• MALSORI
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• no.44
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• pp.1-14
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• 2002

Because the accuracy and the fluency are the essence in English speaking, both of them are very important in English trencher training and in-service English training programs. To get the accuracy and the fluency, the causes and the phenomena of the unnatural pronunciation have to be diagnosed. Consequently, the problematic and unnatural pronunciation of Korean elementary and secondary English teachers should be analyzed with using Acoustic Analyzing tools like CSL, Multi-speech and Praat. In addition, an attempt to Pinpoint what the causes of unnatural pronunciation was executed. Next a procedure and steps were proposed for in-service training programs that would cultivate the fluency and the accuracy. In case of elementary teachers, the unnatural pronunciation of segmental features and suprasegmental features were found much. therefore segmental features should be emphasized in the begging of pronunciation training courses and then suprasegmental features have to be emphasized. In case of secondary teachers, the unnatural pronunciation of suprasegmental features were found much. Therefore segmental and suprasegmental features have to be focused at the same time. In other words, features in word level should be focused first for elementary English teacher, and features in word level and beyond word level should be trained at the same time for secondary English teachers.

• Childhood Kidney Diseases
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• v.20 no.2
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• pp.83-87
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• 2016

Congenital chloride diarrhea (CLD) is a rare autosomal recessive disease that is difficult to diagnose. CLD requires early treatment to correct electrolyte imbalance and alkalosis and to prevent severe dehydration. Renal injury is clearly associated with defective electrolyte balance induced by CLD, particularly during the first months or years of life. A 7-year-old boy was diagnosed with CLD following detection of a homozygous mutation (c.2063-1G>T) in SLC26A3 at 6 months of age. During treatment with electrolyte supplements, mild proteinuria was detected at 8 months of age, and is still present. Renal biopsy showed the presence of focal renal dysplasia, with metaplastic cartilage and mononuclear cell infiltration, calcification, and fibrosis in the interstitium. Up to two-thirds of the glomeruli exhibited global obsolescence, mostly aggregated in the dysplastic area. In nondysplastic areas, the glomeruli were markedly increased in size and severely hypercellular, with increased mesangial matrix, and displayed segmental sclerosis. The marked glomerular hypertrophy with focal segmental glomerulosclerosis suggested a compensatory reaction to the severe nephron loss or glomerular obsolescence associated with renal dysplasia, with superimposed by CLD aggravating the tubulointerstitial damage.

• Childhood Kidney Diseases
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• v.21 no.2
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• pp.165-168
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• 2017

Focal segmental glomerulosclerosis (FSGS) in children, which is a kind of nephrotic syndrome showing steroid resistance, usually progresses to a substantial number of end stage renal disease (ESRD). Although the pathogenesis of primary FSGS is unclear, several recent studies have reported that FSGS is associated with circulating immune factors such as soluble urokinase-type plasminogen activator receptor (suPAR) or anti-CD40 autoantibody. We report a successfully treated case of a 19-year-old female patient who experienced a recurrence of primary FSGS. After the diagnosis of FSGS, the patient progressed to ESRD and received a kidney transplantation (KT). Three days later, recurrence was suspected through proteinuria and hypoalbuminemia. She has been performed plasmapheresis and high dose methylprednisolone pulse therapy and shown remission status without increasing proteinuria for four years after KT. In conclusion, strong immunosuppressive therapy may be helpful for a good prognosis of recurrent FSGS, suppressing several immunologic circulating factors related disease pathogenesis.

• Journal of Chest Surgery
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• v.50 no.4
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• pp.300-304
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• 2017

A 42-year-old man was diagnosed with cancer of the right lower lung lobe with a posteparterial type of tracheal bronchus, in which the posterior segmental bronchus of the right upper lobe arose from the distal bronchus intermedius. A mass involved the distal bronchus intermedius, requiring a right lower bilobectomy with an additional posterior segmental resection of the right upper lung lobe. Thus, we performed a right lower bilobectomy and sleeve anastomosis of the posterior segmental bronchus of the right upper lobe to the proximal bronchus intermedius, sparing the pulmonary parenchyma of the same lobe.

• Journal of Korean Tunnelling and Underground Space Association
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• v.17 no.3
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• pp.363-382
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• 2015

This paper presents a numerical study on the effect of segment assembly characteristics on the TBM segmental lining member section forces. Analyses have been carried out through the two-ring beam finite element model by Midas civil 2012+. TBM segment lining member forces are determined by various joint characteristics. In this study, the segmental member forces were investigated with various joint number and orientation at fixed values of joint stiffness, ground spring parameters. The numerical results were used to identify trends of the member forces in the tunnel lining with the segment assembly characteristics.

• Structural Engineering and Mechanics
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• v.65 no.6
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• pp.741-750
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• 2018

The aim of this study was to investigate the mechanical responses of a high-speed railway shield tunnel subjected to impact by a derailed train, with emphasis on the protective effect of the secondary lining. To do so, the extended finite element method was used to develop two numerical models of a shield tunnel including joints and joint bolts, one with a cast-in-situ concrete secondary lining and one without such a lining. The dynamic responses of these models upon impact were analyzed, with particular focus on the distribution and propagation of cracks in the lining structures and the mechanical responses of the joint bolts. The numerical results showed that placing a secondary lining significantly constricted the development of cracking in the segmental lining upon the impact load caused by a derailed train, reduced the internal forces on the joint bolts, and enhanced the safety of the segmental lining structure. The outcomes of this study can provide a numerical reference for optimizing the design of shield tunnels under accidental impact loading conditions.

• Journal of Korean Neurosurgical Society
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• v.45 no.3
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• pp.192-195
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• 2009

We present a case of an acute psoas muscle hematoma following percutaneous endoscopic lumbar discectomy. A 60-year-old female who presented with far lateral lumbar disc herniation underwent endoscopic discectomy on the right side at the L4-5 level. On the second postoperative day, the patient complained of severe right flank and leg pain and her blood pressure decreased. A computed tomography scan showed a large acute psoas muscle hematoma at right L4-5 level. The patient was transfused with packed red blood cells and placed at absolute bed rest. After observing the patient in intensive care, the severe flank and leg pain subsided, but the mild back pain persisted. Although percutaneous endoscopic lumbar discectomy is an effective minimally invasive surgical technique for the treatment of lumbar disc herniation, this case highlights the inherent risks of acute lumbar segmental vessel injury.

• Korean Journal of Veterinary Research
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• v.57 no.2
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• pp.113-116
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• 2017

The aim of this study was to examine normal bronchi in dogs by using virtual bronchoscopy (VB) and to evaluate the utility of VB in clinical practice. The bronchi of six dogs without tracheobronchial disease were visualized by VB. Airways from the tracheal bifurcation to the lobar bronchi were well visualized in all dogs. Segmental and subsegmental bronchi were also well identified, but the degree and number of those varied with dog size. The mean numbers of segmental and subsegmental bronchi identified in the six dogs were 41.83 and 50.17, respectively, whereas, the mean numbers in medium- and large-sized dogs were 55.00 and 82.67, respectively, and in small-sized dogs, the means were 28.67 and 17.67, respectively. Although there were size-dependent differences in VB visualization of the bronchi, it was possible to identify peripheral airways to the subsegmental bronchi level, which can rarely be accomplished via conventional bronchoscopy. VB is the noninvasive method that can be used to examine bronchial anatomy, and our results suggest that VB can be useful for evaluating bronchi, including segmental and subsegmental ones that cannot be examined routinely by conventional bronchoscopy. Thus, VB has potential as an alternative to conventional bronchoscopy in the examination of bronchi in dogs.

• Journal of the Korean Geotechnical Society
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• v.19 no.6
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• pp.115-125
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• 2003

This paper presents the results of design case study on soil-reinforced segmental retaining walls in tiered configuration. Six different field walls were examined to investigate the appropriateness of their designs within the context of the current design guidelines based on limit equilibrium. Slope stability analysis against the compound failure mode, which is frequently ignored during design, was additionally performed based on the method recommended by FHWA design guidelines. The results indicate that the as-built designs of some of the walls examined do not meet the minimum factors of safety for the external and Internal stabilities, and for the compound failure mode. The implications of the findings from this study are discussed.

• Journal of Chest Surgery
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• v.48 no.4
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• pp.285-288
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• 2015

In coronary artery bypass grafting, a diffusely diseased left anterior descending coronary artery (LAD) is an obstacle to achieving complete revascularization, consequently leading to the possibility of a poor prognosis. Long segmental reconstruction with or without endarterectomy is a revascularization method for treating diffusely diseased coronary arteries. Herein, we report a successful case of long segmental reconstruction of a diffusely diseased LAD using a left internal thoracic artery onlay patch after endarterectomy.