• Archives of Plastic Surgery
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• 제44권4호
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• pp.308-312
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• 2017

Background Donor site seroma is the most common complication after latissimus dorsi (LD) flap harvest. This study aimed to evaluate the efficacy of negative-pressure wound therapy (NPWT) in preventing donor site seroma formation after the harvest of an LD flap for breast reconstruction. Methods In this prospective matched-pair study, 40 patients in whom an LD flap was harvested for breast reconstruction were enrolled. NPWT was used in 20 patients, and in a control group composed of another 20 patients, the conventional donor site dressing technique was used. Information was collected regarding postoperative complications, the incidence of seroma, total drainage volume, the number of percutaneous seroma aspirations, and the volume aspirated. Results In the NPWT group, the incidence of seroma formation after drain removal was significantly lower than in the control group (15% vs. 70%; odds ratio=0.07; relative risk, 0.24). Both the mean percutaneous aspirated volume (P =0.004) and the number of percutaneous aspirations (P=0.001) were also significantly lower in the NPWT group. There were no significant differences in the total drainage volume or the duration of wound drainage between the NPWT dressing group and the control group (P>0.05). Conclusions This study showed that NPWT is a promising tool for reducing the incidence of seroma formation after removing the drain at the donor site after LD flap harvesting. It is a simple and safe technique.

• Archives of Plastic Surgery
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• 제34권2호
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• pp.197-202
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• 2007

Purpose: The gluteal artery perforator flaps earned its popularity in buttock reconstruction due to the lower morbidity of the donor site and the flexibility in the design. Speedy and safe reconstruction is important for the success of buttock reconstruction. If a proper design is selected, satisfactory results can be obtained with more simple method of surgery. Methods: Between April 2005 and April 2006, buttock reconstruction by using gluteal artery perforator flaps were performed on sacral sores(6 cases), ischial sores(2 cases) and malignant melanoma on buttock(1 case). Various designs depending on the location and the size of the defect was made. In those designs, perforator was used as an axis for the minimal dissection of the vessel. Donor site from which sufficient amount of soft tissue can be transferred was selected, and also not causing high tension against the recipient site during the donor site closure. In addition, postoperative aesthetics, and the possibility of another design of a second operation which can be necessary in the future, was considered. Results: Patient follow up was for a mean period of 10.8 months. All flaps survived except for one that had undergone partial necrosis. Wound dehiscence was observed in one patient treated by secondary closure. Most patients presented with cosmetically and functionally satisfying results Conclusion: By designing the flap using the perforator as an axis, depending on the defect size and degree, reconstruction can be performed with only a small tension to the donor and the recipient site. And the minimal perforator dissection allowed easier and faster reconstruction. Selection of a proper design is the key procedure which greatly affects operation time and result success.

• Journal of Korean Neurosurgical Society
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• 제66권5호
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• pp.536-542
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• 2023

Objective : Surgical site infection is the most detrimental complication following cranioplasty. In other surgical fields, intrawound vancomycin powder application has been introduced to prevent surgical site infection and is widely used based on results in multiple studies. This study evaluated the effect of intrawound vancomycin powder in cranioplasty compared with the conventional method without topical antibiotics. Methods : This retrospective study included 580 patients with skull defects who underwent cranioplasty between August 1, 1998 and December 31, 2021. The conventional method was used in 475 (81.9%; conventional group) and vancomycin powder (1 g) was applied on the dura mater and bone flap in 105 patients (18.1%; vancomycin powder group). Surgical site infection was defined as infection of the incision, organ, or space that occurred after cranioplasty. Surgical site infection within 1-year surveillance period was compared between the conventional and vancomycin powder groups with logistic regression analysis. Penalized likelihood estimation method was used in logistic regression to deal with zero events. All local and systemic adverse events associated with topical vancomycin application were also evaluated. Results : Surgical site infection occurred in 31 patients (5.3%) and all were observed in the conventional group. The median time between cranioplasty and detection of surgical site infection was 13 days (range, 4-333). Staphylococci were the most common organisms and identified in 25 (80.6%) of 31 cases with surgical site infections. The surgical site infection rate in the vancomycin powder group (0/105, 0.0%) was significantly lower than that in the conventional group (31/475, 6.5%; crude odds ratio [OR], 0.067; 95% confidence interval [CI], 0.006-0.762; adjusted OR, 0.068; 95% CI, 0.006-0.731; p=0.026). No adverse events associated with intrawound vancomycin powder were observed during the follow-up. Conclusion : Intrawound vancomycin powder effectively prevented surgical site infections following cranioplasty without local or systemic adverse events. Our results suggest that intrawound vancomycin powder is an effective and safe strategy for patients undergoing cranioplasty.

• 한국환경농학회지
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• 제41권4호
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• pp.355-364
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• 2022

BACKGROUND: Pre-harvest interval and decline pattern of thiamethoxam were determined in kiwifruit using liquid chromatography-tandem mass spectrometry (LCMS/MS). The study was carried out to propose import tolerance using OECD maximum residue limit (MRL) calculator for the export promotion of kiwifruit to Taiwan. METHODS AND RESULTS: The thiamethoxam residue in kiwifruit was determined by using the LC-TriQ-MS/MS with the analytical process to set up the import tolerance under greenhouse conditions for Taiwan. Excellent linearity was observed for all of the analytes with a determination coefficient (R²)≥0.99. The limit of quantification was determined to be 0.01 mg/kg for both thiamethoxam and clothianidin in kiwifruit. Linearity was determined from the co-efficient of determinants (R²) obtained from the seven-point calibration curve. The standard calibration curve showed as follows; 1) Site 1 (Gimje): y = 944,406X + 1,583 (R²=0.9995), 2) Site 2 (Goheung): y = 1,356,205X + 934 (R²=0.9983), and 3) Site 3 (Jangheung): y = 1,239,937X - 3,090 (R²=0.9908). The residue of thiamethoxam in the kiwifruit for three decline trials showed the range of 0.35 to 0.56 mg/kg in site 1 (Gimje), 0.24 to 0.55 mg/kg in site 2 (Goheung), and 0.28 to 0.42 mg/kg in site 3 (Jangheung), respectively. However, clothianidin was not detected in all of the treatments. The maximum residual amounts (decline) in the samples, sprayed according to the safe-use standard for thiamethoxam 10% WG in kiwifruit (30 days before harvest, 3 sprays every 7 days) were 0.56 mg/kg in site 1, 0.55 mg/kg in site 2, and 0.42 mg/kg in site 3, respectively. CONCLUSION(S): The import tolerance (IT) of thiamethoxam for kiwifruit may be proposed to be 0.9 mg/kg by using the OECD MRL calculator.

• Geomechanics and Engineering
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• 제10권4호
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• pp.547-563
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• 2016

This paper describes a geotechnical field investigation in Giresun hazelnut licenced warehause and spot exchange during twelve months to determine the soil profile and static project applicability. It is also aimed to determine the superstructure loads and evaluate the relevance of foundation filling materials of the main, laboratory, package and admin buildings. The main building has $88.50{\times}63.20(5593.2)m^2$ site area. It has a big raft foundation. Eleven geotechnical reports were prepared between 2 December 2014 and 25 May 2015. Maximum settlements and safe bearing capacities were calculated to decide to be able to proceed to the next step. Also, the detail observations and evaluations were presented from October 2014 to December 2014. It has been seen that the foundation is designed as a single foundation one. But, in the light of observations, it has been evaluated that the foundation project for package building is not adequate, and after these excavations it must be revised as a raft foundation. The thickness of foundation and structural details should be defined/drawn after analyzing the details by using a special software. Construction joints should be designed between different buildings interfaces to avoid damages and cracks with in different settlements. The environmental drainage must be projected and applied to avoid the probable damage of surface waters on foundations.

• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2016년도 제54차 하계학술대회논문집 24권2호
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• pp.157-159
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• 2016

최근 학교폭력 및 묻지마 범죄가 꾸준히 증가추세에 있다. 2011년 12월 학교폭력에 의한 대구중학생 자살사건, 2010년 2월 김길태 사건과 6월 김수철 사건, 2016년 5월 강남역 노래방 살인사건과 6월 섬마을 여교사 사건 등 사회적 약자인 소년, 여성 대상범죄 및 묻지마 범죄가 사회문제로 대두되고 있다. 이에 따라 범죄예방 도구이자 전략으로써 CPTED가 하나의 대안으로 부각되고 있다. 국토교통부는 건축물, 건축설비 및 대지에 관한 범죄예방 기준인 '범죄예방 건축기준 고시'를 2015년부터 시행하고 있는데 적용대상 건물 등은 이 기준에 따라 설계하고 건축해야 한다. 현대 위험사회에서 강력범죄 및 경범죄의 사전예방을 위해서는 사회 안전시스템 구축이 요구되며 그 대안으로 환경설계를 통해 범행기회를 심리적, 물리적으로 차단하는 정책을 모색함으로써 환경범죄학 입장에서 범죄예방에 접근할 필요가 있다.

• 화약ㆍ발파
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• 제19권3호
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• pp.91-104
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• 2001

As in Korean environments with mountainous and hilly areas, the rock generally has to be removed in construction or civil engineering work in tunnelling or excavation for development in urban area. Explosives should be used for blasting, which may cause serious problems on local people for their claim for compensation due to ground vibration, noise. For safe and economic blasting, geology and engineering characteristics of rocks such as discontinuities of rock or weathering are very important factors, together with site characteristics for prediction of ground vibration. In this study, conducted were the detailed study for major rocks most widely distributed in the South-east area, in-situ geological survey, geological and geochemical analysis, and further laboratory uniaxial rock stress, seismic velocity of core samples together with in-situ seismic velocity measurements. Regulations on ground vibration and noise were reviewed for assessing their adaptabilities, and a total of 4,856 measured blasting vibration data were examined for enhancing the confidence level in estimating the predictive formulation using scaled distance statistically.

• 한국가스학회지
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• 제11권1호
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• pp.13-17
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• 2007

It is very insecure to treat a butane can for cooking out of door. The human injury from the accidents of butane cans has been getting increased 1.5 times yearly since 2003. In this context, the Institute of Gas Technology Training in Korea Gas Safety Corporation carries out explosion experiment to make trainees to take all possible measures to ensure safe management of gas in the field by fully recognizing the hazards of gas explosion accidents. This study intends to examine the influence of such explosion experiments on the trainees witnessing nearby. The GEN exposed to the active students participating in the experiment away from 25 meters from the explosion site was 57.94 dB and the GEN to the passive students not participating away from 50 meters was 51.92 dB. According to Weber-Fechner's law for the lower value than 65 dB which is the environmental standard, it is safe from the place 15 meter far from the explosion place. The environmental standard of offices is 50 dB, and it is lower than the environmental standard if the office is 65 meter far from the explosion place.

• 한국안전학회지
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• 제25권1호
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• pp.57-61
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• 2010

Formwork is a temporary structure that supports its weight and that of fresh concrete as well as construction live loads. Scaffoling is a temporary frame used to support people and material in the construction or repair of buildings and other large structures. It is usually a modular system of metal pipes, although it can be made out of other materials. Bamboo is still used in some Asian countries like China. The purpose of a working scaffold is to provide a safe place of work with safe access suitable for the work being done. In construction site, steel pipes are usually used as scaffolds. In this study, scaffolding systems which is changed according to sleeper and joist space were measured by buckling test. Buckling load of respective scaffolding system was analyzed by structural analysis program(MIDAS). Buckling load of scaffold with/without wall connection and footboard was got by test and structural analysis. According to these results，we know that scaffolding system of case 3 is suitable. Buckling load of scaffold with wall connection is higher than without wall connection. So wall connection is important in scaffoling systems. Footboard in the scaffolding systems is not effective against promotion of buckling load. Finally, the present study results will be used to design scaffolding systems safely in the construction sites.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2007년도 추계학술대회 논문집
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• pp.595-600
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• 2007

Greater expansion and more frequent operation of the railroad transportation system anticipated due to its characteristics including low cost, safety and mass transportation. Recently, effects on the railway structures due to expansion of newly constructed road, construction of subway, city gas pipeline, communication network, electric power network and construction of other railway underground crossing in accordance with urban planning and organization has influenced safe operation of trains. Accordingly, standard for selection of construction method that will enable construction of more economical and rational subway underground crossing structures by preventing problems occurring at the time of above construction works and accidents in safe operation of trains due to construction in advance is definitively necessary. Although there are numerous construction methods that can be applied at the time of construction of railway underground crossing, there are much difficulties in selection of appropriate construction method that considers characteristics of each construction method on non-excavation type construction method, train operation plan of number of operational routes and on-site circumstances. Therefore, this research aims to present rational standard for selection of construction method for such, and standard for slowdown speed and interception of train when passing the areas of slowdown in sectors under construction.