• Archives of Plastic Surgery
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• 제51권2호
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• pp.150-155
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• 2024

The superficial circumflex iliac artery perforator (SCIP) flap is a versatile flap that has been described for various applications, mostly for lower extremity coverage and head and neck reconstructions. However, there are few publications reporting its use for breast reconstruction, mainly because of its low volume availability. In this article, we present the case of a patient who successfully underwent a partial breast and immediate nipple-areola complex (NAC) reconstruction with an SCIP flap. She had been previously reconstructed with an implant after a nipple-sparing mastectomy, but the NAC turned out to be involved with cancer needing further resection. Our goal with this article, is to introduce a novel concept for addressing partial breast and NAC reconstruction and mostly, to illustrate the importance of an adaptable surgical plan based on every individual case emphasizing the versality of microsurgery for breast cancer reconstruction.

• Journal of Periodontal and Implant Science
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• 제42권3호
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• pp.105-109
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• 2012

Purpose: Soft tissue recessions frequently cause esthetic disharmony and dissatisfaction. Compared with soft tissue coverage around a tooth, the coverage of an implant site is obviously unpredictable. Particularly in the cases of thin mucosa, a significant greater amount of recession takes place compared to thick mucosa. To overcome this problem, this case report demonstrates a two-step mucosal dehiscence coverage technique for an endosseous implant. Methods: A 33-year-old female visited us with the chief complaint of dissatisfaction with the esthetics of an exposed implant in the maxillary left cental incisor region. A partial-thickness pouch was constructed around the dehiscence. A subepithelial connective tissue graft was positioned in the apical site of the implant and covered by a mucosal flap with normal tension. At 12 months after surgery, the recipient site was partially covered by keratinized mucosa. However, the buccal interdental papilla between implant on maxillary left central incisor region and adjacent lateral incisor was concave in shape. To resolve the mucosal recession after the first graft, a second graft was performed with the same technique. Results: An esthetically satisfactory result was achieved and the marginal soft tissue level was stable 9 months after the second graft. Conclusions: The second graft was able to resolve the mucosal recession after first graft. This two-step approach has the potential to improve the certainty of esthetic results.

• Membrane and Water Treatment
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• 제10권1호
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• pp.57-65
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• 2019

This study assessed the contribution of emergent vegetation (Phragmites australis, Typha latifolia, and Nelumbo nucifera) to the submerged surface area, the amount of biofilms attached to the submerged portions of the plants, and the treatment performance of a free water surface (FWS) constructed wetland. Results showed that a 1% increase ($31m^2$) in the vegetative area resulted in an increase of $220m^2$ of submerged surface area, and 0.48 kg Volatile Suspended Solids (VSS) of attached biofilm. As the vegetation coverage increased, effluent organic matter and total Kjeldahl nitrogen decreased. Conversely, a higher nitrate concentration was found in the effluent as a result of increased nitrification and incomplete denitrification, which was limited by the availability of a carbon source. In addition, a larger vegetation coverage resulted in a higher phosphorus in the effluent, most likely released from senescent biofilms and sediments, which resulted from the partial suppression of algal growth. Based on the results, it was recommended that constructed wetlands should be operated with a vegetation coverage of just under 50% to maximize pollutant removal.

• Archives of Plastic Surgery
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• 제39권6호
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• pp.649-654
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• 2012

Background Deep burns of the elbow lead to soft tissue necrosis and infection, with exposure of deep structures. Adequate wound coverage of this area requires thin, pliable, and durable tissue, while optimal functional recovery requires early coverage and functional rehabilitation. We have found 3 types of island flaps that provide reliable coverage for the elbow. Methods A retrospective study was performed on all patients who underwent flap coverage of an elbow defect at our hospital. The patients' data including age, sex, cause of injury, wound dimensions, timing of flap coverage, postoperative elbow motion, and complications were investigated. Results Between 2001 and 2012, 16 patients were treated at our hospital. The mean age was 53.3 years. Three kinds of flaps were performed: 9 latissimus dorsi flaps, 4 lateral arm flaps, and 4 radial forearm flaps. The average defect size was 183.5 $cm^2$ (range, 28 to 670 cm2). Wound coverage was performed at mean duration of 45.9 days (range, 14 to 91 days). The mean postoperative active elbow flexion was $98^{\circ}$ (range, $85^{\circ}$ to $115^{\circ}$). Partial flap failure occurred in 1 latissimus dorsi flap. Minor complications included partial flap loss (11.8%), hematoma (23.5%), seroma (35.3%), and wound infection (5.9%). Conclusions Flap selection for elbow reconstruction is determined by the defect size and the extent of the adjacent tissue injury. Elbow reconstruction using an island flap is a single-staged, reliable, and relatively simple procedure that permits initiation of early rehabilitation, thereby improving a patient's functional outcome.

• Archives of Plastic Surgery
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• 제43권5호
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• pp.438-445
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• 2016

Background The goal of reconstruction is to provide coverage of exposed vital structures with well-vascularized tissue for optimal restoration of form and function. Here, we present our clinical experience with the use of the scapular fascial free flap to correct facial asymmetry and to reconstruct soft tissue defects of the extremities. Methods We used a scapular fascial free flap in 12 cases for soft tissue coverage of the extremities or facial soft tissue augmentation. Results The flaps ranged in size from $3{\times}12$ to $13{\times}23$ cm. No cases of total loss of the flap occurred. Partial loss of the flap occurred in 1 patient, who was treated with a turnover flap using the adjacent scapular fascial flap and a skin graft. Partial loss of the skin graft occurred in 4 patients due to infection or hematoma beneath the graft, and these patients underwent another skin graft. Four cases of seroma at the donor site occurred, and these cases were treated with conservative management or capsulectomy and quilting sutures. Conclusions The scapular fascial free flap has many advantages, including a durable surface for restoration of form and contours, a large size with a constant pedicle, adequate surface for tendon gliding, and minimal donor-site scarring. We conclude that despite the occurrence of a small number of complications, the scapular fascial free flap should be considered to be a viable option for soft tissue coverage of the extremities and facial soft tissue augmentation.

• 전자공학회논문지C
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• 제35C권12호
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• pp.49-58
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• 1998

본 논문에서는 무고정 부분 스캔 테스트 방법을 위한 새로운 스캔 선택 알고리즘에 대하여 논한다. 무고정 부분 스캔 테스트 방법은 모든 플립-플롭을 스캔하지 않는다는 점을 제외하면 완전 스캔과 동일한 테스트 방법이다. 이 테스트 방법은 테스트 벡터를 입력, 인가, 혹은 적용 등, 어느 때에도 스캔, 비스캔 중 어느 플립-플롭의 데이터 값도 고정하지 않는다. 제안된 스캔 선택 알고리즘은 무고정 부분 스캔 테스트 방법에서 완전 스캔 고장 검출율을 거의 유지하면서 많은 플립-플롭을 스캔하지 않게 한다.

• 대한전기학회논문지:전기물성ㆍ응용부문C
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• 제50권9호
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• pp.450-455
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• 2001

We proposed a new sensitivity verification method for the UHF partial discharge(PD) detection system. Initially, we measure the UHF power induced by 5 pC PD which takes place near UHF sensor. Subsequently, we inject the swept UHF signal from a network analyzer into the GIS and measure the attenuation of the signal along the 71S Both the UHF power by 5 pC PD and the attenuation make it possible to verify the sensitivity and spatial coverage of the PD detection system. This method doesn\`t require the calibration of injected pulse type UHF signal into the GIS and makes us precisely measure the attenuation in frequency domain.

• 대한치과보철학회지
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• 제21권1호
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• pp.67-72
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• 1983

Path of insertion(1) can be defined that the direction of movement of an appliance from the point of initial contact of its rigid parts with the supporting teeth to the place of final rest. Krol(2) described that in the conventional path of insertion, all the rests are seated more or less simultaneously but in the use of the rotational path one segment of the partial denture is seated first then the remainder of the prosthesis is rotated into position. The rotational path of insertion is limited primarily to the tooth borne prosthesis. Its great advantages are the elimination of anterior clasps to improve ethetic and reduction of tooth coverage to minimize plaque accumulation. Either a rigid minor connector or proximal plate provides retention through its intimate contact with a proximal tooth surface below the height of contour as indicated at a o-degree tilt. A specially designed rest in conjunction with this retentive component satisfies the basic requirements of clasp design. The purpose of this study was a clinical evaluation of rotational path removable partial dentures. Author delivered rotational path removable partial dentures to three different cases of patients and evaluated function of the dentures, difficulties of removal and insertion of the dentures and supporting structures of the abutment teeth by means of clinical and X-ray examinations for eighteen months. According to the examination data author came to the conclusion that the prognosis of the rotational path removable partial dentures was excellent.

• 보건행정학회지
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• 제25권2호
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• pp.107-117
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• 2015

Background: The purpose of this study is to analyze the cost for the denture treatment in accordance with the government's plan to expand the National Health Insurance coverage for dental prothesis from July 1, 2012. Methods: We developed the draft of classification of the treatment activities based on the existing researches and expert's review and finalized the standard procedures through confirming by Korean Dental Association. We also made the list of input at each stage of treatments. We conducted survey of 100 dental clinics via post from April 4 to May 20 in 2011 and 37 clinics took part in the survey. The unit of cost calculation is the process from the first visit for denture treatment to setting of denture and adjustment. The manufacturing process performed by dental technician was not included in the cost analysis. Results: The process for the complete denture treatment was classified with 10 stages. The partial denture treatment was classified with 8 stages. The treatment time per each denture is about 5.6 hours for complete dentures and about 6.6 hours for partial dentures. The treatment cost were from 591,108 won to 643,913 won for complete denture and from 670,219 won to 738,840 won for partial denture in 2011, depending on the location, type of the clinics and the types of physician's income. Conclusion: This study shows the example of cost analysis for the treatment to set the fee schedule. Measures to get representative and accurate information need to be made.

• 한국정보처리학회논문지
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• 제3권3호
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• pp.572-580
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• 1996

본 논문은 IPMT법에 부분스캔설계 방법을 적용하여, IPMT법의 적용 한계를 개선 한 순차회로의 테스트생성법에 관해 기술한다. IPMT법에서의 像계산(image computation) 시 방대한 계산량이 필요로한 문제점을 해결하기 위하여,부분스캔설계를 도입하여테스트 복잡도를 줄인 후 IPMT법으로 테스트생성을 한다. 부분스캔설계를 위한 스캔 플립플롭의 선택은 순차회로의 狀態 함수를 二分決定그래프가binary decision diagram) 로 표현했을 때의 노드의 크기 순으로 한다. 본 방법을 이용하여 ISCAS'89 벤치마크회로에 대해 실험 한 결과, 종래의 IPMT법 에서 100% 고장검출률을 얻을 수 없었던 s344, s420에 대해 20% 부분스캔으로 100%의 고장검출률을 얻었고, sl423에 대해서는 80%의 부분스캔으로 100% 고장검출률을 얻었다.