• Archives of Plastic Surgery
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• v.37 no.1
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• pp.99-103
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• 2010

Purpose: Blow-out fractures are reduced through transcutaneous or transconjunctival incisions. But the field of orbital surgery is difficult due to lack of visualization of fracture site, blind dissection of orbital floor, susceptibility of injury of orbital structures. In these situations, the former technique of using an antral balloon catheter has advantages over other methods for reconstruction because of its rapidity, simplicity, and inexpensiveness. Furthermore, the antral balloon catheter allows not only elevation of the orbital bone fragment but also expansion of the maxillary sinus in cases where there is a fracture of its walls. But postoperative follow-up method using computed tomography is expensive. Hence, we report a simple and inexpensive follow-up method using radiopaque dye inflation. Methods: We performed endoscopic transantral approach in 5 cases of blow-out fracture under general anesthesia. To accomplish this technique, a rigid 4 mm, 0 or 30 degree angled endoscopy was inserted into the maxillary sinus. Inflation of the catheter started gradually, with 10 to 15 mL of saline mixed radiopaque dye (saline: dye, 5 : 1) by syringe and while observing the elevation of the fracture site with endoscope until a proper contour was reached. For the maintain of the position of fractured site, 12 French urinary balloon foley catheter were used in fracture site for 7 - 10 days. Results: Postoperative assessment was performed by means of clinical and simple radiographic examination to secure the catheter under the inferior orbital wall and in the maxillary sinus. No specific complications occurred related to this procedure. Results of the surgery and follow-up in all cases were satisfactory. Conclusion: It may be a better alternative to the conventional follow-up method, with less cost and effectiveness of the catheter patency. The advantages of using the urinary balloon foley catheter with the radiopaque dye include the following : it is safe, efficacy, simple, and especially low cost. On drawback of this method is the discomfort to the patient caused by the catheter during the treatment.

• Annals of Pediatric Endocrinology and Metabolism
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• v.23 no.4
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• pp.196-203
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• 2018

Purpose: The hemoglobin glycation index (HGI) represents the degree of nonenzymatic glycation and has been positively associated with cardiometabolic risk factors (CMRFs) and cardiovascular disease in adults. This study aimed to investigate the association between HGI, components of metabolic syndrome (MS), and alanine aminotransferase (ALT) in a pediatric nondiabetic population. Methods: Data from 3,885 subjects aged 10-18 years from the Korea National Health and Nutrition Examination Survey (2011-2016) were included. HGI was defined as subtraction of predicted glycated hemoglobin ($HbA1_c$) from measured $HbA1_c$. Participants were divided into 3 groups according to HGI tertile. Components of MS (abdominal obesity, fasting glucose, triglycerides, high-density lipoprotein cholesterol, and blood pressure), and proportion of MS, CMRF clustering (${\geq}2$ of MS components), and elevated ALT were compared among the groups. Results: Body mass index (BMI) z-score, obesity, total cholesterol, ALT, abdominal obesity, elevated triglycerides, and CMRF clustering showed increasing HGI trends from lower-to-higher tertiles. Multiple logistic regression analysis showed the upper HGI tertile was associated with elevated triglycerides (odds ratio, 1.65; 95% confidence interval, 1.18-2.30). Multiple linear regression analysis showed HGI level was significantly associated with BMI z-score, $HbA1_c$, triglycerides, and ALT. When stratified by sex, age group, and BMI category, overweight/obese subjects showed linear HGI trends for presence of CMRF clustering and ALT elevation. Conclusion: HGI was associated with CMRFs in a Korean pediatric population. High HGI might be an independent risk factor for CMRF clustering and ALT elevation in overweight/obese youth. Further studies are required to establish the clinical relevance of HGI for cardiometabolic health in youth.

• Journal of Korea Water Resources Association
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• v.52 no.8
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• pp.515-529
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• 2019

Geospatial information for river network and watershed boundary have played a fundamental roles in terms of river management, planning and design, hydrological and hydraulic analysis. Irrespective of their importance, the lack of punctual update and improper maintenance in currently available river-related geospatial information systems has revealed inconsistency issues between individual systems and spatial inaccuracy with regard to reflecting dynamically transferring riverine geography. Given that digital elevation models (DEMs) of high spatial resolution enabling to reproduce precise river network are only available adjacent to national rivers, DEMs with poor spatial resolution lead to generate unreliable river network information and thereby reduce their extensible applicabilities. This study first of all evaluated published spatial information available in Korea with respect to their spatial accuracy and consistency, and also provides a methodology and tool to modify existing low resolution of DEMs by means of striation of conventional or digitized river network to replicate input river network in various degree of further delineation. The tool named FSND was designed to be operated in ArcGIS ModelBuilder which ensures to automatically simulate river network striation to DEMs and delineation with different flow accumulation threshold. The FNSD was successfully validated in Seom River basin to identify its replication of given river network manually digitized based on recent aerial photograph in conjunction with a DEM with 30 meter spatial resolution. With the derived accuracy of reproducibility, substantiation of a various order of river network and watershed boundary from the striated DEM posed tangible possibility for highly extending DEMs with low resolution to be capable of producing reliable riverine spatial information subsequently.

• Korean Journal of Remote Sensing
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• v.32 no.4
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• pp.383-401
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• 2016

In this paper, we described the statistical modeling of crop yields using satellite images, climatic datasets, soil property maps, and fertilizer data for the Midwestern United States during 2001-2012. Satellite images were obtained from the Moderate Resolution Imaging Spectroradiometer (MODIS), and climatic datasets were provided by the Parameter-elevation Regressions on Independent Slopes Model (PRISM) Climate Group. Soil property maps were derived from the Harmonized World Soil Database (HWSD). Our multivariate regression models produced quite good prediction accuracies, with differences of approximately 8-15% from the governmental statistics of corn and soybean yields. The unfavorable conditions of climate and vegetation in 2012 could have resulted in a decrease in yields according to the regression models, but the actual yields were greater than predicted. It can be interpreted that factors other than climate, vegetation, soil, and fertilizer may be involved in the negative biases. Also, we found that soybean yield was more affected by minimum temperature conditions while corn yield was more associated with photosynthetic activities. These two crops can have different potential impacts regarding climate change, and it is important to quantify the degree of the crop sensitivities to climatic variations to help adaptation by humans. Considering the yield decreases during the drought event, we can assume that climatic effect may be stronger than human adaptive capacity. Thus, further studies are demanded particularly by enhancing the data regarding human activities such as tillage, fertilization, irrigation, and comprehensive agricultural technologies.

• Journal of the Institute of Electronics Engineers of Korea TC
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• v.47 no.11
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• pp.69-76
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• 2010

From the present paper we researched about the design of 4-Way Wilkinson divider with waveguide to stripline transition which used to split the LO signal with equi-amplitude and equi-phase in the X-Band Monopulse radar RF front-end. The monopulse radar front end operating in the X-Band is composed of 3 waveguide reception mixers which down convert sum, azimuth and elevation signal to IF and one SSB waveguide mixers which generate X-Band test signal. It is required the 4-way divider with low loss, equi amplitude and equiphase splitting the LO signal to provide the LO signal to each mixer consisting RF frontend. In this paper we designed and fabricated the 4-Way Wilkinson divider with waveguide transition to divide the LO signal into equi-amplitude and equi-phase. The fabricated Wilkinson divider have the insertion loss 6.8dB, VSWR 1.06~1.28, and phase balance maximum 4.5degree for each output ports.

• Archives of Plastic Surgery
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• v.32 no.4
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• pp.408-415
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• 2005

Following a transverse rectus abdominis musculocutaneous(TRAM) flap breast reconstruction, denervated state of the flap causes the flap skin prone to thermal injury, calling for special attention. During the last 5 years, 69 breast reconstruction with 72 free TRAM flaps, were performed. Four out of thesse 69 patients sustained burn injury. Heat sources were a warm bag(n=2), heating pad(n=1) and warming light (n=1). The thermal injuries occured from 2 days to 3 months following the reconstruction. Three patients healed with conservative treatment, but one patient required debridement and skin graft. Initially 3 out of 4 patients with the burn had shown superficial 2nd degree burn with small blebs or bullae. However all 4 patients healed with scars. Mechanism of burn injuries of the denervated flap are known to be resulting from; 1) loss of behavioral protection due to denervation of flap with flap elevation and transfer, 2) loss of autonomic thermoregulatory control with heat dissipation on skin flap vasculature contributing to susceptibility of burn injury. 3) changes of immunologic and normal inflammatory response increasing thromboxane, and a fall in substance P & NGF (nerve growth factor). Including the abdominal flap donor site, sensory recovery of the reconstructed breast varies individually from 6 month even to 5 years postoperatively. During this period, wound healing is delayed, resulting in easier scarring compared to that observed in the sensate skin. Patients should be carefully informed and warned of possible burn injuries and taught to avoid exposure to heat source at least until 3 years postoperatively.

• Archives of Plastic Surgery
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• v.32 no.4
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• pp.403-407
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• 2005

Following a transverse rectus abdominis musculocutaneous(TRAM) flap breast reconstruction, denervated state of the flap causes the flap skin prone to thermal injury, calling for special attention. During the last 5 years, 69 breast reconstruction with 72 free TRAM flaps, were performed. Four out of thesse 69 patients sustained burn injury. Heat sources were a warm bag(n=2), heating pad(n=1) and warming light (n=1). The thermal injuries occured from 2 days to 3 months following the reconstruction. Three patients healed with conservative treatment, but one patient required debridement and skin graft. Initially 3 out of 4 patients with the burn had shown superficial 2nd degree burn with small blebs or bullae. However all 4 patients healed with scars. Mechanism of burn injuries of the denervated flap are known to be resulting from; 1) loss of behavioral protection due to denervation of flap with flap elevation and transfer, 2) loss of autonomic thermoregulatory control with heat dissipation on skin flap vasculature contributing to susceptibility of burn injury. 3) changes of immunologic and normal inflammatory response increasing thromboxane, and a fall in substance P & NGF (nerve growth factor). Including the abdominal flap donor site, sensory recovery of the reconstructed breast varies individually from 6 month even to 5 years postoperatively. During this period, wound healing is delayed, resulting in easier scarring compared to that observed in the sensate skin. Patients should be carefully informed and warned of possible burn injuries and taught to avoid exposure to heat source at least until 3 years postoperatively.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.19 no.1
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• pp.73-83
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• 2016

Forest degradation reduces ecosystem services provided by forest and could lead to change in composition of species. In North Korea, there has been significant forest degradation due to conversion of forest into terrace fields for food production and cut-down of forest for fuel woods. This study analyzed the phenological changes in North Korea, in terms of vegetation and moisture in soil and vegetation, from March to Octorber 2013, using MODIS (MODerate resolution Imaging Spectroradiometer) images and indexes including NDVI (Normalized Difference Vegetation Index), NDSI (Normalized Difference Soil Index), and NDWI (Normalized Difference Water Index). In addition, marginal farmland was derived using elevation data. Lastly, degraded terrace fields of 16 degree was analyzed using NDVI, NDSI, and NDWI indexes, and marginal farmland characteristics with slope variable. The accuracy value of land cover classification, which shows the difference between the observation and analyzed value, was 84.9% and Kappa value was 0.82. The highest accuracy value was from agricultural (paddy, field) and forest area. Terrace fields were easily identified using slope data form agricultural field. Use of NDVI, NDSI, and NDWI is more effective in distinguishing deforested terrace field from agricultural area. NDVI only shows vegetation difference whereas NDSI classifies soil moisture values and NDWI classifies abandoned agricultural fields based on moisture values. The method used in this study allowed more effective identification of deforested terrace fields, which visually illustrates forest degradation problem in North Korea.

• Korean Journal of Geomatics
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• v.3 no.1
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• pp.15-22
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• 2003

This study aims to construct a management system of road position information as part of the build-up to a maintenance and management system of highways. First, information on the positions of the roads were obtained by a real-time kinematic satellite surveying, and then the degree of accuracy was analyzed in comparison with the data of the existing design drawings. The linear coordinates of road center line obtained by using RTK GPS showed about 7.6-13.2cm errors in X and Y directions in the case of the national road No.2 section, and about 8.4-9.2cm errors in the case of local road No.1045 section. These errors were within the tolerance scope regulated by the TS survey, and could be practically used. In the case of vertical alignment, there were about 6.2cm errors in the Z direction in local road No.1045 section. Aerial photographs are normally used in producing numerical maps, and it can be practically used because the tolerance scope of the elevation control point is l0cm when the scale of aerial photographs is 1/1000. The management system of road position information, utilizing Object-Oriented Programming(OOP), was built having the data acquired in this way as the attribute data. The system developed in this way can enable us to spot the positions of road facilities, the target of management with ease, to easily update the data in case of changes in the positions of roads and road facilities, and to manage the positions of roads and road facilities more effectively.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.3
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• pp.1187-1192
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• 2014

Background: To correlate breast cancer subtypes with prognostic factors, microvessel density (MVD), vascular endothelial growth factor (VEGF) expression and clinical features. Materials and Methods: One hundred cases of primary breast carcinoma were classified using biomarkers on tissue microarray as: luminal A [estrogen receptor (ER)+, HER2-, $Ki-67{\leq}14%$], luminal B [ER+, HER2+ or ER+, HER2-, Ki-67>14%], HER2, triple negative basal-like (TNB) [any basal cytokeratins (CKs, 5, 14, 17) and/or endothelial growth factor receptor (EGFR) expression], and TN without such markers [TNN, null], and assessed for p53, vimentin, VEGF and CD31 immunoperoxidase. Results: Of the 100 cases (mean age, 51 years; mean tumor size, 3.2cm; 56% with nodal metastasis; 89 invasive ductal carcinomas, not otherwise specified, 4 invasive lobular carcinomas, 3 metaplastic carcinomas, and 4 other types) there were 39 luminal A, 18 luminal B, 18 HER2, 15 TNB and 10 TNN. The positivities of basal-like markers in the basal-like subtype were 78.3% for CK5, 40% for CK14, 20% for CK17, 46.7% for EGFR. There was no significant difference in age distribution, tumor size, degree of tubular formation, pleomorphism, lymphovascular invasion, nodal metastasis, MVD, VEGF expression and survival among subgroups. TNs demonstrated significantly higher tumor grade, mitotic count, Ki-67 index, p53 and vimentin and decreased overall survival compared with nonTN. Conclusions: The distribution of breast cancer subtypes in this study was similar to other Asian countries with a high prevalence of TN. The high grade character of TN was confirmed and CK5 expression was found to be common in our basal-like subtype. No significant elevation of MVD or VEGF expression was apparent.