• Journal of Chest Surgery
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• v.24 no.4
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• pp.323-330
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• 1991

Residual significant tricuspid regurgitation after mitral valve operation may significantly increase postoperative morbidity and mortality. However, routine techniques to detect tricuspid regurgitation preoperatively and postoperatively are not accurate. Doppler echocardiography was performed preoperatively and postoperatively to assess its ability to evaluate and quantify the severity of tricuspid regurgitation. In 34 patients with tricuspid regurgitation secondary to mitral valvular disease the tricuspid regurgitations were semiquantified on a scale of 1 to 3+. The 34 patients were divided into two groups on the basis of severity of tricuspid regurgitation as assessed by preoperative Doppler echocardiography. Group I [8 patients] had mild[1+] regurgitation, and group II [26 patients] had moderate to severe[2 ~ 3%] tricuspid regurgitation. In all studied patients, preoperative Doppler echocardiographic studies for the degree of tricuspid regurgitation were correlated with clinical symptoms[including NYHA class] and hemodynamics[JVP and right ventricular systolic pressure], and used as the indicator to determine whether tricuspid annuloplasty should be performed or not. Patients with significant tricuspid regurgitation[group II ] had greater preoperative right ventricular systolic pressures and NYHA classes, although there was no correlation between them. The 8 patients with mild[1+] tricuspid regurgitation[group I ] didn`t undergo any procedure for the tricuspid regurgitation and their postoperative Doppler echocardiographic studies showed the less than mild[0 ~ 1+] tricuspid regurgitation, and the 26 patients with significant[>2+] tricuspid regurgitation, and the 26 patients with significant[>2+] tricuspid regurgitation[group II ] underwent tricuspid annuloplasty for the tricuspid regurgitation and the postoperative Doppler echocardiographic studies showed the findings similar to group I except 1 patient who underwent Carpentier`s ring annuloplasty and had severe right ventricular failure. Therefore, preoperative Doppler echocardiography can accurately assess the relative severity of tricuspid regurgitation. Importantly, postoperative Doppler echocardiography could conveniently determine the effect of tricuspid annuloplasty for the patients with significant tricuspid regurgitation. Doppler echocardiography may be an important diagnostic method both for evaluating the degree of residual tricuspid regurgitation after left heart operation as well as for determining which patients should undergo tricuspid valve repair.

• Journal of Chest Surgery
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• v.32 no.1
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• pp.75-79
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• 1999

Budd-Chiari syndrome is a state of hepatic failure caused by impairment of blood flow anywhere from the inferior vena cava to the right atrium. In this case, a 45 year old patient had undergone membranotomy and dilatation with autogenous pericardial graft due to obstruction of the inferior vena cava caused by a congenital membrane in 1987. Ten years after the operation, restenosis occurred. Although a noninvasive method with a Gianturco stent dilatation was performed, a satisfactory result was not obtained. A reoperation was performed. The stenotic segment of inferior vena cava was excised and after augmentation with a prepared pentagon shaped Gore-Tex artificial graft allowing passage of two fingers. The patient's postoperative course was uneventful without signs of rebleeding or any other complications and the patient was discharged at postoperative two weeks without the use of anticoagulants. An excellent result was obtainable after operation using a prepared Gore-Tex graft and such a result. Reoperational case of Budd-Chiari syndrome may require rapid and excellent the operative techenic by prevention of massive bleeding under use of extracorporeal circulation.

• Journal of the korean academy of Pediatric Dentistry
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• v.26 no.4
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• pp.623-629
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• 1999

The definition of fascial spaces are latent spaces between fascial planes. If infections which spread from dental origin to soft tissue are mild, they are restricted by fascial planes. But, when infections are severe, fascial spaces are often used as a natural pathway which spread to the deep cervical region. If they are not treated at early stage, they may result in the fatal complications as followings; airway obstruction, septicemia, cerebral abscess, and thrombophlebitis etc. The early treatment of fascial space abscess is very important for young children. These case reports present the successful result of fascial space abscess treatment through intracanal drainage without surgical excision. It is proven that the treatment through intracanal drainage has some benefits to the surgical excision, which are as follows: 1) It is economic to the patients or their parents avoiding admission. 2) The treatment procedure is more simple. 3) Childrens can avoid the fearful environment.

• Journal of Chest Surgery
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• v.30 no.11
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• pp.1117-1120
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• 1997

Ten cases with esophageal foreign body were treated surgically from July 1980 to October 1995 at the Departme t of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital. The mean age was 45.3 years, with a range from 25 to 71. Out of ten cases, 6 were female and four were male. Common symptoms were dysphagia, fever, foreign body sensation and neck pain. Three cases of foreign bodies were of fish bones, two of bubble paclcage of drugs, one case of a Eeer bottle cap, one of a piece glass, one of a bathtub plug, one of chicken and one of a bean. The diagnosis was established by esophagography using a water soluble contrast material and esophagoscopy. Among of ten cases, two had esophageal stricture due to the ingestion of Aye at a young age. One case had experienced psychological problems. All foreign bodies were removed by surgical procedures. Five cases were treated by cervical esophagostomy, one case by right thoracotomy, one case by retrograde bougienation through gastrostomy and two cases by cervical incision and drainage for cervical abscess. Three cases developed pos operative esophageal leaks which healed spontaneously and transient hoarseness developed in one case. One case developed traumatic pneumothorax and subcutaneous emphysema which was treated by closed thoracostomy. There were no operative deaths. C(ocean J Thorac Cardiovasc Surg 1997;30:1117-20)

• Journal of Veterinary Clinics
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• v.24 no.1
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• pp.26-28
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• 2007

An 11-year-old castrated male, Shih-tzu dog was admitted for progressive weight-bearing lameness and mass on the right hindlimb. Radiography and ultrasonography revealed a large well-marginated multinodular mass with mixed echogenicity. On T1 and T2-weighted magnetic resonance imaging (MRI), the mass has a heterogenous signal intensity similar to or higher than muscle. The masses were extended to the pelvic cavi쇼 through obturator foramen and displaced the rectum dorsally. It was diagnosed as synovial sarcoma which was composed with mesenchymal and epithelial elements on histopathological findings of the multifocal biopsied specimen. MRI was helpful to determine the definitive margin for surgical resection of the mass. The mass was recurred at the 6th month after surgery. On the 10th month, the patient was euthanasiuzed by owner's request.

• Proceedings of the Korean Institute of Surface Engineering Conference
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• 2016.11a
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• pp.144-144
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• 2016

플라즈마 전해 산화법(Plasma electrolytic oxidation)에 의해 형성된 코팅층은 특유의 기공구조로 인해 부식 환경에 노출 시 부식액의 침투가 급속히 이루어지는 단점이 있다. 이를 극복하기 위한 방법으로 유기코팅, sol-gel법, 폴리머 코팅 등에 의해 기공을 봉공(sealing)하는 방법이 제안되고 있다. 본 연구에서는 Al 합금의 플라즈마 전해 산화 처리 후 질산 세륨 수용액(Cerium nitrate solution)에 의한 봉공 효과를 확인하고자 하였다. PEO 코팅을 위한 전해액은 2g/L의 KOH와 $2g/L\;Na_2SiO_3$를 증류수에 용해시켜 준비하였다. PEO 코팅층은 Al 시편을 전해액 내에 위치시켜 양극으로 하고 STS를 음극으로 하여 $0.1A/cm^2$의 펄스 정전류밀도(주파수: 100Hz, 듀티비: 20%)를 15분 동안 인가하여 형성시켰다. 봉공을 위한 실링액은 증류수에 $0.3g/L\;H_2O_2$와 $1g/L\;H_3BO_3$를 첨가하고, $Ce(NO_3)_3$를 농도 변수로 첨가하여 준비하였으며, PEO 코팅 처리된 시편을 실링액에 침지하여 실링액의 농도와 침지시간을 달리하여 봉공을 실시하였다. 제작된 PEO 코팅층에 대해 SEM, EDS, XRD를 이용한 표면분석을 실시하였으며, 내식성을 확인하고자 동전위분극시험을 실시하였다. 연구 결과, 세륨 실링 처리된 PEO 코팅 층에서 미량의 세륨 성분이 검출되었으나, 세륨계 화합물 생성에 의한 마이크로 크기의 기공의 폐쇄는 관찰되지 않았다. 또한, 전기화학적 특성 평가 결과 실링 처리된 PEO 코팅층의 경우 Al 모재에 비해 2차수 정도 감소된 부식전류밀도를 나타내었다. 이 같은 내식성의 향상은 세륨 성분에 의한 부식 억제 효과 때문으로 판단된다.

• Restorative Dentistry and Endodontics
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• v.26 no.4
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• pp.326-331
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• 2001

목적 - 최근 복합레진의 미세변연누출을 줄이기 위한 새로운 광중합 조사방법이 연구되고 있다. 또한 구치용 복합레진이 개발되면서 그 제조회사에서는 5mm 깊이까지 광중합이 가능하다고 소개하고 있다. 본 연구에서는 논리적 가설에 근거한 몇가지 광중합 조사방법이 구치부 class II 와동의 복합레진 충전시 미세변연누출에 어떠한 영향을 미치는지를 관찰하였다. 재료 및 방법 - 100개의 우식증이 없는 사람의 상하악 대구치를 사용했다. 각 치아에 교합-치은방향으로 4mm, 협설 4mm, 깊이 2mm의 class II 와동을 형성하여 인접치와 함께 베이스플레이트 왁스에 매몰하고 구치용 복합레진인 Surefil을 제조 회사의 지시대로 충전하였다. 이때 5가지의 광조사방법을 이용하여 5개의 군으로 나누어 중합하였다(Table 1). 수복된 치아들을 5$^{\circ}C$와 55$^{\circ}C$의 수조에서 번갈아 1분씩 총 500회의 온도변화를 주어 thermocycling을 실시한 후 근첨을 폐쇄하고 수복와동의 치은경계를 제외한 전 표면에 nail varnish를 2회 도포하였다. 2%의 methylene blue용액에 24시간 침적시키고 흐르는 물에 세척한 후 시편을 투명한 에폭시 레진에 매몰하였다. 매몰된 시편을 치아 장축에 평행하게 절단 연마하였다. 입체 현미경으로 미세변연누출을 관찰하고 Kruskal-Wallis One Way ANOVA 와 Dunn's Method로 통계처리 하였다. 결과 - 1. 미세누출은 1군, 4군과 5군, 2군 3군 순으로 증가였다. 이때 1군, 4군과 5군은 통계적 유의성이 없었다(P>0.05). 2. 2군의 경우 1군, 4군, 5군에 비교하여 유의성 있게 미세누출이 많았으며(P<0.05) 3군에 비하여 유의성 있게 적게 나타났다(P<0.05). 3. 3군의 경우 다른 방법들에 비교하여 통계적으로 유의성 있게 미세누출이 많았다(P<0.05).

• Journal of the korean academy of Pediatric Dentistry
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• v.39 no.2
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• pp.192-198
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• 2012

Revascularization of the pulp in a necrotic, infected immature tooth with apical periodontitis was attempting several years. Revascularization of partially necrotic pulp in an immature tooth is based on the concept that vital dental stem cells can survive pulpal necrosis. Revascularization procedure obtains longer and thicker roots in teeth with necrotic pulp diagnosis. Pulp revascularization for immature permanent molars can be possibly applied on cases having difficulty to use conventional root canal treatment due to abnormally thin root canal wall or severe root curvature. Also, when an uncooperative patient does not agree with sedative treatment the revascularization can be useful. And a patient with disability who is barely cooperative can be another indication of this treatment. In this case report, pulp revascularization using triple-antibiotics, metronidazole, ciprofloxacine and minocycline, was applied on the immature first permanent molar infected by caries.

• Proceedings of the Korea Concrete Institute Conference
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• 2008.04a
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• pp.105-108
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• 2008

Although the research of high strength materials is in process briskly in the inside and outside of the country, in south korea, the research of high strength materials is insufficiency. Generally shear resistance of RC beam is influenced dominantly by amount of shear-reinforcing bars($p_w$) and yied strength($f_{wy}$). Therefore, I come to the conclusion that if use shear reinforced bar with shear reinforced bar, it leads to decrease of the quantity of shear reinforced bar and effects on the security of shear-restraint force of member. This study experimented with not only the mixture of high strength-reinforced bar and U-shaped reinforcement normal strength -reinforced bar devises efficient improvement, but also it incites improvement of bond capacity and carries out an experimental study for improvement of member resisting force, finally it evaluates bond capacity quantitatively on the lines of main reinforcement the restraint method.

• Journal of the Korea Society of Computer and Information
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• v.10 no.4 s.36
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• pp.259-274
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• 2005

In this paper, we propose a methodology to estimate the number of users in e-Commerce systems. There have been a lot of previous work under the closed-LAN system environment. But the study on the number of acceptable users in real network environment is hard to find in the literature. Our research applies a Hybrid Simulation by using QoS results for end-to-end high-speed Internet service, and experiments are performed with regard to LAN and WAN, network equipments, and various network bandwidth. As result of the experiments we observed that the response time of high-speed Internet service media(Wireless LAN, ADSL, Cable, VDSL) depends heavily on the sequence and depth of transactions and on the ratio of transactional and non-transactional interactions. That is, as the network and application get more loads, the number of acceptable users decreases. By adding a cache server and an L4 switch to the simulation model, we analysed the changes in the number of users and client response time.