• Tuberculosis and Respiratory Diseases
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• v.63 no.1
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• pp.72-77
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• 2007

Antiphospholipid syndrome (APS) causes recurrent thromboses and morbidity during pregnancy, including fetal loss. This malady is associated with the persistent presence of anticardiolipin antibody or lupus anticoagulant. The pulmonary manifestations of antiphospholipid syndrome include pulmonary thromboembolism, pulmonary hypertension, acute respiratory distress syndrome, etc. Pulmonary thromboembolism is often the initial manifestation of antiphospholipid syndrome and a timely diagnosis is critical due to the high mortality rate. We herein report on a 19-year-old man with pulmonary thromboembolism that was caused by primary antiphospholipid syndrome. He presented with blood-tinged sputum, fever and epigastric pain, and his chest computerized tomography showed pulmonary thromboembolism. The other possible causes of pulmonary thromboembolism were excluded and the diagnosis of primary antiphospholipid syndrome was confirmed by the lupus anticoagulant that was present on two occasions six weeks apart. We also discuss the nature and management of antiphospholipid syndrome, along with a brief review of the relevant literatures.

• Applied Microscopy
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• v.37 no.2
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• pp.73-82
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• 2007

The antennae of millipedes have a prominent function in detecting various types of environmental stimuli. The structural modification of the antennae is closely associated with the degree of sense recognition. Here we study functional morphology of the antennae of the millipede Cawjeekelia pyongana using field emission scanning electron microscope (FESEM). The antennae generally include eight segments, called articles. On the surface of the antennae, there are a variety of sensory receptors which include olfactory and mechanical receptors. We could identify four different types of antennal sensory organs in C. pyongana as follows: apical cone (Ac), trichoid sensilla (Ts), chaetiform sensilla (Cs) and basiconic sensilla (Bs). The most prominent of which is four APs at the 8th article. Both of the Is and the Cs are abundantly observed almost all of the antennal segments. They are long and strong bristles with longitudinal grooves acuminating toward the tip. The Bs is further divided into three subtypes: large basiconic sensilla $(Bs_1)$, small basiconic sensilla $(Bs_2)$ and spiniform basiconic sensilla $(Bs_3)$. The $Bs_1$ is located at the 5th and 6th articles, while the $Bs_2$ and $Bs_3$ can be seen at the 5th and at the 7th article, respectively.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.3
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• pp.997-1005
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• 2010

Recently, there has been a growing interest in the use of WLAN technology due to its easy deployment, flexibility and so on. Examples of WLAN applications range from standard internet services such as Web access to real-time services with strict latency/throughput requirements such as multimedia video and voice over IP on wireless network environments. Fair and efficient distribution of the traffic loads among APs(Access Points) has become an important issue for improved utilization of WLAN. This paper focuses on an AP selection scheme for achieving better load balance, and hence increasing network resource utilization for each user on wireless network environments. This scheme makes use of active scan patterns and the network delay as main parameters of load measurement and AP selection. This scheme attempts to estimate the AP traffic loads by observing the up/down delay and utilize the results to maximize the link resource efficiency through load balancing. We compared the proposed scheme with the original SNR(Signal to Noise Ratio)-based scheme using the NS-2(Network Simulation.2). We found that the proposed scheme improves the throughput by 12.5% and lower the network up/down link delay by 36.84% and 60.42%, respectively. All in all, the new scheme can significantly increase overall network throughput and reduce up/down delay while providing excellent quality for voice and video services.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.3
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• pp.808-814
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• 2010

In this paper we executed a SBL(Short Baseline) underwater acoustic positioning system that is a kind of underwater position estimation system to estimates the 3-dimensional position of ROV(Remotely Operated Vehicle) using hydrophones and DAQ(Data Acquisition) system in the basin which dimensions are $3{\times}3{\times}1.7(m)$. For this experiment, we let 4 hydrophones in different positions of the basin for receiver and 1 hydrophone is fixed on the underwater vehicle for transmitting sensor(pinger). These five hydrophones are communicated with each other to find the 3-D positions of the moving ROV in the basin. The measured signals are collected by DAQ system and the positions of the ROV are plotted by LabView program in real-time. To estimate the position of the ROV we used a trigonometric method. In X and Y plane the estimated data has a small errors but in Z plane the estimated data has large errors so we cannot use this data for position control. One solution of this problem is using depth sensor that implemented of the underwater vehicle. Hereafter, we will test in the ocean using designed SBL system.

• Archives of Plastic Surgery
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• v.45 no.3
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• pp.229-238
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• 2018

Background Nipple-sparing mastectomies (NSMs) are increasingly performed to obtain the best aesthetic and psychological outcomes in breast cancer treatment. However, merely preserving the nipple-areolar complex (NAC) does not guarantee a good outcome. Darkly pigmented NACs and a tendency for poor scarring outcomes are particular challenges when treating Asian patients. Herein, we review the reconstructive outcomes following NSM at Singapore General Hospital. Methods All breasts reconstructed following NSM over an 11-year period from 2005 to 2015 were reviewed. Information was collected from the patients' records on mastectomy indications, operative details, and complications. Patient satisfaction, breast sensation, and aesthetic outcomes were evaluated in 15 patients. Sensation was quantified using the Semmes-Weinstein monofilament test. Results A total of 142 NSMs were performed in 133 patients for breast cancer (n=122, 85.9%) or risk reduction (n=20, 14.1%). Of the procedures, 114 (80.2%) were autologous reconstructions, while 27 (19.0%) were reconstructions with implants. Complications occurred in 28 breasts (19.7%), with the most common complication being NAC necrosis, which occurred in 17 breasts (12.0%). Four breasts (2.8%) had total NAC necrosis. The overall mean patient satisfaction score was 3.0 (good). The sensation scores were significantly diminished in the skin envelope, areola, and nipple of breasts that had undergone NSM compared to non-operated breasts (P<0.05). Half of the subset of 15 patients in whom aesthetic outcomes were evaluated had reduced nipple projection. Conclusions Immediate reconstruction after NSM was performed with a low complication rate in this series, predominantly through autologous reconstruction. Patients should be informed of potential drawbacks, including NAC necrosis, reduced nipple projection, and diminished sensation.

• Archives of Plastic Surgery
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• v.47 no.1
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• pp.70-77
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• 2020

Background As the demand for cosmetic surgery continues to rise, plastic surgery programs and the training core curriculum have evolved to reflect these changes. This study aims to evaluate the perceived quality of current cosmetic surgery training in terms of case exposure and educational methods. Methods A 16-question survey was sent to graduates who completed their training at a U.S. plastic surgery training program in 2017. The survey assessed graduates' exposure to cosmetic surgery, teaching modalities employed and their overall perceived competence. Case complexity was characterized by the minimum number of cases needed by the graduate to feel confident in performing the procedure. Results There was a 25% response rate. The majority of respondents were residents (83%, n=92) and the remaining were fellows (17%, n=18). Almost three quarters of respondents were satisfied with their cosmetic training. Respondents rated virtual training as the most effective learning modality and observing attendings' patients/cases as least effective. Perceived competence was more closely aligned with core curriculum status than case complexity, i.e. graduates feel more prepared for core cosmetic procedures despite being more technically difficult than non-core procedures. Conclusions Despite the variability in cosmetic exposure during training, most plastic surgery graduates are satisfied with their aesthetic training. Incorporation of teaching modalities, such as virtual training, can increase case exposure and allow trainees more autonomy. The recommended core curriculum is adequately training plastic surgery graduates for common procedures and more specialized procedures should be consigned to aesthetic fellowship training.

• KIPS Transactions on Computer and Communication Systems
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• v.3 no.11
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• pp.393-402
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• 2014

We have experienced an explosive increase of the IoT(Internet of Things) technology based devices including smart phones and the wireless communications. Also the growing power consumption in IEEE 802.11 WLANs(Wireless LANs) driven by these dramatic increases in not only mobile users and but also wireless APs(Access Points). To reduce the power consumption, this paper proposes a wireless AP power saving algorithm, which minimizes the transmission power without decrease the transmission and carrier sense ranges. A wireless AP which is use in our algorithm checks its own original coverage periodically for whether there is a new STA(Station) or not when its transmission power is decreased. Moreover, if there are no signaling message to connect the wireless AP, it changes its operation mode Wake-up to sleep. A Result shows that the proposed AP algorithm can reduce the total power consumption of the wireless AP approximated 18% and 35% compared to the conventional wireless AP with and without the existing power saving algorithm, respectively.

• Proceedings of the Korea Water Resources Association Conference
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• 2016.05a
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• pp.520-520
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• 2016

석유 화학공장에서 발생하는 spent sulfidic caustic (SSC) 폐수는 액화석유가스(LPG)나 천연가스(NG)의 정제과정에서 발생되는 것으로 고농도의 sulfide와 cresylic, phenolic 그리고 mercaptan 등이 포함된 독성과 냄새를 유발하는 물질이다. 이러한 물질들은 LPG나 NG의 정제과정에서 높은 산도를 가진 휘발성 황화합 물질들을 제거하기 위해 사용된 NaOH가 $H_2S$와 반응하여 발생하는 것이다. 진한 갈색 또는 검은색을 띄는 SSC 폐수는 12 이상의 높은 pH를 가지고 있으며 5~12 wt%의 높은 염분도를 가지고 있다. 또한 강한 부식성과 독성을 가진 황화합물의 농도가 1~4 wt%이며, 방향족 탄화수소 물질 (i.e. methanethiol, benzene, tolune and phenol)들도 다량 함유되어 있다. 따라서 이러한 유해 물질들은 기존의 하수처리 공정으로 방류하기 전에 완벽하게 처리해야만 하수처리 공정의 오염 부하량을 줄일 수 있다. 습식산화공정은 SSC 폐수를 처리하기 위해 흔히 사용되고 있는 물리-화학적 처리 공정이지만 고비용, 고에너지가 필요하며, 고온 및 고압에서만 작동되어 안전상의 문제점을 갖고 있다. 또한 습식산화공정을 거친 폐수는 배출허용기준을 만족하기 위해 생물학적 2차 처리가 반드시 필요하다. 철-과산화수소를 이용하는 펜톤산화 공정, 그리고 sulfide를 sulfate로 전환시키는 생물학적 처리 공정은 황화합물의 완전한 무기물화가 힘들며, 현장 적용 시 기술적 경제적 부담이 크다. 이러한 단점을 극복하고, SSC 폐수를 효과적으로 처리하기 위해 본 연구는, 높은 흡착력과 광산화력을 가진 흡착광산화 반응 시스템(Adsorption Photocatalysis System, APS)을 개발하였다. APS는 SSC 폐수를 시스템 내부로 유입하여 수중의 오염물질을 흡착광산화제로 구성된 반응구조체가 흡착하고, 흡착된 오염물질을 UV에너지와 이산화티타늄 광촉매의 광화학반응에 의해 최종적으로 무해한 물질로 환원시키는 폐수처리시스템이다. APS의 반응구조체는 태양에너지 및 인공에너지원에 의해 활용 가능하며, 난분해성 유기화합물질을 물과 이산화탄소로 분해할 수 있는 친환경적이고 경제적인 소재로서 널리 쓰이고 있는 이산화티타늄 광촉매와 화력발전소의 높은 소성온도에 의해 연소된 후 발생되는 bottom ash를 이산화티타늄의 지지체로 사용하여 높은 흡착력과 광촉매 산화력을 가진 복합물이다. 개발된 APS에 의해 SSC 폐수를 처리한 결과, COD 86.1%, 탁도 98.4%, sulfide 99.9%의 높은 처리효율을 보여주고 있다. 따라서 본 연구를 통해 개발된 APS는 강한 부식성과 독성 그리고 높은 농도를 가지고 있는 SSC 폐수를 효과적으로 처리할 수 있다.

• Polymer(Korea)
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• v.38 no.1
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• pp.74-79
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• 2014

Microfibrillated cellulose (MFC) was chemically modified with two different silane coupling agents (3-aminopropyltriethoxysilane and 3-mercaptopropyltriethoxysilane) and lauroyl chloride. The surface modification of MFC was confirmed by infrared spectroscopy (FTIR), energy dispersive X-ray spectroscopy (EDX), and contact angle measurements. Composite paper was successfully prepared with surface modified MFC and polyamide (PA) fiber. The surface modification of MFC not only prevented aggregation of MFC but also improved adhesive property between PA fiber and surface modified MFC. It was impossible to prepare papers of only PA fiber because there is no binder to connect PA fibers. That is, surface modified MFC as a binder in PA fiber played a crucial role in making composite paper. Composite paper with silane modified MFC showed higher tensile strength and modulus than composite paper with lauroyl moiety modified MFC. The structure, morphology, and mechanical properties of composite paper were analyzed by scanning electron microscope (SEM) and universal testing machine (UTM).

• Archives of Plastic Surgery
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• v.46 no.4
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• pp.336-343
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• 2019

Background Sternal rigid plate fixation (RPF) has been adopted in recent years in high-risk cases to reduce complications associated with steel wire cerclage, the traditional approach to sternal closure. While sternal RPF has been associated with lower complication rates than wire cerclage, it has its own complication profile that requires evaluation, necessitating a critical examination from a national perspective. This study will report the outcomes and associated risk factors of sternal RPF using a national database. Methods Patients undergoing sternal RPF from 2005 to 2016 in the American College of Surgeons-National Surgical Quality Improvement Program were identified. Demographics, perioperative information, and complication rates were reviewed. Logistic regression analysis was performed to identify risk factors for postoperative complications. Results There were 381 patient cases of RPF identified. The most common complications included bleeding (28.9%), mechanical ventilation >48 hours (16.5%), and reoperation/readmission (15.2%). Top risk factors for complications included dyspnea (odds ratio [OR], 2.672; P<0.001), nonelective procedure (OR, 2.164; P=0.010), congestive heart failure (OR, 2.152; P=0.048), open wound (OR, 1.977; P=0.024), and operating time (OR, 1.005; P<0.001). Conclusions Sternal RPF is associated with increased rates of three primary complications: blood loss requiring transfusion, ventilation >48 hours, and reoperation/readmission, each of which affected over 15% of the study population. Smokers remain at an increased risk for surgical site infection and sternal dehiscence despite RPF's purported benefit to minimize these outcomes. Complications of primary versus delayed sternal RPF are roughly equivalent, but individual patients may perform better with one versus the other based on identified risk factors.