• Journal of Dental Anesthesia and Pain Medicine
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• v.24 no.2
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• pp.81-90
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• 2024

Nasotracheal intubation (NTI) plays an important role in pediatric airway management, offering advantages in specific situations, such as oral and maxillofacial surgery and situations requiring stable tube positioning. However, compared to adults, NTI in children presents unique challenges owing to anatomical differences and limited space. This limited space, in combination with a large tongue and short mandible, along with large tonsils and adenoids, can complicate intubation. Owing to the short tracheal length in pediatric patients, it is crucial to place the tube at the correct depth to prevent it from being displaced due to neck movements, and causing injury to the glottis. The equipment used for NTI includes different tube types, direct laryngoscopy vs. video laryngoscopy, and fiberoptic bronchoscopy. Considering pediatric anatomy, the advantages of video laryngoscopy have been questioned. Studies comparing different techniques have provided insights into their efficacy. Determining the appropriate size and depth of nasotracheal tubes for pediatric patients remains a challenge. Various formulas based on age, weight, and height have been explored, including the recommendation of depth-mark-based NTI. This review provides a comprehensive overview of NTI in pediatric patients, including the relevant anatomy, equipment, clinical judgment, and possible complications.

• International Journal of Highway Engineering
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• v.16 no.4
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• pp.1-9
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• 2014

PURPOSES: The objective of this study is to evaluate construction issues and design for transverse steel in continuously reinforced concrete pavement(CRCP). METHODS : The first continuously reinforced concrete pavement(CRCP) design procedure appeared in the 1972 edition of the "AASHTO Interim Guide for Design of Pavement Structures", which was published in 1981 with Chapter 3 "Guide for the Design of Rigid Pavement" revised. A theory that was accepted at that time for the analysis of steel stress in concrete pavement, called subgrade drag theory(SGDT), was utilized for the design of reinforcement of CRCP - tie bar design and transverse steel design - in the aforementioned AASHTO Interim Guide. However SGDT has severe limitations due to simple assumptions made in the development of the theory. As a result, any design procedures for reinforcement utilizing SGDT may have intrinsic flaws and limitations. In this paper, CRCP design procedure for transverse steel was introduced and the limitations of assumptions for SGDT were evaluated based on various field testing. RESULTS: Various field tests were conducted to evaluate whether the assumptions of SGDT are reasonable or not. Test results show that 1) temperature variations exist along the concrete slab depth, 2) very little stress in transverse steel, and 3) warping and curling in concrete slab from the field test results. As a result, it is clearly revealed out that the assumptions of SGDT are not valid, and transverse steel and tie bar designs should be based on more reasonable theories. CONCLUSIONS : Since longitudinal joint is provided at 4.1-m spacing in Korea, as long as joint saw-cut is made in accordance with specification requirements, the probability of full-depth longitudinal cracking is extremely small. Hence, for transverse steel, the design should be based on the premise that its function is to keep the longitudinal steel at the correct locations. If longitudinal steel can be placed at the correct locations within tolerance limits, transverse steel is no longer needed.

• Journal of the Institute of Electronics and Information Engineers
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• v.49 no.11
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• pp.74-85
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• 2012

In this paper, we propose a optical property correction technique for a low-cost heterogeneous stereoscopic camera. Three main optical properties of a stereoscopic camera are zoom, focus, and DOF(depth of field). The difference or mis-match of these properties between two stereoscopic videos are the main causes of the visual fatigue to human eyes. The proposed correction technique reduces the difference of the optical properties between the stereoscopic videos and produces high-quality stereoscopic videos. To correct the zoom difference, a LUT(look-up table) is established to match the zoom ratio between the stereoscopic videos. To correct the DOF difference, the magnitude of image edge is measured and the lens iris is changed to control the DOF of the camera. A vertical-type stereoscopic rig is developed for the experiments of the optical property correction. Based on the experimental results, we find that a low-cost heterogeneous stereoscopic camera can be implemented, which can yield low visual fatigue to human eyes.

• Progress in Medical Physics
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• v.31 no.4
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• pp.135-144
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• 2020

Purpose: Gafchromic films for proton dosimetry are dependent on linear energy transfers (LETs), resulting in dose underestimation for high LETs. Despite efforts to resolve this problem for single-energy beams, there remains a need to do so for multi-energy beams. Here, a bimolecular reaction model was applied to correct the under-response of spread-out Bragg peaks (SOBPs). Methods: For depth-dose measurements, a Gafchromic EBT3 film was positioned in water perpendicular to the ground. The gantry was rotated at 15° to avoid disturbances in the beam path. A set of films was exposed to a uniformly scanned 112-MeV pristine proton beam with six different dose intensities, ranging from 0.373 to 4.865 Gy, at a 2-cm depth. Another set of films was irradiated with SOBPs with maximum energies of 110, 150, and 190 MeV having modulation widths of 5.39, 4.27, and 5.34 cm, respectively. The correction function was obtained using 150.8-MeV SOBP data. The LET of the SOBP was then analytically calculated. Finally, the model was validated for a uniform cubic dose distribution and compared with multilayered ionization chamber data. Results: The dose error in the plateau region was within 4% when normalized with the maximum dose. The discrepancy of the range was <1 mm for all measured energies. The highest errors occurred at 70 MeV owing to the steep gradient with the narrowest Bragg peak. Conclusions: With bimolecular model-based correction, an EBT3 film can be used to accurately verify the depth dose of scanned proton beams and could potentially be used to evaluate the depth-dose distribution for patient plans.

• Journal of Power System Engineering
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• v.13 no.2
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• pp.71-82
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• 2009

This paper presents a real-time haptic rendering method for a realistic force feedback in a remote environment with varying communication time-delay. The remote environment is assumed as a virtual environment based on a computer graphics, for example, on-line shopping mall, internet game and cyber-education. The properties of a virtual object such as stiffness and viscosity are assumed to be unknown because they are changed according to the contact position and/or a penetrated depth into the object. The DARMAX model based output estimator is proposed to trace the correct impedance of the virtual object in real-time. The output estimator is developed on the input-output relationship. It can trace the varying impedance in real-time by virtue of P-matrix resetting algorithm. And the estimator can trace the correct impedance by using a white noise that prevents the biased input-output information. Realistic output forces are generated in real-time, by using the inputs and the estimated impedance, even though the communication time delay and the impedance of the virtual object are unknown and changed. The generated forces trace the analytical forces computed from the virtual model of the remote environment. Performance is demonstrated by experiments with a 1-dof haptic device and a spring-damper-based virtual model.

• Water for future
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• v.29 no.2
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• pp.199-207
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• 1996

To evaluate the usage of $\kappa-\imath$ turbulence closure for the analysis of thermal discharge behavior, a two-dimensional depth-integrated numerical model is developed. The developed model is applied to a steady flow in an open channel with simle geometry and the numerical results agree well with existing experimental data. The adequate simulation of recirculation, reattachment, and excess temperature rise at downstream of the outlet in the channel attributes to the correct calculation of turbulent eddy viscosity and diffusivity by $\kappa-\imath$ turbulence model. For an accurate prediction of thermal discharge behavior, the introduction of buoyancy production term, the modification of source/sink, and the correct input of turbulence constants of the $\kappa-\imath$ turbulence model are required.

• Journal of Industrial Convergence
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• v.22 no.5
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• pp.57-67
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• 2024

This study conducted to confirm the effect of college students' individual tendencies and psychological variables on the depth of chest pressure during CPR. For this, the depth of chest compression during CPR was measured after investigating individual tendencies, fatigue, performance confidence, and performance anxiety in 127 college students. Multiple linear regression analysis was performed using individual propensity and psychological variables as independent variables and chest compression depth as dependent variables to identify factors affecting chest compression depth. Pearson correlation analysis was performed to confirm the correlation between variables. As a result of the analysis, the higher the performance confidence, the deeper the chest compression depth, and the higher the performance anxiety, the lower the chest compression depth(p<0.05). The depth of chest pressure showed a positive correlation with individual tendencies, performance confidence, while it showed a negative correlation with fatigue and performance anxiety(p<0.01, p<0.05). Based on these results, it is necessary to increase performance confidence and lower performance anxiety in order to perform the correct chest compression depth. For this, various efforts such as program development, education and research are required.

• The Journal of Korean Society for Radiation Therapy
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• v.8 no.1
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• pp.55-61
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• 1996

A radiation beam incident on irregular or sloping surface produces an inhomogeneity of absorbed dose. The use of a tissue compensator can partially correct this dose inhomogeneity. The tissue compensator should be made based on experimentally measured thickness ratio. The thickness ratio depends on beam energy, distance from the tissue compensator to the surface of patient, field size, treatment depth, tissue deficit and other factors. In this study, the thickness ratio was measured for various field size of $5cm{\times}5cm,\;10cm{\times}10cm,\;15cm{\times}15cm,\;20cm{\times}20cm$ for 4MV X-ray beams. The distance to the compensator from the X-ray target was fixed, 49cm, and measurement depth was 3, 5, 7, 9 cm. For each measurement depth, the tissue deficit was changed from 0 to(measurement depth-1)cm by 1cm increment. As a result, thickness ratio was decreased according to field size and tissue deficit was increased. Use of a representative thickness ratio for tissue compensator, there was $10\%$ difference of absorbed dose but use of a experimentally measured thickness ratio for tissue compensator, there was $2\%$ difference of absorbed dose. Therefore, it can be concluded that the tissue compensator made by experimentally measured thickness ratio can produce good distribution with acceptable inhomogeneity and such tissue compensator can be effectively applied to clinical radiotherapy.

• Journal of Biomedical Engineering Research
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• v.20 no.2
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• pp.199-204
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• 1999

As the correct measuring of the light dosimetry in biological tissues give the important affection to the effect of PDT treatment we used Monte Carlo simulation to measure the light dosimetry on this study. The parameters using in experiments are the optical properties of the real biological tissue, and we used Henyey-Greenstein phase function among the phase functions. As we results, we displayed the result the change of Fluence rate and the difference against the previous theory was at least 0.35%. Biological tissues using in experiment were Human tissue, pig tissue, rat liver tissue and rabbit muscle tissue. The most of biological tissue have big scattering coefficient in visible wavelength which influences penetration depth. The penetration depth of human tissue in visible region is 1.5~2cm. We showed that it is possible to measure fluence rate and penetration depth within the biological tissues by Monte Carlo simulation very well.

• Geomechanics and Engineering
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• v.36 no.4
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• pp.367-380
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• 2024

Investigations has shown that the correct estimation of the effective amplification period is as important as the amplification value itself. It gets more important in 2D basins. This study presents a quantitative coefficient for consideration of the nonlinearity effect in terms of amplification value and the shift in its period which is missing or ineffectively considered in the previous studies. To attain this goal, by the application of a time domain fully nonlinear method, the deviation of the more common equivalent linear results from the basin nonlinear behavior under strong ground motions is investigated quantitatively. Also, despite the increase in the damping ratio, the possibility of the increase in the amplification due to the increase in motion strength is shown. To make the results useful in engineering practice, by introducing nonlinearity ratio, the effect of the nonlinearity is quantitatively estimated for two soft and stiff clayey basins with three different depths under a set of motions scaled to two target spectrum. Results show that at the 100 m depth soft clayey basin, while the nonlinearity ratio shows a 35% deviation at the basin edge part under DD1 motion level, its effect moves to the central part with 20% effect under DD3 motion level. By the increase in depth to 150 m, the results show a decrease in the overall effect of the nonlinear behavior for both clay types. At this depth, the nonlinearity ratio gives a 30% and 17% difference on a limited distance from outcrop at the soft clayey basin under DD1 and DD3 motion levels, respectively. At the 30 m depth basins, the nonlinearity ratio shows up to 25% difference for different cases. The presented ratio would be introduced as nonlinearity coefficients for consideration of the nonlinearity effects in the codes. The presented quantitative margins will help the designer to have a better understanding of the amplification period change because of nonlinearity over 2D basin surface.