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Clinical Experience with Vascular Surgery (혈관수술에 대한 임상적 고찰)

  • 김현경
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1570-1577
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    • 1992
  • The vascular surgery is the field that has developed in early 20 century and is progressing nowadays. Recent advance in surgical technique accompanying with excellent medical diagnosis and treatment, prompt angiographic usage, development of variable prosthetic material, and concomitant use of anti-coagulant have made remarkable results of vascular surgery. 83 cases of vascular surgery have been performed at Thoracic and Cardiovascular Surgery Department of Pusan National Unversity Hosaital since 1971 till 1990, for 20 years and their results are followed. Patient ductus arteriosus and Buerger`s disease were omited in this study. 1. The age distribution shows that the fifth and sixth decades are most frequently affected and mean age was 56.1 years old. Male to female ratio is 1: 2.32. 2. Among the 83 cases of all, number of occlusive vascular disease is 46 and that of aneurysmal disease is 33. 3. In clinical manifestation, most common symptom of occlusive disease is pulselessness and pain was next. Mass sensation is most commonly complained by patients of aneurysmal disease. 4. CT scan was more important in diagnosis of aneurysmal diseases and angiogram was more commonly used in occlusive diseases. 5. The common site of arterial occlusion was common iliac artery, femoral artery, aortic bifurcation, and external iliac artery, as its frequency rate. The most commonly affecting portion of aortic aneurysm was abdminal aorta, and descending thoracic aorta and femoral artery were next 6. Preoperative associated diseases were atherosclerosis[41 cases], hypertension[21 cases], valvular heart disease[11 cases], and diabetes mellitus[9 cases], etc, 7. Operative methods in ocllusive diseases were thrombectomy[36.9%], endarterectomy [10.9%], and bypass graft insertion[52.7%]. Among the bypass graft, Y-graft was used in 7 case, straight graft was used in 17 cases, and saphenous venous graft was used in 2 cases. 8. Postoperative complications were developed in 17 cases, and morbidity rate was 36. 9. Eleven patient were died within 1 month after operation, so operative mortality rate was 13.3%. 10. Duration of patency was beteween 7 and 58 months[average 27.5 months] in occlusive diseases and their 5-year patency rate was 56.3%. Duration of patency of aneurysmal disease was 20 months in aveage and their 5-year patency rate was 51.3%. 11. Patients of eleven cases of occlusive disease and two cases of aneurysmal disease required reoperation for variable reason. 12. 35 cases of patient have used anticoagulants: coumadin, ticlid, and persanthin-ASA combination.

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Property of Composite Silicide from Nickel Cobalt Alloy (니켈 코발트 합금조성에 따른 복합실리사이드의 물성 연구)

  • Kim, Sang-Yeob;Song, Oh-Sung
    • Korean Journal of Materials Research
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    • v.17 no.2
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    • pp.73-80
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    • 2007
  • For the sub-65 nm CMOS process, it is necessary to develop a new silicide material and an accompanying process that allows the silicide to maintain a low sheet resistance and to have an enhanced thermal stability, thus providing for a wider process window. In this study, we have evaluated the property and unit process compatibility of newly proposed composite silicides. We fabricated composite silicide layers on single crystal silicon from $10nm-Ni_{1-x}Co_x/single-crystalline-Si(100),\;10nm-Ni_{1-x}Co_x/poly-crystalline-\;Si(100)$ wafers (x=0.2, 0.5, and 0.8) with the purpose of mimicking the silicides on source and drain actives and gates. Both the film structures were prepared by thermal evaporation and silicidized by rapid thermal annealing (RTA) from $700^{\circ}C\;to\;1100^{\circ}C$ for 40 seconds. The sheet resistance, cross-sectional microstructure, surface composition, were investigated using a four-point probe, a field emission scanning probe microscope, a field ion beam, an X-ray diffractometer, and an Auger electron depth profi1ing spectroscopy, respectively. Finally, our newly proposed composite silicides had a stable resistance up to $1100^{\circ}C$ and maintained it below $20{\Omega}/Sg$., while the conventional NiSi was limited to $700^{\circ}C$. All our results imply that the composite silicide made from NiCo alloy films may be a possible candidate for 65 nm-CMOS devices.

Thermo-mechanical analysis of reinforced concrete slab using different fire models

  • Suljevic, Samir;Medic, Senad;Hrasnica, Mustafa
    • Coupled systems mechanics
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    • v.9 no.2
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    • pp.163-182
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    • 2020
  • Coupled thermo-mechanical analysis of reinforced concrete slab at elevated temperatures from a fire accounting for nonlinear thermal parameters is carried out. The main focus of the paper is put on a one-way continuous reinforced concrete slab exposed to fire from the single (bottom) side as the most typical working condition under fire loading. Although contemporary techniques alongside the fire protection measures are in constant development, in most cases it is not possible to avoid the material deterioration particularly nearby the exposed surface from a fire. Thereby the structural fire resistance of reinforced concrete slabs is mostly influenced by a relative distance between reinforcement and the exposed surface. A parametric study with variable concrete cover ranging from 15 mm to 35 mm is performed. As the first part of a one-way coupled thermo-mechanical analysis, transient nonlinear heat transfer analysis is performed by applying the net heat flux on the exposed surface. The solution of proposed heat analysis is obtained at certain time steps of interest by α-method using the explicit Euler time-integration scheme. Spatial discretization is done by the finite element method using a 1D 2-noded truss element with the temperature nodal values as unknowns. The obtained results in terms of temperature field inside the element are compared with available numerical and experimental results. A high level of agreement can be observed, implying the proposed model capable of describing the temperature field during a fire. Accompanying thermal analysis, mechanical analysis is performed in two ways. Firstly, using the guidelines given in Eurocode 2 - Part 1-2 resulting in the fire resistance rating for the aforementioned concrete cover values. The second way is a fully numerical coupled analysis carried out in general-purpose finite element software DIANA FEA. Both approaches indicate structural fire behavior similar to those observed in large-scale fire tests.

Study on the motivation for renaming and the level of self-perception scale attained after renaming (개명의 동기와 개명 후 자기지각척도에 관한 연구)

  • Shin, Sang-Chun;Cho, Sung-Je
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.9
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    • pp.4296-4302
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    • 2013
  • The objective of this study is to examine the motivation for renaming and the self-perception scale attained after renaming. The survey was conducted targeting 161 individuals across the country from April 1 to May 31, 2013. The analyzing methods include frequency analysis, correlation analysis, t-test, one-way ANOVA analysis and stepwise regression analysis, etc. All of the empirical analysis was verified at the 5% level of significance. According to the result of analysis, the renamed individuals scored higher on the success scale, the emotional scale and the personality scale after renaming. The study found that the individuals, who adopted a new name as per their own desire, scored significantly higher on the self perception scale. The study will serve as a reference material for persons who desire a new name, based on its result that the greatest motivation for renaming is the "desire to have a good name" and that the biggest changes accompanying the new name are the self confidence and satisfaction which have helped the renamed individuals score higher on the self-perception scale after renaming.

Development of On-Line Life Monitoring System for high-Temperature Header of Fossile Powder Plant Boiler (화력발전소 보일러 고온헤더의 실시간 수명 감시시스템 개발)

  • 윤필기;정동관;윤기봉
    • Journal of Energy Engineering
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    • v.8 no.4
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    • pp.605-611
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    • 1999
  • Conventional methods for assessing remaining life of critical high temperature components in fossil power plants rely on nondestructive inspection practices and accompanying life analysis based on fracture mechanics By using these conventional methods. It has been difficult to perform uninterrupted in-service inspection for life prediction. Thus, efforts have been made for developing on-line remaining life monitoring systems employing information on the shape of structures, operating variables and material properties. In thus study, a software for on-line life monitoring system which performs real-time life evaluation of a high temperature system headers was developed. The software is capable of evaluating creep and fatigue life usage from the real-time stress data calculated by using temperatures/stress transfer Green functions derived in advance for the specific headers. The major benefits of the developed software life in determining future operating schedule, inspection interval, and replacement plan by monitoring real-time life usage based on prior operating history.

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A Study on the Growth Rate and Surface Shape of Single Crystalline Diamond According to HFCVD Deposition Temperature (HFCVD 증착 온도 변화에 따른 단결정 다이아몬드 표면 형상 및 성장률 변화)

  • Gwon, J.U.;Kim, M.S.;Jang, T.H.;Bae, M.K.;Kim, S.W.;Kim, T.G.
    • Journal of the Korean Society for Heat Treatment
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    • v.34 no.5
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    • pp.239-244
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    • 2021
  • Following Silicon Carbide, single crystal diamond continues to attract attention as a next-generation semiconductor substrate material. In addition to excellent physical properties, large area and productivity are very important for semiconductor substrate materials. Research on the increase in area and productivity of single crystal diamonds has been carried out using various devices such as HPHT (High Pressure High Temperature) and MPECVD (Microwave Plasma Enhanced Chemical Vapor Deposition). We hit the limits of growth rate and internal defects. However, HFCVD (Hot Filament Chemical Vapor Deposition) can be replaced due to the previous problem. In this study, HFCVD confirmed the distance between the substrate and the filament, the accompanying growth rate, the surface shape, and the Raman shift of the substrate after vapor deposition according to the vapor deposition temperature change. As a result, it was confirmed that the difference in the growth rate of the single crystal substrate due to the change in the vapor deposition temperature was gained up to 5 times, and that as the vapor deposition temperature increased, a large amount of polycrystalline diamond tended to be generated on the surface.

Analytical Approaches of Surface-Local Deformations for the Measurement of Indentation Hardness (압입경도 측정을 위한 표면변형 분석기법 비교)

  • Lee, Yun-Hee;Kim, Kuk-Hwan;Nahm, Seung-Hoon;Kwon, Dongil
    • Korean Journal of Metals and Materials
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    • v.47 no.7
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    • pp.416-422
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    • 2009
  • Approaches for analyzing indentation hardness are still controversial, although the instrumented indentation technique has been generalized as one powerful method that can record surface deformation behaviors. Material pile-ups around the indenter/surface contact region make the conventional Oliver and Pharr's analysis on the instrumented indentation curve inaccurate. Thus, in order to prove the validity of the hardness analyses, five approaches were applied to the experimental data obtained from fused quartz and (100) monocrystalline tungsten specimens; an elastic recovery analysis on instrumented indentation curves, three indentation work analyses on the unit plastic volume, and a differentiation analysis on remnant indentation morphologies were tried. Five kinds of indentation hardness overlapped on one result plot showed the validity of each analysis. The modified indentation work approach based on a new definition of plastic volume showed consistent results with those from the Oliver-Pharr's and image differentiation methods. In the case of pile-up accompanying deformation, the Oliver-Pharr's and image differentiation methods showed the upper and lower limits of indentation hardness, respectively.

Effect of Low Concentrated-phosphorous Fused Phosphate on Rice Plant (수도(水稻)에 대(對)한 인산저농도(燐酸低濃度) 용성인비(鎔成燐肥)의 효과(效果))

  • Lee, Yun Hwan;Han, Ki Hak;Park, Young Dae;Kim, Bok Jin;Heu, Ii Bong
    • Korean Journal of Soil Science and Fertilizer
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    • v.5 no.1
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    • pp.1-8
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    • 1972
  • In order to expect the effect of silica with large quantity application of current Fused calcium-magnesium phosphate on the paddy rice, there are difficulties of excess phosphorus application because of the high content of phosphate in this fertilizer. This experiment was discussed on the effect of posphate and silica absorbed by rice plant from the low concentrated fused calcium-magnesium phosphate which was fused with mixture of rock phosphate, chemical calcium oxide, magnesium oxide and silicate oxide in the furnace using coke, 1. The fusion material contained 8.9% of citric acid soluble $P_2O_5$ and 33% of soluble $SiO_2$. 2. The rice yields were increased with high significance accompanying the application levels of fused material amounts. 3. No. of grains per head, weight of 1,000 grains and percent of filled grain were caused to increase the productivity of rice plant on account of the high content of silica in straws absorbed from fusion material. The treatment of 300 kg/10a. was the highest yield among the levels of fusion material. 4. At the growing periods of rice plant, amount of absorbed phosphate was higher in the small amount treatment of fusion material until the formation period of young head, and was highest in the treatment of 300 kg/10a. leval among them but slightly desreased at 500 kg/10a. level at the harvest. Amount of absorbed silica was the same trend with phosphorus at the begining of growth period but increased rapidly from the formation period of young head to harvest in the large quantity application levels. 5. Much amount of nutrients were residued in the soil after experiment pacing with application levels. 6. The effect of silica and phosphate on rice plant can be expected with fusion material but it is necessary to decrease the phosphate content on account of the large residue of phosphate in the soil after experiment.

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Results of Arthroscopic inside to Out Repair of Meniscus Tear (반월상연골 파열에 대한 관절경적 inside to out 봉합술의 결과)

  • Kim, Bo-Hyun;Hwang, In-Sung;Yun, Tae-Bong;Byun, Jae-Yong
    • Journal of the Korean Arthroscopy Society
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    • v.8 no.1
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    • pp.1-8
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    • 2004
  • Purpose: This study examined clinical cure and patients' satisfaction degrees by factors influencing surgical operation results, after arthroscopic inside to out repair as a nonabsorbable suture material, in case of meniscal rupture. Materials and Methods: Materials were 110 cases of 95 patients who could make paces for over 12 months from August 1999 to June 2002. Results were evaluated by clinical cure and subjective satisfaction degrees. This study, concerning those results, analyzed age, term from taking pictures to taking surgical operation, rupture section, rupture length, rupture types, lesion of articular-cartilage, and effects of anterior cruciate ligament operation accompanied. Results: 84 cases(76%) were clinically cured, 98 cases(89%) were subjectively satisfied. In case of accompanying anterior cruciate ligament rupture, and in case that rupture length was below 2 cm, rates of clinical cure and patients subjective satisfaction were significantly high. In case of complex or degenerative rupture, patients satisfaction rates were higher when comparing with clinical cure rates. Conclusion: Various sutures are possible as well as available in case of arthroscopic meniscal inside to out repair using nonabsorbable suture material. It can be concluded that patients age is not absolte consideration in determining the suture of meniscus. In cases of complex rupture, degenerative rupture, ruptures companied by joint-cartilage injuries, considerate consideratin need be paid to choose patients and operations.

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Clinical Characteristics of Miliary Tuberculosis (속립성 폐결핵의 임상적 특성)

  • Kim, Jin-Ho;Moon, Doo-Seop;Lee, Dong-Suck;Park, Ik-Soo;Yoon, Ho-Joo;Shin, Dong-Ho;Kim, Tae-Wha;Park, Sung-Soo;Lee, Jung-Hee
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.2
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    • pp.144-151
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    • 1994
  • Background: Miliary tuberculosis almost always results from the discharge of infected caseous material into the blood stream, usually from a well hidden lymph node in the presentation of this disease in the past four decades, and although it is seen less frequent1y today than previously, its presentation and manifestation may require greater suspicion and diligence by the physician. We investigated the clinical characteristics, predisposing factors and accompanying diseases of miliary tuberculosis and tried to acquire the early diagnosis and treatment of this disease. Methods: A retrospective clinical study was done on 40 cases of miliary tuberculosis admitted to Hanyang University Hospital from Mar. 1989 to Dec.1992. The study investigated age and sex distribution, seasonal distribution, duration of symptoms before admission, pre-disposing factors, clinical symptoms, biochemical findings, chest X-ray findings, extrapulmonary tuberculosis associated with miliary tuberculosis, prognosis and mortality rate. Results: 1) The patients were most common in the age group between 20 and 29(23%) and the ratio of male to female was 1.4:1(male 23 : female 17). 2) Sputum smears for tubercle bacilli were positive in 5 cases(13%). 3) The most common clinical symptoms were fever with chilling(47.5%), coughing(47.5%), second most common symptom was dyspnea(32.5%), and the physical findings on admission were tachycardia(30%), weight loss(27.5%), meningeal signs(17.5%) in order. 4) The predisposing factors were heavy alcohol drinking(6 cases), steroid use(3 cases), pregnancy(2 cases) etc. 5) The chest X-ray findings on admission were miliary shadow only(40%), in addition pneumonic infiltration, pleurisy, and calcification in order. 6) The extrapulmonary tuberculosis associated with miliary tuberculosis were tuberculous meningitis(30%), bone and joint tuberculosis(17.5%), intestinal tuberculosis(15%) in order. 7) Biochemical findings were increased SGOT/SGPT(32.5%), increased alkaline phosphatase(32.5%), hypoalbuminemia(15%), hyponatremia(15%) etc. 8) About 4-6 weeks later after treatment(INH, RFP, PZA, EMB), 26 cases(65%) were improved on clinical symptoms or chest X-ray, 12 cases(30%) were stationary or aggravated, and 2 cases(5%) were died. Conclusion: For the early diagnosis and treatment of miliary tuberculosis, we must see its presentation and manifestation with greater interest and suspicion and investigate its predisposing factors and accompanying diseases.

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