• Title/Summary/Keyword: Modification period

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Reconstructive Considerations in Webster's Modification of Bernard Operation after Wide Excision of Squamous Cell Carcinoma on Lower Lip (하구순 편평세포암의 광범위 절제 후 Bernard씨 술식의 Webster씨 변법을 이용한 재건)

  • Nam, Su Bong;Bae, Yong Chan;Choi, Chi Won
    • Archives of Plastic Surgery
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    • v.32 no.2
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    • pp.168-174
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    • 2005
  • Reconstruction of the lower lip requires consideration of several factors. There should be retained sensation, maintenance of oral sphincter function, and a large enough opening for the mouth. In addition, it is important to achieve an aesthetically acceptable appearance. Webster's modification of Bernard operation is one of good methods which satisfy above mentioned goals. The purpose of this article is to present the results and review the perioperative problems after reconstruction of the lower lip by this operation. We reviewed seven patients after surgical reconstruction by the same method between January of 1996 and December of 2003. Five patients were male and two were female. The mean follow-up period was 15 months. We obtained functionally and cosmetically acceptable appearance after reconstruction. Most of the reconstructed lower lips were large enough for full mouth opening, but one patient required additional commissuroplasty, and one other patient was treated with wound revision for dehiscence resulting from protrusion of mandibular lateral incisor tooth. All other patients accepted their facial appearance. In conclusion, careful planning and consideration for dental problems and proper closure tension may ensure satisfactory outcome & lower lip competence, when using this modified operative method for lower lip reconstruction.

Effect of coadministration of enriched Korean Red Ginseng (Panax ginseng) and American ginseng (Panax quinquefolius L) on cardiometabolic outcomes in type-2 diabetes: A randomized controlled trial

  • Jovanovski, Elena;Smircic-Duvnjak, Lea;Komishon, Allison;Au-Yeung, Fei (Rodney);Sievenpiper, John L.;Zurbau, Andreea;Jenkins, Alexandra L.;Sung, Mi-Kyung;Josse, Robert;Li, Dandan;Vuksan, Vladimir
    • Journal of Ginseng Research
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    • v.45 no.5
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    • pp.546-554
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    • 2021
  • Background: Diabetes mellitus and hypertension often occur together, amplifying cardiovascular disease (CVD) risk and emphasizing the need for a multitargeted treatment approach. American ginseng (AG) and Korean Red Ginseng (KRG) species could improve glycemic control via complementary mechanisms. Additionally, a KRG-inherent component, ginsenoside Rg3, may moderate blood pressure (BP). Our objective was to investigate the therapeutic potential of coadministration of Rg3-enriched Korean Red Ginseng (Rg3-KRG) and AG, added to standard of care therapy, in the management of hypertension and cardiometabolic risk factors in type-2 diabetes. Methods: Within a randomized controlled, parallel design of 80 participants with type-2 diabetes (HbA1c: 6.5-8%) and hypertension (systolic BP: 140-160 mmHg or treated), supplementation with either 2.25 g/day of combined Rg3-KRG + AG or wheat-bran control was assessed over a 12-wk intervention period. The primary endpoint was ambulatory 24-h systolic BP. Additional endpoints included further hemodynamic assessment, glycemic control, plasma lipids and safety monitoring. Results: Combined ginseng intervention generated a mean ± SE decrease in primary endpoint of 24-h systolic BP (-3.98 ± 2.0 mmHg, p = 0.04). Additionally, there was a greater reduction in HbA1c (-0.35 ± 0.1% [-3.8 ± 1.1 mmol/mol], p = 0.02), and change in blood lipids: total cholesterol (-0.50 ± 0.2 mmol/l, p = 0.01), non-HDL-C (-0.54 ± 0.2 mmol/l, p = 0.01), triglycerides (-0.40 ± 0.2 mmol/l, p = 0.02) and LDL-C (-0.35 ± 0.2 mmol/l, p = 0.06) at 12 wks, relative to control. No adverse safety outcomes were observed. Conclusion: Coadministration of Rg3-KRG + AG is an effective addon for improving BP along with attaining favorable cardiometabolic outcomes in individuals with type 2 diabetes. Ginseng derivatives may offer clinical utility when included in the polypharmacy and lifestyle treatment of diabetes. Clinical trial registration: Clinicaltrials.gov identifier, NCT01578837;

비 격리교량의 연성도를 목표로 하는 지진격리교량의 응답수정계수

  • 고현무
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 2000.10a
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    • pp.432-439
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    • 2000
  • According as ground acceleration becomes to exceed gravity acceleration recently, design is impossible or economical efficiency is poor in existing seismic design method. So increase of seismic isolated bridges is currently in progress. However, because base isolation design method is developed in high seismic regions. it may not be compatible in Korea. Therefore, this research has objective to evaluate ductility of pier and response modification factor according to the ductility of pier in seismic isolated bridges and to adapt to seismic characteristics in Korea. For this purpose, nonlinear analysis is accomplished with so many time histories derived from spectral density function compatible with response spectrum described in the design code and base isolation system modeled linear system, bi-linear system, and friction system. Through application of the proposed method, we had result that it may be compatible that response modification factor for the seismic isolated bridges is smaller than half of that for the conventional bridges when natural period of structures exceeds proper level.

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Observation of carbon sedimentation effect and soot concentration in diesel engine after intake valve modification

  • Mahmud, Md. Iqbal;Cho, Haeng Muk
    • Journal of Energy Engineering
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    • v.21 no.4
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    • pp.378-384
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    • 2012
  • Higher compression ratio is required in diesel engine to ignite the fuel that leads to better efficiency. For complete combustion inside the cylinder it is important to ensure the clean air flow with free of debris and as cool as possible. In this manner, modification of intake valve arrangements is taken in to consideration importantly. In this paper, the intake valve arrangements are modified with newly designed valve mixer. It causes swirl flow of air through the intake port that mixing with the fuel followed by complete combustion. The use of valve mixer reduces the carbon sediment formation on valve fillet and its face area as the carbon particles gradually take place on it after certain running period. It therefore, helps to increase the valve lifetime. And at the same time it reduces the exhaust elements i.e. soot from the automobiles to a significant level.

A Modified Technique for the Correction of Funnel Chest (함몰흉 교정의 변형수기)

  • 이상호
    • Journal of Chest Surgery
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    • v.33 no.10
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    • pp.806-811
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    • 2000
  • Background : The authors have modified the method of Ravitch technique. Material and Method ; This technique was applied to 6 patients out of 18 patients who underwent corrective surgery from May 1987 to July 1999. The technique is quite different from that of Ravitch. We did not divide the intercostal muscle bundles from the laterals of sternum and the Akin's struts were placed retrosternally crossing the chest horizontally to prevent flail motion during immediate post-operative period and retraction of the sternum afterwards. Anterior sternal osteotomy instead of the posterior one was performed for the latest 3 cases which made operative procedure more simple and easy. The struts were removed one year later. Result : Compared to the hospital stay of the patients who received standard Ravitch method that of the six cases who received our modification was definitely shortened from 13.1 days to 8.3 days(p<0.0000). Flail motion was not noted in any patient and chest wall stability was obtained more easily with this technique. Conclusion : Our modification is recommendable for correction of funnel chest in regards to shorter operation time better chest wall stability shorter hospital stay and less complication.

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Recovery of spectral absolute acceleration and spectral relative velocity from their pseudo-spectral counterparts

  • Papagiannopoulos, George A.;Hatzigeorgiou, George D.;Beskos, Dimitri E.
    • Earthquakes and Structures
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    • v.4 no.5
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    • pp.489-508
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    • 2013
  • Design spectra for damping ratios higher than 5% have several important applications in the design of earthquake-resistant structures. These highly damped spectra are usually derived from a 5%-damped reference pseudo-acceleration spectrum by using a damping modification factor. In cases of high damping, the absolute acceleration and the relative velocity spectra instead of the pseudo-acceleration and the pseudo-velocity spectra should be used. This paper elaborates on the recovery of spectral absolute acceleration and spectral relative velocity from their pseudo-spectral counterparts. This is accomplished with the aid of correction factors obtained through extensive parametric studies, which come out to be functions of period and damping ratio.

Fragile Watermarking to detect change of small range on image (화상의 작은 영역 변화를 검출 가능한 연성 워터마킹)

  • Lee, Hye-Joo;Oh, Yun-Hee;Park, Ji-Hwan;Kim, Kwangjo
    • Proceedings of the Korea Multimedia Society Conference
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    • 2000.11a
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    • pp.493-497
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    • 2000
  • Fragile watermarking is a technique far autoentication/integrity of digital data. Unlike robust watermarking, il has to design to be vulnerable against some slight processing to verify the modification of digital data. Feature of fragile watermarking is to identify the modifications of data and to locate some places modification occurred at the same time, so it has to identify slight changes of small range if possible. In this paper, fragile watermarking is proposed that the changes of small range on image can be identified using the watermark sequence with period and the values of low bit planes in an image.

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Synthesis of Silica Aerogel at Ambient Pressure and Characterization (II) (실리카 에어로겔의 상압합성 및 특성연구(II))

  • 권영근;최세영;강신규
    • Journal of the Korean Ceramic Society
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    • v.36 no.11
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    • pp.1189-1197
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    • 1999
  • Low-density silica gel monolith was synthesized at ambient pressure by surface modification with TMCS and sub-sequent heat treatment. The mechanical thermal and optical properties of gel were studied. Compressive strength and modulus of compression of 350$^{\circ}C$-heated gel with the density of 0.24g/cm3 were 250kPa and 0.2MPa respectively. The thermal conductivity of silica gels synthesized at ambient pressure exhibited 0.02 W/m$.$K for the density of 0.24g/cm3 which is similar to that of the gel via supercritical drying and their main thermal transfer mechanism is considered to be solid and radiation conduction at room temperature. Ambient-dried silica gels were transparent blue showing about 60% of transmittance in the wavelength of 1500-2100nm and typical absorption bands of existing bonds under heat treatment at 350$^{\circ}C$. Medium scale monolity(${\Phi}$=50mm) at ambient pressure could be successfully prepared through total 5-month process period.

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Production Method of FRP Boat Using Developable Surface without a Mould (외판 전개를 응용한 무형틀 FRP선박 건조방법)

  • Yang, Ji-Man;Ha, Yun-Sok;Kim, Hyo-Chul
    • Journal of the Society of Naval Architects of Korea
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    • v.42 no.5 s.143
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    • pp.506-515
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    • 2005
  • Novel ships are commonly required iterative hull form modifications until she get reputation for new marine environment. Small FRP boats are manufactured in a identical shape with a mould. It implies that every modification step requires great time and expense which makes it difficult to improve the hull form promptly. Domestic hull form of small fishing boat of force has been evolved from the traditional hull form of developable shape. Utilizing this typical developable characteristics of small boats, ,New mouldless production method for FRP boat has been suggested and it is confirmed that the method is recommendable for a petty order of hull in evolving period of hull form development.

A proposal and analysis of finance evaluation indicators for actuarial review of the national pension (국민연금 재정평가지표의 제안 및 분석)

  • Lee, Hangsuck;Shin, Seunghee
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.1
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    • pp.75-89
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    • 2016
  • This study suggests both modification reserve ratio and cover rate for expenditure as new finance evaluation indicators. Firstly, modification reserve ratio is an evaluation indicator which shows how long can the accumulated reserves at the beginning of the year afford future benefit expenditure. Modification reserve ratio has an advantage both to present what the scale of annual accumulated reserves means and to know the exhaustion speed of accumulated fund through analyzing the trend of modification fund ratio. Secondly, this research classifies resources for expenditures as premium income and reserves, thereafter, presents cover rate for expenditure as finance evaluation indicator. We can know how premium income and reserves can cover future expenditure during the evaluation period, and how deficient are resources through these indices. The researcher anticipates this research to contribute to policy researches for financial stabilization of the national pension scheme.