• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제38권6호
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• pp.360-365
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• 2012

The simultaneous surgical correction of bilateral cleft lip and nasal deformity has become a more common surgical technique that has greatly changed conventional strategies for secondary nasal correction. Mulliken has been known as one of the earliest proponents for the synchronous repair of bilateral cleft lip and nasal deformity, and he emphasized the responsibility of the treating surgeon to evaluate nasolabial growth by comparing anthropometric measurements with age-matched normal patients. Good outcomes from this surgical method have been reported in clinical cases worldwide. Herein, we describe the management of two cases of bilateral cleft repair, following the principles and methods established by Mulliken. We also provide a relevant review of the literature.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제31권4호
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• pp.353-360
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• 2009

양측 구순열의 코-입술 동시 수술의 원칙이 확립되었고 기법은 계속 진화하고 있다. 이에 따라 예전에 전형적으로 보이던 양측 구순열비의 오점들이 더 이상 명확히 보이지 않게 되고 있다. 외과의사들은 양측 구순열비 교정에 대한 원칙을 숙지하고 술전 악정형치료를 효과적으로 유도하고 성장이라는 4차원적 변화를 예견하는 3차원적 설계와 코-입술 동시 수술의 기법을 채득하여 환자를 치료하여야 한다. 또한 수술후 정기적인 관찰과 평가는 외과의사의 의무가 되어야 하고 문제가 분명해 질 때는 적절히 수정하여야 한다. 이번에 소개한 Mulliken의 치료법은 단순히 기법만을 중시하는 것이 아니라 원칙과 의무, 성장을 고려하는 4차원적 치료이다. 저자들은 이 치료법이 환자들과 외과의사들에게 많은 도움이 되기를 바란다.

• 전기학회논문지
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• 제56권10호
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• pp.1715-1720
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• 2007

The CSC-based HVDC system links the Jeju system to the mainland system. Because CSC-based HVDC is installed in Jeju, the reactive power is needed to transfer active power through the HVDC. In order to supply reactive power, switched capacitors and synchronous condensers are installed in Jeju system. The deterioration of established synchronous condensers, however, causes a reactive power supply capability decline and high maintenance cost. It brings about the instability of Jeju system and the incremental of maintenance and repair costs. In the future the installation of wind generators and additional HVDC system would aggravate the stability of Jeju system. Therefore, it needs to consider a countermeasure against above problems. In this paper, Analysis of several contingencies of Jeju system was peformed, and some contingencies caused voltage-reactive power problem was known. CPF method was introduced in order to make countermeasures to replace the synchronous condensers and to solve the voltage-reactive power problem. The location and capacity of reactive power sources were also decided. It could guarantee medium and long term stability of Jeju system.

• Journal of Chest Surgery
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• 제49권5호
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• pp.366-373
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• 2016

Background: The aim of the study was to test the hypothesis that in patients with chronic complex sternum dehiscence, the use of muscle flap repair minimizes the occurrence of paradoxical motion of the chest wall (CWPM) when compared to sternal rewiring, eventually leading to better respiratory function and clinical outcomes during follow-up. Methods: In a propensity score matching analysis, out of 94 patients who underwent sternal reconstruction, 20 patients were selected: 10 patients underwent sternal reconstruction with bilateral pectoralis muscle flaps (group 1) and 10 underwent sternal rewiring (group 2). Eligibility criteria included the presence of hemisternum diastases associated with multiple (${\geq}$3) bone fractures and radiologic evidence of synchronous chest wall motion (CWSM). We compared radiologically assessed (volumetric computed tomography) ventilatory mechanic indices such as single lung and global vital capacity (VC), diaphragm excursion, synchronous and paradoxical chest wall motion. Results: Follow-up was 100% complete (mean $85{\pm}24months$). CWPM was inversely correlated with single lung VC (Spearman R=-0.72, p=0.0003), global VC (R=-0.51, p=0.02) and diaphragm excursion (R=-0.80, p=0.0003), whereas it proved directly correlated with dyspnea grade (Spearman R=0.51, p=0.02) and pain (R=0.59, p=0.005). Mean CWPM and single lung VC were both better in group 1, whereas there was no difference in CWSM, diaphragm excursion and global VC. Conclusion: Our study suggests that in patients with complex chronic sternal dehiscence, pectoralis muscle flap reconstruction guarantees lower CWPM and greater single-lung VC when compared with sternal rewiring and it is associated with better clinical outcomes with less pain and dyspnea.

• 에너지공학
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• 제11권3호
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• pp.194-202
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• 2002

본 논문은 객체지향 프로그램(OOP)을 사용하여 광양제철소 전력계통의 과도안정도를 모의한다. OOP는 절차식 프로그램보다 유연한 방법으로서 동적인 시스템의 모의에 여러 가지 장점이 있다. 시스템의 변화가 있으면 프로그램 전체을 수정하는 대신 필요한 부분만을 수정하면 되므로, 프로그램의 유지 및 보수가 매우 용이하다. 본 논문에서는 OOP를 이용하여 동적인 시스템의 해석을 위한 유연한 방법을 제시하였다. 시스템을 직접 사용자가 그려서 전력조류계산과 동적 안정도를 모의할 수 있는 사용자 인터페이스를 구현하여 17기의 동기발전기와 25기의 동기전동기로 구성되는 광양제철소 전력계통의 동적 안정도 해석에 적용하였다.

• Journal of Advanced Marine Engineering and Technology
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• 제11권4호
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• pp.59-74
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• 1987

In this dissertation, a complete model of commutatorless static Kramer type slip power recovery system of 3.phi. induction motor has been designed and tested in the laboratory, and the experimental results are compared with the numerical values. The main results of this study are summerized as follows. (1) Maintenance and repair of the mechanical commutator is obviated by adopting a thyristor commutator in place of the mechanical commutator in the conventional Kramer system. (2) The experimental results of developed torque, and stator current are generally coincided with the numerical values obtained by the derived equation, proving their validity. (3) This system is simulated and the following operational characteristics are obtained with suitable design values : (a) The speed control range of 7:1 is obtained when the turn ratio of induction motor is lowered to about 3:1 to 4:1 and the generating constant of auxiliary synchronous motor is increased to 120-175 range. (b) Its efficiency can be increased to 75-85%, the range for static Scherbius system and its power factor takes values in the range of 65-85%, which is twice of the range for static Scherbius system.

• 대한전기학회논문지:시스템및제어부문D
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• 제52권2호
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• pp.93-101
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• 2003

Scan design is a structured design-for-testability technique in which flip-flops are re-designed so that the flip-flops are chained in shift registers. The scan design cannot be used in a design with scan design rule violations without modifying the design. The most important scan design rule is concerning clock and reset signals to pins of the flip-flops or scan cells. Clock and Reset pins of every scan cell must be controllable from top-level ports. We propose a new technique to re-design gated clocks and resets which violate the scan design rule concerning the clock and reset pins. This technique substitutes synchronous sequential circuits for gated clock and reset designs, which removes the clock and reset rule violations and improves fault coverage of the design. The fault coverage is improved from $90.48\%$ to $100.00\%$, from $92.31\%$ to $100.00\%$, from $95.45\%$ to $100.00\%$, from $97.50\%$ to $100.00\%$ in a design with gated clocks and resets.

• 한국간담췌외과학회지
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• 제26권2호
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• pp.199-203
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• 2022

Gallstone ileus is an uncommon cause of intestinal obstruction. It may present with typical symptoms of intestinal obstruction with or without biliary sepsis. Its management strategies vary depending on the patient and operative factors. Enterotomy and stone removal alone versus synchronous cholecystectomy and fistula disconnection at the same stage, often pose a debate among surgeons. The decision for operative strategies largely depends on the surgeon's experience, patient's physiology, and operative difficulties. As literature on gall stone ileus remains insufficient at a regional level, we report four cases of gallstone ileus managed with different approaches. Three patients were managed in a staged-manner, whereas one patient received a definitive procedure performed at index surgery. Clinical challenges and associated operative strategies are discussed. Findings of the current study were compared to those of the literature. The need for a definitive fistula disconnection and repair or cholecystectomy following stone removal in these patients was subsequently discussed.

• Asian Pacific Journal of Cancer Prevention
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• 제16권9호
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• pp.3767-3771
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• 2015

Background: Lynch syndrome (LS) is an inherited predisposition to colorectal, endometrial (uterine) and other cancers. Although most cancers are not inherited, about 5 percent (%) of people who have colorectal or endometrial cancer have the Lynch syndrome. It involves the alteration of mismatch repair (MMR) genes; MLH1, MSH2, MSH6 or PMS2. In this study, we analyzed the expression of MMR proteins in colorectal cancer in a Malay cohort by immunohistochemistry. Materials and Methods: A total of 17 patients were selected fulfilling one of the Bethesda criteria: colorectal cancer diagnosed in a patient aged less than 50 years old, having synchronous and metachronous colorectal cancer or with a strong family history. Immunohistochemical staining was performed on paraffin embedded tumour tissue samples using four antibodies: MLH1, MSH2, MSH6 and PMS2. Results: Twelve out of 17 patients (70.6%) were noted to have a family history. A total of 41% (n=7) of the patients had abnormal immunohistochemical staining with one or more of the four antibodies. Loss of expression were noted in 13 tumour tissues with a negative staining score <4. Of 13 tumour tissues, four showed loss expression of MLH1. For PMS2, loss of expression were noted in five cases. Both MSH2 and MSH6 showed loss of expression in two tumour tissues respectively. Conclusions: Revised Bethesda criteria and immunohistochemical analysis constituted a convenient approach and is recommended to be a first-line screening for Lynch syndrome in Malay cohorts.

• 한국산학기술학회논문지
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• 제19권4호
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• pp.674-682
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• 2018

노후된 철근콘크리트 항만 구조물을 보수보강하기 위한 기존의 공법 대부분은 염기침투와 균열발생을 막기 위한 목적으로 개발되었으며 슬래브나 보 하부를 섬유복합체나 섬유복합체 패널로 벽지 바르듯 빈틈없이 접착시키는 공정으로 이루어져 있다. 하지만 이런 공법들은 섬유제품의 밀폐성 때문에 항만구조물 상부에서 유입되는 빗물 등의 수분을 외부로 배출시키지 못한다. 배출되지 않은 물은 보수보강 부위를 물통역할을 하게 되어 슬래브나 보의 피복콘크리트 전체를 탈락시키는 문제를 발생케 한다. 이에 본 연구진은 선행연구에서 콘크리트 구조물 내부로 유입된 수분을 배출하는 물배출 앵커 및 트랩볼트를 개발하였다. 하지만 앵커볼트의 매입부분의 수분은 배출되지 않아 잔류수분 문제가 발생하였다. 본 연구에서는 이런 잔류수분 문제를 해결하기 위해 기 개발된 물배출 앵커 및 트랩볼트 측면에 홀을 추가로 천공하는 여러 대안을 제시하였다. 또한 보수보강 현장에서 물배출 앵커를 적용할 경우 앵커의 설계하중 적용을 위해 인장강도시험, 인발강도시험을 수행하였고, 배수성능시험을 통해 최적의 성능개선 형 물배출 앵커 및 트랩볼트를 개발하였다.