• 대한수학회보
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• 제29권1호
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• pp.65-72
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• 1992

All rings are commutative, Noetherian with identity and of prime characteristic p, unless otherwise specified. First, we describe the definition of tight closure of an ideal and the properties about the tight closure used frequently. The technique used here for the tight closure was introduced by M. Hochster and C. Huneke [4,5, or 6]. Using the concepts of the tight closure and its properties, we will prove that if R is a complete local domain and F-rational, then R is Cohen-Macaulay. Next, we study the properties of R$^{+}$, the integral closure of a domain in an algebraic closure of its field of fractions. In fact, if R is a complete local domain of characteristic p>0, then R$^{+}$ is Cohen-Macaulay [8]. But we do not know this fact is true or not if the characteristic of R is zero. For the special case we can show that if R is a non-Cohen-Macaulay normal domain containing the rationals Q, then R$^{+}$ is not Cohen-Macaulay. Finally we will prove that if R is an excellent local domain of characteristic p and F-ratiional, then R is Cohen-Macaulay.aulay.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2006년도 춘계 학술발표회 논문집
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• pp.800-807
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• 2006

Sea dyke construction is simply defined that the cutting procedure of sea water flow. Sea dyke construction is more difficult than in-land construction because it’s placed on deep seabed and exposed sea wave attack. Especially, the final closure of sea dyke is most dangerous due to the fast velocity of tidal flow. The final closure section is consisted with vast rubble and heavy stone gabion, therefore the discharge velocity at land side of final close section is irregularly and sometime occur the fast discharge velocity. In this study, the seepage model test performed to evaluate seepage behavior with tidal variation of final closure and continuous sea dyke section such as discharge velocity, hydraulic gradient, and phreatic line. Based on the seepage model test results, the maximum discharge velocity of final closure section is 1.7m/sec. Also the local discharge velocity increment and vortex is occurred.

• 대한기관식도과학회지
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• 제1권1호
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• pp.142-145
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• 1995

The tracheocutaneous fistula(TCF) may develop infrequently as a complication after tracheostomy. Prolonged tracheostomy tube dependence increases the risk of TCF developing, and in growth of stratified squamous epithelium lines the furrow connecting the tracheal mucosa and the skin, accounting for persistence of the fistulous tract. Such fistulas are a nuisance and create nursing and social problems including poor hygiene, aspiration, difficulty with speech, and depletion of pulmonary reserve. Surgical closure has generally been successful by primary closure, fistulectomy with primary closure, and closure by secondary intention following excision of the tracheocutaneous fistula. No large series compares the efficacy of these techniques and each has its own merits. Recent literature has purposed to minimizing complications. For ten years, from January 1985 to December 1994, the authors experienced 25 cases of TCF which were analyzed in respect to incidence and interval of cannulation, duration between decanulation and fistular closure, precedent disease, closure methods, and complications of TCF repair.

• 한국산림과학회지
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• 제98권5호
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• pp.584-592
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• 2009

The objective of this study was to examine the impact of pruning intensity on the vigor and cambial growth of the treated trees, and on the closure of pruning wounds for one year after pruning treatment. Two tree species, Pinus strobus and Acer palmatum, planted broadly in the urban forest of Korea were selected for the experiment. Intensity of pruning, which was estimated by proportion of removed branches, was categorized into five levels with about 10% intervals from lowest 8% up to 46%. Following parameters were examined; cambial electrical resistance (CER) and the cambial growth of trunk at 30 cm above the ground for the years before and after pruning, the cambial growth of stem at 1.5 cm above the branch bark ridge (BBR) of the pruned branch, and closure of pruning wound for one year after pruning. Tree vigor inferred from CER had a tendency to be weakened as pruning intensity increased in P. strobus, while that of A. palmatum was not affected. The trunk growth decreased significantly when the pruning intensity was higher than 30% in both species. The closure of individual pruning wound was related more to the cambial growth of stem at 1.5 cm above BBR than to the pruning intensity. Comparing the closure rate of pruning wound for one year, P. strobus with 72.1% was faster than A. palmatum with 39.3%, which corresponded with the rate of cambial growth of the two species.

• Journal of Chest Surgery
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• 제29권12호
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• pp.1377-1380
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• 1996

심장수술후 심근의 부종, 심근이완, 심한 술후 출혈 등이 동반된 환자에서는 흉골봉합에 의해 심한 혈역학적 장애가 발생된다. 심한 심부종으로 흉골 봉합시 흉골 일부분에 의한 심압박에도 혈혁학적 장애를 일으키는 경우도 있다. 본 교실에서는 54세의 비만 여성에서 관상동맥 우회술후 Synthes DCP wide plate를 이용한지 연성 흉골 봉합을 경험하였으며, 이러한 지연성 흉골봉합이 심부종이 심한 환자에서는 상당히 효과적이고 간단한 방법임을 확인하였다. 관상동맥 우회술후 16시간만에 성공적으로 지연성 흉골봉합을 경칩하여 좋은 성적을 얻었기에 보고 하고자 한다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제49권5호
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• pp.292-296
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• 2023

Generally, if the size of a lip cancer defect exceeds 30% of the lower lip, a local flap or free flap is recommended. However, defects up to 50% of the lower lip in size have been reconstructed successfully by primary closure without a local flap or free flap. In one case, an 80-year-old male farmer who had smoked for more than 50 years presented with squamous cell carcinoma of the lower lip and underwent mass resection and supraomohyoid neck dissection. The defect accounted for almost 2/3 of the lower lip and was repaired by primary closure with V-shaped resection. Biopsy results confirmed pT2N0cM0 stage II disease with clear margins. In another case, a 68-year-old male also presented with squamous cell carcinoma of the lower lip and underwent mass resection. The defect accounted for about half the size of the lower lip but was repaired by primary closure with V-shaped resection. Both patients experienced no discomfort while eating or speaking and were satisfied with the cosmetic and functional outcomes with no evidence of recurrence. Thus, direct closure can be considered even in large lower lip cancers.

• Clinical and Experimental Pediatrics
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• 제56권4호
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• pp.176-181
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• 2013

Purpose: Apical muscular ventricular septal defects (MVSDs), especially in small infants, can be difficult to manage using surgical and percutaneous closure. An intraoperative perventricular procedure is a good option for closing apical MVSDs in small children with or without associated cardiac anomalies. We evaluated the results of hybrid perventricular closure of apical MVSDs performed using an Amplatzer duct occluder (ADO). Methods: We retrospectively reviewed the medical records of 5 patients who underwent hybrid perventricular closure of MVSDs with ADOs, from March 2006 to May 2011. The median patient age at the time of the procedure was 12 months (range, 25 days to 25 months), and the median body weight was 9.1 kg (range, 4.3 to 15 kg). Two patients had multiple ventricular septal defects (VSDs; additional perimembranous VSD in 1 patient and multiple MVSDs in the other) and 3 patients had associated cardiac anomalies; complete transposition of the great arteries in 1 patient and an atrial septal defect in 2 patients. All the procedures were performed on beating hearts, exception in 1 case. The ADO selected for the aortic side was at least 1 to 2 mm larger than the largest VSD in the left ventricle side. Results: The procedure was successful in all patients and each device was well positioned. During the median follow-up of 2.4 years, a small residual VSD was noted in 2 patients who had multiple VSDs and no leakage was seen in the other 3 patients. Conclusion: Perventricular closure of MVSD with an ADO is a good option for patients with apical MVSD. However, careful manipulation is important, especially in the case of small infants.

• 펄프종이기술
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• 제36권3호
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• pp.15-34
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• 2004

Diverse benefits such as reduction of fresh water consumption and effluent discharge, efficient use of raw materials and energy savings can be obtained by papermaking system closure. Closure of papermaking processes, however, causes many problems including reduction of the efficiency of additives, decrease of retention and dewatering, felt plugging, poor Paper quality, generation of slime and odor, poor vacuum efficiency, etc, and it has been recognized that accumulation of Inorganic and organic substances in the process white water is the prime cause of these problems. Therefore, technological developments for preventing accumulation of these detrimental substances are urgently required for Implementing papermaking system closure. Understanding of the accumulation phenomena of the inorganic and organic substances in the papermaking process white water is prerequisite for papermaking system closure. In this study a process simulation method was used to analyze the accumulation phenomena of anionic starch In the process white water as the closure level of a fine paper making process is increased. A pilot paper machine was used as a model process. Starch adsorption and desorption models were developed based on the concept of starch adsorption ratio, which was not considered in previous studies. Steady state simulation studies were carried out based on this model using a commercial simulator. In steady state simulation, the variation of dissolved starch concentration in each process unit was monitored as a function of white water usage for wire shower. The result of the steady state simulation showed that dissolved starch concentration and its increase ratio in Process units increased as white water usage ratio for wire shower increased.

• Journal of Periodontal and Implant Science
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• 제46권3호
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• pp.197-206
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• 2016

Purpose: The aim of this study was to evaluate alterations of papilla dimensions after orthodontic closure of the diastema between maxillary central incisors. Methods: Sixty patients who had a visible diastema between maxillary central incisors that had been closed by orthodontic approximation were selected for this study. Various papilla dimensions were assessed on clinical photographs and study models before the orthodontic treatment and at the follow-up examination after closure of the diastema. Influences of the variables assessed before orthodontic treatment on the alterations of papilla height (PH) and papilla base thickness (PBT) were evaluated by univariate regression analysis. To analyze potential influences of the 3-dimensional papilla dimensions before orthodontic treatment on the alterations of PH and PBT, a multiple regression model was formulated including the 3-dimensional papilla dimensions as predictor variables. Results: On average, PH decreased by 0.80 mm and PBT increased after orthodontic closure of the diastema (P<0.01). Univariate regression analysis revealed that the PH (P=0.002) and PBT (P=0.047) before orthodontic treatment influenced the alteration of PH. With respect to the alteration of PBT, the diastema width (P=0.045) and PBT (P=0.000) were found to be influential factors. PBT before the orthodontic treatment significantly influenced the alteration of PBT in the multiple regression model. Conclusions: PH decreased but PBT increased after orthodontic closure of the diastema. The papilla dimensions before orthodontic treatment influenced the alterations of PH and PBT after closure of the diastema. The PBT increased more when the diastema width before the orthodontic treatment was larger.

• Clinical and Experimental Pediatrics
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• 제61권12호
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• pp.397-402
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• 2018

Purpose: Transcatheter device closure of patent ductus arteriosus (PDA) is challenging in early infancy. We evaluated PDA closure in infants less than 6 months old. Methods: We performed a retrospective review of infants less than 6 months of age who underwent attempted transcatheter device closure in our institution since 2004. To compare clinical outcomes between age groups, infants aged 6-12 months in the same study period were reviewed. Results: A total of 22 patients underwent transcatheter PDA closure during the study period. Patient mean age was $3.3{\pm}1.5months$, and weight was $5.7{\pm}1.3kg$. The duct diameter at the narrowest point was $3.0{\pm}0.8mm$ as measured by angiography. The most common duct type was C in the Krichenko classification. Procedural success was achieved in 19 patients (86.3%). Major complications occurred in 5 patients (22.7%), including device embolization (n=1), acquired aortic coarctation (n=2), access-related vascular injury requiring surgery (n=1), and acute deterioration requiring intubation during the procedure (n=1). Two patients had minor complications (9.1%). Twenty-four infants aged 6-12 months received transcatheter device closure. The procedural success rate was 100%, and there were no major complications. The major complication rate was significantly higher in the group less than 6 months of age (P=0.045). There was a trend toward increased major complication and procedural failure rates in the younger age group (P<0.01). Conclusion: A relatively higher incidence of major complications was observed in infants less than 6 months of age. The decision regarding treatment modality should be individualized.