• Korean Journal of Radiology
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• 제22권12호
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• pp.2026-2033
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• 2021

Objective: The aim of this study was to compare the diagnostic performances of digital tomosynthesis (DTS) and conventional radiography in detecting osteonecrosis of the femoral head (ONFH) using computed tomography (CT), as the reference standard and evaluate the diagnostic reproducibility of DTS. Materials and Methods: Forty-five patients (24 male and 21 female; age range, 25-77 years) with clinically suspected ONFH underwent anteroposterior radiography, DTS, and CT. Two musculoskeletal radiologists independently evaluated the presence and type of ONFH. The diagnostic performance of radiography and DTS in detecting the presence of ONFH and determining the types of ONFH were evaluated. The interobserver and intraobserver reliabilities of each imaging modality were analyzed using Cohen's kappa. Results: DTS had higher sensitivity (89.4%-100% vs. 74.5%-76.6%) and specificity (97.3%-100% vs. 78.4%-83.8%) for ONFH detection than radiography. DTS showed higher performance than radiography in identifying the subtypes of ONFH with statistical significance in one reader (type 1, 100% vs. 30.8%, p = 0.004; type II, 97.1% vs. 73.5%, p = 0.008). The interobserver agreement was excellent for DTS and moderate for radiography (kappa of 0.86 vs. 0.57, respectively). The intraobserver agreement for DTS was higher than that of radiography (kappa of 0.96 vs. 0.69, respectively). Conclusion: DTS showed higher diagnostic performance and reproducibility than radiography in detecting ONFH. DTS may be used as a first-line diagnostic modality instead of radiography for patients suspected of having ONFH.

• 한국의학물리학회지:의학물리
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• 제28권4호
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• pp.190-196
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• 2017

For the $ViewRay^{(R)}$ system (ViewRay Inc., Cleveland, OH, USA) which is representative of magnetic resonance (MR) guided radiotherapy machine, it is important to evaluate effectiveness of AAPM's TG-51 protocol and the effect of the magnetic field on absolute dosimetry. In order to measure the absolute dose, MR-compatible chamber and water phantom system manufactured in this study were used. The materials of the water phantom system were plastic of polymethyl methacrylate (PMMA) and non-ferrous materials. Due to the inherent feature of the $ViewRay^{(R)}$, all Co-60 sources are not located at gantry angle of $0^{\circ}$ while being located at gantry angle of $90^{\circ}$. For this reason, absolute dosimetry was performed based on the measurements in solid water phantom (SWP) and water which determine the SWP to water correction factor. For evaluation of output constancy with gantry angle, measurements were made with ionization chamber inserted in cylindrical water-equivalent phantom. For measured doses in water, the values of dose deviation according to a reference dose of 200 cGy for Head 1, Head 2 and Head 3 were -0.27%, -0.45% and -0.22%, respectively. For measured doses in SWP, the values of dose deviation according to a reference dose of 200 cGy for Head 1, Head 2 and Head 3 were -1.91%, -2.07% and -1.84%, respectively. All values of dose measured in SWP tended to be less than those measured in water by -1.63%. With the reference gantry angles of $0^{\circ}$ and $90^{\circ}$, the maximum values of deviation for Head 1, Head 2 and Head 3 were 0.48%, 1.06% and 0.40%, respectively. The measurement agreement is within the range of results obtainable for conventional treatment machines. The low strength of the magnetic field does not affect dose measurements. Using the SWP to water correction factor, absolute doses for $ViewRay^{(R)}$ system can be measured.

• 한국화재소방학회논문지
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• 제30권6호
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• pp.111-117
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• 2016

본 연구는 스프링클러 헤드 근처에서 형성되는 액막의 자유표면 유동에 대해 CFD 모델을 적용하여 해석하고 스프링클러의 초기분무 특성 예측을 위한 기존 이론식의 결과와 비교를 통해 이론 모델의 타당성을 검토하였다. CFD 해석은 상용 해석프로그램인 CFX 14.0을 이용하였으며 노즐과 디플렉터로 이루어진 단순형상에 대해 표준난류모델과 VOF법을 적용하여 해석을 수행하였다. 평판부의 디플렉터 끝단에서 속도분포는 CFD 해석과 경험식이 매우 잘 일치된 결과를 보였으나 기하학적 형상이 복잡한 부분에서는 속도분포의 차이를 보였다. 이론모델에서 예측된 평균액적크기는 실제 스프링클러 헤드에서 측정된 평균액적크기에 대한 이전 연구결과와 큰 차이를 보였다. 그러나 이론 모델은 스프링클러 헤드의 초기 액적형성과정의 메커니즘을 이해하고 실험적 접근이 용이하지 않은 상황에서 분무 액적의 특성을 예측하는데 유동한 도구로 활용될 수 있다.

• 가정∙방문간호학회지
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• 제5권
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• pp.84-99
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• 1998

The objectives of this study are to identify the actual educational contents of management for head nurse and to propose the educational subjects according to identity the needs of head, charge, and staff nurses. The subjects were investigated the actual Management Development Programs and educational needs of head nurses and prospective nurse manager(charge nurse, staff nurse with a lot of clinical experiences) in general hospitals. The tools were composed of two questionnaires: One was developed from the literature review for making items to measure actual situation. The other was revised Katz's model for measurement of educational needs. The first respondents of actual situation were 27 general hospitals with over 400 beds in Seoul and the second respondents were 89 head nurses, 67 charge nurses and 136 nurses at 3 hospitals by convenient sampling out of 27 general hospitals. Data were collected by telephone interview, mail questionnaire and visiting from 7th of October through 30th of November in 1997. In data analysis, general characteristics of the respondents and actual status of Management Development Programs were analyzed by frequency and percentage. Educational needs according to general characteristics were analyzed by ANOVA The results were as follows: 1. Actual situation of Management Development Program 1) Seven hospitals(26%) had Management Development Program for prospective managers and 14 hospitals (52%) for head nurses. 2) Education Department existed in 14 hospitals (52%). 3) One hospital(4%) had top level managers took part in the Management Development. 4) Two hospitals selected head nurse, who had finished courses of Management Development. Eight hospitals(30%) assessed educational needs. The assessment tools consisted of making a question via questionnaire(75%), determining at department meeting(12%) and interview(13%). 5) Educational programs had 3 types: 10 lecture type, 7 discussion type and 4 role play type programs. 6) One hospital evaluated the change of learner's attitude. 7) Four hospitals scored educational point, but that was measured only by attending. 8) Actual Management Development Programs were as follows. parenthesis indicates the number of hospitals. (1) Management Development Programs for Prospective manager. Role perception of Middle level Manager (1) . Role reconstruction of Nurse Manager (1). Workshop for Charge Nurse (1). Nursing Delivery System and Nursing Process (1). Communication (1). Motivation (1) (2) Management Development Programs for Head nurse.. Head nurse's Role (5). Administrative Work (7). Service Education (4). Prevention and Countermeasure of Nursing Incidence (3). Appraisal (3) 2. The results of needs on Management Development subject 1) The educational needs of all respondents on 3 skill domains showed positive agreement to strongly positive agreement. 2) High priority(more than 4.5) items were 12 of 24 Human skill items(50%), 1 of 6 Technical skill items(16%), and 2 of 13 Conceptual skill items (15%). 3) Out of high priority items, 8 items were instituted. 4) All respondents showed high needs on 3 skill domains regardless of 3 positions (head nurse, charge nurse, and nurse). Educational needs of Human skill domain, according to position were 108. S, 108.7, 106.8 (mean score = 72) , needs of Technical skill domain were 26.5, 26.6, 26.I(mean score=18), and needs of Conceptual skill domains were 56.9,56.7, 55.1(mean score=39). 5) Needs of 3 skill domains according to clinical career showed significant difference. Out of respondents, nurses with career of over 16years showed lowest degree of needs in Human skill domains(F=4.47, P=.004) and Conceptual skill domain(F=2.93, P=.034). 6) Educational needs according to educational background were not significant difference. But out of respondents, nurses educated at 3-year junior college relatively showed lowest needs in all of the 3 skill domains. With the above-mentioned findings, further study is necessary for generalization of this study at hospitals with different bed size and location. Also it is needed to study about management skill of nurse and charge nurse, and effective educational method.

• 한국방재학회 논문집
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• 제11권3호
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• pp.143-150
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• 2011

도시 우수 배수 시스템에서 우수 관거는 개수로 흐름 상태로 가정하여 설계되었기 때문에 맨홀에서의 에너지 손실은 일반적으로 중요하게 고려되지 않았다. 그러나 과부하흐름에서 에너지 손실은 관거의 배수능력을 저하시켜 도심지역의 침수피해를 가중시키는 요인이 된다. 그러므로 과부하 사각형 맨홀 내에서의 수두 손실을 분석할 필요가 있다. 본 연구에서는 FLUENT 6.3 모형을 이용하여 과부하 사각형 합류맨홀에서의 흐름특성을 모의하고 맨홀 내 손실수두의 변화를 계산하여 손실계수를 산정하였다. 또한 실험결과와 수치모의 결과를 비교 및 분석하여 사각형 맨홀에서의 손실계수 산정에 FLUENT 6.3모형의 적용성을 확인하였다. 맨홀 폭(B)과 연결관경(d)의 비(B/d)에 따른 손실계수를 산정하였다. B/d가 증가할수록 사각형 합류 맨홀에서의 손실계수는 증가하였다. 중간 단차 맨홀에서 단차 변화에 따른 손실계수의 변화를 산정하였다. 단차가 5 cm이상 증가하면 맨홀 내 수심과 손실계수가 점진적으로 증가하였으므로 중간 맨홀에서의 적정 단차는 5 cm로 판단된다. 따라서 우수 관거 시스템의 여러 형태의 사각형 맨홀에서의 흐름의 변화 및 손실계수를 예측할 때, Fluent 6.3 모형은 사용 가능하리라 판단된다.

• 한국기계연구소 소보
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• 통권9호
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• pp.193-208
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• 1982

Flap type wave-maker, wave absorber, motion measuring equipment and related instruments were newly installed at Ship Experimental Towing Tank, Ship Research Station, KIMM. The model tests in regular head and following waves were successfully carried out and the motion and wave loads in regular and long crested irregular waves were calculated for a container ship model which was adopted as the hull form for the comparative calculations of the ITTC Seakeeping Committee. The results of model tests show good agreement with calculated results and the latter are generally in good agreement with the results of the comparative calculations.

• 대한후두음성언어의학회지
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• 제31권2호
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• pp.71-77
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• 2020

Background and Objectives OperaVOXTM (Oxford Wave Research Ltd.) is a portable voice analysis software package designed for use with iOS devices. As a relatively cheap, portable and easily accessible form of acoustic analysis, OperaVOXTM may be more clinically useful than laboratory-based software in many situations. The aim of this study was to evaluate the agreement between OperaVOXTM and Multi-Dimensional Voice Program (MDVP; Computerized Speech Lab) to assess voice quality before and after laryngeal microsurgery in patient with vocal polyp. Materials and Method Twenty patients who had undergone laryngeal microsurgery for vocal polyp were enrolled in this study. Preoperative and postoperative voices were assessed by acoustic analysis using MDVP and OperaVOXTM. A five-seconds recording of vowel /a/ was used to measure fundamental frequency (F0), jitter, shimmer and noise-to-harmonic ratio (NHR). Results Several acoustic parameters of MDVP and OperaVOXTM related to short-term variability showed significant improvement. While pre-operative value of F0, jitter, shimmer, NHR was 155.75 Hz (male: 125.37 Hz, female: 183.37 Hz), 2.20%, 6.28%, 0.16, post-operative values of these parameter was 164.34 Hz (male: 129.42 Hz, female: 199.26 Hz), 2.15%, 5.18%, 0.14 Hz in MDVP. While pre-operative value of F0, jitter, shimmer, NHR was 168.26 Hz (male: 135.16 Hz, female: 201.37 Hz), 2.27%, 6.95%, 0.26, post-operative values of these parameters was 162.72 Hz (male: 128.267 Hz, female: 197.18 Hz), 1.71%, 5.36%, 0.20 in OperaVOXTM. There was high intersoftware agreement for F0, jitter, shimmer with intraclass correlation coefficient. Conclusion Our results showed that the short-term variability of acoustic parameters in both MDVP and OperaVOXTM were useful for the objective assessment of voice quality in patients who received laryngeal microsurgery. OperaVOXTM is comparable to MDVP and has high intersoftware reliability with MDVP in measuring the F0, jitter, and shimmer

• 한국지반공학회지:지반
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• 제1권2호
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• pp.67-74
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• 1985

경계조건과 토층구성이 복잡한 confined flow system에서의 전수두 결정 방법을 random walk 이론을 응용하여 연구하였다. 토성의 불균질성 및 이방성, 그리고 널말뚝의 존재와 경사진 불투수층 조건 등을 고려하였다. 특정한 점의 전수두를 구하기 위하여 몬테카를로 방법으로 random walk를 진행시켰다. 전수두 결정 과정을 프로그램화 하고 계산결과를 조건이 간단한 경우에 대하여 종래의 방법들-즉 유선강, 유한차분법, fragment method-과 비교 검토하였다. 이러한 연구의 결과 이 방법이 특정한 수개의 점에서의 전수두 결정에 유용함을 알 수 있었다.

• 한국전산유체공학회지
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• 제8권3호
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• pp.32-40
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• 2003

CFD analyses of the three-dimensional turbulent flow in the impeller and diffuser of an axial flow pump including suction and discharge parts are presented and compared with experimental data. The purpose of the current study is to validate the CFD method for the performance analysis of the main coolant pump for SMART and to investigate the effect of suction and discharge shapes on the pump performance. To generate a performance curve, not only the design point but also the off-design points were computed. The results were compared with available experimental data in terms of head generated. At the design point, the analysis accurately predicts the experimental head value. In the range of the higher flow rates, the results are also in very good agreement with the experimental data, in magnitude but also in terms of slope of variation. For lower flow rates, the results shows that the analysis considering the suction and discharge well describe the typical S-shape performance curve of the axial pump.

• Clinics in Shoulder and Elbow
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• 제17권3호
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• pp.107-113
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• 2014

Background: Sonoelastography (SE) is a new technique that can assess differences in tissue stiffness, the purpose of this study was to evaluate the ability of SE to assess the long head of biceps tendon alteration. Methods: Forty shoulders of 36 consecutively registered patients with clinical symptoms and conventional ultrasonography findings of biceps tendinitis or tendinosis, and 40 asymptomatic shoulders of 20 healthy volunteers were assessed with SE. Transverse and longitudinal images of long head of biceps tendon were obtained using SE. SE images were performed by one orthopedic surgeon and evaluated by two orthopedic surgeons using an experimentally proven color grading system. Results: The transverse images of SE showed a sensitivity of 87.5%, a specificity of 95.0% and a accuracy of 91.3%, the longitudinal images of SE showed a sensitivity of 92.5%, a specificity of 90.0% and a accuracy of 91.3%. Inter-observer reliability of SE was in 'almost perfect agreement' with a weighted kappa coefficient of 0.83. Conclusions: SE is valuable in the detection of the intratendinous and peritendinous alterations of biceps tendon, and has excellent accuracy and excellent correlation with conventional ultrasound findings.