• Journal of Korean Neurosurgical Society
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• 제54권3호
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• pp.194-200
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• 2013

Objective : Lumbar spine stenosis (LSS) can result in symptomatic compression of the neural elements, requiring surgical treatment if conservative management fails. Minimally invasive surgery has come to be more commonly used for the treatment of LSS. The current study describes outcomes of bilateral microdecompression by unilateral or bilateral laminotomy (BML) for degenerative LSS after a minimum follow-up period of 3 years and investigates factors that result in a poor outcome. Methods : Twenty-one patients who were followed-up for at least 3 years were included in this study. For clinical evaluation, the Japanese Orthopedic Association (JOA) scoring system for low back pain was used. The modified grading system of Finneson and Cooper was used for outcome assessment. Radiographic evaluation was also performed for spondylolisthesis, sagittal rotation angle, and disc height. Results : Twenty-one patients (10 men, 11 women) aged 53-82 years ($64.1{\pm}8.9$ years) were followed-up for a minimum of 3 years (36-69 months). During follow-up, two patients underwent reoperation. Average preoperative JOA score and clinical symptoms, except persistent low back pain, improved significantly at the latest follow-up. There were no significant differences in radiological findings preoperatively and postoperatively. Thirteen patients (61.9%) had excellent to fair outcomes. Conclusion : BML resulted in a favorable and persistent outcome for patients with degenerative LSS without radiological instability over a mid-term follow-up period. Persistent low back pain unrelated to postoperative instability adversely affects mid-term outcomes.

• Ocean Systems Engineering
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• 제2권2호
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• pp.159-171
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• 2012

Reinforced concrete structures in cold coastal regions are subjected to coupled effects of service load, freeze-thaw cycles and seawater corrosion. This would significantly degrade the performance and therefore shorten the service life of these structures. In the current paper, the mechanical properties of concrete material and the structural behaviour of eccentrically loaded reinforced concrete columns under multiple actions of seawater corrosion, freeze-thaw cycles and persistent load have been studied experimentally. Results show that when exposed to alternating actions of seawater corrosion and freeze-thaw cycles, the compressive strength of concrete decreases with the increased number of freeze-thaw cycles. For reinforced concrete column, if it is only subjected to seawater corrosion and freeze-thaw cycles, the load resistance capacity is found to be reduced by 11.5%. If a more practical service condition of reinforced concrete structures in cold coastal regions is simulated, i.e., the environmental factors are coupled with persistent loading, a rapid drop of 15% - 26.9% in the ultimate capacity of the eccentrically loaded reinforced concrete column is identified. Moreover, it is observed that the increase of eccentric load serves to accelerate the deterioration of column structural behavior.

• 디지털융복합연구
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• 제9권2호
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• pp.65-77
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• 2011

본 연구는 온라인 공동체에서 구성원들 간에 신뢰가 어떻게 형성 발전되는지를 살펴보기 위한 연구이다. 신뢰형성에 주요한 요인에 대한 이론적 고찰을 통해 본 연구는 사회적정체성과 지속적인 커뮤니케이션 활동을 주요한 요인으로 설정하고 이들과 신뢰(Trust)에 이르기 위한 매개변인들인 신뢰성 (Trustworthiness) 요소-Integrity (규범공유성), 선의(Benevolence), 개방성(Openness)-와의 관계를 살펴보았다. 이들 관계를 실증적으로 밝히기 위해서 본 연구는 국내 주요 온라인 사이트의 커뮤니티 구성원을 대상으로 설문을 실시하였다. 그 결과, 사회적정체성과 지속적인 커뮤니케이션이 신뢰성 (Trustworthiness)에 유의미한 영향을 주고 있었으며 신뢰성의 세 가지 변인(Integrity, Benevolence, Openness) 등은 기존의 연구와 유사하게 신뢰에 주요한 요소들임이 밝혀졌다.

• Journal of the korean society of oceanography
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• 제38권3호
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• pp.143-155
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• 2003

Current and sea level were observed in spring 1999 by a bottom mounted ADCP and tide gauge in the central part of the South Sea of Korea. With respect to the front, the distribution of isotherms is prograde in the offshore region whereas that of isohalines is retrograde, especially in the coastal area. The combined effect results in shoaling of isopycnals at the front. This distribution corresponds to a westward coastal flow on the northern side of the front and the eastward Tsushima Warm Current (TWC) to the south, determined by vessel-mounted ADCP observations. The low-frequency current shows either alternating clockwise-counterclockwise rotation or else persistent eastward motion depending on the frontal motion. Fluctuations of wind, sea level and current are coherent at period of 3-4 days and show some characteristics of Ekman-like dynamics.

• Korean Circulation Journal
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• 제53권5호
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• pp.331-343
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• 2023

Background and Objectives: The prognostic implication of right atrial (RA) and left atrial (LA) size for an immediate success of direct current cardioversion (DCCV) in atrial fibrillation (AF) remains unclear. This study aimed to compare RA and LA size for the prediction of DCCV success. Methods: Between 2012 and 2018, 734 consecutive outpatients were screened for our prospective registry. Each eligible patient received a medical history, blood analysis, and transthoracic echocardiography with a focus on indexed RA (iRA) area and LA volume (iLAV) prior to DCCV with up to three biphasic shocks (200-300-360 J) or additional administration of amiodarone or flecainide to restore sinus rhythm. Results: We enrolled 589 patients, and DCCV was in 89% (n=523) successful. Mean age was 68 ± 10 years, and 40% (n=234) had New York heart association class >II. A prevalence of the male sex (64%, n=376) and of persistent AF (86%, n=505) was observed. Although DCCV success was associated with female sex (odds ratio [OR], 1.88; 95% confidence interval [CI], 1.06-3.65), with absence of coronary heart disease and normal left ventricular function (OR, 2.24; 95% CI, 1.26-4.25), with short AF duration (OR, 1.93; 95% CI, 1.05-4.04) in univariable regression, only iRA area remained a stable and independent predictor of DCCV success (OR, 0.27; 95% CI, 0.12-0.69; area under the curve 0.71), but not iLAV size (OR, 1.16; 95% CI, 1.05-1.56) in multivariable analysis. Conclusions: iRA area is superior to iLAV for the prediction of immediate DCCV success in AF.

• Clinics in Shoulder and Elbow
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• 제17권4호
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• pp.209-217
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• 2014

Most studies on the pathophysiology, natural history, diagnosis by imaging and outcomes after operative or nonoperative treatment of rotator cuff tear have focused on those of full-thickness tears, resulting in limited knowledge of partial-thickness rotator cuff tears. However, a partial-thickness tear of the rotator cuff is a common disorder and can be the cause of persistent pain and dysfunction of the shoulder joint in the affected patients. Recent updates in the literatures shows that the partial-thickness tears are not merely mild form of full-thickness tears. Over the last decades, an improved knowledge of pathophysiology and surgical techniques of partial-thickness tears has led to more understanding of the significance of this tear and better outcomes. In this review, we discuss the current concept of management for partial-thickness tears in terms of the pathogenesis, natural history, nonoperative treatment, and surgical outcomes associated with the commonly used repair techniques.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2000년도 하계학술대회 논문집 B
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• pp.949-951
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• 2000

In order to design thermally trigger controlled persistent current switch(PCS) for MRI magnet system, it is very important to know informations of applied adiabatic method and condition to get designed resistance and characteristics. Adiabatic part of PCS is consist of cotton-gummed tape and cryogenic stycast. This adiabatic method has the advantage of continuously winding superconducting and adiabatic part of PCS and reducing the time of manufacture. We experimentally derived averaged thermal conductivity on the assumption that shape of adiabatic part of PCS is that of pipe. In result, averaged thermal conductivity is about 0.29 W/m K and designed value is very satisfied with actual experimental data.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제45권5호
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• pp.233-240
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• 2019

Trigeminal nerve injury as a consequence of lower third molar surgery is a notorious complication and may affect the patient in long term. Inferior alveolar nerve (IAN) and lingual nerve (LN) injury result in different degree of neurosensory deficit and also other neurological symptoms. The long term effects may include persistent sensory loss, chronic pain and depression. It is crucial to understand the pathophysiology of the nerve injury from lower third molar surgery. Surgery remains the most promising treatment in moderate-to-severe nerve injuries. There are limitations in the current treatment methods and full recovery is not commonly achievable. It is better to prevent nerve injury than to treat with unpredictable results. Coronectomy has been proved to be effective in reducing IAN injury and carries minimal long-term morbidity. New technologies, like the roles of erythropoietin and stem cell therapy, are being investigated for neuroprotection and neural regeneration. Breakthroughs in basic and translational research are required to improve the clinical outcomes of the current treatment modalities of third molar surgery-related nerve injury.

• 한국초전도ㆍ저온공학회논문지
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• 제11권3호
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• pp.40-45
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• 2009

Many superconductor applications such as MRI and SMES must be operated in persistent current mode to eliminate the electrical ohmic loss. This paper presents the characteristic analysis of the high temperature superconducting (HTS) power supply made of YBCO coated conductor (CC). In this research, we have manufactured the HTS power supply to charge the 0.73 mH HTS double-pancake magnet made of YBCO CC. Among the all design parameters, the heater triggerring time and magnet applying time were the most important factors for the best performance of the HTS power supply. In this paper, three-dimensional simulation through finite element method (FEM) was used to study the heat transfer in YBCO CC and the magnetic field of the magnetic circuit. Based upon these results, the final operational sequence could be determined to generate the pumping current. In the experiment, the maximum pumping current reached about 16 A.

• Restorative Dentistry and Endodontics
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• 제33권6호
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• pp.560-569
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• 2008

본 review 논문의 목적은 통상의 근관치료로 해결되지 않는 persistent periapical lesion의 원인이 되는 주요 세균을 제거하고자 시행한 여러가지 실험을 비교분석하여 과연 (1) Enterococcus faecalis가 근관치료 실패의 주요 원인균인지 (2) 그리고 과연 그렇다면 근관치료에 실패한 증례에서 E. faecalis와 biofilm을 제거할 수 있는 치료 protocol이 있는 것인지를 확인하여 보다 나은 근관치료 성공을 위한 치료 protocol의 확립과 앞으로의 연구방향을 재조명하는 것이다. 지금까지 진행되어온 연구 결과에 대한 객관적인 분석이나 적절한 평가가 이루어지지 않은 가운데 어떤 특정한 연구를 통해 E. faecalis를 제거하는데 유의성있는 효과를 보인다고 알려진 세척액이나 약제를 막연한 기대감을 가지고 실제 임상에 사용하고 있는 실정에서 현재 진료실에서 사용하고 있는 치료 protocol에 대한 검증이 절실한 시점에서 review해 본 결과 현재까지 진행되어 왔던 여러 연구 결과를 통해 확신할 수 있는 것은 치료 protocol에 따라 현재 사용하고 있는 근관세척액이나 근관내 약제만으로도 E. faecalis나 그 biofilm을 대부분 제거할 수 있다는 사실이다. 하지만 이 그 protocol에 따라 근관치료 술식을 충실하게 이행한다 해도 근관치료가 100% 성공한다고 보장할 수는 없다. 물론 세균이 아닌 다른 요소에 의해 근관치료의 실패가 일어난다고도 할 수 있지만 그보다는 결국 체내의 면역반응에 저항하는 세균의 능력에 기인하는 것으로 보인다. 따라서 높은 수준의 치료 성공률을 지속적으로 유지하기 위해서는 위에서 언급된 바와 같은 제대로 된 치료 protocol을 따라 근관치료를 진행하면서 좀더 나은 결과를 얻기 위해 새로운 protocol을 개발하고 정립하는 과정이 계속되어야 한다.