• The Journal of Pediatrics of Korean Medicine
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• v.36 no.1
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• pp.65-77
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• 2022

Objectives The purpose of this study was to understand the public's perception of Korean medical treatment for growth disorders to develop Korean medicine clinical practice guidelines and critical pathways for growth disorders in children and adolescents. Methods A survey was conducted using an online platform targeting 252 adults aged 19 years from May 16, 2021 to May 17, 2021. The questionnaire consisted of questions about the demographic characteristics of respondents; overall perception, experience, and satisfaction with Korean medical treatment for growth disorders; willingness to use or recommend Korean medical treatment for growth disorders; and points for improvement. Results The overall perception of treatment for growth disorders was 3.30 ± 0.892 on a 5-point scale. Concerning the negative reasons, 54.4% of the respondents were concerned about safety; regarding the positive reason, expectations for overall health as well as height growth were the highest at 46.5%. Additionally, there was a high demand for information, such as providing safety information on treatment, presenting evidence for the efficacy of treatment, and standardized clinical process, as points requiring improvement. Conclusions To raise public perception of Korean medical treatment for growth disorders, it is necessary to satisfy the opinions of the public identified through this survey. Therefore, the development and utilization of Korean medicine clinical practice guidelines and critical pathways for growth disorders would play an important role.

• Nuclear Engineering and Technology
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• v.54 no.1
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• pp.84-96
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• 2022

In the worst case, a temporary ignition source (also known as transient combustibles) between two electrical panels can damage both panels. Mitigation strategies for electrical panel fires were previously developed using fire modeling and risk analysis. However, since they do not comply with deterministic fire protection requirements, it is necessary to analyze the boundary values at which combustibles may damage targets depending on various factors. In the present study, a sensitivity analysis of input variables related to the damage threshold of two electrical panels was performed for dimensionless geometry using a Fire Dynamics Simulator (FDS). A new methodology using a damage evaluation map was developed to assess the damage of the electrical panel. The input variables were the distance between the electrical panels, the vertical height of the fuel, the size of the fire, the wind speed and the wind direction. The heat flux was determined to increase as the vertical distance between the fuel and the panel decreased, and the largest heat flux was predicted when the vertical separation distance divided by one half flame length was 0.3-0.5. As the distance between the panels increases, the heat flux decreases according to the power law, and damage can be avoided when the distance between the fuel and the panel is twice the length of the panel. When the wind direction is east and south, to avoid damage to the electrical panel the distance must be increased by 1.5 times compared to no wind. The present scale model can be applied to any configuration where combustibles are located between two electrical panels, and can provide useful guidance for the design of redundant electrical panels.

• Clinics in Shoulder and Elbow
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• v.25 no.3
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• pp.230-235
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• 2022

Background: Unstable distal clavicles experience high non-union rates, prompting surgeons to recommend surgery for more predictable outcomes. There is a lack of consensus on the optimal method of surgical fixation, with an array of techniques described in the literature. We describe an alternative method of fixation involving the use of a distal clavicular anatomical locking plate with Fibertape cerclage augmentation in our series of patients. Methods: Nine patients (8 males and 1 female), with a mean age of 36 years, who sustained unstable fracture of the distal clavicle in our institution were treated with our described technique. Postoperative range of motion, functional and pain scores, and time to radiographic union were measured over a mean follow-up period of 10 months. Incidences of postoperative complications were also recorded. Results: At the last patient consult, the mean visual analog scale score was 0.88±0.35, with a mean Disabilities of the Arm, Shoulder, and Hand (DASH) score of 1.46±0.87 and American Shoulder and Elbow Surgeons (ASES) score of 94.1±3.57. The mean range of motion achieved was forward flexion at 173°±10.6°, abduction at 173°±10.6°, and external rotation at 74.4°±10.5°. All patients achieved internal rotation at a vertebral height of at least L2 with radiographical union at a mean of 10 weeks. No removal of implants was required. Conclusions: Our described technique of augmented fixation of the distal clavicle is effective, produces good clinical outcomes, and has minimal complications.

• Geomechanics and Engineering
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• v.25 no.3
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• pp.233-243
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• 2021

Rib spalling is a major issue affecting the safety of steeply inclined coal seam. And the failure coal face and support system can be affected with each other to generate a vicious cycle along with inducing large-scale collapse of surrounding rock in steeply inclined coal seam. In order to analyze failure mechanism and propose the corresponding prominent control measures of steeply inclined coal working face, mechanical model based on coal face-support-roof system and mechanical model of coal face failure was established to reveal the disaster mechanism of rib spalling and the sensitive analysis of related factors was performed. Furthermore, taking 3402 working face of Chen-man-zhuang coal mine as engineering background, numerical model by using FLAC3D was built to illustrate the propagation of displacement and stress fields in steeply inclined coal seam and verify the theory analysis as mentioned in this study. The results show that the coal face slide body in steeply inclined working face can be observed as the failure height of upper layer smaller than that of lower layer exhibiting with an irregular quadrilateral pyramid shape. Moreover, the cracks were originated from the upper layer of sliding body and gradually developed to the lower layer causing the final rib spalling. The influence factors on the stability of coal face can be ranked as overlying strata pressure (P) > mechanical parameters of coal body (e.g., cohesion (c), internal fraction angle (φ)) > support strength (F) > the support force of protecting piece (F') > the false angle of working face (Θ). Moreover, the corresponding control measures to maintain the stability of the coal face in the steeply inclined working face were proposed.

• Structural Engineering and Mechanics
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• v.82 no.5
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• pp.595-609
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• 2022

Prestressed composite steel-concrete beams are still a technology restricted to repair sites of large-scale structures and spans. One of the reasons for that is the absence of standard frameworks and publications regarding their design and implementation. In addition, the primary normative codes do not address this subject directly, which might be related to a scarcity of papers indicating methods of design that would align the two technics, composite beams and external prestressing. In this context, this paper proposes methods to analyze the sizing of prestressed composite beams submitted to pre-tension and post-tension with a straight or polynomial layout cable. This inquiry inspected a hundred and twenty models of prestressed composite beams according to its prestressing technology and the eccentricity and value of the prestressing force. The evaluation also included the ratio between span and height of the steel profile, thickness and typology of the concrete slab, and layout of the prestressing cables. As for the results, it was observed that the eccentricity of the prestressing force doesn't significantly influence the bending resistance. In prestressed composite beams subjected to a sagging moment, the ratio L/d can reach 35 and 30 for steel-concrete composite slabs and solid concrete slabs, respectively. Considering the negative bending moment resistance, the value of the L/d ratio must be less than or equal to 25, regardless of the type of slab. When it comes to the value of the prestressing force, a variation greater than 10% causes a 2.6% increase in the positive bending moment resistance and a 4% decrease in the negative bending moment resistance. The pre-tensioned composite beams showed a superior response to flexural-compression and excessive compression limit states than the post-tensioned ones.

• Wind and Structures
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• v.34 no.5
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• pp.407-419
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• 2022

Many factors should be considered by architects and designers for designing a tall building. Wind load is one of these important factors that govern the design of tall building structures and can become a serious challenge when buildings tend to be built very tall and slender. On the other hand, through the initial stages of a design process, choosing the design geometry greatly affects the wind-induced forces on a tall building. With this respect, geometric shapes with 3-fold rotational symmetry are one of the applied plan shapes in tall buildings. This study, therefore, aims to investigate the aerodynamic characteristics of 8 different geometrical shapes using Computational Fluid Dynamics (CFD) by measuring the drag and lift forces. A case study approach was conducted in which different building shape models have the same total gross area and the same height of 300 meters. The simulation was an incompressible transient flow that ran 1700 timesteps (85 seconds on the real-time scale). The results show a great difference between wind-induced force performance of buildings with different plan shapes. Generally, it is stated that the shapes with the same area, but with smaller perimeters, are better choices for reducing the drag force on buildings. Applying the lift force, the results show that the buildings with plan shapes that have rounded corners act better in crosswind flow while, those with sharp corners induce larger forces in the same direction. This study delivers more analytical understanding of building shapes and their behavior against the wind force through the parametric modelling.

• Journal of Korean Neurosurgical Society
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• v.65 no.5
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• pp.730-740
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• 2022

Objective : Although several commercialized bone cements are used during percutaneous vertebroplasty (PVP) for patients with osteoporotic vertebral compression fracture (OVCF), there are no reports using domestic products from South Korea. In this study, we investigated the safety and efficacy of Spinofill^® (Injecta Inc., Gunpo, Korea), a new polymethyl methacrylate product. Methods : A prospective, single-center, and single-arm clinical trial of 30 participants who underwent PVP using Spinofill^® for painful thoracolumbar OVCF was performed with 6-months follow-up. Clinical and surgical outcomes included the Visual analog scale (VAS), Korean-Oswestry disability index (K-ODI), and Odom's criteria, complication rate, and recurrence rate. Radiological outcomes were evaluated by measuring the findings of postoperative computed tomography and simple radiograph. Results : The pain of VAS (from 8.95±1.05 to 4.65±2.06, p<0.001) and the life quality based on K-ODI (from 33.95±5.84 to 25.65±4.79, p<0.001) improved significantly, and successful patient satisfaction were achieved in 20 patients (66.7%) 1 day after surgery. These immediate improvements were maintained or more improved during the follow-up. There was no surgery- or product-related complications, but OVCF recurred in two patients (6.7%). Favorable cement interdigitation was reported in 24 patients (80.0%), and extra-vertebral cement leakage was reported in 13 patients (43.0%). The mean vertebral height ratio (from 60.49%±21.97% to 80.07%±13.16%, p<0.001) and segmental kyphotic angle (from 11.46°±8.50° to 7.79°±6.08°, p=0.002) improved one day after surgery. However, these short-term radiological findings somewhat regressed at the end. Conclusion : The overall outcomes of PVP using Spinofill^® were as favorable as those of other conventionally used products.

• Investigative Magnetic Resonance Imaging
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• v.26 no.2
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• pp.117-124
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• 2022

Purpose: In this study, we provide a way to assess even a slight effect of exercise on trunk-muscle activity. Materials and Methods: Seven healthy male participants (mean age, 24.7 ± 3.2 years; height, 171.2 ± 9.8 cm; and weight, 63.8 ± 11.9 kg) performed 15 sets of an exercise with 20 repetitions of 90° hip and right-knee flexion while lying supine. The exercise intensity was measured using the 10-point Rating of Perceived Exertion Scale after the first and 15th sets of exercises. Although cross-sectional areas and functional T2 mapping using ultrafast imaging (fast-acquired muscle functional magnetic resonance imaging, fast-mfMRI) have been proposed for imaging to evaluate exercise-induced muscle activity in real time, no previous studies have reported on the evaluation of trunk-muscle activity using functional T2 mapping. As a method for assessing trunk-muscle activity, we compared functional T2 mapping using ultrafast imaging (fast-mfMRI) with cross-sectional areas. Results: Although the muscle cross-sectional areas were increased by the exercise, there was no significant difference at rest. On the other hand, for all sets, the changes in T2 were significant compared with those at rest (P < 0.01). These results demonstrate that T2, calculated from fast-mfMRI images can be used to detect even a small amount of muscle activity induced by acute exercise, which was impossible to do with cross-sectional areas. Conclusion: Fast-mfMRI, which can also display functional information with detailed forms, enabled non-invasive real-time imaging for identifying and evaluating the degree of deep trunk-muscle activity induced by exercise.

• Nutrition Research and Practice
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• v.16 no.5
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• pp.658-672
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• 2022

BACKGROUND/OBJECTIVES: Although children of ethnic minority groups are experiencing a transition from a predominance of undernutrition to overnutrition, there is little evidence of a dual-malnutrition burden. Therefore, this study examined the double burden of malnutrition among school-aged ethnic minority children living in mountainous areas and its association with their diets. SUBJECTS/METHODS: A cross-sectional study was conducted from September 2019 to March 2020 in 3 mountainous areas of Northern Vietnam among 1,556 ethnic minority school-aged children. The prevalence of under-nutrition (stunting and thinness) and over-nutrition (overweight and obesity) were measured using the WHO 2006 child growth standards (height-for-age and BMI-for-age Z-score). Nutritional practices were evaluated by the frequency of food consumption based on a 4-level scale. RESULTS: The percentage of children with stunting and thinness were 14.0% and 5.4%, respectively, while the figure for overweight/obesity was 9.4%. The factors positively associated with stunting were living in a family with more than 2 children or being Muong/other ethnicities compared to the Tay ethnicity. Children who consumed fish/shrimps/crabs or milk weekly/daily were less likely to be undernourished compared to those who never consumed these foods. By contrast, children who never consumed foods rich in vitamin A precursors and vitamin A and fruit or consumed daily snacks/junk food were more likely to be overweight/obese. CONCLUSIONS: Undernutrition remains a common issue among school-aged children and adolescents of ethnic minority groups, while over-nutrition exists simultaneously. Public health nutrition programs promoting adequate diets and positive lifestyle changes related to nutrition are essential to tackle the double burden of malnutrition among ethnic minority children.

• Wind and Structures
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• v.37 no.3
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• pp.211-227
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• 2023

To investigate the non-Gaussian feature of fluctuating wind pressures on rectangular high-rise buildings, wind tunnel tests were conducted on scale models with side ratios ranging from 1/9~9 in an open exposure for various wind directions. The high-order statistical moments, time histories, probability density distributions, and peak factors of pressure fluctuations are analyzed. The mixed normal-Weibull distribution, Gumbel-Weibull distribution, and lognormal-Weibull distribution are adopted to fit the probability density distribution of different non-Gaussian wind pressures. Zones of Gaussian and non-Gaussian are classified for rectangular buildings with various side ratios. The results indicate that on the side wall, the non-Gaussian wind pressures are related to the distance from the leading edge. Apart from the non-Gaussianity in the separated flow regions noted by some literature, wind pressures behind the area where reattachment happens present non-Gaussian nature as well. There is a new probability density distribution type of non-Gaussian wind pressure which has both long positive and negative tail found behind the reattachment regions. The correlation coefficient of wind pressures is proved to reflect the non-Gaussianity and a new method to estimate the mean reattachment length of rectangular high-rise building side wall is proposed by evaluating the correlation coefficient. For rectangular high-rise buildings, the mean reattachment length calculated by the correlation coefficient method along the height changes in a parabolic shape. Distributions of Gaussian and non-Gaussian wind pressures vary with side ratios. It is inappropriate to estimate the extreme loads of wind pressures using a fixed peak factor. The trend of the peak factor with side ratios on different walls is given.