• Journal of Chest Surgery
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• v.28 no.4
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• pp.335-339
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• 1995

Secundum atrial septal defect occupies about 10 to 15% of congenital heart diseases, and the surgical accomplishment is outstanding, so that the operative mortality is getting near to zero percent. But, the methods of correction, direct closure versus patch closure are still controversial and there is no absolute method about it. Some surgeons prefer direct closure technique for its simplicity and lesser thrombogenicity but others, afraid of arrhythmia and suture detachment after closure of large defect, prefer patch closure. Usually most surgeons use direct suture technique in small and moderate sized defects and patch closure in large defects. In our hospital, 156 cases of isolated secundum atrial septal defect were closed directly by double continuous over and over suture using 5-0 polypropylene[prolene , regardless their sizes and the amounts of shunt flow. There were no operative mortality and no serious complications such as heart block, suture detachment and embolism.

• Journal of Chest Surgery
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• v.25 no.12
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• pp.1482-1486
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• 1992

Ruptured aneurysms of the sinus of Valsalva are relatively rare, and the incidence seems to be higher in oriental than in western countries. Eight patients underwent operative treatment at Chonnam University Hospital from June, 1986 to May, 1992. Six of the patients were male and two female. Age ranged from eight to fifty six years. Associated cardiac lesions were common including AR and VSD in four patients respectively. Diagnosis was made by 2D-Echo and cine-angiogram. In six patients aneurysms of the sinus of valsalva ruptured from the right coronary sinus to the right ventricle and in two from right coronary sinus to the right atrium Direct closure of aneurysmal rupture and patch closure of VSD in four cases, resection of the aneurysm and direct closure in one case, direct closure of the fistula and AVR in two cases, direct closure in one case were performed. One patient combined with VSD, pulmonary hypertention and bacterial endocarditis underwent operation, but he died of sudden cardiac arrest the day after the operation. Operative results were relatively good in the other patients.

• Restorative Dentistry and Endodontics
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• v.37 no.3
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• pp.165-169
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• 2012

Closure of interdental spaces using proximal build-ups with resin composite is considered to be practical and conservative. However, a comprehensive approach combining two or more treatment modalities may be needed to improve esthetics. This case report describes the management of a patient with multiple diastemas, a peg-shaped lateral incisor and midline deviation in the maxillary anterior area. Direct resin bonding along with orthodontic movement of teeth allows space closure and midline correction, consequently, creating a better esthetic result.

• 한국연소학회:학술대회논문집
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• 2001.11a
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• pp.35-41
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• 2001

A second-order conditional moment closure(CMC) model is applied to the prediction of local extinction in a turbulent hydrocarbon diffusion flame and compared with direct numerical simulation(DNS) results for the flame. Combustion of a hydrocarbon fuel is described by a simple two-step mechanism. A second-order correction for conditional mean reaction rate terms is made by the assumed pdf method. The results show that the second-order closure is necessary for accurate prediction of intermediate species, while first-order CMC gives good predictions for fuel, oxidant, product and temperature. Conditional variances and covariances are well predicted during an extinction process while they are overpredicted during a reignition process.

• Archives of Plastic Surgery
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• v.43 no.1
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• pp.26-31
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• 2016

Background The global prevalence of myelomeningocele has been reported to be 0.8-1 per 1,000 live births. Early closure of the defect is considered to be the standard of care. Various surgical methods have been reported, such as primary skin closure, local skin flaps, musculocutaneous flaps, and skin grafts. The aim of this study was to describe the clinical characteristics of myelomeningocele defects and present the surgical outcomes of recent cases of myelomeningocele at our institution. Methods Patients who underwent surgical closure of myelomeningocele at our institution from January 2004 to December 2013 were included in this study. A retrospective chart review of their medical records was performed, and comorbidities, defect size, location, surgical procedures, complications, and the final results were analyzed. Results A total of 14 patients underwent surgical closure for myelomeningocele defects. Twelve cases were closed with direct skin repair, while two cases required local skin flaps to cover the skin defects. Three cases of infection occurred, requiring incision and either drainage or removal of allogenic materials. One case of partial flap necrosis occurred, requiring secondary revision using a rotational flap and a full-thickness skin graft. Despite these complications, all wounds eventually healed completely. Conclusions Most myelomeningocele defects can be managed by direct skin repair alone. In cases of large defects, in which direct repair is not possible, local flaps may be used to cover the defect. Complications such as wound dehiscence and partial flap necrosis occurred in this study; however, all such complications were successfully managed with simple ancillary procedures.

• International Journal of Automotive Technology
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• v.6 no.6
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• pp.571-577
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• 2005

Combustion of turbulent sprays in a direct injection diesel engine is modeled by the conditional moment closure (CMC) model. The CMC routines are combined with the KIVA code to provide conditional flame structures to determine mean state variables, instead of mean reaction rates. An independent transport equation is solved for each flame group with equal mass of sequentially evaporating fuel vapor. CMC calculation begins as the fuel mass for each flame group begins to evaporate with corresponding initialization conditions. Comparison is made with measured pressure traces for four operating conditions at different rpm's and injection conditions. Results show that the CMC model with multiple flame histories can successfully be applied to ignition and mixing-controlled combustion phases of a diesel engine.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.49 no.5
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• pp.292-296
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• 2023

Generally, if the size of a lip cancer defect exceeds 30% of the lower lip, a local flap or free flap is recommended. However, defects up to 50% of the lower lip in size have been reconstructed successfully by primary closure without a local flap or free flap. In one case, an 80-year-old male farmer who had smoked for more than 50 years presented with squamous cell carcinoma of the lower lip and underwent mass resection and supraomohyoid neck dissection. The defect accounted for almost 2/3 of the lower lip and was repaired by primary closure with V-shaped resection. Biopsy results confirmed pT2N0cM0 stage II disease with clear margins. In another case, a 68-year-old male also presented with squamous cell carcinoma of the lower lip and underwent mass resection. The defect accounted for about half the size of the lower lip but was repaired by primary closure with V-shaped resection. Both patients experienced no discomfort while eating or speaking and were satisfied with the cosmetic and functional outcomes with no evidence of recurrence. Thus, direct closure can be considered even in large lower lip cancers.

• Proceedings of the KSME Conference
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• 2004.11a
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• pp.214-219
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• 2004

Crack tip behavior of single mode loading condition(mode I)depend on tensile loading component but one of mixed mode loading condition(mode I+II) have influenced on shear loading component like the practical structure. Because crack closure is caused by shear loading component under mixed-mode loading a research on the behavior in the stage of crack initiation and propagation require to be evaluate about crack closure effect by fatigue crack surface friction. For that reasion we examined the behavior at the crack tip by direct measuring method. Measured behavior at the crack tip was analyzed through vector crack tip displacement. As a result, crack propafation equation was corrected by considering with crack closure effect. In addition we compared fatigue fracture crack surface and crack closure level.

• Journal of Chest Surgery
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• v.28 no.2
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• pp.177-179
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• 1995

Sinus venosus type atrial septal defect is commonly associated with partial anomalous pulmonary venous return[PAPVR . Ideal surgical repair of sinus venosus ASD with PAPVR demands complete closure of septal defect with redirection of the anomalous pulmonary venous return to the left atrium without obstructing the superior vena cava[SVC or the anomalous pulmonary vein and without injury of sinoatrial node and residual shunt. In our two patients, the closure of sinus venosus ASD and correction of PAPVR could be accomplished by simple direct sutures without using a patch or flap. Both patients had a good outcome.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.31 no.4
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• pp.432-440
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• 2007

In this study, we have investigated the closure behavior of fatigue cracks in SAPH440 steel plates under a mixed-mode I+II loading. A crack image capturing system as a direct measuring method was used to measure the closure levels at a crack tip. The crack closure levels in the fluctuation and stable sections were increased with the increase of the mode mixture ratio. The mode mixture ratio independent fatigue crack propagation rates equation was calculated by considering mixed-mode crack closure levels. The equation was examined according to the application method of crack opening ratio. The fracture surface analysis by C-scan method was also performed in order to investigate the closure mechanism and propagation mode of crack under the mixed-mode I+II loading. The crack closure under the mixed mode I+II is confirmed as a surface roughness closure by the quantitative analysis of fracture surface using the proposed surface roughness parameter.