• Journal of Chest Surgery
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• 제13권1호
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• pp.1-12
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• 1980

In 1979 during the period of about 10 months 320 cases of open heart surgery were done in Seoul National University Hospital. There were 220 Congenital anomaly cases consisting of 113 acyanotic and 107 cyanotic varieties, and 1 O0 acquired cardiac lesions. Out of 100 acquired lesions 96 were valvular cues. Among 97 valve replacement cases 3 were Ebstein anomaly treated with plication and tricuspid valve replacement. Operative mortality rate for congenital anomaly was 10.6%, with 2.7% for acyanotic and 22.4% for cyanotic group. For acquired lesions over all operative mortality was 7%. Tetralogy of Fallot, ventricular septal defect, and atrial septal defect were the 3 main congenital anomalies, with 88 cues, 69 cases, and 27 cues respectively. In 61 simple ventricular septal defect without other anomalies operative mortality rate was 1.6%, in 27 atrial septal defect no death and, in tetralogy of Fallot 12.2%. Among 69 ventricular septal defect cases 19[27.5%] type I VSDs, after Kirklin-Becu classification, were found, rather high relative incidence of type I compared with Caucasian patients. Among 97 valve replacement cases 20 double valves were replaced-11 mitral with aortic and 9 mitral with tricuspid valves. Over all operative mortality rate for valve replacement was 8.2% with 3.3% in 61 mitral valve replace-merit. The over all operative mortality rate for 320 open heart surgery cases was 10.6%. Bubble type oxygenator and xenograft bioprosthetic valves were utilized In almost all cases.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2015년도 추계 학술논문 발표대회
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• pp.87-88
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• 2015

A defect dispute surrounding an apartment building is in constant trouble, a defect consulting is necessary that objective and impartial for solving a defect. The defect dispute about a defect lawsuit is conducted in the order that filling of lawsuit, consulting order, defect inspecting, estimating a repairing cost, writing a consulting report, submitting a consulting report, and decision by court. Of these, a step of defect inspecting is extensively investigated an occurred defect that each defect index and type from each part and place. At this time, it is collected of many data and created many information. For this, it need to organize and manage. The study is a modeling of field investigation work process that second phase of defect inspecting step. A literature study is defined a work until level 2. This study is defined the work until level 3 to 4. In addition, the modeling can do for using a job name, a place to job, a job to do, and a person concerned about defect consulting case. The modeling is expected a contribution of improving a defect consulting process and systematizing a judgment standard.

• Journal of Chest Surgery
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• 제10권2호
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• pp.268-273
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• 1977

During the period from March, 1963, to November, 1977, forty-eight patients with secundum type atrial septal defects have undergone surgical repair using cardiopulmonary bypass with a pump oxygenator at the Seoul National University Hospital. Twenty-six [55 percent] of the patients were females and Twenty-two [45 percent] were males. The patients varied in age from 3 years to 51 years. We have divided secundum defects into three types. These are: 1] the high defect; 2] Ovale type defect; and 3] low defect including the defect in the area of the coronary sinus. An ovale type defect was present in forty-one cases [85 percent]. Partial anomalous pulmonary venous connections were present in two patients in the high defect group. All of the forty-eight patients had had right heart catheterization before operation. The pulmonary to systemic flow ratio [Qp/Qs] was determined in our 38 patients. The Qp/Qs was less than 1.5/1 in only five of the 38 patients. Among the 33 patients with moderate and severe left-to-right shunts [Qp/Qs 1.6-3.5/1], the systolic pulmonary artery pressures. ranged from 30 to 80 mm Hg. Large left-to-right shunts [Qp/Qs>3.6/1] were present in 13 patients. The postoperative complications occurred in 13 patients [27. 1 percent]. Postoperative wound infections were the most frequent complications being present in 6 patients [12.5%]. Forty-six of the patients with secundum atrial septal defects survived surgical repair of their defects. Thus the hospital mortality of surgery was 4.2 percent. The causes of death in the early postoperative period were: 1] low cardiac output syndrome related to severe pulmonary hypertension in one case; and 2] postoperative several bleeding in one case.

• Archives of Plastic Surgery
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• 제33권5호
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• pp.546-551
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• 2006

Purpose: The reconstruction of oropharyngeal defect after cancer surgery is very difficult because of their complicated structure and the functional importance to prevent velopharyngeal incompetence. In this article we investigated affecting factors of velopharyngeal function after reconstruction and a fundamental rule of reconstruction for saving their functions such as swallowing, speeching and breathing. Methods: We classified 18 patients into three group under Kimata's grouping. Type I defect(6 patients) was healed by primary closure or secondary intention. In Type II or III defect, two operation methods were used - the folded flap(8 patients) and modified Gehanno method(4 patients), which include a lateral-posterior pharyngeal rotation-advancement flap. We evaluated wound dehiscence between the flap and the soft palate, speech intelligibility using Hirose's method, regurgitation during oral feeding, and hypernasality. Results: Most of type I or II defects patients recovered satisfactory velopharyngeal function. But, in patients with type III defects we found wound dehiscence, worse speech function, and common velopharyngeal incompetence. Conclusion: The large defect size and presence of wound dehiscence are major factors of postoperative velopharyngeal function. We conclude that folded flap or modified Gehanno method is a good reconstructive operation method for broad contact between the flap and defect site, preventing wound problem.

• Journal of Chest Surgery
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• 제18권2호
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• pp.157-164
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• 1985

Our series comprised 68 patients of ventricular septal defect who underwent open heart surgery at the Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, from January, 1980 to September, 1984. Of the 68 patients, 47 patients were male [69.1%] and 21 patients were female [30.9%]. Their age ranged from 3 years to 27 years, and the mean age was 10.1 years. Upon Kirklin`s anatomical classification, type I constituted 29.4%, type II 69.1%, type III 1.5%, and type IV 1%. The cardiac anomalies associated with ventricular septal defect were 21 in all; 5 PS, 4 Aortic insufficiency, 2 ASD, 4 Patent foramen ovale, and 1 Patent ductus arteriosus. Upon the data of cardiac catheterization, most of the patients had Qp/Qs of 1.4-1.8, Pp/Ps of 0.25 or less and Rp/Rs of 0.25 or less. There was no significant correlationship between the rate of operative complication & mortality and the increase of Qp/Qs, Pp/Ps, and Rp/Rs. The values of Qp/Qs, Pp/Ps and Rp/Rs were correspondingly increased according to increment of the defect size. 20 patients developed postoperative complications, such as 4 acute respiratory failure, 3 reexploration due to massive bleeding, 1 low cardiac output, 1 patch detachment, and 2 air embolism. Operative mortality rate was 7.4% [5 cases] among 68 patients.

• Journal of Korean Neurosurgical Society
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• 제46권6호
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• pp.522-527
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• 2009

Objective : Atlantal arch defects are rare. Few cadaveric and imaging studies have been reported on the variations of such anomalies. Our goal in this study was to examine the incidence and review the clinical implications of this anomaly. Methods : A retrospective review of 1,153 neck or cervical spine computed tomography (CT) scans was performed to identify patients with atlantal arch defects. Neck CT scans were performed in 650 patients and cervical spine CT scans were performed in 503 patients. Posterior arch defects of the atlas were grouped in accordance with the classification of Currarino et al. In patients exhibiting this anomaly, special attention was given to defining associated anomalies and neurological findings. Results : Atlantal arch defects were found in 11 (11/1153, 0.95%) of the 1,153 patients. The type A posterior arch defect was found in nine patients and the type B posterior arch defect was found in two patients. No type C, D, or E defects were observed. One patient with a type A posterior arch defect had an anterior atlantal-arch midline cleft (1/1153, 0.087%). Associated cervical spine anomalies observed included one $C_{6-7}$ fusion and two atlantal assimilations. None of the reviewed patients had neurological deficits because of atlantal arch anomalies. Conclusion : Most congenital anomalies of the atlantal arch are found incidentally during investigation of neck mass, neck pain, radiculopathy, and after trauma.

• 한국가스학회지
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• 제16권2호
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• pp.18-24
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• 2012

본 연구는 Type II 가스실린터의 20,000 회 피로시험과 파열시험시 음향방출시험을 병행하여 용기의 손상정도를 평가하고자 하였으며, 실험에 사용된 용기는 결함 크기가 $3mm{\times}3mm{\times}50mm$ (폭${\times}$깊이${\times}$길이)이고 결함 방향이 용기의 종방향 및 횡방향인 인공결함용기와 건전한 용기 등 세 종류이다. 피로시험시 발생된 음향방출신호는 종방향결함의 경우 전체 신호 중 결함에서 발생된 이벤트의 비율이 50 % 이상이며, 음향방출신호의 위치표정도 매우 정확하게 일치하였다. 또한 파열시험에서는 인공결함용기가 결함 위치에서 에상파열압력보다 낮은 압력으로 파열될거라는 예상과는 달리 인공결함용기의 파열압력은 건전한 용기와 큰 차이가 없었으며, 단지 종방향 인공결함용기의 경우 파열위치가 결함 위치와 근접하게 발생하였다. 이는 종방향 결함의 길이만큼 복합재료의 두께가 얇아지는 효과로 나타나게 되어 금속라이너의 피로반복시 결함 발생과 성장위치에 영향을 미친 것으로 판단된다.

• Journal of Chest Surgery
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• 제23권3호
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• pp.430-437
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• 1990

We clinically evaluated 121 cases of ventricular septal defect which we operated from April, 1986 to December, 1989 at Inha General Hospital, Seong-Nam, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inha University. These patients were occupied 54.8% of all congenital heart diseases operated on its same period. Of the 121 patients, 63 patients were male[52.1%] and 58 patients were female[47.9i]. The two most common symptoms were frequent upper respiratory infection and dyspnea on exertion. By Kirklin s anatomical classification, type I constituted 34.7%, type II 61.98%, type III 0.03% and type IV not occupied. Associated cardiac anomalies were found in 34 cases, and PDA was most common associated anomaly, occupied in 22 cases. On the cardiac catheterization data, there were statistically significant correlation between VSD size[cm2 /BSAm2] and systolic pulmonary arterial pressure[sPAP], pulmonary to systemic flow ratio[Qp/Qs] & pulmonary to systemic pressure ratio[Pp/Ps] respectively, Type II [r=0.53, p<0.01] was more correlated than type I [r=0.49, p<0.05] between VSD size and Qp /Qs. We could not found the correlationship between age and Qp/Qs [Type I; r=0.16, Type II; r=-0.15] All cases were operated under cardiopulmonary bypass and 58 cases[46.3%] were operated through the right atrial approach, and 34 cases[28.1%] through the pulmonary arterial approach. Operative mortality rate was 4.13%[5 cases].

• 한국환경복원기술학회지
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• 제23권3호
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• pp.91-104
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• 2020

This study was conducted to analyze the characteristics of defects according to the type of block and spatial type by quantitatively examining defects occurring in block pavement in apartment complex. According to the research results, depending on the type of block, defects have occurred 1,394.3ea/100㎡ in interlocking paver blocks, 464.8ea/100㎡ in clay brick paver blocks, and 235.1ea/100㎡ in shot blasted paver blocks. By space type, the defects were occurred 1,576.0ea/100㎡ on the access road paved by interlocking paver blocks and the defects were found 1,139.6ea/100㎡ in interlocking paver blocks, 235.1ea/100㎡ in shot blasted paver blocks, and 797.1ea/100㎡ in clay brick paver blocks, on the sidewalk. Also the defects are occurred 455.6ea/100㎡ on the resting space and 403.2ea/100㎡ on the gym space paved by clay brick paver blocks. Through the size analysis of the defects in the block paver, in the case 'peeling', the largest volume of 2,539.0㎣ on the sidewalk paved with shot blasted paver blocks, and 'Subsidence' occurred at the widest area of 2,096.0㎠ on the sidewalk where interlocking paver block was constructed. The difference in defect occurrence according to the type of block is considered to be influenced by the block production process, and the space type is considered to be caused the difference in the occurrence of defects according to the cause of construction and the usage pattern of residents. This study conducted a survey on defects in block and analyzed the defect characteristic according to paver material and space type. Base on this, it is judged that it can be used as an efficient basic data for material replacement, improvement, paver planning and construction in the future.

• 비파괴검사학회지
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• 제27권5호
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• pp.383-392
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• 2007

본 논문에서는 신경회로망을 이용하여 원자력 발전소 증기발생기 세관의 결함 깊이와 폭을 예측하는 연구를 수행한다. 결함 크기 추정을 위하여 우선, I-In 형태, I-Out 형태, V-In 형태, V-Out 형태의 4가지 결함형상에 대한 와전류탐상시험(ECT) 신호를 생성한다. 특히, 유한요소법에 기반한 수치해석 기법을 이용하여 여러 가지 폭과 깊이를 갖는 결함 400개의 ECT 신호를 생성한다. 이와 같이 생성된 ECT 신호로부터, 결함 크기와 폭을 예측하기 위한 새로운 특징벡터를 추출하는데, 이 특징벡터에는 최대 임피던스 값을 갖는 점과 최대 임피던스값의 1/2의 값을 갖는 점 사이의 위상각이 포함된다. 추출된 특징벡터를 이용하여 결함의 크기를 예측하기 위해서 하나의 은닉층을 갖는 다층퍼셉트론을 이용하였다. 컴퓨터 모의실험 연구를 통하여 제안된 방법이 우수한 예측성능을 갖는다는 것을 보였다.