• Journal of Chest Surgery
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• v.34 no.6
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• pp.465-471
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• 2001

Background: Hypothermia protects the brain by suppressing the cerebral metabolism and it is performed well enough before the total circulatory arrest(TCA) in the operation of aortic disease. Generally, TCA has been performed depending on the rectal or nasopharyngeal temperatures; however, there is no definite range of optimal temperature for TCA or an objective indicator determining the temperature for safe TCA. In this study, we tried to determine the optimal range of temperature for safe hypothermic circulatory arrest by using the intraoperative electroencephalogram(EEG), and studied the role of EEG as an indicator of optimal hypothermia. Material and Method: Between March, 1999 and August 31, 2000, 27 patients underwent graft replacement of the part of thoracic aorta using hypothermia and TCA with intraoperative EEG. The rectal and nasopharyngeal temperatures were monitored continuously from the time of anesthetic induction and the EEG was recorded with a ten-channel portable electroencephalography from the time of anesthetic induction to electrocerebral silence(ECS). Result: On ECS, the rectal and nasopharyngeal temperatures were not consistent but variable(rectal 11$^{\circ}C$ -$25^{\circ}C$, nasopharynx 7.7$^{\circ}C$ -23$^{\circ}C$). The correlation between two temperatures was not significant(p=0.171). The cooling time from the start of cardiopulmonary bypass to ECS was also variable(25-127min), but correlated with the body surface area(p=0.027). Conclusion: We have found that ECS appeared at various body temperatures, and thus, the use of rectal or nasopharyngeal temperature were not useful in identifying ECS. Conclusively, we can not fully assure cerebral protection during hypothermic circulatory arrest in regards to the body temperatures, and therefore, the intraoperative EEG is one of the necessary methods for determining the range of optimal hypothermia for safe circulatory arrest. :

• Journal of Chest Surgery
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• v.29 no.5
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• pp.554-558
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• 1996

A case of distal aortopulmonary septal defect associated with aortic origin of right pulmonary ar- tery, patent ductus arteriosus and hypoplasia of aortic isthmus in a 50-day-old female infant is presented. Ligation of patent ductus arteriosus, resection and end-to-end anastomosis of hypoplasia of aortic isthmus, implantation of rlght pulmonary artery to main pulmonary artery and autologous peri- cardial patch repair of aortopulmonary septal defect were performed under cardiopulmonary bypass as one-stage approach. Deep hypothermic total circulatory arrest was applied during repair of hypoplasia of aortic isthmus. The p stoperative course was uneventful.

• Proceedings of the KTCVS Conference
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• 1996.10a
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• pp.30-30
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• 1996

• The Journal of Korean Institute of Communications and Information Sciences
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• v.41 no.12
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• pp.1745-1747
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• 2016

In this paper, we propose a construction method of irregular quasi-cyclic low-density parity-check codes based on perfect difference families with various block sizes. The proposed codes have advantages in that they support various values with respect to code rate, length, and degree distribution. Also, this construction enables very short lengths which are usually difficult to be achieved by a random construction. We verify via simulations the error-correcting performance of the proposed codes.

• Proceedings of the Acoustical Society of Korea Conference
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• spring
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• pp.357-360
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• 2002

혈관에 흐르는 혈류 속도의 측정은 혈압 및 심박수와 관련된 혈류의 역학적 변화를 관찰하는 데 있어서 주로 사용되는 방법 중의 하나이다. 이 혈류 속도는 일반적으로 도플러 효과에 의하여 주파수가 변화하는 현상을 이용하여 추정하게 된다. 그런데 기존의 주파수 추정 방법들은 시불변 시스템을 가정하고 있지만 실제 혈관 속은 혈구가 일정하지 않은 속도를 갖는 시변 시스템이라 할 수 있기 때문에 이러한 시변 특성이 강한 경우 기존의 방법을 이용하게 되면 그 성능이 저하되는 경향을 보인다. 또 피시험자의 몸 상태에 따라서 서로 다른 주파수 변화 추이를 보이므로 하나의 고정 변수로써 최적화된 성능을 기대하기도 어렵다. 그러므로 본 논문에서는 시변 시스템에서 좋은 성능을 갖는 가변 망각 인자(variable forgetting factor, VFF)를 사용한 순환적인 완전 최소 자승법(recursive total least squares, RTLS) 기법을 이용한 주파수 추정 방법을 제안한다. RTLS란 TLS 기법을 순차적으로 계산하는 방법으로 시변 적응력을 향상시키는 방법이다. 또한 이 기법에 가변 망각 인자(VFF)를 적용시키는 것은 시변 시스템에서 외부적인 변화에 대하여 좀더 효율적으로 대응할 수 있기 위함이다. 기존의 방법과 성능 비교를 위하여 컴퓨터 시뮬레이션을 하였으며 그 결과 시변 시스템에서 본 논문에서 제안한 VFF를 이 용한 RTLS 기법이 보다 향상된 성능을 가지고 있음을 확인 할 수 있었다.

• Journal of Chest Surgery
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• v.30 no.8
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• pp.752-759
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• 1997

Profound hypothermia protects . cerebral function during total circulatory arrest(TCA) in the surgical treatment of a variety of cardiac and aortic diseases. Despite its importance, there is no ideal technique to monitor the brain injury from ischemia. Since 1994, we have developed compressed spectral array(CSA) of electroencephalography(EEG) and monitored cerebral activity to reduce ischemic injury. The purposes of this study are to analyse the efficacy of CSA and to establish objective criteria to consistently identify the safe level of temperature and arrest time. We studied 6 patients with aortic dissection(AD, n=3) or aortic arch aneurysm(n=3, ruptured in 2). Body temperatures from rectum and esophagus and the EEG were monitored continuously during cooling and rewarming period. TCA with cerebral ischemia was performed in 3 patients and TCA with selective cerebral perfusion was performed in 3 patients. Total ischemic time was 30, 36 and 56 minutes respectively for TCA group and selective perfusion time was 41, 56 and 92 minutes respectively for selective perfusion group. The rectal temperatures for flat EEG were between 16.1 and 22. $1^{\circ}C$ (mean: 18.4 $\pm$ 2.0): the esophageal temperatures between 12.7 and $16.4^{\circ}C$ (mean $14.7\pm1.6).$ The temperatures at which EEG reappeared $5~15.4^{\circ}C$ for esophagus. There was no neurological defic t and no surgical mortality in this series. In summary, the electrical cerebral activity Teappeared within 23 minutes at the temperature less than $16^{\circ}C$ for rectum. It seemed that $15^{\circ}C$ of esophageal temperature was not safe for 20 minutes of TCA and continuous monitoring the EEG with CSA to identify the electrocerebral silence was useful.

• Journal of Chest Surgery
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• v.35 no.6
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• pp.460-462
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• 2002

We experienced primary repair of complete atrioventricular septal defect with Teralogy of Fallot. The diagnosis was established preoperatively by echocardiography, cardiac catheterization and cardioangiography. Repair was accomplished using cardiopulmonary bypass. Two patch techinque were performed using Dacron patch for ventricular septal defect and pericardial patch for atrial septal defect. Infundibullectomy and right ventricular outflow tract reconstruction with the transannular pericardial patch were performed. The postoperative echocardiography showed mild mitral and tricuspid regurgitation, but there were no hemodynamic abnormalities.

• Journal of Chest Surgery
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• v.43 no.1
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• pp.86-88
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• 2010

Implanting a pacemaker is the most often used intervention for treating bradycardia. The most commonly used pacemaker is the intracardiac pacemaker, yet it can have many complications. An infected pacemaker can spread to systemic infection and the condition of the patient can quickly get worse, so if an infected pacemaker is suspected, then the pacemaker must be removed. Apart from the use of interventional methods such as a loop or a weight, we can take a more aggressive approach by using extracorporeal circulation for removal of the pacemaker. We report here on two cases in which extracorporeal circulation was used to remove the infected pacemakers.

• Journal of the Korea Institute of Building Construction
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• v.5 no.3 s.17
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• pp.109-116
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• 2005

Recently, there have been many studies seeking towards the utilization of cementitious powder from concrete waste as recycled cement. However, most of the studies actually have been researches about the reuse of mortar or paste, not concrete waste. In fact, either mortar or paste is quite different from a real concrete waste in terms of age and mixture. Thus the purpose of this study is to examine basic physical properties of recycled cement, manufactured with cementitious powder from concrete waste, and analyze differences in chemical and hydraulic properties of the cement and its tested model. As a result of the chemical analysis, recycle cement is composed mainly of CaO and $SiO_2$, and that it is even lower in the content of CaO than Portland cement, which is also supported by previous studies. But, Differently from previous studies, calcining temperature of 650 was found an optimal condition under which cementitious powder from concrete waste could restore its hydraulic properties.

• Journal of Chest Surgery
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• v.37 no.1
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• pp.108-111
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• 2004

Reoperation on the recurrent aortic aneurysm adjuvent to sternum remains a challenging problem in regard to the risk of the massive hemorrhage at the time of resternotomy resulting from inadvertent entry into the aneurysmal sac. The cardiopulmonary bypass technique of femoral cannulation and deep hypothermic circulatory arrest can provide a safe resternotomy. The left ventricle is likely to distend due to lack of contraction with ventricular fibrillation during core cooling. To prevent ventricular distention during core cooling, sufficient venous drainage is mandatory, We report a technique in which deep hypothermic circulatory arrest is achieved before resternotomy without left ventricular distention by active venous drainage using centrifugal pump.