• Journal of Life Science
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• v.20 no.9
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• pp.1299-1305
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• 2010

Cardiac troponin-I (cTnI), creatine kinase-MB (CK-MB), and C-reactive protein (CRP) are routine cardiac markers for the diagnosis of cardiovascular disease. Recently, brain natriuretic peptide (BNP) has garnered attention as a marker of heart failure. This study was retrospectively designed to investigate the relationships between preoperative BNP, other cardiac markers levels and perioperative parameters in seventy-four adult patients that underwent off-pump coronary artery bypass grafting (OPCAB) and to assess its usefulness for predicting postoperative outcomes. Preoperative levels of BNP, cTnI, CK-MB, and CRP had significantly positive or negative correlations with echocadiographic parameters. There were significantly positive relationships between BNP, cTnI, CK-MB, and CRP concentration. Postoperative mechanical ventilation time had a positive correlation to preoperative levels of cTnI, CK-MB, and CRP, while ICU-staying period had a positive correlation with BNP, cTnI and CK-MB. These results reveal that a preoperative level of BNP is a good predictor and that its combination with cTnI, CK-MB, and CRP might be useful for diagnosis and comprehensive risk stratification of patients with coronary heart diseases, as well as prognosis of perioperative outcomes in OPCAB patients.

• Journal of Chest Surgery
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• v.41 no.4
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• pp.492-495
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• 2008

A functional single lung caused by lung diseases or pneumonectomy can result in anatomic and physiologic changes that may interfere with the conduct of subsequent coronary artery bypass surgery. Since. this type of case is extremely rare, there has not been any report on this in Korea. A 71-year-old female with a history of a destroyed left lung from pulmonary tuberculosis 13 years ago was admitted for evaluation of her increasing chest pain that she'd experienced for 2 weeks. Since coronary angiographies demonstrated 80% stenosis of the left main os, $90{\sim}95%$ stenosis of the p-LAD, 90% stenosis of the m-LCx and 90% stenosis of the RCA, coronary artery bypass surgery (CABG) was planned. Off-pump CABG with vein grafts through a median sternotomy was performed and the patient recovered the same as other CABG patients without complications.

• Journal of the Korean Society of Propulsion Engineers
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• v.19 no.2
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• pp.65-72
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• 2015

Performance tests of a turbopump for the developing 7-tonf liquid rocket engine were conducted. The performance of turbopump components and their power matching were measured and examined firstly under the LN2 and water environment. In the real propellant(LOX and kerosene) environment tests, design and off-design performances of turbopump were fully verified. During the off-design tests, turbopump running time was set the same as engine operating time and pump inlet pressure were set lower than nominal operating value in order to investigate pump suction capability. It have been verified that subject turbopump satisfies required performance - flow rate, head, suction performance and operational time - in the operating regime of developing liquid rocket engine.

• Journal of Chest Surgery
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• v.39 no.8 s.265
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• pp.604-610
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• 2006

Background: Recent improvements in interventional procedure and medical therapy for congestive heart failure result in an increase of number of patients with ischemic cardiomyopathy considered for coronary artery bypass grafting. We retrospectively review the results of CABG in these patients with decreased LV function to know the early and mid-term follow-up results. Material and Method: Between January 2001 and June 2005, 1,143 patients underwent coronary artery bypass grafting and 144 of these patients had preoperative left ventricular function of equal to or less than 35% ${(LVEF{\leq}\;35%)}$. There were off-pump coronary artery bypass grafting (OPCAB) in 66 cases (45.8%), on-pump beating heart coronary artery bypass grafting in 34 cases (23.6%) and conventional coronary artery bypass grafting in 44 cases (30.6%). The combined operations including mitral annuloplasty were 48 cases in thirty five patients (24.3%). Result: The mean number of dstal anastomosis were $3.5{\pm}1.3$. The median postoperative duration of stay in intensive care unit and hospital was 2 days and 8 days, respectively. There were 6 early death (4.2%) and causes of deaths were ventricular tachycardia in 5 patients, small bowel infarction in one patient. Mean follow-up time was $21{\pm}14$ months $(4{\sim}54\;months)$. The 1-year was $95{\pm}2%$ and 3-year survival rate was $83{\pm}7%$, the 1-year and 3-year cardiac event-free survival were ${88{\pm}3%\;and\;69{\pm}7%}$, respectively. Conclusion: Based on satisfactory early and mid-term results in our study, CABG should be carried out as actively as possible in patients with ischemic cardiomyopathy. Postoperative aggressive management for ventricular arrhythmia would be helpful for better results.

• Journal of Chest Surgery
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• v.37 no.5
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• pp.416-422
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• 2004

Acute renal failure (ARF) is a common postoperative complication after the cardiac surgery. Postoperative ARF have various causes, and are combined with other complications rather than being the only a complication. It deteriorates the general condition of the patient, and makes it difficult to manage the combined complications by disturbing the adequate medication and fluid therapy. We have planned this study to evaluate the effects of postoperative ARF after the on-pump coronary artery bypass surgery (CABG) on the recovery of patients and identify the risk factors. Method and Material: We reviewed the medical records of patients who underwent CABG with cardiopulmonary bypass by a single surgeon from Jan. 2000 to Dec. 2002, We checked the preoperative factors; sex, age, history of previous serum creationism over 2.0 mg/㎗, preoperatively last checked serum creatinine, diabetes, hypertension, left ventricular ejection fraction, intraoperative factors; whether the operation is an emergent case or not, cardiopulmonary bypass time, aortic cross clamp time, the number of distal anastomosis, postoperative factors: IABP. Then we have studied the relations of these factors and the cases of postoperative peak serum creatinine over 2.0 mg/㎗. Result: There were 19 cases with postoperative peak serum creatinine over 2.0 mg/㎗ in a total 97 cases. Dialysis were done in 3 cases for ARF with pulmonary edema and severely reduced urine output. There were 8 cases (42.1%) with combined complications among the 19 patients. This finding showed a significant difference from the 5 cases (6,4%) in the patients whose creatinine level have not increased over 2.0 mg/㎗. The mortalities are different as 1.3% to 10.5%. The risk factors that are related with postoperative serum creatinine increment over 2.0 mg/㎗ are diabetes, the history of previous serum creatinine over 2.0 mg/㎗ and left ventricular ejection fraction. Conclusion: Postoperative ARF after the on-pump CABG is related with preoperative diabetes, the history of previous serum creatinine over 2,0 mg/㎗ and left ventricular ejection fraction. Postoperative ARF could De the reason for increased rate of complications and mortality after on-pump CABG. Therefore, in the patients with these risk factors, the efforts to prevent postoperative ARF like off-pump CABG should be considered.

• Journal of the Korea Institute of Building Construction
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• v.18 no.1
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• pp.17-24
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• 2018

The pullout test, a nondestructive testing(NDT), for pre-installed inserts is perhaps the most widely used technique to estimate the in-situ compressive strength of concrete. It measures the force needed to pullout a standardized metal insert embedded into concrete members. The pullout test was certified by the American Society for Testing and Materials(ASTM) and Canadian Standards Association(CSA) as a reliable method for determining the strength of concrete in concrete structures under construction. To easily estimate the strength of ultra-high-strength concrete, a simplified pullout tester, primarily composed of a standard 12mm bolt with a groove on the shaft as a break-off bolt, an insert nut, and a hydraulic oil pump without a load cell, was proposed. Four wall and two slab specimens were tested for two levels of concrete strength, 80MPa and 100MPa, using a simplified pullout tester with a load cell to verify the advantages of the pullout test and simplified pullout test. The compressive strength of concrete, pullout load, and the rupture of the break-off bolt were measured 11 times, day 1 to 7, 14, 21, 28, and 90. The correlation of the pullout load and the compressive strength of each specimen show a higher degree of reliability. Therefore, a simplified pullout test can be used to evaluate the in-place strength of ultra-high-strength concrete in structures. The prediction equation for the groove diameter of the break-off bolt(y) with the concrete strength(x) was proposed as y=0.0184x+5.4. The results described in this research confirm the simplified pullout's utility and potential for low cost, simplicity, and convenience.

• Journal of the Institute of Electronics Engineers of Korea SD
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• v.46 no.2
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• pp.93-100
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• 2009

This paper presents a step up four channel DC-DC converter using charge pump voltage doubler structure. Our goal is to design and implement DC-DC converter for capacitive SP4T RF MEMS switch in front end module in wireless transceiver system. Charge pump structure is small and consume low power 3.3V input voltage is boosted by DC-DC Converter to $11.3{\pm}0.1V$, $12.4{\pm}0.1V$, $14.1{\pm}0.2V$ output voltage With 10MHz switching frequency. By using voltage level shifter structure, output of DC-DC converter is selected by 3.3V four channel selection signals and transferred to capacitive MEMS devices. External passive devices are not used for driving DC-DC converter. The total chip area is $2.8{\times}2.1mm^2$ including pads and the power consumption is 7.52mW, 7.82mW, 8.61mW.

• Journal of Chest Surgery
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• v.47 no.4
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• pp.416-419
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• 2014

Recurrent ventricular arrhythmia can be fatal and cause serious complications, particularly when it is caused immediately after an operation. Incorrect placement of a Swan-Ganz catheter can trigger life-threatening ventricular arrhythmia, but even intensive care specialists tend to miss this fact. Here, we report a case of recurrent ventricular arrhythmia causing a severe hemodynamic compromise; the arrhythmia was induced by a severely angulated Swan-Ganz catheter. The recurrent ventricular arrhythmia was not controlled by any measures including repositioning of the catheter, until the complete removal of the Swan-Ganz catheter. It is necessary to keep in mind that the position of the pulmonary artery catheter should be promptly checked if there is intractable recurrent ventricular arrhythmia.

• Journal of Power Electronics
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• v.15 no.3
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• pp.587-601
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• 2015

A high step-up dc-dc converter is proposed for photovoltaic power systems in this paper. The proposed converter consists of an input current doubler, a symmetrical switched-capacitor doubler and an active-clamp circuit. The input current doubler minimizes the input current ripple. The symmetrical switched-capacitor doubler is composed of two symmetrical quasi-resonant switched-capacitor circuits, which share the leakage inductance of the transformer as a resonant inductor. The rectifier diodes (switched-capacitor circuit) are turned off at the zero current switching (ZCS) condition, so that the reverse-recovery problem of the diodes is removed. In addition, the symmetrical structure results in an output voltage ripple reduction because the voltage ripples of the charge/pump capacitors cancel each other out. Meanwhile, the voltage stress of the rectifier diodes is clamped at half of the output voltage. In addition, the active-clamp circuit clamps the voltage surges of the switches and recycles the energy of the transformer leakage inductance. Furthermore, pulse-width modulation plus phase angle shift (PPAS) is employed to control the output voltage. The operation principle of the converter is analyzed and experimental results obtained from a 400W prototype are presented to validate the performance of the proposed converter.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.12 no.4
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• pp.354-362
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• 2000

Optimal supervisory control strategy for the set points of controlled variables in the central cooling system has been studied by computer simulation. A quadratic linear regression equation for predicting the total cooling system power in terms of the controlled and uncontrolled variables was developed using simulated data collected under different values of controlled and uncontrolled variables. The optimal set temperatures such as supply air temperature, chilled water temperature, and condenser water temperature, are determined such that energy consumption is minimized as uncontrolled variables, load, ambient wet bulb temperature, and sensible heat ratio, are changed. The chilled water loop pump and cooling tower fan speeds are controlled by the PID controller such that the supply air and condenser water set temperatures reach the set points designated by the optimal supervisory controller. The influences of the controlled variables on the total system and component power consumption was determined. It is possible to minimize total energy consumption by selecting the optimal set temperatures through the trade-off among the component powers. The total system power is minimized at lower supply, higher chilled water, and lower condenser water set temperature conditions.