• Journal of Chest Surgery
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• 제21권6호
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• pp.957-969
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• 1988

There is tendency of increasing number and decreasing age of patients who are indicated for Rastelli operation for their cyanotic congenita heart disease. So there is the need to find the creiterion which saves the patients from early postoperative hemodynamic disturbances. We reviewed the 26 patients who had been performed Rastelli operation at Seoul national University hOipital from January 1981 to June 1988. mean age of the patients was 7.8 $\pm$ 3.4 years (range 2.5-1.5 years), mean body surface area(BSA) 0.79 $\pm$ 0.25 $m^{2}$(range 0.49-1.51 $m^{2}$) and mean hematocrit 57.95 $\pm$ 12%(range 48-80%). We diveded these patients into survived group and died group before postoperative 72 hours, and analysed preoperative arterial oxygen saturation($SaO_{2}$), the ratio of diameter of fight pulmonary artery to ascending aorta(RA:/AA), the ratio of both right and left pulmonary artery diameter to descending thoracic aorta(RPA+LPA/DTA), pulmonary artery index(PA index), cardiopulmonary bypass time, aorta cross-clamping time, postoperative perfusion state and total amount of dopamine infused postoperatively. The results showed that RPA+LPA/DTA and PA index were statistically significatn factors to influence early postoperative cardiac death rate (P<0.05). Especially there were good linear correlations between PA index(X) and perpheral perfusion index(Y)(Y = -1.15 + 0.02 X, r = 0.86, P<0.01) and between PA index(X) and total amount of dopamine infused before postoperative 72 hours(mg/kg, Y)(Y = 61.94 - 0.15 X, r = - 0.80, P<0.01). Also there were tendencies that the higher RPA + LPA/DTA(Y), the betterperipheral perfusion (X) and the lower need of dopamine(X), but no statistical significance. (Y = 0.78 + 1.60 X, r = 0.49, P>0.05) And the discrimant analysis showed that patients with PA index over 221 $mm^{2}$/BSA could undergo correction with 25 per cent of error rate. In conclusion, early postoperative hemodynamic states could be predicted by preoperatively measured PA index, and which can be used as a criterion for Rastelli operation performed on cyanotic congenital heart disease.

• 한국정보전자통신기술학회논문지
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• 제16권1호
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• pp.24-32
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• 2023

현행 5G 특화망 이용절차는 신청, 심사, 이용, 이용 점검의 단계를 거치며 주파수 할당 전 절차로 신청, 심사단계, 주파수 할당 후 절차로 이용, 이용점검 단계로 구분할 수 있다. 5G 특화망 신청을 위해서는 여러 종류의 서류 제출이 필요하며, 서류 심사 과정과 5G 특화망 주파수 이용을 위한 무선국 검사로 인해 5G 특화망 신청 사업자가 실질적으로 특화망을 사용하기까지의 절차가 복잡하고, 상당한 시간이 소요된다. 본 논문에서는 현행 프로세스보다 신속하고, 간소화된 5G 특화망 주파수 할당을 위해 블록체인 플랫폼을 사용한 5G 특화망 주파수 할당 프로세스를 제안하였다. 블록체인 플랫폼과 NFT(Non-Fungible Token) 활용을 통해 주파수 할당 과정에서 필요한 데이터의 신뢰성과 무결성을 확보하였고, 주파수 이용 정보의 보안 유지와 신뢰 가능한 5G 특화망 주파수 할당 프로세스를 구축하였다. 또한 사람의 개입을 최소화하는 RPA 시스템을 적용하여 5G 특화망 할당 과정에서의 공정성을 확보하였다. 마지막으로 모의실험을 통하여 이더리움 블록체인 기반의 5G 특화망 주파수 할당 프로세스를 수행하였다.

• 문화기술의 융합
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• 제10권3호
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• pp.461-466
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• 2024

한국의 주민참여예산제도는 자치단체별로 자율적으로 운영되도록 하고 있어서, 본 연구는 이들을 몇 개의 유사한 유형들로 구분하여서 각각의 특징들을 살펴보고자 한다. 본 연구는 다양한 머신 러닝 기법들을 활용하여 2022년도 기초 시(市)를 중심으로 운영유형을 분류하였다. 그 결과, 여러 머신 러닝 기법(Neural Network, Rule Induction(CN2), KNN, Decision Tree, Random Forest, Gradient Boosting, SVM, Naïve Bayes) 중에서 SVM 기법이 성능이 가장 좋은 것으로 확인되었다. SVM 기법이 밝혀낸 운영유형은 모두 3개인데, 하나는 위원회 활동은 적게 하지만, 참여예산은 많이 확보하는 클러스터(C1)이고, 다른 하나는 주민참여예산제에 매우 소극적인 도시들의 클러스터(C3)이다. 마지막 클러스터(C2)는 참여예산에 전반적으로 적극적인데, 대다수 지역이 여기에 해당한다. 결론적으로 한국의 대다수 자치단체는 주민참여예산제를 긍정적으로 운영하고 있으며, 오직 소수의 자치단체만 소극적이다. 후속 연구로 지난 10여 년간의 시계열 자료를 분석한다면, 우리는 주민참여예산에 관한 지방자치단체 유형 분류의 신뢰도를 더욱 높일 수 있을 것으로 기대한다.

• Journal of Cardiovascular Imaging
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• 제30권2호
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• pp.99-108
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• 2022

BACKGROUND: Adding pulsation to the Fontan circulation might change the fate of patients palliated by this procedure. Our aim was to compare the pulsatility index (PI) of the pulmonary artery (PA) between the various modifications of Fontan palliation. METHODS: Doppler-derived PI was measured in PA branches of a cohort of 28 patients palliated by 6 modifications of Fontan procedure. A group of normal individuals was included for comparison. RESULTS: Atriopulmonary connection (APC) group had the highest PA branches PI and statistically was close to the PI of the normal individuals (right pulmonary artery [RPA] PI of 1.58 vs. 1.63; p = 0.99 and left pulmonary artery [LPA] PI of 1.54 vs. 1.68; p = 0.46, respectively). The lowest PA branches PI was seen in the group of extracardiac total cavopulmonary connection (RPA PI of 0.62 and LPA PI of 0.65). Other 4 modifications including the extracardiac conduit with oversewn pulmonary valve, extracardiac conduit with preserved adjusted antegrade flow, extracardiac conduit from inferior vena cava onto the rudimentary right ventricle and lateral tunnel had a mean "RPA and LPA" PI of "1.19 and 1.17", "1.16 and 1.11", "1.13 and 1.11", "0.82 and 0.84", respectively. The modified Dunnett's post hoc test has shown a significant statistical decline in PI of all modifications compared to the normal individuals except for the APC group. CONCLUSIONS: Fontan palliated patients in different groups of surgical modification showed a spectrum of Doppler-derived PI with the highest amounts belong to the groups of pulsatile Fontan.

• 한국섬유공학회:학술대회논문집
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• 한국섬유공학회 2002년도 봄 학술발표회 논문집
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• pp.351-351
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• 2002

새로운 LCST 형 블록 공중합체를 설계하기 위하여 LCST 블렌드 계를 선정하고, 이로부터 대응되는 블록 공중합체를 고안하였다 고안된 블록 공중합체의 분자 변수와 자기 집합에 의한 나노 미세 상 발현 거동과의 관계를 Cho의 압축성 random-phase approximation (RPA) 이론을 이용하여 구하였다. 본 연구의 대상 물질은 polystyrene (PS)과 poly(vinyl methyl ether) (PVME), PS 와 Poly(cyclo hexyl methacrylate) (PCHMA)의 블록 공중합체이다. (중략)

• Journal of Chest Surgery
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• 제17권3호
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• pp.398-401
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• 1984

Aortopulmonary septal defect is rare congenital heart disease. An 8-year-old girl was diagnosed as a ventricular septal defect with patent ductus arteriosus at Department of Thoracic and Cardiovascular Surgery of Chungnam National University Hospital. On operation, the defect was confirmed as an aortopulmonary septal defect [Type I], anomalous origin of right pulmonary artery from aorta [Type Ill] and patent ductus arteriosus. The defect was repaired anatomically with cardiopulmonary bypass. But she was not survived because of uncontrollable bleeding from aorta.

• 한국자기학회:학술대회 개요집
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• 한국자기학회 2009년도 임시총회 및 하계학술연구발표회
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• pp.37-39
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• 2009

• 한국정보과학회:학술대회논문집
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• 한국정보과학회 2005년도 가을 학술발표논문집 Vol.32 No.2 (2)
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• pp.721-723
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• 2005

패턴 분류에 많이 사용되는 MBR(Memory Based Reasoning) 기법은 메모리에 저장된 학습패턴과 테스트 패턴간의 거리를 계산하여 가장 가까운 학습패턴의 클래스로 분류하기 때문에 테스트 패턴을 분류하는 기준을 설명할 수 없다는 문제점을 가지고 있다. 본 논문에서는 RPA(Recursive Partition Averaging) 기법을 이용하여 분류 기준을 설명할 수 있는 IF-THIN 형태의 규칙을 생성하고 생성된 규칙의 일반화 성능을 향상시키기 위하여 불필요한 조건을 제거하는 규칙 pruning 알고리즘과 생성되는 규칙의 개수를 줄일 수 있는 점진적 규칙 추출 알고리즘을 제안한다.

• 대한치과보철학회지
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• 제36권1호
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• pp.150-165
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• 1998

For the purpose of evaluating the effect of both direct retainer design and bony absorption degree around abutment of indirect retainer on the supporting tissue of abutment of indirect retainer, dislodging force was transmitted to unilateral distal extension RPD bases. Analysis of stress distributed within the supporting tissue around abutment of indirect retainer was carried out. Using three-dimensional photoelastic stress analysis method and the conclusion is a follows. 1. According to the extent of force which the direct retainer of the most distal abutment tooth, the amount of force transmitted to the abutment tooth of indirect retainer was small. 2. Of all the cases, Mandibular first premolar which was used abutment tooth of indirect retainer, buccal, mesial and distal sides represented compression stress and lingual side represented tensile stress. 3. The more bone resorption of abutment tooth of indirect retainer, the more distortion of buccal and distal side of abutment tooth was existed and the extent of compression stress which was existed and distal side to abutment tooth was large. 4. When the alveolar bone around the abutment with indircet retainer is normal. The amount of force transmitted on abutment with indirect retainer was small in the order of Akers clasp, RPA clasp, RPI clasp. 5. When the alveolar bone around the abutment with indirect retainer has been absorbed 20% and 30%, the amount of force transmitted on abutment with indirect retainer was small in the order of RPA calsp, RPI clasp, Akers clasp. 6. When denture is displaced, shape of the direct retainer reciprocating abutment affect much the function of indirect retainer.

• Journal of Chest Surgery
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• 제21권5호
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• pp.828-841
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• 1988

To predict the postoperative hemodynamic status of right ventricle preoperatively, a retrospective analysis was undertaken to determine the influence of pulmonary artery size on postoperative right ventricular pressure in 32 consecutive patients with tetralogy of Fallot who underwent total correction between July, 1987 to June, 1988 at the Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital. We have related the ratio of the postrepair peak systolic pressure in the right ventricle and the systemic systolic arterial pressure[PRV/Ao] to the preoperative cineangiographic measurement of pulmonary arterial tree, expressed as pulmonary artery index[PAI], the ratio of diameter of the right pulmonary artery to diameter of ascending aorta[r.PA/A.Ao], the ratio of right and left pulmonary artery to diameter of descending aorta[r.I.PA/D.Ao] There was tendency that the postrepair PRV/Ao seems to be related to the preoperative diameter of right and left pulmonary artery, but there were no statistically significant correlation with PAI, r.PA/A.Ao, r.l.PA/D. Ao to the ratio of the postoperative peak systolic right ventricular pressure and systemic systolic arterial pressure[PRV/Ao]. There was tendency to decrease the postoperative right ventricular pressure[PRV/Ao] about 11.2%[P < 0.025] within several hours than immediately after repair, but after then, there was no change of right ventricular pressure[PRV/Ao] significantly. There was good correlation of pressure change between the immediate and late postrepair right ventricular pressure[48 hour], and the derived linear regression line was; y=0.68534 0.1994[r=0.57294, P < 0.001]. There was no operative death due to residual high right ventricular pressure[PRV/Ao >0.75] related to hypoplastic pulmonary arterial development, thus we expect, for symptomatic patients even infants, that complete repair can be attempted when the pulmonary artery index[PAI] is over 108mm2/BSA, RPA/AAo is over 0.35, RPA LPA/D. Ao is over 1.36.