• Proceedings of the Korean Vacuum Society Conference
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• 2010.02a
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• pp.332-332
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• 2010

진공펌프의 배기성능 지표들을 정량적으로 측정하기 위해서 사용하는 표준용기에 관한 규격들은 대체로 일치하는 사양들을 제시하지만 유독 기체도입 도관의 굵기에 대해서는 다양한 방식으로 규정하고 있어서 혼란스럽다. 현재 제정중인 ISO 규격에서는 도관 굵기를 용기 내경의 10분의 1로 규정하고 있는데 대형 펌프 용 표준용기에 맞춘다면 도관의 굵기가 지나치게 커질 수 있다. 과연 이렇게 굵은 도관이 정밀한 측정을 위해 꼭 필요한지 또는 오히려 방해가 되는 것은 아닌지 검토해 보기 위해 도관 굵기에 따라 도관출구를 빠져나오는 입자들과 오리피스 및 펌프 흡기구에 입사하는 입자들의 등방성에 대해 살펴보았다 계산 결과에 의하면 도관의 굵기는 오리피스 및 펌프 흡기구에 입사하는 입자들의 평균 방향 여현 값에 전혀 영향을 미치지 않는 것으로 나타났으며 반면에 도관이 오리피스나 흡기구 면에 국부적으로 그림자를 드리우거나 입자 분포와 평균 방향여현 분포를 왜곡시키지도 않았다. 즉 기체 도입 도관을 가늘게 해도 빔효과가 계속 전파되어서 측정에 악영향을 미치지 않으므로 별 문제가 안 되고, 도관이 규정되어 있는 범위 안에서 어느 정도 굵어져도 입자의 흐름을 방해한다는 증거는 없다는 뜻이다. 그렇다면 도관의 굵기를 한 값으로 못 박기보다 넓은 범위를 주어 가공 능력에 따라 사용자가 적절히 크기를 선택할 수 있도록 하는 것이 합리적이라고 판단된다.

• Journal of Chest Surgery
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• v.41 no.4
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• pp.504-507
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• 2008

Implantable central venous catheters (Chemoport) are increasingly being used for vascular access, parenteral nutrition and administering chemotherapeutic agents. As with most invasive procedures, central venous catheterization is associated with numerous potential complications such as infection, thoromboembolism and occlusion. A rare but serous complication is the catheter fracture. We present here three cases of catheter fracture as a consequence of Pinch off syndrome, and we include a review of the relevant literature.

• Journal of the Korean Vacuum Society
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• v.19 no.3
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• pp.161-168
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• 2010

The ISO standard specifies the diameter of the gas introducing tube to be definitely 1/10 of the chamber inner diameter of the standard test dome which is used for evaluating the performance of vacuum pumps. Because the inner diameter of the test chamber should not be less than the intake diameter of the vacuum pump, the tube diameter would be even 100 mm if fitting to a very large vacuum pump. Though such a thick tube can be accommodated in a large test dome, it is worthful to investigate whether a thicker tube is helpful or adverse for making more accurate measurements. In this paper it is discussed if there is an optimum tube diameter by comparing the isotropicity of particles emanating from the tube and that of particles entering the orifice.

• Journal of Chest Surgery
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• v.39 no.12 s.269
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• pp.946-948
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• 2006

The patient was a 42-year-old female with breast cancer who had an implantable central venous catheter inserted percutaneously into left subclavian vein for chemotherapy. The postinsertion chest x ray revealed that there was no compressive sigh of catheter. Three months after insertion of the catheter, the patient was admitted to the hospital for 4th chemotherapy. The port was accessed but blood could not be aspirated and the catheter could not be flushed. A chest x ray revealed that the catheter was completely transected at the point where the catheter passed under the clavicle. Percutaneous removal of the distal fragment of the catheter was accomplished. The patient was discharged after successful removal of fragment of catheter.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.16 no.2
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• pp.311-317
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• 1998

GIS is the system that has ability of integrating, managing, and analyzing the voluminous graphic and text data, which is adequate system to manage complex network of the underground utilities of urban area. A development of pipe safety management system is accomplished to construct efficiently a database of pipe line network and topographic data, create safety managing model, and estimate openly its safety by GIS. This system is constructed to evaluate easily pipe deterioration by the establishment of the geographic output system on it, search damaged objectives near surrounding area in a situation of destruction, and offer the information by which one can take quickly emergency. And also, it is constructed to prevent from accident occurring under work by presenting underground utilities and states of work.

• Journal of Yeungnam Medical Science
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• v.16 no.2
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• pp.347-356
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• 1999

Background: Exit site/tunnel infection causes considerable morbidity and technique failure in CAPD patients. We presently use a unique revision method for the treatment of refractory ESI/TI in CAPD patients and mupirocin prophylaxis for high risk patients. Materials and Methods: We reviewed 139 CAPD patients about the ESI/TI from October 1993 to February 1999 at Yeungnam University Hospital. At the beginning of the ESI. we usually started medications with rifampicin and ciprofloxacin and then changed the antibiotics according to the sensitivity test. If the ESI had persisted and there were TI symptoms (purulent discharge, abscess lesion around exit site). we performed catheter revision(external cuff shaving, disinfection around tunnel and new exit site on opposit direction) with a combination of proper antibiotics. We applied local mupirocin ointment at the exit site three times per week to the 34 patients who had the risk of ESI starting from October 1998. Results: The total follow-up was 2401 patient months(pt. mon). ESI occurred on 105 occasions in 36 out of 139 patients, and peritonitis occurred on 112 occasions in 67 out of 139 patients. The total number of incidences of ESI and peritonitis was 1 per 23.0 pt. mon and 1 per 2l.6 pt.mon. The most common organism responsible for ESI was Staphylococcus aureus (26 of 54 isolated cases, 48%), followed by the Methicillin resistant S. aureus(MRSA) (13 cases, 24%). Seven patients(5: MRSA. 2: Pseudomonas) had to be treated with a revision to control infection. Three patients experienced ESI relapse after revision. One of them improved with antibiotics, while another needed a second revision and the remaining required catheter removal due to persistent MRSA infection with re-insertion at the same time. But, there was no more ESI in these 3 patients who were received management to relapse (The mean duration: 14.0 months). The rates of ESI were significantly reduced after using mupirocin than before(1 per 12.7 vs 34.0 pt.mon, P<0.01). Conclusions: In summary, revision technique can be regarded as an effective method for refractory ESI/TI before catheter removal. Also local mupirocin ointment can play a significant role in the prevention of ESI.

• Journal of Chest Surgery
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• v.41 no.4
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• pp.417-422
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• 2008

Background: The aim of this study is to evaluate the long term results of creating various right ventricle to pulmonary artery conduits for treating complex congenital heart disease. Material and Method: Between June 1986 and July 2006, we retrospectively reviewed 245 patients who underwent reconstruction of the right ventricular outflow tract with various kinds of conduits. 410 operations were done in 245 patients, the mean age at operation was $3.2{\pm}4.9$ years (range: 7 days$\sim$45 years) and the mean body weight was $12.5{\pm}8.7\;kg$ (range: $2.4\sim76.3\;kg$). Result: We used the following conduits: Polystan conduit, Shelhigh conduit, Carpenter-Edward conduit, Dacron graft with an artificial valve, valveless Gore Tex vascular graft, homograft and hand-made bovine or autologous pericardial conduit. The mean follow up duration was $6.3{\pm}5.2$ years. Redo operation for RV-PA conduit dysfunction was performed in 131 patients, a second redo was done in 31 and a third redo was done in 3. The reoperation free rates were 67.3%, 48.5% and 39.4% for 5 years, 10 years and 15 years, respectively. The homograft showed the best durability, followed by the Dacron graft with artificial valve and the Carpentier-Edward conduit. The larger sized conduit showed better durability. Conclusion: The homograft showed lowest reoperation rate and a smaller size of conduit showed the highest reoperation rate. The reoperation rate for the RV-PA conduit was about 35% at 5 years, so it is mandatory to develop the more durable conduit for RV outflow.

• Proceedings of the Korea Water Resources Association Conference
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• 2021.06a
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• pp.420-420
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• 2021

상수도관은 시간이 경과됨에 따라 부식이 발생하고 이로 인해 관의 두께 및 강도가 감소하여 점차 상수도관의 기능을 상실하게 된다. 이러한 노후 상수도관은 누수, 적수 등 수자원에 막대한 경제적인 손실을 발생시키고 사람들에게 많은 불편을 끼친다. 현재 우리나라도 전체 상수도관 중 노후 상수도관이 많은 부분을 차지하고 있기 때문에 교체나 개선이 시급한 실정이다. 하지만 전체 상수도관을 교체하는 것은 막대한 예산이 필요하기 때문에 현실적으로 어려운 문제이다. 따라서 상수도관의 노후도 분석을 통하여 상수관망의 최적 교체 우선순위를 판단하고 교체를 실시하는 것이 필요하다. 본 연구에서는 노후도 분석에 중요한 관의 부식깊이와 잔존수명을 예측하고 신뢰성해석을 통해 파괴확률을 산정하였다. 이를 위해 Romanoff(1957)와 환경부(2002)에서 실측한 상수관의 관종에 따른 관두께 변화를 적용하여 해석하였다. 실측 자료를 통해 부식깊이, 잔존수명 예측 모델을 수립하였으며 이에 따른 관의 파괴확률을 산정하였다. Romanoff(1957)의 혼합강관과 주철관에 대한 실측 자료를 사용하여 상수관의 사용연수가 10년, 20년, 30년 경과됨에 따른 부식깊이와 관파괴확률을 산정하였다. 혼합강관의 경우 사용연수에 따른 부식깊이는 0.57mm, 0.92mm, 1.21mm으로 산정되었으며, 주철관의 경우 0.16mm, 0.24mm, 0.31mm으로 산정되었다. 또한 신뢰성모형을 직경 300mm관에 적용한 결과 최대 상수도압 15kg/cm²에서 혼합강관의 사용연수에 따른 파괴확률은 3.36%, 4.65%, 6.18%로 나타났으며 주철관은 1.36%, 2.50%, 2.68%로 나타났다. 환경부(2002)의 주철관에 대한 부식 실측 자료를 통해 상수관의 사용연수 10년, 20년, 30년 경과에 따른 부식깊이와 관파괴확률을 산정하였으며 초기 관두께 측정 자료를 통해 잔존수명도 예측하였다. 부식깊이는 1.02mm, 1.25mm, 1.41mm으로 산정되었으며, 파괴확률은 5.15%, 6.30%, 7.35%로 산정되었다. 그리고 잔존수명의 경우 부식률이 20%일 때, 잔존수명은 약 30년으로 산정되었다.

• Journal of Chest Surgery
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• v.42 no.3
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• pp.324-330
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• 2009

Background: The long term patency of the free saphenous vein graft, which is the most commonly used conduit, anastomosed to the ascending aorta has been reported to be lower than that of arterial grafts. We evaluated early clinical outcome and the angiographic patency of the saphenous vein composite graft based on the left internal thoracic artery, and compared these results with those of using arterial composite grafts. Material and Method: From September 2006 to October 2008, 419 patients underwent off-pump coronary revascularization. Among those, 295 patients (70.4%) were revascularized using composite grafts (group I: saphenous vein composite graft, n=71, group II: arterial composite graft, n=224). The clinical results were compared between the 2 groups. Early postoperative coronary angiograms were performed in all the patients. ($1.6{\pm}1.6$ days) Result: The number of the distal anastomosis per patient was $3.5{\pm}1.0$ and $3.1{\pm}0.8$ in group I and II, respectively (p=.002). The operative mortality (n=2, 0.7%) and postoperative complications such as atrial fibrillation (n=73, 24.7%), perioperative myocardial infarct (n=6, 2.0%), acute renal failure (n=6, 2.0%), reoperation for bleeding (n=5, 1.7%), cerebrovascular accident (n=3, 1.0%), and mediastinitis (n=1, 0.3%) were not related with the use of saphenous vein graft. Early coronary angiograms revealed a 96.9% (126/130) for the saphenous vein grafts and a 98.8% (479/485) for the composite graft in group II (p=.231). Conclusion: Our data suggested that a saphenous vein graft might be used as analtemative conduit to the arterial graft for constructing a composite graft, as based on our early clinical and angiographic results. Further study is required to establish the long-term efficacy of using a saphenous vein as a composite graft.

• Journal of Chest Surgery
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• v.43 no.4
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• pp.441-446
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• 2010

The ideal graft requires acceptable size, less tissue toxicity, resistance to infection, and long-term durability. Great saphenous veins are gaining popularity as acceptable graft conduits, but they require time to grow in caliber. We report 2 cases of graft bypass and reconstruction using superficial femoral veins to acheive immediate high-flow patency.