• Journal of Chest Surgery
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• v.41 no.1
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• pp.120-123
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• 2008

A 60-year-old man with a history of gunshot vascular injury on the right inguinal area, and this happened in the military service 40 years ago, was admitted to our hospital with claudication and dyspnea on exertion. The patient was diagnosed with a chronic traumatic femoral arteriovenous fistula. The patient underwent a successful operation for arteriovenous fistula closure with bovine pericardium and for femoropopliteal bypass with using a right greater saphenous vein graft. The patient is well at 14 months after the operation.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.26 no.9A
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• pp.1542-1552
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• 2001

MPLS 망에서 설정된 LSP (Label Switched Path)내에 링크/노드 장애나 혼잡이 발생한 트래픽을 대체 경로로 우회시킴으로써 신뢰성 있는 서비스를 제공하는 것은 필수적이다. 기존에 제안된 기법들은 장애가 발생하기 전에 대체 경로를 미리 설정하기 때문에 빠른 장애 복구를 제공할 수 있지만 자원 낭비가 심하며 기본 LSP와 대체 LSP가 모두 장애인 경우에는 대처할 수가 없는 문제점을 가지고 있다. 본 논문에서는 장애를 탐지한 노드가 기본 경로상에 존재할 수 있는 가능한 모든 대체 경로 중에서 비용이 최소인 대체 경로를 계산한 후에 그 경로를 따라서 대체 LSP를 설정하는 동적 복구 기법을 제안한다. 제안된 기법은 최소 비용인 대체 경로를 계산하기 위하여 제안된 알고리즘을 사용함으로써 비교적 빠른 시간 내에 대체 LSP를 설정할 수 있으며, 자원 효율성이 높고, 기본경로와 대체 경로가 장애인 경우에도 대처할 수 있다. 제안된 기법의 성능을 평가하기 위하여 링크 장애, 노드 장애, 대체 경로 장애, 그리고 동시 발생 장애에 대하여 각각 시뮬레이션 하였다. 실험 결과, 제안된 기법은 기존의 기법들과 비교해서 동시 발생 장애에서는 성능이 좋지 않았지만, 링크 장애와 노드 장애의 경우에 비교적 성능이 좋았고, 기본 경로와 대체 경로가 장애인 경우에도 복구할 수 있었으며 자원 효율성에서는 월등히 우수했다.

• Proceedings of the Korea Information Processing Society Conference
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• 2011.04a
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• pp.997-1000
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• 2011

오늘날 전산 시스템 환경에서 보안 문제 해결을 위한 보안 메커니즘이 전 세계적으로 오랜 시간 다양하게 연구 개발되어 왔다. 하지만 이를 문서 보안에 효율적으로 활용하기 위한 기술 개발은 미흡한 실정이며 현재는 DRM 기술을 통해 문서 보안을 실현하고 있으나 효율성 및 안정성, 보안성에 있어서 여타 보안 서비스에 비해 크게 신뢰를 받지 못하고 있다. 본 논문에서는 PC 내 문서에 대한 보안 서비스를 제공하는 PC-DRM 시스템에서 사용자간 문서 전달 기능에 초점을 맞추어 효율성과 보안성을 강화하기 위한 방안을 제시하고 이를 적용하여 설계한 시스템을 소개한다. 제안 시스템은 기존 PC-DRM 의 서버 의존도를 낮춤과 동시에 사외 사용자에게 문서 전달 시에도 문서 기밀성 유지 및 우회적인 문서 내용 유출 방지가 가능하여 PC-DRM 에 대한 신뢰도 향상에 기여할 수 있을 것으로 기대한다.

• Journal of Korean Society of Forest Science
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• v.84 no.4
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• pp.517-524
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• 1995

This study was conducted to investigate the characteristics of the road alignment, correlations among evaluation factors of the alingment, and the relationships between the evaluation factors and terrain factors for the forest road of five National Forest Offices. The results were as follows : 1. The elongation coefficients(${\eta}$) of forest road in Kangnung and Wonju National Forest Office were ranged 0.3~0.5, and those of Andong, Namwon, and Kongju National Forest Offices were ranged 0.2~0.3 in straight line of 100m, 200m, and 300m. 2. Three different types of plane alignment were identified for Kangnung and Wonju National Forest Offices, Namwon and Kongju National Forest Offices, Andong National Forest Office. However, longitudinal alignment for five National Forest Offices tended to be similar conditions. 3. Low correlation coefficients were calculated in the relation between elongation coefficients(${\eta}$) and evaluation factors of plane alignment(curve length ratio(%), sum of inverse number of each curve radius(m/km), and sum of each intersection angle($^{\circ}/km$)) for three straight lines. On the contrary, high correlation coefficients were obtained among the relations of curve length ratio(%), sum of inverse number of each curve radius(m/km), and sum of each intersection angle($^{\circ}/km$). 4. Slope(%) were closely correlated with plane alignment, and so were the relationships between frequency of valleys and streams(No./km) and elongation coefficients(${\eta}$) of forest road.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.10
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• pp.696-706
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• 2017

The purpose of this study was to verify experimentally debris reduction facilities for culverts installed in small rivers. A culvert is defined as a structure laid under a road or a railroad that passes through an inner urban area or downtown area to make an artificial canal. Culverts are generally categorized into road culverts or waterway culverts, among which the latter are artificial structures designed to discharge running water into a river. At the time of floods, the structural safety of waterway culverts can be undermined by the accumulation of debris, such as soil, boughs and weeds, and they may be at risk of overflowing due to blockages. Debris reduction facilities are necessary to prevent such damage. In this study, the effects of the three existing types of debris reduction facilities were examined through hydraulic experiments. The results of the experiments showed that vertical separation to divert debris reduced the accumulation rate by 27.65 to 31.39 percent. The two types of screen designed to block and divert debris, respectively, were found to have excellent debris blocking abilities. However, when the effects of the rising water level are considered simultaneously, the screen to divert debris was found to show superior effects. The screen to block debris can be considered to have excellent debris blocking ability, but requires the continuous collection of the debris, due to the high risk of rising water levels caused by its accumulation.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.32 no.2D
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• pp.121-127
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• 2012

One of the traffic problems has been caused by the illegal parking because of the lack of parking space. Especially, the illegal occupancy of the road near an intersection makes an serious reduction of road capacity. The current illegal parking and stop-prohibited areas have been designated for less than 5 meters from the edge or the corner of the 4-leg intersection. However, in reality, the cars parked at the place over 5 meters have had a significant impact on the intersection traffic. In addition, many variables such as intersection type, size, and service levels should be considered as factors which influence on the traffic condition at the intersection. It was assumed that through and right-turn traffic rate have a significant impact on the 4-leg intersection with the illegal parking or stop near it. This study tried to verify the impact through the simulation implementation with MOE and LOS. It shows a guideline to designate the parking or stop-prohibited area near the 4-leg intersection under various traffic conditions.

• Journal of Chest Surgery
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• v.29 no.8
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• pp.889-896
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• 1996

Aggressive revascularization of the ischemic lower extremities in atherosclerotic occlusive diseases or acute embolic arterial occusion due to cardiac valvular disease by thromboembolectomy or an arterial by- pass operation has been advocated by some authors. To evaluate clinical pattern and operative outcome of the ischemic lower extremity, surgical experience in 101 patients who were admitted to Dong-A Univer- sity Hospital between March 1990 and August 1995 was analyzed. The patients were 92 males and 9 females ranging fro 25 to 87 years of age. The underlying causes of arterial occlusive disease were atherosclerotic obliterances in 54 case, Buerger's disease in 20 cases, thromboembolism in 24 cases, vascular trauma in 3 cases and pseudoaneurysm in 3 cases. - The major arterial occlusive sites of atherosclerotic obliterance were femoral artery in 30 cases, iliac artery in 23 cases, popliteal artery in 10 cases, distal aorta in 6 cases and the major arterial occlusive sites of Buerger's disease were posterior tibial artery in 14 cases, anterior tibial artery in 8 cases, popliteal artery in 5 cases. The operative procedures of arterial occlusive disease were bypass graft operation in 61 cases, thromboembolectomy in 21 cases, sympathectomy in 20 cases. Arterial bypass operations with autogenous or artificial vascular prosthesis were done in 61 cases which Included femoro-popliteal bypass in 21 cases, femoro-femoral bypass in 15 cases, axillo-bifemoral bypass in 7 cases, aorto-bifemoral with inverted Y-gr ft In 3 cases, femoro-profundafemoral bypass in 3 cases, popliteo-tibial bypass in 2 cases, aorto-iliad bypass in 1 case Over all postoperative patency rates were 83.6 oyo at 1 year, 75.5% at 3 years and limb salvage rate was 86.8 oyo . Six patients died in the hospital following vascular surgery for ischemic lower extremities, although the causes of death were not directly related to the vascular reconstructive operative proccedures. The leading causes of death were in the order of multiple organ failure, acute renal failure, and sepsis.

• Journal of Chest Surgery
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• v.39 no.10 s.267
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• pp.754-758
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• 2006

Background: Surgical role for acute coronary syndrome has been reduced in recent years due to development of drug eluting stent. We evaluated the surgical results of acute coronary syndrome in our hospital. Material and Method: Between January 2001 and August 2005, 416 patients underwent coronary artery bypass grafting (CABG) under diagnosis of non-ST-elevation acute coronary syndrome (NSTE ACS). Mean age was $61.8{\pm}9.0$ years and 276 (66.3%) patients were male. 324 (77.9%) patients had triple vessel disease and 92 (22.1%) had left main disease at angiographic study. 236 (56.7%) patients had hypertension and 174 (41.8%) had diabetes mellitus. Conventional on-pump CABG was performed in 194 patients (46.6%) and off-pump CABG in 222 (53.4%). Total arterial revascularization with no touch technique was done in 97 patients (23.3%). The number of total distal anastomosis was 1,306 and the number per patient was $3.21{\pm}1.71$. Result: Surgical mortality rate was 1.0% (4 patients) and postoperative complication rate was 15.6% (65 patients). Graft patency was checked at mean $3.7{\pm}7.6$ months (from 1 to 37 months) postoperatively with multi-directional computed tomography in 152 patients. Left internal mammary artery was patent in 95.3%, right internal mammary artery in 98.1%, radial artery in 92.2% and saphenous vein in 89.0%. Conclusion: The surgical treatment of NSTE ACS showed relatively low mortality rate and good graft patency rate. Further study is needed to compare the long term results with drug eluting stent.

• Journal of Chest Surgery
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• v.36 no.8
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• pp.576-582
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• 2003

During the Off-Pump Coronary Arterial Bypass surgery (OPCAB), the manipulation of the heart can depress cardiac contractility and cause hemodynamic instability. In this study, hemodynamic parameters were measured during operation and the laboratory and clinical data were investigated to evaluate their effects on postoperative outcome. Material and Method: From March 2001 to August 2002, 50 consecutive patients who underwent OPCAB were included in this study. During the same period, total number of CABG was 71 The blood pressure, pulmonary artery pressure, mixed venous oxygen saturation, and cardiac index were measured before manipulation, after application of stabilizer, and at the end of anastomosis. Postoperatively, we measured the cardiac enzymes such as CK-MB, troponin 1 and checked the amount of inotropes required, chest tube drainage, the amount of transfusion, duration of ventilator support, and duration of ICU stay. Result: The number of mean distal anastomoses was 2.8$\pm$0.9 per patient. On elevation and stabilization of the heart, systolic blood pressure was depressed and pulmonary artery pressure was elevated significantly, but during each anastomosis no significant changes were detected. The peak level of cardiac markers was 29.2$\pm$46.7 for CK-MB, 0.69$\pm$0.86 for troponin 1 on postoperative day f. Among the intraoperative hemodynamic parameters, the ischemic change of EKG and bolus injection of inotropes significantly affected the posteroperative cardiac enzymes. But, no difference other than the level of cardiac enzymes between the two groups with or without the ischemic change of EKG and bolus injection of inotropes was noticed. Conclusion: The significant hemodynamic changes occurred when the heart was elevated and stabilized, however during anastomoses there were no significant changes. Serum cardiac enzymes rose significantly in the group that showed the ischemic charge of EKG or needed the bolus injection of inotropes for maintaining hemodynamic stability intraoperatively, but it did not affect the postoperative outcome. In conclusion, the ischemic change of EKG and the need for bolus injection of intropes during operation may be very indicative for probable ischemia.

• The Korean Journal of Nuclear Medicine
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• v.32 no.6
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• pp.497-508
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• 1998

Purpose: Using rest T1-201/dipyridamole stress gated Tc-99m-MIBI/ 24 hour delay T1-201 SPECT, we investigated the predictive values of the markers of the stress-rest reversibility (Rev), T1-201 rest perfusion (Rest), T1-201 24 hour redistribution (Del) and Tc-99m-MIBI gated systolic thickening (Thk) for wall motion improvement after coronary artery bypass surgery. Materials and Methods: In 39 patients (M;F= 34:5, age $58{\pm}8$), preoperative and postoperative (3 months) SPECT were compared. 24 hour delayed SPECT was done in 16 patients having perfusion defects at rest. Perfusion or wall motion was scored from 0 to 3 (0: normal to 3: defect or dyskinesia). Wall motion was abnormal in 142 segments among 585 segments of 99 artery territories which were surgically revascularized. Results: After bypass surgery, ejection fraction increased from $37.8{\pm}9.0%$ to $45.5{\pm}12.3%$ in 22 patients who had decreased ejection fraction preoperatively. Wall motion improved in 103 (72.5%) segments among 142 dysfunctional segments. Positive predictive values (PPV) of Rev, Rest, Del, and Thk were 83%, 76%, 43%, and 69% respectively. Negative predictive values (NPV) of Rev, Rest, Del, and Thk were 48%, 44%, 58%, and 21%, respectively. Rest/gated stress/delay SPECT had PPV of 74% and NPV of 46%. Though univariate logistic regression analysis revealed Rev (p=0.0008) and Rest (p=0.024) as significant predictors, stepwise multivariate test found Rev as the only good predictor (p=0.0008). Conclusion: Among independent predictors obtained by rest T1-201/ stress gated Tc-99m-MIBI/ delayed T1-201 myocardial SPECT for wall motion improvement after bypass surgery, stress-rest reversibility was the single most useful predictor.