• 한국멀티미디어학회논문지
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• 제10권3호
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• pp.335-347
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• 2007

VoIP(Voice over IP)는 인터넷과 같은 IP 망에서 음성과 영상을 전송하기 위한 기술이며, 차세대 망에서의 음성, 영상, 데이터 통신을 위한 최적 기술로 부상하고 있다. 따라서 VoIP 응용은 인터넷 망을 이용하는 다양한 단말기들 사이의 음성 및 영상 통신을 위하여 많이 사용되어 질 것으로 예상된다. 본 논문에서 구현되는 다자간 VoIP는 단말혼합 방법을 이용하였기 때문에 회의 서버 없이도 다자간 회의가 가능하다는 장점을 가지고 있다. 이 다자간 VoIP는 SIP 표준에 근거하여 개발 되었으며, 비대칭 NAT에서의 운용을 위하여 STUN을 지원한다. 본 논문의 특징은 새로운 미디어 처리부를 가진 단말혼합 방법을 이용하기 때문에 미디어 정보를 중복해서 전달 받지 않고 계층적 다자간 회의가 가능하다. 또한, 계층적 다자간 회의 운용 시 미디어 혼합기능을 수행 중인 단말기가 회의를 떠날 때 전체 회의가 분리되는 단점을 해결한다.

• The Korean Journal of Pain
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• 제30권4호
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• pp.272-280
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• 2017

Background: The high cost of intrathecal morphine pump (ITMP) implantation may be the main obstacle to its use. Since July 2014, the Korean national health insurance (NHI) program began paying 50% of the ITMP implantation cost in select refractory chronic pain patients. The aims of this study were to investigate the financial break-even point and patients' satisfaction in patients with ITMP treatment after the initiation of the NHI reimbursement. Methods: We collected data retrospectively or via direct phone calls to patients who underwent ITMP implantation at a single university-based tertiary hospital between July 2014 and May 2016. Pain severity, changes in the morphine equivalent daily dosage (MEDD), any adverse events, and patients' satisfaction were determined. We calculated the financial break-even point of ITMP implantation via investigating the patient's actual medical costs and insurance information. Results: During the studied period, 23 patients received ITMP implantation, and 20 patients were included in our study. Scores on an 11-point numeric rating scale (NRS) for pain were significantly reduced compared to the baseline value (P < 0.001). The MEDD before ITMP implantation was 0.59 [IQR: 0.55-0.82]. The total MEDD increased steadily to 0.77 [IQR: 0.53-1.08] at 1 year, which was 126% of the baseline (P < 0.001). More than a half (60%) responded that the ITMP therapy was somewhat satisfying. The financial break-even point was 28 months for ITMP treatment after the NHI reimbursement policy. Conclusions: ITMP provided effective chronic pain management with improved satisfaction and reasonable financial break-even point of 28 months with 50% financial coverage by NHI program.

• Asian Pacific Journal of Cancer Prevention
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• 제13권9호
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• pp.4835-4837
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• 2012

Objectives: To evaluate residual disease in uterine cervical cancer patients treated with teletherapy using combined high dose rate Cobalt-60 brachytherapy. Materials and Methods: A retrospective study of uterine cervical cancer patients, FIGO stages IB-IVB (International Federation of Gynecologists and Obstetricians recommendations), treated by radiotherapy alone between April 1986 and December 1988 was conducted and the outcomes analysed. The patients were treated using teletherapy 50 Gy/25 fractions, five fractions per week to the whole pelvis together with HDR Cobalt -60 afterloading brachytherapy of 850 cGy/fraction, weekly to point A for 2 fractions. Results: The study covered 141 patients with uterine cervical cancer. The mean age was 50.0 years with a range of 30-78 years. The mean tumor size was 4.1 cm in diameter (range 1-8 cm). Mean follow - up time was 2.94 years (range 1 month-6.92 years). The overall incidence of residual locoregional disease was 3.5%. Residual disease, according to stage IIB, IIIB and IVA was present in 2.78%, 3.37% and 50.0%. It was noted that there was no evidence of residual disease in stage IB and IIA cases. Conclusion: Combined teletherapy along with high dose rate Cobalt -60 brachytherapy of 850 cGy/fraction, weekly to point A for 2 fractions resulted in overall 3.5% residual disease and a 96.5% complete response. The proposed recommendation for improving outcome is initiation of measurements for early detection of disease.

• Toxicological Research
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• 제34권4호
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• pp.291-296
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• 2018

Chemical carcinogenesis is a multistep process. Genotoxic carcinogens, which are DNA-reactive, induce DNA adduct formation and genetic alterations in target cells, thereby generating mutated cells (initiation). Subsequently, preneoplastic lesions appear through clonal proliferation of the mutated cells and transform into tumors (promotion and progression). Many factors may influence these processes in a dose-dependent manner. Therefore, quantitative analysis plays an important role in studies on the carcinogenic threshold of genotoxic carcinogens. Herein, we present data on the relationship between key carcinogenic events and their deriving point of departure (PoD). Their PoDs were also compared to those of the carcinogenesis pathway. In an experiment, the liver of rats exposed to 2-amino-3,8-dimethylimidazo-(4,5-f)quinoxaline (MeIQx) was examined to determine the formation of MeIQx-DNA adducts, generation of mutations at LacI transgene, and induction of preneoplastic glutathione S-transferase placental form (GST-P)-positive foci and tumors (benign and malignant). The PoDs of the above key events in the carcinogenicity of MeIQx were increased as the carcinogenesis advanced; however, these PoDs were lower than those of tumor induction. Thus, the order of key events during tumor induction in the liver was as follows: formation of DNA adducts ${\ll}$ Mutations ${\ll}$ GST-positive foci (preneoplasia) ${\ll}$ Tumor (adenoma and carcinoma). We also obtained similar data on the genotoxic and carcinogenic PoDs of other hepatocarcinogens, such as 2-amino-3,8-dimethylimidazo(4,5-f)quinoline. These results contribute to elucidating the existence of a genotoxic and carcinogenic threshold.

• Journal of Welding and Joining
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• 제34권5호
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• pp.70-76
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• 2016

In this study, Microstructure and tensile properties in arc brazed joints of 1000MPa grade DP steel using Cu-Si insert metal were investigated. The fusion zone was composed of Cu phase which solidified a little Fe and Si. The former phase formed due to dilute the edge of base material by arc, although Fe was not solid solution in Cu at the room temperature. Cu3Si particles formed by crystallization at $1100^{\circ}C$ during faster cooling. After the tensile shear test, there are no differences between the brazed joint efficiencies. The maximum joint efficient was about 37% compared to strength of base metal. It is better than that of arc brazed joint of DP steel using Cu-Sn filler metal. Fracture position of all brazing conditions was in the fusion zone. Crack initiation occurred at three junction point which was a stress singularity point of upper sheet, lower sheet and the fusion zone. And then crack propagated across the fusion zone. The reason why the fracture occurred at fusion zone was that the hardness of fusion zone was lower than that of base material and heat affected zone. The correlation among maximum load and hardness of fusion zone and EST at fractured position was $R^2=0.9338$. Therefore, this means that hardness and EST can have great impact on maximum load.

• Journal of Advanced Marine Engineering and Technology
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• 제22권5호
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• pp.660-669
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• 1998

In this paper the Hardness and Electro-chemical corrosion of the Nimonic 80A superalloy were studied. It aging heat treatments was carried out at $650^{\circ}C$, $700^{\circ}C$, $750^{\circ}C$,$800^{\circ}C$ and $850^{\circ}C$ with different time of 20min , 30min 1hour, 2hours, 4hours, and 16hours additionally 64hours and 128hours at $650^{\circ}C$. The obtained results were as follows; 1. As aging temperature increased the time for the maximum hardness was reduced from 128hours at $650^{\circ}C$ to 30min at $850^{\circ}C$ whereas the highest hardness was reduced from Hv 381 at $650^{\circ}C$ to Hv 321 at $850^{\circ}C$. 2. In the Electro-chemical corrosion test as a function of aging heat treatment time and tem-perature the corrosion potential was reversely proportional to Hardness which indicated the effects of ${\gamma}/{\gamma}'$ coherency of base material and precipitate. 3. Initiation point of the pitting was observed at grain boundary twin boundary and near${\gamma}'$ pre-cipitates. The results of composition analysis by EDS at this point indicated that sulphur originat-ed from 1N $H_2SO_4$ solution was found in depletion at the grain boundaries and the pit which arouse in the near precipitates were lack of Al Ti and Ni which are the main element of ${\gamma}'$ The depletion of such element was cause breakdown of passive film.

• Clinical and Experimental Pediatrics
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• 제57권4호
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• pp.186-192
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• 2014

Purpose: The prevalence of macrolide-resistant Mycoplasma pneumoniae (MRMP) has increased worldwide. The aim of this study was to estimate the proportion of MRMP in a tertiary hospital in Korea, and to find potential laboratory markers that could be used to predict the efficacy of macrolides in children with MRMP pneumonia. Methods: A total of 95 patients with M. pneumoniae pneumonia were enrolled in this study. Detection of MRMP was based on the results of specific point mutations in domain V of the 23S rRNA gene. The medical records of these patients were reviewed retrospectively and the clinical course and laboratory data were compared. Results: The proportion of patients with MRMP was 51.6% and all MRMP isolates had the A2063G point mutation. The MRMP group had longer hospital stay and febrile period after initiation of macrolides. The levels of serum C-reactive protein (CRP) and interleukin-18 in nasopharyngeal aspirate were significantly higher in patients who did not respond to macrolide treatment. CRP was the only significant factor in predicting the efficacy of macrolides in patients with MRMP pneumonia. The area under the curve for CRP was 0.69 in receiver operating characteristic curve analysis, indicating reasonable discriminative power, and the optimal cutoff value was 40.7 mg/L. Conclusion: The proportion of patients with MRMP was high, suggesting that the prevalence of MRMP is rising rapidly in Korea. Serum CRP could be a useful marker for predicting the efficacy of macrolides and helping clinicians make better clinical decisions in children with MRMP pneumonia.

• 정보처리학회논문지C
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• 제15C권4호
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• pp.245-252
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• 2008

VoIP 망에서 긴급통화 서비스는 기존의 유 무선 전화 서비스와 같이 필수 사항이다. 이를 지원하기 위한 표준화 작업이 활발히 진행되고 있으며, National Emergency Number Association (NENA)는 기존의 유 무선망에서의 긴급통화 서비스를 위한 프레임워크 및 프로시져를 개발하고 있다. 반면에 Internet Engineering Task Force (IETF)에서는 착발신이 모두 IP 환경을 고려한 긴급통신 프로토콜에 초점을 두고 있다. 그 결과, 두 모델 간에 불일치가 발생한다. 본 논문에서는 이를 해결하기 위해, NENA 구조를 채택하여 수정하고, 수정된 모델에 IETF 프로토콜을 적용할 수 있는 SIP 기반 VoIP 긴급통화 시스템을 설계하고 구현한다. 특히, 긴급 호를 다루는 재난방재센터 (PSAP, Public Safety Answering Point)는 기존 통신 환경 및 인터넷 환경 모두를 고려한다. 본 시스템은 유닉스 환경에서 구현된다.

• Nuclear Engineering and Technology
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• 제38권7호
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• pp.639-656
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• 2006

In order to apply the leak before break (LBB) concept to nuclear piping systems, the dynamic strain aging effect of low carbon steel materials has to be taken into account, in compliance with the requirements of the Korean Standard Review Guide (KSRG) 3.6.3-1. For this goal, J-R tests are needed for a range of various temperatures and loading rates, including dynamic loading conditions. In the dynamic loading J-R test, the unloading compliance method can not be applied to measure the crack growth and direct current potential drop (DCPD) method; this method also has a problem defining the crack initiation point. The normalization method is known as a very useful method to determine the J-R curve under dynamic loading because it does not need additional equipment or complicated loading sequences such as electric current or unloading. This method was accepted by the American Society for Testing and Materials (ASTM) as a standard test method E1820 A15 in 2001. However, it has not yet been clearly verified yet if the normalization method is sufficiently reliable to be applied to LBB. In this study, the basic background of the J-integral, LBB and dynamic loading J-R test are explained, and the current status for dynamic loading J-R test methods are reviewed from the view point of LBB for nuclear piping. In particular, the theoretical and historical background of the normalization method which has received attention recently, is summarized. Recent studies for this method are introduced and future works are suggested that may improve the reliability of LBB for nuclear piping.

• 동력기계공학회지
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• 제15권5호
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• pp.10-15
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• 2011

This paper describes the engine performance and combustion characteristics of a CRDI diesel engine, operated by electronically controlled diesel fuel injector with variable injection timing. This experiment focused on fuel injection timing and pressure about combustion characteristics of CRDI diesel engine. EGR was excepted because it would be furtherly analyzed with additional experiments. The experiment was conducted under the circumstance of engine torque for 4, 8, 12 and 16 kgf-m and fuel injection timing for $15^{\circ}$, $10^{\circ}$ and $5^{\circ}$ BTDC, at the engine speed of 1100, 1400, 1700 and 2000 rpm. Fuel injection was controlled to retard or advance initiation of the injection event by electronically controlled fuel injection unit injector on the personal computer. When fuel was injected into the cylinders of a CRDI diesel engine it would go through ignition delay before starting of combustion. Therefore, fuel injection timing of CRDI diesel engine had a significant effect upon performance and combustion characteristics. Depending on the injection timing the fuel consumption rate following the rotational speed and torque was 3~78 g/psh (1.7~30.6%). The range of fuel injection timing that resulted in low fuel consumption overall was BTDC 15-10 degrees.