• Journal of Chest Surgery
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• 제31권2호
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• pp.118-124
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• 1998

관상동맥우회술은 인공심폐기 및 심근보호의 안정성으로 인공심폐기 사용하에 시행하는 것이 보편화된 방법이다. 그러나 좌전하행지 및 우관상동맥에 병소가 위치하는 경우는 인공심폐기의 사용 없이 심장이 박동하는 상태에서 관상동맥우회술을 시행하는 방법도 일부에서는 시행되어 왔으며 최근에는 최소한의 절개하에서 관상동맥우회술을 시행하는 방법도 대두되었다. 본 병원에서는 1996년 3월부터 8월까지 시행한 35례의 관상동맥우회술중 6례에서 인공심폐기를 사용하지 않고 관상동맥우회술을 시행하였다. 환자는 남자 4례와 여자 2례였으며 나이는 55세에서 76세로 평균 64세였다. 수술전 관상동맥의 병소는 6례 모두 좌전하행지에 90%이상의 협착을 보였으며 1례는 대각지가 50%, 또 다른 1례에서는 좌주관상동맥이 50%정도의 협착을 동시에 보였다. 수술에 필요한 개흉방법은 통상적인 정중흉골절개가 1례, 부분흉골절개술을 시행한 경우가 2례, 좌측전흉부를 개흉한 경우가 3례였다. 관상동맥우회술은 5례에서 좌측내흉동맥을 좌전하행지에 문합하였으며, 1례에서는 좌측내흉동맥에 요골동맥편을 단단문합한후 좌전하행지에 문합하였다. 또한 1례는 복재정맥을 이용하여 대각지에도 동시에 우회술을 시행하였다. 수술후 기관발관시간은 4시간에서 14시간으로 평균 9시간이었다. 수술에 사용한 혈액의 양은 평균 800 ml였으며 2례에서는 전혀 혈액을 사용하지 않았다. 이들중 5례에서 수술후 추적관상동맥조영술을 술후 7일에서 10일사이에 시행하여 100%의 개통율을 보였다. 결론적으로 좌전하행지나 우관상동맥에 협착이 있는 경우나 상기병소에 경피적풍선확장술이 실패한 경우에 인공심폐기를 사용하지 않고 최소한의 개흉하에 관상동맥우회술을 시행하는 것도 하나의 방법이라 사료되며 앞으로 기술적 발전과 더불어 적응대상군이 증가할 것으로 판단된다.32, 88.67$\pm$10.22 mmHg로 감소하였고 폐동맥압의 평균은 수술전에 11.4$\pm$5.68 mmHg에서 25.94$\pm$11.53, 29.67$\pm$9.31 mmHg로 증가 하였으나 모두 통계적 의의는 없었다(p>0.05). 양측 폐이식수술에서인 폐동정맥문합부위의 파열, 협착, 뒤틀림 등의 수술수기상의 문제점을 예방하면서 우측폐를 먼저 이식하면서, 폐수술시야를 충분히 확보하고, 재관류손상을 방지하는 경우 cystic fibrosis, pulmonary hypertention, emphysema와 같은 심한 호흡부전증 환자의 치료방법으로 적합하리라 사료된다.에서 선택수술 (elective coronary artery bypass graft)에 비하여 특별한 위험 요소의 증가 관상 동맥 우회술을 적용하여 좋은 결과를 얻을 수 있었으며 이들에 대한 장기 추적이 릴요할 된다.착군에 비하여 의미있게 작았는데 이는 아마도수술 당시 협 착 부위의 완전제거가 이루어지지 않은 것이 원인이라고 사료되었다. 본 분석에서는 어린 연령(3개월 이하), 3개월이하에 시행한 쇄골하동맥편 교약성형술이 의미있는 재협착의 위험요소로 밝혀졌다. 결론 적으로 저자등은 본연구를 통하여 대동맥협부지수, 횡대동맥 지수 등이 개개 대동맥교약 환아의 해부학 적, 임상적 특징을 파악하는데 도움이 되는 도구라는 사실을 발견하였고 아울러 교약의 해부학적 특성, 동반 심기 형, 연령, 수술방법 등이 수술사망 및 재협착에 영향한다는 사실을 입증하였다.t was resulted from increase of weight of single cocoon. "Manta"2.5ppm produced 22.2kg of cocoon. It is equal

• 비파괴검사학회지
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• 제6권2호
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• pp.17-36
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• 1987

In this experimental research, fracture mechanisms of spheroidal graphite cast iron (As Cast, annealed and normalized) were investigated by using Acoustic Emission (AE) technique. In this study, the data (AE signal) are digitized and processed with the 8 bits micro-computer (APPLE II) connected to the AE measuring device without data processing unit. The source of AE signal was estimated by fractography analysis. The results obtained in this experimental study are summarized as follows : For the heterogeneous materials (spheroidal graphite cast iron) with inclusions which may considered as cracks, it is found that low and high AE amplitude appear simultaneously and the load is found to be fluctuated in the final stage of deformation. But the lad is not fluctuated in tension test with low AE amplitude only. AE is measured within elastic region and it is confirmed that 0.2% offset yield load agrees approximately with the load point where AE counts decrease steeply after the point of maximum AE counts.

• 대한전기학회논문지
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• 제40권6호
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• pp.574-581
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• 1991

Damage in film capacitors has been investigated, using FTIR and ESCA, aiming to elucidate the nature of electrode removal and the possibility of base films to be damaged. Also, tests were conducted to investigate the effect of a long-term thermal aging at elevated temperatures. Unsuccessful clearing or grape-clustering processes can induce a long-term degradation which involves the chemical and morphological changes. Major changes are the oxidation and the decrease in surface crystallinity possibly arising from the corona discharge. An immediate deterioration of BOPP film may occur when the air entrapped between the film layers induces an extensive autocatalytic oxidative degradation. This type of immediate damage may result in a premature failure at an early stage of qualification test. As far as the nature of electrode removal is concerned, a permanent removal of electrode materials was observed in the main erosion area.

• Journal of the Korean Statistical Society
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• 제26권1호
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• pp.31-46
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• 1997

Let $X_{t}$ = .beta. $X_{{t-1}}$ + .epsilon.$_{t}$ be an autoregressive process where $\mid$.beta.$\mid$ < 1 and {.epsilon.$_{t}$} is independent and identically distriubted with regularly varying tail probabilities. This process is called the asymptotically stationary first-order autoregressive process (AR(1)) with infinite variance. In this paper, we obtain a host of weak convergences of some point processes based on bootstrapping of { $X_{t}$}. These kinds of results can be generalized under the infinite variance assumption to ensure the asymptotic validity of the bootstrap method for various functionals of { $X_{t}$} such as partial sums, sample covariance and sample correlation functions, etc.ions, etc.

• Journal of Chest Surgery
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• 제23권2호
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• pp.245-252
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• 1990

To see the change of pulmonary arterial pressure after mitral valve replacement, postoperative cardiac catheterization and echocardiographies were performed in 12 patients of mitral valvular disease with pulmonary hypertension[systolic pulmonary arterial pressure>50 mm Hg]. The mean follow-up duration was 35.4[range: 15-47] months per patient. The following results were obtained. 1] Preoperative systolic pulmonary arterial pressure value of 66.17\ulcorner10.73mmHg decreased significantly to 29.17\ulcorner6.86mmHg postoperatively[p<0.01]. 2] Preoperative Pp/Ps value of 0.67\ulcorner0.13 decreased significantly to 0.28\ulcorner0.06 postoperatively[p<0.01]. 3] Preoperative PAWP value of 29.00\ulcorner4.02mmHg decreased significantly to 9.92\ulcorner4.27 mmHg postoperatively[p<0.01]. 4] Preoperative LAD value of 5.58\ulcorner1.20cm decreased significantly to 4.37\ulcorner0.67cm postoperatively [p<0.01]. In conclusion, pulmonary arterial hypertension secondary to mitral valvular disease could be reduced to normal range after successful mitral valve replacement.

• Journal of Chest Surgery
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• 제20권2호
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• pp.384-392
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• 1987

The occlusive coronary artery disease presents a potential threat to a significant population in the United State. According to many case reports, the increasing incidence of coronary artery disease due to atherosclerosis is noted in Korean, recently. We experienced one case of coronary artery disease. He was a 68 year old male who had been suffered from hypertension since 1 5 years ago, and had intermittent conservative treatment at local clinic. He had been afflicted with severe chest pain on exertion, but this symptom was relieved on rest. Pre-operative EKG finding revealed no any other ischemic sign. Significant S-T segment depression was noted at lead II, aVF, V3, V4, and V5, and inverted T wave in V5 and V6 after Master`s test. Simple chest X-ray finding showed emphysematous field, bilaterally. Final pre-operative diagnosis was made by coronary angiogram, which showed almost 90% degree of occlusive lesion in the proximal part of left main coronary artery above the origin LAD artery. He was treated successfully by aorta-coronary saphenous vein graft under extra-corporeal circulation in May, 1987. He has been followed up with uneventful course.

• Journal of the Korean Data and Information Science Society
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• 제11권1호
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• pp.1-18
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• 2000

본 논문에서는 가장 많이 사용되는 시계열 모형중의 하나인 자기회귀모형에서 모수를 추정하는 방법으로 최소 절대 편차 추정법(least absolute deviation estimation)을 포함한 로버스트한 추정방법 (robust estimation)의 사용을 제안하고 모의 실험을 통하여 이러한 방법들을 기존의 최소 제곱 추정 방법과 예측의 관점에서 비교 검토하여 시계열 자료분석에서의 로버스트한 모수 추정 방법의 유효성을 확인해 보고자 한다.

• 대한기계학회논문집
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• 제7권3호
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• pp.335-343
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• 1983

Modified-Shrink-Fit(MSF) method of compound cylinder is studied to increase elastic load carrying capacity (ELCC) of pressure vessel. The autofrettage and the shrink-fit processes are used to study the MSF process. Theoretical analyses based on the Tresca yield criterion, Hencky's total strain theory and elastic linearly strain-hardening material are carried out to derive closed form solutions. Experimental results are compared with theoretical results with various diameter ratios between outer (SM45C) and inner (SM20C) bloc cylinder. For various diameter ratios, increments of ELCC have errors in strains vs. internal loading pressures between experimental and theoretical results. But experimental results show good agreements with theoretical results in reyield pressurizing state. The increments of ELCC of compound cylinder manufactured by the MSF process is proved by measuring the residual stresses.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2002년도 학술대회지
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• pp.723-724
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• 2002

Computational modeling is presented to investigate the hemodynamics of coronary circulation for the cardiac arrest model during the operation of an ECLS called T-PLS. A lumped parameter model is utilized to delineate the hemodynamics of coronary circulation. For verification of the present method, we compute the coronary circulation for normal case and compare those results with the existing data. Numerical results on the cardiac arrest model show that T-PLS can increase LAD flow significantly.

• International Journal of Precision Engineering and Manufacturing
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• 제1권2호
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• pp.61-66
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• 2000

In this paper, we discuss the machining characteristics of HDD glass. Glass is now being used globally as a data storage device, Such glasses are usually machined by lapping by this technique requires a long machining time, resulting in low productivity, For this reason, we examine the possibility of EILD grinding in HDD glass workpieces, A move to ELID grinding may result in substantial cost reduction. Our purpose is to investigate the grinding characteristics of HDD glass in ELID grinding. The bonding materials for fixing the abrasives of cast iron, cobalt and bronze are applied, and grinding conditions such as rotation speed and feeding are varied. Results show that with the use of ELID, mirror surfaces can be achieved with high efficiency.