• Archives of Plastic Surgery
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• 제33권5호
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• pp.546-551
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• 2006

Purpose: The reconstruction of oropharyngeal defect after cancer surgery is very difficult because of their complicated structure and the functional importance to prevent velopharyngeal incompetence. In this article we investigated affecting factors of velopharyngeal function after reconstruction and a fundamental rule of reconstruction for saving their functions such as swallowing, speeching and breathing. Methods: We classified 18 patients into three group under Kimata's grouping. Type I defect(6 patients) was healed by primary closure or secondary intention. In Type II or III defect, two operation methods were used - the folded flap(8 patients) and modified Gehanno method(4 patients), which include a lateral-posterior pharyngeal rotation-advancement flap. We evaluated wound dehiscence between the flap and the soft palate, speech intelligibility using Hirose's method, regurgitation during oral feeding, and hypernasality. Results: Most of type I or II defects patients recovered satisfactory velopharyngeal function. But, in patients with type III defects we found wound dehiscence, worse speech function, and common velopharyngeal incompetence. Conclusion: The large defect size and presence of wound dehiscence are major factors of postoperative velopharyngeal function. We conclude that folded flap or modified Gehanno method is a good reconstructive operation method for broad contact between the flap and defect site, preventing wound problem.

• Journal of the Korean Society of Hazard Mitigation
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• 제10권1호
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• pp.111-117
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• 2010

A three-dimensional numerical model is employed to investigate wave deformation due to a submerged structure. The three-dimensional numerical model solves the spatially averaged Navier-Stokes equations for two-phase flows. The LES(large-eddy-simulation) approach is adopted to model the turbulence effect by using the Smagorinsky SGS(sub-grid scale) closure model. The two-step projection method is employed in the numerical solutions, aided by the Bi-CGSTAB technique to solve the pressure Poisson equation for the filtered pressure field. The second-order accurate VOF(volume-of-fluid) method is used to track the distorted and broken free surface. A simple linear wave is generated on a constant depth and compared with analytical solutions. The model is then applied to study wave deformation due to a submerged structure and the predicted results are compared with available laboratory measurements.

• The Journal of Korea Assosiation for Disability and Oral Health
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• 제7권2호
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• pp.107-114
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• 2011

Dental extraction is potentially stress-inducing in many disabled patient. The body's response to dental stress involves the cardiovascular system(an increase in cardiovascular workload), the respiratory organ and the endocrine system(change in metabolism). To minimize the stress, the stress reduction method was established. The obtained contents were as follows: (1) Recognize the patient's degree of medical risk, (2) Complete medical consultation before dental therapy, (3) Schedule the patient's appointment in the morning, (4) Monitor and record preoperative and postoperative vital signs, (5) Use psychosedation during therapy, (6) Use adequate pain control during therapy, (7) Short length of appointment : do not exceed the patient's limits of tolerance, (8) Follow up with postoperative pain/anxiety control, (9) Telephone the risk patient later on the same day that treatment was given. Though the stress reduction method above was applied to the dental extraction in disabled patients with the advanced infected teeth, the complications(syncope, shock, bleeding & infection, etc.) may be occurred. For prevention of complications associated with the extraction, the authors treated the advanced infected teeth with endodontic drainage and incision & drainage before extraction. The final extraction and wound closure were then done after about 3 weeks.

• Nuclear Engineering and Technology
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• 제42권6호
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• pp.620-635
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• 2010

In this paper we describe current activities on the project Multi-Scale Modeling and Analysis of convective boiling (MSMA), conducted jointly by the Paul Scherrer Institute (PSI) and the Swiss Nuclear Utilities (Swissnuclear). The long-term aim of the MSMA project is to formulate improved closure laws for Computational Fluid Dynamics (CFD) simulations for prediction of convective boiling and eventually of the Critical Heat Flux (CHF). As boiling is controlled by the competition of numerous phenomena at various length and time scales, a multi-scale approach is employed to tackle the problem at different scales. In the MSMA project, the scales on which we focus range from the CFD scale (macro-scale), bubble size scale (meso-scale), liquid micro-layer and triple interline scale (micro-scale), and molecular scale (nano-scale). The current focus of the project is on micro- and meso-scales modeling. The numerical framework comprises a highly efficient, parallel DNS solver, the PSI-BOIL code. The code has incorporated an Immersed Boundary Method (IBM) to tackle complex geometries. For simulation of meso-scales (bubbles), we use the Constrained Interpolation Profile method: Conservative Semi-Lagrangian $2^{nd}$ order (CIP-CSL2). The phase change is described either by applying conventional jump conditions at the interface, or by using the Phase Field (PF) approach. In this work, we present selected results for flows in complex geometry using the IBM, selected bubbly flow simulations using the CIP-CSL2 method and results for phase change using the PF approach. In the subsequent stage of the project, the importance of effects of nano-scale processes on the global boiling heat transfer will be evaluated. To validate the models, more experimental information will be needed in the future, so it is expected that the MSMA project will become the seed for a long-term, combined theoretical and experimental program.

• Journal of Chest Surgery
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• 제32권7호
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• pp.628-636
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• 1999

Background: Recent advances in understanding the anatomy of the complete atrioventricular septal defect(including right-dominant unbalanced atrioventricular septal defect) have led to alternative methods of repairing these defects. Material and Method: From May 1997 to July 1998, 8 consecutive infants(age range, 2 to 28 months, mean body weight 6.0$\pm$2.2 kg) received a single-stage intracardiac repair of the complete atrioventricular septal defect with modified surgical methods. Depending on the specific anatomic structure, the procedure was simplified in 3 patients by a direct closure of the ventricular element of the defect(Group I). Two patients judged unsuitable for direct closure due to a potential left ventricular outflow tract obstruction had received a standard two-patch repair(Group II). The remaining 3 patients with right-dominant unbalanced complete atrioventricular septal defect underwent biventricular repair; to enlarge the orifice of the left atrioventricular valve, the ventricular septal patch was placed slightly more to the right of the ventricular crest, a left sided bridging leaflet was augmented with an autologous pericardial patch, and the leaflet was repaired with a double- orifice(Group III . Result: In all 8 patients, the postoperative echocardiography demonstrated good hemodynamics. Seven patients were weaned from the ventilators after a mean 3$\pm$1 days, and 1 patient was weaned after 24 days due to a reoperation and emphysematous lung problem. A reoperation was performed in 1 patient for progressive left atrioventricular valve regurgitation due to leaflet tearing. There were no early and late mortalities. At the time of the latest review, judging from the echocardiographic criteria, left atrioventricular valve stenosis was mild in 1 patient(mean pressure gradient 6.5 mmHg, 13.5%), left atrioventricular valve regurgitation was absent or grade I in 7 patients(87.5%). The right atrioventricular valve regurgitation was absent or grade I in all 8 patients(100%). Conclusion: Infants with complete atrioventricular septal defect were treated with either a simplified approach with direct closure of the ventricular element of the defect or a modified surgical technique for a right-dominant unbalanced atrioventricular septal defect, depending on the anatomic structure. The results were no operative mortalities and low morbidity.

• Tunnel and Underground Space
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• 제18권6호
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• pp.427-435
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• 2008

In this paper, review was made for the excavation method and optimum bench length for unstable tunnel face in case of rock classification type V in order to make the best use of in-situ bearing capacity. 3D FEM analyses were performed to investigate the influences on the tunnel face and adjacent area with regard to the pattern and number of bolts when face bolts were used as a supplementary measure. As a result of this study, full section excavation method with sub-bench is effective in reducing the displacement greatly due to early section closure. Displacement-resistant effects in accordance with the bolting patterns are grid type, zig-zag type and then circular type in order of their effect. And horizontal extrusion displacement of tunnel face reduces as the number of bolts increase. A grid type face bolt covering $1.5m^2$ of tunnel face could secure the face stability in case of full section excavation method with sub-bench.

• Journal of Korea Water Resources Association
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• 제45권5호
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• pp.455-464
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• 2012

In this study, a combined unsteady friction model has been developed to simulate the waterhammer phenomenon for the pipeline system. The method of characteristics has been employed as the modeling platform for the integration of the acceleration based model and the frequency dependant model for unsteady friction. Both Zielke's model and Ramos model were also compared with pressure measurements of a pilot plant pipeline system. In order to validate the modeling approach, a pipeline system equipped with the high frequency pressure data acquisition system was fabricated. The time series of pressure, introduced by a sudden valve closure, were obtained for two Reynolds numbers. A trial and error method was used to calibrate parameters for unsteady friction model. The comparison between different unsteady friction contributions in pressure variation provided the comprehensive understanding in the pressure damping mechanism of waterhammer. The proper evaluation of unsteady friction impact is a critical factor for accurate simulation of hydraulic transient.

• Development and Reproduction
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• 제14권1호
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• pp.7-11
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• 2010

This study attempted to verify the possibility of using germ cell aspiration (GCA) method as a non-fatal technique in studying the life-history of equilateral venus, Gomphina veneriformis (Veneridae) and granular ark, Tegillarca granosa (Arcidae). Using twenty-six gauge 1/2" (12.7mm) needle, GCA was carried out in equilateral venus through external ligament. In granular ark, GCA was performed by preventing closure of the shells by inserting a tongue depressor between the shells while still open. The success rate of sex identification using the GCA method was 95.6% for the equilateral venus (n=650/680) and 94.3% for the granular ark (n=707/750). Mortality of equilateral venus, which spent 33 days under wild conditions, was 13.8% (n=90/650) while the mortality of granular ark, which spent 390 days under wild conditions, was 2.4% (n=17/707). Although we believe that GCA does not appear to cause death in equilateral venus or granular ark, the success rate in employing of this methodology may differ depending on the level of proficiency of the researcher and reproductive stage of the bivalve. This study concludes that GCA is a convenient non-fatal methodology, which can be employed to identify sex and investigate gonadal maturity in Gomphina veneriformis and Tegillarca granosa.

• The Transactions of the Korea Information Processing Society
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• 제5권10호
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• pp.2725-2736
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• 1998

In this paper. we present a new pitch determination method for speech analysis. namely VFF(Variable Forgetting Factor) based. by using the WRLS-VFF-VT(Weighted Recursive Least Square-Variable Forgetting Factor-Variable Threshold) algorithm. A proposed method uses VFF to identify the glottal closure points which correspond to the instants of the main excitation pulses for voiced speech. The modified EGG

• Tunnel and Underground Space
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• 제21권2호
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• pp.117-127
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• 2011

The purpose of this study is to demonstrate the effect of in-situ rock stresses on the deformability and permeability of fractured rocks. Geological data were taken from the site investigation at Forsmark, Sweden, conducted by Swedish Nuclear Fuel and Waste Man-agement Company (SKB). A set of numerical experiments was conducted to determine the equivalent mechanical properties (essentially, elastic moduli and Poisson's ratio) and permeability, using a Discrete Fracture Network-Discrete Element Method (DFN-DEM) approach. The results show that both mechanical properties and permeability are highly dependent on stress because of the hyperbolic nature of the stiffness of fractures, different closure behavior of fractures, and change of fluid pathways caused by deformation. This study shows that proper characterization and consideration of in-situ stress are important not only for boundary conditions of a selected site but also for the understanding of the mechanical and hydraulic behavior of fractured rocks.