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A Case of Postpneumonectomy Syndrome Treated with Endobronchial Stent (기관지 스텐트 삽입으로 치료한 전폐절제술후 증후군 1예)

  • Jeong, Seong-Hyun;Cho, Hye-Jin;Lee, Hyoung-No;Lee, Hyung-Sook;Sheen, Seung-Soo;Oh, Yoon-Jung;Park, Kwang-Joo;Hwang, Sung-Chul;Won, Jae-Hwan;Park, Kyung-Joo
    • Tuberculosis and Respiratory Diseases
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    • v.53 no.3
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    • pp.325-331
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    • 2002
  • Postpneumonectomy syndrome is a rare complication that usually occurs in younger patients within the first year after a right total lung resection. Its clinical presentations are stridor, dyspnea, and recurrent pulmonary infections. An airway obstruction secondary to the extreme mediastinal shift and ratation after a pneumonectomy is the main mechanism. It is commonly complicated with tracheobronchomalacia due to longstanding airway compression. The management modalities involve a repositioning of the mediastinum with volume expansion of the pneumonectomy site by a expandable prosthesis. however, other methods including an endobronchial stent insertion should be considered in the presence of a tracheobronchomalacia or in poor surgical candidates. Here we describe a case of postpneumonectomy syndrome complicated by a bronchomalacia, which was successfully treated with a self-expandable endobronchal stent.

Phytoplankton Ecosystems at Oil Spill Coasts Including the Hebei Spirit Oil Spill Site Near Taeanhaean National Park, Korea 1. Interannual Variability of Phytoplankton Community in Summer (태안해안국립공원 인근의 허베이스피리트 사고를 포함한 유류유출 해역의 식물플랑크톤 생태계 1. 하계 식물플랑크톤 군집의 연변동)

  • Yih, Wonho;Kim, Hyung Seop;Jo, Soo-Gun
    • Ocean and Polar Research
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    • v.41 no.1
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    • pp.1-10
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    • 2019
  • Right after the 2007 Hebei Spirit Oil Spill phytoplankton ecosystems were investigated for 11 years based on the seasonal monitoring of the composition and abundance of phytoplankton species. Comparable time-series data from the 1989 Exxon Valdez or the 2010 Deepwater Horizon Oil Spill sites were not available. It was suggested that the ecological healthiness of phytoplankton ecosystems at EVOS sites had recovered after 10 years following the oil spill based on chlorophyll concentrations even though these concentrations only represented phytoplankton communities in most cases. Chlorophyll concentrations can only reflect limited aspects of highly complex phytoplankton ecosystems. During the last 11 years following the 2017 HSOS, extreme variabilities were met in the seasonally averaged ratios of diatoms to phototrophic flagellates including dinoflagellates based on the microscopic cell countings. Summer phytoplankton communities exhibited some cyclic interannual changes in dominant groups every 2-4 years. During the early years (2008-2010) cryptophytes or raphidophytes (Chattonella spp.) dominated alternately each year, which was repeated again in 2014, 2015 and 2017. Two thecate dinoflagellates, Tripos fusus and Tripos furca, together accounted for 52.5% and 50.0% of all organisms in the summers of 2011 and 2012, respectively, which was repeated again in 2018. Summer occurrence and dominance by the phototrophic flagellates including HABs (Harmful Algal Blooms) species as well as their interannual variabilities in the oil spill sites could be utilized as markers for the stable and long-term management of healthy ecosystems. For this type of scientific ecosystem management monitoring of chlorophyll concentrations may sometimes be insufficient to gain a proper and comprehensive understanding of phytoplankton communities located in areas where oil spills have occurred and harmed the ecosystem.

Challenges in Competition Law in Homodeus Era (호모데우스 시대에서 경쟁법의 도전)

  • Shon, Donghwan
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.285-292
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    • 2021
  • In Sapiens it shows the reason that sapiens has conquered the earth for the invention of intersubjective reality. In Homodeus sapiens made the science revolution through the religion of humanism. The development of science showed that human free will and emotion is just made through the chemical interaction of neuron which can be manipulated and developed. Algorithm and data wlll be the sovereign which make decision in everything. Yuval Harari tells us the Homodeus appear and break down the order of equality. His anticipation proves right in competition law issues. The collusion through the algorithm makes it difficult to apply existing cartel logic. Agreement is the ground of responsibility but undertaking is not responsible in the market where sovereign algorithm decides eveything. Extreme price differentiation can appear and break down the existing market logic and competition dogma. Everything changes and it is necessary to have the flexible attitude and develop new logic.

A case study of gust factor characteristics for typhoon Morakat observed by distributed sites

  • Liu, Zihang;Fang, Genshen;Zhao, Lin;Cao, Shuyang;Ge, Yaojun
    • Wind and Structures
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    • v.35 no.1
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    • pp.21-34
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    • 2022
  • Gust factor is an important parameter for the conversion between peak gust wind and mean wind speed used for the structural design and wind-related hazard mitigation. The gust factor of typhoon wind is observed to show a significant dispersion and some differences with large-scale weather systems, e.g., monsoons and extratropical cyclones. In this study, insitu measurement data captured by 13 meteorological towers during a strong typhoon Morakot are collected to investigate the statistical characteristics, height and wind speed dependency of the gust factor. Onshore off-sea and off-land winds are comparatively studied, respectively to characterize the underlying terrain effects on the gust factor. The theoretical method of peak factor based on Gaussian assumption is then introduced to compare the gust factor profiles observed in this study and given in some building codes and standards. The results show that the probability distributions of gust factor for both off-sea winds and off-land winds can be well described using the generalized extreme value (GEV) distribution model. Compared with the off-land winds, the off-sea gust factors are relatively smaller, and the probability distribution is more leptokurtic with longer tails. With the increase of height, especially for off-sea winds, the probability distributions of gust factor are more peaked and right-tailed. The scatters of gust factor decrease with the mean wind speed and height. AS/NZ's suggestions are nearly parallel with the measured gust factor profiles below 80m, while the fitting curve of off-sea data below 120m is more similar to AIJ, ASCE and EU.

Frontal Cephalogram Study on The Natural Head Position of Facial Asymmetry Patients (안면비대칭 환자의 natural head position에 대한 정모두부방사선사진 연구)

  • Kim, Hyun;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.30 no.5 s.82
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    • pp.535-542
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    • 2000
  • The purpose of this study was to find the characteristics of the frontal natural head position(NHP) of patients with facial asymmetry, and to contribute to the diagnosis of facial asymmetry in the clinical examination of orthodontic patients. Twenty adult patients who had apparent facial asymmetry and no severe sagittal skeletal discrepancy were selected as the asymmetry group, and 21 young adults who had symmetric faces were selected as the symmetry group. Frontal cephalograms were obtained in the state of NHP using a pivot-mounted fluid level device. The degree of the menton deviation was defined as the angle between the line drawn through crista galli and anterior nasal spine and the line drawn through crista galli and menton. The following angles were measured and each of them was compared with the degree of the menton deviation one is the angle between the true vertical line and the supra-orbital line which is a tangent line to the extreme cranial point on the supra-orbital margin, and the other is the angle between the true vertical line and the cervical line drawn through the midpoint of atlas and the 4th cervical vertebra. Through the statistical analysis, following results were obtained. 1. The angle between the supra-orbital line and the true vertical line was much mote deviated from the right angle in the asymmetry group than in the symmetry group. 2. The angle between the cervical line and the true vertical line in the asymmetry group showed greater tendency than in the symmetry group, but the difference was not statistically significant. 3. In the asymmetry group, the degree of the menton deviation was positively correlated with the angle between the supraorbital line and the true vertical line. The above results suggest that racial asymmetry patients show the tendency to have the tilted NHP to compensate the deviation of menton position.

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A Research on the Navigation of Northern Sea Route According to Safety of Vessel and Crews (선박 및 선원의 인명 안전을 고려한 북극해 항로 운항 연구)

  • Kim, Won-Ouk;Youn, Dae-Gwun;Park, Woe-Chul
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.21 no.1
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    • pp.40-46
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    • 2015
  • Arctic Ocean has rapidly melted due to global warming, by this, commercial ship has been operating through the area. Reason to develop the Northern Sea Route(NSR) even in extreme conditions, the distance than the existing route is shortened, which bring economic benefits. For these reason, the International Maritime Organization(IMO) established safety standards of the Arctic navigation(Polar Code) in order to ensure safe operation in the Northern Sea Route. In this study, it has been described ice types and safety standards of Artic vessel what officer needs to know for safe navigation on the Arctic Ocean. And It was verified by simulation the theoretical knowledge for the safe operation of the Arctic vessel. As a result, it was found that ship needs to reduce speed and analyze ice for safe operation before enter into the ice, it is necessary to enter at right angle to break ice safety and efficiently. Also according to the result of the simulation of navigation entering in ice channel(Lead), it was difficult to change course, it is believed that require emergency training for passing Vessel. In the future, It shall be analyzed precisely under various conditions of scenario.

A Study on Stroke Extraction for Handwritten Korean Character Recognition (필기체 한글 문자 인식을 위한 획 추출에 관한 연구)

  • Choi, Young-Kyoo;Rhee, Sang-Burm
    • The KIPS Transactions:PartB
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    • v.9B no.3
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    • pp.375-382
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    • 2002
  • Handwritten character recognition is classified into on-line handwritten character recognition and off-line handwritten character recognition. On-line handwritten character recognition has made a remarkable outcome compared to off-line hacdwritten character recognition. This method can acquire the dynamic written information such as the writing order and the position of a stroke by means of pen-based electronic input device such as a tablet board. On the contrary, Any dynamic information can not be acquired in off-line handwritten character recognition since there are extreme overlapping between consonants and vowels, and heavily noisy images between strokes, which change the recognition performance with the result of the preprocessing. This paper proposes a method that effectively extracts the stroke including dynamic information of characters for off-line Korean handwritten character recognition. First of all, this method makes improvement and binarization of input handwritten character image as preprocessing procedure using watershed algorithm. The next procedure is extraction of skeleton by using the transformed Lu and Wang's thinning: algorithm, and segment pixel array is extracted by abstracting the feature point of the characters. Then, the vectorization is executed with a maximum permission error method. In the case that a few strokes are bound in a segment, a segment pixel array is divided with two or more segment vectors. In order to reconstruct the extracted segment vector with a complete stroke, the directional component of the vector is mortified by using right-hand writing coordinate system. With combination of segment vectors which are adjacent and can be combined, the reconstruction of complete stroke is made out which is suitable for character recognition. As experimentation, it is verified that the proposed method is suitable for handwritten Korean character recognition.

A study on the Theory of 'Ja-Yeol(刺熱)' in 32nd Chapter of 'So Moon(素問) Yellow Emperior's Nei-Ching(黃帝內經)' (황제내경(黃帝內經) 소문(素問) 자열론(刺熱論)에 대한 연구(硏究))

  • Kwon, Kun-Hyuck;Hong, Won-Sik
    • Journal of Korean Medical classics
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    • v.3
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    • pp.151-217
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    • 1989
  • In this thesis, I intend to study the translational and clinical interpretation through the theory of Ja-Yeol, and reached the following conclusions. 1. Liver-Heat-Disease due to absess of the function of expelling and lifting off, that Liver-Yang cannot lift up to upper-warmer, and stagnate liver. I think the symptoms of yellowish urine, abdominal pain, somnolence, fever belong to the syndrome of 'Gi-Bun(氣分)', and the symptoms of ravings with surprising, distending pain of hypochondrium, restless involuntary movement of the limbs, unable to lie flat belong to the syndrome of 'Hyeol-Bun(血分)'. 2. Heart-Heat-Disease due that 'Eum-Gi(陰氣)' in heart cannot lay down and reach to stagnate at heart, inner part. I think the symptoms of unjoy, acute cardiac pain, fidgetiness, well-nausea, headeche, reddish face, anhidrosis, etc. reveal with Heart-Heat-Disease. 3. Spleen-Beat-Disease due that 'Eum-Gi' in spleen cannot lay down and Yin of spleen changs heat. I think the symptoms of heaviness of head, cheek pain, fidgetiness, cyanosis, well-nausea, fever, not to let flex and reflex with back pain, diarrhea with abdominal pain, left and right cheek pain reveal with Spleen-Heat-Disease. I think symptoms of fever, diarrhea with abdominal pain belong to the syndrome of Yin-exhausion. 4. Lung-Heat-Disease due to that 'Eum-Gi' in lung cannot lay down. When 'Wi-Gi(衛氣)' stagnates at external part, I think, the symptoms of intolerance to wind and cold, yellowish fur, fever reveal. When Wi-Gi stagnates at lung, inner part, I think, the symptoms of dispnea with cough, pain on chest and back, unable to breath deeply, hydrosis and chilling reveal. 5. Kidney-Heat-Disease, in that the symptoms of back pain, leg aching, extreme thirst and frequently drink, fever, pain and stiffness of nape, cooling and aching leg, heat on plantar pedis, not trying to speak reveal is regarded external heat disease of 'Tai-Yang-Gyeong's(太陽經)' disease that asthenic fever open 'Tai-Yang-Gyeong' and lift by not enough of 'Yang-Gi(陽氣)' lifeing up from Kidney space, the water space of five elements.

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Usability Evaluation of Lateral Sliding Table in CT Examination (CT 검사에서 Lateral Sliding Table의 유용성 평가)

  • Choi, Jeong Hun;Kong, Chang gi;Song, Jong Nam;Han, Jae Bok
    • Journal of the Korean Society of Radiology
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    • v.14 no.5
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    • pp.677-684
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    • 2020
  • Miscentering in the left and right X axis direction during CT examination affects dose and quality. When the CT Gantry Isocenter and the center of the examination objective are matched using the Lateral Sliding Table, the image quality is improved and the exposure dose is reduced. CTDI Head Phantom (Kimda, Korea) and dosimeter (Ray Safe, Sweden) were used to measure dose comparison CTDI (mGy) due to center deviation, and Water Phantom (HITACHI, Japan) was used to measure noise to see the difference in uniformity due to center deviation. Measurements of doses for dose comparison CTDI (mGy) with a deviation showed that doses were consistently reduced and exact dose was not projected until they were moved to 80 mm by 20 mm from the Isocenter. SD values were measured to see the difference in uniformity due to center deviation and the noise continued to increase until it was moved by 20 mm to 80 mm. The range of collimation has increased by the extent of deviating from the center and the range of exposure has increased. Using the Lateral Sliding Table, you can easily adjust the Isocenter, increase the quality of the image by adjusting the Isocenter in areaa such as the cardiac examination of the location away from the Isocenter, Extreme bone and Shoulder, and greatly reduce the collimation to the Isocenter, so it can be used to reduce unnecessary exposure dose.

Development and Policy Applications of Integrated Information System for Climate Change Adaptation (기후변화 적응 정보 통합지원 체계구축 및 정책적 활용방안)

  • Kim, Geunhan;Lee, Moung-Jin;Jeon, Seong-Woo;Park, Songmi;Lee, Eunjin
    • Journal of Environmental Policy
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    • v.12 no.3
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    • pp.3-20
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    • 2013
  • Recently, impacts and damages of extreme climate change have already affected on worldwide. Thus adaptation and action plan are essential concepts in minimizing the impacts of climate change. In order to introduce climate change adaptation decision-making measure, the need for high-quality and integrated information system within adaptation policy has increased enormously. However, most of adaptation information is based on different sources and various backgrounds. Currently, domestic climate change information is disseminated from about 132 internet sites and most of them are limited to general information of climate change, rather than information that are based on scientific evidence. Also, there are some difficulties in updating new resources. Reliable climate change information is provided from different agencies, which makes users difficult to locate right information they need. As a progress to overcome the limitations of these problems, we carried out a feasibility research on integrated information system for climate change adaptation. For the objectives, our solutions are as follows. First, we analyzed definition of climate change adaptation and climate change adaptation information. Second, we suggested integrating the information system for adaptation and phased implementation plan for establishing integrated information system for climate change. Finally, we verified the establishment of integrated support system based on policy applications of integrated information system. This system will provide an integrated climate change information and be a very useful tool to support the decision making process of effective climate change adaptation policies.

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