• Asian Pacific Journal of Cancer Prevention
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• v.14 no.11
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• pp.6883-6888
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• 2013

Background: Platinum based concurrent chemo-radiation is the de-facto standard of care in the non-surgical management of locally-advanced head and neck cancer of squamous origin. Three-weekly single agent cisplatin at 100 $mg/m^2$ concurrent with radical radiotherapy has demonstrated consistent improvement in loco-regional control and survival. This improvement is however at the cost of considerable hematologic toxicity and poor overall compliance. The routine use of this regime is improbable in developing countries with limited resources. We therefore aimed to determine the safety and efficacy of an alternative regime of weekly cisplatin and concurrent radiotherapy in such patients. Materials and Methods: January-05 and April-12, 188 patients of locally-advanced head and neck cancer of squamous origin were treated with concurrent weekly-cisplatin at $35mg/m^2$ and conventional radiotherapy 60-66Gy/30-33 fractions/5days per week. Results: Overall, 95% patients received planned doses of RT while 74% completed within the stipulated overall treatment time of <50 days. Eighty-two percent received at-least 5 weekly cycles. Grade-III/IV mucositis was seen in 58%/9% respectively, which resulted in mean weight loss of 9.2% from a pre-treatment mean of 54.5 kg. Grade-III hematologic toxicity-0.5%; grade II nephrotoxicity-2.5% and grade III emesis-3% were also seen. Grade-III/IV subcutaneous toxicity-10%/1% and grade-III/IV xerostomia-10%/0% were observed. Complete responses at the primary site, regional nodes and overall disease were seen in 86%, 89% and 83% patients respectively. The median and 5-years disease-free survival were 26 months and 39.4% respectively, while the median and overall survival were 27 months and 41.8% respectively. Conclusions: Weekly-cisplatin at 35 $mg/m^2$ when delivered concurrently with conventional radical RT (at-least 66y/33 fractions) in locally-advanced head and neck cancer is well tolerated with minimal hematologic and neprologic toxicity and can be routinely delivered on an out-patient basis. It is an effective alternative to the standard 3-weekly cisplatin especially in the context of developing countries.

• Journal of the Korean GEO-environmental Society
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• v.15 no.2
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• pp.37-43
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• 2014

Natural disasters such as earthquakes and tsunamis occur suddenly, so that they cause massive loss of lives and property. Especially earthquakes represent a particularly severe threat because of the extensive damage accompanied by them. In Korea, an earthquake-resistant design has been rarely applied to a design or construction of slope. However, in resent years, the researches for earthquake-resistance have been performed because the importance on the earthquake-resistance is perceived and highlighted. Soil nail method, one of the slope stability methods, is excellent for its constructability and cost effectiveness, as compared with other stability methods. Also, this method has been widely used for reinforced construction for slope stability. The studies of soil nail method have been performed on the interaction behavior between nails and slopes as well as the varied load condition such as static load, dynamic load and so on. Nevertheless, there has been minimal research regarding the constraint condition of nail head. In this study, the numerical analysis was performed for identifying effect on slope stability for the constrain condition of the soil nail. The result shows that the resistance of constrained the nail head on reinforced slope is larger compared to the one of unconstrained nail head.

• Progress in Medical Physics
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• v.12 no.2
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• pp.103-112
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• 2001

Purpose: The purpose of this study was to investigate the current status of performing nuclear medicine quality control in korea and to test selected protocols of quality control of nuclear medicine counting system and gamma camera. Materials and Methods: Fifty three hospitals were included to investigate the current status of nuclear medicine quality control in korea. The precision of dose calibrator and thyroid uptake system was measured with Tc-99m 35.52 MBq for 2 minuets and Tc-99m 5.14 MBq for 10 sec every one minute, respectively. The sensitivity of CeraSPECT$^{TM}$ with low energy high resolution parallel hole collimator was measured using two cylindrical phantoms with 15 cm in diameter and 12 cm and 30 cm in heights containing Tc-99m. The correction factor for sensitivity of CeraSPECT$^{TM}$ was calculated using phantom data. The system planar sensitivity, uniformity, count rate and spatial resolution were measured for Varicam gamma camera with low energy high resolution parallel hole collimator using 140 keV centered 20% energy window, 256$\times$256 or 512$\times$512 matrix sizes. Results: The quality control of dose calibrator and well counter were showed poor performance status. On the other hand, The quality control of gamma camera and other systems were showed relatively good performance status. The results of precision of dose calibrator and thyroid uptake system was $\pm$1.4%(<$\pm$5%) and chi^2=29.7(>16.92), respectively. It showed that the sensitivity of CeraSPECT$^{TM}$ was higher in center slices compared with the edge slices. After correction of nonuniform sensitivities for patient data, it showed better results compare with prior to correction. System planar sensitivity of Varicam gamma camera was 4.39 CPM/MBq. The observed count rate at 20% loss was 102,407 counts/sec (head 1), 113,427 counts/sec (head 2), when input count rate was 81,926 counts/sec (head 1), 90,741 counts/sec (head 2). The spatial resolution without scatter medium were 8.16 mm of FWHM and 14.85 mm of FWTM. The spatial resolution with scatter medium were 8.87 mm of FWHM and 18.87 mm of FWTM. Conclusion: It is necessary to understand the importance of quality control and to perform quality control of nuclear medicine devices.vices.

• Journal of the Korean GEO-environmental Society
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• v.8 no.5
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• pp.5-14
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• 2007

The quantity of noxious wastes generated by the growth in industrialization and population in all over the world and its potential hazards in subsurface environments are becoming increasingly significant. The extraction of the contaminant from the soil and movement of the water are restricted due to the low permeability and adsorption characteristics of the reclaimed soils. Incorporated technique with PVDs have been used for dewatering from fine-grained soils for the purpose of ground improvement by means of soil flushing and soil vapor extraction systems. This paper is to evaluate several key parameters that affected to the performance of the PVDs specifically with regard to: well resistance of PVD, zone of influence, and smear effects. In the feasibility of contaminant remediation was evaluated in pilot-scale laboratory experiments. Well resistance is affected on the vertical discharge capacity of the PVDs under the various vacuum pressures. The discharge capacity increases consistently in areal extents with higher applied vacuum up to a limiting vacuum pressure. The head values for each piezometer at different vacuum pressures show that the largest head loss occurs within 14 cm of the PVD. Air flow rates and head losses were measured for the PVD placed in the model test box and the gas permeability of the silty soils was calculated. Increasing the equivalent diameter results in a decrease in the calculated gas permeability. It is concluded that the gas permeability determined over the 1,500 to 2,000 $cm^3/s$ flow rates are the most accurate values which yields gas permeability of about 3.152 Darcy.

• KOREAN JOURNAL OF CROP SCIENCE
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• v.54 no.4
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• pp.366-374
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• 2009

To determine the optimum operating conditions of the indented cylinder length grader based on varietal characteristics, broken rice removal capabilities were measured on the milled rice of 41 varieties at different conditions consisted of 3 types of indented cylinders with different indent-opening diameters and 3 different collecting-angles of broken rice. The broken rice removal capabilities were swayed by the indent's opening diameter and depth as well as the angle of the collecting trough of broken rice on the point of instrument, and by the kernel length and width as well as 1000 grain weight of milled rice on the point of rice variety. When the angle of broken rice collecting-trough reached to near the horizontal center line of the indented cylinder on the direction of upward turning side, which was referred $0^{\circ}$ in this paper, the amount of rice collected in trough increased, whereas the loss of head rice also increased. Considering the removal rate of broken rice as well as loss of head rice, it was thought that the suitable angle of trough for broken rice collecting was located $5^{\circ}$ to $15^{\circ}$ depending on varietal characteristic and indent opening diameter. It was thought that 4.2 mm or more of indent opening diameter was recommendable for the rice varieties having heavier 1000 grain weight than 22.3g, as well as larger sizes than 2.9 and 5.2 mm in width and length of rice kernel, respectively; 3.8 mm for the small-sized thin kernels, and a proper diameter between 3.8 and 4.2 mm for short to middle kernels. The varieties with relatively shorter length compared to width of kernel were more difficult to separate the broken rice than the opposite ones. For effective separation of that, it seems that some specific indent shapes such as wider opening and shallow depth etc. are required. When the broken rice content were excessively high, wider diameters of indent openings than specified sizes were thought to be the better.

• The Journal of Internal Korean Medicine
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• v.41 no.2
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• pp.141-149
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• 2020

Traumatic brain injury, which can be caused by head trauma, can damage the brain, resulting in physical disorders, such as headache, dizziness, and nausea, as well as mental health problems, such as depression, anxiety, memory loss, and personality changes that reduce a person's quality of life. Therefore, it is important to administer the best treatment at the right time. A 57-year-old patient complained of headache and depression after intracranical hemorrhage caused by a traffic accident. These symptoms are considered to be after effects of brain trauma due to increased pressure on the brain. Herbal medicine was prescribed to release internal brain pressure and acupuncture was applied to ease frontal and occipital head muscle tension. Objective scales were conducted at baseline, and at one month, two months, and four months. It was observed that the degree of headache and depression improved after treatment. This study is meaningful in that it found that Korean medicine treatments help alleviate the after effects of traumatic brain injury.

• Journal of radiological science and technology
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• v.8 no.2
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• pp.29-45
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• 1985

Computed Tomography Scanner (CT) is highly expensive in operation as well as purchasing. That reason may cause not only to increase the burden of patients but also to waste the capital resources leading to financial difficulties. However the numbers of CT installed throughout the country is increasing, because of efficiency in medical care, patient's concern, competitions among the hospitals within the same area. In the non-Metropolitan area the scanners were expected to be less utilized and less profitable. Nine hospitals equipped with the CT were studied on the utilization of that equipment during the period from November 1984 to February 1985 in non-Metropolitan area and break-even point in one hospital was analyzed for estimating profitabilities. The results were as follows ; 1. Among those nine hospitals, four hospitals had less than 400 beds, which is one of the restrictive minimum standards on the installation of Whole-body Computed Tomography Scanner. 2. The operating time during the normal operation period was longer than those of any other studies, but the accumulated down time was also longer than those of any other studies. The average number of scanning per week for each CT was 45, while the estimated number of for the break-even point was 56.7 cases. 3. When the downtime was excluded in calculating the average operation would be much closer to the cases for the break-even point. Therefore the break-down of the equipment was to be a main cause of the low profitability. 4. The average scanning rate for head area was 33.6%, however three of the nine hospitals showed about 20%. 5. If scanning ratio for the body parts excepting head was increased, the number of scanning for the break-even point would be diminished. 6. The small size hospital especially located near the Metropolitan area showed largest loss in the CT operation. In purchasing the highly expensive equipments in hospitals, demand should be taken into account and planning is recommended.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.19 no.1
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• pp.21-27
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• 2008

Total laryngectomy is the most useful procedure tor advanced laryngopharyngeal cancer, but it remains the major problem such as loss of voice. Voice restoration is essential for every patients who undergo a total laryngectomy. Ideal voice rehabilitation methods can resolve three factors. First, every laryngectomee can produce voice sufficient for communication, second every patient should be allowed to use both hands freely during phonation, and last, the voice restoration methods should be easy and safe without complication during and after treatment. Among various voice rehabilitation procedures during or after total laryngectomy, it can be divided electronic and pneumatic methods. In pneumatic methods, there are also divided both pulmonary air and non-pulmonary air methods. The non-pulmonary air methods include esophageal speech, buccal speech, and pharyngeal speech. Pulmonary air methods are divided into surgical and non-surgical such as pneumatic speech aid. In the surgical methods, there are neoglottic operation, tracheopharyngeal shunt, and tracheopharyngeal shunt operations. Recently, tracheoesophageal shunt with or without prosthesis are being recognized the most effective method. Blom-Singer low pressure prosthesis, Panje button, and Provox are well known types of prosthesis in the tracheoesophageal shunt operation. Amatsu method is a kind of famous tracheoesophageal shunt method without using prosthesis. Authors tried to review the published articles for evaluation of effectiveness and problems of tracheoesophageal shunt operation with or without prosthesis. In conclusion, indwelling type of prosthesis and pharyngeal myotomy and plexus neurectomy are recommended for higher success rate during tracheoesophageal puncture procedure. More over, Amatsu method is also one of the recommended voice rehabilitation procedure during total laryngectomy. In this situation, pharyngeal myotomy and plexus neurectomy may be helpful for better fluent communication.

• Transactions of the Korean Society of Mechanical Engineers
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• v.9 no.5
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• pp.579-589
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• 1985

The storage tank of the natural-circulation-solar-hot-water system equipped with flat-plate solar collectors is located at higher elevation than the solar collectors. Therefore, the heat loss from the system due to a reversed flow during the night-time is an important factor as well as the day-time thermal performance of the system. The thermal performance of the natural-circulation-solar-hot-water system with flat-plate solar collectors during the day-time depends mainly on the heat collecting efficiency of the solar collectors, whereas its thermal performance during the night-time depends on the system configuration , such as the elevation of the water storage tank with respect to the solar collectors and the piping connections between the storage tank and the solar collectors, as well as thermo-physical properties of the circulating fluid. In the present work, a computer program has been developed to simulate a typical natural-circulation-solar-hot-water-system, and a series of simulation tests have been carried out with the computer program to examine the thermal performance of the system during the day-time as well as the hight-time. In addition , a series of experiment have been conducted under a real sun condition using a natural-circulation-solar-hot-water-system constructed and installed at the KAIST building to compare with the results obtained from computer simulations.

• Wind and Structures
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• v.14 no.5
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• pp.435-447
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• 2011

A Computational Fluid Dynamics model is presented in this study for the simulation of the complex fluid flows with free surfaces inside the Tuned Liquid Column Dampers in horizontal motion. The characteristics of the fluid model of the TLCD in horizontal motion include the free surface of the multiphase flow and the horizontal moving frame. In this study, the time depend unsteady Standard ${\kappa}-{\varepsilon}$ turbulent model based on Navier-Stokes equations is chosen. The volume of fluid (VOF) method and sliding mesh technique are adopted to track the free surface of water inside the vertical columns of TLCD and treat the moving boundary of the walls of TLCD in horizontal motion. Several model solution parameters comprising different time steps, mesh sizes, convergence criteria and discretization schemes are examined to establish model parametric independency results. The simulation results are compared with the experimental data in the dimensionless amplitude of the water column in four different configured groups of TLCDs with four different orifice areas. The predicted natural frequencies and the head loss coefficient of TLCDs from CFD model are also compared with the experimental data. The predicted numerical results agree well with the available experimental data.