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A Rare Case of Acquired Arteriovenous Malformation in Transarterial Chemoembolization for Hepatocellular Carcinoma (간세포암의 경동맥 화학색전술 중 발견된 후천성 동정맥 기형에 관한 드문 증례보고)

  • Moon, Sung-Nam;Seo, Sang-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.188-193
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    • 2019
  • Transarterial chemoembolization (TACE) is a commonly used and rapidly evolving non-invasive treatment for hepatocellular carcinoma (HCC). It is important that understanding individual anatomical variants and planning for tumor-feeding artery access to acquire adequate treatment effectiveness. In this study, we will report acquired arteriovenous malformation which interferes with TACE for HCC. A 72-year-old man with persistent abdominal pain for 2 days visited our hospital. The patient was chronic hepatitis B carrier and had a history of HCC treated with conventional TACE 10 years ago. Hypervascular nodular HCC in the liver segment 8 and aberrant right hepatic artery from the superior mesenteric artery were detected on computed tomography (CT). When first TACE was performed, the tumor-feeding artery originating from the left hepatic artery was found and embolized. There was no tumor-feeding artery from the right hepatic artery but arteriovenous malformation was found. After a month, follow up CT showed necrotic lesion and residual HCC and we performed secondary TACE. On secondary TACE, we selected the right hepatic artery and passed through arteriovenous malformation. Superselective-angiogram showed remnant tumoral staining and remnant tumor was embolized using drug-eluting bead and Adriamycin. Final angiogram showed no remnant tumoral staining and the patient was discharged without complication. We found the rare case of arteriovenous malformation adjacent to HCC, and we performed superselective TACE beyond arteriovenous malformation to treat HCC.

The Characterization of Natural Inorganic Pigment Made of Malachite and Azurite (공작석과 남동석으로 제조한 천연 무기안료의 특성 연구)

  • Kang, Yeong Seok;Mun, Seong Woo;Park, Ju Hyeon;Jeong, Hye Young
    • Journal of the Mineralogical Society of Korea
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    • v.31 no.4
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    • pp.249-256
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    • 2018
  • Seokrog and Seokcheong are traditional pigments that have been used as green and blue pigments in Korean traditional coloring heritage. Natural minerals such as malachite and azurite are known as raw materials. Seokrog and Seokcheong are mainly imported from aborad, such as China and Japan, and some blue pigments are reported to have been produced domestically. However, considering the geologic environment where carbonate minerals are difficult to produce, the possibility is not high. Malachite and azurite ores were purchased and analyzed for their composition. The pigments were manufactured by traditional procedure and analyzed to characterize the pigments. The Seokrog pigments had an $L^*$ value of about 59-83, an $a^*$ value of less than -20, and a slightly higher saturation than commercial products. The oil absorption was 22-29 mL/100 g, showing excellent opacity of 99.2 % or more. In the case of Seokcheong pigment, the range of $L^*$ values was 35-65 and $b^*$ values were below -15, indicating relatively lower saturation than commercial products. The oil absorption was 21-26 mL/100 g, showing an excellent opacity of 99.1 % or more like the Seokrog pigment. Azurite ore contain impurities such as malachite and quartz in addition to azurite, and the impurities contained in the pigments derived from azurite ore likely influenced on the characteristics such as their color and oil absorption.

Application of Geospatial Information Utilization System using Unmanned Aerial Image (무인항공 영상을 이용한 공간정보 응용 시스템 활용 방안)

  • Lee, Keun-Wang;Park, Joon-Kyu
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.201-206
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    • 2019
  • Korea is constructing geospatial information application system for geospatial information utilization, but it is trying to establish a system for joint use of geospatial information system centering on Ministry of Land Transport and Transport due to the problem of sharing. The purpose of this study is to investigate and analyze the geospatial information application system operated by local governments, and to suggest the application of geospatial information application system using unmanned aerial images. As a result of the research, it was found that the functions of existing spatial information application system are concentrated on the public services and it is difficult to share and utilize data between administrative departments. In addition, the utilization of the system using unmanned aerial image has been suggested, and additional functions such as vector display, area calculation, and report generation have been derived to improve the usability of geospatial information application system. If additional functions of spatial information application system are added through further studies in the future, it will be possible to use it as a basic data of field survey and policy decision in related fields. And non-experts will be able to improve the efficiency of work by utilizing highly accurate geospatial information in various fields.

Genome sequence of Actinomyces georgiae KHUD_A1 isolated from dental plaque of Korean elderly woman (한국 노인 여성의 치태에서 분리된 Actinomyces georgiae KHUD_A1의 유전체 염기서열 해독)

  • Moon, Ji-Hoi;Shin, Seung-Yun;Hong, Won Young;Jang, Eun-Young;Yang, Seok Bin;Ryu, Jae-In;Lee, Jin-Yong;Lee, Jae-Hyung
    • Korean Journal of Microbiology
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    • v.55 no.1
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    • pp.74-76
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    • 2019
  • Gram-positive anaerobic bacilli Actinomyces spp. commonly reside on mucosal surfaces of the oropharynx, gastrointestinal tract, and urogenital tract. Here, we first report the draft genome sequence of Actinomyces georgiae KHUD_A1, isolated from dental plaque of a Korean elderly woman. The genome is 2,652,059 bp in length and has a GC content of 68.06%. The genome includes 2,242 protein-coding genes, 9 rRNAs, and 64 tRNA. We identified 157 KHUD_A1 strain-specific genes, including genes encoding CPBP family intramembrane metalloprotease, bile acid: sodium symporter family protein, Txe/YoeB family addiction module toxin and Phd/YefM family antitoxin. The sequence information of A. georgiae KHUD_A1 will help understand the general characteristics of the bacterial species and the genome diversity of the genus Actinomyces.

Development of AAB (Algorithm-Aided BIM) Based 3D Design Bases Management System in Nuclear Power Plant (Algorithm-Aided BIM 기반 원전 3차원 설계기준 관리시스템 개발)

  • Shin, Jaeseop
    • Korean Journal of Construction Engineering and Management
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    • v.20 no.2
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    • pp.28-36
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    • 2019
  • The APR1400 (Advanced Power Reactor 1400MW) nuclear power plant is a large-scale national infrastructure facility with a total project cost of 8.6 trillion won and a project period of 10 years or more. The total project area is about 2.17 million square meters and consists of more than 20 buildings and structures. And the total number of drawings required for construction is about 65,000. In order to design such a large facility, it is important to establish a design standard that reflects the design intent and can increase conformity between documents (drawings). To this end, a design bases document (DBD) reflecting the design bases that extracted in regulatory requirements (e.g. 10CFR50, Korean Law, etc.) is created. However, although the design bases are important concepts that are a big framework for the whole design of the nuclear power plant, they are managed in 2-dimensional by the experts in each field fragmentarily. Therefore, in order to improve the usability of building information, we developed BIM(Building Information Model) based 3-dimensional design bases management system. For this purpose, the concept of design bases information layer (DBIL) was introduced. Through the simulation of developed system, design bases attribute and element data extraction for each DBIL was confirmed, and walls, floors, doors, and penetrations with DBIL were successfully extracted.

Relationship between Shear Strength and Component Content of Fault Cores (단층핵 구성물질의 함량과 전단강도 사이의 상관성 분석)

  • Yun, Hyun-Seok;Moon, Seong-Woo;Seo, Yong-Seok
    • Economic and Environmental Geology
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    • v.52 no.1
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    • pp.65-79
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    • 2019
  • In this study, simple regression and multiple regression analyses were performed to analyze the relationship between breccia and clay content and shear strength in fault cores. The results of the simple regression analysis performed for each rock (andesitic rock, granite, and sedimentary rock) and three levels of normal stress (${\sigma}_n=54$, 108, 162 kPa), reveal that the shear strength is proportional to breccia content and inversely proportional to clay content. Furthermore, as normal stress increases, the shear strength is influenced by the change in component content, correlating more strongly with clay content than with breccia content. In the multiple regression analysis, which considers both breccia and clay content, the shear strength is found to be more sensitive to the change in breccia content than to that of clay. As a result, the most suitable regression model for each rock is proposed by comparing the coefficients of determination ($R^2$) estimated from the simple regression analysis with those from the multiple regression analysis. The proposed models show high coefficients of determination of $R^2=0.624-0.830$.

Seismic Fragility Evaluation of Chimney Structure in Power Plant by Finite Element Analysis (유한요소 해석을 통한 발전소 연돌 구조물의 지진취약도 분석)

  • Kwon, Gyu-Bin;Kim, Jin-Sup;Kwon, Min-Ho;Park, Kwan-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.276-284
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    • 2019
  • Seismic research on bridges, dams and nuclear power plants, which are infrastructure in Korea, has been carried out since early on, but in the case of structures in thermal power plants, research is insufficient. In this study, a total of 192 dynamic analyzes were performed for 16 actual seismic waves and 12 PGAs. As a result, the probability of failure increased as the PGA value increased for each applied seismic wave, but it was different for each seismic wave. As a result, at 0.22G, the ratio of the compressive limit reached to the limit state was 25% and the ratio of the relative displacement reached the limit state was 13%. So, the probability of collapse due to compressive failure Is higher. Therefore, the fragility curve of the chimney which is the subject of this study can be used as a quantitative basis to determine the limit state of the target structure when an earthquake occurs and to be used for the safety design of the thermal power plants.

The Objective Test of Cochlear Dead Region Using Acoustic Change Complex: A Preliminary Report (Acoustic Change Complex에 기반한 와우소실영역 검사의 객관적인 방법 제시를 위한 예비 연구)

  • Kang, Soojin;Han, Juhyun;Woo, Jihwan;Park, Hee Sung;Moon, Il Joon;Choi, Kyusung;Hong, Sung Hwa
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.61 no.11
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    • pp.573-579
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    • 2018
  • Background and Objectives Cochlear dead region (CDR) is a region in the cochlear where hearing loss has occurred due to damage to the inner hair cells and/or neurons. Recently, a subjective test involving a pure-tone test in the presence of threshold-equalizing noise (TEN) was introduced to identify CDR. However, for uncooperative patients, such a subjective method would be unsuitable and objective methods would be needed instead to detect CDR. The acoustic change complex (ACC) is an evoked potential elicited by changes in the ongoing sound. In this study, we developed an objective method of identifying CDR by combining ACC response with a TEN test, namely the TEN-ACC test, and investigated its feasibility in normal-hearing listeners. Subjects and Method Ten normal-hearing subjects participated in this study. All subjects underwent both behavioral TEN test and electrophysiological TEN-ACC test. The stimuli for the TEN-ACC test consisted of TEN and embedded pure tones with different frequencies/signals to noise ratios (SNRs). To identify the thresholds, the range SNR of stimulation was varied from 0 to 20 dB, in stages of 4 dB. Results The ACC responses of all subjects who participated in this study were well elicited by stimuli developed for the TEN-ACC test. We confirm that the pure-tones embedded in TEN elicited the objective ACC response. Conclusion The results of this study suggest that the novel TEN-ACC test can be applied to evoke ACC in normal-hearing listeners. Future research should incorporate hearing-impaired listeners to determine the feasibility of the TEN-ACC test as an objective method to identify CDR.

Relationship between Completers' Satisfaction of Job Training Programs and Training Performance in Gwangju Area: The Moderating Role of NCS Level (광주지역의 구직자 훈련 프로그램 이수자 만족도와 취업률간의 관계: NCS 수준의 조절효과)

  • Moon, Younhee;Hong, Seong-woo;Shin, Woo-jin;Choi, Jiho
    • Journal of vocational education research
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    • v.36 no.4
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    • pp.21-40
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    • 2017
  • The purpose of this study is to demonstrate the effects of job training program satisfaction on objective training performance such as employment rate. In addition, the NCS(National Competency Standards) level was considered as a moderating variable in order to clarify the boundary conditions between job training program satisfaction and employment rate. The data used for the analysis of the research model are 513 job training programs that provide employment rate information among job training programs of 2016 Gwangju area on HRD-Net. The results of the analysis are summarized as follows. First, The satisfaction score of the job training programs calculated on the basis of the six dimensions of satisfaction is 4.46. The NCS level of the job training programs ranged from 2 to 6. The average score of the programs was 3.32. Second, satisfaction with the job training programs has no statistically significant effect on the employment rate, but the NCS level of the job training programs was found to be statistically significant in the interaction effect. Finally, policy implications, limitations, and further research directions are mentioned through this study.

The Influence of Self Efficacy, Emotional Labor, and Social Support on Job Center Workers' Psychological Burnout (고용지원센터 직장인의 자기효능감, 정서노동 및 사회적 지지가 심리적 소진에 미치는 영향)

  • Baek, Sook-Kyung;Kim, Seil;Cheon, Seong-Moon;Ju, Dong-Beom
    • Journal of vocational education research
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    • v.30 no.4
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    • pp.129-141
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    • 2011
  • The aim of this study was to investigate the influence of self efficacy, emotional labor, and social support on job center workers' psychological burnout. The data in the study were collected from 132 workers who work for job center in Busan, Ulsan, Gimhae, and Jinhae, and Self-Estimate Inventory, Emotional Labor Scale, Social Support Scale, and Maslach Burnout Inventory were used. Correlation analysis and multiple regression analysis were applied for data processing. The results of the study are as follows. First, the study found a correlation between job center workers' self efficacy and psychological burnout, with higher self efficacy being less burnout. This shows that self efficacy has an meaningful influence on job center workers' psychological burnout. Second, it also found a correlation between job center workers' emotional labor and psychological burnout, with higher emotional labor being more burnout. However, multiple regression analysis indicates that frequency of emotional display, attentiveness to required display rule, and emotional dissonance which are sub-factors of emotional labor have a negative influence on psychological burnout. Third, it found a correlation between job center workers' social support and psychological burnout, with higher social support being less burnout. Among sub-factors of social support, material support and evaluative support have a meaningful influence on psychological burnout statistically. Fourth, it showed that self efficacy has a high influence on psychological burnout. This research suggests to provide basic materials which are a great help to study job center worker's psychological burnout, and proposes to arrange various program for developing human resources of job center as a public employment organization.