• Title/Summary/Keyword: Inferior Selection

검색결과 60건 처리시간 0.033초

심부하복벽천공지 유리피판을 이용한 즉시 유방 재건술 (Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Free Flap)

  • 류민희;김효헌;정재호
    • Archives of Plastic Surgery
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    • 제34권2호
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    • pp.229-236
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    • 2007
  • Purpose: Breast reconstruction with deep inferior epigastric perforator(DIEP) free flap is known to be the most advanced method of utilizing autologous tissue. The DIEP free flap method saves most of the rectus abdominis muscle as well as anterior rectus sheath. Therefore, the morbidity of the donor site is minimized and the risk of hernia is markedly decreased. Methods: We chose the internal mammary artery and its venae comitantes as recipient vessels, and deep inferior epigastric vessels as donor vessels. The number and location of the perforators derived from medial or lateral branch of deep inferior epigastric artery(DIEA) in 23 DIEP flaps were identified. Ten patients underwent evaluation of their abdominal wall function preoperatively and 6 months postoperatively by using Lacote's muscle grading system. Results: Of the 23 patients, a patient with one perforator from lateral branch of DIEA experienced partial necrosis of flap. Total flap loss occurred in one patient. Mild abdominal bulging was reported in one patient 4 months postoperatively probably because of early vigorous rehabilitational therapy for her frozen shoulder. Postoperative abdominal wall function tests in 10 patients showed almost complete recovery of muscle function upto their preoperative level of upper and lower rectus abdominis and external oblique muscle function at 6 months postoperatively. All patients have been able to resume their daily activities. Conclusion: The breast reconstruction with DIEP free flap is reliable and valuable method which provide ample soft tissue from abdomen without compromising the integrity of abdominal wall. Selection of reliable perforators is important and including more than two perforators may decrease fat necrosis and partial necrosis of flap.

Anesthetic efficacy of Gow-Gates versus inferior alveolar nerve block for irreversible pulpitis: a systematic quantitative review

  • Sarfaraz, Ifrah;Pascoal, Selma;Macedo, Jose Paulo;Salgado, Abel;Rasheed, Dil;Pereira, Jorge
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제21권4호
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    • pp.269-282
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    • 2021
  • This review aimed to assess and compare the outcomes of the anesthetic efficacy of inferior alveolar nerve block (IANB) and Gow-Gates mandibular nerve block (GGMNB) in patients with symptomatic irreversible pulpitis. A descriptive systematic review of quantitative research was conducted wherein the "Preferred Reporting Items for Systematic Reviews (PRISMA)" was adopted, and the Problem/Patient/Population, Intervention/Indicator, Comparison, Outcome (PICO) criteria were used to structure the research question. A literature search was performed using PubMed/Medline, Cochrane Library, Google Scholar, and Ovid. Selection criteria were applied for populations over nine years of age, of either sex, with irreversible pulpitis, and articles published in English regarding conventional IANB or IANB and Gow-Gates techniques between 2009 and 2019. Prospective randomized clinical trials or randomized controlled trials were included in the review, in which anesthetic efficacy or success was measured. After screening, four articles were included. Three studies were randomized clinical trials, and two were randomized controlled trials. The validity and reliability of the individual studies were examined. There was evidence of the higher efficacy of the GGMNB technique than that of the IANB technique. However, both techniques can be mastered through training.

견관절 다방향 불안정성의 하방 관절낭 이동술에 대한 중간 추시 결과 (The Mid-term Results of Inferior Capsular Shift Procedure for Multidirectional Instability of the Shoulder)

  • 이용걸;조창현;이재훈
    • Clinics in Shoulder and Elbow
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    • 제3권1호
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    • pp.1-9
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    • 2000
  • Purpose: To report the mid-term results of the inferior capsular shift procedure for the multidirectional instability, and to analyze whether the bilateral laxity, the generalized ligamentous laxity and the voluntary instability can influence upon the final outcome. Material and Method: We reviewed 95 patients with 96 shoulders treated by the inferior capsular shift procedure for multidirectional instability through an anterior approach. In total, 49 shoulders(51%) showed generalized ligamentous laxity, 56 shoulders(58%) bilateral laxity, and 65 shoulders(68%) voluntary subluxation. Mean follow-up was 27 months(11-60 months). Result: The final Rowe score was 75 points in patients who had had at least one of the bilateral laxity, generalized ligamentous laxity, or the voluntary subluxation and 84 points without any of these in each element. Seventy-five percent of the bilateral laxity and 87% of the unilateral instability continued to function well without any pain and instability postoperatively. Those with a voluntary(74%), those with an involuntary instability(83%), those with a generalized ligamentous laxity(73%) and without laxity(84%) could do well a daily living activity without instability Eighty-six percent who had had the voluntary instability was eliminated completely the voluntability. Eighty-four percent of the patients stated that they were subjectively satisfied with the status of their shoulder. Nine shoulders(9.4%) had recurrence of symptomatic and disabling instability and theses patients had had at least voluntary instability preoperatively. Seven patients(7.3%) suffered from the stiff shoulder after the inferior capsular shift procedure. Conclusion: The inferior capsular shift procedure in multidirectional instability provided satisfactory results both in objective and subjective terms. Nonetheless, a patient who has a bilateral laxity, a generalized ligamentous laxity or a voluntary instability could be expected less favorable results compared to those with neither of these. A careful selection of the inferior capsular shift procedure for the multidirectional instability is needed before surgery. But our results suggests that a voluntary instability is not always poor candidate for the inferior capsular shift procedure.

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공구유연성과 공구관련제약을 고려한 통합공정일정계획을 위한 유전알고리즘 (An Improved Genetic Algorithm for Integrated Planning and Scheduling Algorithm Considering Tool Flexibility and Tool Constraints)

  • 김영남;하정훈
    • 산업경영시스템학회지
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    • 제40권2호
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    • pp.111-120
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    • 2017
  • This paper proposes an improved standard genetic algorithm (GA) of making a near optimal schedule for integrated process planning and scheduling problem (IPPS) considering tool flexibility and tool related constraints. Process planning involves the selection of operations and the allocation of resources. Scheduling, meanwhile, determines the sequence order in which operations are executed on each machine. Due to the high degree of complexity, traditionally, a sequential approach has been preferred, which determines process planning firstly and then performs scheduling independently based on the results. The two sub-problems, however, are complicatedly interrelated to each other, so the IPPS tend to solve the two problems simultaneously. Although many studies for IPPS have been conducted in the past, tool flexibility and capacity constraints are rarely considered. Various meta-heuristics, especially GA, have been applied for IPPS, but the performance is yet satisfactory. To improve solution quality against computation time in GA, we adopted three methods. First, we used a random circular queue during generation of an initial population. It can provide sufficient diversity of individuals at the beginning of GA. Second, we adopted an inferior selection to choose the parents for the crossover and mutation operations. It helps to maintain exploitation capability throughout the evolution process. Third, we employed a modification of the hybrid scheduling algorithm to decode the chromosome of the individual into a schedule, which can generate an active and non-delay schedule. The experimental results show that our proposed algorithm is superior to the current best evolutionary algorithms at most benchmark problems.

황색종 연초의 세균성마름병 저항성품종 육성을 위한 육종방법 비교 (COMPARISON OF VARIABILITY IN BREEDING METHODS FOR RESISTANCE TO BACTERIAL WILT IN FLUE-CURED TOBACCO)

  • 진정의;고미석
    • 한국연초학회지
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    • 제9권2호
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    • pp.11-24
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    • 1987
  • Lines were developed from the two crosses, BY4 X NC 82 and BY 4 X BY 104, by bulk, backcross and anther-derived dihaploid methods of breeding , and their variations in major agronomic, chemical characters, heritability, and response to selection were compared. 1. The anther-derived dihaploid lines showed a greater genetic variability and heritability in characters investigated than the lines developed by the other two methods of breeding . However, those were Inferior In agronomic characters and yielded 15.4% less leaf tobacco than the lines developed by the bulk method. 2. The lines developed by bulk method were higher In the frequency of lines resistant to bacterial wilt and in the yield, but Its lines appeared later flowering. inferior leaf Quality, and higher total nitrogen contents than those developed by the backcross method of breeding. 3. In the population of the lines developed by the backcross method, bacterial wilt resistant lines were less frequent, but the lines with a good leaf quality were more frequent.

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소나무 풍매차대 가계의 유묘 생장특성과 성목 생장과의 관계 (Relationships of Growth Characteristics Between Adult Trees and Their Seedlings in Open-Pollinated Pinus densiflora Families)

  • 이위영;박응준;전병환;한상억
    • 한국육종학회지
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    • 제43권4호
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    • pp.330-336
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    • 2011
  • 신속하게 생장하는 소나무의 조기 선발인자를 구명하고자 32년생 소나무의 풍매차대 검정결과로 얻어진 재적지수를 기준으로 상, 중, 하로 구분하여 선발된 12가계의 생장특성과 동일한 가계의 유묘 생장특성과의 상관관계를 분석하였다. 선발된 12가계의 종자 특성과 동일 가계의 성목 생장특성과는 상관관계가 없었으며 다만 소나무 유묘의 초기 생장과는 관련이 있는 것으로 나타났다. 가계별 1년생의 유묘 건물중과 성목의 재적지수(32년생)와는 1%의 유의적 정의 상관 관계가 있는 것으로 나타났다. 특히 재적지수가 높았던 상위 그룹의 유묘 가계의 건물중에 따른 서열은 모두 상위에 있어 중, 하위 그룹과 구분이 되었다. 또한 가계별 묘고의 평균 생장속도는 상, 중, 하위그룹이 각 4.568, 3.773, 3.535로 나타나 상위 그룹이 중, 하위 그룹보다 매우 빠른 것으로 나타났다. 이러한 결과로 유묘의 건물중 및 묘고 생장속도는 신속 생장하는 소나무 가계의 조기선발을 위한 주요 인자로 추정되었다.

균일전력 릴레이 선택방식을 적용한 이중 기회전송 협동 다이버시티 시스템의 성능분석 (Performance Analysis of a Double Opportunistic Cooperative Diversity System with Uniform Power Relay Selection)

  • 김남수
    • 한국인터넷방송통신학회논문지
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    • 제11권6호
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    • pp.15-21
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    • 2011
  • 애드혹 네트워크에서는 협동 다이버시티를 적용하여 네트워크의 전력소모를 줄이고, 통달거리의 확장 및 시스템의 성능을 향상시키고 있다. 그러나 가장 큰 신호 대 잡음비(SNR, Signal-to-noise ratio)을 갖는 릴레이를 선택하여 송신하는 선택 릴레이 협동 다이버시티 방식은 느린 페이딩 채널에서 특정 릴레이가 계속 송신하므로 네트워크의 생존시간을 줄이게 된다. 그러므로 최근에 네트워크의 생존 시간을 늘이기 위하여 균일전력 릴레이 선택방식이 연구되었다. 본 논문에서는 소스-릴레이 및 릴레이-목적지간의 수신 신호 대 잡음비가 일정수준 이상이 되는 릴레이를 선택하여 송신할 수 있는 하는 이중 기회전송 협동 다이버시티(DOT, Double opportunistic cooperative diversity) 시스템에 균일전력 릴레이 선택방식을 적용하고 시스템의 성능을 유도하였다. 유도한 결과는 선택결합(SC, Selection combining) 방식과 최대비 합성결합(MRC, Maximal ratio combining) 방식과 비교하였다. 균일전력 릴레이 방식을 사용하였을 때 다른 방식에 비해서 시스템의 성능저하가 있었는데, 이는 네트워크의 생존 시간을 늘이기 위해서 릴레이에 균일한 송신기회를 주었기 때문으로 해석되었다.

Energy Harvesting in Multi-relay Multiuser Networks based on Two-step Selection Scheme

  • Guo, Weidong;Tian, Houyuan;Wang, Qing
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제11권9호
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    • pp.4180-4196
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    • 2017
  • In this paper, we analyze average capacity of an amplify-and-forward (AF) cooperative communication system model in multi-relay multiuser networks. In contrast to conventional cooperative networks, relays in the considered network have no embedded energy supply. They need to rely on the energy harvested from the signals broadcasted by the source for their cooperative information transmission. Based on this structure, a two-step selection scheme is proposed considering both channel state information (CSI) and battery status of relays. Assuming each relay has infinite or finite energy storage for accumulating the energy, we use the infinite or finite Markov chain to capture the evolution of relay batteries and certain simplified assumptions to reduce computational complexity of the Markov chain analysis. The approximate closed-form expressions for the average capacity of the proposed scheme are derived. All theoretical results are validated by numerical simulations. The impacts of the system parameters, such as relay or user number, energy harvesting threshold and battery size, on the capacity performance are extensively investigated. Results show that although the performance of our scheme is inferior to the optimal joint selection scheme, it is still a practical scheme because its complexity is much lower than that of the optimal scheme.

조직 내 의사소통 환경과 온라인 커뮤니케이션 매체 선택간의 관계 (Relationship between Business Context and the Selection of Online Communication Media: Niche Theory Approach)

  • 오승희;조남재;박상혁
    • Journal of Information Technology Applications and Management
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    • 제13권3호
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    • pp.129-143
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    • 2006
  • Diversity of available communication media has increased as the use of Internet and mobile technology increased rapidly. The traditional media tend to transform their roles and functionality. This change brings about the expansion of the span of media to be selected by users. In this study, we examined the characteristics of emerging communication media use based on Niche Theory. Online communication media in this study include Internet messenger, mobile phone, and e-mail. We also analyzed the relationship between the nature of task and the selection of communication media, that is, the effects of communication contexts(formal vs. informal, notification vs. request, superior vs. inferior) where by the communication partners are involved. The result of this study, mobile phone had the highest niche competitive superiority in all communication contexts, and internet messenger and e-mail made difference according to communication contexts. Also, we can notify internet messenger and e-mail have a mutual substitutive relationship by analysis of niche overlap.

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CMYK 연계 먼셀 코드를 이용한 색채 조화 유형화에 관한 연구 - 1995년 이후 건축상 수상작들의 실내이미지를 대상으로 - (Analysis of Color Combination through Munsell Code based on CMYK)

  • 이현수;조명은;김미정
    • 한국실내디자인학회논문집
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    • 제27호
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    • pp.136-144
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    • 2001
  • As various colors are used indoors and such colors influence on the image of indoors, color selection and color combination are a very important issue in inferior design. The purpose of this study is to analyse characteristic of color usage in interior design elements such as the floor, the wall, the ceiling and furnitures. The result of analysis shows the frequently used Munsell code corresponding to the cmyk code. Based on this analysis, this paper classifies largely into two kinds of the color combination type which can be used leer efficient color selection with good harmony The first combination type is divided into five types and the second is classified into three types. This paper argues that combination design principle, as a strong design tool, for color should be further developed for good quality of color design.

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