• Journal of Chest Surgery
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• v.25 no.11
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• pp.1254-1260
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• 1992

Rupture of the posterior left ventricular wall following mitral valve replacement is a rare but fatal complication. Over a 10 year period from August 25 1980 to November 27 1990, we have experienced 6 such patients among 884 cases of mitral valve replacement with 4 deaths and 2 survivors. One patient had a type I rupture and another a type II rapture with the remaining four patients having suffered type III ruptures. All of the ruptures were dis covered intraoperatively enabling prompt reinstitution of the cardiopulmonary bypass and subsequent cardioplegic arrest prior to repair. Overzealous removal of calcified valve leaflets seemed to be responsible for the single type I rupture, and untethering of the so called ventricular loop appeared to be the main mechanism responsible for the type III ruptures. The single type II rupture that had occurred seemed to have been caused by inadvertent laceration of the papillary muscle with resultant rupture of the posterior LV wall at the base of the papillary muscle. Among the type III ruptures, 2 patients required intraaortic balloon pump[IABP] support only for mechanical assistance and 1 patient required both the IABP and the Biomedicus LV assist device for successfull weaning following repair of the LV rupture Another patient with a type II rupture also required the circulatory assistance of both the IABP and the bio-medicus LV assist device for weaning from the bypass. Attention to meticulous technical considerations such as avoiding over aggressive removal of heavily calcified valvular tissue, preservation of as much mural leaflet tissue and chordal stuctures as possible seemed helpful in preventing this catastrophic complication from occurring. Fusion and fibrous stricture of the chordal structures appeared particularly conducive to the type II ruptures as a result of the increased susceptibility to papillary injury during operation.

• Journal of Gastric Cancer
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• v.20 no.1
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• pp.72-80
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• 2020

Purpose: Proximal gastrectomy (PG) is a function-preserving surgery in cases of proximally located early-stage gastric cancer. Because gastroesophageal reflux is a major pitfall of this operation, we devised a modified esophagogastrostomy (EG) anastomosis to fix the distal part of the posterior esophageal wall to the proximal part of the anterior stomach wall to produce an anti-reflux mechanism; we named this the SPADE operation. This study aimed to show demonstrate the clinical outcomes of the SPADE operation and compare them to those of previous PG cases. Materials and Methods: Case details of 56 patients who underwent PG between January 2012 and March 2018 were retrospectively reviewed: 30 underwent conventional esophagogastrostomy (CEG) anastomosis using a circular stapler, while 26 underwent the SPADE operation. Early postoperative clinical outcome-related reflux symptoms, endoscopic findings, and postoperative complications were compared in this case-control study. Results: Follow-up endoscopy showed more frequent reflux esophagitis cases in the CEG group than in the SPADE group (30% vs. 15.3%, P=0.19). Similarly, bile reflux (26.7% vs. 7.7%, P=0.08) and residual food (P=0.01) cases occurred more frequently in the CEG group than in the SPADE group. In the CEG group, 13 patients (43.3%) had mild reflux symptoms, while 3 patients (10%) had severe reflux symptoms. In the SPADE group, 3 patients (11.5%) had mild reflux symptoms, while 1 had severe reflux symptoms (absolute difference, 31.8%; 95% confidence interval, 1.11-29.64; P=0.01). Conclusions: A novel modified EG, the SPADE operation, has the potential to decrease gastroesophageal reflux following a PG.

• 기술발표회
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• s.2006
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• pp.279-291
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• 2006

This study shows decision-making process for selection of cutoff wall on a wastewater treatment project. There are 10 different cut-off wall methods So, we examine the site to gather information for find appropriate methods. After using that information, 10 cutoff wall methods are reviewed for analysis. Through brainstorming, four alternatives are selected for design VE item. Following the standard VE process, we established performance criteria and evaluated function score(F) using questionnaire. The questionnaires, brainstorming and AHP method for weighting on performance criteria and evaluate function score increased the reliability of this selection process. Water Jet method, one of four methods, has the best function score(F=92.71) and the lease construction cost(as cost index 1,000). The value score also highest as 92.7, so we select the method. The result is value innovation type In addition, the authors try to calculate the environmental burden in selection process using LCA. We cannot conduct the full LCA as defined ISO, so perform Simple LCA In LCA result, the cut-off grouting has the least environmental burden as index 9.09E+01 and Water Jet method has following as the second. To selection best method to specific area and purpose, design VE/LCG process used as useful tool and it is needed to develop integrated method that evaluate VEILCC and LCA as one-set process.

• 제어로봇시스템학회:학술대회논문집
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• 1990.10a
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• pp.591-595
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• 1990

This paper describes a method of aisle following of a mobile robot using machine vision. As a navigation guide, Black strip painted on the lower part of wall of aisle is used. The offset of the vehicle position from the center of aisle and the heading angle are determined from the binary image of guide strip captured by a CCD camera. To remove the effect of noise. i.e. break of guide strip for the door or reflection of light, pixel sampling method together with consistency check of the incline for the sampled pixels is used.

• Journal of Chest Surgery
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• v.27 no.1
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• pp.68-71
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• 1994

A tracheo-esophageal fistula following from blunt chest trauma is one of less common lesion and few guidelines are available to direct its optimal management. Herein, we report a 24-year-old man injured in a motor vehicular accident sustained a nonpenetrating double blowout injury of the thorax and large tracheoesophageal fistula occurred. Tracheal defect required resection and reconstruction, of which the membranous portion underwent closure with borrowed adjacent esophageal wall primarily and substernal left colon interposition was performed 4 weeks later.

• The Journal of Advanced Prosthodontics
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• v.1 no.1
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• pp.19-25
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• 2009

STATEMENT OF PROBLEM. Primary stability at the time of implant placement is related to the level of primary bone contact. The level of bone contact with implant is affected by thread design, surgical procedure and bone quality, etc. PURPOSE. The aim of this study was to compare the initial stability of the various taper implants according to the thread designs, half of which were engaged to inferior cortical wall of type IV bone(Group 1) and the rest of which were not engaged to inferior cortical wall(Group 2) by measuring the implant stability quotient(ISQ) and the removal torque value(RTV). MATERIAL AND METHODS. In this study, 6 different implant fixtures with 10 mm length were installed. In order to simulate the sinus inferior wall of type IV bone, one side cortical bone of swine rib was removed. 6 different implants were installed in the same bone block following manufacturer s recommended procedures. Total 10 bone blocks were made for each group. The height of Group 1 bone block was 10 mm for engagement and that of group 2 was 13 mm. The initial stability was measured with ISQ value using Osstell $mentor^{(R)}$ and with removal torque using MGT50 torque gauge. RESULTS. In this study, we found the following results. 1. In Group 1 with fixtures engaged to the inferior cortical wall, there was no significant difference in RTV and ISQ value among the 6 types of implants. 2. In Group 2 with fixtures not engaged to the inferior cortical wall, there was significant difference in RTV and ISQ value among the 6 types of implants(P < .05). 3. There was significant difference in RTV and ISQ value according to whether fixtures were engaged to the inferior cortical wall or not(P < .05). 4. Under-drilling made RTV and ISQ value increase significantly in the NT implants which had lower RTV and ISQ value in Group 2(P < .05). CONCLUSIONS. Without being engaged to the inferior cortical wall fixtures had initial stability affected by implant types. Also in poor quality bone, under-drilling improved initial stability.

• Proceedings of the KSME Conference
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• 2007.05b
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• pp.3098-3103
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• 2007

In this paper, natural convection of a magnetic fluids(W-40) in a half circular pipe enclosure are investigated by numerical and experimental method. One side wall is kept at a constant temperature(25$^{\circ}C$), and the opposite side wall is also kept at a constant temperature(20$^{\circ}C$). Under above conditions, various magnitudes of the magnetic fields were applied up. Theoretical study through the governing equation derived by Siliomis is carried out with numerical analysis by the GSMAC Method. And the thermo-sensitive liquid crystal film(R20C5A) is utilized in order to visualize wall-temperature distributions as an experimental method. This study has resulted in the following fact that the natural convection of a magnetic fluids are controlled by the direction and intensity of the magnetic fields.

• Structural Engineering and Mechanics
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• v.11 no.6
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• pp.605-616
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• 2001

The purpose of this study is to investigate the effect of the shear wall location in rigid frames on the dynamic behavior of a roof structure due to vertical and horizontal earthquake motions. The study deals with a gabled long span beam supported by two story rigid frames with shear walls. The earthquake response analysis is carried out to study the responses of the roof: vibration mode, natural period, bending moment and horizontal shear force of the bearings. The study results in the following conclusions: First, a large horizontal stiffness difference between the side frames is caused by the shear wall location, which results in a large vertical vibration of the roof and a large shear force at the side bearings. Second, in this case, the seismic design method for ordinary buildings is not useful in determining the distribution of the static equivalent loads for the seismic design of this kind of long span structures.

• Proceedings of the Computational Structural Engineering Institute Conference
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• 2008.04a
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• pp.294-299
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• 2008

Nowadays there are numerous factors to design the structure even for simple one, but many parts of the work are similar to the existing or repeated simply. In this case, design of the structure is unnecessarily needed lots of effort and time. To solve difficulties of design, an integrated design automation system for retaining wall structures that widely used is developed. The automation system consists of following items, 1) XML data structure between modules, 2) CAD visualization system to provide drawing sheets, 3) excel solution to provide structural design sheets and bills of quantity, 4) design logic to analysis and calculate behaviors of structure, and 5) GUI to represent data and results for the program.

• Proceedings of the KSME Conference
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• 2001.06e
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• pp.142-147
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• 2001

Natural convection of a magnetic fluid is different from that of Newtonian fluids because magnetic body force exists in an addition to gravity and buoyancy. In this paper, natural convection of a magnetic fluids(W-40) in a cubic cavity is examined by numerical and experimental method. One side wall was kept at a constant temperature($25^{\circ}C$), and the opposite side wall was also held at a constant but lower temperature($20^{\circ}C$). Under above conditions, various magnitudes of the magnetic fields were applied up. GSMAC scheme is used for a numerical method, and the thermo-sensitive liquid crystal film(R20C5A) is utilized in order to visualize wall-temperature distributions as an experimental method. This study has resulted in the following fact that the natural convection of a magnetic fluids is controlled by the direction and intensity of the magnetic fields.