• Journal of Korean Neurosurgical Society
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• 제66권2호
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• pp.162-171
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• 2023

Objective : The goal of this study was to analyze the clinical outcomes of endoscopic third ventriculostomy (ETV) and endoscopic septostomy when shunt malfunction occurs in a patient who has previously undergone placement of a ventriculoperitoneal shunt. Methods : From 2001 to 2020 at Seoul National University Children's Hospital, patients who underwent ETV or endoscopic septostomy for shunt malfunction were retrospectively analyzed. Initial diagnosis (etiology of hydrocephalus), age at first shunt insertion, age at endoscopic procedure, magnetic resonance or computed tomography image, subsequent shunting data, and follow-up period were included. Results : Thirty-six patients were included in this retrospective study. Twenty-nine patients, 18 males and 11 females, with shunt malfunction underwent ETV. At the time of shunting, the age ranged from 1 day to 15.4 years (mean, 2.4 years). The mean age at the time of ETV was 13.1 years (range, 0.7 to 29.6 years). Nineteen patients remained shunt revision free. The 5-year shunt revision-free survival rate was 69% (95% confidence interval [CI], 0.54-0.88). Seven patients, three males and four females, with shunt malfunction underwent endoscopic septostomy. At the time of shunting, the age ranged from 0.2 to 12 years (mean, 3.9 years). The mean age at the time of endoscopic septostomy was 11.9 years (range, 0.5 to 29.5 years). Four patients remained free of shunt revision or addition. The 5-year shunt revision-free survival rate was 57% (95% CI, 0.3-1.0). There were no complications associated with the endoscopic procedures. Conclusion : The results of our study demonstrate that ETV or endoscopic septostomy can be effective and safe in patients with shunt malfunction.

• Journal of Chest Surgery
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• 제27권8호
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• pp.650-655
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• 1994

The author analyzed 99patients with VSD weighting less than 10kg of body weight who underwent surgical correction from 1981 to 1992 at cardiovascular department of Hanyang University hospital. Patients occupied 29.3% of total cases who were underwent surgical corrections for congenital heart diseases during that time. Of the 99 patients, 51 patients were male [52%] and 48 patients[48%] were female. Age ranged from 28 days to 36 months with mean age of 13.6 months. Mean body weight was 7.53kg. According to Kirklin`s anatomical classification, type II defect was most common [61.6%]. Associated anomaly was found in 48 patients [48.5%]. Patent foramen ovale was most commonly associated cardiac anomaly [14.1%] and followed by atrial septal defect [12.1%], patent ductus arteriosus [10.1%]. Cardiac catheterization data were analyzed. The most common range of Qp/Qs, Rp/Rs, Pp/Ps were above 3.0, 0.1 - 0.25, and above 0.75 respectively. Among the indications of surgical correction, there were pulmonary hypertention in 69 patients, congestive heart failure in 44 patients, frequent respiratory infection in 47 patients, growth retardation in 33 patients. The most common surgical approach and method for VSD closure were right atriotomy[48.3%] and dacron patch closure[93.3%]. Complication rate was 13.1% [13 cases], and overall mortality was 17.1% [17 cases]. The cause of death consisted of low cardiac output syndrome[11 cases], acute renal failure[3 cases], sepsis[2 cases] and pulmonary insufficiency[1 case] in order of frequency.

• Journal of Information Technology Applications and Management
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• 제25권2호
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• pp.109-116
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• 2018

In this study, we was compared the reliability performance of the software reliability model, which applied the Goel-Okumoto model developed using the exponential distribution, to the logarithmic function modifying the intensity function and the Rayleigh form. As a result, the log-type model is relatively smaller in the mean squared error compared to the Rayleigh model and the Goel-Okumoto model. The logarithmic model is more efficient because of the determination coefficient is relatively higher than the Goel-Okumoto model. The estimated determination coefficient of the proposed model was estimated to be more than 80% which is a useful model in the field of software reliability. Reliability has been shown to be relatively higher in the log-type model than the Rayleigh model and the Goel-Okumoto model as the mission time has elapsed. Through this study, software designer and users can identify the software failure characteristics using mean square error, decision coefficient. The confidence interval can be used as a basic guideline when applying the intensity function that reflects the characteristics of the lifetime distribution.

• Journal of Chest Surgery
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• 제21권5호
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• pp.850-855
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• 1988

From July 1983 to June 1988, twenty six patients underwent mitral valve repair for pure mitral stenosis[21 patient] or for mitral stenosis with a mild degree of regurgitation[5 patient] at Chonbuk National University Hospital. All patients underwent open mitral commissurotomy and 17 patients required to additional procedures for relief of obstructive subvalvular lesion. There was no operative death. The patients were followed from one to sixty months[mean 24. 1Mo.] One late death occurred due to cardiac and renal failure 10 month postoperatively. Of the 25 surviving patients at the time of follow-up, 17 patients[68%] were in NYHA functional class I and 8 patients[32%] were in class II.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2005년도 추계종합학술대회
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• pp.1109-1112
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• 2005

The software reliability is defined, and not only the relations between testing time and reliability, but also the relation between duration following failure fixing and reliability are studied in this paper. The release time making the testing cost to be minimum is determined through evaluating the cost for each condition. Also, the release time is determined depending on the conditions of the first reliability, considering the specified reliability. The optimum release time is determined by simultaneously studying two optimum release time issues that determine both the cost related time and the specified reliability related time. And, each condition and limitation are studied. The trend of the optimum time is also examined.

• 대한전기학회논문지:시스템및제어부문D
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• 제51권1호
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• pp.18-25
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• 2002

The software reliability is defined, and not only the relations between testing time and reliability, but also the relation between duration following failure fixing and reliability are studied in this paper. The release time making the testing cost to be minimum is determined through evaluating the cost for each condition. Also, the release time is determined depending on the conditions of the first reliability, considering the specified reliability. the optimum release time is determined by simultaneously studying two optimum release time issues that determine both the cost related time and the specified reliability related time. And, each condition and limitation are studied. The trend of the optimum time is also examined.

• Childhood Kidney Diseases
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• 제10권2호
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• pp.219-227
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• 2006

Purpose : We aim to identify the clinical and demographic characteristics in children who underwent renal transplantation(RTx) and to evaluate the influence on growth of RTx in children. Methods : We reviewed 17 medical records of chronic renal failure patients who underwent RTx from April 1992 and June 2004 at Busan Paik Hospital. Age and sex distribution, cause of disease, donor analysis, patient and graft survival rate, and the status of growth after RTx were analysed by retrospective study. Results : Eighteen RTx were performed in 17 patients(8 boys, 9 girls). The mean age at the time of RTx was $15.8{\pm}3.5$ years and the mean duration of dialysis therapy before RTx was $22.4{\pm}18.0$ months. The 1 year and 5 year patient survival rate were each 100%, and the 1 year and 5 year graft survival rate were 88%, 36% respectively. The most common cause of graft failure was chronic rejection. The mean final height of male patients was $162.8{\pm}10.0$ cm(143.0-172.5 cm) and of female patients was $154.5{\pm}12.1$ cm(135.8-160.0 cm). The mean height standard deviation score(Ht SDS) increased after RTx from -1.95 to -1.53 but the increment rate was not statistically significant. Similar changes were noted in individual patient analysis. Also there was no significant difference between the living-related donors and cadaveric donors. Conclusion : Our data shows that even successful RTx rarely results in full growth rehabilitation. To overcome retarded growth in children with chronic renal failure, appropriate combined management of metabolic and nutritional problems, correction of anemia, proper use of recombinant growth hormone therapy, early renal transplantation and shortening of the duration of dialysis would be necessary.

• 대한산업공학회지
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• 제36권4호
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• pp.212-218
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• 2010

This paper shows accuracy comparison results of reliability estimation methods for one-shot systems with respect to sample sizes. To compare accuracy in reliability estimation methods, quantal-response data, characterizing one-shot systems, were simulated using failure times of LED obtained through the accelerated life test, and then the true reliability over time was evaluated using the failure times. The simulated quantal-response data were used to estimate the true reliability through applying reliability estimation methods in open literature. Accuracy of each reliability estimation method was compared in terms of both SSE (Sum of Squared Error) and MSE (Mean Squared Error), and then estimation trend for each method is found. Feasible bounds which true reliability would exist within were estimated through applying the found trends to quantal-response data set of a real weapon system.

• 한국시스템다이내믹스연구
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• 제15권4호
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• pp.61-84
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• 2014

This study aims to explore the development and application of a simulated skills package designed to improve nursing students' knowledge integration and their system thinking(ST) skills about congestive heart failure(CHF) and to identify the change in students' ST levels using a ST-based learning approach. A simulated learning support package was developed by nurse educators and ST experts. The developed program was implemented with 35 third-year nursing students from S university in Seoul. The subjects improved their ST skills regarding CHF after intervention. Mean test scores for students completing the program were significantly higher than pre-intervention scores, including measures of direction of causality, polarity of causal relationship, feedback loop, polarity of feedback loop (reinforcing, balancing) and time delay (t=2.26~6.53, p=.030~p<.001). It is suggested that more educational programs be developed on various topics in order for nursing students to improve their ST skills as well as knowledge integration in clinical nursing practicum packages.

• 한국신뢰성학회지:신뢰성응용연구
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• 제3권1호
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• pp.41-58
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• 2003

Recently, the reliability evaluation and analysis are applied for many industrial products, and many products are required to guarantee in quality and in efficiency. The purpose of this paper is to present some of reliability prediction methodologies that are applicable to machine tools. Especially ATC (Automatic Tool Changer) and Interface Card of PC-NC, which are core components of the machine tools, were chosen as the target of the reliability evaluation and analysis. The results of this research has shown the failure rate, MTBF(Mean Time Between Failure), and reliability for those components. It is expected that proposed methodologies will be applicable to evaluation of reliability for other industrial products.