• Journal of Korean Neurosurgical Society
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• v.62 no.1
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• pp.61-70
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• 2019

Objective : Corpectomy of the first lumbar vertebra (L1) for the management of different L1 pathologies can be performed using either an anterior or posterior approach. The aim of this study was to evaluate the usefulness of a retroperitoneal extrapleural approach through the twelfth rib for performing L1 corpectomy. Methods : Thirty consecutive patients underwent L1 corpectomy between 2010 and 2016. The retroperitoneal extrapleural approach through the 12th rib was used in all cases to perform single-stage anterior L1 corpectomy, reconstruction and anterior instrumentation, except for in two recurrent cases in which posterior fixation was added. Visual analogue scale (VAS) was used for pain intensity measurement and ASIA impairment scale for neurological assessment. The mean follow-up period was 14.5 months. Results : The sample included 18 males and 12 females, and the mean age was 40.3 years. Twenty patients (67%) had sensory or motor deficits before the surgery. The pathologies encountered included traumatic fracture in 12 cases, osteoporotic fracture in four cases, tumor in eight cases and spinal infection in the remaining six cases. The surgeries were performed from the left side, except in two cases. There was significant improvement of back pain and radicular pain as recorded by VAS. One patient exhibited postoperative neurological deterioration due to bone graft dislodgement. All patients with deficits at least partially improved after the surgery. During the follow-up, no hardware failures or losses of correction were detected. Conclusion : The retroperitoneal extrapleural approach through the 12th rib is a feasible approach for L1 corpectomy that can combine adequate decompression of the dural sac with effective biomechanical restoration of the compromised anterior loadbearing column. It is associated with less pulmonary complication, no need for chest tube, no abdominal distention and rapid recovery compared with other approaches.

• Archives of Craniofacial Surgery
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• v.20 no.2
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• pp.84-88
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• 2019

Background: Epidermal cysts are benign, slow growing cysts that often develop on the head, neck, chest, and back of adults. The most common method of surgical excision involves the use of a scalpel and often leaves a scar proportional to the size of the cyst. Therefore, minimally invasive techniques are required. Among these techniques, the $CO_2$ laser-based technique is minimally invasive and has lower complication rate, shorter recovery times, and lesser scarring. This paper aimed to compare the results and postoperative complications associated with a $CO_2$ laser-based excision against conventional surgical excision for epidermal cysts. Methods: We surveyed 120 patients, aged 16 to 65 years, with epidermal cysts on the face measuring 0.5 to 2.2 cm in diameter. Twelve months later, we compared the scar length, recurrence rate, patient satisfaction, and complications between patients treated with $CO_2$ laser excision versus surgical excision. Results: The mean scar length (12 months postoperative) after $CO_2$ laser excision was $0.30{\pm}0.15cm$, and that following surgical excision was $1.23{\pm}0.43cm$ (p= 0.001). The procedure time (time from incision after local anesthesia to the end of repair) was $16.15{\pm}5.96minutes$ for $CO_2$ laser excision versus $22.38{\pm}6.05minutes$ for surgical excision (p= 0.001). The recurrence rates in the surgical excision group and $CO_2$ laser excision group were 3.3% and 8.3%, respectively; this difference was not statistically significant (p= 0.648). Conclusion: The cosmetic outcome of $CO_2$ laser excision is excellent. For epidermal cysts measuring 2.2 cm or smaller, $CO_2$ laser excision is recommended, especially when aesthetic outcome is considered important.

• Korean Journal of Metals and Materials
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• v.47 no.7
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• pp.416-422
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• 2009

Approaches for analyzing indentation hardness are still controversial, although the instrumented indentation technique has been generalized as one powerful method that can record surface deformation behaviors. Material pile-ups around the indenter/surface contact region make the conventional Oliver and Pharr's analysis on the instrumented indentation curve inaccurate. Thus, in order to prove the validity of the hardness analyses, five approaches were applied to the experimental data obtained from fused quartz and (100) monocrystalline tungsten specimens; an elastic recovery analysis on instrumented indentation curves, three indentation work analyses on the unit plastic volume, and a differentiation analysis on remnant indentation morphologies were tried. Five kinds of indentation hardness overlapped on one result plot showed the validity of each analysis. The modified indentation work approach based on a new definition of plastic volume showed consistent results with those from the Oliver-Pharr's and image differentiation methods. In the case of pile-up accompanying deformation, the Oliver-Pharr's and image differentiation methods showed the upper and lower limits of indentation hardness, respectively.

• Research in Community and Public Health Nursing
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• v.32 no.4
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• pp.555-565
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• 2021

Purpose: This study was conducted to develop the contents of disaster nursing education in community health nursing at universities. Methods: To validate contents, the Delphi method was used. We categorized two domains(indirect disaster management and direct disaster management) and developed 48 draft items. This study applied two round surveys and 23 experts participated in this study. The content validity was calculated using content validity ratio and coefficient of variation. Results: Indirect disaster management domain was composed of three categories including 12 items: 1) Understanding of the disaster, 2) disaster management system, and 3) response by disaster stage and recovery. Direct disaster management domain was composed of nine categories including 30 items: 1) Ethical considerations, 2) communication in disasters, 3) nursing activity by disaster stage, 4) emergency nursing in disasters, 5) patient severity classification in disasters, 6) disaster nursing for vulnerable groups, 7) disaster nursing for victims, 8) psychosocial nursing and health in disasters, and 9) cases of disaster nursing in communities. Conclusion: This Delphi study identified the contents of disaster nursing education curriculum, and confirmed the validity for disaster education program in community health nursing. Based on the results, it will be helpful for training the disaster nursing and improving the competency on disaster nursing of the nursing students.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.42 no.4
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• pp.501-508
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• 2022

Required essential technique is to determine the maximum recharge pressure in the well with condition of non-ground failure for the recovery of the groundwater. Based on the classical soil mechanics, the maximum recharge pressure was estimated with the numerical anlaysis and laboratory triaxial test. In the numerical analysis, the maximum recharge pressure is defined as the ground failure stress. The ground failure of the sand was defined as the piping and the one of the caly was to the undrained failure by the confined pressure increment. In the triaxial test, the recharge pressure in the ground was modified by the back pressure in the specimen. In case of sand, the volume strain was dramatically increased at the 93 % of the maximum back pressure, same meaning of the 0 effective stress state. In case of clay, the only radial volume strain was to reached 1.5 % without failure. Therefore, The maximum recharge pressure could be determined with the numerical analysis and triaxial test.

• Journal of the Korea Institute of Information Security & Cryptology
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• v.32 no.4
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• pp.607-615
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• 2022

The SITM (See-In-The-Middle) proposed in CHES 2020 is a methodology for side-channel assisted differential cryptanalysis. This technique analyzes the power traces of unmasked middle rounds in partial masked SPN block cipher implementation, and performs differential analysis with the side channel information. Blockcipher GIFT is a lightweight blockcipher proposed in CHES 2017, designed to correct the well-known weaknesses of block cipher PRESENT and provide the efficient implementation. In this paper, we propose SITM attacks on partial masked implementation of GIFT-128. This attack targets 4-round and 6-round masked implementation of GIFT-128 and time/data complexity is 2^14.01 /2^14.01, 2¹⁶ /2¹⁶. In this paper, we compare the masterkey recovery logic available in SITM attacks, establishing a criterion for selecting more efficient logic depending on the situation. Finally, We introduce how to apply the this attack to GIFT-COFB, one of the finalist candidates in NIST lightweight cryptography standardization process.

• The Korean Journal of Physiology and Pharmacology
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• v.26 no.5
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• pp.397-404
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• 2022

Fesoterodine, an antimuscarinic drug, is widely used to treat overactive bladder syndrome. However, there is little information about its effects on vascular K⁺ channels. In this study, voltage-dependent K⁺ (Kv) channel inhibition by fesoterodine was investigated using the patch-clamp technique in rabbit coronary artery. In whole-cell patches, the addition of fesoterodine to the bath inhibited the Kv currents in a concentration-dependent manner, with an IC₅₀ value of 3.19 ± 0.91 μM and a Hill coefficient of 0.56 ± 0.03. Although the drug did not alter the voltage-dependence of steady-state activation, it shifted the steady-state inactivation curve to a more negative potential, suggesting that fesoterodine affects the voltage-sensor of the Kv channel. Inhibition by fesoterodine was significantly enhanced by repetitive train pulses (1 or 2 Hz). Furthermore, it significantly increased the recovery time constant from inactivation, suggesting that the Kv channel inhibition by fesoterodine is use (state)-dependent. Its inhibitory effect disappeared by pretreatment with a Kv 1.5 inhibitor. However, pretreatment with Kv2.1 or Kv7 inhibitors did not affect the inhibitory effects on Kv channels. Based on these results, we conclude that fesoterodine inhibits vascular Kv channels (mainly the Kv1.5 subtype) in a concentration- and use (state)-dependent manner, independent of muscarinic receptor antagonism.

• Journal of the Korean Society of Food Culture
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• v.37 no.4
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• pp.335-344
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• 2022

The study was aimed to investigate the operational meal costs by kindergarten size in Seoul and to analyze recognition for optimal meal prices. A survey (31.6% recovery rate) was conducted on all kindergartens (779 kindergartens) in Seoul on April 2021 using descriptive analysis, t-test, and dispersion method. A price sensitivity measurement (psm) method was used to determine optimal meal prices. Result showed an average food cost for kindergartens of 2,647 won, an average labor cost of 605 won, an average operating cost of 146 won, and the total meal cost of 3,506 won. Total meal cost decreased with increasing kindergarten size (p<0.001). On the other hand, kindergartens with more students decreased the ratio of food cost to total meal cost, and operating cost and labor costs (p<0.001) increased. The optimal price of kindergarten operators' meal cost (OPP) was KRW 3,673. Furthermore, the analysis showed the sensitivity of operators' meal costs to kindergarten size was insignificant.

• Journal of Powder Materials
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• v.30 no.1
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• pp.22-28
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• 2023

The global demand for raw lithium materials is rapidly increasing, accompanied by the demand for lithiumion batteries for next-generation mobility. The batch-type method, which selectively separates and concentrates lithium from seawater rich in reserves, could be an alternative to mining, which is limited owing to low extraction rates. Therefore, research on selectively separating and concentrating lithium using an electrodialysis technique, which is reported to have a recovery rate 100 times faster than the conventional methods, is actively being conducted. In this study, a lithium ion selective membrane is prepared using lithium lanthanum titanate, an oxide-based solid electrolyte material, to extract lithium from seawater, and a large-area membrane manufacturing process is conducted to extract a large amount of lithium per unit time. Through the developed manufacturing process, a large-area membrane with a diameter of approximately 20 mm and relative density of 96% or more is manufactured. The lithium extraction behavior from seawater is predicted by measuring the ionic conductivity of the membrane through electrochemical analysis.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.17 no.2
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• pp.63-72
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• 2022

Objectives This case study aimed to investigate the effect of complex Korean medicine treatment including Chuna manual therapy on sacroiliac joint (SIJ) pain status post SIJ fusion with sacroiliac screw fixation. Methods Complex Korean medicine treatments including Chuna manual therapy were provided to patients with SIJ widening due to a traffic accident trauma. Measurement of range of motion and manual muscle test to evaluate functional activities of daily living was conducted before and after treatment. Moreover, outcome estimates were performed using the numeric rating scale, pain disability index, and EuroQol 5-dimension five-level questionnaire. Results After complex treatment, functional activities of daily living improved. Sacroiliac joint pain decreased and the quality-of-life score improved. Conclusions This study suggests that treatment with complex Korean medicine treatment including Chuna manual therapy may improve traumatic SIJ widening status post SIJ fusion. A postoperative rehabilitation protocol based on accumulated research results considering a multidisciplinary approach should be prepared to ensure holistic treatment.