• Archives of Plastic Surgery
• /
• v.41 no.4
• /
• pp.387-393
• /
• 2014

Background Reconstruction of ischial pressure sore defects is challenging due to extensive bursas and high recurrence rates. In this study, we simultaneously applied a muscle flap that covered the exposed ischium and large bursa with sufficient muscular volume and a profunda femoris artery perforator fasciocutaneous flap for the management of ischial pressure sores. Methods We retrospectively analyzed data from 14 patients (16 ischial sores) whose ischial defects had been reconstructed using both a profunda femoris artery perforator flap and a muscle flap between January 2006 and February 2014. We compared patient characteristics, operative procedure, and clinical course. Results All flaps survived the entire follow-up period. Seven patients (50%) had a history of surgery at the site of the ischial pressure sore. The mean age of the patients included was 52.8 years (range, 18-85 years). The mean follow-up period was 27.9 months (range, 3-57 months). In two patients, a biceps femoris muscle flap was used, while a gracilis muscle flap was used in the remaining patients. In four cases (25%), wound dehiscence occurred, but healed without further complication after resuturing. Additionally, congestion occurred in one case (6%), but resolved with conservative treatment. Among 16 cases, there was only one (6%) recurrence at 34 months. Conclusions The combination of a profunda femoris artery perforator fasciocutaneous flap and muscle flap for the treatment of ischial pressure sores provided pliability, adequate bulkiness and few long-term complications. Therefore, this may be used as an alternative treatment method for ischial pressure sores.

• Clinics in Shoulder and Elbow
• /
• v.14 no.1
• /
• pp.140-145
• /
• 2011

Purpose: Installing a radial head prosthesis has developed into a reliable procedure to replace the native radial head for treating unreconstructible radial head fracture when this is associated with an unstable elbow or forearm. A variety of implants have been developed and these are now commercially available. This article reviews the literature related to the indications, the available implants and the surgical techniques of radial head replacement arthroplasty. Materials and Methods: The main indication for a metallic radial head prosthesis is a comminuted fracture that is not amenable to reconstruction, and particularly if it is associated with complex elbow injuries. Excision of the radial head should be avoided in the presence of combined injured ligaments or interosseous membrane injury. Three different implants are available in Korea, including the bipolar, press fit monopolar and loose fit monopolar radial head prostheses. A primary technical goal of radial head arthroplasty is the insertion of an implant that closely replicates the native radial head. The major pitfall when using a metallic radial head prosthesis is the insertion of a longer implant, which results in overstuffing of the radiocapitellar joint. Results and Conclusion: Satisfactory clinical results can be anticipated when a radial head prosthesis is used for the correct indications and when a systemic approach is undertaken to ensure proper sizing. For the future studies, we need data regarding the long term outcomes and comparison of the various types of prostheses.

• Journal of Korean Society for Geospatial Information Science
• /
• v.18 no.2
• /
• pp.29-33
• /
• 2010

The purpose of LiDAR ground classification is to archive both goals which are acquiring confident ground points with high precision and describing ground shape in detail. In spite of many studies about developing optimized algorithms to kick out this, it is very difficult to classify ground points and describing ground shape by airborne LiDAR data. Especially it is more difficult in a dense forested area like Korea. Principle misclassification was mainly caused by complex forest canopy hierarchy in Korea and relatively coarse LiDAR points density for ground classification. Unfortunately, a lot of LiDAR surveying performed in summer in South Korea. And by that reason, schematic LiDAR points distribution is very different from those of Europe. So, this study propose enhanced ground classification method considering Korean land cover characteristics. Firstly, this study designate highly confident candidated LiDAR points as a first ground points which is acquired by using big roller classification algorithm. Secondly, this study applied weighted gradient kernel(WGK) algorithm to find and include highly expected ground points from the remained candidate points. This study methods is very useful for reconstruct deformed terrain due to misclassification results by detecting and include important terrain model key points for describing ground shape at site. Especially in the case of deformed bank side of river area, this study showed highly enhanced classification and reconstruction results by using WGK algorithm.

• Imaging Science in Dentistry
• /
• v.36 no.2
• /
• pp.89-94
• /
• 2006

Purpose : To evaluate clinical usefulness of facial soft tissue thickness measurement using 3D computed tomographic images. Materials and Methods : One cadaver that had sound facial soft tissues was chosen for the study. The cadaver was scanned with a Helical CT under following scanning protocols about slice thickness and table speed; 3 mm and 3 mm/sec, 5 mm and 5 mm/sec, 7 mm and 7 mm/sec. The acquired data were reconstructed 1.5, 2.5, 3.5 mm reconstruction interval respectively and the images were transferred to a personal computer. Using a program developed to measure facial soft tissue thickness in 3D image, the facial soft tissue thickness was measured. After the ten-time repeation of the measurement for ten times, repeated measure analysis of variance (ANOVA) was adopted to compare and analyze the measurements using the three scanning protocols. Comparison according to the areas was analyzed by Mann-Whitney test. Results : There were no statistically significant intraobserver differences in the measurements of the facial soft tissue thickness using the three scanning protocols (p>0.05). There were no statistically significant differences between measurements in the 3 mm slice thickness and those in the 5 mm, 7 mm slice thickness (p>0.05). There were statistical differences in the 14 of the total 30 measured points in the 5 mm slice thickness and 22 in the 7 mm slice thickness. Conclusion : The facial soft tissue thickness measurement using 3D images of 7 mm slice thickness is acceptable clinically, but those of 5 mm slice thickness is recommended for the more accurate measurement.

• Imaging Science in Dentistry
• /
• v.50 no.3
• /
• pp.227-236
• /
• 2020

Purpose: Image artifacts caused by patient motion cause problems in cone-beam computed tomography (CBCT) because they lead to distortion of the 3-dimensional reconstruction. This prospective study was performed to quantify patient movement during CBCT acquisition and its influence on image quality. Materials and Methods: In total, 412 patients receiving CBCT imaging were equipped with a wireless head sensor system that detected inertial, gyroscopic, and magnetometric movements with 6 dimensions of freedom. The type and amplitude of movements during CBCT acquisition were evaluated and image quality was rated in 7 different anatomical regions of interest. For continuous variables, significance was calculated using the Student t-test. A linear regression model was applied to identify associations of the type and extent of motion with image quality scores. Kappa statistics were used to assess intra- and inter-rater agreement. Chi-square testing was used to analyze the impact of age and sex on head movement. Results: All CBCT images were acquired in a 10-month period. In 24% of the investigations, movement was recorded (acceleration: >0.10 [m/s²]; angular velocity: >0.018 [°/s]). In all examined regions of interest, head motion during CBCT acquisition resulted in significant impairment of image quality (P<0.001). Movement in the horizontal and vertical axes was most relevant for image quality (R²>0.7). Conclusion: Relevant head motions during CBCT imaging were frequently detected, leading to image quality loss and potentially impairing diagnosis and therapy planning. The presented data illustrate the need for digital correction algorithms and hardware to minimize motion artefacts in CBCT imaging.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.34 no.1
• /
• pp.73-80
• /
• 2007

Compomer that release fluoride could be used on proximal caries of child effectively. But oral cavity is always wet, so saliva inhibits bonding of tooth and compomer. When the saliva exist on bonding, it can be occured microleakages. The purpose of this study was to evaluate the influence of salivary contamination on compomer restoration and degree of microleakage according to restoration methods. Dyract $AP^{(R)}$ and prime and $bond^{(R)}$ NT was applied by the manufacture s instructions. Elipar Trilight was applied for light curing. Saliva pool was made for reconstruction of oral cavity. Two premolar was embedded in acrylic resin. After class II cavity preperation, Dyract $AP^{(R)}$ was restored under several condition, the specimen was thermocycled 500 times with 30 second dwell time. 0.5% methylene blue was used for microleakage test. Micoleakage was measured by the ratio of the infiltration length to occlusal and gingival side interface. Data were analyzed statistically using Kruskal Wallis Test, Mann-Whitney Test. The Result were as follows ; 1. In occlusal side, there were no statistical differences. 2. In gingival side, there were no statistical differences in Group III ($ContactMatrix^{TM}$, Rubber dam, $Oraseal^{(R)}$), Group IV (No saliva contamination). 3. In gingival side, there were no statistical differences in Group I$(ContactMatrix^{TM})$, II($ContactMatrix^{TM}$, Rubber dam). 4. In gingival side, there were statistical differences in Group I$(ContactMatrix^{TM})$, II($ContactMatrix^{TM}$, Rubber dam).

• Korean Journal of Optics and Photonics
• /
• v.17 no.3
• /
• pp.231-239
• /
• 2006

In recent years, a hierarchical security architecture has been widely studied because it can efficiently protect information by allowing an authorized user access to the level of information. However, the conventional hierarchical decryption methods require several decryption keys for the high level information. In this paper, we propose a hierarchical image encryption using random phase masks and Walsh code having orthogonal characteristics. To decrypt the hierarchical level images by only one decryption key, we combine Walsh code into the hierarchical level system. For encryption process, we first perform a Fourier transform for the multiplication results of the original image and the random phase mask, and then expand the transformed pattern to be the same size and shape of Walsh code. The expanded pattern is finally encrypted by multiplying with the Walsh code image and the binary phase mask. We generate several encryption images as the same encryption process. The reconstruction image is detected on a CCD plane by a despread process and Fourier transform for the multiplication result of encryption image and hierarchical decryption keys which are generated by Walsh code and binary random phase image. Computer simulations demonstrate that the proposed technique can decrypt hierarchical information by using only one level decryption key image and it has a good robustness to the data loss such as random cropping.

• The Korean Journal of Quaternary Research
• /
• v.6 no.1
• /
• pp.1-11
• /
• 1992

The reconstruction of the vegetational and environmental history of the Korean peninsula by the use of various fossil floral data from the Carboniferous period to the Pre-Holocene is reviewed. Though the oldest plant fossil in Korea (Neuropteris) dates back to the Carboniferous period, the first appearance of many of the present-day floristic genera indeed dates back to the Oligocene (c. 40 to 20 million years B.P.), and includes many thermophilous genera. The presence of thermophilous genera in the Oligocene at up to four degrees north of their present distributional limits implies that the climate of the Oligocene was warmer than that of today. The occurrence of similar thermophilous floristic element at up to six degrees north of their present range during the Middle Miocene suggests a maximum northward expansion of warmth-loving evergreen broadleaved vegetation for, recent Korean vegetation history. The continued occurrence of numerous present-day genera since the Oligocene period indicates a long-term stability of Korean vegetation, along with minor fluctuations within it. The admixture of evergreen coniferous plants and deciduous breadleaved plants, however, indicates a probable temperate climate for much of the Middle Pleistocene. There are couple of evidences which are indicative of an early-stage anthropogenic disturbance of natural vegetation during the Middle Pleistocene of Korea. The presence of cold-episodes during the Upper Pleistocene caused a general expansion of deciduous plants and cryophilous evergreen coniferous, plants. It is likely that the maximum southward expansion of cryophilous arctic-alpine and alpine floras in Korea occured during the penultimate glacial period. The disappearance of some cryophilous genera from 10,000 years B.P. marks the continued climatic amelioration since then, along with minor climatic fluctuations during the Holocene period.

• Korean Journal of Childcare and Education
• /
• v.10 no.2
• /
• pp.237-260
• /
• 2014

This research aims to find out what pre-service teachers are seriously concerned about and what they contemplated during the process of discovering the meanings of teaching, and to reveal the meanings compiled by the pre-service teachers. Furthermore, this research intends to identify the elements considered to help the pre-service teachers continue to construct the meanings of teaching in the education for pre-service daycare teachers by reviewing the process of contemplation. To do so, this study selected a target group of 29 seniors of M University who took the class of 'Teaching Method for Young children' given in the first semester of 2012 and 'Child Care and teaching Practice' given in the second semester of 2012. Research data collection was done based on the paper materials on participant observation, interview, student journals and professor feedbacks and small group discussion. According to the research, the pre-service teachers created the meanings of teaching as they experience confusion between one extreme to another of power and looking easy, having children focused and being focused, just giving and leaving and discrimination and equality. They considered teaching as a process of continuous reconstruction by choosing the best place between the opposites within the context of teaching and understood that teaching is to respect the right of learning for children and at the same time to make efforts to develop inner-self. In addition, to support the pre-service daycare teachers in their efforts to find the nature of teaching in the education program, it is required to review the teaching process from a variety of aspects in the atmosphere where they are not afraid of confusion, and to provide time to meditate alone and share ideas with others.

• Journal of the Korean Association of Geographic Information Studies
• /
• v.15 no.1
• /
• pp.43-51
• /
• 2012

The OLS(ordinary least squares) method is widely used in hedonic housing models. One of the assumptions of the OLS is an independent and uniform distribution of the disturbance term. This assumption can be violated when the spatial autocorrelation exists, which in turn leads to undesirable estimate results. An alterative to this, spatial econometric models have been introduced in housing price studies. This paper describes the comparisons between OLS and spatial econometric models using housing transaction prices of Busan, Korea. Owing to the approaches reflecting spatial autocorrelation, the spatial econometric models showed some superiority to the traditional OLS in terms of log likelihood and sigma square(${\sigma}^2$). Among the spatial models, the SAR(Spatial Autoregressive Models) seemed more appropriate than the SAC(General Spatial Models) and the SEM(Spatial Errors Models) for Busan housing markets. We can make sure the spatial effects on housing prices, and the reconstruction plans have strong impacts on the transaction prices. Selecting a suitable spatial model will play an important role in the housing policy of the government.