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Ebstein 기형에 대한 개심술 -12례 보고- (Open heart surgery of Ebstein's anomaly -Report of 12 cases-)

  • 안혁;박이태;노준량;서경필;이영균
    • Journal of Chest Surgery
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    • 제16권2호
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    • pp.157-163
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    • 1983
  • Ebstein's anomaly is a rare congenital cardiac malformation oand the ideal surgical correction seems controversial at present, and some problems are left unsolved in the surgical correction of this anomaly. Between June 1978 and June 1982, 12 patients with Ebsteins' anomaly underwent corrective open heart surgery at Seoul National University Hospital. Except for one patient, who had no ASD, all had a huge right atrium, secundum type ASD, and definite atrialized right ventricle. Typically, displaced tricuspid valve leaflets were found in all cases, but the degree of displacement and deformity were variable. In the point of NYHA functional classification, five were in class II, six were in class III, and one was in class IV. Ten patients were operated on by tricuspid valve replacement and pication. Two patients were operated on only by plication and annuloplasty techniques, and in all cases, ASD was closed. Postoperatively, four patients suffered from complete A-V block, and two of them died immediately. The remaining two patients took pacemaker generator implantation with good results. The other eight patients were in good condition. Tricuspid valve replacement using tissue valve and plication of the atrialized rght ventricle seems to be a good method of surgical correction for Ebstein's anomaly.

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기업정보 유출 방지를 위한 통합 로그분석 시스템 설계 및 검증 (Design and Verification of the Integrated Log Analysis System for Enterprise Information Security)

  • 이재용;강수용
    • 디지털콘텐츠학회 논문지
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    • 제9권3호
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    • pp.491-498
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    • 2008
  • 최근 몇 년간 악의적 내부자에 의해 기업의 기밀정보가 유출된 사례들이 급속도로 증가하고 있으며, 이는 기업의 경쟁력 약화와 심지어 기업의 생존을 좌우하고 있음에도 불구하고 내부자에 의한 기밀정보 유출을 대비한 보안대책과 보안기술은 미비한 실정이다. 이에, 본 논문에서는 현재 구축 운영 중인 기업 내부 지향적인 보안 기술들에 대한 특징과 한계들을 분석하여 기업정보 유출 사고 발생 시 그 피해를 최소화하기 위한 통합 로그분석 시스템을 제안한다. 통합 로그분석 시스템은 사전에 분석된 위협 룰에 근거하여 내부 구성원의 기밀정보 유출 가능 행위들을 사전에 탐지하는 시스템으로, 보안 및 업무단위 시스템을 연동하여 사용자의 모든 행위 로그를 수집하는 로그수집 모듈, 룰에 의해 비정상 유출행위를 탐지하며 보안지수를 생성하는 로그분석 모듈, 탐지 결과 보고서를 생성하는 모듈로 구성된다.

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용존산소 측정을 위한 무선통신 기반 휴대형 포텐쇼스탯 개발 (Development of a Portable Potentiostat with Wireless Communications for Measuring Dissolved Oxygen)

  • 이현석;한지훈;박정호
    • 전기학회논문지
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    • 제67권12호
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    • pp.1641-1647
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    • 2018
  • In this paper, we describe a portable potentiostat which is capable of cyclic voltammetry(CV) and amperometry for electrochemical dissolved oxygen sensor. In addition, this portable potentiostat can also transmit the measured data wirelessly to android devices such as smart phone, tablet, etc. through Bluetooth. The potentiostat system consists of three parts; a voltage generator circuit which is controlled by Arduino nano and 12-bit DAC(digital to analog converter) to generate necessary electric potential for operating the electrochemical sensor, an oxidation/reduction current measurement circuit, and a Bluetooth module to transmit data wirelessly to an android device. Once measurements are carried out with the android application, the measured data is transmitted to the android device via Bluetooth and displayed using the android app. in real time. In this paper, we report the measured reduction current with a fabricated dissolved oxygen sensor in both saturated-oxygen state and zero-oxygen states. The results of the developed portable potentiostat system are in good agreement with those of the commercial portable potentiostat (${\mu}stat200$, Dropsens inc.). The measured peak reduction currents using the developed potentiostat and the commercial ${\mu}stat200$ potentiostat were $-0.755{\mu}A$ and $-0.724{\mu}A$, respectively. The reduction currents measured at zero-oxygen state were $-0.005{\mu}A$ and $-0.004{\mu}A$. The discrepancy between those two systems seems very small, which implies successful development of a portable and wireless potentionstat.

Facile synthesis of nanostructured n-type SiGe alloys with enhanced thermoelectric performance using rapid solidification employing melt spinning followed by spark plasma sintering

  • Vishwakarma, Avinash;Bathula, Sivaiah;Chauhan, Nagendra S.;Bhardwaj, Ruchi;Gahtori, Bhasker;Srivastava, Avanish K.;Dhar, Ajay
    • Current Applied Physics
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    • 제18권12호
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    • pp.1540-1545
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    • 2018
  • SiGe alloy is widely used thermoelectric materials for high temperature thermoelectric generator applications. However, its high thermoelectric performance has been thus far realized only in alloys synthesized employing mechanical alloying techniques, which are time-consuming and employ several materials processing steps. In the current study, for the first time, we report an enhanced thermoelectric figure-of-merit (ZT) ~ 1.1 at $900^{\circ}C$ in ntype $Si_{80}Ge_{20}$ nano-alloys, synthesized using a facile and up-scalable methodology consisting of rapid solidification at high optimized cooling rate ${\sim}3.4{\times}10^7K/s$, employing melt spinning followed by spark plasma sintering of the resulting nano-crystalline melt-spun ribbons. This enhancement in ZT > 20% over its bulk counterpart, owes its origin to the nano-crystalline microstructure formed at high cooling rates, which results in crystallite size ~7 nm leading to high density of grain boundaries, which scatter heat-carrying phonons. This abundant scattering resulted in a very low thermal conductivity ${\sim}2.1Wm^{-1}K^{-1}$, which corresponds to ~50% reduction over its bulk counterpart and is amongst the lowest reported thus far in n-type SiGe alloys. The synthesized samples were characterized using X-ray diffraction, scanning electron microscopy and transmission electron microscopy, based on which the enhancement in their thermoelectric performance has been discussed.

Derivation of External Exposure Characteristics of Industrial Radiography Based on Empirical Evidence

  • Cho, Junik;Kim, Euidam;Kwon, Tae-Eun;Chung, Yoonsun
    • Journal of Radiation Protection and Research
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    • 제47권2호
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    • pp.93-98
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    • 2022
  • Background: This study aims to derive the characteristics of each work type for industrial radiography based on empirical evidence through expert advice and a survey of radiation workers of various types of industrial radiography. Materials and Methods: According to a Korean report, work types of industrial radiography are classified into indoor tests, underground pipe tests, tests in a shielded room (radiographic testing [RT] room test), outdoor field tests, and outdoor large structure tests. For each work type, exposure geometry and radiation sources were mainly identified through the expert advice and workers' survey as reliable empirical evidence. Results and Discussion: The expert advice and survey results were consistent as the proportion of the work types were high in the order of RT room test, outdoor large structure test, underground pipe test, outdoor field test, and indoor test. The outdoor large structure test is the highest exposure risk work type in the industrial radiography. In most types of industrial radiography, radiation workers generally used 192Ir as the main source. In the results of the survey, the portion of sources was high in the order of 192Ir, X-ray generator, 60Co, and 75Se. As the exposure geometry, the antero-posterior geometry is dominant, and the rotational and isotropic geometry should be also considered with the work type. Conclusion: In this study, through expert advice and a survey, the external exposure characteristics for each work type of industrial radiography workers were derived. This information will be used in the reconstruction of organ dose for health effects assessment of Korean radiation workers.

50-300 keV X-ray Transmission Ratios for Lead, Steel and Concrete

  • Tae Hwan Kim;Kum Bae Kim;Geun Beom Kim;Dong Wook Kim;Sang Rok Kim;Sang Hyoun Choi
    • 한국의학물리학회지:의학물리
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    • 제33권4호
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    • pp.164-171
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    • 2022
  • The number of facilities using radiation generators increases and related regulations are strengthened, the establishment of a shielding management and evaluation technology has become important. The characteristics of the radiation generator used in previous report differ from those of currently available high-frequency radiation generators. This study aimed to manufacture lead, iron, and concrete shielding materials for the re-verification of half-value layers, tenth-value layers, and attenuation curve. For a comparison of attenuation ratio, iron, lead, and concrete shields were manufactured in this study. The initial dose was measured without shielding materials, and doses measured under different types and thicknesses of shielding material were compared with the initial dose to calculate the transmission rate on 50-300 kVp X-ray. All the three shielding materials showed a tendency to require greater shielding thickness for higher energy. The attenuation graph showed an exponential shape as the thickness decreased and a straight line as the thickness increased. The difference between the measurement results and the previous study, except in extrapolated parts, may be due to the differences in the radiation generation characteristics between the generators used in the two studies. The attenuated graph measured in this study better reflects the characteristics of current radiation generators, which would be more effective for shield designing.

The first private-hospital based proton therapy center in Korea; status of the Proton Therapy Center at Samsung Medical Center

  • Chung, Kwangzoo;Han, Youngyih;Kim, Jinsung;Ahn, Sung Hwan;Ju, Sang Gyu;Jung, Sang Hoon;Chung, Yoonsun;Cho, Sungkoo;Jo, Kwanghyun;Shin, Eun Hyuk;Hong, Chae-Seon;Shin, Jung Suk;Park, Seyjoon;Kim, Dae-Hyun;Kim, Hye Young;Lee, Boram;Shibagaki, Gantaro;Nonaka, Hideki;Sasai, Kenzo;Koyabu, Yukio;Choi, Changhoon;Huh, Seung Jae;Ahn, Yong Chan;Pyo, Hong Ryull;Lim, Do Hoon;Park, Hee Chul;Park, Won;Oh, Dong Ryul;Noh, Jae Myung;Yu, Jeong Il;Song, Sanghyuk;Lee, Ji Eun;Lee, Bomi;Choi, Doo Ho
    • Radiation Oncology Journal
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    • 제33권4호
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    • pp.337-343
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    • 2015
  • Purpose: The purpose of this report is to describe the proton therapy system at Samsung Medical Center (SMC-PTS) including the proton beam generator, irradiation system, patient positioning system, patient position verification system, respiratory gating system, and operating and safety control system, and review the current status of the SMC-PTS. Materials and Methods: The SMC-PTS has a cyclotron (230 MeV) and two treatment rooms: one treatment room is equipped with a multi-purpose nozzle and the other treatment room is equipped with a dedicated pencil beam scanning nozzle. The proton beam generator including the cyclotron and the energy selection system can lower the energy of protons down to 70 MeV from the maximum 230 MeV. Results: The multi-purpose nozzle can deliver both wobbling proton beam and active scanning proton beam, and a multi-leaf collimator has been installed in the downstream of the nozzle. The dedicated scanning nozzle can deliver active scanning proton beam with a helium gas filled pipe minimizing unnecessary interactions with the air in the beam path. The equipment was provided by Sumitomo Heavy Industries Ltd., RayStation from RaySearch Laboratories AB is the selected treatment planning system, and data management will be handled by the MOSAIQ system from Elekta AB. Conclusion: The SMC-PTS located in Seoul, Korea, is scheduled to begin treating cancer patients in 2015.

촬영 및 투시용 X선 장치의 기본안전과 필수 성능에 관한 개별 기준규격의 동향 (The Tendency of Medical Electrical Equipment - IEC 60601-2-54: Particular Requirements for the Basic Safety and Essential Performance of X-ray Equipment for Radiography and Radioscopy)

  • 노영훈;김정민
    • 대한방사선기술학회지:방사선기술과학
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    • 제38권4호
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    • pp.331-336
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    • 2015
  • 식품의약품안전처 고시 "의료기기의 전기 기계적 안전에 관한 공통기준규격"이 IEC 60601-1 [3판] 따라 개정되었고 IEC-60601-1의 개별규격인 IEC 60601-2-54 또한 촬영 및 투시용 X선 장치의 기본 안전과 필수 성능에 관한 개별 기준규격으로 고시화 될 예정이다. 따라서 개별 규격의 도입에 앞서 주요 요건을 소개하고자 이 기술보고서를 작성하였다. IEC 60601-2-54의 목적은 촬영 및 투시를 위한 의료용 전기기기(이하 ME 기기) 및 ME 시스템에 요구되는 기본 안전과 필수 성능 요구사항을 확보하려는 것이다. IEC 60601-2-54는 방사선 촬영 및 투시장치의 X선 고전압장치, X선 기계장치, 방사선 방어 등에 관한 내용이다. 의료기기의 전기 기계적 안전에 관한 공통기준규격, 의료기기의 전자파 안전에 관한 공통기준규격, 의료기기의 방사선안전에 관한 보조기준 규격이 본 규격에 적용되었다. IEC-60601-2-54가 고시화될 경우 촬영 및 투시용 X선 장치의 기본 안전과 필수 성능에 관한 이해를 넓히고 국내 의료기기 산업의 국제화에 일조할 것이라고 판단된다.

Power Enhance Effect on the Hybrid Cell Based on Direct Current Nanogenerator and an Organic Photovoltaic Device

  • 윤규철;신경식;이근영;이주혁;김상우
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2013년도 제45회 하계 정기학술대회 초록집
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    • pp.298-298
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    • 2013
  • Finding renewable and clean energy resources is essential research to solve global warming and depletion of fossil fuels in modern society. Recently, complex harvesting of energy from multiple sources is available in our living environments using a single device has become highly desirable, representing a new trend in energy technologies. We report that when simultaneously driving the fusion and composite cells of two or more types, it is possible to make an affect the other cells to obtain a greater synergistic effect. To understand the coupling effect of photovoltaic and piezoelectric device, we fabricate the serially integrated hybrid cell (s-HC) based on organic solar cell (OSC) and piezoelectric nanogenerator (PNG). The size of increased voltage peaks when OSC and PNG are working on is larger than the case when only PNG is working. This voltage difference is the Voc change of OSC, not the voltage change of PNG and current density difference between these two cases is manifested more clearly. When the OSC and PNG are working in s-HC at the same time, piezoelectric potential (VPNG) is generated in ZnO and theoretical total voltage is sum of voltage of an OSC (VOSC) and VPNG. However, electrons from OSC are influenced by piezoelectric potential in ZnO and current loss of OSC in whole circuit decreases. As a result, VOSC increases temporarily. Current shows the similar behavior. PNG acts a resistance in the whole circuit and current loss occurs when the electrons from OSC pass through the PNG. But piezoelectric potential recover current loss and decrease the resistance of PNG. Our PNG can maintain piezoelectric potential when the strain is held owing to the LDH layer while general PNG cannot maintain piezoelectric potential. During the section that strain is held, voltage enhancement effect is maintained and same effect appeared even turn off the light. Actually at this time, electrons in ZnO nanosheets move to LDH and trapped by the positive charges in this layer. After this strain is held, piezoelectric potential of ZnO nanosheets is disappeared but potential difference which is developed by negative charge dominant LDH layer is remained. This potential acts similar role like piezoelectric potential in ZnO. Electrons from the OSC also are influenced by this potential and the more current flows.

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실시간 헬스케어 모니터링의 독립 구동을 위한 접촉대전 발전과 전자기 발전 원리의 융합 (Stand-alone Real-time Healthcare Monitoring Driven by Integration of Both Triboelectric and Electro-magnetic Effects)

  • 조수민;정윤수;김현수;박민석;이동한;감동익;장순민;라윤상;차경제;김형우;서경덕;최동휘
    • Korean Chemical Engineering Research
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    • 제60권1호
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    • pp.86-92
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    • 2022
  • 최근 COVID-19 팬데믹 등 다양한 이유로 인해 바이오 헬스케어 시장이 전세계적으로 활성화되고 있다. 그 중, 생체정보 측정 및 분석 기술은 앞으로의 기술적 혁신성과 사회경제적 파급효과를 불러일으킬 것으로 예측된다. 기존의 시스템은 생체 신호를 받아 신호 처리를 하는 과정에서 신호 송×수신부, 운영체제, 센서, 그리고 인터페이스를 구동하기 위한 대용량 배터리를 필수적으로 요구한다. 하지만, 배터리 용량의 한계가 인해 시×공간적인 기기 사용의 제한을 야기하며, 이는 사용자의 헬스케어 모니터링에 필요한 데이터의 단절에 대한 원인으로 작용할 수 있으므로 헬스케어 디바이스의 큰 걸림돌 중의 하나이다. 본 연구에서는 생체정보 측정 장치에 접촉대전 효과(Triboelectric effects)와 전자기유도 효과(Electro-magnetic effects)를 융합하여, 외부 전원을 요구하지 않는 독립 구동이 가능한 시스템을 구성하여 시×공간적으로 사용 제한이 없는 소형 생체정보 측정 모듈을 설계 및 검증했다. 특히, 다양한 헬스케어 모니터링 중 족압 계측을 통해 사용자의 보행 습관 등을 파악할 수 있는 무선 족압 계측 모니터링 시스템을 검증했다. 보행 시 발생하는 접촉×분리 움직임에서 접촉대전 효과를 이용한 효과적인 압력 센서와 압력에 따른 전기적 출력신호를 통해 족압 센서를 만들고, 축전기를 이용한 신호처리 회로를 통해 이의 동적 거동을 계측할 수 있다. 또한, 출력된 전기신호의 무선 송×수신용 전원으로 사용하기 위해 전자기 유도 효과를 이용하여 보행 시 생기는 생체역학적 에너지를 전기에너지로 수확했다. 따라서, 이번 연구는 사용자가 제한적인 배터리 용량 때문에 생기는 충전에 대한 불편함을 줄일 수 있고, 뿐만 아니라 데이터 단절에 대한 문제점을 극복할 수 있는 방법으로서 큰 잠재력을 보여줌을 시사한다.