• Journal of Chest Surgery
• /
• 제35권11호
• /
• pp.785-791
• /
• 2002

판막재치환술의 결과는 재수술의 위험에 대한 적절한 분석으로 개선될 수 있다. 본 연구의 목적은 판막 재치환술의 결과를 통해 위험 인자를 분석하여 수술의 결과를 개선하고자 한다. 대상 및 방법 : 1993년 6월부터 2001년 8월까지 판막 재치환술을 시행한 46명의 환자를 대상으로 하였다. 대상 환자의 평균연령은 42 $\pm$ 12세였고 평균 체표면적은 1.52 $\pm$ 0.15 $m^2$였다. 재수술은 승모판막치환술 36예, 다중판막치환술 8예, 그리고 대동맥판막치환술 2예를 시행하였고 첫 판막치환술에서는 승모판막치환술이 43예, 다중판막치환술이 2예, 대동맥판막치환술이 1예였다. 판막 재치환술 후 결과의 예견인자로 분석한 인자들은 성별, 고령(60세 이상), 첫 수술이 30세 미만, 첫 수술과 재수술간의 기간이 15년 이상, 수술 전 NYHA functional class 3 이상, 수술 전 좌심실 구출율 45% 이하, 8시간 이상의 수술시간, 심내막염으로 재치환이 필요한 경우, 병행된 다른 수술의 유무, 신기능 부전 등이었다. 결과 : 사망률은 2예로 4.3% 였다. 수술 후 합병증과 그 외의 좋지 않은 예후와 관련이 있는 위험 인자들은 술전 저심박출증이 있던 경우(p＝0.012), 60세 이상의 고령(p＝0.045), 심내막염에 의한 재치환술(p＝0.023), 8시간 이상의 긴 수술시간(p＝0.027)이었다. 수술 사망에 영향을 주는 통계적으로 유의한 인자는 없었다. 결론 : 판막 재치환술에서 수술사망에 영향을 주는 인자는 없었다. 심기능이 나쁜 경우, 고령의 환자, 심내막염으로 인한 재수술에서 이환율을 줄이기 위한 주의를 기울여야 하며, 수술 시간을 단축하려는 노력이 수술 후 결과를 호전시키는 데 도움될 것으로 사료된다.

• Journal of Chest Surgery
• /
• 제36권10호
• /
• pp.766-771
• /
• 2003

저체중 출생아는 선천성 심장 기형의 수술 시 위험요소가 많은 것으로 알려져 있으며, 동맥간은 매우 불량한 자연경과를 갖고 있는 비교적 희귀한 심장기형이다. 제태기간 32주의 생후 13일된, 수술 당시체중 1.5 kg이었던 저체중 조산아에서 우심실 유출로 재건에 무판막 자가심낭도관을 사용하여 동맥간을 성공적으로 완전교정하고 술 후 약 20개월간의 양호한 추적결과를 경험하였기에 보고하는 바이다.

• 대한기계학회:학술대회논문집
• /
• 대한기계학회 2001년도 추계학술대회논문집B
• /
• pp.353-358
• /
• 2001

Turbo-charging or Super-charging has been used to boost engine power for Gasoline Engine and Diesel Engine came to the world at the beginning of $20^{th}$ century. So far Turbo-Charger has enjoyed a high reputation in the charging filed for its technical advantages such as no demand of operation power from engine and an excellent charging effect in the event of a static operation at mid- and high engine speed. A mechanically driven Super-Charger, however, is now emerging in order to meet demands of the age of speed such as high engine power for a quick change of the driving mode - high engine torque even at low engine speed. Since Super-Charger needs driving power from engine, it cannot improve its relatively higher fuel consumption against that of Turbo-Charger. This negative point is still an obstacle to the wide use of Super-Charger. Super-Charger using Screw-type compressor which has already had a considerable base in air compressor market will fulfill this purpose of improving fuel consumption by minimizing operation power owing to no charging at idling or partially loading driving. This study aims to develop power control concept to achieve this minimization of operation power.

• 수산해양교육연구
• /
• 제28권5호
• /
• pp.1470-1477
• /
• 2016

This study has designed and evaluated the safety of watertight damper for Offshore Rigs. The watertight damper is an improved design for conventional DN 350 butterfly valve. Numerical analysis has been performed to investigate the safety factor and seat leakage of the designed 3-type disk dampers. The structure analysis results present the deformations, the equivalent stresses and the safety factor. It was confirmed that the designed disk, rib-disk and streamlined disk of watertight damper are safe enough in maximum operating pressure of 0.98MPa. The results show that the disk damper had the smallest maximum deformations and stress among 3-type disk dampers and the safety factor was 4.3. Therefore it is confirmed that the disk damper has the most excellent strength. Also linear static structural analysis was individually conducted for disk and body. The results show that the maximum disk deformation was larger than the body deformation, Therefore the disk damper is causes no seat leakage.

• 대한안전경영과학회지
• /
• 제8권3호
• /
• pp.77-86
• /
• 2006

After conducting an investigation of a specific workplace, 372 labor workers, who are employed at a certain domestic petrochemical company valve operating and maintenance processing section, were personally questioned about specific work-related ailments. According to the results, 57% of workers who were working in the petrochemical industry have suffered from pain-related musculoskeletal disorders in, at least, more than 1 body part. Specifically, there are more than 28% of workers suffering from pain in more than two body parts. Among the total work population, 18.8 % of workers are assumed to have a high probability of being diagnosed with musculoskeletal disorder. Also, according to the RULA checklist which evaluates environmental improvement conditions of the workplace, 76.7% of workplaces among the inspected areas have high hazardous work factors that are related to musculoskeletal disorder and needs to be improved upon and observed right away or in the foreseeable future. The prior factor has a high correlation and pain rate which is due to an improper work posture. Originally, this improper work posture is caused mostly by ergonomically incorrect facility design. Furthermore, the structure of the workplace does not consider the worker's individual build.

• Tribology and Lubricants
• /
• 제21권5호
• /
• pp.227-235
• /
• 2005

This paper presents a tribological study on the failure cases of automatic transmission components in a passenger car. The automatic transmission system is composed of torque converter, clutch, brake, planetary gear, and valve body controlling oil pressure of an automatic transmission fluid. The most largest influence components in an automatic transmission are a torque converter and clutch plate in which are influenced by a wear and torque converting energy loss. The failure case study of an automatic transmission indicates that the tribological design and maintenance technologies should be considered as a key design concept. This means that the failure and power energy loss come from the friction, wear and a oil leakage of an automatic transmission, which is related to the oil seal and O-ring seal failures.

• 대한수의학회지
• /
• 제47권3호
• /
• pp.333-336
• /
• 2007

A 6-month-old intact male Maltese dog (2.5 kg of body weight) was presented with the primary complaint of heart murmur and exercise intolerance. Diagnostic studies revealed severe pulmonic stenosis. Since the pressure gradient in stenotic pulmonic valve area was higher than 200 mmHg (maximum flow velocity = 7.1 m/s), the dog was underwent balloon valvuloplasty. With this procedure, the peak pulmonic velocity was reduced to 3.0 m/s (PG = 36 mmHg). Periodic re-evaluations performed in monthly interval revealed no further deterioration even after 4 month of procedure. This is the first case report of pulmonic stenosis fixed by non-surgical balloon valvuloplasty in Korea.

• Nuclear Engineering and Technology
• /
• 제41권8호
• /
• pp.995-1004
• /
• 2009

The Advanced Power Reactor 1400 (APR1400) is an evolutionary advanced light water reactor (ALWR) based on the Optimized Power Reactor 1000 (OPR1000), which is in operation in Korea. The APR1400 incorporates a variety of engineering improvements and operational experience to enhance safety, economics, and reliability. The advanced design features and improvements of the APR1400 design include a pilot operated safety relief valve (POSRV), a four-train safety injection system with direct vessel injection (DVI), a fluidic device (FD) in the safety injection tank, an in-containment refueling water storage tank (IRWST), an external reactor vessel cooling system, and an integrated head assembly (IHA). Development of the APR1400 started in 1992 and continued for ten years. The APR1400 design received design certification from the Korean nuclear regulatory body in May of2002. Currently, two construction projects for the APR1400 are in progress in Korea.

• 산업기술연구
• /
• 제5권
• /
• pp.21-26
• /
• 1985

본(本) 연구(硏究)는 주조(鑄造) 및 용접(溶接)을 통하여 제작(製作)된 화력발전용(火力發電用) 대형(大型)밸브에 발생한 결함(缺陷)의 원인(原因)을 규명하기 위하여 사용(使用)된 몇가지 기술에 대하여 언급하였다. 초음파(超音波) 비파괴검사(非破壞檢査)로써 내재(內在)되어 있는 균열의 위치(位置) 및 길이를 예측(豫測)하였다. 균열의 근원(根源)을 다치지 않게 보존(保存)한 채로 시험편(試驗片)에 대(對)하여 기계적 절단(絶斷)을 행하였다. 또한 균열의 원인(原因)을 직접 관찰할 수 있도록 액체 질소에서 낙추법(落錘法)을 써서 파단(破斷)시켰다. 동시(同時)에 균열의 측면양상(側面樣相)과 미세조직(微細組織)과의 관계를 금속현미경 및 전자현미경(SEM)을 통하여서 관찰하였다. 결론적으로 제조시(製造時) 도입(導入)된 결함(缺陷)은 용접과정중에 만들어진 것이 아니라 주조작업중(鑄造作業中)에 용융금속(溶融金屬)의 공급부족(共給不足)으로 인(因)하여 생긴 기공(氣孔)에서 출발(出發)하였음을 알 수 있었다.

• 한국임상수의학회지
• /
• 제34권4호
• /
• pp.268-271
• /
• 2017

A 1.3 year-old Castrated male Bedlington terrier (10.0 kg of body weight) was presented with heart murmur and occasional coughing. Diagnostic imaging studies revealed supravalvular pulmonic stenosis (maximal velocity 2.91 m/s) from abnormal membranous structure (aperture) distal to the pulmonary valve in the main pulmonary artery. Further study also revealed pulmonic regurgitant (1.82 m/s of peak velocity, 13.2 mmHg of pressure gradient) jets started from the abnormal membranous structure. Since the dog had no obvious clinical signs related to heart failure, no interventional therapy including balloon dilation was considered in this case. Instead, medical treatment for preventing further deterioration of clinical signs related to PS was done with enalapril. This case report described a rare case of type III supravalvular PS in a dog, which has never been reported. Further deterioration of clinical signs has yet been recognized after medical treatment.