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Predicting Arachnoid Membrane Descent in the Chiasmatic Cistern in the Treatment of Pituitary Macroadenoma

  • Ko, Hak Cheol;Lee, Seung Hwan;Shin, Hee Sup;Koh, Jun Seok
    • Journal of Korean Neurosurgical Society
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    • v.64 no.1
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    • pp.110-119
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    • 2021
  • Objective : Preoperative prediction of the arachnoid membrane descent in pituitary surgery is useful for achieving gross total removal and avoiding cerebrospinal fluid leakage resulting from tearing of the arachnoid membrane in the chiasmatic cistern. In this study, we analyzed the patterns of arachnoid membrane descent during or after pituitary tumor surgery and identified the factors related to this descent. Methods : Analysis was restricted to pituitary macroadenomas not extending into the third ventricle or over the internal carotid artery. To minimize confounding factors, patients who underwent revision surgery, those who had a torn arachnoid during operation or small medial diaphragma sellae (DS) opening, and subtotal resections were excluded. We enrolled 41 consecutive patients in this retrospective analysis. The degree of arachnoid descent was categorized using intraoperative videos. Preoperative magnetic resonance findings, including tumor height, suprasellar extension, and variables including DS area and medial opening size, tumor composition, and displacement of the pituitary stalk and gland were evaluated to determine their correlations with arachnoid membrane descent. Results : Arachnoid membrane descent was significantly correlated with DS area and medial opening size. Based on T2-weighted images (T2WI) magnetic resonance (MR) images, tumor composition was significantly associated with arachnoid membrane descent. Other factors were not significantly correlated with arachnoid membrane descent. Conclusion : T2WI of tumor composition and preoperative MR imaging of DS area and medial opening provided valuable information regarding arachnoid membrane descent. These parameters may serve as fundamental measures to facilitate complete resection of pituitary macroadenomas.

Quantitative Analysis of CO2 Reduction by Door-opening in the Subway Cabin (출입문 개폐에 의한 전동차 객실 CO2 저감효과 분석)

  • Kwon, Soon-Bark;Cho, Young-Min;Park, Duck-Shin;Park, Eun-Young
    • Journal of Korean Society for Atmospheric Environment
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    • v.24 no.2
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    • pp.153-161
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    • 2008
  • The guidelines for indoor air quality of public transportations such as subway, train and bus was presented by Korean Ministry of Environment last end of year 2006 based on the great consequence of indoor air quality in daily life. Two main parameters, carbon dioxide($CO_2$) and particulate matters smaller than $10\;{\mu}m(PM_{10})$, were selected as index pollutants for the management of indoor air quality. The former pollutant, $CO_2$, is regarded as index of ventilation status and the major source of $CO_2$ in the train or subway is the exhalation of passengers. It is publically perceived that the high $CO_2$ concentration in a crowded subway will be reduced and ventilated with outdoor air by door-opening taken every 2 or 3 minutes when the train stops each station. However, there has not been any scientific proof and quantitative information on the effect of door-opening on the $CO_2$ reduction by ventilation with outdoor air. In this study, $CO_2$ concentration and number of passengers were measured at each station on the 3 lines of Korail metropolitan subway. In order to evaluate the effect of $CO_2$ reduction by door opening, the theoretical approach using the $CO_2$ balance equation was performed. By comparing the predicted data with monitoring one, the optimum $CO_2$ dilution factor was determined. For the first time, it was quantified that about 35% of $CO_2$ concentration in the subway indoor was removed by the door-opening at each station.

A Study of the Damage and the Countermeasure by Identification Card Loss (신분증 분실에 따른 피해 및 대응책에 관한 연구)

  • Lee, Younggyo;Ahn, Jeonghee
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.13 no.3
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    • pp.53-64
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    • 2017
  • Korean Identification card or driver license is usually used to verify one's identity in Korea. These are also used as an adult certification. Since the form of these ID card is an analog and it needs to be checked with naked eyes, it might be used maliciously. Someone who's got someone else's ID card can do other things. Therefore, it must be reported rapidly when ID card is lost or stolen. The most serious problem might be occurred when they do not recognize and report the loss. They might suffer from pecuniary or mental damage such as opening a mobile phone service, providing loan or credit card, opening a personal checking account, etc. Thus, this study suggests and compares the ways of avoiding these problems. First, the most effective way is to send the authorization code via mobile phones in consideration of build-up period and cost. The person in charge of business processing department using ID card sends the authorization code via registered mobile phone. The owners submits it to the person and their identifications are confirmed. Next effective way is that the person in charge of business processing department using ID card sends text messages via registered mobile phone. Lastly, the most ineffective way is to introduce and implement the electronic ID card ultimately even though it is expensive and takes a long time to build up the system.

Problem and Improvement of Korean Healthcare market Liberalization and Privatization

  • Joung, Soon-Hyoung
    • Journal of the Korea Society of Computer and Information
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    • v.20 no.11
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    • pp.175-181
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    • 2015
  • In this paper, based on the reference, we try to review the second issues about opening medical market and health care privatization by each topic and propose the measures and alternatives. Currently, in Korea, connection with launch of the WTO system and force of the FTA, the medical industries getting liberalization and globalization. Thus, it is expected to plunge to full-free competition system, and Korean medical institutions started the global competition which completely different dimension. It means that according to the liberalization of the healthcare market the real problem can be caused and also, the incessant discussion and effort for the implementation of international community are needed. Regard to attracting foreign patients and opening medical markets, the government also spreading the continued advancement strategy politically until now. However, generating problems with implication is inevitable and measures and alternatives to it are also needed. In accordance with the opening, the accompanying suggestions is medical privatization, that is, whether the health care pursue the profit not the not-for-profit and the current hospitals in Korea they are leaved as non-profit hospitals and let the make the subsidiary as general commercial enterprises, it seems indirect. However, it is like a healthcare privatization virtually thus, implication seem be large. Of course, through the public opinion and legal reservation, the liberalization and privatization of medical market can be delayed or not forced. It would be not fit in the flow of the inevitable globalization, it can be inhibited national interest and economic development also, and it can be the critical implications which shake the health system and collapse of the domestic health care market.

A study on the construction of records management criteria (기록관리기준 조사 및 작성에 관한 연구)

  • Lee, Mi-young
    • The Korean Journal of Archival Studies
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    • no.15
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    • pp.185-218
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    • 2007
  • With the reform of records management law, the organization should manage a new criteria scheme of record management based on business task and process. The new criteria scheme includes business explanation, preservation period, cause of setting up preservation period and opening information, access authority, keeping records or not. In the past, there were also some regulations and criteria but, records management criteria should be managed systematically and rationally than past in electronic environment. In this study, some previous cases about records management criteria constructing and operating were introduced first. And various characters about records management criteria were reviewed after that, process sample and methodology were proposed for construction of each criteria. If the records management criteria were constructed properly according to goals and objectives of records management and the results were managed through electronic system, the consistency of records management will be kept well and value changes of business and records will be reflected dynamically.

Responsiveness of Request to Information Disclosure (중앙행정기관의 정보공개청구에 대한 대응성 분석)

  • Choi, Jeong Min
    • The Korean Journal of Archival Studies
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    • no.45
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    • pp.155-188
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    • 2015
  • This study aims to find whether there is a difference between the resulting responsiveness and substantial responsiveness, as noticing citizen satisfaction of the result of information disclosure is not equivalent to a high rate of information disclosure. Previous studies focused on the analysis of the resulting responsiveness such as disclosure decision and processing time. However, this study would identify how much opened information is equal to requested information on the side of substantial responsiveness. This study found that accuracy dropped as opening not requested information but different information and completeness dropped as omitting some part of information or opening unseizable information on the side of substantial responsiveness. There are differences between the resulting responsiveness and substantial responsiveness. Some of the opened information is not requested information despite the disclosure decision. It takes over ten days despite the immediately disclose decision. The main reason for the decline in substantial responsiveness is the passing of document retention period and the absence of data. Therefore, the obligation for the creation and preservation of records for public agencies will have to be followed with the agencies' will to opening information. Although this study analyzes the limited cases, it is significant to enunciate there are differences between the resulting responsiveness and substantial responsiveness.

Electromyographic evidence for a gestural-overlap analysis of vowel devoicing in Korean

  • Jun, Sun-A;Beckman, M.;Niimi, Seiji;Tiede, Mark
    • Speech Sciences
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    • v.1
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    • pp.153-200
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    • 1997
  • In languages such as Japanese, it is very common to observe that short peripheral vowel are completely voiceless when surrounded by voiceless consonants. This phenomenon has been known as Montreal French, Shanghai Chinese, Greek, and Korean. Traditionally this phenomenon has been described as a phonological rule that either categorically deletes the vowel or changes the [+voice] feature of the vowel to [-voice]. This analysis was supported by Sawashima (1971) and Hirose (1971)'s observation that there are two distinct EMG patterns for voiced and devoiced vowel in Japanese. Close examination of the phonetic evidence based on acoustic data, however, shows that these phonological characterizations are not tenable (Jun & Beckman 1993, 1994). In this paper, we examined the vowel devoicing phenomenon in Korean using data from ENG fiberscopic and acoustic recorders of 100 sentences produced by one Korean speaker. The results show that there is variability in the 'degree of devoicing' in both acoustic and EMG signals, and in the patterns of glottal closing and opening across different devoiced tokens. There seems to be no categorical difference between devoiced and voiced tokens, for either EMG activity events or glottal patterns. All of these observations support the notion that vowel devoicing in Korean can not be described as the result of the application of a phonological rule. Rather, devoicing seems to be a highly variable 'phonetic' process, a more or less subtle variation in the specification of such phonetic metrics as degree and timing of glottal opening, or of associated subglottal pressure or intra-oral airflow associated with concurrent tone and stricture specifications. Some of token-pair comparisons are amenable to an explanation in terms of gestural overlap and undershoot. However, the effect of gestural timing on vocal fold state seems to be a highly nonlinear function of the interaction among specifications for the relative timing of glottal adduction and abduction gestures, of the amplitudes of the overlapped gestures, of aerodynamic conditions created by concurrent oral tonal gestures, and so on. In summary, to understand devoicing, it will be necessary to examine its effect on phonetic representation of events in many parts of the vocal tracts, and at many stages of the speech chain between the motor intent and the acoustic signal that reaches the hearer's ear.

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Verifying the Suitability or Unsuitability of the Opening Force Criteria Applied to Air Pressurized Access Door to a Smoke Control Zone (급기 가압 제연구역 출입문에 적용되는 개방력 기준의 적합성 여부에 관한 연구)

  • Lee, Jae-Ou;Choi, Chung-Seog
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.9
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    • pp.5820-5825
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    • 2014
  • The aim of this study was to verify the suitability or unsuitability of Korean body types by measuring the opening force criteria of an air pressurized access door to a smoke control zone. The opening force criteria were verified by comparing the NFSC 501A, NFPA 92A and BS-EN 12101-6 based on the body standards information from the Korean Agency for Technology and Standards. When measuring the opening forces, the posture of the body should be standing upright and pushing an access door with the right hand, which is a criterion for designing doors. As a result of analyzing the actual measurement results, the pushing force of men and women in their 30's was the maximum value and the forces in those in their 60's was the minimum value. In addition, the deviations in the pushing forces varied considerably. As a result of comparing the NFSC 501A, the men showed lower values than the criteria in every gender and age variable except for the 20's, 30's and 50's variable. A comparison of the criteria of NFPA 92A showed that the mean of the measured values from every gender and age was also lower than the criteria. In addition, when comparing the criteria of BS-EN 12101-6, it was found that the men in every age variable were higher than the criteria. On the other hand, the women in every age variable were lower than the criteria. Therefore, considering the Korean body type against the Western body type, it was decided that the opening force of an access door to a smoke control area to make a downward adjustment should be 110 N in the local criteria. Furthermore, the criteria should consider the characteristics of buildings and users because an optional application of the international standard is not necessarily suitable for local situations.

Gravity-Injection Core Cooling After a Loss-of-SDC Event n the YGN Units 3 & 4

  • Seul, Kwang-Woo;Bang, Young-Seok;Kim, Hho-Jung
    • Nuclear Engineering and Technology
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    • v.31 no.5
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    • pp.476-485
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    • 1999
  • In order to evaluate the gravity-injection capability to maintain core cooling after a loss-of-shutdown-cooling event during shutdown operation, the plant conditions of the Yong Gwang Units 3&4 were reviewed. The six cases of possible gravity-injection paths from the refueling water tank (RWT) were identified and the thermal-hydraulic analyses were performed using the RELAP5/MOD3.2 code. The core cooling capability was significantly dependent on the gravity-injection path, the RCS opening, and the injection rate. In the cases with the pressurizer manway opening higher than the RWT water level, the coolant was held up in the pressurizer and the system pressure continued increasing after gravity-injection. The gravity injection eventually stopped due to the high system pressure and the core was uncovered. In the cases with the injection path and opening on the same leg side, the core cooling was dependent on whether the water injected from the RWT passed the core region or not. However, in the cases with the injection path and opening on the different leg side, the system was well depressurized after gravity-injection and the core boiling was successfully prevented for a long-term transient. In addition, from the sensitivity study on the gravity-injection flow rate, it was found that about 54 kg/s of injection rate was required to maintain the core cooling and the core cooling could be provided for about 10.6 hours after event with that injection rate from the RWT. Those analysis results would provide useful information to operators coping with the event.

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A Study on the Performance Improvement Plan of Inflowing Air Emission (유입 공기의 배출 성능 개선방안에 관한 연구)

  • Lee, Hye-Young
    • Journal of the Society of Disaster Information
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    • v.18 no.2
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    • pp.241-251
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    • 2022
  • Purpose: In the event of a fire in a high-rise building, if the smoke control area is not effectively protected, smoke or flames enter the stairwell, making it difficult to evacuate. When inflowing air is discharged from a closed corridor, a negative pressure is formed in the corridor, the pressure in the smoke control area becomes excessively high, and the force required to open the door during evacuation is exceeded. Also, if the air introduced into the hallway is not exhausted, the smoke may flow back into the smoke control area. This paper tried to identify the problems caused by the inflowing air and to find out how to improve the performance. Method: Using the CONTAM program, simulations were performed with the basic conditions and the modified conditions. Result: If the inflowing air was discharged from the sealed corridor, overpressure occurred in the Smoke Control Area and exceeded the opening force, and the prevent smoke backflow was insufficient in the layer where the inflowing air was not discharged. Conclusion: "Differential pressure exhaust damper" application, simultaneous opening of two exhaust dampers, and automatic window installation between corridors and outdoors improved the exhaust performance of inflowing air.