• Maxillofacial Plastic and Reconstructive Surgery
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• v.40
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• pp.41.1-41.4
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• 2018

Background: Free fibular flap is one of the most useful methods in the hard tissue reconstruction of the maxillamandible. Free fibular flap presents some advantages in which the reconstruction of both soft and hard tissues can be done at the same time. It also provides a safe and successful bone graft for the reconstruction, along with a low rate of complications. Despite these advantages and the rarity of a postoperative complication, particularly in oral and maxillofacial surgery procedures, a prolonged operation might exhibit some complications related with rhabdomyolysis. We experienced the rare event of rhabdomyolysis after oral cancer surgery. Case presentation: In this article, we report the case of a patient who developed rhabdomyolysis after undergoing free fibular flap surgery. Conclusions: Despite the advantages of the free fibular flap operation, clinicians must be aware of the risk of complications because there are multiple factors that could result in rhabdomyolysis, such as duration of operation, position of the subject, and pre-existing conditions of diabetes and hypertension. Once the diagnosis of rhabdomyolysis is confirmed, a prompt treatment plan should be made and applied as soon as possible. This will increase the chance of a full recovery for the patient who is exhibiting symptoms of rhabdomyolysis.

• Aerospace Engineering and Technology
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• v.1 no.2
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• pp.132-140
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• 2002

By utilizing OSMI (Ocean Scanning Multi-spectral Imager) onboard KOMPSAT-1, the moon can be imaged. Because the moon has no atmosphere and reflects sun lights at a constant rate, it can be the radiance source for calibration of OSMI. But there are a lot of risks which made KOMPSAT-1 enter into safe-hold mode. So planning the imaging of the moon with OSMI should be determined seriously with consideration to information on KOMPSAT-1 operation, the moon, the sun, etc. But it takes a long time for determining the imaging time of the moon using MCE(Mission Control Element) simulator and there are operational problems to be solved. In this paper, fast simulator for determining imaging time for the moon with OSMI has been developed. The proper timeline for imaging the moon and the position of the moon image in OSMI image coordinates and the phase of the moon are determined. STK was used for acquiring information on KOMPSAT-1, the moon, the sun and the characteristitcs of OSMI are considered. As a result, we can determine imaging time of the moon with OSMI much faster and efficiently.

• Archives of Craniofacial Surgery
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• v.18 no.4
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• pp.249-254
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• 2017

Background: Lower eyelid incisions are widely used for the orbital approach in periorbital trauma and aesthetic surgery. In general, the subciliary approach is known to cause disposition of the lower eyelid by scarring the anterior lamella in some cases. On the other hand, many surgeons believe that a transconjunctival approach usually does not result in such complications and is a reliable method. We measured positional changes in the lower eyelid in blowout fracture repair since entropion is one of the most serious complications of the transconjunctival orbital approach. Methods: To measure the positional changes in the lower eyelids, we analyzed preoperative and postoperative photographs over various time intervals. In the analysis of the photographs, marginal reflex distance 2 ($MRD_2$) and eyelash angle were used as an index of eyelid position. Statistical analyses were performed to identify the significance in the positional changes. All patients underwent orbital reconstruction through a transconjunctival incision by a single plastic surgeon. Results: In 42 blowout fracture patients, there was no statistical significant difference in the MRD2 and eyelash angle. Furthermore, there were no clinical complications, such as infection, hematoma, bleeding, or implant protrusion, during the follow-up periods. Conclusion: The advantages of the transconjunctival approach for orbital access include minimal scarring and a lower risk of eyelid displacement compared with other approaches. Based on these results, we recommend the transconjunctival approach for orbital exposure as a safe and reliable method.

• Journal of the Korean Institute of Gas
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• v.12 no.3
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• pp.31-37
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• 2008

In this paper, the strength analysis has been presented for the stress and strain by using the finite element method for various shell models of the helmets. The advanced helmet that would provide head protection without causing discomfort to the user when it was worn for long periods of time should be manufactured for increasing the safety and workability of the workers. We need a safe, comfortable and light weight of the helmet shell structure. Thus, the helmets had to stand up to the most rigorous conditions encountered for the fire and gas explosion. The FEM computed results show that when the impulsive force is applied on the summit area of a helmet shell structure, the maximum stress and strain have been occurred around the position of an applied impact force, which may lead to the initial failure on the summit of the helmet shell. Thus, the summit area of the helmet shell should be supported by a bead frame and increased thickness of the bead. But the overall thickness of the helmet is to decrease for the light weight of a helmet.

• The Korean Journal of Pain
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• v.18 no.1
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• pp.15-18
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• 2005

Background: Epidural steroid injections (ESI) have been used widely for the treatment of back and radiating extremity pain. Although its effects on the metabolic and endocrine system have been studied, the effects following repeated injections remain to be determined. We studied the effects of three repeated caudal epidural injections of low dose triamcinolone. Methods: the subject were 10 elderly women with spinal stenosis. Caudal epidural injections were performed biweekly. Triamcinolone (20 mg), mixed with 15 ml of 0.25% lidocaine, was used as the ESI injectate. The procedures were performed with the patient in the prone position. Blood sampling was performed just before the first injection, and used as the baseline, and then just before each injection on the same day of the 2nd and 4th weeks, with the last samples taken 2 weeks after the third injection. Results: The blood glucose concentrations showed no significant changes. The blood cortisol and ACTH concentrations were significantly decreased after the first injection, but there were no further decreases after each of the subsequent injections. The cortisol concentrations were maintained within the normal range. Conclusion: Caudal epidural injections, with low dose triamcinolone, suppressed the hypothalamus-pituitary-adrenal (HPA) axis, but no further suppression followed the subsequent repeated injections. Three consecutive caudal injections at 2 week intervals seems to be a safe procedure.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.9
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• pp.6214-6220
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• 2015

A track circuit has used stably more than 100 years for detecting train position, but solution of track circuit sort circuit incapacity due to a rust is necessary for side line in station yard, coast line and level crossing for conventional line in rural line. Domestically, Axle Counter System(ACS) has partially used for Hot Box System for high speed line and turnout for CBTC system. In contrast, most of countries has used ACS not only trunk line but also rural line and its application has increased for metro, electric car and industrial railway. In this paper, we has verified the operating status of ACS which installed with existing track circuit through log analsis to implement pilot application in mail track and turnout in station yard. And interface test with interlocking system has conducted at Obong shunting yard, as well as Cheongju station and has analyzed test result. Based on a test result, we made fail safe design, manufacturing skill and established system requirement specification for the smooth operation and maintenance.

• International Journal of Highway Engineering
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• v.15 no.5
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• pp.111-122
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• 2013

PURPOSES : The purpose of this system (Rear Lighting System) is to provide illumination for the driver to operate the commercial vehicle safely after dark in highway, to increase the conspicuity of the vehicle, and especially be suggesting the finest observable improvement method, depending on color and pattern of rear lighting system of truck for midnight highway traffic. METHODS : Rear lightning system as an improving way for forward commercial vehicles lighting the securing sight from human factors and the surrounding environment in midnight driving. For this one, basic materials were collected from the data analysis about many types of problems, and filed investigation for establishing Driving Simulator. also taking statistic test to human volunteers after finding recognizable distance of them. RESULTS : As a result, color with the highest visuality is amber followed by green-red-blue as in order for all road types. Especially almost no difference is found between red and green, also when the light is turn off, recognizable distances is wide difference compared to turn on the light. One more thing about study per pattern, upper and entire lighting have similar recognizable distances, but under lighting shows short distance with difficulty securing sight from medians. And straight section shows similar recognizable distances. By finding visuality improvement method depending on color and pattern of supplement taillight, it is expected to suggest quantitative judgement standard for introducing regulation and improvement of supplement taillight. CONCLUSIONS : Night time vehicle conspicuity to the rear is provided by rear position lamps. this study is showed that the color of light ramp is not important to be safe driving, most important is to turn on the light, recognizable distances is big different compared to turn off the rear light, so when the drivng dark in highway, have to turn on the light for reducing risk.

• Archives of Plastic Surgery
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• v.37 no.4
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• pp.504-508
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• 2010

Purpose: Traumatic telecanthus can result from nasoethmoid-orbital fractures. Repair of the medial canthal tendon (MCT) using transnasal wiring is regarded as a choice of method to treat telecanthus, however, is often complicated by incomplete anchoring and drift of canthus, extrusion of wire, in-fracture of orbital bone, and eye damage. The authors introduced oblique transnasal wiring method through the Hiraga's epicanthopalsty incision instead of well-known classical bicoronal approach. Methods: Five patients with traumatic telecanthus were treated with this method. Though the Hiraga's epicanthoplasty incision, we could approach the operative field; the medial orbital wall and detached MCT. Oblique transnasal wiring was performed as following steps. After slit skin incision on the contralateral nasal recession area, drill holes were made from this point to the superior and posterior point of lacrimal sac of deformed eye. A 2-0 wire was double-passed through the holes and MCT. Traction was applied to ensure pulling the MCT and the wires were twisted in the contralateral nose, securing the MCT in the correct position. Results: All patients except 1 person showed improvement and rapid recovery. On average each canthus was moved 5.6 mm medially. In all cases, there were no eyelashes disappear, lacrimal canaliculitis, lacrimal duct injury, or infections. Conclusion: The Hiraga's epicanthoplasty incision could give sufficient operative field to reattach the MCT in traumatic telecanthus patients. And the oblique transnasal wiring technique is effective for the Asians who have flat nose and exophthalmic eye. The authors conclude that this technique could be a simple, safe and scarless method to correct traumatic telecanthus.

• Tunnel and Underground Space
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• v.16 no.3 s.62
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• pp.241-250
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• 2006

Ice ring formation, one of the core techniques in LNG storage in a lined rock cavern, is investigated through hydro-thermal coupled analysis. An ice ring acts as a secondary barrier in case of leakage of cryogenic liquid and as a primary barrier for groundwater intrusion into an LNG cavern. Therefore, the thickness and location of the ice ring are crucial factors for the safe operation of an LNG storage cavern, especially for maintaining the integrity of a primary barrier composed of concrete, PU foam, and steel membrane. Through numerical analyses, the position and thickness of the ice ring are estimated, and the temperature and groundwater level are compared with measured values. The temperature md groundwater level by numerical analyses show good agreement with the field measurements when temperature-dependent properties and phase change are taken into account. The schemes used in this paper can be applied for estimation of ice ring formation in designing a full-scale LNG cavern.

• Journal of Korean Neurosurgical Society
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• v.39 no.4
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• pp.251-255
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• 2006

Objective : To determine the clinical and radiological safety of 15 consecutive patients managed with plate and screw fixation systems applied to the cervical lateral mass. Methods : 15 patients who underwent posterior cervical and T1 arthrodesis were reviewed from Jan 2002 to Dec 2004. Posterior cervical screw and plate fixation was applied on the lateral mass of the cervical spine. The authors have tried lateral mass screw fixation using a modified Magerl's technique [$20^{\circ}$ lateral and $20{\sim}30^{\circ}$ rostral screw trajectory] under preliminary radiological study. The average patient age was $39.73^{\circ}{\pm}11.00\;years$, and the average follow-up period was $9.73^{\circ}{\pm}6.77\;months$. Computed tomography scans taken after surgery were reviewed to confirm the attempted screw trajectory correct and safety. Results : Three of 93 lateral mass screws were malpositioned but clinical damage was not noted. Two of 8 pedicle screws on the T1 vertebrae were not placed on the correct pedicle area. Screw and plate loosening was observed in one case but was not subjected to an additional procedure because of maintained screw position observed during follow-up periods. Conclusion : The results of this study indicate that lateral mass screw fixation using the Modified Magerl's technique on the cervical lateral mass may provide safe and effective application on the patients. In addition, the chance of incorrectly placed screws was higher in T1 pedicle screw fixation than in lateral mass screw fixation of the cervical area.