Purpose: The latissimus dorsi muscle flap is a versatile flap used in a variety of reconstructive procedures. The most common complication of LD muscle flap is donor site seroma, reported to occur in 20 to 79 percent of cases. The formation of dead space under the flap is intimately associated with seroma formation. The authors think that the use of progressive tension suture at closing donor site can decrease the formation of dead space and ultimately reduce the incidence of donor site seroma. Methods: A retrospective review was performed with 38 patients who underwent latissimus dorsi muscle harvest for breast reconstruction from March 2003 to September 2004. Progressive tension sutures were used during donor site closure in 22 patients. This group was compared with controls group(16 patients) who underwent latissimus dorsi muscle harvest without using this technique. Operation time, length of hospital stay, period of drainage, complication, and satisfaction about postoperative scar of donor site were examined. Results: The average length of hospital stay was 10.2 days and 12.7 days, and the mean duration of drainage were 7.3 days and 11.7 days in each progressive suture group and control group. These results were statistically significant (p<0.05). In the 22 patients who underwent progressive tension suture, none had seroma, hematoma or skin necrosis. In control group(16 patients), there happened one seroma formation and one partial skin necrosis. These complications were healed by aspiration of seroma and wound revision. The patients' satisfaction was not statistically significant, but the higher points were given by the patients who underwent progressive tension suture. Conclusion: This technique, progressive tension suture, is an effective method to reduce or eliminate donor site seroma, which is the most common complication associated with latissimus dorsi muscle harvest.
The air transport industry is the most important as means of human exchange between the countries. Because the spread effect and the durability by aviation cooperation between the countries are much higher than any other industry, a research about air transport industry is very important to allied industry field as well as national policy about International cooperation and integration. Specially, according to the economic interchange with North Korea becomes active, the role of air transport as related traffic network with North Korea becomes more important. The number of flights is increasing sharply after South-North summit meeting, and two sides established and are using temporary direct route between South-North Korea. When we consider that the number of flights utilizing temporary direct route is increasing every year, It is not desirable to use temporary routes continuously because the current agreement between South and North cant be reliable far the case of unexpected circumstance. In addition, the current agreement is not based on the international standards. The paper is to study the condition to promote the coordination of civil aviation in the whole Korean peninsula. As known, the aviation system in North Korea is mainly operated by military unit. The study will review the current status of air transport system of South and North and the effective way of cooperation of civil aviation between both sides. The cooperation between governments as well as between airlines is studied. The establishment of Air Traffic Service Agreement is going to be handled heavily because the stable air traffic service is the most required base for the operation of air transport. The authors also try to find a way to support the development of infrastructure of aviation industry in North Korea.
Recently, our ocean development paradigm is changing so that the development focus has been moved from the port facility developments to creating useful marine space. This paradigm accords well with the current green technology and helps the growth of service industries and the development from this paradigm can become a national land mark. Accordingly, the concept of creating marine waste landfill by the development of resource recycling technology has been introduced for eco-friendly space as an artificial island in future. Therefore, this study introduces the reactive vertical drainage method that is to pursue the purification of pollutants as well as stabilization of newly deposited soils in marine environments. To install the reactive vertical drainage piles for more effective feasibility and constructability, placements of drainage mid-layer are considered in the geotechnical viewpoint. Consolidation characteristics were evaluated by standard consolidation tests after several types of model test. As s result, the application of mid-layer drainage is strongly recommended in the reactive vertical drainage to quickly stabilize newly deposited soils. And vacuum consolidation method has better consolidation characteristic than vertical loading method in terms of the settlements predicted by additional stress for further use as an artificial island.
Background: Pleural drainage following video-assisted thoracic surgery has traditionally been achieved with largebore, semi-rigid chest tubes. Recent trends in thoracic surgery have been toward less invasive approaches for a variety of diseases. The purpose of this study was to evaluate the safety and efficacy of drainage by means of small, soft, and flexible 14Fr Blake drains. Material and Method: Between December 2007 and March 2008, 14Fr silastic Blake drains were used for drainage of the pleural cavity in 37 patients who underwent a variety of video-assisted thoracic surgical procedures at our institution. Result: The average postoperative length of hospital stay was 3.26 days (range, 2~12 days), Blake drains were left in the pleural space for an average of 3.15 days (range, 1~7 days), and the average amount of drainage was 43.8 ml/day. The maximal amount of blood removed daily by a Brake drain was as much as 290 mL. There were no drain-related complications. Blake drains seemed to cause less pain while in place, and particularly at the time of removal. Conclusion: The use of a Blake drain following minor thoracic surgery appeared to be safe and effective in drainage of fluid or air in the pleural space, and were associated with minimal discomfort.
Journal of Korean Tunnelling and Underground Space Association
/
v.18
no.2
/
pp.221-233
/
2016
In order to estimate the performance of a conical cutter depending on the insert size, this study measured forces acting on conical cutters with different cutter spacings, penetration depths and skew angles using slim and heavy conical cutters. When cutter spacings ranged from 12 to 27 mm, the deviations of mean cutter forces with cutter depths appeared smaller compared to other cutter spacings. When skew angle is $0^{\circ}$, the optimal S/d ratio was obtained in the range of 4 to 4.5 for which specific energy of cutting was minimized. It were usually found in the range of 1 to 5. However, when skew angle is $6^{\circ}$, the optimal S/d ratio was obtained in the range of 1 to 3. The simple comparison results shows that the performance of slim cutter was superior to that of heavy cutter, but the use of heavy cutter can be effective, considering the cutter consumption and cutter damage when the strength of the ground is high enough.
Journal of the Korean Institute of Landscape Architecture
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v.33
no.3
s.110
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pp.78-83
/
2005
The purpose of this project is to create small parks in elementary schools in order to improve the educational environment and also to increase the amount of greenspace in the city. Above all, the main goal is to create space for local residents in which they can enjoy their leisure time. During a basic investigation and document investigation of elementary schools in Daegu, I placed the priority on choosing the schools that showed the most promise. Also, by doing a survey about the present conditions at schools, I verified, compared, and analyzed the validity of creating small parks in elementary schools. The summary of the results are as follows. The average area available for building small parte in Daegu elementary schools is $7,447m^2$. Even though this area is not as large as a neighborhood parti the difference is not that great. Therefore, I assumed that building small parks in schools would be as effective as building neighborhood parks. The standard size for a children's parks is $1,500m^2$, and if small parks were to be constructed in all school areas with available space larger than a children's park (i.e., larger than $1,500m^2$), the amount of added park greenspace would equal $1,217,953m^2$. The number of schools with areas under $1,500m^2$ is only 3% of all schools in which small parte can be created(5 schools). Schools that have between $1,500m^2$ and $8,000m^2$of greenspace make up 59.7% of all schools in which small parte can be created (98 schools). Schools that have greenspace of more than $8,000m^2$ make up 37% of all school in which small parks can be created (61 schools). The standard area for neighborhood parte is $10,000m^2$ (building-to-land ratio 20%). Schools that have areas that are larger than the standard area for neighborhood parte make up 31% of all elementary schools in Daegu (61 schools). Therefore city greenspace would increase to a total of $694,805m^2$ by making use of these schools, which would represent 7% of the park greenspace in Daegu.
Journal of the Korean Institute of Intelligent Systems
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v.18
no.2
/
pp.236-242
/
2008
In this paper, we propose an optimized fuzzy controller based on Hierarchical Fair Competition-based Genetic Algorithms (HFCGA) for rotary inverted pendulum system. We adopt fuzzy controller to control the rotary inverted pendulum and the fuzzy rules of the fuzzy controller are designed based on the design methodology of Linear Quadratic Regulator (LQR) controller. Simple Genetic Algorithms (SGAs) is well known as optimization algorithms supporting search of a global character. There is a long list of successful usages of GAs reported in different application domains. It should be stressed, however, that GAs could still get trapped in a sub-optimal regions of the search space due to premature convergence. Accordingly the parallel genetic algorithm was developed to eliminate an effect of premature convergence. In particular, as one of diverse types of the PGA, HFCGA has emerged as an effective optimization mechanism for dealing with very large search space. We use HFCGA to optimize the parameter of the fuzzy controller. A comparative analysis between the simulation and the practical experiment demonstrates that the proposed HFCGA based fuzzy controller leads to superb performance in comparison with the conventional LQR controller as well as SGAs based fuzzy controller.
The purpose of the present study was to evaluate the effect of bone graft materials including deproteinized bovine bone(DBB), demineralized freeze-dried bone(DFDB), freeze-dried bone(FDB) on bone formation in guided bone regeneration using perforated titanium membrane(TM). 16 adult male rabbits(mean BW 2kg) were used in this study and 4 rabbits allotted to each test group. Intramarrow penetration(diameter 6.5mm) was done with round carbide bur on calvaria to promote blood supply and clot formation in the wound area. The test groups were devided into 4 groups as follows: TM only(test 1), TM +DBB(test 2), TM +DFDB(test 3), TM +FDB(test 4). Perforated titanium membrane was contoured in rectangular parallelepiped shape(0.5mm pore diameter, 10mm in one side, 2mm in inner height), filled the each graft material and placed on the decorticated carvaria. Perforated titanium membrane was fixed with resorbable suture materials. The animals were sacrificed at 2, 8 weeks after the surgery. Non-decalcified preparations were routinely processed for histologic analysis. The results of this study were as follows: 1. Perforated titanium membrane was biocompatible. 2. Perforated titanium membrane had capability of maintaining the space during the healing period but invasion of soft tissue through the perforations of titanium membrane decreased the space available for bone formation. 3. In test 1 group without bone graft material, the amount of bone formation and bone maturation was better than other test groups. 4. Among the graft materials, the effect of freeze-dried bone on bone formation was best. 5. In the test groups using deproteinized bovine bone, demineralized freeze-dried bone, bone formation was a little. The spacemaking capability of the membrane may be crucial for bone formation. The combined treatment with the perforated titanium membrane and deproteinized bovine bone or demineralized freeze-dried bone failed to demonstrate any added effect in the bone formation. Minimization of size and numbers of perforations of titanium membrane or use of occlusive titanium membrane might be effective to acquire predictable results in the vertical bone formation.
Journal of the Korea Academia-Industrial cooperation Society
/
v.19
no.11
/
pp.213-223
/
2018
This study assessed the maintenance plan of the Shimbashi-Toranomon Development Area in Japan, which has recently been completed using the three-dimensional road system. In the main relevant law system, a three-dimensional road system, which enables the construction of buildings above and below the road, was applied. The specific construction regulations applying the financing power and knowledge of private business operators were applied. In the development district, city maintenance guidelines were established, and housing and shopping malls were regulated. This purpose was to promote change, unity of distance, effective use of land, and continuous urban revitalization with charm and vitality. The main features of the maintenance plan were accessibility and greenery, comfort and a sophisticated design, and a maintenance concept utilizing historical buildings and road space through the participation of local residents and the opinions of related committees. In addition, in the case of the construction of the upper and lower roads, the construction restrictions were relaxed, and the separation of the roads and the undergrounding of electric poles were promoted. The main aim was to improve the convenience of the residents and produce a pleasant road landscape.
The Journal of the Convergence on Culture Technology
/
v.8
no.6
/
pp.819-829
/
2022
Professional baseball is one of the spectator sports that has been loved for a long time by the citizens as a recreational activity since its establishment in 1982, and has been playing pivotal role as a national sport. However, there has been decline in the number of audiences since 2019. Hence, this research paper aimed to provide strategic direction for planning and improvement of professional baseball stadiums by applying the concept of servicescape. In this research, five key factors of servicescape that affects players performance and the level of immersion of spectators were derived through literature review, and based on these key factors, case study analysis were carried out for 51 domestic and foreign baseball stadiums while focusing on the factors derived. Domestic baseball stadiums highly concentrate on spectatorship without effectively responding to change in spectators demand and its effective use of space rather than baseball games. As in foreign cases, it is critical to modify mangement process and planning direction, and improve policies while perceiving baseball stadium as recreational and cultural space.
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