• Archives of Plastic Surgery
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• 제48권1호
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• pp.26-32
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• 2021

Background Although loss of sensation in patients with breast cancer after mastectomy followed by breast reconstruction is an important factor affecting patients' quality of life, the mechanism of sensory recovery is still unclear. Our study aimed to identify variables that affect sensory recovery, especially pain, in reconstructed breasts. Methods All patients with breast cancer who underwent mastectomy followed by immediate breast reconstruction, including nipple reconstruction or areolar tattooing, were included in this study. Sensation was evaluated in the nipple as an endpoint of sensation recovery of the whole breast. Patients rated pain severity using a 3-point verbal rating scale (VRS): grade 0, no pain; grade 1, mild to moderate pain; and grade 2, severe pain. The VRS was assessed by a single experienced plastic surgeon. Results In the univariate analysis, the odds ratio (OR) for sensation recovery was 0.951 for age (P=0.014), 0.803 for body mass index (P=0.001), 0.996 for breast volume before surgery (P=0.001), 0.998 for specimen weight after mastectomy (P=0.040), and 1.066 for the period between mastectomy and sensory assessment (P=0.003). In the multivariate analysis, the variables that showed a significant effect were age (OR, 0.953; P=0.034), the period between mastectomy and sensory assessment (OR, 1.071; P=0.006), and reconstruction using abdominal tissue instead of prosthetic reconstruction (OR, 0.270; P=0.004). Conclusions Based on our results, it can be inferred that aging has a negative impact on the recovery of sensation, breast sensation improves with time after surgery, and the recovery of sensation is better in prosthetic reconstruction.

• Clinical Endoscopy
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• 제56권2호
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• pp.188-193
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• 2023

Background/Aims: Data on the incidence of adverse respiratory events during recovery from gastrointestinal endoscopy are limited. The aim of this study was to investigate the incidence of these complications. Methods: In this retrospective cohort study, data were obtained from the electronic records of 657 consecutive patients, who underwent gastroenterological procedures under sedation. Results: Pulse oximetry oxygen saturation (SpO₂) <90% for <60 seconds occurred in 82 patients (12.5%), and in 11 patients (1.7%), SpO₂ of <90% for >60 seconds occurred in 79 patients (12.0%) and in 14 patients (2.1%), and SpO₂ <75% occurred in four patients (0.6%) and in no patients during the procedure and recovery period, respectively. No major complications were noted. The occurrence of desaturation during recovery was correlated with desaturation during the procedure (p<0.001). Higher American Society of Anesthesiologists score (odds ratio [OR], 1.867; 95% confidence interval [CI], 1.008-3.458), ischemic heart disease (OR, 1.815; 95% CI, 0.649-5.080), hypertension (OR, 1.289; 95% CI, 0.472-3.516), and diabetes mellitus (OR, 2.406; 95% CI, 0.950-6.095) increased the occurrence of desaturation during recovery. Conclusions: We found no major complications during recovery after balanced propofol-based sedation administered by a gastroenterologist-nurse team. Patients with the identified risk predictors must be monitored carefully.

• 대한환경공학회지
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• 제28권2호
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• pp.197-206
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• 2006

본 연구에서는 최근 매립지 침출수 처리를 위해 많이 활용되고 있는 막분리 공정에 초음파를 적용하여 투과속도와 막의 세정효율 향상에 미치는 영향인자와 효과에 대하여 살펴보았다. 즉, 중공사 형태의 MF막과 관형의 UF막을 대상으로 초음파의 주파수($40{\sim}120$ kHz), 초음파의 세기($200{\sim}500$ W), 운전압력($0.1{\sim}2.3kg/cm^2$), 초음파 조사시간 등을 변화시키며 투과속도 향상에 미치는 영향을 평가하였다. 1차 처리된 침출수를 이용하여 초기 50 min 동안 막을 오염시킨 다음 70 min 동안 초음파를 조사하여 조사기간과 투과속도의 변화를 관찰하였다. 순수의 투과속도에 대한 투과속도의 회복률(recovery ratio)과 세정직전의 투과속도에 대한 초음파 조사 후 투과속도의 상승률(enhancement ratio)을 이용하여 영향인자를 분석하였다. 동일한 조건에서 막의 초음파 세정에 의한 투과속도 개선 효과는 주파수에 반비례적이며. 초음파의 조사강도에 비례적으로 나타났고, 막의 운전압력이 높으면 세정효과가 지연되며 투과속도의 개선효과도 감소하였다. 또한 10,000과 100,000 MWCO의 UF막에서의 회복율과 상승률은 각각 최대 75-98%와 40-50% 이었으나, $0.1{\mu}m$ MF막에서는 각각 10%와 500%였다. 1차 처리 침출수를 이용한 실험결과로부터 초음파에 의해 발생되는 기계적 진동을 활용한 막세정이 기존의 수세정과 약품세정 대신에 활용가능성이 확인되었다.

• 한국자동차공학회논문집
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• 제5권1호
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• pp.49-58
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• 1997

In this paper, a transfer function was obtained for a PWM high speed solenoid valve controlled metal belt CVT system. The transfer function was defined as the ratio of speed ratio to PWM duty ratio and derived in time domain by linear regression analysis from the experimental results. The transfer function obtained showed different dynamic characteristics for the up and down shift. Also, LQG/LTR controller was designed for the CVT system using the transfer function. It is seen from the experimental results that LQG/LTR control showed good performance for the speed ratio tracking and disturbance rejection. The phase difference and relatively slow response are considered due to the inaccuracy os the transfer functions, which resulted from the inherent nonlinearities of the transmission characteristics of the metal belt CVT.

• International Journal of Air-Conditioning and Refrigeration
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• 제11권2호
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• pp.73-81
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• 2003

The performance of heat exchanger using oscillating heat pipe (OHP) for low temperature waste heat recovery was evaluated. OHP used in this study was made from low finned copper tubes connected by many turns to become the closed loop of serpentine structure. The OHP heat exchanger was formed into shell and tube type. R-22 and R-141b were used as the working fluids of OHP with a fill ratio of 40 vol.%. Water was used as the working fluid of shell side. As the experimental parameters, the inlet temperature difference between heating and cooling water and the mass velocity of water were changed. The mass velocity of water was changed from 30 kg/$m^2$s to 92 kg/$m^2$s. The experimental results showed that the heat recovery rate linearly increased as the mass velocity and the inlet temperature difference of water increased. Finally, the performance of OHP heat exchanger was evaluated by $\varepsilon$-NTU method. It was found that the effectiveness would be 80% if NTU were about 1.5.

• 한국분말재료학회지
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• 제25권3호
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• pp.232-239
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• 2018

In this paper, the recovery and nanoparticle synthesis of Ag from low temperature co-fired ceramic (LTCC) by-products are studied. The effect of reaction behavior on Ag leaching conditions from the LTCC by-products is confirmed. The optimum leaching conditions are determined to be: 5 M $HNO_3$, a reaction temperature of $75^{\circ}C$, and a pulp density of 50 g/L at 60 min. For the selective recovery of Ag, the [Cl]/[Ag] equivalence ratio experiment is performed using added HCl; most of the Ag (more than 99%) is recovered. The XRD and MP-AES results confirm that the powder is AgCl and that impurities are at less than 1%. Ag nanoparticles are synthesized using a chemical reduction process for recycling, $NaBH_4$ and PVP are used as reducing agents and dispersion stabilizers. UV-vis and FE-SEM results show that AgCl powder is precipitated and that Ag nanoparticles are synthesized. Ag nanoparticles of 100% Ag are obtained under the chemical reaction conditions.

• 한국초전도ㆍ저온공학회논문지
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• 제19권1호
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• pp.22-25
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• 2017

Steel slag has been considered as an industrial waste. A huge amount of slag is produced as a byproduct and the steel slag usually has been dumped in a landfill site. However the steel slag contains valuable resources such as iron, copper, manganese, and magnesium. Superconducting magnetic separation has been applied on recovery of the valuable resources from the steel slag and this process also has intended to reduce the waste to be dumped. Cryo-cooled Nb-Ti superconducting magnet with 100 mm bore and 600 mm of height was used as the magnetic separator. The separating efficiency was evaluated in the function of magnetic field. A steel slag was ground and analyzed for the composition. Iron containing minerals were successfully concentrated from less iron containing portion. The separation efficiency was highly dependent on the particle size giving higher separating efficiency with finer particle. The magnetic field also effects on the separation ratio. Current study showed that an appropriate grinding of slag and magnetic separation lead to the recovery of metal resources from steel slag waste rather than dumping all of the volume.

• 설비공학논문집
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• 제23권9호
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• pp.627-632
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• 2011

As an innovative effort to secure economically viable heat recovery system, various fin shapes for industrial fin-tube heat exchangers have been studied for better performance. In this study, the waste gas heat recovery from four different fin shapes was experimentally performed for heat transfer rate and pressure drop. According to the tested results, the twist and wavy shape fins of rectangular type show the superior performance in terms of Goodness factor and jH/f factor ratio, whereas the circular spiral fin shows the inferior values. Experimental results shows good comparison with the numerical results with a slight discrepancy of 5%, which is quite resonable.

• 한국통신학회논문지
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• 제29권7B호
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• pp.660-666
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• 2004

처리율로 대표되는 전반적인 TCP의 성능은 패킷 손실이 발생했을 때 이를 복구하는 과정의 효율성에 의해 크게 좌우된다. 특히, 무선 링크를 통한 전송 과정에서의 비트 오류로 인해 발생하는 비 혼잡 패킷 손실은 TCP의 손실 복구 성능을 크게 저하시키는 문제점이 있다. 본 논문에서는 무선 채널에 존재하는 다중 경로 페이딩(multipath fading)에 의해서 상호 연관성을 가지고 연속적으로 발생하는 패킷 손실(correlated packet Losses)에 대해 TCP 손실 복구 과정의 성능을 모델링을 통해서 분석한다. Markov 프로세스를 이용한 분석 결과를 바탕으로 전체적인 패킷 손실 확률이 매우 낮더라도 패킷 손실의 연속성이 손실 복구 차원에서의 TCP의 성능을 크게 저하시킬 수 있음을 보인다.

• 설비공학논문집
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• 제24권8호
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• pp.646-655
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• 2012

This study is intended to analyze the thermal performance and evaluate the applicability about non-duct type heat recovery ventilation system integrated with window. Eventually, economic analysis of the system is conducted according to building energy saving ratio of it. As results of the thermal performance, the U-factor of the window conducted on the basis of KS F 2278 appears to $1.8W/m^2K$, and the effective heat exchange efficiency of the ventilator conducted on the basis of KS B 6879 appears 49.95% for cooling, 66.89% for heating. In the applicability evaluated by TRNSYS 16, the caes of applying the heat recovery ventilator integrated with window is found to reduce the cooling or heating load by 2.9% or 13.5% than the non-ventilator case. The results of economic analysis taking a side of consumer is verified as the payback is 3 years, and the accumulated earning is 1,408,133 won in terms of '600,000 won/unit' for initial cost, 10 years for useful life of the system.