• Structural Engineering and Mechanics
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• 제37권3호
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• pp.309-320
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• 2011

As a new type of large-span space structure, suspendome is composited of the upper single-layer reticulated shell and the lower cable-strut system. It has better mechanical properties compared to single-layer reticulated shell, and the overall stiffness of suspendome structure increases greatly due to the prestress of cable. Consequently, it can cross a larger span reasonably, economically and grandly with high rigidity, good stability and simple construction. For a better assessment of the advantages of mechanical characteristic of suspendome quantitatively, the static behavior of Kiewitt6 suspendome was studied by using finite element method, and ADINA was the software application to implement the analysis. By studying a certain suspendome, the internal forces, deformation and support constrained forces of the structure were obtained in this paper. Furthermore, the influences of parameters including prestress, stay bar length, cross-sectional area and rise-to-span ratio were also discussed. The results show that the increase of prestress and vertical stay bar length can improve the stiffness of suspendome; Cross-sectional area has nearly no impact on the static behavior, and the rise-to-span ratio is the most sensitive parameter.

• International Journal of Heart Failure
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• 제6권1호
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• pp.28-33
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• 2024

Background and Objectives: Takotsubo syndrome (TTS) is a form of reversible cardiomyopathy often preceded by mental or physical stressors and predominantly affects elderly women. Several cardiac and inflammatory biomarkers are involved in the pathogenesis of the disease. We aimed to investigate the correlation of C-reactive protein (CRP) level with left ventricular ejection fraction (LVEF) and clinical outcomes in patients with TTS. Methods: The study included patients with discharge-diagnosis of Takotsubo through 2017-2022 from the cardiology department. Demographic, laboratory, echocardiographic, and clinical outcomes were retrospectively obtained. We investigated the relation between CRP and LVEF, length of stay (LOS), in-hospital complications, and recurrence. Results: A total of 86 patients (93% female, mean age 68.8±12.3 years) were included in the study. The median CRP level was 17.4 (interquartile range [IQR], 6.1-40.1) mg/L, and the mean LVEF was 41.5%, (IQR, 38-50%). Complications occurred in 24 (27.9%) of the patients, and the median LOS was 3 (IQR, 3-5) days. The level of CRP was associated with lower LVEF (r=-0.39, p<0.001), longer hospital stay (r=0.25, p=0.021), and recurrence. There was no correlation between CRP and in-hospital complications. In multivariate logistic regression, poor LVEF was associated with TTS recurrence (odds ratio, 1.22; 95% confidence interval, 1.08-1.37; p=0.001). Using linear regression, only CRP was correlated with longer LOS and lower LVEF (p<0.001). Conclusions: Among patients hospitalized with TTS, CRP level was associated with poor LVEF and prolonged hospital stay but not with in-hospital complications. Poor LVEF was also associated with TTS recurrence.

• 한국간담췌외과학회지
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• 제27권3호
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• pp.292-300
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• 2023

Backgrounds/Aims: Current literature presents limited data regarding outcomes following conversion at the time of minimally invasive pancreaticoduodenectomy (MI-PD). Methods: The National Cancer Database was queried for patients who underwent pancreaticoduodenectomy. Patients were stratified into three groups: MI-PD, converted to open pancreaticoduodenectomy (CO-PD), and open pancreaticoduodenectomy (O-PD). Multivariable modeling was applied to compare outcomes of MI-PD and CO-PD to those of O-PD. Results: Of 17,570 patients identified, 12.5%, 4.2%, and 83.4% underwent MI-PD, CO-PD, and O-PD, respectively. Robotic pancreaticoduodenectomy (R-PD) resulted in a higher lymph node yield (n = 23.2 ± 12.2) even when requiring conversion (n = 22.4 ± 13.2, p < 0.001). Margin positivity was higher in the CO-PD group (26.6%) than in the MI-PD group (21.3%) and the O-PD (22.6%) group (p = 0.017). Length of stay was shorter in the MI-PD group (laparoscopic pancreaticoduodenectomy 10.4 ± 8.6, R-PD 10.6 ± 8.8) and the robotic converted to open group (10.7 ± 6.4) than in the laparoscopic converted to open group (11.2 ± 9) and the O-PD group (11.5 ± 8.9) (p < 0.001). After adjusting for patient and tumor characteristics, both MI-PD (odds ratio = 1.40; p < 0.001) and CO-PD (odds ratio = 1.24; p = 0.020) were significantly associated with an increased likelihood of long-term survival. Conclusions: CO-PD does not negatively impact perioperative or oncologic outcomes.

• Journal of Chest Surgery
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• 제35권12호
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• pp.882-889
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• 2002

누두흉 환자에 대해 최소침습적 방법으로 전흉벽 늑연골의 리모델링 성형술이 선호되고 있다. 본원에서 시행한 누두흉 환자들을 대상으로 늑연골의 리모델링 성형술의 시행시 발생할 수 있는 초기 합병증의 종류와 이에 대한 치료법의 연구이다. 대상 및 방법: 본원에서 1999년 9월에서부터 2002년 2월까지 오목가슴으로 인해 늑연골의 리모델링 성형술을 시행받은 55명을 대상으로 의무기록을 중심으로 후향적 분석을 시행하였다. 입원기간, 수술 후 관리, 수술 후 한 달 내에 발생한 합병증과 치료 방법 등을 분석하였다. 결과: 입원일은 5일에서 29일(8.6$\pm$4.2일)이었고 특별한 합병증이 없어도 퇴원하는 날까지 단순흥부촬영을 매일 시행하였으며 55명중 수술 후 합병증이 발생한 환자는 28명(51%)이었으며 기흉이 11명(20%), 혈흉이 6명(11%), 혈기흉이 3명(5%)이었으며 그 외 폐렴 및 무기폐등이 발생하였고 이중 3명(3%)은 상기 합병증과 더불어 철심의 변위 및 상처감염이 발생하였다. 28명의 합병증이 발생한 환자들 중 흉관삽입술이나 치료가 필요했던 환자들은 7명(13%)이었다. 결론: 늑연골의 리모델링 성형술후에 발생하는 합병증과 그의 치료에 대해 대부분의 환자들에서는 특별한 치료가 필요하지 않았으나 좀더 오랜 기간 추적관찰이 필요하다.

• 한국습지학회지
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• 제15권2호
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• pp.251-264
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• 2013

도요 물떼새들은 만조시에 해안 내륙 휴식지에서 휴식을 취하는데, 휴식지를 선택할 때 여러 가지 요소들을 고려한다. 우리는 도요 물떼새 8종(알락꼬리마도요 Numenius madagascariensis, 청다리도요 Tringa nebularia, 큰뒷부리도요 Limosa lapponica, 개꿩 Pluvialis squatarola, 민물도요 Calidris alpine, 중부리도요 Numenius phaeopus, 마도요 Numenius arquata, 뒷부리도요 Xenus cinereus)을 대상으로 휴식지의 시공간적 이용과 그 이용에 영향을 미치는 요인들을 분석하였다. 휴식지 내 고인 물의 면적과 길이, 기온, 풍속, 종별로 이동시기, 방해정도를 변수로 고려하였다. 시공간적으로, 이용하는 종이 달랐으며 개체수 또한 변동을 거듭하였다. 그리고 도요 물떼새의 휴식지 이용에 영향을 미치는 요인은 종-특이적이었다. 연구지역의 휴식지는 폐장한 새우양식장이었으나 조사 기간 중 염생습지에서 자라는 함초 Salicornia herbacea 농장으로 전환하였다. 휴식지가 필요한 상황에서, 도요 물떼새들의 생태를 기초로 해서 기존 휴식지를 관리할 것을 권한다. 더불어, 여름철 가뭄에는 양식장의 수문을 열어주어 도요 물떼새들이 물을 이용해 체온관리를 할 수 있게 해주고, 만조시 도요 물떼새들이 양식장 안으로 날아 들어올 수 있도록 새들이 휴식지를 찾기 시작하는 만조 전네 시간부터는 농장 작업을 안 할 것을 권한다.