• Journal of Chest Surgery
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• v.45 no.5
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• pp.308-315
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• 2012

Background: Long-term surveillance comparing satisfaction between the early experience of Nuss procedure vs. Ravitch procedure. Materials and Methods: A total of 100 patients that underwent surgical correction of a pectus excavatum between 2001 and 2004 and were followed for ${\geq}2$ years were included. Surveillance on the degree of satisfaction was performed using five-levels of the Likert scale and self-assessment scoring. Results: Nuss or Ravitch surgery was performed in 63 and 37 patients, respectively. The Nuss procedure required a shorter operation time and shorter hospital stay than the Ravitch procedure (p<0.001). The surveillance demonstrated that 17.6% of the Nuss group and 35.7% of the Ravitch group were not satisfied with the outcome of the surgery (p=0.072). The most common causes of dissatisfaction were redepression in the Nuss group (n=5) and incomplete correction in the Ravitch group (n=7). The multivariate analysis showed that reoperation and a high postoperative pectus index were significant risk factors for a low satisfaction score. Conclusion: The Nuss procedure had several advantages over the Ravitch procedure in the immediate postoperative period. However, the long-term satisfaction was determined by a complete correction without recurrence or need for re-intervention rather than by the operation type.

• Journal of the Korea Society of Computer and Information
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• v.26 no.10
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• pp.93-100
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• 2021

In this paper, the possibility of a UE (User Equipment) incarceration attack using RRCRejecet and RRCRelease in 5G SNPN (Standalone Non-Public Network) is analyzed based on the 3GPP standard document. First, the cell selection and reselection procedures of the UE are analyzed, and then the processing process of the false base station and the UE before and after transmission of RRCReject and RRCRelease is analyzed. As a result of the analysis, it is possible that the false base station that transmits a strong signal causes the victim UE to establish an RRC connection to the false base station itself. In addition, if the false base station transmits an RRCReject message without integrity protection in response to the victim UE's attempt to establish an RRC connection, it is determined that the victim UE can continue to stay in the RRC connection attempt process. On the other hand, it is determined that it is impossible to incarcerate the victim UE by inducing an attempt to establish an RRC connection to another false base station using RRCRelease.

• Journal of Trauma and Injury
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• v.31 no.3
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• pp.159-165
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• 2018

Purpose: Spinning-induced rhabdomyolysis (SIR) has been increasing in recent years and accounts for a large proportion of exercise-induced rhabdomyolysis (EIR). The purpose of this study was to compare the clinical features between SIR and non-spinning exercise-induced rhabdomyolysis (NSIR), and to analyze each of these clinical features. Methods: A retrospective chart review was conducted on patients treated due to EIR from January 2006 to March 2018. Patients were divided into the SIR and NSIR groups, and their clinical factors, outcome, and blood chemistries were compared and analyzed. Results: Sixty-two patients were enrolled in this study, with 23 (37.1%) and 39 (62.9%) patients categorized in the SIR and NSIR groups, respectively. The SIR group were mostly women (78.3% vs. 38.5%, p=0.002), more frequent EIR occurrence in the first exercise class (60.9% vs. 15.4%, p=0.001), and had most complaints of thigh pain (91.3% vs. 43.6%, p=0.001). The SIR group had a higher incidence rate despite its shorter exercise duration (90.5% vs. 62.9%, p=0.024), longer hospital stay (6.0 [4.5-7.0] vs. 5.0 [3.5-6.0] days, p=0.080), and higher rate of peak CPK (15,000 U/L or higher) (91.3% vs. 74.4%, p=0.182) compared to the NSIR group. Conclusions: SIR occurs at a higher rate during the first exercise class in women compared to NSIR, and the incidence rate is higher in SIR than in NSIR despite its shorter exercise duration (less than 60 minutes). It is necessary to recognize these risks during spinning exercises and to perform these exercises sequentially and systematically.

• Neonatal Medicine
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• v.25 no.4
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• pp.144-152
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• 2018

Purpose: The aim of this study was to investigate the clinical characteristics of Respiratory syncytial virus (RSV) infection during the neonatal period to provide information that is useful in clinical practice and suggest extension of the palivizumab administration. Methods: Neonates admitted to the National Health Insurance Service Ilsan Hospital neonatal intensive care unit due to respiratory symptoms and for whom multiplex reverse transcription-polymerase chain reaction and multiplex real time-polymerase chain reaction tests were performed between October 2011 and May 2016 were included in this study. Medical records were retrospectively reviewed, and data was collected for 156 neonates. Results: Among the 156 neonates, RSV was detected in 114 (73.1%), non-RSV in 25 (16%), and no virus in 17 (10.9%). The majority were full term infants (92.4%) and peak incidence of RSV infection was in January. Post-natal care center infection was more common in the RSV group (46.6%) than that in the other virus groups (24%, P=0.0243). Clinical symptoms were severe in the RSV group in contrast to that in the non-RSV or others groups. The RSV group frequently needed oxygen therapy (P=0.0001) and the duration of hospital stays were longer (P=0.0001). Conclusion: RSV is a significant cause of respiratory infection in neonates and the severity is higher in contrast to that with other viral causes of infection. Infants in post-natal care centers have a high-risk of developing RSV infections; therefore, palivizumab administration may be considered in this group to prevent hospitalization and reduce the duration of hospital stay.

• Journal of the Architectural Institute of Korea Structure & Construction
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• v.35 no.12
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• pp.137-148
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• 2019

Korean piloti-type buildings are comprised of pilotis in the first story and shear walls in the upper stories. This vertical irregularity causes excessive lateral plastic deformation on the first story while the upper stories stay elastic. Meanwhile, asymmetric position of structural components such as core walls and columns of RC piloti-type buildings tends to produce torsional irregularities of the structures. Korean Building Code(KBC2016) requires the special seismic load and torsional amplification factor to apply to the piloti-type buildings lower than six-story or 20m if it has vertical and torsional irregularities when the building corresponds to seismic design category C or D. Many Korean low-rised RC buildings fall into the class. Therefore, the special earthquake load and torsional amplification factor are often applied to a building simultaneously. However, it has not been studied enough how much influence each parameter has on buildings with vertical and torsional irregularities at the same time. The purpose of this study is to evaluate the effect of factor special seismic load and torsional amplification on seismic performance of irregular buildings. In this study, a damaged 4^th story piloti-type building by the Pohang earthquake was selected and the earthquake response analysis was carried out with various seismic design methods by the KBC 2016. The effect of the design parameters on seismic performance was analyzed by the dynamic analysis of models with special seismic load and torsional amplification factor based on the selected building. It was concluded that the application of the torsional amplification factor to the reference model to which special seismic design was applied, does not significantly affect the seismic performance.

• Proceedings of the Korean Institute of Building Construction Conference
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• 2021.05a
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• pp.217-218
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• 2021

With the prolonged Covid-19 epidemic, movement restrictions such as social distancing are prolonged, and as people stay indoors for a longer time, interest in indoor air pollution is increasing. Indoor air quality is not easily purified unlike outdoors. Among indoor building materials, paints and flooring contain formaldehyde that causes sick house syndrome and VOCs that contain carcinogenicity and harmfulness. For modern people who spend a lot of time living indoors for more than an hour, the occurrence of these harmful substances can be said to be fatal. In response to these risks, in July 2019, the government reinforced the standards for indoor air quality to protect the public's health by raising the detection standards for fine dust, ultrafine dust, and formaldehyde in indoor multi-use facilities. People use machines such as air purifiers to improve indoor air quality, or make efforts such as periodic ventilation. In order to reduce or support these other ancillary efforts more effectively, to reduce the generation of pollutants in the building itself, or to adsorb or purify pollutants in the air, use carbon black as an admixture to make a cement hardened body, and to grasp basic physical properties and adsorption capacity. And the result is as follows. As a result of the experiment to determine the appropriate amount of carbon black, it was confirmed that the more the amount of carbon black was added, the better it was in the formaldehyde emission test, but the tendency was not clear when measuring the flexural strength, so a further experiment to improve this is needed.

• Advances in materials Research
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• v.13 no.2
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• pp.115-128
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• 2024

Concrete is the most significant material in the construction industry which is required to construct several facilities like roads, buildings, and bridges etc. which leads to the economic development of a country. But now days, in view of sustainable development and environmental problems, plastic waste management is one of the major environmental issues due to its non-biodegradable nature which allows it to stay in the landfills until they are cleaned up. To overcome all these concerns, plastic waste may be used as a substitute of natural fine and coarse aggregate in concrete and a valuable solution to utilize the plastic items which causes several problems. In order to, present study is focused on the affecting properties of concrete as workability, compressive strength, and tensile strength of concrete with using plastic waste and without using plastic waste. Based on the detailed literature, it was observed that the plastic waste is not affecting the quality and consistency of concrete. However, as the number of PVC particles in the mixture increased, the drying shrinkage values decreased and the inclusion of plastic flakes can mitigate drying shrinkage cracking which leads the higher durability of concrete. Based on the comprehensive literature, it was also observed that the plastic aggregate found to be suitable for low and medium strength concrete. However, the investigation on the application of plastic aggregate in the high strength concrete is found limited. It was concluded that the optimum percentage of the plastic aggregate was found about 20%.

• Annals of Hepato-Biliary-Pancreatic Surgery
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• v.27 no.4
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• pp.437-442
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• 2023

Emergency pancreaticoduodenectomy (EPD) is a rarely performed operation. It is important to know the indications and outcomes of EPD to have a better understanding of its application in clinical practice. A review of eight consecutive cases of EPD was done. Between January 2003 and December 2021, 8 out of 370 patients (2.2%) in a single center received pancreaticoduodenectomy as emergency. There were six males and two females with a median age of 45.5 years. The indications were trauma in three patients, bleeding tumors in two patients, and one patient each in obstructing duodenal tumor, postoperative complication and post-endoscopic retrograde cholangiopancreatography (ERCP) complication. The median operative time and blood loss were 427.5 minutes and 1,825 mL, respectively. There was no operative mortality. Seven patients (87.5%) had postoperative complications. Three patients (37.5%) developed postoperative grade B pancreatic fistula. The median postoperative hospital stay was 23.5 days. Five patients were still alive while three patients survived for 13, 31, and 42 months after the operation. The causes of death were recurrent tumors in two patients, and sepsis in one patient. According to this case series, EPD is associated with increased morbidity and pancreatic fistula, but is still deserved in life-threatening situations and long-term survival is possible after EPD.

• Journal of Korean Academy of Dental Administration
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• v.8 no.1
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• pp.1-7
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• 2020

Dental settings have unique characteristics that warrant specific infection control considerations, including (1) prioritizing the most critical dental services and provide care in a way that minimizes harm to patients due to delayed care, or harm to personnel from potential exposure to persons infected with the COVID-19 disease, and (2) proactively communicate to both personnel and patients the need for them to stay at home if sick. For health care, an interim infection prevention and control recommendation (COVID-19) is recommended for patients suspected of having coronavirus or those whose status has been confirmed. SARS-CoV-2, which is the virus that causes COVID-19, is thought to be spread primarily between people who are in close contact with one another (within 6 feet) through respiratory droplets that are produced when an infected person coughs, sneezes, or talks. Airborne transmission from person-to-person over long distances is unlikely. However, COVID-19 is a new disease, and there remain uncertainties about its mode of spreads and the severity of illness it causes. The virus has been shown to persist in aerosols for several hours, and on some surfaces for days under laboratory conditions. COVID-19 may also be spread by people who are asymptomatic. The practice of dentistry involves the use of rotary dental and surgical instruments, such as handpieces or ultrasonic scalers, and air-water syringes. These instruments create a visible spray that can contain particle droplets of water, saliva, blood, microorganisms, and other debris. While KF 94 masks protect the mucous membranes of the mouth and nose from droplet spatter, they do not provide complete protection against the inhalation of airborne infectious agents. If the patient is afebrile (temperature <100.4°F)* and otherwise without symptoms consistent with COVID-19, then dental care may be provided using appropriate engineering and administrative controls, work practices, and infection control considerations. It is necessary to provide supplies for respiratory hygiene and cough etiquette, including alcohol-based hand rub (ABHR) with 60%~95% alcohol, tissues, and no-touch receptacles for disposal, at healthcare facility entrances, waiting rooms, and patient check-ins. There is also the need to install physical barriers (e.g., glass or plastic windows) in reception areas to limit close contact between triage personnel and potentially infectious patients. Ideally, dental treatment should be provided in individual rooms whenever possible, with a spacing of at least 6 feet between the patient chairs. Further, the use of easy-to-clean floor-to-ceiling barriers will enhance the effectiveness of portable HEPA air filtration systems. Before and after all patient contact, contact with potentially infectious material, and before putting on and after removing personal protective equipment, including gloves, hand hygiene after removal is particularly important to remove any pathogens that may have been transferred to the bare hands during the removal process. ABHR with 60~95% alcohol is to be used, or hands should be washed with soap and water for at least 20 s.

• Journal of Chest Surgery
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• v.43 no.3
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• pp.285-291
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• 2010

Background: Thoracic trauma is one of the leading causes of morbidity and mortality in developing countries. A rib fracture that is secondary to blunt thoracic trauma is an important indicator of the severity of the trauma. The purpose of study was to determine the morbidity and mortality rates and the management of rib fractures. Material and Method: We performed a retrospective study that involved all the blunt trauma patients with rib fractures, excluding those that were transferred to other hospital within 3 days, that were seen at our hospital between May 2002 and December 2008. Of the 474 admitted patients, 454 met the inclusion criteria. There were 356 male and 98 females, and their overall mean age was 53 years (range: 5~90 years). The outcome parameters included the mechanism of injury, the number of fractured ribs, the length of stay in the ICU, the Injury Severity Score (ISS), the length of the hospital stay, the pulmonary complications and the mortality. Result: The mechanism of trauma included traffic accidents in 189 (41.7%) cases, slipping down in 103 (22.7%) cases, falls in 85 (18.7%) cases, cultivator accidents in 30 (6.6%) cases, industrial accidents in 32 (7.0%) cases and assault in 15 (3.3%) cases. Intrathoracic injury was noted such as hemothorax in 269 (59.3%) cases, pneumothorax in 144 (31.7%) cases, pulmonary contusion in 95 (20.9%) cases, subcutaneous emphysema in 29 (6.4%) cases and great vessel injury in 5 (0.1%) cases. Conservative treatment was administered to most of the patients. Tube thoracostomy was administered in 234 (51.5%) cases, whereas thoracotomy was performed in 18 (4.0%) cases. The mean duration of thoracostomy was $5.2{\pm}6.2$ days. Most of the cases with rib fracture were treated in wards and their mean duration of hospital stay was $22.5{\pm}20$ days. The mean Injury Severity Score (ISS) was $14.8{\pm}10.9$ (range: 3~75). The mortality rate was calculated to be 4.8% (n=22). The main factors correlated with an adverse outcome were the number of ribs fractured, the duration of thoracostomy and pulmonary disease. Industrial insurance affected the length of hospitalization. Pulmonary contusion and the Injury Severity Score (ISS) affected the mortality. Conclusion: Rib fractures are a indicator of severe injury. Because of the complication and associated injuries, we believe these patients should be admitted for evaluation and treatment. Recent studies on the impact of rib fractures after blunt trauma have shown that patients as young as 40 years of age demonstrate increased morbidity and mortality with similar injuries as compared to that of older patients. The ISS and pulmonary contusion influenced the mortality rate. Patients with isolated rib fractures should be hospitalized if the number of fractured ribs is one or more.