• Journal of Chest Surgery
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• 제29권2호
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• pp.213-218
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• 1996

Total anomalous pulmonary venous return (TAPVR) is very rare congenital heart disease. 25-year old male was admitted our hospital with dyspnea, headache and syncope as chief complaint. He was confirmed as mixed type TAPVR by echocardiography and cardiac catheterization. In this case, mixed type TAPVR was consisted with supracardiac type connection of left pulmonary vein and cardiac type of right pulmonary vein. Supracardiac type of left pulmonary common channel was anastomosed to the left auricular appendage during total cardiopulmonary bypass with fibrillating heart. Cardiac type of right pulmonary vein was operated during moderate hypothermia and aortic cross clamping. Coronary sinus septum was incised into ASD and closed with Gore-Tex patch so that right pulmonary blood flow directed to the left atrium. The patient's post-operative course was uneventful.

• 대한족부족관절학회지
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• 제26권4호
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• pp.157-162
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• 2022

Total ankle arthroplasty has become a viable motion-preserving alternative to ankle arthrodesis, especially in the last two decades. Recent improvements have been achieved in the strength of implant design and surgical technique. Nevertheless, addressing preoperative deformities is essential for successful outcomes of total ankle arthroplasty. Residual malalignment can produce instability and edge loading, causing acceleration of polyethylene wear, followed by osteolysis and an increased risk of revision surgery. Therefore, the accompanying deformities and their correction techniques need to be comprehensively elucidated and understood. In this article, we provide a review of the application of total ankle arthroplasty in arthritis with coronal plane varus and valgus deformities.

• 한국안광학회지
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• 제19권1호
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• pp.79-85
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• 2014

목적: 정상군과 폭주부족군을 대상으로 양안개방형 자동굴절검사기(Nvision-K5001, shin-nippon, Japan)를 이용하여 시교정 상태에 따른 조절 반응량을 측정하여 조절의 변화량을 조사하였다. 방법: 피검자는 등가구면 굴절력 평균이 우안은 $-2.28{\pm}2.03$ D이고, 좌안은 $-2.18{\pm}2.01$ D인 19~29세(평균연령 $21.59{\pm}2.53$세)의 대학생 74명(남 54명, 여 20명)을 타각적자각적 굴절검사를 실시하여 완전교정과 플러스 렌즈를 임의적으로 +0.25 D, +0.50 D, +0.75 D로 부가한 저교정 상태에서 조절 반응량을 측정하여 그 변화를 비교 분석하였다. 결과: 정상군과 폭주부족군 모두에서 주시거리가 짧을수록 조절래그가 커지는 경향을 보였다. 폭주부족군은 정상군보다 조절 반응량의 값이 낮게 나타났으나 조절폭은 조금 크게 나타났다. 정상군에서는 저교정(+0.50 D) 상태와 폭주부족군의 완전교정의 조절 반응량이 비슷한 값을 보였다. 시교정 상태에 따른 주시거리와 조절 반응량의 상관관계는 저교정 정도가 클수록 상관계수가 작아지는 것으로 분석 되었다. 결론: 근시와 정시안인 경우 장시간 근거리 작업 시 +0.50 D 정도의 저교정은 조절기능에 영향을 주어 안정피로 증상을 해소하는데 도움이 된다.

• 대한원격탐사학회지
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• 제20권5호
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• pp.289-305
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• 2004

Atmospheric correction of Landsat Visible and Near Infrared imagery (VIS/NIR) over aquatic environment is more demanding than over land because the signal from the water column is small and it carries immense information about biogeochemical variables in the ocean. This paper introduces two methods, a modified dark-pixel substraction technique (path--extraction) and our spectral shape matching method (SSMM), for the correction of the atmospheric effects in the Landsat VIS/NIR imagery in relation to the retrieval of meaningful information about the ocean color, especially from Case-2 waters (Morel and Prieur, 1977) around Korean peninsula. The results of these methods are compared with the classical atmospheric correction approaches based on the 6S radiative transfer model and standard SeaWiFS atmospheric algorithm. The atmospheric correction scheme using 6S radiative transfer code assumes a standard atmosphere with constant aerosol loading and a uniform, Lambertian surface, while the path-extraction assumes that the total radiance (L/sub TOA/) of a pixel of the black ocean (referred by Antoine and Morel, 1999) in a given image is considered as the path signal, which remains constant over, at least, the sub scene of Landsat VIS/NIR imagery. The assumption of SSMM is nearly similar, but it extracts the path signal from the L/sub TOA/ by matching-up the in-situ data of water-leaving radiance, for typical clear and turbid waters, and extrapolate it to be the spatially homogeneous contribution of the scattered signal after complex interaction of light with atmospheric aerosols and Raleigh particles, and direct reflection of light on the sea surface. The overall shape and magnitude of radiance or reflectance spectra of the atmospherically corrected Landsat VIS/NIR imagery by SSMM appears to have good agreement with the in-situ spectra collected for clear and turbid waters, while path-extraction over turbid waters though often reproduces in-situ spectra, but yields significant errors for clear waters due to the invalid assumption of zero water-leaving radiance for the black ocean pixels. Because of the standard atmosphere with constant aerosols and models adopted in 6S radiative transfer code, a large error is possible between the retrieved and in-situ spectra. The efficiency of spectral shape matching has also been explored, using SeaWiFS imagery for turbid waters and compared with that of the standard SeaWiFS atmospheric correction algorithm, which falls in highly turbid waters, due to the assumption that values of water-leaving radiance in the two NIR bands are negligible to enable retrieval of aerosol reflectance in the correction of ocean color imagery. Validation suggests that accurate the retrieval of water-leaving radiance is not feasible with the invalid assumption of the classical algorithms, but is feasible with SSMM.

• 대한정형외과학회지
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• 제54권1호
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• pp.1-8
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• 2019

전 세계적으로 노인 인구는 급증하는 추세이며 노인 척추 변형 환자에 대한 변형 교정 수술도 점점 증가하고 있다. 그러나 노인 환자들을 대상으로 척추 변형 교정 수술 시 합병증을 줄이기 위해 고려해야 할 사항들, 그리고 수술 후 좋은 임상적인 결과를 예측하기 위한 객관적인 인자들에 대해 아직 많은 논의가 되지 않았다. 노인 척추 변형 환자에서 수술 전 고려해야 될 사항으로 Cumulative Illness Rating Scale for Geriatrics 및 Charlson Comorbidity Index scores 등의 지표를 이용하여 내과적 동반 질환을 확인해야 한다. 이들 지표는 술 후 합병증의 발생률과 연관이 있으며 수술 전 내과적인 질환을 조절하여 이 지표 수치를 낮춘 이후 수술을 시행할 경우 합병증을 줄일 수 있다. 두 번째, 수술 전 골밀도 검사를 시행하여 골다공증의 정도를 확인해야 한다. 심한 골다공증이 동반된 노인 척추 변형 환자의 경우 기기술과 관련된 합병증을 줄이기 위한 여러 가지 수술적인 기법들이 알려져 있으며 수술 전 골형성 유도제를 사용하여 골밀도를 교정하는 방법도 시도해볼 수 있다. 세 번째, 전 신체 시상학 정렬을 고려해야 한다. 노인 척추 변형 환자에서 고관절, 슬관절 등의 하지 관절의 퇴행성 변화와 변형을 동반하고 있는 경우가 흔하며 또한 척추의 변형이 보상작용으로 하지 관절의 변형을 일으키기도 한다. 최근 전 신체 시상학 정렬이 이전 사용되었던 척추나 골반에 국한된 지표보다 임상적인 상태를 더 잘 예측할 수 있는 것으로 보고되어 변형 교정 수술 시 전 신체 시상학 정렬을 고려하여야 하겠다. 결론으로 노인 척추 변형 환자에서 변형 교정 수술을 시행할 경우 내과적인 동반 질환, 골다공증의 정도를 확인하여 합병증을 줄이기 위해 수술 전 미리 교정하는 것이 필요하다. 또한 교정 수술 시 골반이나 척추에 국한된 지표에 비하여 임상적인 상태를 더 잘 예측할 수 있는 전 신체 시상학 정렬을 고려해야 한다.

• Journal of Chest Surgery
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• 제24권2호
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• pp.212-216
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• 1991

A surgical correction was successfully performed in a adult female who had pulmonary atresia with almost non-confluent pulmonary artery, PDA and ventricular septal defect. Initially as a first stage of corrective surgery isolation of patent ductus arteriosus, ligation of aortopulmonary collaterals and identification of the pathologic anatomy of left pulmonary artery through left posterolateral approach were performed. At the second stage, a week after the initial operation, total correction was done making both pulmonary arteries confluent with albumin coated woven-dacron graft, external valved conduit and closure of large VSD of subarterial and perimembranous type. The PDA was ligated with previously encircled heavy stitch soon after partial bypass was started. Although massive bleeding from anastomotic site of dilated left pulmonary artery to the graft occurred preoperatively, postoperative functional improvement was excellent in terms of disappearance of cyanosis and normal exercise tolerance.

• 전력전자학회:학술대회논문집
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• 전력전자학회 2000년도 전력전자학술대회 논문집
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• pp.163-167
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• 2000

This paper presents the digital control of single-phase power factor correction(PFC) converter which has the variable gain according to the condition of inner control loop error. Generally the gain of inner current control loop in single-stage PFC converter has a constant magnitude. This has a bad influence on the power factor because current loop doesn't operate smoothly in the condition that input voltage is low In particular a digital controller has more time delay than an analog controller and degrades This drops the phase margin of the total digital PFC system,. It causes the problem that the gain of current control loop isn't increased enough. In addition the oscillation happens in the peak value of the input voltage open loop PFC system gain changes according to ac input voltage. These aspects make the design of the digital PFC controller difficult The digital PFC controller presented in this paper has a variable gain of current control loop according to input voltage. The 1kW converter was used to verify the efficiency of the digital PFC controller.

• Journal of Chest Surgery
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• 제20권4호
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• pp.780-785
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• 1987

Pulmonary atresia with VSD is uncommon congenital anomaly with high mortality in neonatal period. Recently we experienced surgical correction of 2 cases of pulmonary atresia with VSD. The first case was 7-year old female patient and diagnosed as pulmonary atresia with VSD combined PDA. So, total correction was undertaken which consisted of PDA ligation, patch repair of VSD, transannular enlargement of RVOT with woven Dacron vascular graft, and closure of PFO. Postoperative systemic Rt. ventricular and radial artery pressure ratio was 0.44 and her postoperative course was uneventful. The second case was 6-year old male patient diagnosed as pulmonary atresia with VSD and large systemic-pulmonary collateral arteries. There were two large systemic-pulmonary collaterals, one was simply controlled by ligation, but the other was considered to supply Rt. upper lung. So end to side anastomosis was performed to the RVOT patch. Postoperative systolic Rt. ventricular and radial artery pressure ratio was 0.54. During the follow up period he showed clinical picture of Rt. heart failure, which is relatively well controlled with anticongestive therapy.

• Journal of Power Electronics
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• 제18권2호
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• pp.323-331
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• 2018

Buck power factor correction (PFC) converters, compared with conventional boost PFC converters, exhibit high efficiency performance in the entire range of universal line voltage. This feature has gotten more attention for eliminating the zero crossing dead angle of buck PFC rectifiers. Furthermore, bridgeless structures for the reduction of conduction losses have been proposed. The aim of this paper is to introduce a single-phase buck rectifier that simultaneously has unity power factor (PF) and bridgeless structure while operating in the continuous conduction mode (CCM). For this purpose, two auxiliary flyback converters without any active switches are applied to a bridgeless buck rectifier to eliminate the zero crossing dead angle and achieve unity power factor, low total harmonic distortion (THD) and high efficiency. The operation and design considerations of the proposed rectifier are verified on a 150W, 48V prototype using a conventional peak-current-mode control. The measurement results show that the proposed rectifier has nearly unity power factor, THD less than 7% and high efficiency.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2000년도 학술대회 논문집 전문대학교육위원
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• pp.85-88
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• 2000

This paper was development a discharge lamp ballast in order to wave improvement of high power factor and high efficiency. The discharge lamp ballast consists of a power factor correction circuit and a correction circuit on switching frequency of inverter. Instead of passive power factor circuit, active power factor circuit is adopted. Because it has the advantage of size, weight, total harmonic distortion, out DC voltage regulation, and power factor. The power factor circuit with MG34262 is controlled by variable frequency discontinuous mode. Results experiments, discharge lamp ballast is showed to have excellent for the proposed electronic ballast's operation and characteristics.