• Journal of Chest Surgery
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• v.21 no.5
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• pp.877-881
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• 1988

A coronary arteriovenous fistula represents an abnormal communication from a coronary artery that may enter any cardiac chamber, a pulmonary artery, the coronary sinus, the superior vena cava or the pulmonary vein. We had a successful experience with 46 year-old male who complained exertional dyspnea[NYHA classification II] and anginal pain since 5 years ago. In intensive study of cardiac catheterization and coronary cineangiography, multiple bilateral coronary arteriovenous fistulas and mitral stenoinsufficiency with left atrial thrombi were recognized. The coronary arterio-venous fistula of left coronary artery was revealed large tortuous aberrant vessels that were connected between just distal portion of first diagonal branch of left anterior descending artery and main pulmonary artery. Other fistula was small tortuous vessel which was originated from left atrial branch of left circumflex artery, was drained into left atrium. The fistula of right coronary artery was communicated conal branch of right coronary artery to main pulmonary artery. But there was no 0y step-up in the right cardiac catheterization. The operative procedure were suture-ligation of draining orifice of coronary arteriovenous fistula in main pulmonary artery, mitral valve replacement[Ionescu-Shiley 25mm] with removal of left atrial thrombi and plication of left atrium under the extracorporeal circulation. The postoperative course was uneventful without any complication and discharged without problem at 17th postoperative days.

• Journal of Chest Surgery
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• v.17 no.3
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• pp.381-388
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• 1984

Cor triatriatum is rare congenital cardiac anomaly first described by Church in 1868. The anomaly consists of an abnormal partitioning of the left atrium by a fibromuscular membrane that divides the atrium into an upper chamber, which receives the pulmonary veins, and a lower chamber, which contains the atrial appendage and the mitral valve. The upper and lower chambers communicate through a stenotic fenestration in the membrane, which has the hemodynamic consequence of pulmonary venous obstruction. Recently we experienced cot triatriatum associated with partial anomalous pulmonary drainage to right atrium. The upper chamber was connected to right atrium through a sinus venous type of ASD and received left superior and both inferior pulmonary vein, whereas the lower chamber so called true left atrium communicated with right atrium through foramen ovale type of ASD, left atrial appendage and mitral orifice. And the anomalous membrane has no fenestrations which permit blood flow. The operation was made right atrial approach under the CPB. We excised completely the anomalous septum and reconstructed atrial septal defect with pericardial patch to drain the right upper pulmonary vein to the left atrium. The postoperative course has been good during follow up.

• Transactions of the Korean Society of Mechanical Engineers
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• v.19 no.7
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• pp.1702-1708
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• 1995

Owing to the serious problem of hydrocarbon fuel such as environmental pollution, the development of alternative fuel is very urgent. To adopt hydrogen to the internal combustion engine, a solenoid-drive type in-cylinder injection system was constructed. The injection system was installed to the single cylinder research engine, and the engine performance and the emission of citric oxide were tested upon the fuel-air equivalence ratio and the spark timing. In the case of in-cylinder injection system, hydrogen is injected after the intake valve is close, so it is possible to operate the engine without the back fire and the fall of its volumetric efficiency. In the region of the fuel-air equivalence ratio below 0.5, hydrogen and air aren't well mixed and the thermal efficiency is lowered, so the nozzle should be designed to inject hydrogen uniformly into the combustion chamber. In the region of the fuel-air equivalence ratio above 0.7,the fuel-air mixture burns very fast and the amount of citric oxide emission increases rapidly, so the spark timing should be retarded as compared with MBT.

• Journal of Drive and Control
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• v.12 no.4
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• pp.28-34
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• 2015

Because heavy-duty construction vehicles such as excavators are required for good engine-room cooling capacity, a hydraulic gear motor is adopted in the cooling fan drive mechanism to actively control the output speed, instead of adopting the conventional ON/OFF type belt drive. While gear motors are normally limited to 140bars of operating pressure, those for the cooling fan are capable of operating at continuous pressures of up to 220bars. After assembly, all gear motors for high pressure must pass an aging test which is a kind of the wearing process between the gear teeth and motor housing. During the aging process with gradual pressure increments, gear sticking sometimes occurs due to abnormal wear, resulting in defects. This paper focuses on a gear-sticking free aging test controller that is designed together with the knowledge of an experienced operator and the analysis results of experimental data of the gear jamming phenomenon. From the aging experiment, it is demonstrated that the developed controller that can alter the setting pressure of the load pump is effective for stabilizing the abrupt increase in the motor input pressure, thus preventing the hydraulic motor from stopping. This is expected to be helpful for the reduction of defects and increase in productivity.

• Journal of the Korean Society of Industry Convergence
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• v.23 no.4_2
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• pp.569-581
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• 2020

Since the dehydration packages of offshore plant deal directly with oil & gas, there is a great risk of fire and explosion during operation. Therefore, this study performed risk assessment through HAZard & OPerability (HAZOP) for solid desiccant dehydration package that can remove water component of natural gas in offshore floating liquefied natural gas (LNG) production facilities below 0.1 ppmv. The risk matrix was determined by dividing the likelihood and the severity into five levels separately by asset, life, environment and reputation. The piping & instrumentation diagram (P&ID) of the dehydration package was divided into 9 nodes. Total 22 deviations were assessed in consideration of the adsorption and desorption conversion cycle. A risk assessment based on deviations revealed 14 major hazards. Three representative types of hazards were open/close failure of the control valve, control failure of the heater, and abnormal operation of the regeneration gas cooler. Finally, we proposed the installation of additional safety devices to improve safety against these major hazards, such as safety instrumented functions, alarms, etc.

• Korean Journal of Veterinary Service
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• v.45 no.4
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• pp.317-323
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• 2022

Dirofilariasis is a mosquito-borne parasitic infection that mainly causes symptoms such as chronic cough, respiratory distress, abnormal breath sounds, heart valve dysfunction, right heart hypertrophy, liver congestion and cirrhosis, ascites, and pleural effusion in dogs. In this study, from June to September 2021, we collected and identified mosquitoes in parks where citizens often take their dogs for a walk, and created pools from them by month, species, and location. These pools were checked for the infection of Dirofilaria immitis by PCR and the minimum infection rates (MIRs) were calculated. The MIR of all mosquitoes collected was 6.4, and the MIRs of mosquitoes from Daewangam Park, Yeocheoncheon Walk, Taehwagang National Garden, and Sinbulsan County Park were 9.7, 4.7, 2.1, and 0, respectively. It also confirmed that Aedes hatorii, Aedes vexans nipponii, and Ochlerotatus koreicus were major vectors of heartworm in Ulsan. Our results suggest that heartworm prophylaxis should be considered in Ulsan.

• Corrosion Science and Technology
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• v.22 no.4
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• pp.232-241
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• 2023

The mechanical properties of the hydrogen valve responsible for supplying and blocking hydrogen gas in a hydrogen fuel cell electric vehicle (FCEV) were researched. Mechanical properties by hydrogen embrittlement were investigated by coating chromium nitride (CrN) and titanium nitride (TiN) on aluminum alloy by arc ion plating method. The coating layer was deposited to a thickness of about 2 ㎛, and a slow strain rate test (SSRT) was conducted after hydrogen embrittlement to determine the hydrogen embrittlement resistance of the CrN and TiN coating layers. The CrN-coated specimen presented little decrease in mechanical properties until 12 hours of hydrogen charging due to its excellent resistance to hydrogen permeation. However, both the CrN and TiN-coated specimens exhibited deterioration in mechanical properties due to the peeling of the coating layer after 24 hours of hydrogen charging. The specimens coated at 350 ℃ presented a significant decrease in ultimate tensile strength due to abnormal grain growth.

• Journal of Chest Surgery
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• v.34 no.7
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• pp.561-565
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• 2001

Patients who have complex endocarditis with involvement of both the aortic and mitral valves and intervalvular fibrous skeleton are among the most difficult to treat and still have the highest surgical mortality and morbidity rates. We report one case of aortic and mitral valve replacement with reconstruction of the fibrous skeleton performed in a 55-year-old female patient who had an aortic annular abscess and both the aortic and mitral prosthetic valve endocarditis with destruction of the fibrous skeleton. Previously, she had undergone redo double valve replacement\`, Transesophageal echocardiogram showed the paravalvular defect at the noncoronary aortic sinus and abnormal sinus tract along the fibrous skeleton. Emergent operation was performed due to positive blood cultures of staphylococcus epidermidis and persistent sepsis despite appropriate antibiotic therapy. After aortotomy extended to the roof of left atrium, both prosthetic valves and destroyed fibrous skeleton were completely resected and the aortic annular abscess was debrided and closed with a bovine pericardial patch. Reconstructions of both aortic and mitral annuli and the fibrous skeleton were done by using two separate bovine pericardial patches in triangular shape and mechanical valves were implanted. Postoperatively, adequate antibiotic therapies were continued and the patient was discharged at the postoperative 72 days without evidence of recurrence of endocarditis. Transthoracic echocardiogram of the postoperative 8 months shows no paravalvular leakage or recurrence of endocarditis and the patient has been followed up with no symptom.

• Korean Chemical Engineering Research
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• v.60 no.3
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• pp.347-355
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• 2022

The safety valve (PSV) is a safety device that automatically releases a spring when the pressure generated by various causes reaches the set pressure, and is restored to a normal state when the pressure falls below a certain level. Periodic inspection and monitoring of safety valves are essential so that they can operate normally in abnormal conditions such as pressure rise. However, as the current safety inspection is performed only at a set period, it is difficult to ensure the safety of normal operation. Therefore, evaluation items were developed by finding failure modes and causative factors of safety valves required for safety management. In addition, it is intended to provide decision-making information for securing safety by deriving the priority of items. To this end, a Delphi survey was conducted three times to derive evaluation factors that were judged to be important in relation to the Failure Mode Cause Factor (FMCFs) of the safety valve (PSV) targeting 15 experts. As a result, 6 failure modes of the safety valve and 22 evaluation factors of its sub-factors were selected. In order to analyze the priorities of the evaluation factors selected in this way, the hierarchical structure was schematized, and the hierarchical decision-making method (AHP) was applied to the priority calculation. As a result of the analysis, the failure mode priorities of FMCFs were 'Leakage' (0.226), 'Fail to open' (0.201), 'Fail to relieve req'd capacity' (0.152), 'Open above set pressure' (0.149), 'Spuriously' 'open' (0.146) and 'Stuck open' (0.127) were confirmed in the order. The lower priority of FMCFs is 'PSV component rupture' (0.109), 'Fail to PSV size calculation' (0.068), 'PSV Spring aging' (0.065), 'Erratic opening' (0.059), 'Damage caused by improper installation and handling' (0.058), 'Fail to spring' (0.053), etc. were checked in the order. It is expected that through efficient management of FMCFs that have been prioritized, it will be possible to identify vulnerabilities of safety valves and contribute to improving safety.

• Journal of Chest Surgery
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• v.31 no.2
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• pp.216-219
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• 1998

Ebstein's anomaly is a complex malformation that can be treated by various surgical techniques, either repair or replacement of the abnormal tricuspid valve, with variable results. The essence of the malformation is the downward displacement of the septal and posterior leaflets into the ventricle, resulting in the formation of an atrialized portion of the right ventricle. The aim of surgical repair is to correct the tricuspid valve dysfunction and to plicate the atrialized portion of the right ventricle A 12-months old female was admitted with the diagnosis of Carpentier type A of Ebstein's anomaly with severe tricuspid regurgitation. She successfully underwent operation with vertical plication of right ventricle and reimplantation of tricuspid leaflets. Postoperatively cardiac size was significantly reduced and tricuspid regurgitation was trivial in echocardiography. She was diacharged the 14th postoperative day.