• Journal of Chest Surgery
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• 제54권3호
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• pp.165-171
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• 2021

As a percutaneous technique for the reduction of mitral regurgitation, the MitraClip system (Abbott Vascular, Abbott Park, IL, USA) for transcatheter edge-to-edge repair of the mitral valve was developed in 1998 and first used in 2003. Its main advantage is being less invasive than surgery, because it can be performed through a transcatheter approach without any hemodynamic compromise. Recent studies have shown that this procedure reduces symptoms and improves functional capacity with low complication rates. Two randomized clinical trials have investigated the use of this technique for functional mitral regurgitation. The Korean Ministry of Food and Drug Safety approved its use for degenerative mitral regurgitation in 2019, and this procedure started to be performed in Korea in January 2020. Its use for functional mitral regurgitation was also approved in Korea in 2020. In this article, recent evidence on transcatheter edge-to-edge repair of the mitral valve and our initial experiences in Korea will be reviewed.

• Journal of Chest Surgery
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• 제54권6호
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• pp.449-453
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• 2021

The 2020 American College of Cardiology focused update on the mitral regurgitation (MR) pathway provides an excellent summary of the decision-making trees in the treatment of severe MR, in which 2 main branches of the flowchart are suggested depending on whether MR is primary or secondary. Surgery is suggested as preferable over transcatheter edge-to-edge repair (TEER) in primary MR that needs intervention. The decision-making for secondary MR generally prioritizes TEER over surgery according to the guidelines, but further stratification is necessary based on the pathophysiologic mechanisms of MR. TEER is probably the more suitable option in secondary MR caused by left ventricular dysfunction or dilatation, given the high perceived surgical risks, despite the lack of sufficient evidence in support of overt clinical benefits from surgical therapy in these patients. In atrial functional MR associated with atrial fibrillation (AF), however, concomitant ablation of AF seems to be a desirable option, as it has been demonstrated to be a key factor leading to improved survival, reduced stroke risk, and more durable mitral and tricuspid function in patients undergoing mitral surgery. Therefore, atrial functional MR requiring intervention may be best treated by surgical therapy that combines mitral repair and AF ablation in the majority of patients. This particular issue, however, needs further research to obtain scientific evidence to guide optimal management strategies.

• Journal of Chest Surgery
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• 제56권1호
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• pp.56-58
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• 2023

Untreated severe tricuspid regurgitation (TR) is associated with poor outcomes. Functional TR occurs secondary to dilatation of the annulus and tethering of the leaflets. Ring annuloplasty alone can correct most cases, but is insufficient in cases of severe annular dilatation due to severe leaflet tethering. In such cases, a tricuspid edge-to-edge technique may be an option. However, stitching of the leaflet tips alone is likely to result in tearing of the leaflets. Approximation of the durable chordae tendineae is considered helpful for this problem. Herein, we present the case of a 39-year-old man who had undergone open-heart surgery for acute type A aortic dissection 13 months earlier. A right mini-thoracotomy approach with a beating-heart strategy was used, which did not require unnecessary pericardial adhesiolysis and dissection. This technique had the advantage of reducing the operation time and the risk of bleeding. To summarize, we present a case of tricuspid valve repair in a high-risk patient with severe leaflet tethering that was successfully managed using these methods.

• Archives of Plastic Surgery
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• 제44권5호
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• pp.453-456
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• 2017

Patients are increasingly seeking repair of their earlobes following ear gauging. Research has shown that current repair techniques either excessively reduce the lobular volume or leave an obvious scar along the free edge of the earlobe. In our case series, we describe the use of a novel technique for repairing earlobes following ear gauging using a rolling earlobe flap that preserves the lobular volume and avoids leaving a scar on the free edge of the lobule. The procedure was performed on 3 patients (6 earlobes) who had defects from ear gauging that ranged from 3.0 to 6.5 cm. There were no postoperative complications of infection, wound dehiscence, flap necrosis, hypertrophic scars, or keloids, and all patients were highly satisfied with the postoperative results. This versatile technique allows for an aesthetically pleasing reconstruction of the lobule with the advantages of: the absence of a surgical scar on the free edge of the lobule, preserving the lobule volume, and presenting a highly customizable technique that allows lobules to be created with various shapes and volumes.

• 대한치과보철학회지
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• 제29권3호
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• pp.101-110
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• 1991

The purpose of this study was to compare the repaired joint strength among several edge profiles after denture repair. For this study, eight edge profiles were used for repair methods and five self-curing resin brands were used for repair materials. Break away loads were tested after 1 hr., 24 hrs. and 1 week. Instron was used for testing the transverse strength of repaired specimen. The results were as follows. 1. Repaired joint strength was about 35-65% of that of original specimen. 2. Joint strengths of round, inverse knife, inverse rabbit, lap ogee joint were higher tnan that of traditional simple butt joint 3. Joint strength of the simple butt joint was low significant. 4. Joint strengths after 1 hr. specimen were lower than those of 24 hrs. and 1 week specimens in joint strengths. 5. There were no significant differences between 24 hrs. and 1 week specimens in joint strengths. 6. It look more than 24 hours to gain satisfactory physical property after repairing the fractured denture base when self-curing resin was used for repair.

• Journal of Information Processing Systems
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• 제16권5호
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• pp.1129-1144
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• 2020

The thangka image inpainting method based on wavelet transform is not ideal for contour curves when the high frequency information is repaired. In order to solve the problem, a new image inpainting algorithm is proposed based on edge structural constraints and wavelet transform coefficients. Firstly, a damaged thangka image is decomposed into low frequency subgraphs and high frequency subgraphs with different resolutions using wavelet transform. Then, the improved fast marching method is used to repair the low frequency subgraphs which represent structural information of the image. At the same time, for the high frequency subgraphs which represent textural information of the image, the extracted and repaired edge contour information is used to constrain structure inpainting in the proposed algorithm. Finally, the texture part is repaired using texture synthesis based on the wavelet coefficient characteristic of each subgraph. In this paper, the improved method is compared with the existing three methods. It is found that the improved method is superior to them in inpainting accuracy, especially in the case of contour curve. The experimental results show that the hierarchical method combined with structural constraints has a good effect on the edge damage of thangka images.

• Journal of Chest Surgery
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• 제25권10호
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• pp.1157-1160
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• 1992

Aortic valve repair with the use of tailored autologous pericardial extension to the native cusp was performed in one patient with rheumatic aortic valve incompetence. The patient was a 10-year-old girl with Grade II aortic regurgitation and tiny postoperative recannalization of the patent ductus arteriosus. The left aortic coronary cusp appeared to be a little thickened and a cicatrical shortening of the distance between the free edge of the cusp and its annular attachment. A semilunar shaped patch of autologous pericardium, treated with glutaraldehyde solution[6 minutes in 0.6% solution] was sutured along the free edge of the left coronry cusp. Postoperative recovery was uneventful. Echocardiography 8 months later showed Grade I aortic regurgitation. She is now conducting as usual life.

• 대한토목학회논문집
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• 제34권2호
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• pp.367-375
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• 2014

최근 콘크리트 구조물의 보수 보강 및 리모델링 시 구조부재를 부착시키거나 고정하는데 있어서 시공의 유연성 및 용이성으로 후설치 앵커의 사용량이 증가하고 있는 실정이다. 전단하중을 받는 앵커는 강재와 콘크리트의 강도, 연단거리, 앵커간격 등에 따라 다양한 파괴모드를 보이며 대표적인 파괴모드는 강재 파괴, 콘크리트 파열 파괴, 콘크리트 프라이 아웃 파괴 등으로 나타난다. 본 연구에서는 매입깊이, 앵커간격, 연단거리 및 콘크리트 강도를 변수로 한 세트앵커의 전단 실험을 통하여 콘크리트에 매입된 후설치 앵커의 전단 파괴거동에 미치는 영향을 규명하는 것을 그 목적으로 한다. 매입깊이 변수의 실험 결과 매입깊이가 얕을수록 콘크리트 강도의 영향이 큰 것으로 나타났다. 앵커간격 변수의 실험 결과 모두 강재 파괴가 발생하였으며, 연단거리 변수의 실험 결과 매입깊이 이하인 경우 모두 콘크리트 파괴가 발생하였다. 동일한 변수의 실험 결과를 비교해 보았을 때 콘크리트 강도가 클수록 변위가 상대적으로 더 작게 나타났다.

• 한국복합재료학회:학술대회논문집
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• 한국복합재료학회 2001년도 춘계학술발표대회 논문집
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• pp.155-158
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• 2001

The layup optimization by genetic algorithm (GA) for the strength of laminated composites with free-edge is presented. For the calculation of interlaminar stresses of composite laminates with free edges, extended Kantorovich method is applied. In the formulation of GA, repair strategy is adopted for the satisfaction of given constraints. In order to consider the bounded uncertainty of material properties, convex modeling is used. Results of GA optimization with scattered properties are compared with those of optimization with nominal properties. The GA combined with convex modeling can work as a practical tool for light weight design of laminated composite structures since uncertainties are always encountered in composite materials.

• 한국항공우주학회지
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• 제41권12호
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• pp.959-966
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• 2013

이 논문에서는 설계정보가 없는 노후 항공기를 사용한 P-3CK 해상초계기 사업을 바탕으로, 끝단거리 부족 결함 수리를 위한 패스너 홀 구조특성 연구를 수행하였다. 이를 위해 끝단거리 결함이 많이 발생했던 낫셀 론저론 부분을 선택하고, 1.5, 1.8, 2.0배 끝단거리에 대한 정적 해석을 수행하여 보수적인 응력을 구하였다. 이 응력을 바탕으로 TWIST의 표준하중 스펙트럼을 적용하여 비행하중을 생성하고, 이 비행하중을 이용하여 균열성장 피로해석을 수행하였다. 이 결과를 통하여 P-3CK 사업 중 수리된 패스너 홀의 유효성을 평가하고 정비주기 및 기준을 설정하였다.