• 대한음성학회지:말소리
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• 제44호
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• pp.1-14
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• 2002

Because the accuracy and the fluency are the essence in English speaking, both of them are very important in English trencher training and in-service English training programs. To get the accuracy and the fluency, the causes and the phenomena of the unnatural pronunciation have to be diagnosed. Consequently, the problematic and unnatural pronunciation of Korean elementary and secondary English teachers should be analyzed with using Acoustic Analyzing tools like CSL, Multi-speech and Praat. In addition, an attempt to Pinpoint what the causes of unnatural pronunciation was executed. Next a procedure and steps were proposed for in-service training programs that would cultivate the fluency and the accuracy. In case of elementary teachers, the unnatural pronunciation of segmental features and suprasegmental features were found much. therefore segmental features should be emphasized in the begging of pronunciation training courses and then suprasegmental features have to be emphasized. In case of secondary teachers, the unnatural pronunciation of suprasegmental features were found much. Therefore segmental and suprasegmental features have to be focused at the same time. In other words, features in word level should be focused first for elementary English teacher, and features in word level and beyond word level should be trained at the same time for secondary English teachers.

• Childhood Kidney Diseases
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• 제20권2호
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• pp.83-87
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• 2016

Congenital chloride diarrhea (CLD) is a rare autosomal recessive disease that is difficult to diagnose. CLD requires early treatment to correct electrolyte imbalance and alkalosis and to prevent severe dehydration. Renal injury is clearly associated with defective electrolyte balance induced by CLD, particularly during the first months or years of life. A 7-year-old boy was diagnosed with CLD following detection of a homozygous mutation (c.2063-1G>T) in SLC26A3 at 6 months of age. During treatment with electrolyte supplements, mild proteinuria was detected at 8 months of age, and is still present. Renal biopsy showed the presence of focal renal dysplasia, with metaplastic cartilage and mononuclear cell infiltration, calcification, and fibrosis in the interstitium. Up to two-thirds of the glomeruli exhibited global obsolescence, mostly aggregated in the dysplastic area. In nondysplastic areas, the glomeruli were markedly increased in size and severely hypercellular, with increased mesangial matrix, and displayed segmental sclerosis. The marked glomerular hypertrophy with focal segmental glomerulosclerosis suggested a compensatory reaction to the severe nephron loss or glomerular obsolescence associated with renal dysplasia, with superimposed by CLD aggravating the tubulointerstitial damage.

• Childhood Kidney Diseases
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• 제21권2호
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• pp.165-168
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• 2017

Focal segmental glomerulosclerosis (FSGS) in children, which is a kind of nephrotic syndrome showing steroid resistance, usually progresses to a substantial number of end stage renal disease (ESRD). Although the pathogenesis of primary FSGS is unclear, several recent studies have reported that FSGS is associated with circulating immune factors such as soluble urokinase-type plasminogen activator receptor (suPAR) or anti-CD40 autoantibody. We report a successfully treated case of a 19-year-old female patient who experienced a recurrence of primary FSGS. After the diagnosis of FSGS, the patient progressed to ESRD and received a kidney transplantation (KT). Three days later, recurrence was suspected through proteinuria and hypoalbuminemia. She has been performed plasmapheresis and high dose methylprednisolone pulse therapy and shown remission status without increasing proteinuria for four years after KT. In conclusion, strong immunosuppressive therapy may be helpful for a good prognosis of recurrent FSGS, suppressing several immunologic circulating factors related disease pathogenesis.

• Journal of Chest Surgery
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• 제50권4호
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• pp.300-304
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• 2017

A 42-year-old man was diagnosed with cancer of the right lower lung lobe with a posteparterial type of tracheal bronchus, in which the posterior segmental bronchus of the right upper lobe arose from the distal bronchus intermedius. A mass involved the distal bronchus intermedius, requiring a right lower bilobectomy with an additional posterior segmental resection of the right upper lung lobe. Thus, we performed a right lower bilobectomy and sleeve anastomosis of the posterior segmental bronchus of the right upper lobe to the proximal bronchus intermedius, sparing the pulmonary parenchyma of the same lobe.

• 한국터널지하공간학회 논문집
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• 제17권3호
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• pp.363-382
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• 2015

본 연구는 수치해석을 통하여 TBM 세그먼트의 분할 수와 인접한 링의 이격각도가 라이닝의 부재력에 어떤 영향을 미치는 살펴보았다. 수치해석은 Midas civil 2012+ 프로그램을 사용하였고, 모델링은 2링빔 스프링 모델을 이용하였다. TBM 세그먼드 부재력은 다양한 요소에 의해 결정된다. 본 논문에서는 세그먼트 분할 수와 분포를 제외한 다른 요소인 이음부 스프링 계수, 지반반력계수를 통제하고 특정한 분할 수와 분할 특성을 통해 case를 선정함으로써 분할 수와 분포와 같은 분할 특성이 부재력에 미치는 영향을 분석하였다. 이로써 TBM 세그먼트 시공 설계시 구조적으로 유리하거나 불리한 이음부 특성을 확인할 수 있다.

• Structural Engineering and Mechanics
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• 제65권6호
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• pp.741-750
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• 2018

The aim of this study was to investigate the mechanical responses of a high-speed railway shield tunnel subjected to impact by a derailed train, with emphasis on the protective effect of the secondary lining. To do so, the extended finite element method was used to develop two numerical models of a shield tunnel including joints and joint bolts, one with a cast-in-situ concrete secondary lining and one without such a lining. The dynamic responses of these models upon impact were analyzed, with particular focus on the distribution and propagation of cracks in the lining structures and the mechanical responses of the joint bolts. The numerical results showed that placing a secondary lining significantly constricted the development of cracking in the segmental lining upon the impact load caused by a derailed train, reduced the internal forces on the joint bolts, and enhanced the safety of the segmental lining structure. The outcomes of this study can provide a numerical reference for optimizing the design of shield tunnels under accidental impact loading conditions.

• Journal of Korean Neurosurgical Society
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• 제45권3호
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• pp.192-195
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• 2009

We present a case of an acute psoas muscle hematoma following percutaneous endoscopic lumbar discectomy. A 60-year-old female who presented with far lateral lumbar disc herniation underwent endoscopic discectomy on the right side at the L4-5 level. On the second postoperative day, the patient complained of severe right flank and leg pain and her blood pressure decreased. A computed tomography scan showed a large acute psoas muscle hematoma at right L4-5 level. The patient was transfused with packed red blood cells and placed at absolute bed rest. After observing the patient in intensive care, the severe flank and leg pain subsided, but the mild back pain persisted. Although percutaneous endoscopic lumbar discectomy is an effective minimally invasive surgical technique for the treatment of lumbar disc herniation, this case highlights the inherent risks of acute lumbar segmental vessel injury.

• 대한수의학회지
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• 제57권2호
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• pp.113-116
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• 2017

The aim of this study was to examine normal bronchi in dogs by using virtual bronchoscopy (VB) and to evaluate the utility of VB in clinical practice. The bronchi of six dogs without tracheobronchial disease were visualized by VB. Airways from the tracheal bifurcation to the lobar bronchi were well visualized in all dogs. Segmental and subsegmental bronchi were also well identified, but the degree and number of those varied with dog size. The mean numbers of segmental and subsegmental bronchi identified in the six dogs were 41.83 and 50.17, respectively, whereas, the mean numbers in medium- and large-sized dogs were 55.00 and 82.67, respectively, and in small-sized dogs, the means were 28.67 and 17.67, respectively. Although there were size-dependent differences in VB visualization of the bronchi, it was possible to identify peripheral airways to the subsegmental bronchi level, which can rarely be accomplished via conventional bronchoscopy. VB is the noninvasive method that can be used to examine bronchial anatomy, and our results suggest that VB can be useful for evaluating bronchi, including segmental and subsegmental ones that cannot be examined routinely by conventional bronchoscopy. Thus, VB has potential as an alternative to conventional bronchoscopy in the examination of bronchi in dogs.

• 한국지반공학회논문집
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• 제19권6호
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• pp.115-125
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• 2003

본 논문에서는 계단식 형태로 시공되는 블록식 보강토 옹벽의 설계사례에 대한 검토 내용을 다루었다. 이를 위해 6개 현장에 대한 설계관련 자료를 수집하여 현재 통용되고 있는 한계평형기법 기반의 설계기준에 부합하는지 여부를 분석하였으며 이와 아울러 계단식 옹벽에서 중요한 검토 항목인 복합파괴 .유형에 대한 사면안정성 검토를 FHWA 설계기준에 근거하여 수행하였다. 검토결과 몇몇 옹벽은 현 설계기준에서 요구하는 내적 및 외적 안정성을 만족하지 않는 것으로 나타났으며 복합파괴에 대한 안정성 또한 만족하지 않는 것으로 나타났다. 본 연구에서 얻어진 결과를 토대로 실무적용시 유의 사항을 다루었다.

• Journal of Chest Surgery
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• 제48권4호
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• pp.285-288
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• 2015

In coronary artery bypass grafting, a diffusely diseased left anterior descending coronary artery (LAD) is an obstacle to achieving complete revascularization, consequently leading to the possibility of a poor prognosis. Long segmental reconstruction with or without endarterectomy is a revascularization method for treating diffusely diseased coronary arteries. Herein, we report a successful case of long segmental reconstruction of a diffusely diseased LAD using a left internal thoracic artery onlay patch after endarterectomy.