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Endoscopy Assisted Transsphenoidal Surgery for Pituitary Tumors (내시경적 경접형동 접근술에 의한 뇌하수체 종양의 수술)

  • Ahn, Young Sang;Chun, Young Il;Ahn, Jae Sung;Jeon, Sang Ryong;Kim, Jeong Hoon;Ra, Young Shin;Roh, Sung Woo;Kim, Chang Jin;Kwon, Yang;Rhim, Seung Chul;Lee, Jung Kyo;Kwun, Byung Duk
    • Journal of Korean Neurosurgical Society
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    • v.30 no.5
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    • pp.586-591
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    • 2001
  • Objective : Transseptal or sublabial transsphenoidal surgery has been standard teatment for pituitary tumors for decades. However, as an alternative to this surgery endonasal endoscopic technique has been reported with encouraging results. We have started endoscopy-assisted transsphednoidal surgery from May 1998. In this paper we analyzed the methods, outcome, advantage and disadvantage of this surgical approach for the purpose of planning optimal treatment of pituitary tumors. Methods : This study consisits of 13 cases of pituitary tumors who were treated by endoscopy-assisted transsphenoidal surgery using one nostril from May 1998 to July 1999. Mean follow up period was 12.9 months. Results : There was no septal or sublabial incision and little surgical damage to nasal structure. With this technique, rapid surgical approach and short hospital day were possible, being 3-6 days in patients without CSF leakage. Using various angled endoscope, good surgical view was obtained. Initially it was difficult to use various instruments in narrow nasal cavity, but became feasible after several procedures. Among 13 cases, total removal was possible in 11 cases. One of two cases in whom tumor was incompletely removed underwent gamma-knife radiosurgery and second underwent reoperation through subfrontal approach. There were 6 cases of hormone secreting tumors and hormonal remission was achived in all of these cases. Postoperative complications were CSF leakage(6 cases), diabetes insipidus(2 cases) and panhypopituitarysm(1 case). Lumbar drainage was done in all cases of CSF leakage. Conclusion : The advantage of endoscopy-assisted transsphenoidal surgery are rapid surgical approach, low postoperative morbidity, short hospital day and good surgical view. The disadvantage of this appoach are difficulty in manupulating various instruments in narrow nostril and difficulty in distance perception but these problems can be overcome by practice and using stereoscopic endoscope.

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A Survey on the Consumer Packaging Preferences for Mini Pot Flower Plants on Domestic Market in Korea (소형 분화류의 포장재 및 포장용기에 대한 소비자의 기호도 조사)

  • Lee, Sun Yup;Woo, Hyun Jeong;Lee, Youn Suk
    • KOREAN JOURNAL OF PACKAGING SCIENCE & TECHNOLOGY
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    • v.23 no.1
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    • pp.47-53
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    • 2017
  • In this study we surveyed the preferences of consumer packaging for mini pot flower plants to improve the flower market application in Korea. The surveys were consisted of the consumers residing in Seoul metropolitan (221), Gyeonsang (70), Jeonla (29), Chungceong (19), Gangwon (7), other provinces (3). A total of 349 eligible respondents (male 173, female 176) were surveyed with a self-administered questionnaire asking on the general characteristics for residents, packaging material, packaging design, type of flower pot, degree of transparency, convenience, consumer's demand for packaging development, a significant point when purchasing the flower pot product. The collected date was analyzed using a chi-square (${\chi}^2$) statistical test in SPSS program. Most residents prefer for mini pot flower plants packed with packaging characteristics of plastic material (56.4%), packaging design of separated type (76.2%), angled type (62.5%), and transparency (48.6%). The other question results showed that major consumer's demand for mini pot flower plants is maintaining the freshness quality and stability structure for them. Transparency of packaging can also affect directly the preferences for purchasing the mini pot flower plants. The packaging structure with a proper shape design may protect the fresh mini pot flower plants from shock or any other damage during distribution. The results of this study help to provide consumer's demand for packaging development and to give the greatest advantages in terms of production and marketability of mini pot flower plants.

Assessment of the Eye Lens Dose Reduction by Bismuth Shields in Rando Phantom Undergoing CT of the Head (Head CT 검사 시 안구 차폐용 Bismuth사용에 의한 수정체 선량 감소에 대한 평가)

  • Cho, Pyong-Kon;Kim, You-Hyun;Choi, In-Ja;Chang, Sang-Gyu;Chung, Jung-Pyo;Lee, Hyun;Kim, Jang-Seob;Shin, Dong-Cheol;Choi, Jong-Hak;Lee, Ki-Sung;Lee, Won-Ho
    • Journal of radiological science and technology
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    • v.31 no.2
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    • pp.171-175
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    • 2008
  • The aim of this study is to assess the dose reduction of eye lens and availability of bismuth garments resulting from the use of radioprotective bismuth garments to shield the eyes of patients undergoing head CT. Rando phantom and TLDs were used to determine the amount of dose reduction by bismuth shielding of the eye in the following simulated CT scans : (a) scanning of the head including orbits, (b) scanning of the whole head, and (c) $20^{\circ}$ angled scanning of the head excluding orbits. The average dose reduction of eye lens was 43.2%, 36.0% and 1.4% for the three CT scans listed above. Significant reduction in the eye lens dose was achieved by using superficial orbital bismuth shielding during head CT scans. However, bismuth shields should not be used for the patients when their eyes are excluded from the primarily exposed region.

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Changes in Reaction Time during Mental Rotation of Three-Dimensional Objects for Chronic Hemiparetic Stroke (3차원 물체의 심상회전이 만성 편마비 뇌졸중 환자의 반응시간에 미치는 영향)

  • Lee, Jeong-Weon;Ahn, Si-Nae;Hwang, Su-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.3
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    • pp.1114-1121
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    • 2012
  • There is a cause and effect relationship in that brain injury causes impairment of mental rotation and ultimately independent functional activities. The purpose of this study was to compare the effects of mental rotation on reaction time and precision between the normal adults and chronic hemiparetic stroke patients. Thirty-one patients with chronic hemiparetic stroke and twenty normal adults participated in this study. The participants conducted 2 types of tasks for mental rotation: a comparison task using mirror images, and a rotation task using angular disparity images for 2 different 3-dimensional objects. Each of the 3 possible angled shapes ($90^{\circ}$, $180^{\circ}$, and $270^{\circ}$) appeared in each pair. The test consisted of 6 mirror-reflected image pairs and 6 angular disparity image pairs visualized during angular rotation, and 12 test periods. The subjects were judged on how accurately and rapidly they could distinguish between the mirrored and non-mirrored pairs. The study measured reaction time and precision to compare the effect of mental rotation tasks. Reaction time during all 3 angular conditions were significantly longer in the stroke patients than that in the normal adult during the comparison tasks and the rotation tasks. In addition, precision during mental rotation tasks was not significantly different between normal adults and stroke patients. Our results suggest that rehabilitation therapists should keep in mind that mental rotation is more difficult in stroke population than in normal adults.

Construction of the Geological Model around KURT area based on the surface investigations (지표 조사를 이용한 KURT 주변 지역의 지질모델구축)

  • Park, Kyung-Woo;Koh, Yong-Kwon;Kim, Kyung-Su;Choi, Jong-Won
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.7 no.4
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    • pp.191-205
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    • 2009
  • To characterize the geological features in the study area for high-level radioactive waste disposal research, KAERI (Korea Atomic Energy Research Institute) has been performing several geological investigations such as geophysical surveys and borehole drillings since 1997. Especially, the KURT (KAERI Underground Research Tunnel) constructed to understand the deep geological environments in 2006. Recently, the deep boreholes, which have 500 m depth inside the left research module of the KURT and 1,000 m depth outside the KURT, were drilled to confirm and validate the results from a geological model. The objective of this research was to investigate hydrogeological conditions using a 3-D geological model around the KURT. The geological analysis from the surface and borehole investigations determined four important geologicla elements including subsurface weathered zone, low-angled fractures zone, fracture zones and bedrock for the geological model. In addition, the geometries of these elements were also calculated for the three-dimensional model. The results from 3-D geological model in this study will be beneficial to understand hydrogeological environment in the study area as an important part of high-level radioactive waste disposal technology.

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Three Dimensional Finite Element Analysis on Stress Distribution According to the Bucco-lingual Inclination of the Implant Fixture and Abutment in the Mandibular Posterior Region (하악 구치부에서 임플란트 고정체와 지대주의 협설 기울기에 따른 응력분포에 관한 삼차원 유한요소 분석)

  • Lee, Hyun-Sook;Kim, Ji-Youn;Kim, Ye-Mi;Kim, Myung-Rae;Kim, Sun-Jong
    • Journal of Dental Rehabilitation and Applied Science
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    • v.27 no.4
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    • pp.371-392
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    • 2011
  • The purpose of this study was to comparatively analyze the stress distribution according to the inclinations of abutments and angulations of the implant fixtures under occlusal loading force. Three study models with straight and $15^{\circ}$ and $25^{\circ}$-angled abutments were prepared following the insertion of Implants parallel to the long axis of the tooth. Additional two experimental models were fabricated with $15^{\circ}$ and $25^{\circ}$ fixture inclinations. Using ANSYS 11, a finite element analysis program, the magnitudes of stress distribution were analyzed. The magnitude of stress under loading was lowest when the load was applied vertically onto the axis of implant. And the magnitude of stress under compound(vertical+oblique) loading was increased as the inclination of implant abutment and fixture was increase. But, the distribution of stress was different as the loading conditions, because of the horizontal offset. As the offset between the axis of loading and the central axis of the implant increased, the stress was increased.

Enhanced heat transfer in the convergent rectangular channels with ∧/∨-shaped ribs on one wall (한 면에 ∧/∨형 리브가 있는 2벽면 수축 사각채널의 열전달 증가)

  • Lee, Myung-Sung;Yu, Ji-Ui;Jeong, Hee-Jae;Choi, Dong-Geun;Ha, Dong-Jun;Go, Jin-Su;Ahn, Soo-Whan
    • Journal of Advanced Marine Engineering and Technology
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    • v.40 no.4
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    • pp.270-274
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    • 2016
  • The effect of the rib angle-of-attack on heat transfer in the convergent channel with ${\vee}/{\wedge}$-shaped ribs was examined experimentally. Four differently angled ribs (a = $30^{\circ}$, $45^{\circ}$, $60^{\circ}$, and $90^{\circ}$) were placed to only the one sided wall. The ribbed wall was manufactured with a fixed rib height (e) of 10 mm and rib spacing (p)-to-height (e) ratio of 10. The convergent channel had a length of 1,000 mm and a cross-sectional areas of $100mm{\times}100mm$ at inlet and $50mm{\times}100mm$ at exit. The measurement was conducted for the Reynolds numbers ranging from 22,000 to 75,000. The results show that the Nusselt number is generally higher at higher Reynolds number and that an angle-of-attack of $45^{\circ}$ at the ${\wedge}$-shaped rib produces the greatest Nusselt number.

A new feature specification for vowel height (모음 높이의 새로운 표기법에 대하여)

  • Park Cheon-Bae
    • MALSORI
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    • no.27_28
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    • pp.27-56
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    • 1994
  • Processes involving the change of vowel height are natural enough to be found in many languages. It is essential to have a better feature specification for vowel height to grasp these processes properly, Standard Phonology adopts the binary feature system, and vowel height is represented by the two features, i.e., [\pm high] and [\pm low]. This has its own merits. But it is defective because it is misleading when we count the number of features used in a rule to compare the naturalness of rules. This feature system also cannot represent more than three degrees of height, We wi31 discard the binary features for vowel height. We consider to adopt the multivalued feature [n high] for the property of height. However, this feature cannot avoid the arbitrariness resulting from the number values denoting vowel height. It is not easy to expect whether the number in question is the largest or not It also is impossible to decide whether a larger number denotes a higher vowel or a lower vowel. Furthermore this feature specification requires an ad hoc condition such as n > 3 or n \geq 2, whenever we want to refer to a natural class including more than one degree of height The altelnative might be Particle Phonology, or Dependency Phonology. These might be apt for multivalued vowel height systems, as their supporters argue. However, the feature specification of Particle Phonology will be discarded because it does not observe strictly the assumption that the number of the particle a is decisive in representing the height. One a in a representation can denote variant degrees of height such as [e], [I], [a], [a ] and [e ]. This also means that we cannot represent natural classes in terms of the number of the particle a, Dependency Phonology also has problems in specifying a degree of vowel height by the dependency relations between the elements. There is no unique element to represent vowel height since every property has to be defined in terms of the dependency relations between two or more elements, As a result it is difficult to formulate a rule for vowel height change, especially when the phenomenon involves a chain of vowel shifts. Therefore, we suggest a new feature specification for vowel height (see Chapter 3). This specification resorts to a single feature H and a few >'s which refer exclusively to the degree of the tongue height when a vowel is pronounced. It can cope with more than three degrees of height because it is fundamentally a multivalued scalar feature. This feature also obviates the ad hoc condition for a natural class while the [n high] type of multivalued feature suffers from it. Also this feature specification conforms to our expection that the notation should become simpler as the generality of the class increases, in that the fewer angled brackets are used, the more vowels are included, Incidentally, it has also to be noted that, by adopting a single feature for vowel height, it is possible to formulate a simpler version of rules involving the changes of vowel height especially when they involve vowel shifts found in many languages.

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Experimental Study on the Elastic Constants of A Transversely Isotropic Rock by Multi-Specimen Compression Tests Report 2 - Statistical Evaluation and Determination of True Values of Elastic Constants (다중시험편 시험에 의한 평면이방성 암석의 탄성상수 분석연구 제 2 보 - 자료의 통계적 평가와 참값의 결정)

  • Park, Chulwhan;Park, Chan;Jung, Yong-Bok
    • Tunnel and Underground Space
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    • v.22 no.5
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    • pp.346-353
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    • 2012
  • Multi-specimen uniaxial compression test has been carried out in order to find the method to determine the five independent elastic constants from a single standard specimen of a transversely isotropic rock. Total 35 specimens of 7 different angles from a large block of rhyolite presenting the flow structure obviously are used in tests. This second report is to focus on the statistical evaluation of measured strains and analyzed elastic constants. And the determination of their true or near-true values is discussed. As the result of RSD analysis, it turns out that the reliability of measured strains is sufficiently obtained and Saint-Venant approximation is well applicable except 15 degree angled specimen in tests. RSD is decreasing on the increase of the angle of anisotropy. This tendency may be caused not only by the decreasing of the deviation of measured strains, but also by the better applicability of Saint-Venant approximation on the increase of angle. It can be concluded that the analyzed values are considered the near-true ones of five independent constants on the high reliability. But the variation of the apparent Young's modulus expected by these values is not proved to match the measured tendency. It is inferred that the factor to decrease the apparent Young's modulus and/or to increase the shear strain, is present in the test or in the nature of the anisotropy in consideration of this inconsistency.

A STUDY ON THE FRACTURE STRENGTH OF ALL-CERAMIC CROWNS (수종 전부도재관의 파절강도에 관한 비교연구)

  • Paek, Seung-Jin;Yang, Jae-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.4
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    • pp.611-633
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    • 1995
  • The pupose of this study was to compare the fracture strength of five kinds of all-ceramic crowns(Vintage, Dicor Empress-staining, Empress-layering, In-Ceram) luted with glass ionomer cerment and composite resin cement and to evaluate the effect of cements on the fracture stregth of all ceramic crowns. Five groups of twelve uniform sized all-ceramic crown specimens were fabricated. Six specimens of each group were cemented with glass ionomer cement(Fuji G.I. Cement) and the remaining six specimens of each group were etched, silane-treated, and cemented with composite resin cement(Bistite resin cement). The crowns were stored in water$(37^{\circ}C)$ for 1 day prior to loading in an Instron, using a steel ball(diameter 4mm) at a crosshead speed of 0.5mm/min. The crowns were angled $30^{\circ}$, so the steel ball contacted with the crowns 2mm lingual from the mid-incisal edge. The results obtained were summarized as follows ; 1. With G.I. cement, mean fracture load(Kg) Were : Intage : $18.33{\pm}1.47$ ; Empress-staining : $23.92{\pm}6.67$ ; Dicor : $24.0{\pm}5.81$ ; Empress-layering : $26.92{\pm}2.80$ ; In-Ceram : $51.58{\pm}6.87$ ; ANOVA revealed a significant difference existed(p<0.05) between the group A(Vintage, Dicor, Empress-staining, Empress-layering) and group B(In-Ceram). 2. With Resin cement, mean fracture load(Kg) were : Intage : $22.75{\pm}4.97$ ; Dicor : $42.75{\pm}7.07$ ; Empress-staining : $44.08{\pm}7.99$ ; Empresslayering : $50.42{\pm}5.43$ ; In-Ceram : $52.58{\pm}6.51$ ; ANOVA revealed a significatnt difference existed(p<0.05) between the group A(Vintage) and B(Dicor, Empress-staining Empress-alyering, In-Ceram). 3. Resin cement significantly increased the fracture strength of the all-ceramic crowns for Dicor(156%), Empress-staining(185%), Empress-alyering(187%)(p<0.05); but did not increase the fracture strength of Vintage(128%) and In-Ceram(101%)(p>0.05). 4. Majority of the all-ceramic crowns show a wedge fracture extending through proximal surfaces to an apex, usually apical third(with G.I. cement) or middle third(with Resin cement) of the facial surface.

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