• Journal of Haehwa Medicine
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• v.29 no.2
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• pp.30-37
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• 2020

Objectives : In this case, the knee joint inconvenience with deteriorating pain has been relieved by acupuncture treatment for a patient was 51-year-old male with a left medial meniscal posterior horn rupture in 2012. Methods : Twenty-four times of acupuncture treatments were performed for Twelve weeks from July 2016 to improve the disease. SP8(Jigi; 地機), BL63(Geummun; 金門), KI3(Taegye; 太谿), LI4(Hapgok; 合谷) were chosen for treatment by principles of Traditional Korean Medicine. Results : Numeric Rating Scales, which means subjective pain, decreased from 6 points to 3 points out of 10 points in total. Pressure Pain Threshold, which means sensitivity to pressure applied to the affected area, increased from 21N to 47N on the lateral-inferior side and from 19N to 50N on the lateral side. K-WOMAC, which indicates discomfort of knee-related activity, was 56 points out of 96 points in total before treatment and 4 points after treatment, 13 points after two years, and 15 points after four years. However, MRI tests conducted before and after treatment did not identify any significant changes. As a result, we confirmed that a total of 24 acupuncture treatments had resulted in the relief objective and subjective pain and functional recovery, especially in the case of the knee function, maintained until after four years later. There was no significant substrate recovery in meniscal rupture.

• Archives of Plastic Surgery
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• v.37 no.4
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• pp.369-374
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• 2010

Purpose: Most of the patients who underwent surgery feels variable kinds of fear or anxiety; an uncomfortable mood state that happens without specific object affects patient's satisfaction before and after the surgery. As music therapy is rather noninvasive method generally used in reducing patient's anxiety, the authors researched about the extent of anxiety with the change of vital sign before the operation while comparing with the cases of patients who took the music therapy at closed reduction under general anesthesia. Method: We divided the patients in 4 groups; A with the premedication (Midazolam, Dormicum$^{(R)}$) before the operation, B with the premedication and music therapy, C with only music therapy, D with no premedication or therapy. And we measured the vital signs after the arrival at the operation room, after induction and 20 minutes after the operation. Also we observed the changes of anxiety index with the STAI (State Trait Anxiety Inventory)-K (Korea)YZ 1 hour before and 8 hours after the surgery. Result: The group B showed the least changes in blood pressure as the group D showed the highest change. Both group C and A showed increase in blood pressure but the upswing in group A was lower than group C. At the change of pulse rate group B showed the lowest upswing also group D showing the highest. Group B showed quite a few upswing but lower than group D, but, at the same time, group A showed lower upswing when comparing two cases. After analysis of STAI-KYZ score, the anxiety relatively decreased in group B and C in comparison with group D. And the index of anxiety state of group A showed just as much to group D. Conclusion: The music therapy is better healthcare method compared to other therapies in reducing anxiety also with satisfying effect who underwent operation. The authors recommend music therapy assisted with use of premedication for better relief of anxiety.

• Transactions of the Korean Society of Pressure Vessels and Piping
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• v.20 no.1
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• pp.56-65
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• 2024

Cast austenitic stainless steels (CASS) and austenitic stainless steel weldments with a ferrite-austenite duplex structure are widely used in nuclear power plants, incorporating ferrite phase to enhance strength, stress relief, and corrosion resistance. Thermal aging at 290-325℃ can induce embrittlement, primarily due to spinodal decomposition and G-phase precipitation in the ferrite phase. This study evaluates the effects of thermal aging by collecting and analyzing various mechanical properties, such as Charpy impact energy, ferrite microhardness, and tensile strength, from various literature sources. Different model expressions, including hyperbolic tangent and phase transformation equations, are applied to calculate activation energy (Q) of room-temperature impact energies, and the results are compared. Additionally, predictive models for Q based on material composition are evaluated, and the potential of machine learning techniques for improving prediction accuracy is explored. The study also examines the use of ferrite microhardness and tensile strength in calculating Q and assessing thermal embrittlement. The findings provide insights for developing advanced prediction models for the thermal embrittlement behavior of CASS and the weldments of austenitic steels, contributing to the safety and reliability of nuclear power plant components.

• Journal of the Korean Institute of Gas
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• v.14 no.1
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• pp.37-41
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• 2010

The most important element for improving the process safety that occurs from the flare system installed to convert into safe materials by burning the inflammable or toxic gases within the process and this is specified in the API 521 Code so that the radiation does not cause a risk factor. The flames that occur from the flare stack holds the shape of jet fire due to the pressure and flow velocity of discharge gas. This study has identified the shape of flames by using the Chamberlain Model rather than the API 521 Code method, analyzing the radiation due to this.

• Journal of East-West Nursing Research
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• v.23 no.1
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• pp.75-85
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• 2017

Purpose: This study was conducted to examine the effects of Pericardium Kimek (K9) and Nei-Guan (P6) acupressure on relief of the anxiety, nausea, retching and physiologic changes (oxygen saturation, blood pressure, heart rate, temperature and respiration) in the patients undergoing unsedated esophagogastroduodenoscopy. Methods: A quasi-experimental research design was used. The participants were assigned into the listed three groups, i.e., the control group, the first experimental group (E1: K9 acupressure group) and the second experimental group (E2: P6 acupressure group). A total of 60 participants were included for analysis. Results: The severity of nausea (F=3.503, p=.037), the oxygen saturation (F=5.417, p=.007). and the respiration rate (F=7.270, p=.002) showed statistically significant differences in three groups. Conclusion: Based on the results of the present study, K9 acupressure with moxa pellets and P6 acupressure with wristbands (Sea-Band) are considered to be safe and an easy-to-apply intervention to relieve nausea and maintain the level of oxygen saturation and respiration rate in patients undergone unsedated esophagogastroduodenoscopy.

• International Journal of Internet, Broadcasting and Communication
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• v.12 no.3
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• pp.156-162
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• 2020

Wireless Sensor Network (WSN) field is mainly studied to monitor and characterize large-scale physical environments to track various environmental or physical conditions, such as temperature, pressure, wind speed and humidity. WSN can be used in various applications such as wild surveillance, military target tracking and monitoring, dangerous environmental exploration and natural disaster relief. We design probabilistic mobile models that apply to mobile ad hoc network mobile environments. A probabilistic shift model proposed by dividing the number of moving nodes and the distance of travel into two categories to express node movement characteristics. The proposed model of movement through simulation was compared with the existing random movement model, ensuring that the width and variation rate of the first node node node node (FND) was stable regardless of the node movement rate. In addition, when the proposed mobile model is applied to the routing protocol, the superiority of network life can be verified from measured FND values. We overcame the limitations of the existing random movement model, showing excellent characteristics in terms of energy efficiency and stable in terms of changes in node movement.

• Journal of Chest Surgery
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• v.16 no.1
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• pp.18-29
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• 1983

Thirty-two patients with a cyanotic cardiac malformations having more complex intracardiac defects than ones in a tetralogy of Fallot underwent complete intracardiac repairs in a-full-year period from July 1981 to June 1982. Twenty-two patients [68.8%] died within 30 days after surgery: Transposition of the great arteries, seven of 10 patients; Double-outlet right ventricle, four of 6 patients; Tricuspid atresia, four of 6 patients; Single ventricle, all of 4 patients; Pulmonary atresia, two of 3 patients; Double-outlet left ventricle, none of 2 patients; and Truncus arteriosus, one of a single patient. All deaths occurred with a low cardiac output syndrome or a failed off-bypass, and they were almost always accompanied with other grave postoperative complications. The complex intracardiac anatomy itself was one of the risk factors by making a complete intracardiac repair of the defects difficult in a small heart. The reconstruction of the right ventricular outflow carried a difficulty in balancing an adequate relief of the obstruction with an avoidance of making too much pulmonary valvular insufficiency as well. On the other hand, the presence of an elevated pulmonary arterial pressure and a high pulmonary vascular resistance was also the factors affecting the postoperative surviv als. The importance of detailed knowledge of intracardiac anatomy and hemodynamics from the careful preoperative evaluation of the patient was discussed along with the necessity of technical refinement of the correction.

• Journal of Chest Surgery
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• v.17 no.4
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• pp.644-656
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• 1984

In Tetralogy of Fallot, the most common congenital cyanotic heart disease, the mortality is decreasing continuously with adequate type and timing of operation. At S.N.U.H., 195 patients were operated from January 1982 to December 1983 and 176 patients among them were analysed in the view of pre-operative pulmonary arterial condition measured by cardiac cineangiogram. The most common associated anomaly was PFO and ASD and they did not affect the postoperative course and mortality. The overall mortality rate was 8.5% in 1982 and 6.8% in 1983 but under 2 years of age, the mortality rate was relatively high as 25% in 1982 and 16.7% in 1983, and when transannular patch widening of Right Ventricular Outflow Tract was used, the mortality rate was 12.5% in 1982 and 27.3% in 1983. Preoperative angiographic measurements of the pulmonary arterial status for prediction of the ratio between the Left Ventricular and Right Ventricular peak systolic pressure were calculated retrospectively according to the Blackstones formula, and the predicted value of PRV/LV greater than 0.6 carried apparently high complication and mortality rate as 16.6% M.R. in 1982 and 11.1 % in 1983. Among postoperative complications, c-RBBB occurred most frequently about 50% but did not influenced to mortality, Low Cardiac Output Syndrome was developed in about 40%. If we select the patient who should have the staged operation including shunt operation and choose the type of RVOT relief, we expect the improvement of postoperative clinical results.

• Journal of Chest Surgery
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• v.17 no.4
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• pp.703-708
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• 1984

Fibrothorax is the end stage of chronic pathologic processes of pleura such as hemothorax, empyema, or tuberculous effusion. The pleural space become adherent and obliterated, and the lung parenchyma is covered by a thick, fibrous, unexpandable "peel", so the lung function is diminished markedly with impaired ventilation and oxygenation. Constrictive pericarditis is often accompanied fibrothorax, also cardiac and hemodynamic function is deteriorated. Surgical relief of these fibrous peels causes remarkable improvement in pulmonary function, cardiac and hemodynamic function, and subjective symptoms. We experienced a case of bilateral fibrothorax combined with constrictive pericarditis which occured 3 years after bilateral tuberculous effusion. Decortication and percardiectomy were done at the same time through bilateral submammary thoracotomy with sternal transection. Comparing postoperative Peripheral venous pressure, Circulation time, Pulmonary function test, Arterial blood gas analysis, Subjective symptoms with preoperative conditions showed noticeable improvement.provement.

• Journal of the Korean Society of Systems Engineering
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• v.11 no.1
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• pp.1-7
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• 2015

The purpose of this paper is to present the results of reengineering of the YGN 3&4 (Yonggwang Nuclear Power Plant, Units 3&4) SDS (Safety Depressurization System) retrofit design and to make recommendations for the improvement in design and design procedure implementing the Systems Engineering (SE) process. YGN 3&4 is a basic model for OPR1000 (the Korean standard 1000 MWe plant). The basic model, herein, represents the reference plant for the OPR1000 development. In the middle of the YGN 3&4 construction, the Korean Nuclear Regulatory Body requested a retrofit of this plant with a means to rapidly depressurize the plant in conformance with a severe accident mitigation requirement. For the reengineering of the SDS in YGN 3&4, V-model and functional and physical architectures have been developed. A SE decision making method has been used for the selection of SDS valves. Finally, recommendations have been made to improve OPR1000 design for the improved operation and enhanced safety.