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Anterior Vaginal Wall Sling for Female Stress Urinary Incontinence (여성 복압성 요실금에서 질전벽슬링수술의 효과)

  • Shin, Hong-Seok;Yoo, Jin-Wook;Jung, Hee-Chang;Park, Tong-Choon
    • Journal of Yeungnam Medical Science
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    • v.18 no.1
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    • pp.59-66
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    • 2001
  • Background: The purpose of this study was to determine the efficacy and safety of the anterior vaginal wall sling in the management of women with stress urinary incontinence. Materials and Methods: From January 1998 to December 1999, 42 patients(31 with genuine stress urinary incontinence and 11 with mixed urinary incontinence, 38 with anatomical incontinence and 4 with intrinsic sphincteric deficiency) underwent anterior vaginal wall sling at Yeungnam University Hospital were studied retrospectively. The mean age was 49.3 years(ranging from 34 to 66 years of age) and the mean follow-up period was 29.4 months(ranging from 16 to 40 months). Intra- and postoperative complication. success rate and patient's satisfaction were evaluated. Results: The mean operation time was 79 minutes(ranging from 65 to 124 minutes) and the mean hospital stay was 5.1 days(ranging from 4 to 10 days). Mean postoperative Foley catheter drainage was 2.1 days(ranging from 1 to 5 days). As a complication. bladder perforation occurred in one patient(2.4%). residual urine sensation developed in seven patients(16.7%), and suprapubic pain was complained in five patients(11.9%), which improved gradually. Vaginal epithelial inclusion cyst occurred in one patient(2.4%) at postoperative 31 months. Four(9.4%) patients with de novo instability were improved by anticholinergics medication. The success rate was 92.9% and 38 patients(90.5%) were satisfied with this procedure. Conclusion: We consider that the anterior vaginal wall sling to be a safe and effective surgical procedure for the treatment of female stress urinary incontinence, but a longer follow-up is necessary to determine long term effect.

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Comparative study on cleaning effects of air scouring and unidirectional flushing considering water flow direction of water pipes (상수도관의 물 흐름 방향을 고려한 공기주입 세척 및 단방향 플러싱 공법의 세척 효과 비교 연구)

  • Seo, Jeewon;Lee, Gyusang;Kim, Kibum;Hyung, Jinseok;Kim, Taehyeon;Koo, Jayong
    • Journal of Korean Society of Water and Wastewater
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    • v.33 no.5
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    • pp.353-366
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    • 2019
  • This research proposes an optimal flushing operation technique in an effort to prevent secondary water pollutions and accidents in aged pipes, and to improve the cleaning effect of unidirectional flushing. Water flow directions were analyzed using EPANET 2.0, while flushing and air scouring experiments in forward and reverse directions were performed in the field. In 42 experiments, average residual chlorine concentration and turbidity were improved after cleaning compared to before cleaning. It was found that even when the same cleaning method was used, further improvement of cleaning effect was possible by applying air injection and reverse direction cleaning techniques. By means of one-way ANOVA(Analysis of variance), it was also possible to statistically verify the need of actively utilizing air injection and reverse direction cleaning. Based on correlation between turbidity and TSS, the total amount of suspended solids removal was estimated for 874 flushing operations and 194 air scouring operations. The result showed that air scouring used more discharge water than flushing by an average of $4.9m^3$ yet with larger amounts of suspended solids removal by an average of 145.9 g. The result of analysis on turbidity values from 887 flushing operations showed low cleaning effect of unidirectional flushing for the pipes with diameters over 300 mm. In addition, the turbidity values measured during cleaning showed an increasing tendency as pipe age increased. The methodology and results of this research are expected to contribute to the efficient maintenance and improvement of water quality in water distribution networks. Follow-up research involving the measurement of water quality at regular time intervals during cleaning would allow a more accurate comparison of discharge water quality characteristics and cleaning effects between different cleaning methods. To this end, it is considered necessary to develop a standardized manual that can be used in the field and to provide relevant trainings.

Use of Sentinel Lymph Node Biopsy after Neoadjuvant Chemotherapy in Patients with Axillary Node-Positive Breast Cancer in Diagnosis

  • Choi, Hee Jun;Kim, Isaac;Alsharif, Emad;Park, Sungmin;Kim, Jae-Myung;Ryu, Jai Min;Nam, Seok Jin;Kim, Seok Won;Yu, Jonghan;Lee, Se Kyung;Lee, Jeong Eon
    • Journal of Breast Cancer
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    • v.21 no.4
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    • pp.433-4341
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    • 2018
  • Purpose: This study aimed to evaluate the effects of sentinel lymph node biopsy (SLNB) on recurrence and survival after neoadjuvant chemotherapy (NAC) in breast cancer patients with cytology-proven axillary node metastasis. Methods: We selected patients who were diagnosed with invasive breast cancer and axillary lymph node metastasis and were treated with NAC followed by curative surgery between January 2007 and December 2014. We classified patients into three groups: group A, negative sentinel lymph node (SLN) status and no further dissection; group B, negative SLN status with backup axillary lymph node dissection (ALND); and group C, no residual axillary metastasis on pathology with standard ALND. Results: The median follow-up time was 51 months (range, 3-122 months) and the median number of retrieved SLNs was 5 (range, 2-9). The SLN identification rate was 98.3% (234/238 patients), and the false negative rate of SLNB after NAC was 7.5%. There was no significant difference in axillary recurrence-free survival (p=0.118), disease-free survival (DFS; p=0.578) or overall survival (OS; p=0.149) among groups A, B, and C. In the subgroup analysis of breast pathologic complete response (pCR) status, there was no significant difference in DFS (p=0.271, p=0.892) or OS (p=0.207, p=0.300) in the breast pCR and non-pCR patients. Conclusion: These results suggest that SLNB can be feasible and oncologically safe after NAC for cytology-determined axillary node metastasis patients and could help reduce arm morbidity and lymphedema by avoiding ALND in SLN-negative patients.

Experimental determination of design parameters for filtration trench using phosphorus removal granular materials (인 제거 입상소재를 적용한 여과수로 설계인자의 실험적 결정)

  • Jang, Yeoju;Lim, Hyunman;Jung, Jinhong;Ahn, Kwangho;Chang, Hyangyoun;Park, Nari;Kim, Weonjae
    • Journal of Korean Society of Water and Wastewater
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    • v.33 no.1
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    • pp.9-16
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    • 2019
  • The algal blooms in stagnant streams and lakes have caused many problems. Excessive algae leads to disturbance of ecosystem and overload of water treatment processes. Therefore, phosphorus(P), source of algal blooms, should be controlled. In this study, a filtration trench has been developed to convert dissolved phosphorus into hydroxyapatite(HAP) so that it could be crystallized on the surface of 'phosphorus removal granular material'; and residual particulate phosphorus could be removed by additional precipitation and filtration. The front and rear parts of filtration trench consisted of 'phosphorus removal granular material contact bed' and 'limestone filtration bed', respectively. As a result of the column test using phosphorus removal granular material and limestone serially, $PO_4-P$ was removed more than 90% when EBCT(empty bed contact time) of the contact bed was over 20 minutes; and T-P represented 60% of removal efficiency when total EBCT was over 1.5 hours. The results of column tests to figure out the sedimentation characteristics showed that more than 90% of particulate phosphorus could be removed within 24 hours. It was necessary to optimize the filtration part in order to increase removal efficiency of T-P additionally. Also, it was confirmed through the simulation of Visual MINTEQ that most of particulate phosphorus in the column tests is the form of HAP. Based on the results of the study, it could be suggested that the design parameters are over 0.5 hour of EBCT for phosphorus removal granular material contact bed and over 1.5 hours of EBCT for limestone filtration bed.

Evaluation of high-velocity impact welding's interfacial morphology between Cu and CP-Ti using SPH numerical analysis method (SPH 해석기법을 이용한 Cu와 CP-Ti 고속 충돌 접합 단면의 형상학적 평가)

  • Park, Ki Hwan;Kang, Beom Soo;Kim, Jeong
    • Journal of Aerospace System Engineering
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    • v.13 no.2
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    • pp.34-42
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    • 2019
  • The existence of different thermodynamic properties results in various undesirable effects, such as thermal deformation and residual stress, in heat-welding processes. The solid-state junction, by using explosive or electromagnetic forces, i.e., high-velocity impact welding without employing heat is advantageous in joining materials with different thermodynamic properties. In the solid-state junction, the joining is performed within a short time, a high velocity and large deformations are accompanied by interfacial surfaces. The numerical analysis models play an important role in the understanding of the mechanism of high-velocity impact welding. However, in the analysis of high velocity and large deformations, the conventional Lagrangian method has low reliability due to the occurrence of entanglements. In this study, high-velocity impact welding between Cu and CP-Ti with different thermodynamic properties was performed using a un-gridded numerical method, SPH (Smoothed Particle Hydrodynamics), and interfacial morphology occurred. As a result of the analysis, the interfacial morphology was confirmed and the compared degree of shape (straight, vortex), period, length, and so on appeared differently depending on the relationship between the parameters (impact angle and speed).

Clinical performance of esthetic ceramic partial-coverage restorations with supra-gingival margin using minimally invasive tooth preparation method according to the concept of adhesive dentistry (접착치의학 개념에 따른 최소 침습적 치아 삭제법을 적용한 심미적인 치은 연상 변연 도재 부분피개관 수복 증례)

  • Hong, Myung-Sik;Choi, Yu-Sung;Lee, Jong-Hyuk;Ha, Seung-Ryong
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.3
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    • pp.319-332
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    • 2021
  • With the rapid development of aesthetic ceramic materials and resin adhesives, the transition from metal ceramic crown to all-ceramic restoration is being actively carried out. When making porcelain restorations, the advantages can be maximized only when appropriate forms and techniques are used. Recently, an esthetic partial-coverage restoration method with supra-gingival margins was introduced by applying a minimally invasive tooth removal method that preserves enamel as much as possible and enhances adhesion efficiency. Through this, various advantages such as minimization of tooth structure removal and ease of excess cement removal can be obtained. In addition, since this manufacturing method does not require cord packing, it is possible to save time for impression taking and reduce patient discomfort. Furthermore, the margins can be clearly obtained without the intervention of gingival fluid or blood, making it possible to manufacture more accurate restorations. In the following cases of patients with partial tooth defects, esthetic ceramic partial-coverage restorations with supra-gingival margin was applied using minimally invasive tooth preparation method according to the concept of adhesive dentistry. Therefore, unnecessary tooth abutment preparation was prevented and residual tooth structure could be preserved as much as possible. After delivery of the ceramic partial-coverage restorations, favorable outcome was obtained.

Equalization Performance according to the Step Change Speed Value for adaptation in VS-CCA using Nonlinear Function of Error Signal (오차 신호의 비선형 함수를 이용하는 VS-CCA에서 적응을 위한 step 변화 속도값에 따른 등화 성능)

  • Lim, Seung-Gag
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.20 no.6
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    • pp.27-32
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    • 2020
  • This paper compare the adaptive equalization performance according to the values of adaptive step variation speed for adapting in VS-CCA (Variable Stepsize-Compact Constellation Algorithm) based on nonlinear function function of error signal. The VS-CCA algorithm compacts the 16-QAM nonconstant modulus signal into the 4 groups of 4-QAM constant modulus signal constellation in quadature plane, then the error signal is generated using the constant modulus of transmitted signal statistics. The adaptive equalizer coefficient were updated in order to achieve the minimum cost function by varying step based on the nonlinear function of error signal. In this time, the instantaneous adaptive step is determined according to the value of step variation speed of nonlinear function and the different equalization performance were obtained according to the step variation speed value. The equalizer internal index and external index which represents the robustness of external noise were used for the performance comparison index. As a result of computer simulation, it was confirmed that the value of variation speed less than 1.0 give more superior in every performance index compared to the greater than 1.0 in steady state.

Transient Liquid Phase Sinter Bonding with Tin-Nickel Micro-sized Powders for EV Power Module Applications (주석-니켈 마이크로 분말을 이용한 EV 전력모듈용 천이액상 소결 접합)

  • Yoon, Jeong-Won;Jeong, So-Eun
    • Journal of the Microelectronics and Packaging Society
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    • v.28 no.2
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    • pp.71-79
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    • 2021
  • In this study, we have successfully fabricated the Sn-Ni paste and evaluated the bonding properties for high-temperature endurable EV (Electric Vehicle) power module applications. From evaluating of the micro-structural changes in the TLPS (Transient Liquid Phase Sintering) joints with Sn and Ni contents in the Sn-Ni pastes, a lack of Ni powders and Ni particle agglomerations by Ni surplus were observed in the Sn-20Ni and Sn-50Ni joints (in wt.%), respectively. In contrast, relatively dense microstructures are observed in the Sn-30Ni and Sn-40Ni TLPS joints. From differential scanning calorimetry (DSC) thermal analysis results of the fabricated Sn-Ni paste and TLPS bonded joints, we confirmed that the complete reactions of Sn with Ni to form Ni-Sn intermetallic compounds (IMCs) at bonding temperatures occurred, and there is no remaining Sn in the joints after TLPS bonding. In addition, the interfacial reactions and IMC phase changes of the Sn-30Ni joints under various bonding temperatures were reported, and their mechanical shear strength were investigated. The TLPS bonded joints were mainly composed of residual Ni particles and Ni3Sn4 intermetallic phase. The average shear strength tended to increase with increasing bonding temperature. Our results indicated a high shear strength value of approximately 30 MPa at a bonding temperature of 270 ℃ and a bonding time of 30 min.

A Study on the Preparation and Purification Characteristics of Graphene Oxide by Graphite Type (흑연 종류에 따른 산화 그래핀의 제조 및 정제를 통한 특성연구)

  • Jeong, Kyeom;Kim, Young-Ho
    • Clean Technology
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    • v.27 no.2
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    • pp.132-138
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    • 2021
  • Research is being conducted on graphene to provide graphene having both excellent physical as well as electrical properties in addition to unique physical properties. In this study, Hummer's method, which is a representative method for chemical exfoliation, was applied in order to investigate the possibility of the mass production of high-quality graphene oxide. Three types of graphite (graphite, crystalline graphite, and expanded graphite) were used in the preparation of graphene oxide with variations in the amount of potassium permanganate added, reaction temperature, and reaction time. Then a Fourier transform infrared spectroscopy (FT-IR), a Raman spectrometer, and a transmission electron microscope (TEM) were used to measure the quality of the prepared graphene oxide. Of the three types of graphite used in this experiment, crystalline graphite showed the highest quality. The prepared graphene oxide was then purified with an organic solvent, and an analysis conducted using energy dispersive X-ray spectroscopy (EDS). From the results of the residual values, we were able to confirm that both acid wastewater and wastewater were best purified using cyclohexane. The method for manufacturing graphene oxide as well as the method of purification using organic solvents that are presented in this study are expected to have less of an environmental impact, making them environmentally friendly. This makes them suitable for use in various industrial fields such as the film industry and for heat dissipation and as coating agents.

Comparative Analysis of Anomaly Detection Models using AE and Suggestion of Criteria for Determining Outliers

  • Kang, Gun-Ha;Sohn, Jung-Mo;Sim, Gun-Wu
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.8
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    • pp.23-30
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    • 2021
  • In this study, we present a comparative analysis of major autoencoder(AE)-based anomaly detection methods for quality determination in the manufacturing process and a new anomaly discrimination criterion. Due to the characteristics of manufacturing site, anomalous instances are few and their types greatly vary. These properties degrade the performance of an AI-based anomaly detection model using the dataset for both normal and anomalous cases, and incur a lot of time and costs in obtaining additional data for performance improvement. To solve this problem, the studies on AE-based models such as AE and VAE are underway, which perform anomaly detection using only normal data. In this work, based on Convolutional AE, VAE, and Dilated VAE models, statistics on residual images, MSE, and information entropy were selected as outlier discriminant criteria to compare and analyze the performance of each model. In particular, the range value applied to the Convolutional AE model showed the best performance with AUC PRC 0.9570, F1 Score 0.8812 and AUC ROC 0.9548, accuracy 87.60%. This shows a performance improvement of an accuracy about 20%P(Percentage Point) compared to MSE, which was frequently used as a standard for determining outliers, and confirmed that model performance can be improved according to the criteria for determining outliers.