• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권6호
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• pp.546-554
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• 2021

Purpose: Malnutrition is a significant issue for pediatric patients with cancer. We sought to evaluate the effectiveness and complication rate of percutaneous endoscopic gastrostomy (PEG) placement in pediatric oncology patients. Methods: A retrospective chart review was performed on 49 pediatric oncology patients undergoing PEG placement at Johns Hopkins All Children's Hospital between 2000 and 2016. Demographic and clinical characteristics, complications, absolute neutrophil count at time of PEG placement and at time of complications, length of stay, and mortality were identified. Weight-for-age Z-scores were evaluated at time of- and six months post-PEG placement. Results: The overall mean weight-for-age Z-score improved by 0.73 (p<0.0001) from pre- (-1.11) to post- (-0.38) PEG placement. Improvement in Z-score was seen in patients who were malnourished at time of PEG placement (1.14, p<0.0001), but not in those who were not malnourished (0.32, p=0.197). Site infections were seen in 12 (24%), buried bumper syndrome in five (10%), and tube dislodgement in one (2%) patient. One patient (2%) with fever was treated for possible peritonitis. There were no cases of other major complications, including gastric perforation, gastrocolic fistula, clinically significant bleeding, or PEG-related death documented. Conclusion: Consistent with previous studies, our data suggests a relationship between site complications (superficial wound infection, buried bumper syndrome) and neutropenia. Additionally, PEG placement appears to be an effective modality for improving nutritional status in malnourished pediatric oncology patients. However, larger prospective studies with appropriate controls and adjustment for potential confounders are warranted to confirm these findings.

• 임상이비인후과
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• 제29권2호
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• pp.235-239
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• 2018

Due to the structure with one end closed, the external ear resonance effect in which the high frequency is amplified can be generated, and the sound can be perceived well. The external ear resonance normally has a first peak and a second peak. On average, the first peak has a gain of 18.6 dB at 2620 Hz and the second peak has a gain of 18.2 dB at 4210 Hz. The resonance of the external auditory canal changes with the state of the tympanic membrane, the presence of the ventilation tube, and the structure (length, diameter, shape) of the external auditory canal. A patient with a postauricular meatomastoid cutaneous fistula was admitted to the hospital with a foreign body which is the molding of the hearing aid. After removal of the foreign body, the resonance of the external auditory canal was lost and the subjective sound cognitive ability decreased. In the case of postauricular meatomastoid cutaneous fistula, we confirmed the improvement of sound cognitive ability, the change of pure tone hearing threshold, and the change of the external ear resonance after reconstruction of the ear canal without middle ear reconstruction.

• 한국농공학회논문집
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• 제63권4호
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• pp.23-32
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• 2021

For agricultural water management, it is essential to establish the digital infrastructure data such as agricultural watershed, irrigated area and canal network in rural areas. Approximately 70,000 irrigation facilities in agricultural watershed, including reservoirs, pumping and draining stations, weirs, and tube wells have been installed in South Korea to enable the efficient management of agricultural water. The total length of irrigation and drainage canal network, important components of agricultural water supply, is 184,000 km. Major problem faced by irrigation facilities management is that these facilities are spread over an irrigated area at a low density and are difficult to access. In addition, the management of irrigation facilities suffers from missing or errors of spatial information and acquisition of limited range of data through direct survey. Therefore, it is necessary to establish and redefine accurate identification of irrigated areas and canal network using up-to-date high resolution images. In this study, previous existing data such as RIMS (Rural Infrastructure Management System), smart farm map, and land cover map were used to redefine irrigated area and canal network based on appropriate image data using satellite imagery, aerial imagery, and drone imagery. The results of the building the digital infrastructure in rural areas are expected to be utilized for efficient water allocation and planning, such as identifying areas of water shortage and monitoring spatiotemporal distribution of water supply by irrigated areas and irrigation canal network.

• 한국추진공학회지
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• 제24권6호
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• pp.69-77
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• 2020

액체 핀틀 추력기의 성능해석을 위해 준 일차원 다상 반응유동 해석코드를 개발하였다. 해석코드의 주요모델로서 다상 유동장, 액적의 기화, 다상 연소, 액체 막냉각 등의 모델들을 적용하였다. 액적기화 모델은 Abramzon의 기화모델을 적용하였으며 연소 모델은 flamelet 모델을 적용하였다. 막냉각 효과는 Shine의 모델을 적용하였다. 각 모델을 사용하여 산소-질소의 Sod shock 튜브, n-decane 액적기화, 케로신 다상연소, 막냉각 길이를 계산하여 선행 연구자의 결과와 비교 검증하였다.

• Nuclear Engineering and Technology
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• 제54권8호
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• pp.3095-3105
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• 2022

Solid Microencapsulated Fuel (SMF) is a type of solid fuel rod design that disperses TRISO coated fuel particles directly into a kind of matrix. SMF is expected to provide improved performance because of the elimination of cladding tube and associated failure mechanisms. This study focused on the neutronics and some of the fuel cycle characteristics of SMF by using OpenMC. Two kinds of SMFs have been designed and evaluated - fuel particles dispersed into a silicon carbide matrix and fuel particles dispersed into a zirconium matrix. A 7×7 fuel assembly with increased rod diameter transformed from the standard NHR200-II 9×9 array was also introduced to increase the heavy metal inventory. A preliminary study of two kinds of burnable poisons (Erbia & Gadolinia) in two forms (BISO and QUADRISO particles) was also included. This study found that SMF requires about 12% enriched UN TRISO particles to match the cycle length of standard fuel when loaded in NHR200-II, which is about 7% for SMF with increased rod diameter. Feedback coefficients are less negative through the life of SMF than the reference. And it is estimated that the average center temperature of fuel kernel at fuel rod centerline is about 60 K below that of reference in this paper.

• Journal of Chest Surgery
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• 제55권1호
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• pp.30-36
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• 2022

Background: No consensus exists regarding whether volatile anesthetics are superior to intravenous anesthetics for reducing postoperative pulmonary complications (PPCs) in patients undergoing general anesthesia for surgery. Studies of this issue focused on anatomic pulmonary resection are lacking. This study compared the effects of total intravenous anesthesia (TIVA) versus volatile anesthesia on PPCs after anatomic pulmonary resection in patients with lung cancer. Methods: This retrospective study examined the medical records of patients with lung cancer who underwent lung resection at our center between January 2018 and October 2020. The primary outcome was the incidence of PPCs, which included prolonged air leak, pneumonia, acute respiratory distress syndrome, empyema, atelectasis requiring bronchofiberscopy (BFS), acute lung injury (ALI), bronchopleural fistula (BPF), pulmonary embolism, and pulmonary edema. Propensity score matching (PSM) was used to balance the 2 groups. In total, 579 anatomic pulmonary resection cases were included in the final analysis. Results: The analysis showed no statistically significant difference between the volatile anesthesia and TIVA groups in terms of PPCs, except for prolonged air leak. Neither of the groups showed atelectasis requiring BFS, ALI, BPF, pulmonary embolism, or pulmonary edema after PSM. However, the length of hospitalization, intensive care unit stay, and duration of chest tube indwelling were shorter in the TIVA group. Conclusion: Volatile anesthetics showed no superiority compared to TIVA in terms of PPCs after anatomical pulmonary resection in patients with lung cancer. Considering the advantages of each anesthetic modality, appropriate anesthetic modalities should be used in patients with different risk factors and situations.

• 한국표면공학회지
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• 제56권2호
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• pp.137-146
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• 2023

Nanosized TiO₂ has been widely investigated in photoelectrochemical or photocatalytic applications due to their intrinsic properties such as suitable band position, high photocorrosion resistance, and surface area. In this study, to achieve the high efficiency in photoelectrochemical and photocatalytic performance, TiO₂ nanotubular structures were formed by anodization at various temperatures and times. The morphological and crystal structure of the anodized TiO₂ nanotubes (NTs) were characterized by scanning electron microscope (SEM) and X-ray diffraction (XRD). The photoelectrochemical (PEC) properties and incident photon-to-current conversion efficiency (IPCE) of the TiO₂ NTs were studied with different lengths and morphologies. From the detailed investigations, the optimum thickness of TiO₂ nanotubes was 3 ㎛. Moreover, we found that the optimum photocatalytic pollutant removal efficiency of TiO₂ nanotubes for photodegradation of Rhodamine B (RhB) under simulated solar light was 5.34 ㎛ of tube length.

• 한국건축시공학회지
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• 제24권2호
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• pp.215-226
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• 2024

본 연구에서는 초고분말 플라이 애시가 다량 치환된 자기감지형 그라우트의 성능을 검토하기 위하여 실험적 연구를 진행하였다. 또한 기존의 대표적인 산업부산물인 고로슬래그 미분말과 플라이 애시를 동일한 양으로 치환하여 굳지 않은 그라우트의 유동특성, 경화 그라우트에서 압축강도, 길이변화율, 전기적 특성을 평가하였다. 실험결과 초고분말 플라이 애시 치환시 소성점도가 크게 낮아져 유동성이 향상되었으며, 압축강도도 플레인보다 초기재령에서부터 높게 나타났다. 또한 전기적 특성에서도 FCR-Stress, FCR-Strain의 관계가 유사하게 나타났다.

• 대한방사선기술학회지:방사선기술과학
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• 제32권3호
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• pp.299-306
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• 2009

MDCT의 시간분해능 향상과 등방성 해상능(isotrophic resolution) 영상의 획득, 그리고 지능적인 심전도 동조를 바탕으로 하여 심혈관 질환의 효과적인 진단검사로 인정받고 있는 후향적 심전도 동조화(retrospective ECG gating) 하의 coronary CT angiography는 상대적으로 많은 환자선량을 제공함으로 인해 우수한 진단방법으로서의 장점을 반감시키고 있다. 이에 각 장치 제조사에서는 환자선량을 감소시키는 방법의 연구가 활성화되어 왔으며, 이의 일환으로 지능적인 cardiac dose modulation 기술과 전향적 심전도 동조화(prospective ECG gating)를 사용한 sequential scan이 도입되고 있다. 이에 본 연구에서는 64 채널 MDCT에서 54 kg, 163 cm인 여성 인체모형팬텀을 대상으로 하고 형광유리선량계를 사용하여 후향적 심전도 동조화 하의 coronary CT angiography 프로토콜에서 환자선량의 정량적 평가와 환자선량 감소를 위해 본원에서 선택적으로 적용하고 있는 5가지 검사 프로토콜을 적용하였을 경우의 effective dose와 중요 부위의 organ dose를 측정 비교하여 다음과 같은 결과를 얻었다. 1) Dose modulation없이 120 kVp와 210 mAs의 노출조건으로 retrospectively ECG gated helical scan으로 시행한 conventional coronary CT angiography 프로토콜의 effective dose는 17.8 mSv였으며, 심장의 organ dose는 103.8 mGy였다. 2) 관전압을 120 kVp에서 100 kVp로 낮추었을 경우 effective dose는 11.0 mSv로 conventional coronary CT에 비해 38.2%가 감소하였으며, 심장은 67.3 mGy로 45.2%가 감소하였다. 3) Cardiac dose modulation을 적용한 경우 effective dose는 13.3 mSv로 conventional coronary CT에 비해 25.3%가 감소하였으며, 심장은 80.0 mGy로 22.9%가 감소하였다. 4) 100 kVp의 저관전압과 cardiac dose modulation을 적용한 경우 effective dose는 8.1 mSv로 conventional coronary CT angiography에 비해 54.5%가 감소하였으며, 심장은 49.5 mGy로 52.3%가 감소하였다.

• Journal of Chest Surgery
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• 제36권4호
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• pp.267-272
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• 2003

기관 협착의 치료에는 주기적인 확장, 기관내시경을 통한 협착 조직의 제거, T-tube 삽입 등의 보존적 방법과 수술적 방법이 있다. 그러나, 최근 수술을 통한 기관 절제 및 단단문합술이 기능적으로나 해부학적으로 정상적인 상기도 확보에 효과적인 것으로 보고되고 있어 그 결과를 알아보고자 한다. 대상 및 방법: 1990년 3월부터 2002년 7월까지 울산대학교 의과대학 서울아산병원에서 기관 절제 및 단단문합술을 시행한 환자 41예를 대상으로 의무기록을 참조하여 후향적으로 분석하였다. 결과： 원인 질환으로는 postintubation stenosis 26예,기관에 발생된 원발성 기관종양이 10예(양성 3예, 악성 7예), 기관내 결핵 1예, 외상 2예, 그리고 갑상선암이 2예였다. 기관 절제 및 단단문합술을 시행한 환자 41예 중 29예는 기관 절제 및 단단 문합술을 시행하였고, 12예는 갑상연골 또는 윤상연골 절제가 동반된 후두 기관 문합술을 시행하였다. 후두 기관 문합술을 시행한 11예 중 4예에서 후두분리술 (supralaryngeal release)을 시행하였다. 절제된 기관의 길이는 평균 $3.6{\pm}1.0$cm였다. 기관 절제 및 단단 문합술을 시행한 41예의 환자 중 수술 후 상태가 양호한 환자는 30명(73.2%)이었고, 수술 직후 일부문합 부위에 육아종 증식 또는 감염이 있었으나 보존적 치료 후 호전된 환자는 8명(19.5%)으로 전체환자 중 92.7%에서 수술 후 양호한 기도의 확보가 가능하였다. 합병증으로는 육아종 증식을 보여 보존적 치료를 시행한 환자가 7예, 창상감염 2예, 문합부 dehiscence 2예, 운동 시만 호흡곤란을 보이면서 특별한 치료없이 지내는 재협착이 1예, 수술 후 반복적인 기도 흡인으로 재기관절개술을 시행한 환자가 1예 있었다. 기관 절제 및 단단문합술과 직접 관련된 30일 내의 조기사망은 없었고, 원내사망이 3예 있었다 결론: 기관 절제 및 단단문합술은 높은 성공률과 낮은 유병률 및 사망률을 보여 병변의 길이가 적절한 경우, 기관 수술의 표준이 될 수 있을 것으로 생각한다 그러나, 수술부위 육아조직 증식이 가장 심각한 합병증으로 이를 방지하기 위한 지속적인 연구와 노력이 필요할 것으로 생각한다.