• Journal of Chest Surgery
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• 제19권4호
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• pp.569-577
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• 1986

Between October 1979 and June 1986, modified Fontan procedures have been performed on 22 patients by the Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine. Twelve patients had tricuspid atresia; one, congenital tricuspid stenosis; five, single ventricle; two, I-transposition of the great vessels; one, double outlet right ventricle, and one, pulmonary atresia with an intact ventricular septum. There were 9 operative deaths [mortality; 40.9%]. The causes of death were right heart failure in six patients and pulmonary venous hypertension in one who misdiagnosed preoperatively. Another two were deceased due to sepsis and cerebrovascular accident at postoperative 35 and 34 days in each. There were 7 patients below 4 years of age at the time of operation and among them 4 patients were deceased. The operative death was not related with patients` age above and below 4[p=0.211]. The relation between operative death of tricuspid anomaly and another cardiac malformations was statistically significant [p=0.048]. The operative procedures with or without valved conduit [woven dacron] was related significantly [p=0.043] in the case of the 21 of the patients, but the modified Fontan operation with a valved conduit was performed early stage in this series. Since 1982, we operated on 4 patients, doing a right atrium-right ventricle anastomosis without a conduit. All survived and remained in functional class I [NYHA]. The right atrial pressure [RAP] was elevated significantly after operation [mean 9.9$\pm$4.8 ~16.9$\pm$3.6 mmHg, p<0.001]. The relation between the postoperative RAP of the survival group [16.5$\pm$4.3 mmHg] and the group who died [17.4$\pm$2.2 mmHg] was statistically significant [p=0.047]. There was no relation between any operative death and any previous palliation. All patients were followed for 4 months to 80 months, except one who was lost to follow up at 2 months following surgery [mean 11.4 months, 238 patient. months]. All were in functional class I with 5 on medications and 7 not. One was reoperated at 70 months following the first operation, due to conduit stenosis. She was moderately impaired in activity, with hepatomegaly after the second operation.

• 전자공학회논문지
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• 제54권6호
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• pp.30-39
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• 2017

본 논문은 디지털영역에서의 평균화 기법을 이용한 cyclic ADC의 디지털 보정기법을 제안한다. 제안하는 보정기법은 1.5비트 MDAC의 커패시터 부정합으로 인해 발생하는 ADC의 비선형성을 보정한다. 부정합을 지니는 커패시터로 이루어진 1.5비트 MDAC은 이상적인 1.5비트 MDAC의 레지듀 플롯(residue plot)에 대해 대칭적인 레지듀 플롯을 지닌다. 커패시터 부정합을 지니는 1.5비트 MDAC의 고유한 레지듀 플롯은 대칭적인 아날로그-디지털 전달함수로 반영된다. 이상적인 아날로그-디지털 전달함수에 대해 대칭적인 두 아날로그-디지털 전달함수를 평균화함으로써, 비선형성이 보정된 아날로그-디지털 전달함수를 얻을 수 있다. 해당 아날로그-디지털 전달함수 평균화의 구현을 위해, 본 논문의 12비트 cyclic ADC는 1.5비트 MDAC의 동작 모드를 2개로 정의한다. 해당 cyclic ADC는 MDAC을 첫 번째 동작모드로 동작시킴으로써, 비선형성을 지니는 12.5비트 출력 코드를 획득한다. 샘플링 된 동일한 입력 아날로그 전압에 대해, MDAC을 두 번째 동작모드로 동작시킴으로써, cyclic ADC는 비선형성을 지니는 또 다른 12.5비트 출력 코드를 획득한다. 각 MDAC의 동작모드에 의해 발생하는 아날로그-디지털 전달함수는 이상적인 아날로그-디지털 전달함수에 대해 대칭적이기 때문에, 앞서 획득한 두 개의 비선형성을 지니는 12.5비트를 평균화함으로써, 비선형성이 보정된 최종 12비트 출력 코드를 획득할 수 있다. 제안하는 디지털 보정기법과 12비트 cyclic ADC는 $0.18-{\mu}m$ CMOS 공정을 이용하여 full-custom 형식으로 구현되었다. 측정된 SNDR(ENOB)와 SFDR은 각각 65.3dB(10.6비트 ENOB)와 71.7dB이다. 측정된 INL과 DNL은 각각 -0.30/+0.33LSB와 -0.63/+0.56LSB이다.

• 대한전자공학회논문지SD
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• 제45권8호
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• pp.61-66
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• 2008

최근 모바일 기기에 3차원 그래픽 디지털 콘텐츠들이 증가함에 따라 휴대용 기기에 적합한 3차원 그래픽 가속기의 연구와 설계는 점점 중요한 이슈가 되고 있다. 본 논문에서는 저전력 3차원 그래픽 파이프라인에 적합한 효율적인 클리핑 구조를 제안한다. 많은 연산 사이클과 연산기를 필요로 하는 클리핑 연산을 두 단계로 나누어서 기하변환 엔진에서는 컬링 정렬(cull and sort) 유닛으로 구현하고, 실질적인 클리핑은 스캔 변환(scan conversion)에서 구현한다. 즉, 스캔 변환 처리기를 구성하고 있는 변처리 (edge walk) 유닛에서 Y축 클리핑을 함께 수행하고 스팬처리 (span processing) 유닛에서 X축과 Z축 클리핑을 함께 수행한다. 제안하는 기하 변환 엔진의 컬링 정렬 유닛은 기존 클리핑 유닛에 비해 면적과 동작 사이클이 크게 줄었고 스캔 변환 처리기의 면적은 거의 증가하지 않아 전반적으로 동작 속도 및 동작 효율을 높였다. 제안하는 클리핑 구조를 적용한 3차원 그래픽 가속기는 Verilog-HDL을 이용하여 설계하고 FPGA를 이용하여 검증하였다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제35권3호
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• pp.158-163
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• 2009

Objective : Recently, we are interested in bisphosphonate related osteonecrosis of the jaw (BRONJ). Most of patients with osteonecrosis have taken medicine bisphosphonate for a long time. But the mechanism of osteonecrosis in BRONJ was not clarified yet. The aim of this study is to evaluate the difference of bone healing effect after bone graft from ilium to maxillary sinus in rabbits between zoledronate-treated and zoledronate-not treated groups. Method : The subjects was divided into two groups. The experimental group was 9 rabbits, treated with intraperitoneal administration of zoledronate(0.06mg/kg) once per week for 3 weeks. In control group, same procedure was applied but administerd saline instead of zoledronate. After 4 weeks, surgical operation under local anesthesia (ketamine 3.0cc, xylazine 1.0cc) was done. At postoperative 1, 2, 4, 8 weeks later, each rabbits were sacrificed and removed the bone grafted area. Gross, radiologic and histopathologic exminations of bone grafted area were performed. Result : There were no conspicuous differences of radiological findings between experimental and control groups in any experimental weeks. In experimental group, new bone formation appeared earlier than control group at 1 week after operation, and maturation of bony tissue were more conspicuous at 2 and 4 weeks after operation, compared with control group. In 8 weeks after operation, similar microscopic findings were noted in both groups. Conclusion : In the bisphosphonate-treated rabbits, new bone formation in the bone grafted area appeared earlier and bony maturation was more concpicuous, even though there were no significant differences of gross and radiological findings. These findings suggest that bisphosphonate might be promotive effect in the healing process in early stage after administration.

• 한국건축시공학회지
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• 제8권6호
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• pp.155-160
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• 2008

The BTL project, 4 years since its operation. has benchmarked the PFI Project in Japan and has been introduced. Given the evaluation step to select a preferred bidder, in a technological factor, the basic plans are corrected and complemented, whereas in a price factor, the low price bidding system is being enforced. There is concern that how to select preferred bidders and how to operate project costs during operation and management period may be problematic. Thus, in this study, using the Analytic Hierarchy Process, the method of deciding the priority to select preferred bidders in an early stage of the project and the evaluation model to evaluate the validity of BTL project expenses in process of project enforcement are established. Targeting the group composed of experts who have experiences in the BTL project. Then, the levelling of evaluation factors and grouping have been carried out as following : LCC analysis and disbursement for government including two more detailed factors.

• 대한기계학회논문집A
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• 제24권4호
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• pp.848-857
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• 2000

A pick-and-place operation in 3-dimensional environment is basic operation for human and multi-purpose manipulators. However, there may be a difficult problem for such manipulators. Especially, if the object cannot be moved with a single grasp, regrasping, which can be a time-consuming process, should be carried out. Regrasping, given initial and final pose of the target object, is a construction of sequential transition of object poses that are compatible with two poses in the point of grasp configuration. This paper presents a novel approach for solving regrasp problem. The approach consists of a preprocessing and a planning stage. Preprocessing, which is done only once for a given robot, generates a look-up table which has information of kinematically feasible task space of end-effector through all the workspace. Then, using the table planning automatically determines possible intermediate location, pose and regrasp sequence leading from the pick-up to put-down grasp. Experiments show that the presented is complete in the total workspace. The regrasp planner was combined with existing path.

• Nuclear Engineering and Technology
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• 제31권3호
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• pp.267-275
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• 1999

This paper deals with the industrial problem of thermal striping damage on the French prototype fast breeder reactor, Phenix and it was studied in coordination with the research program of IAEA. The thermomechanical and fracture mechanics evaluation procedure of thermal striping damage on the tee-junction of the secondary piping using Green's function method and standard FEM is presented. The thermohydraulic(T/H) loading condition used in the present analysis is the random type thermal loads computed by T/H analysis on the turbulent mixing of the two flows with different temperatures. The thermomechanical fatigue damage was evaluated according to ASME code section 111 subsection NH. The results of the fatigue analysis showed that fatigue failure would occur at the welded joint within 90,000 hours of operation. The assessment for the fracture behavior of the welded joint showed that the crack would be initiated at an early stage in the operation. It took 42,698.9 hours for the crack to propagate up to 5 mm along the thickness direction. After then, however, the instability analysis, using tearing modulus, showed that the crack would be arrested, which was in agreement with the actual observation of the crack. An efficient analysis procedure using Green's function approach for the crack propagation problem under random type load was proposed in this study. The analysis results showed good agreement with those of the practical observations.

• 한국신재생에너지학회:학술대회논문집
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• 한국신재생에너지학회 2009년도 춘계학술대회 논문집
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• pp.422-425
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• 2009

A sea water source cascade heat pump was designed and tested in this study. The system was designed to perform a single stage operation in summer, as well as a cascade operation in winter to ensure the high temperature lift. A steady-state simulation model was developed to analyze and optimize its performance. The simulation results show that the R717 exhibits best performance among combinations considered in this study. A R410A also exhibits the highest performance among HFCs with the smallest compressor displacement. A 15-RT R410A-R134a pilot system was installed in the 5-story commercial building at Samcheok City by the East Sea. A scroll type R410A compressor, a reciprocating type R134a compressor, plate type condenser/evaporator/ cascade heat exchanger and two electronic expansion valves were used to build a pilot. A titanium plate type heat exchanger is also used for the heat exchanging with a sea water. The heat source/sink water is supplied from the well below the seashore in the depth of 5 m. In the initial test of the system, supply water temperature was rising up to $67^{\circ}C$ using a sea water heat source of $9^{\circ}C$, while an ambient temperature was $4.5^{\circ}C$.

• Archives of Reconstructive Microsurgery
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• 제25권1호
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• pp.1-6
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• 2016

Purpose: The external ear is a common area of trauma on the body prone to exposure of ultraviolet light, which can lead to skin cancer. Thus, variable techniques have been developed and used for reconstruction of the external ear. The aim of this study is to review the surgical method, its area of application, as well as advantages and pitfalls of reconstruction of the external ear with inferior based retroauricular flaps. Materials and Methods: Eight patients underwent external ear reconstruction with inferior based retroauricular flap for external ear defects in our institute from September 2012 to June 2015. According to the area of the defect, patients were classified as middle 1/3 (n=4), inferior 1/3 (n=2), superior auroculo-cephalic sulcus (n=1), and external auditory canal (n=1). Results: All of the flaps survived the operation and there was no marginal necrosis. Mean size of the defect was $2.8{\times}1.8cm$ and mean size of the retroauricular flap was $5{\times}2cm$. For insetting of the flap, a subcutaneous tunneling technique was used in 6 cases and rotation without subcutaneous tunneling was used in 2 cases. Transient paresthesia occurred in 3 cases. Two cases recovered within 3 months but one case did not recover until 6 months. Conclusion: The inferior based retroauricular flap is an available technique in external ear reconstruction with one stage operation.

• Journal of Chest Surgery
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• 제19권1호
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• pp.140-147
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• 1986

A clinical study was made on 72 cases of primary lung cancer operated in the department of thoracic & cardiovascular surgery, Kyungpook national university hospital from January 1975 to May 1985. The ratio of male to female was 13.4: I and mean age was 53. Histologically, squamous cell carcinoma comprised 72.2% of 72 operated cases. Before admission to our hospital, the erroneous diagnoses were made at local clinics on the 43 cases[59.7%] and a large percentage of them was diagnosed as pulmonary tuberculosis. And then, total of 56 cases received inadequate treatment or delayed the operation. For the location of the tumor, right to left ratio is 1.2:1 and the right upper lobe was most often involved [23.6%]. Operation was performed on the 72 cases and resection on the 59 cases[8.2%]. Postsurgical staging showed that stage III was found most frequently [59.4%] and T,N,M, was 28% of total cases. Two common surgical complications were bleeding in 7 and acute respiratory failure in 6 cases, and these 6 cases of acute respiratory failure were all died. On the basis of these experiences, we conclude that aggressive effort is needed for the early accurate diagnosis and adequate treatment of lung cancer.