• Journal of Chest Surgery
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• 제32권6호
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• pp.532-535
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• 1999

배경: 하행 흉부 대동맥류에 대한 외과적 치료에 대하여 수술 방법과 술 후 합병증 등에 대하여 알아보고자 하였다. 대상 및 방법: 인제대학교 의과대학 서울백병원 흉부외과학 교실에서는 1987 년 3 월부터 1997년 8월까지 하행 흉부 대동맥류로 수술을 시행한 22예를 대상으로 후향적 조사를 하였다. 결과: 환자는 남자가 18예 여자 4예로 남자가 많았으며 연령은 33세에서 82 세 이었고 평균은 49 세였다. 대동맥류의 원인은 대동맥 박리증 13, 죽상경화증 3, 진균성 3, 외상성 2, 원인불명 1예였다. 수술은 절제 및 이식편 치환술 16, 액와동맥-양측 대퇴동맥 우회로 이식술 2, 대퇴동맥-대퇴정맥 우회로 이식술 1, 동맥류 공치술(exclusion) 1, 동맥류 봉합술 1, 경대퇴동맥 스텐트 삽입술 1예였다. 수술 시 대동맥을 차단하고 수술한 예는 16예였고, 이 중 14예는 대퇴동맥-대퇴정맥 바이패스를 실시하였고, 2예는 우회로 이식술을 먼저 하였다. 평균 대동맥 차단시간은 91분이었고 체외순환 시간은 116 분이었다. 사망 예는 1예로 공치술 한 환자가 술 후 52일에 갑작스런 출혈로 사망하였고, 대마비 1, 급성 신부전증 2, 급성 호흡부전증 1예가 발생하였다. 결론: 하행 흉부 대동맥류 수술은 많은 술 후 합병증이 예상되나 적절한 환자의 선택과 섬세하고 다양한 수술 기법을 사용하면 비교적 적은 합병율로 수술할 수 있다.

• Radiation Oncology Journal
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• 제2권2호
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• pp.191-202
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• 1984

Biological behavior and treatment results of 33 patients with Adenoid Cystic Carcinoma (ACC) in the Head and Neck at Yonsei Cancer Confer for 10 years between 1971 and 1980 were retrospectively analysed. Most common, primary site was minor salivary glands such as maxillary sinus, nasal cavity and base of tongue. The typical biological behavior of these tumors was very slowly in growth with long time of duration(mean 19 months) from 1 month to 10 years and more frequent of nerve invasion but rare invasion of neck nodes. Local control and failure pattern in the results of treatment, 16 of 17 patients with irradiation alone were seen complete or partial response but 5 cases of locoregional recurrence, 2 cases of failure of neck node and 4 cases of distant metastasis as lung and brain. On the other hand, among 10 cases of surgery and postoperative irradiation, 2 cases of locoregional failure and 3 cases of distant metastasis as lung and bone. 2 of 4 cases with surgery alone were recurred within primary site. Actuarial overall NED survival at 3 ana 10 years were $52.6\%$ and $42.8\%$, respectively. Survival rate of 10 Patients with surgery and Postoperative irradiation was more high than 17 Patients of radiation alone. Therefore, we have known that surgery with postoperative adjunctive irradiation is most effective treatment modality of adenoid cystic carcinoma in the head and neck. Primary site, treatment modality and with or without nerve ana bone invasion have influenced on prognosis.

• 한국자동차공학회논문집
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• 제13권5호
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• pp.7-18
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• 2005

Over the past twenty years, the maintenance system has been developed and its importance has been increased. For the effective maintenance of the urban transit, we have developed the maintenance system based on the concept of RCM(Reliability Centered Maintenance). RCM analysis is a systematic approach to developing a cost-effective maintenance strategy based on the various components's reliability of the system in question. It is performed according to process that includes the following steps; definition of function and functional failures of the systems, construction of RB D(Reliability Block Diagram), performance of FMEA(Failure Modes & Effects Analysis) and calculation of the reliability index. The final process of RCM is to determine appropriate failure maintenance strategies. This paper aims to define the procedure of maintenace based on the concept of RCM for urban transit. The key for a successful maintenance system is an automated scheduling to the maximum extent possible and timely executions. The developed system issues maintenance plan and repair request based on analyzed data and maintenance experience.

• 한국전자통신학회논문지
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• 제6권3호
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• pp.397-404
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• 2011

본 연구에서는 PLC의 결함을 수용할 수 있는 시스템을 구현하기 위한 방법을 제안하고 실제적인 그 타당성을 찾아보고자 한다. 결함허용 제어시스템은 중단 없이 수리 및 점검을 가능하게 하여 생산손실을 최소화하고 전체 시스템에 대하여 신뢰도를 향상시키게 된다. 이러한 결함허용 시스템을 구현하기 위해서 시스템의 이중화를 제안하게 되는 것이다. 따라서 이러한 시스템을 제안하고, 결함허용 제어시스템의 시뮬레이션 및 실제 소성로(kiln)에 적용 실험을 통하여 확인하고, 아울러 PLC 제어시스템의 신뢰도를 향상시키기 위하여 고장(failure)의 예측 및 결함특성 그리고 시스템 구성에 따른 결함간의 평균 시간을 비교하여 각종 모듈의 이중화로 결함이나 고장을 허용할 수 있는 제어시스템을 구성하였다. 제안한 시스템에서 노드의 표현방법 및 시스템 모드와 운전 모드와의 관계, 에러발견 모드와 이중화 모드의 전환관계, 그리고 PLC의 중앙처리장치를 하나가 아닌 2개를 가진 2채널 방식의 마스터-스탠바이 전환운전 및 연속운전에 관한 알고리즘을 연구하고 이 알고리즘으로 결함허용에 대한 연속운전 방법 및 결과를 도출하였으며 이 결과를 실제 소성로 제어시스템에 적용하여 PLC 결함허용에 대한 연속운전을 확인하였다.

• 대한치과보철학회지
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• 제29권2호
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• pp.195-209
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• 1991

When the porcelain fused to metal restorations were fractured at the metal interface, various techniques and materials for intraoral porcelain repair have been suggested. The purpose of this study was to investigate the effect of metal surface treatment method and water storage on the shear bond strength of four porcelain repair systems. : Clearfil(Kuraray), All-bond(Bisco), Superbond C & B(Sun Medical), Panavia OP(Kuraray). After the metal surfaces of the specimens were sandblasted by aluminum oxide or roughened by diamond point, they were stored in double deionized water(24 Hr., $37^{\circ}C$) and thermocycling was performed(24 Hr., 1024 cycles), and again half of specimes were stored in water bath(2 Months, $37^{\circ}C$). Mean shear bond strength and mode of failure were recorded. The results of this study were obtained as follows : 1. Differences were observed between the sandblasted and diamond - treated specimens in Clearfil, All-bond, and Superbond. No statistically significant differences were observed in Panavia. 2. The 2-month storage time significantly affected the bond strength of All-bond and Superbond. No statistically significant differences were observed in Clearfil and Panavia. 3. The failures were observed at the interface between opaque resin and the metal in Clearfil and All-bond. 4. The failures were observed at the interface between opaque resin and veneered resin in Panavia. The failures were observed at the interface between opaque resin and veneered resin in Superbond, but 40% of them were fractured at the interface between the metal and opaque resin after 2-month storage time.

• Corrosion Science and Technology
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• 제12권2호
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• pp.93-101
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• 2013

The object of this work is to establish an electrochemical noise(EN) measurement technique combined with a direct current potential drop(DCPD) method for monitoring of localized corrosion cracking of nickel-based alloy, and to analyze its mechanism. The electrochemical current and potential noises were measured under various conditions of applied stress to a compact tension specimen in a simulated primary water chemistry of a pressurized water reactor. The amplitude and frequency of the EN signals were evaluated in both time and frequency domains based on a shot noise theory, and then quantitatively analyzed using statistical Weibull distribution function. From the spectral analysis, the effect of the current application in DCPD was found to be effectively excluded from the EN signals generated from the localized corrosion cracking. With the aid of a microstructural analysis, the relationship between EN signals and the localized corrosion cracking mechanism was investigated by comparing the shape parameter of Weibull distribution of a mean time-to-failure.

• Journal of Chest Surgery
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• 제16권1호
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• pp.75-82
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• 1983

This report is concerned to our experience of 10 cases of open heart surgery under the extracorporeal circulation at the Department of Thoracic and Cardiovascular Surgery, Capital Armed Forces General Hospital during the period between May, 1982 and February, 1983. 1. Six cases were male and two cases were female. Age was varied from 21 years to 50 years and mean age was 34 years. 2. The cases included 2 Ventricular Septal Defects, 1 Atrial Septal Defect, I Tetralogy of Fallot and 6 acquired valvular heart diseases. 3. The surgical managements were 3 primary repairs for Ventricular Septal Defects and Atrial Septal Defect, I total correction for Tetralogy of Fallot and 6 mitral valve replacements with bovine xenograft by Ionescu-Shiley combining 3 Tricuspid annuloplasties [ De Vega method ] and 1 deauricularization of left atrial appendage for acquired valvular heart diseases. 4. The average cardiopulmonary bypass time was 37 minutes for acyanotic congenital heart diseases and 92 minutes for cyanotic heart disease and acquired valvular heart diseases. And the average aortic cross clamping time was 19 minutes for the former and 70 minutes for the latter. 5. Postoperatively, there were 1 hemolytic anemia, 1 congestive heart failure, 1 hemolytic jaundice and 1 thermal burn as complications, but there was no operative mortality. 6. All patients received valve replacement were recommended anticoagulation with Persantin and Aspirin.

• 한국정보통신학회논문지
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• 제12권1호
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• pp.1-9
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• 2008

소프트웨어의 테스트노력 곡선으로서 현재까지는 로지스틱 곡선이 가장 이상적인 것으로 연구되고 있다. 테스트 단계중에 소요되는 테스트노력의 양에 대한 결함 검출비를 현재의 결함 내용에 비례하는 것으로 가정하여 소프트웨어 신뢰도 성장 모델을 비동차 포아송 프로세스(NHPP)로 공식화하되, 이 모델을 이용하여 소프트웨어 신뢰도 척도에 대한 데이터 분석기법을 개발한다. 모든 소프트웨어 개발 환경에서 지금까지 제시된 여러 곡선 중 하나에 의해서 테스트노력 소요 곡선을 표현하는 것은 적절하지 못하다는 것이 밝혀지고 있다. 그러므로, 본 논문에서는 로지스틱 테스트노력 곡선이 소프트웨어의 개발/테스트 노력곡선으로 적절하게 표현될 수 있다는 것과 실제 데이터를 근거로 하여 적용하여서 예측성이 매우 좋은 능력을 가지고 있다는 것을 보이고자 한다.

• 전자공학회논문지B
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• 제28B권10호
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• pp.807-821
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• 1991

A mulitpath MIN(Multistage Interconnection Network), CSMP(Chained Shuffle Multi-Path) network, is proposed, having fault-tolerance and dynamic reroutability. The number of stages and the number of links between adjacent stagges are the same as in single path MINs, so the overall hardware complexity is considerably reduced in comparison with other multipath MINs. The CSMP networks feature links between switches belonging to the same state, forming loops of switches. The network can tolerate multiple faults, up to (N/4)*(log$_2$N-1), having occured in any stages including the first and the last ones(N:NO. of input). To analyze reliability, terminal reliability (TR) and mean time to failure( MTTE) age given for the networks, and the TR figures are compared to those of other static and dynamic rerouting multipath MINs. Also the MTTE figures are compared. The performance of the proposed network with respect to its bandwidth (BW) and probability of acceptance(PA) is analyzed and is compared to that of other more complex multipath MINs. The cost efficiency analysis of reliability and performance shows that the network is more cost-effective than other previously proposed fault-tolerant multipath MINs.

• Journal of Chest Surgery
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• 제53권6호
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• pp.392-399
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• 2020

Background: Surgical treatment of empyema thoracis in patients with chronic kidney disease is challenging, and few studies in the literature have evaluated this issue. In this study, we aim to report the surgical outcomes of empyema and to analyze factors predicting perioperative mortality in patients with chronic kidney disease. Methods: This retrospective study included data from 34 patients with chronic kidney disease (estimated glomerular filtration rate <60 mL/min/1.73 ㎡ for 3 or more months) who underwent surgery for empyema between 2012 and 2020. An analysis of demographic characteristics and perioperative variables, including complications, was carried out. Postoperative mortality was the primary outcome measure. Results: Patients' age ranged from 20 to 74 years with a 29-to-5 male-female ratio. The majority (n=19, 55.9%) of patients were in end-stage renal disease (ESRD) requiring maintenance hemodialysis. The mean operative time was 304 minutes and the mean intraoperative blood loss was 562 mL. Postoperative morbidity was observed in 70.5% of patients (n=24). In the subgroup analysis, higher values for operative time, blood loss, intensive care unit stay, and complications were found in ESRD patients. The mortality rate was 38.2% (n=13). In the univariate and multivariate analyses, poor performance status (Eastern Cooperative Oncology Group >2) (p=0.03), ESRD (p=0.02), and late referral (>8 weeks) (p<0.001) significantly affected mortality. Conclusion: ESRD, late referral, and poor functional status were poor prognostic factors predicting postoperative mortality. The decision of surgery should be cautiously assessed given the very high risk of perioperative morbidity and mortality in these patients.