• Journal of Chest Surgery
• /
• v.24 no.3
• /
• pp.310-321
• /
• 1991

Between April 1986 and September 1990, 34 patients with a single or dominant right ventricle underwent modified Fontan procedure for definite palliation in Seoul National University Children`s Hospital. Their age at operation ranged from 8 months to 14 years [Mean 5.5 years]. The ventricular chamber was solitary and of indeterminate trabecular pattern in 6 patients. 28 patients had posteriorly located rudimentary chamber, all of which were trabecular pouches having no communication with outlet septum. The patterns of atrioventricular connection were common inlet[9], double inlet [11], left atrioventricular valve atresia [12] and right atrioventricular valve atresia with L-loop [2]. Pulmonary outflow tracts were atretic in 7 patients and stenotic in 26 patients. Major associated anomalies included anomalous systemic venous drainage [15], dextrocardia [12] and total anomalous pulmonary venous connection[3]. Shunt operations were previously performed in 13 patients and pulmonary artery banding and atrial septectomy in 1 patients. Surgery included intraatrial baffling in 26 patients, bidirectional cavopulmonary shunt in 13 patients, atrioventricular valve obliteration in 3 patients and atrioventricular valve replacement in 3 patients. Central venous pressure measured postoperatively at intensive care unit ranged from 18cm H2O to 28cm H2O [mean 23.2cm H2O]. Hospital mortality was 35.3% [12/34], all died out of low output syndrome. Suspected causes of low output syndrome include ventricular dysfunction [8], hypoplastic or tortuous pulmonary artery [2] and elevated pulmonary vascular resistance [2]. 19 patients had 31 major complications including low output syndrome [18], arrhythmia [4], acute renal failure [3] and respiratory failure [3]. Mortality rate was significantly higher in the groups receiving intraatrial baffling and AV valve replacement respectively [p<0.05]. 20 patients were followed up postoperatively with the mean follow-up period 15.0$\pm$11.6 months. There were no late death and follow-up catheterization was performed in 10 patients. Mean right atrial pressure was 15.4$\pm$6.8mmHg and ventricular contraction was reasonable in all but one case. Thus, Fontan principle can be applied successfully to all the patients with complex cardiac anomaly of single ventricle variety and better results can be anticipated with judicious selection of patient and improvement of postoperative care.

• The Journal of Advanced Prosthodontics
• /
• v.7 no.1
• /
• pp.69-75
• /
• 2015

PURPOSE. To compare the shear bond strength of various veneering materials to grade II commercially pure titanium (CP-Ti). MATERIALS AND METHODS. Thirty specimens of CP-Ti disc with 9 mm diameter and 10 mm height were divided into three experimental groups. Each group was bonded to heat-polymerized acrylic resin (Lucitone 199), porcelain (Triceram), and indirect composite (Sinfony) with 7 mm diameter and 2 mm height. For the control group (n=10), Lucitone 199 were applied on type IV gold alloy castings. All samples were thermocycled for 5000 cycles in $5-55^{\circ}C$ water. The maximum shear bond strength (MPa) was measured with a Universal Testing Machine. After the shear bond strength test, the failure mode was assessed with an optic microscope and a scanning electron microscope. Statistical analysis was carried out with a Kruskal-Wallis Test and Mann-Whitney Test. RESULTS. The mean shear bond strength and standard deviations for experimental groups were as follows: Ti-Lucitone 199 ($12.11{\pm}4.44$ MPa); Ti-Triceram ($11.09{\pm}1.66$ MPa); Ti-Sinfony ($4.32{\pm}0.64$ MPa). All of these experimental groups showed lower shear bond strength than the control group ($16.14{\pm}1.89$ MPa). However, there was no statistically significant difference between the Ti-Lucitone 199 group and the control group, and the Ti-Lucitone 199 group and the Ti-Triceram group. Most of the failure patterns in all experimental groups were adhesive failures. CONCLUSION. The shear bond strength of veneering materials such as heat-polymerized acrylic resin, porcelain, and indirect composite to CP-Ti was compatible to that of heatpolymerized acrylic resin to cast gold alloy.

• Journal of the Korean GEO-environmental Society
• /
• v.19 no.10
• /
• pp.27-34
• /
• 2018

The effect of cutting-off the leakage was identified by the cement based wall mass constructed in underground, as complete facilities for reinforcement in shear strength of landfill which was subjected to circular failure and for cutting-off the leachate from the costal waste landfill. By (1) visual inspection after underground excavating and (2) compressive strength test for core of underground wall, it could be identified that quality of wall mass constructed in underground was so effective, and by additional test, so as (3) in-situ permeability test in the hole after coring wall mass, (4) analyzing the characteristics of basic components and their profiles through the series of chemical experiments and (5) deciding the general distribution patterns from the chromatograms using GC-MS, it could be identified that watertight and cutting-off the leachate of wall mass constructed in underground was very effective. Therefore, it is concluded that five types of tests suggested in this study can judge the effect of cutting-off the leakage or infiltration of very high concentrated leachate from the waste landfill.

• Journal of the Korea Concrete Institute
• /
• v.19 no.4
• /
• pp.433-439
• /
• 2007

The main objective of the paper is to investigate the static behavior of a prestressed concrete (PSC) girder that has been spliced with precast box segments. A 20 m long full-scale spliced PSC girder is fabricated and tested to compare its static performance against a monolithic girder. The monolithic girder has the same geometric and material properties with respect to the spliced girder. This includes infernal strain, deflections, neutral axis position, and crack patterns for both girders. The test also consists of monitoring relative displacements occurring across the joints. Both the horizontal displacement (gap) and vertical displacement (sliding) are measured throughout the loading procedure. All results have been compared to those obtained from the monolithic girder. It has been demonstrated that the spliced girder offers close behavior with respect to the monolithic girder up to the crack load. Both girders exhibits ductile flexural failure rather than abrupt shear failure at joints.

• Steel and Composite Structures
• /
• v.21 no.3
• /
• pp.537-551
• /
• 2016

A new type of composite beam which consists of a wide flange steel shape beam and an innovative type of composite slab was introduced. The composite slab is composed of concrete slab and normal flat steel plates, which are connected by perfobond shear connectors (PBL shear connectors). This paper describes experiments of two large-scale specimens of that composite beam. Both specimens were loaded at two symmetric points for 4-point loading status, and mechanical behaviors under hogging and sagging bending moments were investigated respectively. During the experiments, the crack patterns, failure modes, failure mechanism and ultimate bending capacity of composite beam specimens were investigated, and the strains of concrete and flat steel plate as well as steel shapes were measured and recorded. As shown from the experimental results, composite actions were fully developed between the steel shape and the composite slab, this new type of composite beams was found to have good mechanical performance both under hogging and sagging bending moment with high bending capacity, substantial flexure rigidity and good ductility. It was further shown that the plane-section assumption was verified. Moreover, a design procedure including calculation methods of bending capacity of this new type of composite beam was studied and proposed based on the experimental results, and the calculation methods based on the plane-section assumption and plastic theories were also verified by comparisons of the calculated results and experimental results, which were agreed with each other.

• Journal of the Earthquake Engineering Society of Korea
• /
• v.9 no.1 s.41
• /
• pp.1-7
• /
• 2005

The optimal seismic retrofitting of NPP(Nuclear Power Plant) cabinet structures that contain seismic category 1 relays was studied in this paper. During earthquake event, the failure modes of relays are not appeared in form of structural failure, but are appeared in form of contact chatter of relay. Therefore, the retrofitting of cabinet has to be aimed at the reducing of the structural response, such as acceleration. In this study, the optimal characteristic values of dampers were searched by ${\mu}$-GA (micro-Genetic Algorithm) scheme for several installation patterns. To keep accuracy and efficiency of analysis, the structural models of cabinet were considered as a frame structure. The responses of structure were obtained inform of acceleration response spectra derived from the results of nonlinear time history analysis including damping nonlinearity. The objective function of the optimum procedure was constructed based on the maximum ratio of maximum spectral value and target GERS (General Equipment Ruggedness Spectra). The results show the good improvements of fitness for adequate retrofitting pattern. Especially, the improvements of fitness were remarkable when the values of damping exponents are low.

• Radiation Oncology Journal
• /
• v.29 no.4
• /
• pp.236-242
• /
• 2011

Purpose: To compare photon thunderbird with deep match (technique 1) with 3-field technique with electron inguinal boost (technique 2) in acute skin toxicity, toxicity-related treatment breaks and patterns of failure in elective inguinal radiation therapy (RT) for curative chemoradiation in anal cancer. Materials and Methods: Seventeen patients treated between January 2008 and September 2010 without evidence of inguinal and distant metastasis were retrospectively reviewed. In 9 patients with technique 1, dose to inguinal and whole pelvis area was 41.4 to 45 Gy and total dose was 59.4 Gy. In 8 patients with technique 2, doses to inguinal, whole pelvis, gross tumor were 36 to 41.4 Gy, 36 to 41.4 Gy, and 45 to 54 Gy, respectively. The median follow-up period was 27.6 and 14.8 months in group technique 1 and 2, respectively. Results: The incidences of grade 3 radiation dermatitis were 56% (5 patients) and 50% (4 patients), dose ranges grade 3 dermatitis appeared were 41.4 to 50.4 Gy and 45 to 54 Gy in group technique 1 and 2, respectively (p = 0.819). The areas affected by grade 3 dermatitis in 2 groups were as follow: perianal and perineal areas in 40% and 25%, perianal and inguinal areas in 0% and 50%, and perianal area only in 60% and 25%, respectively (p = 0.196). No inguinal failure has been observed. Conclusion: Photon thunderbird with deep match technique and 3-field technique with electron inguinal boost showed similar incidence of radiation dermatitis. However, photon thunderbird with deep match seems to increase the possibility of severe perineal dermatitis.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.5
• /
• pp.2279-2285
• /
• 2014

Background: To evaluate treatment outcomes of patients with stage I-III endometrial cancer treated with postoperative radiation. Materials and Methods: A retrospective review of 166 endometrial cancer patients, undergoing surgery and postoperative radiotherapy at Siriraj Hospital from 2005-2008 was performed. Pathology was reviewed. Results of treatment were reported with 5-year loco-regional recurrence free survival (LRRFS), 5-year overall survival (OS), patterns of failure and toxicity, and according to stage and risk groups. Results: Median follow up time was 62.8 months. Pathological changes were found in 36.3% of the patients after central reviews, leading to 19% changes in risk groups. Most of the patients (83.7%) received pelvic radiation (PRT) and vaginal brachytherapy (VBT). Five-year LRRFS and OS of all patients were 94.9% and 85.5%, respectively. There was no recurrence or death in low and low-intermediate risk groups. For the high-intermediate risk group, 5-year LRRFS and OS were 96.2% and 90.8%, respectively, and for the high risk group 90.5% and 71%. Late grade 3 and 5 gastrointestinal toxicity was found in 3% and 1.2% of patients, respectively. All of them received PRT 5,000 cGy in 25 fractions. Conclusions: Low and intermediate risk patients had good results with surgery and adjuvant radiation therapy. For high risk patients, postoperative radiation therapy alone appeared to be inadequate as the most common pattern of failure was distant metastasis.

• Restorative Dentistry and Endodontics
• /
• v.28 no.3
• /
• pp.222-231
• /
• 2003

The purpose of this study was to compare shear bond strength and interfacial pattern of composite bond-ed to dentin using self-etching adhesive systems. Sixty extracted human molars with exposed occlusal dentin were divided into four groups and bonded with four adhesives and composites. Single Bond/Filtek Z 350(SB), Tyrian SPE-One-Step Plus/Aelitefil(TY), Prompt L-Pop/Filtek Z 250(LP), and One-Up Bond F/palfique Toughwell(OU). The results of this study were as follows; 1 Shear bond strength for OU was significantly lower than that of other groups(p＜0.05). No significant difference was founded among SB, TY, and LP. 2. Failure modes to dentin showed adhesive and mixed for SB TY and LP, but them for OU showed adhesive in all spceimens. 3. Dentin-resin interface showed close adaptation for SB, TY, and LP, but it showed gap for OU. 4. The hybrid layers for TY, LP OU were thinner than that of SB. Adhesive layers were observed between composite and hybrid layer, which were 5 $\mu\textrm{m}$ thick for TY and 10 $\mu\textrm{m}$ thick for OU.

• Journal of the Korea institute for structural maintenance and inspection
• /
• v.14 no.6
• /
• pp.205-214
• /
• 2010

Masonry structures have been used throughout the world for the construction of residential buildings. However, from a structural point of view, the masonry material is characterized by a very low tensile strength. Moreover, the bearing and shear capacity of masonry walls have been found to be vulnerable to earthquakes. In this study, to improve the seismic performance of masonry walls, hexagonal blocks were developed and six masonry walls made with hexagonal block were tested to failure under reversed cyclic lateral loading. This paper focuses on an experimental investigation of different types of wall with hexagonal blocks, i.e. walls with different hexagonal blocks and with different reinforcing bar arrangements, subjected to applied cyclic loads. The cracking, damage patterns and hysteretic feature were evaluated. Results from the hexagonal masonry wall were shown more damage reduction and less brittle failure in comparison to the existing rectangular masonry walls.