• Journal of the Korean Child Neurology Society
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• v.26 no.4
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• pp.284-287
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• 2018

Tuberous sclerosis complex (TSC) is an autosomal dominant disorder caused by mutation of one of two genes, TSC1 (encoding hamartin, 9q34) and TSC2 (encoding tuberin, 16p13). It invades the central nervous system and various parts of the body, causing various symptoms. Crohn's disease (CD) is a chronic immune-mediated disease that has not been clearly elucidated. It is thought to be caused by an excessive immune response of the body to bacteria that normally exist in the digestive tract with genetic factors. No cases have been reported in which both of the above-mentioned diseases occurred simultaneously. We report a case of CD in a patient with TSC. A 12-year-old boy was brought to our hospital because of abdominal pain. Skin lesions were observed in the TSC. Fundus examination revealed a hamartoma in the right retina. Brain magnetic resonance imaging revealed a subendothelial giant cell astrocytoma (SEGA). On the basis of these findings, he was diagnosed as having TSC. Blood test results showed increased levels of inflammatory markers. On abdominal ultrasonography, his colon walls were observed to be thickened with increased vascularity of the proximal ascending colon, ileocecal valve, and terminal ileum. Colonoscopy revealed discontinuous ulcerations and inflammations of the ileum, IC valve, and cecum, similar to those found in CD. Everolimus was administered orally for the SEGA but was discontinued frequently owing to the exacerbation of CD. The possibility of CD should be kept in mind in patients with TSC considering to undergo treatment for SEGA.

• Asian Spine Journal
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• v.12 no.6
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• pp.1060-1068
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• 2018

Study Design: Retrospective study. Purpose: Lumbar intervertebral disc degeneration is an important cause of low back pain. Overview of Literature: Spinal fusion is often reported to have a good course for adolescent idiopathic scoliosis (AIS). However, many studies have reported that adjacent segment degeneration is accelerated after lumbar spinal fusion. Radiography is a simple method used to evaluate the orientation of the vertebral column. magnetic resonance imaging (MRI) is the method most often used to specifically evaluate intervertebral disc degeneration. The Pfirrmann classification is a well-known method used to evaluate degenerative lumbar disease. After spinal fusion, an increase in stress, excess mobility, increased intra-disc pressure, and posterior displacement of the axis of motion have been observed in the adjacent segments. Methods: we retrospectively secured and analyzed the data of 15 patients (four boys and 11 girls) with AIS who underwent a spinal fusion surgery. We studied the full-length view of the spine (anterior-posterior and lateral) from the X-ray and MRI obtained from all patients before surgery. Postoperatively, another full-length spine X-ray and lumbosacral MRI were obtained from all participants. Then, pelvic tilt, sacral slope, curve correction, and fused and free segments before and after surgery were calculated based on X-ray studies. MRI images were used to estimate the degree to which intervertebral discs were degenerated using Pfirrmann grading system. Pfirrmann grade before and after surgery were compared with Wilcoxon signed rank test. While analyzing the contribution of potential risk factors for the post-spinal fusion Pfirrmann grade of disc degeneration, we used generalized linear models with robust standard error estimates to account for intraclass correlation that may have been present between discs of the same patient. Results: The mean age of the participant was 14 years, and the mean curvature before and after surgery were 67.8 and 23.8, respectively (p<0.05). During the median follow-up of 5 years, the mean degree of the disc degeneration significantly increased in all patients after surgery (p<0.05) with a Pfirrmann grade of 1 and 2.8 in the L2-L3 before and after surgery, respectively. The corresponding figures at L3-L4, L4-L5, and L5-S1 levels were 1.28 and 2.43, 1.07 and 2.35, and 1 and 2.33, respectively. The lower was the number of free discs below the fusion level, the higher was the Pfirrmann grade of degeneration (p<0.001). Conversely, the higher was the number of the discs fused together, the higher was the Pfirrmann grade. Conclusions: we observed that the disc degeneration aggravated after spinal fusion for scoliosis. While the degree of degeneration as measured by Pfirrmann grade was directly correlated by the number of fused segments, it was negatively correlated with the number of discs that remained free below the lowermost level of the fusion.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.5
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• pp.13-19
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• 2019

After the Fukushima nuclear accident, a new power supply using a lithium polymer battery has been proposed the first time in the world as the safety of the emergency battery facility has been required. It is required to have the safety of the rack system in which the battery device is installed in order to apply the proposed technology to the field. Therefore, the purpose of this study is to evaluate the seismic performance of string and rack frame for lithium-polymer battery devices developed for the first time in the world to satisfy 72 hours capacity. (1) The natural frequency of the unit rack system was 9 Hz, and the natural frequency before and after the earthquake load did not change. This means that the connection between members is secured against the design earthquake load. (2) he vibration reduction effect by string design was about 20%. (3) As a result of the seismic performance test under OBE and SSE conditions, the rack frame system was confirmed to be safe. Therefore, the proposed rack system can be applied to the nuclear power plant because the rack system has been verified structural safety to the required seismic forces.

• The Journal of the Korea Contents Association
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• v.21 no.2
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• pp.437-444
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• 2021

The aim of this study was to compare the cardiac CT and cardiac MRI in calculating and correcting the left ventricle ejection fraction by analyzing the physical and temporal resolution for reducing the misdiagnosis rate. One hundred thirty-eight patients with aortic value regurgitation who underwent both cardiac CT and cardiac MRI were analyzed. Left ventricle ejection fractions calculated from each exam were corrected based on the physical and temporal resolution differences and the reliability test evaluated whether the misdiagnosis rate of cardiac CT was improved after the correction. As a result of the study, the misdiagnosis rate of cardiac CT ejection fraction before correcting the difference in physical and temporal resolution was 38.4%(53 persons). In addition, it can be seen that the corrected cardiac CT ejection fraction confirmed in the Bland-Altman plot was highly consistent with the ejection fraction of cardiac MRI. In conclusion, as the cardiac CT is less well suited for measuring ejection fraction, physical characteristics and the time resolution correction using cardiac MRI is needed and the misdiagnosis rate after correction decreased to 14.5%(20 persons). Therefore, this study appears more appropriate for better prediction of ejection fraction and clinical utility.

• Journal of the Korean GEO-environmental Society
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• v.24 no.2
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• pp.31-40
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• 2023

We installed temporary strong motion seismometers at the ground surface, 1 m, 2 m, and 9 m at an existing seismic station that houses permanent seismometers installed at 20 m and 100 m, to investigate the influence of installation depth on the recorded ambient and anthropogenic noise level and the characteristics of earthquake signals. Analysis of the ambient noise shows that anthropogenic noise dominates where vibration period T < 1 s at the studied site, whereas wind speed appears to be strongly correlated with the noise level at T > 1 s. Frequency-wavenumber analysis of 2D seismometer array suggests that ambient noise in short periods are predominantly body waves, rather than surface waves. The level of ambient noise was low at 9 m and 20 m, but strong amplification of noise level at T < 0.1 s was observed at the shallow seismometers. Both the active-source test result and the recorded earthquake data demonstrated that the signal level is decreased with the increase of depth. Our result also shows that recorded motions at the ground and 1 m are strongly amplified at 20 Hz (T = 0.05 s), likely due to the resonance of the 3 m thick soil layer. This study demonstrates that analysis of ambient and active-source vibration may help find optimal installation depth of strong motion seismometers. We expect that further research considering various noise environments and geological conditions will be helpful in establishing a guideline for optimal installation of strong motion seismometers.

• KOREAN JOURNAL OF CROP SCIENCE
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• v.67 no.4
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• pp.211-221
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• 2022

Recently, the demand for the cultivation of upland soil has been increasing, and the rate of conversion of paddy soil into upland soil is also increasing. Theincrease in uneven precipitation due to climate change has resulted in dramatic effects of waterlogging stress on upland crops. Therefore, the present study was conducted to investigate the changes in growth characteristics and the expression patterns of proteins at the two-leaf stage of adzuki beans. The domestic cultivar, Arari (Miryang No. 8), was used to test waterlogging stress. At the two-leaf stage of adzuki beans, plant height slightly decreased androot fresh weight showed significant changes after 3 days of waterlogging treatment. Chlorophyll content was also significantly different after 3 days of waterlogging treatment compared to its content in control plants. Using two-dimensional gel electrophoresis, more than 400 protein spots were identified. Twenty-one differentially expressed proteins from the two-leaf stage were analyzed using linear trap quadrupole-Fourier transform-ion cyclotron resonance mass spectrometry. Of these 21 proteins, 9 were up-regulated and 12 were down-regulated under waterlogging treatment. Protein information resource (https://pir.georgetown.edu/) categories were assigned to all 49 proteins according to their molecular function, cellular component localization, and biological processes. Most of the proteins were found to be involved in the biological process, carbohydrate metabolism and were localized in chloroplasts.

• Journal of Korean Tunnelling and Underground Space Association
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• v.12 no.4
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• pp.295-306
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• 2010

Contrary to an intact rock, the jointed rock mass shows strain-dependent deformation characteristics (elastic modulus and damping ratio). The maximum elastic modulus of a rock mass can be obtained from an elastic wave-based exploration in a small strain level and applied to seismic analyses. However, the assessment and application of the non-linear characteristics of rock masses in a small to medium strain level ($10^{-4}{\sim}0.5%$) have not been carried out yet. A non-linear dynamic analysis module is newly developed for FLAC3D to simulate strain-dependent shear modulus degradation and damping ratio amplification characteristics. The developed module is verified by analyzing the change of the Ricker wave propagation. Strain-dependent non-linear characteristics are obtained from disks of cored samples using a rock mass dynamic testing apparatus which can evaluate wave propagation characteristics in a jointed rock column. Using the experimental results and the developed non-linear dynamic module, seismic analyses are performed for the intersection of a shaft and an inclined tunnel. The numerical results show that vertical and horizontal displacements of non-linear analyses are larger than those of linear analyses. Also, non-linear analyses induce bigger bending compressive stresses acting on the lining. The bending compressive stress concentrates at the intersection part. The fundamental understanding of a strain-dependent jointed rock mass behavior is achieved in this study and the analytical procedure suggested can be effectively applied to field designs and analyses.

• Journal of Korean Tunnelling and Underground Space Association
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• v.11 no.1
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• pp.71-83
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• 2009

Shotcrete is an important primary support for tunnelling in rock. The quality control of shotcrete is a core issue in the safe construction and maintenance of tunnels. Although shotcrete may be applied well initially onto excavated rock surfaces, it is affected by blasting, rock deformation and shrinkage and can debond from the excavated surface, causing problems such as corrosion, buckling, fracturing and the creation of internal voids. This study suggests an effective non-destructive evaluation method of the tunnel shotcrete bonding state applied onto hard rocks using the impact-echo (IE) method and ground penetration radar (GPR). To verify previous numerical simulation results, experimental study carried out. Generally, the bonding state of shotcrete can be classified into void, debonded, and fully bonded. In the laboratory, three different bonding conditions were modeled. The signals obtained from the experimental IE tests were analyzed at the time domain, frequency domain, and time-frequency domain (i.e., the Short- Time Fourier transform). For all cases in the analyses, the experimental test results were in good agreement with the previous numerical simulation results, verifying this approach. Both the numerical and experimental results suggest that the bonding state of shotcrete can be evaluated through changes in the resonance frequency and geometric damping ratio in a frequency domain analysis, and through changes in the contour shape and correlation coefficient in a time-frequency analysis: as the bonding state worsens in hard rock condition, the autospectral density increases, the geometric damping ratio decreases, and the contour shape in the time-frequency domain has a long tail parallel to the time axis. The correlation coefficient can be effectively applied for a quantitative evaluation of bonding state of tunnel shotcrete. Finally, the bonding state of shotcrete can be successfully evaluated based on the process suggested in this study.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.30 no.6A
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• pp.535-542
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• 2010

Precise estimation of a structure's dynamic characteristics is indispensable for ensuring stable dynamic responses during lifetime especially for the structures which can experience resonance such as railway bridges. In this paper, the results of forced vibration tests of different excitation methods (vibration exciter and impact hammer) are compared to examine the differences and the cause of differences of extracted natural frequencies. Consequently a natural frequency modification method is suggested to eliminate effects of non-structural disturbance factors. Also, sequential forced vibration tests are performed before and after track construction according to the construction stage of a railway bridge, and the variation of natural frequencies are examined. Effect of added mass of vibration exciter and variation of support condition due to the level of excitation force are concluded as the major cause of natural frequency differences. Thus eliminating these effects can enhance the reliability of the extracted natural frequencies. Construction of track affects not only the mass of structure but also the stiffness of the structure. Also, the amount of increase in stiffness varies according to the level of structural deflection. Therefore, reasonable estimation of the level of structural response during operation is important for precise natural frequency calculation at design phase.

• Korean Journal of Radiology
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• v.22 no.7
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• pp.1044-1053
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• 2021

Objective: Motion-corrected averaging with a single-shot technique was introduced for faster acquisition of late-gadolinium-enhancement (LGE) cardiovascular magnetic resonance (CMR) imaging while free-breathing. We aimed to evaluate the image quality (IQ) of free-breathing motion-corrected single-shot LGE (moco-ss-LGE) in patients with hypertrophic cardiomyopathy (HCM). Materials and Methods: Between April and December 2019, 30 patients (23 men; median age, 48.5; interquartile range [IQR], 36.5-61.3) with HCM were prospectively enrolled. Breath-held single-shot LGE (bh-ss-LGE) and free-breathing moco-ss-LGE images were acquired in random order on a 3T MR system. Semi-quantitative IQ scores, contrast-to-noise ratios (CNRs), and quantitative size of myocardial scar were assessed on pairs of bh-ss-LGE and moco-ss-LGE. The mean ± standard deviation of the parameters was obtained. The results were compared using the Wilcoxon signed-rank test. Results: The moco-ss-LGE images had better IQ scores than the bh-ss-LGE images (4.55 ± 0.55 vs. 3.68 ± 0.45, p < 0.001). The CNR of the scar to the remote myocardium (34.46 ± 11.85 vs. 26.13 ± 10.04, p < 0.001), scar to left ventricle (LV) cavity (13.09 ± 7.95 vs. 9.84 ± 6.65, p = 0.030), and LV cavity to remote myocardium (33.12 ± 15.53 vs. 22.69 ± 11.27, p < 0.001) were consistently greater for moco-ss-LGE images than for bh-ss-LGE images. Measurements of scar size did not differ significantly between LGE pairs using the following three different quantification methods: 1) full width at half-maximum method; 23.84 ± 12.88% vs. 24.05 ± 12.81% (p = 0.820), 2) 6-standard deviation method, 15.14 ± 10.78% vs. 15.99 ± 10.99% (p = 0.186), and 3) 3-standard deviation method; 36.51 ± 17.60% vs. 37.50 ± 17.90% (p = 0.785). Conclusion: Motion-corrected averaging may allow for superior IQ and CNRs with free-breathing in single-shot LGE imaging, with a herald of free-breathing moco-ss-LGE as the scar imaging technique of choice for clinical practice.