• The Journal of Pediatrics of Korean Medicine
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• v.35 no.4
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• pp.16-33
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• 2021

Objectives This study aims to provide directions for future Korean pediatric medicine treatment and researches by analyzing the characteristics of diseases of Korean pediatric outpatients before and after the COVID-19 epidemic. Methods We analyzed the medical records of 10,868 new patients aged 0-18 who visited the Korean pediatrics at Kyung Hee university hospital from January 1, 2019 to June 30, 2021. All patients were divided into 2 groups; patients who visited from January 1, 2019 to December 31, 2019, before the coronavirus epidemic, and patients who visited from January 1, 2020 to June 30, 2021, after the coronavirus epidemic. Within the two groups, the diagnosis distribution was performed for the entire population, by gender and by age group. Diagnoses were classified as allergy, growth, gastrointestinal, respiratory, general body supplementation, neuropsychiatric, skin, urogenital, musculoskeletal, and other systems. Results According to the comparative analysis results of before and after the COVID epidemic, there was a decreasing trend of diagnoses in relates to allergy, respiratory, urogenital, musculoskeletal system. On the other side, there was an increasing trend in gastrointestinal, general body supplementation, growth, neuropsychiatric, skin and other system. Changes in diagnosis based on gender and age group will be described below. Conclusions This study analyzed the characteristics of diseases of Korean pediatric outpatients before and after the COVID-19 epidemic, and suggested the direction of future Korean medicine treatment and researches for pediatrics. Also, this study aimed to propose proper treatments for children by showing the role of Korean pediatric medicine related to growth and development of children during the epidemic. However, this study has limitations such as failure to track the long-term impact of COVID-19. Thus, long term follow-up studies are needed to show the effect of COVID-19 on Korean pediatric medicine.

• Journal of Korean Theatre Studies Association
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• no.52
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• pp.359-397
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• 2014

This paper describes dramatherapy with a bulmina nervosa patient. She was in her early 20s and has been under the various psychotherapies for cure of deep depression since 2005. We had 24 sessions and 3 persons - the patient, the therapist, and the assist-therapist- participated in dramatherapy. I found there's a big collision between her important roles in the course of initial interview and diagnosis. Those roles are 'a good daughter of mom' and 'an independent adult'. Therefore I defined her bulmina nervosa as 'an symbolic behavior repeats compulsively the failure of separation from her mother.' And I set the general goals, the separation from her mother, the awareness and expression of negative emotions, and the diminuation of overeating and vomiting. To attain these object, we had many different dramatic experiences in dramatherapy. We made a self-portrait, the mask of bulmina nervosa, family sculpture, figure work, the past I and the present I, psychodramatic scene and several stories. In order to objective assessment, I used behavioral observation and 6PSM(6 Pieces Story Making) analysis. First of all the most noticeable change was a rapid decrease in over-eating and vomiting. Before the dramatherapy she had overeaten 30 times per week. At the closure it has fallen off to 1 time per week. Another behavioral changes were shift of outward appearance, not going church, working for living, and having a date with only one. She made 3 stories on 1th session, 13th session, and 23th session. And I comparatively analysed those stories with both qualitative and quantitative method. For qualitative analysis, I classified 5 structures according to the substantial similrarity. On protagonist structure, there's no difference. Three protagonists are dead things. The type of task structure is changed from an escape, a traveling, to metamorphosis. The type of obstruction structure is changed from the protagonist to an outside object. The type of closure structure is changed from an exaggerated happy ending, sad ending to probable happy ending. To quantitify the aspects of transformation, I developed an assesment tool using likert scale. It is composed of 4 sub-categories-reality testing, imagination, ego-strength, optimism problem-solving. In reality testing category, a shift of score was 9-11-15, imagination 2-5-5, ego strength 3-2-2, optimism 6-3-7, and total score 20-21-29. This change of score reflects the growth of problem solving capacity. Viewed in this light, dramatherapy with this girl was successful on the whole. The thing had significant effect on it was psycho-dynamic approach focused on separation from her mother and defence mechanism to avoid negative emotion. And assessment method used in this case will be full of suggestions to researches to come.

• Journal of Korean Neurosurgical Society
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• v.62 no.5
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• pp.594-602
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• 2019

Objective : Although surgical intervention, such as percutaneous vertebroplasty (PVP), is the standard treatment for osteoporotic vertebral compression fractures (OVCFs), its effectiveness and safety are unclear. Therefore, this study compared the safety and efficacy of conservative treatment with that of PVP for acute OVCFs. Methods : Patients with single-level OVCFs who were treated conservatively with a transdermal fentanyl patch (TFP) or with PVP between March 2013 and December 2017 and followed-up for more than 1 year were retrospectively evaluated. Patients with pathologic fractures, fractures of more than two columns, or a history of PVP were excluded. Clinical outcomes (visual analog scale [VAS] scores) and radiographic factors were evaluated, including changes in the compression rate of the corresponding vertebral body at onset and after 12 months, sagittal Cobb angle at onset and after 6 and 12 months, and the incidence of adjacent compression fractures. Results : Of the 131 patients evaluated, 75 were treated conservatively using TFPs and 56 underwent PVP. We divided the patients into TFP and PVP groups. Their baseline characteristics (including sex, level of fracture, and bone mineral density T-scores) were similar, but the TFP group was significantly younger. The overall VAS score for pain showed a greater decrease during the first month (1 week after PVP) in the PVP group but remained similar in the two groups thereafter. The compression rate after 12 months increased in the TFP group but decreased in the PVP group. Five patients in the PVP group, but none in the TFP group, experienced adjacent compression fractures within 12 months. Conclusion : We compared clinical and radiological outcomes between the TFP and PVP groups. The immediate pain reduction effect was superior in the PVP group, but the final clinical outcome was similar. Although the PVP group had a better-preserved compression rate than the TFP group for 1 year, the development of adjacent fractures was significantly higher. Although TFPs seemed to be beneficial in reducing the failure rate of conservative treatment, the possibility of side effects (22.6%, 17 out of 75 patients, in this study) should be carefully monitored.

• Journal of Korea Technology Innovation Society
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• v.21 no.4
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• pp.1411-1444
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• 2018

The shared economy has been growing rapidly in recent years, creating an innovative economic paradigm based on the growing interest in sustainable development in the environmental aspect, the development of ICT technology, and the spread of mobile, Internet and smart environments. The purpose of this study is to investigate the factors influencing of the shared economy on the intention of domestic consumers using shared economy services. Also we would like to find out if personal orientation on sustainable development actually have a valid impact on perceived values and intentions of using Shared Economy services. The result of the study shows that the factors affecting the intention to use Shared Economy service were perceived usefulness, subjective norm, perceived risk, and sustainable orientation which are characteristics of Shared Economy service. In addition the result of the indirect effect study Find that the individual felt the emotional value through the perceived usefulness and have the greatest influence on intention to use. Therefore, it implies that the marketing strategy of the Shared Economy service should take into consideration the elements that can feel emotional value through usability. In the future, We research on domestic success and failure cases of Shared Economy services and robust verification of influential factors could be continue.

• Journal of the Korea institute for structural maintenance and inspection
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• v.23 no.5
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• pp.111-117
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• 2019

Shear experiments were carried out to evaluate shear performance of SFRC deep beams with end-anchorage of SD600 high strength headed reinforcing tensile bars. The experimental variables include the end-anchorage methods of tensile bars (headed bar, straight bar), the end-anchorage lengths, and the presence of shear reinforcement. Specimens with a shear span ratio of 1 showed a pattern of the shear compression failure with the slope cracks progressed after the initial bending crack occurred. Specimens with end-anchorage of headed bars (H-specimens) showed a larger shear strengths of 5.6% to 22.4% compared to straight bars (NH-specimens). For H-specimens, bearing stress reached 0.9 to 17.2% of the total stress of tensile bars up to 75% of the maximum load, and reached 22.4% to 46%. This shows that the anchorage strength due to the bearing stress of headed bars has a significant effect on shear strength. The experimental shear strength was 2.68 to 4.65 times the theoretical shear strength by the practical method, and the practical method was evaluated as the safety side.

• Restorative Dentistry and Endodontics
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• v.44 no.3
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• pp.33.1-33.12
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• 2019

Objectives: To evaluate the influence of the restorative technique on the mechanical response of endodontically-treated upper premolars with mesio-occluso-distal (MOD) cavity. Materials and Methods: Forty-eight premolars received MOD preparation (4 groups, n = 12) with different restorative techniques: glass ionomer cement + composite resin (the GIC group), a metallic post + composite resin (the MP group), a fiberglass post + composite resin (the FGP group), or no endodontic treatment + restoration with composite resin (the CR group). Cusp strain and load-bearing capacity were evaluated. One-way analysis of variance and the Tukey test were used with ${\alpha}=5%$. Finite element analysis (FEA) was used to calculate displacement and tensile stress for the teeth and restorations. Results: MP showed the highest cusp (p = 0.027) deflection ($24.28{\pm}5.09{\mu}m/{\mu}m$), followed by FGP ($20.61{\pm}5.05{\mu}m/{\mu}m$), CR ($17.62{\pm}7.00{\mu}m/{\mu}m$), and GIC ($17.62{\pm}7.00{\mu}m/{\mu}m$). For load-bearing, CR ($38.89{\pm}3.24N$) showed the highest, followed by GIC ($37.51{\pm}6.69N$), FGP ($29.80{\pm}10.03N$), and MP ($18.41{\pm}4.15N$) (p = 0.001) value. FEA showed similar behavior in the restorations in all groups, while MP showed the highest stress concentration in the tooth and post. Conclusions: There is no mechanical advantage in using intraradicular posts for endodontically-treated premolars requiring MOD restoration. Filling the pulp chamber with GIC and restoring the tooth with only CR showed the most promising results for cusp deflection, failure load, and stress distribution.

• Journal of the Korea institute for structural maintenance and inspection
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• v.23 no.1
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• pp.102-112
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• 2019

This paper studies impact fracture behavior under temperature variation and compressive flexural strength of cement composites using VAE(vinyl acetate ethylene) powder polymer and PVA(polyvinyl alcohol) fiber. Impact test were conducted in the temperature range selected for the $-35^{\circ}C$, $0^{\circ}C$ and $35^{\circ}C$. In this experimental study, impact test were carried out using a drop impact testing machine (Ceast 9350) to obtain such as displacement, time, and impact fracture energy of normal specimen and and cement composites specimen. As test results, the use of VAE powder polymer and PVA fiber were observed to enhance the flexural strength of mortar. The compressive strength of PVA fibers reinforced cement composites was slightly decreased at 28 days, but the flexural strength was observed to increase 24.4% of normal mortar strength. As a result of the drop impact tests, PVA fiber reinforced cement composites specimens showed microcracks due to energy dispersion and crack prevention with bridge effect of the fibers, and scabbing or perforation by impact was suppressed. On the other hand, the normal mortar and VAE powder polymer cement composites specimens were carried out to the perforation and macro crack. Most of normal mortar and the cement composites subjected to impact load on specimens shows mostly local brittle failure. The impact resistant performance of the specimen with PVA fiber was greatly improved due to the increase of flexure performance.

• Korean Journal of Medicinal Crop Science
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• v.27 no.4
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• pp.284-291
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• 2019

Background: Ginseng root rot disease, caused by Cylindrocarpon destructans and Fusarium solani is a major cause of replant failure in continuous cropping ginseng. Methods and Results: To control replant injury in soil infected with C. destructans and F. solani, biosolarization was performed by covering the plot with transparent polyethylene film after adding green manure of maize and sunflower for the summer season. Per 10 a, fresh and dry weight of maize was 10.1 and 2.5 tons, respectively, and that of sunflower was 8.1 tons and 1.2 tons, respectively. Mean maximum temperature at 20 cm depth was $33.2^{\circ}C$, $41.5^{\circ}C$ and $41.8^{\circ}C$ in the control, maize-incorporated and sunflower-incorporated plots, respectively. The elapsed time over $40^{\circ}C$ was 36.4 h in the maize-incorporated plot and 77.3 h in the sunflower-incorporated plot. Biosolarization increased $NO_3$ content in soil, while content of organic matter, Ca, and Mg was decreased. Electrical conductivity, $NO_3$ and $P_2O_5$ in soil significantly increased after two years of biosolarization. The number of spores of C. destructans in soil was significantly decreased by biosolarization, and sunflower treatment was more effective than maize treatment in decreasing the number of spores. Root yield of 3-year-old ginseng was significantly increased by biosolarization, however, there was no significant difference between maize and sunflower treatments. Rate of root rot in 3-year-old ginseng decreased to 16.5% with the incorporation maize and 5.0% with the incorporation of sunflower, while that in control 25.6%. Conclusions: Biosolarization was effective in inhibiting ginseng root rot by decreasing the density of root rot disease and improving soil chemical properties.

• Composites Research
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• v.31 no.6
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• pp.332-339
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• 2018

Fiber metal hybrid laminate (FML) can be used as an economic material with superior mechanical properties and light weight than conventional metal by bonding of metal and FRP. However, there are disadvantages that it is difficult to predict fracture behavior because of the large difference in properties depending on the type of fiber and lamination conditions. In this paper, we study the failure behavior of hybrid materials with laminated glass fiber reinforced plastics (GFRP, GEP118, woven type) in Al6061-T6 alloy. The Al alloys were coated with GFRP 1, 3, and 5 layers, and fracture behavior was analyzed by using a static test and a low cycle fatigue test. In the low cycle fatigue test, strain - life analysis and the total strain energy density method were used to analyze and predict the fatigue life. The Al alloy did not have tensile properties strengthening effect due to the GFRP coating. The fatigue hysteresis geometry followed the behavior of the Al alloy, the base material, regardless of the GFRP coating and number of coatings. As a result of the low cycle fatigue test, the fatigue strength was increased by the coating of GFRP, but it did not increase proportionally with the number of GFRP layers.

• Journal of the korean academy of Pediatric Dentistry
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• v.46 no.2
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• pp.165-172
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• 2019

The purpose of this study was to evaluate the effect of application time and phosphoric acid etching of 8th generation adhesives containing functional monomer on adhesive performance in primary teeth. 80 extracted non-carious human primary teeth were selected and divided into 8 groups based on 3 factors: (1) adhesive: G-Premio bond and Single bond universal; (2) application time: shortened time and manufacture's instruction; (3) acid etching mode: self-etching and total-etching. Shear bond strength was measured using a universal testing machine, and fractured surface were observed under scanning electron microscope. Microleakage was evaluated by dye penetration depth. G-Premio bond were not significant different in shear bond strength and microleakage depending on application time of adhesive and acid etching mode. In Single bond universal, shear bond strength of short application time was significantly lower than that of long adhesive application time (p = 0.014). Clinically applicable shear bond strength values (> 17 MPa) were identified in all groups. These results suggested that G-Premio bond be used clinically for a short application time without phosphoric acid etching.