• 대한영양사협회학술지
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• 제8권1호
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• pp.26-32
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• 2002

In Korea, implementation of nutrition support guidelines has been limited due to strict health insurance reimbursement policies as well as the lack of consensus on the best approach to TPN management. We examined the impact of TPN provision to hospitalized patients where NST (nutrition support team ) consultations were not requested by their primary physicians. The study showed the followings : 1. The median dutation of TPN provision was 8 days, but many patients were on TPN for less than 1 week. 2. The intake of energy and protein were less than the patient's requirements 3. Lipid emulsion was not provided to the most TPN patients. In conclusion, the role of NST should be expanded and studies are needed not only on TPN formulations which are suitable to Koreans but also on the cost-effectiveness of NST activities. TPN policies and protocols should be established based on the needs of each hospital.

• Archives of Plastic Surgery
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• 제45권6호
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• pp.593-597
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• 2018

Sternal malunion, or loss, developed after a median sternotomy cannot only be difficult to manage and treat, but also may diminish one's quality-of-life drastically. The technique presented here represents a multispecialty approach in one stage for the reconstruction of an unstable thoracic cage. The procedure utilized a donated sternum and ribs. The sternum with ribs harvested from a single donor included adipose derived stromal vascular fraction (ADSVF) cells with marrow also from the same donor. Autologous muscle flaps, stabilized with acellular dermal matrix were utilized to provide a robust blood supply to the ADSVF cells and bone grafts. Acellular dermal matrix was used to construct the ribs and stabilize the plugs of stem cells and bone. These procedures, in the hands of multispecialty physicians, have led to several successful reconstructions involving complex chest wall deformities. This surgical intervention was performed in a one stage operation. This represents the first successful complete sternal transplant in a patient with return to normal activities and increased quality-of-life.

• Environmental Engineering Research
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• 제20권3호
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• pp.268-276
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• 2015

Solid waste production increases due to population and consumption increments. Landfill is the ultimate destination for all kinds of municipal solid waste; and is the most convenient waste disposal method in developing countries. To minimize investment and operational costs and society's opposition towards locating landfills nearby, proper landfill sizing and siting are essential. In this study, solid waste forecasting using Autoregressive Integrating Moving Average (ARIMA) was integrated with government future plans and waste composition to estimate the required landfill area for the state of Selangor, Malaysia. Landfill siting criteria were then prioritized based on expert's preferences. To minimize ambiguity and the uncertainty of the criteria prioritizing process, the expert's preferences were treated using integrated Median Ranked Sample Set (MRSS) and Analytic Hierarchy Process (AHP) models. The results show that the required landfill area is 342 hectares and the environmental criteria are the most important; with a priority equal to 48%.

• Structural Engineering and Mechanics
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• 제63권1호
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• pp.47-53
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• 2017

The fundamental goal of this study is to minimize the uncertainty of the median fragility curve and to assess the structural vulnerability under earthquake excitation. Bayesian Inference with Markov Chain Monte Carlo (MCMC) simulation has been presented for efficient collapse response assessment of the independent intake water tower. The intake tower is significantly used as a diversion type of the hydropower station for maintaining power plant, reservoir and spillway tunnel. Therefore, the seismic fragility assessment of the intake tower is a pivotal component for estimating total system risk of the reservoir. In this investigation, an asymmetrical independent slender reinforced concrete structure is considered. The Bayesian Inference method provides the flexibility to integrate the prior information of collapse response data with the numerical analysis results. The preliminary information of risk data can be obtained from various sources like experiments, existing studies, and simplified linear dynamic analysis or nonlinear static analysis. The conventional lognormal model is used for plotting the fragility curve using the data from time history simulation and nonlinear static pushover analysis respectively. The Bayesian Inference approach is applied for integrating the data from both analyses with the help of MCMC simulation. The method achieves meaningful improvement of uncertainty associated with the fragility curve, and provides significant statistical and computational efficiency.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제42권6호
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• pp.379-382
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• 2016

Cutaneous lymphoid hyperplasia (CLH) is a cutaneous pseudolymphoma with a worldwide distribution, equally affecting all races and ethnic groups. Due to its vast array of characteristics, it is most often missed in the differential diagnosis of firm to soft lumps on the head and neck. A systematic approach to the workup and diagnosis along with treatment of such lesions is discussed in this article. A 20-year-old Asian Indian female presented to our Oral and Maxillofacial unit with a lump on the left side of her forehead for 1 month. Local examination revealed a $2.5{\times}3.0cm^2$, well circumscribed swelling over the left para median region that was firm to doughy and non-tender. There was no other significant finding on general examination. Excisional biopsy of the lesion was performed, followed by histopathologic processing. The general etiology, pathogenesis, clinical presentation, differential diagnosis, clinical course, prognosis, treatment, and prevention have been discussed in line with the recent modalities of diagnosis and treatment of CLH. Due to the overlapping clinical and histological characteristics of CLH with many other lesions, it is important to consider this lesion in the differential diagnosis of cutaneous lesions.

• 응용통계연구
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• 제23권2호
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• pp.325-333
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• 2010

Protection against disclosure of survey respondents' identifiable and/or sensitive information is a prerequisite for statistical agencies that release microdata files from their sample surveys. Coarsening is one of popular methods for protecting the confidentiality of the data. Grouped data can be released in the form of microdata or tabular data. Instead of releasing the data in a tabular form only, having microdata available to the public with interval codes with their representative values greatly enhances the utility of the data. It allows the researchers to compute covariance between the variables and build statistical models or to run a variety of statistical tests on the data. It may be conjectured that the variance of the interval data is lower that of the ungrouped data in the sense that the coarsened data do not have the within interval variance. This conjecture will be investigated using the uniform and triangular distributions. Traditionally, midpoint is used to represent all the values in an interval. This approach implicitly assumes that the data is uniformly distributed within each interval. However, this assumption may not hold, especially in the last interval of the economic data. In this paper, we will use three distributional assumptions - uniform, Pareto and lognormal distribution - in the last interval and use either midpoint or median for other intervals for wage and food costs of the Statistics Korea's 2006 Household Income and Expenditure Survey(HIES) data and compare these approaches in terms of the first two moments.

• 천문학회보
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• 제35권2호
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• pp.39.1-39.1
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• 2010

We study the effects of the cluster environment on galactic morphology by defining a dimensionless angular momentum parameter ld, to obtain a quantitative and objective measure of galaxy type. The use of this physical parameter allows us to take the study of morphological transformations in clusters beyond the measurements of merely qualitative parameters, e.g. S/E ratios, to a more physical footing. To this end, we employ an extensive SDSS sample, with galaxies associated with Abell galaxy clusters. The sample contains 93 relaxed Abell clusters and over 34,000 individual galaxies. We find that the median ld value tends to decrease as we approach the cluster center, with different dependences according to the mass of the galaxies and the hosting cluster; low and intermediate mass galaxies showing a strong dependence, while massive galaxies seems to show, at all radii, low ld values. By analysing trends in ld as functions of the nearest galactic neighbour environment, clustercentric radius and velocity dispersion of clusters, we can identify clearly the leading physical processes at work. We find that in massive clusters (s > 700 km/s), the interaction with the cluster central region dominates, whilst in smaller clusters galaxy-galaxy interactions are chiefly responsible for driving galactic morphological transformations.

• 한국항행학회논문지
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• 제14권2호
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• pp.284-288
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• 2010

비디오 감시 장치는 사회안전망 구축분야에서 다양하게 응용되고 있다. 본 논문은 고정 카메라에서 취득된 시각정보를 이용한 침입 탐지 알고리즘을 제안하였다. 제안한 알고리즘은 비디오 시퀀스에서 AMF를 이용하여 모델링된 배경으로부터 물체 프레임 후보를 찾아내고, 감지된 물체는 움직임 정보의 분석으로 계산된다. 움직임 검출은 RGB 공간에서 2D 물체의 상대적 크기로 결정하였으며 물체 감지를 위한 임계값은 실험적인 방법으로 결정하였다. 실험 결과, 시 공간적 후보 정보들이 급격히 변화할 때, 물체 감지의 성능이 우수함을 확인할 수 있었다.

• Archives of Plastic Surgery
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• 제41권5호
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• pp.480-485
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• 2014

Background The objective of this article is to evaluate clinical outcomes of combined orbital floor and medial wall fracture repair using a three-dimensional pre-bent titanium implant in an East Asian population. Methods Clinical and radiologic data were analyzed for 11 patients with concomitant orbital floor and medial wall fractures. A combined transcaruncular and inferior fornix approach with lateral canthotomy was used for the exposure of fractures. An appropriate three-dimensional preformed titanium implant was selected and inserted according to the characteristics of a given defect. Results Follow-up time ranged from 2 to 6 months (median, 4.07 months). All patients had a successful treatment outcome without any complications. Clinically significant enophthalmos was not observed after treatment. Conclusions Three-dimensional pre-bent titanium implants are appropriate for use in the East Asian population, with a high success rate of anatomic restoration of the orbital volume and prevention of enophthalmos in combined orbital floor and medial wall fracture cases.

• The Korean Journal of Pain
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• 제1권1호
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• pp.125-128
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• 1988

A case of the left stellate ganglion block (SGB) with a warm serration of the left lower extremity in a 25-year-old male soldier is presented. During the Korean War, this patient received a penetrating gun shot wound from the right knee through the left abdominal wall, left upper arm and left thumb. He was evacuated to the a marine corps surgical hospital where amputation of the left thumb and an end-to-end anatomosis of the left brachial artery were performed. After surgery, left ulnar and median nerve paralysis and causalgia developed and about 9 months later an upper thoracic ganglionectomy was proposed at the Chin-Hae Navel Hospital. Before the ganglionectomy a stellate ganglion block for diagnostic and prognostic purposes was requested by the surgeon. This block was performed by the supraclavicular anterior approach using 10 ml of 2% procaine. The effect of the block including Horner's syndrome was confirmed 5 minute later in this patient. This patient returned to the ward by walking unassisted 10 minutes after the block, and complained of a warm sensation in the left lower extremity 20 minutes later as well as the left upper arm. This warm sensation in the lower extremity following ipsilateral stellate ganglion block indicates that the local anesthetics solution injected tinto the neck spread down to lumbar sympathetic ganalgion along the fascial membrane of the sympathetic chain as a consequence of the 10 minutes walk.