• Title/Summary/Keyword: Energy total operation

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Clinical Experiences of Continuous Tepid Blood Cardioplegia; Valvular Heart Surgery (미온혈 심정지액의 임상적 고찰)

  • 이종국;박승일;조재민;원준호;박묘식
    • Journal of Chest Surgery
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    • v.32 no.2
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    • pp.130-137
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    • 1999
  • Background: In cardiac surgery, hypothermia is associated with a number of major disadvantage, including its detrimental effects on enzymatic function, energy generation and cellular integrity. Warm cardioplegia with normothermic cardiopulmonary bypass cause three times more incidence of permanent neurologic deficits than the cold crystalloid cardioplegia with hypothermic cardiopulmonary bypass. Interruptions or inadequate distribution of warm cardioplegia may induce anaerobic metabolism and warm ischemic injury. To avoid these problems, tepid blood cardioplegia was recently introduced. Material and Method: To evaluate whether continuous tepid blood cardioplegia is beneficial in clinical practice during valvular surgery, we studied two groups of patients matched by numbers and clinical characteristics. Warm group(37$^{\circ}C$) consisted of 18 patients who underwent valvular surgery with continuous warm blood cardioplegia. Tepid group(32$^{\circ}C$) consisted of 17 patients who underwent valvular surgery with continuous tepid blood cardioplegia. Result: Heartbeat in 100% of the patients receiving continuous warm blood cardioplegia and 88.2% of the patients receiving continuous tepid blood cardioplegia converted to normal sinus rhythm spontaneously after removal of the aortic cross clamp. There were no differences between these two groups in CPB time, ACC time, the amount of crystalloid cardioplegia used and peak level of potassium. During the operation, the total amount of urine output was more in the warm group than the tepid group(2372${\pm}$243 ml versus 1535${\pm}$130 ml, p<0.01). There were no differences between the two groups in troponin T level measured 1hr and 12hrs after the operation. Conclusion: Continuous tepid blood cardioplegia is as safe and effective as continuous warm blood cardioplegia undergoing cardiac valve surgery in myocardial protection.

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Ecological Characteristics and Management Plan of Geumdangsil Pine Forest of Yecheon (예천 금당실 송림의 생태적 특성 및 관리방안)

  • Lee, Soo-Dong;Lee, Chan;Kim, Donwook;Kim, Jisuk
    • Korean Journal of Environment and Ecology
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    • v.27 no.6
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    • pp.718-732
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    • 2013
  • The purpose of this study was to provide data for the basic research to found the effective conservation and management plan for the Geumdangsil Pine Forest of Yecheon designated as Natural Monument No. 469. Furthermore, this paper suggest efficient sustainable forest preservation and using. In order to achieve the sustainable forest preservation, this study was to analyse topography, land use, tree growth, soil environment, forest usage and forest management, etc. According to analysis the results, the site area is located in the flatlands where is from 130 to 140 m above sea level. The around forest was transformed into agricultural land. The 565 individuals of Pinus densiflora grows in the forest, whereas, 25 trees was cut down or died. There are signs of 25 stumps. The most of 565 trees' diameter at breast height(DBH) was centerized between 30 cm and 50 cm, moreover, the average life expectancy of trees were 85.4 years. The oldest age of tree was estimated to be 200 years. The Sample trees of rate of branch growth is from 4.3 cm to 5.1 cm per year. The middle branch which is more vigorous growth grow 24.2 cm for 3 years. Moreover, the result of soil physico-chemical properties analysis of 7 plots, 4 categories which is soil organic matter, total nitrogen, available phosphoric acid, specific electrical conductance was generally good, however, the 2 categories which is soil pH, exchangeable cation needed improvement. Currently, the site was not pressured by facilities and usage, however, there might be threaten by agriculture such as encroaching on forest. Therefore, there should establish comprehensive ecosystem management such as facility management, visitors management and operation management In this paper considered 4 fields that is ecosystem management, facility management, visitors management and operation management for sustainable management.

An Experimental Study on Development of the Opening Apparatus for Oil Boom (오일펜스 전개장치 개발에 관한 실험적 연구)

  • Jang Duck-Jong;Na Sun-Chol
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.9 no.1
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    • pp.45-54
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    • 2006
  • The study was to review methods by which a ship can unfold and tow an oil boom by attaching the opening apparatus to an oil boom through experiments. The shape and dimension of the opening apparatus were designed with the measurement value of the towing tension load of the oil boom and the dimension of winch drum of the oil boom installed in the ship considered. For the field experiment to identify the performance of the opening apparatus, opening apparatuses were prepared to have the dimension of $3.0m^2$ and $6.0m^2$ which is 91% and 75% of the calculation value for type B and C respectively. As a result, T(kg), the value of tension in type B oil boom according to the towing speed(v) change when two ships are towed together were proved to be $T=920v^{1.1}\;and\;T=500v^{0.9}$ in case the distance is 100 m and 50 m. Based on the result, the dimension of the opening apparatus for type B and C oil boom was calculated as $3.3m^2$ and $8.0m^2$ respectively. When unfolding and towing by attaching the opening apparatus and 200 m of towing line at both ends of type B and type C oil boom, the maximum width of the opening apparatus was shown as 114 m and 95 m in average(width of opening/total length of oil boom: 33% and 57%) in the towing speed of 1.5 kt. It was evaluated that the opening apparatus could concentrate the spilled oil in a good performance. However as far as the increase rate of oil boom opening width according to the length of the towing line is debatable, the increase rate is remarkably reduced when it is lengthened from 100 m to 150 m and to 200 m although it showed extreme increase of 31% and 40% when the length of the towing line was changed from 50 m to 100 m. Therefore, it is inferred that the towing line should be maintained more or less 100 m to get good spread efficiency of the opening apparatus. Additionally, if the towing speed is faster than 1.5 kt, the opening width was narrowed because of the reduced spread efficiency and the shape of the oil boom can be unstable because of the partial sinking of the oil boom, run over waves, or flap of skirt. Thus the reasonable towing speed can be within 1.5 kt for the operation of the opening apparatus.

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An Analysis of Velocity Patterns and Improvement Effect after Application of Domestic Roundabout Design Guidelines (Focusing on Busan Metropolitan City) (국내 회전교차로 설계지침 적용에 따른 속도패턴과 개선효과 분석 - 부산광역시를 중심으로 -)

  • Lim, Chang-Sik;Choi, Yang-Won
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.1
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    • pp.305-316
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    • 2013
  • To find out if modern roundabout is still effective under drivers behavior and driving conditions in Busan Metropolitan City, the effects before and after introduction of roundabout were analyzed. According to analysis on velocity profile at roundabout, velocity deviation decreased, and average vehicle speed was close to design speed. As a result, it has been confirmed that most roundabouts were properly built. In terms of traffic operation, average vehicle speed improved by 87.2% when a traffic intersection was replaced by a roundabout. therefore, it has been found out that the introduction of roundabout has a positive effect on increasing vehicle speed by reducing traffic congestion. In addition, annual benefits expected from the replacement from a traffic intersection to a roundabout were KRW 872 million as follows; KRW 410 million in traffic communication, KRW 39 million in transportation safety, KRW 255 million in energy saving, KRW 95 million in reduction of air pollution and KRW 73 million in reduction of traffic signal installation cost. In other words, if 10% (193 spots) of all traffic intersections (1,926 spots in total) in Busan City are replaced by roundabouts, the municipal authority would be able to save about KRW 168.3 billion. According to analysis on the benefits expected from the installation of roundabouts compared to the investment cost for traffic intersections, about KRW 679 million could be saved per roundabout. Considering 10% of all traffic intersections in the City of Busan, about KRW 131 billion could be saved annually. The traffic accidents in roundabout usually occur because drivers aren't aware of right-of-way rules. Once the right-of-way rules settle, the number of traffic accidents would significantly decrease. In addition, it is urgent to promote education and campaign for drivers, pedestrians and bikers on the roundabout.

Case Report of Radiotherapy to a Breast Cancer Patient with a Pacemaker (인공심장박동기가 이식된 유방암환자의 방사선 치료에 대한 사례 보고)

  • Chae, Seung-Hoon;Park, Jang-Pil;Lee, Yang-Hoon;Yoo, Suk-Hyun;Seong, Won-Mo;Kim, Kyu-Bo
    • The Journal of Korean Society for Radiation Therapy
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    • v.24 no.2
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    • pp.197-203
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    • 2012
  • Purpose: In this study, we considerate our radiation therapy process for the breast cancer patient implanted a pacemaker applying the machine movement surgery, shielding, beam selection. Materials and Methods: We perform radiation therapy to a 54 years old, breast cancer patient implanted a pacemaker. The patient underwent a surgery to move the position of a pacemaker to right side breast after consultation with cardiology department. Prescribed dose was 5,040 cGy and daily dose 180 cGy for 28 fractions. The 10 MV photon energy, field size 0/$9.5{\times}20$ cm, half beam and opposing portal irradiation are used. To find out appropriate thickness of shielding board, we carried out an experiment using a solid water phantom ($30{\times}30{\times}7$ cm), a Farmer-type chamber (TN30013, PTW, Germany) and a shielding board (Pb $28{\times}27{\times}0.1$ cm). We calculated expected absorbed dose to te pacemaker with absorb ratio and shielding ratio. In the PTP system (Eclipse, Varian, USA), we figured out how much radiation would be absorbed to the machine with and without shielding. First day of the radiation therapy, we measured head scatter to the pacemaker with MOSFET Dose Verification System (TN-RD-70-W, Medical Canada Ltd., Canada). Results: In the phantom measurement, we found out appropriate thickness was 2 mm of shielding board. In the RTP, when using 2 mm shielding the pacemaker will be absorbed 11.5~38.2 cGy and DVH is 77.3 cGy. In the first day of the therapy, 4.3 cGy was measured so 120.4 cGy was calculated during total therapy. The patient was free from any side effects, and the machine also normally functioned. Conclusion: As the report of association which have public confidence became superannuated, there is lack of data about new machine. We believe that radiation therapy to thiese kind of patients could be done successfully with co-operation, patient-suitable planning, accurate QA, frequent in-vivo dosimetry and monitoring.

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Development of Cotton Farming and Transformation of Rural Area in Sanliurfa Prefecture, Turkey (터키 샹르울파주 목화농업의 전개와 지역사회의 변화)

  • Kang, Sukkyeong
    • Journal of the Korean Geographical Society
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    • v.48 no.1
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    • pp.87-111
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    • 2013
  • Regional disparities between eastern and western regions is the most of serious problem for balanced regional development in Turkey. The Southeastern Anatolia Project (GAP) is being implemented to eliminate these regional development disparities. The work that was initially planned as predominantly for hydraulic energy production to utilize water resources of the Tigris and Euphrates rivers more effectively was later transformed into an integrated multi-sector regional development project. This study noted that this region had very limited cash crop production because of the constraints of semi-arid climate of the southeastern region, however, later, it has changed Turkey's major cotton producing region since Southeastern Anatolia Project carried out. Therefore, this study investigated background, process, and content of the Southeastern Anatolia Project with respect to high cotton productivity in this region and examined the dynamic changes of cotton productivity in this region. In addition, Sanliurfa prefecture is one of the main development axes of the Southeastern Anatolia Project, because government investments are concentrated on this prefecture. Therefore, this study examined the background and process of cotton farming growth in this prefecture. In 2011, Sanliurfa prefecture produced 37.6% of Turkey's total cotton production. This is mainly due to agricultural infrastructure expansion such as land consolidation, irrigation, roads and farm roads. Also, it is one of the main factor that subsidies paid to farmers for cotton cultivation. The introduction of irrigation has dramatically changed the direction of seasonal migration of this area. Prior to irrigation, this area had a serious social issue about out-migration for seasonal labor to other areas. However, the introduction of irrigation made this area that changed to in-migration and intramigration for cotton cultivation. Irrigation water is supplied to farmers through the WUAs (Water User Associations) that handed over irrigation water management, operation from DSI (General Directorate of State of Hydraulic Works). However, the WUAs are under the influence of Ashiret, a traditional feudal social structure. Because of this reason, it does not have an efficient management for farmers. Also, it is one of the reasons that this area does not have autonomous farmer organization.

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Carbon Budget in Campus of the National Institute of Ecology (국립생태원 캠퍼스 내 주요 식생의 탄소수지)

  • Kim, Gyung Soon;Lim, Yun Kyung;An, Ji Hong;Lee, Jae Seok;Lee, Chang Seok
    • Korean Journal of Ecology and Environment
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    • v.47 no.3
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    • pp.167-175
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    • 2014
  • This study was conducted to quantify a carbon budget of major vegetation types established in the campus of the National Institute of Ecology (NIE). Carbon budget was measured for Pinus thunbergii and Castanea crenata stands as the existing vegetation. Net Primary Productivity (NPP) was determined by applying allometric method and soil respiration was measured by EGM-4. Heterotrophic respiration was calculated as 55% of total respiration based on the existing results. Net Ecosystem Production (NEP) was determined by the difference between NPP and heterotrophic respiration (HR). NPPs of P. thunbergii and C. crenata stands were shown in $4.9ton\;C\;ha^{-1}yr^{-1}$ and $5.3ton\;C\;ha^{-1}yr^{-1}$, respectively. Heterotrophic respirations of P. thunbergii and C. crenata stands were shown in $2.4ton\;C\;ha^{-1}yr^{-1}$ and $3.5ton\;C\;ha^{-1}yr^{-1}$, respectively. NEPs of P. thunbergii and C. crenata stands were shown in $2.5ton\;C\;ha^{-1}yr^{-1}$ and $1.8ton\;C\;ha^{-1}yr^{-1}$, respectively. Carbon absorption capacity for the whole set of vegetation types established in the NIE was estimated by applying NEP indices obtained from current study and extrapolating NEP indices from existing studies. The value was shown in $147.6ton\;C\;ha^{-1}yr^{-1}$ and it was calculated as $541.2ton\;CO_2ha^{-1}yr^{-1}$ converted into $CO_2$. This function corresponds to 62% of carbon emission from energy that NIE uses for operation of various facilities including the glass domes known in Ecorium. This carbon offset capacity corresponds to about five times of them of the whole national territory of Korea and the representative rural area, Seocheongun. Considered the fact that ongoing climate change was originated from imbalance of carbon budget at the global level, it is expected that evaluation on carbon budget in the spatial dimension reflected land use pattern could provide us baseline information being required to solve fundamentally climate change problem.