• 제목/요약/키워드: Advancement of Korean

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머리뼈 붙음증에서의의 자가 두개 미립뼈 이식술 (Autogenous Calvarial Particulate Bone Grafting in Craniosynostosis)

  • 정승문
    • Archives of Plastic Surgery
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    • 제38권3호
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    • pp.222-227
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    • 2011
  • Purpose: Autogenous particulate bone grafting is a type of autogenous bone graft that consists of small particles of cortical and cancellous bone. Autogenous particulate bone grafting has been used for calvarial bone defect after calvarial defect of craniosynostosis and prevention of temporal depression after fronto-orbital advancement. The results were followed up and studied for effectiveness of autogenous calvarial particulate bone grafting. Methods: Cranial vault remodeling and fronto-orbital advancement was performed for six craniosynostosis patient from August 2005 to October 2007. Autogenous particulate bone grafting was harvested from endocortex of separated cranial vault and if insufficient, from extocortex of occipital region using Hudson brace & D'Errico craniotomy bit and was grafted on the calvarial bone defect of cranial vault and temporal hollow. Fibrin glues were added to the harvested particulated bone for adherence and shaping of paticles. Results: Autogenous particulate bone grafting was followed-up at least longer than I year. The calvarial bony defects following primary cranial remodeling were successfully covered and postoperative temporal depressions after fronto-orbital advancement were also well prevented by grafted particulated bone. Conclusion: Autogenous calvarial particulate bone graft can be harvested in infants and young children with minimal donor site morbidity. It effectively heals cranial defects in children and during fronto-orbital advancement reduces the prevalence of osseous defects independent of patient age. It's easy and effective method of reconstruction of calvarial defect.

Long V-Y advancement technique for large nipple reconstruction in Asian women

  • Jang, Nam;Kim, Junekyu;Shin, Hyun Woo;Suk, Sang Woo
    • Archives of Plastic Surgery
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    • 제48권1호
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    • pp.44-48
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    • 2021
  • Previously reported nipple-areolar complex reconstruction (NAR) methods involve multiple incisions and wide skin redraping, which increase retraction forces and heighten the risk of nipple-areolar complex (NAC) flattening. We introduce a NAR method using the long V-Y advancement technique that can overcome these disadvantages. A V-shaped flap is designed with the width of the flap base 4-5 mm larger than the diameter of the normal nipple. The flap length is designed to be at least 2.5 times its width. Dissection is performed to the top of the artificial dermal matrix or muscle layer. The nipple is constructed with the same projection as the contralateral side by folding the elevated flap. The tip of the elevated flap is apposed in the middle of the donor defect to minimize the deformity during donor site closure. A 3-point skin suture is applied to the upper third of the folded flap to mold its shape. Using this long V-Y advancement technique, we successfully decreased skin tension in NAC flaps and improved the maintenance of reconstructed nipple projection. The long V-Y advancement technique provides an easy, simple NAR method, effectively maintaining longer nipple projections and reducing breast deformities, especially in Asian women with relatively large nipples.

이부골성형으로 전방이동된 하악이부의 골개조성 변화 (REMODELLING CHANGES OF THE CHIN ADVANCED BY GENIOPLASTY)

  • 한세우;김명래;김재화;배종고
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제27권1호
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    • pp.48-54
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    • 2005
  • This is to evaluate the postoperative cephalometric changes of the chin advanced by the genioplasty. Thirty-eight patients who underwent advancement genioplasties at Ewha Womans University Mokdong Hospital between January of 2001 and February of 2003. They were followed up for at least 12 months with lateral cephalographs. The remodelling changes of the horizontal linear measurement between the Pogonion and Perpendicular line to FH plane were measured and analysed by Independent sample tests. The chin advancement resulted in $1.3{\pm}0.3mm$ resorption (28.2% of advancement) after 6 months, but in $1.4{\pm}0.2mm$ after 1 year. If the chin was advanced less than 3 mm, remodelling followed by $1.2{\pm}0.2mm$ reduction, but $1.3{\pm}0.3mm$ reduction followed after chin advanced over 4 mm. There were no significant differences in the amount of bone resorption by the gender, number of genial cut-steps and acompanied osteotomies.

빅데이터 분석 기법을 활용한 도서관발전종합계획 동향 분석 연구 (Analysis Study on Trends of Library Development Plan by Using Big Data Analysis)

  • 김동석;노영희
    • 한국비블리아학회지
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    • 제29권2호
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    • pp.85-108
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    • 2018
  • 본 연구에서는 도서관발전종합계획에 대한 언론보도를 빅데이터 분석 기법을 활용하여 시기별 동향과 시사점을 도출하고자 하였다. 이를 위해 국내 주요 포털 사이트를 통해 2009년부터 2017년까지 관련 데이터를 수집하였다. 수집된 데이터는 텍스트 마이닝 과정을 통해 정제된 단어를 도출하였고 이를 바탕으로 빈도분석 및 중심성 분석, 구조적 등위성 분석 등을 수행하였다. 분석 결과 제1 2차 도서관발전종합계획이 시행되는 동안 도서관 정책의 흐름이 외연적 성장에서 도서관 운영의 내실화 고도화의 흐름으로 변화하고 있었으며, 도서관 시설 확충과 같은 특정 정책에 국한되어 언론보도가 이루어짐을 확인할 수 있었다. 이러한 연구 결과는 도서관발전종합계획으로 대변되는 도서관 정책을 어떤 관점에서 인식하고 이해하고 있는지 확인하는데 유용한 자료로 사용될 수 있으며, 향후 도서관발전종합계획의 비전을 모색하는데 활용되기를 바란다.

유산균 발효에 의한 갈근탕의 특성변화 분석 (Characteristic Changes of Galgeuntang Fermented with Lactic Acid Bacteria)

  • 이영경;김미현;이영철;노정해;마진열;조장원
    • 한국식품과학회지
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    • 제43권5호
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    • pp.655-658
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    • 2011
  • 갈근탕을 이용한 유산균 발효에 적합한 균주를 선발하기 위하여 3종의 Lactobacillus균을 이용하여 발효시킨 갈근탕의 특성을 분석해 본 결과, 발효에 의한 유기산의 생성으로 3종의 발효 갈근탕 모두 pH가 3.8 이하로 저하되었다. 또한 각 Lactobacillus들에 의한 갈근탕의 지표물질 중 하나인 isoflavone 배당체 daidzin의 비배당화 활성을 평가한 결과 L. plantarum KFRI 144균주가 89.9%의 가수분해율을 보여 가장 높은 활성을 나타내었다. 이러한 결과로부터 L. plantarum KFRI 144균주는 갈근탕 약효성분의 생체이용률을 높일 수 있는 기능성 발효 갈근탕 제조의 starter 균주로 사용될 수 있을 것으로 기대된다.

0.002% 보론첨가 저탄소강의 미세조직 및 기계적 성질에 미치는 열처리의 영향 (Effects of Heat Treatment on the Micro-structures and the Mechanical Properties of 0.002% Boron-added Low Carbon Steel)

  • 임종호;김종식;박병호;이진현;최정묵
    • 한국재료학회지
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    • 제21권6호
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    • pp.303-308
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    • 2011
  • The effect of heat treatment on the micro-structures and the mechanical properties of 0.002% boron added low carbon steel was investigated. The tensile strength reached the peak at about $880-890^{\circ}C$ with the rising quenching temperature and then the hardness decreased sharply, but the tensile strength hardly decreased. The tensile and yield strength decreased and the total elongation increased with a rising tempering temperature, but the tensile and yield strength sharply fell and the total elongation prominently increased from above a $400-450^{\circ}C$ tempering temperature. Tempered martensite embrittlement (TME) was observed at tempering condition of $350-400^{\circ}C$. In the condition of quenching at $890^{\circ}C$ and tempering at $350^{\circ}C$, the boron precipitates were observed as Fe-C-B and BN together. The hardness decreased in proportion to the tempering temperature untill $350^{\circ}C$ and dropped sharply above $400^{\circ}C$ regardless of the quenching temperature.

Innovation in the planning of V-Y rotation advancement flaps: A template for flap design

  • Dolen, Utku Can;Kocer, Ugur
    • Archives of Plastic Surgery
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    • 제45권1호
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    • pp.85-88
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    • 2018
  • Local flaps exhibit excellent color matching that no other type of flap can compete with. Moreover, surgery using a local flap is easier and faster than surgery using a distant or free flap. However, local flaps can be much more difficult to design. We designed 2 templates to plan a V-Y rotation advancement flap. The template for a unilateral V-Y rotation advancement flap was used on the face (n=5), anterior tibia (n=1), posterior axilla (n=1), ischium (n=1), and trochanter (n=2). The template for a bilateral flap was used on the sacrum (n=8), arm (n=1), and anterior tibia (n=1). The causes of the defects were meningocele (n=3), a decubitus ulcer (n=5), pilonidal sinus (n=3), and skin tumor excision (n=10). The meningocele patients were younger than 8 days. The mean age of the adult patients was 50.4 years (range, 19-80 years). All the donor areas of the flaps were closed primarily. None of the patients experienced wound dehiscence or partial/total flap necrosis. The templates guided surgeons regarding the length and the placement of the incision for a V-Y rotation advancement flap according to the size of the wound. In addition, they could be used for the training of residents.

외안각 절개술과 Y-V 피판술을 이용한 외안각 성형술 (Lateral Canthoplasty Using Lateral Cantotomy and Y-V Advancement)

  • 한병기;정현석
    • Archives of Plastic Surgery
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    • 제34권5호
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    • pp.641-646
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    • 2007
  • Purpose: Lateral canthoplasty is utilized in aesthetic surgery to lengthen the lateral palpebral fissure of the lateral canthal area. However, complication such as recurrence, contour deformity or hypertrophic scar make its results doubtful. Therefore, we developed lateral canthoplasty with lateral canthotomy and Y-V advancement to effectively lengthen the palpebral fissure without recurrence. Methods: A total number of 117 patients were reviewed from March 1991 to April 2005. The operative procedure was lateral canthoplasty with lateral canthotomy and Y-V advancement. To prevent recurrence, we dissected lateral conjunctiva of lower eyelid. The author believes that by this procedure, V flap would be able to advance laterally without tension. Results: We performed lateral canthoplasty in 117 patients. There were no recurrence and patients were satisfied with the results. There were 12 patients who presented with complication. Complication included hypertrophic scar in 4 patients, web formation in 3 patients and over-correction in 5 patients. Conclusion: Lateral canthoplasty with lateral canthotomy and simple Y-V advancement may be used as an effective method to lengthen palpebral fissure without recurrence.

올드미디어(Old media), 뉴미디어(New media)로부터 멀티미디어(Multi-media)로 변천하는 전기통신기술 (A Telecommunication Technologies Changing to Multi-media from old-media and New-media)

  • 조규심
    • 기술사
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    • 제30권4호
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    • pp.18-29
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    • 1997
  • The telecommunications industry pro-grossed as old media, but new media is going into a new era of multi-media in the 21st century. In the latter half of 1970s we saw a boom of new media as a post-telephone era began. As the machines grew to the world level(standard), facsimiles, minitels of France and word processors of Japan were developed. Today some 15 years since the advent of new media era, the progress of technology is astonishing. Advancement of technology is seen in V and U letters attached to semiconductor chips, astonishing capability advancement of light emitting lasers and photo-diodes, etc and additionally technology advancement in large capacitized light disks. Thus these technologies have made possible transmitting a broad band network and a mobile communication and digitalized broadcasting. Increased capacity of every terminal, e.g, "letters $.$ voice $.$ still and mov-ing pictures" are essential for new media simultaneous and two -way transmission.

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비압축성 나비어-스톡스 방정식의 완전 내재적 분리 방법 (Fully-Implicit Decoupling Method for Incompressible Navier-Stokes Equations)

  • 김경연;백승진;성형진
    • 대한기계학회논문집B
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    • 제24권10호
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    • pp.1317-1325
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    • 2000
  • A new efficient numerical method for computing three-dimensional, unsteady, incompressible flows is presented. To eliminate the restriction of CFL condition, a fully-implicit time advancement in which the Crank-Nicolson method is used for both the diffusion and convection terms, is adopted. Based on an approximate block LU decomposition method, the velocity -pressure decoupling is achieved. The additional decoupling of the intermediate velocity components in the convection term is made for the fully -implicit time advancement scheme. Since the iterative procedures for the momentum equations are not required, the velocity components decouplings bring forth the reduction of computational cost. The second-order accuracy in time of the present numerical algorithm is ascertained by computing decaying vortices. The present decoupling method is applied to minimal channel flow unit with DNS (Direct Numerical Simulation).