• Journal of Chest Surgery
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• v.55 no.3
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• pp.189-196
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• 2022

Background: This study investigated the predictive value of the frailty index calculated using laboratory data and vital signs (FI-L) in patients who underwent coronary artery bypass grafting (CABG). Methods: This study included 508 patients (age 67.3±9.7 years, male 78.0%) who underwent CABG between 2018 and 2021. The FI-L, which estimates patients' frailty based on laboratory data and vital signs, was calculated as the ratio of variables outside the normal range for 32 preoperative parameters. The primary endpoints were operative and medium-term all-cause mortality. The secondary endpoints were early postoperative complications and major adverse cardiac and cerebrovascular events (MACCEs). Results: The mean FI-L was 20.9%±10.9%. The early mortality rate was 1.6% (n=8). Postoperative complications were atrial fibrillation (n=148, 29.1%), respiratory complications (n=38, 7.5%), and acute kidney injury (n=15, 3.0%). The 1- and 3-year survival rates were 96.0% and 88.7%, and the 1- and 3-year cumulative incidence rates of MACCEs were 4.87% and 8.98%. In multivariable analyses, the FI-L showed statistically significant associations with medium-term all-cause mortality (hazard ratio [HR], 1.042; 95% confidence interval [CI], 1.010-1.076), MACCEs (subdistribution HR, 1.054; 95% CI, 1.030-1.078), atrial fibrillation (odds ratio [OR], 1.02; 95% CI, 1.002-1.039), acute kidney injury (OR, 1.06; 95% CI, 1.014-1.108), and re-operation for bleeding (OR, 1.09; 95% CI, 1.032-1.152). The minimal p-value approach showed that 32% was the best cutoff for the FI-L as a predictor of all-cause mortality post-CABG. Conclusion: The FI-L was a significant prognostic factor related to all-cause mortality and postoperative complications in patients who underwent CABG.

• Archives of Craniofacial Surgery
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• v.23 no.2
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• pp.59-63
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• 2022

Background: Deformational plagiocephaly is usually managed conservatively, as it tends to improve over time and with the use of conservative measures. However, before the year 2017 we operated on patients with severe plagiocephaly and neurological symptoms at the Helsinki Cleft Palate and Craniofacial Center. Methods: Of the 20 infants with severe deformational plagiocephaly and neurological symptoms referred to us between 2014 and 2016, 10 underwent cranioplasty open reshaping of the posterior cranial vault. The parents of the last 10 patients were given information on the natural history of the condition and the patients were followed up with an outpatient protocol. The aim of this study was to gain information on the brain electrophysiology and recovery of patients after total cranial vault reconstruction by measuring the electroencephalogram (EEG) somatosensory evoked potentials (SEP; median nerve). Results: Of the 10 participants in the operation arm, six had abnormal SEP at least on the affected cerebral hemisphere and all SEPs were recorded as normal when controlled postoperatively. In the follow-up arm, eight out of 10 participants had abnormal SEP at the age of approximately 24 months, and all had normalized SEPs at control visits. Conclusion: Our data suggest that cranioplasty open reshaping of the posterior cranial vault did not affect abnormal SEP-EEG recordings. We have abandoned the operations in deformational plagiocephaly patients due to findings suggesting that expanding cranioplasty is not beneficial for brain function in this patient group.

• Journal of the Korean Society of Radiology
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• v.17 no.1
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• pp.71-77
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• 2023

The issue of North Korea's denuclearization is an global issue that transcends the North and South. It is necessary to prepare for the denuclearization process in preparation for the situation in which North Korea reveals its intention to denuclearize. In the process of North Korea's denuclearization, it is required to guarantee the normal operation of the denuclearization verification equipment. If a performance test criteria that takes into account the North Korean environment is established, it is highly likely that it will be used in the future denuclearization process. For this purpose, basic materials related to performance test standards were established through analysis of test standards such as international standards. After that, we established a performance test criteria. This includes high temperature, low temperature, humidity, vibration and shock tests. Through follow-up studies, validity of test criteria will be established through actual device testing.

• The Journal of the Korea institute of electronic communication sciences
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• v.17 no.4
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• pp.617-624
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• 2022

The small electric vehicles equipped with V2X(vehicle to everything) systems may provide more information and function to the existing navigation system of the vehicle. The key components of V2X technology include V2V (vehicle to vehicle), V2N(vehicle to network) and V2I (vehicle to infrastructure). This study is to design and implementation of VI type E-PTO which is interfaced with external equipments, the work designs the components of E-PTO such as DC/DC converter, DC/AC converter, battery bidirectional charging system etc. Also, it implements the devices and control systems for driving. The test results of VI type E-PTO components showed allowable 10% requirements of transient voltage variation rate and recovery time within 100ms for start/stop and normal operation.

• Journal of the Korea Society for Simulation
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• v.19 no.3
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• pp.71-79
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• 2010

The simulator models for 500MW fossil power plant have been developed, and interconnected with the turbine control system to test and validate the digital instrumentation & control (I&C) systems before they are implemented in operating power plants. When the performance of a selected digital I&C system is tested, the corresponding simulator model is replaced by the plant digital I&C systems which is considered as a non-tunable system. The input/out variables of simulator models and control systems were mapped using the LabView in interface systems. This paper describes the interconnection method between the simulator model and the digital I&C system, and summarizes the validation test results performed at the condition of steady-state operation, normal evolution, and malfunction. The integrated validation method of digital I&C systems using the simulator models showed that the simulator can be used as a test bed for the implementation of digital I&C systems in power plants.

• Journal of Korea Society of Industrial Information Systems
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• v.15 no.2
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• pp.31-39
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• 2010

VoD(Video-on-Demand) servers have to provide timely processing guarantees for continuous media and reduce the storage and bandwidth requirements for continuous media. The compression techniques make the bit rates of compressed video data significantly variable from frame to frame. A VoD system should be able to provide the client with interactive operations such as fast forward and fast rewind in addition to normal playback of movie. However, interactive operations require additional resources such as storage space, disk bandwidth, memory and network bandwidth. In a stored video application such as VoD system, it is possible that a priori disk access patterns can be used to reserve the system resources in advance. In addition, clients of VoD server spend most of their time in playback mode and the period of time spent in interactive mode is relatively small. In this paper, I present the new buffer management scheme that provides efficient support for interactive operations in a VoD server using variable bit rate continuous media. Simulation results show that our strategy achieves 34% increase of the number of accepted clients over the LRU strategy.

• Journal of Chest Surgery
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• v.56 no.5
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• pp.336-345
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• 2023

Background: The objective of this study was to demonstrate the safety, efficacy, and feasibility of intraoperative monitoring of the recurrent laryngeal nerves during thoracoscopic and robotic 3-field esophagectomy. Methods: This retrospective analysis details our initial experience using intraoperative nerve monitoring (IONM) during minimally invasive 3-field esophagectomy. Data were obtained from a prospectively maintained database and electronic medical records. The study included all patients who underwent minimally invasive (video-assisted thoracic surgery/robotic) transthoracic esophagectomy with neck anastomosis. The patients were divided into those who underwent IONM during the study period and a historical cohort who underwent 3-field esophagectomy without IONM at the same institution. Appropriate statistical tests were used to compare the 2 groups. Results: Twenty-four patients underwent nerve monitoring during minimally invasive 3-field esophagectomy. Of these, 15 patients underwent thoraco-laparoscopic operation, while 9 received a robot-assisted procedure. In the immediate postoperative period, 8 of 24 patients (33.3%) experienced vocal cord paralysis. Relative to a historical cohort from the same institution, who were treated with surgery without nerve monitoring in the preceding 5 years, a 26% reduction was observed in the nerve paralysis rate (p=0.08). On follow-up, 6 of the 8 patients with vocal cord paralysis reported a return to normal vocal function. Additionally, patients who underwent IONM exhibited a higher nodal yield and a decreased frequency of tracheostomy and bronchoscopy. Conclusion: The use of IONM during minimally invasive 3-field esophagectomy is safe and feasible. This technique has the potential to decrease the incidence of recurrent nerve palsy and increase nodal yield.

• Tribology and Lubricants
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• v.39 no.4
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• pp.139-147
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• 2023

Cavitation phenomena observed during the operation of a submerged plain journal bearing (PJB) can affect bearing performance parameters such as dynamic coefficients, whirl frequency ratio, and critical mass. This study presents numerical solutions of the Reynolds equation for steadily and dynamically loaded submerged PJBs with half-Sommerfeld (HS), Reynolds, and Jakobsson-Floberg-Olsson (JFO) cavitation models when the supply pressure is larger or equal to the cavitation pressure. The loads at various eccentricity ratios are identical; however, the attitude angle is approximately 6% smaller when the eccentricity ratio is between 0.2 and 0.7 and the JFO model is used, compared to that when the Reynolds model is used. Dynamic coefficients obtained with the HS and Reynolds model show good agreement with each other, except for k_xz, which is sensitive to changes in the force normal to the rotor weight, and is attributed to the difference in the attitude angle obtained with each cavitation model. Stiffness coefficients are determined using the pressure distribution in the film, and therefore, when the JFO model is used, the direct stiffness coefficients are affected and show opposite signs for most eccentricity ratios. The mass-conservative JFO model can predict at least a 30% smaller critical mass compared to that using the HS and Reynolds models. Thus, the instability analysis results can change based on the cavitation model used in a submerged PJB. The results of this research indicate that the JFO model should be used when designing a rotor system supported by submerged PJBs.

• Progress in Superconductivity and Cryogenics
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• v.9 no.3
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• pp.37-40
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• 2007

Large critical current is one of the prerequisites for the design of superconducting electrical equipments with large power capacity. To enlarge the critical current. multiple parallel connection is inevitable. In multiple parallel superconducting coils. the difference in normal resistance of each shunt leads to unequal current distribution. which may yield burnout. Therefore. uniform current distribution is required for a stable operation of multiple parallel superconducting coils. In this paper, Rogowski coils were fabricated to measure each shunt current of a 4-parallel superconducting coil. Four Rogowski coils were installed at the copper bars, which are used as current leads in superconducting coils. As a result, linearity of the Rogowski coils was ascertained and coefficients of each coil, the ratio of voltage and current, were derived. The coefficients were compared with theoretically calculated values. Based on the coefficients, each shunt current was calculated in a 4-parallel superconducting coil, where uniform current. distribution was confirmed. This paper verified the feasibility of the fabricated Rogowski coils as well as operational stability of the 4-parallel superconducting coil in 77K.

• Journal of Korean Society for Atmospheric Environment
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• v.5 no.1
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• pp.33-42
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• 1989

Nowadays, nuclear power production plays a principal role in the electrical energy supply. However, a nuclear power plants emit small amounts of radio-activity due to mostly fission product gases to the local environment during their normal operation. They may release considerably more radioactivity when accidents occur. It is quite necessary to be able to calculate the radiation doses to the general public from such radioactivity releases in order to evaluate the environmental impact of the normally operating nuclear power plant, to assure that this is within acceptable radiation standards, and to ascertain the radiological consequences of nuclear reactor accidents. Such computations also play an important role in determining the acceptability of a proposed nuclear reactor site. Before radiation dose calculations can be carried out, therefore, it is necessary to determine how the concentration of the radioactive effluents is distributed in the environment following their emissions into the atmosphere. This matter is considered and radiation dose calculations are mentioned in conclusions.