• Archives of Plastic Surgery
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• 제43권4호
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• pp.328-338
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• 2016

Nipple-sparing mastectomy (NSM) is increasingly popular as a procedure for the treatment of breast cancer and as a prophylactic procedure for those at high risk of developing the disease. However, it remains a controversial option due to questions regarding its oncological safety and concerns regarding locoregional recurrence. This systematic review with a pooled analysis examines the current literature regarding NSM, including locoregional recurrence and complication rates. Systematic electronic searches were conducted using the PubMed database and the Ovid database for studies reporting the indications for NSM and the subsequent outcomes. Studies between January 1970 and January 2015 (inclusive) were analysed if they met the inclusion criteria. Pooled descriptive statistics were performed. Seventy-three studies that met the inclusion criteria were included in the analysis, yielding 12,358 procedures. After a mean follow up of 38 months (range, 7.4-156 months), the overall pooled locoregional recurrence rate was 2.38%, the overall complication rate was 22.3%, and the overall incidence of nipple necrosis, either partial or total, was 5.9%. Significant heterogeneity was found among the published studies and patient selection was affected by tumour characteristics. We concluded that NSM appears to be an oncologically safe option for appropriately selected patients, with low rates of locoregional recurrence. For NSM to be performed, tumours should be peripherally located, smaller than 5 cm in diameter, located more than 2 cm away from the nipple margin, and human epidermal growth factor 2-negative. A separate histopathological examination of the subareolar tissue and exclusion of malignancy at this site is essential for safe oncological practice. Long-term follow-up studies and prospective cohort studies are required in order to determine the best reconstructive methods.

• Nuclear Engineering and Technology
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• 제35권4호
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• pp.356-368
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• 2003

Material properties such as coolant specific heat, film heat transfer coefficient, cladding thermal conductivity, surface diffusion coefficient of the multi-bubble are improved in MACSIS-Mod1. The axial power and flux profile module was also incorporated with irradiation history. The performance and feasibility of the updated driver fuel pin have been analyzed for nominal parameters based on the conceptual design for the KALIMER breakeven core by MACSIS-MOD1 code. The fuel slug centerline temperature takes the maximum at 700mm from the bottom of the slug in spite of the nearly symmetric axial power distribution. The cladding mid-wall and coolant temperatures take the maximum at the top of the pin. Temperature of the fuel slug surface over the entire irradiation life is much lower than the fuel-clad eutectic reaction temperature. The fission gas release of the driver fuel pin at the end of life is predicted to be $68.61\%$ and plenum pressure is too low to cause cladding yielding. The probability that the fuel pin would fail is estimated to be much less than that allowed in the design criteria. The maximum radial deformation of the fuel pin is $1.93\%$, satisfying the preliminary design criterion ($3\%$) for fuel pin deformation. Therefore the conceptual design parameters of the driver fuel pin for the KALIMER breakeven core are expected to satisfy the preliminary criteria on temperature, fluence limit, deformation limit etc.

• 대한치과의사협회지
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• 제56권11호
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• pp.605-614
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• 2018

PURPOSE. The purpose of this study is to determine the efficacy of the DENTIS submerged-type implant with an internal hex connection and to build corresponding abutment-selection criteria. MATERIAL AND METHODS. A total of 204 patients received submerged implant fixtures with an internal hex connection at the Dong-A University Hospital Dental clinic in Busan from January 2013 and May 2016. Three specific abutments, UCLA abutments, customized abutments, ready-made abutments, were randomly selected. Implant success was defined as the basis of the International Congress of Oral Implantologists(ICOI, 2007) criteria. The relationship between the implant success rate and the abutment factor was analyzed using the Kruskal-Wallis test(P<.05). RESULTS. A total of 508 implants were placed in 204 patients. After a mean observation period of 38.6 months, 493 out of 508 implants were in normal function, yielding an overall success rate of 97.05%. A total of 15 implants failed: 10 in the maxillary molar area, 4 in the mandibular molar area, and 1 in the mandibular incisal area. All of the implant failures occurred in a single-implant prosthesis, especially high in the maxillary molar area. The Kruskal-Wallis analysis showed that abutment selection has no significant correlation with implant failure(P>.05). CONCLUSION. DENTIS submerged implants with an internal hex connection showed predictable results with a success rate of 97.05%. It is no influence on the success rate in the selection of submerged implant abutment with an internal hex connection.

• 한국공간구조학회논문집
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• 제19권4호
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• pp.45-52
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• 2019

The purpose of the paper is to introduce a system that reduces the occurrence of weak-story in the event of earthquake. Weak-story concentrates deformation on the story and causes all member to collapse before the capacity of all member is reached. This paper introduces Strong-Back system (SB) to protect weak story. SB is a hybrid of zipper frame, tied eccentrically braced frame, and elastic truss system and it is divided into elastic and inelastic areas. Elastic areas prevent the generation of weak story by distributing energy, and inelastic areas dissipate energy through buckling or yielding. In this paper, the seismic performance is evaluated by comparing the four type braced frame with SB through push-over analysis. The four criteria are compared from the base shear, the ductility capacity, the column failure order, and the quantity of brace. As a result, SB proved to have sufficient performance to protect the weak-story.

• 대한조선학회 특별논문집
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• 대한조선학회 2017년도 특별논문집
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• pp.38-45
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• 2017

FPSO is widely used to develop deep sea oil fields and HHI has constructed ten(10) FPSOs. During these constructions, relevant structural design criteria such as yielding, buckling, fatigue, collision and impact strength were applied to verify structural safety. To apply the buckling strength evaluation for structures, the critical buckling stresses and applied stresses of relevant panels should be calculated. The plate and stiffened panels are to be idealized, which are needed much time and efforts by designers. Therefore, program development is necessary in order to evaluate the buckling strength conveniently and accurately. In this study, the buckling strength assessment system by using offshore code, DNV-RP-C201 was developed under MSC/PATRAN, pre-post program of finite element method. Graphic user interface program is written in MSC/PATRAN PCL functions. Source program to evaluate the buckling strength is developed in FORTRAN programming languages. The developed program is verified by comparing with the results of the Nauticus Hull developed by DNV Classification Society, and applied to the marine construction project conducted by Hyundai Heavy Industries LTD.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2009년도 춘계 학술대회 제21권1호
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• pp.185-186
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• 2009

휨항복 이후 주기하중을 받는 철근콘크리트 부재(보와 전단벽)에서는 길이방향의 인장변형이 누적 된다. 이러한 길이방향 인장변형은 철근 콘크리트 부재의 강도 및 변형능력을 저하시킬 수 있다. 본 연구에서는 비선형 트러스 모델해석을 통하여 철근콘크리트 부재에 발생되는 길이방향 인장변형의 메커니즘을 분석하였다 그 결과, 길이방향 인장변형은 소성힌지의 길이방향 철근에 발생되는 잔류인장 소성변형으로 인하여 발생되고, 대각 콘크리트 스트럿의 전단력 전달 메커니즘이 길이방향 인장변형의 크기에 중요한 영향을 미치는 것으로 나타났다. 이러한 분석결과를 토대로 주기거동 동안 철근콘크리트 부재에 누적되는 길이방향 인장변형을 평가할 수 있는 간단한 평가식을 제안하고, 다양한 재하이력을 갖는 보 실험결과와 비교되었다.

• Structural Engineering and Mechanics
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• 제60권2호
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• pp.251-269
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• 2016

In common structural systems, there are some limitations to provide adequate lateral stiffness, high ductility, and architectural openings simultaneously. Consequently, the concept of T-Resisting Frame (TRF) has been introduced to improve the performance of structures. In this study, Configuration of TRF is a Vertical I-shaped Plate Girder (V.P.G) which is placed in the middle of the span and connected to side columns by two Horizontal Plate Girders (H.P.Gs) at each story level. System performance is improved by utilizing rigid connections in link beams (H.P.Gs). Plastic deformation leads to tension field action in H.P.Gs and causes energy dissipation in TRF; therefore, V.P.G. High plastic deformation in web of TRF's members affects the ductility of system. Moreover, in order to prevent shear buckling in web of TRF's members and improve overall performance of the system, appropriate criteria for placement of web stiffeners are presented in this study. In addition, an experimental study is conducted by applying cyclic loading and using finite element models. As a result, hysteresis curves indicate adequate lateral stiffness, stable hysteretic behavior, and high ductility factor of 6.73.

• 복합신소재구조학회 논문집
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• 제2권3호
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• pp.12-17
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• 2011

본 논문은 노후교량바닥판 대체용으로서 하이브리드 GFRP-강재 바닥판의 휨거동을 구조적 거동특성을 기술하고 있다. 하이브리드 GFRP-강재 바닥판의 구조적 특성을 조사하기 위해 정적하중의 실험적 연구를 수행하였다. 하이브리드 바닥판의 파괴모드는 초기항복을 지나서 연성거동을 나타내었다. 결과는 유한요소프로그램 ANSYS의 값과 비교하였다. 제안된 하이브리드 바닥판이 교량적용에 유용함을 확인하였다. 하이브리드 바닥판의 두께는 유사한 휨 강성을 갖는 완전복합신소재 바닥판께와 비교하였을 때 감소될 수 있었다.

• 콘크리트학회논문집
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• 제22권2호
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• pp.187-197
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• 2010

본 연구에서는 성능기반설계를 위한 기둥의 주철근비에 대하여 연구하였다. 일률적인 현행 설계기준과 달리, 다양한 기둥의 설계변수를 고려하여 기둥의 주철근을 정의하였다. 기둥의 최소철근비는 다음의 2 가지 사항을 고려하여 평가하였다; 1) 사용상태에서 콘크리트의 장기변형에 의한 철근의 조기항복 방지; 2) 내진설계시 기둥의 연성능력을 확보하기 위해 균열모멘트 이상의 극한휨강도 확보. 배근상태와 하중조건에 따른 기둥의 유효강성도 강도설계시 추가적으로 고려하였으며, 3 가지 사항을 고려한 주철근비 결정방법을 제안하였다. 제안된 방법은 설계예제에 적용되었다.

• Structural Engineering and Mechanics
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• 제19권4호
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• pp.401-411
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• 2005

The influence of cracks on the elastic deflection and ultimate bearing capacity of eccentric thin-walled columns with both ends pinned was studied in this paper. First, a method was developed and applied to determine the elastic deflection of the eccentric thin-walled columns containing some model-I cracks. A trigonometric series solution of the elastic deflection equation was obtained by the Rayleigh-Ritz energy method. Compared with the solution presented in Okamura (1981), this solution meets the needs of compatibility of deformation and is useful for thin-walled columns. Second, a two-criteria approach to determine the stability factor ${\varphi}$ has been suggested and its analytical formula has been derived. Finally, as an example, box columns with a center through-wall crack were analyzed and calculated. The effects of cracks on both the maximum deflection and the stability coefficient ${\varphi}$ for various crack lengths or eccentricities were illustrated and discussed. The analytical and numerical results of tests on the columns show that the deflection increment caused by the cracks increases with increased crack length or eccentricity, and the critical transition crack length from yielding failure to fracture failure ${\xi}_c$ is found to decrease with an increase of the slenderness ratio or eccentricity.