). The area decreased with advancing age (p<0.05). Conclusion: Measuring the size of septal cartilage using brightness difference is more precise and reliable than previously reported methods. This method can be utilized as the standard for prevention of postoperative complication.

DCM DC-DC Converter for Mobile Devices (모바일 기기용 DCM DC-DC Converter)

  • Jung, Jiteck;Yun, Beomsu;Choi, Joongho
    • Journal of IKEEE
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    • v.24 no.1
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    • pp.319-325
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    • 2020
  • In this paper, a discontinuous-conduction mode (DCM) DC-DC buck converter is presented for mobile device applications. The buck converter consists of compensator for stable operations, pulse-width modulation (PWM) logic, and power switches. In order to achieve small hardware form-factor, the number of off-chip components should be kept to be minimum, which can be realized with simple and efficient frequency compensation and digital soft start-up circuits. Burst-mode operation is included for preventing the efficiency from degrading under very light load condition. The DCM DC-DC buck converter is fabricated with 0.18-um BCDMOS process. Programmable output with external resistors is typically set to be 1.8V for the input voltage between 2.8 and 5.0V. With a switching frequency of 1MHz, measured maximum efficiency is 92.6% for a load current of 100mA.

Optimized Air Force Flight Scheduling Considering Pilot' s Mission Efficiency (조종사 임무 효율을 고려한 공군 비행 스케줄 최적화)

  • Kwon, Min Seok;Yoon, Chan Il;Kim, Jiyong
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.43 no.4
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    • pp.116-122
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    • 2020
  • Human and material resource planning is one representative example of Operations Research. Resource planning is important not only in civilian settings but also in military ones. In the Air Force, flight scheduling is one of the primary issues that must be addressed by the personnel who are connected to flight missions. However, although the topic is of great importance, relatively few studies have attempted to resolve the problem on a scientific basis. Each flight squadron has its own scheduling officers who manually draw up the flight schedules each day. While mistakes may not occur while drafting schedules, officers may experience difficulties in systematically adjusting to them. To increase efficiency in this context, this study proposes a mathematical model based on a binary variable. This model automatically drafts flight schedules considering pilot's mission efficiency. Furthermore, it also recommends that schedules be drawn up monthly and updated weekly, rather than being drafted from scratch each day. This will enable easier control when taking the various relevant factors into account. The model incorporates several parameters, such as matching of the main pilots and co-pilots, turn around time, availability of pilots and aircraft, monthly requirements of each flight mission, and maximum/minimum number of sorties that would be flown per week. The optimal solution to this model demonstrated an average improvement of nearly 47% compared with other feasible solutions.

A Study on Model of Train Slot Allocation for Railway Network with Multi Operating System (복수 운영체제에서의 철도네트워크 열차슬롯배분 모형 연구)

  • Choi, Jong-Bin;Lee, Jinsun
    • Journal of the Korean Society for Railway
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    • v.20 no.1
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    • pp.142-155
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    • 2017
  • It is anticipated that, in cases in which different train operators share railway network, conflicts may occur among train operators with regard to train operation rate, train priorities, and arrival and departure time; besides this, during times when there is high demand for trains, operators will request train operations intensively, steadily increasing train conflict phenomena. In the present study, train operation sequence, minimum headway, arrival and departure time, train priorities, etc., were analyzed, and while using train departure times as decision variables in variably given train schedules, by adjusting train time requested by train operators, and finally rejecting the train times in cases in which conflict resolution is impossible, so that various constraints can be satisfied, a train slot allocation model was suggested to find the objective function, that is, the maximum number of train slots that can be practically applicable to railway operation.

A New Resource Allocation Algorithm of Functional Units to Minimize Power Dissipation (전력소비 최소화를 위한 새로운 펑션유닛의 자원 할당 알고리듬)

  • Lin, Chi-Ho
    • Journal of IKEEE
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    • v.8 no.2 s.15
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    • pp.181-185
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    • 2004
  • This paper reduces power dissipation with the minimum switching activity of functional units that have many operators. Therefore, it has more effects of power dissipation that operator dissipation to reduce power dissipation of whole circuit preferentially. This paper proposes an algorithm that minimize power dissipation in functional units operations that affect much as power dissipation in VLSI circuit. The algorithm has scheduled operands using power library that has information of all operands. The power library upgrades information of input data in each control step about all inputs of functional units and the information is used at scheduling process. Therefore, the power dissipation is minimized by functional units inputs in optimized data. This paper has applied algorithm that proposed for minimizing power dissipation to functional unit in high level synthesis. The result of experiment has effect of maximum 9.4 % for minimizing power dissipation.

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