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.
Geo-Rak Park;Kyu Song;Youngjae Choi;Nak-Kyun Cho;Chung-Soo Kim
Transactions of the Korean Society of Pressure Vessels and Piping
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v.17
no.2
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pp.119-125
/
2021
Subsea pipelines are widely used to transport hydrocarbons from ultra-deep seawater to facilities on the coast. A sandwich pipe is a pipe-in-pipe system in which the annulus between the two concentric steel pipes is filled with polymer cores and fillers for insulation and structural reinforcement. Sandwich pipeline is always exposed to complex loading such as bending moment, bulking, internal and external pressures caused by installation, operation and environmental factors. This research provides insights into the structural integrity of sandwich pipeline exposed to complex loading conditions using a linear matching method (LMM). The finite element model of the sandwich pipeline has been generated from previous research, and the model validation is performed by comparing the results of the linear analysis between the two models. The temperature dependent material properties are used to simulate the behavior of real pipeline, and the elastic-perfectly plastic (EPP) model has been taken into account for the material non-linearity. Numerical results provide comprehensive insights into the structural response of the sandwich pipeline under monotonic and cyclic loading and provide notable points about the evaluation of the plastic collapse limit and the elastic shakedown limit of the sandwich pipeline.
Asia-Pacific Journal of Business Venturing and Entrepreneurship
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v.18
no.2
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pp.67-79
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2023
The bounce rate is the rate at which a user leaves immediately after visiting, and this study aimed to find out what attributes of a website affect the bounce rate. Web site evaluation items were defined as a total of 4 items and 27 evaluation attributes, including usability, information, service interaction, and technology, so that they can be commonly applied to venture companies in various industries through prior research. As a result of the study, 6 website attributes that affect the bounce rate were verified to be significant by discriminant analysis and decision tree analysis. Suggestions to reduce the bounce rate of venture business websites through this study are as follows. First, the path name of the website is displayed as mandatory and a pull-down menu function is added to facilitate movement to other pages. Second, it is good to expose core content that can attract users' attention in the form of a banner, and place internal link banners in the right place on sub-pages. Third, external links should be linked to a new window so that they do not leave the current page immediately so that they can be re-entered. Lastly, it is recommended to expose the contact information of the person in charge and consultation function as direct information for communication with customers, but if individual response is difficult, at least the consultation function must be added. These suggestions are expected to be of practical help in various fields such as website development, operation, and marketing. However, in special cases, a high bounce rate may be normal, so it should be considered according to the situation.
Journal of the Korea Society of Computer and Information
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v.23
no.6
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pp.43-49
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2018
In this paper, we propose a taping therapy as effective intervention for patients with the back pain. The purpose of this study is to investigate the effects of taping intervention on the VAS evaluated score and he muscular activation degree among 119 paramedics with musculoskeletal injury. In order to achieve the purpose of the study, data was collected from 15 paramediecs in the paramedics department of 3 fire stations under J city's fire defense headquarters. The following results can be obtained by measuring the subjective, the back muscle strength and the buckling-anteflexion before and after the taping for 15 119 paramedics. Through the verification experiment of taping effect to paramedics during the stretcher lifting in this study the VAS evaluated score for the backache are $1.67{\pm}0.62$ before and $0.80{\pm}0.68$ after the application of taping which show statistically significant decrease(p<0.05). In the experimentof joint operation range the measured buckling anteflexion length are $14.62cm{\pm}4.89$ before and $16.41cm{\pm}4.11cm$ after the application of taping which show statistically meaningful difference(p<0.05). In the comparison of muscle activity about paramedics erector spinae(ES) shows the meaningful decrease and external obliques(EO) displays the significant increase. Erector spinae(ES) and internal obliques(IO) show the increasing trend in the muscle activity although they are not significant. the muscle activity for the erector spinae is lowered so that the contribution to the force required for the extensor during the stretcher lifting is resultingly reduced to have the effects of enhancing the activity of abdominal muscles.
The objective of this study is to apply Information Resource Management(IRM) methodology to corporate library and information units. The focus of the study fixes how to start, develop and establish IRM in corporations. The methodology of IRM is based on the way of integrating information contents and systems by information technology. The body of this study consists of three parts. Part 1 surveys the review of IRM progress, its definitions, its components, IRM policy, and IRM human resource. Part 2 suggests a modeling for IRM methodology, which includes the inventory for pinpointing each information resource entity(IRE), the analysis of information needs, the measuring cost of IRE, and the evaluation of information value. Part 3 investigates internal and external information resources of certain corporations and analyses the users' information needs.
Journal of the Korean Academy of Clinical Electrophysiology
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v.5
no.2
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pp.35-45
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2007
The purpose of this study was to examine spiral way movement of a trunk exerts on the movement ability. The details established to achieve for this article. This examination confirmed the weight, weight/height2 index, ratio of lumbar to pelvic, musculoskeletal quantity, push up for 2 minute, pitch a ball and voluntary isometric contraction with flexion and extension of knee joint of the subjects with spiral direct movement. Healthy eighteen subjects who understand fully the significance of procedure, consented to a plan, without neuromuscular disease were participated in two groups of experiment. The group were a spiral movement(9), rectilinear movement(9). Trunk movement tested 2 sessions of a spiral movement and rectilinear movement with a push up for 2 minute, 5days per a week, for the 4 weeks. This experiment tested 3 times with a sufficient rest for fatigue limitation. An analysis of the results used a paired samples t-test for difference from before and after experiment. The following results were obtained; At an internal change of the body, the musculoskeletal quantity was increased significantly to spiral movement group, but the weight was increased significantly, the musculoskeletal quantity was not significant to rectilinear movement. The movement ability evaluation for a external change was increased significantly in a push up for 2 minute, pitch a ball, isometric contraction with extension of knee joint of a spiral movement group, but a push up for 2 minute was increased significantly in a push up for 2 minute on the abdominal muscle training of a rectilinear movement group. As compared with a rectilinear movement, a spiral movement was more effect by cooperation with nerve and musculoskeletal system and an increase in movement ability was caused by learning acknowledgment, muscular reeducation. These results lead us to the conclusion that a spiral movement of trunk was more effect than a rectilinear movement, the coordination of nerve and musculoskeletal system was of importance of Multi-direction movement. Therefore, A further studies concerning the therapeutic exercise intervention and active-dynamic analysis could enhance the development of the most effect on the trunk.
Journal of the Korean Society of Hazard Mitigation
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v.5
no.2
s.17
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pp.1-8
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2005
Microwave tomographic imaging technology using a bi-focusing operator has been developed in order to detect the internal voids/objects inside concrete structures. The imaging system consists of several cylindrical or planar array antennas for transmitting and receiving signals, and a numerical focusing operator is applied to the external signals both in transmitting and in receiving fields. In this study, the authors developed 3-dimensional (3D) electromagnetic (EM) imaging technology to detect such damage and to identify exact location of steel rebars or dowel. The authors have developed sub-surface two-dimensional (2D) imaging technique using tomographic antenna array in previous works. In this study, extending the earlier analytical and experimental works on 2D image reconstruction, a 3D microwave imaging system using tomographic antenna way was developed, and multi-frequency technique was applied to improve quality of the reconstructed image and to reduce background noises. Numerical simulation demonstrated that a sub-surface image can be successfully reconstructed by using the proposed tomographic imaging technology. For the experimental verification, a prototype antenna array was fabricated and tested on a concrete specimen.
Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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v.13
no.4
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pp.253-262
/
2015
Radionuclide deposited on the surface of several internal and external systems in a nuclear power plant is created by the activation of corrosion products from nuclear reactor structural materials and fission products. Especially, the constant contact between water and the surface corrodes the inside where primary system makes coolants and corrosion products mixed. Also, these are circulated along the systems. For comparing models, CRUDTRAN, DISER, MIGA-RT and CPAIR codes are analyzed to predict the quantity of radionuclide and corrosion product of primary reactor that are used at the stage of designing. The corrosion products behavior of domestic PWR primary system was predicted by using CRUDTRAN. This study aims to increase the reliability of corrosion product evaluation model by comparing the actual values and calculated values with the data of a Westing House-type Nuclear Power Plant.
In today's society with its emphasis on unlimited information access, control of available information about high-technology products is often vital to their success. When a product is released, consumers may initially be attracted through information about its remarkable internal and external features. They may also perceive a degree of congruence between their own personalities and the product image as more information becomes available over time. Consumers' changing impressions of the product may influence personality congruence negatively or positively. These changes and their effects on preference for high-technology products are the focus of this paper. A survey was given to a sample of 206 students at K University to investigate the degree to which consumer behavior can be influenced by personality congruence. The need for clear and definite product knowledge in this process and the effect of product information on preference were also investigated. Three analyses were conducted. The results of Analysis 1 showed the influence of personality congruence on preference for high-technology products. Judgments about personality congruence were based on non-compensatory rather than compensatory information processing. The respondents considered certain aspects of a product's personality rather than the product as a whole when making preference decisions. The results of Analysis 2 indicated that when less information was available about a product, consumers who perceived high personality congruence with the product tended to have higher preference for it compared to those who perceived low personality congruence with the product. On the other hand, when consumers were given more information, no difference was observed in the impact of personality on preference between perceived high and low personality congruence. Lastly, the results of Analysis 3 showed that when consumers with high need for closure (NFC) perceived high congruence between their own personalities and a product, objective information regarding the product was not used in decision-making: instead, judgments about the product were based on perceived personality congruence. On the other hand, high-NFC consumers who perceived low personality congruence between themselves and the product tended to require more information about the product in order to give it a positive evaluation. In contrast, low-NFC consumers who perceived high personality congruence felt comfortable with large amounts of information. For low-NFC consumers who perceived low congruence, the level of information had no influence on preference.
Journal of Dental Rehabilitation and Applied Science
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v.31
no.4
/
pp.310-315
/
2015
Purpose: The purpose of this study was to measure the tightening torque for dental implant in dental laboratory and to analyze of the effects of different tightening torque. Materials and Methods: The tightening torque for dental implant in dental laboratory were measured by digital torque gauge. The length of abutment and analog were measured as tightening torque of manufacturer's instructions and the measured value. And the data were statically analyzed. Results: The mean tightening torque of implant screw in dental laboratory was $1.563{\pm}0.332Ncm$. The external type implant system of total length were showing no significant differences but the internal type implant system had difference significant (P < 0.05) when compared with tightening torque. Conclusion: The implant prosthesis should be made under manufacturer's instructions especially as tightening torque of screw. For the fidelity of implant prosthesis, dental technician should learn how to use the torque gauge.
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