• Archives of Plastic Surgery
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• v.45 no.4
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• pp.325-332
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• 2018

Background Zygomaticomaxillary complex (ZMC) fractures mostly occur in the form of tripod fractures. The surgical field is accessed using a combination of three classic approaches. However, the subciliary incision may have unfavorable aesthetic results. Herein, the authors report the advantages of the extended transconjunctival approach (ETA) combined with T-bar screw reduction in minimizing scarring and complications for the treatment of ZMC fractures. Methods A total of 26 patients underwent ZMC reduction through the ETA and intraoral approach. A skin incision measuring roughly 5 to 8 mm in length was placed following the lateral canthal skin crease. After releasing the inferior crus of the lateral canthal tendon for canthotomy, the medial periosteum of the lateral orbital rim was preserved for canthal reattachment. A limited subperiosteal dissection and partial relaxing incision of the orbicularis oculi were performed to expose the fracture line of the inferior orbital rim and zygomaticofrontal suture. Reduction was performed using a T-bar screw through the transconjunctival incision and an elevator through the intraoral incision. Results The aesthetic and functional results were excellent. Successful reduction was achieved and the skin incision was less than 8 mm in 20 cases (76.9%). Only six patients had an additional skin incision (less than 5 mm) to achieve reduction. No cases of ectropion, entropion, or excessive scarring were noted. Conclusions The ETA using a T-bar screw is a useful method for maximizing aesthetic results in ZMC fractures, with the advantages of minimal scarring, faster recovery, and maintenance of pretarsal fullness.

• Journal of the Korean Society of Food Culture
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• v.31 no.6
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• pp.541-553
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• 2016

Medicinal porridge (藥粥) is made by putting rice or grains into a pot and boiling with water until a semi-liquid texture is obtained. Porridge is digested fast and absorbed by the body. Children or elderly people with weak digestive ability can eat it without difficulty. The authors of this literature focused on utilization of mung bean porridge (Nokdu-juk) based on SeungjeongwonIlgi (承政院日記), which is the daily record of the Royal Secretariat of the Joseon Dynasty from 1623 to 1910. Four cases were found. The first case used mungbean for treating fever diseases (熱症), the second as a meal alternative, the third for wound recovery, and the last case described the culture of the joseon dynasty. According to the actual cases in SeungjeongwonIlgi (承政院日記), mung bean porridge (Nokdu-juk) was actively used to lower fever and strengthen the spleen and stomach. When suffering from the after effects of a malignant tumor or serious liver disease (肝病), an infectious disease, or a serious physical wound, people ate mung bean porridge (Nokdu-juk). It is suggested that mung bean porridge (Nokdu-juk) can be used as an alternative food treatment for the current medical field due to the prevalence of pain-killers and psychotropic drug abuse.

• Journal of Korean Foot and Ankle Society
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• v.15 no.4
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• pp.223-231
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• 2011

Purpose: Pathogenesis of intraneural ganglion is controversial, however, the synovial theory that the intraarticular region is the origination of disease has come into the spotlight nowadays. But there are a few researches about intraneural ganglion in foot and ankle. We studied 7cases of intraneural ganglion. We are going to prove the synovial theory by indentifying articular branch of intraneural ganglion. Materials and Methods: From August 2003 to May 2011, we evaluated 7 ouf of 8 patients diagnosed as a intraneural ganglion in foot and ankle. The gender ratio were 4 male and 3 female, and the mean age at the time of surgery was 52.9 years. Clinically, we checked pre and post operative symptom, muscle tone and whether loss of muscle tone and sensation exists. We analyzed surgical records and preoperative MRI and compared those with intra-operative finding. Results: In MRI analysis of 7cases, the connection around the joints were confirmed, and 1 case was confirmed in the retrospective analysis of MRI. Intraneural ganglions occurred in medial plantar nerve 3 cases, lateral plantar nerve 1 case, superficial peroneal nerve 1 case and sural nerve 1 case. We could not found recurrence during the follow up periods. Most patients relieved pain after operation, but recovery of sensation was unsatisfactory. We could find some cases pathological finding of the nerve intraoperatively, and clinical result of that cases was poor. Conclusion: Intraneural ganglion can occur in various parts in foot and ankle. We concluded that the intranneural ganglion originated from joint by identifying the artichlar branch of ganglion. Due to its small size, it is difficult to find articular branch in operation field. But we do our best to find and remove articular branch. Currently, considering the small amount of research in foot and ankle, more research about articular brach is needed.

• Journal of the Korean Institute of Gas
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• v.24 no.4
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• pp.62-72
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• 2020

This study presents a methodology of history matching to evaluate the productivity of shale gas reservoir with high reliability and predict future production rate in the Horn-River basin, Canada. Sensitivity analysis was performed to analyze the effect of physical properties of shale gas reservoir on productivity. Based on the results, reservoir properties were classified into 4 cases and history matching were performed considering the classified 4 cases as objective function. The blind test was conducted using additional field production data for 3 years after the history matching period. The error of gas production rate in Case 1(all reservoir parameters), Case 2(influenced parameters for productivity), Case 3(controllable parameters), and Case 4(uncontrollable parameters) were 7.67%, 7.13%, 17.54%, and 10.04%, respectively. This means that it seems to be effective to consider all reservoir parameters in early period for 4 years but Case 2 which considered influenced parameters for productivity shows the highest reliability in predicting future production. The estimated ultimate recovery (EUR) of production well predicted using the Case 2 model was estimated to be 17.24 Bcf by December 2030 and the recovery factor compared to original gas in place (OGIP) was 32.2%.

• Archives of Plastic Surgery
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• v.37 no.4
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• pp.504-508
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• 2010

Purpose: Traumatic telecanthus can result from nasoethmoid-orbital fractures. Repair of the medial canthal tendon (MCT) using transnasal wiring is regarded as a choice of method to treat telecanthus, however, is often complicated by incomplete anchoring and drift of canthus, extrusion of wire, in-fracture of orbital bone, and eye damage. The authors introduced oblique transnasal wiring method through the Hiraga's epicanthopalsty incision instead of well-known classical bicoronal approach. Methods: Five patients with traumatic telecanthus were treated with this method. Though the Hiraga's epicanthoplasty incision, we could approach the operative field; the medial orbital wall and detached MCT. Oblique transnasal wiring was performed as following steps. After slit skin incision on the contralateral nasal recession area, drill holes were made from this point to the superior and posterior point of lacrimal sac of deformed eye. A 2-0 wire was double-passed through the holes and MCT. Traction was applied to ensure pulling the MCT and the wires were twisted in the contralateral nose, securing the MCT in the correct position. Results: All patients except 1 person showed improvement and rapid recovery. On average each canthus was moved 5.6 mm medially. In all cases, there were no eyelashes disappear, lacrimal canaliculitis, lacrimal duct injury, or infections. Conclusion: The Hiraga's epicanthoplasty incision could give sufficient operative field to reattach the MCT in traumatic telecanthus patients. And the oblique transnasal wiring technique is effective for the Asians who have flat nose and exophthalmic eye. The authors conclude that this technique could be a simple, safe and scarless method to correct traumatic telecanthus.

• Journal of the Korean Institute of Gas
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• v.15 no.3
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• pp.53-57
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• 2011

The present study has been carried out to analyze the flow characteristics of a heat recovery steam generator with the change of inlet flow conditions by using numerical flow analysis. The inlet of HRSG corresponds the outlet of gas turbine exit and the flow after gas turbine has strong swirl flow and turbulence. The inlet flow condition of HRSG should be included the exit flow characteristics of gas turbine. The present numerical analysis adopted the flow analysis result of gas turbine exit flow as a inlet flow condition of HRSG analysis. The computational flow analysis result of gas turbine exit shows that the maximum axial velocity appears near circular duct wall and the maximum turbulent kinetic energy and dissipation rate exist relatively higher gradient region of axial velocity. The comparison of flow analysis will be executed with change of inlet turbulent flow condition. The first case is using the inlet turbulent properties from the result of computational analysis of gas turbine exit flow, and the second case is using the assumed turbulent intensity with the magnitude proportional to the velocity magnitude and length scale. The computational results of flow characteristics for two cases show great difference especially in the velocity field and turbulent properties. The main conclusion of the present study is that the flow inlet condition of HRSG should be included the turbulent properties for the accurate computational result of flow analysis.

• Korean Journal of Construction Engineering and Management
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• v.23 no.6
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• pp.111-118
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• 2022

Recently, as underground facilities buried under roads in Korea are aging, the amount of underground facility maintenance work is rapidly increasing. For the maintenance and management of such underground facilities, the cutting work of the road pavement should be preceded. However, the conventional road pavement cutters used in Korea are not eco-friendly, and the reality is that they generate a lot of noise and cutting sludge (scattering dust). Therefore, in this study, the concept of the cutting sludge recovery device was derived, and an eco-friendly pavement cutter including this function was designed and manufactured. The developed equipment took about 20 to 30 seconds to cut 1m to a depth of 100 to 150mm. Also, the sludge suction performance was good in most sections, and the noise level of the equipment briefly measured at a distance of 2m was 82.7dB on average. However, due to the limitation that the developed equipment was at the level of the first prototype, the driving stability was somewhat low, and equipment abnormalities such as engine shutdown and sludge recovery performance decreased in some cases. The cutting performance and sludge recovery function will be more stable through tuning and improvement of the developed prototype in the future. In addition, we plan to quantitatively compare and analyze productivity by applying the improved prototype to actual field conditions.

• Journal of Acupuncture Research
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• v.21 no.6
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• pp.281-289
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• 2004

Objective : Blepharoptosis is drooping of eyelid which causes impairment of visual field by covering partially or completely, and it is classified into congenital ptosis and acquired one. In western medicine, idiopathic blepharoptosis is usually treated by tarsectomy. Contrary to that concept, we consider eyelid is assigned to Yookryoon(肉輪) among Ohryoon(五輪) which matches to spleen. In oriental medicine, it can be treated by promoting spleen and kidney. Here I report two cases of idiopathic blepharoptosis improved by conservative acupuncture therapy and herb medicine. Methods : The changes in clinical symptoms of general body weakness, anorexia, dizziness, dry eye, etc, in degree of eyelid drooping and in individual expression were described as they were treated with acupuncture therapy, herb medicine, Bojoong-ikgi-tang(補中益氣湯) and some physical therapy including Negative, I.C.T, S.S.P and Carbon. Results : Symptoms(ex) general body weakness, anorexia, dizziness, dry eye, etc) at admission improved and disappeared gradually with acupuncture therapy and herb medicine. The patients could discharge with favorable recovery. Conclusions : In oriental medicine, blepharoptosis is mainly treated by promoting Qihyul(氣血) and enhancing flow of that. If the patient has deficiency of Suhnchun-poomboo(先天稟褓賦) and Mungmoon-hwa(命門火), he is treated by promoting Shin-yang(腎陽). If he is weak in Bee-qi(脾氣), he needs to be treated by strengthening Bee-yang(脾陽) where patient with lack of Ganhyul(肝血) is supposed to be treated by promoting Hyul(血). These following two cases were managed by acupuncture, herb medicine and physical therapy on idiopathic blepharoptosis.

• International Journal of Naval Architecture and Ocean Engineering
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• v.6 no.2
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• pp.471-483
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• 2014

Since 2009 of global financial crisis, shipbuilding industry has undergone hard times seriously. After such a long depression, the latest global shipping market index shows that the economic recovery of global shipbuilding market is underway. Especially, nations with enormous resources are going to increase their productivity or expanding their shipyards to accommodate a large amount of orders expected in the near future. However, few commercial projects have been carried out for the practical shipyard layout designs even though those can be good commercial opportunities for shipbuilding engineers. Shipbuilding starts with a shipyard construction with a large scale investment initially. Shipyard design and the equipment layout problem, which is directly linked to the productivity of ship production, is an important issue in the production planning of mass production of ships. In many cases, shipbuilding yard design has relied on the experience of the internal engineer, resulting in sporadic and poorly organized processes. Consequently, economic losses and the trial and error involved in such a design process are inevitable problems. The starting point of shipyard construction is to design a shipyard layout. Four kinds of engineering parts required for the shipyard layout design and construction. Those are civil engineering, building engineering, utility engineering and production layout engineering. Among these parts, production layout engineering is most important because its result is used as a foundation of the other engineering parts, and also, determines the shipyard capacity in the shipyard lifecycle. In this paper, the background of shipbuilding industry is explained in terms of engineering works for the recognition of the macro trend. Nextly, preliminary design methods and related case study is introduced briefly by referencing the previous research. Lastly, the designed work of layout design is validated using the computer simulation technology.

• Journal of Oriental Neuropsychiatry
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• v.26 no.1
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• pp.23-38
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• 2015

Objectives: This study aimed to understand the motives for visiting oriental medical hospital and the satisfaction degree of cancer patients, in order to increase the satisfaction rate of oriental medicine among cancer patients. Methods: The data were collected from inpatients who responded to a self-report questionnaire. Independent t-test, analysis of variance (ANOVA), and correlation analysis were used for data analysis. Results: The most prominent motive for visiting oriental medical hospital was recurrence prevention and energy recovery. In oriental medical care, positive responses appeared in the order of 'Acupuncture', 'Pharmacopuncture', 'Enzyme therapy', 'Foot bath therapy', and 'Moxibustion'. According to the research on medical satisfaction degree, the overall satisfaction degree was 4.56. On each field, satisfaction degree related to the doctor service was 4.64, and satisfaction degree of using the procedure was 4.47. Conclusions: Cancer patients mostly visited oriental medical hospital for recurrence prevention and regaining energy, and the service distribution of oriental medical hospital was almost equal without being concentrated on the specified social classes.