• Archives of Plastic Surgery
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• 제35권3호
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• pp.349-353
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• 2008

Purpose: There are 3 well-known surgical procedures to treat Pierre Robin sequence: tongue-lip adhesion, distraction osteogenesis of mandible, and tracheostomy. The classical tongue-lip adhesion is an effective way to keep airway. The tongue, however, becomes quite non-mobile and appears dormant until the patient could control upper airway and the adhesion can be maintained for prolonged period. Most of all, this procedure does not provide the correction of the micrognathia. Distraction osteogenesis is a good technique to correct micrognathia and to prevent tracheostomies in patients with Pierre Robin sequence. But airway keeping procedure is needed during the distraction period. The purpose of this study is to determine the usefulness of temporary tongue-lip traction during the initial period of mandibular distraction in Pierre Robin sequence patients with severe airway problems requiring operative procedure. Methods: It was a prospective study of 2 Pierre Robin sequence patients aged between 4 months and 6 months requiring surgical procedure to correct recurrent and severe pulmonary complications. Two patients underwent distraction osteogenesis of mandible. During the operation, deep one tension suture was performed to tract the tongue and lip. When the patient gained control of upper airway at the initial period of distraction and micrognathia was corrected, the traction suture was removed. Results: All patients were followed up. No patients complained severe pulmonary complications and tracheostomy could be avoided. No patients had severe pulmonary complication. The pulmonary condition of patients was good. Conclusion: In severe Pierre Robin sequence case, temporary tongue-lip traction is a good assistant method in distraction osteogenesis because this method can avoid tracheostomy.

• Journal of Yeungnam Medical Science
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• 제21권2호
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• pp.242-250
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• 2004

In general, the skeletal class III has the characteristics of mandibular overgrowth with a normal maxillary growth or maxillary undergrowth with a normal mandibular growth And clinical and radiographic evaluations of the patient are needed. However, the treatment plan is not dependent on these evaluations alone, because patient's general condition and hope for aesthetics varies. The aim of this report is to consider the treatment of a medically compromised patient with an anterior open bite and skeletal class III, which showed a severe mandibular overgrowth. In 2003, a 17-year-old boy with epilepsy, mental retardation presented at our clinic complaining of concave profile. A clinical examination showed severe mandibular prognathism with an anterior open bite. The radiographic examination revealed a short cranial base, a moderate maxillary overgrowth, severe mandibular overgrowth and skeletal open bite tendency. In 2004, he was verified to have no potential of growth by hand-and-wrist radiographs and an endocrine examination. He completed the preoperative orthodontic treatment and orthognathic surgery (sagittal split ramus osteotomy, genioplasty). He was evaluated on the first visit, the preoperative period and the postoperative period with a clinical and radiographic examination. At the first visit, the patient showed moderate overgrowth of the maxilla, severe overgrowth of the mandible, and a subsequential skeletal open bite. After the preoperative orthodontic treatment (preoperative period), the patient showed the same skeletal problem as before and a decompensated dentition for orthognathic surgery. After orthognathic surgery, his profile had improved, but he had still a skeletal openbite tendency because the maxillary orthognathic surgery was not performed. Severe mandibular prognathism with a maxillary overgrowth and anterior open bite should be treated by bimaxillary orthognathic surgery. However, one-jaw orthognathic surgery on the remaining the skeletal open bite tendency was performed for his medical problem and facial esthetics. This subsequential open bite should be resolved with a postoperative orthodontic treatment.

• Journal of Periodontal and Implant Science
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• 제31권2호
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• pp.357-369
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• 2001

In this present study, the healing process and the recurrence of pigmentation were evaluated clinically and histologically in accordance with the extent and the range of pigmentation after phenol was applied to remove melanin pigmentation in gingiva. Six mongrel dogs were used. The melanin pigmentation in canine gingiva were classified into slight, moderate and severe according to the extent of pigmentation and divided into local and diffuse types according to the range. Following general and local anesthesia, 90% phenol was applied to the pigmented gingiva of the subjects with small cotton balls until the surface was etched to be whitish and was neutralized with small cotton balls soaked by 95% alcohol. The contralateral pigmented gingiva to the one treated with phenol, was treated by surgical deepithelialization. At 1, 3 and 8 weeks, the treated gingiva was examined clinically and evaluated histologically following H-E stain, and HMB 45 stain for melanocyte after biopsy. In the phenol treated sites, epithelium and connective tissue healed normally and there was no pigmentation at 1 week. At 3 weeks of healing, melanin repigmentation was observed in the severe local type and moderate to severe diffuse type. In the surgically deepithelialized sites, healing was delayed, compared to phenol treated sites and the infiltration of the inflammatory cells and congestion in connective tissue was shown at 1 week. At 3 weeks, healing was completed and there was a partial melanin repigmentation. At 8 weeks of healing, the extent and the range of repigmentation were increased in both group according to the extent or range priot to depigmentation procedure. These results suggpriorest that the removal of melanin pigmentation with 90% phenol application result in normal healing process of gingiva. However, in the severe local type and moderate to severe diffuse type, sites treated with phenol showed repigmentation at 3 week, which was earlier than surgical deepithelialized sites. Therefore it is required to select appropriate method according to initial condition of pigmentation.

• Nuclear Engineering and Technology
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• 제48권6호
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• pp.1330-1337
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• 2016

A visualization test of the fuel-coolant interaction in the Test for Real cOrium Interaction with water (TROI) test facility was carried out. To experimentally simulate the In-Vessel corium Retention (IVR)- External Reactor Vessel Cooling (ERVC) conditions, prototypic corium was released directly into the coolant water without a free fall in a gas phase before making contact with the coolant. Corium (34.39 kg) consisting of uranium oxide and zirconium oxide with a weight ratio of 8:2 was superheated, and 22.54 kg of the 34.39 kg corium was passed through water contained in a transparent interaction vessel. An image of the corium jet behavior in the coolant was taken by a high-speed camera every millisecond. Thermocouple junctions installed in the vertical direction of the coolant were cut sequentially by the falling corium jet. It was clearly observed that the visualization image of the corium jet taken during the fuel-coolant interaction corresponded with the temperature variations in the direction of the falling melt. The corium penetrated through the coolant, and the jet leading edge velocity was 2.0 m/s. Debris smaller than 1 mm was 15% of the total weight of the debris collected after a fuel-coolant interaction test, and the mass median diameter was 2.9 mm.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1997년도 하계학술대회 논문집 B
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• pp.524-526
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• 1997

We have developed a part of hydraulic stroke sensing cylinder using magnetic sensor that can detect each position under severe construction fields. In this paper, for evaluating the developed cylinder under various environment condition, temperature control systems and two hydraulic systems to be coupled consist of. The results show that the developed cylinder has good performance under the various environment condition.

• Archives of Reconstructive Microsurgery
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• 제20권1호
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• pp.74-77
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• 2011

Total scalp avulsion is rare but a devastating injury. This condition burdens the patient with disfigured cosmetic appearance and permanent psychosocial trauma. Throughout history, this condition has been favored in women working with mechanics since the long hair function as a vector appliance for oblique pull of the hair into a stationary torque. We present our experience of the replantation of the total avulsed scalp in male, first to be reported in Korea. Warm ischemic time was exceeding 16 hours along with severe crushed condition of the detached margin, a relatively satisfactory result was obtained.

• 한국기계가공학회지
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• 제12권1호
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• pp.15-21
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• 2013

The safety and stability of 5MW class offshore wind turbine Jack-up platform was investigated through ocean basin experiment. For simulating the environmental condition of yellow sea in the South Korea, diverse waves, winds and currents were performed based on Froude's number. Regular wave and irregular wave based on Froude's number were applied to the wind turbine structure. In experiments, the height and period of regular wave type were scaled down as the 1:50 ratio of real wave condition. Irregular wave type was simulated with TMA(Texel Storm, Marsen and Arsloe)spectrum. The vertical reaction force, resonance period and wave pressure applied to multi-supporters of wind offshore structure were measured experimentally. Finally, the results showed that the capsizing situation of the offshore structure was generated by the severe environmental condition.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2017년도 춘계 학술논문 발표대회
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• pp.26-27
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• 2017

In this study, the cracking characteristics of cured pastes at 800℃ were investigated by X-ray CT. The test specimens were fabricated with and without aggregate, and the heating rate condition was applied at rapid heating (10.0℃/min). It is considered that the rapid heating condition does not cause a temperature gradient phenomenon because the temperature difference between the surface and the center of the sample is small due to a low heating rate unlike an actual fire. The cracking condition of the specimens without aggregate was more severe than that of specimens with aggregate.

• 한국원자력학회:학술대회논문집
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• 한국원자력학회 1997년도 춘계학술발표회논문집(1)
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• pp.508-513
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• 1997

One of the moot important constants to be Installed In COLSS, a monitoring system in CE typed reactors, is ROPM which would limit the operating space. This static ROPM was calculated from digital transient analysis assuming that every design basis transient was initiated from the most severe initial condition combination (LCO). Once It could be assured that core condition would not be located at none other than LCO, this static ROPM could be replaced with dynamic ROPM calculated at that condition and the dynamic ROPM would be definitely less than the static ROPM. In order to do, It must be required to calculate the transient discrete sensitivity parameters and parameters change distribution. The purpose of this report is just to propose the enlargement method for thermal margin.

• 한국지진공학회논문집
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• 제22권3호
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• pp.121-128
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• 2018

Severe earthquakes can cause damage to society both socially and economically. An appropriate initial response can alleviate damage from severe earthquakes. In order to formulate an appropriate initial response, it is necessary to identify damage situations in societies; however, it is difficult to grasp this information immediately after an earthquake event. In this study, an earthquake damage assessment methodology for buildings is proposed for estimating damage situations immediately after severe earthquakes. A response spectrum database is constructed to provide response spectra at arbitrary locations from earthquake measurements immediately after the event. The fragility curves are used to estimate the damage of the buildings. Earthquake damage assessment is performed from the response spectrum database at the building scale to provide enhanced damage condition information. Earthquake damage assessment for Gyeongju city and Pohang city were conducted using the proposed methodology, when an earthquake occurred on September 12, 2016, and November 15, 2017. Results confirm that the proposed earthquake damage assessment effectively represented the earthquake damage situation in the city to decide on an appropriate initial response by providing detailed information at the building scale.