• Journal of Chest Surgery
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• 제44권1호
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• pp.9-17
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• 2011

Background: A peripheral extracorporeal membrane oxygenator (p-ECMO) has been developed to support patients who are dying due to a serious cardiopulmonary condition. This analysis was planned to define the clinical situation in which the patient benefits most from a p-ECMO. Material and Methods: Between June 2007 and Aug 2009, a total of 41 adult patients used the p-ECMO. There were 23 males and 18 females (mean age $54.4{\pm}15.1$ years). All patients had very unstable vital signs with hypoxia and complex cardiac problems. We divided the patients into 4 groups. In the first group, a p-ECMO was used as a bridge to cardiac operation. In the second group, patients did not have the opportunity to undergo any cardiac procedures; nevertheless, they were treated with a p-ECMO. In the third group, patients mostly had difficulty in weaning from CPB (cardiopulmonary bypass) after cardiac operation. The fourth group suffered from many complications, such as pneumonia, bleeding, infections, and LV dysfunction with underlying cardiac problems. All cannulations were performed by the Seldinger technique or cutting down the femoral vessel. A long venous cannula of $DLP^{(R)}$ (Medtronic Inc, Minneapolis, MN) or $RMI^{(R)}$ (Edwards Lifesciences LLC, Irvine, CA) was used together with a 17~21 Fr arterial cannula and a 21 Fr venous cannula. As a bypass pump, a Capiox emergency bypass system ($EBS^{(R)}$; Terumo, Tokyo, Japan) was used. We attempted to maintain a flow rate of $2.4{\sim}3.0\;L/min/m^2$ and an activated clotting time (ACT) of around 180 seconds. Results: Nine patients survived by the use of the p-ECMO. Ten patients were weaned from a p-ECMO but they did not survive, and the remainder had no chance to be weaned from the p-ECMO. The best clinical situation to apply the p-ECMO was to use it as a bridge to cardiac operation and for weaning from CPB after cardiac operation. Conclusion: Various clinical results were derived by p-ECMO according to the clinical situation. For the best results, early adoption of the p-ECMO for anatomical correction appears important.

• 대한한방소아과학회지
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• 제32권1호
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• pp.83-91
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• 2018

Objectives This study aims to build the baseline data for promoting school health care program by identifying satisfaction level and improvement point through the satisfaction survey after Korean medicine doctor's student health and wellness program in 2016. Methods An association of Korean medicine doctor in Seongnam city conducted Korean medicine doctor's student health and wellness program for 12 middle schools, 6 high schools and 1 special-need school in Seongnam city in 2016. The participating Korean medicine doctor visited each school for 8 times and conducted health consultations, health education classes and Korean medicine treatment for the school students and the school employees. Teachers and administrators from the participating schools answered the self-reported satisfaction questionnaires and the results were analyzed by SPSS 22.0. Results 35 people responded the program satisfaction questionnaires, the overall satisfaction average was $9.40{\pm}0.88$ (out of 10). In the course of the program, satisfaction average regarding the student's health check-ups was $9.05{\pm}0.88$, satisfaction average regarding the informatory brochures for the parents was $9.08{\pm}1.09$, satisfaction average regarding the participation enrollment process was $9.06{\pm}1.16$, and the satisfaction average regarding the questionnaire statistics and the result reports was $8.86{\pm}1.93$. The satisfaction average of the program was as follows: health consultation ($9.20{\pm}1.08$), treatment ($9.31{\pm}0.90$), and health education classes ($8.78{\pm}1.68$). Some of the good things about program were 'Telling students about their physical condition' (57.1%), 'Curing the sick student quickly' (48.6%), 'Providing students with useful information about the health' (48.6%), 'Teaching students how to manage their health and how to manage symptoms' (42.9%). Average satisfaction about sustainability and needs of the program was $9.15{\pm}0.91$, and the participant teachers wanted to learn more about how to manage internet addiction (22.9%), stress (45.7%), atopy (28.6%), neck pain (42.9%), allergic rhinitis (37.1%), and low back pain (34.3%) from the future wellness programs. Conclusions Student health care is one of the most important issue in national health policies. We have designed a bridge model that a local community, school, and doctors can work together to develop. After the implementation of the program, the results of the satisfaction survey showed a very high satisfaction level. This study can be the basis for further improvement of the bridge program as well as the expansion of the program in other settings.

• 한국재료학회지
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• 제18권11호
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• pp.617-622
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• 2008

In this study, the additivity factors of compositions to density and glass transition point ($T_g$) in a $xLi_2O-(1-x)[(1-y)TeO_2-yZnO]$ (0$T_g$ was discussed. As a method for predicting the relation between glass structure and ionic conductivity, density was measured by the Archimedes method. The glass transition point was analyzed to predict the relation between ionic conductivity and the bonding energy between alkali ions and non-bridge oxygen (NBO). The relation equations showing the additivity factor of each composition to the two properties are as follows: Density(g/$cm^3$) = $2.441x_1\;＋\;5.559x_2\;＋\;4.863x_3\;T_g(^{\circ}C)$ = $319x_1\;＋\;247x_2\;＋\;609x_3\;－\;1950x_1x_3$ ($x_1$ : fraction of $Li_2O$, $x_2$ : fraction of $TeO_2$, $x_3$ : fraction of ZnO) The density decreased as $Li_2O$ content increased. This was attributed to change of the $TeO_2$ structure. From this structural result, the electric conductivity of the glass samples was predicted following the ionic conduction mechanism. Finally, it is expected that electric conductivity will increase as the activation energy for ion movement decreases.

• 한국환경과학회지
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• 제18권9호
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• pp.971-981
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• 2009

An objective of this study is as follows: 1) performing sensitivity analysis and parameter estimation of RMA2 and RMA4 models for the West-Nakdong River, 2) drawing up alternatives of gates-operation for water-quality enhancement, and 3) quantitative evaluation of methodology of 'flow-restoration by gates-operation' among 'Comprehensive Plan Improving Water-Quality in the West-Nakdong River(WNR)' with the target water-quality(BOD at Nakbon-N point: below 4.3 mg/L). The parameters for the RMA2 (depth-averaged two-dimensional flow model) and RMA4 (depth-averaged two-dimensional water-quality model) were determined by sensitivity analysis. Result of parameter estimation for RMA2 and RMA4 models is $1,000\;Pa{\cdot}s$ of the eddy viscosity, 20 of the Peclet number, 0.025 of the Manning coefficient, and $1.0\;m^2/s$ of the diffusion coefficient. We have evaluated the effects of water-quality enhancement of the selected alternatives by numerical simulation technique with the models under the steady-state flow condition and the time-variant transport condition. Because of no-resuspension from river bottom and considering BOD as conservative matter, these simulation results slightly differ from real phenomena. In the case of $50\;m^3/s$ of Daejeo-gate inflow, two-dimensional flow pn results result represents that small velocity occurs in the Pyungkang Stream and no flow in the Maekdo River. In the WNR, there occurs the most rapid flow near timhae-bridge. In the WNR, changes of water-quality for the four selected simulation cases(6, 10, 30, $50\;m^3/s$ of the Daejeo-gate inflow) were predicted. Since the Daejeo-Gate and the Noksan-Gate can be opened up to 7 days, it would be found that sustainable inflow of $30\;m^3/s$ at the Daejeo-gate makes BOD in the WNR to be under the target of water-quality.

• 공업화학
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• 제21권1호
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• pp.81-86
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• 2010

실리카 지지 루테늄과 철의 합금($Ru/Fe-SiO_2$) 시료에 일산화탄소(CO)를 흡착시켰을 때 Ru/Fe의 몰비 9/1 이상에서 다섯 적외선 흡수띠($2138.7{\sim}2142.5cm^{-1}$, $2067.3{\sim}2073.1cm^{-1}$, $1976.7{\sim}2017.2cm^{-1}$, $1737.9{\sim}1799.3cm^{-1}$, $1625.7cm^{-1}$)를 관찰했고, Ru/Fe의 몰비 8/2 이하에서 두 적외선 흡수띠($1934.0{\sim}1990.2cm^{-1}$, $1625.7cm^{-1}$)를 관찰했다. $2138.7{\sim}2142.5cm^{-1}$ 흡수띠, $2067.3{\sim}2073.1cm^{-1}$ 흡수띠, $1976.7{\sim}2017.2cm^{-1}$흡수띠는 Ru/Fe 뭉치 표면의 Ru 원자에 선형결합한 CO의 신축진동에 의한 것으로, $1774.2{\sim}1799.3cm^{-1}$ 흡수띠는 Ru/Fe 뭉치 표면의 Ru 원자와 다리결합하거나 높은 지수 평면에 있는 Ru 원자에 결합한 CO의 신축진동에 의한 것으로, $1934.0{\sim}1990.2cm^{-1}$ 흡수띠는 Ru/Fe 뭉치 표면의 Fe 원자에 선형결합한 CO의 신축진동에 의한 것으로 제시할 수 있다. $Ru/Fe-SiO_2$에서 CO를 흡착시켰을 때 Ru/Fe 몰비가 8/2 이하에서 증가할 때 CO가 Fe에 선형결합하여 생긴 $1934.0{\sim}1990.2cm^{-1}$ 흡수띠의 흡광도가 증가하였는데, 이 현상은 Ru/Fe 몰비가 8/2 이하에서 증가할 때 Ru/Fe 뭉치 표면에서 시료의 함량과 비교하여 Fe 농도가 증가했고 $Fe-SiO_2$ 시료와 비교하여 표면적이 Ru/Fe 몰비의 증가에 따라 점차 증가했기 때문으로 설명할 수 있다.

• 대한치과보철학회지
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• 제42권2호
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• pp.125-132
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• 2004

Statements of problem: All ceramic fixed partial denture cores can be made by the slip casting method and the advanced alumina tape method. The fracture resistance of these core connector areas is relatively low. Purpose: The purpose of this study is to standardize the appropriate volumetric figure and location of the connectors in the alumina core fabricated in alumina tape to be used in fixed partial dentures by way of topology optimization. Material and method: A maxillary anterior three-unit bridge alumina core with teeth form and surrounding periodontal apparatus model was used to ultimately design the most structurally rigid form of the connector. Loadings from a $0^{\circ}$, $45^{\circ}$ and $60^{\circ}$ to the axis of each tooth were applied and analyzed with the 3-D finite element analysis method. Using the results from these experiments, the topology optimization was applied and the optimal reinforcement layout of connector was obtained and the detail shape in the fixed partial denture core was designed. Results: The modified prosthesis with the form of a bulk in the lower lingual surface of the connector in the event, reduced the stress concentration up to 20% in the 3-D FEA. Conclusion: The formation of a bulk in the lower lingual connector area of an alumina core for a fixed partial denture decreases the stress to a clinically favorable measure but does not harm the esthetic point of view. This result illustrates the possibility of clinical application of the modified form designed by the topology optimization method.

• 대한치과보철학회지
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• 제14권1호
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• pp.47-54
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• 1976

Pulpal temperature is changed in response for various conditions which were mechanical, thermal, chemical and biological stimuli. This study was performed to determine the pulpal temperature changes which were using air turbine with air-water coolant, water coolant, and conventional dental engine with water coolant and no coolant on 28 canine of dogs. In order to record pulpal temperature, pulp chamber was opened on the labiocervical area of canine. Thermocouple was inserted into pulp chamber and was fixed with filling material(dycal). Changes of pulpal temperature were recorded on the physiograph, which had been standardized temperature degree, through thermocouple to thermistor bridge and carrier preamplifier. The amount of experimental temperature change to that of control was interpreted in the pulpal cavity. The obtained results were as followings: 1. The mean normal temperature was 33.07 centigrade. 2. The temperature was decreased than normal pulpal temperature. It was 12.04 centigrade in reduction by air turbine with air-water coolant, 7.17 centigrade in reduction by air turbine with air coolant, 5.54 centigrade in reduction by conventional engine with water coolant, and 1.26 centigrade in reduction by conventional engine with no coolant. 3. The time for maximal temperature change was 53.3 seconds in reduction by air turbine with air-water coolant, 73.4 seconds in reduction by air turbine with air coolant, 50.9 seconds in reduction by conventional engine with water coolant, and 27.1 seconds in reduction by conventional engine with no coolant. 4.. After reduction was ceased, the recovery time to normal pulp temperature was 287.1 seconds in air turbine with air-water coolant, 189.0 seconds in air turbine with air coolant, 86.9 seconds in conventional engine with water coolant, and 52.9 seconds in conventional engine with no coolant respectively.

• The Journal of Advanced Prosthodontics
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• 제8권3호
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• pp.224-228
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• 2016

PURPOSE. This study aimed to investigate whether dentin surface preparation with diamond rotary instruments of different grit sizes affects the shear bond strength of resin-bonded restorations. MATERIALS AND METHODS. The buccal enamel of 60 maxillary central incisors was removed with a low speed diamond saw and wet ground with silicon carbide papers. The polished surfaces of the teeth were prepared with four groups of rotary diamond burs with super-coarse (SC), coarse (C), medium (M), and fine (F) grit sizes. Following surface preparation, 60 restorations were casted with nickel-chromium alloy and bonded with Panavia cement. To assess the shear bond strength, the samples were mounted on a universal testing machine and an axial load was applied along the cement-restoration interface at the crosshead speed of 0.5 mm/min. The acquired data was analyzed with one way ANOVA and Tukey post hoc test (${\alpha}=.05$). RESULTS. The $mean{\pm}SD$ shear bond strengths (in MPa) of the study groups were $17.75{\pm}1.41$ for SC, $13.82{\pm}1.13$ for C, $10.40{\pm}1.45$ for M, and $7.13{\pm}1.18$ for F. Statistical analysis revealed the significant difference among the study groups such that the value for group SC was significantly higher than that for group F (P<.001). CONCLUSION. Dentin surface roughness created by diamond burs of different grit sizes considerably influences the shear bond strength of resin bonded restorations.

• 대한토목학회논문집
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• 제35권4호
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• pp.747-757
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• 2015

이 연구에서는 이동식 곡선거푸집으로 제작된 현장제작 곡선 PSC 거더의 정적거동을 조사하는 것이 주요 목적이다. 다양한 곡선선형 제작이 용이한 이동식 곡선거푸집을 이용하여 현장에서 제작된 지간 30m, 곡선반경 80m인 곡선 PSC 거더에 대한 재하시험이 수행되었다. 모든 시험결과는 수치해석결과와 비교되었으며, 거더의 중앙부에 대한 변위와 변형률이 측정되었다. 실험결과에서 실물모형 시험체의 초기균열발생 하중은 사용하중보다 1.3배 증가한 하중에서 발생하였다. 또한, 연성설계기준을 만족하여 시험체는 초기균열 발생 후에 취성파괴되지 않고 연성 파괴될 것으로 판단되었다. 사용성 검토에서 균열발생 시의 처짐값이 도로교설계기준(2010)에서 제시한 활하중 재하 시의 허용처짐량을 만족하였다. 유한요소 해석결과와 시험결과는 전체적인 거동이 매우 유사하게 나타났으며, 현장제작 곡선 PSC 거더의 사용성과 안전성 측면에서는 큰 문제가 없는 것으로 판단된다.

• 센서학회지
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• 제16권1호
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• pp.7-10
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• 2007

A thick film catalytic gas sensors which can be operated at $142^{\circ}C$ in presence of ultra violet-light emitting diode has been developed to measure hydrogen concentration in 0-5 % range. The sensing material as a combustion catalyst consists of $TiO_{2}$ (5 wt%) and Pd/Pt (20 wt%) supported on $Al_{2}O_{3}$ powder and the reference material to compensate the heat capacity of it in a bridge circuit was an catalyst free $Al_{2}O_{3}$ powder. Platinum heater and sensor materials were formed on the alumina plate by screen printing method and heat treatment. The effect of UV radiation in the presence of photo catalyst $TiO_{2}$ on the sensor sensitivity, response and recovery time has been investigated. The reduction of operating temperature from $192^{\circ}C$ to $142^{\circ}C$ for hydrogen gas sensing property in presence of UV radiation is attributed to the hydroxy radical and superoxide which was formed at the surface of $TiO_{2}$ under UV radiation.