• 동의생리병리학회지
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• 제38권2호
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• pp.59-65
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• 2024

Rectal prolapse is a condition where the rectal wall protrudes outside the anus. While it is a rare condition, it can cause discomfort for patients due to the protrusion of the rectal structure, discharge of mucus and blood, fecal incontinence, constipation, and other inconveniences. In this review, we analyzed a randomized controlled trial (RCT) study that used the herbal medicine Bojungikgi-tang(Buzhongyiqi-tang) as a complementary therapy to improve the weaknesses and side effects of the standard treatment, surgical therapy, for rectal prolapse. The analysis included 12 RCT studies, and in all studies, the prescription involved the use of Astragali Radix at the highest dosage. Among the 11 studies that evaluated efficacy, 7 studies showed a significant effect compared to the control group. In all 3 studies that evaluating recurrence rates and all 5 studies investigating complications after surgery, the experimental group showed significant effects. Based on these findings, this study could be considered as a foundational evidence for the application of bojungikgi-tang(Buzhongyiqi-tang) in clinical practice in Korean medicine for patients with rectal prolapse. It could also serve as foundational data for future research.

• Journal of Trauma and Injury
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• 제26권3호
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• pp.170-174
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• 2013

Purpose: A flail chest is one of most challenging problems for trauma surgeons. It is usually accompanied by significant underlying pulmonary parenchymal injuries and mayled to a life-threatening thoracic injury. In this study, we evaluated the treatment result for a flail chest to determine the effect of trauma localization on morbidity and mortality. Methods: Between 2004 and 2011, 46 patients(29 males/17 females) were treated for a flail chest. The patients were divided into two group based on the location of the trauma in the chest wall; Group I contained patients with an anterior flail chest due to a bilateral costochondral separation (n=27) and Group II contained patients with a single-side posterolateral flail chest due to a segmental rib fracture (n=19). The location of the trauma in the chest wall, other injuries, mechanical ventilation support, prognosis and ISS (injury severity score) were retrospectively examined in the two groups. Results: Mechanical ventilation support was given in 38 patients(82.6%), and 7 of these 38 patients required a subsequent tracheostomy. The mean ISS for all 46 patients was $19.08{\pm}10.57$. Between the two groups, there was a significant difference in mean ventilator time (p<0.048), but no significant difference in either trauma-related morbidity (p=0.369) or mortality (p=0.189). Conclusion: An anterior flail chest frequently affects the two underlying lung parenchyma and can cause a bilateral lung contusion, a hemopneumothorax and lung hemorrhage. Thus, it needs longer ventilator care than a lateral flail chest does and is more frequently associated with pulmonary complications with poor outcome than a lateral flail chest is. In a severe trauma patient with a flail chest, especially an anterior flail chest, we must pay more attention to the pulmonary care strategy and the bronchial toilet.

• Nuclear Engineering and Technology
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• 제55권10호
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• pp.3874-3897
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• 2023

A high-fidelity computational fluid dynamics (CFD) analysis was performed using the Large Eddy Simulation (LES) model for the lower plenum of the High-Temperature Test Facility (HTTF), a ¼ scale test facility of the modular high temperature gas-cooled reactor (MHTGR) managed by Oregon State University. In most next-generation nuclear reactors, thermal stress due to thermal striping is one of the risks to be curiously considered. This is also true for HTGRs, especially since the exhaust helium gas temperature is high. In order to evaluate these risks and performance, organizations in the United States led by the OECD NEA are conducting a thermal hydraulic code benchmark for HTGR, and the test facility used for this benchmark is HTTF. HTTF can perform experiments in both normal and accident situations and provide high-quality experimental data. However, it is difficult to provide sufficient data for benchmarking through experiments, and there is a problem with the reliability of CFD analysis results based on Reynolds-averaged Navier-Stokes to analyze thermal hydraulic behavior without verification. To solve this problem, high-fidelity 3-D CFD analysis was performed using the LES model for HTTF. It was also verified that the LES model can properly simulate this jet mixing phenomenon via a unit cell test that provides experimental information. As a result of CFD analysis, the lower the dependency of the sub-grid scale model, the closer to the actual analysis result. In the case of unit cell test CFD analysis and HTTF CFD analysis, the volume-averaged sub-grid scale model dependency was calculated to be 13.0% and 9.16%, respectively. As a result of HTTF analysis, quantitative data of the fluid inside the HTTF lower plenum was provided in this paper. As a result of qualitative analysis, the temperature was highest at the center of the lower plenum, while the temperature fluctuation was highest near the edge of the lower plenum wall. The power spectral density of temperature was analyzed via fast Fourier transform (FFT) for specific points on the center and side of the lower plenum. FFT results did not reveal specific frequency-dominant temperature fluctuations in the center part. It was confirmed that the temperature power spectral density (PSD) at the top increased from the center to the wake. The vortex was visualized using the well-known scalar Q-criterion, and as a result, the closer to the outlet duct, the greater the influence of the mainstream, so that the inflow jet vortex was dissipated and mixed at the top of the lower plenum. Additionally, FFT analysis was performed on the support structure near the corner of the lower plenum with large temperature fluctuations, and as a result, it was confirmed that the temperature fluctuation of the flow did not have a significant effect near the corner wall. In addition, the vortices generated from the lower plenum to the outlet duct were identified in this paper. It is considered that the quantitative and qualitative results presented in this paper will serve as reference data for the benchmark.

• Restorative Dentistry and Endodontics
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• 제22권1호
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• pp.428-446
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• 1997

Restorative procedures can lead to weakening tooth due to reduction and alteration of tooth structure. It is essential to prevent fractures to conserve tooth. The resistance to fracture of the restored tooth may be influenced by many factors, among these are the cavity dimension and the physical properties of the restorative material. The placement of direct composite resin restorations has generally been found to have a strengthening effect on the prepared teeth. It is the purpose of this investigation to study the relationship between the cavity isthmus and the fracture resistance of a tooth in composite resin restorations. In this study, MO cavity was prepared on maxillary first premolar. Three dimensional finite element models were made by serial photographic method and isthmus(1/4, 1/3, 1/2 of intercuspal distance) were varied. Two types of model(B and R model) were developed. B model was assumed perfect bonding between the restoration and cavity wall and R model was left unfilled. A load of 500N was applied vertically at the first node from the lingual slope of the buccal cusp tip. This study analysed the displacement, 1 and 2 direction normal stress and strain with FEM software ABAQUS Version 5.2 and hardware IRIS 4D/310 VGX Work-station. The results were as follows : 1. Displacement of buccal cusp in R model occurred and increased as widening of the cavity, and displacement in B model was little and not influenced by cavity width. 2. There was a significant decrease of stress resulting in increase of fracture resistance in B model when compared with R model. 3. With the increase of the isthmus width, B model showed no change in the stress and strain. In R model, the stress and strain increased both in the area of buccal-pulpal line angle and the buccal side of marginal ridge, therefore the possibility of crack increased. 4. The stress and strain were distributed evenly on the tooth in B model, but in R model, were concentrated on the buccal side of the distal marginal ridge and buccal-pulpal line angle, therefore the possibility of fracture increased.

• 한국가스학회지
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• 제26권2호
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• pp.49-55
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• 2022

강화되는 환경 규제에 따라 석탄 화력발전소에서는 암모니아를 환원제로 사용하는 선택적 촉매 환원법을 이용하여 질소산화물의 발생량을 감소시키고 있다. 본 연구에서는 전산유동 해석을 수행하여 암모니아 혼합 관에서 희석 공기와 암모니아를 효과적으로 혼합하기 위한 혼합 장치를 도출하는 것을 목적으로 수행하였다. 혼합 장치가 없는 기존 혼합 관 형상인 Case 1-1 형상을 기준으로 혼합 관내의 후류 단면과 16개 출구에서 암모니아 농도의 %RMS를 비교하여 혼합 효과를 비교하였다. 혼합 장치는 암모니아 공급 관 후류에 사각 판과 혼합 관 벽면에 원호 모양의 판의 위치를 변경하여 수행하였다. 기존 형상의 경우(Case 1-1)에 16개 출구에서 암모니아 농도의 %RMS는 29.50%로 나타났다. 혼합 장치 형상이 암모니아 공급 관 후류에 사각 판이 있는 것과 인접한 곳에 원호 판을 설치한 Case 3-2 형상의 16개 출구에서 암모니아 농도의 %RMS는 2.08%로 나타났으며 암모니아 혼합에 가장 효과적인 혼합 형상임을 알 수 있었다.

• 농업과학연구
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• 제4권2호
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• pp.126-140
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• 1977

제주도(濟州道)와 남부(南部) 도서지방(島嶼地方)에서 한해(寒害) 및 풍해(風害)에 대한 감귤(柑橘)의 안전재배(安全栽培)와 남부지방(南部地方)에서 비닐하우스 피복(被覆)및 비닐 하우스 피복재배(被覆栽培)를 효율적(效率的)으로 수행(遂行)하기 위하여 온주밀감(溫州蜜柑)의 내한성(耐寒性) 품종(品種)의 선발(選拔), 내한성(耐寒性) 조기검정(早期檢定) 및 내한재배기술(耐寒栽培技術)에 관한 연구(硏究)를 실시한 바 결과(結果)를 다음과 같이 적요(摘要)한다. 1. 거치로 피복(被覆)한 비닐하우스에서 월동후(越冬後) 무동해개체(無凍害個體)를 내한성(耐寒性) 조기검정(早期檢定)(leaf freezing test)에 공시(供試)한 결과(結果) $-9^{\circ}C$ 저온(低溫)에 2시간(時間) 처리(處理)하여 건전개체(健全個體) 12, 약간동해개체(若干凍害個體) 15로 나타났다. 2. 비닐하우스에 거치 두겹을 피복(被覆)하고 상면(床面)에 벼짚 멀칭과 낮에 채광(採光)하는 조건에서 기온(氣溫) $-15^{\circ}C$ 내외(內外)(대전지방(大田地方))에서 하우스 내부(內部) 온도(溫度)는 $-3^{\circ}C$, 지온(地溫)은 $0^{\circ}C$ 이상(以上)으로 유지되었다. 3. 하우스내(內) 비닐 터널 설치(設置) 상면(床面) mulching은 모두 유의성있게 보온 효과를 나타냈으나, 외부 기온에 따라 다르며, 하우스내(內) 비닐 터널은 필림의 색(色)에 의한 유의차는 없었다. 4. 하우스 내부(內部)의 수직적 온도(溫度) 분포(分布)는 하우스내(內)의 온도(溫度)가 높을 때는 상부(上部)일수록 온도(溫度)가 약간 높았고 하우스 내(內)의 온도(溫度)가 낮을 때에는 중앙부(中央部) 상면(床面), 상부(床部)의 순서(順序)로 낮았다. 5. 하우스 내부(內部)의 수평적(水平的) 온도(溫度) 분포(分布)는 북면(北面)이 지온(地溫) 및 상면온도(床面溫度)가 낮고 그 밖의 동서남북(東西南北)의 가장자리 부분(部分)은 모두 낮아서 공시목(供試木)이 동해(凍害)를 받았으며 북쪽 벽면(壁面)에서 30cm내(內)의 공시목(供試木)은 동해(凍害)가 심했다. 6. 북면(北面) 바깥쪽 벽면하(壁面下)에 $30{\times}30{\times}30cm$의 짚다발 절록구(絶綠溝)의 설치(設置)는 북면(北面)의 지온(地溫) 및 상면(床面) 온도(溫度) 강하(降下)를 막아서 동해(凍害)를 막는 효과(效果)가 기대(期待)된다. 7. 흐린날, 눈 나린 날은 하우스 내외(內外)의 온도(溫度) 차이(差異)가 적었으나 방열이 적어서 내부(內部) 온도(溫度)는 야간(夜間)에도 비교적 높게 유지되었다. 8. 1일중 최고온도(最高溫度)의 peak는 하우스 내외(內外) 모두 15시(時) 전후(前後)에 있고 최저온도(最低溫度)의 peak는 모두 6시(時) 전후(前後)에 있으며 외부(外部) 온도(溫度)의 최저(最低)에 따라 내부(內部)도 변한다. 맑은 날의 최고온도(最高溫度)는 차(差)가 크고($19^{\circ}C$, 11월하순(月下旬)) 눈오는 날, 흐린 날은 차(差)가 적었으로($9^{\circ}C$, 11월하순(月下旬)) 특히 눈온 날 하우스내(內)의 온도(溫度) 강하(降下)가 적어서 야간(夜間)에 온도곡선(溫度曲線)은 평행(平行)에 가까왔다. 9. 내한성(耐寒性), 반왜성(半矮性)(semi-dwarf type), 단지형(短枝形)(spur type) 우량품종(優量品種)을 효과적(效果的)인 방한(防寒) 피복(被覆) 재배(栽培)의 기술(技術)을 적용(適用)한다면 제주도(濟州島) 및 남부지방(南部地方)에서의 감귤(柑橘)의 안전재배(安全栽培)와 재배(栽培) 면적(面積)의 확대(擴大)가 기대(期待)된다.

• 대한토목학회논문집
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• 제39권6호
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• pp.789-799
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• 2019

교대, 통로박스 등 말뚝기초로 지지된 구조물에서는 침하가 거의 발생하지 않지만, 구조물 저면 하부에는 공동이 발생하게 된다. 이에 따른 문제점으로는 측면지반에서 공동으로 유출된 토사에 의해 구조물 측면 지반의 침하를 가속화하여 더 큰 침하가 발생하게 된다. 따라서 말뚝 기초로 지지된 구조물 하부의 공동 발생으로 인한 문제점을 예방하고자 구조물의 측면에 쉽게 설치가 가능한 토사유입차단판(soil Flow Protector; 이하 'FLP')이 개발되었다. 본 연구에서는 FLP의 침하감소 효과를 입증하고 최적 길이를 산정하고자 실내모형실험을 수행하였고, 그 결과 FLP의 설치함으로서 측면지반의 침하량이 감소하고 공동으로의 토사 유출을 방지하였고, FLP의 강성이 작으면 상부의 토압은 정지 또는 주동영역이 되어 안정성에 유리하지 않지만, 충분히 크면 상부의 토압은 수동영역이 되어 안정성에 유리하다. 또한 FLP의 강성이 작은 경우에는 일정 길이 비 이상에서는 오히려 감소하였으나, 큰 경우에는 설치길이가 증가할수록 침하량 감소에 효과적이다. 이에 따른 박스구조물 높이(H = 250 mm)에 대한 최적 길이 비는 연성 1.38, 강성 0.73으로 산정되었다.

• 한국지하수토양환경학회:학술대회논문집
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• 한국지하수토양환경학회 2005년도 총회 및 춘계학술발표회
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• pp.202-210
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• 2005

In this study, the fly ash was employed as a possible alternative to the bentonite for its high sorption capacity against cationic heavy metal. To consider the constituents of barrier possibly used, the specimens were mixed with different material contents (fly ash : weathered soil : bentonite), then sorption test was performed. Also the specimens were molded on the wet side of optimum moisture contents like mixing ratio of sorption test and their hydraulic conductivities were measured in flexible-wall permeameters. And to confirm the effect of dissolved cations, the hydraulic conductivity tests were repeated by converting the permeant liquids from water to $Cd^{2+}$ solution. Finally, the Cd-concentration at the effluent was analyzed for 500hrs to compare the effectiveness of each specimen in contaminant retardation. Test results showed that the more the ratio of fly ash increase, the more Kd value increase, and the hydraulic conductivity of weathered soil/bentonite (95:5) mixture was the lowest $(2.9*10^{-8}cm/sec)$, and specimens made of fly ash and fly ash/weathered soil mixtures showed similar hydraulic conductivity. Although the permeant liquid was changed from water to $Cd^{2+}$ solution, the hydraulic conductivity of all specimens except for weathered soil maintained similarly like before. Consequently, the initial breakthrough point of Cd in weathered soil specimen was observed at about 5hrs after the test started while that of fly ash specimens was not observed during the whole test period of 500hrs. The results implied that fly ash had a sufficient retardation capacity against contaminant transport possibly by its high sorption capacity although it showed little effect on the reduction of hydraulic conductivity. Based on the test results, it could be concluded that the fly ash can be possibly used as a suitable barrier material in containment system to attenuate the contaminant transport for its high retardation capacity and for the low cost.

• 동의생리병리학회지
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• 제28권6호
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• pp.689-694
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• 2014

We report a female small cell lung cancer patient in the extensive stage(T3N3Mx). After 6 cycles of chemotherapy combined radiation therapy, she received inpatient Korean medical care including herbal medicine, acupuncture therapy and concurrent western oral medications of opioid analgesics and anti-anxiety agent. The chief complaint was right side thoracic wall pain which had started after chemotherapy and was not effectively controlled by analgesics. For this condition, we treated her with 2Hz of constant electrical stimulation on Jiaji (Ex-B2) points T5-T7 laterally (right) using three needles for 20 minutes once a day for 9 days. With every session of electrical acupuncture treatment, thoracic pain decreased acutely. Korean medicine treatments including Jiaji (Ex-B2) point stimulation might be tried for lung cancer patients with uncontrolled thoracic pain at least for the acute analgesic effect.

• 치과방사선
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• 제25권2호
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• pp.399-408
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• 1995

악골의 매복치아와 관련된 단방성의 치관부 방사선투과상을 나타내는 병소들 중에서 임상적, 방사선학적, 조직병리학적 검사를 통해 함치성 낭으로 진단된 233증례들의 임상, 방사선학적소견을 분석하여 다음과 같은 결론을 얻었다. 1. 함치성 낭은 10대(38.2％)에서 가장 호발되었으며, 남성(67.4％)에서 더 많았다. 2. 주소는 무통성의 종창(33.9％)이 가장 많았고, 대부분 외과적으로 치료되었으며 적출술(76.6％) 또는 조대술(23.4％)이 사용되었다. 3. 병소는 중심형(72.5％)이 대부분이었으며, 병소의 크기는 2~2.9cm인 경우(33.0％)가 가장 많았다. 4. 병소는 상악에서는 전치부(32.6％), 하악에서는 구치부(22.7％)에서 호발되었으며, 원인치아는 상악 과잉치(34.3％)에서 가장 많았다. 5. 주변 정상 골조직과의 경계는 과골성의 분명한 골경화로 나타난 경우(49.8％)가 가장 많았으며, 병소의 변연형태가 평활한 경우(73.4％)와 병소 내부의 방사선투과상이 균일한 경우(79.4％)가 대부분이었다. 6. 병소와 관련된 피질골의 비박과 팽융이 대부분의 경우(82.0％)에서 나타났으며, 그 방향은 협측인 경우(64.0％)가 가장 많았다. 7. 병소가 발생된 치아의 전위(41.2％)와 치관발육의 지연(19.3％)이 나타났으며, 원인치아의 백악ㆍ법랑 경계부와 치아부착부 사이의 거리는 2mm미만인 경우(79.6％)가 가장 많았다. 8. 병소와 관련된 치아의 치조백선 소실(66.8％), 치근 흡수(33.9％), 치아 전위(31.5％)가 관찰되었으며, 하악관의 전위(46.5％)와 상악동 또는 비강의 전위(72.2％)가 관찰되었다.