• Journal of Chest Surgery
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• 제25권2호
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• pp.149-157
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• 1992

Total 145 cases mitral vlave replacement were performed in Department of Thoracic and Cardiovascular Surgery in Chungnam National University Hospital during the period from May 1983 to July 1991. Sixty-one patients were male and 84 patients were female and the range of age was from 12 to 66 years old with the mean of 37.9[$\pm$11.6] years. Valvular lesions were 49 cases of mitral stenosis, 18 cases of regurgitation and 78 cases of combined lesion. Used valve were Ionescu-Shiley[42 cases], Bjork-Shiley[49 cases], Inact[6 cases], St. Jude Medical[11 cases] and CarboMedics[37 cases]. Mean size of valve was 29.8$\pm$1.68mm. Early morality was 13.8%[20 cases] and low output syndrome was most common cause[9 cases]. Age, functional classification and biventricular hypertrophy were risk factors. All survived cases were followed up without missing. Mean follow up period were 3 years and 3 months. Total 14 cases of death[9.7%] were observed and heart failure, unexplained sudden death and bleeding were the causes in that order. Common late complications were heart failure and bleeding related with anticoagulation. Actuarial survival rate at 5 years was 83$\pm$5.4% in overall, 78$\pm$7.2% in tissue valve group, 87$\pm$6.8% in mechanical valve group. The actuarial freedom rate from thromboembolism at 7 years was 89$\pm$8.3% in overall, 86$\pm$9.9% in tissue valve group and 97$\pm$1.9% in mechanical valve group. Actuarial freedom rate from bleeding at 5 years with anticoagulation was 88.9$\pm$4.2% in overall, 96$\pm$3.9% in tissue valve group, 86$\pm$4.6% in mechanical valve group. Reoperation was done in 3 cases with heart failure with tricuspid regurgitation and thromboembolism in 2 cases. The functional status of survived cases was I or II.

• Journal of Yeungnam Medical Science
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• 제39권2호
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• pp.133-140
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• 2022

Background: Despite advances in surgery and intensive perioperative care, fecal peritonitis secondary to colonic perforation is associated with high rates of morbidity and mortality. This study was performed to review the outcomes of patients who underwent colonic perforation surgery and to evaluate the prognostic factors associated with mortality. Methods: A retrospective analysis was performed on 224 consecutive patients who underwent emergency colonic perforation surgery between January 2008 and May 2019. We divided the patients into survivor and non-survivor groups and compared their surgical outcomes. Results: The most common cause of colon perforation was malignancy in 54 patients (24.1%), followed by iatrogenic perforation in 41 (18.3%), stercoral perforation in 39 (17.4%), and diverticulitis in 37 (16.5%). The sigmoid colon (n=124, 55.4%) was the most common location of perforation, followed by the ascending colon, rectum, and cecum. Forty-five patients (20.1%) died within 1 month after surgery. Comparing the 179 survivors with the 45 non-survivors, the patient characteristics associated with mortality were advanced age, low systolic blood pressure, tachycardia, organ failure, high C-reactive protein, high creatinine, prolonged prothrombin time, and high lactate level. The presence of free or feculent fluid, diffuse peritonitis, and right-sided perforation were associated with mortality. In multivariate analysis, advanced age, organ failure, right-sided perforation, and diffuse peritonitis independently predicted mortality within 1 month after surgery. Conclusion: Age and organ failure were prognostic factors for mortality associated with colon perforation. Furthermore, right-sided perforation and diffuse peritonitis demonstrated a significant association with patient mortality.

• 한국건설관리학회논문집
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• 제19권3호
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• pp.33-42
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• 2018

손상된 라이프라인 시스템의 공공서비스 제공 지연 예측은 지진 대응 체계 마련의 첫 단계이다. 그러나 라이프라인 시스템의 서비스제공가능도는 개별 구조물의 물리적 손상뿐만 아니라 인접한 구조물들로부터의 피해파급에 의해 변동될 수 있다. 이에 본 연구는 라이프라인 시스템의 기능 저하를 유발하는 공통원인피해와 연쇄피해의 발생 확률을 추론하기 위해 베이지안 모형을 작성하고 피해의 인과관계를 고려하여 최종 수요자 중심의 네트워크 강건성을 평가하는 방안을 제시하였다. 또한 완화대책에 따른 네트워크 강건성을 분석하기 위해 국내 대구경북지역의 전력 및 상수도 시스템을 대상으로 지진 규모에 따른 공공서비스의 공급 지연 확률을 예측하였다. 그 결과 사례 지역의 경우 안정적인 전력과 상수 수급을 위해 라이프라인 네트워크를 구성하는 노드들 간 피해파급을 저감하는 것이 효과적임을 확인하였다. 본 연구는 지진 피해 진단의 다양한 불확실성 간 인과관계를 도식화하였다는 데에 의의가 있으며, 지속 가능한 공공서비스 확보를 위한 지역단위 대책 수립을 지원할 수 있을 것으로 기대된다.

• Tuberculosis and Respiratory Diseases
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• 제65권4호
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• pp.292-300
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• 2008

연구배경: 호흡부전은 중환자실 치료가 필요한 흔한 원인 중 하나로, 호흡보조치료의 발전에도 불구하고 높은 사망률을 보이고 있다. 호흡부전환자에 대한 기존의 국내보고는, 특정질환만을 대상으로 하거나, 외과계 환자가 상당수 포함되어 있어, 내과계 호흡부전 환자들의 현황을 알기가 어렵다. 본 연구에서는 한 내과계 중환자실에서 기계환기치료를 시행 받은 성인환자들의 임상적 특성과 치료성적 및 예후와 관련된 인자를 알아보고자 하였다. 방 법: 한 3차 병원 내과계 중환자실에서 48시간 이상 기계환기치료를 받은 479명의 성인환자를 대상으로 의무기록을 후향적으로 분석하였다. 결 과: 대상환자의 평균연령은 $60.3{\pm}15.6$세였고, 34.0%가 여성이었다. 중환자실 입실시점의 APACHE III 점수의 평균값은 $72.3{\pm}25$점이었다. 호흡부전의 원인은 급성호흡부전(71.8%), 만성폐질환의 급성악화(20.9%), 혼수(5.6%), 신경근육계질환(1.7%)이었다. 초기 기계환기방식으로는 67.8%에서 압력조절환기법이 사용되었고, 초기 이탈방식으로는 압력보조환기법이 83.6%에서 사용되었다. 중환자실 사망률은 49.3%, 병원사망률은 55.4%였다. 주된 병원내 사망원인은 패혈성 쇼크(32.5%), 호흡부전(11.7%), 다발성 장기부전(10.2%)이었다. 남성, APACHE III 점수가 70점 이상, 호흡부전의 원인이 간질성폐질환, 혼수, 흡인, 폐렴, 패혈증, 객혈인 경우, 총 기계환기시간 및 병원 재원일이 사망과 독립적으로 관련되었다. 결 론: 호흡부전의 원인질환, 환자의 중증도, 성별에 따라 호흡부전환자의 예후에 차이가 있었다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제41권
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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.

• Journal of Yeungnam Medical Science
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• 제33권1호
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• pp.48-51
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• 2016

Milk-alkali syndrome (MAS), a triad of hypercalcemia, metabolic alkalosis, and renal failure, is associated with ingestion of large amounts of calcium and absorbable alkali. MAS is the third most common cause of hypercalcemia in hospital, after primary hyperparathyroidism and malignant neoplasm. MAS is not often reported in the Korean literature. We describe MAS secondary to intake of calcium citrate for the treatment of osteoporosis with thoracic spine compression fracture. A 70-year-old man presented to our hospital with a 1-week history of general weakness and lethargy. He was found with acute kidney injury (serum creatinine, 4.6 mg/dL), hypercalcemia (total calcium, 14.8 mg/dL), and alkalosis. Laboratory evaluation excluded both hyperparathyroidism and malignancy. Mental status and serum calcium level was normalized within a week after proper hydration and intravenous administration of furosemide. However, he developed aspiration pneumonia, pseudomembranous colitis, and sepsis with multi-organ failure. Despite intensive treatment including inotropics, mechanical ventilation, and renal replacement therapy, he expired with no signs of renal recovery on the 28th hospital day.

• 대한조선학회논문집
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• 제45권1호
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• pp.87-92
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• 2008

In the load-carrying fillet weldments, which are common in ship structures, fatigue cracks can occur at the weld root, in addition to the weld toe. In particular, fatigue cracks originating from the weld root are difficult to detect and cause a significant reduction in the fatigue strength of a weldment. Therefore, it is important to note the fatigue failure mode of load-carrying fillet weldment. In this study, a series of fatigue test was carried out for the fatigue strength evaluation of longi-web connections that are typical kinds of the load-carrying fillet weldment.

• 한국신뢰성학회지:신뢰성응용연구
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• 제11권3호
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• pp.251-265
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• 2011

Low-noise amplifier(LNA) is a component that amplifies the signal while lowering the noise figure of high-frequency signal. LNA holds a very important position in RF system so that it is widely used for telecommunication. Electro static discharge(ESD) is the most common cause of malfunction for low-powered components, such as Large Scale Integration and IC type LNA is weak in ESD. This thesis studies static effect of communication LNA. It analyzes ESD effect, which occurs within LNA circuit, and describes testing standard and methods. In order to find out LNA's susceptiblity to electro static, two well-recognized communication IC type LNA models were selected to be tested. Then static-induced malfunction was carefully analyzed and it suggests architectural problem and improvement from the LNA's ESD point of view.

• Journal of Ginseng Research
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• 제26권3호
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• pp.151-158
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• 2002

Ginseng (Panax quinquefolius L.) has become one of the most valuable herb crops grown in North America. However, traditional cropping practices are favourable to disease and significant losses due to root disease are common, despite frequent use of fungicides. Seedlots are often contaminated with pathogens, however, little is known about the causes of seed decay and the role of seed pathogens as incitants of root rots. It was shown that both Fusarium spp. and Cylindrocarpon destructans were able to rot seeds and that C. destructans was more virulent than Fusarium spp. on seedling roots. A modified rose bengal agar MRBA) medium (1 g KH$_2$PO$_4$; 0.5 g MgSO$_4$; 50 mg rose bengal; 10 g dextrose; 5 g Bacto peptone; 15 g Bacto agar; 30 mg streptomycin sulfate; 250 mg ampicillin; 10 mg rifampicin; 500mg pentachloronitrobenzene; 500 mg dicloran; and 1 L distilled water) was superior to potato dextrose agar in detecting C. destuctans in diseased roots. Isolation of C. destructans from diseased seedlings arising from seeds sown in replant soil supported the hypothesis that this pathogen is a cause of ginseng replant failure in North America.

• Tuberculosis and Respiratory Diseases
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• 제77권3호
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• pp.132-135
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• 2014

Rhinovirus infection is typically associated with the common cold and has rarely been reported as a cause of severe pneumonia in immunocompetent adults. A 55-year-old previous healthy woman, who consumed half a bottle of alcohol daily, presented with respiratory failure after one week of upper respiratory infection symptoms. Radiography revealed bilateral, diffuse ground glass opacity with patchy consolidation in the whole lung field; bronchoalveolar lavage fluid analysis indicated that rhinovirus was the causative organism. After five days of conservative support, the symptoms and radiographic findings began to improve. We report this rare case of rhinovirus pneumonia in an otherwise healthy host along with a review of references.