• Journal of Trauma and Injury
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• v.30 no.3
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• pp.91-97
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• 2017

Purpose: Purpose: The prognostic factors of non-operative management (NOM) in high-grade spleen injuries have been extensively studied, but factors that would help treatment decisions are lacking. We compared the characteristics of the patients to identify the factors affecting treatment choices. Methods: This is a review of 207 blunt spleen injury patients from January 2004 to December 2013. We compared clinical features and mortality between surgery and NOM, and used multivariate regression analysis to find the factor most strongly associated with prognosis. Results: Of the 207 patients, 107 had high-grade spleen injury patents (grade III or above). Of these, 42 patients underwent surgery and 65 patients underwent NOM. The mortality was 7% following surgery, 3% with NOM. The amount of packed red blood cells transfused in the first 24 hours and spleen injury grade were associated with management type, and mortality was highly associated with activated partial thromboplastin time (aPTT) and spleen injury grade. Conclusions: The grade of spleen injury was associated with management and mortality, so correctly assessing the spleen injury grade is important.

• Journal of Korean Neurosurgical Society
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• v.51 no.1
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• pp.31-36
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• 2012

Objective : The purpose of this study was to elucidate the anatomical development of physiologic suture closure processes in infants using three dimensional reconstructed computed tomography (CT). Methods : A consecutive series of 243 infants under 12 months of age who underwent three dimensional CT were included in this study. Four major cranial sutures (sagittal, coronal, lambdoidal and metopic suture) were classified into four suture closure grades (grade 0=no closure along the whole length, grade 1=partial or intermittent closure, grade 2=complete closure with visible suture line, grade 3=complete fusion (ossification) without visible suture line), and measured for its closure degree (suture closure rates; defined as percentage of the length of closed suture line divided by the total length of suture line). Results : Suture closure grade under 12 months of age comprised of grade 0 (n=195, 80.2%), grade 1 (n=24, 9.9%) and grade 2 (n=24, 9.9%) in sagittal sutures, whereas in metopic sutures they were grade 0 (n=61, 25.1%), grade 1 (n=167, 68.7%), grade 2 (n=6, 24%) and grade 3 (n=9, 3.7%). Mean suture closure rates under 12 months of age was 58.8% in metopic sutures, followed by coronal (right : 43.8%, left : 41.1%), lambdoidal (right : 27.2%, left : 25.6%) and sagittal sutures (15.6%), respectively. Conclusion : These quantitative descriptions of cranial suture closure may help understand the process involved in the cranial development of Korean infants.

• Journal of Gastric Cancer
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• v.20 no.1
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• pp.50-59
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• 2020

Purpose: The objective of the present retrospective analysis was to describe the experience of intraperitoneal (IP) paclitaxel and systemic chemotherapy in patients with peritoneal metastasis (PM) of advanced gastric cancer (AGC) in a multicenter setting in Korea. Materials and Methods: The medical records of patients with AGC, who were diagnosed with PM between January 2015 and December 2018, were reviewed. IP catheter was placed in the pouch of Douglas and was used for the administration of IP paclitaxel chemotherapy. Results: We reviewed the clinical outcomes of IP paclitaxel and systemic chemotherapy administration in 82 patients at six institutions in Korea. Mean number of IP chemotherapy cycles was 6.6. The mean peritoneal cancer index (PCI) was 21.9. Postoperative complications related to IP catheter and port were observed in 15 patients. The overall median survival was 20.0 months. A significant difference was observed in the survival rate according to the ascites grade (grade I and II, 24.1 months; grade III and IV, 15.3 months; P=0.014) and PCI grade (grade I, 25.6 months; grade II and III, 16.3 months; P=0.023). Conclusions: The feasibility of IP paclitaxel and systemic chemotherapy administration was demonstrated in this experience-based retrospective analysis suggesting that the procedure is beneficial in patients with PM of AGC.

• Clinical Nutrition Research
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• v.12 no.1
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• pp.65-76
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• 2023

The present systematic review and meta-analysis were accomplished to understand the effects of tart cherry juice consumption on body composition and anthropometric measures. Five databases were searched using relevant keywords from inception to January 2022. All clinical trials investigating the effect of tart cherry juice consumption on body weight (BW), body mass index (BMI), waist circumference (WC), fat mass (FM), fat-free mass (FFM), and percentage body fat (PBF) were included. Out of 441 citations, 6 trials that enrolled 126 subjects were included. Tart cherry juice consumption significantly did not reduce BW (weighted mean difference [WMD], -0.4 kg; 95% confidence interval [CI], -3.25 to 2.46; p = 0.789; GRADE = low), BMI (WMD, -0.07 kg/m²; 95% CI, -0.89 to 0.74; p = 0.857; GRADE = low), FM (WMD, 0.21 kg; 95% CI, -1.83 to 2.25; p = 0.837; GRADE = low), FFM (WMD, -0.12 kg; 95% CI, -2.47 to 2.27; p = 0.919; GRADE = low), WC (WMD, 1.69 cm; 95% CI, -1.88 to 5.27; p = 0.353; GRADE = low), and PBF (WMD, 0.18%; 95% CI, -1.81 to -2.17; p = 0.858; GRADE = low). Overall, these data suggest that tart cherry juice consumption has no significant effect on BW, BMI, FM, FFM, WC, and PBF.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.24 no.3 s.174
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• pp.718-727
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• 2000

Nowadays, most passenger cars equipped with automatic transmissions use torque converter clutches to reduce fuel consumption, and recently the slip control scheme of torque converter clutches is widely studied for the expansion of the operating region of torque converter clutches and thus for the further improvement of the fuel economy of vehicles. In this study, the analysis of the torque converter clutch system including the line pressure control unit of the automatic transmission and the actuating hydraulic control unit of the torque converter clutch is performed, and a feedforward controller and a fuzzy logic controller for its slip control are proposed. Also, for the slip controller to use the grade resistance information during control, an observer-based grade resistance estimator is designed. The performance of the designed grade resistance estimator and the slip controller is verified by dynamic simulations, and the effect of the torque converter clutch slip control on the fuel economy is examined using a driving cycle simulation.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.21 no.5
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• pp.61-79
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• 2018

The purpose of this study is to investigate the flora of Sohyeoncheon which is planned for ecological restoration and river maintenance from upstream to downstream, and also to collect the ecological data to cope with the change of the ecosystem of Sohyeoncheon. The numbers of vascular plants were summarized as 336 taxa including 82 families, 233 genera, 298 species, 1 subspecies, 33 varieties and 4 forms. The rare plants were 3 taxa including Aristolochia contorta Bunge, Prunus yedoensis Matsum.(planting) and Koelreuteria paniculata Laxmann. The Korean endemic plants were 4 taxa including Populus tomentiglandulosa T.B.Lee(planting), Lespedeza maritima Nakai, Forsythia koreana (Rehder) Nakai(planting) and Weigela subsessilis (Nakai) L.H.Bailey. The specific plants by floristic region were 15 taxa including 1 taxon of grade V, grade IV and grade II each, 4 taxa of grade III and 8 taxa of grade I. The naturalized plants were 60 taxa and the invasive alien plants were 3 taxa. The results of analysis by vertical structures showed that naturalized plants included 31 taxa of upstream, 53 taxa of midstream and 38 taxa of downstream. An analysis of crossing structures showed that 2 taxa of water channel, 3 taxa of low waterside, 41 taxa of high waterside and 48 taxa of bank.

• Korean Journal of Applied Biomechanics
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• v.17 no.1
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• pp.69-79
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• 2007

The purpose of this study was to examine the characteristics of throwing motion in the elementary school students from the developmental point of view. For the purpose of this, total of nine subjects(each of three students in five, third, and first grades) were participated. They were asked to throw the ball as far as they can and the motions were videotaped with the 30frames/sec and 1/500 shutter speed. The successful motions for each subject were selected for three dimensional analysis. The collected data were analyzed using DV express 1.0 and Kwon3D 3.0 softwares. The results obtained from this study were as follows; 1. Total time for the throwing motion of the first grade was longer than that of the fifth and third grades. 2. The resultant displacement and velocity of COM for the fifth and third grades were greater than that of the frist grade. 3. The first grade tended to flex the trunk forward excessively during the throwing motion. 4. The fifth grade tended to place the upper arm close to the sagital plane and move the forearm and hand freely. 5. Looking at the greater variability of the angular velocity of the hand segment, the fifth grade seemed to have faster and more flexible movement of the wrist. 6. There were somewhat differences in the patterns and magnitudes of ground reaction forces among the different grades.

• Journal of Korean Public Health Nursing
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• v.26 no.1
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• pp.16-27
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• 2012

Purpose: The aim of this study was to evaluate perception and satisfaction with Health Education for elementary school students in grade 5 and 6, using data on national health education gathered since March, 2009. Methods: Data were collected by way of a questionnaire, from 475 elementary school students in grades 5 and 6 from February 1~15, 2010. Statistical analysis of collected data was performed using frequency, t-test, Pearson's correlation coefficient, and hierarchical multiple regression analysis, using SPSS 18.0 software. Result: Levels of health promoting behavior, interest, importance, and satisfaction were relatively high, respectively, and those of students in grade 5 were higher than those of students in grade 6. Levels of Satisfaction with frequency and educational environment were relatively low. Among the factors found to influence satisfaction with health education, interest in health education was found to be the most influential(grade 5:${\beta}$=.279, p<.001, grade 6:${\beta}$=.306, p<.001). Conclusion: Students expressed a high level of satisfaction with regular health education. Expansion of health education frequency and health education-only-classrooms is needed. To improve the effect of health education, constant acquisition of knowledge of subjects' perception and satisfaction is needed. In addition, contents and teaching methods that showed low level of satisfaction should be reformed.

• Transactions of the Korean Society for Noise and Vibration Engineering
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• v.18 no.8
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• pp.879-885
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• 2008

A rotordynamic analysis was performed with a decant-type centrifuge, which is a kind of industrial centrifuge. The system is composed of screw rotor, bowl rotor, driving motors, gear box, and support rolling element bearings. These rotors have a rated speed of 4300 rpm, and were modeled utilizing a rotordynamic FE method for analysis, which was verified through 3-D FE analysis. Design goals are to achieve wide separation margins of lateral critical speeds, and favorable unbalance responses of the rotor in the operating range. Then, a complex analysis rotordynamic analysis of the system was carried out to evaluate its forward synchronous critical speeds and mode shapes, whirl natural frequencies, and unbalance responses under various balance grade. As a result of analysis, the rotordynamic analysis performed by separating a screw rotor and bowl rotor may cause an error in predicting critical speed of entire system. Therefore, the rotordynamic analysis of a coupled rotor combining a screw and bowl rotor must be performed in order to more accurately estimate dynamic characteristics of the decanter-type centrifuge as presented in this paper. Also, rolling element bearings with suitable stiffness should be selected to keep enough separation margin. In addition, in establishing balance grade of a screw and bowl rotor, ISO G2.5 balance grade is more recommended than ISO G6.3, in particular balancing correction of a screw rotor based on ISO G2.5 grade is strongly recommended.

• Korean Journal of Acupuncture
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• v.27 no.4
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• pp.59-72
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• 2010

Objectives : In the study on the waveform analysis of radial artery pulse diagnosis, we need to establish fundaments of contemporary pulse diagnosis research, and to find the change of pulse waveform parameter with applied variation pf pressure. Methods : As we will to do experimental research on the difference of pulse waveform on the radial artery with applied variations of pressure(5 stage-pressure) and measuring position(left KWAN). In this research, we analyzed the change of the waveform according to five stage pressure. Results : The results were as follows; When we analyzed the change of the waveform according to pressure in the left KWAN, E, hl, h2 and A were the difference between 8ths pressure grades in 95% trust section. And t2, t4 were the difference between 8ths pressure grades in 95% trust section. W was the difference between 8ths pressure grades in 95% trust section. And h2/h1 was the difference between 6ths pressure grades in 95% trust section. There is the difference between 1st and 2nd grade & between 2nd and 5th grade in the case of t4/t2 in 95% trust section. And there is the difference between 1st and 5th grade, between 3rd and 4th grade, between 3rd and 5th grade & between 4th and 5th grade in the case of W/A in 95% trust section. And there is the difference between 1st and 2nd grade, between 2nd and 3rd grade, between 2nd and 4th grade, between 3rd and 4th grade, between 3rd and 5th grade & between 4th and 5th grade in the case of A/E in 95% trust section. Conclusions : We found the statistically resonable differences between each pulse depending on the applied pressure. And Analysing the radial pulse(left KWAN) at 5 applied pressure levels may be useful to study on the pulse waveform diagnosis.