• The Korean Journal of Gastroenterology
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• v.72 no.5
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• pp.262-266
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• 2018

Surgery has been the standard treatment for perforated duodenal ulcers, with mostly good results. However, the resolution of postoperative leakage after primary repair of perforated duodenal ulcer remains challenging. There are several choices for re-operation required in persistent leakage from perforated duodenal ulcers. However, many of these choices are complicated surgical procedures requiring prolonged general anesthesia that may increase the chances of morbidity and mortality. Several recent reports have demonstrated postoperative leakage after primary repair of a perforated duodenal ulcer treated with endoscopic insertion using a covered self-expandable metallic stent, with good clinical results. We report a case with postoperative leakage after primary repair of a perforated duodenal ulcer treated using a covered self-expandable metallic stent.

• Archives of Plastic Surgery
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• v.51 no.2
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• pp.187-195
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• 2024

Primary tuberculous osteomyelitis involving the mandible represents less than 2% of skeletal locations. In this paper, we report a case of mandibular tuberculosis (TB) detected after histopathological analysis of the surgically resected specimen during surgical management of a suspected case of ameloblastoma. A 14-year-old male patient presented to us with history of right-sided chin swelling. The clinical examination revealed a swelling, involving right body and parasymphysis of mandible, measuring approximately 6 cm in length and 2 cm in width, extending from right lateral incisor till the first molar. Radiological scans revealed a large multiloculated osteolytic expansive lesion measuring 52 × 20 × 18 mm. Excision of the lesion was performed and reconstruction was done with iliac bone grafting. The histopathological findings revealed a granulomatous lesion, suggestive of tuberculous osteomyelitis. The patient was successfully treated with standard multidrug therapy. One year after completion of therapy, there were no signs of recurrence. Primary mandibular TB is an extremely rare entity. Its clinical presentation is not specific. Radiologically, TB has no characteristic appearance. The positive diagnosis is based on histology. Primary mandibular TB is rare and should be kept among differential diagnoses in susceptible population and in endemic areas.

• Journal of Chest Surgery
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• v.29 no.10
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• pp.1111-1117
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• 1996

Structural deterioration of the bioprosthetic xenograft valves due to primary tissue failure occurs in two modes: from fatigue lesions with tear and wear with or without calcification and from calcification with obstruction. Two groups of consecutive 56 patients with the Hancock porcine ortic valve(HM) and of 1 13 patients with the standard-profile onescu-Shiley bovine pericardial valve(ISM) explanted from mitral position at the time of re-replacement surgery for primary tissue failure at Seoul national University Hospital until 1994, were studied for clinical and pathological features. Their ages at primary implant were 31.9 $\pm$9.2 years In HM and 30.4$\pm$ 12.5 years in ISM. Hemodrnamic dysfunction of the failed mitral bloprostheses were predominantly insufficiency in HM(64.3%) and stenosis in ISM(51.3%)(p<0.001). Pathologic findings of the explanted mitral valves reflected these hemodynamic changes, revealing failure more often from tissue damage(tears and wears) in HM and more often from calcification in ISM(p< 0.001). Explant period(from primary implant to explant) was relatively short in ISM(8.7$\pm$2.6years), compared with the one in HM(10.4 $\pm$2.6 years)(p<0.001). In conclusion, both the Hancock and the lonescu-shiley valves would fail from calcification as well as issue damage. However, while the Hancock porcine valves in mitral position failed more frequently from tissue failure and insufficiency, the standard-profile lonescu-Shiley pericardial valves did from calcification and stenosis, especially in young pAtients . Although the possibility of less occurrence of valve failure from mechanical reasons may be expected with newer generation bloprostheses, it does not seem to Improve durability significantly unless further refinement in antimineralization is achieved. Therefore, clinical use of the glutaraldehyde-treated bioprosthetic valves is, at present, limited to the patients of advanced age groups.

• Analytical Science and Technology
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• v.8 no.4
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• pp.427-434
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• 1995

Inductively coupled plasma mass spectrometry combined with the isotope dilution method is used for the determination of lithium. The isotope dilution method is based on the addition of a known amount of enriched isotope (spike) to a sample. The analyte concentration is obtained by measuring the altered isotope ratio. The spike solution is calibrated through so called reverse isotope dilution with a primary standard. The spike calibration is an important step to minimize error in the determined concentration. It has been found essential to add spike to a sample and the primary standard so that the two isotope ratios should be as dose as possible. Since lithium is neither corrosive nor toxic, lithium is used as a chemical tracer in the nuclear power plants to measure feedwater flow rate. 99.9% $^7Li$ was injected into a feedwater line of an experimental system and sample were taken downstream to be spiked with 95% $^6Li$ for the isotope dilution measurements. Effects of uncertainties in the spike enrichment and isotope ratio measurement error at various spike-to-sample ratios are presented together with the flow rate measurement results in comparison with a vortex flow meter.

• Restorative Dentistry and Endodontics
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• v.43 no.2
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• pp.15.1-15.7
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• 2018

Objectives: The present study aimed to evaluate the shaping ability of 2 thermally treated nickel-titanium reciprocating systems in simulated curved canals. Materials and Methods: Forty simulated canals were prepared to apical size 25 using Reciproc Blue R25 (VDW) and WaveOne Gold Primary (Dentsply Sirona) instruments. Standard pre- and post-preparation images were taken and superimposed. The removal of resin material was measured at 5 standard points: the canal orifice, halfway between the canal orifice and the beginning of the curve, the beginning of the curve, the apex of the curve, and the end-point of the simulated canal. The data were analysed using the independent sample t-test with a 5% significance threshold. Results: The canals in which Reciproc Blue R25 was used showed a significantly greater widening than those in which WaveOne Gold was used at 4 of the 5 measurement points (p < 0.05). The Reciproc Blue R25 instrument removed significantly more resin from the inner aspect of the curve at 2 of the 5 points and similar amounts at the remaining 3 points. At the 2 apical points, there was no significant difference between the Reciproc Blue R25 and WaveOne Gold Primary instruments. Conclusion: Both instruments respected the original canal anatomy; however, WaveOne Gold resulted in a more conservative shape with less transportation.

• Journal of The Korea Institute of Healthcare Architecture
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• v.30 no.3
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• pp.7-16
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• 2024

Purpose: Medical center has consumed the energy about twice the average value of building types. So, many countries have tried sustainability and energy reduction for building types through eco friendly certificate. This study investigate the eco friendly building certificate and energy performance certificate focusing in UK and Korea, and search the characteristics of status and services of certificates. Methods: BREEAM openbook and EPC open data have been studied in UK, and green building performance certificate and EPC data in korea have been analyzed. Results: UK has eco friendly building certificate focusing on healthcare, and EPC shows the standard, benchmark reference value, so lead to the CO₂ emission reduction. Primary health center and hospital show the higher value due to the dwelling unit. like a patient bed. Korea doesn't have green building certificate yet on healthcare, and EPC shows not the reference data, but the primary energy consumption. Korean cases just like in UK, clinic, public health, and outpatient center show the lower value compared to medical center, nursing home and general hospital. Implications: In Korea, it is needed for energy efficiency to have reference data information like a standard and benchmarking value for new design and construction.

• Proceedings of the KSR Conference
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• 2011.10a
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• pp.255-260
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• 2011

The train control system is a facility to ensure safe train operation, and its safety is the most important factor for system introduction. Therefore, in order to improve practical usability in the business, safety analysis and evaluation of train control system and train control related core technologies are needed. Korea Railroad Research Institute has carried out standard development of radio-based train control system as a government research and development project. In this paper, we present a system specification of ATP, a core part of train control system, for standard system of Korean radio-based train control system(KRTCS). The paper present a operation environment and primary ATP functions, and functional requirement specifications.

• Journal of Korean Society for Atmospheric Environment
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• v.18 no.3
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• pp.231-245
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• 2002

A better knowledge of emission inventories can serve several important functions such as provision of public information, identification of primary sources, assessment of temporal and spatial trend, and analysis for national modelling studies. The purpose of this paper is to propose the new air emission source categories on the basis of the Korea Standard Industrial Classification. Hence, the paper focuses on reviewing and comparing the air emission sources categories of USEPA, and EU. The new emission source categories compose Tiers 1, 2, and 3. For Tier 1, there are 14 categories; fuel combustion-utilities, industries, and heating and others, chemical and allied product manufacturing, metals processing, and petroleum and related industries, etc. Tier 2 consists of small categories classified minutely in Tier 1. Tier 3 connects the categories of Tier 2 with the Korea Standard Industrial Classification.

• The Journal of Sustainable Design and Educational Environment Research
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• v.11 no.1
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• pp.1-10
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• 2012

Establishing public kindergarten is very important in social welfare aspects. So far almost public kindergarten were built up as attached style in primary school. More independent style kindergarten is being requested for small land area, shorter commuting distance. But the standard design guideline of the independent public kindergarten is insufficient. The purpose of this study is to examine the architectural Planning direction for the standard design guideline of the independent public kindergarten. A result of this study can be suggested what kind of architectural Planning direction of independent public kindergarten is needed more acutely.

• Journal of the Korean Institute of Telematics and Electronics S
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• v.34S no.10
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• pp.80-88
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• 1997

This paper describes a design of a Wavelet Adaptive Filter(WAF) for the removal of the baseline wandering and the minimization of the signal distortion using by wavelet transform and adaptive filter in the ECG signal. WAF consists of two parts. The first part is wavelet transform that decomposes the ECG signal into seven frequency bands using Vaidyanathan and Hoang wavelet. The second part is adaptive filter that uses the signal of seventh low frequency band among the wavelet transformed signals as primary input and a unit impulse sequence as reference input. For the evaluation of the performance of WAF, we used several baseline wandering elimination filters such as commerical standard filter with cutoff frequency of 0.5Hz and general adaptive filter. We made use of MIT/BIH database and real patient data for the evaluation. In conclusion, WAF showed a lower ST segement distortion than standard filter and adaptive filter and has a higher eliminated noise power than standard filter and adaptive filter.