• Journal of Chest Surgery
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• 제33권1호
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• pp.88-95
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• 2000

Pulmonary lymphangioleiomyomatosis is a chronic destruct8ive disease of the lung affecting women of childbearing ages which eventually leads to respiratory failure. Lung transplantation is the only conclusive therapeutic measure because this disease responds poorly to other therapies, To date only a few reports in the literature describes the clinical experience of the bilateral sequential lung transplantation of this rare condition. We performed a bilateral sequential lung transplantation on a 32-year-old woman suffering from lymphangioleiomyo-matosisw. The heart-lung block was harvested from a 51-year-old donor. We transplanted the left lung first through the clam-shell incision. As the hemodynamics deteriorated suddenly during the dissection of the right lung the right lung was transplanted under the cardio-pulmonary bypass. Although the patient's lung function was initially satisfactory the patient died of sepsis and subsequent cardiogenic shock at the postoperative 18th day. Autopsy findings showed infection of Candida albicans on the pericardium and the left lung which had been initiated possibly from the left bronchial anastomosis site,. Through detailed review of the clinical course we concluded that lung transplantation could have been performed safely on this disease provided that early diagnosis and proper management or the oppor-tunistic infection have been carried out.

• 중환자간호학회지
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• 제8권1호
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• pp.11-24
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• 2015

Purpose: The purpose of this study was to explore the experience of patients on the waiting list for kidney retransplantation. Methods: The data were collected by individual in-depth interviews of nine patients who were dialyzed after primary kidney graft dysfunction and were waiting for deceased donor kidney retransplantation. All interviews were audio-taped and transcribed, and were analyzed using a phenomenological method. Results: The findings included 5 theme clusters and 13 sub-themes. The 5 clusters were 'Diagnosed with chronic renal failure and dialysis: Broken daily life and crisis', 'Kidney transplantation: The only way to escape from dialysis', 'Kidney graft failure: Inevitable moving backward to hemodialysis', 'Self-management of re-dialysis patients: Growth through pain', and 'The waiting for kidney retransplantation: To try again in the hope of getting a new life'. Conclusion: This study provides a deep understanding of patients with dialysis who are waiting for deceased donor kidney retransplantation. On the basis of the findings of this study, health professionals can provide customized information and develop effective nursing interventions to improve the self-management of these patients.

• Structural Engineering and Mechanics
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• 제50권6호
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• pp.835-852
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• 2014

Despite the availability of other transport methods such as land and air transportations, marine transportation is the most preferred and widely used transportation method in the world because of its economical advantages. In service, ships experience cyclic loading. Hence, it can be said that fatigue fracture, which occurs due to cyclic loading, is one of the most critical failure modes for vessels. Accordingly, this makes fatigue failure prevention an important design requirement in naval architecture. In general, a ship structure contains many structural components. Because of this, structural modeling typically relies on Finite Element Analysis (FEA) techniques. It is possible to increase fatigue performance of the ship structures by using FEA in computer aided engineering environment. Even if literature papers as well as rules of classification societies are available to assess effect of fatigue cracks onto the whole ship structure, analytical studies are relatively scarce because of the difficulties of modeling the whole structure and obtaining reliable fatigue life predictions. As a consequence, the objective of this study is to improve fatigue strength of a mercantile vessel against fatigue loads via analytical method. For this purpose, the fatigue life of the mercantile vessel has been investigated. Two different type of fatigue assessment models, namely Coffin-Manson and Morrow Mean stress approaches, were used and the results were compared. In order to accurately determine the fatigue life of the ship, a nonlinear finite element analysis was conducted considering plastic deformations and residual stresses. The results of this study will provide the designer with some guidelines in designing mercantile vessels.

• 한국지진공학회논문집
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• 제3권4호
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• pp.33-46
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• 1999

캘리포니아의 강구조 모멘트프레임은 1994년 노스리지 지진시 6.8의 규모와 진앙지에서 근접한 지리적인 악조건에도 불구하고 붕괴나 인명피해 없이 잘 견뎌냈다. 그러나 이후 시행된 조사에서 경제적으로 지진시 안전하다고 믿어져 널리 쓰인 welded flange-bolted web(WFBW) 강접합부(moment connection)의 기둥과 용접의 경계면에서 취성 파괴가 다수 발견되었다. 이논문은 선형파괴역학과 노스리지진이후의 WFBW 강접합부 실험을 이용하여 WFBW 강접합부와 노스리지지진이후 기존 강접합부의 대안으로 추천되고 있는 reduced beam section (RBS) 강접합부의 취성 파괴강도를 결정하는 수치적인 방법을 제안하고 이를 이용하여 이들 강접합부의 취성 파괴모드를 추정하였다.

• Journal of Chest Surgery
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• 제35권7호
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• pp.548-552
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• 2002

한국형 인공심장(AnyHeart)은 single moving actuator mechanism을 이용한 일체형 및 이식형 양심실 박동펌프이다. 저자 등은 양심 부전증에 의한 말기 심장병 환자에서 구난의료 차원으로 시도된 한국형 인공심장 (AnyHeart) 이식 1례를 경험하였기에 그 결과를 보고한다.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2008년도 추계학술대회A
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• pp.20-25
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• 2008

Sulfide stress corrosion cracking (SSCC) of materials exposed to oilfield environment containing hydrogen sulfide ($H_2S$) has been recognized as a materials failure problem. Laboratory data and field experience have demonstrated that extremely low concentration of $H_2S$ may be sufficient to lead to SSC failure of susceptible materials. In some cases, $H_2S$ can act synergistically with chlorides to produce corrosion and cracking failures. SSC is a form of hydrogen embrittlement that occurs in high strength steels and in localized hard zones in weldment of susceptible materials. In the heat-affected zones adjacent to welds, there are often very narrow hard zones combined with regions of high residual stress that may become embrittled to such an extent by dissolved atomic hydrogen. On the base of understanding on sulfide stress cracking and its mechanism, SSC resistance for the several materials, those are ASTM A106 Gr B using in the oil industries, are evaluated.

• 디지털산업정보학회논문지
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• 제8권4호
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• pp.25-34
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• 2012

In this study, in the process of testing before the release of the software products designed, software testing manager in advance should be aware of the testing-information. Therefore, the effective learning effects perspective has been studied using the NHPP software. The finite failure nonhomogeneous Poisson process models presented and applied property of learning effect based on truncated time and delayed S-shaped software reliability. Software error detection techniques known in advance, but influencing factors for considering the errors found automatically and learning factors, by prior experience, to find precisely the error factor setting up the testing manager are presented comparing the problem. As a result, the learning factor is greater than autonomous errors-detected factor that is generally efficient model can be confirmed. This paper, a failure data analysis was performed, using time between failures, according to the small sample and large sample sizes. The parameter estimation was carried out using maximum likelihood estimation method. Model selection was performed using the mean square error and coefficient of determination, after the data efficiency from the data through trend analysis was performed.

• Journal of Chest Surgery
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• 제29권6호
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• pp.651-654
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• 1996

최근에 본원에서 혈전증에 의한 급성 인공판막기능부전 1례를 치험하였기에 보고한다. 환자는39세 남자로서 내원 3일전부터 호흡곤란과 기 좌호흡을 호소하였다. 과거력 상 인공판막대치술 후 의사의 충고에도 불구하고 최근 4개월 동안 항응고제를 복용하지 않았다. 심초음파검사상 인공판막 판엽의 움직임에 제한이 있었다. 우리는 응급으로 혈전제거술과 인공판막 재치환술을 시행하였다. 수술 후 환자는 특별한 합병증없이 추적 관찰중에 있다.

• 대한물리치료과학회지
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• 제17권3_4호
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• pp.1-9
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• 2010

Purpose: The objectives of this study were to investigate the current status of the pain in and the dysfunction related to the musculoskeletal system experienced by patients with end-stage renal failure receiving hemodialysis. Methods: A questionnaire survey was given to 107 patients undergoing hemodialysis in M Hospital. The survey was conducted by using a brief pain inventory(BPI) to investigate the body parts in pain, degree of pain, difficulty in daily life, correlation with hemodialysis and the degree of satisfaction with their own health. Results: The investigation of the patients undergoing hemodialysis showed that 89(83.2%) of the 107 patients experienced pain in their musculoskeletal system. Their pain's incidence was highest in the knees(46.1%) and 68.5% of the patients reported that the most severe pain they had experienced within the past 24 hours was at a level between "moderate" and "severe." The limitation of daily life by pain is high most as 47.7% in the accomplishment of works. Conclusion: Most hemodialysis patients experience musculoskeletal related pain that affects their daily life. Hemodialysis patient management programs should include an assessment and management of such pain.

• 한국전산구조공학회:학술대회논문집
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• 한국전산구조공학회 2001년도 가을 학술발표회 논문집
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• pp.425-431
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• 2001

In order to take account of the statistical properties of probability variables used in the structural analysis, the conventional approach using the safety factor based on past experience usually estimated the safety of a structure. The real structures could only be analyzed with the error in estimation of loads, material characters and the dimensions of the members. But the errors should be considered systematically in the structural analysis. Structural safety could not precisely be appraised by the traditional structural design concept. Recently, new approach based on the probability concept has been applied to the assessment of structural safety using the reliability concept. In this study, safety of structures will estimated by the reliability analysis with commercial structural software that has the tools of nonlinear elastic-plastic 3-D analysis. Experimental test result is compared to results from this research and Coan/sup 1)/ In this paper, AFOSM(Advanced First-Order Second Moment method) is applied with von Mises, Tresca and Mohr-Coulomb failure criterions. The reliability index β and probability of failure P/sub f/ can be obtained by following this practical procedure as judgement a safety of structures and necessity of reinforcing.