• Journal of Trauma and Injury
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• v.25 no.2
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• pp.63-66
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• 2012

Resection of the bowel is necessary for the repair of a ventral hernia after recovery from trauma in some cases. In such instances, polyester or polypropylene meshcannot be used due to the possibility of infection; we had to use biological mesh instead. We report a case in which a traumatic hernia was repaired with Permacol (Covidien, Norwalk, CT, USA). A 42-year-old male patient had been injured by a factory machine seven months prior to admission. At that time, he had abdominal wall injury and small bowel perforation. His abdominal wall had been a defect after operation. A CT scan of the abdomen showed that the left abdominal wall, which is lateral to left rectus abdominis muscle had only one muscle layer, an external oblique muscle, and that a previous abdominal incision had a defect along the entire incision. During the exploration, 10 cm of small bowel was removed due to firm adhesion to the previous surgical scar. Permacol mesh was applied and fixed with transfascial fixations and tacks by using the intraperitoneal onlay mesh technique. There were no complications after the surgery and the patient was discharged without any problems.

• Journal of Chest Surgery
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• v.23 no.1
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• pp.16-21
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• 1990

From November 1978 through June 1989, 33 patients aged 3 months to 27 years [mean 9.7 years] underwent repair of intracardiac defects associated with corrected transposition. Five patients had had previous palliative surgery. Operation were performed in 31 for ventricular septal defect, 22 for pulmonary outflow tract obstruction, 16 for atrial septal defect, and 5 for anatomical tricuspid valve regurgitation. Pulmonary outflow tract obstruction was relieved by pulmonary valvotomy in 9, Rastelli procedure in 5, modified Fontan procedure in 3, and by REV procedure in 5 patients recently. Early mortality was 21.2%[7/33] and no late mortality during follow up period. Two had residual pulmonary outflow tract obstruction and one residual VSD. In eight patients, transient arrhythmia was found but soon returned to sinus rhythm. Five patients developed complete heart block and 2 were given permanent pacemaker insertion. There were 8 RBBB, 1 LBBB and one second degree atrioventricular block patients, but all showed no clinical significance. This report suggests that surgical repair of intracardiac defects associated with corrected transposition can be achieved with acceptable low risk. Though the mortality is still high, we can improved the result by advancing surgical technique, knowledge of the special conduction system, and by improving postoperative care.

• Journal of Chest Surgery
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• v.27 no.9
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• pp.752-758
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• 1994

From July 1983 to December 1992, 145 patients with mitral valvular disease underwent open heart surgery at Chonbuk National University Hospital. Of these patients, 89 patients[61.4%] required mitral valve replacement. 56 patients [38.6 %] had mitral valve repair. There were 32 women and 24 men and the mean age was 34.3 years[range 6 years to 62 years].There were 23 cases of pure mitral stenosis, 19 cases of mitral regurgitation and 14 cases of mixedmitral valvular disease. The mean duration of symptom was 4.53 years and mean mitral valvularorifice diameter[in cases of pure stenosis and mixed mitral valvular lesion] was 0.96 cm. According to the NYHA classification, the distribution of patients preoperatively was as follows; class IIa, 15 patients; class lib, 17 patients; class III, 22 patients; class IV, 2 patients. Four patients[7%] had an embolic history preoperatively. 24 patients[ 43 %] were in atrial fibrillation. In cases of pure mitral stenosis, the technique used included open mitral commissurotomy[21atients], open mitral commissurotomy with mitral annuloplasty[2 patients]. In mixed mitral valvular disease, open mitral commissurotomy[ll patients] and open mitral commissurotomy with mitral annuloplasty[l patient] were performed. In cases of mitral regurgitation, mitral annuloplasty[5 patients], mitral valvuloplasty[6 patients], mitral annuloplasty with valvuloplasty [3 patients] and ring annuloplasty [5 patients] were performed.There was one perioperative death related to acute renal failure and sepsis. One late death was occurred related to heart failure after 10 months postoperatively. One patient required reoperation due to restenosis and no embolic episode was occured. After operation, 34 patients were in NYHA functional class I, 20 patients were in class IIa.

• Environmental Mutagens and Carcinogens
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• v.23 no.1
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• pp.16-22
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• 2003

Single nucleotide polymorphisms (SNPs) are alterations in DNA base that occur most frequently throughout the human genome. The SNPs of DNA repair genes, hMLH1, hMSH2 and ATM, among 100 Korean people were analyzed using Dynamic Allele specific Hybridization (DASH) techniques. Mutation at the position of exon 38 (GA) and exon 10 (CG) of ATM gene, mutation at the position of exon 8 (AG), and exon 1 (AG) of hMLH1 gene and exon 14 (AG) of hMSH2 gene were investigated. No mutation at the selected position of ATM gene and hMSH1 gene was found. However, while there was no mutation at the position of exon of hMSH2 gene, mutation was found at the promotion region (CT) with the frequency of 24% CC, 36% CT and 62% TT genotyes. This results might be used as baseline data for research on SNP of Korean population.

• Transactions of the Korean Society of Pressure Vessels and Piping
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• v.14 no.1
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• pp.58-65
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• 2018

The purpose of this study is to develop a Half Nozzle Repair(HNR) process to prevent the leakage from welds on small bore piping in Reactor Coolant System. The Codes & Standards of tempered bead and design requirements of J-Groove welds are reviewed. Automatic machine GTAW welding and machining equipments are developed to perform HNR process. Single pass welding and overlay welding equipments are conducted in order to obtain the optimal temper bead welding process parameters with Alloy 52M filler wire. Coarse grain heat affected zone(CGHAZ) is formed by rapid cooling rate in heat affected zone after welding. Accordingly, a proper temper bead technique is required to reduce CGHAZ in 1-Layer of welds by 2- and 3-Layers. Mock-up tests show that the developed HNR process is possible to meet ASME Code & Standard requirements without any defect.

• Journal of the Earthquake Engineering Society of Korea
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• v.22 no.5
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• pp.291-298
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• 2018

Existing reinforced concrete building structures have seismic vulnerabilities under successive earthquakes (or mainshock-aftershock sequences) due to their inadequate column detailing, which leads to shear failure in the columns. To improve the shear capacity and ductility of the shear-critical columns, a fiber-reinforced polymer jacketing system has been widely used for seismic retrofit and repair. This study proposed a numerical modeling technique for damaged reinforced concrete columns repaired using the fiber-reinforced polymer jacketing system and validated the numerical responses with past experimental results. The column model well captured the experimental results in terms of lateral forces, stiffness, energy dissipation and failure modes. The proposed column modeling method enables to predict post-repair effects on structures initially damaged by mainshock.

• Clinics in Shoulder and Elbow
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• v.6 no.1
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• pp.50-54
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• 2003

Object: To evaluate the efficiencies of the arthroscopic rotator cuff surgery which is Performed without the traction system in the lateral decubitus position. Methods: Twenty-nine cases of the arthroscopic rotator cuff surgery performed without the traction system in the lateral decubitus position were studied from February, 2002 to January, 2005. We performed a repair using the arthroscopic debridement and the arthroscopic rotator cuff repair, or using the mini-open incision technique after the confirmation of rotator cuff tear, then, the arthroscopic subacromial decompression was performed after the confirmation of subacromial lesions Results: We could easily find the subscapularis tear which was often overlooked in the arthroscopic rotator cuff surgery performed with the traction surgery by the relaxation of the subscapularis, as the arm position was internally rotate about 45 to 70 degrees from abducted position. We found that the operation time was reduced 14 minutes shorter than the operation time of the controlled group which had the surgery with the traction system on the average. We also found that there were no neurovascular complications from all cases. Conclusions: The arthroscopic rotator cuff surgery without traction system in the lateral decubitus position provided the better visual field, easy manipulation of the joint and reducing operation time.

• International Journal of Precision Engineering and Manufacturing
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• v.1 no.2
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• pp.55-60
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• 2000

A comparison of Riveted and bonded repairs, bearing and net tension failures, and Al 6061-T6 plates is presented. The results are then compared with previous papers about bonded repairs on different patch materials and shapes. Aluminum alloys, including Al 6061-T6, have a face-centered-cubic crystal structure. Under normal circumstances, these types of crystal structures do not exhibit cleavage fractures even at very low temperatures. In aluminum-base structures, the cracked plate structures are frequently repaired using mechanical fasteners-either rivets of bolts- even though patch-bonding techniques are applied to repair and reinforce the structure. Static test results indicate that the riveted repairs are affected by the position of the rivers. When using the same size of patch, the bonded repair technique is stronger; the rate of elongation is also increased. Form FEM analysis, it is revealed the origin of patch debonding in patch-bonded structures is the edge of the patch along to the tensile strength.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.24 no.9 s.180
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• pp.2246-2251
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• 2000

Adhesive bonding repair methods has been used for a number of decades for construction of damaged structures. In order to evaluate the life of cracked aging aircraft structures, the repair technique which uses adhesively bonded boron/epoxy composite patches is being widely considered as a cost-effective and reliable method. But, this repair method contains many shortcomings. One of these shortcomings, debonding is major issue. When the adhesive shear stress increases, debonding is caused at the end of patch and plate interface. And this debonding is another defect except cracks propagation. In this paper, we assess safety at the cracked AI-plate repaired by Br/Epoxy composite patch. Firstly, from the view of fracture mechanics, reduction of stress intensity factors is determined by the variety of patch feature. Secondly, using the elastic analysis and finite element analysis, the distribution of adhesive shear stresses is acquired. Finally, The problem of how to optimize the geometric configurations of the patch has been discussed.

• Journal of Welding and Joining
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• v.17 no.1
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• pp.82-87
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• 1999

The basic remote sleeve repair-welding technology by the pulsed Nd:YAG laser for increasing the lifetime of the steam generator tube in a nuclear power plant has been developed. The relationship between the connection width and welding parameters have been investigated for the fundamental research to apply the sleeve-repair-welding technique to the nuclear industry. The Inconel 600 tube and Inconel 690 sleeve used for high temperature and high pressure service were welded as round lap welding by Nd:YAG laser. It was observed that the tensile shear strength, 340MPa of the welded specimen is equivalent to about 60% of that of the base metal (Inconel 600), 550MPa. The difference between the hardness of the base metal and that of the laser welds was about 10%. Ductile fracture was partly occurred in the weld but the cracking has not been observed. In spite of absence of the crack, the strength of welds was not sufficient in terms of the tensile shear strength.