• Archives of Reconstructive Microsurgery
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• v.22 no.2
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• pp.63-68
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• 2013

Purpose: In case of the failed replantation, if the patients want to preserve the length of amputated stump, toe transfer is the ideal choice. However, reconstruction of these amputated stump with a free flap can be a useful method when the patients refuse sacrificing their toe. Our purpose of this study is to evaluate availability of functional results and patient satisfaction after this procedure. Materials and Methods: From March 2008 to February 2012, we reconstructed the amputated stump with free flap by patients demand. Eleven patients were included, medial plantar artery perforator flap in seven cases and great toe pulp flap in five cases. Follow-up range 12 to 24 months and we evaluate patient satisfaction by using a visual analogue scale (VAS; 1=unsatisfied, 5=excellent) and functional recovery by measuring the range of motion of remaining joint at 12 months after operation. Results: During follow-up period, all transferred free flaps survived and no major complications were noted. Range of motion of remaining joint appeared satisfactory result ($15^{\circ}$ to $100^{\circ}$). The VAS patient satisfaction score for aesthetic were five in six patients, four in four patients, and three in one patient. Conclusion: In case of the failed digital replantation, if patient refuse toe transfer, it could be useful method to reconstruction with the free flap to preserving maximal length of amputated stump.

• Journal of Power Electronics
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• v.16 no.4
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• pp.1598-1611
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• 2016

In some special occasions with strict size requirements, such as mine hoists, improving the design accuracy of the forced-air cooling systems of NPC three-level inverters is a key technology for improving the power density and decreasing the volume. First, a fast power-loss calculation method was brought. Its calculation principle introduced in detail, and the computation formulas were deduced. Secondly, the average and dynamic power losses of a 1MW mine hoist acting as the research target were analyzed, and a forced-air cooling system model based on a series of theoretical analyses was designed with the average power loss as a heat source. The simulation analyses proves the accuracy and effectiveness of this cooling system during the unit lifting period. Finally, according to an analysis of the periodic working condition, the maximum power-loss range of a NPC three-level inverter under multi cycle operation was obtained and its dynamic power loss was taken into the optimized cooling system model as a heat source to solve the power device damage caused by instantaneous heat accumulation. The effectiveness and feasibility of the optimization design based on the dynamic power loss calculation of the maximum power-loss range was proved by simulation and experimental results.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.19 no.2
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• pp.47-54
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• 2020

Themo-mechanical analysis was carried out using the finite element method for the steel shell of a cupola furnace. When the outer surface of the shell was cooled with water to within the temperature range of 35-80 ℃ during operation of the cupola, the inner surface of the shell was expected to exhibit a temperature of 65-248 ℃ based on heat transfer analysis. The shell was also expected to have an equivalent stress range of 100-280 MPa in the outer surface over the temperature range examined. Upon cooling the shell to obtain an outer surface temperature <80 ℃, the maximum equivalent stress of the shell did not exceed the yield strength. Although the temperature of the outer surface varied between 35 and 80 ℃ periodically due to the cooling control problem, the fatigue stress at the outer surface of the shell was calculated to be within the fatigue strength. During a non-operational period to examine the system between furnace operations, the thermal stress presented in the shell was sufficiently low to reach the desired yield strength and fatigue limit.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.8
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• pp.3845-3848
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• 2016

This study was undertaken to determine the incidence of subsequent oophorectomy due to ovarian pathology or ovarian cancer in women with prior hysterectomy for benign gynecologic conditions at Chiang Mai University Hospital. Medical records of women who underwent hysterectomy for benign gynecologic diseases and precancerous lesions between January 1, 2004 and December 31, 2013 at Chiang Mai University Hospital were retrospectively reviewed. The incidence and indications of oophorectomy following hysterectomy were analyzed. During the study period, 1,035 women had hysterectomy for benign gynecologic conditions. Of these, 590 women underwent hysterectomy with bilateral salpingo-oophorectomy and 445 hysterectomy with bilateral ovarian preservation or unilateral salpingo-oophorectomy. The median age was 47 years (range, 11-75 years). Ten women (2.45 %) had subsequent oophorectomy for benign ovarian cysts. No case of ovarian cancer was found. The mean time interval between hysterectomy and subsequent oophorectomy was 43.1 months (range, 2-97 months) and the mean follow-up time for this patient cohort was 51 months (range, 1.3-124.9 months). According to our hospital-based data, the incidence of subsequent oophorectomy in women with prior hysterectomy for benign gynecologic conditions is low and all represent benign conditions.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.16 no.1
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• pp.50-56
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• 2010

Purpose : To evaluate effects of joint mobilization on the range of motion of chronic low back pain patients. Methods : The subjects were consisted of sixty patients who had non specific chronic low back pain(10 females. 10 males; mean aged 36.5). All subjects received modalities treatment with therapeutic massage for 10minutes and joint mobilization or manipulation for 10minutes per day and three times a week during 4 weeks period. The Multilevel Roland-Morris Disability Questionnaire(MR-MDQ) was used to measure functional disability level. Visual Analogue Scale(VAS) was used to measure subjective pain level. Remodified Schober test(RST) was used to measure forward flexion range of motion of lumbar segment. Finger-to-Floor test(F-T-FT) was used to measure forward flexion range of motion of full spine of low back pain patients. All measurements of each patients were measured at pre-treatment and 4 week post-treatment. Results : The MR-MDQ, VAS, RCT and F-T-FT were significantly different within-subjects(p<.05), Conclusion : The manual therapy included therapeutic massage and joint mobilization found that improved chronic low back pain patients. Further studies are needed to including more subjects on long-term outcomes.

• Journal of Korean Academy of Nursing
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• v.35 no.2
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• pp.353-361
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• 2005

Purpose: This study was aimed at (a) describing professional nursing practice environments embedded in nursing care units and (b) examining its relationships to nurses' task motivation. Method: Using the Nursing Work Index Revised (NWI-R) and the Work Preference Inventory (WPI), a descriptive study was conducted with a sample of 320 registered nurses on 26 nursing care units in one University hospital in Korea. Result: Mean scores were 12.9 on a 5-20 score range of an autonomous environment scale, 7.3 on a 3-12 score range of a collaborative environment, and 15.8 on a 7-28 score range of control over nursing practice. Nurses' age, educational level, job position, working period at the hospital and employment status were significantly related to the degree of a professional practice environment. The extent to which a professional practice environment accounted for task motivation was $19.5\%$. Conclusion: There is a certain degree of professionalism in the workplace environment that nurses perceived within the nursing care units. When nurses care for patients, the degree of task motivation depends on the work environment supporting the professional nursing practice.

• Proceedings of the Korea Water Resources Association Conference
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• 2009.05a
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• pp.2179-2183
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• 2009

As urbanization is progressed, the network for distributing water in a basin become complex due to the spatial expansion and parameter uncertainties of water supply systems. When a long range water supply plan is determined, the total construction and operation cost has to be evaluated with the system components and parameter uncertainties as many as possible. In this paper, the robust optimization approach of Bertsimas and Sim is applied in a hypothetical system to find a solution which remains feasible under the possible parameter uncertainties having the correlation effect between the uncertain coefficients. The system components to supply, treatment, and transport water are included in the developed water supply system and construction and expansion of the system is allowed for a long-range period. In this approach, the tradeoff between system robustness and total cost of the system is evaluated in terms of the degree of conservatism which can be converted to the probability of constraint violation. As a result, the degree of conservatism increases, the total cost is increased due to the installation of large capacity of treatment and transportation systems. The applied robust optimization technique can be used to determine a long-range water supply plan with the consideration of system failure.

• Journal of The Korean Astronomical Society
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• v.50 no.4
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• pp.105-109
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• 2017

The well-known solar cycle controls almost the entire appearance of the solar photosphere. We therefore presume that the continuous emission of visible light from the solar surface follows the solar cyclic variation. In this study, we examine the solar cyclic variation of photospheric brightness in the visible range using solar images taken by the Solar and Heliospheric Observatory (SOHO)/Michelson Doppler Imager (MDI). The photospheric brightness in the visible range is quantified via the relative intensity acquired from in the raw solar images. In contrast to total solar irradiance, the relative intensity is out of phase with the solar cycle. During the solar minimum of solar cycles 23-24, the relative intensity shows enhanced heliolatitudinal asymmetry due to a positive asymmetry of the sunspot number. This result can be explained by the strength of the solar magnetic field that controls the strength of convection, implying that the emission in the visible range is controlled by the strength of convection. This agrees with the photospheric brightness increasing during a period of long spotless days.

• Archives of Plastic Surgery
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• v.45 no.2
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• pp.158-164
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• 2018

Background During breast augmentation, the transaxillary approach provides the advantage of allowing the mammary prosthesis to be placed through incisions that are remote from the breast itself, thereby reducing the visibility of postoperative scars. For patients experiencing capsular contracture who do not want additional scars, the previous transaxillary scar can be used for site change and implant exchange. Methods This study analyzed 17 patients (34 breasts) with submuscular breast implants with grade III-IV capsular contracture who received treatment from 2010 to 2015. The mean age of the patients was 29 years (range, 20-38 years). The inclusion criterion was a pinch test of more than 3 cm at the upper pole of the breast. Previous axillary scars were used to expose the pectoralis fascia, and submuscular breast implants were removed carefully. The dissection underneath the pectoralis fascia was performed with endoscopic assistance, using electrocautery under direct visualization. Results The mean follow-up period was 14 months (range, 6-24 months). The entire dissection plane was changed from the submuscular plane to the subfascial plane. Round textured gel implants were used, with a mean implant size of 220 mL (range, 160-300 mL). Two patients developed grade II capsular contracture. There were no cases of malposition or asymmetry. Three patients complained of minor implant palpability. None of the patients required additional surgery. Conclusions Endoscopic subfascial conversion may be an effective technique for treating capsular contracture and avoiding scarring of the breast in selected patients.

• Atmosphere
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• v.17 no.4
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• pp.327-337
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• 2007

In this study, we examined the new ensemble training approach to reduce the systematic error and improve prediction skill of wind by using the Short-range Ensemble prediction system (SENSE), which is the mesoscale multi-model ensemble prediction system. The SENSE has 16 ensemble members based on the MM5, WRF ARW, and WRF NMM. We evaluated the skill of surface wind prediction compared with AWS (Automatic Weather Station) observation during the summer season (June - August, 2006). At first stage, the correction of initial state for each member was performed with respect to the observed values, and the corrected members get the training stage to find out an adaptive weight function, which is formulated by Root Mean Square Vector Error (RMSVE). It was found that the optimal training period was 1-day through the experiments of sensitivity to the training interval. We obtained the weighted ensemble average which reveals smaller errors of the spatial and temporal pattern of wind speed than those of the simple ensemble average.