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검색결과 45건 처리시간 0.03초

Mid-Term Results of Minimally Invasive Direct Coronary Artery Bypass Grafting

  • Seo, Dong Hyun;Kim, Jun Sung;Park, Kay-Hyun;Lim, Cheong;Chung, Su Ryeun;Kim, Dong Jung
    • Journal of Chest Surgery
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    • 제51권1호
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    • pp.8-14
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    • 2018
  • Background: Minimally invasive direct coronary artery bypass grafting (MIDCAB) has the advantage of allowing arterial grafting on the left anterior descending artery without a sternotomy incision. We present our single-center clinical experience of 66 consecutive patients. Methods: All patients underwent MIDCAB through a left anterior small thoracotomy between August 2007 and July 2015. Preoperative, intraoperative, postoperative and follow-up data - including major adverse cardiovascular and cerebrovascular events (MACCE), graft patency, and the need for re-intervention - were collected. Results: The mean age of the patients was $69.4{\pm}11.1years$ and 73% were male. There was no conversion to an on-pump procedure or a sternotomy incision. The 30-day mortality rate was 1.5%. There were no cases of stroke, although 2 patients had to be re-explored for bleeding, and 81.8% were extubated in the operating room or on the day of surgery. The median stay in the intensive care u nit and in the hospital were 1.5 and 9.6 days, respectively. The median follow-up period was 11 months, with a 5-year overall survival rate of $85.3%{\pm}0.09%$ and a 5-year MACCE-free survival rate of $72.8%{\pm}0.1%$. Of the 66 patients, 32 patients with 36 grafts underwent a postoperative graft patency study with computed tomography angiography or coronary angiography, and 88.9% of the grafts were patent at $9.7{\pm}10.8months$ postoperatively. Conclusion: MIDCAB is a safe procedure with low postoperative morbidity and mortality and favorable mid-term MACCE-free survival.

R/P 마스터 모델을 활용한 정밀주조 부품 및 쾌속금형 제작 공정기술의 개발 (Development of Rapid Tooling using Investment Casting & R/P Master Model)

  • 정해도;김화영
    • 한국주조공학회지
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    • 제20권5호
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    • pp.330-335
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    • 2000
  • Functional metal prototypes are often required in numerous industrial applications. These components are typically needed in the early stage of a project to determine form, fit and function. Recent R/P(Rapid Prototyping) part are made of soft materials such as plastics, wax, paper, these master models cannot be employed durable test in real harsh working environment. Parts by direct metal rapid tooling method, such as laser sintering, by now are hard to get net shape, pores of the green parts of powder casting method must be infiltrated to get proper strength as tool, and new type of 3D direct tooling system combining fabrication welding arc and cutting process is reported. But a system which can build directly 3D parts of high performance functional material as metal park would get long period of system development, massive investment and other serious obstacles, such as patent. In this paper, through the rapid tooling process as silicon rubber molding using R/P master model, and fabricate wax pattern in that silicon rubber mold using vacuum casting method, then we translated the wax patterns to numerous metal tool prototypes by new investment casting process combined conventional investment casting with rapid prototyping & rapid tooling process. With this wax-injection-mold-free investment casting, we developed new investment casting process of fabricating numerous functional metal prototypes from one master model, combined 3-D CAD, R/P and conventional investment casting and tried to expect net shape measuring total dimension shrinkage from R/P pare to metal part.

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상공정맥 증후군 -Dacron & Nylon 환치수술 2예- (Superior Vena Cava Syndrome -2 Bypass Graft Cases-)

  • 김정석
    • Journal of Chest Surgery
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    • 제2권1호
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    • pp.65-72
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    • 1969
  • Superior Vena Cava Syndrome: Dacron and Nylon graft between the left innominate vein and the right atrial appendage. Two cases with typical superior vena cave syndrome treated by by-pass graft between the left innominate vein and the right atrial apepndage were presented. One of them was a 58 year old farmer who suffered from marked swelling of the neck and upper half of body, the other was a 50 years old government employee who had acutely progressive symptoms of superior vena cave obstruction. Both of cases revealed that [1] cubitel venous pressure was markedly increased. [2] tumors were noted in the posterior mediastinum by laminography. [3] preoperative cavogram showed the occlusion of superior vena cava and marked collaterals. Dacron and Nylon graft were inserted between the left innominate vein and the right atrial appendage. Postoperatively, the symptoms were relieved markedly, showing edema free face and decreased cubital venous pressure. Postoperative cavogram showed patent graft. Histologically the first case was diagnosed as squamous cell carcinoma and the second as undifferentiated carcinoma, originated probably from bronchus. Total doses of 3150 r X-ray irradiation and 5000 mg of 5-FU were administered in each cases. The first case expired 11 months postoperatively without recurrence of superior vena cave obstruction symptom and the second case is living now without obstruction signs, 4 months after by-pass operation.

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Design of Subject-based Community Model by Linkage Heterogeneous Content: Focused on Field of Biological Science

  • Ahn, Bu-Young;Kim, Ji-Young;Oh, Chung-Shick;Lee, Myung-Sun
    • International Journal of Contents
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    • 제6권3호
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    • pp.10-14
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    • 2010
  • Researchers in Korea and elsewhere have carried out a wide variety of important research activities in their respective fields, producing valuable research results. For such diverse research results to be shared and exchanged among researchers working in the same discipline and research subject there needs to be a community environment based on free utilization of information. Against this backdrop, this study seeks to classify and reprocess the reference/factual content owned by the KISTI (Korea Institute of Science and Technology Information), a state-run distributor of information on science and technology, by the different research subjects. It also seeks to develop and provide a community model based on the concepts of open archiving and open access for the researchers specialized in the related fields of research. This community model is developed focusing on the research results from the field of bioscience, where the most extensive studies are currently being conducted. To develop the community model, this study: (a) surveys the current status of the content owned by KISTI; (b) analyzes the patterns and characteristics of biological scientific content among the KISTI-owned content; and (c) designs a web platform where researchers can freely upload/download research results.

3D프린터 활성화를 위한 방안 -피규어 제작을 중심으로- (Plans for 3D printers Diffusion -Focusing on production figures-)

  • 이창조;손종남
    • 디지털융복합연구
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    • 제12권9호
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    • pp.335-341
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    • 2014
  • 3D 프린터의 특허권이 만료됨에 따라 3D프린터 시장의 활성화와 미래 산업에 대한 밝은 전망 등을 다룬 언론의 기사들이 등장하고 있다. 3D 프린터가 일반 프린터처럼 대중화 되기 위해서는 무엇이 필요할까? 그 해답은 알기 위하여 일반인들을 대상으로 3D프린터의 활성화에 대한 온라인 설문을 실시하였다. 그 결과 일반인들은 3D프린터를 이용한 활용에 있어서 창작 출력물과 피규어를 선호하고 있으며, 출력데이터인 디지털 설계도를 직접 제작보다는 유료/무료 다운로드를 이용한 활용을 더 많이 원하는 것으로 나타났다. 일반인들의 3D프린터의 대중화와 활성화를 위하여 피규어는 영상미디어 콘텐츠들을 자주 접하는 일반인들에게 친숙한 대상이며, 더 나아가 3D프린터를 활용하고 싶다는 욕구를 갖게 하고 프린터를 구매하는 동기부여 요소를 지니고 있다고 사료된다. 피규어 콘텐츠의 디지털 설계도 보급을 위해 관련 규제와 법을 마련하고, 판매의 장인 온라인 마켓을 활성화한다면 3D 프린터의 활성화에 많은 도움이 될 것으로 사료되어진다.

CISG 제42조 (1)항의 매도인의 책임에 관한 소고 (A Study on the Seller's Liability under Article 42(1) of the CISG)

  • 허광욱
    • 무역상무연구
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    • 제60권
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    • pp.47-77
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    • 2013
  • The way for seller to procure the goods for selling is to produce the goods at his own factory and to buy the manufactured goods from the other company. In order to produce the goods for selling the seller have to obtain the resource from the domestic company or overseas. In the middle of producing the goods to sell, seller may breach the right of a third party based on intellectual property rights. That is to say, seller may use the machine that has not itself been patented and use a process which has been patented by a third party. Seller may manufacture the goods which themselves are subject to the third party industrial property rights. Nowadays it is stressed the importance of intellectual property rights such as a patent, brand, and design. These factors consist of the core elements of the competitiveness of the goods. Many embedded software have been used in the various sector. So the disputes regarding to the intellectual property rights is gradually increasing in number. Article 42 of CISG defines the seller's delivery obligations and liabilities in respect to third party intellectual property rights and claims. It contains a special rule for this similar kind of defective in title, which tries to provide an proper solution to the complex problems caused by such rights and claims in international transactions. When seller will apply this clause to the business fields, there are several points to which seller should give attention. First, Intellectual property is general terms in intangible property rights, encompassing both copyright and industrial property. Which matter fall within the scope of intellectual property? The scope of intellectual property can be inferred from the relevant international conventions, which are based on broad international consensus. Second, Article 42 of CISG governs the relationship between the seller and the buyer, that is to say, questions of who has to bear the risk of third party intellectual property rights. The existence of such intellectual property rights, the remedies available and the question of acquiring goods free of an encumbrances in good faith are outside the scope of the CISG. The governing law regarding to the abovementioned matters is needed.

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Thyroid dysfunction in very low birth weight preterm infants

  • Lee, Ji Hoon;Kim, Sung Woo;Jeon, Ga Won;Sin, Jong Beom
    • Clinical and Experimental Pediatrics
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    • 제58권6호
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    • pp.224-229
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    • 2015
  • Purpose: Thyroid dysfunction is common in preterm infants. Congenital hypothyroidism causes neurodevelopmental impairment, which is preventable if properly treated. This study was conducted to describe the characteristics of thyroid dysfunction in very low birth weight infants (VLBWIs), evaluate risk factors of hypothyroidism, and suggest the reassessment of thyroid function with an initially normal thyroid-stimulating hormone (TSH) as part of a newborn screening test. Methods: VLBWIs (January 2010 to December 2012) were divided into two groups according to dysfunction-specific thyroid hormone replacement therapy, and associated factors were evaluated. Results: Of VLBWIs, 246 survivors were enrolled. Only 12.2% (30/246) of enrolled subjects exhibited thyroid dysfunction requiring thyroid hormone replacement. Moreover, only one out of 30 subjects who required thyroid hormone treatment had abnormal thyroid function in the newborn screening test with measured TSH. Most of the subjects in the treatment group (22/30) exhibited delayed TSH elevation. Gestational age, Apgar score, antenatal steroids therapy, respiratory distress syndrome, patent ductus arteriosus, sepsis, intraventricular hemorrhage, postnatal steroids therapy, and duration of mechanical ventilation did not differ between the two groups. Birth weight was smaller and infants with small for gestational age were more frequent in the treatment group. Conclusion: Physicians should not rule out suggested hypothyroidism, even when thyroid function of a newborn screening test is normal. We suggest retesting TSH and free thyroxine in high risk preterm infants with an initially normal TSH level using a newborn screening test.

한국의 공업화건축 공법 도입활용과정 분석을 통한 3D 프린팅기술 개발 방향성 연구 (Discovering Applicable Lessons for '3D Printing R/D Project' Implementation Through Studying the Process of Adopting Overseas Industrialized Building Production Technological Knowhow in the Korean Context)

  • 이성민;이필원;조후영;이재헌
    • 한국공간구조학회논문집
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    • 제17권4호
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    • pp.59-68
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    • 2017
  • This paper aims at finding some lessons applicable to successful implementation of 'The 3D Printing R/D Project' through both examining the process of adopting overseas industrialized housing production technological knowhow by home builders during the 1970's~1980's period and thereafter until now the various efforts to adjust the technologies efficiently to the Korea's unique situation. Some meaningful lessons can be summarized as follows; I) Deep understanding of 3DP technological know-why along with its inheritance, II) Readjusting of R/D period and goals(cf. Global leader Winsun's 15 years experiment), III) Restructuring for more collaborative R/D B&E system among participating researchers IV) Fostering 3DP expert-engineers and technicians from the early stage, V) Clearing legal barriers in users' adopting 3DP methods necessary, VI) Development of appropriate building material besides concrete. Therefore, it is highly recommended that the above-mentioned 6 lessons positively accepted and applied to the Research Implementation Plan in due course, especially by KICT consortium and KAIA under the guidance of Ministry of Land, Infrastructure and Transport.

R/P 마스터모델을 활용한 정밀주조 공정기술의 개발 (Development of Investment Casting Technique using R/P Master Model)

  • 임용관;정성일;정해도
    • 한국정밀공학회지
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    • 제16권6호
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    • pp.52-57
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    • 1999
  • Funtional metal prototypes are often required in numerous industrial applications. These components are typically needed in the early stage of a project to determine form, fit and function. Recent R/P(Rapid Prototyping) part are made of soft materials such as plastics, wax, paper, these master models cannot be employed durable test in real harsh working environment. Parts by direct metal rapid tooling method, such as laser sintering, by now are hard to get net shape, pores of the green parts of powder casting method must be infiltrated to get proper strength as tool, and new type of 3D direct tooling system combining fabrication welding arc and cutting process is reported by song etc. But a system which can build directly 3D parts of high performance functional material as metal part would need long period of system development, massive investment and other serious obstacles, such as patent. In this paper, through the rapid tooling process as silicon rubber molding using R/P master model, and fabricate wax pattern in that silicon rubber mold using vacuum casting method, then we tranlsated the wax patterns to numerous metal prototypes by new investment casting process combined conventional investment casting with rapid pototyping & rapid tooling process. with this wax-injection-mold-free investment casting, we developed new investment casting process of fabricating numerous functional metal prototypes from one master model, combined 3-D CAD, R/P and conventional investment casting and tried to expect net shape measuring total dimension shrinkage from R/P part to metal part.

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우리나라 중소기업의 기술수출에 관한 실증연구 (An Empirical Test on Technology Export of Korea SMEs)

  • 백은영
    • 통상정보연구
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    • 제16권2호
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    • pp.279-296
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    • 2014
  • 본 연구는 우리나라 중소기업의 기술수출에 초점을 맞추어 이에 대한 폭넓은 고찰과 함께, 2003년-2011년까지 72개국과의 기술무역 data를 활용하여 우리나라 중소기업의 기술수출에 영향을 미치는 다양한 변수를 발굴, 이에 대한 실증분석을 시도하였다. 이러한 실증분석을 통해 우리나라 중소기업의 기술수출에 영향을 미치는 다양한 요인과의 인과관계 분석이 본 연구의 목적이다. 실증결과, 일인당 GDP가 높고, GDP 대비 R&D지출이 많은 국가일수록, 우리나라 대기업의 기술도입이 적은 국가일수록, 또한 기술무역 상대국의 미국특허 등록 기업수가 적은 국가일수록 우리나라 중소기업의 기술수출은 증가하는 것으로 추정되고 있다. 따라서 우리나라 중소기업들이 기술수출 대상국을 선정함에 있어 유의미하게 도출된 요인들을 활용, 기술수출 경쟁력 제고시 고려되어야 함을 시사하고 있다.

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