• Journal of Chest Surgery
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• v.29 no.12
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• pp.1377-1380
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• 1996

Severe hemodynamic dysfunction may follow after the closure of the median sternotomy in patients with myocardial edema, cardiac dilatation, and severe postoperative bleeding. In extreme cases, myocardial edema may be so severe that cardiac function is compromised merely by the edges of the open sternum touching the heart. Sternotomy remained open and delayed sternal closure is already described adjunct in complicated cardiac operations. We experi nced a case of delayed sternal closure after 16 hours of CABG using synthes DCP wide plate in a 54-year old obese female patient. Our experience conims that delayed sternal closure Is an effective at simple means of dealing with severe myocardial edema so we report this case with literature review.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.23 no.2
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• pp.129-132
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• 2012

Background and Objectives : MPT is directly related to degree of glottal closure. So it is widely used in the assessment of glottal closure with unilateral vocal fold paralysis. But MPT could be influenced not only by glottal closure but also by pulmonary function. So MPT might not reflect glottal closure in UVFP with decreased pulmonary function. The purpose of the study is to evaluate usefulness of MPT and ratio of /s/ time to /z/ time before and after injection laryngoplasty in UVCP with decreased pulmonary function. Materials and Methods : This study involved 34 patients with unilateral vocal fold paralysis : with decreased pulmonary function in group A (n=15) : with normal pulmonary function in group B (n=19). All patients underwent injection laryngoplasty. Paramters of perceptual analysis, acoustic analysis, aerodynamic analysis, videostroboscopy were compared between two groups. Results : Breathness and asthenic scale, G scale of perceptual analysis were significantly improved in both groups. Glottal gap index were significantly decreased after injection in both groups. In aerodynamic analysis, MPT was improved after injection laryngoplasty in both groups, but S/Z ratio was improved only in group B. In correlation analysis, /s/ time was not correlated with pulmonary function. Conclusion : S/Z ratio reflects neither the pulmonary function nor the glottal clousure properly. MPT is more useful indicator than S/Z ratio to evaluate vocal fold paralysis even with decreased pulmonary function.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.14 no.2
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• pp.83-87
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• 2003

Background and Objectives : Sphincteric function of the larynx, essential to lower airway protection, is most efficiently achieved through strong reflex adduction by both vocal cords. We hypothesize that central facilitation is an essential component of a bilateral adductor reflex and that its disturbance could result in weakened sphincteric closure. Materials and Method : Seven adult 20kg dogs underwent evoked response laryngeal electromyoraphy under 0.5 to 1.0 MAC isoflurane anesthesia. The internal branch of superior laryngeal nerve was stimulated through bipolar platinum-iridium electrodes and recording electrodes were positioned in the ipsilateral and contralateral thyroaryteonoid muscles. Results : Consistent threshold responses were obtained ipsilaterally under all anesthetic levels. However, contralateral reflex responses disappeared as anesthetic levels approached 1.0 MAC. Additionally, at 0.5 MAC, late responses (R2) were detected in one animal. Conclusion : Alteration of central facilitation by deepening anesthesia abolishes the crossed adductor reflex, predisposing to a weakened glottic closure response. Precise understanding of this effect may improve the prevention of aspiration in patients emerging from prolonged sedation or under heavy psychotropic control.

• The korean journal of orthodontics
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• v.43 no.6
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• pp.302-310
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• 2013

Orthodontic closure of old, edentulous spaces in the mandibular posterior region is a major challenge. In this report, we describe a method of orthodontic closure of edentulous spaces in the mandibular posterior region accelerated by piezoelectric decortication and alveolar ridge expansion. Combined piezosurgical and orthodontic treatments were used to close 14- and 15-mm-wide spaces in the mandibular left and right posterior areas, respectively, of a female patient, aged 18 years and 9 months, diagnosed with skeletal Class III malocclusion, hypodontia, and polydiastemas. After the piezoelectric decortication, segmental and full-arch mechanics were applied in the orthodontic phase. Despite some extent of root resorption and anchorage loss, the edentulous spaces were closed, and adequate function and esthetics were regained without further restorative treatment. Alveolar ridge expansion-assisted orthodontic space closure seems to be an effective and relatively less-invasive treatment alternative for edentulous spaces in the mandibular posterior region.

• Journal of the korean society of oceanography
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• v.32 no.2
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• pp.75-84
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• 1997

Relation between the length scale and the wall proximity function in the Mellor-Yamada level 2.5 turbulence closure model has been investigated through various experiments using a range of wall proximity functions. The model performance has been evaluated quantitatively by comparing with laboratory data for wind-driven flow (Baines and Knapp, 1965) and for open-channel flows without and with adverse wind action (Tsuruya, 1985). Comparison shows that a symmetric wall proximity function used by Blumberg and Mellor(1987) gives rise to current profiles with better accuracy than asymmetric wall proximity functions considered. It is noted that in modelling homogeneous flows the length scale 1= 0.31${\|}$z${\|}$(1+z/h) can be used with tolerable accuracy.

• Journal of Ocean Engineering and Technology
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• v.22 no.4
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• pp.20-26
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• 2008

The primary purpose of this study was to quantitatively examine whether there was a difference in the settling velocities of cohesive sediments in the Saemankeum artificial lake before and after the closure of the Saemankeum seadike. Through in situ sediment sampling and laboratory experiments, the settling velocities were estimated as a function of the suspension concentration and their physico-chemical properties, such as grain size distribution, the percentage of organic contents, mineralogical composition, etc. were also examined. In this study, their inter-relation with settling velocities were also analyzed qualitatively. The result of the settling tests for Saemankeum sediments showed that there was a big difference in the settling velocities before and after the closure of the Saemankeum seadike. Its settling velocities in a flocculated settling region became remarkably larger after the closure compared to those before the closure, while they were similar but relatively smaller in a hindered settling region. This was found to be mainly due to the difference in their grain size.

• Archives of Plastic Surgery
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• v.38 no.6
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• pp.867-870
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• 2011

Purpose: The authors would like to introduce two patients who presented with velopharyngeal inadequacy. We emphasize the importance of nasaopharyngeal endoscopy in evaluating the velopharyngeal function and the usefulness of biofeedback trial therapy. Methods: Two patients visited our clinic due to velopharyngeal inadequacy. Both of the patients showed hypernasality, nasal emission and compensatory articulation such as glottal stop. During oral examination and nasopharyngeal endoscopy both showed no evidence of structural deformities. One inconsistently showed a small gap during articulation. The other showed a rather large gap during compensatory articulation. Both received a simultaneous biofeedback trial therapy using the nasopharyngeal endoscope. Results: Both patients were successfully diagnosed and treated at once using biofeedback trial therapy with nasopharyngeal endoscopy. By giving direct visual feedback to the patient, they were both able to achieve complete velopharyngeal closure during production of 2~3 nonsence syllables and hypernasality was not detected in both of them. Conclusion: The authors were able to help patients with velopharyngeal inadequacy to have velopharyngeal closure through biofeedback trial therapy. The accurate evaluation of velopharyngeal function and the possibility of closure prevented unnecessary operations.

• Journal of Korea Technical Association of The Pulp and Paper Industry
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• v.36 no.3
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• pp.15-34
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• 2004

Diverse benefits such as reduction of fresh water consumption and effluent discharge, efficient use of raw materials and energy savings can be obtained by papermaking system closure. Closure of papermaking processes, however, causes many problems including reduction of the efficiency of additives, decrease of retention and dewatering, felt plugging, poor Paper quality, generation of slime and odor, poor vacuum efficiency, etc, and it has been recognized that accumulation of Inorganic and organic substances in the process white water is the prime cause of these problems. Therefore, technological developments for preventing accumulation of these detrimental substances are urgently required for Implementing papermaking system closure. Understanding of the accumulation phenomena of the inorganic and organic substances in the papermaking process white water is prerequisite for papermaking system closure. In this study a process simulation method was used to analyze the accumulation phenomena of anionic starch In the process white water as the closure level of a fine paper making process is increased. A pilot paper machine was used as a model process. Starch adsorption and desorption models were developed based on the concept of starch adsorption ratio, which was not considered in previous studies. Steady state simulation studies were carried out based on this model using a commercial simulator. In steady state simulation, the variation of dissolved starch concentration in each process unit was monitored as a function of white water usage for wire shower. The result of the steady state simulation showed that dissolved starch concentration and its increase ratio in Process units increased as white water usage ratio for wire shower increased.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.2
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• pp.153-161
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• 2021

Objectives : The purpose of this study is to compare bleeding tendency of selective serotonin reuptake inhibitor (SSRI) and serotonin norepinephrine reuptake inhibitors (SNRI) using platelet function analyzer (PFA-100) in patients with major depressive disorder. Methods : This study is a prospective open-label study conducted by a single institution. A total of 41 subjects diagnosed with major depressive disorder under the DSM-5 diagnostic criteria participated in this study. The subjects were classified into SSRI (escitalopram) groups and SNRI (duloxetine) groups, respectively, according to random assignments. The closure time (CT) was measured using a platelet function analyzer (PFA-100) before each antidepressant was administered and after 6 weeks. Paired-sample t-test was conducted within each group to determine whether a specific antidepressant had an effect on closure time. In order to confirm the relative change in platelet function between the two groups, an independent sample t-test was conducted to compare and analyze the change in closure time between the two groups. Results : There was no significant changes in closure time (CEPI-CT, CADP-CT) before and 6 weeks after drug administration in the SSRI and SNRI groups, and there was no difference in the amount of changes in closure time between the two groups. Conclusions : Our results showed no difference in bleeding tendency between SSRI and SNRI. This study suggests that further large-scale studies on bleeding tendency for various antidepressants are needed in the future.

• Tunnel and Underground Space
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• v.3 no.2
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• pp.142-151
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• 1993

In this study, the deformation characteristics of atrtificially fractured joints of granite under normal and shear loading were investigated. To obtain the characteristics of joint deformation, compression and shear tests were performed in the laboratory on three different sizes of rock specimens. The rock used in the experimens was Iksan granite. Joints were produced artificially by fracturing using the apparatus for generating extension-joint. Joint normal deformability was studied by conducting cyclic loading tests on the joints. Joint closure varied non-linearly with normal stress through cyclic loadings. As normal stress increased, the joints gradually reached a state of maximum joint closure. The relation between normal stress and joint closure for mated and unmated joints was well described by the hyperbolic and exponential function, respectively. Joint shear deformability was studied by performing direct shear tests under normal stresses on the joints. it was shown that the behaviour in the prepeak range was non-linear and joint shear stiffness depended on the size of specimen and the normal stress.