• Journal of Chest Surgery
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• v.35 no.1
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• pp.48-51
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• 2002

The conversion of failing Fontan circuit to total cavopulmonary connection(TCPC) is recommended as a therapeutic option in patients with late Fontan complications such as atrial arrhythmia, atrial enlargement, pulmonary venous obstruction, and ventricular dysfunction. Combined TCPC with extracardiac conduit and cryoablation of arrhythmia circuit is preferred for treatment of failing Fontan coulection with atrial lachyarrhythrnia. We report a case of conversion of atriopulmonary connection to extracardiac conduit Fontan and cryoablation of atrial arrhythmia circuit in a patient with tricuspid atresia, who also had ectopic atrial tachycardia, right atrial thrombi, pulmonary venous obstruction, and ventricular dysfunction. This patient and the parents were Jehovah's Witnesses; therefore, the patient underwent the procedure without blood transfusion.

• The Journal of Korean Institute of Electromagnetic Engineering and Science
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• v.21 no.5
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• pp.486-493
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• 2010

This article introduces a novel ultra wideband(UWB) bandpass filter(BPF) with sharp roll-off characteristics in stripline structure. The UWB characteristic is basically obtained from capacitive coupled cross resonator. The resonator has ${\lambda}/2$ length. And at the center of the resonator, two stubs are loaded, one is a ${\lambda}/8$ short-circuited stub and the other is a ${\lambda}/8$ open-circuited stub. The two stubs provide two attenuation poles at lower and upper cutoff frequencies. For input and output lines, two identical capacitively coupled lines have been installed to suppress the unwanted signals in the lower and upper stopbands. The filter has been designed for the U.S. UWB band(3.1~10.6 GHz) with two transmission zeros at 2.4 and 11.1 GHz. The filter has been realized with Low Temperature Core-fired Ceramic(LTCC) green tape which has the dielectric constant of 7.8. Measurement results agree well with HFSS simulation results. Insertion loss less than 0.7 dB and return loss better than 14 dB in the pass band have been measured. The group delay in the center frequency is 0.27 ns and the group delay variation within pass band is less than 0.5 ns. The size of the filter is $6{\times}18{\times}0.6\;mm^3$.

• Clinical and Experimental Pediatrics
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• v.51 no.6
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• pp.660-664
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• 2008

The term tracheal bronchus refers to an abnormal bronchus that comes directly off of the lateral wall of the trachea (above the carina) and supplies ventilation to the upper lobe. Tracheal bronchi occur almost exclusively on the right trachea and are associated with other congenital anomalies. In addition, tracheai bronchus may be related to other inflammatory conditions with persistent wheezing, such as recurrent pneumonia, chronic bronchitis and bronchiectasis, which is a result of the relatively poor local drainage of the involved bronchi. An infant with recurrent wheezing is likely to be a challenge for a clinician in the evaluation of the etiology of airway obstruction and in the differential diagnosis of wheezy breathing. The authors report a case of an 8-month-old female infant with a ventricular septal defect, who presented with stridor and recurrent respiratory infection and finally was finally diagnosed with a tracheal bronchus using computed tomography and a bronchoscopy. Therefore, tracheal bronchus should be included in the differential diagnosis of any child who presents with chronic or recurrent respiratory tract symptoms such as coughing, wheezing, stridor and recurrent respiratory infection, particularly in children with other congenital deformities.

• Journal of Chest Surgery
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• v.29 no.4
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• pp.444-448
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• 1996

Hemolytic anemia due to tiny prosthetic paravalvular leakage is one of a complication of prosthetic valve replacement. Mild Hemolysls usually occurs after aortic valve replacement with mechanical valve but rarely occurs in mitral valve position especially in case of tissue valve. Cardiac valves fabricated from biologic material are associated with a reduced incidence of hemolytic anemia. Hemolysis was reported in patients with an lonescu-Shiley bovine pericardial xenograft prosthesis in the aortic position but not in the mitral site. A 41-year-old female patient was admitted due to sudden development dark colored urine. About 10 years ago the patient was underwent MVR (Mitral Valve Re lacement) with fTmm lonescu-Shiley valve due to MR (Mitral regurgitation). Echocardiographic examination showed mild degree of mitral regurgitation with valvular thickening. However, there was no definitive evidence of paravalvular leakage. The peripheral blood smear showed nomochromic normocytic anemia, but the hematologic and urinary examination revealed severe hemolytic evidence. Mitral valve replacement with St. Jude Medical valve (27mm) was done and intraoperatively, a tiny paravalvular leakage was found which was regarded as the point of hemolysis. The hemolytic evidence completely disappeared. We are reporting a case of severe hemolytic anemia due to tiny prosthetic paravalvular leakage with a review of the literature.

• The Journal of Engineering Geology
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• v.17 no.1 s.50
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• pp.125-133
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• 2007

The environmental and geotechnical properties are investigated to the 8th landfill area made of only sewage sludge in Nanji-Do. To do this, the soils are sampled in this area, and leaching tests, heavy metal content tests, and so on are performed to research the environmental properties. As the result of heavy metal content tests, Pb, Zn, Cu, Ni, Cd and Cr were leached from the sewage sludge. Because the leaching concentration of Cu is more than the standard value of California state, Cu content have to bring down during the recycling of the sewage sludge. Meanwhile, a series of tests concerning specific gravity, liquid and plastic limits, compaction, permeability and shear strength is performed to research the geotechnical properties. The sewage sludge is consisted of sand, silt and clay, and is classified into non-organic silt or organic clay with 42.3% of plastic index. As the result of compaction test, it is expected that the compaction effect according to variation of water contents is low relatively because the dry unit weight is low and the curve of compaction forms flatness. Also, as the result of direct shear tests, the cohesion is $0.058kg/cm^2$, and the internal friction angle is $14^{\circ}$. Taking everything into consideration, the various problems are happening in case of recycling the sludge like the cover layer of landfill and so on because the compaction is bad, and the shear strength is low. Also, it is expected that the ground water pollution caused by leaching the heavy metal into the sludge. To do recycling the sewage sludge in this site, supplementary and treatment programs should be prepared.

• Clinics in Shoulder and Elbow
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• v.15 no.2
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• pp.109-116
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• 2012

Purpose: The aim of this study was to evaluate preoperative ultrasonographic findings and usefulness in ulnar neuropathy around elbow. Materials and Methods: Twenty-two patients with ulnar neuropathy were performed preoperative ultrasonogram. The route, location, thickness of the ulnar nerve and space occupying lesion through longitudinal scan were evaluated. Cross-sectional areas of the ulnar nerve were measured at the level of medial epicondyle and 3 cm proximal and distal to the medial epicondyle through axial scan. Correlations between swelling ratio of ulnar nerve and eletrophysiologic study and preoperative Dellon's assessment were checked. Results: In 21 cases (95.6%) of total 22 cases, diffuse swelling of the ulnar nerve around elbow were identified. 4 cases had space occupying lesions including 3 ganglionic cysts and 1 heterotopic ossification. Cross sectional areas at the level of medial epicondyle were significantly larger than at the level of 3 cm proximal and distal to the medial epicondyle (p<0.05). There were no statistically significant correlations between swelling ratio of ulnar nerve and eletrophysiologic study and preoperative clinical assessment (p>0.05). Conclusion: This study showed that ultrasonography was helpful to detect etiology of ulnar neuropathy around elbow such as space occupying lesion, morphological change or dislocation of ulnar nerve. It could be useful tool for diagnosis and treatment in patients with ulnar neuropathy at elbow.

• Clinical and Experimental Pediatrics
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• v.52 no.9
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• pp.991-998
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• 2009

Purpose : Thyroid hormone is essential for development of the brain in early life. Thyroid dysfunction is more common in the first 2-4 postnatal weeks of life in premature infants than in term infants. This study aimed to identify the prevalence and clinical course of thyroid dysfunction in prematurity. Methods : Premature infants admitted to and given neonatal screenings at Dankook University Hospital between April 1999 and March 2008 were included in this study. We retrospectively reviewed medical records and categorized subjects into six groups: normal, hypothyroidism, hyperthyrotropinemia, hypothyroxinemia, delayed onset of hypothyroidism, and delayed onset of hyperthyrotropinemia. Results : Among 599 subjects, 136 (23%) had initially abnormal thyroid function test (TFT); transient hypothyroxinemia was the most frequent condition (118, 20%). In addition, 8 (17%) of 46 subjects with initially normal TFT levels showed delayed onset of hyperthyrotropinemia with or without low free thyroxine ($fT_4$). Thyroxine was prescribed for 10 patients (1.7%) due to low $fT_4$ levels but was discontinued in 9 patients during follow-up. Thyroid scan confirmed ectopic thyroid in one patient. Conclusion : Thyroid dysfunction was frequently seen in premature infants, but most of the conditions were transient. In addition, some infants showed delayed TSH elevation on routine follow-up. Therefore, a recheck of the thyroid function of premature infants at 3-4 weeks is recommended, even if normal thyroid function is initially seen, especially in prematurity of less than 33 weeks of gestational age or birth weight of less than 2,500 grams.

• Journal of Korean Society of Steel Construction
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• v.29 no.1
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• pp.81-88
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• 2017

Residual stress is defined as stress that already exists on a structural member from the effects of welding and plastic deformation before the application of loading. Due to such residual stress, welded H-section compression members under centroidal compression load can undergo buckling and failure for strength values smaller than the predicted buckling load and specified compressive strength. Therefore, this study was carried out to evaluate the effect of residual stress from welding on the determination of the buckling load and specified compressive strength of the H-section compression member according to the column length variation. A three-dimensional nonlinear finite element analysis was performed for the H-section compression member where the welded joint was fillet welded by applying heat inputs of 3.1kJ/mm and 3.6kJ/mm using the SAW welding method.

• Journal of Korean Society of Steel Construction
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• v.28 no.6
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• pp.439-448
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• 2016

Extended end-plate connections(EEPC) are a type of connection applied in Pre-Engineered Building structures comprising beam-column connections of steel structures or tapered members. Extended end-plate connections(EEPC) show different behavioral characteristics owing to the influence of plate thickness, gauge distance of high strength bolt, diameter of high strength bolt frame, and the number of high strength bolts. In the USA and Europe, extended end-plate connections(EEPC) are applied in beam-column connections of steel structures in various forms; however, these are not widely applied in structures in Korea.This can be attributed to the fact that the proposal of design strength types for extended end-plate connections(EEPC), proposal of connection specifications, evaluation of seismic performance, and are not being performed appropriately. Therefore, the purpose of this study is to provide basic data for the domestic application of Unstiffened extended endplate connections. To realize this, nonlinear finite element analysis was conducted on a 12-mm thick Unstiffened extended endplate connections.

• Journal of the Korea Concrete Institute
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• v.21 no.4
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• pp.489-499
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• 2009

It is quite difficult to predict the flexural strength of post-tensioned members with unbonded tendons (unbonded posttensioned members, UPT members) because of debonding behavior between concrete and prestressing tendons, which is different from that with bonded tendons. Despite many previous researches, our understanding on the flexural strength of UPT members is still insufficient, and thus, national codes use different methods to calculate the strength, which quite often give very different results. Therefore, this paper reviews various existing methods, and aims at proposing an improved rational strength model for UPT flexural members having better accuracy. Additionally, a database containing a large number of test data on UPT flexural members has been established and used for verification of the proposed flexural strength model. The analysis results show that the proposed method provides much better accuracy than many existing methods including the rigid-body model that utilizes the assumption of concentrated deformation and plastic hinge length, and that it also gives proper consideration on the effects of primary parameters such as reinforcement ratio, loading pattern, concrete strength, etc. Especially, the proposed method also well predicts the ultimate stress of unbonded tendons of over-reinforced members, which are often possible in construction fields, and high strength concrete members.