• Journal of Chest Surgery
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• v.49 no.6
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• pp.478-480
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• 2016

Spontaneous perforation of the esophagus after forceful vomiting is known as Boerhaave syndrome, a rare and life-threatening condition associated with a high rate of mortality. The management of Boerhaave syndrome is challenging, especially when diagnosed late. Herein, we report the successful management of late-diagnosed Boerhaave syndrome with T-tube drainage in a 55-year-old man. The patient was transferred to our institution 8 days after the onset of symptoms, successfully managed by placing a T-tube, and was discharged on postoperative day 46 without complications.

• Journal of Korean Neurosurgical Society
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• v.55 no.5
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• pp.273-276
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• 2014

Aneurysmal subarachnoid hemorrhage (SAH) during pregnancy is quite rare, however it has a high maternal mortality rate. A pregnant woman in the 16th gestational week was admitted to our hospital with a drowsy level of consciousness. A brain magnetic resonance (MR) image showed hemorrhage on the prepontine cistern, and both sylvian fissures, and MR angiography and cerebral digital subtraction angiography demonstrated an aneurysm at the left posterior inferior cerebellar artery (PICA). We performed endovascular coil embolization attempting to minimize radiation exposure. She was discharged with no neurologic deficit and delivered a healthy baby by cesarean section at the 38th week of gestation. This case study reported the shortest gestational period and this is the first report on an aneurysmal rupture arising from PICA which was treated using an endovascular method. Using an appropriate technique for reduced radiation exposure to the fetus and limited alterations in maternal-fetal physiology, endovascular coil embolization could guarantee good results in treatment of aneurysmal SAH in pregnant women.

• Computers and Concrete
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• v.17 no.2
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• pp.271-280
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• 2016

This study examined the mechanical properties and adiabatic temperature rise of low-heat concrete developed based on ternary blended cement using ASTM type IV (LHC) cement, ground fly ash (GFA) and limestone powder (LSP). To enhance reactivity of fly ash, especially at an early age, the grassy membrane was scratched through the additional vibrator milling process. The targeted 28-day strength of concrete was selected to be 42 MPa for application to high-strength mass concrete including nuclear plant structures. The concrete mixes prepared were cured under the isothermal conditions of $5^{\circ}C$, $20^{\circ}C$, and $40^{\circ}C$. Most concrete specimens gained a relatively high strength exceeding 10 MPa at an early age, achieving the targeted 28-day strength. All concrete specimens had higher moduli of elasticity and rupture than the predictions using ACI 318-11 equations, regardless of the curing temperature. The peak temperature rise and the ascending rate of the adiabatic temperature curve measured from the prepared concrete mixes were lower by 12% and 32%, respectively, in average than those of the control specimen made using 80% ordinary Portland cement and 20% conventional fly ash.

• Journal of Chest Surgery
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• v.26 no.3
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• pp.209-213
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• 1993

The pathogenesis of the primary spontaneous pneumothorax is the rupture of subpleural bleb or bullae and subsequent sudden collapse of the affected lung. Mostly, the bullae or blebs are present bilaterally, but detecting the number, size, and location of the causating foci by plain chest film is quite difficult . We have performed chest CT scans for detecting the bullous lesions in 33 cases of primary spontaneous pneumothorax, and compared the results with surgical findings.1. Seventy-four blebs were identified in the chest CT scan, and 100 blebs or bullae were detected surgically [ Sensitivity was 0.74 ].2. Diagnosis rate was 80% [40/50] at right upper lobe, 75.7% [28/37] at left upper lobe, 55.6% at right lower lobe, and 25.0% at left lower lobe, respectively.3. Blebs or bullae smaller than 1 cm of its diameter were detected by 57.1% [24/42] of sensitivity, and in the cases of size larger than 1 cm, it revealed 86.2% [50/58] of sensitivity respectively.4. Of the 45 cases, 7 cases were false negative [15.6%], most of these were ruptured or small size [< 0.5 cm]. 5. One case was false positive, which was irregular adhesion at the apex of the lung.6. We could detect blebs or bullae with preoperative CT scans in 84.4% [38/45] of total patients. In conclusion, chest CT scan is a very advantageous diagnostic tool for proper management and preventing recurrence of primary spontaneous pneumothorax patient.

• Korean Journal of Cleft Lip And Palate
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• v.6 no.1
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• pp.35-42
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• 2003

PAP (Palatal Augmentation Prosthesis) may be given to the patients with dysphagia; especially, who cannot achieve tongue-palate contact. PAP fills hard palate area where the tongue cannot make contact and then the distance of tongue elevation is shortened. 1bat may be expected to improve swallowing and to prevent from aspiration. The purpose of this report is to show the effects of PAP in patients with dysphagia through the videofluoroscopic study. Oral-pharyngeal swallowing post PAP is analyzed in 2 cases; one is a person who had subarachnoid hemorrhage due to aneurysmal rupture, right hemiparesis, hydrocephalus and aphamia. And the other is a person who had squamous cell carcinoma on mouth floor and he had radical neck dissection and marginal mandibulectomy. In this report, the rate of aspiration, the transit time and length measurements of anatomical structure are examined in the each frame of videofluoroscopy. The results are as follows; 1) PAP decreased the aspiration in both cases. 2) In the cases of patients with PAP, the pharyngeal transit time was decreased.

• Proceedings of the KIEE Conference
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• 2000.11a
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• pp.265-268
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• 2000

In this study, a small punch creep (SP-Creep) test using miniaturized specimen has been described for the development of the new creep test method for high temperature structural components such as headers and tubes of boiler, turbine casing and rotor, and reactor vessel. The SP-Creep testing technique has been applied to 1Cr-0.5Mo steel used widely as boiler header material and the creep test temperature are varied at $550^{\circ}C{\sim}600^{\circ}C$. From the experimental results, e.g. SP-Creep curve behaviors, the creep rate in steady state and creep rupture life with test temperature and load, the load exponential value(n, m), the activation energy($Q_{spc}$), the Monkman-Grant relation and the creep life assessment equation etc., it can be summarized that the SP-Creep test may be a useful test method to evaluate the creep properties of the heat resisting material such as boiler header.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.20 no.11
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• pp.3424-3432
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• 1996

For mechanical system operating at high temperature, damage due to the interaction effect of creep and fatigue plays an important role. The objective of this paper is to develop a modified creep-fatigue damage model which separately analyzes the pure creep damage for hold time and the creep-fatigue interaction damage during startup and shutdown period. The creep damage was calculated by the general creep damage equation and the creep-fatigue interaction damage was calculated by the modified equation which is based on the frequency modified strain range method with strain rate term. In order to verify the proposed model, a service of high temperature low cycle fatigue tests were performed. The test specimens were made from inconel-718 superalloy and the test parameters were wave shape and hold time. A good agreement between the predicted lives based on the proposed model and experimentally obtained ones was observed.

• Nuclear Engineering and Technology
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• v.20 no.1
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• pp.54-64
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• 1988

This paper assesses the models in the SCDAP code using the results of the FLHT-2 test. Calculations show that the SCDAP correctly predicts Ire temperatures, oxidation front movement, overall hydrogen generation and peak generation rate, internal fuel rod pressure, and cladding rupture due to ballooning. A comparison of the calculated results with measured data shows that two phase level is underpredicted, and that radiation heat transfer and auto-catalytic reaction temperature of zircaloy are overpredicted. These models are recommended to be modified. The analysis also shows that the simulation of the gap in a fuel rod improves the code prediction on core damage progression.

• Parasites, Hosts and Diseases
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• v.55 no.5
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• pp.549-553
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• 2017

The information on mortality from echinococcosis is important not only for a better understanding of the severity of the disease, but also for evaluating the effectiveness of public health interventions. The aim of this research was to study the causes of mortality from echinococcosis. We have collected and analyzed the materials of 1,470 patients in 10 age - groups in the Republic of Armenia (from 2000 to 2016). To find out the causes of mortality from echinococcosis, we have analyzed the medical histories and protocols of postmortem examinations of 19 deaths from echinococcosis and 17 deaths due to other indirect causes not associated with the parasite. The average annual death rate from echinococcosis is 0.007 per 10,000 population, and the mortality is 1.29 (per 100 patients). The highest mortality occurs in people aged 70-79. Mortality from echinococcosis is also recorded among the unoperated children. The rupture of the parasitic cyst and hepatic insufficiency are major among the direct causes of mortality. Sometimes the hydatid cysts unrecognized during the life were first diagnosed at autopsy. Insufficient qualification of doctors in the field of helminthology, as well as the latent course of the disease or manifestation of minor symptoms in echinococcosis over a long period often led to medical errors. Further decline in mortality can be achieved by early diagnosis, timely hospitalization and treatment before the development of severe complications worsening the prognosis and outcomes of surgical intervention.

• Proceedings of the Korean Vacuum Society Conference
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• 2014.02a
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• pp.402.1-402.1
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• 2014

Photonic force microscopy (PFM) is an optical tweezers-based scanning probe microscopy, which measures the forces in the range of fN to pN. The low stiffness leads proper to measure single molecular interaction. We introduce a novel photonic force microscopy to stably map various chemical properties as well as topographic information, utilizing weak molecular bond between probe and object's surface. First, we installed stable optical tweezers instrument, where an IR laser with 1064 nm wavelength was used as trapping source to reduce damage to biological sample. To manipulate trapped material, electric driven two-axis mirrors were used for x, y directional probe scanning and a piezo stage for z directional probe scanning. For resolution test, probe scans with vertical direction repeatedly at the same lateral position, where the vertical resolution is ~25 nm. To obtain the topography of surface which is etched glass, trapped bead scans 3-dimensionally and measures the contact position in each cycle. To acquire the chemical mapping, we design the DNA oligonucleotide pairs combining as a zipping structure, where one is attached at the surface of bead and other is arranged on surface. We measured the rupture force of molecular bonding to investigate chemical properties on the surface with various loading rate. We expect this system can realize a high-resolution multi-functional imaging technique able to acquire topographic map of objects and to distinguish difference of chemical properties between these objects simultaneously.