• Clinical Pain
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• v.18 no.1
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• pp.36-39
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• 2019

Chronic postoperative inguinal pain (CPIP) is a major complication after inguinal herniorrhaphy. We report the treatment of CPIP using ultrasonography-combined with nerve stimulator for injection of the genitofemoral nerve (GFN). A 59-year-old man underwent laparoscopic herniorrhaphy and presented with numbness from the inguinal region to the scrotum after operation. In the pain clinic, ultrasonography-guided GFN block and pharmacological treatments had little effect. Six month after operation, patient was referred to the Department of Physical Medicine and Rehabilitation, and ultrasonography-combined with nerve stimulator for GFN injection underwent to enhance the accuracy of neural approach. The induction of scrotal contraction and paresthesia on the GFN distribution was monitored by nerve stimulator and local anesthetic was injected. After the block, pain relief lasted for 6 months without analgesic use. Ultrasonography-combined with nerve stimulator is an effective approach to treat CPIP as it enhances precise localization and injection of small peripheral nerve like GFN.

• Journal of Acupuncture Research
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• v.33 no.1
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• pp.117-125
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• 2016

Objectives : The purpose of this report is to introduce a rare case of a patient with Chorea Hyperglycemia Basal Ganglia syndrome (C-H-BG) whose initial medical interventions were started 2 weeks after the onset, and to suggest the possibility of treatment using a combined Western-Korean medicine approach. Methods : A 75-year-old female C-H-BG patient complaining of persistent right-sided hemichorea was treated with a therapy that combined Korean and Western medicine from April 4, 2015 to April 29, 2015. Improvements of symptoms were measured by a motor assessment of Unified Huntington's Disease Rating Scale (UHDRS), Visual Analog Scale (VAS) and the number of involuntary movements. Results : Motor assessment of UHDRS, VAS and the number of involuntary movements all showed a gradually improving tendency during 26 days of admission treatment. However, the patient's hemichorea persisted. Conclusion : Rapid blood sugar control is the most important treatment for C-H-BG, because pathologic changes of basal ganglia seem to become irreversible as time goes by. A combined Western-Korean medicine approach to treating C-H-BG seems effective not only in reducing hemichorea, but also in the management of accompanying symptoms such as muscle pain and general weakness.

• Journal of the Korean Data and Information Science Society
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• v.27 no.5
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• pp.1263-1272
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• 2016

Product array approach which is used in the Taguchi parameter design has a number of advantages by considering the noise factor. However, a disadvantage of this method is that it requires an excessively large number of experiments. So combined array approach have been proposed to reduce the number of experiments. Taguchi has used the signal-to-noise ratio to find the optimum conditions in the Taguchi parameter design. In analyzing the data from the parameter design various problems tends occur by using an SN. In this paper, we propose an alternative solution for reducing the number of experiments without depending on the signal-to-noise ratio to overcome the shortcomings of the parameter design. Two examples illustrate this procedure in the two different experimental design (product array, combined array) approaches.

• Annals of Hepato-Biliary-Pancreatic Surgery
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• v.28 no.1
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• pp.59-69
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• 2024

Backgrounds/Aims: Pancreaticoduodenectomy (PD) is the only radical treatment for periampullary malignancies. Superior mesenteric artery (SMA) first approach combined with total meso-pancreas (MP) excision was conducted to improve the oncological results. There has not been any previous research of a technique that combines the SMA first approach and total MP excision with a detailed description of the MP macroscopical shape. Methods: We prospectively assessed 77 patients with periampullary malignancies between October 2020 and March 2022 (18 months). All patients had undergone PD with SMA first approach combined total MP excision. The perioperative indications, clinical data, intra-operative index, R0 resection rate of postoperative pathological specimens (especially mesopancreatic margin), postoperative complications, and follow-up results were evaluated. Results: The median operative time was 289.6 min (178-540 min), the median intraoperative blood loss was 209 mL (30-1,600 mL). Microscopically, there were 19 (24.7%) cases with metastatic MP, and five cases (6.5%) with R1-resection of the MP. The number of lymph nodes (LNs) harvested and metastatic LNs were 27.2 (maximum was 74) and 1.8 (maximum was 16), respectively. Some (46.8%) patients had pancreatic fistula, but mostly in grade A, with 7 patients (9.1%) who required re-operations. Some 18.2% of cases developed postoperative refractory diarrhea. The rate of in-hospital mortality was 1.3%. Conclusions: The PD with SMA first approach combined TMpE for periampullary malignancies was effective in achieving superior oncological statistics (rate of MP R0-resection and number of total resected LNs) with non-inferior short-term outcomes. It is necessary to evaluate survival outcomes with long-term follow-up.

• Korean Chemical Engineering Research
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• v.53 no.5
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• pp.545-552
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• 2015

Process modeling and simulation is a powerful methodology to quantitatively predict the change of process variables when operating and design conditions are changed. In this study, considering drawbacks of currently used process simulator for combined cycle plants, we developed process modeling system equipped with an ease of use and flexibility for model development. For this purpose, the analysis of combined cycle processes was carried out and consequently, mathematical models and libraries were developed. Furthermore, in view of the fact that the level of the abstraction of process models depends on the purpose of simulation as well as the available data, simple and rigorous models were also developed for some important units. In use of reference combined plant, we executed process simulation using the developed modeling system and the comparison was made between the results of simulation and the reference data. Less than 1% marginal error was identified and we concluded that the modeling system can be applied for commercial combined cycle processes.

• 대한치주과학회:학술대회논문집
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• 2004.11a
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• pp.82-82
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• 2004

• 대한치과보철학회:학술대회논문집
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• 2002.11a
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• pp.25-25
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• 2002

• Journal of Korean Neurosurgical Society
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• v.30 no.9
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• pp.1144-1149
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• 2001

Schwannomas of the jugular foramen, originating from the glossopharyngeal nerve, vagus and accessory nerve represent approximately 0.17-0.72% of all intracranial tumor, and consists of 1.4-2.9% of all intracranial schwannomas. The clinical presentation of these tumors varies significantly according to originated nerve and it's growth pattern. Magnetic resonance(MR) image and temporal bone computed tomography(CT) scan have a major role for diagnosis of such tumor. The treatment of choice is total resection whenever possible. Generally, suboccipital approach is sufficient for the removal of the tumor, but in case with large size, combination of resection of petrous part of temporal bone with or without transection of sigmoid sinus is may be necessory. We have recently experienced one case of giant jugular foramen schwannoma and postoperative fatal complication in a 34-year-old male who was treated with combined posterior petrous and suboccipital approach with transection of sigmoid sinus

• Structural Engineering and Mechanics
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• v.81 no.6
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• pp.737-750
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• 2022

Timber-Concrete Composite construction system consists of combining timber beam or deck and concrete with different connectors. Different fastener types are used in Timber-Concrete Composite systems. In this paper, the effects of two types of fasteners on structural behavior are compared. First, the notches were opened on timber beam, and combined with reinforced concrete slab by fasteners. This system is called as Notched Connection System. Then, timber beam and reinforced concrete slab were combined by new type designed fasteners in another model. This system is called as Notched-Slab Approach. Two laboratory models were constructed and bending tests were performed to examine the fasteners' effectiveness. Bending test results have shown that heavy damage to concrete slab occurs in Notched Connection System applications and the system becomes unusable. However, in Notched-Slab Approach applications, the damage concentrated on the fastener in the metal notch created in the slab, and no damage occurred in the concrete slab. In addition, non-destructive experimental measurements were conducted to determine the dynamic characteristics. To validate the experimental results, initial finite element models of both systems were constituted in ANSYS software using orthotropic material properties, and numerical dynamic characteristics were calculated. Finite element models of Timber-Concrete Composite systems are updated to minimize the differences by manual model updating procedure using some uncertain parameters such as material properties and boundary conditions.

• Journal of Information Science Theory and Practice
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• v.2 no.2
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• pp.16-32
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• 2014

As Topic Modeling has been applied in increasingly various domains, the difficulty in naming and characterizing topics also has been recognized more. This study, therefore, explores an approach of combining text mining with network analysis in a multi-step approach. The concept of synchronization was applied to re-assign the top author keywords in more than one topic category, in order to improve the visibility of the topic-author keyword network, and to increase the topical cohesion in each topic. The suggested approach was applied using 16,548 articles with 2,881 unique author keywords in construction and building engineering indexed by KSCI. As a result, it was revealed that the combined approach could improve both the visibility of the topic-author keyword map and topical cohesion in most of the detected topic categories. There should be more cases of applying the approach in various domains for generalization and advancement of the approach. Also, more sophisticated evaluation methods should also be necessary to develop the suggested approach.