• Journal of Chest Surgery
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• v.9 no.2
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• pp.207-214
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• 1976

Operations for cardiac valvular disease has been progressed in various ways. Since 1949 when Lord Russel operated mitral stenosis by closed technique at Johns Hopkins Hospital then much progress has been achieved and that nowadays severely diseased cardiac valve has been replaced by prosthetic valve, which is almost ideal in hemodynamic aspect, but still it has many problems such as thromboembolism, destruction of red blood cell, pressure gradient, and disturbance of left ventricular function, so in case of delicate situations, valve replacement should be decided carefully. Besides prosthetic valve, there are some kinds of reconstructive procedures and these have been resulted in better prognosis than prosthetic valve replacement in selected cases. So, authors have reviewed 61 Cases of cardiac patients who have been operated reconstructive valvular surgery by cardiopulmonary bypass, at Yonsei University, from Jan. 1963 to Mar. 1976. Out of 61 cases, 9 patients were replaced by prosthetic valve and rest of the patients were operated upon in various reconstructive procedures such as commissurotomy, valvotomy, valvuloplasty, and annuloplasty. Twenty cases of congenital heart diseases with valvular lesion, which had been operated for valvular lesion were also included in this statistics. Out of 9 cases of prosthetic valvular replacement five cases of prosthetic valvular replacement was done combined with other reconstructive procedures after attempted valvuloplasty. Comparative prognosis of both procedures are somewhat variable by reporters, average 19% of mortality after reconstructive surgery and 38% of mortality after prosthetic valve replacement in long term results. Most common cause of death in postoperative period was low output syndrome in both cases. It seems that good preoperative evaluation and proper reconstructive surgery will afford good prognosis in selected cardiac valvular diseased patient.

• The Journal of the Korea institute of electronic communication sciences
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• v.15 no.5
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• pp.865-872
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• 2020

In the fifth generation (5G) mobile networks, non-orthogonal multiple access (: NOMA) has been considered as a promising technology, to increase the channel capacity. In NOMA, the multiple users share the channel resources and multiplex simultaneously. Recently, for the stronger channel user, it was reported that the bit-error rate (: BER) performance with interactive mobile users is degraded, compared to the BER of non-interactive users. In this paper, in order to improve such degraded BER performance, we propose the maximum-likelihood (: ML) receiver. First, the closed-form expression for the BER of the ML receiver is derived, and then it is shown that the BER of the ML receiver is improved, compared with the BER of the ideal perfect successive interference cancellation (: SIC) receiver. Additionally, based on the analytical expression, Monte Carlo simulations validates the above-mentioned results.

• Journal of Power Electronics
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• v.16 no.4
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• pp.1513-1525
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• 2016

Rapid and accurate phase synchronization is critical for the reliable control of grid-tied inverters. However, the commonly used software phase-locked loop methods do not always satisfy the need for high-speed and accurate phase synchronization under severe grid imbalance conditions. To address this problem, this study develops a novel open-loop phase locking scheme based on a synchronous reference frame. The proposed scheme is characterized by remarkable response speed, high accuracy, and easy implementation. It comprises three functional cascaded blocks: fast orthogonal signal generation block, fast fundamental-frequency positive sequence component construction block, and fast phase calculation block. The developed virtual orthogonal signal generation method in the first block, which is characterized by noise immunity and high accuracy, can effectively avoid approximation errors and noise amplification in a wide range of sampling frequencies. In the second block, which is the foundation for achieving fast phase synchronization within 3 ms, the fundamental-frequency positive sequence components of unsymmetrical grid voltages can be achieved with the developed orthogonal signal construction strategy and the symmetrical component method. The real-time grid phase can be consequently obtained in the third block, which is free from self-tuning closed-loop control and thus improves the dynamic performance of the proposed scheme. The proposed scheme is adaptive to severe unsymmetrical grid voltages with sudden changes in magnitude, phase, and/or frequency. Moreover, this scheme is able to eliminate phase errors induced by harmonics and random noise. The validity and utility of the proposed scheme are verified by the experimental results.

• The Transactions of the Korea Information Processing Society
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• v.3 no.1
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• pp.191-199
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• 1996

In this paper, We assume that the closed computer system model composed of multiprocessor system is analyzed by BCMP queueing network theory with priority levels. In this system that contains terminals, processors and I/O devices, We show maximum throughput and the number of active terminals in the optimum multiprogramming levels. It is compared the performance with the other. In the result, it is obtained the optimum number of processors and active terminals. Therefore, the system model consisted of the optimum number of processor and multiprogramming level m is analyzed by the servers with a priority level. Each server is applied to the type of server which is characterized terminal, processor I/O device etc.. This model is analyzed by the server with a probability ditribution. Ideal state is proposed by the modeling for priority levels. Finally, we try to increase the performance in overload system.

• Proceedings of the Korean Society for Bio-Environment Control Conference
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• 1996.05a
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• pp.1-10
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• 1996

Factory-style plant production systems of various kinds are the final goal of greenhouse production systems. These systems facilitate planning for constant productivity per unit area and labor under various outside weather conditions, although energy consumption is intensive. Physical environmental control in combination with biological control can replace the use of agricultural chemicals such as insecticides, herbicides and hormones to regulate plants. In this way, closed systems which do not use such agricultural chemicals are ideal for environmental conservation for the future. Nutrient components in plants can be regulafied by physical environmental control including nutrient solution control in hydroponics. Therefore, specific contents of nutrients for particular plants can be listed on the container and be used as the basis of customer choice in the future. Plant production systems can be classified into three types based on the type of lighting: natural lighting, supplemental lighting and completely artificial lighting (Plant Factory). The amount of energy consumption increases in this order, although the degree of weather effects is in the reverse order. In the addition to lighting, factory-style plant production systems consist of mechanized and automated systems for transplanting, environmental control, hydroponics, transporting within the facility, and harvesting. Space farming and development of pharmaceutical in bio-reactors are other applications of these types of plant production systems. Various kinds of state-of-art factory-style plant production systems are discussed in the present paper. These systems are, in general, rather sophisticated and mechaized, and energy consumption is intensive. Factory-style plant production is the final goal of greenhouse production systems and the possibilities for the future are infinte but not clear.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.31 no.3C
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• pp.237-244
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• 2006

I/Q phase unbalance caused by non-ideal circuit components is inevitable physical phenomenons and leads to performance degradation when we implement a practical coherent M-ary phase shift keying(M-PSK) demodulator. In this paper, we present an exact and general expression involving two-dimensional Gaussian Q-functions for the bit error rate(BER) of uniform M-PSK with I/Q phase unbalance over an additive white Gaussian noise(AWGN) channel. First we derive a BER expression for the k-th bit of 8, 16-PSK signal constellations when Gray code bit mapping is employed. Then, from the derived k-th bit BER expression, we present the exact and general average BER expression for M-PSK with I/Q phase unbalance. This result can readily be applied to numerical evaluation for various cases of practical interest in an I/Q unbalanced M-PSK system, because the one- and two-dimensional Gaussian Q-functions can be easily and directly computed using commonly available mathematical software tools.

• 한국태양에너지학회:학술대회논문집
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• 2009.04a
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• pp.31-36
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• 2009

There have been many solar tracking systems developed for the high accuracy in solar tracking. One of the key components of any motion control system is software. LabVIEW offers an ideal combination of flexibility, ease-of-use and well-integration with other I/O pieces for developing solar tracking system. Real-time solar positions which vary with GPS's data are used simultaneously to control the solar tracker by a chain of operating modes between the open and closed loops. This paper introduces a step by step procedure for the fabrication and performance assessment of a precision solar tracking system. The system developed in this study consists of motion controllers, motor drives, step-motors, feedback devices and application. CRD sensors are applied for the solar tracking system which play a primary role in poor conditions for tracking due to a gear backlash and a strong wind. Mini-dish was used as a concentrator for collecting sun light. The solar position data, in terms of azimuth and elevation, sunrise and sunset times was compared with those of KASI(Korea Astronomy & Space Science Institute). The results presented in this paper demonstrate the accuracy of the present system in solar tracking and utilization.

• Journal of Society of Preventive Korean Medicine
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• v.22 no.2
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• pp.125-132
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• 2018

Objectives : This survey assessed Korean medical doctors' (KMDs') use and perception of smoking cessation therapies in traditional Korean medicine (TKM) and their drawbacks. Methods : A total of 14,485 KMDs affiliated with the Association of Korean Medicine were sent surveys via email. They were asked the use and perception of smoking cessation therapies in TKM and their drawbacks: Present use of Korean medicine treatment for smoking cessation, ideal treatment for smoking withdrawal symptoms, advantages and disadvantages of smoking cessation treatments in Korean medicine were asked with closed-ended questionnaire. Results : Two hundred fifty-three KMDs (1.75%) responded to the questionnaire. According to the results of the study, more than half of KMDs (51.4%) answered that they have practiced smoking cessation therapy. The most frequently used treatments for smoking cessation were ear acupuncture (EA) (74.6%) and acupuncture (15.4%), and the most of TKM doctors said that they were the most effective treatments. The advantages of smoking cessation treatment in TKM were the fewer adverse events (53.4%), availability to stimulate acupoints continuously in everyday life (48.2%), and the possibility of controlling withdrawal symptoms. Disadvantages included the long treatment duration and the necessity of frequent visits to the doctor. The greatest disadvantage was the lack of sufficient evidence for the effectiveness of TKM smoking cessation protocols. Conclusions : Despite of the low response rate, the survey results show that the main treatment modalities for smoking cessation are acupuncture, and this was also estimated effective for stop smoking. However, to improve smoking cessation rate, the more various smoking cessation treatments should be developed.

• Archives of Plastic Surgery
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• v.36 no.6
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• pp.707-713
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• 2009

Purpose: The deep inferior epigastric perforator(DIEP) free flap is well known as an ideal donor site for the breast reconstruction. The flap can provide huge amount of fat tissue for breast and buttock contour, while it is also very useful as a thin skin flap to reconstruct the upper and lower extremities. We used a DIEP free flap in various site reconstructions besides the breast and would like to reinsure the usefulness of this flap. Methods: Twenty nine consecutive patients who underwent DIEP free flap surgery from 2001 January to 2007 December were reviewed. The case constituted seven male patients and twenty two female patients. There were sixteen breast reconstructions, five face reconstructions, five lower extremity reconstructions, two upper extremity reconstructions, and one buttock contour reconstruction. All clinical data were based on the patient's medical records. Results: All DIEP free flaps survived without major complications. There was no hematoma, seroma, or partial necrosis. The donor sites were closed primarily with linear scar on lower abdomen. The thinnest part of flap was 0.7 cm in thickness. The size of the largest flap was $38{\times}13cm$. The flaps were used in various types of skin and adipose tissue, adipose tissue only, and skin only according to the requirement of recipient site. Conclusion: The DIEP free flap was enough to provide a thin and huge flap for both breast and extremity reconstructions. It was able to provide versatile designs with sufficient adipose tissue. So we use it for 3 - dimentional face and buttock contour reconstructions. The DIEP free flap is a valuable reconstructive donor for face, upper and lower extremity in addition to breast without compromising the integrity of abdominal wall.

• Journal of Chest Surgery
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• v.16 no.2
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• pp.157-163
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• 1983

Ebstein's anomaly is a rare congenital cardiac malformation oand the ideal surgical correction seems controversial at present, and some problems are left unsolved in the surgical correction of this anomaly. Between June 1978 and June 1982, 12 patients with Ebsteins' anomaly underwent corrective open heart surgery at Seoul National University Hospital. Except for one patient, who had no ASD, all had a huge right atrium, secundum type ASD, and definite atrialized right ventricle. Typically, displaced tricuspid valve leaflets were found in all cases, but the degree of displacement and deformity were variable. In the point of NYHA functional classification, five were in class II, six were in class III, and one was in class IV. Ten patients were operated on by tricuspid valve replacement and pication. Two patients were operated on only by plication and annuloplasty techniques, and in all cases, ASD was closed. Postoperatively, four patients suffered from complete A-V block, and two of them died immediately. The remaining two patients took pacemaker generator implantation with good results. The other eight patients were in good condition. Tricuspid valve replacement using tissue valve and plication of the atrialized rght ventricle seems to be a good method of surgical correction for Ebstein's anomaly.