• Journal of Chest Surgery
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• v.43 no.6
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• pp.710-715
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• 2010

Background: Video-assisted thoracic surgery (VATS) became common in the treatment of spontaneous pneumothorax (SP). Therefor we've reviewed the recurrence rate after VATS and analysed the factors affecting recurrent pneumothorax after VATS on this study. Material and Method: This retrospective analysis was performed on 321 patients of SP who had undergone VATS from Jan. 2001 to Dec. 2008. The two groups were divided as follow: group A, non-recurrent group (298 patients: 93%); and group B, recurrent group (26 patients: 7%); the two groups were analysed retrospectively. Result: The average age of the study groups were $20.9{\pm}4.3$ years old in recurrent group vs. $25.9{\pm}11.7$ years old in non-recurrent group with statistical significance (p < 0.05). There were no statistical significance in male to female ratio, height/weight ratio, location of pneumothorax, smoking history, operative time, duration of drain, hospital stay, indication of opertion and incidence rate. Average length of duration in recurrence was 12.9 months. There was 22 (95.7%) recurrent patients after VATS within 4 year period among recurrent group. Treatment methods in 23 of recurrent patients were, 8 (VATS), 2 (Axillary thoracotomy) with 15% or more in amount of pneumothorax and 7 (7 Fr. chest tube), 6 (nasal 02) with 15% or less in amount of pneumothorax. Among 10 cases of reoperation, there were 3 cases of over looking type and 7 cases of new growing type. There was no additional recurrence after these procedures were given. Conclusion: There was higher recurrence rate in younger age after VATS thus for those under 20 yrs old, detailed and possible preoperative warning for recurrence is warranted. Most recurrence occured within 4 year period, thus for this reason, regular interval based follow up with chest x-ray study is suggested during this period.

• Proceedings of the KWS Conference
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• 2009.11a
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• pp.107-107
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• 2009

모듈 형 터빈 다이아프람은, 아우터 링(outer ring), 스팀 패스(steam path)와 이너 웹(inner web)의 원형 형상을 갖는 세 부분을 조립하여 원주 방향의 용접 조인트를 형성하는 기존의 다이아프람 형태가 아니라, 아우터 슈라우드(outer shroud), 베인(vane)과 이너 슈라우드(inner shroud)의 세 부분이 하나의 모듈을 이루고 이러한 모듈을 원주 방향으로 조립하여 방사 방향의 조인트를 형성한다. 전자빔 용접은 이와 같은 방사 방향의 조인트를 수직으로 가로지르는 용접 궤적을 따라 진행되며, 용접 패스에 따라 형성되는 용융 비드의 단면적만큼 인접하는 두 모듈을 접합시킨다. 이 경우 용융 비드의 단면적과 형상은 두 모듈의 결합 강도를 결정하는 중요한 요소가 되어, 제작 시 다이아프람의 크기와 두께에 따라 용입 깊이와 평균 단면 비드 폭을 규정하고 있다. 본 연구에서는 용입 깊이와 단면 비드 폭의 요구 조건을 만족하면서 결함이 없는 건전한 용접부를 얻을 수 있는 최적 용접 조건을 도출하는데 그 목적이 있다. 이를 위해 플레이트 시편과 모듈 시편을 사용한 기초 실험과 유사 시제품(semi-mockup) 실험을 실시하였다. 플레이트 기초 실험을 통해 전자빔 주요 변수인 빔 전류, 초점 위치, 용접 속도, 빔 진동 폭 변화에 따른 용융 비드 형상 변화를 관찰하였고, 빔 전류가 용입 깊이에 가장 큰 영향을 주는 인자임을 확인하여 요구 용입 깊이 별 적정 빔 전류 값을 설정하였다. 용접 속도는 생산성 측면에서 균열이 발생하지 않는 범위에서 가능하면 가장 큰 값을 사용하였고, 빔 진동 폭은 초점 위치와 함께 단면 비드 형상 결정에 많은 영향을 주는 인자로 확인되어 균열이 없는 가장 이상적인 단면 비드 형상인 완만한 쐐기 형태가 되도록 설정하였다. 이 후 실제 제품 폭과 용접 패스를 갖는 블록 모듈 실험을 통해 설정 용접 변수의 적용성과 균열 발생 여부를 확인하였고, 이 때 적용 제품 폭이 30 mm 이하이며 요구 용입 깊이가 50 mm 이상의 경우에서 비드 중앙부 균열이 발생함을 관찰하였다. 따라서 해당 영역의 제품에는 균열 저항성이 높도록 용접 속도와 빔 진동 폭을 줄여 최적 용접 변수를 새롭게 설정하였으며, 이를 유사 시제품 실험에 적용하여 최종적으로 용접 변수 안정성을 검증하였다. 이러한 실험을 통해 확인된 최적 용접 조건을 실 제품 제작에 적용하여 모듈 형 터빈 다이아프람 전자빔 용접 제작을 성공적으로 완료할 수 있었다.

• Archives of design research
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• v.19 no.2 s.64
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• pp.261-272
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• 2006

As we cannot think of our lives without a nation, it is closely related to almost every part of our daily lives. The role of government is becoming more important in the complex modern society as an essential element of national authority even though the government has indirect and secondary characteristics in its functional performance. Therefore, the government has to be efficient in planning and executing its policies, and it needs to be representative and fair as part of a national authoritative community. In the 21st century when symbolic and cultural importance of images are becoming more important, it is crucial for the government organizations to have an integrated identity design system that can satisfy both of these requirements of the government. However, the C.I.(Corporate Identity) of each Korean administrative branch has been developed separately and sporadically, which resulted in lack of consistency as part of the government. Shape and material of their C.I.s that follow short term design trend and popularity also lack uniqueness which can be distinguished from those of any private corporation. This may show that our government lacks systematic administrative capability, since image of a feature represents its characteristics and reality, and their recognition and evaluation from others become identity of the feature. In this perspective, the purpose of this thesis is to suggest an identity design system that has certain rules and regularity with wide variety of possible alterations for the central administration in Korea. In order to represent this visually, identity design system with both integrity and variety of possible alteration is created based on traditional Korean culture, especially the concept of Umyang-ohaeng and Samjae.

• Archives of design research
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• v.19 no.2 s.64
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• pp.241-250
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• 2006

Hangeul as the Korean unique characters were invented according to some character-making principles and based on scholars' exhaustive researches. While most of the characters in the world evolved naturally, Hangeul was invented based on a precise linguistic analysis of the time, and therefore, it is most scientific and reasonable among various characters throughout the world. Nevertheless, Hangeul typeface designs do not seem to inherit the ideology of scientific and reasonable Hangeul correctly. For the square forms have been used intact due to the influences from the Chinese characters which prevailed during the time. If a single set of square characters should be designed, as much as 11,172 fonts should be designed, which suggests that advantages of Mangeul may not well be used fully; Hangeul was invented to visualize every sound with the combinations of 28 vowels and consonants. Problems of such square fonts began to be identified since 1900's when typewriters were introduced first from the West. Since a typewriter is designed with 28 characters laid out on its keyboard by using such combinations, the letters may be easily combined on it. The so-called the flexibility square-format typeface was born as such. Specially, the three-pairs fonts of these can be combined up to 67 letters including vowels and consonants. The three-pairs fonts system can help to solve the problems arising form the conventional square fonts and inherit the original ideology of Hangeul invention. This study aims to review the history of the three-pairs fonts designs facilitated by mechanic encoding of Hangeul and thereupon, suggest some desirable directions for future Hangeul fonts. Since the flexibility square-format typeface is expected to evolve more and more owing to development of the digital technology, they would serve our age of information in terms of both functions and convenience. Just as Hunminjongum tried to be literally independent from the Chinese characters, so the flexibility square-format typeface designs would serve to recover identity of our Hangeul font designs.

• Radiation Oncology Journal
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• v.16 no.1
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• pp.71-79
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• 1998

Purpose : The objective of this study is to introduce our installation of a non-commercial 3D Planning system, Plunc and confirm it's clinical applicability in various treatment situations. Materials and Methods : We obtained source codes of Plunc, offered by University of North Carolina and installed them on a Pentium Pro 200MHz (128MB RAM, Millenium VGA) with Linux operating system. To examine accuracy of dose distributions calculated by Plunc, we input beam data of 6MV Photon of our linear accelerator(Siemens MXE 6740) including tissue-maximum ratio, scatter-maximum ratio, attenuation coefficients and shapes of wedge filters. After then, we compared values of dose distributions(Percent depth dose; PDD, dose profiles with and without wedge filters, oblique incident beam, and dose distributions under air-gap) calculated by Plunc with measured values. Results : Plunc operated in almost real time except spending about 10 seconds in full volume dose distribution and dose-volume histogram(DVH) on the PC described above. As compared with measurements for irradiations of 90-cm 550 and 10-cm depth isocenter, the PDD curves calculated by Plunc did not exceed $1\%$ of inaccuracies except buildup region. For dose profiles with and without wedge filter, the calculated ones are accurate within $2\%$ except low-dose region outside irradiations where Plunc showed $5\%$ of dose reduction. For the oblique incident beam, it showed a good agreement except low dose region below $30\%$ of isocenter dose. In the case of dose distribution under air-gap, there was $5\%$ errors of the central-axis dose. Conclusion : By comparing photon dose calculations using the Plunc with measurements, we confirmed that Plunc showed acceptable accuracies about $2-5\%$ in typical treatment situations which was comparable to commercial planning systems using correction-based a1gorithms. Plunc does not have a function for electron beam planning up to the present. However, it is possible to implement electron dose calculation modules or more accurate photon dose calculation into the Plunc system. Plunc is shown to be useful to clear many limitations of 2D planning systems in clinics where a commercial 3D planning system is not available.

• Radiation Oncology Journal
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• v.28 no.1
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• pp.39-49
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• 2010

Purpose: This aim of this study is to analyze the dosimetric difference between intensity-modulated radiation therapy (IMRT) using 3 or 5 beams and MSF in the radiotherapy of the left breast. Materials and Methods: We performed a comparative analysis of two radiotherapy modalities that can achieve improved dose homogeneity. First is the multistatic fields technique that simultaneously uses both major and minor irradiation fields. The other is IMRT, which employs 3 or 5 beams using a fixed multileaf collimator. We designed treatment plans for 16 early left breast cancer patients who had taken breast conservation surgery and radiotherapy, and analyzed them from a dosimetric standpoint. Results: For the mean values of $V_{95}$ and dose homogeneity index, no statistically significant difference was observed among the three therapies. Extreme hot spots receiving over 110% of the prescribed dose were not found in any of the three methods. A Tukey test performed on IMRT showed a significantly larger increase in exposure dose to the ipsilateral lung and heart than multistatic fields technique (MSF) in the low-dose area, but in the high-dose area, MSF showed a slight increase. Conclusion: In order to improve dose homogeneity, the application of MSF, which can be easily planned and applied more widely, is considered an optimal alternative to IMRT for radiotherapy of early left breast cancer.

• Radiation Oncology Journal
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• v.6 no.1
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• pp.85-91
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• 1988

For the physical characterization of neutron beam, dosimetric measurements had been performed to obtain physical data of KCCH cyclotron-produced neutrons for clinical use. The results are presented and compared with the data of other institutions from the literatures. The central axis percent depth dose, build-up curves and open and wedge isodose curve values are intermediate between that of a 4 and 6 MV X-rays. The build-up level of maximum dose was at 1.35cm and entrance dose was approximately $40\%$. Flatness of the beam was $9\%$ at Dmax and less $than{\pm}3\%$ at the depth of $80\%$ isodose line. Penumbra begond the $20\%$ line is wider than corresponding photon beam. The output factors ranged 0.894 for $6\times6cm$ field to 1.187 for $30\times30cm$ field. Gamma contamination of neutron beam was $4.9\%$ at 2 cm depth in $10\times10cm$ field.

• Proceedings of the Korean Quaternary Association Conference
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• 2006.11a
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• pp.23-25
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• 2006

제4기 만빙기에서 후빙기 사이의 기후변화는 인류문명에 있어 정착생활 및 농경활동과 더불어 잉여생산물 저장을 위한 토기제작 등과 같은 생활상의 변화를 가져 온 계기가 되었다(F.M. Chambers, 1993; Guoyu Ren, 1998; Mori Y, 2002; Martin Bell et al., 2004). 식물화석, 화분, 식물규소체 등의 대리자료(proxy data)를 이용하여 이시기의 식생환경을 밝히는 것은 고생태복원분야 뿐 아니라 당시의 환경변수들 을 추정하여 인간활동에 어떠한 영향을 미쳤는지에 대한 중요한 정보를 제공해준다. 그러나 홀로세 초기 환경은 인간에게 지대한 영향을 미쳤으나 후기로 올수록 인간 스스로가 환경을 변화시키는 주체가 되었다(Martin Bell et al., 2004). Meyer&Turner(1994)는 인간활동이 자연적인 영향보다 생물구에 시계열적인 변화를 가져왔다고 하였으며, R.B Singh(1995)는 현재뿐 아니라 과거까지 다양한 인위 적인 간섭이 전지구적인 환경변화를 야기 시키는 주된 원인이라고 하였다. 따라서 환경을 복원한다는 것은 바로 그 지역을 생활 터전으로 삼았던 당시 선사인들의 생활상을 간접적으로 들여다 볼 수 있는 기회를 제공해준다. 현재까지 국내 고고학 유적지에서 이루어진 대부분의 발굴조사는 유물과 유구를 토대로 당시 선사인의 생활상을 밝히는데 중점을 두었으나 최근 인간과 영향을 주고 받았을 환경에 관심을 갖고 이를 통해 역으로 인간활동을 추적하려는 다수의 연구들이 제4기학, 고고학, 지리학, 인류학, 생물학, 농학, 기후학 등 다양한 분야에서 학제간 연구로 진행되고 있다(황상일 등, 1999; 조현종, 2000; 김주용 등, 2002; 최정민, 2004; 윤순옥 등, 2005). 그러나 이러한 연구에 있어서 어떠한 대리자료(proxy data)를 어떻게 고고학 유적지에 적절하게 적용시킬 것인지 대리자료의 조성변화나 값의 해석에 있어서 기후인자와 인간영향을 어떻게 분리해 낼 것인지에 대한 문제점이 남는다. 예를 들어 화분분석의 경우 1차적인 환경변화에 따른 식생조성변화를 반영한다. 인간이 활발한 농경활동을 하게 되면서 주변식생을 제거하게 되고, 제거된 나대지에는 재배작물과 잡초들이 자라게 된다. 그리고 이들 화분은 주변 소택지에 퇴적물과 함께 퇴적되어 화분분석 결과 벼과(科)(Gramineae)와 문화지표수종이라 부르는 여뀌속(屬)(Persicaria), 국화과(科)(Composite), 쑥속(屬)(Artemisia), 쐐기풀속(屬)(Urtica) 등의 화분에 있어 확연한 조성변화를 보여준다. 그러나 화분을 이용한 분석은 토탄층이나 유기질 퇴적물이라는 한정된 토양에서만 분석이 가능하며, 조성변화에 있어서 역시 기후와 인간활동의 영향 모두를 반영하기 때문에 이를 구분해 주는 명확한 기준이 필요하다. 따라서 본 연구에서는 이러한 다양한 대리자료 중 고고학 유적지에 적용 가능한 동식물 화석 및 미화석, 지리, 지질학적 자료에 어떠한 것들을 적용할 수 있는지를 살피고, 몇 가지 대리자료를 중심으로 선사인의 농경활동에 대해 살펴보고자 한다.

• Journal of the korean academy of Pediatric Dentistry
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• v.49 no.4
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• pp.468-480
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• 2022

The purpose of this study was to evaluate the effect of interceptive primary canine extraction in palatally and buccally displaced maxillary permanent canines, and to analyze the clinical and radiographic factors affecting the treatment outcome. 97 maxillary permanent canines from 86 patients whose maxillary permanent canine were in the mesio-occlusal directions and overlapped with the roots of the adjacent teeth were analyzed. In 64 of 97 (66.0%) maxillary permanent canines, the displaced crown was completely deviated from the adjacent lateral incisor root only by extraction of the primary canine. Not only the characteristics of maxillary permanent canines such as bucco-palatal displacement direction, horizontal and vertical position of the crown tip, and presence of apical closure, but also periapical rarefaction on the primary canine and peg-shaped adjacent lateral incisor significantly affected the treatment outcome.

• Journal of the Korean Society for Marine Environment & Energy
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• v.11 no.4
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• pp.199-213
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• 2008

Saemangeum salt-water Lake has been created by the completion of the sea-dike in April 2006. To monitor the water qualities of the lake during the sea-dike construction, salinity, SS, nutrients(DIN, DIP, DISi), and chlorophyll-$\alpha$ was analyzed for the surface water from 1999 to 2007. Due to the dike construction, weaker tidal current and lesser resuspension of bottom sediment resulted in the marked decrease of the concentrations of SS in the lake water. Consequently the clearer lake water has provided better condition for primary production with deeper penetration of sunlight into the water column and sufficient nutrient content in the water. Finally the chlorophyll-$\alpha$ content became approximately double in the concentration after the dike construction. Highly stimulated algal production with the marked decrease of the concentrations of SS was decreased the concentration of DIP in the surface water. On the other hand the concentration of DIN and DISi in surface water was increased after dike construction due to the expansion of the freshwater and the supply from bottom layer. As a result, the lake revealed an extremely high NIP ratio and a DIP-limited ecosystem. The lake has been transformed from a typical coastal ecosystem to a brackish one. Since the dike completion, the lake has shown a similar change pattern to the Geum River estuary. Due to the salt-wedge intrusion of seawater, it is highly probable to expect the formation of low-oxygen zone at the bottom layer near the river-mouth area of the lake during the summer. Therefore we need a continuous sentinel monitoring of bottom water qualities in the near future.