• Advances in pediatric surgery
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• 제17권2호
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• pp.139-144
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• 2011

Hypertrophic pyloric stenosis (HPS) is the most common infantile surgical condition and the standard treatment is open pyloromyotomy. Recently, laparoscopic techniques have rapidly advanced, and the laparoscopic approach has become widely adopted by pediatric surgeons. The aim of this study was to compare the clinical outcomes between open and laparoscopic pyloromyotomy. We retrospectively evaluated outcomes of pyloromyotomy for HPS by the open (OP) and the laparoscopic (LP) method. The procedures were performed at the Samsung Medical Center between September 2001 and March 2009. We analyzed patient age, sex, birth weight, length of hospital stay, postoperative length of stay (LOS), operating time, time to feeding commencement, postoperative vomiting frequency, the time to full feeding without vomiting, and surgical complications. A total of 54 patients were included in the study. There were 26 OP and 28 LP patients. There was no statistically significant difference in age, sex, birth weight, operating time, postoperative emesis. In contrast, postoperative LOS in the LP group was statistically significantly shorter than that in the OP group (2.0 vs. 3.3 days, p=0.0003) and time to full feeding was significantly shorter following LP. (p=0.018) There were no wound complications. Laparoscopic pyloromyotomy significantly reduced postoperative LOS and time to full feeding compared to open pyloromyotomy.

• 한국전문물리치료학회지
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• 제10권3호
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• pp.63-70
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• 2003

The purpose of this study was to compare the difference of joint position sense between measurements. Fourteen healthy male subjects were recruited for this study. The elbow joint position senses were measured using angle reproduction test. The elbow joint position sense was assessed with three experimental conditions: ipsilateral reproduction test in open-chain condition, contralateral reproduction test in open-chain condition, ipsilateral reproduction test with weight in open-chain condition and ipsilateral reproduction test in closed-chain condition. The angular difference between stimulus position and the reproduced position (angular error) was calculated in all testing conditions to examine the accuracy of the joint position sense. One way ANOVA was used to compare the error angles in all experimental conditions. The error angles between measurements were significantly different in elbow joint. The error angles was smallest in ipsilateral reproduction test with weight in open-chain condition and was greatest in the contralateral reproduction test in open-chain condition. Findings of this study indicate that testing methods, types of task, existence of resistance should be considered in clinical assessment for the joint position sense.

• 한국학교수학회논문집
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• 제10권3호
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• pp.303-322
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• 2007

교과서에서 사용되는 문제는 주로 정형화된 폐쇄형의 문제로 학생의 문제해결력을 육성하거나 학생의 자주적인 학습을 촉구하는데 제한적이다. 본 연구는 문제해결력을 육성하기 위해 개방형 문제를 해결해가는 과정을 폴리아의 문제해결단계를 따라 학생에게 나타나는 학습변화를 관찰하였다. 학생은 문제를 더욱 신중히 읽고 이해하는 과정에서 단순화하였고 계획수립과정에선 처음엔 익숙하지 않았지만 다양한 방법으로 해결하려는 시도와 체계적으로 되돌아보는 인지과정을 나타냈으며, 실행과정에서는 오류를 통한 계획수립의 재시도가 일어나 통제가 향상되는 과정을 보였다. 반성단계는 점검만하는 수준을 벗어나 다른 해결방법을 무엇인지 등의 반성단계의 필요성을 인식하였고 개방형문제의 실생활 적용과 일반화하는 과정을 통해 문제 해결력이 더욱 향상됨을 알 수 있었다.

• 한국지하수토양환경학회지:지하수토양환경
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• 제20권4호
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• pp.41-50
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• 2015

Open-loop groundwater heat pump (GWHP) system generally has benefits such as a higher coefficient of performance (COP), lower initial cost, and flexible system size. The hydrogeological conditions in Korea have the potential to facilitate the use of the GWHP system because a large number of monitoring wells show stable groundwater temperatures, shallow water levels, and high well yields. However, few studies have been performed in Korea regarding the GWHP system and the most studies among them dealt with Standing Column Well (SCW). Because the properties of the aquifer have an influence on designing open-loop systems, it is necessary to perform studies on various hydrogeological settings. In this study, the hydrogeological and thermal properties were estimated through various tests in the riverside alluvial layer where a GWHP system was installed. Under different groundwater flow velocities and pumping and injection rates, a sensitivity analysis was performed to evaluate the effect of such properties on the design of open-loop systems. The results showed that hydraulic conductivity and thermal dispersivity of the aquifer are the most sensitive parameters in terms of performance and environmental aspects, and sensitivities of the properties depend on conditions.

• 대한치과보철학회지
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• 제55권1호
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• pp.79-87
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• 2017

전치부 개방 교합은 다양한 원인이 복합적으로 작용하고, 진단에 따라 효과적인 치료 계획과 적절한 유지 방법을 선택할 수 있다. 대부분의 경우 교정과 악교정 수술을 통해 안정적인 교합을 얻고, 기능과 심미를 회복한다. 하지만 전체 치열에서 심한 우식증이 있는 경우 광범위한 수복이 필요하게 되므로, 보철 수복을 통해서도 교합을 재형성할 수 있다. 본 증례는 심한 우식을 동반한 골격성 전치부 개방 교합 환자에서 안모 분석 및 진단 납형으로부터 가장 효과적인 치료로 전악 보철 수복을 선택하였다. 교합력을 균등하게 분산하고 심미적인 임시 수복물을 제작하였고, 악간 관계 평가, 혀 등 연조직의 적응, 입술과의 조화를 관찰하고 수정하였다. 충분한 기간 동안 사용한 임시 수복물을 CAD/CAM (Computer-aided design/computer-aided manufacturing)을 이용하여 단일구조 지르코니아 최종 보철물로 이행하였고, 치료 종결 후 3개월 간 주기적으로 관찰하였을 때 만족스러운 결과를 얻었다.

• Clinics in Shoulder and Elbow
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• 제26권1호
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• pp.41-48
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• 2023

Background: Shoulder instability procedures have low morbidity; however, complications can arise that result in readmission to an inpatient healthcare facility. The purpose of this study is to identify the demographics and risk factors associated with unplanned 30-day readmission and reoperation following arthroscopic and open treatment for shoulder instability. Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried to find patients who underwent shoulder instability surgery from 2015 to 2019. Independent sample Student t-tests, chi-square, and (where appropriate) Fisher's exact tests were used in univariate analyses to identify demographic, lifestyle, and perioperative variables related to 30-day readmission and reoperation following repair for shoulder instability. Multivariate logistic regression modeling was subsequently performed. Results: Of the 11,230 cases included in our sample, only 0.54% were readmitted, and 0.23% underwent reoperation within the 30-day postoperative period. Multivariate logistic regression modeling confirmed that the following patient variables were associated with statistically significantly increased odds of readmission and reoperation: open repair, congestive heart failure (CHF), and hospital length of stay. Conclusions: Unplanned 30-day readmission and reoperation after shoulder instability surgery is infrequent. Patients with American Society of Anesthesiologists class II, CHF, longer than average hospital length of stay, or an open procedure have higher odds of readmission than patients without those factors. Patients who have CHF, longer than average hospital length of stay, and open surgery have higher odds of reoperation than others. Arthroscopic procedures should be used to manage shoulder instability, if possible. Level of evidence: III.

• Steel and Composite Structures
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• 제34권5호
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• pp.715-732
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• 2020

High-strength steel composite Y-eccentrically braced frame (Y-HSS-EBF) is a novel structural system. In this study, the spatial substructure hybrid simulation test (SHST) method is used to further study the seismic performance of Y-HSS-EBF. Firstly, based on the cyclic loading tests of two single-story single-span Y-HSS-EBF planar specimens, a finite element model in OpenSees was verified to provide a reference for the numerical substructure analysis model for the later SHST. Then, the SHST was carried out on the OpenFresco test platform. A three-story spatial Y-HSS-EBF model was taken as the prototype, the top story was taken as the experimental substructure, and the remaining two stories were taken as the numerical substructure to be simulated in OpenSees. According to the test results, the validity of the SHST was verified, and the main seismic performance indexes of the SHST model were analyzed. The results show that, the SHST based on the OpenFresco platform has good stability and accuracy, and the results of the SHST agree well with the global numerical model of the structure. Under strong seismic action, the plastic deformation of Y-HSS-EBF mainly occurs in the shear link, and the beam, beam-columns and braces can basically remain in the elastic state, which is conducive to post-earthquake repair.

• 대한치과교정학회지
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• 제42권3호
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• pp.144-154
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• 2012

This article reports the orthodontic treatment of a patient with skeletal mandibular retrusion and an anterior open bite due to temporomandibular joint osteoarthritis (TMJ-OA) using miniscrew anchorage. A 46-year-old woman had a Class II malocclusion with a retropositioned mandible. Her overjet and overbite were 7.0 mm and -1.6 mm, respectively. She had limited mouth opening, TMJ sounds, and pain. Condylar resorption was observed in both TMJs. Her TMJ pain was reduced by splint therapy, and then orthodontic treatment was initiated. Titanium miniscrews were placed at the posterior maxilla to intrude the molars. After 2 years and 7 months of orthodontic treatment, an acceptable occlusion was achieved without any recurrence of TMJ symptoms. The retropositioned mandible was considerably improved, and the lips showed less tension upon lip closure. The maxillary molars were intruded by 1.5 mm, and the mandible was subsequently rotated counterclockwise. Magnetic resonance imaging of both condyles after treatment showed avascular necrosis-like structures. During a 2-year retention period, an acceptable occlusion was maintained without recurrence of the open bite. In conclusion, correction of open bite and clockwise-rotated mandible through molar intrusion using titanium miniscrews is effective for the management of TMJ-OA with jaw deformity.

• 한국과학교육학회지
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• 제16권2호
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• pp.210-216
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• 1996

Assessment of science laboratory environment was conducted with 539 students at middle and high school. Science Laboratory Environment Inventory(SLEI) was used as an instrument. The major findings of this study are as follows. 1. Mean scores obtained on each scale in the actual and preferred version of SLEI were relatively low, particularly on the scale of open-endedness, integration, and material environment. 2. Mean scores obtained on each scale in the actual version were lower than those in the preferred version. Score differences between actual version and preferred one were found to be significant statistically. 3. Boys and high school students perceived their laboratory environment with more open-endedness and less rule clarity than girls and middle school students respectively. 4. Girls preferred student cohesiveness at their laboratory more than boys. Highschool students wanted open-ended environment more than middleschool students. 5. Each scale of SLEI showed significant correlation with the scores of attitudes toward science. Particularly open-endedness was found to account for a significant contribution to the affective outcomes.

• Journal of Information Processing Systems
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• 제12권4호
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• pp.724-740
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• 2016

The performance issues of screening large database compounds and multiple query compounds in virtual screening highlight a common concern in Chemoinformatics applications. This study investigates these problems by choosing group fusion as a pilot model and presents efficient parallel solutions in parallel platforms, specifically, the multi-core architecture of CPU and many-core architecture of graphical processing unit (GPU). A study of sequential group fusion and a proposed design of parallel CUDA group fusion are presented in this paper. The design involves solving two important stages of group fusion, namely, similarity search and fusion (MAX rule), while addressing embarrassingly parallel and parallel reduction models. The sequential, optimized sequential and parallel OpenMP of group fusion were implemented and evaluated. The outcome of the analysis from these three different design approaches influenced the design of parallel CUDA version in order to optimize and achieve high computation intensity. The proposed parallel CUDA performed better than sequential and parallel OpenMP in terms of both execution time and speedup. The parallel CUDA was 5-10x faster than sequential and parallel OpenMP as both similarity search and fusion MAX stages had been CUDA-optimized.