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Bilateral Fasciocutaneous Sliding V-Y Advancement Flap for Meningomyelocele Defect (척수수막류 결손 재건을 위한 양측 V-Y 전진피판술)

  • Shin, Jong-Weon;Oh, Deuk-Young;Lee, Jung-Ho;Moon, Suk-Ho;Seo, Je-Won;Rhie, Jong-Won;Ahn, Sang-Tae
    • Archives of Plastic Surgery
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    • v.37 no.6
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    • pp.823-826
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    • 2010
  • Purpose: Meningomyelocele is the most common type of neural tube defect disease. Early surgical treatment is recommended to prevent central nervous system infection. Several reconstruction methods were reported previously regarding surgical wound defect closure following meningomyelocele excision. In this article, we report two successful patients using the bilateral fasciocutaneous sliding V-Y advancement flap as a covering for meningomyelocele defects. Methods: Two patients with meningomyelocele were evaluated. Both patients were male and received their operations on the 1st and 4th day of life. After neurosurgeons completed their part of the operation, the V-Y advancement flap was used to close the defect. Initially a bilateral V-shape incision design was made on the skin such that the base of the V-flap measures identical to the size of the wound defect. An incision was made down to the fascia in order to allow the V-flaps to slide into the defect. Subfascial dissection was performed up to 1/3 to 1/4 the length of the V-flap from the wound while minimizing injury to the perforating vessels. Results: Both patients were treated successfully and there was no evidence of complication in 2 months follow up. Conclusion: Several reconstruction methods such as local flaps, skin graft and myocutaneous flaps were reported regarding meningomyelocele surgical wound defect closure. Bilateral fasciocutaneous sliding V-Y advancement flap is an easy method without involving the underlying muscles or a secondary skin graft in a short operation time. Therefore we recommend this treatment option for reconstruction of the wound defect following meningomyelocele excision.

Perceptions and Experiences of Acupuncture among Expatriates Living in Korea: A Qualitative Study (국내 거주 외국인의 침 치료 경험과 한의학에 대한 인식: 질적연구)

  • Lee, Seungmin Kathy;Park, Inhyo;Miller, David B.;Lee, Sangjae
    • Korean Journal of Acupuncture
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    • v.37 no.3
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    • pp.172-182
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    • 2020
  • Objectives : In this study, we conducted a focus group interview among expatriates living in Korea, to investigate their experiences and perceptions of acupuncture and Korean Medicine in order to improve the usage of Korean Medicine in the medical tourism market. Methods : The inclusion criteria for the focus group interview was: (1) participants between the age of 20 to 75 years old; (2) those who had lived in Korea for more than 90 days, and (3) those who were able to express their thoughts freely in English. The participants were informed that the interviews will be recorded and transcribed. We ended recruitment once saturation of materials was met. Semi-structured interviews were conducted, and the data was analyzed after each interview. Results : The interviews were held between June to December 2016. Twenty-four participants were recruited but four dropped out and a total of twenty participants successfully finished the interviews. Six focus group interviews were conducted. Analysis revealed that Korean Medicine was relatively less known compared to Traditional Chinese Medicine or Complementary and Alternative Medicine. Participants automatically associated acupuncture with the management of pain or stress and replied that these were the areas that they thought acupuncture would be most effective. Positive experiences with acupuncture and with the acupuncture practitioners were factors that promoted the use of acupuncture whereas lack of awareness, accessibility and accreditation were factors that hindered its use. Other factors that hindered the use of acupuncture was needle phobia and the perception that acupuncture lacks scientific evidence. Conclusions : Awareness on Korean Medicine and acupuncture is low. Participants lack awareness on what diseases acupuncture can treat, the scientific evidence behind the mechanism of action, and the rigorous education system that Korean Medicine doctors must go through to get their license. Rigorous marketing should be encouraged, which includes greater exposure in the media, more honest reviews from patients, and promotion of the scientific evidence base.

An Experimental Study of Sprinkler system for Sandwich Panel Wall Protection (샌드위치패널 벽면보호용 스프링클러설비 적용 실험)

  • Seo, Dong-Hun;Kim, Won-Hyung;Kim, Jong-Hoon;Lee, Young-Jae
    • Fire Science and Engineering
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    • v.31 no.5
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    • pp.37-43
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    • 2017
  • Domestic sandwich panel buildings are widely used on walls and roofs of factories and warehouse facilities. Factory and warehouse facilities have high fire load and rapid spread of fire due to their use characteristics, leading to large fires. Due to the characteristics of materials, walls and roofs are collapsed, resulting in life damage and property damage. In this regard, this study examined domestic and international standards of sprinkler facilities to prevent ignition of sandwich panel walls. Also, in order to check whether the fire was prevented by installing the head on the wall of the sandwich panel, the fire test was carried out with 10 cm, 60 cm, and 120 cm from the wall along the sprinkler head installation standard of domestic fire safety standards. As a result of the fire test, it was confirmed that the sandwich panel was prevented from igniting when the head of water pressure 0.1 MPa and water quantity K-80 was installed. According to the separation distance, it was impossible to measure the temperature at 10 cm, but at 60 cm, At the maximum temperature of $525^{\circ}C$ and 120 cm, the maximum temperature of the wall of the sandwich panel was measured as $276^{\circ}C$. As a result of the fire test, considering the fire point of 450 degrees Celsius in the fire test of the sandwich panel, the distance from the sandwich panel wall to the combustible is more than 120 cm.

Effects of Salvia plebeia Herb Extracts on Anti-oxidant Activity and Whitening action (곰보배추 추출물이 항산화 및 피부미백효과에 미치는 영향)

  • Lim, Ha Na;Pyo, Young Hee;Yoon, Mi Yun
    • Journal of the Korean Applied Science and Technology
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    • v.34 no.4
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    • pp.995-1003
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    • 2017
  • Whitening and anti-oxidant effects were observed in order to investigate the biological activations of Salvia plebeia herb ethanol extracts. No toxicity was found in both B16F10 melanoma cells and Raw 264.7 cells exposed to Salvia plebeia herb ethanol extracts for 48 hour. The extracts showed significant antioxidant activity in cell-free and cell-cultured system. In the DPPH radical assay, it removed dose-dependently DPPH radicals and showed 77.6% at $100{\mu}g/mL$. In the cells, it also significantly removed silica-induced ROS generation and LPS-induced NO production in a dose dependent manner. Using L-DOPA and L-tyrosine as a substrate, tyrosinase activity was inhibited using Salvia plebeia herb ethanol extracts in a dose-dependent manner. The supression occurred to be in the B16F10 melanoma cells, where dose-dependently inhibited Salvia plebeia herb ethanol extracts of $1{\mu}g/M$ ${\alpha}$-melanocyte stimulated hormone-induced melanin production and the inhibitory effect was 30.7% at a concentration of $100{\mu}g/mL$. This suggests that the Salvia plebeia herb ethanol extracts are usable for cosmetic product developments for anti-oxidant and whitening effects.

Behavior of RC Beam Strengthened with Advanced Lifting Hole Anchorage System (개선된 인양홀을 이용한 정착장치로 보강된 RC 보의 거동)

  • Oh, Min-Ho;Kim, Tae-Wan;Park, Sun-Kyu
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.14 no.3
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    • pp.91-99
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    • 2010
  • In order to strengthen RC structures, various strengthening methods have been used. Particularly, external tendon strengthening method is very popular method to strengthen damaged structures in terms of efficiency, ease, economics. In this study, improved anchorage elements using the lifting hole were proposed to strengthen PSC or RC girder without any damage. Two types of anchorage elements were proposed and these elements were applied on six RC beams. Also, three types of existing anchorage elements were applied on three RC beams. Otherwise, any anchorage element was not applied on one RC beam to used as a control beam. To analyse behavior of these elements, static load tests were carried out. Test variables were anchorage shapes, prestressing level on the steel bar and tendon profiles. Deflections, strains and modes of failure were recorded to examine the strengthening effects of the beams. Ductility index and tendon stress were analyzed by comparing cracking load, yielding load and ultimate load. As a result, proposed anchorage elements using lifting hole were superior to existing anchorage elements in terms of strengthening effect and furthermore, they showed ductile behavior based on energy method.

A Case Study on Korean Living Labs for Local Problem-Solving (지역문제 해결을 위한 국내 리빙랩 사례 분석)

  • Seong, Ji Eun;Han, Kyu Young;Jeong, Seo Hwa
    • Journal of Science and Technology Studies
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    • v.16 no.2
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    • pp.65-98
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    • 2016
  • Living Lab is being introduced and applied as an innovation model driven by social entities (residents, users, etc.) and as an innovation place based on local and field. This study analyzed three living lab cases of Bukchon IoT living lab, Seong-Daegol energy transition living lab, and Daejeon Geonneoyu project, which were designated as 'Living Lab' to solve local problems. We analyzed the local problem, the problem solving goal, the role of each participant and the subject, the living lab promotion system, the significance in each case. In addition, the types and characteristics of living labs were elucidated and future development plans were discussed. The result is as follow. First, each case has a tendency to link science technology and ICT with local problem solving though there is a difference between the technologies used. Second, local residents played a leading role in the whole living lab process from problem identification to technical experimentation, diffusion and application. Third, the role of the intermediaries commonly played an important role in the operation of the living lab. Last but not least, each case has different types of living lab. Bukchon IoT living lab being operated as a project by the government / municipality to create a living lab activity-base or to support actors' activities. On the other hand, the Seong-Daegol energy transition living lab and Daejeon Geonneoyu project were conducted by the civil society itself to define problems and explore technologies in order to solve local problems.

A Study on Family Involvement in Therapeutic Process of the Mentally Ill (정신장애인 가족의 치료참여에 관한 연구)

  • Seo, Mi-Kyung
    • Korean Journal of Social Welfare
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    • v.51
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    • pp.119-140
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    • 2002
  • The main premise of this study is that family involvement which is based on professional-family collaborative partnership is very important for successful treatment and rehabilitation of the mentally ill. Accordingly, this study aims to find out factors which are related to family involvement in therapeutic process. This study conducted the survey with 275 service providers(i.e. mental health professionals) and with 124 service consumers(i.e. family members) in order to discover in what extent do related factors affect on the family involvement. The major findings of the study are; 1) From the service providers standpoint, using multiple regression, job characteristics, perception of family culpability, frequency of contact with family, functioning of their organization affect significantly on the family involvement by 33.0% of explanatory power. Using a step-wise multiple regression, the most powerful influenced factors on family involvement are frequency of contact with family, type of agency, type of profession, and their career. 2) From the service consumers standpoint, using multiple regression, socioeconomic level, attitudes of professionals, optimistic perception of prognosis, functioning of their family, diagnosis affect significantly on the family involvement by 40.9% of explanatory power. Using a step-wise multiple regression, the most powerful influenced factors on family involvement are economic level, attitudes of professionals, optimistic perception of prognosis, educational level. In conclusion, family accessibility to the therapeutic system must be allowed and further, politically encouraged by the related legislation. Also this study recommends clinician to use an empowerment model for the families with the mentally ill.

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Studies on the Establishment of Tolerance Level of Radioactive Compounds in Livestock Feeds (가축 사료 중 방사성 물질 허용 기준 설정에 관한 연구)

  • Lee, Wanno;Ji, Sang-Yun;Kim, Jin Kyu;Lee, Yun-Jong;Park, Jun Cheol;Moon, Hong Kil;Lee, Ju-Woon
    • Journal of Radiation Industry
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    • v.5 no.4
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    • pp.337-345
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    • 2011
  • In order to provide an effective preparedness for a nuclear or radiological emergency happening in the domestic or neighborhood countries and to solve the vague fear of the people for the ingestion of radioactive livestock products, the establishment of national guideline level for radionuclides in feed is urgently necessary. This is because it is important to secure the safety and to manage the crisis in the agricultural, fishery and food sector by performing the effective safety control during and after nuclear incident. This study was performed to investigate the report cases of international organizations and foreign countries to set up a domestic control standard for managing radioactive substances that may be contaminated in animal feeds due to the nuclear power plant incident. In addition, an attempt was made to provide a useful reference that can help prepare a domestic control standard, using a coefficient that can consider the transfer into livestock through the intake of radioactive contaminated animal feeds. The standard radioisotopes investigated were confined to radioactive cesium ($^{137+134}Cs$) and iodine ($^{131}I$). Guideline level for the radionuclides was calculated by using the transfer coefficient factor and the maximum daily intake of animal feed provided by IAEA. For example, the maximum daily intake of animal feed was set as $25kg\;d^{-1}$ for dairy cows, $10kg\;d^{-1}$ for beef cattle, $3.0kg\;d^{-1}$ for pigs and $0.15kg\;d^{-1}$ for chickens. The result values for radioactive cesium were calculated as $8,696Bq\;kg^{-1}$, $4,545Bq\;kg^{-1}$, $1,667Bq\;kg^{-1}$ and $2,469Bq\;kg^{-1}$, respectively. The results for radioactive iodine showed the ranges between $741Bq\;kg^{-1}$ and $76,628Bq\;kg^{-1}$. These data can be utilized as a scientific reference for the preparation of a crisis management manual for the emergency control due to nuclear power plant accident in Korea and neighboring country. These results will contribute to establish the safe feed management system at national level as manual for responding the radioactive exposure of agricultural products and animal feeds, which are currently not established.

A Study on the Enhancement of DEM Resolution by Radar Interferometry (레이더 간섭기법을 이용한 수치고도모델 해상도 향상에 관한 연구)

  • Kim Chang-Oh;Kim Sang-Wan;Lee Dong-Cheon;Lee Yong-Wook;Kim Jeong Woo
    • Korean Journal of Remote Sensing
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    • v.21 no.4
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    • pp.287-302
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    • 2005
  • Digital Elevation Models (DEMs) were generated by ERS-l/2 and JERS-1 SAR interferometry in Daejon area, Korea. The quality of the DEM's was evaluated by the Ground Control Points (GCPs) in city area where GCPs were determined by GPS surveys, while in the mountain area with no GCPs, a 1:25,000 digital map was used. In order to minimize errors due to the inaccurate satellite orbit information and the phase unwrapping procedure, a Differential InSAR (DInSAR) was implemented in addition to the traditional InSAR analysis for DEM generation. In addition, DEMs from GTOPO30, SRTM-3, and 1:25,000 digital map were used for assessment the resolution of the DEM generated from DInSAR. 5-6 meters of elevation errors were found in the flat area regardless of the usage and the resolution of DEM, as a result of InSAR analyzing with a pair of ERS tandem and 6 pairs of JERS-1 interferograms. In the mountain area, however, DInSAR with DEMs from SRTM-3 and the digital map was found to be very effective to reduce errors due to phase unwrapping procedure. Also errors due to low signal-to-noise ratio of radar images and atmospheric effect were attenuated in the DEMs generated from the stacking of 6 pairs of JERS-1. SAR interferometry with multiple pairs of SAR interferogram with low resolution DEM can be effectively used to enhance the resolution of DEM in terms of data processing time and cost.

The Study on the Paradigm Change of Policy Making in the field of Korean Content Industry (문화콘텐츠 정책평가와 개선방안에 관한 연구)

  • Shim, Sang-Min
    • Review of Culture and Economy
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    • v.17 no.2
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    • pp.103-135
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    • 2014
  • This research dwells on the new paradigm of policy making of some innovative nations in Korean content industry. Especially this paper did evaluation of governmental policy in recent 5 years (2008~2012) in the field of Korean content industry. According to this research, the program of policy in Korean content industry had been obsessed to passive enrichment focusing on some part of content industry. The whole process of policy, scheme of policy and working flow of policy were very constrained in order to encourage more measurable area like CT(culture technology). Thus, we need new strong policy in this new government launched in 2013. The apparent keyword should be 'management'. New activity of policy need to focus on encourage Korean content industry in the real site of field, not in bureaucratic office in remote site. This change reflecting real filed management system would be productive innovation for policy making and activity in Korea.