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안혁,서경필,이영우,An, Hyuk,Suh, Kyung-Phill,Lee, Yung-Woo 대한흉부심장혈관외과학회 1986 Journal of Chest Surgery (J Chest Surg) Vol.19 No.4
This report describes our 17-years experience with intracardiac repair in 123 patients older than 15 years with tetralogy of Fallot. Major clinical manifestation was cyanosis and clubbing [102 Pts], but other minor associated manifestation were infective endocarditis, pulmonary tuberculosis, brain abscess, congestive heart failure, nephrotic syndrome, and tuberculous spondylitis. Prior palliative shunts had been performed in 10 patients. Preoperative hemoglobin ranged from 9.7 gm/dl to 25 gm/dl [mean 19 gm/dl]. The type of ventricular septal defect were typical perimembranous type, and total canal defect [13%]. The right ventricular outflow tract obstruction was due to combined [58.5%], infundibular [35%], and valvular stenosis [6.5%]. Transannular patch was used in 17% of patients. Hospital mortality was 9.8% in overall, but decreased to 1.7% since 1982. There was two late death [12 year actuarial survival [97%] due to fulminant hepatitis, residual abnormalities [PS, VSD]. Ninety two percent of survivors at follow-up are asymptomatic and leading an active normal life. Residual ventricular septal defect was detected with radionuclide single pass study in 15.3% of patients but almost cases were Qp/Qs less than 1.5, and only two patients had been candidates for reoperation.
안혁,An, Hyuk 대한흉부심장혈관외과학회 1979 Journal of Chest Surgery (J Chest Surg) Vol.12 No.1
Hyuk An, M.D.Atrial myxoma constitutes the most significant of all cardiac neoplasm. About 75% occur in the left atrium and 25% in the right. They may cause severe and progressive disease mimicking valvular heart disease. But recently attention to differential point in the clinical features along with various diagnostic techniques have allowed pre-operative diagnosis in the most cases. From April, `77 to Aug., `78, three cases of left atrial myxoma and one case of right atrial myxoma were operated in Seoul National University Hospital. Pre-operative diagnosis was established with echocardiography and cardiac angiography. In all cases, tumors were resected with cardiopulmonary bypass successfully, and discharged with good results.
김진국,나명훈,안혁,Kim, Jhin-gook,Na, Myung-Hoon,An, Hyuk 대한흉부심장혈관외과학회 1987 Journal of Chest Surgery (J Chest Surg) Vol.20 No.4
MOVC is an uncommon disease which can be corrected by surgical method if early detected. A case of a 34-year-old male with MOVC is reported. Operation was done on cardiopulmonary bypass with circulatory arrest under moderate hypothermia. The incision was done both on the RA extending to level of suprahepatic IVC and on the IVC just proximal to the right renal vein. And then, thrombectomy and membranectomy under the direct visualization was done. Total circulatory arrest was used intermittently in order to get good visual field and for preventing blood loss. The Postop. course was good except one episode of hepatic encephalopathy which was persisted for 12 hours and then controlled by conservative measures.
LMS 알고리즘에서 최적 매개변수의 선택 폭 확대를 위한 초기치의 설정방법
조기량,안혁,추병윤,이춘재,Cho, Ki-Ryang,An, Hyuk,Choo, Byoung-Yoon,Lee, Chun-Jae 한국정보통신학회 2003 한국정보통신학회논문지 Vol.7 No.2
본 논문에서는 LMS 알고리즘을 이용하여 적응 시스템을 제어하는 경우, 최적 매개변수의 선택 폭을 늘리기 위한 초기치의 설정방법의 수치적 검토를 행했다. 초기치 설정은 대략의 값을 임의적으로 선택하는 일반적인 방법과 직접법에 의해 얻어진 근사적인 해를 초기치로서 가하는 방법을 이용하였으며, 이들을 최적지향성합성 문제에 적용하여 초기치가 매개변수의 선택 폭, 자승평균오차의 수렴속도, 그리고 수렴과정에서의 안정성 등에 미치는 영향을 비교하였다. 수치실험결과, 직접법을 이용한 초기치 선택방법은 일반적인 선택방법에 비해 매개변수의 선택 폭이 넓어짐은 물론 수렴성, 안정성 그리고 오차 개선 능력도 탁월함을 나타내었다. In this paper, we carried out the numerical examination of the initial value setting-up method to extend the range of optimal step parameter in a adaptive system which is controlled by LMS algorithm. For initial value setting-up methods, the general method which select the initial value randomly and the other method which applies the approximate value obtained from the direct method to initial value, were used. And then, we compared to the ranges of step parameter setting, the convergence speeds of mean-square-error, and the stabilities during the convergence process when the initial values were applied to the optimal directivity synthesis problem. According to the numerical simulation results, the initial value setting-up method by means of the direct method provides wider range for the step parameter, more efficient capability for convergence and stability, and more error correction ability than the general method.