• Journal of International Society for Simulation Surgery
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• v.3 no.2
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• pp.80-83
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• 2016

A 37-year-old male was assaulted and complained of severe periorbital swelling. Physical examination revealed that there were limitation of eyeball movement on upper gaze, diplopia, and hypoesthesia on the infraorbital nerve innervating region. Three-dimensional (3D) computed tomography (CT) of facial bone exhibited the fracture of orbital floor accompanying the significant amount of orbital contents' herniation extending to the far posterior part. To recover the orbital volume and restore orbital floor without threatening the optic nerve, preoperative simplified simulation was applied. The posterior margin of the fractured orbit was delineated with simulation technique using cross-linkage between the coronal and sagittal sections based on the referential axial view of the CT scans. Dissection, reduction of orbital contents, and insertion of the absorbable mesh plate molded after the prefabricated template by the simulation technique was performed. Extensive orbital floor defect was successfully reconstructed and there were no serious complications. The purpose of this report is to emphasize the necessity of preoperative simulation in case of restoring the extensive orbital floor defect.

• Radiation Oncology Journal
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• v.32 no.1
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• pp.1-6
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• 2014

Purpose: To evaluate the outcome of ductal carcinoma in situ (DCIS) patients who underwent surgery followed by radiation therapy (RT). Materials and Methods: We retrospectively reviewed 106 DCIS patients who underwent surgery followed by postoperative RT between 1994 and 2006. Ninety-four patients underwent breast-conserving surgery, and mastectomy was performed in 12 patients due to extensive DCIS. Postoperative RT was delivered to whole breast with 50.4 Gy/28 fx. Tumor bed boost was offered to 7 patients (6.6%). Patients with hormonal receptor-positive tumors were treated with hormonal therapy. Results: The median follow-up duration was 83.4 months (range, 33.4 to 191.5 months) and the median age was 47.8 years. Ten patients (9.4%) had resection margin <1 mm and high-grade and estrogen receptor-negative tumors were observed in 39 (36.8%) and 20 (18.9%) patients, respectively. The 7-year ipsilateral breast tumor recurrence (IBTR)-free survival rate was 95.3%. Resection margin (<1 or ${\geq}1$ mm) was the significant prognostic factor for IBTR in univariate and multivariate analyses (p < 0.001 and p = 0.016, respectively). Conclusion: Postoperative RT for DCIS can achieve favorable treatment outcome. Resection margin was the important prognostic factor for IBTR in the DCIS patients who underwent postoperative RT.

• Journal of the Korean GEO-environmental Society
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• v.20 no.7
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• pp.5-10
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• 2019

In recent Gyeongju and Pohang earthquakes, motions that exceed the design ground motion were recorded. This has led to adjustments to the design earthquake intensity in selected design guidelines. An increment in the design intensity requires reevaluation of all associated facilities, requiring extensive time and cost. Firstly, the seismic factor of safety of built concrete retaining walls are calculated. Secondly, the seismic margin of concrete retaining walls is evaluated. The design sections of concrete walls built at power plants and available site investigation reports are utilized. Widely used pseudo-static analysis method is used to evaluate the seismic performance. It is shown that all concrete walls are safe against the adjusted design ground motion. To determine the seismic margin of concrete walls, the critical accelerations, which is defined as the acceleration that causes the seismic factor of safety to exceed the allowable value, are calculated. The critical acceleration is calculated as 0.36g~0.8g. The limit accelerations are significantly higher than the design intensity and are demonstrated to have sufficient seismic margin. Therefore, it is concluded that the concrete retaining walls do not need to be reevaluated even if the design demand is increased up to 0.3g.

• Journal of the korean academy of Pediatric Dentistry
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• v.36 no.1
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• pp.91-95
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• 2009

The use of stainless steel crowns are indicated for restoration of primary or permanent molars with proximal dental caries, extensive dental caries, or previous pulp treatment with increased danger of tooth fracture. Stainless steel crowns were introduced by Humphrey in 1950. For their improved durability, longevity, and success rate, they have been strongly considered for restoring extensive and multi-surfaced dental caries of molars in pediatric dentistry. However, they also have shortcomings, such as possibility of pulpal exposure or damaging proximal surface of adjacent teeth. In addition, when oversized stainless steel crowns are used, eruption of the adjacent permanent teeth may be disturbed by their prominent margin. As a means to compensate the shortcomings of stainless steel crowns, use of orthodontics bands may be considered. It is an alternative restoration method, where an orthodontic band is placed on a tooth first and cavity is restored with filling material, such as composite resin, glass ionomer, or amalgam. The use of an orthodontic band is indicated for molar restoration with cervical dental caries, extensive dental caries, enamel hypoplasia, or previous pulp treatment. Because it requires shorter chair time compared to stainless steel crown, its application is very useful for children with poor behavior. However, restoration using an orthodontic band requires good oral hygiene after its application. This case report illustrates the conservative restoration of primary molars and permanent molars with extensive dental caries using orthodontic bands.

• Nuclear Engineering and Technology
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• v.31 no.6
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• pp.66-82
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• 1999

The national long-term R&D program, updated in 1997, requires Korea Atomic Energy Research Institute(KAERI) to complete by the year 2006 the basic design of Korea Advanced Liquid Metal Reactor(KALIMER), along with supporting R&D work, with the capability of resolving the issue of spent fuel storage as well as with significantly enhanced safety. KALIMER is a 150 MWe pool-type sodium cooled prototype reactor that uses metallic fuel. The conceptual design is currently under way to establish a self-consistent design meeting a set of major safety design requirements for accident prevention. Some of the current emphasis includes those for inherent and passive means of negative reactivity insertion and decay heat removal, high shutdown reliability, prevention of and protection from sodium chemical reaction, and high seismic margin, among others. All of these requirements affect the reactor design significantly and involve extensive supporting R&D programs. This paper summarizes some of the results of conceptual engineering and design analyses performed for the safety of HAMMER in the area of inherent safety, passive decay heat removal, sodium water reaction, and seismic isolation.

• Journal of Aquaculture
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• v.13 no.1
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• pp.9-12
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• 2000

A species of the parasitic copepods Phrixcephalus unbellatus (Lernaeide ; Cyclopoidea) from Branchiostegus japonicus is described and reported for the first time in Korea. The parasite was recovered from the eye of host. P. umbellatus was easily identified by the body shape extensive ramification of the antennal processes and numerous branches on the thoracic horns, The parasite inserted its head and the anterior portion of thorax up to the 4th segment in the eye ball of the host through a narrow hole which it usually burrowed near the upper margin of the cornea above the crystalline lens. Prevaklence of the parasite increased from 3.3% January to 11.9% in June.

• 전자공학회논문지 IE
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• v.48 no.1
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• pp.30-35
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• 2011

In this paper, we propose a method to improve the performance of initial channel estimation (CE) for the multiband-OFDM (MB-OFDM) UWB. The performance of the initial CE can be generally improved as increasing the number of the used preamble symbols. The MB-OFDM specification presents two CE symbols per band in preamble format. The performance of CE estimation with two CE symbols may be satisfied in relatively high sensitivity -77.5 and -72.5 dBm for 200 Mbps and 480 Mbps data rate, respectively, but can not be enough in the degraded 55 Mbps and 110 Mbps sensitivities such as -83.5 and -80.5 dBm, respectively. A method proposed in this paper achieves the performance improvement by extending CE estimation region to packet synchronization (PS) symbols and frame synchronization (FS) symbols including two CE symbols. This can improve the CE performance in the degraded SNR and increase the link-margin by reducing the error rate in physical-layer header. The link-margin improvement obtained by the proposed CE preamble can induce the decrease of error-rate in physical-layer header and increase of communication throughput. Simulation results for the proposed initial method show that the performance is improved by about 0.7 dB at 10-4 bit-error-rate using '4' symbols than initial method using only two CE symbols.

• Korean Journal of Radiology
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• v.22 no.3
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• pp.476-488
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• 2021

Objective: We aimed to develop a deep neural network for segmenting lung parenchyma with extensive pathological conditions on non-contrast chest computed tomography (CT) images. Materials and Methods: Thin-section non-contrast chest CT images from 203 patients (115 males, 88 females; age range, 31-89 years) between January 2017 and May 2017 were included in the study, of which 150 cases had extensive lung parenchymal disease involving more than 40% of the parenchymal area. Parenchymal diseases included interstitial lung disease (ILD), emphysema, nontuberculous mycobacterial lung disease, tuberculous destroyed lung, pneumonia, lung cancer, and other diseases. Five experienced radiologists manually drew the margin of the lungs, slice by slice, on CT images. The dataset used to develop the network consisted of 157 cases for training, 20 cases for development, and 26 cases for internal validation. Two-dimensional (2D) U-Net and three-dimensional (3D) U-Net models were used for the task. The network was trained to segment the lung parenchyma as a whole and segment the right and left lung separately. The University Hospitals of Geneva ILD dataset, which contained high-resolution CT images of ILD, was used for external validation. Results: The Dice similarity coefficients for internal validation were 99.6 ± 0.3% (2D U-Net whole lung model), 99.5 ± 0.3% (2D U-Net separate lung model), 99.4 ± 0.5% (3D U-Net whole lung model), and 99.4 ± 0.5% (3D U-Net separate lung model). The Dice similarity coefficients for the external validation dataset were 98.4 ± 1.0% (2D U-Net whole lung model) and 98.4 ± 1.0% (2D U-Net separate lung model). In 31 cases, where the extent of ILD was larger than 75% of the lung parenchymal area, the Dice similarity coefficients were 97.9 ± 1.3% (2D U-Net whole lung model) and 98.0 ± 1.2% (2D U-Net separate lung model). Conclusion: The deep neural network achieved excellent performance in automatically delineating the boundaries of lung parenchyma with extensive pathological conditions on non-contrast chest CT images.

• Journal of the korean academy of Pediatric Dentistry
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• v.46 no.1
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• pp.111-118
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• 2019

Post-endodontic restorations are both important and challenging for clinical success in endodontically treated posterior teeth. Several options have been proposed to restore endodontically treated molars. In pediatric dentistry, restoration using conventional single crowns, especially for partially erupted molars with insufficient retentive tooth structure, has proven to be difficult. However, the endocrown presents a conservative and esthetic restorative alternative to conventional crowns with post-and-core, as it acquires additional retention within the pulp chamber. The tooth preparation consists of a circular, equigingival, butt-joint margin and a central retention cavity in the pulp chamber that helps to construct both the crown and core as a single unit. This case report describes the esthetic and conservative endocrown restorations of erupting permanent first molars with extensive coronal destruction.

• Journal of Life Science
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• v.30 no.6
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• pp.563-569
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• 2020

Oncoplastic surgery (OPS) combines oncologically safe tumor resection with aesthetically satisfying reconstruction of defects using established plastic surgery techniques. OPS is characterized by initial excision as extensive as is beneficial for oncological safety, and, once sufficient resection is complete, displacement or replacement techniques are selected based on remnant volume. The size of the lesion and the individual patient are important factors when considering the appropriate approach, and when pre-operative imaging, including MRI, is used to determine the technique, the complete removal of cancer cells by permanent pathology is essential. A frozen section is used during the operation to reduce the reoperation rate, but it is difficult to cover the entire margin surface theoretically and even harder in practice. A recent report about adequate margins has empowered OPS in its oncological safety. Considering the patients to whom each modality could be applied, basic breast volume is an important factor, and this is influenced by ethnic differences. In Europe or the US, for example, the average breast size is 36D (600 ㎤) and reduction mammoplasty is predominantly used. However, the average size of patients in our institution is 33A (300 ㎤), and so quite different approaches are selected in most cases. New techniques involving radiofrequency and fluorescence have been proposed as safe and easily accessible ways of reducing complications.