• 제목/요약/키워드: Head-end

검색결과 531건 처리시간 0.027초

두경부재건 시 수용부 혈관으로서 목가로동맥의 유용성과 적절한 정맥의 선택 (Transverse Cervical Artery and Appropriate Veins as Recipient Vessels in Head and Neck Reconstruction)

  • 이동원;이원재;유대현;나동균;탁관철
    • Archives of Plastic Surgery
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    • 제35권3호
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    • pp.283-288
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    • 2008
  • Purpose: The purpose of this study is to evaluate the transverse cervical artery of those who received preoperative radiotherapy or radical neck dissection and those who are unable to utilize the branch of external carotid artery system, which are most commonly used as recipient artery in head and neck reconstruction. Methods: 10 patients were selected as head and neck cancer candidates for study. 8 patients received radical neck dissection or modified radical neck dissection and 3 patients underwent preoperative radiotheraphy. In call cases, reconstruction using free flap was performed with transverse cervical artery as recipient artery and posterolateral cervical vein or transverse cervical vein as recipient vein. Results: Partial necrosis of flap due to wound infection was noted in one case and successful microsurgery was achieved in all other cases. The average pedicle length was 9.3 cm and all arteries underwent end to-end anastomosis. In 7 patients, posterolateral cervical vein was used as recipient artery and transverse cervical vein was utilized in 3 patients. Conclusion: In cases where recipient artery from external carotid system cannot be utilized due to preoperative radiotherapy or radical neck dissection, the transverse cervical artery can be an alternative option of choice. Due to diverse variations of transverse cervical vein as a recipient vein, the posterolateral cervical vein may be considered in such cases.

물윗수염박쥐(Myotis daubentinii ussuriensis)의 정자미세구조 (Fine Structure of the Sperm in the Myotis daubentonii ussuriensis)

  • 김현희;이정훈
    • Applied Microscopy
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    • 제41권1호
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    • pp.31-35
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    • 2011
  • 본 연구는 물윗수염박쥐(Myotis daubentonii ussuriensisi)의 정자 미세구조적 특징을 알아보기 위하여 투과전자현미경(TEM)으로 관찰한 결과는 다음과 같다. 물윗수염박쥐 정자두부의 길이는 $4.5{\mu}m$, 폭은 $2.0{\mu}m$이었으며, 핵은 그 중 $4.3{\mu}m$로 정자두부의 대부분을 차지하고 있었으며, 핵의 후방부에서 전방부쪽으로 갈수록 폭이 가늘어지며 두부의 전체적인 모양은 탄환형(bull-shaped)을 취하고 있었다. 또한, 핵과 첨체는 Apical body에 의해 분리되어져 있었다. 정자경부는 basal plate, capitulum, segmented columns으로 구성되어져 있었다. 12~14개의 가는띠로 구성된 Segmented columns들의 밑부분은 중편부의 외측섬유와 연결되어져 있었다. 중편부의 미토콘드리아 초들은 나선상으로 배열되어져 있었으며, 그 수는 57개이었다. Satellite fibers는 외측섬유들 사이에 불규칙하게 관찰되어 졌으며, 중편부를 제외하고 다른 부분에서는 관찰되지 않았다. 중편부의 외측섬유는 1, 5, 6, 9번이 다른 것보다 크며, 꼬리의 축사구조는 전형적인 9+2구조이었으며, 미부의 미세소관들은 불규칙하게 배열되어져 있었다.

스프링클러설비 설계의 수리계산 절차에 대한 연구 (A Study on Hydraulic Calculation Procedure of Fire Sprinkler System Design)

  • 정기신
    • 한국화재소방학회논문지
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    • 제32권1호
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    • pp.24-32
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    • 2018
  • 수리계산방식에 의한 설계는 전산프로그램을 사용하는 방식과 직접 설계자가 계산에 의하여 설계하는 방식이 있다. 전산프로그램을 사용하는 경우 필요한 조건을 입력하면 프로그램에 의해 마찰손실, 유량, 양정 등을 계산하여 주지만 기본적인 개념과 절차를 모르게 되면 계산값이 입력자마다 다를 수가 있어 절차상의 기준을 정하는 것이 필요하다. 설계자가 직접 계산하는 경우에도 동일하다. 따라서 설계면적 내에서 수리계산의 절차를 다음과 같이 제시하였다. 가지관에 설치되는 티의 등가길이는 방출구(Outlet)의 관경이 다를지라도 설치된 배관의 관경과 동일한 관경(Run)의 등가길이를 선택한다. 가지관 중간에 손실값이 큰 다른 헤드가 있더라도 말단에서부터 계산해온 압력이 더 크다면 말단헤드에서부터 계산해온 압력으로 헤드방출량을 계산한다.

미세 스트라이프 코팅에 미치는 슬롯 다이 헤드 마이크로 팁 길이의 영향 (Effect of the Microtip Length in a Slot-die Head on Fine Stripe Coatings)

  • 이진영;박종운
    • 반도체디스플레이기술학회지
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    • 제18권4호
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    • pp.69-74
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    • 2019
  • The aim of this work is to investigate the effect of the microtip length in a slot-die head on coating of a fine poly(3,4-ethylenedioxythiophene):poly(4-styrenesulfonate) (PEDOT:PSS) stripe. To this end, we have employed a meniscus guide with a 150-㎛-wide microtip and performed roll-to-roll slot-die coatings by varying its length between 500 ㎛ and 50 ㎛. When the microtip length is 150 ㎛ or shorter, we have observed three unexpected phenomena; 1) though the solution spreads much wider than the microtip width, yet the coated stripe width is almost the same as the microtip width, 2) the stripe width decreases, but the stripe thickness is rather increased with increasing coating speed at a fixed flow rate, 3) we obtain stripes much narrower than the microtip width at high coating speeds. It is due to the fact that 1) the meniscus is not well controlled by a short microtip, 2) the main stream of solution from the outlet is very close to the substrate and thus the distributed solution along the head lip merges with the main stream, and 3) the solution is not spread over the entire microtip end at high coating speeds, causing a tiny wobble in the meniscus. Using the 150-㎛-wide and 250-㎛-long microtip, we have fabricated 153-㎛-wide and 94-nm-thick PEDOT:PSS stripe at the maximum coating speed of 13 mm/s. To demonstrate its applicability in solution-processable organic light-emitting diodes (OLEDs), we have also fabricated an OLED device with the fine PEDOT:PSS stripe and obtained strong light emission from it.

Growth Patterns of Indonesian Infants with Cow's Milk Allergy and Fed with Soy-Based Infant Formula

  • Setiabudiawan, Budi;Sitaresmi, Mei Neni;Sapartini, Gartika;Sumadiono, Sumadiono;Citraresmi, Endah;Sekartini, Rini;Putra, Azwin Mengindra;Jo, Juandy
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제24권3호
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    • pp.316-324
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    • 2021
  • Purpose: The use of soy-based infant formula has increased widely in infants with cow's milk allergy (CMA). This study aimed to provide evidence on the growth pattern of CMA infants fed with soy-based infant formula in an Indonesian setting. Methods: A multi-site, intervention study was conducted among full-term and normal birth weight CMA infants. Within six months, the subjects were provided with a soy-based infant formula. Weight, height, and head circumference were measured at baseline, weeks 4, 8, 12, 16, 20, and 24. Adverse events were recorded by scoring atopic dermatitis and symptom-based clinical scores. Results: Based on the World Health Organization growth chart, we found that most of subjects had normal nutritional status for weight-for-age, length-for-age, weight-for-length, and head-circumference-for-age. There were statistically significant differences between baseline and end-line for weight-for-age, length-for-age, weight-for-length, and head circumference-for-age nutritional status. No allergic symptoms or intolerance toward soy formula were observed at the end of the intervention period. Conclusion: These results show that infants fed with soy-based infant formula have a normal pattern of growth.

Three-dimensional intraoperative computed tomography imaging for zygomatic fracture repair

  • Peleg, Oren;Ianculovici, Clariel;Shuster, Amir;Mijiritsky, Eitan;Oz, Itay;Kleinman, Shlomi
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제47권5호
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    • pp.382-387
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    • 2021
  • Objectives: Zygomatic complex (ZMC) fractures comprise up to 40% of all facial fractures. Misaligned bone fragments and misplaced fixation hardware traditionally detected postoperatively on plain radiographs of the skull might require re-operation. The intraoperative O-Arm (Medtronic, USA) is a three-dimensional (3D) computed tomographic imaging system. Materials and Methods: This retrospective single-center study evaluated the utility of O-Arm scanning during corrective surgeries for ZMC and zygomatic arch (ZA) fractures from 2018 to 2020. Three females and 16 males (mean age, 31.52 years; range, 22-48 years) were included. Fracture instability (n=6) and facial deformity (n=15) were the most frequent indications for intraoperative 3D O-Arm scan. Results: The images demonstrated that all fracture lines were properly reduced and fixed. Another scan performed at the end of the fixation or reduction stage, however, revealed suboptimal results in five of the 19 cases, and further reduction and fixation of the fracture lines were required. Conclusion: Implementation of an intraoperative O-Arm system in ZMC and ZA fracture surgeries assists in obtaining predictable and accurate results and obviates the need for revision surgeries. The device should be considered for precise operations such as ZMC fracture repairs.

외이도-유양동-귀뒤바퀴피부 누공환자에서 수술 전, 후의 외이도 공명의 변화 (The Changes of External Ear Resonance after Surgery for Repair of the Postauricular Meato-Mastoid Cutaneous Fistula)

  • 김상준;강명구;정성욱;이동근
    • 임상이비인후과
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    • 제29권2호
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    • pp.235-239
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    • 2018
  • Due to the structure with one end closed, the external ear resonance effect in which the high frequency is amplified can be generated, and the sound can be perceived well. The external ear resonance normally has a first peak and a second peak. On average, the first peak has a gain of 18.6 dB at 2620 Hz and the second peak has a gain of 18.2 dB at 4210 Hz. The resonance of the external auditory canal changes with the state of the tympanic membrane, the presence of the ventilation tube, and the structure (length, diameter, shape) of the external auditory canal. A patient with a postauricular meatomastoid cutaneous fistula was admitted to the hospital with a foreign body which is the molding of the hearing aid. After removal of the foreign body, the resonance of the external auditory canal was lost and the subjective sound cognitive ability decreased. In the case of postauricular meatomastoid cutaneous fistula, we confirmed the improvement of sound cognitive ability, the change of pure tone hearing threshold, and the change of the external ear resonance after reconstruction of the ear canal without middle ear reconstruction.

두경부 유리피판 수술에 있어서의 비천공성 혈관 클립을 이용한 미세혈관 문합술 (Microvascular Anastomosis with Non-penetrating Vascular Clips in Head and Neck Free Flap Surgery)

  • 장학;민경원;김우람;신현우;고경석
    • Archives of Reconstructive Microsurgery
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    • 제14권1호
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    • pp.57-62
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    • 2005
  • Microvascular anastomosis with suture technique is a basic skill but there are several problems such as stenosis, thrombosis and long operating time. Recently plastic surgeons have developed non-suturing mechanical coupling devices for microvascular anastomosis. The authors applied non-penetrating vascular clips (VCS clips) in the field of free flap surgery of head and neck area. Between August of 2004 and January of 2005, we performed 9 free flaps (16 vessels) using small-sized VCS clips. Four stay sutures were applied first and then VCS clips were placed between sutures about 1 mm apart. Vascular pedicle of free flap included the descending branch of lateral circumflex femoral vessel, thoracodorsal vessel, deep inferior epigastric vessel and cephalic vein. The recipient vessels were the superior thyroid artery, superficial temporal artery, internal jugular vein, external jugular vein, and superficial temporal vein. We performed 13 end-to-end (4 arteries and 9 veins) and 3 venous end-to-side anastomoses. No flap related complication occurred but we applied additional clips or sutures in two cases due to blood leakage after completion of anastomosis. Primary patency rates seemed to be good and more rapid anastomosis could be done than conventional suture technique. Advantages of VCS technique are high patency rate, low thrombogenecity and rapidity. Although the high cost of VCS instrument may be a problem, this clip could be applied safely in microvascular free tissue transfer.

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로프 트롤 그물의 기본성능에 관한 모형실험 (A Model Experiment on the Basic Efficiency of Midwater Rope Trawl Net)

  • 예영희;이병기
    • 수산해양기술연구
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    • 제29권3호
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    • pp.200-213
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    • 1993
  • A model experiment on a midwater rope trawl net which is used in the North Pacific to catch alaska pollack is carried out in the circulating tank to examine the basic efficiency of the net. The prototype is the net used by M/S Hanil(1, 179GT, 2, 700PS), a Korean trawler. The model net was made according to the Tauti's Similarity Law of Fishing Gear in 1/100 scale by considering the condition of the tank. To measure the basic efficiency of the standard model net, the vertical opening and width between some points marked on the net were measured, and the hydrodynamic resistance were determined. Then the constructive conditions of the net were varied as follows and the factors were measured again to compare the efficiency of those nets with that of the standard net(A-1 type) front weight multiplied 1.5 times: A-2 type. buoyancy and depressing force multiplied 1.7 times: A-3 type. front weight multiplied 1.5 times on A-3 type: A-4 type. depressors rigged at ground rope: B type. cod-end stuffed with cashmylon wad: C type. The results obtained can be summarized as follows: 1. The vertical opening at the center of head rope was steeply decreased with the flow velocity increasing and the vertical opening H(m) can be expressed in H=1.2v super(-1.2)(v : flow velocity in m/sec). The width of the net varied a little when the flow velocity was over 0.4m/sec, and the width of net mouth showed about 37% of the distance between the fore tips of net pendant. The shape of net mouth was almost a circle at 0.2m/sec and then steeply flatted elliptically with the flow velocity increasing and the area of mouth S(m super(2)) can be expressed in S=(1.65-2.3v)$\times$10 super(-2). The hydrodynamic resistance of the net increased almost linearly with the flow velocity increasing and the resistance R(kg) can be expressed in R=3.2$\times$d/l$\times$abv. where d/l denotes the mean of d(diameter of netting twine) and l(length of a leg in a mesh) from wing tip to the end of bag-net except cod-end on the side pannel, and a denotes the strectched circumference of the net at the fore end of a meshed part and b the stretched length of the whole net from wing tip to the end of cod-end. 2. In the condition-varied nets, the vertical opening of head rope showed some increase in every type net except the C type, and the increase showed the greatest in the B type by 30~54%, whereas it showed decrease in the C type by 5~10%. Variation of the area of net mouth showed almost the same tendency as the vertical opening and the increase showed the greatest in the B type by 20%, whereas it showed decrease in the C type by 12%. Hydrodynamic resistance showed some increase in every type compared with the standard net, and the rate of increase indicated 5~10% in the A-2, A-3 and A-4 type, 22% in the B type and 3% in the C type.

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시간 동기화에 근거한 리모트 레이저 용접 시스템에서의 로봇과 스캐너 인터페이싱 (Interface between Robot and Scanner for Remote Laser Welding System Based on Time Synchronization)

  • 김정중;이준우;이주장;권경업;강희신;서정
    • 한국레이저가공학회지
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    • 제16권1호
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    • pp.10-14
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    • 2013
  • 원격레이저 용접은(RLW)은 고속으로 고품질의 용접을 가능하게 하고 특히 자동차산업에 적용할 때 그 장점이 발휘된다. RLW은 로봇의 말단과 스캐너가 동시에 움직이도록 설계되는데 적합한 위치에 용접을 하기 위해서는 말단의 움직임에 대한 보상이 이루어져야 한다. 본 논문에서는 스캐너와 말단을 시간에 기반하여 동기화 하는 RLW을 위한 알고리즘을 보인다. 제안된 알고리즘은 두 개의 알고리즘으로 구성되어 있고 본 알고리즘으로 움직이는 말단이 원하는 위치에 용접을 가능하게 한다. 제안된 알고리즘의 효용성은 실험을 통해 보인다.

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