• Title/Summary/Keyword: operation room

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Tensile Behavior Characteristics of CANDU Pressure Tube Material Degraded by Neutron Irradiations (중수로 압력관 재료의 조사 열화에 따른 인장거동 특성)

  • An, Sang-Bok;Kim, Yeong-Seok;Kim, Jeong-Gyu
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.26 no.1
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    • pp.188-195
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    • 2002
  • To investigate the degradation of mechanical properties induced mainly by neutron irradiation, the tensile tests were conducted from room temperature to 300\\`c using the irradiated and the unirradiated Zr-2.5Nb pressure tube materials. The irradiated longitudinal and transverse specimens were collected from the coolant inlet, middle, and outlet parts of M-11 tube which had been operated in Wolsung CANDU Unit-1 and exposed to different operating temperatures and irradiation fluences. The different tensile behavior was characterized not by the fluences of irradiation but by the tensile loading direction. The transverse specimen showed the higher strength and lower elongation than those of the longitudinal one. It was believed that these phenomena resulted from the microstructure anisotropy caused by the extrusion process. The increased strength hardening and decreased elongation embrittlement of the irradiated material were compard to those of the unirradiated one. While the tensile strength of the inlet was higher than that of the outlet, the elongation of the inlet was lower than that of outlet. Considering the operation condition, it was proposed that the operating temperature could be a more effective parameter than the irradiation fluence for long-time life. Through the TEM observation, it was found that while the a-type dislocation density was increased, the c-type dislocation was not changed in the irradiated. The fact that the higher dislocation density was sequentially distributed over the inlet, the middle, and the outlet parts was consistent with the distribution of the tensile strength.

Repair of Complex Cardiac Anomaly Associated with Congenital Tracheal Stenosis -1 Case Report- (선천성 기관 협착증을 동반한 복잡 심기형의 완전 교정술 -1예 보고-)

  • Park, Jeong-Jun;Kim, Woong-Han
    • Journal of Chest Surgery
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    • v.30 no.1
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    • pp.88-91
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    • 1997
  • Congenital long-segment tracheal stenosis with complex cardiac anomaly has generally been regarded as a fatal disease This report described the successful concomitant repair of unexpected congenital tracheal stenosis and complex cardiac anomaly with the use of edrdiopulmonary bypass. The patient was a 3-month-old girl with coarctation of aorta, V D, and PDA. The presence of tracheal stenosis was not discovered until when difficulty with endotracheal intubation was encountered at operating room. Thus, we decided concomitant repair of both lesions and performed anterior pericardial tracheoplasty combined with one stage repair of coarctation of aorta, VSD, and PDA under the cardiopulmonary bypass. The patient is doing well without any signs of complication at present, 2 years and 1 month after the operation.

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Primary Pulmonary Artery Osteosarcoma Mimicking Acute Pulmonary Artery Embolism - A case report- (급성 폐동맥 색전증으로 의심된 원발성 폐동맥 골육종 -1예 보고-)

  • 박상현;손정환;지현근;신윤철;유병수;박우정;박혜림;김응중
    • Journal of Chest Surgery
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    • v.37 no.11
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    • pp.929-932
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    • 2004
  • The estimated relative incidence of primary pulmonary sarcoma to lung cancer is 0.4%. Furthermore, osteogenic sarcoma of the pulmonary artery is extremely rare. We report a case of a 63-year-old woman who visited our emergency room with the chief complaints of chest pain, dyspnea and dizziness. On echocardiography, right heart failure due to acute pulmonary artery embolism was diagnosed and we performed emergency operation. After opening the main pulmonary artery trunk, we found a mass attached to the arterial wall and massive thrombi around the mass. The mass was diagnosed as primary pulmonary artery osteosarcoma through postoperative evaluation. The patient received chemotherapy and radiotherapy. The patient is alive without specific symptoms 16 months postoperatively.

Discourse on the University and Particularity of Public Libraries in Korea (국내 공공도서관의 보편성과 특수성 담론)

  • Yoon, Hee-Yoon
    • Journal of the Korean Society for Library and Information Science
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    • v.48 no.1
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    • pp.5-25
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    • 2014
  • A public library in most countries is a knowledge and cultural institution, which is established, supported and funded by the local administrative authorities and central government. Public libraries, therefore, should ensure access to knowledge and information through various resources and services equally available to all members of the community. This role of the public library is a world-wide phenomenon and are called the universality which is applied to all countries. On the other hand, the public library's policies and operations in many countries have their own particularity, meaning exceptional cases, and this is due to the different stages of the growth and development, socio-cultural diversities. This study analyzed and discoursed whether expansion policy of the small library, supremacy of lifelong learning, steep increase in the percentage of contracting out, installation and operation of reading rooms in public libraries are examples of tolerance of particularity based on the universality or the negation of the universality packed with particularity in Korea.

A Study on Production of Toddlers' Apparel Patterns (유아복(乳兒服)브랜드의 의복(衣服)패턴 제작(製作) 실태(實態) 조사(調査))

  • Kim, Jin;Sohn, Hee-Soon
    • Journal of Fashion Business
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    • v.6 no.5
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    • pp.87-95
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    • 2002
  • The purpose of this study is to survey toddlers' apparel brands in Korea for operation of pattern work rooms, pattern sizes and uses of bodies and measurements, and thereby, provide for some basic data useful to development of toddlers' apparel prototypes and production of bodies. For this study, 13 domestic brands were surveyed. The results of this study can be summarized as follows; As a result of surveying the pattern work rooms, it was found that 53.8% of the sample brands employed a director of pattern work room, while 38.5% of them did not employed any pattern director. 7.7% of the sample brands employed two pattern directors. Such findings suggests that pattern works for toddlers' apparels are neither specialized nor differentiated as for adults' apparels, and therefore, that apparel production is not efficient. In view of the body profiles, only six brands possessed some or other bodies produced in Japan. The average breast size of No. 3 body was found 51.7cm, waist 48.4cm and hip size was 53.7cm. According to National Standard Body Size Survey Report, average breast size of three-year-old toddlers is 51.2cm, The average waist size is 49.5cm, and the hip size is 52.6cm. All in all, our toddlers' sizes are slightly different from Japanese toddlers', and so, it is deemed necessary to produce the bodies for our toddlers' apparels. As a consequence of surveying the measurements used for pattern production, it was found that five brands of the sample brands were using some or other 'body measurements', and another five brands were body measurements and apparel ones in parallel. All the brands sampled were found using some or other 'apparel measurements'.

Traumatic Organized Hematoma Mimicking Intra-peritoneal Tumor : A Case Report (복강내 종양으로 오인된 외상성 혈종: 증례보고)

  • Park, Jong-Min;Kim, Seong Yup;Chung, Il Yong;Kim, Woo-Shik;Shin, Yong-Chul;Kim, Yeong Cheol;Park, Sei Hyeog
    • Journal of Trauma and Injury
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    • v.26 no.4
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    • pp.300-303
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    • 2013
  • Blunt abdominal trauma is commonly encountered in the emergency department. The lack of historical data and the presence of distracting injuries or altered mental status, from head injury or intoxication, can make these injuries difficult to diagnose and manage. We experienced a case of traumatic organized hematoma misdiagnosed as intra-peritoneal tumor with intestinal obstruction. A 52-year-old homeless male patient who have chronic alcoholism was admitted via emergency room with infra-umbilical abdominal pain. At admission, he was drunken status and so we could not be aware of blows to the abdomen. He had a unknown large operation scar on mid abdomen. A computed tomography (CT) scan showed the intestinal obstruction of the ileum level with 5.5cm sized mesenteric tumor. We performed adhesiolysis and widely segmental resection of small bowel including tumor with side-to-side anastomosis due to great discrepancy in size. He stated later that he was a victim of the violence before 3 weeks. A final pathologic report revealed well encapsulated, traumatic mesenteric hematoma with organizing thrombi, ischemia and abscess formation with multiple adhesion bands. Finally, the patient was discharged without complications on postoperative day 14.

Complete Repair of Tetralogy of Fallot in Neonate or Infancy (신생아및 영아기 활로씨 사징증의 완전 교정술)

  • 이정렬
    • Journal of Chest Surgery
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    • v.25 no.1
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    • pp.32-41
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    • 1992
  • From August 1982 to December 1991, 58 consecutive infants with tetralogy of Fallot underwent primary repair. Age ranged from 22 days to twelve months [n=58, 8.7$\pm$2.7 months] and body weight from 3.1 to 13 kilograms [n=58, 7.8$\pm$1.7 kilograms]. Qne infant had absence of the pulmonary valve; one had Ebstein`s anomaly and one had supramitral ring. Thirty-two patients [56%] experienced anoxic spell. Preoperative pulmonary artery indices were measured in 38 cases, ranging 126-552mm2/M2BSA[n=38, 251$\pm$79mm2/M2BSA]. All infants required a right ventricular outflow tract patch; in 41, the patch extended across the pulmonary valve annulus, in 13 of them, monocusps were constructed. All had patch closure of ventricular septal defect. Two infants had REV operation for avoiding injury to the canal branch of the right coronary artery which cross the right ventricular out flow tract. Post repair PRV/LV were measured at operating room in 40 cases, which revealed mean value of 0.49$\pm$0.12 [range: 0.25-0.74]. The hospital mortality was 10.3% [6 patients], and causes of deaths were right heart failure due to sustained right ventricular hypertension[4] and right ventricular outflow tract obstruction, intractablesuraventricular tachyarrhythmia[1], hypoxia[1] due to residual right to left shunt across the atrial septal defect in patient associated with Ebstein`s anomaly. All infants were doing well at follow-up from 1 to 101 months[20.6 months /patient, 1, 072 patient-month] Serial postoperative echocardiograms revealed no residual ventricular septal defects and estimated RVOT gradients between 0 and 40 mmHg except 3 cases [50, 50, 60 mmHg]. There were no late deaths and late ventricular arrhythmias or congestive heart failure. Redo operations were done in 2 cases because of residual right ventricular outflow tract obstruction. This experience with infants with tetralogy of Fallot suggests that, if mortality is tolerable, eletive repair of tetralogy of Fallot could be reasonably undertaken during the first year of life, and even better results could be anticipated along with improvement of methods of myocardial protection and postoperative care.

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Clinical Analysis for the Correlation of Intra-abdominal Organ Injury in the Patients with Rib Fracture

  • Park, Seong-Sik
    • Journal of Chest Surgery
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    • v.45 no.4
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    • pp.246-250
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    • 2012
  • Background: Although it is rare for the fracture itself to become a life threatening injury in patients suffering from rib fracture, the lives of these patients are occasionally threatened by other associated injuries. Especially, early discovery of patients with rib fracture and intra-abdominal organ injury is extremely important to the prognosis. This study analyzed the link between rib fracture and intra-abdominal injury to achieve improved treatment. Materials and Methods: Among trauma patients that had visited the hospital emergency room from January 2007 to December 2009, a retrospective study was conducted on 453 patients suffering from rib fracture due to blunt trauma. Rib fracture was classified according to location (left, right, and bilateral), and according to level (upper rib fracture [1-2nd rib], middle rib fracture [3-8th rib], and lower rib fracture [9-12th rib]). The researched data was statistically compared and analyzed to investigate the correlation between the location, level, and number of rib fracture and intra-abdominal organ injury. Results: Motor vehicle injury was found to be the most common mechanism of injury with 208 cases (46%). Associated injuries accompanied with rib fracture were generated in 276 cases (61%). Intra-abdominal organ injury was discovered in 97 cases (21%). Liver injury was the most common intra-abdominal injury associated with rib fracture with 39 cases (40%), followed by spleen injury, with 23 cases (23%). Intra-abdominal injury according to level of rib fracture was presented as upper rib fracture in 11 cases (11%), middle rib fracture in 31 cases (32%), and lower rib fracture in 55 cases (57%), thus verifying that intra-abdominal injuries were commonly accompanied in lower rib fractures (p=0.03). In particular, significant increase of intra-abdominal injury was presented in fractures below the 8th rib (p=0.03). The number of intra-abdominal injuries requiring emergency operations was significantly higher in patients with more than 6 rib fractures (p=0.04). Conclusion: Intra-abdominal organ injury is more common in patients with lower rib fracture, especially fractures below the 8th rib. Intra-abdominal organ injuries generated in multiple rib fracture patients with more than 6 fractures significantly higher severity. These cases must be thoroughly inspected and carefully observed as there is possibility of emergency operation.

Comparison of oxygen saturation, heart rate of cerebral palsy and normal child between the pre-ambulation and post-ambulation (뇌성마비아동과 정상아동의 보행전후 산소포화도 및 심박수 비교에 관한 연구)

  • Hwang, Joo-Moon;Lee, Wan-Hee
    • Journal of Korean Physical Therapy Science
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    • v.10 no.1
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    • pp.38-46
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    • 2003
  • Since the current tendencies show us the increasing number of cerebral palsy children and the standard longevity, we need to find out more research about the following various problems. Therefore I have tried to figure out the difference of oxygen saturation and heart rate between before ambulation and after. Objects chosen are 17 C.P children on the process of treatment those who were able to walk and 8 normal children in Ah-San hospital, Gang-Nung. They haven't had either any operation or suffered heart disease and I measured their oxygen saturation and heart rate by using pulse-oximeter and are analyzed by SPSS (10.07 version). Results are the followings; 1. There was no difference of oxygen saturation and heart rate between pre-ambulation and post-ambulation of normal and spastic hemiplegia children. 2. There showed the significant statistic difference of oxygen saturation, heart rate between pre-ambulates and post-ambulation of normal and spastic diplegia(p<.05). 3. There was no difference of oxygen saturation, heart rate in C.P between(p>.05), but shows the significant statistic difference in heart rate(p<.05). As I compared the oxygen saturation and heart rate of spastic and normal children on between pre-ambulation and post-ambulation, theres is significant statistic difference on both items (p<.05). However there was no difference of oxygen saturation among hemiplegia, normal and diplegia children while the pulse rate showed the significant difference(p<.05). According to this clinical research, CP children's oxygen saturation and heart rate had no change between pre and post compared to normal children. But there was difference in diplegia. This is why we need to invest time to study these kinds of research about various analysis and comparison of oxygen saturation and heart rate, and furthermore making use of pulse-oxymetry in physical therapy room for the children involved would be beneficial to calculate in accuracy without any discomfort for the patient as well.

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Effect of Solution Treatment on the Microstructure and Damping Capacity of Fe-17%Mn Alloy (Fe-17%Mn 합금의 미세조직과 진동감쇠능에 미치는 용체화처리의 영향)

  • Lee, Young-Kook;Jun, Joong-Hwan;Choi, Chong-Sool
    • Journal of the Korean Society for Heat Treatment
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    • v.9 no.1
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    • pp.12-18
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    • 1996
  • Austenite(${\gamma}$) grain size, ${\varepsilon}$ martensite volume fraction and damping capacity of Fe-17%Mn alloy have been investigated as a function of solution treatment temperature of $600^{\circ}C$ to $1100^{\circ}C$. With increasing the solution temperature, ${\gamma}$ grain size, ${\varepsilon}$ martensite content and damping capacity are increased, while the hardness is decreased. When ${\gamma}$ grains are small, ${\varepsilon}$ plates grow in only one direction in each ${\gamma}$ grain. However, if the ${\gamma}$ grains are large in accordance with high solution treating temperature, several ${\varepsilon}$ variants with different orientations are formed and intersected each other in each ${\gamma}$ grain. In spite of small ${\varepsilon}$ martensite content, the damping capacity of the specimen which was annealed at $700^{\circ}C$, followed by subzero treatment at $-196^{\circ}C$, is almost equal to that of the specimen annealed at $1000^{\circ}C$ and subsequently quenched to room temperature. From this result it is suggested that the damping capacity of Fe-17%Mn alloy having fine ${\gamma}$ grains is mainly attributed to the movement of ${\gamma}/{\varepsilon}$ interface without the operation of other damping sources such as ${\varepsilon}/{\varepsilon}$ boundaries and stacking faults in ${\varepsilon}$ reported previously.

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