• Journal of Chest Surgery
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• v.12 no.3
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• pp.281-288
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• 1979

For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

• Journal of Chest Surgery
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• v.12 no.3
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• pp.289-296
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• 1979

For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

• Journal of the Korean Geosynthetics Society
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• v.9 no.3
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• pp.87-93
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• 2010

The change of water level in reservoirs is an important factor causing failure of bank slopes, i.e. landslide. The water level of Three Gorges reservoir in China fluctuate between 145 m and 175 m, as a matter of flood control. During its normal operational state, the rate of water level fluctuation is supposed to range from 0.67 m/d to 3.0 m/d. Majiagou slope is located on the left bank of Zhaxi River, 2.1 km up from the outlet. Zhaxi River is a tributary of the Yangtze River within the Three Gorges area, of which the water level changes with the reservoir. At the back of Majiagou slope, a 20 m long and 3~10 cm wide fissure developed just after the reservoir water level rose from 95 m to 135 m in 2003. This big fissure was a full suggestion of potential failure of this slope. In this study, the pore water pressure files obtained from seepage analysis were used to evaluate the change in factor of safety (FS) with reservoir water level. Slope stability analyses then were carried out, with fully specified slip surface and limit equilibrium method. In the limit equilibrium analysis, the contribution of negative pore water pressure to shear strength was considered by the use of Fredlund's shear strength equation for unsaturated soils. On the base of the analyses, the change of FS with reservoir water level was interpreted in detail. It was found that FS against bank slopes decreases with the rise of the reservoir water level and increases with the drawdown of the reservoir water level. The most dangerous state was when the reservoir water level stays at the highest for a long time.

• Journal of the Korean Society of Marine Environment & Safety
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• v.27 no.5
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• pp.683-690
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• 2021

The ventilation system of the engine room of a ship is generally installed to supply the combustion air necessary for the internal combustion engine and to remove the heat source generated in the engine room, and it must satisfy the international standard (ISO 8861) for the design conditions and calculation standards for the ventilation of the ship engine room. The response delay of the ventilation system including the fire detector is affected by the airflow formed inside the area and the location of the fire detector. In this study, to improve the initial fire detection response speed of a fire detector installed on a fishing vessel and to maintain the sensitivity of the installed detector, the smoke behavior was simulated using the air flow field inside the engine room, the amount of combustion air in the internal combustion engine, and the internal pressure of the engine room as variables. Analysis of the simulation results showed that reducing the flow rate in the air flow field and increasing the vortex by reducing the internal pressure of the engine room and installing a smoke curtain would accelerate the rise of the ceiling of the smoke component and improve the smoke detector response speed and ventilation system.

• Korean Chemical Engineering Research
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• v.57 no.6
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• pp.790-803
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• 2019

The dioctyl terephthalic acid (DOTP) process produces plastic plasticizers by esterification of terephthalic acid with powder in the form of octanol. In this study, the dust explosion characteristics of terephthalic acid directly injected into the manhole in the form of powder in the presence of flammable solvent or vapor in the reactor of this process were investigated. Dust particle size and particle size distribution dust characteristics were investigated, and pyrolysis characteristics of dust were investigated to estimate fire and explosion characteristics and ignition temperature. Also, the minimum ignition energy experiment was performed to evaluate the explosion sensitivity. As a result, the average particle size of terephthalic acid powder was $143.433{\mu}m$. From the thermal analysis carried out under these particle size and particle size distribution conditions, the ignition temperature of the dust was about $253^{\circ}C$. The lower explosive limit (LEL) of the terephthalic acid was determined to be $50g/m^3$. The minimum ignition energy (MIE) for explosion sensitivity is (10 < MIE < 300) mJ, and the estimated minimum ignition energy (Es) based on the ignition probability is 210 mJ. The maximum explosion pressure ($P_{max}$) and the maximum explosion pressure rise rate $({\frac{dP}{dt}})_{max}$ of terephthalic acid dust were 7.1 bar and 511 bar/s, respectively. The dust explosion index (Kst) was 139 mbar/s, corresponding to the dust explosion grade St 1.

• Journal of Korean Society of Disaster and Security
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• v.16 no.4
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• pp.19-31
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• 2023

According to the climate change scenarios, the intensity of typhoons, a major factor in Korea's natural disaster, is expected to increase. The increase in typhoon intensity leads to a rise in wave heights, which is likely to cause large-scale disasters in coastal regions with high populations and building density for dwelling, industry, and tourism. This study, therefore, analyzed observation data of the Donghae ocean data buoy and conducted a numerical model simulation for wave estimations for the typhoon MAYSAK (202009) period, which showed the maximum significant wave height. The boundary conditions for wave simulations were a JMA-MSM wind field and a wind field applying the typhoon central pressure reduction rate in the SSP5-8.5 climate change scenario. As a result of the wave simulations, the wave height in front of the breakwater at Sokcho port was increased by 15.27% from 4.06 m to 4.68 m in the SSP5-8.5 scenario. Furthermore, the return period at the location of 147-2 grid point of deep-sea design wave was calculated to increase at least twice, it is necessary to improve the deep-sea design wave of return period of 50-year, which is prescriptively applied when designing coastal structures.

• Transactions of the Korean Society of Mechanical Engineers B
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• v.36 no.1
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• pp.97-102
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• 2012

A hermetically sealed oil transformer is designed by applying expanding function of the tank due to the volume changes of the insulation oil according to the temperature rises. When the insulation oil expands, an increase in the volume of the corrugated fin prevents a pressure rise of the transformer. For a wind turbine transformer, a vegetable-oil-immersed transformer has the advantages of excellent biodegradation and fire-resistant properties like an exceptionally high fire point. When vegetable oil is substituted for mineral oil, however, the maximum winding temperature rises because of the decrease in the internal circulation flow rate resulting from the variations of the oil's physical characteristics, such as density and viscosity. The purpose of this study is to develop a hermetically sealed vegetable oil transformer that can be applied in a wind turbine and to analyze the thermal stability of the active part of the transformer to deal with pressure variations due to the temperature changes. In addition, thermal tests for the vegetable oil transformer have been performed, and the measured values are compared with the analysis results.

• Geomechanics and Engineering
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• v.37 no.6
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• pp.599-614
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• 2024

To evaluate the safety status of deteriorated segments in a submarine shield tunnel during its service life, a seepage model was established based on a cross-sea shield tunnel project. This model was used to study the migration patterns of erosive ions within the shield segments. Based on these laws, the degree of deterioration of the segments was determined. Using the derived analytical solution, the internal forces within the segments were calculated. Lastly, by applying the formula for calculating safety factors, the variation trends in the safety factors of segments with different degrees of deterioration were obtained. The findings demonstrate that corrosive seawater presents the evolution characteristics of continuous seepage from the outside to the inside of the tunnel. The nearby seepage field shows locally concentrated characteristics when there is leakage at the joint, which causes the seepage field's depth and scope to significantly increase. The chlorine ion content decreases gradually with the increase of the distance from the outer surface of the tunnel. The penetration of erosion ions in the segment is facilitated by the presence of water pressure. The ion content of the entire ring segment lining structure is related in the following order: vault < haunch < springing. The difference in the segment's rate of increase in chlorine ion content decreases as service time increases. Based on the analytical solution calculation, the segment's safety factor drops more when the joint leaks than when its intact, and the change rate between the two states exhibits a general downward trend. The safety factor shows a similar change rule at different water depths and continuously decreases at the same segment position as the water depth increases. The three phases of "sudden drop-rise-stability" are represented by a "spoon-shaped" change rule on the safety factor's change curve. The issue of the poor applicability of indicators in earlier studies is resolved by the analytical solution, which only requires determining the loss degree of the segment lining's effective bearing thickness to calculate the safety factor of any cross-section of the shield tunnel. The analytical solution's computation results, however, have some safety margins and are cautious. The process of establishing the evaluation model indicates that the secondary lining made of molded concrete can also have its safety status assessed using the analytical solution. It is very important for the safe operation of the tunnel and the safety of people's property and has a wide range of applications.

• The Korean Journal of Pain
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• v.1 no.1
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• pp.20-27
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• 1988

Continuous cervical epidural anesthesia with two different concentrations of bupivacaine had been performed in 43 cases for surgery of upper extremity and cervical spine. After the initial dose of 0.33% bupivacaine 15ml to Group I(n=22) and 0.5% bupivacaine 15ml to Group II(n=21) was injected respectively, we observed the circulatory and pulmonary functions to be changed, and evaluated the duration of those analgesic action. The number of spinal segment to be affected and the complications were checked. Statistical significance of changes after the initial dose in both groups was determined by student's t-test. All values are impresed as mean$\pm$1S.D.. The results were as follows: 1) Circulatory functions; Systolic B.P. and Pulse rate were decreased by 10~15torr and 5~6 beats per minute respectively between 10~30 minutes following the initial dose, which were statistically significant in both groups. 2) Pulmonary functions; The diminution of minute volume showed to 20% and a rise of $PaCO_2$ level to 5~6 torr respectively between 30~60 minutes following the initial dose, which were statistically significant in both groups. There were no significant changes in self respiration and respiratory rate in both groups. 3) The duration of analgesic action was $72.3{\pm}25.7$(min) in Group I and $83.5{\pm}28.5$(min) in Group II which was not statistically significant between two groups, and the number of affected spinal segment at ore hour following the Anesthusia was $8.7{\pm}2.0$ in Group I and $10.5{\pm}2.4$ in Group II which was statistically significant between two groups. 4) Complications; a. Hypotension(below 80torr in systolic pressure) was appeared in 5% of all patients. b. Bradycardia(below 60 beats per minutes) was appeared in 25% of all patients. c. Inadvertent dural puncture was developed in only one patient, In conclusion, the 0.33% bupivacaine as well as 0.5% bupivacaine were enough for those analgesic effect in the above mentioned surgery even though the duration of analgesic action was about 10 minutes shorter in Group I than that of Group II. The cardiopulmonary function was clinically rather stable in Group I than that of Group II. Therefore we thought 0.33% bupivacaine was satisfactory for the clinical practicality in the cervical epidural anesthesia.

• Journal of Korean Society of Water and Wastewater
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• v.34 no.6
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• pp.393-402
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• 2020

In the membrane process, it is important to improve water treatment efficiency to ensure water quality and minimize membrane fouling. In this study, a pilot study of membrane process using reservoir water was conducted for a long time to secure high flux operation technology capable of responding to influent turbidity changes. The raw water and DAF(Dissolved Air Flotation) treated water were used for influent water of membrane to analyze the effect of water quality on the TMP (Trans Membrane Pressure) and to optimize the membrane operation. When the membrane flux were operated at 70 LMH and 80 LMH under stable water quality conditions with an inlet turbidity of 10 NTU or less, the TMP increase rates were 0.28 and 0.24 kPa/d, respectively, with minor difference. When the membrane with high flux of 80 LMH was operated for a long time under inlet turbidity of 10 NTU or more, the TMP increase rate showed the maximum of 43.5 kPa/d. However, when the CEB(Chemically Enhanced Backwash) cycle was changed from 7 to 1 day, it was confirmed that the TMP increase rate was stable to 0.23 kPa/d. As a result of applying pre-treatment process(DAF) on unstability water quality conditions, it was confirmed that the TMP rise rates differed by 0.17 and 0.64 kPa/d according to the optimization of the coagulant injection. When combined with coagulation pretreatment, it was thought that the balance with the membrane process was more important than the emphasis on efficiency of the pretreatment process. It was considered that stable TMP can be maintained by optimizing the cleaning conditions when the stable or unstable water quality even in the high flux operation on membrane process.