• Journal of Korean Neurosurgical Society
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• v.60 no.6
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• pp.717-722
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• 2017

Objective : To evaluate the effectiveness and efficacy of delayed burr hole surgery in relation to the reduction of postoperative subdural hematoma (SDH) volume in patients with acute SDH. Methods : We retrospectively analyzed patients with acute SDH who received delayed burr hole surgery at our institute. Age, sex, Glasgow coma scale, maximal SDH thickness, volume of SDH, midline shifts, hounsfield unit (HU), and medical history of anticoagulant agent usage were recorded. Outcome measures were delayed operation day, reduction of SDH volume after operation, and the Glasgow outcome scale (GOS) score at discharge. The patients were divided two groups according to the postoperative reduction of volume of SDH (${\geq}50%$, group A; <50%, group B). We also analyzed variables and differences between two groups. Results : Eighteen patients were available for this analysis. The mean delayed of surgery was $13.9{\pm}7.5$ days. Maximal thickness of SDH was changed from $10.0{\pm}3.5mm$ to $12.2{\pm}3.7mm$. Volume of SDH was changed from $38.7{\pm}28.0mL$ to $42.6{\pm}29.6mL$. Midline shifts were changed from $5.8{\pm}3.3mm$ to $6.6{\pm}3.3mm$. HU were changed from $66.4{\pm}11.2$ to $53.2{\pm}20.6$. Post-operative reduction of SDH volume was $52.1{\pm}21.1%$. Eleven patients (61%) had a discharge GOS score of 1 (good recovery). Ten patients (56%) were enrolled in group A. Midline shifting was greater in group A than in group B ($7.4{\pm}3.3$ vs. $3.0{\pm}2.4mm$; p<0.02). The delay of surgery was shorter for group A than group B ($9.2{\pm}2.3$ vs. $19.8{\pm}7.7$ days; p<0.0008). Conclusion : Among well selected patients, delayed burr hole surgery in patients with acute SDH may be effective for reduction of SDH volume. Further studies will be necessary to establish the effectiveness and safety of delayed burr hole surgery in patients with acute SDH.

• The Transactions of the Korean Institute of Power Electronics
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• v.22 no.6
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• pp.469-475
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• 2017

Using impedance matching techniques as a way to increase system power transferability in capacitive wireless power transmission has been widely investigated in conventional studies. However, these techniques tend to increase the circuit volume and thus counterbalance the advantage of the simplicity in the energy link structure. In this paper, a compact circuit topology with one leakage-enhanced transformer is proposed in order to minimize the circuit volume for the capacitive power transfer system. This topology achieves a reactive compensation, and the system quality factor value can be reduced by the turn ratio. As a result, this topology not only reduces the overall system volume but also minimizes the voltage stress of the link capacitor. An optimal design guideline for the leakage-enhanced transformer is also presented. The advantages of the proposed scheme over the conventional method in terms of power efficiency and circuit volume are revealed through an analytic comparison. The feasibility of applying the new topology is also verified by conducting 50 W hardware tests.

• Transactions of the Korean Society of Automotive Engineers
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• v.16 no.5
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• pp.68-76
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• 2008

Diesel $NO_x$ reduction by $NH_3$-SCR in conjunction with the effective oxidation precatalyst was analytically investigated. Physicochemical processes in regard to $NH_3$-SCR $NO_x$ reduction and catalytic NO-$NO_2$ conversion are formulated with detailed descriptions on the commanding reactions. A unified model is correctly validated with experimental data in terms of extents of $NO_x$ reduction by SCR and NO-$NO_2$ conversion by DOC. The present deterministic model based on the rate expressions of Langmuir-Hinshelwood reaction scheme finds a conversion extent directly. A series of numerical experiments concomitant with parametric analysis of the $NO_x$ reduction was conducted. $NO_x$ reduction is promoted in proportion to DOC volume ar lower temperatures and an opposite holds at lower space velocity and intermediate temperatures. $NO_x$ conversion is weakly correlated to the space velocity and the DOC volume at higher exhaust temperature. In DOC-SCR system, the $NO_x$ reduction efficiency depends on the $NH_3/NO_x$ ratio.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.13 no.12
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• pp.1266-1274
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• 2001

Heat transfer phenomena during melting process of the phase change material (ice) was studied by numerical analysis and experiments. In a horizontal ice storage tube, the natural convection caused an increase in melting rate. However, the reduction of the heating surface area caused a decrease in melting rate. Therefore, during the melting process of ice in a horizontal cylinder, the reduction of the heating surface area should be considered. Under the same heating wall and initial water temperature condition, the melting rate became higher for $V_s/V_tot/=0.545 \;than \;that\; for\; V_s/V_tot$/=1.00 due to the difference in the reduction of heating surface area. A modified melting model considering the equivalent thermal conductivity of liquid phase and volume reduction was proposed. The results of the model were compared with the measured values and found to be in good agreement.

• Radiation Oncology Journal
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• v.32 no.2
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• pp.84-94
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• 2014

Purpose: To quantify the cardiac dose reduction during breathing adapted radiotherapy using Real-time Position Management (RPM) system in the treatment of left-sided breast cancer. Materials and Methods: Twenty-two patients with left-sided breast cancer underwent CT scans during breathing maneuvers including free breathing (FB), deep inspiration breath-hold (DIBH), and end inspiration breath-hold (EIBH). The RPM system was used to monitor respiratory motion, and the in-house self respiration monitoring (SRM) system was used for visual feedback. For each scan, treatment plans were generated and dosimetric parameters from DIBH and EIBH plans were compared to those of FB plans. Results: All patients completed CT scans with different breathing maneuvers. When compared with FB plans, DIBH plans demonstrated significant reductions in irradiated heart volume and the heart $V_{25}$, with the relative reduction of 71% and 70%, respectively (p < 0.001). EIBH plans also resulted in significantly smaller irradiated heart volume and lower heart $V_{25}$ than FB plans, with the relative reduction of 39% and 37%, respectively (p = 0.002). Despite of significant expansion of lung volume using inspiration breath-hold, there were no significant differences in left lung $V_{25}$ among the three plans. Conclusion: In comparison with FB, both DIBH and EIBH plans demonstrated a significant reduction of radiation dose to the heart. In the training course, SRM system was useful and effective in terms of positional reproducibility and patient compliance.

• Journal of the Korean Society of Hazard Mitigation
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• v.11 no.3
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• pp.133-141
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• 2011

Urban development of basin causes increasing runoff volume and peak flowrate and shortening in time of concentration, which may cause frequent flooding downstream. An infiltration facilities are operated as a method of reducing flood discharge of urban rivers and peak flowrate. There are various types of infiltration facilities like infiltration trench and porous pavement. In this study, runoff reduction effect due to installation of infiltration facilities are performed and focused on $0.18km^2$ residential area of Ok-kye dong and $0.67km^2$ industrial area of Gong-dan dong in Gumi City. The analysis is fulfilled with comparison of total runoff volume and runoff reduction volume by using the WinSLAMM and the relation equation between area ratio of infiltration facilities and ratio of runoff reduction are derived and peak flow reduction effect for installation of infiltration facilities is analyzed.

• Korean Journal of Metals and Materials
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• v.48 no.4
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• pp.315-319
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• 2010

In this study, the hydrogen reduction behavior of ball-milled NiO nanopowder was investigated depending on the partial pressure of water vapor. The hydrogen reduction behavior was analyzed by thermogravimetry and hygrometry under heating to 873 K in hydrogen. In order to change the partial pressure of the water vapor, the dew point of hydrogen was controlled in the range of 248 K~293 K by passing high-purity hydrogen through a saturator that contained water. Interestingly, with the increase in the dew point of the hydrogen atmosphere, the first step of the hydrogen reduction process decreased and the second step gradually increased. After the first step, a pore volume analysis revealed that the pore size distribution in the condition with a higher water vapor pressure shifted to a larger size, whereas the opposite appearedat a lower pressure. Thus, it was found that the decrease in the pore volume during the chemical reaction controlled process at a dew point of 248 K caused a reduction in retardation in the diffusion controlled process.

• Physical Therapy Korea
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• v.10 no.3
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• pp.53-61
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• 2003

The purpose of this study was to determine the effects On the lymphedema patients of sponge padding and the correlation between the rate of edema reduction and downward shifting of bandages. Fifty secondary lymphedema patients with no infection, active cancer, limitation of movement, pain or drugs were randomly assigned to two groups: a sponge padding group, and a cotton padding group. Complex decongestive therapy was applied for 2 weeks. In each group the volume of the ankle, mid-calf, knee, and mid-thigh and downward shifting of bandages at the thigh was measured with measuring tape. The reduction of volume and downward shifting of bandages were analyzed by the unrelated t-test and the Pearson Correlation Test. The results were as follows: 1. In comparison between the sponge padding group and the cotton padding group, there was no significant difference in volume except in the thigh area. The edema volume was reduced significantly to $37.77{\pm}31.15%$ at the thigh with sponge padding after treatment (p<.05). 2. Bandage shifted 10.12 cm with cotton padding, but only shifted 2.85 cm when sponge padding was used. Sponge padding had an excellent effect in preventing the shifting of bandages. There was a significant difference in the amount of shifting that occurred with each type of padding (p<.05). 3. There was also a strong correlation between the reduction of edema and the shifting of bandage. These results suggest that short-stretch bandaging with sponge padding is more effective than bandaging with cotton padding. Further study on skin irritation and the comfort of sponge padding is needed to use padding materials safely and effectively.

• Journal of Chest Surgery
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• v.30 no.8
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• pp.827-832
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• 1997

Lung volume reduction surgery(LVRS) has recently been advocated as an alternative or a bridge to lung transplantation for patients with evere dibbling emphysema. This procedure is a palliative treatment performed to alleviate the dyspnea of patients with emphysema and improve performance in the activities of daily living. The rationale of lung volume reduction for generalized emphysema is that the removing of the diseased and functionless lung may improve the function of remaining, less diseased lung. The factors critical to the success of LVRS are careful patient selection, accurate localization of target areas, meticulous anesthetic and operative technique, and intensive postoperative support. We have experienced a case of severe emphysema in a 59-year-old male patient. After selection process and pulmonary rehabilitation, the patient was treated with video-assisted thoracoscopic LVRS and the post-operative course was uneventful.

• Korean Journal of Radiology
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• v.22 no.6
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• pp.944-950
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• 2021

Objective: To demonstrate the feasibility of percutaneous microwave ablation in desmoid fibromatosis with respect to tumor volume control and improvement in the quality of life. Materials and Methods: Twelve microwave ablations were performed in 9 patients with a histological diagnosis of desmoid fibromatosis between January 2010 and January 2019. The study population included 6 female and 3 male, with an age range of 21-76 years (mean = 46.6 years; standard deviation [SD] = 19.3 years). The mean major axis of the tumors was 10.9 cm (SD = 5.2 cm) and mean lesion volume was 212.7 cm³ (SD = 213 cm³). Their anatomical distribution was as follows: 3 lesions in the thigh, 2 in the gluteus, 2 in the leg and 2 in the periscapular region. We evaluated the reduction in tumor volume and improvement in the quality of life based on the Eastern Cooperative Oncology Group (ECOG) scale. Results: An average tumor volume reduction of 70.4% (SD = 24.9) was achieved, while the quality of life (ECOG scale) improved in 88.9% of patients. Conclusion: Percutaneous microwave ablation may potentially be a safe, effective, and promising technique for controlling tumor volume and improving the quality of life in patients with desmoid fibromatosis.