• Archives of Plastic Surgery
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• 제33권6호
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• pp.748-752
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• 2006

Purpose:Circular skin lesions between 10 and 35 mm in diameter generate problems often. Direct closure of the lesion risks excessive wound tension or wound dehiscence. Skin grafts heal slowly and often remain unsightly. Traditional skin flaps have a limited role. We treated this circular medium-sized skin lesion(10 - 35 mm sized) by reducing opposed multilobed(ROM) flap. Methods: ROM flap involves a series of semicircular lobes extending both cephalic and caudal from the defect. Direction of the semicircular multilobed flap is set parallel to relaxed skin tension line(RSTL) to minimize scar formation. First semicircle is drawn 60% in diameter of the defect. Second semicircles are drawn at the cephalic and caudal aspects of the original semicircles. These semicircles are 60% in diameter of the first semicircle. Additional semicircles are repeatedly drawn until the tension of skin flaps becomes free. ROM flap has a length-to-base ratio of 0.5 resulting in lower theoretical risk of end flap necrosis than a random pattern flap with a large ratio. The technique involves lobes most distant from the primary defect being transposed in turn closer to the defect. Results: The ROM flap reduces skin tension concerns, lowers the risk of flap necrosis and allows for quicker and more aesthetic healing. Results were generally good and major complications, such as dehiscence, infection, or delayed healing, did not occur. Conclusion: ROM flap repair allows the plastic surgeon an additional option when faced with a circular medium-sized skin lesion.

• Korean Chemical Engineering Research
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• 제54권3호
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• pp.374-379
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• 2016

이온성 액체를 보조용매로 이용할 경우 바이오매스로부터 파클리탁셀의 추출 효율은 획기적으로 개선되지만 잔류 이온성 액체로 후속 농축 및 건조에 많은 어려움이 따른다. 따라서 본 연구에서는 공정 효율 향상을 위하여 이온성 액체를 이용한 바이오매스 추출물을 효과적으로 건조할 수 있는 새로운 방법을 개발하였다. 추출물을 물로 전처리하고 추가적으로 세척함으로써 잔류 이온성 액체 제거를 통해 효과적으로 건조할 수 있었다. 물 전처리을 위한 최적의 시료/물 비, 혼합시간 및 추가세척을 위한 최적의 시료/물 비는 각각 1:70 (w/v), 4분, 1:100 (w/v)이었다. 또한 진공 건조보다 마이크로웨이브를 이용한 건조의 경우 건조시간을 9배 정도 단축 가능하여 공정 효율이 획기적으로 개선될 것으로 판단된다.

• 한국전자파학회논문지
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• 제16권11호
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• pp.1147-1154
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• 2005

본 논문에서는 OFDM(Orthogonal Frequency Division Multiplexing) 시스템에서 다중 케리 어(multi carrier) 변조에 의해 크게 발생되는 PAPR(Peak to Average Power Ratio)을 저감하기 위한 방법으로 WHT(Walsh Hadamard Transform)를 이용한 PAPR 저감 기법들을 제안한다. 제안하는 방법은 기본적으로 WHT를 기존의 PAPR 저감 기법들과 혼합하여 추가적인 대역 손실 및 큰 복잡도의 증가 없이 추가적인 PAPR저감 성능을 나타내도록 하는 방법으로, 본 논문에서는 SLM(Selective Mapping) 및 DSI(Dummy Sequence Insertion) 방법을 WHT와 결합한 방법을 제시하며, 시뮬레이션 결과로부터, WHT를 이용한 PAPR 저감 기법들이 기존의 PAPR 저감 기법보다 항상 약 1 dB 가량의 더 나은 PAPR 저감 효과를 나타냄을 확인하였다. 또한 제안된 방법은 PAPR저감뿐만 아니라 주파수 다이버시티(diversity) 효과를 얻을 수 있기 때문에 비선형 증폭기에 의한 비선형 왜곡뿐만 아니라 다중 경로 페이딩(multipath lading)이 심하게 일어나는 무선 채널 환경에서 보다 안정된 데이터 전송을 가능케 할 것으로 기대된다.

• 한국방사선학회논문지
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• 제11권1호
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• pp.55-61
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• 2017

Chest PA 검사 시 디지털 촬영에 대한 검사 조건 권고안은 마련되어 있지 않다. 각 기기 회사들도 이전의 아날로그 촬영에 적용되었던 고관전압 촬영 조건을 권고하고 있다. 디지털 흉부 X-선 촬영시 관전압, 관전류, 부가여과 필터 변화에 따른 피폭선량을 비교하기 위해 Philips 사에서 권고하는 적정 노출지수( Expos ure Index ) 값인 200 ~ 800사이 값을 만족하는 검사조건을 선별하였다. 유효선량을 평가하기 위해 몬테카를로 시뮬레이션을 시행하였으며 SNR과 CNR을 측정하여 영상평가를 시행하였다. 관전압과 관전류, 부가여과 필터를 조절하여 유효 선량을 최대 77% 까지 감소시킬 수 있었다. 검사조건별로 다소간의 차이는 있으나 영상평가 결과 비슷한 품질의 영상을 얻을 수 있었다.

• 한국환경복원기술학회지
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• 제11권5호
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• pp.60-71
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• 2008

Through analyzing the specific physicochemical alterations in depth-based soil at reclaimed dredging area, the baseline data were provided for developing the reclaimed dredging area as natural landscape planting sites and ecological-landscape sites based on the soil improvement technology. There was no physical disturbance for 15 to 20 years in Gwangyang Bay reclaimed dredging area after reclamation. Physicochemical examinations of the soil were performed based on the vertical depth. Results of physicochemical analysis such as pH, electric conductivity, total salt contents, silt, clay contents, available phosphorus, calcium, magnesium, sodium, chlorine, and sodium-adsorption ratio showed increasing patterns with the depth while total organic contents, total nitrogen, and sand showed decreasing patterns. Potassium as an exchangeable cation, showed similar distribution patterns between the shallow and deep soil. This result strongly implied that long-term exposure to natural rainfall in reclaimed dredging area altered soil characteristics related to salinity. This research demonstrated that there were no remarkable differences in physicochemical characteristics at soil depth and groundwater table height, suggesting a baseline data for developing reclaimed dredging area. Additional investigation is required for different reclaimed dredging areas. Also, additional monitoring and examination are need on plant communities and time variable alteration in the soil to test the feasibility of reclaimed dredging areas as natural landscape planting sites and ecological-landscape sites.

• 한국통신학회논문지
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• 제32권7C호
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• pp.616-626
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• 2007

무선통신 채널에서 높은 전송 속도를 가능하게 하는 공간다중화 MIMO 시스템 수신부에서 다중화된 신호를 검출하는 것은 어려운 작업이며, 최근 다양한 신호검출 기법들이 개발되어졌다. 다양한 신호검출 기법 중 maximum likelihood detection with QR decomposition and M-algorithm (QRM-MLD), sphere decoding (SD)과 같은 기존 기법들은 maximum likelihood (ML)기법과 유사한 성능을 가진 것으로 보고되었다. 본 논문에서는 ML 기법과 거의 동일한 성능을 가지면서 낮은 연산복잡도를 보이는 새로운 신호검출 기법을 제안한다. 모의실험을 통하여 제안된 기법은 ML 기법과 거의 동일한 성능을 보이면서 MMSE-OSIC와 유사한 연산복잡도를 가지는 것을 보인다. 또한 기존의 QRM-MLD, SD 기법들의 경우 hard decision 후 추가적인 연산을 통해 soft decision을 위한 log likelihood ratio(LLR) 값을 생성하는 반면, 제안된 기법에서는 추가적인 연산 없이 LLR 값을 성공적으로 생성할 수 있음을 보인다.

• 전기전자학회논문지
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• 제5권1호
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• pp.111-120
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• 2001

VC 통합은 동일한 VC 레이블을 가진 VC들에서 각 VC의 해당 셀들을 구분하는 기능이 필요하다. 이러한 확인절차(identification process)를 돕는 다양한 접근 방법들이 제안되어 왔지만, 대부분이 추가적인 버퍼링을 필요로 하거나 프로토콜상의 오버헤드나 전송 지연을 가져옴으로써 QoS 규정을 만족시키기에 어려웠다. 이러한 단점을 극복하는 동시에 VC-통합을 지원하는 스케줄러(VCMS)가 제안되었으나 모든 VC들이 통합되거나 유입 트래픽이 매우 작은 경우 snoop하기 위한 비통합 셀들이 부족하게 되는 현상이 발생한다. 이 경우 비어 있는 슬롯들을 채우기 위해 특별한 제어 셀들을 사용하게 되나 제어 셀의 개수가 많아지면 셀 유실률이 높아질 수 있으며 부가적인 패킷 전송지연이 발생할 수 있다. 본 논문에서는 이러한 문제점을 극복하기 위하여 비어있는 큐를 갖는 VC의 시퀀스들은 건너뛰고 단지 이를 표시하기 위한 SS 셀만을 채워 넣는 Sequence Skipping(SS)을 제안하였다. 시뮬레이션을 통해 SS가 셀 유실률과 평균 패킷 전송지연을 줄일 수 있으며 따라서 VC 통합에 적합한 방안임을 보인다.

• Structural Engineering and Mechanics
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• 제17권5호
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• pp.691-706
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• 2004

The paper presents shear lag parameters for beam-to-column connections in steel box piers. Previous researches have analyzed beam-to-column connections in steel piers using a shear lag parameter ${\eta}_o$ obtained from a simple beam model, which is not based on a reasonable design assumption. Instead, the current paper proposes a cantilever beam model and has proved the effectiveness through theoretical and experimental studies. The paper examines the inaccuracy of the previous researches by estimating the effective width, the width-span length ratio L/b, and the sectional area ratio S of a cantilever beam. Two different shear lag parameters are defined using the cantilever model and the results are compared each other. The first type of shear lag parameter ${\eta}_c$ of a cantilever beam is derived using additional moments from various stress distribution functions while the other shear lag parameter ${\eta}_{eff}$ of a cantilever beam is defined based on the concept of the effective width. An evaluation method for shear lag stresses has been investigated by comparing analytical stresses with test results. Through the study, it could be observed that the shear lag parameter ${\eta}_{eff}$ agrees with ${\eta}_c$ obtained from the $2^{nd}$ order stress distribution function. Also, it could be observed that the shear lag parameter ${\eta}_c$ using the $4^{th}$ order stress distribution function almost converges to the upper bound of test results.

• Restorative Dentistry and Endodontics
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• 제21권2호
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• pp.642-651
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• 1996

The purpose of this study was to evaluate the relationship between monomer compositions and the changes in the degree of conversion in the various layers of composites after additional heat curing. Four types of composites and 3 types of inlay ovens were used in this study. Composite was placed in a 4-mm thick teflon mold, and light cured from the top for 60 seconds. Ten samples were prepared for each composite ; 5 of these were additionally heat cured in an inlay oven as the manufacturer recommended. After light curing or light and heat curing, the samples were sectioned into four parts and assigned to groups A, B, C, or D according to their distance from the light source. These sections were then thinned to 50-$70{\mu}m$, and these wafers were analyzed with a Fourier Transform Infrared Spectrometer(FI-IR) to determine the degree of conversion. A standard baseline technique was used to calculate the degree of conversion. $^{13}C$ NMR spectra of bis-GMA, TEGDMA and bis-EMA, were acquired using a Varian Gemini spectrometer operated at 200 MHz. $CDCl_3$ solvent was used for qualitative analysis. The degree of conversion was affected by bis-GMA : TEGDMA ratio but it seemed to be also affected by other factors. When the composites were heat cured, significant increases in the degree of conversion were noted throughout the samples, but the amount of increase differed between materials. Thus, clinical performance of a heat-treated composite inlay may be different depending on materials.

• Journal of Preventive Medicine and Public Health
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• 제55권5호
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• pp.415-423
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• 2022

Economic evaluations in the healthcare are used to assess economic efficiency of pharmaceuticals and medical interventions such as diagnoses and medical procedures. This study introduces the main concepts of economic evaluation across its key steps: planning, outcome and cost calculation, modeling, cost-effectiveness results, uncertainty analysis, and decision-making. When planning an economic evaluation, we determine the study population, intervention, comparators, perspectives, time horizon, discount rates, and type of economic evaluation. In healthcare economic evaluations, outcomes include changes in mortality, the survival rate, life years, and quality-adjusted life years, while costs include medical, non-medical, and productivity costs. Model-based economic evaluations, including decision tree and Markov models, are mainly used to calculate the total costs and total effects. In cost-effectiveness or costutility analyses, cost-effectiveness is evaluated using the incremental cost-effectiveness ratio, which is the additional cost per one additional unit of effectiveness gained by an intervention compared with a comparator. All outcomes have uncertainties owing to limited evidence, diverse methodologies, and unexplained variation. Thus, researchers should review these uncertainties and confirm their robustness. We hope to contribute to the establishment and dissemination of economic evaluation methodologies that reflect Korean clinical and research environment and ultimately improve the rationality of healthcare policies.