• Title/Summary/Keyword: 단기유출

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Surgical Treatment of Ruptured Aneurysm of Sinus of Vasalva (발살바동맥류 파열의 외과적 치료)

  • 김정택;장병철
    • Journal of Chest Surgery
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    • v.30 no.6
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    • pp.607-612
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    • 1997
  • Between March 1963, and December 1994, fifty-three patients with a ruptured aneurysm of sinus of Vasalva(RSV) were operated. The RSV originated from the right coronary sinus in 43 patients(81%), from the non coronary sinus in 7 patients(13%), and from combined sinuses in 2 patients. The RSV from the right coronary sinus mainly drained to the right ventricle(81.4%), and the RSV from the non coronary sinus mainly drained to the right atrium(71.4%). Recently, we are using patch to repair the RSV through a double approach. During the operation, concomitant . procedures were performed; 32 Patch repairs of VSD, 14 aortic valvuloplasty, 10 aortic valve replacement, 2 tricuspid valvuloplasty, and one Bentall's procedure. During the follow up period between 1 and 31 years(mean 8 years, 94% follow up), there were 2 late deaths and 14 late complications. Actuarial 10-year survival rate .was 95%, and 10-year actuarial freedom from late event was 53 %. Factor analysis revealed that the combined SBE is a risk factor of late event. Actuarial freedom from failure of aortic valvuloplasty was 55% at 9 years. Although surgical repair of RSV achieved excellent long term survival, aortic regurgitation and endocarditis revealed significant risk factor in long-term results. Therefore, more attention should be required in patients of RSV associated with aortic regurgitation or endocarditis.

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Case study: Runoff analysis of a mountain wetland using water balance method (물수지 방법을 이용한 산지습지의 유출 변동성 분석 - 금정산 장군습지를 대상으로 -)

  • Oh, Seunghyun;Kim, Jungwook;Chae, Myung-Byung;Bae, Younghye;Kim, Hung Soo
    • Journal of Wetlands Research
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    • v.20 no.3
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    • pp.210-218
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    • 2018
  • It is very important to analyze water balance in the mountain wetland for the sustainable management of the wetland. In this study, the SWAT model was used to analyze the water balance of Janggun wetland located in Geumjeong mountain of Gyungnam province, Korea. The data such as rainfall and water level measured in Janggun wetland were used for water balance analysis and from the analysis we have known that the rainfall of 10mm within 8 days is required for maintaining an appropriate water level in Janggun wetland. Also, water balance analysis in the wetland for the period of 2009 to 2017 was performed by using hydro-meteorological data obtained from Yangsan weather station which is located around Janggun wetland. From the analysis results, we have known that the amount of rainfall was relatively small in 2010, 2012 and 2015 and water shortage was occurred in the wetland. Especially, water shortage was occurred during the summer that we had intensive rainfall for very short time and faster removal of the runoff from the wetland. Therefore, we may need extend water courses from a wetland watershed to the wetland for preventing land-forming of the wetland and also store water by banking up the wetland for preventing the decrease of water level in the wetland.

Possibility of continuous flood modeling by ONE model (ONE 모형에 의한 연속 홍수모의의 가능성)

  • Noh, Jaekyoung;Lee, Jaenam
    • Proceedings of the Korea Water Resources Association Conference
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    • 2022.05a
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    • pp.41-41
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    • 2022
  • 홍수는 단기간의 사상이다. 평상시 유량은 일단위로 연속유량이라 한다. 홍수해석은 사상 모형을 이용하고, 물 이용의 용수계획에서는 연속 모형에 의한다. 평상시 유량을 홍수처럼 10분, 30분, 60분 단위로 해석할 수 있으면 여러 가지로 편리하다. 홍수기에는 홍수와 이수를 동시에 분석할 수 있는 이점이 있다. 평상시에는 수문자료가 생성되는 기본단위가 10분, 60분이기 때문에 이와 일치하여 유량을 해석할 수 있는 이점이 있다. 특히 저수지에서는 운영자료가 저수율 자료만 관리되고 있는 현실을 감안하면, 연속 홍수모의의 필요성은 매우 높다. 다목적댐도 그 편의성은 말로 형용할 수 없는 수준이다. 홍수모의는 첨두유량도 중요하고, 전체 누적유량도 중요하다. 여기서는 당초 일 단위로 개발된 ONE 모형으로 연속 홍수모의의 가능성을 타진했다. 모형의 검증은 홍수사상 마다 훨씬 긴 장기간의 댐의 유입량, 저수량 오차로 실시했다. 유입량이 누적되면 저수량이 되기 때문에 저수량을 비교하면 확실한 검증 방법이 된다. 유역면적 930.0km2, 총저수량 8억1,500만m3인 용담댐과 유역면적 218.80km2, 유효저수량 3,498만m3인 탑정지를 대상으로 60단위의 장기간 연속 홍수모의 결과를 제시한다. 첫째, 용담댐에 대해 2020년 3월1일부터 6월30일까지 연속유입량을 모의한 결과(ONE모형 매개변수 α=3.18), 면적우량은 최대 12.5mm, 총 371.2mm(3억4,522만m3)였고, 유입량은 최대 1,363.0m3/s, 총 1억8,326만m3로 유출률 53.1%였다, 관측 유입량은 최대 766.1m3/s, 총 2억9,152만m3로 유출률 84.4%로 나타났다. 관측 유입량이 높은 것으로 평가했는데 그 이유는 산정된 유입량이 넓은 수면적에서 오는 음유입량이 발생하는데 이를 0으로 처리하고, 음의 누적 값이 전체유량에 더해지는 계산의 한계에서 비롯한다. 이는 현실적 제한이며, 개선이 필요하다. 댐 수위로 검증한 결과는 관측수위는 EL.257.97~262.92m, 평균 EL.260.40m, 모의수위는 EL.257.22~262.88m, 평균 EL.260.02m로 나타났고, RMSE는 0.174, NSE는 0.959, R2는 0.968로 만족한 결과를 얻었다. 둘째, 탑정지에 대해 2020년 3월1일부터 6월30일까지 연속유입량을 모의한 결과(ONE모형 매개변수 α=3.18), 면적우량은 최대 18.5mm, 총 311.4mm(6,813만m3)였고, 유입량은 최대 187.8m3/s, 총 3,691만m3로 유출률 54.2%였다. 저수지 수위로 검증한 결과 관측수위는 EL.26.55~29.79m, 평균 EL.29.01m, 모의수위는 EL.26.16~29.92m, 평균 EL.29.07m로 나타났고, RMSE는 0.563, NSE는 0.877, R2는 0.943로 만족한 결과를 얻었다. 정리하면 2020년 4개월의 장기간 용담댐과 탑정지에 대한 1시간 간격의 연속 홍수모의의 결과는 그 활용 가능성이 충분하다고 말하고 있다. 이 결과로부터 평상시 댐과 저수지의 실시간 운영자료 검증 및 생산체제의 수문관측업무에 활용 가능한 것으로 평가했다.

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Mid-term Follow-Up Results of Cryopreserved Valved Conduit in RVOT Reconstruction (우심실 유출로에 사용된 냉동 동종 판막도관의 중기성적)

  • 장윤희;전태국;민호기;한일용;성기익;이영탁;박계현;박표원
    • Journal of Chest Surgery
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    • v.36 no.6
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    • pp.384-390
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    • 2003
  • Background: Since Ross and Sormeville first reported the use of aortic homograft valve for correction of pulmonary atresia in 1966, homograft valves are widely used in the repair of congenital anomalies as conduits between the pulmonary ventricle and pulmonary arteries. On the basis of these results, we have used it actively. In this report, we describe our experience with the use of cryopreserved valved homograft conduits for infants and children requiring right ventricle to pulmonary artery connection in various congenital cardiac anomalies. Material and Method: Between January, 1996 and December 2001, 27 infants or children with a median age of 16 months(range 9days to 18years) underwent repair of RVOTO using homograft valved conduit by two surgeons. We studied 22 patients who have been followed up at least more than one year. The diagnosis at operation included pulmonary atresia with ventricular septal defect (n=13), truncus arteriosus (n=3), TGA or corrected TGA with RVOTO (n=6). Homograft valved conduits varied in size from 15 to 26 mm (mean, 183.82 mm). The follow-up period ranged from 12 to 80.4 months (median, 48.4 months). Result: There was no re-operation due to graft failure itself. However, early progressive pulmonary homograft valve insufficiency developed in one patient, that was caused by dilatation secondary to the presence of residual distal pulmonary artery stenosis and hypoplasia after repair of pulmonary atresia with ventricular septal defect. This patient was required reoperation (conduit replacement). During follow-up period, there were significant pulmonary stenosis in one, and pulmonary regurgitation more than moderate degree in 3. And there were mild calcifications at distal anastomotic site in 2 patients. All the calcified homografts were aortic in origin. Conclusion: We observed that cryopreserved homograft conduits used in infant and children functioned satisfactorily in the pulmonic position at mid-term follow-up. To enhance the homograft function, ongoing investigation is required to re-establish the optimal strategy for the harvest, preservation and the use of it.

Pulmonary Valve Replacement with Tissue Valves After Pulmonary Outflow Tract Repair in Children (소아에서 폐동맥유출로 재건 후 시행한 조직판막을 이용한 폐동맥판 대치술)

  • Lee, Jeong-Ryul;Hwang, Ho-Young;Chang, Ji-Min;Lee, Cheul;Choi, Jae-Sung;Kim, Yong-Jin;Rho, Joon-Ryang;Bae, Eun-Jung
    • Journal of Chest Surgery
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    • v.35 no.5
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    • pp.350-355
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    • 2002
  • Background: Most of pulmonary regurgitation with or without stenosis appears to be well tolerated early after the repair of pulmonary outflow tract. However, it may result in symptomatic right ventricular dilatation, dysfunction and arrhythmias over a long period of time. We studied the early outcome of pulmonary valve replacement with tissue valves for patients with the above clinical features. Material and Method: Sixteen consecutive patients who underwent pulmonary valve replacement from September 1999 to February 2002 were reviewed(9 males and 7 females). The initial diagnoses included tetralogy of Fallot(n=11), and other congenital heart anomalies with pulmonary outflow obstruction(n=5). Carpentier-Edwards PERIMOUNT Pericardial Bioprostheses and Hancock porcine valves were used. The posterior two thirds of the bioprosthetic rim was placed on the native pulmonary valve annulus and the anterior one third was covered with a bovine pericardial patch. Preoperative pulmonary regurgitation was greater than moderate degree in 13 patients. Three patients had severe pulmonary stenosis. Tricuspid regurgitation was present in 12 patients. Result: Follow-up was complete with a mean duration of 15.8 $\pm$ 8.5months. There was no operative mortality. Cardiothoracic ratio was decreased from 66.0 $\pm$ 6.5% to 57.6 $\pm$ 4.5%(n=16, p=0.001). All patients remained in NYHA class I at the most recent follow-up (n=16, p=0.016). Pulmonary regurgitation was mild or absent in all patients. Tricuspid regurgitation was less than trivial in all patients. Conclusion: In this study we demonstrated that early pulmonary valve replacement for the residual pulmonary regurgitation with or without right ventricular dysfunction was a reasonal option. This technique led to reduce the heart size, decrease pulmonary regurgitation and tricuspid regurgitation as well as to improve the patients'functional status. However, a long term outcome should be cautiously investigated.

Induction coordination of the 154KV system with direct grounding (154KV 계통직접접지전환에 따른 유도협조)

  • 손필영;원준희
    • 전기의세계
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    • v.18 no.1
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    • pp.33-37
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    • 1969
  • 한전은 1968년 11월 3일 오전 10시 04분을 기하여 154KV 전계통의 직접접지방식 전환을 단행하였다. 종전의 P.C(소고선륜) 중성점접지방식을 직접접지방식으로 전환한것으로서 전력사상 특기 할 만한 근대화사업이며 다년간을 두고 추진해온 중요과제였다. 전력계통의 확대와 복잡화는 선진국가에서도 실시하고 있는 직접접지방식의 채택을 불가변하게 하였고 또한 1차 AID송배전차관도 이의 채택을 조건부로 승인되었던 것으로서 1968년 이후에 건설되는 송변전기기는 직접접지계에서만 운전할 수 있는 절연Level 650KV급이 도입되어 부산화력발전소 3호기가 준공되는 1968년 10월말까지는 직접접지전환이 반드시 이루어져야 하는 실정에 놓여 있었다. 그런데 직접접지방식의 단점인 인접통신선에 미치는 유도장해를 해결하는 문제가 다년간을 두고 진지하게 검토되어 왔으나 해결이 늦어지고 있었다. 사유는 154KV 계통에 인근된 통신선이라면 체신부, 내무부, 교통부, 국방부등 여러기관의 것이 있는데, 유도장해보안방법과 유도보상비문제에 대하여 전력측(상공부, 한전)과 통신측(상기의 체신부등)의 견해차가 해소되지 않기 때문이었다. 그것이 1968년 5월에 와서 전력.통신쌍방이 범국가적입장에서 제반애로를 무릅쓰고 최소한의 투자로 가능한 범위내의 보안책으로서 우선 Arrester 보안방식을 채택하기로 합의되어 경제장관회의를 거쳐 시공하기에 이른것이다. 이 란을 빌려 이 사업의 필요성과 경위및 통신선유도장해방지를 위한 보안방식내용을 간단히 소개함으로써 앞으로 이 분야의 항구적인 유도대책연구에 다소나마 참고가 된다면 다행으로 생각하겠다.면서 예측강우의 질이 저하되기 시작하였으나 QPM을 합성함으로써 생산한 BQPF는 보다 신뢰성있고 양호한 결과를 얻을 수 있었다. 이러한 결과들은 향후 정량적 분포형강우 예측을 이용한 실시간 홍수유출 예측시 댐운영자는 리드타임(홍수선행시간)을 충분히 확보함으로서 안정적이고 예측 가능한 홍수조절을 하는데 도움을 줄 수 있을 것으로 기대된다. 이와 같이 다양한 단기저수지 유입량의 예측정보 제공으로 다목적댐 저수지 운영모형의 효용성을 제고하여 향후 실제 저수지 유입량 예측에 이용함으로써 저수지 단기운영효율 개선에 기여할 수 있을 것으로 사료된다.다. 이것은 여름철 강수량이 증가하고, 호우발생빈도, 특히 8월의 강수일수가 증가하고 있다는 것과 밀접한 관련이 있다. 여름과 가을에 우리나라에 영향을 미치는 태풍의 수는 뚜렷한 추세를 보이지 않으나, 2002년 루사, 2003년 매미로 인하여 각각 6조원, 4조원 이상의 막대한 피해가 발생하였다. 태풍에 의한 피해액은 GDP 대비 약 0.9%(태풍 루사)로 최근 경제상장률과 비교해 보면, 상당한 비율을 차지한다. 우리나라에 영향을 미치는 태풍은 연근해의 해수면 온도가 높아지면 세기가 강해질 가능성이 높다. 폭설과 한파일수도 평년대비 최근 10년 감소하였고 일최저기온이 영하 $10^{\circ}C$ 이하인 날도 연간 발생일수가 감소하였다. 최근 10년간 우리나라 기후의 변화특성은 기온상승과 더불어 서리종료일이 앞당겨지고 열대야가 증가하고 폭설, 한파, 겨울철 일최저기온 영하 10도 이하인 날의 감소 등이 나타나고, 여름철 재해의 원인인 호우일수는 증가하는 추세이다.

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Analysis of Job Creation Effects and Spatial Distribution Characteristics of Startups in Manufacturing at Different Technology Levels (기술수준별 제조창업의 공간분포 특성과 고용증가 효과 분석)

  • Hansoun Woo;Daehyun Seo
    • Journal of the Economic Geographical Society of Korea
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    • v.25 no.4
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    • pp.600-616
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    • 2022
  • This study contemplates spatial context of startup in manufacturing, mainly analyzing job creation effects of time lag of startups in manufacturing at different technology levels. Using DID model, we found that each region including capital, non-capital and metropolitan area shows different job creation effects of time lag. In capial region, startup cohort in high R&D intensity manufacturing was found to show short-term job creation effects, but in non-capital region, long-term job creation effects was found with the one in medium-high R&D intensity manufacturing. In case of metropolitan area, we couldn't find much evidence of job creation effects that was statistically significant. The result of analysis implied that, in capital region, startup support policies, targeting at high R&D intensity manufacturing, ought to be focused on scale-up of startups that survived for a certain period. And non-capital area and some of metropolitan areas in non-capital region that have comparatively inferior infrastructure and brain-drain problems as well should focus on fostering startups in medium-high R&D intensity manufacturing in a long-term perspective and utilize their traditional manufacturing base.

Application of Bicuspidalized Cryopreserved Allograft Valves for the RVOT Reconstruction in Complex Cardiac Anomalies (복잡 심장기형 환자에서 우심실 유출로 재건술시 이첨판화 냉동보전 동종이식편의 적용에 관한 연구)

  • 오삼세;지현근
    • Journal of Chest Surgery
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    • v.30 no.3
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    • pp.270-274
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    • 1997
  • In recent years, the use of allograft conduits in repair of congenital cardiac disease is widely accepted. However, the supply of homograft. is currently limiting their increased clinical application, especially small cryopreserved homografts for use in neonates and inf'ants. We used a technique to surgically reduce the size of the more readily available large-diameter allografts, making them suitable for right ventricular outflow tract reconstruction in small infants and children. From December 1994 to March 1996, a total of 11 patients ranging in age from 10 months to 6 years (mean age, 27.3 months) and ranging in weight from 5.6 to 18.5 kg (mean 11.5 kg) underwent reconstruction of the right ventricular outflow tract using this surgical technique (pulmo ary atresia with ventricular septal defect, 9 cases ; tetralogy of Falloff, 2 cases). The diameter after downsizing ranged from 14 to 19 mm with a mean of 16.8 mm. There was one operative death due to rupture of the infected homograft. Evaluation of these patients between 2 and 15 months (mean 6.9 months) after homograft implantation reveals excellent clinical and echocardiographic results. There were no significant homograft insufficiency and RVOT obstructions. Although a longer follow-up is certainly required to evaluate the long term fate of the surgically modified bicuspid homografts, we believe that this technique may represent a valuable therapeutic alternative, at least in the short term, to the use of synthetic grafts when an appropriately sized homograft is not available.

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The Relationship between Organizational Commitment and Intention to Leave and the Moderating Effect of Gender and Occupation in Dae-deok Venture Enterprises (조직몰입과 이직의도의 관계 및 성별과 직종의 조절효과: 대덕 벤처기업을 중심으로)

  • Kim, Jung Seok;Ahn, Kwan Young
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.7 no.4
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    • pp.77-86
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    • 2012
  • The purpose of this paper is to review the relationship between organizational commitment, and voluntary turnover(intention to leave), and the moderating effects of personal factors(gender and occupation) on the relationship between organizational commitment and intention to leave. In order to verify and achieve the purposes mentioned above, questionnaire data are gathered and analysed from 458 employees in Daedeok Innopolis Venture Enterprises, Dae-jeon Metropolis, South Korea. Multiple regression and multiple hierarchical regression analysis are applied to test the proposed hypotheses: 1) the relationship between organizational commitment(affective commitment, continuance commitment and normative commitment) and intention to leave, 2) the moderating effects of personal factors(gender and occupation) on the relationship between organizational commitment and intention to leave. Empirical survey's findings are as follows; First, affective commitment(AC) and continuance commitment(CC) are related negatively with intention to leave(IL), but normative commitment(NC) is not related significantly with IL. Second, gender positively moderates the relationship between affective commitment and intention to leave, and occupation negatively moderates the relationship between continuance commitment and intention to leave.

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Assessment of Probability Flood according to the Flow Regulation by Multi-purpose Dams in Han-River Basin (한강유역의 다목적댐 운영에 따른 빈도홍수량의 평가)

  • Kim, Nam-Won;Lee, Jeong-Eun
    • Journal of Korea Water Resources Association
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    • v.42 no.2
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    • pp.161-168
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    • 2009
  • The purpose of this study is to evaluate the variation of probability flood according to the flow regulation by multi-purpose dams (Soyang and Chungju) in the Han-river basin, Korea. SWAT-K (Soil and Water Assessment Tool-Korea) was used in order to generate regulated and unregulated daily streamflows upstream of Paldang dam. Simulated flow regulated by the Soyang and Chungju dams was calibrated by comparison with the observed inflow data at Paldang reservoir. Generally the ratio of flood flows to daily streamflows is known to decrease with drainage area in a watershed. Regulated and unregulated flood flows were obtained from the relationship between flood flows and daily streamflows. Extreme Type-I distribution was applied for flood frequency analysis and L-moment method was used for parameter estimation. This is a novel approach capable of understanding the variation in flood frequency with dam operation for the relatively large watershed scale, and this will helps improve the applicability of daily stream flow data for use in flood control as well as in water utilization.