• Title/Summary/Keyword: APs

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Volumetric change of the latissimus dorsi muscle after postoperative radiotherapy in immediate breast reconstruction with an extended latissimus dorsi musculocutaneous flap

  • Park, Tae Seo;Seo, Jung Yeol;Razzokov, Anvar S.;Choi, June Seok;Kim, Min Wook;Lee, Jae Woo;Kim, Hyun Yeol;Jung, Youn Joo;Choo, Ki Seok;Song, Kyeong Ho;Nam, Su Bong
    • Archives of Plastic Surgery
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    • v.47 no.2
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    • pp.135-139
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    • 2020
  • Background This study aimed to determine the magnitude of volume reduction of the latissimus dorsi (LD) muscle after treatment using only postoperative radiotherapy (PORTx) in patients who underwent immediate breast reconstruction using an extended LD musculocutaneous (eLDMC) flap after partial mastectomy. Methods We retrospectively reviewed 28 patients who underwent partial mastectomy and an eLDMC flap, received only PORTx, and underwent chest computed tomography (CT) 7 to 10 days after surgery and 18±4 months after the end of radiotherapy, from March 2011 to June 2016. The motor nerve to the LD was resected in all patients. One plastic surgeon performed the procedures, and the follow-up period was at least 36 months (mean, 46.6 months). The author obtained LD measurements from axial CT views, and the measurements were verified by an experienced radiologist. The threshold for statistical significance was set at P<0.05. Results A statistically significant decrease in the LD volume was found after the end of PORTx (range, 61.19%-80.82%; mean, 69.04%) in comparison to the measurements obtained 7 to 10 days postoperatively (P<0.05). All cases were observed clinically for over 3 years. Conclusions The size of an eLDMC flap should be determined considering an average LD reduction of 69% after PORTx. Particular care should be taken in determining the size of an eLDMC flap if the LD is thick or if it occupies a large portion of the flap.

Aesthetic outcomes after surgical repair of pectus excavatum in females: Differences between patients and professional evaluators

  • Wachter, Tanja;Frari, Barbara Del;Edlinger, Michael;Morandi, Evi Maria;Mayerl, Christina;Verstappen, Ralph;Celep, Emre;Djedovic, Gabriel;Kinzl, Johann;Schwabegger, Anton Herbert;Wolfram, Dolores
    • Archives of Plastic Surgery
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    • v.47 no.2
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    • pp.126-134
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    • 2020
  • Background Pectus excavatum is less common in females than in males, and it often aggravates a coexistent breast asymmetry. We conducted a study comparing female patients' versus medical professionals' evaluation of pectus excavatum repair to assess differences in aesthetic outcome ratings. Moreover, we evaluated the influence of surgical correction on patients' self-perception. Methods Of 30 female patients who were initially screened, 18 patients (mean age, 20 years) who underwent bar removal after surgical correction of pectus excavatum deformity participated in the survey (60%). They completed a questionnaire rating their appearance before and after surgery and responded to a psychological questionnaire about the changes that they had experienced. The mean interval between pectus bar removal and evaluation was 28 months. Standardized preoperative and postoperative patient photographs were evaluated using the same questionnaire by a panel of medical professionals and students (n=24) and the results were compared. Results Patients rated their preoperative deformity as more severe than the other evaluators, revealing the significant impact of the deformity on patients' self-perception. Postoperatively, patient and professional evaluations were much better than before and were very similar. The psychological evaluation showed a clear improvement in well-being. The ratings of the medical professionals were not influenced by their degree of medical education. Conclusions Surgical correction of pectus excavatum in female patients positively influences body perception and psychological well-being. It should therefore not be considered as a merely aesthetic correction, but as an important procedure to restore a patient's self-perception.

Preparation of Alkyl Acrylate and Functional Monomer Multi Core-Shell Composite Particles (알킬 아크릴레이트와 관능성 단량체계 다중 Core-Shell 복합입자의 제조)

  • Choi, Sung-Il;Cho, Dae-Hoon;Seul, Soo-Duk
    • Journal of Adhesion and Interface
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    • v.14 no.1
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    • pp.1-12
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    • 2013
  • Multi core-shell composite particles were prepared by the water-born emulsion polymerization of various core monomers such as methyl methacrylate (MMA), ethyl methacrylate (EMA) and shell monomers such as MMA, EMA, 2-hydroxyl ethyl methacrylate (2-HEMA), glycidyl methacrylate (GMA) and methacrylic acid (MAA) in the presence of different concentrations of sodium dodecyl benzene sulfonate (SDBS). The following conclusions are drawn from the conversion, particle size and distribution, average molecular weight, molecular structure, glass transition temperature with DSC, contact angle after plasma treatment, tensile strength and isothermal decomposition kinetics. In the case of the concentration of 0.02 wt% SDBS, the conversion of MMA core-(EMA/GMA) shell composite particles was excellent as 98.5%. In the case of the concentration of 0.03 wt% SDBS, the particle size of EMA core-(MMA/GMA) shell composite particles was high as $0.48{\mu}m$. We confirmed that 3 points of glass transition temperatures appear for multi core-shell composite particles compared to 1~2 points of glass transition temperatures appear for general copolymer particles. Overall, the adhesion strength of shell composite particles was in the order of EMA/MAA > EMA/2-HEMA > EMA/GMA.

Preparation and Characterization of $CaCO_3$ Encapsulation by PMMA Core-Shell latex (PMMA와 캡슐화된 $CaCO_3$ Core-Shell 라텍스 제조와 물성연구)

  • Lim, Jong-Min;Seul, Soo-Duk
    • Elastomers and Composites
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    • v.38 no.4
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    • pp.303-315
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    • 2003
  • Inorganic/organic composite particles were also synthesized by changing an initiator an it's concentration, concentration of an adsorbed surfactant, reaction temperature, and agitation speed in the presence of $CaCO_3$ adsorbed SDBS. The polymerization conditions were optimized according to the conversion of the core-shell composite particles. In the inorganic/organic core-shell composite particle polymerization, $CaCO_3$ absorbed surfactant SDBS of 0.5 wt % was prepared first and then core $CaCO_3$ was encapsulated by sequential emulsion polymerization using MMA, concentration of APS $3.16{\times}10^{-3}mol/L$ to minimize the formation of new PMMA particle during MMA shell polymerization. The structure characterization of the inorganic/organic core-shell particles was verified by measuring the decomposition degree of $CaCO_3$ using HCl solution. It was found that $CaCO_3$ was encapsulated by shell PMMA due to having excellent dispersion in the epoxy resin, smooth surface distinctly from spindle shape, and broad particle distribution after the capsulation.

Comparison of Shelf-life on Peeled Taro(Colocasia antiquorum SCHOTT) Stored in Various Immersion Liquids (박피 토란(Colocasia antiquorum SCHOTT)의 침지 보관액에 따른 저장효과 비교)

  • 정승원;정진웅
    • Food Science and Preservation
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    • v.9 no.2
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    • pp.154-160
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    • 2002
  • This study was carried out to investigate the efficacy of electrolyzed oxidizing(EO) water, electrolyzed oxidizing water with 0.5% citron juice and 0.1% aluminium potassium sulfate (APS) solution as the storing liquids to maintain quality and extend shelf life of peeled taro. Water content of peeled taro increased from 80.55% to 82.12∼84.24% after 25 days storage due to moisture absorption. However, there were no significant difference between treatments. In case of color value of peeled taro, L value was slowly decreased and a, b value was generally increased. Texture of peeled taro decreased from initial 4,520$\pm$75 g to 4,160$\pm$80 g after 25 days storage in EO water with 0.5% citron juice, which is the least reduction value in all treatments. Treatment of EO water with 0.5% citron juice maintained 6.99 mg%(57%) of total vitamin C after 25 days storage which showed highest total vitamin C content between treatments. In most treatments, total sugar was decreased in fast rate for 15 days storage and slowly decreased after 15 days storage. Free sugar content was not changed significantly during storage. In case of sucrose content which is the major portion of free sugar, reduction continued until the midst of storage. and after that it increased to 1.5∼2 times of initial contents. However, there were no differences between treatments and storage days in contents of fructose, glucose and maltose. Major amino acids in peeled taro were aspartic acid and glutamic acid with 1,084.8 and 691.8 mg/100g respectively. At 25 days of storage, aspartic acid content in treatment of EO water was increased about 13.9%. Treatment of EO water with 0.5% citron juice was the most effective in respect to the reduction ratio of total amount of essential amino acids.

Identification of catalytic acidic residues of levan fructotransferase from Microbacterium sp. AL-210 (Microbacterium sp. AL-210이 생산하는 levan fructotransferase의 효소활성에 중요한 아미노산의 동정)

  • Sung, Hee-Kyung;Moon, Keum-Ok;Choi, Ki-Won;Choi, Kyung-Hwa;Hwang, Kyung-Ju;Kim, Myo-Jung;Cha, Jae-Ho
    • Journal of Life Science
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    • v.17 no.1 s.81
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    • pp.6-11
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    • 2007
  • [ $\beta$ ]-Fructofuranosidases, a family 32 of glycoside hydrolases (GH32), share three conserved domains including the W(L/M)(C/N)DP(Q/N), FRDPK, and ECP(D/G) motifs. The functional role of the conserved acidic residues within three domains of levan fructotransferase, one of the $\beta-fructofuranosidases$, from Microbacterium sp. AL-210 was studied by site-directed mutagenesis. Each mutant was overexpressed in E. coli BL21(DE3) and purified by using Hi-Trap chelating affinity chromatography and fast performance liquid chromatography. Substitution of Asp-63 by Ala, Asp-195 by Asn, and Glu-245 by Ala and Asp decreased the enzyme activity by approximately 100-fold compared to the wild-type enzyme. This result indicates that three acidic residues Asp-63, Asp-195, and Glu-245 play a major role in catalysis. Since the three acidic residues are present in a conserved position in inulinase, levanase, levanfructotransferase, and invertase, they are likely to have a common functional role as nucleophile, transition state stabilizer, and general acid in $\beta-fructofuranosidases$.

Manufacture of Alkyl Acrylate Multi Core-shell Composite Particle (알킬 아크릴레이트계의 다중 Core-shell 복합입자의 제조)

  • Cho, Dae-Hoon;Choi, Sung-Il;Go, Hyun-Mi;Seul, Soo-Duk
    • Journal of Adhesion and Interface
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    • v.12 no.1
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    • pp.16-25
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    • 2011
  • Multi core-shell composite particles were prepared by the water-born emulsion polymerization of various core monomer such as methyl methacrylate (MMA), n-butyl methacrylate (BMA), and shell monomer such as MMA, BMA, stylene (St), 2-hydroxyl ethyl methacrylate (2-HEMA) and acrylic acid (AA) in the presence of different concentration of sodium dodecyl benzene sulfonate (SDBS). The following conclusions are drawn from the measured conversion, particle size and distribution, average molecular weight, molecular structure, glass transition temperature with DSC, morphology, tensile strength and elongation. In the case of the concentration of 0.02 wt% SDBS, the conversion of MMA core-(BMA/St/AA) shell composite particle was excellent as 98%. In the case of the concentration of 0.03 wt% SDBS, the particle size of BMA core-(MMA/St/AA) shell composite particle was high as $0.47{\mu}m$. We confirmed that 3 points of glass transition temperatures appear for multi core-shell composite particles compared to 2 points of glass transition temperatures appear for general core-shell composite particles. We showed that it is possible to adjust glass transition temperatures according to the kind and composition of the inner shell monomer that it is can be used as a adhesive binder material with improved adhesive power.

A Case of Primary Antiphospholipid Syndrome with Pulmonary Thromboembolism (폐색전증을 동반한 원발성 항인지질증후군 1예)

  • Lee, Jae Beom;Sim, Yun Su;Noh, Young Wook;Park, Hye Sung;Tae, Chung Hyun;Lim, So Yeon;Jun, Yoon Hee;Ryu, Yon Ju;Chun, Eun Mi;Lee, Jin Hwa;Chang, Jung Hyun;Moon, Jin Wook
    • Tuberculosis and Respiratory Diseases
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    • v.63 no.1
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    • pp.72-77
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    • 2007
  • Antiphospholipid syndrome (APS) causes recurrent thromboses and morbidity during pregnancy, including fetal loss. This malady is associated with the persistent presence of anticardiolipin antibody or lupus anticoagulant. The pulmonary manifestations of antiphospholipid syndrome include pulmonary thromboembolism, pulmonary hypertension, acute respiratory distress syndrome, etc. Pulmonary thromboembolism is often the initial manifestation of antiphospholipid syndrome and a timely diagnosis is critical due to the high mortality rate. We herein report on a 19-year-old man with pulmonary thromboembolism that was caused by primary antiphospholipid syndrome. He presented with blood-tinged sputum, fever and epigastric pain, and his chest computerized tomography showed pulmonary thromboembolism. The other possible causes of pulmonary thromboembolism were excluded and the diagnosis of primary antiphospholipid syndrome was confirmed by the lupus anticoagulant that was present on two occasions six weeks apart. We also discuss the nature and management of antiphospholipid syndrome, along with a brief review of the relevant literatures.

Microstructure of the Antennal Sensory Organs in the Millipede Cawjeekelia pyongana (Polydesmida: Paradoxomatidae) (평안노래기 (Cawjeekelia pyongana) 안테나 감각기의 미세구조)

  • Chung, Kyung-Hwun;Moon, Myung-Jin
    • Applied Microscopy
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    • v.37 no.2
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    • pp.73-82
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    • 2007
  • The antennae of millipedes have a prominent function in detecting various types of environmental stimuli. The structural modification of the antennae is closely associated with the degree of sense recognition. Here we study functional morphology of the antennae of the millipede Cawjeekelia pyongana using field emission scanning electron microscope (FESEM). The antennae generally include eight segments, called articles. On the surface of the antennae, there are a variety of sensory receptors which include olfactory and mechanical receptors. We could identify four different types of antennal sensory organs in C. pyongana as follows: apical cone (Ac), trichoid sensilla (Ts), chaetiform sensilla (Cs) and basiconic sensilla (Bs). The most prominent of which is four APs at the 8th article. Both of the Is and the Cs are abundantly observed almost all of the antennal segments. They are long and strong bristles with longitudinal grooves acuminating toward the tip. The Bs is further divided into three subtypes: large basiconic sensilla $(Bs_1)$, small basiconic sensilla $(Bs_2)$ and spiniform basiconic sensilla $(Bs_3)$. The $Bs_1$ is located at the 5th and 6th articles, while the $Bs_2$ and $Bs_3$ can be seen at the 5th and at the 7th article, respectively.

An AP Selection Scheme for Enhancement of Multimedia Streaming in Wireless Network Environments (무선 네트워크 환경에서 멀티미디어 서비스를 위한 AP 선정 기법)

  • Ryu, Dong-Woo;Wang, Wei-Bin;Kang, Kyung-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.3
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    • pp.997-1005
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    • 2010
  • Recently, there has been a growing interest in the use of WLAN technology due to its easy deployment, flexibility and so on. Examples of WLAN applications range from standard internet services such as Web access to real-time services with strict latency/throughput requirements such as multimedia video and voice over IP on wireless network environments. Fair and efficient distribution of the traffic loads among APs(Access Points) has become an important issue for improved utilization of WLAN. This paper focuses on an AP selection scheme for achieving better load balance, and hence increasing network resource utilization for each user on wireless network environments. This scheme makes use of active scan patterns and the network delay as main parameters of load measurement and AP selection. This scheme attempts to estimate the AP traffic loads by observing the up/down delay and utilize the results to maximize the link resource efficiency through load balancing. We compared the proposed scheme with the original SNR(Signal to Noise Ratio)-based scheme using the NS-2(Network Simulation.2). We found that the proposed scheme improves the throughput by 12.5% and lower the network up/down link delay by 36.84% and 60.42%, respectively. All in all, the new scheme can significantly increase overall network throughput and reduce up/down delay while providing excellent quality for voice and video services.