• Title/Summary/Keyword: pressure anomaly

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Open Heart Surgery of Congenital Heart Diseases -Report of Four Cases- (선천성심질환(先天性心疾患)의 심폐기(心肺器) 개심수술(開心手術) - 4례(例) 보고(報告) -)

  • Kim, Kun Ho;Park, Young Kwan;Jee, Heng Ok;Kim, Young Tae;Rhee, Chong Bae;Chung, Yun Chae;Oh, Chull Soo
    • Journal of Chest Surgery
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    • v.9 no.1
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    • pp.1-9
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    • 1976
  • The present. study reports four cases of congenital heart diseases, who received open heart surgery by the Sarn's Heart-Lung-Machine in the department of Thoracic Surgery, Hanyang University Hospital during the period between July 1975 and May 1976. The Heart-Lung-Machine consisted of the Sarn's five head roller pump motor system (model 5000), heat exchanger, bubble trap, the Rygg-Kyvsgaard oxygenator, and monitors. The priming of pump oxygenator was carried out by the hemodilution method using Hartman's solution and whole blood. Of the four cases of the heart diseases, three whose body weight were below 30kg, received the partial hemodilution priming and the remaining one whose body weight was 52kg received the total hemodilution priming with Hartman's solution alone. The rate of hemodilution was in the average of 60.5ml/kg. Extracorporeal circulation was performed at the perfusion flow rate of the average 94.0ml/kg/min, and at the moderate hypothermia between 35'5"C and 30'5"C of the rectal temperature. In the total cardiopulmonary bypass, arterial blood pressure was anged between 30 mmHg and 85 mmHg, generally maintaining over 60 mmHg and venous pressure was measured between 4 and $23cmH_2O$, generally maintaining below $10cmH_2O$. The first case: The patient, a nine year old girl having the symptoms and physical signs typical to cardiac anomaly was definitely diagnosed as isolated pulmonary stenosis through the cardiac catheterization. There was, however, no cyanosis, no pathological finding by X-ray and E.C.G. tracings. The valvulotomy was performed through the arteriotomy of pulmouary artery under the total cardiopulmonary bypass. Postoperative course of the patient was uneventful, and murmur and the clinical symptoms disappeared. The second case: A 12 year old boy with congenital heart anomaly was positively identified as having ventricular septal defect through the cardiac catheterization. As in the case with the first case, the patient exhibited the symptoms and physical signs typical to cardiac anomaly, but no pathological abnormality by X-ray and E.C.G. tracings. The septal defect was localized on atrioventricular canal and was 2 by 10 mm in size. The septal defect was closed by direct simple sutures under the cardiopulmonary bypass. Postoperative hemodynamic study revealed that the pressure of the right ventricle and pulmonary artery were decreased satisfactory. Postoperative course of the patient was uneventful, and murmur and the clinical symptoms disappeared. The third case: The patient, a 19 year old girl had been experienced the clinical symptoms typical to cardiac anomaly for 16 years. The pink tetralogy of Fallot was definitey diagnosed through the cardiac catheterization. The patient was placed on an ablolute bed rest prior to the operation because of severe exertional dyspnea, fatigability, and frequent syncopal attacks. However, she exhibited very slight cyanosis. Positive findings were noted on E.C.G. tracings and blood picture, but no evidence of pathological abnormality on X-ray was observed. All of the four surgical approaches such as Teflon patch closure (3 by 4cm in size) of ventricular septal defect, myocardial resection of right ventricular outflow tract, valvulotomy of pulmonary valvular stenosis, and pericardial patch closing of ventriculotomy wound were performed in 95 minutes under the cardiopulmonary bypass. Postoperative hemodynamic study revealed that the pressure of the right ventricle was decreased and pulmonary artery was increased satisfactorily. Postoperative course of the patient was uneventful, and murmur and the clinical symptoms disappeared. The fourth case: The patient, a 7 1/4 year old girl had the symptoms of cardiac anomaly for only three years prior to the operation. She was positively identified as having acyanotic tetralogy of Fallot by open heart surgery. The patient showed positive findings by X-ray and E.C.G. tracings, but exhibited no cyanosis and normal blood picture. All of the three surgical approaches, such a myocardial resection of hypertrophic sight ventricular outflow tract, direct suture closing of ventricular septal defect and pericardial patch closing of ventriculotomy wound were carried out in 110 minutes under the cardiopulmonary bypass. Postoperative hemodynamic study revealed that the pressure of the right ventricle was decreased and pulmonary artery was increased satisfactorily. Postoperative course of the patient was uneventful, and the symptoms disappeared.

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Surgical Repair of Pectus Excavatum (누두흉의 수술적 교정)

  • 조덕곤
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.1027-1034
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    • 1990
  • Pectus excavatum, commonest developmental anomaly of chest wall, is manifested by depression of the sternum and lower costal cartilages that is of surgical interest. From 1982 through 1990, fifteen patients have undergone surgery for treatment of pectus excavatum and treated by Ravitch operation: 5, Modified Ravitch operation; 4, Wada operation, 1 and Modified Wada operation, 5. There was familial history of pectus excavatum in 3 patients. Associated congenital anomaly were seen in 6 patients; scoliosis in 3 patients, right inguinal hernia in 1, polydactyly in 1 and patent ductus arteriosus in 1 patent. Postoperative minor complications were developed in 3 cases; pneumothorax, 2 cases; pleural effusion, 2 cases; wound infection and dehiscence, 1 cases; pressure sore due to strut malposition, 2 cases; flail chest and 2 cases; seroma. The incidence of the postoperative complications were more common in cases who were treated by metal strut, pin or other prosthetic materials for supporting the chest wall integrity than the standard corrective procedure. All cases have no recurrence of chest wall depression and operative death.

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New techniques for estimating the shut-in pressure in hydro-fracturing pressure-time curves

  • Choi Sung O.
    • 한국지구물리탐사학회:학술대회논문집
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    • 2003.11a
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    • pp.272-280
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    • 2003
  • A definite shut-in pressure in hydraulic fracturing techniques is needed for obtaining the correct information on the in-situ stress regimes in rock masses. The relation between the behaviour of hydraulically induced fractures and the condition of remote stress is considered to be major reasons of an ambiguous shut-in pressure in hydraulic fracturing pressure-time history curves. This paper describes the results of a series of numerical analyses carried out using UDEC(Universal Distinct Element Code, Itasca), which is based on the discrete element method, to compare several methods for determining the shut-in pressure during hydraulic fracturing. The fully coupling of hydraulic and mechanical analysis was applied, and the effects of four different discontinuity geometries in numerical modelling have been investigated for this purpose. The effects of different remote stress regimes and different physical properties on hydraulic fracture propagation have been also analyzed. Several methods for obtaining shut-in pressure from the ambiguous shut-in curves have been applied to all the numerical models. The graphical intersection methods, such as (P vs. t) method, (P vs. log(t)) method, (log(P) vs. log(t)) method, give smaller values of the shut-in pressure than the statistical method, (dP/dt vs. P). Care should be taken in selecting a method for shut-in pressure, because there can be existed a stress anomaly around the wellbore and fracturing from the wellbore by a constant flow rate may have a more complicate mechanism.

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The Clinical Analysis of Ventricular Septal Defect Review of 97 cases (심실중격결손증의 임상적 고찰)

  • 백광제
    • Journal of Chest Surgery
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    • v.18 no.2
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    • pp.139-150
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    • 1985
  • From 1977 through 1984, 97 patients of V.S.D. were treated surgically at Department of Thoracic and Cardiovascular Surgery, Korea University college of Medicine. Among 97 patients, 3 patients were treated by PDA ligation, 3 patients were treated by PDA ligation and subclavian flap aortoplasty, 1 patient were treated by pulmonary artery banding. All of the above patients were analyzed clinically. The results were as follows; 1. Of the patients, 52 patients were male [55.5%] and 45 patients were female [44.5%]. Their age ranged from 7 days to 32 year, and the mean age was 9 year of age and 28.9% of patients were between 4 and 8 year of age. 2. The most common clinical symptoms were frequent U.R.l. and D.O.E.. 3. The most common chest PA findings were cardiomegaly and increased pulmonary vascularity. 4. Associated anomaly was founded in 27 cases and PDA was most common associated anomaly and others were A.S.D., pulmonary stenosis, aortic regurgitation, D.C.R.V.. 5. Pulmonary hypertension was founded in 37 patients and it`s incidence was increased by patient age and shunt amount. 6. On Kirklin`s anatomical classification, type 11 defect was most common [45.5%], and type 1 was 35.5%, and type 111 was 4.4%, and type 1V was 4.4%. 7. Mean E.C.C. time was 69.1 min. and varied by closing method and associated anomaly as in case of simple closure; 47.8 min., in case of patch closure; 77.2 min., in cases with associated anomaly; 92.7 min.. 8. Mean postoperative ventilatory assisted time was 7.3 hour and varied by preoperative pulmonary artery pressure and E.C.C. time, as the group with pulmonary hypertension; 10.5 hour, the group without pulmonary hypertension; 5.5 hour, the group of short E.C.C time [within 1 hour]; 4.4 hour, the group of long E.C.C. time [over 1 hour]; 8.4 hour. 9. Overall operative mortality was 9.3% [9 cases].

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Surgical Treatment of Double Chambered Right Ventricle: A Case Report (이강 우심실: 1례 보고)

  • 안광필
    • Journal of Chest Surgery
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    • v.11 no.1
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    • pp.65-68
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    • 1978
  • The unusual congenital anomaly, double chambered right ventricle due to aberrant muscle band with intact ventricular septum in 10 years old female patient is presented. The pressure gradient is 70mmHg between inflow tract and outflow tract of right ventricle and the aberrant muscle band is 2X4.5cm arising below the infundibulum and traverses the right ventricular cavity, extending from its anterior wall to the crista supraventricularis forming broad triangular base in parietal anterior wall. By resecting out this muscle band clearly, the outflow tract obstruction is completely relieved.

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Diagnosis of Processing Equipment Using Neural Network Recognition of Radio Frequency Impedance Matching

  • Kim, Byungwhan
    • 제어로봇시스템학회:학술대회논문집
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    • 2001.10a
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    • pp.157.1-157
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    • 2001
  • A new methodology is presented to diagnose faults in equipment plasma. This is accomplished by using neural networks as a pattern recognizer of radio frequency(rf) impedance match data. Using a realtime match monitor system, the match data were collected. The monitor system consisted mainly of a multifunction board and a signal flow diagram coded by Visual Designer. Plasma anomaly was effectively represented by electrical match positions. Twenty sets of fault-symptom patterns were experimentally simulated with experimental variations in process factors, which include rf source power, pressure, Ar and O$_2$ flow rates. As the inputs to neural networks, two means and standard deviations of positions were used ...

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Manufacturing Data Preprocessing Method and Product Classification Method using FFT (FFT를 활용한 제조데이터 전처리 및 제품분류)

  • Kim, Han-sol;Jin, Kyo-hong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2021.10a
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    • pp.82-84
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    • 2021
  • Through the smart factory construction project, sensor data such as power, vibration, pressure, and temperature are collected from production facilities, and services such as predictive maintenance, defect prediction, and abnormality detection are developed through data analysis. In general, in the case of manufacturing data, because the imbalance between normal and abnormal data is extreme, an anomaly detection service is preferred. In this paper, FFT method is used to extract feature data of manufacturing data as a pre-stage of the anomaly detection service development. Using this method, we classified the produced products and confirmed results. In other words, after FFT of the representative pattern for each product, we verified whether product classification was possible or not, by calculating correlation coefficient.

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A resistivity anomaly at 380 K in reproduced LK-99

  • Sangjin Kim;Kwang-Tak Kim;Jeonghun Kang;Dong-Hyeon Gim;Yoon Han Lee;Kee Hoon Kim
    • Progress in Superconductivity and Cryogenics
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    • v.25 no.4
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    • pp.10-13
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    • 2023
  • To confirm the room-temperature superconductivity at ambient pressure as claimed in recent arXiv preprints by Lee et al., we followed the original authors' systematic solid-state synthesis recipe to reproduce Cu-doped Pb-apatite, known as LK-99. Using X-ray diffraction and Raman spectroscopy, we identified inclusion of various impurities alongside the apatite phase in our sample. While the sample exhibited an overall semiconducting behavior in electrical transport, an intriguing resistivity anomaly at 380 K was observed, possibly originating from a structural phase transition of the Cu2-δS impurity. Based on the transport and magnetization measurements, we conclude that the sample is a non-magnetic semiconductor, with absence of superconductivity.

Prevailing Synoptic Patterns for Persistent Positive Temperature Anomaly Episodes in the United States (장기간 지속되는 이상고온기의 종관패턴: 미국을 사례로)

  • Choi, Jong-Nam;Choi, Gwang-Yong;Williams, Thomas
    • Journal of the Korean Geographical Society
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    • v.43 no.5
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    • pp.701-714
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    • 2008
  • This study examines the prevailing synoptic-scale mechanisms favorable for long-lived summer Persistent Positive Temperature Anomalies (PPTAs) as well as winter PPTAs in the United States. Such long-lived PPTAs usually occur in the south-central region of the United States in summer, but in the southwestern part of the United States in winter. Composite analyses of surface and pressure level data demonstrate that the formation of both winter and summer PPTAs is closely related to the movement of subtropical high pressure systems in the Pacific Ocean and Atlantic Ocean, respectively. The occurrence of long-lived summer PPTAs usually coincides with an extremely stable atmospheric condition caused by persistent blocking by mid- to upper-tropospheric anticyclones. Significant surface forcing is also easily identified through relatively high Bowen ratios at the surface. Warm air advection is, however, weak and appears to be an insignificant element in the formation of long-lived summer PPTAs. On the other hand, synergistic warming effects associated with adiabatic heating under an anticyclonic blocking system as well as significant warm air advection characterize the favorable synoptic environments for long-lived winter PPTAs. However, the impact of surface forcing mechanisms on winter PPTAs is insignificant.

Relationship between the East-Asian Cold Anomalies in Winter of 2010/11 and Blocking (2010/11년 겨울의 동아시아 한랭 아노말리와 블로킹의 연관성)

  • Choi, Wookap;Kim, Young-Ah
    • Atmosphere
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    • v.26 no.1
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    • pp.193-201
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    • 2016
  • An anomalous cold-weather period occurred during January 2011 in East Asia, and this study investigates the event by focusing on the blocking phenomena formed at Northeastern Asia. The area of cold weather is determined to represent the characteristic features of abnormal cold temperature. The 2010/11 winter is divided into three periods P1, P2 (cold period), and P3. For the cold area ($30-50^{\circ}N$, $115-135^{\circ}E$) the corresponding cold period P2 is determined to be 39 days from 23 December 2010 through 30 January 2011. During P1 and P3 temperature anomalies from the climatological mean are small with large standard deviation compared to those of P2, which has large negative anomaly and small standard deviation. The period P2 is dominated by blocking, which was determined by distributions of 500-hPa geopotential height and potential temperature on the 2 PVU surface. Correlation-coefficient analyses show that during P2 the temperature in the cold area is related with pressure of Northeastern Asia, while the temperature during P1 and P3 is related with pressure of Northwest of Korea. Also, during P1 and P3 the temperature pattern shows eastward propagation, but during P2, a stationary pattern. All the observations imply that, during the cold period P2, the temperature in the cold area is related with blocking in Northeastern Asia. During P1 and P3 temperature pattern is related with 500-hPa geopotential height in Siberia, and this relationship is also observed in the climatological mean state.