• Archives of Plastic Surgery
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• v.44 no.4
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• pp.301-307
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• 2017

Background Many difficulties exist in establishing a treatment plan for slow-flow vascular malformation (SFVM). In particular, little research has been conducted on the surgical treatment of SFVMs. Thus, we investigated what proportion of SFVM patients were candidates for surgical treatment in clinical practice and how useful surgical treatment was in those patients. Methods This study included 109 SFVM patients who received care at the authors' clinic from 2007 to 2015. We classified the patients as operable or non-operable, and analyzed whether the operability and the extent of the excision varied according to the subtype and location of the SFVM. Additionally, we investigated complications and self-assessed satisfaction scores. Results Of the 109 SFVM patients, 59 (54%) were operable, while 50 (46%) were non-operable. Total excision could be performed in 44% of the operable SFVM patients. Lymphatic malformations were frequently non-operable, while capillary malformations were relatively operable (P=0.042). Total excision of venous malformations could generally be performed, while lymphatic malformations and combined vascular malformations generally could only undergo partial excision (P=0.048). Complications occurred in 11% of the SFVM patients who underwent surgery; these were minor complications, except for 1 case. The average overall satisfaction score was 4.19 out of 5. Conclusions Based on many years of experience, we found that approximately half (54%) of SFVM patients were able to undergo surgery, and around half (44%) of those patients were able to fully recover after a total excision. Among the patients who underwent surgical treatment, high satisfaction was found overall and relatively few complications were reported.

• Journal of Gastric Cancer
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• v.17 no.1
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• pp.63-73
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• 2017

Purpose: Data on operable gastric cancer from India is sparse. The purpose of this study was to investigate the clinical details, histopathological demographics, and 5-year overall survival (OS) and disease free survival (DFS) associated with operable, non-metastatic gastric cancer in a dedicated upper gastrointestinal (GI) surgical unit in India. Materials and Methods: Data for patients diagnosed with operable gastric cancer between January 2006 and December 2014 were retrospectively analyzed. Data were collected from electronic hospital records in addition to mail and telephonic interviews when possible. Results: A total of 427 patients were included. The tumor was located in the pyloro-antral region in 263 patients (61.7%). Subtotal gastrectomy was performed in 291 patients and total gastrectomy in 136 patients. Tumor stage classification revealed 43 patients (10.0%) with stage I, 40 patients (9.4%) with stage IIA, 59 patients (13.9%) with stage IIB, 76 patients (17.8%) with stage IIIA, 96 patients (22.5%) with stage IIIB, and 113 patients (26.4%) with stage IIIC disease. Follow-up data were available for 71.6% of the patients with a mean duration of 32.4 months. Five-year DFS and OS were 39% and 59%, respectively. Conclusions: Despite presenting at an advanced stage, the 5-year DFS and OS of patients with operable gastric cancer treated at a dedicated upper GI unit of a tertiary care center in India was good.

• Journal of Korean Society of Coastal and Ocean Engineers
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• v.16 no.3
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• pp.178-189
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• 2004

For designing a reliable harbor, a methodology for estimating design waves of 97.5% operable harbor condition is suggested using long-term wave data. For a practical application of the methodology, a marine police harbor was selected as a site. Wave data used were collected from February 1993 to December 2003 at Jodo wave gage station in front of Pusan harbor. Joint distributions of significant wave height and significant wave period for specified wave directions were obtained and used to feed as input waves for parabolic mild-slope wave model. Results showed that input waves with significant wave height of 1.75 m, significant wave period off sec and wave direction E yield design waves height of 1.06 m at the site of interests, which is a 97.5% operable harbor condition. Wind waves generated inside harbor showed to be no effect on the design wave condition. Swells propagated from deep water into harbor are shown to be dominant effects on the design waves of operable harbor condition.

• Nuclear Engineering and Technology
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• v.55 no.12
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• pp.4335-4349
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• 2023

Nuclear marine propulsion has been emerging as a next generation carbon-free power source, for which proper passive residual heat removal systems (PRHRSs) are needed for long-term safety. In particular, the characteristics of unlimited operation time and compact design are crucial in maritime applications due to the difficulties of safety aids and limited space. Accordingly, a compact and long-term-operable PRHRS has been proposed with the key design concept of using both air cooling and seawater cooling in tandem. To confirm its feasibility, this study conducted system design and a transient analysis in an accident scenario. Design results indicate that seawater cooling can considerably reduce the overall system size, and thus the compact and long-term-operable PRHRS can be realized. Regarding the transient analysis, the Multi-dimensional Analysis of Reactor Safety (MARS-KS) code was used to analyze the system behavior under a station blackout condition. Results show that the proposed design can satisfy the design requirements with a sufficient margin: the coolant temperature reached the safe shutdown condition within 36 h, and the maximum cooling rate did not exceed 40 ℃/h. Lastly, it was assessed that both air cooling and seawater cooling are necessary for achieving long-term operation and compact design.

• Journal of Chest Surgery
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• v.35 no.9
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• pp.659-663
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• 2002

The objective of this study was to assess the usefulness of bone scans in routine preoperative examinations of patients with newly diagnosed non-small cell lung carcinoma. Material and Method: We reviewed the medical records of 258 patients who were newly diagnosed with non-small cell lung cancer in our hospital between January 2000 and December 2000. More than half of the patients (132) were deemed to be inoperable due to their advanced stage based on the CT scans. The remaining 126 patients were considered potentially operable. For these patients, clinical evaluation including the presence of bone pain, serum alkaline phosphatase, and calcium levels was used as clinical predictors of bone metastasis. All patients received bone scans. Bone X-rays, MRI or bone biopsy were performed to confirm the presence of bone metastasis. The usefulness of the bone scan was evaluated by comparing its power of predicting bone metastasis to that of the clinical information. Result: In all patients, the positive and negative predictive values of bone scans for the bone metastasis were 44%, and 99%, respectively. Those of the clinical information were 38% , and 94%. However, in potentially operable patients, the negative predictive value of the clinical information was as high as 99%. Conclusion: If newly diagnosed non-small cell lung cancer patients are presented as potentially operable on the basis of CT scan with no clinical evidence of distant metastases, curative resection could be considered without performing routine bone scans because of the low probability of bone metastasis. However, if there are positive clinical findings, further evaluations, including bone scan should be followed as metastasis will be documented in more than 30% of patients.

• Proceedings of the KSR Conference
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• 2000.11a
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• pp.628-635
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• 2000

The catenary system supported by the tunnel bracket which has been used uniquely in KNR was selected as the catenary inside narrow existing tunnel in the electrification of Kyeung-Bu Line for operation of Korea High Speed Train(KTX). It was demanded to judge the maximal operable speed of KTX in this catenary system to implement the planning. To do this, the tunnel bracket was firstly tested to obtain the characteristic data. The stiffness of this bracket are computed depending on the location which catenary installed on. Moreover, the catenary using tunnel bracket is modelled numerically respecting the bracket stiffness. Based on these, the dynamics between this catenary and KTX pantograph are simulated with the program developed by ourselves independently. The simulation result are evaluated according to the generally acceptable criteria. Consequently, the maximal operable speed of KTX in the catenary using KNR(Korean National Railroad) tunnel bracket is predicted and some items which are needed to be kept in the processing of implementation are drawn.

• Wind and Structures
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• v.29 no.6
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• pp.489-497
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• 2019

Wind-adaptable design (WAD) provides a new method for super-tall buildings to lessen design conflicts between architectural prerequisites and aerodynamic requirements, and to increase the efficiency of structural system. Compared to conventional wind-resistant design approach, the proposed new method is to design a building in two consecutive stages: a stage in normal winds and a stage during extreme winds. In majority of time, the required structural capacity is primarily for normal wind effects. During extreme wind storms, the building's capacity to wind loads is reinforced by on-demand operable flow control measures/devices to effectively reduce the loads. A general procedure for using WAD is provided, followed by an exploratory case study to demonstrate the application of WAD.

• Proceedings of the Korean Institute of Surface Engineering Conference
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• 1999.10a
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• pp.60-61
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• 1999

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2013.05a
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• pp.299-300
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• 2013

• Proceedings of the Korea Water Resources Association Conference
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• 2005.09a
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• pp.400-401
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• 2005