• Clinical Endoscopy
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• v.55 no.1
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• pp.95-100
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• 2022

Background/Aims: Endoscopic mucosal resection (EMR) is the primary treatment for duodenal adenomas; however, it is associated with a high risk of perforation and bleeding, especially with larger lesions. The goal of this study was to demonstrate the feasibility and safety of endoscopic suturing (ES) for the closure of mucosal defects after duodenal EMR. Methods: Consecutive adult patients who underwent ES of large mucosal defects after EMR of large (>2 cm) duodenal adenomas were retrospectively enrolled. The OverStitch ES system was employed for closing mucosal defects after EMR. Clinical outcomes and complications, including delayed bleeding and perforation, were documented. Results: During the study period, ES of mucosal defects was performed in seven patients in eight sessions (six for prophylaxis and two for the treatment of perforation). All ES sessions were technically successful. No early or delayed post-EMR bleeding was recorded. In addition, no clinically obvious duodenal stricture or recurrence was encountered on endoscopic follow-up evaluation, and no patients required subsequent surgical intervention. Conclusions: ES for the prevention and treatment of duodenal perforation after EMR is technically feasible, safe, and effective. ES should be considered an option for preventing or treating perforations associated with EMR of large duodenal adenomas.

• Korean Journal of Remote Sensing
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• v.28 no.5
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• pp.587-596
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• 2012

Verifying about eligibility of targeted site is necessary for execute Afforestation and Reforestation Clean Development Mechanism (A/R CDM) project which is followed by system of Kyoto protocol. The site have to be identified by which could not be in conformity with definition of forest. This study tried to propose a technology of classify for site selection of A/R CDM. We chose several parts of Yangpyeng as study area and applied LiDAR data and remotely sensed imagery for considering about tree height, degree of crown closure, and land area which 3 factors for identify forest. LiDAR data was used for offset the shortage of remotely sensed imagery that cannot perfectly determine the forest definition due to absence of 3-dimentional information, but can be obtained from LiDAR. Considering tree height, degree of crown closure, and land area simultaneously by moving window, classified fields to forest and non forest based on pixel size. As a result, 124.06 ha for suitable to doing plantation and approximately 357.02 ha are in negative. Technology that applied for analyzing will provide fundamental methodology not only site selection for A/R CDM, but will be utilized in other Kyoto protocol.

• Journal of Preventive Medicine and Public Health
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• v.43 no.2
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• pp.109-116
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• 2010

Objectives: The pandemic of novel influenza A (H1N1) virus has required decision-makers to act in the face of the substantial uncertainties. In this study, we evaluated the potential impact of the pandemic response strategies in the Republic of Korea using a mathematical model. Methods: We developed a deterministic model of a pandemic (H1N1) 2009 in a structured population using the demographic data from the Korean population and the epidemiological feature of the pandemic (H1N1) 2009. To estimate the parameter values for the deterministic model, we used the available data from the previous studies on pandemic influenza. The pandemic response strategies of the Republic of Korea for novel influenza A (H1N1) virus such as school closure, mass vaccination (70% of population in 30 days), and a policy for anti-viral drug (treatment or prophylaxis) were applied to the deterministic model. Results: The effect of two-week school closure on the attack rate was low regardless of the timing of the intervention. The earlier vaccination showed the effect of greater delays in reaching the peak of outbreaks. When it was no vaccination, vaccination at initiation of outbreak, vaccination 90 days after the initiation of outbreak and vaccination at the epidemic peak point, the total number of clinical cases for 400 days were 20.8 million, 4.4 million, 4.7 million and 12.6 million, respectively. The pandemic response strategies of the Republic of Korea delayed the peak of outbreaks (about 40 days) and decreased the number of cumulative clinical cases (8 million). Conclusions: Rapid vaccination was the most important factor to control the spread of pandemic influenza, and the response strategies of the Republic of Korea were shown to delay the spread of pandemic influenza in this deterministic model.

• Journal of the korean academy of Pediatric Dentistry
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• v.29 no.4
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• pp.586-591
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• 2002

Bruxism can be generally regarded as a diurnal clenching or nocturnal teeth grinding or a combination of both. Clenching of the teeth is forceful closure of the opposing dentition in a static relationship of the mandible to the maxilla, whereas grinding of the dentition is forceful closure of the opposing dentition in a dynamic maxillo-mandibular relationship as the mandibular arch moves through various excursive positions. The causes of bruxism are not yet discovered clearly, but most consistently mentioned cause is psychological stress. Bruxism can be also associated with sleep disorders, medication, and disturbances of the central nervous system. There is no permanent treatment method of bruxism, so the objectives for management of bruxism are reduction of psychological stress and treatment of signs and symptoms of bruxism by occlusal adjustment, occlusal splint, systemic medication and physical therapy. These cases report present three cases of children with bruxism. The bruxism was reduced in these patients wearing occlusal splint.

• International Journal of Highway Engineering
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• v.12 no.4
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• pp.17-28
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• 2010

A climbing lane is installed to separate low-speed traffic from high-speed traffic if drastic traffic capacity reduction is expected due to a large number of vehicles that slow down in the upward section. Existing studies on climbing lanes have focused on the designation, location of starting and ending points, and installation method of climbing lane with regard to road design standards. However, in terms of traffic operation, it was known that the climbing lanes cause traffic congestion due to the increase of traffic volumes. In this regard, this study aims to establish traffic operational guidance as to how much effects temporary closure of climbing lanes can have on traffic improvement according to the volume-capacity ratio, grade, and composition of trucks. A test section of simulated climbing lane was selected in Nakdong JC bound for Masan(136.9K~133.3K, 3.6km, 3.7%) on Jungbunaeryuk expressway to conduct VISSIM analyses, microscopic traffic simulation based on such control variables as traffic volume(v/c), grade and the trucks ratio. As a result of the analyses, it has been found that v/c and the ratio of trucks are the key variables for efficient traffic management of climbing lanes in order to relieve traffic congestion via climbing lane. If ratio of trucks are more than 50% and when v/c would be 0.8, both climbing lane would be closed and non-operated regardless of grade and ratio of trucks when v/c is 1.0. With the increased traffic due to a five-day work week system, continued peak hours during the weekday, increased and various patterns of congestion on expressway, this study would be expected to contribute to facilitating researches on flexible operational standards for road facilities.

• Archives of Plastic Surgery
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• v.37 no.6
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• pp.823-826
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• 2010

Purpose: Meningomyelocele is the most common type of neural tube defect disease. Early surgical treatment is recommended to prevent central nervous system infection. Several reconstruction methods were reported previously regarding surgical wound defect closure following meningomyelocele excision. In this article, we report two successful patients using the bilateral fasciocutaneous sliding V-Y advancement flap as a covering for meningomyelocele defects. Methods: Two patients with meningomyelocele were evaluated. Both patients were male and received their operations on the 1st and 4th day of life. After neurosurgeons completed their part of the operation, the V-Y advancement flap was used to close the defect. Initially a bilateral V-shape incision design was made on the skin such that the base of the V-flap measures identical to the size of the wound defect. An incision was made down to the fascia in order to allow the V-flaps to slide into the defect. Subfascial dissection was performed up to 1/3 to 1/4 the length of the V-flap from the wound while minimizing injury to the perforating vessels. Results: Both patients were treated successfully and there was no evidence of complication in 2 months follow up. Conclusion: Several reconstruction methods such as local flaps, skin graft and myocutaneous flaps were reported regarding meningomyelocele surgical wound defect closure. Bilateral fasciocutaneous sliding V-Y advancement flap is an easy method without involving the underlying muscles or a secondary skin graft in a short operation time. Therefore we recommend this treatment option for reconstruction of the wound defect following meningomyelocele excision.

• Korean Journal of Agricultural and Forest Meteorology
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• v.1 no.2
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• pp.127-134
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• 1999

This study was performed to obtain the basic data to present rational silvicultural tending plan. It makes these widely distributed pine-oak mixed stand and each of pure stand in middle province on object of this study and do comparative analysis of light condition about stand parameter and natural regeneration according to each slope(north, west and south) conditions of location in central part of South Korea. Sample plots for pine-oak mixed stand and pine and oak pure stand were established on each of southern, northern and western slopes based upon site and growth conditions of the slope. Sample plot was a circle of 0.05ha with a diameter of 25.24 m. A sample plot has between 30 and 40 tree in it. Total 23 sample plots were established; 9 pure pine stands, 8 pine-oak mixed stands. and 6 pure oak stands across lower, middle, upper parts of slopes. Relative light intensity within a stand was' measured by crown- photo(fish-eye lens; 180$^{\circ}$) system through fish-eye lens and by comparing each plot with the denuded through PAR-sensor. The crown closure ratio of pure pine stand (75%) shows much lower than that of mixed stand (90.9%) and pure oak stand (93%). The relative light intensity within a stand showed an opposite result. The crown closure of mixed stands tended to become gradually low as the slope moves from the north to the south, but the relative light Intensity within the stand tended to rise. By analyzing the relationship between the relative light intensity within a stand and stand parameter, light intensity within a stand tended to decrease as the diameter and N/ha increase. Number of oak seedlings and light intensity within a stand is in a straight-line regression relation. In particular, the number of oak seedlings was the highest in mixed stands on the southern slope. But no single pine seedling was found. The unfavorable conditions of l0cm thick litter layer and low relative light intensity in a stand (ranging between 4% and 8%) is considered to prevent pine seeds from germinating.

• Journal of the Korean Society of Safety
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• v.35 no.3
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• pp.96-104
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• 2020

The numerical simulations were conducted to investigate the thermal-fluid phenomena occurred inside the experimental apparatus during a PCCS, used to remove heat released in accidents from a containment of light water nuclear power plant, operation. Numerical simulations of the flow and heat transfer caused by wall condensation inside the containment simulation vessel (CSV), which equipped with 18 vertical heat exchanger tubes, were conducted using the commercial computational fluid dynamics (CFD) software ANSYS-CFX. Shear stress transport (SST) and the wall condensation model were used for turbulence closure and wall condensation, respectively. The simulation using the actual size of the apparatus. However, rather than simulating the whole experimental apparatus in consideration of the experimental cases, calculation resources, and calculation time, the simulation model was prepared only in CSV. Selective simulation was conducted to verify the effects of non-condensable gas(NC gas) concentration, CSV internal pressure, and wall sub-cooling conditions. First, as a result of the internal flow of CSV, it was observed that downward flow due to condensation occurred surface of the vertical tube and upward flow occurred in the distant place. Natural convection occurred actively around the heat exchanger tube. Due to this rising and falling internal flow, natural circulation occurred actively around the heat exchanger tubes. Next, in order to check the performance of built-in condensation model using according to the non-condensable gas concentration, CSV internal flow and wall sub-cooling, the heat flux values were compared with the experimental results. On average, the results were underestimated with and error of about 25%. In addition, the influence of CSV internal pressure and wall sub-cooling was small, but when the condensate was highly generated due to the low non-condensable gas concentration, the error was large compared to the experimental values. This is considered to be due to the nature of the condensation model of the CFX code. However, in spite of the limitations of CFD, it is valid to use the built-in condensation model of CFD for PCCS performance prediction from a conservative perspective.

• The korean journal of orthodontics
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• v.33 no.1 s.96
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• pp.21-29
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• 2003

Recent developments in software technology have made it possible to create a virtual three-dimensional model of the dental arches from digitally scanned casts of a patient's dentition. This modelmay then be manipulated with software to produce stages of tooth movement from the initial malocclusion to the final desired occlusion. A sterolithograghic model is made for each stage of tooth movement which is the basis for construction of a series of clear and thin overlay appliances. These appliances are worn full time by the patient to move the teeth according to the programmed stages of movement. Malocclusions involving mild to moderate crowding and space closure have been proven to be successfully treated with this appliance. Experience with this appliance has demonstrated excellent patient compliance with less discomfort, improved esthetics and oral hygiene control, when compared with fixed orthodontic appliances. Orthodontic treatment with this appliance is a potentially useful alternative approach to fixed appliances for treatment of a variety of malocclusions in patients with fully erupted permanent teeth.

• Journal of Power System Engineering
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• v.3 no.2
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• pp.51-56
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• 1999

Fatigue crack propagation rates and characteristics of the SA516-70 steel which is used for the low temperature pressure vessels, were studied in the room temperature of $10^{\circ}C$ and low temperature ranges of $-10^{\circ}C,\;-30^{\circ}C,\;-50^{\circ}C,\;and\;-70^{\circ}C$ with stress ratio of R=0.05. The obtained experimental results are as follows; 1) In the logarithmic relationship between the fatigue crack propagation rate(da/dN) and stress intensity factor K, the linear relationship was obtained up to da/dN > $8{\times}10^3$ mm/cycle in the same of room temperature, but in low temperature case, the relationship was extended to the range of low crack propagation rate. 2) The lower limit stress intensity factor of SA516-70 ${\Delta}K_{th}\;was\;23MPa\sqrt{m}$ and in the case of low temperature $-50^{\circ}C\;and\;-70^{\circ}C$, the crack propagation rate da/dN which showed a linear relation, reached rapidly to the ${\Delta}K_{th}$. As the results, the crack propagation rates of $-50^{\circ}C\;and\;-70^{\circ}C$ were lower than that of room temperature and according to the testing temperature the rates were decreased rapidly to the ${\Delta}K_{th}$. 3) On the relationship between the stress intensity factor ${\Delta}K$ and the track propagation cycle, the stress intensity factors of low cycle region was rapidly increased at low temperature, but ${\Delta}K$ was increased rapidly at room temperature of high cycle. 4) On the relationship between the fatigue crack propagation rate and cycle, the fatigue crack propagation rate showed higher gradient in the room temperature than the low temperature due to the increment in ductility at low temperature.