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Clinical Results of Surgical Treatment of an Isolated Complete Atrioventricular Septal Defect (완전방실중격결손증의 외과적 요법에 관한 임상적 고찰)

  • 이정상
    • Journal of Chest Surgery
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    • v.24 no.2
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    • pp.123-134
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    • 1991
  • Twenty eight patients had undergone repair of an isolated complete atrioventricular septal defect between April 1986 and September 1990 in Seoul National University Children`s Hospital. The group comprised 13 male and 15 female patients. They ranged in age from 2 months to 8 years[mean 18.6months] and in weight from 3. 4kg to 23kg[mean 9.0$\pm$4.6kg]. They were analysed as Rastelli type A in 17 patients, Rastelli type B in 2 patients, and Rastelli type C in 9 patients. Seven patients had concomitant Down`s syndrome. All patients had large left-to-right shunt[mean pulmonary to systemic flow ratio 3.5 $\pm$2.2 ranging from 0.68 to 10.0] and high pulmonary systolic pressure[mean 74$\pm$18.8mmHg, ranging from 35 to 110]. In 11 patients, one patch technique was used to close the atrial and ventricular septal defect and 16 patients were undergone by two patch technique. We urgently managed only one patient by pulmonary artery banding whose anatomy was Rastelli type C and severe mitral regurgitation was identified. Postoperative complete A - V block was noted in 3 patients, two of whom were dead in operating room due to combined LVOTO and myocardial failure, and one patient with Rastelli type C was undergone by VVI type permanent pacemaker insertion 1wk later after two patch technique, but we had to manage him by modified Konno operation and total correction due to LVOTO and VSD leakage and severe mitral regurgitation 3 years later. Another two reoperation cases due to severe mitral regurgitation after two patch technique were undergone, one of whom we managed by mitral annuloplasty 3 months later but aggravated mitral regurgitation made us to control him by MVR 3 months later. Another one case of VSD leakage and tricuspid regurgitation was managed by total correction but she died of respiratory insufficiency 14 days later. We experienced pulmonary hypertensive crisis in 3 patients, who were dead in two cases comparing with one control case. So operative mortality is 9/27[33.6%], in one patch group of 3/11[29.2%] comparing with two patch group of 6/16[37.5%]. In summary, causes of death were pump weaning failure, myocardial failure and low cardiac output syndrome and pulmonary hypertensive crisis, resp. failure, complete AV block. Mean follow up period is 15.8$\pm$10.7 months[ranging from 3months to 37 months]

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Experimental Investigation on Cracks and Defects of a Valve Sealing Components for a LPG Cylinder (LPG 용기용 밸브의 밀봉부품 크랙 및 결함에 관한 실험적 고찰)

  • Kim, Chung-Kyun;Lee, Byung-Kwan;Kim, Tae-Hwan
    • Journal of the Korean Institute of Gas
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    • v.11 no.1 s.34
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    • pp.23-28
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    • 2007
  • This paper presents an experimental investigation on the sealing defects and cracks of O-rings and a valve packing of a gas valve for a LPG cylinder. O-ring in which stops a gas leakage of a liquefied petroleum gas is very important for a LPG valve safety. Valve packing is to open and close a gas flow port for supplying and charging a LPG fuel. The sealing performance of two sealing units ism related to the leak safety and long lift of a gas valve. The investigated results show that most of O-rings was failed due to a circumferential crack in which is caused by partial press bonding failure near the partition zone and an excess compression rate. Some of the O-ring failure was originated by an extrusion of an excessive leak pressure of a LP gas. Thus, this paper strongly recommends a tight quality control and a safety guarantee system of O-rings and valve packing to guarantee a leak safety and to extend a service lift of a gas valve. At the end, a warranty policy of the sealing units should be adopted for increasing a product quality and safety of a gas valve.

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Estimation of Heat Insulation and Light Transmission Performance According to Covering Methods of Plastic Greenhouses (플라스틱온실의 피복방식에 따른 보온 및 광투과 성능 평가)

  • Lee, Hyun-Woo;Kim, Young-Shik;Sim, Sang-Youn;Lee, Jong-Won;Diop, Souleymane
    • Journal of Bio-Environment Control
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    • v.22 no.3
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    • pp.270-278
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    • 2013
  • The objective of the present study is to provide data needed to decide covering method to be able to increase the thermal insulation and light transmittance efficiency of commercial greenhouse. The thermal insulation effect, PPF transmittance and quantity of condensation water were estimated in experimental tomato greenhouses covered with three types of coverings of single layer, air inflated and conventional double layers covering. The overall heat flow of air inflated double layers greenhouse was similar to that of conventional double layers greenhouse, but the temperature between covering material and thermal screen in air inflated double layers greenhouse was lower than that in conventional double layers greenhouse at the same outside temperature condition due to air leakage through the gap of roof vent. The overall heat transfer coefficients acquired by experiment that was performed in single layer and conventional double layers greenhouses were close to those obtained from model experiment. Even though the PPF transmittance of air inflated double layers greenhouse was lower than that of single layer greenhouse, which was greater than that of conventional double layers greenhouse. The quantity of condensation water on covering surface of single layer greenhouse was greater than that of air inflated double layers greenhouse due to lower covering surface temperature.

Microscopic Study of the Pig Peri-implantation Embryos (전자현미경에 의한 착상 전후 돼지수정란의 형태학적 변화에 관한 연구)

  • 김진회;백청순;이훈택;정길생
    • Korean Journal of Animal Reproduction
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    • v.18 no.2
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    • pp.141-150
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    • 1994
  • Morphological features of the interaction between the hatching blastocyst and implantation in pig were studied by electron microscopy. The observations extended from late blastocyst stage to the completion of trophoblastic erosion of the epithelium and early decidual transformation of the epithelium and early decidual transformation of the stromal cells. Between day 7 and 17 of pregnancy, blastocysts from 0.3 to 12 mm in diameter were flushed from the uterine horns of Dutch Landrace pigs. On the 7th of development in the pig blastocyst, the blastocyst shedded of the zona pellucida established the tips of microvilli and with bleb-like cytoplasmic protrusions of the epithelial cells. From day 11 on in pig embryo, the bilayered trophoblast undergoes a dramatic phase of elongation so that the initially spherical expanded blastocyst becomes tubular. In pig, close apposition to the uterine wall beg-ins at about 12 $^1$/$_2$ days and then attachment occurred during the afternoon of the 16th or 18th day post coitum. At this stage, embryonic loss compared with corpus luteum number is up to 40% of ovulated oocytes. Therefore, the implantation failture of these embryos may be mainly caused by morphological abnormality and failture of zona shedding.

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A study on skin temperature distribution of the human body as fundamental data for developing heat energy harvesting clothing (열전에너지 수확 의류를 위한 인체표면 온도분포의 기초적 고찰)

  • Yang, Jin-Hee;Cho, Hyun-Seung;Park, Sun-Hyung;Lee, Joo-Hyeon
    • Science of Emotion and Sensibility
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    • v.14 no.3
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    • pp.435-444
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    • 2011
  • The development of ubiquitous healthcare technology and portable electronic devices requires new energy sources for providing continuous power supply. This study particularly focuses on an energy harvesting system capable of charging energy using clothing. One of the sources for energy harvesting is heat energy, which is the difference in temperature of the body and the surrounding environment. In this study, the skin temperature distribution of the human body was empirically measured to determine the basic materials needed to develop heat energy harvesting clothing. The distribution of skin temperature in different sections of the human body was analyzed. The analysis found that the skin temperature of the upper body was higher than that of the lower body. The area close to the heart with a lot of blood flow was especially high. The skin temperature of the back side of the body, such as the back of the neck, upper back, and waist, was higher than that of the front side of the body. As for the arms, the skin temperature of the upper arms was higher than that of the lower arms, and the skin temperature of the back side of the arms was lower than that of the front and the flank side of the arms. The difference in the average skin temperature and the environment temperature was highest at the back of the neck, and thereby is considered to be the most appropriate section to integrate the heat energy harvesting function and structure. The following sections had the next highest difference in values, listed in descending order: the back of the waist, the sides of shoulders, the front chest area, the front side of the upper arms, and the front abdomen. Based on the skin temperatures of the different sections of the human body, this study outlines the basic guidelines for developing heat energy harvesting clothing.

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A Study on the Characteristics of Organic Concept and Interpretation at F. L. Wright and T. Ito's Architecture - Focus on Wright's Robie House and Ito's Sendai Mediatheque - (라이트와 이토 건축의 유기적 개념과 해석 특성에 관한 연구 - 라이트의 로비 하우스와 이토의 센다이 미디어 테크를 중심으로 -)

  • Park, Hyung-Jin
    • Korean Institute of Interior Design Journal
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    • v.22 no.4
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    • pp.23-32
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    • 2013
  • This study represents something in common and differences of organic characteristics between early modern architecture and contemporary architecture analysing F. L. Wright's Robie House and Toyo Ito's Sendai Mediatheque. A natural organic body cannot be separated from the natural environment, and each part of an architecture has each own property and forms a whole at the same time. That is a basic concept of organic architecture, and a framework for analysis is set up based on it. The followings are similarities and differences of organic concept and interpretation between Wright's Robie House and Ito's Sendai Mediatheque First, Wright' Robie house unites with the natural surrounding, using a physically close connection to the ground. In contract, Ito's Mediatheque shows characteristics of noncentural and fluidic space that are metaphorically reflecting tangible and intangible of factors in modern city, where there is an ambiguous physical boundary between architecture and urban environment. Next, floors, walls and ceilings of Wright's housing as for basic building blocks are physically separated and at the same time form formative unity from the point of view of a physical and structural organic body. And continuous flow of faces of separated walls form an organism united with the nature from a physical aspect. On the contrary to this, there is an no-boudary and floating organic architecture of integrated structure from ambiguous setting of relation between architecture and urban space in Ito's architecture. Especially, Mediatheque shows semantic integration of floating urban environmental factors through horizontal and vertical integration of horizontal slabs, vertical pipes, and skins. Last, horizontal and vertical factors of Wright' Housing is appreciated as an basic experienced structure in terms of spacial perception and fluidic inner spaces in Wright's housing is completed with a series of spatial experiences in a visual sense. On the other hand, no-boundary and floating space of Ito's architecture accept user's physical and virtual body. Especially, there is an integration transcending beyond time and space, accepting an imaginary body and events with the course of time at Ito's Mediatheque.

A Case Study on the Spatial Configuration and Allocation of Catering Facilities of Newly-Built Elementary Schools in Sejong City (세종시 신설초등학교의 조리장 공간구성과 면적에 관한 사례 연구)

  • Song, Byung-Ha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.2
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    • pp.433-442
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    • 2017
  • This study consists of five case studies of the catering facilities of newly-built elementary schools' in Sejong City, regarding the spatial configuration and allocation. The analysis indicated that the space allocated in the cooking area in the five schools compared to the standard was as follows: School A; 99.2%, B; 91.1%, C; 81.4%, D; 110.8%, E; 88.1%. Accordingly, the cooking area was close to, or slightly above the standard; nevertheless, other areas in the facilities were not allocated sufficient space and were not appropriately planned. Among the other findings, the receiving areas of three schools were not even planned, and the receiving works were carried out in the pre-preparation area. Considering the flow of the dish-washing process, the width of the room should be at least 3.6 meters with a passage width of 1.6 meters, and easy access to the cooking and dining areas must be equipped. An interview with all five supervisors showed that most complaints focused on the cooking and dishwashing areas, whereas there were none in the storage and workers' area. The result highlights the importance of the cooking and dishwashing areas as the main functions in catering facilities, and future planning strategies should consider this aspect.

Spot Heating Technology Development for Strawberry Cultivated in a Greenhouse by Using Hot Water Pipe (온수배관을 이용한 시설딸기 부분난방기술 개발)

  • Moon, Jongpil;Kang, Geum-Choon;Kwon, Jin-Kyung;Paek, Yee;Lee, Tae Seok;Oh, Sung-Sik;Nam, Myeong-Hyeon
    • Journal of The Korean Society of Agricultural Engineers
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    • v.58 no.5
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    • pp.71-79
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    • 2016
  • The effects of spot heating for growing the strawberry cultivated in a plastic greenhouse during the winter that were estimated in Nonsan strawberry experiment station located in Chungnam. The temperature of water for heating was controlled by a electric hot water boiler and kept at the range of $22{\sim}24^{\circ}C$. Heating pipes were set up in root zone for root zone heating and very close to crown for crown heating. Spot heating effects were estimated by applying spot heating system in three test factors of heating root zone, crown only and crown plus root zone. The material for crown heating pipe was white low density polyethylene and the nominal diameter of that pipe was 16 mm. The material for root zone heating pipe was flexible stainless steel and the nominal diameter of that pipe was 15A. The flow rate of heating water circulation was 480 L/h and water circulation lasted for all day long. Temperatures, harvest yield by test beds were surveyed from Nov. 10, 2013 to Apr. 29, 2014. The temperature of crown spot for crown heating bed was at the range of $13.0{\sim}17.0^{\circ}C$ during the night and that of crown spot in control bed was at the range of $8.0{\sim}14.0^{\circ}C$. Also, the temperature of root zone for root zone heating bed was at the range of $18{\sim}21.0^{\circ}C$ and that of root zone in control bed was at the range of $13.0{\sim}15.0^{\circ}C$. The cumulative yield growth rate in earlier harvest period (from Dec. 20 to Mar. 15) of crown heating bed was 43% compared with that of control bed and the cumulative yield of crown plus root zone heating bed was 39 % and that of root zone heating bed was 39 %.

Altered Functions of Adrenoceptors in Splanchnic Vascular Beds in Portal Hypertensive Rat Model: Effect of Propranolol (문맥 고혈압 흰쥐에 있어서 내장혈관의 아드레나린성 수용체의 기능변동과 이에 대한 Propranolol의 효과)

  • Kim, Chi-Dae;Hong, Ki-Whan
    • The Korean Journal of Pharmacology
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    • v.24 no.1
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    • pp.63-70
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    • 1988
  • Alterations in splanchnic circulatory hemodynamics along with reactivities to the alpha adrenoceptor agonists were assessed in association with the preventive effects of propranolol 10 days after portal ligation. Decreases in precapillary resistance (Ra) and postcapillary resistance (Rv) along with increases in mesenteric blood flow (MBF) and capillary pressure (CP) were observed in conjunction with an increment of splenic pulp pressure (SPP). Dose-dependent increase in Rv in response to noradrenaline, increases in Ra and RV to adrenaline, and increases in superior mesenteric arterial pressure (SMAP), Ra and Rv to phenylephrine observed in sham group were significantly attenuated by portal vein stenosis. In PPL-3 group (propranolol 3 mg/kg, i.p. three times daily for 10 days), MBF was significantly decreased in association with decrease in mesenteric venous pressure (MVP) when compared with those of protal ligated (PL) group, and decreased Ra and Rv in PL group were recovered toward the values of sham group. Likewise, in PPL-1 group (propranolol 5 mg/kg, i.p. once daily for 10 days), the pressor response of Rv to adrenaline was recovered up to the level of sham group. Thus, it is suggested that decreases in Ra and Rv in association with increases in MBF and CP may have a close relevance to the increased SPP, and the changes in circulatory hemodynamics and vascular reactivities were effectively reversed by longterm propranolol treatment. Based on these results, it is concluded that these changes observed in portal hypertension are closely related with the altered functions of the adrenoceptors in the splanchnic vascular beds.

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Layer 2 Routing with Multi-Spanning Tree Per a Node (노드 당 다중 스패닝 트리를 이용한 2계층 라우팅)

  • Suh, Chang-Jin;Shin, Ji-Soo;Kim, Kyung-Mi
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.33 no.9B
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    • pp.751-759
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    • 2008
  • Carrier Ethernet backbone network integrates distributed layer-2 based metro networks. In this networks, Multiple Spanning Tree Protocol (MSTP) has been uscd as a main routing protocol that allows multiple spanning trees in a network. A better routing protocol called IEEE802.1aq - Shortest Path Bridging (SPB) is recently proposed, that generates the shortest spanning tree per a destination node. As SPB provides a routing path per a destination node, there is no way to adapt network traffic at normal condition. If we are free from the principle of "a spanning tree per a destination node", we can achieve adaptive routing. Based on this philosophy, we propose a new spanning tree based protocol - Edge Node Divided Spanning Tree (ENDIST). ENDIST divides an edge node into sub-nodes as many as connecting links from the node and each sub-node generates a single shortest path tree based on SPB. Depending on network or nodal status, ENDIST chooses a better routing path by flow-basis. This added traffic engineering ability contributes to enhanced throughput and reduced delay in backbone networks. The simulation informs us that ENDIST's throughput under heavy load performs about 3.4-5.8 and 1.5-2.0 times compared with STP's and SPB's one respectively. Also, we verified that ENDIST's throughput corresponds to the theoretical upper bound at half of cases we investigated. This means that the proposed ENDIST is a dramatically enhanced and the close-to-perfect spanning tree based routing schemes.