• Archives of Plastic Surgery
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• 제36권4호
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• pp.422-427
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• 2009

Purpose: Breast cancer is second most common cancer in women. Almost of patients with breast cancer treated with mastectomy undergoes breast reconstruction. Nipple reconstruction is an important step in breast reconstruction. Many surgeons have investigated of nipple reconstruction using the flap technique after breast reconstruction with the autologous tissue. The objective of this study is to evaluate the results of nipple reconstruction using the C - V flap technique after breast reconstruction with the only breast expander. Methods: From April 2006 to May 2008, the authors treated 17 patients of nipple reconstruction using C - V flap technique, who were received breast reconstruction with the only breast expander. We have predicted decrease of the size of reconstructed nipple and designed flap a little larger than wanted nipple size. Nipple splint was applied for 4 - 6 months for minimizing decrease of the size of reconstructed nipple. The diameter and height of the reconstructed nipple were measured and patient's satisfaction score was assessed. Results: Mean follow-up duration was 12.5 months. Among the 17 patients, the average absorption rate by height of nipple was 47.0%. Partial necrosis was noted in 1 case, and treated well with conservative management. There was no other significant complications noted. Patient's satisfactory score was assessed by the height, design and location of the nipple. The average of satisfaction score was 85%, 68%, 62% and total average was 83%. Conclusion: The authors experienced 17 patients of nipple reconstruction using the C - V flap technique after breast reconstruction with the only breast expander. The absorption rate of the size of the nipple, complications and patient's satisfactory score of this study were similar to those of nipple reconstruction after breast reconstruction with the autologous tissue. It is expected that nipple reconstruction after breast reconstruction with the only breast expander is safe and reliable. It is considered that a long - term study is necessary.

• 국제학술발표논문집
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• The 1th International Conference on Construction Engineering and Project Management
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• pp.886-891
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• 2005

The frequent maintenance required on some asphalt concrete (AC) pavement sections has made reconstruction with Portland Cement Concrete Pavement (PCCP) a feasible alternative. However, many constructability issues need to be addressed in order to realize the full potential of this alternative. Accelerated paving encompasses three classes of activities: methods to accelerate the rate of strength gain, methods to minimize the construction time, and traffic control strategies to minimize user delay. Three major AC intersections with severe rutting problems were reconstructed with PCCP. The entire reconstruction of each intersection, including demolition of the AC pavement and its replacement with PCCP, took place over a period of three days, starting on Thursday evening and opening the intersection to the traffic on Sunday afternoon. This paper discusses the use of PCCP for accelerated reconstruction of major urban intersections with minimal user and traffic disruption, using innovative construction techniques and traffic management optimization principles and demonstrates that concrete pavements can be constructed efficiently and quickly.

• 국제학술발표논문집
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• The 5th International Conference on Construction Engineering and Project Management
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• pp.328-331
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• 2013

Incentive/Disincentive (I/D) contracting experiences in many states have been evaluated in terms of time and cost performance and substantial project time savings were found in many project cases. However, there is little understanding on individual project success factors for I/D projects during construction. This paper explores the significance of I/D clause in the success of the MacArthur Maze reconstruction project and summarizes a list of group causes that explains and elaborates on the detailed factors. The methods used for carrying out this study started with a search of online media and news reports and contract documents were also obtained from Caltrans. After review of the preliminary information, Interviews were performed with the Caltrans Resident Engineer and the contractor's project manager who were in charge of the MacArthur Maze reconstruction. In conclusion, the evaluation of their responses hinted at six significant cause groups responsible for the project's success. These groups can be listed as: 1) Motivation, 2) Policy, 3) Teamwork, 4) Communication, 5) Expectation, and 6) Resource Management.

• 한국건설관리학회논문집
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• 제23권2호
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• pp.76-84
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• 2022

최근 자연재해 발생빈도 증가로 막대한 인적 및 물적 피해가 발생함에 따라 재난관리에 관한 중요성이 증가하고 있다. 특히 발전적 재건 개념에 관한 중요성이 증가함에 따라 재건설 시 이에 관한 고려가 필요할 것으로 판단된다. 따라서 본 연구는 재난 후 재건설의 재건접근 단계 시 고려되어야 하는 영향요인에 관한 도출과 국외 재난 관련 전문가를 대상으로 한 설문조사를 통하여 영향요인별 상대적 중요도 평가와 상관분석을 수행하였다. 분석결과 가장 중요한 영향요인으로 '미래 환경변화에 대한 적응성'이 도출되었다. 본 연구 결과는 재건사업 수행 시 기초자료로 활용이 가능할 것으로 판단된다.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2003년도 학술대회지
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• pp.477-480
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• 2003

기존의 재건축 안전진단의 비용분석은 정량적이지 못한 평가기준과 방법 등 많은 문제점을 가지고 있어 좀더 효율적으로 안전진단 업무를 수행하고, 비용분석 결과의 신뢰성을 향상시키기 위해서는 체계적인 비용분석 절차 및 기준이 필요하다. 따라서 본 연구에서는 각 비용항목들을 정량적으로 도출${\cdot}$산정하고, 효율적으로 비용분석을 수행하기 위한 절차 및 기준을 제시하고자 한다. 재건축 안전진단의 비용분석은 먼저, 내용연수, 실질이자율 등의 기본사항을 결정하고, 구조체 보수${\cdot}$보강비용, 건축 마감 및 설비 성능회복비용, 철거비, 이주비, 유지관리비용 등의 개${\cdot}$보수 비용 및 재건축 비용을 산정하여 이들 비용의 LCC 년가를 비교하여 분석${\cdot}$평가한다.

• Journal of Korean Neurosurgical Society
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• 제59권3호
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• pp.242-246
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• 2016

Craniosynostosis is the premature fusion of calvarial sutures, resulting in deformed craniofacial appearance. Hence, for a long time, it has been considered an aesthetic disorder. Fused sutures restrict growth adjacent to the suture, but compensatory skull growth occurs to accommodate the growing brain. The primary goal for the management of this craniofacial deformity has been to release the constricted skull and reform the distorted shape of the skull vault. However, the intellectual and behavioral prognosis of affected children has also been taken into consideration since the beginning of the modern era of surgical management of craniosynostosis. A growing body of literature indicates that extensive surgery, such as the whole-vault cranioplasty approach, would result in better outcomes. In addition, the age at treatment is becoming a major concern for optimal outcome in terms of cosmetic results as well as neurodevelopment. This review will discuss major concerns regarding neurodevelopmental issues and related factors.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2001년도 학술대회지
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• pp.267-272
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• 2001

아파트 재건축사업은 신축사업과 달리 재건축조합의 설립 등, 사업시행의 절차가 복잡하고, 개발사업의 타당성을 조사할 능력이 없는 비전문가들로 구성된 조합이 사업주체가 되어 자율적으로 추진하는 민간사업으로 재건축사업의 타당성을 분석하고 검증하는 객관적인 절차가 없는 상태에서 설계사, 시공사 등 많은 주체들이 참여함에 따라 각 주체별 이해관계가 복잡하게 얽혀있고 오해와 불신 비리와 분쟁 등 주민마찰의 온상이 되어왔다. 본 연구는 아파트 재건축사업 타당성조사 분석모델 개발을 위한 기초적인 연구로서 아파트 재건축사업의 특성을 분석하여 타당성분석절차와 각 수익 비용항목에 대한 산정기준을 제시하였다.

• Archives of Plastic Surgery
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• 제49권6호
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• pp.782-784
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• 2022

Diabetic foot ulcers are a severe complication of diabetes, and their management requires a multidisciplinary approach for optimal management. When treating these ulcers, limb salvage remains the ultimate goal. In this article, we present the "hanging" free flap for the reconstruction of chronic lower extremity diabetic ulcers. This two-staged approach involves standard free flap harvest and inset; however, following inset the "hanging" pedicle is covered within a skin graft instead of making extraneous incisions within the undisturbed soft tissues or tunnels that can compress the vessels. After incorporation, a second-stage surgery is performed in 4 to 6 weeks which entails pedicle division, flap inset revision, and end-to-end reconstruction of the recipient vessel. Besides decreasing the number of incisions on diabetic patients, our novel technique utilizing the "hanging" pedicle simplifies flap monitoring and inset and allows reconstruction of recipient vessels to reestablish distal blood flow.

• 국제학술발표논문집
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• The 1th International Conference on Construction Engineering and Project Management
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• pp.649-654
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• 2005

A new law, the Urban and Living Environment Improvement Act, was established, promulgated, and entered into by the Ministry of Construction and Transportation as of 1st July 2003. This system under this law, which improves currently executed consulting process and upgrade its level, is to execute the legal process and procedures that are necessarily required for housing reconstruction/renewal project.. This system requires to be supplemented with addition of reasonable, logical, and systemized tools of system. Through concurrent application of professional management of renewal business(PMRB), more benefit will be provided to housing renewal associations that are constituted with residences concerned for execution of CM project.

• Archives of Plastic Surgery
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• 제50권2호
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• pp.171-176
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• 2023

Background Human bite wounds in emergency department need evaluation in regard of reconstruction. These are due to occlusive bite injuries over face. Most commonly, human bites over face involve ear and nose, and may lead to avulsion injury. Defects over nose can be reconstructed immediately after debridement or delayed till the wound heals and scar becomes supple. Thorough wash and lavage with broadspectrum antibiotic cover has utmost importance in preventing cartilage infection. Methods We report 20 cases of human bite injuries over nose who presented to us in emergency department between 2018 and 2020. At the time of presentation the wound was assessed for closure. If not possible, patient was planned for delayed reconstruction after 3 months. In case delayed reconstruction was planned, the skin and nasal mucosa were approximated at first presentation. The patients underwent paramedian forehead flap after recreation of defect with conchal cartilage graft. Second stage of flap detachment and insetting was done after 3 weeks. After three weeks of second stage, third stage of flap thinning was done. Patients were followed for 3-6 months and subjective satisfaction was noted. Results Nineteen patients underwent delayed staged reconstruction with paramedian forehead flap and one underwent primary wound closure. The flap survival was 100%. The patient satisfaction was excellent in most cases. Conclusion We recommend delayed reconstruction for human bite nasal injuries. For reconstruction, paramedian forehead flap with conchal cartilage graft, if required, provides excellent reconstructive option with good contour and color match and minimal donor site scar.