• Membrane and Water Treatment
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• v.10 no.4
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• pp.299-305
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• 2019

Managed aquifer recharge (MAR) systems are gaining interest as an alternative to conventional water resources. However, when the water recovered in MAR systems, dissolved iron and manganese species may easily oxidize and they cause well screen clogging or require abandonment of extraction wells. In this study, both oxic and anoxic conditions were analyzed to verify the feasibility of the membrane filtration performance under various solution chemistries. The fouling mechanisms of the metal ions under anoxic conditions were also investigated by employing synthetic wastewater. The fouled membranes were then further analyzed to verify the major causes of inorganic fouling through SEM and XPS. The newly suggested anoxic process refining existing membrane process is expected to provide more precious information about nanofiltration (NF) membrane fouling, especially for demonstrating the potential advantages to chemical-free drinking water production for indirect potable reuse.

• Journal of Korean Society of Water and Wastewater
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• v.28 no.3
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• pp.299-304
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• 2014

The need of reusing sewage sludge is highly increasing as the amount of domestic sewage sludge is growing and sewage management strategies were reinforced. Accordingly, in this research, we studied the composting possibility of sludge in sewage treatment plant J, using dryer facility with indirect system by conducting component analysis of dried sludge and experiment on cultivating crops. It was observed from the component analysis, that the dried sludge is appropriate for both decomposed manure standard of Ministry of Environment and fertilizer standard of Rural Development Administration. Besides, in the experiment on cultivating lettuce, the experimental group(soil + dried sludge) was superior to the control group(soil + bed soil) in apparent condition of leaves tensity and damage by disease and pest. In case of cultivating tomato, the experimental group showed stronger durability of fruits dangling on stems compared to the control group after 9 weeks. Consequently, the excess sludge dried by indirect heating system in the sewage treatment plant J is appropriate for the standard of both Ministry of Environment and Rural Development Administration and show good result in experiment on cultivating crops therefore it can be reused for composting.

• International Journal of Highway Engineering
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• v.15 no.3
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• pp.177-189
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• 2013

PURPOSES: This study aims to suggest a proper left-turn treatment method for the bicycle traffic flow at four-legged intersections. METHODS: Four types of crossing methods are proposed and analyzed : (1) indirect left turn, (2) direct left turn, (3) direct left turn on a Bike Box, and (4) direct left turn on bike left turn lane. The VISSIM simulation tests were conducted based on forty-eight operation scenarios prepared by varying vehicle and bicycle traffic volumes. RESULTS : The results from the four-legged signalized intersections suggest that (1) the indirect left turn is appropriate when vehicle demand is high, (2) the direct left turn is efficient on most traffic situation but the safety is a concern, (3) the direct left turn on a Bike Box is appropriate when bicycle demand is high while vehicle demand is not, and (4) the direct left turn on a bike left turn lane is appropriate when both vehicle and bicycle demand are low. CONCLUSIONS : The direct left turn of bicycle provides more efficiency than the indirect left turn at the four-legged intersections but to apply the methods and to study more, advanced evaluation methods, related law, and insurance programs are needed.

• Journal of Soil and Groundwater Environment
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• v.21 no.3
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• pp.14-20
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• 2016

Remediation of crude oil contaminated soil is complicate and hard to apply traditional methods because of its persistency, durability, and high viscosity. Therefore, in this study, the efficiency of crude oil contaminated soil remediation was tested by developing a pilot-scale thermal desorption system using the indirect heating method with an exhaust gas treatment. Under optimal condition drawed by temperature and retention time, the remedial efficiency of crude oil contaminated soil and treatability of exhaust gas were analyzed. Total Petroleum Hydrocarbon (TPH) concentration of crude oil contaminated soil was decreased to 69.7 mg/kg on average and the remedial efficiency was measured at 99.60%. Through the exhaust gas, 86.0% of Volatile Organic Compounds (VOC) was degraded and 97.16% of complex malodor was reduced under the suggested optimum operation condition. This study provides important basic data to be useful in scaling up of the indirect thermal desorption system for the remediation of crude oil contaminated soil.

• PNF and Movement
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• v.12 no.2
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• pp.115-121
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• 2014

Purpose: The study aimed to examine the influence of PNF direct and indirect breathing treatments for patients with cervical spinal cord injuries who had breathing problems. Methods: For each cervical spinal cord patient, force vital capacity (FVC), peak expiratory flow, maximum phonation time (MPT), rib cage width, and VAS were measured pre-intervention and four weeks after post-intervention. The indirect method and the direct method were used for interventions. We treated patients with the indirect method using scapular anterior depression pattern, bilateral extensor pattern with rhythmic initiation, and a combination of isotonic. We treated patients with the direct method, applying pressure on the sternum and using rhythmic initiation (hold relax and stretch reflex) for the rib cage. Training occurred for 50 minutes a day and three days per week for four weeks. Results: FVC, MPT, peak expiratory flow, and rib cage width were increased and decreased at the VAS point for rolling after treatment. Conclusion: Patients with cervical spinal cord injuries who had breathing problems felt uncomfortable when they had conversations on a couch. We found that PNF direct and indirect treatments improved rib cage width and breathing functions of patients with cervical spinal cord injuries.

• The Journal of Advanced Prosthodontics
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• v.9 no.1
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• pp.38-44
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• 2017

PURPOSE. The objective of this study was to investigate the effect of surface treatments on microtensile bond strengths (MTBSs) of two types of indirect resin composites bonded to a conventional direct resin composite. MATERIALS AND METHODS. Indirect resin composite blocks of Ceramage and SR Nexco were prepared in a plastic mold having a dimension of $10{\times}10{\times}4\;mm$. These composite blocks were divided into three groups according to their surface treatments: Group1: Sandblast (SB); Group2: Sandblast and ultrasonically clean (SB+UL); Group3: Sandblast plus silane (SB+SI). After bonding with direct resin composite, indirect-direct resin composite blocks were kept in distilled water for 24 hours at $37^{\circ}C$ and cut into microbars with the dimension of $1{\times}1{\times}8\;mm$. Microbar specimens (n = 40 per group) were loaded using a universal testing machine. Failure modes and compositions were evaluated by SEM. The statistical analyses of MTBS were performed by two-way ANOVA and Dunnett's test at ${\alpha}=.05$. RESULTS. Surface treatments and brands had effects on the MTBS without an interaction between these two factors. For SR Nexco, the MTBSs of SB and SB+SI group were significantly higher than that of SB+UL. For Ceramage, the MTBSs of SB and SB+SI were significantly higher than that of SB+UL. The mean MTBS of the Ceramage specimens was significantly higher than that of SR Nexco for all surface treatments. CONCLUSION. Sandblasting with or without silane application could improve the bond strengths of repaired indirect resin composites to a conventional direct resin composite.

• Clinics in Shoulder and Elbow
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• v.17 no.1
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• pp.2-9
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• 2014

Background: Indirect reduction technique offers a valid option in the treatment of proximal humerus fracture. The purpose of this study is to evaluate the functional outcome and the complication rate after indirect reduction and internal fixation of unstable proximal humeral fractures with use of a locking plate. Methods: Twenty four patients with acute proximal humerus fracture were managed with indirect reduction and internal fixation with a locking plate. The mean follow-up period was 15.5 months. Results: The anatomical reduction of the medial cortex buttress was seen in 16 patients (66%) of the Group A and the non-anatomical reduction was seen in 8 patients (33%) of the Group B. Mean union time was $3.2{\pm}1.9$ months; it was $2.2{\pm}0.6$ months in the Group A and $5.3{\pm}2.2$ months in the Group B (p < 0.05). In our series, there were 6 cases of complications and these include 2 cases of varus malunion, 2 cases of shoulder stiffness, 1 case of heterotrophic ossification, 2 cases of screw perforation and 1 case of impingement. Conclusions: We conclude from our studies that indirect reduction and internal fixation using locking plate for acute proximal humerus fracture can give good results with bony union and predictable good overall functional outcome. If the medial cortex buttress is well maintained, a better anatomical reduction would be achieved, the union would be prompted, the pain would be further reduced and the range of the motion would be recovered more promptly.

• Clinics in Shoulder and Elbow
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• v.25 no.3
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• pp.182-187
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• 2022

Background: This study was designed to evaluate and compare the diagnostic value of magnetic resonance imaging (MRI) and indirect magnetic resonance arthrography (I-MRA) imaging with those of arthroscopy and each other. Methods: This descriptive-analytical study was conducted in 2020. All patients who tested positive for labrum lesions during that year were included in the study. The patients underwent conservative treatment for 6 weeks. In the event of no response to conservative treatment, MRI and I-MRA imaging were conducted, and the patients underwent arthroscopy to determine their ultimate diagnosis and treatment plan. Imaging results were assessed at a 1-week interval by an experienced musculoskeletal radiologist. Image interpretation results and arthroscopy were recorded in the data collection form. Results: Overall, 35 patients comprised the study. Based on the kappa coefficient, the results indicate that the results of both imaging methods are in agreement with the arthroscopic findings, but the I-MRA consensus rate is higher than that of MRI (0.612±0.157 and 0.749±0.101 vs. 0.449±0.160 and 0.603±0.113). The sensitivity, specificity, negative predictive value, positive predictive value, and accuracy of MRI in detecting labrum tears were 77.77%, 75.00%, 91.30%, 50.00%, and 77.14%, respectively, and those of I-MRA were 88.88%, 75.00%, 92.30%, 66.66%, and 85.71%. Conclusions: Here, I-MRA showed higher diagnostic value than MRI for labral tears. Therefore, it is recommended that I-MRA be used instead of MRI if there is an indication for potential labrum lesions.

• Journal of Korean Academy of Nursing Administration
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• v.3 no.2
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• pp.123-136
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• 1997

The purpose of this study was to confirm the classification of nursing activity and to analyze the time of nursing workload in a new open hospital. The data were collected from 20 nurses working in 6 general nursing units by 4 trained observers. The tools used for this study were an observation recording sheet and a classification sheet of nursing activity. The classification sheet was constructed to be adaptable to each hospital system based on the instrument described in the literature. The results of the study are as follows : The direct nursing activities consisted of 6 sections, 33 subsections and the indirect nursing activities consisted of 14 sections, 53 subsections. The direct nursing activities included medication, measuring and observation, care of therapies, care of physical comfort, laboratory and treatment. The indirect nursing activities included preparation of medical utensils, collection of information and assessment, recording, phone communication, professional interaction related to patients, personal time, assigning work to staff, patient eaucation and training, interaction with lab, transfer of administration of utensils, checking physician's order, dietary service, management of pollution and contagion, guide direction. Nurses spent 127.6min for direct nursing activity during day duty. It was 24.5% of total nursing activity. Within that activity medication had the highest percentage of time(40.09%), followed by communication and education with patient(24.76%), measuring and observation (16.93%), laboratory and treatment (12.85%), care of therapies(3.21%) and care of physical comfort (2.16%). The time breakdown for indirect nursing activities is as follows ; the preparation of medical utensils 22.3%, collection of information and assessment 20.29%, recording 20.27%, phone communication 8.14%, professional interaction related to patients 7.33%, personal time 7.24%, with the remaining timeshared by staffing, patient education and training, interaction with lab, transfer of administration of utensils, checking physician's order, dietary service, management of pollution and contagion, guide direction. In the analysis of the relationships between the working time and the work allocation characters of the nurses(including nurse's experiences. nurse-patients ratio, nurse-rooms ratio, and character of nursing unit) ; There were no significant differences in direct-indirect nursing times between nurse's career years. There was significant difference in direct nursing time between assigned patient numbers. The nurses assigned larger number of patients spent significantly more time in direct nursing care than that of the smaller. On the other hand, there was no significant difference in indirect nursing workload between the assigned patient numbers. There were no significant differences in direct-indirect nursing time between an allocated patient's room numbers. There was significant difference in working time between working places. The nurse in the medical unit spent more time in direct nursing care than her counterpart in the surgical unit. However there was no difference in direct nursing time between two groups. The study results indicate that nurses spent less time in the direct nursing care than in the previous studies even though the hospital system has been modernized. On the other hand they spent much more time for the coordinating role within the interdisciplinary team and for the overlapping paperwork. Therefore it is recommended that patient oriented job description and more efficient usage of modernized utilities be made.

• Journal of Nutrition and Health
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• v.29 no.9
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• pp.1042-1048
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• 1996

In order to investigate heating rate of commercial milk products in korean market, lactulose content and availability of calcium and ascorbic acid were measured. The pH range for raw and commercial milk was 6.5-6.75, and protein content was 2.5-3.13%. The acid degree value (。SH)showed between 5.3 and 7.1. There were no differences in pH, protein and acid degree among 3 types of milk. The portion ionic Ca content in UHT-milk(32.4%) and pasteurized milk (27%) increased significantly in comparison with raw milk (4.6%). Pasteurization led to loss of 20% ascorbic acid, and losses of UHT-treatment are approximately twice as high. Significant differences of lactulose content between UHT milk and pasteurized milk were observed. Some of UHT milk products showed very high value of lactulose content like sterilized milk. It is well known that the stress caused by indirect UHT treatment is slightly higher compared with the direct process. The results in this experiment suggested that most of UHT milk in korean market may be treated by indirect UHT method. In oder to keep the adventages of milk component, the heating methods of milk have to be reconsidered.