Young Jun Kim;Woo Young Choi;Ji Seon Cheon;Min Hyub Choi
Archives of Plastic Surgery
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v.50
no.3
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pp.233-239
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2023
Background Trunk defects can occur because of surgical site infections after spinal surgery, resection of malignant tumors, or trauma. Herein, we present our experience of using intercostal artery perforator (ICAP) flaps to reconstruct trunk defects without noteworthy complications. Fourteen patients underwent reconstruction with ICAP flaps between March 2015 and March 2019. Methods Patients' data, including age, sex, the cause of the defect, defect size, perforator location, flap size, complications, and follow-up period, were retrospectively reviewed. The mean age of the patients was 56.5 years (range, 19-80 years). All operations were performed after the results of bacterial culture from the wound showed no microbial growth. We found reliable perforators around the defect using Doppler ultrasonography. The perforator flaps were elevated with a pulsatile perforator and rotated in a propeller fashion to the defects. We performed five dorsal and two lateral ICAP flaps. The mean flap dimensions were 12 × 5.5 cm2 (range, 6 × 5 to 18 × 8 cm2). Results Primary closure of the donor site was performed. Marginal congestion was observed as a complication in one case, but it healed with no need for revision. The mean follow-up period was 8 months. All patients were satisfied with the surgical outcomes. Conclusion ICAP flaps can be easily mobilized, thereby reducing donor site morbidity without sacrificing the underlying muscles for trunk reconstruction. Therefore, these flaps are useful options for the reconstruction of trunk defects.
Kim, Hyung Su;Lee, Dong Chul;Kim, Jin Soo;Roh, Si Young;Lee, Kyung Jin;Yang, Jae Won;Ki, Sae Hwi;Harijan, Aram
Archives of Plastic Surgery
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v.43
no.1
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pp.66-70
/
2016
Background In this study, we characterize the morbidity at the donor-site of partial second toe pulp free flaps in terms of wound management as well as long-term outcomes. Methods A single-institutional retrospective review was performed for patients who had undergone partial second toe pulp free flap transfer to the fingertip. Patient charts were reviewed for infection, skin necrosis, wound dehiscence, and hematoma for the donor site. Additionally, a questionnaire survey was given to patients who had a follow-up of longer than 1 year to characterize long-term postoperative pain and appearance. Results The review identified a total of 246 cases. Early wound complications were significant for wound dehiscence (n=8) and hematoma (n=5) for a wound complication rate of 5.3%. The questionnaire was distributed to 109 patients, and 54 patients completed the survey. Out of these 54 patients, 15 patients continued to have donor-site pain (28%) at a mean follow-up period of 32.4 months. However, the pain intensity was relatively low in the range between 2 to 5, on a 0-10 scale. None of these patients felt this donor-site pain interfered significantly with daily activity, nor did any patient require pain medications of any type. Donor-site appearance was satisfactory to most patients. Conclusions The partial second toe pulp flap was associated with low rates of wound complications and favorable long-term outcomes. Given the functional and aesthetic gain in the recipient finger, donor-site morbidities appear acceptable in this patient population. This study can be helpful in counseling patients regarding donor-site morbidity during the informed consent process.
This experiment was conducted to determine seed storage protein pattern and structural character of differed peanut cultivars during germination. Soluble protein content in both Namdae and Daekwang cultivars remarkably decreased in cotyledon site at 2 or 3 days after incubation(DAI) and in embryonic axis site at 1 or 2 DAI, showing 28∼29% in cotyledon site and 10% in embryonic axis site at 5 DAI. Protein subunits such as 66, 43, 40 and 35.5kD bands in the cotyledon site of Namdae and Daekwang cultivars disappeared, but 21.5-23kD band disappeared slightly, but low polypeptide band such as 14-16kD increased gradually, and the same trend has been obserbed in embryonic axis site during 2 DAI. The amount of new protein formed during germination period was highest in cotyledon site at 3 DAI, and in embryonic axis site at 2 DAI. 16kD bend detected in cotyledon site of Daekwang cultivar during germination.
In a red pine (Pinus densiflora) forest, changes of pH, electric conductivity, total carbon, total nitrogen, available phosphate and available potassium in soil and runoff have been studied at intervals for 1 year after early spring fire. Phytimasses of herb and shrub were measured following the current and the subsequent year. The pH, E.C., total nitrogen and phosphate of soil in burned site wee 1.1, 1.5, 1.6 and 2.0 times higher than in unburned site, respectively. But potassium showed no significant difference. A rise in pH, E.C., and total nitrogen in burned site were maintained throught the study period while phosphate maintained 4 months after the fire. The E.C., total carbon, $NO_2-N$ and $NH_4-N$ of runoff in burned site were 1.3, 1.3, 1.3 and 29.0 times higher than in unburned site, respectively, while $NO_3-N$ in unburned site was 4 times higher than in burned site. In burned site, phytomasses of herb and shrub were 148 and 33% of unburned site in a current year and 107 and 51% in a subsequent year, respectively. The considerable amount of increase in soil nutrient after the fire was conserved by the uptake of the fast regrowing plants and by the immobilization of $NH_4=N$.
This article introduce the manufacturing technique of Silla potteries based on the result excavated from Songogdong and Mulchunri site in Gyungju. As a result, we selected the kiln-site to produce Silla potteries and knew the feature which following to make them. 1. The Environmental elements to take a kiln-site were abundant fuel, plenty water and suitable soil. In particular, efficient usage of refracted winds and reserved space of forepart in the kiln-site were importantly applied to select place of kiln-site. 2. The structure of the kiln-body have been changing according to the time. It could be massproduced by produce-group from the middle and end of sixth centry which the fireplace-kiln was generalized. 3. The work center of equipments were related kiln-site. It consisted of mixed wheel, keepingpit and ditch. We knew that a look-out shed had been appeared according to utility purpose variously. 4. It sees as trimming trace of inner and outter aspects in excavated potteries and we knew that wheel had been turn to the contrast watch direction. For producing pottery of the good guality, various kiln-tools had been used already at Silla period and they used for the different purpose. 5. We intended to know method for laying the potteries in the kiln through the example of the adherent pottery to be melted. Finally, manufature and tomb-site are separated by the time through current situation of Songokdong and Mulchonri site. At the same time, we could know that group of Chounbuk kiln-site moved from the south to the north step by step.
A few archeological excavation of Buddhist temple sites of Koguryo were reported with information of site arrangement. The interpretation of such information is very important not only for the explanation of Korea early Buddhist architecture but also for the development of East Asian cases in general since no archeological evidences of the same period were found in other countries such as China. Though the investigation of the four temple sites this paper attempt to identify their date of construction and the process of change. The study depended much on comparative studies of the change of site elements such as pagoda, image hall., corridor, and other buildings. The study could conclude that the site of SangO-Ri must be the earliest case which was followed by ChungRung-Sa, which was built in around 427AD. The site of ToSung-Ri was the case which was the work of the rate 5th century. Such process of the development of Buddhist architecture in Koguryo unveils the fact that the process of change was a continuous flow toward a consistent goal of change that had much to do with the contemporary religious situation.
Infectious disease emergency hospitals are usually temporarily built during the pneumonia epidemic with higher requirements regarding diagnosis and treatment efficiency, hygiene and safety, and infection control.This study aims to identify how the Building Information Modeling (BIM) + Industrialized Building System (IBS) approach could rapidly deliver an infectious disease hospital and develop site epidemic spreading algorithms. Coronavirus-19 pneumonia construction site spreading algorithm model mind map and block diagram of the construction site epidemic spreading algorithm model were developed. BIM+IBS approach could maximize the repetition of reinforced components and reduce the number of particular components. Huoshenshan Hospital adopted IBS and BIM in the construction, which reduced the workload of on-site operations and avoided later rectification. BIM+IBS integrated information on building materials, building planning, building participants, and construction machinery, and realized construction visualization control and parametric design. The delivery of Huoshenshan Hospital was during the most critical period of the Coronavirus-19 pneumonia epidemic. The development of a construction site epidemic spreading algorithm provided theoretical and numerical support for prevention. The agent-based analysis on hospital evacuation observed "arched" congestion formed at the evacuation exit, indicating behavioral blindness caused by fear in emergencies.
Park, Kyung-Woo;Kim, Kyung-Su;Koh, Yong-Kwon;Jo, Yeonguk;Ji, Sung-Hoon
Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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v.15
no.3
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pp.239-256
/
2017
In the process of site selection for a radioactive waste disposal, site characterization must be carried out to obtain input parameters to assess the safety and feasibility of deep geological repository. In this paper, methodologies of site characterization for radioactive waste disposal in Korea were suggested based on foreign cases of site characterization. The IAEA recommends that site characterization for radioactive waste disposal should be performed through stepwise processes, in which the site characterization period is divided into preliminary and detailed stages, in sequence. This methodology was followed by several foreign countries for their geological disposal programs. General properties related to geological environments were obtained at the preliminary site characterization stage; more detailed site characteristics were investigated during the detailed site characterization stage. The results of investigation of geology, hydro-geology, geochemistry, rock mechanics, solute transport and thermal properties at a site have to be combined and constructed in the form of a site descriptive model. Based on this site descriptive model, the site characteristics can be evaluated to assess suitability of site for radioactive waste disposal. According to foreign site characterization cases, 7 or 8 years are expected to be needed for site characterization; however, the time required may increase if the no proper national strategy is provided.
In the present article, we have analyzed five slags excavated from the Unified Silla period iron smelting site, i.e., location 4-2 of the Inje Bupyeong-ri site, to investigate the iron smelting process. The total Fe content of the slag excavated from the Inje Bupyeong-ri site ranged between 3.65 and 23.78 wt%, lower than that of typical slag, and deoxidation agent of the slag ranged between 65.92 and 88.96 wt%, higher than that of typical slag. These results suggest that the recovery rate of iron was significantly high. Furthermore, cristobalite was detected in most of the samples, and the furnace temperature, estimated by substituting the analyzed data into the FAS and FCS state diagrams, was confirmed as 1,600℃ or more. These results suggest that the operation at the Inje Bupyeong-ri site was performed at a temperature capable of producing cast iron by completely melting the carbon-containing iron. Observation of the microstructure showed that the iron fragments excavated at the Inje Bupyeong-ri site were identified as white cast iron. Steadite from the ternary iron-carbon-phosphorus system was observed in the white cast iron structure. These results show that indirect smelting was performed when the iron smelting by-products were produced. Based on the analysis results, it was confirmed that the Inje Bupyeong-ri site was the indirect smelting site in the Unified Silla period.
This study, collaborated Gifu University, Japan, was performed to analyze chemical pollutants and microorganism and to clarify the distribution of sulfate-reducing bacteria and their insolubilization of heavy metal ions in leachates sampled seasonally between 1994 and 1996 from Nanjido waste landfill site, sampled 4 times between 1995 and 1996 from Pusan and Daejeon waste landfill site, and sampled 1 time between 1992 and 1994 from Hokkaido, Nagoya, Osaka and Hukuoka waste landfill site in Japan. The results were as follows: 1. The temperatures of internal leachate and leachate effluent were 40$\circ$C and 30$\circ$C, respectively, and the pH values of both leachates were about 8.0 at Nanjido waste landfill site. The concentration of SO$_4^{-2}$ gradually increased with the degree of stabilization and that of NO$_3$-N was detected in a part of sampling sites at one and half years, and in all sampling sites at 3 years after completion of landfill. 2. The organic substances in leachate of Nanjido waste landfill site decreased with the degree of stabilization and they were very fluctuated with measuring point and time. The concentration of organic substance and heavy metals in internal leachate were higher than in leachate effluent and those of Cd, Hg, and Pb were lower than detection limit except a part of samples in 1996. 3. APCs in internal leachate and leachate effluent were not much different and the minimum of APCs in internal leachate and leachate effluent were $1.0\times 10^4$/ml and $4.0\times 10^1$/ml, respectively. 4. The maximums of SRBs in Nanjido, Pusan, and Daejeon waste landfill site were 9180 MPN/ml, 24000 MPN/ml, and 348 MPN/ml, respectively and the maximum of SRBs in Japan waste landfill site was 9300 MPN/ml. 5. During 2-week-SRB culture, the values of MPN were high at 50$\circ$C for initial culture period and at 30$\circ$C for last culture period. MPN started to appear at first day and rapidly increased between 7th day and 9th day. 6. Cadmium and copper were insolubilized by SRB within 6 hr and iron and zinc were done within 48 hr. The rates of insolubilization of Cd, Cu, Fe, Zn, T-Cr were 100%, 99.5%, 95.0%, 99.8%, 16.1% after 48 hr treatment with SRB, respectively.
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