• Journal of Chest Surgery
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• v.56 no.2
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• pp.108-116
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• 2023

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has recently gained popularity as an adjunct to resuscitation of patients with traumatic shock. However, the effectiveness of REBOA is still debated because of inconsistent indications across centers and the lack of medical records. The purpose of this study was to investigate the effectiveness and feasibility of REBOA by analyzing clinical results from a single center. Methods: This study included 96 patients who underwent REBOA between August 2016 and September 2021 at a regional trauma center according to the center's treatment algorithm for traumatic shock. Medical records, including the time of the decision to conduct the REBOA procedure, time of operation, type of aortic occlusion, and clinical outcomes, were collected prospectively and analyzed retrospectively. Patients were classified by REBOA protocol (group 1, 2, or 3) and survival status (survivor or non-survivor) for analysis. Results: The overall success rate of the procedure was 97.9%, and the survival rate was 32.6%. In survivors, blood pressure was higher than in non-survivors both before the REBOA procedure (p=0.002) and after aortic occlusion (p=0.03). The total aortic occlusion time was significantly shorter (p=0.001) and the proportion of partial aortic occlusion was significantly higher (p=0.014) among the survivors. The non-survivors had more acidosis (p<0.001) and higher lactate concentrations (p<0.001) than the survivors. Conclusion: REBOA may be a feasible bridge therapy for resuscitation of patients with traumatic shock. Prompt and accurate decision-making to perform REBOA followed by damage control surgery could improve survival rates and clinical outcomes.

• Journal of the Korea institute for structural maintenance and inspection
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• v.27 no.2
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• pp.1-7
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• 2023

Durability was evaluated by performing a full-scale vertical load fatigue test and a wheel load performance test on the HRS, which reduces the replacement time of the existing expansion joint and improves serviceability to allow partial replacement by lane. As a result of the vertical load fatigue test, the maximum stress of the rail-type expansion joint is 170 MPa, which is about 47.8% of the yield strength of the HRS expansion joint rail 355 MPa. The vertical load fatigue test of the HRS expansion joint with improved serviceability set the size and load of the load plate according to the road bridge design standards, did not show any fracture behavior in the vertical load fatigue test and the wheel load performance test 2 million times, and its durability and safety were verified.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.28 no.2A
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• pp.165-170
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• 2008

New high strength bolts are required due to the development of the high strength steel, the ultra-thick steel plates, and the long-span bridge, though high strength bolts with tensile strength of 1,000 MPa are mainly used in construction site of every country. The high strength bolts are often subjected to a repeated tension-type of loading in which the fatigue failure is a major mode of failure. However, the theoretical and experimental study for the fatigue failure of tension bolt has not been well established in Korea. In this study, we performed a tensile fatigue test of F8T, F10T and F13T, F13T-N high strength bolts under tension. We proposed three fatigue strength specifications by performing 95% survival probability analysis for F8T, F10T, F13T, and F13T-N bolt under the $2{\times}10^6$ cycles of repeated loading. And the fatigue strength for the advanced screw thread shape bolt developed in this study are compared with the previous KS screw thread shape bolt.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.29 no.3A
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• pp.189-197
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• 2009

In this study, truck weight data and load effects of single truck on bridges are analyzed for development of new vehicular load model of the reliability-based bridge design code. Rational load model and statistical properties of loads are important for developing reliability-based design code. In this study, truck weight data collected at four locations are used as well as data from four locations in other studies. Truck weight data are collected from WIM or BWIM system, which are known to give reliable data. Typical truck types, dimensions and axle weight distribution are determined. Probability distributions of upper 20% total truck weight are assumed as Extreme Type I and 100 years maximum truck weights are estimated by linear regression on the probability paper. The load effects of trucks having estimated maximum weights are analyzed for span length from 10 m to 200 m.

• Journal of the Korean Society of Industry Convergence
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• v.26 no.5
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• pp.953-965
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• 2023

The stratospheric drones are developed to perform missions such as weather observation, communication relay, surveillance, and reconnaissance at 18km to 20km, where climate change is minimal and there is no worry about a collision with aircraft. It uses solar panels for daytime flights and energy stored in batteries for night flights, providing many advantages over existing satellites. The electrical and power systems essential for stratospheric drone flight must ensure reliability, efficiency, and lightness by selecting the optimal circuit topology. Therefore, it is necessary to analyze the circuit topology of various types of multi-level inverters with high redundancy that can ensure the reliability and efficiency of the motor driving power required for stable long-term flight of stratospheric drones. By quantifying the switch element voltage drop and the number and weight of inverter components for each topology, we evaluate efficiency and lightness and propose the most suitable circuit topology for stratospheric drones.

• Journal of Sensor Science and Technology
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• v.10 no.3
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• pp.148-155
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• 2001

A pressure sensor on the tip of a catheter which is utilized to measure the in-vivo pressure in a human body was fabricated and the characteristic of the pressure sensor as measured. To fit into a catheter with 1 mm caliber, samples of $150\;{\mu}m$(thickness) ${\times}$ (600, 700, 800, 900, 1000) ${\mu}m$(width) ${\times}2\;mm$(length) was fabricated. The thicker face with $450\;{\mu}m$ thickness of SDB wafer was made thin to $134\;{\mu}m$ thickness using KOH etchant and it made possible to fabricate sensor cell with the width shorter than 1 mm. Different to the whitstone bridge sensor, we formed one piezoresistor and one reference resistor in sensor. Therefore there are possibilities of reduction of the sensitivity, then by using the simulation tool ANSYS 5.5.1, the location and the type of the piezoresistor was optimized. Another piezoresistor type of sensor which contain one longitudinal and one transverse piezoresistor was fabricated at the same time, but the sensitivity was not improved very much. To get the output versus the pressure, a constant current source and a implementation amplifier was used. As a result, the maximum sensitivity of the sensor with one piezoresistor was $1.6\;{\mu}V/V/mmHg$.

• Journal of Biomedical Engineering Research
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• v.28 no.4
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• pp.569-576
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• 2007

Ventricular Assist Device(VAD) has switched its goal from a short-tenn use for bridge-to-transplantation to a long-tenn use for destination therapy, With this goal, the importance of long-tenn reliability gets more interests and importances, H-VAD is an portable extracorporeal biventricular assist device, and adopts an electro-pneumatic driving mechanism. The pneumatic pressure to pump out blood is generated with compression of bellows, and is transmitted in a closed pneumatic circuit through a pneumatic line. The existing pneumatic VAD adopts a air compressor which can generate stable pressures but has defects such as a noise and a size problem. Thus, it is not suitable for being used as a portable device, These problems are covered with adopting a closed pneumatic circuit mechanism with a bellows which has a small size and small noise generation, but it has defects that improper pneumatic setting causes a failure of adequate flow generation. In this study, the pneumatic pressure regulation system is developed to cover these defects of a bellows-type pneumatic VAD. The optimal pneumatic pressure conditions according to various afterload conditions for an optimal flow rate were investigated and the afterload estimation algorithm was developed, The final pneumatic regulation system estimates a current afterload and regulate the pneumatic pressure to the optimal point at a given afterload condition. The afterload estimation algorithm showed a sufficient performance that the standard deviation of error is 8.8 mmHg, The pneumatic pressure regulation system showed a sufficient performance that the flow rate was stably governed to various afterload conditions. In a further study, if a additional sensor such as ultrasonic sensor is developed to monitor the direct movement of diaphragm in a blood pump part, the reliability would be greatly increased. Moreover, if the afterload estimation algorithm gets more accuracy, it would be also helpful to monitor the hemodynamic condition of patients.

• The Transactions of the Korean Institute of Power Electronics
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• v.12 no.6
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• pp.456-464
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• 2007

This paper proposes a novel three-phase current-fed active clamp DC-DC converter for fuel cells. A single common active clamp branch is used to limit transient voltage across the three-phase full bridge and to realize zero-voltage switching(ZVS) in all switches. To apply for the power generation system current-fed type has been combined with the three-phase power conversion system. The proposed approach has the following advantages: an increase (by a factor of three) of input current and output voltage chopping frequencies; lower RMS current through the inverter switches with higher power transfer capability; reduction in size of reactive later components and the power conditioning system; better transformer utilization; increase of the system reliability. Therefore, the proposed three-phase current-fed active clamp DC-DC converter is appropriate for the boost type DC-DC converter for fuel cells and also applicable for the photovoltaic and battery charge system. The paper details the analysis, simulation and hardware implementation of the proposed system. Finally, experimental results with the proposed PWM strategy demonstrate the feasibility of the proposed scheme on a 500W prototype converter.

• Journal of Korean Society of Steel Construction
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• v.20 no.2
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• pp.227-236
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• 2008

The kind of concrete generally used in steel concrete composite bridges is normal-weight concrete whose unit weight is ${2,300kg/m^{3}}$. However, using lightweight concrete in composite bridges diminishes the sectional forces due to the self-weight of concrete decks. As a result, this will make the bridge design more economical. The type of concrete deck that could be adopted in composite bridges using lightweight con crete may be classified into Cast-In-Place (C.I.P.) concrete deck and precast concrete deck. These two types of decks have some differences with respect to structural behavior and constructional method, and hence,structural behavior of stud shear connectors that connect a concrete deck to a steel girder is changed with the type of deck used. In this study, push-out tests were conducted to evaluate the characteristics of static behavior of the stud shear connectors with a precast deck using lightweight concrete. Also, additional precast deck specimens with bedding layer that had shear keys and devices for transverse confinement of the bedding layer for the prevention of cracks occurring in the bedding layer were tested. These cracks The efficiency of these devices was then evaluated.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.41
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• pp.27.1-27.9
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• 2019

Background: Implants are becoming the first choice of rehabilitation for tooth loss. Even though they have a high success rate, failures still occur for many reasons. The objective of this study is to analyze the reasons for recurring failure at the same site and the results of re-implantation. Methods: Thirteen patients (11 males and 2 females, mean age 60 ± 9.9 years) who experienced implant surgery failure at the same site (same tooth extraction area) two or more times in the Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, between 2004 and 2017 were selected. The medical records on a type, sites, diameter, and length of implants; time and estimated cause of failure; and radiographs were reviewed. Data were collected and analyzed retrospectively, and the current statuses were evaluated. Results: A total of 14 implants experienced failure in the same site more than two times. Twelve implants were placed in the maxilla, while 2 implants were placed in the mandible. The maxillary molar area was the most common site of failure (57.1%), followed by the mandibular molar, anterior maxilla, and premolar areas (14.3% each). The first failure occurred most commonly after prosthetic treatment (35.7%) with an average period of failure of 3.8 months after loading. Ten cases were treated as immediate re-implantation, while the other 4 were delayed reimplantation after an average of 3.9 months. The second failure occurred most commonly after prosthetic treatment (42.9%), with an average of 31 months after loading; during the healing period (42.9%); and during the ongoing prosthetic period (14.3%). In 3 cases (21.4%), the treatment plan was altered to an implant bridge, while the other 11 cases underwent another implant placement procedure (78.6%). Finally, a total of 9 implants (64.3%) survived, with an average functioning period of 60 months. Conclusions: Implants can fail repeatedly at the same site due to overloading, infection, and other unspecified reasons. The age and sex of the patient and the location of implant placement seem to be associated with recurring failure. Type of implant, bone augmentation, and bone materials used are less relevant.