• Journal of Chest Surgery
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• v.51 no.2
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• pp.109-113
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• 2018

Background: Low cardiac output syndrome (LCOS) after cardiac surgery usually requires inotropes. In this setting, critical illness-related corticosteroid insufficiency (CIRCI) may develop. We aimed to investigate the clinical features of CIRCI in the presence of LCOS and to assess the efficacy of steroid treatment. Methods: We reviewed 28 patients who underwent a rapid adrenocorticotropic hormone (ACTH) test due to the suspicion of CIRCI between February 2010 and September 2014. CIRCI was diagnosed by a change in serum cortisol of <$9{\mu}g/dL$ after the ACTH test or a random cortisol level of <$10{\mu}g/dL$. Results: Twenty of the 28 patients met the diagnostic criteria. The patients with CIRCI showed higher Sequential Organ Failure Assessment (SOFA) scores than those without CIRCI ($16.1{\pm}2.3$ vs. $11.4{\pm}3.5$, p=0.001). Six of the patients with CIRCI (30%) received glucocorticoids. With an average elevation of the mean blood pressure by $22.2{\pm}8.7mm\;Hg$ after steroid therapy, the duration of inotropic support was shorter in the steroid group than in the non-steroid group ($14.1{\pm}2.3days$ versus $30{\pm}22.8days$, p=0.001). Three infections (15%) developed in the non-steroid group, but this was not a significant between-group difference. Conclusion: CIRCI should be suspected in patients with LCOS after cardiac surgery, especially in patients with a high SOFA score. Glucocorticoid replacement therapy may be considered to reduce the use of inotropes without posing an additional risk of infection.

• International Journal of Highway Engineering
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• v.10 no.2
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• pp.115-124
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• 2008

This Study was investigated in main breakage types of 50 interlocking block pavements in apartment houses and evaluated on their performance. According to performance evaluation, maintenance control index of 9 aged interlocking block pavements ranged 7.9 to 8.9. These values meant that the condition of interlocking block pavements were still good. Therefore, it was concluded that the 10-year cycle of the block replacement recommended by Ministry of Construction & Transportation is necessary to reappraise. To objectively evaluate the performance of interlocking block pavements, this study presented the criteria of maintenance control by combining two maintenance control standards suggested by Ministry of Construction & Transportation and the Japan Interlocking Block Pavement Engineering Association. Also, this study suggested that the domestic standard is necessary to include durability standards and quality standards of joint filling materials and bedding sand layer for increasing expectation life and reducing maintenance costs of interlocking block pavements.

• Journal of Korean Society on Water Environment
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• v.29 no.4
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• pp.531-539
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• 2013

In order to apply a water quality indicator as a certain target pollutant, the indicator should have the representability of an index for the management of Total Maximum Daily Loads (TMDLs). Scientific groundwork and treatment technologies also should be provided for the application of the indicator. This study analyzed the applicability of major water quality indicators for target pollutants. The results showed that four water quality indicators of TOC, T-N, SS & T-Coli can be considered as target pollutants besides existing BOD and T-P. These indicators can be applied with the preparations such as essential basic data, pollution load estimation framework as well as legal criteria setting when the need is raised. As the importance of TOC, which is considered as a replacement of BOD, is emphasized, technical and institutional terms are being prepared in order to determine TOC as another target pollutant in the near future. It could be considered to combine TOC with BOD for the time being during the $3^{rd}$ stage of TMDLs in view of the present conditions for the management of TOC. TOC can be the most effective index for the organic matter and help to be managed more systematically in the waterbodies where rivers and lakes are mutually connected.

• The KIPS Transactions:PartC
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• v.17C no.5
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• pp.407-414
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• 2010

A condition access system (CAS) refers to a hardware-based system that allows only authenticated users to have access to contents. The CAS has many disadvantages found in that in the replacement of multiple service operator (MSO) a set-top box should be also changed and the smart-card often causes malfunction. To deal with the problems, exchangeable CAS (XCAS) was developed in 2009. However the standards or evaluation schemes for XCAS are absent. Existing evaluation schemes are not appropriate for evaluating XCAS due to the evaluation standard, the evaluation cost and efficiencies. Therefore, a specific scheme that can evaluate the security and suitability of exchangeable conditional access systems has been requested. In this paper, we propose an appropriate evaluation scheme for XCAS. The evaluation scheme includes an evaluation purpose and four components to evaluate the evaluation target, the evaluation process, the evaluation subject, and the evaluation cost involved.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.30 no.5
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• pp.447-456
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• 2008

There is close relationship between intraoral structural anomaly and speech- functional problem. Patient with cleft palate patients & ankyloglossia is a typical example, patients with structural anomaly is repaired toward normal structure by operation. Ankyloglossia may cause functional limitation even after adequate surgical treatment speech disorders being one of them. Interindividually, they vary a lot, showing typical articulation specifics. The objective of this study was to evaluate and compare speech for children with ankyloglossia and general public, to determine whether ankyloglossia is associated with articulation problem. We wanted to present criteria for indication of frenectomy. The group of subject is composed of 10 childrens with ankyloglossia and articulation problem, visited the Oral and Maxillofacial surgical unit, dental hospital, Chonbuk university. The average age is 5 Y 7M, M : F ratio is 8 : 2 at the time of speech test. Control group is composed of 10 members without oral structural anomaly. The average age is 5 Y 10M, M : F ratio is 3 : 7 at the time of speech test. Outcomes were measured the PPVT(Peabody Picture Vocabulary Test), PCAT(Picture Consonant Articulation Test), Nasometer II test result obtained each group, statistically measured by Mann-whitney's U Test. There was no difference for 'chronological age-age equivalent' between two group. There was significant difference for 'consonant accuracy' between two group, showed more lower scores in subject group. There was more 'consonant error' in subject group, mostly showed/1/,/s/. A major modality of 'consonant error' was mostly distortion and replacement. There was no significant difference between two group for nasality.

• Journal of Korean Society of Water and Wastewater
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• v.32 no.5
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• pp.435-443
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• 2018

Most of aged water supply pipes have been replaced by the open cut method. However, this method has some limitations because water pipes, in many cases, are buried together with other underground facilities or are buried in the middle of high-traffic roads or in narrow alleyways where boring machines cannot be used. This research developed a pipe bursting device for small diameter pipes that enables pipe replacement without excavating the ground, by the busting of existing buried pipes followed by the traction and insertion of new pipes. As a results of examining the field applicability of the developed device, PE pipes and PVC pipes required the tractive force of 413.65~665.69 kgf and 457.43~791.35 kgf respectively, plus an additional 30 % tractive force per elbow. The proper number of bursting head was demonstrated that the connection of more than 2 heads could secure a stable bending radius of 15D. The developed device can be improved through field experiments involving various pipe types and pipe diameters, as well as presence/absence of elbow, so as to be utilized regardless of diverse variables according to the conditions of the soils surrounding existing pipes.

• International Journal of Highway Engineering
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• v.20 no.4
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• pp.21-26
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• 2018

PURPOSES : The objective of this study is to evaluate the application of soil stabilization method for soft shoulder construction in the iRoad Project of Sri Lanka. METHODS : Firstly, the quantitative analysis of soil strength improvement due to soil stabilization was done for soil samples collected from iRoad construction sites. Two types of soils were selected from iRoad Project sites and prepared for soil stabilization testing by the Road Development Authority. Secondly, the appropriate stabilizer was selected at given soil type based on test results. Two different stabilizers, ST-1 and ST-2, produced in Korea were used for estimating soil strength improvements. Finally, the optimum stabilizer content was determined for improving shoulder performance. The uniaxial compressive strength (UCS) test was conducted to evaluate the strength of stabilized soil samples in accordance with ASTM D 1633. The use of bottom ash as a stabilizer produced from power plant in Sri Lanka was also reviewed in this task. RESULTS : It is found from the UCS testing that a 3% use of soil stabilizer can improve the strength up to 2~5 times in stabilized soft shoulder soils with respect to unstabilized soils. It is also observed from UCS testing that the ST-1 shows high strength improvement in 3% of stabilizer content but the strength improvement rate with increase of stabilizer content is relatively low compared with ST-2. The ST-2 shows a low UCS value at 3% of content but the UCS values increase significantly with increase of stabilizer content. When using the ST-2 as stabilizing agent, the 5% is recommended as minimum content based on UCS testing results. Based on the testing results for bottom ash replacement, the stabilized sample with bottom ash shows the low strength value. CONCLUSIONS : This paper is intended to check the feasibility for use the soil stabilization technique for shoulder construction in Sri Lanka. The use of soil stabilizer enables to improve the durability and strength in soft shoulder materials. When applying the bottom ash as a soil stabilizer, various testings should be conducted to satisfy the specification criteria.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.30 no.2
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• pp.124-133
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• 2020

Objectives: Mask fit is a crucial factor in preventing respiratory infections among healthcare workers. The current coronavirus(COVID-19) pandemic calls for the replacement of imported N95 medical masks with domestic N95 versions. In this study, we aimed to determine whether these masks provide proper protection. Methods: Thirty-five participants from three healthcare institutions donned four types of masks and Quantitative Fit Tests(Portacount, USA) were performed. The order of fit test for the four types of masks was randomized, and a three-minute washout period was applied between test times(2 min 29 sec) to reduce potential error stemming from physical exhaustion. Results: There were no significant differences in the Fit Factor for the four types of masks, and there were no gender differences. However, the Fit Factor significantly differed across the three healthcare institutions (p=0.007). With eight of the 35 participants passing, the pass rate with the criteria of 100 or higher was 21%. Conclusions: The mask used in this study was a new domestic N95 medical mask, and the participants were unfamiliar with how to wear it. They reported difficulties with mask fitting. In light of a previous finding that mask fit improved with frequently used masks, wearer preferred masks, or when masks that are regularly worn are used during fit training, the fact that participants were unfamiliar with the mask used in this study is a limitation that should not be overlooked.

• Journal of the Korea Institute of Building Construction
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• v.11 no.6
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• pp.547-556
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• 2011

The primary factors affecting concrete sulfate resistance are the chemical composition of the Portland cement, and the chemistry and quantity of mineral admixtures. To investigate the effect of those on the sulfate attack, the testing program involved several different mortar mixes using the standardized test, ASTM C1012. Four different cements were evaluated, including one Type I cement, two Type I-II cements, and one Type V cement. Mortar mixes were also made with mineral admixtures, as each cement was combined with three different types of mineral admixtures. One Class F fly ash, one Class C fly ash, and one ground granulated blast furnace slag (GGBFS) were added in various percent volumetric replacement levels. Expansion measurements were taken and investigated with the expansion criteria recommended by ASTM.

• The Journal of Korean Academy of Prosthodontics
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• v.29 no.1
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• pp.167-213
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• 1991

The successful replacement of missing teeth has been one driving aim behind the emergence of implant dentistry as both a technology and clinical vocation for over four decades. To date, a multitude of dental implant devices had been designed and utilized in the patient population. Most of these devices have been designed without support of the engineering criteria. The long-term success of any dental implant is dependent upon the optimization of stresses which occurs during oral function and parafunction. Although many studies have examined the biologic interactions between dental implants and living tissue, few studies have been reported on the biomechanical aspects of dental implants. The purpose of this study was to analyze the stress distribution of osseointegrated prosthesis on certain conditions, such as amount of load, location of load, length of fixtures, number of fixtures used, arch shape, bone quality, etc. Three dimentional finite element analysis was used for this study. FEM models were created using commercial software(Super SAP. for IBM 16 bit AT computer. All elements were 8-node brick, isoparametric. Mandible and prosthesis was modeled with 780 elements and 1074 nodes. The results were as follows : 1. In case of cantilever extension, there was a compressive stress at the base of the first implant and a tensile stress at the base of the second implant. 2. The stresses were linearly proportional to the amount of load. 3. The stresses were linearly proportional to the length of cantilever. 4. There was a stress concentration at the neck of the implant and bone under horizontal loads.