• Archives of Plastic Surgery
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• v.49 no.5
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• pp.617-632
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• 2022

Tracheoesophageal puncture (TEP) and voice prosthesis insertion following laryngectomy may fail to form an adequate seal. When spontaneous closure of the fistula tract does not occur after conservative measures, surgical closure is required. The purpose of this study was to summarize the available evidence on surgical methods for TEP site closure. A comprehensive search across PubMed, Web of Science, SCOPUS, and Cochrane was performed to identify studies describing surgical techniques, outcomes, and complications for TEP closure. We evaluated the rate of unsuccessful TEP closure after surgical management. A meta-analysis with a random-effect method was performed. Thirty-four studies reporting on 144 patients satisfied inclusion criteria. The overall incidence of an unsuccessful TEP surgical closure was 6% (95% confidence interval [CI] 1-13%). Subgroup analysis showed an unsuccessful TEP closure rate for silicone button of 8% (95% CI < 1-43%), 7% (95% CI < 1-34%) for dermal graft interposition, < 1% (95% CI < 1-37%) for radial forearm free flap, < 1% (95% CI < 1-52%) for ligation of the fistula, 17% (95% CI < 1-64%) for interposition of a deltopectoral flap, 9% (95% CI < 1-28%) for primary closure, and 2% (95% CI < 1-20%) for interposition of a sternocleidomastoid muscle flap. Critical assessment of the reconstructive modality should take into consideration previous history of surgery or radiotherapy. Nonirradiated fields and small defects may benefit from fistula excision and tracheal and esophageal multilayer closure. In cases of previous radiotherapy, local flaps or free tissue transfer yield high successful TEP closure rates. Depending on the defect size, sternocleidomastoid muscle flap or fasciocutaneous free flaps are optimal alternatives.

• Nuclear Engineering and Technology
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• v.40 no.7
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• pp.571-580
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• 2008

A Binary Decision Diagram (BDD) is a graph-based data structure that calculates an exact top event probability (TEP). It has been a very difficult task to develop an efficient BDD algorithm that can solve a large problem since it is highly memory consuming. In order to solve a large reliability problem within limited computational resources, many attempts have been made, such as static and dynamic variable ordering schemes, to minimize BDD size. Additional effort was the development of a ZBDD (Zero-suppressed BDD) algorithm to calculate an approximate TEP. The present method is the first successful application of a BDD truncation. The new method is an efficient method to maintain a small BDD size by a BDD truncation during a BDD calculation. The benchmark tests demonstrate the efficiency of the developed method. The TEP rapidly converges to an exact value according to a lowered truncation limit.

• Nuclear Engineering and Technology
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• v.44 no.7
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• pp.755-766
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• 2012

A Binary Decision Diagram (BDD) is a graph-based data structure that calculates an exact top event probability (TEP). It has been a very difficult task to develop an efficient BDD algorithm that can solve a large problem since its memory consumption is very high. Recently, in order to solve a large reliability problem within limited computational resources, Jung presented an efficient method to maintain a small BDD size by a BDD truncation during a BDD calculation. In this paper, it is first identified that Jung's BDD truncation algorithm can be improved for a more practical use. Then, a more efficient truncation algorithm is proposed in this paper, which can generate truncated BDD with smaller size and approximate TEP with smaller truncation error. Empirical results showed this new algorithm uses slightly less running time and slightly more storage usage than Jung's algorithm. It was also found, that designing a truncation algorithm with ideal features for every possible fault tree is very difficult, if not impossible. The so-called ideal features of this paper would be that with the decrease of truncation limits, the size of truncated BDD converges to the size of exact BDD, but should never be larger than exact BDD.

• Journal of Korean Society of Environmental Engineers
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• v.36 no.7
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• pp.492-497
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• 2014

This study investigated removal characteristics of organic matters in pretreatment and reverse osmosis (RO) membrane processes for seawater desalination. Also, the influence of the changes in characteristics of organic matters on the membrane fouling was assessed. The pretreatment processes included dual media filtration (DMF), pressurized membrane filtration (MF), and submerged membrane filtration (SMF). Turbidity, UV absorption at 254 nm, dissolved organic carbon, size exclusion chromatography (SEC), fluorescence excitation emission matrix (FEEM), and transparent exopolymer particles (TEP) in raw and processed waters were analyzed. Ions and minerals were not removed by any pretreatment process tested, but were removed over 99% through the RO membrane process. Hydrophobic organics, which can play major role in organic membrane fouling, were relatively readily removed compared with hydrophilic ones. Membrane based pretreatment such as MF and SMF exhibited better removals of organics than conventional DMF. As the levels of organics in pretreated water decreased, the silt density index (SDI) decreased. MF treated water exhibited the lowest SDI value; this is possibly due to the lowest TEP ($0.1-0.4{\mu}m$) concentrations.

• 시스템엔지니어링워크숍
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• s.6
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• pp.126-129
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• 2005

Systems engineering requirement verification model developmetn for High Speed Railway systems in progress is a national large system development program that is not only large-size and complex but also multi-disciplinary in nature. For the High Speed Railway TEP development, verification requirements that could verify system function, performance, and constraint, should be derived from SSS(system Segment specification). Hereafter, this could be referred to as verification requirements. System engineering process establishes traceability between verification requirements and system requirements. These tasks could be accomplished by the schema. using computer-aided Systems Engineering tool(CORE), High Speed Railway program can become a database and other system related to High Speed Railway program will be developed effectively and efficiently.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.20 no.3
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• pp.100-106
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• 2021

Typical implants are not specified the screw structure and the surface process according to the bone quality of the human body. The purpose of this study is to complement the shortcomings of the existing implant surface processing method. It is to propose a surface processing method that increases the adhesion between the implant and bone tissue by increasing the surface area per unit area of the implant. It is very important to establish precise and systematic process parameters when surface treatment of implants using lasers. Therefore, we intend to develop a process so that the implant can be a biocompatible structure using a Q-switching Nd:YAG laser with a wavelength of 1.06um. Implant surface treatment technology through this study will be used in the industry.

• Journal of KIISE:Information Networking
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• v.28 no.2
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• pp.277-287
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• 2001

Test derivation methods suitable for interoperability testing of communication protocols were proposed in [1,2, 3] and applied to the TCP and the ATM protocols, The test cases that were generated by them deal with only the control part of the protocols. However, in real protocol testing, the test cases must manage the data part as well. For complete testing, in principle we must test all possible values of data part although it is impractical to do so. In this paper, we present a method generating the interoperability test suite for both the data part and the control part of protocols with the example of Tep connection establishment. In this process, we make use of experimental design techniques from industrial engineering to minimize the size of test suite while keeping testing capability. Experimental design techniques have been used for protocol confom1ance testing but not for intcruperability testing so far. We generate the test suite for data part by this method and show a possibility that we can test interoperability of protocols with the minimum number of test cases while maintaining the testing power.

• Journal of the korean academy of Pediatric Dentistry
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• v.33 no.4
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• pp.643-652
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• 2006

The purpose of this study was to elucidate the size and morphologic characteristics of maxillary primary first molars in Korean children using three-dimensional laser scanner and compare three-dimensional image with preformed stainless steel crown. Scanned three-dimensional images of dental cast taken from 132 children(male 62, female 70) by three-dimensional laser scanner(Breuckmann opto-Top HE100, INUS, Korea) were used. Mesiodistal diameter, buccolingual diameter, occlusogingival height and crown shape of each image were calculated by Rapidform 2004 program(INUS, Korea). The values were statistically compared by independent samples t-test with 95% of significant level. The results were as follows : 1. No significant difference in crown size was found between left and right maxillay primary first molar(p>0.05). 2, Significant difference in mesiodistal diameter, buccolingual diameter, buccal occlusogingival height was found between male and female (p<0.05), and crown size of male was bigger than that of female. 3. Average image of maxillay primary first molar was shaped three-dimensionally and measured. In comparison with 3M stainless steel crown, this image was similar with No.4 or No.5 SS crown in male, No.4 in female. In comparison with ILSUNG SS crown, this image was similar with No.5 in male, No.4 in female. 4 Mesiolingual line angle area, distolingual line angle area and buccogingival ridge were more obvious in average image than 3M stainless steel crown. ILSUNG SS crown was more square and had longer mesiodistal diameter than average 3D image.