• Tuberculosis and Respiratory Diseases
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• v.44 no.2
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• pp.329-337
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• 1997

Background : Since endotracheal tube is the most important factor involved in the imposed work of breathing during mechanical ventilation, extubation of endotracheal tube is supposed to reduce respiratory work of patient. However, some patients show labored breathing after extubation despite acceptable blood gases. We investigated the changes of work of breathing before and after extubation and the factors involved in the change of WOB after extubation. Methods : The subjects were 34 patients(M : F = 20 : 14, mean age = $61{\pm}17yre$) who recovered from respiratory failure after ventilatory support and were considered to be ready for extubation. The patients with clinical or radiologic evidences of upper airway obstruction before endotracheal intubation for mechanical ventilation were excluded. Vital sign, physical examination, chest X-ray, work of breathing and other respiratory mechanic indices were measured prior to, immediately, 6, 24 and 48 hours after extubation serially. Definition of weaning failure after extubation was resumption of ventilatory support or reintubation of endotracheal tube within 48 hour after extubation because of respiratory failure. The patients were classified into group 1(decreased work of breathing), group 2(unchanged work of breathing) and group 3(increased work of breathing) depending on the statistical difference in the change of work of breathing before and after extubation. Results : Work of breathing decreased in 33%(11/34, group 1), unchanged in 41%(14/34, group 2) and increased in 26%(9/34, group 3) of patients after extubation compared with before extubation. Weaning failure occurred 9%(1/11) of group, 1, 28.6%(4/14) of group 2 and 44%(4/9) of group 3 after extubation(p = 0.07). The change of work of breathing after extubation was positively correlated with change of mean airway resistance(mRaw). (r = 0.794, p > 0.01). In three cases of group 3 whose respiratory indices could be measured until 48 hr after extubation, the change in work of breathing paralleled with the sequential change of mRaw. The work of breathing was peaked at 6 hr after extubation, which showed a tendency to decrease thereafter. Conclusions : Reversible increase of work of breathing after extubation may occur in the patients who underwent extubation, and the increase in mRaw could be responsible for the increase in work of breathing. In addition, the risk of weaning failure after extubation may increase in the patients who have increased WOB immediately after extubation.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.36 no.6
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• pp.637-644
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• 2012

In a nuclear power plant, fretting wear due to impact motion between U-tubes and support structures located in steam generators can cause serious problems. In order to guarantee the reliability of the steam generator, the damage due to fretting wear should be thoroughly investigated. The purpose of this study is to elucidate the fretting wear mechanism qualitatively and quantitatively. Hence, fretting wear simulation is performed for the environments to which the actual steam generators in nuclear power plants are exposed. Initial experimental results are obtained for various experimental parameters, and the effect of the work rate and temperature on fretting wear is evaluated. In water, the wear coefficients for $90^{\circ}C$, $200^{\circ}C$, and $340^{\circ}C$ are found to be $9.051{\times}10^{-16}\;Pa^{-1}$, $3.009{\times}10^{-15}\;Pa^{-1}$, and $2.235{\times}10^{-15}\;Pa^{-1}$, respectively. It is also found that the wear coefficient at room temperature is larger than that at low temperature in water because of the dynamic viscosity of water.

• Journal of the Korean Society for Nondestructive Testing
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• v.34 no.3
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• pp.254-259
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• 2014

A pressurized heavy water reactor (PHWR) core has 380 fuel channels contained and supported by a horizontal cylindrical vessel known as the calandria, whereas a pressurized water reactor (PWR) has only a single reactor vessel. The pressure tube, which is a pressure-retaining component, has a 103.4 mm inside diameter ${\times}$ 4.19 mm wall thickness, and is 6.36 m long, made of a zirconium alloy (Zr-2.5 wt% Nb). This provides support for the fuel while transporting the $D_2O$ heat-transfer fluid. The simple tubular geometry invites highly automated inspection, and good approach for all inspection. Similar to all nuclear heat-transfer pressure boundaries, the PHWR pressure tube requires a rigorous, periodic inspection to assess the reactor integrity in accordance with the Korea Nuclear Safety Committee law. Volumetric-based nondestructive evaluation (NDE) techniques utilizing ultrasonic and eddy current testing have been adopted for use in the periodic inspection of the fuel channel. The eddy current testing, as a supplemental NDE method to ultrasonic testing, is used to confirm the flaws primarily detected through ultrasonic testing, however, eddy current testing offers a significant advantage in that its ability to detect surface flaws is superior to that of ultrasonic testing. In this paper, effectiveness of flaw detection and the depth sizing capability by eddy current testing for the inside surface of a pressure tube, will be introduced. As a result of this examination, the ET technique is found to be useful only as a detection technique for defects because it can detect fine defects on the surface with high resolution. However, the ET technique is not recommended for use as a depth sizing method because it has a large degree of error for depth sizing.

• Journal of the Korean Society for Nondestructive Testing
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• v.28 no.5
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• pp.407-415
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• 2008

The tubes in heat exchanger are typically made from copper alloy, stainless steel, carbon steel, titanium alloy material. type-439 ferritic stainless steel is ferromagnetic material, and furnish higher heat transfer rates than austenitic stainless steels and higher resistance to corrosion-induced flaws. Ferritic stainless steel can typically be found in low-pressure(LP) feedwater heaters and moisture separator reheaters(MSRs). LP feedwater heaters generally utilize thin wall type-439 stainless steel tubing, whereas MSRs typically employ a heavier wall tubing with integral fins. Service-induced damage can occur on the OD(outside diameter) surface of type-439 ferritic stainless steel tubing which is employed for MSRs tubing, and the most typical damage mechanism is vibration-induced tube-to-TSP(tube support plate) wear and fatigue cracking. The wear has been reported that occurs mainly on the OD surface. Accordingly, in this study, we have evaluated the flaw sizing capability of magnetic saturation eddy current technique using magnetic saturation probe and flawed specimen.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.41
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• pp.30.1-30.8
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• 2019

Background: Advancements in the field of microvascular surgery and the widespread adoption of microvascular surgical techniques have made the use of osteocutaneous fibula free flaps the standard of care in the surgical management of segmental mandibular defects. Although the literature possesses abundant evidence to support the effectiveness of fibula free flaps as a reconstructive method, there are relatively few studies reporting on outcomes as objectively measured by videofluoroscopic swallowing studies (VFSS). The purpose of this study is to explore the potential correlation between early postoperative VFSS and the long-term swallowing outcomes in patients who underwent mandibular reconstruction with fibula free flaps. Methods: We performed a retrospective chart review of 36 patients who underwent mandibular reconstruction with osteocutaneous fibular free flaps between 2009 and 2012. Demographics, clinical variables, VFSS data, and diet information were retrieved. Penetration and aspiration findings on VFSS, long-term oral feeding ability, and the need for gastrostomy tube were statistical endpoints correlated with postoperative clinical outcomes. Results: Thirty-six patients were reviewed (15 females and 21 males) with a mean age of 54 years (7-81). Seventeen cases were treated for malignancy. The size of the bony defect ranged from 3 to 15 cm (mean = 9 cm). The cutaneous paddle, a surrogate for soft tissue defect, ranged from 10 to 125 ㎠ (mean = 52 ㎠). A gastrostomy tube was present in patients preoperatively (n = 8), and postoperatively (n = 14). Seventeen patients had neoadjuvant exposure to radiation. Postoperative VFSS showed penetration in 13 cases (36%) and aspiration in seven (19%). Overall, 29 patients (80.6%) achieved unrestricted diet, and this was statistically correlated with age (p = 0.037), radiation therapy (p = 0.002), and preoperative gastrostomy tube (p = 0.03). The presence of penetration or aspiration on VFSS was a strong predictor for long-term unrestricted oral diet (p < 0.001). Conclusion: Early postoperative VFSS is an excellent predictor for long-term swallowing outcomes in patients undergoing mandibular reconstruction with osteocutaneous fibula free flaps.

• Korean Journal of Community Nutrition
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• v.3 no.5
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• pp.729-738
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• 1998

In order to investigate the types of enteral nutrition formulas currently used in hospitals and evaluate and categorize the commercially prepared enteral nutrition formulas formulas available in the domestic market, we asked dietitians working in 6 hospitals in Seoul to complete the questionnaire and obtained compositional characteristics of 12 commercially prepared enteral nutrition formulas. The average proportion of patients receiving the commercially prepared enteral nutrition formulas(60.6%) was greater than that of patients receiving the in-hospital preparations(31.9%). In the group of patients receiving the in-hospital prepared formulas, the enteral feeding was mainly administered orally, whereas, in the group of patients receiving the commercially prepared formulas, tube feeding was the primary route of formula administration. In both groups, however, a greater proportion of patients received the formulas as total replacements of their meals and for the purpose of dietary supplementation. On the basis of major criteria for evaluation of the commercially prepared enteral nutrition formulas, the 6 products out of the 9 nutritionally complete products formulated for the purpose of dietary supplementation were grouped into the same category(standard protein, caloric density of 1kcal/ml, and tube/oral), so they were considered therapeutically comparable. However, the remaining 3 products were different in protein content(high protein) or route of administration(tube only). Of the 3 nutritionally complete products formulated specifically for the purpose of dietary therapy, 2 products were formulated for patients with renal disease, and the one product was formulated for diabetic patients. Therefore, the data in this study showed that the commercially prepared enteral nutriton formulas became an important part of the enteral nutrition for hospitalized patients in Korea, but the domestic market has not yet generated a wide variety of the formulas, not providing many choices for clinicians to manage the diets for their patients. The results of this study would be helpful for clinicians in choosing appropriate products for their patients, for manufactures in developing new products, and for regulatory authorities to establish the regulation for the broad group of heterogeneous products that are marketed and will be developed as medical foods. In addition, the process of maintaining the categories for evaluation of the commercially prepared enteral nutrition formulas should be dynamic because new products may not reasonably fit any of the existing categories.

• Korean journal of applied entomology
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• v.5_6
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• pp.19-26
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• 1968

Results obtained from the observation of 1,000 matured resting conidia of Pyricularia oryzae CAV. were as fellows. The percentage of a condium conitaining was 95.5, while that of a multinucleate conidium was 4.5. Formation of the three-celled mature conidium containing a nucleus in each cell, which was derived from the immatured conidium, could be recognized. Chromosomes could be observed in the conidium when the nuclear division took place. The number of chromosomes was n=3, 4, 5 or 6 but rile majority was 5. The nucleus was moved into the germ-tube from the conidium by following ways: (a) a resting nucleus divided into two nuclei in the conidium and one of them was moved into the germ-tube. The other nucleus remained in the conidium (43 per cent): (b) a nucleus was moved into the germ-tube from the conidium without nuclear division (57 Per cent). The appressorium without a nucleus was abundantly observed when stain was made. However, tile number of a mononucleate appressorium was 476 out of 500 appressoria which had nuclear sap. On the ground of this experiment, we could support the conidium of blast fungus contained mononucleus and also homokaryon seemed to b: appealed on the conidia even though those were multilocular. As the results, it could be concluded that use of inoculum derived from single spore isolate was reasonable for any experiments in the rice blast fungus.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.22 no.3
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• pp.25-30
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• 2022

This study is a study on the filter bubble reinforcement phenomenon of SNS recommendation algorithm such as YouTube, which is a characteristic of the Russian-Ukraine war (2022), and the victory or defeat factors of the hybrid war. This war is identified as a hybrid war, and the use of New Media based on the SNS recommendation algorithm is emerging as a factor that determines the outcome of the war beyond political leverage. For this reason, the filter bubble phenomenon goes beyond the dictionary meaning of confirmation bias that limits information exposed to viewers. A YouTube video of Ukrainian President Zelensky encouraging protests in Kyiv garnered 7.02 million views, but Putin's speech only 800,000, which is a evidence that his speech was not exposed to the recommendation algorithm. The war of these SNS recommendation algorithms tends to develop into an algorithm war between the US (YouTube, Twitter, Facebook) and China (TikTok) big tech companies. Influenced by US companies, Ukraine is now able to receive international support, and in Russia, under the influence of Chinese companies, Putin's approval rating is over 80%, resulting in conflicting results. Since this algorithmic empowerment is based on the confirmation bias of public opinion by 'filter bubble', the justification that a new guideline setting for this distortion phenomenon should be presented shortly is drawing attention through this Russia-Ukraine war.

• Journal of Forest and Environmental Science
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• v.40 no.2
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• pp.90-98
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• 2024

This study analyzes the characteristics of sound-absorbing materials made from forest by-products of the deciduous tree species Zelkova serrata (Z. serrata) by evaluating their sound absorption performance. Accordingly, sound-absorbing materials with varying sample thicknesses, leaf sizes, and drying conditions were fabricated. The sound absorption properties were measured using the impedance tube method via middle-type measurement tube (100 Hz-3,200 Hz). The sound absorption properties were evaluated using the average sound absorption coefficient (ASAC), which was calculated from the measured sound absorption coefficients at 250 Hz, 500 Hz, 1,000 Hz, and 2,000 Hz. The ASAC value significantly improved as the leaf size increased to 0.5×0.5 cm², 1.0×1.0 cm², and 2.0×2.0 cm². The ASAC values under the two drying conditions were similar. There was no significant difference in ASAC according to the leaf size under the air-dried leaf condition, with a thickness of 2.50 cm. The highest ASAC value according to the sound-absorbing material thickness was 0.47 at a thickness of 2.50 cm and leaf size of 2.0×2.0 cm² under the air-dried leaf condition. In addition, the variation in ASAC was 0.23, indicating that the sound absorption performance according to leaf thickness was more significant than the difference in absorption properties according to leaf size. A sound absorption coefficient (SAC) of 0.4 or higher was observed across the measurable frequency band (100 Hz-3,200 Hz). Furthermore, the SAC values with respect to leaf size and thickness were close to 1 in the high-frequency range above 2,000 Hz. Therefore, it is considered that sound-absorbing materials using Z. serrata leaves are advantageous in the field of absorbing noise in a high-frequency band of 2,000 Hz or more, and it is better to manufacture a thickness of 2.50 and 2.0×2.0 cm².

• Clinical and Experimental Pediatrics
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• v.54 no.1
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• pp.17-21
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• 2011

Purpose: Percutaneous endoscopic gastrostomy (PEG) can improve nutritional status and reduce the amount of time needed to feed neurologically impaired children. We evaluated the characteristics, complications, and outcomes of neurologically impaired children treated with PEG. Methods: We retrospectively reviewed the records of 32 neurologically impaired children who underwent PEG between March 2002 and August 2008 at our medical center. Forty-two PEG procedures comprising 32 PEG insertions and 10 PEG exchanges, were performed. The mean follow-up time was 12.2 (6.6) months. Results: Mean patient age was 9.4 (4.5) years. The main indications for PEG insertion were swallowing difficulty with GI bleeding due to nasogastric tube placement and/or the presence of gastroesophageal reflux disease (GERD). The overall rate of complications was 47%, with early complications evident in 25% of patients and late complications in 22%. The late complications included one gastro-colic fistula, two cases of aggravated GERD, and four instances of wound infection. Among the 15 patients with histological evidence of GERD before PEG, 13 (87%) had less severe GERD, experienced no new aspiration events, and showed increased body weight after PEG treatment. Conclusion: PEG is a safe, effective, and relatively simple technique affording long-term enteral nutritional support in neurologically impaired children. Following PEG treatment, the body weight of most patients increased and the levels of vomiting, GI bleeding, and aspiration fell. We suggest that PEG with post-procedural observation be considered for enteral nutritional support of neurologically impaired children.