• Journal of Chest Surgery
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• 제50권5호
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• pp.371-377
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• 2017

Background: Lesions in distal target arteries hinder surgical bypass procedures in patients with peripheral arterial occlusive disease. Methods: Between April 2012 and October 2015, 16 patients (18 limbs) with lifestyle-limiting claudication (n=12) or chronic critical limb ischemia (n=6) underwent femoral-above-knee (AK) polytetrafluoroethylene (PTFE) bypass grafts with a bridging stent graft placement between the distal target popliteal artery and the PTFE graft. Ring-supported PTFE grafts were used in all patients with no available vein for graft material. Follow-up evaluations assessed clinical symptoms, the ankle-brachial index, ultrasonographic imaging and/or computed tomography angiography, the primary patency rate, and complications. Results: All procedures were successful. The mean follow-up was 12.6 months (range, 11 to 14 months), and there were no major complications. The median baseline ankle-brachial index of 0.4 (range, 0.2 to 0.55) significantly increased to 0.8 (range, 0.5 to 1.0) at 12 months (p<0.01). The primary patency rate at 12 months was 83.3%. The presenting symptoms resolved within 2 weeks. Conclusion: In AK bypasses with a diffusely diseased distal target popliteal artery or when below-knee (BK) bypass surgery is impossible, this procedure could be clinically effective and safe when used as an alternative to femoral-BK bypass surgery.

• 대한치과보철학회지
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• 제43권3호
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• pp.322-330
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• 2005

Statement of problem. In distal extension removable partial denture, the preservation of health of abutment teeth is very important, but abutment teeth are subjected to unfavorable stress. Purpose. The purpose of this study was to investigate the biomechanical effects of mandibular removable partial dentures with various prosthetic designs using strain gauge analysis. Material and methods. Artificial teeth of both canines were anchored bilaterally in a mandibular edentulous model made of resin. Bilateral distal extension removable partial dentures with splinted and unsplinted abutments were fabricated. Group 1 : Clasp-retained mandibular removable partial denture with unsplinted abuhnents Group 2 : Clasp-retained mandibular removable partial denture with splinted abutments by 6-unit bridge Group 3 : Bar-retained mandibular removable partial denture Strain gauges were bonded on the labial plate of the mandibular resin model, approximately 2 mm close to the abutments. Two vertical experimental loadings (100N and 200N) were applied subsequently via two miniature load cells that were placed at mandibular first molar regions. Strain measurements were performed and simultaneously monitored from a computer connected to data acquisition system. For within-group evaluations, t-test was used to compare the strain values and for between-group comparisons, a one-way analysis of variance (ANOVA) was used and Duncan test was used as post hoc comparisons. Results. Strain values increased as the applied load increased from 100N to 200N for all groups (p<.05). The strain values of group 1 and 2 were tensile under loadings. In contrast, strain values of group 3 were compressive in nature. Under 100N loading, group 1 showed higher strain values than group 3 in absolute quantity (p<.05). Under 200N loading, group 3 showed higher strain values than group 1 and 2 in absolute quantity (p<.05). Group 1 showed higher strain values than group 2 (p<.05). Conclusion. Splinting of two isolated abutments by bridge reduced the peri-abutment strain in comparison with unsplinted abutments. Strain of bar-retained removable partial denture increased much more as applied load increased, but was compressive in nature.

• 대한두경부종양학회지
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• 제23권1호
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• pp.37-40
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• 2007

Objectives：Cutaneous angiosarcoma is an infrequent but aggressive neoplasm involving the skin of the face and scalp. Unfamiliarity with the clinical manifestations of cutaneous angiosarcoma frequently leads to misdiagnosis and delay in treatment. Complete surgical resection requires the performance of preoperative staging biopsies to determine the true extent of the neoplasm. Intraoperative frozen section analysis to determine the adequacy of the surgical resection is unreliable due to the high false negative rate. Material and Methods：In five scalp angiosarcoma cases, mapping biopsies were performed at far from the suspected edge of the neoplasm. On permanent pathology, we obtained tumor free margin with occasional focal involvement of the tumor. Results：Frozen-section analysis of the resected margins is inconclusive, for the subtle diagnostic features of angiosarcoma are distorted by the tissue processing required for frozen-section analysis. The characteristic dermal vessels lined by their malignant cells are collapsed by the freezing process. This results in a high rate of false-negative reports and possibly leads to incomplete resection of the neoplasm. Conclusion：Our recommendation is to establish the margins of the tumor by performing preoperative evaluations by mapping biopsies.

• Journal of Periodontal and Implant Science
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• 제37권3호
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• pp.543-551
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• 2007

When clinicians faced with an insufficient volume of supporting bone on ideally esthetic and bio-mechanical position for dental implantation, guided bone regeneration(GBR) was indicated. Although GBR has wide application at clinic, proper time of membrane removal remains qustionable in using non-resorbable membrane, such as non-expanded polytetrafluoroethylene(PTFE), The aim of this study was to compare the effect of maintenance period of PTFE membrane on bone regeneration in rabbit calvarial defects. Eight adult New Zealand white female rabbits were used in this study. Four defects were surgically made in their calvaria. Using a trephine bur, 4 'through and through' defects were created and classified into 3 groups, which were consisted of control group(no graft), experimental group 1(autogenous bone)and experimental group 2(deproteinized bovine bone; $OCS-B^{(R)}$). The defects were covered with PTFE membrane($Cytoplast^{(R)}$). Membranes were removed after 1, 2, 4 and 8 weeks post-GBR procedure in 2 rabbits repectively, All rabbits were sacrificed after 8 week post-GBR procedure. Specimens were harvested and observed histologically. The results were as follow; 1) The use of graft material and membrane was necessary in GBR procedure. 2) When PTFE membranes were removed early, the most favorable bone regeneration was revealed in experimental group T, followed by experimental group II and control group. 3) On GBR, it is recommended that membrane should maintain for 4 weeks with autogenous graft. As well, the use of xenograft need longer maintenance period than autogenous bone. Further evaluations will be needed, such as histomorphologic research, more species and different kinds of graft materials. And on the basis of these studies, clinical researches would be required.

• 한국화재소방학회논문지
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• 제29권4호
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• pp.1-6
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• 2015

강구조용 내화뿜칠재는 내화구조로 인정을 받아야 사용할 수 있는데 내화뿜칠재 인정시 보와 기둥이 분리되어 평가 및 인정되고 있다. 보와 기둥의 내화시험 표준시험체는 단면형상계수 등이 상이하므로 내화피복 두께산정방법(KS F 2848)에 따르면 동일피복재를 사용하는 경우 동일성능의 보용 뿜칠재와 기둥용 뿜칠재는 피복두께가 상이할 것으로 예상할 수 있다. 그러나 현재 인정이 유효한 내화뿜칠재의 보 기둥 피복두께는 제품별로 서로 동일하거나 매우 유사하다. 그렇다면 동 뿜칠재의 내화구조 인정을 위한 성능시험시 보와 기둥의 강재평균온도에 차이가 있었을 것이라고 추정해 볼 수 있다. 본 연구를 통하여 보용 또는 기둥용 내화뿜칠재의 강재평균온도를 비교분석하여, 보용 기둥용으로 분리하여 평가 및 인정하고 있는 현 제도를 검토해 보고자 한다.

• Archives of Plastic Surgery
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• 제42권2호
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• pp.186-193
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• 2015

Background Polyurethane coating of breast implants has been shown to reduce capsular contracture in short-term follow-up studies. This 30-year study is the longest examination of the use of polyurethane-coated implants and their correlation with capsular contracture. Methods This study evaluates the senior surgeon's (F.D.P.) experience with the use of polyurethane-coated implants in aesthetic breast augmentation in 382 patients over 30 years. Follow-up evaluations were conducted for six months after surgery. After the six-month follow-up period, 76 patients returned for reoperation. The gross findings, histology, and associated capsular contracture were noted at the time of explantation. Results No patient during the six-month follow-up period demonstrated capsular contracture. For those who underwent reoperation for capsular contracture, Baker II/III contractures were noted nine to 10 years after surgery and Baker IV contractures were noted 12 to 21 years after surgery. None of the explanted implants had macroscopic evidence of polyurethane, which was only found during the first five years after surgery. The microscopic presence of polyurethane was noted in all capsules up to 30 years after the original operation. Conclusions An inverse correlation was found between the amount of polyurethane coating on the implant and the occurrence of capsular contracture. Increasingly severe capsular contracture was associated with a decreased amount of polyurethane coating on the surface of the implants. No contracture occurred in patients whose implants showed incomplete biodegradation of polyurethane, as indicated by the visible presence of polyurethane coating. We recommend research to find a non-toxic, non-biodegradable synthetic material as an alternative to polyurethane.

• 한국해안·해양공학회논문집
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• 제23권1호
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• pp.1-10
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• 2011

항만 리모델링을 위한 콘크리트 시설물에 대한 평가가 필요하며, 특히 리모델링이 결정된 경우에는 소파 블럭이나 케이슨 블록 등에 대한 재활용 여부를 평가하여 재활용이 가능할 경우에는 유용하는 것이 경제적인 리모델링에 도움이 될 수 있다. 이 연구에서는 콘크리트 항만시설물에 대한 건전성 평가 및 재활용성 평가를 위하여 기존의 초음파 속도법을 비롯하여 슈미트 해머를 이용한 반발경도법, 충격반향법, 표면파 속도법 등의 비파괴시험을 실시하였다. 국내 5개 항만에 대하여 비파괴시험 및 시편을 채취하였으며, 채취한 시편에 대한 압축강도 시험을 수행하여 비파괴시험 결과와 비교하였다. 비파괴시험결과와 압축강도 시험을 통하여 콘크리트 재료의 탄성계수와 압축강도 등을 평가하였다.

• 한국해양공학회지
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• 제28권1호
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• pp.20-27
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• 2014

In view of the importance of material reduction and rational structural design due to the rapid increase in oil and steel prices, an optimized structural hybrid design system for the doubler plate of a ship's hull structure was developed. A direct design process by a structural designer was added to this developed optimized system to increase the design efficiency and provide a way of directly inserting a designer's decisions into the design system process. As the first step of the doubler design system development, the design formulas used in doubler design system were introduced. Based on the introduction of influence coefficients $K_{t_c}$ $K_{t_d}$, $K_{b_d}$ and $K_{a_d}$ according to the variations in the doubler length, breadth, doubler thickness, and average corrosion thickness of the main plate, the design formulas for an equivalent plate thickness were developed, and a hybrid design system using these formulas was suggested for the slender doubler plate of a ship structure subjected to a longitudinal in-plane compression load. By using this developed design system, a more rational doubler plate design can be expected considering the efficient reinforcement of the plate members of ship structures. Additionally, a more detailed structural analysis through local strength evaluations will be performed to verify the efficiency of the optimum structural design for the doubler plate.

• Journal of Ecology and Environment
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• 제36권1호
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• pp.73-83
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• 2013

The object of this study was to evaluate lotic ecosystem health using multiple eco-metric approaches such as water chemistry diagnosis, physical habitat health evaluations, and biological integrity modeling at 100 streams of four major watersheds. For the study, eight chemical water quality parameters such as nutrients (N, P) and organic material were measured and 11-metric models of Qualitative Habitat Evaluation Index (QHEI) and multiple eco-metric health assessment model (MEHA) were applied to the four major watershed. Nutrient analysis of nitrogen (N) and phosphorus (P) in all watersheds indicated a eutrophic state depending on the locations of sampling streams. Physical habitat health, based on the QHEI model, averaged 114 (range: 56 - 194), judging as a "good condition" by the criteria of Plafkin et al. (1989). In addition, primary (H1 - H4), secondary (H5 - H7), and tertiary habitat metric variables (H8 - H11) were analyzed in relation to the physical habitat degradations. The plots of tolerant species ($P_{TS}$) and sensitive species ($P_{SS}$) to water quality showed that the proportions of $P_{TS}$ had positive linear functions with nutrients, and that the $P_{SS}$ had inverse linear relations with the chemical variables. The model of eco-metric health assessment showed that mean MEHA was 20.4, indicating a fair condition. Overall, our data suggest that water chemistry, based on nutrients and organic matter, directly modified the trophic structures in relation to food chain in the aquatic ecosystems, and then these directly influenced the compositions of tolerance/sensitive species, resulting in degradations of overall ecological health.

• 한국생활과학회지
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• 제17권3호
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• pp.413-423
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• 2008

The purpose of this study was to consider the evaluations of curriculum and young children by kindergarten teachers. The investigation subjects for questionnaire were 637 (the directors, vice-directors, the head teachers, and teachers) who were selected by proportional stratified sampling method for population and the subjects for interview were 11 teachers out of previous subjects who have worked at Jeolla-Do. The questionnaire was based on preceding studies and the propriety of contents was validated. The followings are results of this study. First, according to the purpose of curriculum, more than half of kindergarten teachers answered that they do perform evaluation to validate the young children's developmental process and there were statistically no significant differences by variables of kindergarten teachers. This study was to see whether they perform the evaluation results of curriculum or not, they relatively perform and there were statistically differences by kindergarten teacher's working location, establishment type, level of education and age. This study was to see whether they reflect the evaluation results of curriculum, and it was revealed as they relatively reflect. Also, there were statistically significant differences by kindergarten teacher's working location. And, kindergarten teachers requested the appropriate evaluation curriculum that also requires the adequate education for teachers and organized supporting system as a implication plan. Second, as of material types for children's portfolio evaluation, teachers collect activity products at most, then activity picture, observation, standardized test, teacher's journal, recording or tape-recording, post-interview and data that were collected at home. And, kindergarten teachers requested the appropriate evaluation method and the supply of human resources as a implication plan for young children's evaluation.