• Journal of Chest Surgery
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• 제51권5호
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• pp.328-332
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• 2018

Background: Extracorporeal life support (ECLS) can be applied in brain-dead donors for organ perfusion before donation, thereby expanding the donor pool. The aim of this study was to examine the benefits and early clinical outcomes of ECLS for organ preservation. Methods: Between June 2012 and April 2017, 9 patients received ECLS with therapeutic intent or for organ preservation. The following data were collected: demographics, purpose and duration of ECLS, cause of death, dose of vasoactive drugs, and need for temporary dialysis before organ retrieval. The early clinical outcomes of recipients were studied, as well as survival and graft function at 1 month. Results: ECLS was initiated for extracorporeal cardiopulmonary resuscitation in 5 patients. The other patients needed ECLS due to hemodynamic deterioration during the assessment of brain death. We successfully retrieved 18 kidneys, 7 livers, and 1 heart from 9 donors. All organs were transplanted and none were discarded. Only 1 case of delayed kidney graft function was noted, and all 26 recipients were discharged without any significant complications. Conclusion: The benefits of protecting the vital organs of donors is significant, and ECLS for organ preservation can be widely used in the transplantation field.

• Structural Engineering and Mechanics
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• 제17권2호
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• pp.245-266
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• 2004

Incremental launching method is one of the highly competitive techniques for construction of concrete bridges. It avoids costly and time consuming form work and centralizes all construction activities in a small casting yard, thus saving in cost and time against conventional bridge construction. From the quality point of view, it eliminates the uncertainty of monolithic behaviour by allowing high repetitiveness and industrial environment. But, from analysis and design point of view, the most characteristic aspect of incrementally launched bridges is that, it has to absorb the stresses associated with the temporary supports that are gradually taken on by the deck during its launch. So, it is necessary to analyse the structure for each step of launching which is a tedious and time consuming process. Effect of support settlements or temperature variation makes the problem more complex. By using transfer matrix method, this problem can be handled efficiently with minimal computational effort. This paper gives insight into method of analysis, formulation for optimization of the structural system, effect of support settlement and temperature gradient, during construction, on the stress state of incrementally launched bridges.

• 대한두개안면성형외과학회지
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• 제20권6호
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• pp.347-353
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• 2019

Most orbital surgeons believe that it's difficult to restore the primary orbital wall to its previous position and that the orbital wall is so thin that cannot be firmly its primary position. Therefore, orbital wall fractures generally have been reconstructed by replacing the bony defect with a synthetic implant. Although synthetic implants have sufficient strength to maintain their shape and position in the orbital cavity, replacement surgery has some drawbacks due to the residual permanent implants. In previous studies, the author has reported an orbital wall restoring technique in which the primary orbital wall fragment was restored to its prior position through a combination of the transorbital and transantral approaches. Simple straight and curved elevators were introduced transnasally to restore the orbital wall and to maintain temporary extraorbital support in the maxillary and ethmoid sinus. A transconjunctival approach provided sufficient space for implant insertion, while the transnasal approach enabled restoration of the herniated soft tissue back into the orbit. Fracture defect was reduced by restoring the primary orbital wall fragment to its primary position, making it possible to use relatively small size implant, furthermore, extraorbital support from both sinuses decreased the incidence of implant displacement. The author could recreate a natural shape of the orbit with the patient's own orbital bone fragments with this dual approach and effectively restored the orbital volume and shape. This procedure has the advantages for retrieving the orbital contents and restoring the primary orbital wall to its prior position.

• 한국안전학회지
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• 제28권4호
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• pp.58-65
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• 2013

Transportation and further expansion of social infrastructure was needed along the development of urbanization and population concentration. To use the underground space due to the lack of availability of land, it is inevitable to intersect between present structure and tunnel during construction. Soil grouting is one of the ground improvement methods to reinforce weak soil around the underground structures by injection of grouting liquid. Some of central columns of an upper structure are damaged during injection of grouting liquid by injection pressure. To investigate and improve the stability of the tunnel, three dimensional analysis are performed with full construction stages which includes the construction of present underpass, damaging columns of the underpass, reinforcing the columns by H-pile and shear walls, and excavation and construct tunnel. The arrangement of grouting holes such as curtain and horizontal type affects largely to the stability of upper structure and horizontal arrangement diminish the shear forces which is the cause of damage of central columns. The liquid injection type of reinforcement for tunnel is not recommended while the presence of upper structure with columns. Wall type reinforcing is utilize for permant support of upper structures which is affected by grouting injection pressure. H-pile is utilize for temporary support, but not for permanent since the sharing of shear forces is not much to shear wall during tunnel construction.

• ETRI Journal
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• 제46권4호
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• pp.604-618
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• 2024

In wireless sensor network (WSN) monitoring systems, redundant data from sluggish environmental changes and overlapping sensing ranges can increase the volume of data sent by nodes, degrade the efficiency of information collection, and lead to the death of sensor nodes. To reduce the energy consumption of sensor nodes and prolong the life of WSNs, this study proposes a dual layer intracluster data fusion scheme based on ring buffer. To reduce redundant data and temporary anomalous data while guaranteeing the temporal coherence of data, the source nodes employ a binarized similarity function and sliding quartile detection based on the ring buffer. Based on the improved support degree function of weighted Pearson distance, the cluster head node performs a weighted fusion on the data received from the source nodes. Experimental results reveal that the scheme proposed in this study has clear advantages in three aspects: the number of remaining nodes, residual energy, and the number of packets transmitted. The data fusion of the proposed scheme is confined to the data fusion of the same attribute environment parameters.

• 지질공학
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• 제16권3호
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• pp.283-291
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• 2006

기존의 NATM 터널에서는 숏크리트가 임시적인 지보재로 사용되었으나 싱글쉘에서는 영구적인 구조물의 역할을 담당하게 된다. 따라서 숏크리트에 작용하는 하중과 변위를 신뢰성 있게 예측하는 것이 터널의 안정성을 확보하기 위한 필수조건이므로 지반정수 산정의 정확성이 매우 중요하다. 특히, 국내의 지질상태는 외국과 다르므로 싱글쉘 공법을 국내에 적용하기 위해서는 국내 지질상태를 고려한 지반정수 산정기법의 기술 개발이 필수적이다. 본 연구에서는 국내 25개 터널 현장에서의 암반분류 사례 및 지반정수 사례를 조사하였다. 국내 싱글쉘 터널공법을 위한 지보 패턴안을, Q분류에서 수정된 NMT방법과 국내 암반상태를 고려하여 제안하였다. 또한 사례연구를 통한 Q시스템과 RMR값의 상관성을 이용하여 RMR을 이용한 지보량을 제시하였다.

• 한국구조물진단유지관리공학회 논문집
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• 제22권4호
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• pp.114-120
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• 2018

최근 공용중인 철도 운행에 지장이 없도록 지하차도 등을 위한 공사의 임시 가설구조물 공법으로 하로판형교를 적용하고 있다. 이러한 하로판형교 형태중 주형과 가로보를 일체화시켜 공사비 절감 및 공기의 단축을 통한 시공성을 향상 시킨 하로판형교를 지점부 일체형으로 개선하였다. 지점부 일체형 하로판형교에 적용하는 가로보는 통상 박스형상을 가지며 주거더에 작용하는 하중을 측면으로 전달시키는 역할을 한다. 본 연구에서는 박스가로보의 복부판 중앙부 간격에 따른 변화에 대하여 플랜지 및 복부판에 작용하는 응력 및 변위에 관련한 형상을 파악하여 이를 개선하여 향후 지점부 일체형 가로보 하로판형교의 가로보 안전성 향상에 기여하고자 한다.

• 한국융합학회논문지
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• 제13권5호
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• pp.531-539
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• 2022

정부는 COVID-19 확산을 방지하기 위해 사회적 거리두기 및 영업시간 제한 등의 정책을 시행하였고, COVID-19 장기 유행에 따라 소상공인들의 피해는 커지고 있다. 정부는 긴급재난지원금을 편성해 소상공인들의 경영압박을 해소하고자 하였다. 긴급재난지원금은 소상공인들에게 일시적인 도움이 되었지만, COVID-19 장기유행에 따라 경영 어려움은 커져갔다. 따라서 본 논문은 시스템 사고의 원형 중(Systme Archetype) 처방의 실패와 짐떠넘기기 원형을 활용하여 소상공인들의 회복력을 효과적으로 높일 수 있는 정책 지렛대로서의 정책 대안들을 탐색적으로 도출하고자 하였다. 소상공인들의 회복력을 높이기 위해 소상공인들의 긴급재정지원과 함께 소상공인들의 자생력을 높일 수 있는 지원이 필요하다.

• 재활복지
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• 제22권2호
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• pp.53-82
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• 2018

본 연구는 개별유연화서포트서비스에 참여한 발달장애인의 경험을 이해하고자 하였다. 연구방법은 사례연구를 통해 장애인복지관을 이용하고 있는 장애인 당사자와 당사자를 지원하는 적극적 지원자에게 심층면접을 진행했고, 관련된 자료를 분석하였다. 본 연구자는 이를 통해, '지역사회로 나오기', '삶의 다양한 선택을 실험해 보기', '주체적인 삶 살아가기'라는 3가지 핵심 범주를 도출하였다. 이를 통해 다음과 같이 제언하고자 한다. 첫째, 의사소통과 자기결정이 제한된 발달장애인도 참여 과정을 통해서 주도적으로 서비스를 참여할 수 있도록 해야 한다는 것을 볼 수 있으며, 과정에서 당사자에 대한 적극적인 지원이 필요한 것으로 보인다. 둘째, 기관 중심의 서비스에서 탈피하여 당사자를 중심으로 하여 그들을 위한 계획과 지원이 이루어질 필요가 있다. 셋째, 당사자의 자기결정, 선택 및 통제를 위해 충분한 예산 지원을 선행되어야 한다. 넷째, 지역사회에서 함께 참여함으로써 일상적 삶을 누릴 수 있어야 하며, 지역사회의 참여를 위한 지역 주민의 인식 변화가 필요하다. 다섯째, 한시적인 지원이 아닌 지속적인 지원이 필요하다. 마지막으로, 당사자의 목소리를 경청하고 권리를 대변하기 위한 우리 모두의 노력이 필요할 것이다.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2002년도 가을 학술발표회 논문집
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• pp.727-732
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• 2002

Steel Fiber Reinforced Shotcrete(SFRS) has been prevalently used in lining to stabilize tunnel structures as temporary or permanent support. In recent, it is one of the major elements of tunnel construction, and so the quality control of SFRC should be clarified to guarantee the safety. The experimental study has been performed to verify the possible correlations in several chracteristics related to quality of SFRC and examine the applicability of round panel test for in field. The test variables were the type and dosage of accelerator, aspect ratio of fiber, and fiber content. The test results such as compressive strength, flexural strength, flexural toughness, and energy absorption capacity, were exmained and analyzed scrutinizingly.