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ANTEROLATERAL THIGH FLAP FOR HEAD AND NECK RECONSTRUCTION : ANATOMIC STUDY (두경부재건을 위한 전외측 대퇴유리피판: 해부학적 연구)

  • Park, Joo-Yong;Park, Hyun-Do;Youn, Kwan-Hyun;Kwak, Hyun-Ho;Hu, Kyung-Seok;Kang, Hyun-Joo;Kim, Hee-Jin;Choi, Sung-Weon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.4
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    • pp.360-364
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    • 2005
  • The anterolateral thigh flap was originally described in 1984 as a septocutaneous flap based on the descending branch of the lateral circumflex artery. This flap has some significant advantages for reconstruction of the head and neck. It can be raised as a subcutaneous flap, a fasciocutaneous flap, or a myocutaneous flap and can resurface large defects in the head and neck. In addition, it has a large and long vascular pedicle, and because of the distance of the donor site from the head and neck, it can easily be harvested with a 2-team approach. However, the number and locations of cutaneous perforators vary individually, and thus, it is not widely used because flap elevation is often complicated and time-consuming owing to unexpected anatomical variations. The purposes of this study are to classify the vascular anatomy and to assess the suitability of anterolateral thigh flap for head and neck reconstruction in Korean. We performed an anatomic study on cadavers and analyzed the anatomic pattern of the lateral circumflex femoral arterial system and the perforators nourishing the anterolateral thigh flap. This study suggest the characteristics of vascular anatomic patterns of anterolateral thigh flap of Korean and utility of this flap for head and neck reconstruction.

Product-oriented Omni Channel technology using multi-modal information (멀티모달 정보를 이용한 제품정보 중심의 옴니 채널 기술)

  • OH, Weon-Geun;Lee, Seung-Jae;Lee, Keun-Dong;Jung, Da-Un;Son, Hyung-Kwan;Ko, Jong-Kook
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2017.06a
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    • pp.14-17
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    • 2017
  • 인터넷의 발달과 스마트 디바이스의 등장은 기존의 쇼핑구조 및 쇼핑방식에 큰 변화를 가지고 왔으며, 소비자의 일상생활에도 주목할 만한 질적 성장과 발전을 이루게 하였다. 특히, 쇼핑구조는 소매점에서 대형 쇼핑몰로 오프라인 구매에서 인터넷과 스마트 디바이스를 통한 온라인 구매로 변화하고 있고, 쇼핑방식도 오프라인 매장에서 인터넷, 모바일 등 복수 채널을 종합해 고객경험 관리를 최대화하기 위한 옴니 채널의 형태로 급격하게 변하고 있다. 그러나 기존의 옴니 채널은, 고객의 상품 구매 경험을 극대화 시키는 데 중점을 두었기 때문에, 고객 입장에서 보면 채널별 제품정보(가격, 환불정책, 배송정보, 공급점포의 위치 등)의 부족 및 일관성이 결여되어 있어 최종 구매결정까지는 시간이 걸리고, 구매한 제품에 대한 만족도가 낮아서 반품 비율이 상당히 높은 것이 현실이다. 마찬가지로, 유통업체 입장에서 보면 제품의 유효기간, 재고 관리 등 유통과정에 있어서의 제품정보의 일관성이 결여되어 있어, 완전하고 정확한 최신 제품정보의 제공을 통한 소비자의 구매 유도에 큰 어려움을 겪고 있다. 본 논문은 멀티미디어(영상 및 음성) 식별기술을 이용하여, 기존(고객중심)의 옴니 채널이 가지고 있는 문제점을 해결하여, 소비자 및 유통업체에게 구매 및 관리에 충분하고 일관성이 있는 "제품정보 중심의 옴니 채널" 유통모델 및 구현에 관한 방법을 설명한다.

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Development of new on-line statistical program for the Korean Society for Radiation Oncology

  • Song, Si Yeol;Ahn, Seung Do;Chung, Weon Kuu;Shin, Kyung Hwan;Choi, Eun Kyung;Cho, Kwan Ho
    • Radiation Oncology Journal
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    • v.33 no.2
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    • pp.142-148
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    • 2015
  • Purpose: To develop new on-line statistical program for the Korean Society for Radiation Oncology (KOSRO) to collect and extract medical data in radiation oncology more efficiently. Materials and Methods: The statistical program is a web-based program. The directory was placed in a sub-folder of the homepage of KOSRO and its web address is http://www.kosro.or.kr/asda. The operating systems server is Linux and the webserver is the Apache HTTP server. For database (DB) server, MySQL is adopted and dedicated scripting language is the PHP. Each ID and password are controlled independently and all screen pages for data input or analysis are made to be friendly to users. Scroll-down menu is actively used for the convenience of user and the consistence of data analysis. Results: Year of data is one of top categories and main topics include human resource, equipment, clinical statistics, specialized treatment and research achievement. Each topic or category has several subcategorized topics. Real-time on-line report of analysis is produced immediately after entering each data and the administrator is able to monitor status of data input of each hospital. Backup of data as spread sheets can be accessed by the administrator and be used for academic works by any members of the KOSRO. Conclusion: The new on-line statistical program was developed to collect data from nationwide departments of radiation oncology. Intuitive screen and consistent input structure are expected to promote entering data of member hospitals and annual statistics should be a cornerstone of advance in radiation oncology.

Vastus Lateralis Muscle or Myocutaneous Flap for Trochanteric Skin Defect (외측광근을 이용한 대전자부 피부결손의 치료)

  • Jung, Sung-Weon;Kim, Chong-Kwan
    • Archives of Reconstructive Microsurgery
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    • v.15 no.2
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    • pp.65-69
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    • 2006
  • Purpose: We performed vastus lateralis (VL) muslce or myocutaneous flap for close of the trochanteric skin defect usually happened in paraplegia and report our 6 cases. Materials and Methods: Between March 2004 and August 2005 we performed 4 cases of VL muscule flap with skin graft and 2 cases of VL myocutaneous flap for close of the trochanteric skin defect in 6 paraplegia patients. There were 5 men and 1 woman and mean age was 52.2 years and mean diameters of skin defect was $8.3{\times}8.3\;cm$. The mean follow up period was 18 months. The survival of flap, complications, healing time and patient's satisfaction were evaluated. Results: All flaps were survived except 1 case of margin necrosis. In 2 cases, blood-serous discharges were continued after operation which might be due to dead space and treated with $2{\sim}3$ times debridement and delayed close. Mean time to heal the skin defect was 7.6 weeks. No infection and recurrence in follow up periods. Cosmetic results judged by patients are that 3 cases are good and 3 cases are fair. Conclusion: VL muscle and myocutaneous flap is good treatment method among the numerous methods in treatment-failed cases of trochanteric skin defects of paraplegia patients. This surgical procedure is simple, constant blood supply, good pliability, cosmetic results and also appliable to other skin defect of pelvis girdle like sacrum and ischium.

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Improvement of Cooling Water Quality by Coagulation and Sedimentation in Steel Mill (응집침전에 의한 제철공장 냉각수질향상)

  • Jo, Kwan-Hyung;Woo, Dal-Sik;Hwang, Byung-Gi;Lee, Seon-Ju;Park, Duck-Weon
    • Journal of Environmental Health Sciences
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    • v.35 no.5
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    • pp.411-416
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    • 2009
  • This study was initiated to improve the cooling water quality by chemical coagulation and sedimentation in steel mills. Due to the inefficient flocculation in the settling tanks of blast furnace cooling water systems, the solid particles in the cooling water overflow accumulate and clog the cooling system. To protect the cooling water system from such fouling, proper flocculants must be continuously used. Laboratory tests were performed for the indirect cooling water system of a plate mill. The batch test in the gas scrubbing cooling water system of a blast furnace showed that the proposed coagulant was more effective for the improvement of coagulation and sedimentation than the existing one. During the tests, cationic flocculants were more effective than use of only an anionic flocculant. The suggested combination of anionic and cationic flocculants can probably improve the turbidity removal efficiency of the cooling water. Proper control of the overflow rate by the designed residence time would help turbidity removal efficiency in the settling tank. In addition, the settling can be enhanced by adopting rapid and slow mixing alternatively. Scale problems in blast furnace cooling water system were reduced to some extent by efficient settling.

Quality Evaluation of Modified Bo-Yang-Hwan-O-Tang by Capillary Electrophoresis and High-performance Liquid Chromatography

  • Chen, Jianbo;Wu, Enqi;Zhu, Hongmei;Lee, Kwan-Jun;Chu, Van Men;Cho, Cheong-Weon;Kim, Young-Ho;Park, Yong-Ki;Lee, Won-Jae;Kang, Jong-Seong
    • Bulletin of the Korean Chemical Society
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    • v.32 no.8
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    • pp.2666-2670
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    • 2011
  • High-performance liquid chromatography (HPLC) and capillary electrophoresis (CE) were used to identify five active components in the modified herbal decoction Bo-Yang-Hwan-O-Tang (mBHT), i.e., amygdalin, decursin, paeoniflorin, salvianolic acid B, and calycosin-7-O-${\beta}$-D-glycoside. These components were identified by comparing their retention times and mass spectra with those of reference compounds. The conditions of both analytical methods were optimized and validated. Sufficient separation of target analytes was achieved using a buffer consisting of 40 mM sodium borate and 60 mM sodium dodecylsulfate (SDS) containing 10% methanol (pH 9.5) at 250 nm for CE analysis and gradient elution with a water-methanol mobile phase and ultraviolet (UV) photodiode array detector (DAD) at 250 nm for HPLC analysis. The mBHT components were determined within 65 min by HPLC and 16 min by CE. All calibration curves showed high linearity (R > 0.999) within the ranges tested. Intra-day and inter-day precision were less than 1.6% and 1.8% for HPLC and 2.5% and 4.8% for CE, respectively. The accuracy of the methods ranged from 98.8% to 102.3% for HPLC and from 95.9% to 108.2% for CE.

Implementation of the Integration Laboratory for 8051 Microcontroller (8051 마이크로콘트롤러 통합실험실의 구현)

  • Lee, You-Sang;Yang, Weon-Seok;Jeon, Jae-Wook;Moon, Il-Hyeon;choi, Kwan-Sun;Kim, Dong-Sik;Jeon, Chang-Won;Lee, Sun-Heum
    • The Journal of Korean Association of Computer Education
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    • v.10 no.4
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    • pp.113-124
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    • 2007
  • The virtual laboratory is implemented by Java applets and FLASH animations, which provides the learners with improved experimental methods. If the learners have access to the virtual laboratory system through signing up procedure, they can acquire the fundamental concepts and make a virtual experiment on 8051 microcontroller. In addition, we have implemented the remote laboratory for practicing 8051 microcontroller, which can be used to compensate the absence of reality, occurred during virtual laboratory session. Finally, the proposed integration laboratory provides the learners with almost all the same and advantages as a real laboratory environment.

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Full Scale Structural Testing of Small Wind Turbine Composite Blade (풍력발전용 소형복합재 블레이드의 실규모 구조시험)

  • Kim, Hong-Kwan;Kim, Tae-Seong;Lee, Jang-Ho;Moon, Byung-Young;Kang, Ki-Weon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.11
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    • pp.1407-1413
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    • 2011
  • In this paper, the structural design for composite blade was performed and full scale structural test was conducted to verify the structural design and integrity of composite blade. Firstly, FE analysis was performed using commercial software ABAQUS under conditions of rated wind speed and Case H in IEC 61400-2. Lay-up sequence and ply thickness were designed based on FE results. And to verify the structural design, full scale structural test was conducted according to IEC 61400-2 under identical loading conditions of FE analysis. Finally, the force-deflection and local strain behavior of composite blade were evaluated.

Glomus Tumors: Symptom Variations and Magnetic Resonance Imaging for Diagnosis

  • Ham, Ki Weon;Yun, In Sik;Tark, Kwan Chul
    • Archives of Plastic Surgery
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    • v.40 no.4
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    • pp.392-396
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    • 2013
  • Background The typical clinical symptoms of glomus tumors are pain, tenderness, and sensitivity to temperature change, and the presence of these clinical findings is helpful in diagnosis. However, the tumors often pose diagnostic difficulty because of variations in presentation and the nonspecific symptoms of glomus tumors. To the best of our knowledge, few studies have reported on the usefulness of magnetic resonance imaging (MRI) in diagnosing glomus tumors in patients with unspecific symptoms. Methods The inclusion criteria of this study were: having undergone surgery for subungual glomus tumor of the hand, histopathologic confirmation of glomus tumor, and having undergone preoperative MRI. Twenty-one patients were enrolled. The characteristics of the tumors and the presenting symptoms including pain, tenderness, and sensitivity to temperature change were retrospectively reviewed. Results Five out of 21 patients (23%) did not show the typical glomus tumor symptom triad because they did not complain of pain provoked by coldness. Nevertheless, preoperative MRI showed well-defined small soft-tissue lesions on T1- and T2-weighted images, which are typical findings of glomus tumors. The tumors were completely resected and confirmed as glomus tumor histopathologically. Conclusions Early occult lesions of glomus tumor in the hand may not be revealed by physical examination because of their barely detectable symptoms. Moreover, subungual lesions may be particularly difficult to evaluate on physical examination. Our cases showed that MRI offers excellent diagnostic information in clinically undiagnosed or misdiagnosed patients. Preoperative MRI can accurately define the character and extent of glomus tumor, even though it is impalpable and invisible.

Clinical outcome of high-dose-rate interstitial brachytherapy in patients with oral cavity cancer

  • Lee, Sung Uk;Cho, Kwan Ho;Moon, Sung Ho;Choi, Sung Weon;Park, Joo Yong;Yun, Tak;Lee, Sang Hyun;Lim, Young Kyung;Jeong, Chi Young
    • Radiation Oncology Journal
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    • v.32 no.4
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    • pp.238-246
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    • 2014
  • Purpose: To evaluate the clinical outcome of high-dose-rate (HDR) interstitial brachytherapy (IBT) in patients with oral cavity cancer. Materials and Methods: Sixteen patients with oral cavity cancer treated with HDR remote-control afterloading brachytherapy using $^{192}Ir$ between 2001 and 2013 were analyzed retrospectively. Brachytherapy was administered in 11 patients as the primary treatment and in five patients as salvage treatment for recurrence after the initial surgery. In 12 patients, external beam radiotherapy (50-55 Gy/25 fractions) was combined with IBT of 21 Gy/7 fractions. In addition, IBT was administered as the sole treatment in three patients with a total dose of 50 Gy/10 fractions and as postoperative adjuvant treatment in one patient with a total of 35 Gy/7 fractions. Results: The 5-year overall survival of the entire group was 70%. The actuarial local control rate after 3 years was 84%. All five recurrent cases after initial surgery were successfully salvaged using IBT ${\pm}$ external beam radiotherapy. Two patients developed local recurrence at 3 and 5 months, respectively, after IBT. The acute complications were acceptable (${\leq}grade$ 2). Three patients developed major late complications, such as radio-osteonecrosis, in which one patient was treated by conservative therapy and two required surgical intervention. Conclusion: HDR IBT for oral cavity cancer was effective and acceptable in diverse clinical settings, such as in the cases of primary or salvage treatment.