• Archives of Plastic Surgery
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• 제36권6호
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• pp.784-787
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• 2009

Purpose: Reduction mammaplasty is one of the most commonly performed operations in plastic surgery. Although secondary surgery is occasionally required for minor aesthetic problems or for treatment of the complications of the primary surgery, there are no clear operative guidelines of management. We report here two cases of secondary reduction mammaplasty using differrent pedicle from the initial ones. Methods: One case of secondary reduction mammaplasty were performed using medial pedicle after central (19 years) pedicle reduction mammaplasty because of subsequent breast ptosis and asymmetry. The other case were performed using medial pedicle after superior (4 years) pedicle reduction mammaplasty with contralateral immediate breast reconstruction with TRAM flap because of subsequent breast ptosis and asymmetry. Care was taken to include sufficient width of pedicle and adequate soft tissue attachment beneath the nipple - areolar complex. Results: There was no significant complication such as nipple - areolar necrosis or fat necrosis. The results were well maintained throughout the follow - up period. Conclusion: Medial pedicle reduction mammaplasty can be safely performed after central or superior pedicle reduction mammaplasty when sufficient width of pedicle and adequate soft tissue attachment beneath the nipple - areolar complex are maintained.

• 복식문화연구
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• 제25권6호
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• pp.719-740
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• 2017

Sociocultural and demographic shifts have resulted in a changing perception of older age. Older women, historically subjected to age-ordering rules of dress, have increasingly refused to be marginalized fashion consumers and have been striving to construct a more positive age identity. Although studies have examined consumers' negotiation of marginalized identities, age identity has not received much attention as a type of marginalized identity. This study argues that Pinterest acts as a platform for identity work by allowing older women to creatively reconstruct their sense of self by saving images and organizing them into thematic boards. Drawing on symbolic interactionism theory and notions of digital self-presentation, this paper seeks to explore the discursive practices that older women employ on Pinterest to resist ageist fashion discourses. The sample consisted of 15 fashion-oriented Pinterest profiles of older women. Netnographic inquiry was employed first to examine what images were saved and what thematic boards were created. Three analytical frameworks for visual data analysis were integrated to further scrutinize the visual texts within the thematic boards. The analyses revealed three main themes-rejecting age, accepting age, and consuming age. The themes that emerged formed the basis for an age identity reconstruction process whereby women attempted to bridge the existing gap between older age and mainstream fashion discourse.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제29권1호
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• pp.60-63
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• 2003

Gunshot injuries can range from the most minor to the life-threatening. Multidisciplinary care is required for successful management of patients, In the acute phase, care may involve emergency surgeons, anaesthesists, neurosurgeons, ophthalmic surgeons, vascular surgeons, ENT specialist in addition to the oral and maxillofacial surgeons. Afterwards, definitive treatment of facial gunshot injuries depends ultimately on the abilities and skills of the oral and maxillofacial surgeons, and their appreciation of such injuries. The timing and sequence of the surgical procedures used for reconstruction and rehabilitation of maxillofacial gunshot injuries are crucial to a successful outcome and aesthetic result. If incorrect, they may lead indefinitely to infection, graft rejection, wound dehiscence with consequent multiple revisional operations and complication which will prolong hospital stay and increase treatment costs and morbidity on those patients. We present a gunshot case of a 46-year-old man who tried to commit sucide, and have avulsive and penerating wounds on the face and the neck. We removed the scattered bullets and fragments successfully and the wounds were closed primarily.

• 한국정보과학회 언어공학연구회:학술대회논문집(한글 및 한국어 정보처리)
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• 한국정보과학회언어공학연구회 2002년도 제14회 한글 및 한국어 정보처리 학술대회
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• pp.103-107
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• 2002

데이터 기반 기계번역의 성공여부는 대량의 데이터를 단기간에 구축하는 방법과, 또 구축된 데이터에 대한 효과적인 관리 방법이 좌우한다고 할 수 있다. 대표적인 데이터 기반 기계번역 방법론인 예제 기반 기계번역 방식이나 패턴 기반 기계번역 방식에서는 최소한의 학습 내지는 학습과정 없이 데이터를 구축하는 데에 연구가 중점적으로 이루어져왔으나, 데이터의 관리 문제에 대해서는 많은 연구가 이루어지지 못하였다. 그러나 데이터의 확장 못지않게 데이터의 효율적인 관리도 데이터 기반 기계번역 시스템의 개발에서 매우 중요하다. 이 논문에서는 사/피동 링크 등을 이용하여 사전을 재구성하는 것이 데이터의 일관성과 관리성을 향상시키고, 이론적인 면에서는 정보 기술상의 잉여성을 줄인다는 점을 보인다. 또한 이러한 정보에 기반하여 기구축된 동사구 패턴으로부터 대역어 정보를 이용하여 새로운 패턴을 만들어내는 방법론도 제시한다.

• Clinics in Shoulder and Elbow
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• 제21권1호
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• pp.48-55
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• 2018

While non-operative treatment with structured rehabilitation tends to be the strategy of choice in the management of Rockwood type III acromioclavicular joint injury, some advocate surgical treatment to prevent persistent pain, disability, and prominence of the distal clavicle. There is no clear consensus regarding when the surgical treatment should be indicated, and successful clinical outcomes have been reported for non-operative treatment in more than 80% of type III acromioclavicular joint injuries. Furthermore, there is no gold standard procedure for operative treatment of type III acromioclavicular joint injury, and more than 60 different procedures have been used for this purpose in clinical practice. Among these surgical techniques, recently introduced arthroscopic-assisted procedures involving a coracoclavicular suspension device are minimally invasive and have been shown to achieve successful coracoclavicular reconstruction in 80% of patients with failed conservative treatment. Taken together, currently available data indicate that successful treatment can be expected with initial conservative treatment in more than 96% of type III acromioclavicular injuries, whereas minimally invasive surgical treatments can be considered for unstable type IIIB injuries, especially in young and active patients. Further studies are needed to clarify the optimal treatment approach in patients with higher functional needs, especially in high-level athletes.

• 한국IT서비스학회지
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• 제8권1호
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• pp.193-202
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• 2009

Cloud computing emerges as a new computing paradigm which targets reliable and customizable services. The term builds on decades of research in virtual machine, distributed and parallel computing, utility computing, and more recently networking, web service, and software as a service. In this paper, we provide a seamless connection migration of web services. This is useful for cloud computing environment in which many client terminals have mobility. With the wireless internet facility, those mobile users can move place to place during internet communication. Therefore, we provide solutions to the two major problems in current virtualization based migration: communication failure problems and connection re-establishment. Communication channel flushing by zero window notification helps to resolve the communication failure problems and TCP port inheritance prevents connection re-establishment errors during socket reconstruction. Thus, our web service migration facility is now able to preserve open network connections, and even for server sockets. This is a highly transparent approach, in that we did not Introduce additional messages for channel flushing and did not make any modification to the TCP protocol stack. Experimental results show that the overhead due to connection migration of web services is almost negligible when compared with time to take the conventional web service migration.

• Archives of Plastic Surgery
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• 제38권5호
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• pp.707-710
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• 2011

Purpose: Cardiac radiofrequency catheter ablation procedures using fluoroscopy were performed for the treatment of supraventricular and selected ventricular tachyarrhythmia. Fluoroscopy is used to localize the position of the intracardiac catheter. Fluoroscopically-guided procedures often involve high radiation doses to patient's skin, but the incidence of serious radiation injuries in these patients is rare. We reported two cases of severe postradiation skin injury on the back treated with the V-Y latissimus dorsi musculocutaneous flap. Methods: These two patients underwent radiofrequency catheter ablation under the diagnosis of Woff Parkinson White syndrome (WPW syndrome). They had radiation-induced skin injuries on the subscapular area and these lesions represented chronic ulceration, surrounding induration, hardness, and dyspigmentation. We treated these lesions with complete excision and coverage with V-Y latissimus dorsi musculocutaneous flap. Results: These two patients had no recurrence and no special complications during 20 months and 12 months follow-up periods and were satisfied aesthetically and functionally. Conclusion: V-Y latissimus dorsi musculocutaneous flap obtained better results functionally and aesthetically compared with conservative management and skin graft in severe radiation-induced skin injuries after cardiac radiofrequency catheter ablation procedure.

• Journal of Korean Neurosurgical Society
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• 제55권4호
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• pp.208-211
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• 2014

Recently, the increasing rates of facial nerve preservation after vestibular schwannoma (VS) surgery have been achieved. However, the management of a partially or completely damaged facial nerve remains an important issue. The authors report a patient who was had a good recovery after a facial nerve reconstruction using fibrin glue-coated collagen fleece for a totally transected facial nerve during VS surgery. And, we verifed the anatomical preservation and functional outcome of the facial nerve with postoperative diffusion tensor (DT) imaging facial nerve tractography, electroneurography (ENoG) and House-Brackmann (HB) grade. DT imaging tractography at the 3rd postoperative day revealed preservation of facial nerve. And facial nerve degeneration ratio was 94.1% at 7th postoperative day ENoG. At postoperative 3 months and 1 year follow-up examination with DT imaging facial nerve tractography and ENoG, good results for facial nerve function were observed.

• 대한의사협회지
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• 제61권12호
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• pp.715-723
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• 2018

Facial soft tissue injury due to trauma is common. Severe damage of soft tissue causes functional and cosmetic problems. In the initial evaluation of patients with facial trauma, airway maintenance and respiratory maintenance are the most important. The principles of treatment include adequate irrigation and debridement, primary closure, or secondary wound healing. Postoperative care such as taping, silicone gel sheeting, and sun screening is important to prevent scarring. The scalp and forehead are abundant in blood and can cause severe bleeding. The eyelid is very thin and has a multi-layered structure, requiring accurate suturing and reconstruction of the layers. It is advisable to determine the presence of hematoma in the ear and treat it. When the cheek area is damaged, it is necessary to identify and treat the damage of the parotid gland and the facial nerve branch. The lips should be sewn with the white roll of lip and vermillion.

• 산업경영시스템학회지
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• 제41권4호
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• pp.123-130
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• 2018

Triangulation is one of the fundamental problems in computational geometry and computer graphics community, and it has huge application areas such as 3D printing, computer-aided engineering, surface reconstruction, surface visualization, and so on. The Delaunay refinement algorithm is a well-known method to generate quality triangular meshes when point cloud and/or constrained edges are given in two- or three-dimensional space. In this paper, we propose a simple but efficient algorithm to triangulate Voronoi surfaces of Voronoi diagram of spheres in 3-dimensional Euclidean space. The proposed algorithm is based on the Ruppert's Delaunay refinement algorithm, and we modified the algorithm to be applied to the triangulation of Voronoi surfaces in two ways. First, a new method to deciding the location of a newly added vertex on the surface in 3-dimensional space is proposed. Second, a new efficient but effective way of estimating approximation error between Voronoi surface and triangulation. Because the proposed algorithm generates a triangular mesh for Voronoi surfaces with guaranteed quality, users can control the level of quality of the resulting triangulation that their application problems require. We have implemented and tested the proposed algorithm for random non-intersecting spheres, and the experimental result shows the proposed algorithm produces quality triangulations on Voronoi surfaces satisfying the quality criterion.