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To perform a capacitive current switching test (CCT) at AC extra-high-voltage (EHV) and above level, this paper proposes a new multi-transformer synthetic circuit (MTSC) test method that replaces the general synthetic test method using capacitor banks. An MTSC method has a simpler circuit structure compared to other synthetic testing methods and has higher equivalence (especially recovery voltage and TRV) and validity. Using this method, CCTs for circuit breakers (CBs) of the AC 420 kV voltage class were performed as a field test using the IEC 62271-100 standard. To verify that the test method was valid, test results were analyzed and compared with the requirements of a standard. Consequently, the MTSC method completely covered the requirements of the standard.

This paper presents a stationary reference frame grid current control algorithm for a grid-connected inverter (GCI) to improve command tracking performance and resilience in response to disturbances, i.e., a grid voltage incident in a GCI current control system. In the proposed algorithm, disturbance rejection is applied to reduce the overcurrent at the GCI in response to a grid fault. Disturbances to the GCI current control system are estimated using a grid current observer, and the estimate applied to the grid current controller to activate the disturbance rejection. The stationary reference frame current of a GCI system is also controlled to avoid cross-coupling issues at a synchronous reference frame model, reference transformation and dependency to phase locked loop (PLL) performance. However, the phase lead or lag and steady-state response error, which are drawbacks of AC signal control based on stationary reference frame proportional-integral (PI) controller, must be eliminated in order to secure competition with the synchronous reference PI (SRFPI) controller that was mainly used in the GCI system. Hence, to compensate for command tracking the AC current, such as steady-state response error and phase lead or lag, command feedforward control is applied in the proposed control system. The theory behind the proposed GCI current control algorithm is analyzed, and the proposed algorithm is tested via simulation and experimentation.

Objectives: No children-specified review and meta-analysis paper about the short-term effect of fine particulate matter (PM2.5) on hospital admissions and emergency department visits for asthma has been published. We calculated more precise pooled effect estimates on this topic and evaluated the variation in effect size according to the differences in study characteristics not considered in previous studies. Methods: Two authors each independently searched PubMed and EMBASE for relevant studies in March, 2016. We conducted random effect meta-analyses and mixed-effect meta-regression analyses using retrieved summary effect estimates and 95% confidence intervals (CIs) and some characteristics of selected studies. The Egger’s test and funnel plot were used to check publication bias. All analyses were done using R version 3.1.3. Results: We ultimately retrieved 26 time-series and case-crossover design studies about the short-term effect of PM2.5 on children’s hospital admissions and emergency department visits for asthma. In the primary meta-analysis, children’s hospital admissions and emergency department visits for asthma were positively associated with a short-term 10 μg/m3 increase in PM2.5 (relative risk, 1.048; 95% CI, 1.028 to 1.067; I2=95.7%). We also found different effect coefficients by region; the value in Asia was estimated to be lower than in North America or Europe. Conclusions: We strengthened the evidence on the short-term effect of PM2.5 on children’s hospital admissions and emergency department visits for asthma. Further studies from other regions outside North America and Europe regions are needed for more generalizable evidence.

Objectives A stable follow-up participation rate is a very important factor for validity in a cohort study. This study analyzed the factors that affect the participation rate at one hospital-based birth cohort in South Korean. Methods The participants were recruited from the Mothers’ and Children’s Environmental Health study between 2006 and 2010. The analysis targeted 1751 mothers who participated in a birth cohort. We conducted analyses of general characteristics during pregnancy and those of infants at birth that affect the participation rate of the 6-month follow-up survey. Results The participation rate for the 6-month follow-up survey was 60.4%. The participation rate in the follow-up of the subsequent period decreased within a 5% to 10% range compared to the number of subjects. The participation rate of premature infants was 16.9% lower than that of a full-term infant (52.6% vs. 69.5%). Analysis showed a 16.7% difference between the participation rate of low-birthweight infants in follow-ups (53.7%) and the participation rate of infants with normal weight (70.4%). The participation rate of mothers who were employed during pregnancy was significantly lower for the 6-month follow-up compared to the participation rate of mothers who were unemployed during pregnancy. Conclusions In this study, factors such as premature birth, low-birthweight, and the employment status of the mother during pregnancy affected the participation rate of the follow-up survey for the birth cohort at six months. A specific strategy is needed to encourage survey participation for the high risk groups in the follow-ups.

Since the first case was diagnosed on May 20, 2015, there were 186 confirmed cases of Middle East Respiratory Syndrome (MERS) until the end of outbreak in South Korea. Although medical institutions were the most identifiable sources of MERS transmission in South Korea, similar to other countries, in-depth epidemiological investigation was required for some confirmed cases with indefinite contact history or hospital visit records. The subject of epidemiological investigation in the present study was a 35 year-old male patient diagnosed with MERS (#119) who lived in Asan-city and worked in Pyeongtaek-city. Various potential sources of transmission were carefully investigated. While he could have been exposed to MERS through a friend from Saudi Arabia or confirmed MERS cases in his workplace, neighboring areas, and medical institutions, as well as contacts in his home, the chances of transmission were low; however, the potential for transmission through his local community could not be excluded. Practically, it was difficult to determine the modes of transmission for all outbreak cases in communicable disease that occurred in this short period of time. The investigation to identify the mode of transmission in this case was ultimately unsuccessful. However, the various data collected and analyzed to reveal modes of transmission provided detailed information that could not be collected using only interview surveys.

Most cases of Middle East Respiratory Syndrome (MERS) infection in Korea (outbreak: May 11-July 4, 2015) occurred in hospital settings, with uncertain transmission modes in some cases. We performed an in-depth investigation epidemiological survey on the 178th case to determine the precise mode of transmission. A 29- year-old man living in Pyeongtaek presented on June 16 with a febrile sensation, chills, and myalgia. Upon confirmatory diagnosis on June 23, he was treated in an isolation room and discharged on July 2 after cure. An epidemiological investigation of all possible infection routes indicated two likely modes of transmission: exposure to MERS in Pyeongtaek St. Mary’s Hospital during a visit to his hospitalized father (May 18-29), and infection through frequent contact with his father between the latter’s referral to Pyeongtaek Good Samaritan Bagae Hospital for treatment without confirmatory diagnosis until his death (May 29-June 6). Although lack of clear proof or evidence to the contrary does not allow a definitive conclusion, all other possibilities could be excluded by epidemiological inferences. While it is impossible to trace back the modes of transmission of all cases in a large-scale outbreak, case-by-case tracking and isolation of infected individuals and those in close contact with them is important in preventing the spread. Efforts should be made to establish a methodology for rapid tracking of all possible contacts and elimination-based identification of the precise modes of transmission.

Introduction: The purpose of the present study was to use facial axis (FA) points to classify dental arch form generated from an analysis of 3-D virtual models of a sample of normal occlusions . A secondary aim was to introduce a new arch form template based on this classification for clinical application. Methods: One hundred and twenty five plaster models of Class I occlusions were 3-D scanned (Orapix Co., Ltd, Seoul, Korea) and FA points digitized on the virtual models using Rapidform 2006 software (INUS Technology Inc., Seoul, Korea). Following intercanine and intermolar arch width and depth measurements, K-means cluster analysis was applied on 77 cases (Dataset 1) to classify the sample into arch form types. A curve of best fit of the mean arch form of each type was generated. The remaining 48 cases (Dataset 2) were mapped into the clusters and a multivariate test was performed to assess the differences among the clusters. Results: Classification into five clusters demonstrated maximum inter-cluster distance in the arch parameters and produced the most homogeneous cluster size. The differences between the 5 cluster types were statistically but not clinically significant and so they were recombined to form three clusters representing 'narrow', 'moderate' and 'wide' arch forms. Conclusions: A template with three arch form types based on anterior and posterior dimensions has been proposed through 3-D analysis of FA points for more accurate arch form identification and arch wire selection. [ABSTRACT FROM AUTHOR]

Objective: This study aims to examine survival of patients with Alzheimer disease (AD) receiving clinical efficacy of cholinesterase inhibitors (ChEIs) and to compare their survival with those of patients with AD who never received ChEIs and cognitively intact old psychiatric outpatients. Design, Setting, and Participants: The retrospective cohort study used national mortality data provided by the Korean National Statistics Office and electronic database of 15 general hospitals on older patients who began outpatient treatment with psychiatric medications including ChEIs (TV=3,813). The authors controlled for confounding by using multivariate models and propensity scoring methods. Measurements: Mortality rate of patients with AD receiving ChEIs was compared with those of patients with AD who never received ChEIs and cognitively intact old psychiatric outpatients. Results: Observed additional survival of patients with AD receiving ChEIs (mortality rate: 13-1%), when compared with patients with AD who never received ChEIs (15-4%) was not statistically significant (p = 0.74; hazard ratio [HR]: 1.03, 95% confidence interval [CI]: 0.67-1.59). Patients with AD receiving ChEIs showed higher mortality rate (13-1 %) compared with that of cognitively intact old psychiatric outpatients (8.6%) (p <0.001; HR: 1.60, 95% CI: 0.96-2.68). Conclusion: This study does not support that ChEIs increase survival of patients with AD, compared with patients with AD who have never treated with ChEIs. Therefore, all ChEIs should be considered for symptomatic use only and not to be capable of modifying mortality of patients with AD. [ABSTRACT FROM AUTHOR]