• Journal of Dental Anesthesia and Pain Medicine
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• v.19 no.6
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• pp.353-360
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• 2019

Background: Controlled hypotension (CH) provides a better surgical environment and reduces operative time. However, there are some risks related to organ hypoperfusion. The EV1000/FloTrac system can provide continuous cardiac output monitoring without the insertion of pulmonary arterial catheter. The present study investigated the efficacy of this device in double jaw surgery under CH. Methods: We retrospectively reviewed the medical records of patients who underwent double jaw surgery between 2010 and 2015. Patients were administered conventional general anesthesia with desflurane; CH was performed with remifentanil infusion and monitored with an invasive radial arterial pressure monitor or the EV1000/FloTrac system. We allocated the patients into two groups, namely an A-line group and an EV1000 group, according to the monitoring methods used, and the study variables were compared. Results: Eighty-five patients were reviewed. The A-line group reported a higher number of failed CH (P = 0.005). A significant correlation was found between preoperative hemoglobin and intraoperative packed red blood cell transfusion (r = 0.525; P < 0.001). In the EV1000 group, the mean arterial pressure (MAP) was significantly lower 2 h after CH (P = 0.014), and the cardiac index significantly decreased 1 h after CH (P = 0.001) and 2 h after CH (P = 0.007). Moreover, venous oxygen saturation (ScVO₂) decreased significantly at both 1 h (P = 0.002) and 2 h after CH (P = 0.029); however, these values were within normal limits. Conclusion: The EV1000 group reported a lower failure rate of CH than the A-line group. However, EV1000/FloTrac monitoring did not present with any specific advantage over the conventional arterial line monitoring when CH was performed with the same protocol and same mean blood pressure. Preoperative anemia treatment will be helpful to decrease intraoperative transfusion. Furthermore, ScVO₂ monitoring did not present with sufficient benefits over the risk and cost.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.8 no.1
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• pp.13-24
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• 1988

This paper is concentrated on the development of oxygen transfer system by U-tube deep shaft in biological fluidised bed process. The depth of the shaft is 32 m, it is composed of downcomer and riser. Not only flow pattern and oxygen transfer in the deep shaft but also oxygen limitation in biofilm and oxygen utilization in biological fluidised bed are investigated. In this investigation, driving force for liquid circulation in the deep shaft is affected by air injection depth and gas hold-up in downcomer. Flow pattern of the deep shaft is revealed to plug flow. When flow velocity in the deep shaft is maintained to 0.52 m/sec, $K_La$ value is peak at 25~30 m depth in riser. The efficiency of dissolved oxygen supply which passed from the deep shaft to biological fluidised bed is estimated to 56~81 % in the organic wastewater treatment using the deep shaft and when dissolved oxygen concentration is 9.2 mg/l and over, limiting factors of flux and substrate within biofilm are organic materials. Terefore, organic loadings could be increase without decreasing of BOD removal efficiency.

• Progress in Medical Physics
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• v.8 no.1
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• pp.25-29
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• 1997

Ir-192 source activity for high dose rate brachytherapy is measured using Farmertype ionization chamber. The source-to-chamber distance is 10 cm and the measured charge unit is converted to activity unit. The measured values are compared to the values provided from vendor. Because of time dependency of Ir-192 source activity, the activities are regularly checked and compared to calculated values. As the accuracy of Ir-192 source activity is depend on the mechanical measurement setup, we estimated the precision of remote controlled source dwell position using home-made device and film scanner. The difference between measured and predicted dwell position is within 1 mm. As a result, the errors of source activity are 0.7${\pm}$1.5 ％ for measured and vendor-provided values and 0.l${\pm}$1.2％ for measured and time-dependent calculated vlaues. In conclusion, our measured activity has been comparable to the values provided from vendor and our brachytherapy unit has been very accurate until now. Regular quality control of brachytherapy is essential for successful treatment which depends on the accuracy of source position and activity.

• Journal of Embryo Transfer
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• v.25 no.3
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• pp.141-144
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• 2010

In vivo embryo produced from Hanwoo donor cows were collected and transferred to Hanwoo recipients. Cows, at random stages of the estrous cycle, received Progesterone Releasing Intravaginal Device (CIDR-plus, InterAg, New Zealand) together with injection of 1 mg estradiol benzoate and 50 mg progesterone, and gonadotropin treatment began 4 day later. For superovulation, a total of 28 mg FSH was intramuscularly injected twice a day in the way of decreasing doses 4 day (5, 5, 4, 4, 3, 3, 2 and 2 mg). Twenty one Hanwoo donor cows were flushed on day 7 of estrus cycle with same FSH and artificial insemination by the same technicians. Embryos were recovered 7 days after the second insemination by flushing the uterus with Embryo Collection Medium. The results obtained were as follows: The rates of transferable embryos were 50.3%, and 78 fresh embryos at morulae and blastocysts stage were transferred into Hanwoo recipients on day 7 of estrus cycle. The pregnancy rates were first embryo transfer 55.6%, 2nd 62.9% and 3rd 57.9%, respectively. In conclusion, These results suggest that CIDR-based superovulation protocol may be effectively used for production of superior Hanwoo embryos. Also, since it seems the condition of recipient cows greatly affect pregnancy rate, it is very important to evaluate recipient for effective cattle production.

• Proceedings of the Korean Society of Near Infrared Spectroscopy Conference
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• 2001.06a
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• pp.1256-1256
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• 2001

The physico-chemical and texture characteristics of meat determine the nutritional, technological and sensory quality. However, the analysis of meat quality requires expensive, laborious and time consuming analytical methods. The objective of this study was to evaluate NIR spectroscopy using transmittance for determining the moisture, fat, protein and total pigment content, the water holding capacity (WHC) and the toughness of beef meat. A total of 318 spectra were recorded from ground beef samples by a Feed Analyzer 1265 of Infratec. The samples were obtained from the Longissimus muscle of the 10$^{th}$ rib of yearling bulls, ground with an electrical chopper, vacuum packaged, aged during 7 days and frozen at -24$^{\circ}C$ until the analyses were done. Moisture content was measured by oven drying at 10$0^{\circ}C$, fat content was determined by Soxhlet extraction and protein content was estimated from nitrogen content using the Kjeldahl analysis. The total pigment content was determined by the method of Hornsey and the WHC using the method of filter paper press. The instrumental evaluation of texture (maximum load WB, maximum stress MS and toughness) was conducted in an Instron equipment with a Warner-Bratzler shearing device. This analysis was performed on a chop of 3.5 cm obtained from the longissimus of the 8$^{th}$ rib, aged during 7 days, kept frozen at -24$^{\circ}C$ and cooked before the analysis. Near infrared spectra were recorded as log 1/T (T=transmittance) at 2 nm intervals from 850 to 1050 nm using a Feed Analyzer 1265 of Infratec. Calibrations were performed with the WinISI software (vs. 1.02) using the MPLS method. To examine the effect of scatter correction o. derivation of spectra on the calibration performance, calibrations were calculated with the crude spectra or pretreated with different mathematical treatments (inverse MSC, SNVD) and/or second derivative operation. For chemical composition, the use of the scatter corrections improved the calibration statistics, in terms of lower SECV and higher $r^2$. In most of the variables, the use of the 2$^{nd}$ derivative improved the predictions, mainly when combined with the SNVD treatment. However, for predicting the texture traits, the best estimation was obtained from the crude spectrum. These results showed that the equations obtained for predicting moisture, fat and total pigments were very accurate, with $r^2$ being higher that 0.9. However, the prediction of the texture traits (WB, MS, toughness) from ground meat was poor.

• The Journal of the Korea institute of electronic communication sciences
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• v.7 no.5
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• pp.1235-1243
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• 2012

This study was attempted in order to offer basic data for performing systematic and desirable task through improving job by surveying the actual condition and the task weight in dental hygienists. As a result of analyzing daily task weight in subjects of this study, the ratio of medical-cure cooperation task was indicated to be highest with 35.45%. It was indicated to be in order of periodontal therapy service with 21.54%, of administration & management task with 16.08%, of oral health education task with 15.88%, and of preventive treatment service with 11.23%. As for kind-based utilization ratio of the oral health education contents and oral health education data, a toothbrushing education method by subject was indicated most highly with 3.70 points. It was indicated to be in order of usage on oral hygiene device with 3.51 points, of educational method on regular check-up with 3.26 points, of educational method of preventing dental disease with 3.13 points, and of educational method on diet control with 1.39 points. Jaw-plate model was indicated to be used the most with 38.0%. It was indicated to be in order of orally explaining with 23.9% and of camera inside the mouth with 12.2%. Thus, establishment of a system is considered to be necessary in order to promote quality of oral health education for patients in the future by performing diverse programs with high utilization value in addition to a steady interest.

• Archives of Plastic Surgery
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• v.36 no.3
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• pp.351-355
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• 2009

Purpose: Cervical necrotizing fasciitis tends to involve the deep soft tissues and spread caudally to the anterior chest and mediastinum, often resulting in major complications and death. It may rapidly spread into the thorax along fascial planes, and the associated diagnostic delay results in this descending necrotizing mediastinitis. So, aggressive multidisciplinary therapy with surgical drainage is mandatory. We present a very rare case of descending necrotizing mediastinitis with literature review. Methods: A 53 years old male visited our department 7 days after trauma in neck. His premorbid conditions and risk factors of necrotizing fasciitis were concealed hepatoma, trauma history, chronic liver disease, and nutrition deficit. Computed tomographic scans of the head and neck region were performed in this patient : signs of necrotizing fasciitis, were seen in the platysma, sternocleidomastoid, trapezius muscle and strap muscles of the neck. Fluid accumulations involved multiple neck spaces and mediastinum. At the time, he diagnosed as necrotizing fasciitis on his neck and anterior chest. Necrotic wound was excised serially and we treated this with the Vacuum - assisted closure(VAC, Kinetics Concepts International, San Antonio, Texas) system device. After appropriately shaping the sponge and achieving additional 3 pieces drainage tubes in the pockets, continuous negative pressure of 125 mmHg was applied. The VAC therapy was utilized for a period of 12 days. Results: We obtained satisfactory results from wide excision, abscess drainage with the VAC system, and then split thickness skin graft. The postoperative course was uneventful. Conclusion: The refined technique using the VAC system can provide a means of simple and effective management for the descending necrotizing mediastinitis, with better cosmetic and functional results. Finally, the VAC system has been adopted as the standard treatment for deep cervical and mediastinal wound infections as a result of the excellent clinical outcome.

• Radiation Oncology Journal
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• v.12 no.2
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• pp.191-199
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• 1994

Purpose : This study was undertaken to show the clinical results of combined radiotherapy and hyperthermia in primary hepatoma Materials and Methods : Between December 1989 and March 1993, 50 patients with hepatomas were treated by combined radiotherapy and hyperthermia. Among them, we analyzed retrospectively 33 patients who received the complete course of treatment. The ages of the patients ranged from 36 to 75(mean age: 55.5 years). Twenty-six patients ($78.8\%$) were men, and 7 ($21.2\%$ were women. According to Child's classification, nine patients ($27.3{\%}$) were A group, 9 ($27.3\%$) were B group, 15 ($45.4\%$) were C group. Radiation therapy was done by a 6 MV and 15 MV linear accelerator. Patients were treated with daily fractions of 150-180 cCy to doses of 2550 cGy -4950 cGy (median : 3000 cGy). Local hyperthermia was done by 8 MHZ RF capacitive heating device (Cancermia. Green Cross Co., Korea), 50-60 min/session, 1-2 sessions/wk, and 8.5 sessions (median number)/patient. We analyzed the prognostic factors including age, sex, tumor type, Child's classification, $\alpha$-fetoprotein, liver cirrhosis, ascites, portal vein invasion, esophageal varix, number of hyperthermia, chemotherapy, total bilirubin level, Karnofsky perfomance status. Results : The overall 1-year survival was $24.2\%$, with a mean survival of 10months. Of 33 patients, tumor regression (PR+MR) was seen in $30.4\%$, no response was seen in $52.2\%,\;17.4\%$ patient was progressed. In patients who had tumor regression, the overall 1-year survival was $42.1\%$ with a mean survival of 14 months. Factors influencing the survival were sex (p=0.05), tumor type (p=0.0248), Child's classification (p=0.0001), liver cirrhosis (p=0.0108), ascites (p=0.0009), and Karnofsky perfomance status (p=0.0028). Complications developed in 28 patients, including 18 hot pain,5 fat necrosis, 3 transient fever, 2 nausea and vomiting. Conclusion : In this study, the results suggests that combined radiotherauy and hyperthermia may improve the survival rate of hepatoma.

• Journal of Korean Society of Environmental Engineers
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• v.39 no.5
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• pp.277-281
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• 2017

Lately rainfall characteristics that it rains a lot in a short space of time often occurs. Because of this meteorological phenomena, the flow rate and concentration of initial rainfall for runoff and combined sewer overflows are changed. In the case of this inlet fluctuation, the flotation method at high surface loading rate is suitable for water quality management. the flotation method is able to meet the removal rate requirements of water public zone in 5 to 10 min which is irelatively short period. For assessment and diagonision of flotation method, A/S ratio is applied until now. But unfortunately, this has some limits for evaluation standard for certification and assessment of technical diagnosis and operation. This is why there is different efficiency in the bubble distribution at the same A/S ratio. The velocity and time of floating is changed by the different bubble distributions. The floating time affects the plant volume because the time factor make size dicision. Therefore the charateristics of bubble distribution and floating time at the same A/S ratio is necessary to apply to evaluation standard for certification and assessment of technical diagnosis and operation. For generalization of the method in certification and assessment, the characteristics of bubble distribution was studied. Until recently, using the optical device and shooting live video, there are some analysis technology of the floating factors. But this kind of technology is influenced by the equipment. with this level of confidence about the results, it is difficult to apply to generalize. According this reasons, this study should be applied on experiment generalization of method about measurement of relation between bubble distribution and floating time.

• Journal of the Korean Institute of Gas
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• v.13 no.2
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• pp.41-48
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• 2009

I collected the cases of CNG vehicle accidents which had happened for 30 years and analyzed the causes of the accidents according to each type of cylinders. There are about six accidents including three cylinder explosion accidents due to bad heat treatment, one composite damage, one CNG vehicle fire, and one fuel piping accident owing to the poor maintenance. When looking into the cylinder types involved in the accidents and the causes, 29% of the cylinder accidents are Type I and 24% Type IV, 16% Type II, and 14% Type III. 37% of the accidents are caused by the defects of the raw materials and the errors of a manufacturing process, 16% by the stress corrosion cracking as a result of the repetitive use, 15% by the cylinder's explosion on account of the malfunction of PRD(Pressure Relief Device) and the overpressure. The remainders of the causes are fire and unknown causes. Therefore, cylinder manufacturers have to strengthen quality management of raw materials and manufacturing process and painting regardless of each type of cylinder. Also bus operators need to make an effort to keep safety condition through every day check.