• Journal of Chest Surgery
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• v.37 no.9
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• pp.793-795
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• 2004

Modified Norwood procedure with maintaining cardiac beat was done in a 30-day-old neonate. Procedure was done with regional perfusion of innominate and coronary artery. Postoperative course was uneventful. Second-stage operation (bi-directional cavopulmonary shunt) was done 4 months later. The diameter of ascending aorta was more than 5 mm, Norwood procedure can be done in beating hearts.

• School Mathematics
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• v.8 no.3
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• pp.291-300
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• 2006

Proofs in school mathematics are regarded as the procedures to examine a proposition's truth or falsehood. However, they are not based on an axiomatic system in general. This implies the possible existence of vicious circles in proofs in school mathematics. The concept of proof can be more completely acquired when accompanied with concept of circular reasoning and necessity of axiomatic system. Therefore, it is necessary to discuss on the axiomatic system in school mathematics curriculum. The vicious circle can be found in computing an area of a circle by using definite integral in differentiation/integration part of high school textbooks. This paper will first illustrate this in detail and then offer several comments on the axiomatic methods related to the dissolution of that circular reasoning. To further the discussion, Archimedes' derivation for the area of a circle will be considered next. Finally, several arguments on circular reasoning, local organization, and axiomatic system in school curriculum will be presented at the end of the paper.

• Journal of Chest Surgery
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• v.42 no.2
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• pp.256-258
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• 2009

A 63-year-old man who had a permanent pacemaker placed 17 years ago presented to us with local inflammatory signs on his chest. The skin was opened to remove the permanent pacemaker. However, the pacing wire was not easily removed. So, the permanent pacemaker was removed from the chest with leaving the remnant wire inside. However, the local infection recurred because of the remnant wire. Right thoracotomy was performed and cardiopulmonary bypass was started. After total circulatory arrest, the right atrium was opened and the wire was completely removed.

• Journal of Radiation Protection and Research
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• v.40 no.4
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• pp.277-282
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• 2015

This study was to investigate the effects of the hot compress pack on alleviating local muscular discomfort, stiffness in limbs as well as the chronic pains such as migraine in terms of hemodynamics. In this study, the hot compress band was put on the neck and the local physiological change on the stimulation site and the cranial blood circulation change were examined. We recruited healthy volunteers (n=8, mean age: 32.13 (4.61)), who participated in the magnetic resonance imaging (MRI) study. Local skin color and temperature were measured for the local effect of the hot compress band and the changes of intra-cranial and extra-cranial blood vessels were examined with MR angiography (MRA) images. The skin temperature increased from $36.4^{\circ}C$ at the rest condition to $36.7^{\circ}C$ and $37.1^{\circ}C$ after 15 min and 30 min stimulation, respectively. The change of the extra-cranial blood vessels between pre-stimulation and post-stimulation of 30 min was significantly increased (+38.8%), while the change of the intra-cranial blood vessels was negligible. In this study, we demonstrated that the hot compress band on the neck yielded the increase of local skin temperature on the stimulation site and it made an effect on the extracranial circulation. In conclusion, the stimulation with a hot compress could facilitate the blood circulation, causing to relieve the muscular discomfort, stiffness in limbs as well as the chronic pains such as migraine.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.11
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• pp.5317-5322
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• 2013

This study presents a prediction method for heat transfer performance of a gas cooler of $CO_2$ heat pump using ${\epsilon}$-NTU method, and compared the results with the experimental data from the open literature. The heat transfer rate, refrigerant side outlet temperature and water side outlet temperature were calculated by using EES(Engineering Equation Solver)program in multi-tube-in-tube type $CO_2$ heat pump gas cooler. Analysis was performed in two methods : The first method performed without dividing into the test section by applying an analysis of the mean properties(mean analysis). The second method, tube length divided into 50 sections, was applied to the local properties(local analysis). From the present study, a good agreement at the local analysis was obtained between the analytical and experimental results by 0.3~1.1%, 1.31~1.88% and 3.12~5.18% for heat transfer rate, water and refrigerant side outlet temperatures, respectively.

• The Korean Journal of Physiology
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• v.17 no.2
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• pp.93-101
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• 1983

A possibility whether the appearance of adaptation to cold climate during winter could occur or not in Taegu area was evaluated by comparing the data obtained in winter with that obtained by the same method in summer. Circulatory response was induced by the immersion of one hand in the cold water. The systemic and local responses in the blood circulation from the immersed hand and the unimmersed opposite hand were observed simultaneously. In addition Galvanic skin resistance(GSR) that is influenced by the activity of autonomic nervous system and the vascular tonicity was recorded. The experiment was performed by examining sixty healthy college students in winter and fifty in summer, whose mean age was 21.0, mean weight $60.6{\pm}0.90\;kg(male)$ and $48.3{\pm}0.98\;kg(female)$. The cold stimulus was applied by immersing the left hand into the cold water of $5^{\circ}C$ for 3 minutes, and the response was observed on immersed left hand and unimmersed right hand simultaneously. The observation was made through determining mean blood pressure, heart rate, amplitude of photoelectric capillary pulse (APCP) and GSR. The results obtained are as follows: The mean blood pressure was elevated during the cold stimulation. The increase of blood pressure in summer was more remarkable than in winter. At the recovery period the blood pressure was decreased to the control level in winter but the decrease below the control level was observed in summer. The increase of heart rate in summer was more remarkable than in winter during the cold stimulation. At the recovery period heart rate in both winter and summer was decreased below the control level. During the cold stimulation the APCP was decreased on both hands in winter. However it was more prominent on left hand indicating additional direct cold effect on immersed hand. In summer, the decrease of APCP during immersion was less remarkable than that in winter, but the regain of APCP was faster than that in winter at the recovery period. And the prompt increase of APCP over the control level has been obtained at the 3 minutes of the recovery period. The GSR was remarkably increased on immersed hand but slightly decreased on unimmersed opposite hand during the cold stimulation. Thus the finding on immersed hand indicates that the local direct effect of cold water is more prominent than the systemic effect, where as the finding on unimmersed hand indicates that the circulatory response to painful stress elicited by the cold stimulation is more prominent than cold temperature itself. In summary, it seems that the systemic circulatory response to the local cold stimulation of the one hand is arised more from the secondary elicited pain sensation and less from the low water temperature. On the contrary to the report of Kim et $al^{39)}$, the adaptation phenomena in blood pressure to the relatively mild cold climate in winter was not observed in this study. The difference of circulatory response observed in this study between winter and summer may be due to the difference of the magnitude of subjective sensation of the cold water stimulation by the seasonal changes in air temperature.

• The Korean Journal of Rheology
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• v.8 no.1
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• pp.1-10
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• 1996

본 논문에서는 협착이 발생된 원관내 뉴턴유체와 비뉴턴유체의 정상 및 맥동유동특 서을 유한요소법으로 해석하였다. 본연구는 맥동유동특성에서 협착관 형상의 변화, 협착이 주기적으로 발생된 협착관에서 협착부사이의 거리와 협착부의 수가유동특성에 미치는 영향 을 검토하였다. 레이놀즈수가 일정할 때 협착이 발생된 원형관내 뉴턴유체와 비뉴턴유체의 맥동유동특성은 정상유동의 경우와 크게 다르게 나타난다. 맥동유동에서는 정상유동보다 관 중앙부에서 속도분포가 훨씬 평탄하고 맥동유동의 속도분포는 감속시에 비하여 가속시에 관 중앙부의 속도분포가 더 평탄하게 나타난다. 정상유동과 맥동유동으 감속시에서는 협착부 하류의 벽면에서 재순환영역이 발생된다. 협착부의 수가 증가하면 각 협착부 주위의 속도장 은 유사하게 나타나지만 전체 압력손실은 크게 증가한다. 협착부사이의 거리가 변화될 경우 맥동유동속도의 국소최대치와 국소최소치의 차이가 가속시에는 거의 없지만 감속시에는 협 착부사이의 거리에 따라 다르게 나타난다.

• Journal of Chest Surgery
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• v.39 no.6 s.263
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• pp.434-439
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• 2006

Background: Deep hypothermic circulatory arrest during repair of aortic arch anomalies may induce neurological complications or myocardial injury. So we surveyed if the regional cerebral and myocardial perfusion might eliminate those potential side effects. Material and Method: From March 2000 to December 2004, 62 neonates or infants with aortic arch anomaly underwent one stage biventricular repair using the regional perfusion technique by single surgeon. Preoperative diagnosis of the arch anomaly consisted of coarctation (n=46), interruption of the aorta (n=12), hypoplastic left heart syndrome (n=2) and truncus areteriosus (n=2). Combined anomalies were ventricular septal defect (n=51), TAPVR (n=1), PAPVR (n=1) and atrioventricular septal defect (n=2). Arterial cannula was inserted at the innominate artery. Result: The mean regional perfusion time of brain was $28{\pm}10min$. Operative mortality rates was 0 (0/62). Late death was 1 (1/62) during $11{\pm}7$ months of follow-up. Neurologic complications consisted of transient chorea in 1 case. There was no reoperation associated with arch anolamy. Pulmonary complication associated with arch repair occurred in f case which was managed by aortopexy. Conclusion: One-tage rch repair using the regional profusion is safe and effective in minimizing the neurologic and myocardial complications.

• Proceedings of the Korean Society of Computer Information Conference
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• 2016.07a
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• pp.261-262
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• 2016

본 논문에서는 계기용변압기(Potential Transformer, PT) 1차권선의 절연내력을 향상시키기 위하여 전위분포가 일정하게 되도록 권선 배치를 최적화하는 프로그램을 작성하여 반복 분석하였다. 우선 기존의 권선 배치에 대한 국소점의 전계분포를 고찰하여 전계의 최대치를 구한 후, 권선 배치를 자동화된 순환 계산형 시뮬레이터를 제작하여 적절한 분포로 교정하고 최초의 기대 함수치를 극소화하는 형상을 반복 추적하는 알고리즘을 이용하였다.

• Journal of Chest Surgery
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• v.34 no.7
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• pp.547-551
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• 2001

The effects of deep hypothermia and circulatory arrest during aortic arch reconstruction are associated with potential neurologic and myocardial injury. We describe a surgical technique that two patients underwent a modified Norwood procedure without circulatory arrest and myocardial ischemia. One was 13-day-old female patient, weighing 3.1kg, having a variant of hypoplastic left heart syndrome and another was 38-day-old male patient, weighing 3.4 kg, diagnosed Taussig-Bing anomaly with severe aortic arch hypoplasia, coarctation of the aorta, and subaortic stenosis. The arterial cannula was inserted in innominate artery directly. During Norwood reconstruction, regional high-flow perfusion into the inominate artery and coronary perfusion were maintained and there were no neurologic, cardiac, and renal complications in two patients. This technique may help protect the brain and myocardium from ischemic injury in patients with hypoplastic left heart syndrome or other arch anomalies including coarctation or interruption.