• Journal of Chest Surgery
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• 제19권2호
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• pp.265-272
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• 1986

We operated on 199 patients of VSD from 1976 to April l986. Among them, patients of VSD whose medical records were available were analyzed clinically. Operation on patients of VSD occupied 23.9% of total open heart surgery [832 cases] during those days. Of the 164 patients, 93 patients were male [56.7%]. 71 patients were female [43.3%]. Their age ranged from 6 months to 28 years and the mean age was 9.5 year and 82.2% of the patients were between 2 and 15 year of age. Of the patients, body weight below 10Kg were 19 cases. The most common complaints were frequent URI and DOE. On Kirklin`s anatomical classification, type II defect was most common [60.1%], type I [38.4%], combined type I+II, type III, combined type II+Ill and combined type II+IV in orders. Associated anomaly was found in 66 patients [42.5%>]. Pulmonary stenosis was most commonly associated cardiac anomaly [8.4%] and aortic insufficiency [7.1%], ASD, Lt. SVC and PDA in orders. There were extracardiac anomalies such as polydactyly, cleft palate, hypospadia and congenital aniridia, etc. Relationship between ventricular hypertrophy and defect size and cardiac cath. data was analyzed. The overall mortality was 7.0% [14 cases] and complication rate was 22.5% [35 cases].

• Medical Lasers
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• 제10권2호
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• pp.90-95
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• 2021

Background and Objectives Surgery for harvesting costal cartilage is often required for revision septorhinoplasty due to a lack of septal cartilage in patients with a severely contracted nose, and postoperative scarring on the anterolateral rib cage commonly requires additional treatment. This study aimed to evaluate the therapeutic efficacy and safety of combined polydeoxyribonucleotide (PDRN) and microlens array (MLA)-type nanosecond-domain neodymium (Nd):yttrium-aluminum-garnet (YAG) laser treatment for postoperative scars after costal cartilage harvest surgery. Materials and Methods Nine Korean patients with scars after costal cartilage harvest surgery treated with PDRN injections and MLA-type Nd:YAG laser treatments were retrospectively reviewed. Results Most of the scar lesions exhibited clinical improvement at 2 weeks after PDRN and MLA-type nanosecond-domain laser treatments, and the lesions further improved after adding more treatment sessions. The median Vancouver Scar Scale (VSS) score decreased from 6 (interquartile range [IQR]: 6-7) before combined intralesional PDRN injection and MLA-type, nanosecond-domain Nd:YAG laser treatments to 3 (IQR: 2-4) thereafter. Patient satisfaction after the combination treatments was rated as satisfactory. None of our patients reported major adverse events. Conclusion This case series study demonstrated that combined PDRN and MLA-type, nanosecond-domain Nd:YAG laser treatments are effective and safe for treating scars from costal cartilage harvest surgery.

• 대한후두음성언어의학회지
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• 제9권1호
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• pp.66-70
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• 1998

Background and Objectives : The managements of unilateral vocal cord palsy include type Ⅰ thyroplasty and arytenoid adduction. One type operation has been shown no satisfactory effect. We evaluated preoperative and postoperative speech of unilateral vocal cord palsy patients who received combined operation of type Ⅰ thyroplasty and arytenoid adduction to help for the management plan of unilateral vocal cord palsy patients. Materials and Methods : We reviewed the postoperative results and complication of 17 surgically treated patients of unilateral vocal cord palsy at Severance hospital from Nov. 1996 to Dec. 1997 retrospectively. They were received combined operation of type Ⅰ thyroplasty and arytenoid adduction. Their pre and post-operative speech were analyzed with MDVP(Multi-Dimension-Voice analysis Program) of CSL(Computerized Speech Lab). Results : After the operation, MPT(Maximal Phonation Time) was increased and MFR(Mean Flow Rate) was decreased in all patients. NHR(Noise to Harmonic Ratio) and VTI(Voice Turbulence Index) were decreased : liner, RAP(Relative Average Perturbation Quotient), PPQ(Pitch Period Perturbation Quotient), sPPQ(smoothed Pitch Period Perturbation Quotient), vFo(fundamental frequency Variation) were decreased : Shimmer, APQ(Amplitude Perturbation Quotient), sAPQ(Smoothed Amplitude Perturbation Qoutient), vAm(Peak Amplitude Variation) were decreased in all the patients. Conclusions : In unilateral vocal cord pals), combined operation of type Ⅰ thyroplasty and arytenoid adduction could obtain satisfactory postoperative voice. MDVP has many parameters and good method for evaluation of voice surgery.

• Clinics in Shoulder and Elbow
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• 제21권1호
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• pp.37-41
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• 2018

Background: The purpose of this study is to evaluate results of superior labrum anterior to posterior (SLAP) repairs and debridement of type II SLAP lesions combined with Bankart lesions. Methods: Between 2010 and 2014, total 58 patients with anterior shoulder instability due to a Bankart lesion combined with a type II SLAP lesion were enrolled. Patients were divided into two groups: group C consisted of 30 patients, each with a communicated Bankart and type II SLAP lesion and group NC consisted of 28 patients, each with a non-communicated Bankart and type II SLAP lesion. Bankart repairs were performed for all patients. SLAP lesions were repaired in group C and debrided in group NC. Clinical results were analysed to compare groups C and NC by using the visual analogue scale pain score, American Shoulder and Elbow Surgeons score, Constant scores, Rowe score for instability and range of motion assessments. Results: The clinical scores were improved in both groups at final follow-up. Also, there were no differences between two groups. No significant difference was found in terms of the range of motion measured at the last follow-up. The number of suture anchors used was significantly higher in group C than in group NC (5.6 vs. 3.8; p=0.021). Conclusions: In this study, it is considered that Bankart repair and SLAP debridement could be a treatment option in patients with a non-communicated type II SLAP lesion combined with a Bankart lesion (study design: IV, therapeutic study, case series).

• 콘크리트학회논문집
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• 제21권1호
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• pp.55-64
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• 2009

본 연구는 시멘트 종류에 따른 병용계 자기충전 콘크리트의 최적배합비를 도출하고, 최적배합비의 품질특성을 평가하여 현장시공의 자료로 제안하기 위한 것이다. 병용계 자기충전 콘크리트는 분체와 증점제를 함께 사용하기 때문에, 품질의 안정성을 확보할 수 있을 것으로 예측된다. 분체로써 점성 증대 및 수화열 저감에 우수한 석회석 미분말을 사용하였다. 석회석 미분말의 치환율은 시멘트 종류에 따른 구속수비 실험을 통해 정하였으며, 배합변수는 잔골재용적비 ($S_r$), 굵은골재 용적비 ($G_v$) 및 물-시멘트비 (W/C)로 하여, 최적배합비를 도출하였으며, 이에 대한 응결시간, 블리딩량, 침하량 및 수화열 특성을 분석하였다. 실험결과, 고로슬래그 시멘트의 경우에는 석회석 미분말의 치환율 13.5%, 잔골재 용적비 47%, 물-시멘트비 41%이며, 저열포틀랜드시멘트의 경우에는 석회석 미분말의 치환율 42.7%, 잔골재 용적비 43%, 물-시멘트비 51%이며, 굵은골재 용적비는 시멘트의 종류에 관계없이 53%로 나타났다. 최적배합비에 대한 응결시간, 블리딩, 침하량 및 수화열에 대한 실험 결과, 저열포틀랜드시멘트를 사용한 자기충전 콘크리트가 가장 안정적인 것으로 나타났으며, 설계기준강도 40.0 MPa (배합강도 51.5 MPa)를 만족하는 저열포틀랜드시멘트를 사용한 병용계 자기충전 콘크리트를 지하식 LNG 저장탱크의 지하연속벽용 콘크리트로 제안하였다.

• KIEAE Journal
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• 제9권4호
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• pp.37-42
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• 2009

Photovoltaic-thermal(PVT) collectors are a combination of photovoltaic modules with solar thermal collectors, forming one device that receives solar radiation and produces electricity and heat simultaneously. The PVT collectors can produce more energy per unit surface area than side by side PV modules and solar thermal collectors. There are two types of water type PVT collectors, depending on the existence of glass cover over PV module; glass-covered(glazed) PVT module, which produces relatively more thermal energy but has lower electrical yield, and uncovered(unglazed) PVT module, which has relatively lower thermal energy with somewhat higher electrical performance. In this paper, the experimental performance of two types of the water-based PVT combined collectors, glazed and unglazed, was analyzed. The electrical and thermal performances of the PVT combined collectors were measured in outdoor conditions, and the results were compared.

• 한국정밀공학회지
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• 제12권2호
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• pp.87-96
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• 1995

The cutting force is the most important variable to understand the mechanics of ultra-precision machining. Most dynamometers, however, monitor the static cutting force only. But it is necessary to measure the dynamic cutting force to clarify the machinability of the material, the formation of the chip, chatter and the wear of the tool. In this research, measurement of the dynamic cutting force in order to clarify the machin-ability of the material, the formation of the chip, chatter and the wear of the tool has been conducted. A combined-type dynamometer which could measure the static cutting force and the dynamic cutting force by use of strain gauges and a piezo-film accelerometer has been developed. An analysis of the dynamometer also has been carried out.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2007년도 Techno-Fair 및 추계학술대회 논문집 전기물성,응용부문
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• pp.216-217
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• 2007

This paper represents the reliability assessment on the mould type combined transformer used in the distribution system by electrical tests. For the reliability assessment, we had tested lightning impulse test, short-circuit withstand capability test, electrical accelerated life test and so on to the mould type combined transformer of Young-Hwa Industrial Electric Co., Ltd.

• Journal of Chest Surgery
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• 제16권3호
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• pp.368-374
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• 1983

Combined type of primary lung cancer is a very rare form in clinical experience, which is 3 histologically different variants of bronchogenic carcinoma. These type had a well differentiated squamous carcinoma forming keratin pearls, well differentiated adenocarcinoma and pleomorphic undifferentiated cell carcinoma, usually small cell carcinoma. The patient, a male, 49-Y-0, was complaint coughing, mild dyspnea, blood tinged sputum and chest pain. Under diagnosis of lung cancer preoperatively, the right total pneumonectomy was performed with very difficulty such as arrhythmia, ventilation impairment during post operation course. The histology of specimen was disclose as 3 different histological type, combined lung cancer as squamoadenoundifferentiated carcinoma. The mediastinal nodes were freed from metastasis but the parietal pleural metastatic loci was found. The radio & chemotherapy were performed post-operatively. The patient had been experienced empyema at post-pneumonectomy space and then open drainage procedure and thoracoplasty had been added for treatment course. The patient is alive recently.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제19권2호
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• pp.104-111
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• 2008

Objectives : The purpose of this study was to compare two subtypes of attention-deficit hyperactivity disorder (ADHD) and controls in their attention using ADHD diagnostic system (ADS), a kind of continuous performance test. Methods : Subjects of this study were 8 children with ADHD-predominantly inattentive type, 28 children with ADHD-combined type and 20 control children. Ages ranged from 5 to 14 years. The Korean Educational Development Institute version of the Wechsler Intelligence Scale for Children (KEDI-WISC) and the ADS were administered to all subjects to provide measures of intelligence and attention. Results : Significant differences were found in the ADS variables for the three groups. When compared with controls, the ADHD-predominantly inattentive type children scored significantly higher on the omission error at middle stage and later stage and ADHD-combined type children scored significantly higher on the omission error and reaction time at later stage. When compared with the other two groups, the ADHD-combined type children scored significantly higher on the commission error at all three stages. Conclusion : Our results suggest that the two subtypes of ADHD have different features in attention deficit. And there was a possibility that commission error is available variable to show cognitive characteristics of ADHD-combined type than any other ADS variables. Further studies are needed to evaluate this finding.