• Journal of Korean Neurosurgical Society
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• 제46권4호
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• pp.355-359
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• 2009

Objective : The definition of empty sella syndrome is 'an anatomical entity in which the pituitary fossa is partially or completely filled with cerebrospinal fluid, while the pituitary gland is compressed against the posterior rim of the fossa'. Reports of this entities relating to the brain tumors not situated in the pituitary fossa, have rarely been reported. Methods : In order to analyze the incidence and relationship of empty sella in patients having brain tumors, the authors reviewed preoperative magnetic resonance imaging (MRI) of 72 patients with brain tumor regardless of pathology except the pituitary tumors. The patients were operated in single institute by one surgeon. There were 25 males and 47 females and mean patient age was 53 years old (range from 5 years to 84 years). Tumor volume was ranged from 2 cc to 238 cc. Results : The overall incidence of empty sella was positive in 57/72 cases (79.2%). Sorted by the pathology, empty sella was highest in meningioma (88.9%, p=0.042). The empty sella was correlated with patient's increasing age (p=0.003) and increasing tumor volume (p=0.016). Conclusion : Careful review of brain MRI with periodic follow up is necessary for the detection of secondary empty sella in patients with brain tumors. In patients with confirmed empty sella, follow up is mandatory for the management of hypopituitarism, cerebrospinal fluid (CSF) rhinorrhea, visual disturbance and increased intracranial pressure.

• 디지털융복합연구
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• 제11권7호
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• pp.141-148
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• 2013

스마트그리드는 정보통신기술을 이용하여 전력공급자와 소비자의 양방향통신을 가능하게 한다. 또한 동적인 전력 공급이 가능하기 때문에 전기 자동차 기술과 접목시킬 경우 전기 자동차 충전 인프라를 활성화시키고 전기 자동차의 배터리를 가정용 축전지로 활용하여 재판매할 수도 있다. 이러한 전기 자동차 충전 인프라는 가정, 아파트, 건물, 기타 충전소 등에 고정적으로 위치하여 있고 사용자만 유동적으로 서비스를 이용한다. 만약 유동적으로 서비스를 이용하는 사용자에 대해 인증이 이루어지지 않을 경우 전력 서비스의 불법적인 사용, 전력 정보 유출, 불법적인 전력 요금 변경 등의 피해가 발생할 수 있다. 본 논문에서는 스마트그리드 환경에서 안전하게 전기 자동차 관련 서비스를 이용하기 위해 스마트카드 및 동적 ID 기반 사용자 인증 스킴을 제안한다.

• 대한기계학회논문집B
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• 제33권2호
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• pp.85-92
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• 2009

Polymer electrolyte membrane (PEM) fuel cells are a promising technology for short-term power generation required in residential and automobile applications. Proper management of water has been found to be essential for improving the performance and durability of PEM fuel cells. This study investigated the liquid water exhaust capabilities of various flow channels having different geometries and surface properties. Three-pass serpentine flow fields were prepared by patterning channels of 1 mm or 2 mm width onto hydrophilic Acrylic plates or hydrophobic Teflon plates, and the behaviors of liquid water in those flow channels were experimentally visualized. Computational fluid dynamics (CFD) simulations were also conducted to quantitatively assess the liquid water exhaust capabilities of flow channels for PEM fuel cells. Numerical results showed that hydrophobic flow channels have better liquid water exhaust capabilities than hydrophilic flow channels. Flow channels with curved corners showed less droplet stagnation than the channels with sharp corners. It was also found that a smaller width is desirable for hydrophobic flow channels while a larger width is desirable for hydrophilic ones. The above results were explained as being due to the different droplet morphologies in hydrophobic and hydrophilic channels.

• 대한기계학회논문집B
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• 제34권10호
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• pp.885-891
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• 2010

고분자 전해질 연료전지(PEMFC)의 열관리는 성능 향상과 내구성 측면에서 중요한 문제이다. 일반적으로 냉각수 순환 유로를 가진 냉각판이 여러 개의 단전지 사이에 삽입되어 PEMFC 내부에서 발생하는 반응열을 외부로 배출한다. 본 연구에서는 개선된 병렬 사형유로(MPSFF)를 향상된 냉각성능을 가진 냉각판 유로형상으로 제안하고, 이를 전산유체역학(CFD) 해석을 통하여 평가하였다. 비교를 위하여 냉각수 유로로 일반적으로 사용되는 사형유로 및 병렬형유로의 냉각성능에 대한 계산도 수행하였다. CFD 결과는 개선된 병렬 사형유로가 냉각판 표면에서의 온도의 비균일도를 상당히 감소시키고, 따라서 PEMFC의 내구성과 성능을 향상시킬 수 있음을 보여주었다.

• 한국군사과학기술학회지
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• 제20권6호
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• pp.767-773
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• 2017

Infrared stealth is an important technology for naval ships. This technology helps improve the anti-detection performance and survivability of naval ships. In general, the infrared signature of naval ships are categorized into internal and external heat source. External signature are generated by ship surface heating by solar flux as well as the complicated heat transfer process with the surrounding weather condition. Modern naval ships are equipped with seawater injection nozzles on the outside for nuclear, biological and, chemical, and these nozzles are used to control external signature. Wide nozzle placement intervals and insufficient injection pressure, however, have reduced seawater dispersion area. To address this problem, nozzle installation standards must be established. In this study, an actual-scale experimental system was implemented to provide the evidence for nozzle installation standards in order to reduce the infrared signature of naval ships. In addition, the environmental conditions of the experiment were set up through computational fluid dynamics considering the ocean climate data and naval ship management conditions of South Korea. The dispersion distance was measured using a high-resolution thermography system. The flow rate, pipe pressure, and dispersion distance were analyzed, and the evidence for the installation of seawater injection nozzles and operation performance standards was suggested.

• The Korean Journal of Pain
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• 제21권2호
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• pp.112-118
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• 2008

Background: This study was conducted to quantitatively analyze proteins associated with the calcitonin gene-related peptide (CGRP) in cerebrospinal fluid (CSF) that was obtained from a rat model of chronic neuropathic pain following administration of intrathecal $CGRP_{8-37}$. Methods: Male Sprague-Dawley rats (100-150 g, 5-6 wks) were divided into two groups, sham controls and neuropathic pain models. At the time of operation for neuropathic pain model, an intrathecal catheter was threaded through the intrathecal space. At 1 or 2 wks after the operation (maximum pain state), a test dose of 1, 5, 10, or 50 nM of $CGRP_{8-37}$ was injected into the intrathecal catheter and the CSF was then aspirated. Conventional proteomics to evaluate the CSF were then performed using high resolution 2-D, gel electrophoresis followed by computational image analysis and protein identification by mass spectrometry. Results: Treatment with $CGRP_{8-37}$ effectively alleviated mechanical allodynia in a dose dependent manner. The most effective response was obtained when a dose of 50 nM was administered, but significant differences were obtained following administration of only 5 nM $CGRP_{8-37}$. Furthermore, the results of the proteomic analysis were consistent with the experimental results. Specially we detected 30 differentially expressed spots in 7 images when 2-D gel electrophoresis was conducted. The intensity of 6 of these spots (spot number: 20 and 26-30) was found decrease the $CGRP_{8-37}$ dose increased; therefore, these spots were evaluated by mass spectrometry. This analysis identified 2 different proteins, CGRP (spot numbers: 26-30) and neurotensin-related peptide (spot number: 20). Conclusions: The results of this study suggest that CGRP plays a role in chronic central neuropathic pain and is a major target of chronic neuropathic pain management.

• Journal of Oral Medicine and Pain
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• 제45권4호
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• pp.97-109
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• 2020

Purpose: Cervicogenic headache (CGH) is pain referred to the head/ face from the structures in vicinity of upper cervical spinal nerves via trigeminocervical pathway. Ponticulus Posticus (PP) and Elongated Styloid Process (ESP) are anatomical structures that cause compression of vasculature present around upper cervical nerve plexus. Recently, computational fluid dynamics (CFD) has shown to play an essential role in identification of these high-pressure zones in the brain. The aim of this research is to study the association of ESP and PP in patients with CGH and to develop a hypothesis by CFD to analyse vertebrobasilar insufficiency as a contributing factor in occurrence of CGH. Methods: Retrospective analysis of 4500 full skull CBCT scans was done for the presence of partial or complete PP and length of Styloid Process (SP). Research was divided into two phases; In first Preliminary Phase, 150 scans that showed the presence of PP and ESP were analysed, and only 134 patients gave consent to fill the questionnaire containing 96 question items pertaining to symptoms associated with CGH. In the second phase, simulation of Vertebral and Carotid Artery was done using Fluent 14.5 Software and by CFD, pressure distribution on arteries was obtained that helped to identify high pressure regions. Results: Both PP and ESP showed a statistically significant association with CGH (p<0.001). By CFD analysis, both steady and transient phases of simulation showed drop in pressure due to constriction of internal carotid and vertebral artery by ESP and PP respectively and were found to decrease the volume of blood reaching the brain, 0.12 /0.13 mL and 0.06 mL respectively. Conclusions: Our analysis proves ESP and PP as contributing factors towards CGH. Hence for proper diagnosis and management of headache disorders, clinicians should have adequate knowledge about these anatomical structures and their resulting clinical symptoms.

• The Korean Journal of Pain
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• 제35권2호
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• pp.224-230
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• 2022

Background: An epidural blood patch (EBP) is a procedure to treat intracranial hypotension that does not respond to conservative treatment. EBPs are commonly repeated when the symptoms persist. In this study, we used a large single-center retrospective cohort and evaluated the factors associated with repeated EBPs. Methods: From January 2010 to December 2020, a total of 596 patients were treated with EBPs for intracranial hypotension. We evaluated the factors associated with repeated EBPs in the entire population, in patients with spontaneous intracranial hypotension (SIH), and in those with available myelographies. Results: In a total of 596 patients, 125 (21.1%) patients required repeated EBPs, and 96/278 (34.5%) in SIH and 29/314 (9.2%) in iatrogenic population. In patients with SIH, international normalized ratio (INR) and cerebrospinal fluid (CSF) leakage on myelographies consistently exhibited significant associations (odds ratio [OR], 1.38; 95% confidence interval [CI], 1.02-1.87; P = 0.043 and OR, 2.18; 95% CI, 1.28-3.69; P = 0.004). In patients with iatrogenic injury, INR and CSF leakage on myelogram did not show difference in repeated EBPs. Conclusions: Repeated EBPs may be more frequently required in patients with SIH. Prolonged INR and CSF leakage were associated with repeated EBPs in patient with SIH. Further studies are needed to determine factors associated with repeated EBP requirements.

• Archives of Plastic Surgery
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• 제49권2호
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• pp.227-239
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• 2022

Complications experienced during lymphatic surgery have not been ubiquitously reported, and little has been described regarding how to prevent them. We present a review of complications reported during the surgical management of lymphedema and our experience with technical considerations to reduce morbidity from lymphatic surgery. A comprehensive search across different databases was conducted through November 2020. Based on the complications identified, we discussed the best approach for reducing the incidence of complications during lymphatic surgery based on our experience. The most common complications reported following lymphovenous anastomosis were re-exploration of the anastomosis, venous reflux, and surgical site infection. The most common complications using groin vascularized lymph node transfer (VLNT), submental VLNT, lateral thoracic VLNT, and supraclavicular VLNT included delayed wound healing, seroma and hematoma formation, lymphatic fluid leakage, iatrogenic lymphedema, soft-tissue infection, venous congestion, marginal nerve pseudoparalysis, and partial flap loss. Regarding intra-abdominal lymph node flaps, incisional hernia, hematoma, lymphatic fluid leakage, and postoperative ileus were commonly reported. Following suction-assisted lipectomy, significant blood loss and transient paresthesia were frequently reported. The reported complications of excisional procedures included soft-tissue infections, seroma and hematoma formation, skin-graft loss, significant blood loss, and minor skin flap necrosis. Evidently, lymphedema continues to represent a challenging condition; however, thorough patient selection, compliance with physiotherapy, and an experienced surgeon with adequate understanding of the lymphatic system can help maximize the safety of lymphatic surgery.

• 한국자연치유학회지
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• 제11권2호
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• pp.152-157
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• 2022

배경: 근막이완기법과 수동적 스트레칭을 병행한 실험이 직장여성의 하지체형에 미치는 연구는 보고되지 않았다. 목적: 고정자세로 근무하는 직장여성에게 근막이완기법과 수동적 스트레칭을 적용하여 체성분분석(세포내액, 골격 근량, 체세포량)에 어떤 변화를 미치는지를 연구하는 것이었다. 방법: 실험군과 대조군을 각각 15명씩 구성하여 실험 군에게는 주 2회, 총 9주간 18회 하체 집중 근막이완기법과 수동적 스트레칭을 시행하고, 대조군은 능동적 스트레칭 설명서를 보고 스스로 주 2회 이상 스트레칭을 하도록 했다. 수집한 자료는 분산분석으로 분석하였다. 결과: 실험집단의 체성분 중 세포내액(p < .05), 골격 근량(p < .048), 체세포량 (p < .047)이 유의하게 증가하였다. 결론: 직장여성의 하지 부종이 감소하였으며, 기초자료로서 가치가있다 본다.