• Journal of the Korea institute for structural maintenance and inspection
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• v.23 no.3
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• pp.17-24
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• 2019

Carbon Fiber Reinforced Polymers(CFRP) has widely utilized as a material for rehabilitation because of its light-weight, deformability and workability. Because CFRP is brittle material whereas steel is ductile, it is inappropriate to apply conventional design approach for steel reinforcement. For ductile material, the behavior of combined elements is on average of that of unit element due to the stress redistribution between elements after yielding. Therefore, the mean value of the stress of combined elements is equal to that of unit element and the standard variation is smaller. Therefore, although the design value can increase, it is used as constant value because it is conservative and practical approach. However, for brittle material, the behavior of combined elements is governed by the weaker element because no stress redistribution is expected. Therefore, both the mean value and standard variation of the stress of combined elements decreases. For this reason, the design value would decrease as the number of element increases although it is eventually converged. In this paper, in brittle material, it is verified that the combination of unit element with normal distribution results in combined element with weibull distribution, so the modifying equation of mechanical properties is proposed with respect to the area load applied.

• Journal of KIISE:Computing Practices and Letters
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• v.15 no.7
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• pp.500-504
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• 2009

A reliability of software is a type of nonfunctional requirement. Traditionally, a validation of the reliability is processed at the integration phase in software development life cycle. However, it increases the cost and the risk for the development. In this paper, we propose reliability analysis method based on mathematical analytic model at the architecture design phase of the development process as follows. First, we propose the software modeling methodology for reliability analysis using Hierarchical combined Queueing Petri Nets(HQPN). Second, we derive the Markov Reward Model from the HQPN based model. We apply our approach to the video conference system to verify the usefulness of our approach. Our approach supports quantitative evaluation of the reliability.

• Transactions of the Korean Society of Mechanical Engineers B
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• v.33 no.6
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• pp.403-410
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• 2009

This paper proposes a new approach to find the optimum ratios between sizes of the heat exchangers of the heat recovery steam generator (HRSG) system with limited size to maximize the efficiency of the steam turbine (bottom) cycle of combined cycle power plants (CCPP), but without performing the bottom cycle analysis. This could be achieved by minimizing the unavailable exergy (the sum of the destroyed and the lost exergies) resulted from the heat transfer process of the HRSG system. The present approach is relatively simple and straightforward because the process of the trial-and-error method, typical in performing the bottom cycle analysis for the system optimization, could be avoided. To demonstrate the usefulness of the present method, a single-stage HRSG system was chosen and the optimum evaporation temperature was obtained corresponding to the condition of the maximum useful work. The results show that the optimum evaporation temperature based on the present exergy analysis appears similar to that based on the bottom cycle analysis. Also shown is the dependency of size (NTU) ratios between the heat exchangers on the inlet gas temperature, which is another important factor in determining the optimum condition once overall size of the heat recovery steam generator is given. The present approach turned out to be a useful tool for optimization of the singlestage HRSG systems and can easily be extended to multi-stage systems.

• Archives of Craniofacial Surgery
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• v.17 no.3
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• pp.119-127
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• 2016

Background: Conventional correction of malunioned zygoma requires complete regional exposure through a bicoronal flap combined with a lower eyelid incision and an upper buccal sulcus incision. However, there are many potential complications following bicoronal incisions, such as infection, hematoma, alopecia, scarring and nerve injury. We have adopted a zygomaticofrontal suture osteotomy technique using transconjunctival incision with lateral paracanthal extension. We performed a retrospective review of clinical cases underwent correction of malunioned zygoma with the approach to evaluate outcomes following this method. Methods: Between June 2009 and September 2015, corrective osteotomies were performed in 14 patients with malunioned zygoma by a single surgeon. All 14 patients received both upper gingivobuccal and transconjunctival incisions with lateral paracanthal extension. The mean interval from injury to operation was 16 months (range, 12 months to 4 years), and the mean follow-up was 1 year (range, 4 months to 3 years). Results: Our surgical approach technique allowed excellent access to the infraorbital rim, orbital floor, zygomaticofrontal suture and anterior surface of the maxilla. Of the 14 patients, only 1 patient suffered a complication-oral wound dehiscence. Among the 6 patients who received infraorbital nerve decompression, numbness was gradually relieved in 4 patients. Two patients continued to experience persistent numbness. Conclusion: Transconjunctival incision with lateral paracanthal extension combined with upper gingivobuccal sulcus incision offers excellent exposure of the zygoma-orbit complex, and could be a valid alternative to the bicoronal approach for osteotomy of malunioned zygoma.

• Korean Journal of Bronchoesophagology
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• v.15 no.2
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• pp.64-70
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• 2009

Descending necrotizing mediastinitis(DNM) can occur as a complication of oropharyngeal and cervical infections that spread to the mediastinum via the cervical spaces. Delayed diagnosis and inadequate mediastinal drainage through a cervical or minor thoracic approach are the primary causes of a high mortality rate. Therefore, We emphasize that aggressive and emergent mediastinal drainage by surgical approach is most important method of DNM treatment. We studied 5cases diagnosed as DNM from 2005 through 2007. All patients underwent emergent surgical drainage of deep neck infection combined with mediastinal drainage through a thoracic approach. Primary oropharyngeal infection lead to DNM in four cases(80%) and odontogenic abscess in one case(20%). The outcomes were favorable 5patients. Overall mortality rate was 0%. The time interval from diagnosis based on manifestation of initial symptoms(oral or pharyngolaryngeal area) to surgical intervention was $7.4{\pm}4.2$days. One patient required reoperation due to remnant mediastinal abscess and pericardial effusion. Early diagnosis and emergent combined drainage with neck and chest incisions, together with broad spectrum intravenous antibiotics, should be considered standard care for this disease. And intensive postoperative care which it is continuous mediastinal irrigation and antibiotics use can significantly reduce the mortality rate.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.31 no.2C
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• pp.208-218
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• 2006

In this paper, we introduce the creation methods of attack detection model using data mining technologies that can classify the latest attack types, and can detect the modification of existing attacks as well as the novel attacks. Also, we evaluate comparatively these attack detection models in the view of detection accuracy and detection time. As the important factors for creating detection models, there are data, attribute, and detection algorithm. Thus, we used NetFlow data gathered at the real network, and KDD Cup 1999 data for the experiment in large quantities. And for attribute selection, we used a heuristic method and a theoretical method using decision tree algorithm. We evaluate comparatively detection models using a single supervised/unsupervised data mining approach and a combined supervised data mining approach. As a result, although a combined supervised data mining approach required more modeling time, it had better detection rate. All models using data mining techniques could detect the attacks within 1 second, thus these approaches could prove the real-time detection. Also, our experimental results for anomaly detection showed that our approaches provided the detection possibility for novel attack, and especially SOM model provided the additional information about existing attack that is similar to novel attack.

• Journal of Chest Surgery
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• v.39 no.1 s.258
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• pp.80-84
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• 2006

A combined anterolateral and posterior approach with thoracotomy has been recommended as the traditional surgical approach for the tumors of the thoracic spine. Recently, because of the morbidity associated with open thoracotomy, the thoracoscopically assisted surgical technique was introduced successfully in thoracic spinal surgery. Herein, we report a combined surgical technique for giant cell tumor of the thoracic spine (T10) consisting of bilateral thoracoscopic anterior release of the spine followed by a posterior on bloc spondylectomy and reconstruction by orthopedic surgeons. The thoracoscopic spinal surgery is safe and effective alternative for other open thoracotomic procedures in the approach to the anterior thoracic spine, avoiding the disadvantage inherent to thoracotomy.

• Proceedings of the Korean Reliability Society Conference
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• 2000.04a
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• pp.239-246
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• 2000

This paper presents a new dynamic approach for assessing feasibility associated with the implementation of accident management strategies by the operators. This approach includes the combined use of both the concept of reliability physics and a dynamic event tree generation scheme. The reliability physics is based on the concept of a comparison between two competing variables, i.e., the requirement and the achievement parameter, while the dynamic event tree generation scheme on the continuous generation of the possible event sequences at every branch point up to the desired solution. This approach is applied to a cavity flooding strategy in a reference plant, which is to supply water into the reactor cavity using emergency fire systems in the station blackout sequence. The MAAP code and Latin Hypercube sampling technique are used to determine the uncertainty of the requirement parameter. It has been demonstrated that this combined methodology may contribute to assessing the success likelihood of the operator actions required during accidents and therefore to developing the accident management procedures.

• Korean Journal of Radiology
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• v.22 no.5
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• pp.742-750
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• 2021

Objective: To assess the safety and clinical efficacy of percutaneous transhepatic enteral stent placement for recurrent malignant obstruction in patients with surgically altered bowel anatomy. Materials and Methods: Between July 2009 and May 2019, 36 patients (27 men and 9 women; mean age, 62.7 ± 12.0 years) underwent percutaneous transhepatic stent placement for recurrent malignant bowel obstruction after surgery. In all patients, conventional endoscopic peroral stent placement failed due to altered bowel anatomy. The stent was placed with a transhepatic approach for an afferent loop obstruction (n = 27) with a combined transhepatic and peroral approach for simultaneous stent placement in afferent and efferent loop obstruction (n = 9). Technical and clinical success, complications, stent patency, and patient survival were retrospectively evaluated. Results: The stent placement was technically successful in all patients. Clinical success was achieved in 30 patients (83.3%). Three patients required re-intervention (balloon dilatation [n = 1] and additional stent placement [n = 2] for insufficient stent expansion). Major complications included transhepatic access-related perihepatic biloma (n = 2), hepatic artery bleeding (n = 2), bowel perforation (n = 1), and sepsis (n = 1). The 3- and 12-months stent patency and patient survival rates were 91.2%, 66.5% and 78.9%, 47.9%, respectively. Conclusion: Percutaneous enteral stent placement using transhepatic access for recurrent malignant obstruction in patients with surgically altered bowel anatomy is safe and clinically efficacious. Transhepatic access is a good alternative route for afferent loop obstruction and can be combined with a peroral approach for simultaneous afferent and efferent loop obstruction.

• Journal of Chest Surgery
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• v.56 no.3
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• pp.171-176
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• 2023

Background: This study analyzed and described the clinical characteristics and surgical outcomes of diaphragmatic hernia (DH) repair according to the operative approach. Methods: After excluding cases with a combined approach and hiatal hernias, we analyzed 26 patients who underwent DH repair between 1994 and 2018. The baseline and perioperative characteristics of the thoracic approach group and the abdominal approach group were described and analyzed. Results: Fifteen of the 26 patients were treated through the thoracic approach, including 5 patients who underwent video-assisted thoracic surgery (VATS). Eleven patients underwent the abdominal approach. The thoracic approach was associated with a longer duration of DH than the abdominal approach (2 vs. 0.1 months), herniation of the right-sided abdominal organs, and herniation of the retroperitoneal organs. During the median follow-up of 23 months, there was no recurrence of DH. Conclusion: The surgical approach should be chosen considering the duration of DH and the location of herniated organs. VATS might be a safe and feasible option for repairing DH.