• The Journal of Korean Society for Radiation Therapy
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• v.35
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• pp.33-39
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• 2023

Purpose: The purpose of this study is to find out the dose variation according to thickness of the air gap between the patient's body surface and immobilization device in the treatment plan. Materials and Methods : Four conditions were created by adjusting the air gap thickness using 5 mm bolus, ranging from 0 mm to 3 mm bolus. Immobilization was placed on top in each case. And computed tomography was used to acquire images. The treatment plan that 430 cGy (Relative Biological Effectiveness,RBE) is irradiated 6 times and the dose of 2580 cGy (RBE) is delivered to 95% of Clinical Target Volume (CTV). The dose on CTV was evaluated by Full Width Half Maximum (FWHM) of the lateral dose profile and skin dose was evaluated by Dose Volume Histogram (DVH). Result: Results showed that the FWHM values of the lateral dose profile of CTV were 4.89, 4.86, 5.10, and 5.10 cm. The differences in average values at the on the four conditions were 3.25±1.7 cGy (RBE) among D_95% and 1193.5±10.2 cGy (RBE) among D_95% respectively. The average skin volume at 1% of the prescription dose was 83.22±4.8%, with no significant differences in both CTV and skin. Conclusion: When creating a solid-type immobilization device for carbon particle therapy, a slight air gap is recommended to ensure that it does not extend beyond the dose application range of the CTV.

• The Journal of Korean Society for Radiation Therapy
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• v.24 no.2
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• pp.149-155
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• 2012

Purpose: Long Extension (LE) is used in proton therapy for lung and abdomen. However, it has limitations in surface area, produces collision in posterior oblique beam which creates limitations in various gantry angles in planning therapy and increases air gap (distance between patient and compensator). Therefore, this study investigates the usability of manufactured Rounded Extension (RE) in comparison to LE to use the most suitable extension in proton therapy. Materials and Methods: To compare structural features of LE and RE. This study investigated usable gantry angle for snout sizes 100, 180 and 250 and CT scanned Humanoid phantom. And it compared the air gap in posterior oblique direction. Results: The structural features of two extensions are as follow. Because of the existence of supporting bar, the width of LE was 40 cm and RE was 50 cm. Result of the investigation of usable gantry angle for snout sizes 100, 180 and 250 are as follow. LE is ${\pm}36$ (average) at 180 degree and RE is ${\pm}70$ (average). And also, the air gap of RE is decreased by 11.3 cm in average at the same gantry angle. Conclusion: Manufactured RE for proton therapy has several benefits than LE. Its therapy surface area is wider and range of usable gantry angle is also wider. Also, the air gap at the posterior oblique beam has decreased. Therefore the usability of RE in proton therapy of lung and abdomen will be increased compared to LE. However, the air gap of proton therapy at the lateral direction may be increased, so there may be need for make up to decrease air gap at the lateral direction in the future.

• Journal of the Korean Orthopaedic Association
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• v.55 no.2
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• pp.127-134
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• 2020

Purpose: The aims of this study were (1) to investigate the relationship between the characteristics of allogenic bone block and the compressive strength of an allogenic bone block measured by biomechanical experiments, and (2) to compare the maximum pressure load of allogenic bone block with the gap pressure measured at the high tibial opening osteotomy. Materials and Methods: Ten patients who provided informed consent for gap pressure measurements during opening wedge high tibial osteotomy (OWHTO) were included. The gap pressures were measured at 1 mm intervals while opening the osteotomy site from 8 mm to 14 mm. Seventeen U-shaped allogenous wedge bone blocks were made from the femur, tibia, and humerus. The height, width, cross-sectional area, and cortex thickness of the bone blocks were measured, along with the maximum compressive load just before breakage. The relationship between these characteristics and the maximum pressure load of the bone blocks was evaluated. The gap pressures measured in OWHTO were compared with the maximum pressure loads of the allogenous wedge bone blocks to evaluate the possibility of inserting allogenous wedge bone blocks into the osteotomy site without a distractor in OWHTO. Results: The OWHTO gap pressure increased with increasing osteotomy site opening. The mean gap pressure, which occurred at a 14-mm opening, was 282±93 N; the maximum pressure was 427 N. The maximum pressure load of the allografts was 13,379±6,469 N (minimum, 5,868; maximum, 29,130 N) and was correlated significantly with the cortical bone thickness (correlation coefficient=0.693, p=0.002) and cross-sectional area (correlation coefficient=0.826, p<0.001). Depending on the sterilization method, the maximum pressure loads for the bone blocks were 13,406±5,928 N for freeze-dried and 13,348±7,449 N for fresh frozen. The maximum compressive load of the allogenous wedge bone blocks was 13.7-times greater than that in OWHTO opened to 14 mm (5,868 N vs. 427 N). Conclusion: The compressive strength of allogenous wedge bone blocks was sufficiently greater than the gap pressure in OWHTO. Therefore, allogenous wedge bone blocks can be inserted safely into the osteotomy site without a distractor.

• Journal of Cardiovascular Imaging
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• v.31 no.1
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• pp.18-23
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• 2023

BACKGROUND: Three-dimensional (3D) transesophageal echocardiogram (TEE) is the gold standard for the diagnosis of degenerative mitral regurgitation (dMR) and preoperative planning for transcatheter mitral valve repair (TMVr). TEE is an invasive modality requiring anesthesia and esophageal intubation. The severe acute respiratory syndrome coronavirus 2 pandemic has limited the number of elective invasive procedures. Multi-detector computed tomographic angiography (MDCT) provides high-resolution images and 3D reconstructions to assess complex mitral anatomy. We hypothesized that MDCT would reveal similar information to TEE relevant to TMVr, thus deferring the need for a preoperative TEE in certain situations like during a pandemic. METHODS: We retrospectively analyzed data on patients who underwent or were evaluated for TMVr for dMR with preoperative MDCT and TEE between 2017 and 2019. Two TEE and 2 MDCT readers, blinded to patient outcome, analyzed: leaflet pathology (flail, degenerative, mixed), leaflet location, mitral valve area (MVA), flail width/gap, anterior-posterior (AP) and commissural diameters, posterior leaflet length, leaflet thickness, presence of mitral valve cleft and degree of mitral annular calcification (MAC). RESULTS: A total of 22 (out of 87) patients had preoperative MDCT. MDCT correctly identified the leaflet pathology in 77% (17/22), flail leaflet in 91% (10/11), MAC degree in 91% (10/11) and the dysfunctional leaflet location in 95% (21/22) of patients. There were no differences in the measurements for MVA, flail width, commissural or AP diameter, posterior leaflet length, and leaflet thickness. MDCT overestimated the measurements of flail gap. CONCLUSIONS: For preoperative TMVr planning, MDCT provided similar measurements to TEE in our study.

• Progress in Superconductivity
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• v.14 no.2
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• pp.99-101
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• 2012

Fluorescent yield X-ray absorption fine structure (XAFS) spectroscopy is useful for analyzing local structure of specific elements in matrices. We developed an XAFS apparatus with a 100-pixel superconducting tunnel junction (STJ) detector array with a high sensitivity and a high resolution for light-element dopants in wide-gap semiconductors. An STJ detector has a pixel size of $100{\mu}m$ square, and an asymmetric layer structure of Nb(300 nm)-Al(70 nm)/AlOx/Al(70 nm)-Nb(50 nm). The 100-pixel STJ array has an effective area of $1mm^2$. The XAFS apparatus with the STJ array detector was installed in BL-11A of High Energy Accelerator Research Organization, Photon Factory (KEK PF). Fluorescent X-ray spectrum for boron nitride showed that the average energy resolution of the 100-pixels is 12 eV in full width half maximum for the N-K line, and The C-K and N-K lines are separated without peak tail overlap. We analyzed the N dopant atoms implanted into 4H-SiC substrates at a dose of 300 ppm in a 200 nm-thick surface layer. From a comparison between measured X-ray Absorption Near Edge Structure (XANES) spectra and ab initio FEFF calculations, it has been revealed that the N atoms substitute for the C site of the SiC lattice.

• Transactions of the Korean Society of Mechanical Engineers B
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• v.39 no.2
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• pp.119-124
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• 2015

Numerical study on the new design of the liquid mass flow meter in infinitesimal flow rate for semiconductor production is performed. The heater and thermistor are wired on the circular tube about 0.3mm inner diameter with designed gap between them. After the time interval from the single pulse heating the thermistor reaches its peak temperature and this time interval is almost inversely proportional to the liquid mass flow rate. The axial conduction in tube wall and convection through the flow is combined. As a result, the peak temperature moving velocity is much smaller than flow mean velocity and there is no linear relationship between them. In this study, the effects of design parameters such as the tube inner/outer diameter, wired heater width, and the gap between heater and thermistor are investigated and the trends of optimization in these parameters are discussed.

• Journal of the Institute of Electronics Engineers of Korea SD
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• v.37 no.11
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• pp.43-49
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• 2000

In this paper, we have modeled and fabricated $1{\times}5$ equal power splitter for 1.55${\mu}m$ wavelength using finite-difference beam propagation method and $Ag^+-Na^+$ ion-exchanged method in BK7 glass, respectively. The power splitting ratio could be controlled by changing the center waveguide gap and the inner Y-branch angle. As a result, the power splitting ratio shows 0.46dB when the waveguide width, the inner Y-branch angle and the center waveguide gap are 4.5${\mu}m$, 0.3 degree and 575${\mu}m$, respectively.

• Korea-Australia Rheology Journal
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• v.16 no.2
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• pp.63-73
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• 2004

Flow in a channel with an obstruction at the entry can be reverse, stagnant or forward depending on the position of the obstruction. These flow phenomena have potential applications in the control of energy and various flows in process engineering. Parameters that affect this flow inside and around the test channel are the gap (g) between the obstruction geometry and the test channel, the Reynolds number (Re) and the length (L) of the test channel. The influence of these parameters on the flow behavior was investigated using a flat plate obstruction at the entry of the channel. A low concentration polyacrylamide solution (0.018% by weight) showing a powerlaw fluid behavior was used as the fluid in this investigation. The flow phenomena were investigated by the velocity measurement and the flow visualization and their results were compared with numerical simulation. These results of low concentration polyacrylamide solution are also compared with the results of water published elsewhere (Kabir et al., 2003). The maximum reverse flow inside the test channel observed was 20% - 30% of the outside test channel velocity at a g/w (gap to width) ratio of 1 for Reynolds numbers of 1000 to 3500. The influence of the test channel length (L) and the Reynolds number (Re) on the velocity ratio ($V_i$/$V_o$: inside velocity/outside velocity in the test channel) are also presented and discussed here.

• Wind and Structures
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• v.23 no.2
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• pp.109-125
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• 2016

Flow interference is investigated between two tripped cylinders of identical diameter D at stagger angle ${\alpha}=0^{\circ}{\sim}180^{\circ}$ and gap spacing ratio $P^*$ (= P/D) = 0.1 ~ 5, where ${\alpha}$ is the angle between the freestream velocity and the line connecting the cylinder centers, and P is the gap width between the cylinders. Two tripwires, each of diameter 0.1D, were attached on each cylinder at azimuthal angle ${\beta}={\pm}30^{\circ}$, respectively. Time-mean drag coefficient ($C_D$) and fluctuating drag ($C_{Df}$) and lift ($C_{Lf}$) coefficients on the two tripped cylinders were measured and compared with those on plain cylinders. We also conducted surface pressure measurements to assimilate the fluid dynamics around the cylinders. $C_D$, $C_{Df}$ and $C_{Lf}$ all for the plain cylinders are strong function of ${\alpha}$ and $P^*$ due to strong mutual interference between the cylinders, connected to six interactions (Alam and Meyer 2011), namely boundary layer and cylinder, shear-layer/wake and cylinder, shear layer and shear layer, vortex and cylinder, vortex and shear layer, and vortex and vortex interactions. $C_D$, $C_{Df}$ and $C_{Lf}$ are very large for vortex and cylinder, vortex and shear layer, and vortex and vortex interactions, i.e., the interactions where vortex is involved. On the other hand, the interference as well as the strong interactions involving vortices is suppressed for the tripped cylinders, resulting in insignificant variations in $C_D$, $C_{Df}$ and $C_{Lf}$ with ${\alpha}$ and $P^*$. In most of the (${\alpha}$, $P^*$ ) region, the suppressions in $C_D$, $C_{Df}$ and $C_{Lf}$ are about 58%, 65% and 85%, respectively, with maximum suppressions 60%, 80% and 90%.

• Journal of Korean Society for Quality Management
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• v.39 no.4
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• pp.527-542
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• 2011

The importance of service industry in national economy is getting increasing due to current trend of aging society and increasingly desire for better quality of life. However, the level of labor productivity in domestic service industry is lower than Japan and Germany that are typically strong in manufacturing industry. Difficulty of process control and measurement in accordance with variability and intangibility which are features of service industry, is considered as the cause of this poor labor productivity in Korea. This study aims to present managerial implications by calculating sigma levels on branch bank service quality and suggesting the quality dimensions of banks can be checked through a gap comparison between the sigma level on service quality in the whole banks and service quality in each bank. Quality level presented by the KS-SQI is applied to the measurement method that Yoo Han Joo and Song Kwang Seok suggested in 2006. Spss18.0 is used as an analysis tool. As a result of factorial analysis, 7 dimensions of service quality in KS-SQI can be divided into new 3 dimensions of service quality. This study also suggests that width and number of questions in previous questionnaire shall be extended. The whole of the bank service quality level is evaluated 3 sigma. The research help banks to figure out their service quality level through gap comparison objectively.