• Archives of Plastic Surgery
• /
• v.39 no.1
• /
• pp.25-30
• /
• 2012

Background : The soft palate functions as a valve and helps generate the oral pressure required for normal speech resonance. Speech problems and nasal regurgitation can result from a soft palatal defect. Reduction of the size of the velopharyngeal orifice is required to compensate for the lack of mobility in a reconstructed soft palate. We suggest a large volume folded free flap for reduction of the caliber and a palmaris longus tendon sling for suspension of the reconstructed palate. Methods : Six patients had total soft palate resection for tonsillar cancer and reconstruction with a large volume folded radial forearm free flap combined with a palmaris longus sling. A single surgeon and speech therapist examined the patients with three standardized speech assessment tools: nasometer test, consonant articulation test, and speech acuity test performed for speech evaluation. Results : Mean nasalance score was 76.20% for sentences with nasal sounds and 43.60% for sentences with oral sounds. Hypernasality was seen for oral sound sentences. The mean score of the picture consonant articulation test was 84% (range, 63% to 100%). The mean score of the speech acuity test was 5.84 (range, 5 to 6). These mean ratings represent a satisfactory level of speech function. Conclusions : The large volume folded free flap with a palmaris longus tendon sling for total soft palate reconstruction resulted in satisfactory prognosis for speech despite moderate hypernasality.

• Journal of Electrical Engineering and Technology
• /
• v.9 no.3
• /
• pp.820-826
• /
• 2014

It is well known that energy generated by a wind generator (WG) depends on the wind resources at the installation site. In other words, a WG installed in a high wind speed area can produce more energy than that in a low wind speed area. However, a WG installed at a low wind site can produce a similar amount of energy to that produced by a WG installed at a high wind site if the WG is designed with a rated wind speed corresponding to the mean wind speed of the site. In this paper, we investigated the power curve of a WG suitable for Korea's southwestern coast with a low mean wind speed to achieve a high capacity factor (CF). We collected the power curves of the 11 WGs of the 6 WG manufacturers. The probability density function of the wind speed on Korea's southwestern coast was modeled using the Weibull distribution. The annual energy production by the WG was calculated and then the CFs of all of the WGs were estimated and compared. The results indicated that the WG installed on the Korea's southwestern coast could obtain a CF higher than 40 % if it was designed with the lower rated speed corresponding to the mean wind speed at the installation site.

• Annals of Rehabilitation Medicine
• /
• v.41 no.6
• /
• pp.924-934
• /
• 2017

Objective To investigate the anatomical correlates of the neuropsychological deficits in patients with the cerebellar stroke. Methods We screened patients who were admitted to the National Rehabilitation Center with the cerebellar stroke between October 2012 and November 2016. The patients with the cerebellar stroke who underwent neuropsychological testing for which the Seoul Neuropsychological Screening Battery (SNSB) or the SNSB-II were enrolled. The neuropsychological function capacities were compared in accordance with the stroke type (hemorrhagic vs. ischemic) and the location (right/left anterior, right/left posterior intermediate, right/left posterior lateral lobe, and vermis). Mean z-scores were computed to compare the patient performances with the population averages. Results Twenty-six patients (15 with ischemic stroke and 11 with hemorrhagic stroke) with a mean age of $54.8{\pm}16.6$ years were assessed $8.8{\pm}9.2$ months after the stroke. Differences in the neuropsychological functioning according to the stroke type were not observed. All of the numerical subtests of the stroke patients showed significantly poorer performances compared with the population averages (mean z-score <0), and some of the subtests revealed abnormal performances in attention-, visuospatial function-, memory-, and frontal/executive function-related tasks (mean z-score <-1). The patients with the presence of a lesion in the right posterior intermediate lobe of the cerebellum showed a poorer performance in the subtests evaluating the executive function including the Korean-version Stroop Test (p=0.04), the Digit Symbol Coding Test (p=0.01), and the Korean-version Trail Making Test (p=0.02) compared with the patients without that lesion. Conclusion The present study confirms that the cerebellar stroke affects the neuropsychological functioning which is associated with the anatomical site of stroke.

• Journal of the Korean Solar Energy Society
• /
• v.39 no.2
• /
• pp.71-80
• /
• 2019

Daily ahead forecast is necessary for the electricity balance between load and supply due to the variability renewable energy. Numerical weather prediction is usually employed to produce the solar irradiance as well as electric power forecast for more than 12 hours forecast horizon. UM-LDAPS model is the numerical weather prediction operated by Korea Meteorological Administration and it generates the 36 hours forecast of hourly total irradiance 4 times a day. This study attempts to evaluate the model performance against the in situ measurements at 37 ground stations from January to May, 2013. Relative mean bias error, mean absolute error and root mean square error of hourly total irradiance are averaged over all ground stations as being 8.2%, 21.2% and 29.6%, respectively. The behavior of mean bias error appears to be different; positively largest in Chupoongnyeong station but negatively largest in Daegu station. The distinct contrast might be attributed to the limitation of microphysics parameterization for thick and thin clouds in the model.

• Journal of Korean Medicine for Obesity Research
• /
• v.23 no.2
• /
• pp.78-85
• /
• 2023

Objectives: Weight gain is one of the symptoms of hypothyroidism and it could deteriorate thyroid function. Our objectives are to evaluate weight changes and analyze adverse events in overweight and obese women with hypothyroidism who were prescribed Gamitaeeumjowee-tang. Methods: A retrospective chart review was conducted using medical records of patients with hypothyroidism, who had body mass indexes (BMI) above 23 and were prescribed Gamitaeeumjowee-tang for 12 weeks between August 2017 and November 2022. Reported adverse events (AEs) were assessed by severity, causality and system-organ classes. Results: Thirty patients were included (mean±standard deviation, age 46.10±9.94 years, weight 70.52±11.18 kg, BMI 28.30±3.80 kg/m²). The mean total weight loss of hypothyroidism patients was 5.45±2.77 kg, while the mean weight loss rate and mean BMI change were 7.66±3.41% and 2.18±1.07 kg/m², respectively. Among evaluated causality of adverse events, 'Unlikely' was predominant (80.8%) and severity assessment showed most of the symptoms were mild (91.7%). Conclusions: Gamitaeeumjowee-tang could be an option for hypothyroidism patients, who are overweight or obese, to lose weight and no serious adverse events occurred. Further well-designed clinical studies are recommended.

• Atmosphere
• /
• v.27 no.4
• /
• pp.423-433
• /
• 2017

The spatial and temporal variations in radiative forcing (RF) and mean temperature changes of greenhouse gases (GHGs), such as $CO_2$, $CH_4$, and $N_2O$, were analyzed at urban center (Yeon-dong) and background sites (Gosan) on Jeju Island during 2010~2015, based on a modeling approach (i.e., radiative transfer model). Overall, the RFs and mean temperature changes of $CO_2$ at Yeon-dong during most years (except for 2014) were estimated to be higher than those at Gosan. This might be possibly because of its higher concentrations at Yeon-dong due to relatively large energy consumption and small photosynthesis and also the difference in radiation flux due to the different input condition (e.g., local time and geographic coordinates of solar zenith angle) in the model. The annual mean RFs and temperature changes of $CO_2$ were highest in 2015 ($2.41Wm^{-2}$ and 1.76 K) at Yeon-dong and in 2013 ($2.22Wm^{-2}$ and 1.62 K) at Gosan (except for 2010 and 2011). The maximum monthly/seasonal mean RFs and temperature changes of $CO_2$ occurred in spring (Mar. and/or Apr.) or winter (Jan. and/or Feb.) at the two sites during the study period, whereas the minimum RFs and temperature changes in summer (Jun.-Aug.). In the case of $CH_4$ and $N_2O$, their impacts on the RF and mean temperature changes were very small (an order of magnitude lower) compared to $CO_2$. The spatio-temporal differences in these RF values of GHGs might primarily depend on the atmospheric profile (e.g., ozone profile), surface albedo, local time (or solar zenith angle), as well as their mass concentrations.

• Development and Reproduction
• /
• v.21 no.4
• /
• pp.399-406
• /
• 2017

This study was conducted to investigate egg development and larvae morphological development of catfish and to provide basic data to clarify the genetic relationship with Siluriformes fish. The mother fish that was used in this study was caught in the stream of Nakdong River in Uiseong-gun, Gyeongbuk. The temperature range of the breeding was $23.0-25.0^{\circ}C$ (mean $24.0{\pm}1.0^{\circ}C$) and egg size was 1.62-1.70 mm (mean $1.66{\pm}0.05$, n=30). Eggs of catfish began hatching at 54 hours and 40 minutes after fertilization. Immediately after hatching, the total length of larvae was 3.60-3.65 mm (mean $3.62{\pm}0.03$, n=5) and had an egg yolk without swimming ability. On the third day after hatching, the larvae at the medium stage was 8.00-8.65 mm (mean $8.32{\pm}0.45$) in total length, and two pairs of whiskers formed around the mouth were elongated. On the 12th day after hatching, the larvae at the juvenile stage was 16.5-17.0 mm (mean $16.7{\pm}0.35$) in total length, and the stem of each fin was in the range, and the juvenile at this period was morphologically similar to the mother fish.

• Asian-Australasian Journal of Animal Sciences
• /
• v.2 no.3
• /
• pp.289-291
• /
• 1989

• Journal of Chest Surgery
• /
• v.45 no.1
• /
• pp.24-29
• /
• 2012

Background: The conventional method of aortic cross-clamping is very difficult and increases the risk of cerebral infarct due to embolism of the calcified aorta in these patients. Accordingly, we analyzed our experience with 11 cases of ascending aorta and aortic valve replacement with hypothermic circulatory arrest. Materials and Methods: From January 2002 to December 2009, 11 patients had ascending aorta and aortic valve replacement with hypothermic arrest at our hospital. We performed a retrospective study. Results: There were 5 males and 6 females, with a mean age of 68 years (range, 44 to 82 years). Eight patients had aortic stenosis, and 3 patients had aortic regurgitation. An aortic cannula was inserted into the right axillary artery in 3 patients and ascending aorta in 6 patients. Two patients with aortic regurgitation had a remote access perfusion catheter inserted though the right femoral artery. The mean cardiopulmonary bypass time was 180 minutes (range, 110 to 306 minutes) and mean hypothermic circulatory arrest time was 30 minutes (range, 20 to 48 minutes). The mean rectal temperature during hypothermic circulatory arrest was $21^{\circ}C$ (range, $19^{\circ}C$ to $23^{\circ}C$). No patient had any new onset of cerebral infarct or cardiovascular accident after surgery. There was no hospital mortality. Early complications occurred in 1 patient who needed reoperation due to postoperative bleeding. Late complications occurred in 1 patient who underwent a Bentall operation due to prosthetic valve endocarditis. The mean follow-up duration was 32 months (range, 1 month to 8 years) and 1 patient died suddenly due to unknown causes after 5 years. Conclusion: Patients with a calcified aorta can be safely treated with a technique based on aorta and aortic valve replacement under hypothermic circulatory arrest.

• The Korean Journal of Nuclear Medicine
• /
• v.12 no.2
• /
• pp.23-31
• /
• 1978

Hyperthyroidism may be defined as those clinical conditions which result from an increase in the circulating levels of one or both thyroid hormones. Hyperthyroidism in broad sense could be classified with toxic diffuse goiter, toxic adenomatous goiter, and toxic multinodular goiter on the basis of the circulating thyroid hormone levels. For this study, the subject included 94 cases with hyperthyroidism were presented in 77 with toxic diffuse goiter, 8 with toxic adenomatous goiter, and 9 with toxic multinodular goiter on the levels of $^{125}IT_3$ resin uptake rate and serum thyroxine ($T_4$). The observed results were as follows: 1) In the cases of hyperthyroidism including toxic diffuse goiter, toxic adenomatous goiter, and toxic multinodular goiter, 20.21% of the patients were male and 79.79% female. The majority of the patients were in 2nd to 4th decades of their lives. 2) There were objective signs clearly manifested in hyperthyroidism including toxic diffuse goiter and toxic adenomatous goiter which were rare in the multinodular goiter. The clinical signs in toxic diffuse and toxic adenomatous goiter included wide pulse pressure, tachycardia, systolic murmur, exophthalmos, tremor and warm skin etc. (Table 3.) 3) The most freauent complaints of the patients with hyperthyroidism were palpitation, weight loss, increased appetite, perspiration, heat intolerance, nervousness, exertional dyspnea, and menstrual disturbance etc. (Table 4.) There was no clear difference in the incidence of symptoms between toxic diffuse goiter and toxic adenomatous goiter, but there was clear difference between toxic multinodular goiter. 4) Considering of results of $^{125}IT_3$ resin uptake rate and serum $T_4$ level in toxic diffuse goiter, toxic adenomatous goiter and toxic multinodular goiter, $^{125}I\;T_3$ resin uptake rate was $49.15{\pm}9.94%$ (mean) and serum $T_4\;21.29{\pm}7.04ug/dl$ (mean) in toxic diffuse goiter. In toxic multinodular goiter, $^{125}I\;T_3$ resin uptake rate was $32.47{\pm}6.74%$ (mean) and serum $T_4$ level $11.03{\pm}5.0ug/dl$, and then there was clear difference in the results of $^{125}I\;T_3$ resin uptake rate and serum $T_4$ between toxic diffuse goiter and toxic multinodular goiter. The levels of $^{125}I\;T_3$ resin uptake rate and serum $T_4$ in toxic adenomatous goiter were $40.32{\pm}13.08%$ (mean), $15.47{\pm}8.25ug/dl$ (mean) respectively, so there was no clear difference between toxic diffuse goiter and toxic adenomatous goiter. 5) There was no significant differnece in length and width performed with thyroid scanning in toxic diffuse goiter, toxic adenomatous goiter, and toxic multinodular goiter.