• Journal of Chest Surgery
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• v.37 no.1
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• pp.43-49
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• 2004

Background: Acute thoracic aortic dissections involving the aortic arch differ in diagnosis, surgical procedures, and operative results compared to those that do not involve the aortic arch. In general cerebral perfusion under deep hypothermic circulatory arrest (HCA) is performed during the repair of the aortic arch dissection. Here, we report our surgical results of the aortic arch dissection repair using retrograde cerebral perfusion (RCP) and its safety. Material and Method: Between January 1996 and June 2002, 22 consecutive patients with aortic arch dissection underwent aortic arch repair. In 20 of them RCP was performed under HCA. RCP was done through superior vena cava in 19 patients and by systemic retrograde venous perfusion in 1, in whom it was difficult to reach the SVC. When the patient's rectal temperature reached 16 to 18$^{\circ}C$, systemic circulation was arrested, and the amount of RCP amount was 481.1 $\pm$292.9 $m\ell$/min with perfusion pressure of 20∼30 mmHg. Result: There were two in-hospital deaths (4.5%) and one late death (9.1%). Mean circulatory arrest time (RCP time) was 54.0$\pm$ 13.4 minutes (range, 7 to 145 minutes). RCP time has no correlation with the appearance of consciousness, recovery of orientation, or ventilator weaning time (p=0.35, 0.86, and 0.92, respectively). Ventilator weaning was faster in patients with earlier recovery of consciousness and orientation (r=0.850, r=926; p=0.000, respectively). RCP of more than 70 minutes did not affect the appearance of consciousness, recovery of orientation, ventilator weaning time, exercise time, or hospital stay (p=0.42, 0.57, 0.60, 0.83, and 0.51, respectively). Conclusion: Retrograde cerebral perfusion time under hypothermic circulatory arrest during repair of aortic arch dissection may not affect recovery of orientation, ventilator weaning time, neurologic complications, and postoperative recovery.

• Journal of Gastric Cancer
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• v.9 no.1
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• pp.18-25
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• 2009

Purpose: The postoperative hospital stay after gastric cancer surgery is usually 8 to 14 days. The main reason for a prolonged hospital stay may be the 3 to 4 day period of postoperative starvation. The aim of this study is to investigate the feasibility of a critical pathway for early recovery after gastric cancer surgery, and this pathway included early postoperative feeding. Materials and Methods: One hundred three consecutive patients who underwent gastric resection and reconstruction for gastric cancer from October 2007 to June 2008 at St. Mary's Hospital were prospectively enrolled in a fast-track critical pathway. The pathway included minimal preoperative procedures, optimal pain relief, proper fluid administration, early mobilization and early enteral nutrition at postoperative 1 day. The exclusion criteria were determined preoperatively, intraoperatively and postoperatively. Results: Of the 103 patients, 19 patients were excluded for preoperative (5), intraoperative (7) and postoperative (7) reasons. Eighty-four patients (81.6%) were included in the fast-track critical pathway. Sixty-eight (88.6%) of 84 patients were discharged at the planned 8 day after surgery during the initial period of the study, and the postoperative hospital stay was shortened up to 6 days during the more recent period. Postoperative complications occurred in 22 patients (26.2%), and these were gastrointestinal track-related complications in 6 cases (3 cases of ileus, 1 case of stasis and 2 cases of leakage) and infection-related complications in 8 cases. There was no statistical difference in the incidence of morbidity according to the clinic-operative features that included age, gender, stomach resection and lymphadenectomy. Conclusion: The fast-track critical pathway with using the available exclusion criteria was a valid option for patients who underwent gastric cancer surgery.

• Journal of the Korean Society of Marine Environment & Safety
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• v.28 no.2
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• pp.212-223
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• 2022

For the remediation and restoration of contaminated sediment at the West Sea-Byeong dumping site, dredged materials was dumped in 2013, 2014, 2016, and 2017. The physicochemical properties and benthic fauna in surface sediments of the capping area (5 stations) and natural recovery area (2 stations) were analyzed annually from 2014 to 2020 to evaluate the capping effect of the dredged materials. The natural recovery area had a finer sediment with a mean particle size of 5.91-7.64 Φ, while the sediment in the capping area consisted of coarse-grained particles with a mean particle size of 1.47-3.01 Φ owing to the capping effect of dredged materials. Considering that the contents of organic matters (COD, TOC, and TN) and heavy metals in the capping area are approximately 50 % lower (p<0.05) than that in the natural recovery area, it is judged that there is a capping effect of dredged materials. As a result of analyzing macrobenthic assemblages, the number of species and ecological indices of the capping area were significantly lower than that of the natural recovery area (p<0.05). The number of species and ecological indices at the capping area were increased for the first four years after the capping in 2013 and 2014 and then tended to decrease thereafter. It is presumed that opportunistic species, which have rapid growth and short lifetime, appeared dominantly during the initial phase of capping, and the additory capping in 2016 and 2017 caused re-disturbance in the habitat environment. In the natural recovery and capping areas, Azti's Marine Biotic Index (AMBI) was evaluated as a fine healthy status because it maintained the level of 2^nd grades (Good), whereas Benthic Pollution Index (BPI) remained at the 1^st and 2^nd grade. Therefore, capping of dredged materials for remediation of contaminated sediment in the dumping site has the effect of reducing the pollution level. However, in terms of the benthic ecosystem, it is recommended that the recovery trend should be monitored long-term. Additionally, it is necessary to introduce an adaptive management strategy when expanding the project to remediate the contaminated sediment at the dumping area in the future.

• Journal of Internet Computing and Services
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• v.1 no.2
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• pp.1-10
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• 2000

ATM network technology is generally used for the solution of integrating multimedia service in high-speed Internet. In Internet protocol based on ATM services, If single cell is lost in ATM layer, the entire TCP packet will be lost. Therefore, TCP performance will be degraded. In order to reduce cell loss, when congestion occur, UBR+EPD mechanism is proposed to improve the throughput in TCP over UBR, and ER scheme is suggested in TCP over ABR. In this paper, we analyzed the performance improvement effect of UBR+EPD with FRR (Fast Retransmission and Recovery), the adjusting EPD threshold parameter (R), and variation of MTU (Maximum Transport Unit) size. As a result, through the analysis of performance, we know that the improved throughput and fairness are shown by the proposed scheme.

• Proceedings of the Korea Water Resources Association Conference
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• 2006.05a
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• pp.603-607
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• 2006

최근 산불발생이 증가하고, 그에 따른 피해가 증가하고 있다. 또한 산불 발생지역의 토양침식으로 인한 2차적인 재해위험이 예상됨에 따라 산불 지역의 토양침식과 영향인자들에 대한 연구가 활발히 진행되고 있다. 본 연구에서는 낙산사 산불지역의 산지사면에 10개의 소규모 조사구를 설치하고 강우에 따른 토사유출량을 조사하였다. 토양침식 매개변수를 강우인자(강우량, 강우강도, 강우에너지), 지형인자(면적, 사면경사, 사면길이, 길이경사인자), 식생인자(전체피복도, 식생지수), 토양인자(투수계수, 유효입경, 유기물함량, 토심)로 구분하여 각각의 토양침식에 대한 관계를 분석하고, 시간경과에 따른 토양침식의 관계도 분석하였다. 강우강도와 강우량이 커짐에 따라 토양침식민감도에 대한 식생피복도의 영향이 더욱 가중되며, 식생 회복이 빠른 지역과 그렇지 않은 지역에서의 시간경과에 따른 누적 토양침식량의 변화는 크게 차이를 보였다. 낙산사 산불지역에서의 강우에 따른 토양침식은 강우에너지와 식생피복도의 관계가 가장 높았다.

• Pediatric Infection and Vaccine
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• v.22 no.2
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• pp.113-116
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• 2015

Posterior reversible leukoencephalopathy syndrome is a clinical radiographic syndrome of many causative factors. Sudden onset headache, vomiting, altered mental status, blurred vision and seizures are main symptoms shown in posterior reversible leukoencephalopathy syndrome. In addition, it typically shows radiological findings of edema in the white matter of posterior cerebrum, being in commonly bilateral but asymmetric. We report a case of poststreptococcal glomerulonephritis (PSGN) presenting as posterior reversible leukoencephalopathy syndrome. Immediate control of hypertension resulted in rapid and complete neurological recovery.

• Journal of Korean Ophthalmic Optics Society
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• v.8 no.2
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• pp.153-162
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• 2003

The transformation of the Italian retailing has permitted, in the last ten years, a quick modification of the strategic groups' weight at a distributive level. Such change regards the redesign of the competitive assets that sees as protagonist both the main foreign big multiple chains and the Italian retailing, characterized by small dependent enterprises. The analysis is focused on the solutions that independent retailers are adopting in order to strengthen their competitive ability in relation to the aforementioned prospective entrance of foreign distributors in the domestic market. In particular, the most commonly adopted strategic alternative are analysed, in an attempt to characterize the development models that can emerge. The paper presents a case of possible successful solution adopted by some independent retailers for a competitiveness recovery without sacrificing the enterprise's property and autonomy.

• Journal of Yeungnam Medical Science
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• v.11 no.2
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• pp.398-404
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• 1994

Functional recovery after mandibular condyle fracture was a contradictory result of many authors. The treatment goal of condyle fracture has been directed primarily toward restoration of functional movement of the mandible. We selected some patients who requested functional therapy in many cases of condylar fracture, depend on pattern of fracture, patient's demand, occlusion, age. Without intermaxillary fixation, we induced the patients to rapid healing of temporomandibular function and normal mandibular protrusive, lateral movement as a result of early functional therapy by activator. So, the authors report the cases with review of concerned literature.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2000.10a
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• pp.81-86
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• 2000

Exchange-cooperation between south and north Korea using the Information can say that it breaks down a physical barrier and recoverys quickly national homogeneity between them. As a case of a unified Germany, Excange-cooperation in the information and communication field has an important influnence on making a decision over the progress speed and quantity of friendly relations between Seoul and Pyong-yang, which ranges over a wide field like economy and society. This paper examines a unified German's precedent and the present condition of Excange-cooperation between the South and the North of Korea so that Excang-cooperation scheme in the information and communication field presents.

• Journal of Life Science
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• v.8 no.5
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• pp.557-562
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• 1998

This study was conducted to investigate the influence of soil moisture on the photosynthetic rate, transpiration rate, stomatal conductance, leaf water content and its any correlation in soybean. Followings were achieved as a conclusion. At the soil moisture was moved from drought condition to saturation condition, the photosynthetic rate, transpiration rate, stomatal conductance and leaf water content were gradually increased on the period of re-watering treatment. The recovery of photosynthetic rate was faster than others. There were positive correlation with the photosynthetic rate and leaf water content, the stomatal conductance and leaf water content, the photosynthetic rate and stomatal conductance respectively, but the correlation coefficient of photosynthetic rate and leaf water content was high.