• Archives of Plastic Surgery
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• 제36권3호
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• pp.294-298
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• 2009

Purpose: The pharyngeal flap is one of the popular surgical method to treat the problem of velopharyngeal dysfunction. This study evaluated speech outcomes of patients who underwent superiorly based pharyngeal flap surgery based on timing of surgery. Methods: A restrospective review of 50 patients who underwent pharyngeal flap surgery for velopharyngeal insufficiency between September 1996 and January 2008 was undertaken. Thirty patients with an available preoprative and postoperative speech assessments with at least 6 months of follow-up were included in this study. We checked out the significance of speech improvement after surgery analysing preoperative and postoperative scoring of speech assessment. We also investigated the direct relationship between the age at surgery and the degree of speech improvement, and the improvement score in different age groups. Results: The mean score of preoperative speech was $52.6{\pm}7.4points$ and postoperative speech was $58.6{\pm}6.5points$, which presented significant postoperative speech improvement with an average of 5.9 points(p<0.01). There was a significant inverse relationship between the age at operation and speech improvement degree(p<0.01, r = -0.54). Comparing the age groups, the age group of 4 to 5 years presented statistically significant speech improvement(p<0.01). Conclusion: we propose that all patients indicated should take pharyngeal flap irrespective of age. In this study, the younger the age at surgery, the higher degree of speech improvement, for which we suggest that surgical approach should be undertaken as early as possible, especially younger than age 5 years.

• Archives of Plastic Surgery
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• 제47권6호
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• pp.542-550
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• 2020

Background This study aimed to identify the initial diagnostic characteristics and treatment status of children with submucous cleft palate (SMCP) and to examine the relationship between the timing of surgical correction and the degree of articulation and resonance improvement. Methods This retrospective study included 72 children diagnosed with SMCP between 2008 and 2016. The evaluation criteria were the age of the initial visit, total number of visits, age at the end of treatment, speech problems, resonance problems, and speech therapy. Results Children with SMCP first visited the hospital at an average age of 34.32 months, and speech problems were identified at an average age of 48.53 months. Out of 72 children, 46 underwent surgery at an average age of 49.74 months. Four of these children required secondary surgery at an average age of 83.5 months. Among the children who underwent surgery before 3 years of age, 70% exhibited articulation improvements, with mild-to-moderate hypernasality. Articulation improvements showed no statistically significant differences according to age at the time of surgery. However, children who underwent surgery before 4 years had a better hypernasality rating than those who underwent surgery after 4 years of age. Conclusions Children with SMCP tend to undergo delayed treatment because the anatomical symptoms in some children with SMCP are unclear, and surgical interventions are considered only after speech problems are clarified. Starting interventions as early as possible reduces the likelihood of receiving secondary surgery and speech therapy, while increasing expectations for positive speech function at the end.

• 한국건축시공학회지
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• 제6권3호
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• pp.99-105
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• 2006

In this paper, the estimation of compressive strength of concrete incorporating fly ash subjected to high temperature is discussed. Ordinary Portland cement and fly ash cement(30% of fly ash) were used, respectively. Water to binder ration ranging from 30% to 60% and curing temperature ranging from $20^{\circ}C{\sim}65^{\circ}C$ were also adopted for the experimental parameters. According to results, at the high temperature, FAC had higher strength development at early age than OPC concrete and it kept its high strength development at later age due to accelerated pozzolanic reaction subjected to high temperature. For strength estimation, Logistic model based on maturity equation and Carino model based on equivalent age were applied to verify the availability of estimation model. It shows that fair agreements between calculated values and measured values were obtained evaluating compressive strength with logistic curve. The application of logistic model at high temperature had remarkable deviations in the same maturity. Whereas, the application of Carino model showed good agreements between calculated values and measured ones regardless of type of cement and W/B. However, some correction factors should be considered to enhance the accuracy of strength estimation of concrete.

• 한국환경과학회지
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• 제16권3호
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• pp.347-355
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• 2007

In this paper, estimation of the compressive strength of the concrete incorporating blast furnace slag subjected to high temperature was discussed. Ordinary Portland cement and blast furnace slag cement (BSC;30% of blast furnace slag) were used, respectively. Water to binder ratio ranging from 30% to 60% and curing temperature ranging from $20^{\circ}C{\sim}65^{\circ}C$ were also chosen for the experimental parameters, respectively. At the high temperature, BSC had higher strength development at early age than OPC concrete and it kept its high strength development at later age due to accelerated latent hydration reaction subjected to high temperature. For the strength estimation, the Logistic model based on maturity equation and the Carino model based on equivalent age were applied to verify the availability of estimation model. It was found that fair agreements between calculated values and measured values were obtained evaluating compressive strength with logistic curve. The application of logistic model at high temperature had remarkable deviations in the same maturity. Whereas, the application of Carino model showed good agreements between calculated values and measured ones regardless of type of cement and W/B. However, some correction factors should be considered to enhance the accuracy of strength estimation of concrete.

• 천문학회보
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• 제46권1호
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• pp.27.3-27.3
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• 2021

Supernova (SN) cosmology is based on the assumption that the width-luminosity relation (WLR) in the type Ia SN luminosity standardization would not vary with progenitor age. Unlike this expectation, recent age datings of stellar populations in host galaxies have shown significant correlations between progenitor age and Hubble residual (HR). It was not clear, however, how this correlation arises from the SN luminosity standardization process, and how this would impact the cosmological result. Here we show that this correlation originates from a strong progenitor age dependence of the WLR and color-luminosity relation (CLR), in the sense that SNe from younger progenitors are fainter each at given light-curve parameters x1 and c. This is reminiscent of Baade's discovery of two Cepheid period-luminosity relations, and, as such, causes a serious systematic bias with redshift in SN cosmology. We illustrate that the differences between the high-z and low-z SNe in the WLR and CLR, and in HR after the standardization, are fully comparable to those between the correspondingly young and old SNe at intermediate redshift, indicating that the observed dimming of SNe with redshift is most likely an artifact of over-correction in the luminosity standardization. When this systematic bias with redshift is properly taken into account, there is no evidence left for an accelerating universe, and the SN data now support a decelerating cosmic expansion. Since the SN cosmology has long been considered as the most direct evidence for an accelerating universe with dark energy, this finding poses a serious question to one of the cornerstones of the concordance model.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 1998년도 봄 학술발표회 논문집(I)
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• pp.217-224
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• 1998

This study describes examinations made for the purpose of obtaining data for strength control of mass concrete in the cold season. The examination in outline of analysis of temperatures of mass concrete(corresponding to member thickness of 1m) and comparisons with water-cured specimens of various concrete specimens cured in sealed condition. As a result, it was found that mass concrete placed in the cold season, if strength is controlled based on 28-day age, is seen to require a strength correction factor.

• 한국안광학회지
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• 제17권2호
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• pp.153-158
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• 2012

목적: 이 연구의 목적은 양안시가 정상인 20대 초반 성인의 폭주성조절(CA/C, convergence accommodation/convergence ratio)비를 평가하고 나이, 조절력 및 동공간거리(PD, interpupillary distance)와의 관련성을 분석하고자 하였다. 방법: 건강한 눈을 가진 44명(평균나이 $21.75{\pm}1.16$세)을 대상으로 조사하였다. CA/C비는 가우시안의 차(DOG, difference of Gaussian) 시표를 이용하여 검영법으로 측정하였다. 결과: 측정결과 CA/C비는 평균 $0.052{\pm}0.017$ D/$\Delta$이었다. CA/C비와 나이는 중간 정도의 음의 상관관계(r = -0.50, p = 0.0005)를, CA/C비와 조절력은 강한 양의 상관관계(r = 0.79, p<0.0001)를 보였으며, PD와 CA/C비의 상관관계는 없었다. 결론: 제시된 CA/C비는 19세에서 25세의 건안상태의 20대 초반 성인을 기준으로 측정한 평균값이다. 조절력과 CA/C비는 높은 상관관계를 보였다. 따라서 이 자료는 외국의 자료와 연령별, 성별, 양안시이상별 비교에 기본 정보로 활용될 것으로 본다.

• 대한족부족관절학회지
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• 제8권2호
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• pp.126-130
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• 2004

Purpose: In this study, we tried to develop the technique of osteotomy for hallux valgus. The new modified technique of osteotomy was accomplished with even more greater stability, accurate correction of the deformity and more effective than 'chevron' osteotomy in terms of correction of the deformity. Materials and Methods: Between March 1998 and December 2001, 55 cases of new modified osteotomy for hallux valgus were performed for 39 patients, 16 of whom underwent operation of both feet. Operations were made for 34 women and 5 men whose average age was 46 years old (range, $20{\sim}71$ years). Average follow up period was three years (range, $2{\sim}5$ years), and during the follow up, the patients underwent physical examination and assessment with use of the American Orthpaedic Foot and Ankle Society's hallux-metatarso-phalangealinterphalangeal scale and standard foot radiographic measurements. Results: 37 patients (53 cases) out of 39 patients (55 cases) had no pain, good cosmesis, and all of the patients were satisfied with the results of the operation. Two had occasional mild discomfort. The average score according to the hallux-metatarso-phallangeal-interphalangeal scale was 93.2 points (range, $78{\sim}100$ points). The average preoperative intermetatarsal angle was $14.4^{\circ}$, which was decreased to $7.9^{\circ}$ after the osteotomy with an average correction of $6.5^{\circ}$ and The average preoperative hallux valgus angle was $34.1^{\circ}$, which was decreased to $11.1^{\circ}$ after the osteotomy with an average correction of $23^{\circ}$. This new modified technique would prevent the angulation or shortening at the osteotomy site and it was also even more stable at osteotomy site, and could do even more effective and accurate correction of the deformity than conventional Chevron osteotomy. Conclusion: New modified chevron osteotomy for the treatment of symptomatic hallux valgus was done in 55 cases, and the results were satisfactory in all cases. This method was more stable at the osteotomy site than conventional Chevron osteotomy and was also possible to do more accurate and more effective correction of the deformity. It was also easy to control the distal fragment of first metatarsal bone.

• 한국콘텐츠학회논문지
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• 제15권3호
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• pp.168-173
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• 2015

본 연구는 아래팔과 엉덩관절의 골밀도 검사를 이용해 어느 한 부위를 다쳤을 경우 보정계수를 통해 아래팔 또는 고관절 부위 중 한쪽 부위의 결과로서 다른 부위의 결과를 유추할 수 있는 임상적 유용성을 찾고자 한다. 환자 60명은 연령별로 10명씩 20대에서 70대까지 환자들로 구성하였고 측정된 아래팔과와 엉덩관절의 골밀도와 T-score와 Z-score를 조사하여 세가지 사항들에 대해 각각 보정계수값을 산출하였다. 골밀도의 상관계수는 R=0.8 이고 보정계수 식은 Y=1.341X + 0.146 이다. T-score의 상관계수는 R=0.804 이고 보정계수식은 Y=0.565X - 0.327 이다. Z-score의 상관계수는 R=0.637 보정계수식은 Y=0.539X - 0.225 이다. 보정계수식를 통해 어느 한 부위의 결과로서 다른 부위의 결과를 유추하고 임상적 진단에 보조적 역할을 할 수 있을 것이라 판단한다. 보정계수 식은 Y=1.341X + 0.146 으로 추천하는 바이다.

• 대한족부족관절학회지
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• 제21권4호
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• pp.135-138
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• 2017

Purpose: The purpose of this study is to determine the correlation between the correction loss of hallux valgus angle and the severity of valgus angle of the second toe. Materials and Methods: We selected 312 cases from 268 surgical patients with hallux valgus deformity receiving distal chevron osteotomy. For a radiological evaluation, we analyzed the changes in the hallux valgus angles, first to second intermetatarsal angles, and valgus angle of the second toe post index operations. All patients were women; the mean age was 46 years. The mean follow-up period was 17 months. Results: The mean hallux valgus angle was $33.6^{\circ}$ preoperatively (range, $25.7^{\circ}{\sim}44.8^{\circ}$), $13.1^{\circ}$ (range, $8.4^{\circ}{\sim}16.4^{\circ}$) after 4 weeks of postoperative period, and $17.1^{\circ}$ (range, $9.4^{\circ}{\sim}28.5^{\circ}$) at their final follow-up. The mean valgus angle of the second toe was $8.4^{\circ}$ preoperatively (range, $2.0^{\circ}{\sim}25.8^{\circ}$) and $8.3^{\circ}$ (range, $1.7^{\circ}{\sim}24.9^{\circ}$) at the final follow-up. Preoperatively, there was a positive correlation between the valgus angle of the second toe and hallux valgus angle (r=0.747, p=0.001). The correction loss of hallux valgus angle had a significant correlation with the severity of valgus angle of the second toe (r=0.802, p=0.001). Conclusion: The existence of the second toe valgus deformity may present itself as a cause of correction loss of hallux valgus angle. The preoperative measurement of the second toe valgus angle may be a good predictor of correction loss; therefore, thorough preoperative warning on the possibility of correction loss should be conducted to maximize patient satisfaction after the procedure.