• Title/Summary/Keyword: PIVOT

검색결과 367건 처리시간 0.035초

원위기저 도서형 천비복동맥 근막피판으로 하지 재건 시 과급정맥문합의 이용 (Reconstruction of the Soft Tissue Defect of the Lower Leg by Distally Based Superficial Sural Artery Fasciocutaneous Island Flap Using Supercharged Vein)

  • 하영인;최환준;최창용;김용배
    • Archives of Plastic Surgery
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    • 제35권2호
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    • pp.208-213
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    • 2008
  • Purpose: Distally based superficial sural artery island flap has some disadvantages such as postoperative flap edema, congestion, and partial necrosis of the flap margin. Venous congestion is an area of considerable concern in distally based superficial sural artery fasciocutaneous flap and is one of the main reasons for failure, particularly when a large flap is needed. However, we could decrease these disadvantages by means of venous superdrainage. Methods: From June of 2006 to June of 2007, a total of two patients with soft tissue defects of lower one third of the leg underwent venous supercharging distally based superficial sural artery island flap transfer. The distal pivot point of this flap was designed at septocutaneous perforator from the peroneal artery of the posterolateral septum, which was 5 cm above the tip of the lateral malleolus. Briefly, this technique is performed by anastomosing the proximal end of the lesser saphenous vein and collateral vein to any vein in the area of the recipient defect site. Results: No venous congestion was noted in any of the two cases. No other recipient or donor-site complications were observed, except for minor wound dehiscence in one case. In 3 to 6 months follow-up, patients had minor complaints about lack of sensation in the lateral dorsal foot. Conclusion: The peroneal artery perforator is predictable and reliable for the design of a distally based superficial sural artery island flap. Elevation of the venous supercharging flap is safe, easy, and less time consuming. In conclusion, the venous supercharging distally based superficial sural artery island flap offers an alterative to free tissue transfer for reconstruction of the lower extremity.

늑골 Turnover 방법을 이용한 소이증 재건 시 흉벽 함몰 예방술 (Using Rib Bone Turnover Technique, Prevention of Chest Wall Depression after Microtia Reconstruction)

  • 박찬영;이윤호
    • Archives of Plastic Surgery
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    • 제35권2호
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    • pp.214-218
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    • 2008
  • Purpose: Reconstruction of microtia using costal cartilage graft is commonly used technique nowadays. The chest wall depression at the donor site after the graft, however, has been noticed in many articles. Prevention or correction technique for the depression at the donor site also has been reported and we also have been concerned about the problem. This article is a case report about a new technique preventing chest wall depression after costal cartilage graft. Methods: We selected total 15 microtia patients who visited our clinic, from December 2005 to July 2007. They were 10 male and 5 female patients and the mean age was 11.9 years. The average follow up period was 9.2 months(2 to 15 months). We used 6, 7, and $8^{th}$ costal cartilage for microtia reconstruction. And then we turned over pivot of cartilage resection margin, after bihalving costal cartilage involving about 5-6 cm of $6^{th}$ and $7^{th}$ rib bone. After microtia reconstruction, chest donor sites were evaluated by physical examination and radiography. Results: Postoperative depression at the donor site was much less when the costal cartilage turnover technique was performed. Postoperative physical examination and three dimensional reconstruction CT showed that the rest part of rib bone was turned over and it supported the soft tissue defect during respiration. Conclusion: We expect that the turnover rib bone will not be absorbed after graft, as well as offering mechanical support, compared to the other reports.

반복적으로 풋스위치를 밟는 작업에 의한 반월상 연골 손상 증례 (A Case Report on the Meniscal Tear due to Repetitive Foot-Switch Stepping)

  • 유선희;임현술;김두희;채동주;강석
    • Journal of Preventive Medicine and Public Health
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    • 제30권4호
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    • pp.805-814
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    • 1997
  • Injuries to the menisci occur in a variety of ways, most commonly with a twist, pivot, squat, or valgus stress to the knee. Tear patterns are classified to longitudinal, horizontal, or transverse features according to the mechanism of injury. Work-related meniscal tear usually occurs with a repetitive usage of the foot, hence it can be classified as a cumulative traumatic disorder. We found a 47 year-old female worker who had been taking charge of repetitive foot-switch stepping for 8 years. She suffered from pain in the right knee since 5 months ago. Tenderness along the medial joint line of the right knee was observed and pain was aggravated with full flexion of the right knee. On magnetic resonance imaging, high signal intensity was observed at the posterior horn of the medial meniscus of the right knee. Degenerative longitudinal and transverse complex tear in the medial meniscus was observed on arthroscopy. Arthroscopic partial meniscectomy was performed. We surveyed the work process and the health status of co-workers. It turned out that the work process was compatible to injure the meniscus and nine out of fourteen co-worker(64.3%) complained pain of the knee. No other factors related to her meniscal tear could be found except for the situation at her work. Therefore, we conclude that meniscal tear is related to the repetitive stepping of foot switch.

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지리정보시스템(GIS)을 이용한 토양지질도 분포와 실내라돈 상관성 연구 : 화천 및 장수의 사례를 근거로 (The Research for Relationships between Concentration of Indoor Radon and Distribution of Soil Geological Map using GIS : Based on the Hwacheon and Jangsu Areas)

  • 권명희;이재원;김성미;이정섭;정준식;유주희;이규선;송석환
    • 한국산업보건학회지
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    • 제27권4호
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    • pp.333-351
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    • 2017
  • Objectives: This study examines the relationships between indoor radon concentrations and distribution from soil geological mapping in the Hwacheon and Jangsu areas. Methods: GIS and a pivot table were used for inquiries about indoor radon contents, soil characteristics, and geological differences. Results: The Hwacheon area was characterized by the presence of normal and reverse faults as a passage of runoff for radon, sufficient occurrences of minerals containing uranium within granite as a radon source, a high concentration of radon within the granite area and clear differences of radon concentrations between granitic and metamorphic areas. The Jangsu area was characterized by the presence of normal faults, wide distributions of alluvium, and ambiguities on radon concentrations indoors among areas of geological differences. Considering the granite area and alluvium surrounded with granite areas, the characteristics of radon concentrations within soils and indoors in the Jangsu area are similar to those of the Hwacheon area. High concentrations are found with entisol and inceptisol in the Hawcheon area, but with entisol, inceptisol, and ultisol in the Jangsu area. High radon concentrations are found in sandy loam and/or loam. High concentrations are found in recently constructed or brick buildings, but low concentrations in traditional or prefabricated houses showing a high possibility of outward flow. Conclusions: The overall results suggest that radon concentrations in the Hwacheon and Jangsu area are dominantly influenced by geological characteristics with additional artificial influences.

저전압 구동용 전기스위치와 미러 어레이 응용을 위한 새로운 표면미세가공기술 (A New Surface Micromachining Technology for Low Voltage Actuated Switch and Mirror Arrays)

  • 박상준;이상우;김종팔;이상우;이상철;김성운;조동일
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1998년도 하계학술대회 논문집 G
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    • pp.2518-2520
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    • 1998
  • Silicon can be reactive ion etched (RIE) either isotropically or anisotropically. In this paper, a new micromachining technology combining these two etching characteristics is proposed. In the proposed method, the fabrication steps are as follows. First. a polysilicon layer, which is used as the bottom electrode, is deposited on the silicon wafer and patterned. Then the silicon substrate is etched anisotropically to a few micrometer depth that forms a cavity. Then an PECVD oxide layer is deposited to passivate the cavity side walls. The oxide layers at the top and bottom faces are removed while the passivation layers of the side walls are left. Then the substrate is etched again but in an isotropic etch condition to form a round trench with a larger radius than the anisotropic cavity. Then a sacrificial PECVD oxide layer is deposited and patterned. Then a polysilicon structural layer is deposited and patterned. This polysilicon layer forms a pivot structure of a rocker-arm. Finally, oxide sacrificial layers are etched away. This new micromachining technology is quite simpler than conventional method to fabricate joint structures, and the devices that are fabricated using this technology do not require a flexing structure for motion.

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회전식 수문의 최적 설계 (Optimum Design of Radial Gate)

  • 권영두;권순범;박창규;윤영중
    • 한국전산구조공학회논문집
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    • 제14권3호
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    • pp.267-276
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    • 2001
  • 이 논문은 회전식 수문(radial gate)의 구조해석에 근거하여 지지점 위치에 따른 모멘트 분배를 최적화하는 것에 관심을 두고 있다. 회전식 수문(radial gate)의 경제적인 관점에서의 중요성에도 불구하고 이의 지지점 위치에 따른 최적설계에 관한 자료를 찾기 어려운 실정이다. 그래서 본 연구에서는 주판(skin plate)의 곡률 반경, 수심, 동압 등의 주어진 자료를 이요약하여 지지점(gate arm)의 수가 2개인 경우와 3개인 경우에 대하여 곡선형태의 주판(skin plate)에서 지지점 (arm)의 최적 위치를 얻어서 설계자료에 의한 것들과 비교한다. 그 결과 최적 설계에 의한 회전식 수문 (radial gate)의 치수가 설계자료에 의한 것에 비해 현저히 감소되는 것을 알 수 있다.

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D.I.Y 목공방 운영 분석을 통한 활성화 방안에 관한 연구 (A Study on the Revitalization of Operating Analysis D.I.Y Carpentry Shop)

  • 김영주
    • 한국가구학회지
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    • 제23권4호
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    • pp.415-424
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    • 2012
  • Since the Korean War, starvation and severly desperate living conditions hit the whole country. However, Koreans finally overcame such difficulties, achieving the miracle on the Han River. Through rapid industrial developments, Korea would not need any more supports from the outside but rather became a country which would offer a support. Meanwhile, in 1997, the Korean domestic economy underwent IMF which had caused a massive number of unemployeds. Among those people, many began to show interest in D.I.Y woodcraft for a whole new change and eventually, the industry of D.I.Y woodcraft business became expanded. Now, Korea survived I.M.F and was grown as one of the leading countries in the world, having held the G20 summit conference. Such achievements helped national income increased with the domestic GNP of $30,000, having exceeded $20,000. The population also grew to over fifty million and with all these factors, Korea joined the ranks of advanced countries. As a living environment of an individual gets improved and people have had time on their sides due to the five-day workweek, many have been taking this opportunity to engage in self-development and leisure activities. As trends are pursuing eco-friendliness and D.I.Y, D.I.Y woodcraft workshops are opening nationwide. Considering this, as analyzing present conditions of D.I.Y woodcraft workshops, which are being quickly popular at this moment in Korea, this study focuses on presenting a Korean-style D.I.Y woodcraft workshop, suggesting how to promote D.I.Y woodcraft business to be a pivot of the furniture industry in Korea.

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역혈류성 전외측대퇴섬피판을 이용한 무릎 잘린끝의 재건 (Reconstruction of Disarticulated Knee Stump by Using Distally Based Anterolateral Thigh Island Flap)

  • 김형진;변재경;범진식;김양우
    • Archives of Plastic Surgery
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    • 제34권4호
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    • pp.485-489
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    • 2007
  • Purpose: The basic vascular anatomy and versatility of the anterolateral thigh flap was reported firstly by Song in 1984 and then by Zhang who introduced the reverse flow pattern of this flap. In this case, the authors reviewed various articles and their experiences with the distally based anterolateral thigh flap and applied it for coverage of bone-exposed wound occurred at the distal of the disarticulated knee stump. We consequently reported the reliability and resourcefulness of this flap in the difficult and limited situation. Methods: A 67-year-old-man who had suffered from arteriosclerotic obliterans inevitably underwent the disarticulation at knee joint due to clinical deterioration. He presented to our clinic with soft tissue necrosis and bone exposure at the stump. We debrided the wound and conducted the distally based anterolateral thigh island flap by transecting proximal portion of descending branch of the lateral circumflex femoral artery and the $14{\times}10cm$ sized flap was transferred to cover the defect. The pedicle measured 14 cm in length with pivot point 7 cm above the patella. Results: The postoperative course was mainly uneventful except early venous congestion for 4 days and subsequent partial skin loss. The wound was healed by secondary intension and no other sequelae had been observed during follow-up period of 12 months. Conclusion: Despite the presence of various reconstructive choices, the distally based anterolateral thigh island flap can be designed to repair soft tissue defects around the knee region, providing its reliable blood supply and long pedicle length, especially in the challenging cases.

Landsat-8을 활용한 대구시 열 환경구조 분석 (Aanalysis the Structure of Heat Environment in Daegu Using Landsat-8)

  • 김준현;최진호
    • 한국측량학회지
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    • 제32권4_1호
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    • pp.327-333
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    • 2014
  • 도시 열 환경 개선을 위해서는 무엇보다도 특정지역의 열 환경에 대한 구조적 특성분석이 선행되어져 문제점을 분석하고 보완되어야 한다. 본 연구에서는 Landsat 위성을 활용하여 대구광역시의 1월과 8월의 열 환경의 중심성 측정, 분포도 작성, 공간통계 분석 등을 활용하여 공간적 특성에 따른 열 환경구조를 분석하였다. 분석을 위해 위성영상의 열적외밴드를 활용하여 표준정규분포화하여 점수로 중심성을 추출하였고, 국지적 공간에서의 자기 상관성을 파악하기 위한 국지적 모란지수(Local Local Moran's I)를 기초로 한 Cluster Map를 작성하여 환경공간구조의 분포 특성을 파악하였다. 따라서 위성영상을 활용한 열 환경 분포 특성과 중심지의 파악은 도시의 열 환경 개선 계획 및 관리방안을 모색하는데 필요한 중요한 기초자료로서 정부의 다양한 열환경 정책이나 계획에 우선시 되어야 할 참고자료를 제공하고자 한다.

극 좌표를 이용한 클러스터 기반 센서 네트워크의 키 관리 기법 (A key management scheme for the cluster-based sensor network using polar coordinated)

  • 홍성식;유황빈
    • 한국정보통신학회논문지
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    • 제12권5호
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    • pp.870-878
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    • 2008
  • 센서 네트워크를 구성하는 센서 노드는 대부분 보안성이 낮으며, 낮은 연산 능력과 적은 저장 용량으로 효율적인 보안 알고리즘을 적용할 수 없다. 따라서 불법적인 노드의 침입을 억 제할 수 없으며, 센서 노드의 전송 알고리즘만 알게되면 전송되는 정보를 쉽게 도청 할 수 있는 문제점을 갖게 된다. 본 논문에서는 센서 네트워크를 클러 터로 구분하고, 클러스터 내에서 센서 노드가 안전하게 정보를 전송할 수 있으며 불법적인 센서 노드의 침입을 억제할 수 있는 극좌표를 이용한 클러스터 기반의 센서 네트워크의 키 관리기법을 제안한다. 제안된 기법에서는 클러스터 내에서 모든 센서 노드는 CH(Cluster Header)가 제공하는 피벗값을 기반으로 인증키를 설정하도록 하고있다. 시뮬레이션 결과 기존의 페어 와이즈(pair-wise) 기법에 비하여 키 관리측면에서 안전한 키 관리와 불법적인 노드의 침입을 억 제할 수 있는 우수함을 증명하였다.