• 공업화학
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• 제32권1호
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• pp.91-96
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• 2021

본 연구에서는 다양한 환경 공정에서 사용되는 황화수소 제거용 흡착탑 효율을 향상시키기 위해 유동 분석 및 흡착성능 향상 연구를 수행하였다. 연구를 위해 상업적으로 이용 가능한 다양한 활성탄에 칼륨(potassium, K)을 담지하여 개질 활성탄을 제조하였다. 또한 열처리 여부에 따라 흡착 성능과 열처리 과정에서 변화된 표면 특성 사이의 높은 상관관계를 고찰하고자 하였다. 함침법을 통해 K로 코팅된 활성탄은 57배 이상의 흡착 성능을 확인하였다. 이는 균일한 기공 형성과 탄소 표면의 K의 강한 결합은 황화수소의 화학적 및 물리적 흡수에 기여한다고 판단하였다. 다양한 상용 활성탄의 표면 구조에 대한 SEM 분석은 열처리를 통한 표면 특성의 변형으로 인해 기공 구조가 파괴되어 흡수 성능이 저하되는 것으로 확인하였다. 각 활성탄의 압력 손실 특성은 입자 크기와 모양에서 가장 낮은 압력 손실이 관찰되었다. 따라서 2~4 mesh 크기의 탄소입자 범위와 불규칙한 모양이 흡착탑의 성능을 향상시키고 경제적 효율성을 확보할 수 있다고 제안하였다.

• 동서간호학연구지
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• 제28권1호
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• pp.10-20
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• 2022

Purpose: We compared the Korean Triage and Acuity Scale (KTAS), Injury Severity Score (ISS), and Revised Trauma Score (RTS) determined the validity of KTAS for classifying trauma patients. Methods: A retrospective chart review of 10,865 trauma patients (aged ≥15 years) who visited a single regional trauma and emergency medical center from January 1, 2016, to December 31, 2020, was conducted. Data were collected from the Korean Trauma Data Bank. Based on KTAS classification, the rates of intensive care unit admission, surgery and intervention, transfusion, emergency room (ER) and hospital mortality, and ER stay time were investigated. Data were analyzed using Chi-square test, Pearson's correlation coefficient, receiver operating characteristic curve, and area under the ROC curve. Results: In the KTAS, severe trauma patients (ISS ≥16) were classified as Level 1 (79.6%), 2 (44.8%), 3 (15.5%), 4 (4.0%) and 5 (7.6%). The following were the predictive powers of KTAS, ISS, and RTS for different parameters: surgery and intervention rate, KTAS (.71), ISS (.70), and RTS (.63); transfusion rate within 4h, KTAS (.82), ISS (.82), and RTS (.74); ER stay time within 90 min, KTAS (.72), ISS (.62), and RTS (.56); and ER mortality, KTAS (.84), ISS (.72), and RTS (.88). These findings were statistically significant (p<.001). The sensitivity and specificity of KTAS for trauma patients were .88 (.87~.90), and .38 (.37~.39), respectively. Conclusion: KTAS is a useful classification system that can predict the clinical outcomes of patients with trauma, and effectively triage acutely ill trauma patients, thus provide appropriate treatment.

• Journal of Electrochemical Science and Technology
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• 제13권4호
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• pp.472-478
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• 2022

Solar energy harvesting is practiced by various nations for the purpose of energy security and environment preservation in order to reduce overdependence on oil. Converting solar energy into electrical energy through Photovoltaic (PV) module can take place either in on-grid or off-grid applications. In recent time Lithium battery is exhibiting its presence in on-grid applications but its role in off-grid application is rarely discussed in the literature. The preliminary capacity and Peukert's study indicated that the battery quality is good and can be subjected for life cycle test. The capacity of the battery was 10.82 Ah at 1 A discharge current and the slope of 1.0117 in the Peukert's study indicated the reaction is very fast and independent on rate of discharge. In this study Lithium Iron Phosphate battery (LFP) after initial characterization was subjected to life cycle test which is specific to solar off-grid application as defined in IEC standard. The battery has delivered just 6 endurance units at room temperature before its capacity reached 75% of rated value. The low life of LFP battery in off-grid application is discussed based on State of Charge (SOC) operating window. The battery was operated both in high and low SOC's in off-grid application and both are detrimental to life of lithium battery. High SOC operation resulted in cell-to-cell variation and low SOC operation resulted in lithium plating on negative electrode. It is suggested that to make it more suitable for off-grid applications the battery by default has to be overdesigned by nearly 40% of its rated capacity.

• Journal of Trauma and Injury
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• 제35권2호
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• pp.123-127
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• 2022

Iatrogenic vascular injury (IVI) can occur with any technique or type of surgery performed around a blood vessel. Patients with severe trauma are at risk of IVI. In this study, we describe our experiences of IVI in the trauma field. We reviewed five patients who were diagnosed with an IVI and received either surgical or endovascular treatment. Of the five patients, one had an arterial injury, three had venous injuries, and one had an arteriovenous fistula, a form of combined arterial and venous injuries. Of the five patients, four had undergone orthopedic surgery. The IVIs of three patients were immediately identified in the operating room and simultaneous vascular repair was performed. The remaining one patient underwent additional surgery for occlusion related to entrapment of the superficial femoral artery by a surgical wire used during orthopedic surgery. Complications presumably related to the IVI were identified in two patients. IVI in trauma patients can be successfully managed, but significant morbidity can occur. If an IVI is suspected, immediate evaluation and management are required.

• 대한후두음성언어의학회지
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• 제33권2호
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• pp.97-102
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• 2022

Background and Objectives Tracheostomy is a relatively safe procedure, and the recent emergence of COVID-19 has raised the need to perform tracheostomy immediately in the bed of an intensive care unit (ICU) rather than an operating room. The purpose of this study was to determine the occurrence of complications related to surgical tracheotomy performed in the ICU by an ENT specialist. Materials and Method From March 2019 to January 2022, a total of 101 patients underwent tracheostomy in the ICU. Demographics and complications were classified according to postoperative period. Results Within 24 hours after the procedure, bleeding events were confirmed in 2 patients (2.0%) with mild bleeding. One case (1.0%) of ventricular fibrillation occurred shortly after the procedure. There were no complications from 24 hours to 1 week after procedure. After one week, 4 patients (4.5%) had a local infection, and 3 patients (3.4%) had a tube obstruction. During all follow-up periods, there were no serious side effects such as death, major vascular injury, pneumothroax. No complications were observed throughout the entire period in 6 COVID-19 patients. Conclusion The number of complications of surgical tracheotomy in the ICU performed by a specialist was lower than in previous studies, and there were no complications that delayed treatment or endangered life. The ENT training hospitals should provide sufficient training opportunities for residents to perform surgical tracheostomy and strive to minimize complications associated with the procedure and pre- and post-operative management under the detailed guidance and supervision of specialists.

• Journal of Chest Surgery
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• 제56권1호
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• pp.42-48
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• 2023

Background: With recent advances in cardiac surgery through minimal access, mini-thoracotomy has emerged as an excellent alternative for cardiac myxoma resection. This study analyzed the surgical results of this approach, focusing on postoperative cerebral embolism and tumor recurrence. Methods: We retrospectively reviewed 64 patients (mean age, 56.0±12.1 years; 40 women) who underwent myxoma resection through mini-thoracotomy from October 2008 to July 2020. We conducted femoral cannulation and antegrade cardioplegic arrest in all patients. Patient characteristics and perioperative data, including brain diffusion-weighted magnetic resonance imaging (DWI) findings, were collected. Medium-term echocardiographic follow-up was performed. Results: Thirteen patients (20.3%) had a history of preoperative stroke, and 7 (11.7%) had dyspnea with New York Heart Association functional class III or IV. Sixty-one cases (95.3%) had myxomas in the left atrium. The mean cardiopulmonary bypass and cardiac ischemic times were 69.0±28.6 and 34.1±15.0 minutes, respectively. Sternotomy conversion was not performed in any case, and 50 patients (78.1%) were extubated in the operating room. No early mortality or postoperative clinical stroke occurred. Postoperative DWI was performed in 32 (53%) patients, and 7 (22%) showed silent cerebral embolisms. One patient underwent reoperation for tumor recurrence during the study period; in that patient, a genetic study confirmed the Carney complex. Conclusion: Mini-thoracotomy for cardiac myxoma resection showed acceptable clinical and neurological outcomes. In the medium-term echocardiographic follow-up, reliable resection was proven, with few recurrences. This approach is a promising alternative for cardiac myxoma resection.

• Archives of Plastic Surgery
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• 제50권3호
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• pp.225-232
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• 2023

In retrospect, the irony of this story began with the first meeting of these co-authors-in of all places, Coimbatore, India, in 2008, at the 12th International Perforator Flap Course. Here the junior author [hereafter "jp"] demonstrated his unparalleled skills in networking, and soon thereafter journeyed some 11,073 km to Allentown, U.S. to peruse the operating room and clinics of the senior author [sic. ggh] in action. Within 2 years jp orchestrated the presentation of the 14th International Perforator Flap Course, so ggh with great anticipation flew only 6,830 miles to reach Seoul, Korea for his first time. But four years more elapsed before ggh returned again to Korea to be a visiting professor, all the while not quite sure why any Korean would want anything from a country doctor who resided in nowheresville Allentown, Pennsylvania. Yet, an extraordinary fact then was to be unveiled, about which ggh was totally ignorant. The pioneer of plastic surgery in Korea, the first Korean to have completed an accredited plastic surgery fellowship, by coincidence had accomplished all this in . . . . . Allentown. The collegial relationship that evolved between these co-authors, who met by chance, indeed had a precedent coincidence! Was this "by chance" alone or predestination? Amazingly, in a way similar, the origin of plastic surgery itself in Korea also had Allentown connections. As a tribute to Lew Jae-duk, this important story must be here told, so let us now retrace his past in Allentown so we can find how the future was to be not so far away.

• 대한의용생체공학회:의공학회지
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• 제44권3호
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• pp.211-217
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• 2023

Recently, many studies have introduced artificial intelligence systems in the surgical process to reduce the incidence and mortality of complications in patients. Bleeding is a major cause of operative mortality and complications. However, there have been few studies conducted on detecting bleeding in surgical videos. To advance the development of deep learning models for detecting intraoperative hemorrhage, three models have been trained and compared; such as, YOLOv5, RetinaNet50, and RetinaNet101. We collected 1,016 bleeding images extracted from five surgical videos. The ground truths were labeled based on agreement from two specialists. To train and evaluate models, we divided the datasets into training data, validation data, and test data. For training, 812 images (80%) were selected from the dataset. Another 102 images (10%) were used for evaluation and the remaining 102 images (10%) were used as the evaluation data. The three main metrics used to evaluate performance are precision, recall, and false positive per image (FPPI). Based on the evaluation metrics, RetinaNet101 achieved the best detection results out of the three models (Precision rate of 0.99±0.01, Recall rate of 0.93±0.02, and FPPI of 0.01±0.01). The information on the bleeding detected in surgical videos can be quickly transmitted to the operating room, improving patient outcomes.

• 한국산업융합학회 논문집
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• 제26권2_2호
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• pp.333-340
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• 2023

Environmental regulations are being strengthened worldwide to solve global warming. For this reason, interest in eco-friendly gas fuels such as LNG and hydrogen is continuously increasing. However, when adopting eco-friendly gas fuel, liquefying at a cryogenic temperature is essential to ensure economic feasibility in storage and transportation. Although austenitic stainless steel is typically applied to store cryogenic liquefied gas, structural steel can experience sudden heat shrinkage in the case of leakage in the loading and unloading process of LNG. In severe cases, the phase of the steel may change, so care is required. This study conducted Charpy impact tests on steel material in nine different temperature ranges, from room to cryogenic temperatures, to analyze the effects of cryogenic liquefied gas leaks. As a result of the study, it was not easy to find variations in ductile to brittle transition temperature (DBTT) due to the leakage of cryogenic liquefied gas. Still, the overall impact toughness tended to decrease, and these results were verified through fracture surface analysis. In summary, brittle fracture of the steel plate may occur when a secondary load is applied to steel for hull structural use exposed to a cryogenic environment of -40 ℃ or lower. Therefore, it needs to be considered in the ship design and operating conditions.

• 전기전자학회논문지
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• 제27권1호
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• pp.19-24
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• 2023

약 1.12 ev의 밴드갭 에너지를 갖는 실리콘은 동작 온도가 250 ℃ 이하로 제한되어, 밴드갭 에너지가 큰 SiC 기판을 이용한 MIS(metal-insulator-semiconductor) 구조의 시료를 제작하여 고온에서 수소 응답 특성을 고찰하였다. 적용된 유전체 박막은 수소가스에 대해 침투성이 강하고 고온에서 안정성을 보이는 탄탈륨 산화막(Ta₂O₅)으로, 스퍼터링으로 증착된 탄탈륨(Ta)을 900 ℃의 온도에서 급속열산화법(RTO)으로 형성하였다. 이렇게 형성된 탄탈륨 산화막은 TEM, SIMS, 및 누설전류 측정을 통해, 두께, 원소들의 깊이 분포 및 절연특성을 분석하였다. 수소가스 응답특성은 0부터 2,000 ppm의 수소가스 농도에 대해, 상온으로부터 200와 400 ℃의 온도에서 정전용량의 변화로 평가하였다. 그 결과, 시료로부터 감도가 우수하고, 약 60초의 응답 시간을 나타내는 특성을 확인하였다.