• 대한기계학회논문집A
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• 제35권12호
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• pp.1563-1571
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• 2011

본 연구에서는 인간중이의 소리전달특성 계산을 위한 유한요소모델을 개발하였다. 이소골의 형상을 얻기 위하여 한국인 사체에서 추출한 측두골을 마이크로 CT 촬영하여 3 차원 입체모델로 변환하였다. 유한요소모델은 이소골, 고막, 인대와 근육 등을 포함하여 구성하였다. 유한요소모델을 이용하여 고막에서 등골족판까지의 응답함수를 계산한 후 측정값을 갖는 선행연구와 비교하였고 그 결과 10 kHz 주파수 대역까지 소리전달특성을 잘 표현하고 있음을 보였다. 또한 유한요소 모델을 구성하는 주요 물성인자의 변화에 대한 소리전달특성의 변화를 살피고 침등골관절의 강성값이 중이의 소리전달특성에 큰 영향을 미침을 보였다.

• 한국수자원학회논문집
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• 제31권4호
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• pp.483-490
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• 1998

낙동강 유역의 용수수급 불균형을 해결하기 위한 한 대안으로서 한강과 낙동강 유역을 서로 연계하여 한강에서 낙동강 유역으로의 물이동 가능성을 검토하였다. 검토방법으로는 낙동강 유역의 용수부족량을 추정한 뒤 한강 유역에서의 여유량을 모의기법과 최적화기법을 사용하여 추정하였다. 모의기법으로는 HEC-5를 사용하여 중,소규모댐을 검토하고, 최종적으로 동적계획법을 사용하여 다목적댐에 대하여 검토하였다. 또한, 경제적 측면에서 한강-낙동강 유역간 물이동과 낙동강 상류의 자체 유역내 신규 수자원 개발방안의 사업비를 비교하였다. 검토결과, 계획대호 신규 수자원을 개발한다면 낙동강 유역에서 유역간 물이동없이 2021년까지 용수수요를 만족시킬 수 있었고, 경제적 측면에서도 낙동강 상류의 신규 수자원 개발방안이 한강-낙동강 유역간 물이동 방안보다 유리하였다.

• 구강회복응용과학지
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• 제19권4호
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• pp.297-308
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• 2003

Face-bow is used to transfer models to the articulator in diagnosing the patient or treating problems associated with occlusion. However, there have been few reports on the reliability of the face-bow procedure and the relationship between the experience of the operator and the reliability of the face-bow procedure. The purposes of this study are to examine the reliability of the face-bow procedure and to evaluate whether the face-bow transferring has any training effect. Nine dentists working at M hospital conducted a face-bow transfer in one patient having a normal dentition and interdental relationship. The procedure was done two times a week for four weeks. The maxillary model was mounted to the articulator every time, then the landmarks on the maxillary right first molar, the maxillary left central incisor, and the maxillary left first molar were measured with a special three-dimensional instrument. These data were input into a computer, and evaluated statistically. The results were as follows ; 1. When examined with ANOVA test, the results were p=0.2040 in maxillary right first molar, p=0.0578 in maxillary left incisor, and p=0.1433 in maxillary left first molar. There was no significant(0< $p{\leq}0.05$). 2. Training 1) The correlation coefficient between trial and rejection was -0.578 when analyzed with T-distribution. The more we tried, the less errors we found. 2) When the S.D. of the first three trials was compared to the S.D. of the last three trials in face-bow transfer, the results showed that the former was larger than the latter in thirty-nine times, and the latter was larger than the former in fifteen times. The more we tried face-bow transfer, the less errors we found. 3. When the S.D. of x, y, z coordinates were examined, the S.D. of x coordinates had the largest measurement in five times, the S.D. of y coordinates had the largest measurement in four times, and the S.D. of z coordinates had the largest measurement in nine times. The possibility which the error can occur in z coordinate was the highest.

• 한국수정란이식학회지
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• 제6권2호
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• pp.18-29
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• 1991

Nuclear transplantation technique is known as the most potential and efficient method for producing a large number of genetically identical animals from a single embryo. The technical development of nuclear transplantation in mammals and its application to the production of cloned animals are described. For the efficient and successful production of cloned embryos by nuclear transplantation, the right selection and micromanipulation of recipient eggs or embryos as capacious recipient cytoplasm, the adequate and benefitlal preparation of multiple totipotent embryonic cells as donor nuclei, and also the fusion technique are very critical. Recent studies approaching to these critical points are introduced and discussed. Up to date, the overall efficiency of production of cloned embryos and offspring in livestock is estimated to be low. Further technical development of nuclear transplantation will enable large-scale production of cloned livestock and in near future the commercial cloning of animals will become a reality.

• 대한전자공학회논문지SD
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• 제41권7호
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• pp.31-36
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• 2004

Vortical-Cavity Surface-Emitting Laser(VCSEL)는 in-plane 형태의 레이저와는 달리 여러 층의 distributed Bragg reflector(DBR) mirror를 반사 면으로 사용하기 때문에 광출력이나 미분양자효율(differential quantum efficiency)을 계산하는 데에 많은 어려움이 따른다. 이러한 이유로 광출력, 광출력 비 및 미분양자효율 등의 성능 지수를 계산하는 방법으로 유효 공진기 모델과 전달행렬 방법(transfer matrix method) 등이 사용되고 있다. 유효 공진기 모델은 반사율 및 문턱이득을 계산하는 데에는 적합하지만 광출력, 광출력 비 및 외부양자효율을 계산하는 데에는 오차를 보인다. 그 이유는 유효 공진기 모델이 금속 전극 개구부 바로 아래 GaAs 층에서의 빛의 흡수는 고려하지 못하기 때문이다. 이 논문에서는 유효 공진기 모델로부터 구한 성능 지수 값들을 전달행렬 방법으로부터 구한 값들과 비교ㆍ검토하여, 유효 공진기 모델의 타당성에 대하여 살펴보고 전달행렬 방법의 유용성을 재확인하였다.

• 한국의료질향상학회지
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• 제9권2호
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• pp.116-133
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• 2002

Background : It is very common in Korea to take care of non-acute patients in an acute setting, due to the lack of long-term facilities. Long term hospitalization increase medical expenses and decreases the bed utilization, which can affect the urgent and emergent admissions, and eventually jeopardize the hospital financially. In this study, strategies for effective transfers to the lower levels of care, and to decrease the length of stay were presented by surveying and analyzing the patient's knowledge of the transfer needs, and the willingness to transfer those whose hospital length of stay was more than 30days. Method : The survey is subject to a group of 251 patients who have been hospitalized over 30 days in a general hospital in Seoul. Excluding those that were in the Intensive Care Unit and psychiatric ward, 214 in-patients were used as participants. They were surveyed from April 9, 2002 to April 17, 2002. One hundred and thirty seven out of 214 were responded which made the response rate 64%. Data were analyzed by SAS and SPSS. Result : Multi-variable Logistic Regression Analysis showed a significant effect in medical expenses, knowledge of referral system and the information of the receiving hospital. The financial burden in medical expenses made the patient 10.7 times more willing to be transferred, knowledge of the referral system made them 5 times more willing to be transferred, and the information of receiving hospital makes 6.5 times more willing to be transferred. Reasons for willing to be transferred to a lower level of care were the phase of physical therapy, the distance from home, the attending physician's advice and being unable to be treated as an out patient. Reasons for refusing to be transferred were the following. The attending physician's competency, not being ready to be discharged, not trusting the receiving hospital's competency due to the lack of information, or never hearing about the referring system by the attending physician. Conclusion : Based on this, strategies for the effective transfer to the lower levels of care were suggested. It is desirable for the attending physician to be actively involved by making an effort to explain the transfer need, and referring to the Healthcare Coordinating Center, which can help the patient make the right decision. Nationwide networking for the referral system is the another key factor that may need to be suggested as an alternative to decrease the medical expenses. Collaborating with the Home Health Agency for the early discharge planning and the Social Service Department for financial aid are also needed. It is recommended that the hospital should expedite the transfer process by prioritizing the cost and the information as medical expenses, knowledge of referring system and the information of the receiving hospital, are the most important factors to the willingness to transfer to a lower level of care.

• Archives of Plastic Surgery
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• 제33권2호
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• pp.245-248
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• 2006

Besides gastric pull-up or colonic interposition, microvascular technique in esophageal reconstruction has been approved reliable methods. When free intestinal transfer is considered, jejunal free flap is commonly used. We treated the patient who had undergone reconstruction with a right colon interposition and suffered from inability of swallowing because of stricture and necrosis of the interposed flap. Although we have planned jejunal free transfer, we couldn't use jejunum due to adhesion by previous gastrojejunostomy and colon interposition. Salvage procedure with microvascualr free left colon flap was executed successfully. After 9 month follow-up, the patient was able to consume a normal diet.

• 한국수정란이식학회지
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• 제29권4호
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• pp.393-395
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• 2014

A 6-year old, Greyhound bitch was presented with vaginal hemorrhage and dystocia. Physical examination revealed severe vaginal hemorrhage, abdominal pain, pale mucous membranes and the presence of solid structures to abdominal palpation. A hematological test revealed a marked hemorrhagic anemia, and abdominal radiography and ultrasonographic examination showed two dead fetuses in the uterus. Median laparotomy revealed a rupture of the left uterine horn adjacent to the bifurcation, region of weakened uterine wall in the right uterine horn, blood clots and uterine fluids in abdominal cavity without septic peritonitis. The bitch underwent ovariohysterectomy and recovered without complication.

• Clinical and Experimental Pediatrics
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• 제51권5호
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• pp.447-451
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• 2008

It is fair to say that there are many ethical issues concerning the publication of medical papers. To define the best practice in the ethics of scientific publishing and a proper understanding of appropriate reporting in medical papers, this review should be useful for authors dealing with ethical issues which involve the protection of human and animal rights, the protection of confidentiality and informed consent, fabrication, falsification, plagiarism, author and authorship, copy right transfer, duplicate publication, conflict of interest, and dealing with misconduct cases.

• Journal of Chest Surgery
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• 제25권11호
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• pp.1231-1235
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• 1992

Perforation of the esophagus is a rare complication of endotracheal intubation and usually occurs after hasty intubation. A 26-year-old female was transferred from other hospital for further management of empyema of the right lung. During admission, the empyema was found due to esophageal perforation, which had developed during the endotracheal intubation after acute poisoning of carbon monooxide 5 dayes prior to the transfer. The em-pyema and the esophageal perforation were successfully managed by conservative measures including effective drainage.