• Journal of the Korean Arthroscopy Society
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• v.6 no.2
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• pp.192-194
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• 2002

The goal of surgery of chronic osteomyelitis is removal of dead bone and achieving a viable and vascular environment. During saucerization, the sequestrum could be checked and resected completely. But it can causes vascular injury by massive soft tissue dissection in saucerization of chronic osteomyelitis. Recently, we experienced medulloscopy in the treatment of chronic osteomyelitis and it is possible for us to visualize the sequestrum, to do complete resection of dead bone and to reduce vascular injury during operation.

• Journal of Chest Surgery
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• v.34 no.3
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• pp.252-255
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• 2001

본 30세 여환은 류마치스성 심장판막질환 진단하네 승모판막 및 대동맥판막 치환술 시행후 종격동염 발생하여 지속적 종격동 세척 및 3주간의 항생제 치료후 퇴원하였다. 외래 추적중 다시 감염 및 염증소견 보여 입원하여 혈액배양검사와 흉부전산화 단층촬영시행하였다. 검사상 종격동염의 이후 3주간의 항생제 치료에도 염증 소견이 지속되어 다시 시행한 흉부 전산화단층촬영상 상행대동맥에 거대 가성대동맥류소견보여 재개흉술을 시행하여 초저체온 완전 순환정지 하에 가성대동맥류를 절제한 후, 우심낭편을 이용하여 대동맥 성형술을 시행하였다. 수술후 환자는 순조롭게 회복하였으며 현재 외래에서 추적관리하고 있다.

• Journal of Chest Surgery
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• v.39 no.4 s.261
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• pp.289-297
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• 2006

Background: Surgery for Stanford type A aortic dissection shows a high operative mortality rate and frequent postoperative brain injury. This study was designed to find out the risk factors leading to operative mortality and brain injury after surgical repair in patients with type A aortic dissection. Material and Method: One hundred and eleven patients with type A aortic dissection who underwent surgical repair between February, 1995 and January 2005 were reviewed retrospectively. There were 99 acute dissections and 12 chronic dissections. Univariate and multivariate analysis were performed to identify risk factors of operative mortality and brain injury. Resuit: Hospital mortality occurred in 6 patients (5.4%). Permanent neurologic deficit occurred in 8 patients (7.2%) and transient neurologic deficit in 4 (3.6%). Overall 1, 5, 7 year survival rate was 94.4, 86.3, and 81.5%, respectively. Univariate analysis revealed 4 risk factors to be statistically significant as predictors of mortality: previous chronic type III dissection, emergency operation, intimal tear in aortic arch, and deep hypothemic circulatory arrest (DHCA) for more than 45 minutes. Multivariate analysis revealed previous chronic type III aortic dissection (odds ratio (OR) 52.2), and DHCA for more than 45 minutes (OR 12.0) as risk factors of operative mortality. Pathological obesity (OR 12.9) and total arch replacement (OR 8.5) were statistically significant risk factors of brain injury in multivariate analysis. Conclusion: The result of surgical repair for Stanford type A aortic dissection was good when we took into account the mortality rate, the incidence of neurologic injury, and the long-term survival rate. Surgery of type A aortic dissection in patients with a history of chronic type III dissection may increase the risk of operative mortality. Special care should be taken and efforts to reduce the hypothermic circulatory arrest time should alway: be kept in mind. Surgeons who are planning to operate on patients with pathological obesity, or total arch replacement should be seriously consider for there is a higher risk of brain injury.

• Journal of Energy Engineering
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• v.23 no.3
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• pp.157-162
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• 2014

In this research, we investigate electrical performance and electrochemical properties of carbon supported Pt (Pt/C) that is synthesized by polyol method. With the Polyol_Pt/C that is adopted for oxygen reduction reaction (ORR) as cathode of proton exchange membrane fuel cells (PEMFCs), their catalytic activity and ORR performance and electrical performance are estimated and compared with commercial Pt/C(Johnson Mattey) catalyst. Their electrochemically active surface (EAS) area are measured by cyclic voltammetry (CV), respectively. On the other hand, regarding ORR activity and electrical performance of the catalysts, (i) linear sweeping voltammetry by rotating disk electrode and (ii) PEMFC single cell tests are used. The CV measurement demonstrate EAS of Polyol_Pt/C is compared with commercial JM_Pt/C. In case of Polyol_Pt/C, its half-wave potential, kinetic current density are excellent. Based on data obtained by half-cell test, when PEMFC single cell tests are carried out, current density measured at 0.6V and maximum power density of the PEMFC single cell employing Polyol_Pt/C are better than those employing commercial Pt/C. Conclusively, Polyol_Pt/C synthesized by modified polyol process shows better ORR catalytic activity and PEMFC performance than other catalysts.

• Journal of Chest Surgery
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• v.31 no.6
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• pp.553-559
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• 1998

Introduction: The most dramatic application of hypothermia in cardiac surgery is in deep hypothermic circulatory arrest(DHCA). Because man in natural circumstances is never exposed to this extreme hypothermic condition, one of the controversial aspects of clinical hypothermia is appropriate acid-base management($\alpha$-stat versus pH-stat). This study aims to compare $\alpha$-stat with pH-stat for: (1) brain cooling and re-warming speed during hypothermia induction and re-warming by cardiopulmonary bypass (CPB); (2) cerebral perfusion, metabolism, and their coupling; and (3) the extent of development of cerebral edema after circulatory arrest, in young pigs. Materials & Methods: Fourteen young pigs were assigned to one of two strategies of gas manipulation. Cerebral blood flow was measured with a cerebral venous outflow technique. After a median sternotomy, CPB was established. Core cooling was initiated and continued until nasopHaryngeal temperature fell below $20^{\circ}C$. The flow rate was set at 2,500 ml/min. Once their temperatures were below $20^{\circ}C$, the animals were subjected to DHCA for 40 mins. During cooling, acid-base balance was maintained according to either $\alpha$-STAT or pH-STAT strategies. After DHCA, the body was re-warmed to normal body temperature. The animals were then sacrificed, and their brains measured for edema. Cerebral perfusion and metabolism were measured before the onset of CPB, before cooling, before DHCA, 15 mins after re-warming, and upon completion of re-warming. Results & Conclusion: Cooling time was significantly shorter with $\alpha$-stat than with pH-stat strategy, while there were no significant differences in rewarming time between the two groups. Nosignificant differences were found in cerebral blood flow, metabolic rate, or flow/ metabolic rate ratio between two groups. Temperature-related differences were significant in cerebral blood flow, metabolic rate, and flow/metabolic rate ratio within each group. Brain water content showed no significant differences between two groups.

• Proceedings of the Korea Water Resources Association Conference
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• 2009.05a
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• pp.1939-1944
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• 2009

우리나라의 대표적인 도서지역인 제주도는 일반 내륙지역과 달리 지표수-지하수에 대한 연구가 지하수계에 대한 연구에 비해 미미한 실정이다. 제주도의 경우 내륙과 달리 대부분의 하천이 평상시 건천의 형태로 유지되며, 일정한 강우가 도달해야만 지표유출이 발생하는 경우가 많다. 이와 같은 하천특성은 내륙과 매우 상이하여 일반적으로 사용되는 유역 수문해석 방법으로는 수문성분의 정확한 산정을 기대하기 어렵고 이로 인해 지하수 해석에 있어서도 불확실성이 크게 증가하는 요인이 된다. 따라서 지표수의 정확한 거동과 지하수 해석의 불확실성을 줄이기 위해 유역개념의 물순환을 해석할 수 있는 지표수-지하수 연계 해석기술이 필요한 실정이다. 본 연구에서는 '삼다수 먹는샘물 환경영향조사'가 수행되어 비교적 정확한 지하수위 관측 자료가 확보되어 있고, 매우 제한적이기는 하나 하천의 유출량 조사가 수행된 바 있는 제주 표선 유역에 완전연동형 지표수-지하수 해석 프로그램인 SWAT-MODFLOW을 이용하여 지표수 유출성분과 지하수 유동변화를 동시에 고려한 분석을 수행하였다. 특히 MODFLOW의 Well 패키지와 SWAT의 물이동 옵션을 결합하여 표선유역의 198개 관측공의 양수를 동시에 모의하였다. 모의결과 지하수위는 비교적 양수에 비해 안정되게 유지되는 것을 알 수 있었고 이를 통해 현재 삼다수 공장의 양수량은 현재로서는 과다양수가 아닌 것으로 판단되었다. 현재의 양수량의 10배를 가정하여 모의를 한 결과, 지하수위는 함양에 의해 다시 회복되는 결과를 보이고 있어 이 지역의 실제 개발가능량에 대한 보다 심도있는 논의가 필요한 것으로 판단되었다. 나아가 이와 같은 분석을 통해 제주 지역의 전체의 지하수 개발가능량을 산정할 경우 제주지역의 지하수 관리방안이 새롭게 제시될 수 있을 것으로 기대된다.

• Journal of the Korean Institute of Telematics and Electronics B
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• v.33B no.1
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• pp.57-66
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• 1996

In this paper, a new biotelemetry system for a transcutaneous data communication between an implanted artificial heart with a control system and an external human-interfaced management system has been developed. A radio telemetry using radio frequency is a commonly used method in the conventional telemetry systems. But, it is not suitable for the medical applications because of not only an interference due to a radio broadcasting but also a harmfulness to the human body. In this paper, therefore, a new biotelemetry system applied to an artificial heart has been developed with the results of the recent research for an optical telemetry system based on the infrared light transmission with good skin permeability. The performance of the biotelemetry system developed has been assessed through mock circulatory experiments, and the clinical applicability has been also confirmed with the successful results in the animal experiments.

• Journal of Chest Surgery
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• v.42 no.3
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• pp.375-379
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• 2009

Difficulty in exposing anastomotic sites is a frequently encountered problem during surgical repair of a distal aortic arch aneurysm via median sternotomy or lateral thoracotomy. Endovascular repair has th limitation that it usually requires surgical rerouting of some of the brachiocephalic branches in order to get sufficient length for proximal fixation of the stent-graft. To take advantage of each approach, we fixed the distal end of the prosthetic graft by means of a pre-mounted metallic stent instead of performing conventional surgical anastomosis during the repair of distal arch aneurysms with using median sternotomy and hypothermic circulatory arrest. We report here on our experience with such 3 patients.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2017.10a
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• pp.571-572
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• 2017

The blockchain technology that implements electronic money uses decentralized computing and all transactions in a blockchain are open to everyone. This technique seems to guarantee anonymity by performing the transaction on the address instead of the user, but by using direction acyclic graph based on the transaction graph, the privacy problem is caused by tracking the addresses. In this paper, we analyze various techniques for centralized processing which makes it difficult to find the relevance on the graph in order to protect the privacy in the block chain technology. We also analyze the techniques of anonymizing in a distributed way to enhance privacy. Using the zero knowledge proof scheme guarantees full distributed anonymity but requires more computation and storage space, and various techniques to make this efficient are proposed. In this paper, we propose a privacy protection scheme of blockchain technology to integrate existing privacy protection techniques into a blockchain technology and perform it more efficiently with a centralized or decentralized technique.

• Proceedings of the Korea Water Resources Association Conference
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• 2016.05a
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• pp.454-454
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• 2016

하천의 치수안정성 확보 및 수심유지, 생태복원 등과 같은 다양한 요구를 충족하기 위한 보의 성능 개선에 대한 연구가 필요하며, 계단형 보는 재료에 의한 폭기효과 및 서식처 효과 등의 환경적요소를 내포하고 있다. 기존 연구는 표면류 흐름특성을 검증하고 유량변화에 따른 하류단 도수발생위치 변화를 분석하는 등 계단형 보에 대해 수리특성을 정량화한 연구가 대부분이며 흐름변화에 따른 유속장에 관한 연구는 미흡한 실정이다. 따라서 본 연구는 기능성 친환경 횡단 구조물 유형 중 하나인 계단형 보의 안정성 검토를 위한 수리적 특성을 분석하고자 함으로써 구조물 안정성에 영향을 줄 수 있는 자체 및 하류 보호공 주변의 유속 분석을 통한 흐름 특성을 검토하고 설계시 외력 고려를 위한 자료를 제공하기 위한 목적이 있다. 이를 위해 계단형 보모형에 대해 수리모형실험을 수행하였다. 폭 0.24 m, 총 길이 3.70 m, 높이 0.30 m인 순환실험수로를 이용하였으며, 계단형 보 모형은 5단으로 단 높이 2 cm와 단 길이 5 cm이며, 보 높이는 10 cm, 보 길이는 25 cm 모형으로 실험하였다. 하류에 전도식 게이트를 설치하여 하류 수위를 증가시키면서 보 하류부에서 발생하는 완전도수부터 하류수심이 보 높이를 초과하는 잠김흐름 조건에 대해 실험하였다. 측정기법은 입자영상측정계(Particle Image Velocimetry; PIV)를 이용하였으며, 상류영역부터 하류영역에 대해 보 주변 흐름의 순간적 유속분포를 확인하였다. 또한 측정된 전반적 흐름 양상에 대해 통계적 수리분석을 수행하였다. 흐름특성에 대한 연구는 향후 계단형 보의 물받이 길이 및 보의 적정 규모 설계시 중요한 자료가 될 것으로 기대한다.