• Journal of Korean Neurosurgical Society
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• v.48 no.4
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• pp.335-341
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• 2010

Objective : Anterior cervical corpectomy with fusion (ACF) or laminoplasty may be associated with substantial number of complications for treating multilevel cervical ossification of the posterior longitudinal ligament (OPLL) with significant cord compression. For more safe decompression and stabilization in multilevel cervical OPLL with prominent cord compression, we propose circumferential cervical surgery (selective ACF and laminoplasty) based on our favorable experience. Methods : Twelve patients with cervical myelopathy underwent circumferential cervical surgery and all patients showed multilevel OPLL with Signal change of the spinal cord on magnetic resonance imaging (MRI). A retrospective review of clinical, radiological. and surgical data was conducted. Results : There were 9 men and 3 women with mean age of 56.7 years and a mean follow up period of 15.6 months. The average corpectomy level was 1.16 and laminoplasty level was 4.58. The average Japanese Orthopedic Association score for recovery was 5.1 points and good clinical results were obtained in 11 patients (92%) (p < 0.05). The average space available for the cord improved from 58.2% to 87.9% and the average Cobb's angle changed from 7.63 to 12.27 at 6 months after operation without failure of fusion (p < 0.05). Average operation time was 8.36 hours, with an estimated blood loss of 760 mL and duration of bed rest of 2.0 days. There were no incidences of significant surgical complications, including wound infection. Conclusion : Although the current study examined a small sample with relatively short-term follow-up periods, our study results demonstrate that circumferential cervical surgery is considered favorable for safety and effectiveness in multilevel OPLL with prominent cord compression.

• Geomechanics and Engineering
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• v.34 no.6
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• pp.697-726
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• 2023

Brittleness as an important property of rock plays a crucial role both in the failure process of intact rock and rock mass response to excavation in engineering geological and geotechnical projects. Generally, rock brittleness indices are calculated from the mechanical properties of rocks such as uniaxial compressive strength, tensile strength and modulus of elasticity. These properties are generally determined from complicated, expensive and time-consuming tests in laboratory. For this reason, in the present research, an attempt has been made to predict the rock brittleness indices from simple, inexpensive, and quick laboratory test results namely dry unit weight, porosity, slake-durability index, P-wave velocity, Schmidt rebound hardness, and point load strength index using multiple linear regression, exponential regression, support vector machine (SVM) with various kernels, generating fuzzy inference system, and regression tree ensemble (RTE) with boosting framework. So, this could be considered as an innovation for the present research. For this purpose, the number of 39 rock samples including five igneous, twenty-six sedimentary, and eight metamorphic were collected from different regions of Iran. Mineralogical, physical and mechanical properties as well as five well known rock brittleness indices (i.e., B₁, B₂, B₃, B₄, and B₅) were measured for the selected rock samples before application of the above-mentioned machine learning techniques. The performance of the developed models was evaluated based on several statistical metrics such as mean square error, relative absolute error, root relative absolute error, determination coefficients, variance account for, mean absolute percentage error and standard deviation of the error. The comparison of the obtained results revealed that among the studied methods, SVM is the most suitable one for predicting B₁, B₂ and B₅, while RTE predicts B₃ and B₄ better than other methods.

• Journal of Chest Surgery
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• v.30 no.9
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• pp.876-884
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• 1997

Fourteen patients underwent orthotopic heart transplantation between March 1994 and May 1996 in Seoul National University Hospital. There were 9 male and 5 female patients, and the mean age was 40.8 $\pm$ 12.4 years ranged from 12 to 56 years. All patient were in NYHA Fc III or IV preoperatively. The underlying heart diseases were dilated cardiomyopathy in 11 and restrictive cardiomyopathy in 3. The mean age of donors was 24.9$\pm$ 10.2 years and the causes of the brain death were head trauma by traffic accidents in 8, subarachnoid hemorrhage in 2, 1 asphyxia, 1 fall down injury, 1 brain tumo , and 1 drowning, respectively The blood type was identical in 11, compatible in 2, and incompatible in 1 patient. The direct bicaval anastomosis technique was used in 11 cases, and standard right atrial anastomosis was done in the remaining 3 cases. The graft ischemic time was 158$\pm$44 minutes ranged 94 to 220 minutes. There were two hospital deaths(14.3%). The causes of deaths were 1 right ventricular failure followed by suspected cyclosporine induced hemolytic uremic syndrome and rejection, and 1 delayed massive bleeding, probably from rupture of the anastomotic pseudoaneurysm, respectively. The follow-up duration was 16$\pm$9 months(3 to 28 months). There was one late death(8.3%). All the other patients were in NYHA Fc I except one patient who was in hospital because of the acute rejection. The actuarial survival rates including hospital deaths were 93.7% at 1 month, 86.9% at 6 months, and 77$\pm$12% at 2 years. Conclusively, heart transplantation is the good strategy for the management of end stage heart disease with acceptable operative mortality and early follow-up results.

• Journal of the Korean Wood Science and Technology
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• v.10 no.3
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• pp.118-131
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• 1982

1. In order to investigate the effect of variation of assembly time on glue bond strength, and to determine the optimum range of assembly time with given glue, this experiment was made at the suggestion of the Wood Technology Laboratory, School of Forestry, Yale University. 2. For this investigation, three-ply-plywoods with 1/22 inch, birch veneer, phenolic resin, and soybean glue were made at the following variation of assembly time, that is, 1, 5, 10, 25, 35, 50, and 70 minutes, under both open and closed assembly manners, and the shear strength test at dry and wet were adoptted. 3. The shear strength and wood failure of each plywood panel constructed at the given assembly time have been illustrated in Tables 1, 2, 3 and 4. It has shown that there is a remarkable tendency, for increasing assembly time to give lower shear strength and wood failure throughout almost all cases. The effective range of assembly time of tested glues in this investigation for both open and closed assembly are summarized in the Table 7. Thus, allowable assembly time for Phenolic resin may be up to 10 minutes under open assembly and up to 50 minutes under closed assembly. For soybean glue, the permissible assembly time may be up to 5 minutes under open assembly and up to 15 minutes under closed assembly. The allowable assembly time for open assembly with the same glue is reduced by approximately one third or more than one third as compared with closed assembly time. This might mean that the closed asembly time for these glues is more practical than the open assembly.

• Journal of Korean Academy of Nursing
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• v.30 no.4
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• pp.995-1005
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• 2000

This study was performed to identify the physiological and psychological variables related to successful weaning from a mechanical ventilator. The subjects of this study were 22 patients who received mechanical ventilation therapy for more than 3 days in intensive care units. Before the weaning trial, baseline data for following physiologic variables were obtained: spontaneous respiration rate, blood pressure, pulse rate, PaO2, PaCO2, PEEP, static compliance, minute ventilation, tidal volume, rapid shallow breathing index(f/VT), SaO2, PaO2/FiO2 and mean arterial pressure. During spontaneous breathing, physiologic and psychologic variables such as vital signs, ABG, perspiration, chest retraction, paradoxical respiration, dyspnea, anxiety, confidence and efficacy were measured. Successful weaning was defined as sustaining spontaneous respiration over 24 hours after extubation. Weaning failure was defined as the development of more than one of following signs: (1) hypoxemia, (2) CO2 retention or (3) perspiration, tachypnea, chest retraction, tachycardia, arrhythmia, hypotension or hypertension. Subjects (N=18) who successfully weaned from mechanical ventilator were compared with subjects (N=4) who failed. The results are as follows; Eighteen percents of the subjects failed during the weaning trial. Most subjects in the failed group were mechanically ventilated for long-time. This result shows that the success of weaning is more difficult in long-term ventilation patients. In the baseline data that was measured before weaning trial, the mean score of PaO2 in the successfully weaned group was 121mmHg. This is significantly higher than the mean score of PaO2 in the failed group(95mmHg). However, the scores of pH, tidal volume, f/VT, pulse rates, blood pressure, mean airway pressure, SaO2, and PaCO2 were similar between the two groups. Specially the scores of f/VT index as a predominant predictor for successful weaning were not significant (f/VT=44.4) and (f/VT=47). During spontaneous breathing, the scores of dyspnea and anxiety level in the successfully weaned group were less than those of the failed group. On the contrary, the scores of confidence and efficacy in the successful group were greater than those of the failed group. In conclusion, the baseline data that were measured before weaning trial were similar between the both groups, therefore future studies are needed to focus on searching other variables besides physiological parameters related to weaning outcome.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
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• v.12 no.3
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• pp.242-250
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• 2019

In this paper, we propose a method to predict the failure of industrial robot using Seq2Seq (Sequence to Sequence) model, which is a model for transforming time series data among Artificial Neural Network models. The proposed method uses the data of the joint current and angular value, which can be measured by the robot itself, without additional sensor for fault diagnosis. After preprocessing the measured data for the model to learn, the Seq2Seq model was trained to convert the current to angle. Abnormal degree for fault diagnosis uses RMSE (Root Mean Squared Error) during unit time between predicted angle and actual angle. The performance evaluation of the proposed method was performed using the test data measured under different conditions of normal and defective condition of the robot. When the Abnormal degree exceed the threshold, it was classified as a fault, and the accuracy of the fault diagnosis was 96.67% from the experiment. The proposed method has the merit that it can perform fault prediction without additional sensor, and it has been confirmed from the experiment that high diagnostic performance and efficiency are available without requiring deep expert knowledge of the robot.

• Korean Journal of Clinical Pharmacy
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• v.20 no.3
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• pp.221-228
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• 2010

In 2009, American Journal of Health-System Pharmacy (AJHP) recommended that targeting vancomycin trough concentrations of 10 mg/L or more because of therapeutic failure and potential risk of developing vancomycin resistance. Therefore, new dosage guidelines that could achieve to these higher target were needed. The aims of this study were to develop dosage guidelines targeting new vancomycin trough concentration and to evaluate the performance of these new guidelines. All data analysis were performed using NONMEM(R). Population pharmacokinetic model was first developed from vancomycin dosage and concentration data collected retrospectively during routine therapeutic drug monitoring in 441 patients, then new vancomycin dosage guidelines were developed by using the model to predict vancomycin trough and peak concentrations in a simulated dataset. The estimates, such as, vancomycin concentration trough level, time to achieve target level, mean error were performed to evaluate and compare difference between conventional dosage and new dosage guidelines. The proposed dosage guidelines were predicted to achieve 43.5% of vancomycin trough level within 10~20 mg/L, which is significantly higher than current guidelines (26.3%). Time to achieve target trough level was 19.4 hours in new guidelines comparing to 93.1 hours in the conventional dosage. Thus, new vancomycin dosage guidelines have been developed to achieve new target trough concentrations earlier and more consistently than conventional guidelines.

• Journal of Chest Surgery
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• v.35 no.9
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• pp.643-652
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• 2002

As the prevalence of coronay artery disease is increasing, the surgical treatment has been universalized and operative outcome has been improved. We analyzed the short and mid-term results of 292 CABGs performed in Kangdong Sacred Heart Hospital. Material and Method: From June 1994 to December 2001, 292 patients underwent coronary artery bypass grafting. There were 173 men and 119 women and their ages ranged from 39 to 84 years with a mean of $61.8{\pm}9.1$ years. We analyzed the preoperative risk factors, operative procedures and operative outcome. In addition, we analyzed the recurrence of symptoms, long-term mortality and complications via out-patient follow-up for discharged patients. Result: Preoperative clinical diagnoses were unstable angina in 137(46.9%), stable angina in 34(11.6%), acute myocardial infarction in 40(13.7%), non-Q myocardial infarction in 25(8.6%), postinfarction angina in 22(7.5%), cardiogenic shock in 30(10.3%) and PTCA failure in 4(1.4%) patients. Preoperative angiographic diagnoses were three-vessel disease in 157(53.8%), two-vessel disease in 35 (12.0%), one-vessel disease in 11(3.8%) and left main disease in 89(30.5%) patients. We used saphenous veins in 630, internal thoracic arteries in 257, radial arteries in 50, and right gastoepiploic arteries in 2 distal anastomoses. The mean number of distal anastomoses per patient was $3.2{\pm}1.0$ There were 18 concomitant procedures ; valve replacement in 8(2.7%), left main coronary artery angioplasty in 6(2.1%), patch closure of postinfarction ventricular septal defect(PMI-VSD) in 2(0.7%), replacement of ascending aorta in 1(0.3%) and coronary endarterectomy in 1(0.3%) patient. The mean ACC time was $96.6{\pm}35.3 $ minutes and the mean CPB time was $179.2{\pm}94.6$ minutes. Total early mortality was 8.6%, but it was 3.1% in elective operations. The most common cause of early mortality was low cardiac output syndrome in 6(2.1%) patients. The stastistically significant risk factors for early mortality were hypertension, old age($\geq$ 70 years), poor LV function(EF＜40%), congestive heart failure, preoperative intraaortic balloon pump, emergency operation and chronic renal failure. The most common complication was arrhythmia in 52(17.8%) patients. The mean follow-up period was $39.0{\pm}27.0$ months. Most patients were free of symptoms during follow-up. Fourteen patients(5.8 %) had recurrent symptoms and 7 patients(2.9%) died during follow-up period. Follow-up coronary angiography was performed in 13 patients with recurrent symptoms and they were managed by surgical and medical treatment according to the coronary angiographic result. Conclusion: The operative and late results of CABG in our hospital, was acceptable. However, There should be more refinement in operative technique and postoperative management to improve the results.

• Steel and Composite Structures
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• v.49 no.3
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• pp.337-348
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• 2023

Successive wetting and drying cycles of concrete due to weather changes can endanger the safety of engineering structures over time. Considering wetting and drying cycles in concrete tests can lead to a more correct and reliable design of engineering structures. This study aims to provide a model that can be used to estimate the resistance properties of concrete under different wetting and drying cycles. Complex sample preparation methods, the necessity for highly accurate and sensitive instruments, early sample failure, and brittle samples all contribute to the difficulty of measuring the strength of concrete in the laboratory. To address these problems, in this study, the potential ability of six machine learning techniques, including ANN, SVM, RF, KNN, XGBoost, and NB, to predict the concrete's tensile strength was investigated by applying 240 datasets obtained using the Brazilian test (80% for training and 20% for test). In conducting the test, the effect of additives such as glass and polypropylene, as well as the effect of wetting and drying cycles on the tensile strength of concrete, was investigated. Finally, the statistical analysis results revealed that the XGBoost model was the most robust one with R2 = 0.9155, mean absolute error (MAE) = 0.1080 Mpa, and variance accounted for (VAF) = 91.54% to predict the concrete tensile strength. This work's significance is that it allows civil engineers to accurately estimate the tensile strength of different types of concrete. In this way, the high time and cost required for the laboratory tests can be eliminated.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.6
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• pp.584-591
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• 2020

Reliability is an important factor in weapons systems. Low reliability causes the weapons system to fail to function properly, which directly leads to the weakening of combat capability. This paper classifies the structure of the 5.56 mm rifle, which is currently used by the Korean army, into a total of seven assemblies and describes the eight functions necessary for the rifle to operate normally. In addition, the concept of reliability was defined as the MRBF, and the Poisson process model and TTT plot were explained as a reliability analysis theory for the repair function system. Next, the field-data obtained by defining failure as the replacement of parts other than periodic exchange of parts were refined, and the reliability was analyzed by entering the refined field operation specifications into the Minitab program. As a result, the reliability of the rifle was determined to be 251.73. The assembly parts that required improvement was identified as the barrel, lower body, and butt stock assembly, and 10 detailed parts needed to be improved. Finally, the limits of the reliability analysis using the field-data currently available for small caliber firearms were considered.