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Corrected transposition of the great arteries: surgical treatment of associated anomalies (교정형 대혈관전위증동반된 심혈관기형의 수술요)

  • Kim, Gi-Bong;No, Jun-Ryang;Seo, Gyeong-Pil
    • Journal of Chest Surgery
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    • v.17 no.3
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    • pp.371-380
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    • 1984
  • Corrected transposition of the great arteries [C-TGA] is one of the rare congenital heart disease in which there is both a discordant atrioventricular relationship and transposition of the great vessels. With this arrangement, systemic venous blood passes through the right atrium into the morphologic left ventricle and out the pulmonary artery. Pulmonary venous blood returns to the left atrium, flows into the morphologic right ventricle and out the aorta. Thus, in the rare case when no additional cardiac anomaly is present, a hemodynamically normal heart exists. But more often they are symptomatic as a result of one or several of the commonly associated defects. This paper describes 13 patients who underwent repair of one or more cardiac anomalies associated with corrected transposition at SN UH, from June 1976 through June 1984. 1.8 were males and 5 females, with ages ranging from 3 years to 27 years. 2. Segmental anatomy was {S,L,L} in 12, or {I,D,D} in 1. 3.Associated anomalies were ventricular septal defect in 10, pulmonary outflow tract obstruction in 6, tricuspid insufficiency in. 4, atrial septal defect in 3, subaortic stenosis in 1, mitral insufficiency in 1, and patent ductus arteriosus in 1. 4.None had complete heart block preoperatively, and 3 developed complete heart block intraoperatively. But one of them recovered sinus rhythm on the postoperative 7th day spontaneously. 5.There were 3 cases of hospital morality. But there was no morality since Dec. 1980. 6.Patients with single ventricle, hypoplastic ventricle or those who had palliative surgery alone are not included in this review.

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Early Results of the Arterial Switch Operation in Neonates (신생아에서 동맥전환술의 조기성적)

  • 성시찬;방정희;편승환;전희재;조광조;최필조;우종수;이형두
    • Journal of Chest Surgery
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    • v.31 no.10
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    • pp.931-938
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    • 1998
  • Background: Anatomic correction of transposition of the great arteries by means of the arterial switch operation is now accepted as the therapeutic method of choice. This retrospective study attempts to assess the results of the neonatal arterial switch operation for transposition of the great arteries performed by our newly established institution. Materials and methods: 33 consecutive neonates underwent the arterial switch operation between October 1991 to November 1997. There were 27 neonates with transposition and intact ventricular septum, 3 with ventricular septal defect, and 3 with Taussig-Bing anomaly. The mean age was 10.9$\pm$7.9 days and mean body weight was 3.29$\pm$0.44kg. Results: Overall postoperative hospital mortality was 30.3% (10 patients). The mortality has improved with time; 75% (6 patients) among first 8 consecutive patients before 1994, 20% (2 patients) among 10 patients in 1994 and 1995, and 13.3% (2 patients) among 15 patients since 1996. Univariated analysis of risk factors revealed that earlier date of the operations and one of preoperative events were determinants for operative death. There were two late deaths. A mean follow-up of 17.4$\pm$16.5 months was achieved in all 21 survivors. All were in New York Heart Association functional class I. One patient had mild pulmonary stenosis and two had mild aortic valve regurgitation on their echocardiography. Conclusions: We concluded that we should continue to perform arterial switch operation for neonates with transposition of the great arteries because the mortality of the operation has been improved and the operative survivors have good functional results with low incidence of late complications.

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Structural Safety Analysis of Car Body (차체의 구조 안전 해석)

  • Cho, Jae-Ung;Han, Moon-Sik
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.7 no.3
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    • pp.12-16
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    • 2008
  • The state of deformation and stress and the structural safety are studied at the main frame composed with car body by the impact of front, offset and overturn in this study. The values of maximum deformation and von-Mises stress in case of offset impact are 2 to 3 times as high as those in case of front or offset impact at the parts of front and middle legs of roll cage. The case of front impact is of the greatest safety as compared with the case of offset or overturn impact. As there is a great stress on the side in case of overturn impact, this value is more than 2 times as low as that in case of offset impact. But there is a great possibility of overturn by the buckling on both sides in case of overturn impact.

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A Study on the Critical Success Factors of Strategic Quality Management System (전략적 품질경영시스템의 주요성공요인에 관한 연구)

  • Kim, Jeong Heui;Park, Chae Heung
    • Journal of Korean Society for Quality Management
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    • v.23 no.3
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    • pp.1-19
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    • 1995
  • This study sets a purpose to realize what top managements in companies think as critical success factors of QM, using CSF(Critical Success Factors) method. The methodology of this study consists of literature research and empirical analysis using data collected from interviewing and questionnaire. Medium and small sized manufacturing companies are the subject of this study. Following CSFs of QM are found. (1)Management philosophy of attaching great importance to customer and customer satisfaction. (2)Creation of atmosphere that attach great importance to technology. (3)Philosophy of honesty and faithfulness. (4)Positive thinking and creation of atmosphere that help with each other. (5)Rearmament of entrepreneur spirit. (6)Need on recognition of partnership between labor and management. (7)Participation and will of top management. (8)Principle of Participation of entire members. (9)Harmony of innovation and continuous improvement. (10)Establishment of overall quality-related system. A Recognition of need on ISO-9000 series.

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Effect of Plating Conditions on Internal Stress of Nickel Electrodeposits (電析니켈에 있어서 電着條件이 內部應力에 미치는 影響)

  • Koh, Suck-Soo
    • Journal of the Korean institute of surface engineering
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    • v.13 no.4
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    • pp.211-220
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    • 1980
  • Internal stress of electrodeposited metals affect physical and mechanical characteristics of deposits. Internal stress of nickel deposits was reviewed intensively. Important outcomes are as follows. Substrate have an important effect on internal stress of electrodeposit. Origin of its internal stress could be explained mismatch of crystal lattice and coalescence of crystallites. When surface cleaning is not satisfying, instantaneous stress is low but the electrodeposited layer being thickened increasingly stress become to high and peeling phenomenon occurs. Effect of current density and temperature on internal stress is variable. Internal stress increases rapidly at pH 5 and above because of codepositing colloidal materials caused hydrolysis. Concentrations of nickel ion and $H_3BO_3$ ion affect little on internal stress and solution which contains impurities tend to increase stress. Especially impurities of $H_2O_2$ and iron ion have a great effect on internal stress. Additives are divided in two kind. One is increasing tensile stress another is increasing compressive stress. Concentrations of additives have a great effect on internal stress.

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Preparation of Three-Dimensional Graphene/Metal Oxide Nanocomposites for Application of Supercapacitors (슈퍼커패시터 응용을 위한 3차원 그래핀/금속 산화물 나노복합체 제조)

  • Kim, Jung Won;Choi, Bong Gill
    • Applied Chemistry for Engineering
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    • v.26 no.5
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    • pp.521-525
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    • 2015
  • Graphene-based electrode materials have been widely explored for supercapacitor applications due to their unique two-dimensional structure and properties. In particular, Three-dimensional (3D) graphene materials are of great importance for preparing electrode materials because they can provide large surface area, efficient and rapid electron and ion transfer, and mechanical stability. Recently, a number of 3D hybrid architecture of graphene/metal oxides have been developed to increase simultaneously energy and power densities of supercapacitors. This review presents the recent progress of 3D nanocomposites based on graphene and metal oxides. Preparation methods and structures of these 3D nanocomposites and their great potential in supercapacitor applications have been summarized.

Morphological Observation on Tribological Characteristic of Thermal Spray Coated Steel-Bar (용사 코팅된 스틸바의 트라이볼로지적 특성의 형상학적 관찰)

  • Lee, Duk Gyu;Cho, Hee Keun
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.5
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    • pp.559-566
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    • 2014
  • Plasma coatings have been conducted to improve the mechanical properties of thermal resistance, wear resistance, corrosion resistance and thermal shock with respect to Great-Bar which is used as a carrier device for ironstone sintering under $700^{\circ}C$. The surface coatings on the upper side of the Great-Bar exposed on extreme environments of high temperature, severe wear, corrosion and thermal shock extended the life time due to the barrier coating layer. $Al_2O_3$, $Cr_2O_3$, WC coatings were applied to Great-Bar and their mechanical and chemical properties are analyzed by several experimental tests such as thermal resistance, wear resistance, corrosion resistance and thermal shock resistance. It shows excellent advantages with respect to wear, thermal shock and corrosion.

The Effects of $Sb_2O_3$ on the Radiation Properties of a Far-Infrared in Semiconducting PTC Thermistor (반도성 PTC 서미스터의 원적외선 방사특성에 미치는 $Sb_2O_3$의 영향)

  • Cho, H.S.;Song, M.J.;Shin, Y.D.;Jang, S.H.;Park, C.B.
    • Proceedings of the KIEE Conference
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    • 1991.11a
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    • pp.278-281
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    • 1991
  • 1) The specimen with 0.175[mol%] of additive $Sb_2O_3$ was minute and didn't appear porosity. The relation between the ratio of resistivity at $160^{\circ}C$ to that at $121^{\circ}C$ of the specimen with 0.175[mol%] of additive $Sb_2O_3$ was $3{\times}10^4$ and it's great value from among specimens. 2) The curie temperature of the specimen with 0.2 [mol%] of additive $Sb_2O_3$ was $140^{\circ}C$ AND it's great value from among specimens and those of other were $121^{\circ}C$ in all therefore, the specimen with above 0.2[mol%] of additive $Sb_2O_3$ is not match for PTCR 3) The variation of radiation properties of the specimen with 0.2[mol%] of additive $Sb_2O_3$ was very steep in the range of far-infrared $5{\sim}10[{\mu}m]$ but radiation percentage was very high of 0.92 in the range of $10[{\mu}m]$.

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A STUDY ON ICRP RECOMMENDATIONS

  • Wang, Hengde
    • Journal of Radiation Protection and Research
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    • v.26 no.3
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    • pp.337-340
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    • 2001
  • This paper reviews briefly the ICRP recommendations published before 1977, in 1977 (ICRP 26), in 1990 (ICRP 60) and in the near future (around 2005) mainly in the philosophy and principles. The great progress is appreciated. A discussion is presented at the end.

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The Race for TVs with Higher Luminous Efficiency

  • Weber, Larry F.
    • 한국정보디스플레이학회:학술대회논문집
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    • 2005.07a
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    • pp.3-10
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    • 2005
  • The major display contenders: LCDs, CRTs, PDPs, projection displays, FEDs, SEDs and OLEDs are each examined in terms of the most critical display characteristic, the luminous efficiency. Each technology has great opportunity for improvement, but which one will win the race?

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