• Journal of Clinical Otolaryngology Head and Neck Surgery
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• v.29 no.2
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• pp.264-268
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• 2018

Chronic invasive fungal sinusitis (CIFS) is a relatively rare disease which occurs in immunocompetent or immunocompromised patients. We report a case of CIFS in ethmoid sinus with concurrent fungal ball in maxillary sinus. After surgical debridement and antifungal therapy, CIFS recurred with submucosal invasion in nasopharynx and osteomyelitis of clivus. Although CIFS encompasses a slowly progressing invasive fungal disease but potentially aggressive. It should be noted that CIFS could progress and extend through submucosal route without evidence of mucosal lesion.

• Journal of Korean Neurosurgical Society
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• v.64 no.1
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• pp.136-141
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• 2021

The crossing Y-stent method is one of the indispensable techniques to achieve sufficient neck coverage during coil embolization of bifurcation aneurysms with a wide neck and/or branch incorporation. However, the inevitable hourglass-like expansion of the second stent at the crossing point can result in insufficient vessel wall apposition, reduced aneurysm neck coverage, delayed endothelialization, and subsequent higher risks of acute or delayed thrombosis. It also interferes with engagement of the microcatheter into the aneurysm after stent installation. We expected to be able to reduce these disadvantages by installing a noncrossing type Y-stent using the Solitaire AB stent, which is fully retrievable with a tapered proximal end. Here we report the techniques and two successful cases.

• Current Optics and Photonics
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• v.6 no.5
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• pp.473-478
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• 2022

To overcome the capture-range problem in phase-diversity phase retrieval (PDPR), a geometrical-optics initial-estimate method is proposed to avoid a local minimum and to improve the accuracy of laser-wavefront measurement. We calculate the low-order aberrations through the geometrical-optics model, which is based on the two spot images in the propagation path of the laser, and provide it as a starting guess for the PDPR algorithm. Simulations show that this improves the accuracy of wavefront recovery by 62.17% compared to other initial values, and the iteration time with our method is reduced by 28.96%. That is, this approach can solve the capture-range problem.

• The Korean Journal of Gastroenterology
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• v.72 no.6
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• pp.308-312
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• 2018

Percutaneous endoscopic gastrostomy (PEG) is widely used to provide nutritional support for patients with dysphagia and/or disturbed consciousness preventing oral ingestion, and PEG tube placement is a relatively safe and convenient non-surgical procedure performed under local anesthesia. However, the prevention of PEG-insertion-related complications is important. A 64-year-old man with recurrent pneumonia underwent tracheostomy and nasogastric tube placement for nutritional support and opted for PEG tube insertion for long-term nutrition. However, during the insertion procedure, needle puncture had to be attempted twice before successful PEG tube placement was achieved, and a day after the procedure his hemoglobin had fallen and he developed hypotension. Abdominal computed tomography revealed injury to a pancreatic branch of the superior mesenteric artery (SMA) associated with bleeding, hemoperitoneum, and pancreatitis. Transarterial embolization was performed using a microcatheter to treat hemorrhage from the injured branch of the SMA, and the acute pancreatitis was treated using antibiotics and supportive care. The patient was discharged after an uneventful recovery. Clinicians should be mindful of possible pancreatic injury and bleeding after PEG tube insertion. Possible complications, such as visceral injuries or bleeding, should be considered in patients requiring multiple puncture attempts during a PEG procedure.

• Journal of Broadcast Engineering
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• v.17 no.1
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• pp.73-80
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• 2012

Recently, medical equipments are developed and used for diagnosis or studies. In addition, demand of techniques which automatically deal with three dimensional medical images obtained from the medical equipments is growing. One of the techniques is automatic bone segmentation which is expected to enhance the diagnosis efficiency of osteoporosis, fracture, and other bone diseases. Although various researches have been proposed to solve it, they are unable to be used in practice since a size of the medical data is large and there are many low contrast boundaries with other tissues. In this paper, we present a fast and accurate automatic framework for bone segmentation based on multi-resolutions. On a low resolution step, a position of the bone is roughly detected using constrained branch and mincut which find the optimal template from the training set. Then, the segmentation and the registration are iteratively conducted on the multiple resolutions. To evaluate the performance of the proposed method, we make an experiment with femur and tibia from 50 test knee magnetic resonance images using 100 training set. The proposed method outperformed the constrained branch and mincut in aspect of segmentation accuracy and implementation time.

• Journal of Korean Society of Forest Science
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• v.99 no.5
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• pp.726-735
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• 2010

Publications with the data on allometric equation, biomass and productivity of major oak forests in Korea were reviewed. Different allometric equations of major oak species showed site- or speciesspecific dependences. The biomass of major oak forests varied with age, dominant species, and location. Aboveground tree biomass over the different oak species was expressed as a power equation of the stand age. The proportion of tree component (stem, branch and leaf) to total aboveground biomass differed among oak species, however, biomass ranked stem > branch > leaf in general. The leaf biomass allocation over the different oak species was expressed as a power equation of total aboveground biomass while there were no significant patterns of biomass allocation from stem and branch to the aboveground biomass. Tree root biomass continuously increased with the aboveground biomass for the major oak forests. The relationship between the root to shoot ratio and the aboveground tree biomass was expressed by a logarithmic equation for major oak forests in Korea. Thirteen sets of data were used for estimating the net primary production (NPP) and net ecosystem production (NEP) of oak forests. The mean NPP and NEP across different oak forests was 10.2 and 1.9 Mg C $ha^{-1}year^{-1}$. The results in biomass allocation, NPP and NEP generally make Korean oak forests an important carbon sinks.

• Structural Engineering and Mechanics
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• v.73 no.2
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• pp.191-207
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• 2020

This study aims at investigating the size-dependent free vibration of porous nanoplates when exposed to hygrothermal environment and rested on Kerr foundation. Based on the modified power-law model, material properties of porous functionally graded (FG) nanoplates are supposed to change continuously along the thickness direction. The generalized nonlocal strain gradient elasticity theory incorporating three scale factors (i.e. lower- and higher-order nonlocal parameters, strain gradient length scale parameter), is employed to expand the assumption of second shear deformation theory (SSDT) for considering the small size effect on plates. The governing equations are obtained based on Hamilton's principle and then the equations are solved using an analytical method. The elastic Kerr foundation, as a highly effected foundation type, is adopted to capture the foundation effects. Three different patterns of porosity (namely, even, uneven and logarithmic-uneven porosities) are also considered to fill some gaps of porosity impact. A comparative study is given by using various structural models to show the effect of material composition, porosity distribution, temperature and moisture differences, size dependency and elastic Kerr foundation on the size-dependent free vibration of porous nanoplates. Results show a significant change in higher-order frequencies due to small scale parameters, which could be due to the size effect mechanisms. Furthermore, Porosities inside of the material properties often present a stiffness softening effect on the vibration frequency of FG nanoplates.

• Journal of the Korea Concrete Institute
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• v.26 no.2
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• pp.159-169
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• 2014

This study generalizes the lateral load-displacement relationship of reinforced concrete shear walls from the section analysis for moment-curvature response to straightforwardly evaluate the flexural capacity and ductility of such members. Moment and curvature at different selected points including the first flexural crack, yielding of tensile reinforcing bar, maximum strength, 80% of the maximum strength at descending branch, and fracture of tensile reinforcing bar are calculated based on the strain compatibility and equilibrium of internal forces. The strain at extreme compressive fiber to determine the curvature at the descending branch is formulated as a function of reduction factor of maximum stress of concrete and volumetric index of lateral reinforcement using the stress-strain model of confined concrete proposed by Razvi and Saatcioglu. The moment prediction models are simply formulated as a function of tensile reinforcement index, vertical reinforcement index, and axial load index from an extensive parametric study. Lateral displacement is calculated by using the moment area method of idealized curvature distribution along the wall height. The generalized lateral load-displacement relationship is in good agreement with test result, even at the descending branch after ultimate strength of shear walls.

• Transactions of the Korean Society of Automotive Engineers
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• v.21 no.4
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• pp.23-32
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• 2013

This paper presents the simulation of the multi-cylinder 4-stroke cycle spark-ignition engine using a commercial simulation tool, AVL BOOST. Various models were examined to select the appropriate models that would best serve to analyze the main components of the intake and exhaust systems-the plenum chamber, the muffler and the exhaust manifold branch junction. For the plenum chamber and the muffler, the tank model and the pipe model were tested. In order to analyze the exhaust manifold branch junction, a complicated model which reflects the actual shape and involves pressure drops was compared to a simplified one. The results show that both the tank model and the pipe model are applicable with satisfying accuracies for the plenum chamber and the muffler. However, the tank model is more desirable in regards to convenience in modeling and efficiency in calculation. Though both the complicated model and the simplified model show satisfying accuracies for the exhaust manifold branch junction, the simplified model is recommended in regards to convenience in modeling and efficiency in calculation.

• Journal of Preventive Medicine and Public Health
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• v.50 no.6
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• pp.347-360
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• 2017

Objectives: This meta-analysis aimed to evaluate congenital malformations in infants conceived by assisted reproductive techniques (ART), compared with infants conceived spontaneously. Methods: In this study, available resources searched to find relevant articles included PubMed, ScienceDirect, Scopus, Google Scholar, Cochrane, ProQuest, Iranmedex, Magiran, and Scientific Information Database. After extracting the necessary information from evaluated articles, meta-analysis on the articles' data was performed using Stata version 11.2. Results: In this study, from a total of 339 articles, extracted from the initial investigation, ultimately 30 articles were selected for meta-analysis that assessed the use of ART on the risk of congenital abnormalities and some birth complications on 5 470 181 infants (315 402 cases and 5 154 779 controls). The odds ratio (95% confidence interval [CI]) for low birth weight was 1.89 (95% CI, 1.36 to 2.62), preterm labor 1.79 (95% CI, 1.21 to 2.63), cardiac abnormalities 1.43 (95% CI, 1.27 to 1.62), central nervous system abnormalities 1.36 (95% CI, 1.10 to 1.70), urogenital system abnormalities 1.58 (95% CI, 1.28 to 1.94), musculoskeletal disorders 1.35 (95% CI, 1.12 to 1.64), and chromosomal abnormalities in infants conceived by ART was 1.14 (95% CI, 0.90 to 1.44), which were all statistically significant, except chromosomal abnormalities. Conclusions: The risk of congenital abnormalities and some birth complications were significantly higher in ART than normal conception, while chromosomal abnormalities were not; therefore, the application of ART should be selected individually for patients by detailed assessment to reduce such risks in the population.