• Title/Summary/Keyword: 보조장치

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Clinical Analysis of 500 Cases of Coronary Artery Bypass Grafting (관상동맥 우회술 500례의 임상적 고찰)

  • Shin, Yoon-Cheol;Kim, Ki-Bong;Ahn, Hyuk;Chae, Hurn;Rho, Joon-Ryang;Suh, Kyung-Phill
    • Journal of Chest Surgery
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    • v.32 no.6
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    • pp.525-531
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    • 1999
  • Background: We analyzed five hundred patients who underwent either isolated or concomitant coronary artery bypass grafting(CABG) between November 1981 and June 1997. Material and Method: There were 330 males and 170 females with a mean age of 57.4$\pm$8.9 years. To evaluate the preoperative status, we performed electrocardiograghy, echocardiography, MIBI scan, Duplex sonogram, common blood test including CK and LDH and coronary angiography. Result: Preoperative clinical diagnoses were unstable angina in 282 (56.4%), stable angina in 141 (28.2%), postinfarction angina in 58 (11.6%), acute myocardial infarction in 8 (1.6%), variant angina in 7 (1.4%) and failed percutaneous transluminal coronary angioplasty in 4 (0.8%) patients. Preoperative angiographic diagnoses were three-vessel disease in 263 (52.6%), two-vessel disease in 93 (18.6%), one-vessel disease in 71 (14.2%), left main disease in 68 (13.6%), and others in 5 (1.0%) patients. Patients had various risk factors for coronary disease, and the frequency of the risk factors such as hypertension, diabetes and smoking showed increasing tendency year by year. We used saphenous vein grafts in 1143, internal thoracic artery grafts in 442, radial artery graft in 17, and gastroepiploic artery graft in 1 anastomosis. The mean number of grafts was 3.2$\pm$1.2 per patient. Concomitant operations were prosthetic valve replacement or valvuloplasty in 31, coronary endarterectomy and angioplasty in 27, left main coronary angioplasty in 13, carotid endarterectomy in 5, and neurologic problems, bleeding, and perioperative myocardial infarction. The mean follow-up period was 25$\pm$23 months and there were 5 cases of reoperation. Conclusion: We hope that the surgical results would improve with the accumulation of experience, application of new myocardial protection technique, and timely intervention of mechanical assisted devices.

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Computer Aided Diagnosis System for Evaluation of Mechanical Artificial Valve (기계식 인공판막 상태 평가를 위한 컴퓨터 보조진단 시스템)

  • 이혁수
    • Journal of Biomedical Engineering Research
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    • v.25 no.5
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    • pp.421-430
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    • 2004
  • Clinically, it is almost impossible for a physician to distinguish subtle changes of frequency spectrum by using a stethoscope alone especially in the early stage of thrombus formation. Considering that reliability of mechanical valve is paramount because the failure might end up with patient death, early detection of valve thrombus using noninvasive technique is important. Thus the study was designed to provide a tool for early noninvasive detection of valve thrombus by observing shift of frequency spectrum of acoustic signals with computer aid diagnosis system. A thrombus model was constructed on commercialized mechanical valves using polyurethane or silicon. Polyurethane coating was made on the valve surface, and silicon coating on the sewing ring of the valve. To simulate pannus formation, which is fibrous tissue overgrowth obstructing the valve orifice, the degree of silicone coating on the sewing ring varied from 20%, 40%, 60% of orifice obstruction. In experiment system, acoustic signals from the valve were measured using microphone and amplifier. The microphone was attached to a coupler to remove environmental noise. Acoustic signals were sampled by an AID converter, frequency spectrum was obtained by the algorithm of spectral analysis. To quantitatively distinguish the frequency peak of the normal valve from that of the thrombosed valves, analysis using a neural network was employed. A return map was applied to evaluate continuous monitoring of valve motion cycle. The in-vivo data also obtained from animals with mechanical valves in circulatory devices as well as patients with mechanical valve replacement for 1 year or longer before. Each spectrum wave showed a primary and secondary peak. The secondary peak showed changes according to the thrombus model. In the mock as well as the animal study, both spectral analysis and 3-layer neural network could differentiate the normal valves from thrombosed valves. In the human study, one of 10 patients showed shift of frequency spectrum, however the presence of valve thrombus was yet to be determined. Conclusively, acoustic signal measurement can be of suggestive as a noninvasive diagnostic tool in early detection of mechanical valve thrombosis.

The Structual Restoration on Gyeongju-Style Piled Stone-Type Wooden Chamber Tombs (경주식 적석목곽묘의 구조복원 재고)

  • Gweon, Yong Dae
    • Korean Journal of Heritage: History & Science
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    • v.42 no.3
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    • pp.66-87
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    • 2009
  • The definition of the structure of wooden chamber tomb(piled stone-type) is as follows. It is a tomb with wooden chamber, and stones were piled on top of the wooden chamber, and then a wooden structure was placed on top of the piled stones, and more stones were piled on top of the wooden structure, and sealed with clay. Of course this definition can vary according to periods, the buried, etc. Gyeongju-style piled stone type wooden chamber tombs have some distinguished characteristics compared to general definition of piled stone type wooden chamber tombs. Outside the wooden chamber, either stone embankments or filled-in stones were layed out, and pilet-in stones are positioned right above the wooden chamber, and almost every class used this type, and finally, it is exclusively found in Gyeongju area. First generations of this Gyeongju-style piled stone type wooden chamber tombs appeared in first half of 5th century. These tombs inherited characteristics like ground plan, wooden chamber, double chamber(inner chamber and outer chamber), piled stones, burial of the living with the dead, piled stones, from precedent wooden chamber tombs. However these tombs have explicit new characteristics which are not found in the precedent wooden chamber tombs such as stone embankments, wooden pillars, piled stones(above ground level), soil tumuluses. stone embankments and wooden pillars are exclusively found on great piled stone type above-ground level wooden chamber tombs such as the Hwangnamdaechong(皇南大塚). Stone embankments, wooden pillars, piled stones(above ground level) are all elements of building process of soil tumuluses. stone embankments support outer wall of above-ground level wooden chambers and disperse the weight of tumuluses. Wooden pillars functioned as auxiliary supports with wooden structures to prevent the collapse of stone embankments. Piled stones are consists of stones of regular size, placed on the wooden structure. And after the piled stones were sealed with clay, tumulus was built with soil. Piled stones are unique characteristics which reflects the environment of Gyeongju area. Piled stone type wooden chamber tombs are located on the vast and plain river basin of Hyeongsan river(兄山江). Which makes vast source of sands and pebbles. Therefore, tumulus of these tombs contains large amount of sands and are prone to collapse if soil tumulus was built directly on the wooden structure. Consequently, to maintain external shape of the tumulus and to prevent collapse of inner structure, piled stones and clay-sealing was made. In this way, they can prevent total collapse of the tombs even if the tumulus was washed away. The soil tumulus is a characteristic which emerges when a nation or political entity reaches certain growing stage. It can be said that after birth of a nation, growing stage follows and social structure will change, and a newly emerged ruling class starts building new tombs, instead of precedent wooden chamber tombs. In this process, soil tumulus was built and the size and structure of the tombs differ according to the ruling class. Ground plan, stone embankments, number of the persons buried alive with the dead, quantity and quality of artifacts reflect social status of the ruling class. In conclusion, Gyeongju-style piled stone type wooden chamber tombs emerged with different characteristics from the precedent wooden chamber tombs when Shilla reached growing stage.

Characteristics of Inclusive Playground Guidelines (통합놀이터 가이드라인의 특성)

  • Kim, Yun-Geum;Kim, Hana;Maeng, Soo-hyun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.46 no.6
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    • pp.75-84
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    • 2018
  • The inclusive playground is a playground where disabled children and non-disabled children can play together, not a playground for the disabled. It started with the change of social awareness of the citizenship rights of disabled people in the 1960s and the resulting playgrounds. Since then, inclusive playgrounds have been developed in many countries, and these are organized in the form by guidelines. In Korea, social interest in inclusive playgrounds is increasing, but there are no systematic guidelines in Korea, and the application of overseas cases or guidelines is limited. The purpose of this study is to classify the concept of inclusive playgrounds and design guidelines, that were previously presented in inclusive playground design guideline of various countries and analyze the characteristics of, design scope, and design principles, and provide a basic framework for creating guidelines. The purpose of the design guideline was to present specific numerical values to the inclusive playground design guidelines, to link with academic research and industrial products, to present pursuit values, and to expand the value of pursuing design methods. The contents were covered by scope, conceptualization, principles of design and design process, design guidelines, and checklists. Most of the guideline covers specific autonomous governments or countries that can apply the related systems or laws, but the composition of the detailed contents is different. The guiding value of inclusive playgrounds presented in each guideline is not a playground for the disabled but a playground for all, and some guidelines refer to the difficulty in playgrounds considering non-disabled children. Based on these concepts, design guidelines are presented in each guideline. Improving the accessibility in design principles is a common theme and adds to the principles of safety, independence, convenience, and playability. None of the guidelines do not provide design guidelines. Although there is a difference in the degree and method of specificity provided by each of the guidelines, the design guidelines can be generally summarized as space, copper line, and unit facilities. As mentioned in many guidelines, an inclusive playground is not only a playground for children with disabilities. Therefore, in the design guidelines, it is also important to the support play of children with disabilities and to induce inclusive play. The design guidelines presented in the guideline can be rearranged into three stages of 'supporting the play of children with disabilities', 'securing the dimensions and materials of spaces and facilities', 'adding auxiliary devices' and 'designing new facilities'. There are three design guidelines for inducing inclusive play. First, by creating various difficulty levels and intersecting spaces, children with various abilities can play with each other, and at the same time, they can interact witheach other. Second, all children can cooperate and play without distinction between children with disabilities and non-disabled children. Finally, the guardian provides the conditions for efficient support so that the disabled child can fully enjoy the inclusive playground.

Preparation and Characterisation of Titanium Dioxide Produced from Ti-salt Flocculated Sludge in Water Treatment (수처리 티탄염 응집 슬러지에서 생산한 산화티탄의 제조와 특성 조사)

  • Shon, Hokyong;Okour, Yousef;Saliby, Ibrahim El;Park, Jun;Cho, Dong-Lyun;Kim, Jong Beom;Park, Hee Ju;Kim, Jong-Ho
    • Applied Chemistry for Engineering
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    • v.20 no.3
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    • pp.241-250
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    • 2009
  • During the past few years, titanium salts were investigated as alternative coagulants for the removal of organic matter of different molecular sizes in contaminated water. The flocculation efficiency of Ti-salt was comparable to those of $FeCl_3$ and $Al_2(SO_4)_3$ salts, commonly used coagulants. Incinerated sludge-$TiO_2$ showed higher surface area and photocatalytic activity than commercially available $TiO_2$. Metal-doped forms were produced by adding coagulant aids such as iron (Fe-), aluminium (Al-) and (Ca-) calcium salts during Ti-salt flocculation to increase pH. Ca- and Al- doped $TiO_2$ showed very high photocatalytic activity compared to Fe-doped $TiO_2$. When tested in a pilot scale plant for treatment of dye wastewater to check practical feasibility of the novel process, the removal ratio of the chemical oxygen demand was comparable to those of commonly used coagulants but the settling of sludge was faster. The $TiO_2$ generated after sludge incineration showed a high photocatalytic activity for degradation of volatile organic compounds and increased the rate of hydrogen production by water photosplitting. $TiCl_4$ coagulant and $TiO_2$ produced from different water sources with different concentrations had low acute toxicity compared to heavy metals and commercial $TiO_2$ when examined based on D. Magna mortality. This paper presents the production, characterisation and the photoactivity of $TiO_2$ produced from Ti-salt flocculated sludge. Different case studies are discussed to highlighted recent advances in this field.

A Research to Decrease Airborne Microoganism the Train (전동차내 부유 미생물 저감방안에 관한 연구)

  • Choi, Sung-Ho;Choi, Soon-Gi;Son, Young-Jin
    • Proceedings of the KSR Conference
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    • 2011.10a
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    • pp.2895-2901
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    • 2011
  • SeoulMetro(line number 1 to 4) for the first half of the year. Therefore air quality in the subway is very important. It is passengers, such as sneezing and respiratory vital activities, Suspended due to skin keratin microbial action, and Microbial contaminants such as viruses. Hypersensitivity disorders, an atopic dermatitis, infectious diseases, allergic diseases, and can cause respiratory diseases. Ministry of Environment and National Institute of Environmental Research is managed so the life bacteria. It is emerging as the occupational health problems. Introduction of an appropriate ventilation system for cooling and dehumidification is needed. In line number 2, commuting and normal trains are measured in-room floating microbes. Suspended bacteria and fungi suspended in 2011 for 85 ~ 385$cfu/m^3$, 67 ~ 98$cfu/m^3$ is lower than baseline. Suspended to prevent microbial contamination and air conditioning equipment performance is a substantial improvement. Suspended micro-organisms and the impact on passenger room ventilation is increased. Electric car how to improve air quality substantially investigated.

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Prospect for 3D Printing Technology in Medical, Dental, and Pediatric Dental Field (의료 3D 프린팅 기술의 전망 및 소아치과분야에서의 활용)

  • Lee, Sangho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.93-108
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    • 2016
  • One of the fields to which the 3D printing technology can be applied is the field of medicine. Recently, the application of 3D printing technology to the bio-medical field has been gradually increasing with the commercializing of the bio-compatible or bio-degradable materials. The technology is currently contributing to the biomedical field by reducing times required for operations or minimizing adverse effects through preoperative identification of post-surgical consequences or model surgery with artificial bones and organs. This technology also enables the production of customized biomedical auxiliary products like hearing aids or artificial legs etc. For the field of dentistry, the 3D printing technology is also expected to elevate the level of dental treatment by making the customized orthodontic models, crown, bridge, inlay, and surgical guides for implant and surgery. However, issues remaining unidentified or incomplete in printing materials, modeling technology, software technology associated with CAD, verification of bio-stability and bio-effectiveness of materials or in compatibility and standardization of the technology are yet to be solved or be clarified for the full-scale application of the 3D printing technology, thus, it seems such issues should be resolved through further studies.

Elliptic Curve Cryptography Coprocessors Using Variable Length Finite Field Arithmetic Unit (크기 가변 유한체 연산기를 이용한 타원곡선 암호 프로세서)

  • Lee Dong-Ho
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.42 no.1
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    • pp.57-67
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    • 2005
  • Fast scalar multiplication of points on elliptic curve is important for elliptic curve cryptography applications. In order to vary field sizes depending on security situations, the cryptography coprocessors should support variable length finite field arithmetic units. To determine the effective variable length finite field arithmetic architecture, two well-known curve scalar multiplication algorithms were implemented on FPGA. The affine coordinates algorithm must use a hardware division unit, but the projective coordinates algorithm only uses a fast multiplication unit. The former algorithm needs the division hardware. The latter only requires a multiplication hardware, but it need more space to store intermediate results. To make the division unit versatile, we need to add a feedback signal line at every bit position. We proposed a method to mitigate this problem. For multiplication in projective coordinates implementation, we use a widely used digit serial multiplication hardware, which is simpler to be made versatile. We experimented with our implemented ECC coprocessors using variable length finite field arithmetic unit which has the maximum field size 256. On the clock speed 40 MHz, the scalar multiplication time is 6.0 msec for affine implementation while it is 1.15 msec for projective implementation. As a result of the study, we found that the projective coordinates algorithm which does not use the division hardware was faster than the affine coordinate algorithm. In addition, the memory implementation effectiveness relative to logic implementation will have a large influence on the implementation space requirements of the two algorithms.

A Case Study on the Implementation of a River Water Level Monitoring System using PLC(Programmable Logic Controller) and Public Telecommunication Network (PLC(Programmable Logic Controller)와 공중통신망을 이용한 하천수위감시시스템 구축 사례 연구)

  • Kim, Seokju;Kim, Minsoo
    • The Journal of Society for e-Business Studies
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    • v.20 no.4
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    • pp.1-17
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    • 2015
  • A river water level monitoring system which prevents salt water damages and effectively excludes floods has been developed to contribute efficient operation of Nakdong river estuary barrage. The system can be used for monitoring upstream conditions more quickly and do appropriate responses over changes. Telemetry and telecontrols using PLCs have been built at the three sites that directly influence on the operation of barrage gates, and are linked to Nakdong river estuary barrage's IOS (Integrated Operation System) through public communication networks. By using PLC, the system can achieve even higher reliability and versatility than before as well as easy management. By power control devices, we can remotely control the power of PLCs to treat the minor troubles instantly without going on-sites. The power control devices also save data in preparation for the cases of communication failures. The system uses ADSL (FTTH) as a main network between SCADA server and PLCs, and CDMA (M2M) as a secondary network. In order to compensate security vulnerabilities of public communication network, we have installed the VPNs for secure communication between center and the observation stations, just like a dedicated network. Generally, river water level observations have been used custom-manufactured remote terminals to suit their special goals. However, in this case, we have established a system with open architecture considering the interface between different systems, the ease of use and maintenance, security, price, etc.

Design of Video Pre-processing Algorithm for High-speed Processing of Maritime Object Detection System and Deep Learning based Integrated System (해상 객체 검출 고속 처리를 위한 영상 전처리 알고리즘 설계와 딥러닝 기반의 통합 시스템)

  • Song, Hyun-hak;Lee, Hyo-chan;Lee, Sung-ju;Jeon, Ho-seok;Im, Tae-ho
    • Journal of Internet Computing and Services
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    • v.21 no.4
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    • pp.117-126
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    • 2020
  • A maritime object detection system is an intelligent assistance system to maritime autonomous surface ship(MASS). It detects automatically floating debris, which has a clash risk with objects in the surrounding water and used to be checked by a captain with a naked eye, at a similar level of accuracy to the human check method. It is used to detect objects around a ship. In the past, they were detected with information gathered from radars or sonar devices. With the development of artificial intelligence technology, intelligent CCTV installed in a ship are used to detect various types of floating debris on the course of sailing. If the speed of processing video data slows down due to the various requirements and complexity of MASS, however, there is no guarantee for safety as well as smooth service support. Trying to solve this issue, this study conducted research on the minimization of computation volumes for video data and the increased speed of data processing to detect maritime objects. Unlike previous studies that used the Hough transform algorithm to find the horizon and secure the areas of interest for the concerned objects, the present study proposed a new method of optimizing a binarization algorithm and finding areas whose locations were similar to actual objects in order to improve the speed. A maritime object detection system was materialized based on deep learning CNN to demonstrate the usefulness of the proposed method and assess the performance of the algorithm. The proposed algorithm performed at a speed that was 4 times faster than the old method while keeping the detection accuracy of the old method.