• Journal of Korean Neurosurgical Society
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• v.29 no.7
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• pp.904-909
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• 2000

Objectives : Most cases of cervical ossification of the posterior longitudinal ligament(OPLL) present with myelopathy or myeloradiculopathy, which sometimes is further complicated by minor trauma to the spinal cord. The main purpose of surgery in these patients is the alleviation symptoms but also as protection against further deterioration. The purpose of this study is to analyze the influence of trauma on the surgical outcome in patients with cervical OPLL. Methods : Over the past 13 years, we have operated on 123 patients with myelopathy associated with cevical OPLL. Among these, thirty patients had cervical cord injury associated with major or minor trauma and their clinical and radiographic data were reviewed retrosepctively. Results : As to cause of trauma, seventeen were related with traffic accident and 13 were related with minor slipping injury. The pre- and post-operative motor power were significantly weaker in the patients with trauma, but the degree of motor improvement was significantly higher(trauma group : $0.90{\pm}1.49$, non-trauma group : $0.41{\pm}0.80$). Conclusion : These results indicate that even indirect minor trauma to the cervical spine can cause irreversible changes to the spinal cord if this is associated with underlying cervical stenosis with OPLL. Although less favorable results may be anticipated in patients with trauma, operative decompression could improve motor power and protect further deterioration.

• Journal of Chest Surgery
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• v.49 no.sup1
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• pp.1-13
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• 2016

Background: The purpose of this study was to investigate longitudinal changes of the utilization of operational and surgical medical care inside and outside a metropolitan area over 10 years, analyzing the residential areas of patients and the locations of medical facilities for major cardiovascular surgery. Methods: Data analysis was conducted by classifying the addresses of patients and the locations of medical care facilities of metropolitan cities and provinces, using data from the National Health Insurance Corporation from January 2003 to December 2013. Results: There is serious concentration of major heart surgery to medical facilities in Seoul; this problem has not improved over time. There were differences in percentages of surgical procedures performed in the metropolitan areas according to major diseases. In the case of Busan and Daegu provinces, at least 50% of the patients underwent surgery in medical facilities in the city, but there are other regions where the percentage is less than 50%. In the case of provinces, the percentage of surgical procedures performed in medical facilities in Seoul or nearby metropolitan cities is very high. Conclusion: Policies to strengthen the regional capabilities of heart surgery and to secure human resources are required to mitigate the concentration of patients in the capital area. Many regional multi-centers must be designated to minimize unnecessary competition among regional university hospitals and activate a win-win partnership model for medical services.

• Journal of Biomedical Engineering Research
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• v.28 no.3
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• pp.317-324
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• 2007

The application of diffusion tensor imaging (DTI) and fiber tractography to Wallerian degeneration (WD) is important because this technique is a very potent tools for quantitatively evaluating fiber tracts in vivo brain. We analyzed a case and control using tracts of interest (TOI) analysis to quantify WD. We scanned a case of old infarction and an age-matched healthy volunteer. T1 magnetization prepared rapid acquisition gradient echo (MPRAGE), fluid attenuated inversion recovery (FLAIR) and 12-direction diffusion tensor imaging (DTI) were obtained and analyzed using TOI analysis. The value of mean diffusity ($D_{av}$) and fracional anisotrophy (FA) were analyzed statistically by MWU test. A p-value of less than 0.05 was considered to indicate statistical significance. A comparison of the global fiber diffusion characteristics shows WD of both the corpus callosum and the ipsilateral superior longitudinal fasciculus. The corpus callosum in particular showed trans-hemispherical degeneration. Local fiber characteristics along the geodesic paths show WD in the corpus callosum, ipsilateral superior longitudinal fasciculus, ipsilateral corticospinal tract, and ipsilateral corticothalamic tract. We have demonstrated changes in $D_{av}$ and FA values and a clear correspondence with the WD in various tracts. TOI analysis successfully revealed radial WD in white matter tracts from a region of encephalomalacia and primary gliosis, although they were only slightly affected.

• The Korean Journal of Pain
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• v.23 no.2
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• pp.131-136
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• 2010

Background: We prospectively evaluated the incidence and possible factors causing intramuscular injection during lumbar sympathetic ganglion block and compared the multiple needle technique to the single technique to obtain a profound and complete block effect. Methods: Among 83 patients, 58 patients (group A, n = 27, multiple needle technique and group B, n = 31, single needle technique) were reevaluated for the changes of skin temperature (Ts) and mean segment of longitudinal contrast spread. After injecting the contrast agent, the incidence of psoas muscle injection and the change of Ts was compared between two groups. Results: The incidence of psoas muscle injection was 21.3% (46/216) and it was associated with the level of injection (L2) significantly (${\chi}_2$ = 14.773, P = 0.001). $DT^{post}$ (postblock temperature difference between ipsilateral and contralateral great toe, $4.6{\pm}2.8^{\circ}C$, $1.8{\pm}1.6^{\circ}C$, P < 0.001 for group A and B) and $DT^{net}$ ($DT^{post}$ - $DT^{pre}$, $3.9{\pm}2.7^{\circ}C$, $1.5{\pm}1.5^{\circ}C$, P < 0.001 for group A and B) was significantly higher in group A. The mean segment of longitudinal contrast spread was $8.1{\pm}0.9$ for group A and $3.2{\pm}1.6$ for group B (P < 0.001). Conclusions: The LSGB at the L2 level showed the lowest incidence of psoas muscle injection of contrast. Multiple needle approach showed more significant increase of $DT^{net}$ and $DT^{post}$.

• The Journal of the Korea Contents Association
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• v.16 no.5
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• pp.783-801
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• 2016

The purpose of this research is to grasp the influencing factors on the labor market entry of disabled women, and to suggest policy alternatives to support the labor market entry of them. This article utilized the survey data of the 3rd to the 7th Panel Survey of Employment for the Disabled in 2010-2014(by PSED), which is a longitudinal survey for the disabled in Korea. I analyzed the pattern changes of the labor market entry of them with the passage of years, and the influencing factors on that by the event history analysis. The major findings are as follows: First, according to the life table analysis involved in change of the labor market entry, 90% of them continued to remain the longest period of unemployment for four years and the labor market entry rate was only 10% of them. Second, the result of Cox regression analysis shows that public benefit recipient or not, the degree of disability and discrimination experience at the job market were factors to affect the labor market entry. With these results, this study suggested the practical alternatives to improve the labor market entry of disabled women.

• Journal of the Korean Society for Railway
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• v.17 no.1
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• pp.19-27
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• 2014

Urban railway vehicles operate in downtown areas. Due to increases in the number of passengers and changes in the service plans, railway vehicles are expected to operate on sharp curved tracks. However, on these tracks, the running stability of the railway vehicles is significantly decreased and the creepage is increased. Creepage causes the wheel/rail to wear and vibration. Therefore, reducing the creepage helps ensure the running stability and can be beneficial for the environment and cost. In this paper, the longitudinal creepage is analyzed using a railway vehicle model on a sharp curved track. Furthermore, in order to minimize the problems when a railway vehicle runs on a sharp curved track, the characteristics of a bogie are optimized using response optimization.

• Journal of the Korean Society of Costume
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• v.59 no.2
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• pp.59-69
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• 2009

This study aims to identify how Korean women's traditional costume, Hanbok, has changed according to the times in terms of color coordination of Jeogori and Chima. Photos had been taken at wedding places and streets at 5 major cities(Seoul, Pusan, Kwangju, Daejon, Jeju) at two weekends of each season in 1999, 2001, and 2003. Total 1617 photos were used as final data. Data were analyzed by hue coordination and value level. Hue coordination exist in one-color and two-color coordination. In one-color coordination, red color(R & RP) was the most frequently used and blue green(BG) was the next, and the least was blue purple(BP) for each year. In value scale, high level was the most frequent and followed by middle level and low level. Pink was the most preferred color for one-color coordination. In two-color coordination, white and blue were widely used for Jeogori and red and blue far chima for each year, which seemed to be the basic color coordination for Jeogori and Chima. While there was a certain basic color coordination types across year, but a few new color coordination appeared each year and maintained as popular color coordination for one or two year.

• Archives of Plastic Surgery
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• v.47 no.6
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• pp.613-618
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• 2020

The surgical treatment of extensive urethral strictures remains a controversial topic; although techniques have evolved, there is still no definite method of choice. Since 1968, when Orandi presented an original technique for one-stage urethroplasty using a penile skin flap, the Orandi technique has become the most prevalently used one-stage procedure for anterior urethral strictures. We present a 20-year follow-up experience with one-stage reconstruction of long urethral strictures using a longitudinal ventral tubed flap of penile skin, with some important technical changes to Orandi's original technique to overcome the deficient vascularity caused by periurethral scar tissue. In 1997, a 55-year-old male patient complained of severe voiding difficulty and a weak urinary stream because of transurethral resection of the prostate due to benign prostatic hyperplasia. Another 47-year-old male patient had the same problem due to self-removal of a Foley catheter in 2002. In both patients, a urethrogram demonstrated extensive strictures involving the long segment of the anterior urethra. A rectangular skin flap on the ventral surface of the penis was used considering the appropriate length, diameter, and depth of the neourethra. The modified Orandi flap provided a pedicled strip of penile skin measuring an average of 8 cm. The mean duration of follow-up was 20.5 years. A long-term evaluation revealed stable performance characteristics without any complications.

• Journal of Korea Water Resources Association
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• v.47 no.12
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• pp.1213-1225
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• 2014

The development of bars and sediment sorting processes in the braided channels with the mixed grain sizes are investigated experimentally in this study. The sediment in the steep slope channels discharges with highly fluctuation. However, it discharges with relatively periodic cycles in the mild slope channels. The characteristics and amplitudes of the dominant bars are examined by double fourier analysis. The dimensionless sediment particle size decreases as the longitudinal bed elevation increases. However, the size increases as the longitudinal bed elevation decreases. As the dimensionless critical tractive force in the surface layer ratio to the force in the subsurface layer increases, the surface geometric mean size of sediments and the dimensionless sediment particle size decrease. This means that coarse matrix is formed with the dimensionless tractive force by the sediment selective sorting.

• Applied Microscopy
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• v.19 no.2
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• pp.27-42
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• 1989

The forming process of scale and socket of Pieris rapae L. during in 30 hr. pupa to in adult was morphologically investigated with scanning electron microscopy and transmission electron microscopy. 1. The scale forming cells which were distinguished from other epidermal cells were first observed in 30 hr. pupa. In the aspect that scale forming cell beared some morphological relations to socket forming cells and in the distribution of its organelles, scale forming cell was divided into three regions-basal region in which nucleus located, neck region which was surrounded by socket forming cells and scale region that was the cytoplasmic projection region over the wing surface. In process of the development of scale forming cell neck region and scale region were extended into the molting space and at this time, the changes of surface structure of scale region have occurred initially. 2. There was a more distinct process that scale region changed into the scale. Scale region which was first originated as clublike projection of the cell body was subsequently elongated and flattened out by broadening of the cytoplasm. After that, in the surface of scale were formed longitudinal ridges and microribs. In the late pupa, the cytoplsam of scale region have autolyzed by lysosome-like bodies and at length, scale which had air spaces, trabecula, pigment granules, longitudinal ridges and transverse ridges. 3. The major protion of socket forming cell located beside neck region of scale forming cell under the wing surface but the processing portion of the cell lay over the wing surface, suggesting that socket forming cells have actively processing. In extending to the molting space of neck and scale region, socket forming cells developed to the molting space and constructed socket.