Purpose: Breast reconstruction with abdominal flap has many advantages. However, it might cause abdominal complications such as bulging or hernia. SIEA (Superficial inferior epigastric artery) flap is the most advanced form of abdominal flap which has no adverse effect on abdominal fascia. We report 2 cases of breast reconstruction with SIEA flap with reference review. Methods: From Jun 2006 to Jan 2009, 110 patients underwent breast reconstruction with free abdominal flap. We tried to find the SIEA in every cases and adopted SIEP flap if the diameter was larger than 1mm and it had visible pulsation. 2 patients underwent breast reconstruction with SIEA flap. After design of abdominal flap SIEA was investigated with portable Doppler. SIEA was usually found 4-5 cm lateral to the midline. Flap was elevated with SIEA and SIEV to their maximal length at hiatus. Results: There were no complications, such as infection, hematoma, and necrosis of flap. In both cases, flaps survived completely with excellent vascularity and breast reconstruction was successful. In one case, there was skin necrosis of mastectomy flap, and it was healed by conservative management. Conclusion: With the SIEA flap, donor site morbidity can be minimized along with reduction of operation time. If there is reliable SIEA, SIEA flap would be the preferred skills. However, the limitation of the SIEA flap is difficulty in identifying the SIEA. The reason for less availability of the flap in Korea might include high prevalence of the Caesarian section scar and relatively higher level of the lower margin of the flap.
Investigations of the commercial aircraft impact effect on nuclear island infrastructures have been drawing extensive attention, and this paper aims to perform the safety assessment of Generation III nuclear power plant (NPP) buildings subjected to typical commercial aircrafts crash. At present Part I, finite element (FE) models establishment and validations for both the aircrafts and NPP buildings are performed. (i) Airbus A320 and A380 aircrafts are selected as the representative medium and large commercial aircrafts, and the corresponding fine FE models including the skin, beam, fuel and etc. are established. By comparing the numerically derived impact force time-histories with the existing published literatures, the rationality of aircrafts models is verified. (ii) Fine FE model of the Chinese Zhejiang Sanao NPP buildings is established, including the detailed structures and reinforcing arrangement of both the containment and auxiliary buildings. (iii) By numerically reproducing the existing 1/7.5 scaled aircraft model impact tests on steel plate reinforced concrete (SC) panels and assessing the impact process and velocity time-history of aircraft model, as well as the damage and the maximum deflection of SC panels, the applicability of the existing three concrete constitutive models (i.e., K&C, Winfrith and CSC) are evaluated and the superiority of Winfrith model for SC panels under deformable missile impact is verified. The present work can provide beneficial reference for the integral aircraft crash analyses and structural damage assessment in the following two parts of this paper.
Song, Sun Ho;Han, Seung Kyu;Chun, Kyung Wook;Kim, Woo Kyung
Archives of Plastic Surgery
/
v.36
no.6
/
pp.679-684
/
2009
Purpose: Human lipoaspirate cells are relatively easy to obtain in large quantities without cell culture. The aim of this in vitro pilot study was to determine the effect of cell therapy using uncultured lipoaspirate cells on cell proliferation and collagen synthesis of diabetic fibroblasts, which are the major contributing factors in wound healing. Methods: In order to get diabetic fibroblasts, dermis tissues were obtained from foot skin of diabetic patients who underwent debridements or toe amputations(n = 4). In order to isolate lipoaspirate cells, the same diabetic patients' abdominal adipose tissues were obtained by liposuction. The diabetic fibroblasts were co - cultured with or without autogenous lipoaspirate cells using porous culture plate insert. Initial numbers of the lipoaspirate cells and diabetic fibroblasts seeded were 15,000 cells/well, respectively. For cell proliferation assay, two treatment groups were included. In group I, diabetic fibroblasts were cultured with the insert having no cells, which serves as a control. In group II, the lipoaspirate cells were added in the culture plate insert. For collagen synthesis assay, one additional group(group III), in which diabetic fibroblasts were not seeded in the well and only lipoaspirate cells inside the insert were incubated without diabetic fibroblasts, was included for a reference. Results: One hundred to one hundred sixty thousand lipoaspirate cells were isolated per ml of aspirated adipose tissue. After 3 - day incubation, the mean cell numbers in group I and II were 17,294/well and 22,163/well. The mean collagen level in group I, II, and III were 29, 41, and 2 ng/ml, respectively. These results imply that both cell proliferation and collagen synthesis in the lipoaspirate cell treatment group were 28 and 44 percents higher than in the control group, respectively(p < 0.05). Conclusion: Uncultured lipoaspirate cell autografts may stimulate the wound healing activity of diabetic fibroblasts.
Journal of Physiology & Pathology in Korean Medicine
/
v.19
no.4
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pp.884-892
/
2005
Seeing through the reference of literatures ${\ll}$Internal Classic${\gg}$, ${\ll}$Donguibogam${\gg}$ and Master Jisan's theory about Ki-Hyul and Hyul-Ki, the writer came to conclusions as follows. In ${\ll}$Internal Classic${\gg}$ Ki-Hyul is expressed into being orderly and ordinate, but Hyul-Ki is described differently into making Hyul-Ki or operating Hyul-Ki. In ${\ll}$Donguibogam${\gg}$ Ki-Hyul and Hyul-Ki are not distinguished between two things, but Ki-Hyul is mentioned as harmony of Ki-Hyul and Hyul-Ki, and Hyul-Ki as ascending and descending or as deficiency and excess. In Hyungsang medicine the special characters of Ki-Hyul is seized the essence of the meanings from the deflection between left and right, changes of skin, flesh, meridian, muscle and bones. And the distinctive marks of Hyul-Ki is got hold from changes of complexion, many or few hairs, ascending or descending spirits of ears, eyes, mouth and nose. Also Ki-Hyul is recognized by laying stress on rise and fall, after birth, breast, upper limbs, eight extra meridians. And Hyul-Ki is recognized by laying stress on going up and down, the inborn constitution, abdomen, lower limbs, and twelve meridians. Jisan distinguished Ki-Hyul from Hyul-Ki theoretically and he applied the theory to clinical examination proved the facts that the theory and the examination are in accord with each other. This attempts was for the first time in Oriental medicine history and the theory was set up. It is thought that the defects of the theory about Ki-Hyul and Hyul-Ki which Jisan insisted on need much more study from now on.
Beltran, Rafael;Hurren, Christopher J.;Kaynak, Akif;Wang, Xungai
Fibers and Polymers
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v.3
no.4
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pp.129-133
/
2002
It is well known residual gum exists in degummed or rotted hemp fibers. Gum removal results in improvement in fiber fineness and the properties of the resultant hemp yams. However, it is not known what correlation if any exists between the residual gum content in retted hemp fibers and the fiber fineness, described in terms of fiber width in this paper. This study examined the mean width and coefficient of variation (CV) of fiber width of seventeen chemically rotted hemp samples with reference to residual gum content. The mean and CV of fiber width were obtained from an Optical fiber diameter analyser (OFDA 100). The linear regression analysis results show that the mean fiber width is directly proportional to the residual gum content. A slightly weaker linear correlation also exists between the coefficient of variation of fiber width and the residual gum content. The strong linear co-relation between the mean of fiber width and the residual gum content is a significant outcome, since testing for fiber width using the OFDA is a much simpler and quicker process than testing the residual gum content. Scanning Electron Microscopy (SEM) reinforces the OFDA findings. SEM micrographs show a flat ribbon like fiber cross-section hence the term \"fiber width\" is used instead of fiber diameter. Spectral differences in the untreated dry decorticated skin samples and chemically treated and subsequently carded samples indicate delignification. The peaks at $1370cm^{-1}$, $1325cm^{-1}$, $1733cm^{-1}$, and $1600cm^{-1}$ attributed to lignin in the untreated samples are missing from the spectra of the treated samples. The spectra of the treated samples are more amine-dominated with some of the OH character lost.cter lost.
Wyart, Y.;Nitsche, S.;Chaudanson, D.;Glucina, K.;Moulin, P.
Membrane and Water Treatment
/
v.2
no.4
/
pp.251-266
/
2011
This work deals with the use of High Resolution Scanning Electron Microscopy (HRSEM) to verify ultrafiltration membrane selectivity at the end of the production line as well as membrane ageing. The first part of this work is focused on new membranes. It is shown that it is better to use sputtering metallization than vacuum deposition, as this latter technique entails thermal damage to the skin layer. Moreover, the impact of the metallization layer on the determination of the membrane pore size is studied and it is observed that no impact of the metallization step can be clearly defined for a metallization layer ranging from 3 to 12 nm. For example, an average pore size of 16.9 nm and a recovery rate of 6.5 % are observed for a 150 kDa cellulose acetate membrane. These results are in agreement with those given by the manufacturer: pore size ranging from 10 to 15 nm and recovery rate ranging from 5 to 10 %. The second part of this work focuses on the study of membrane ageing. A PVDF hollow fibre membrane is studied. It is shown that a 65 % decrease in the permeate flux can be linked to a decrease in the number of pores at the surface of the membrane and a decrease in the recovery rate. In conclusion, a mapping of the pores is performed for several new hollow fibre membranes used to produce drinking water, made of different materials, with different geometries and molecular weight cut-off. These results provide reference data that will help better understand the phenomena of membrane fouling and membrane ageing.
The Transactions of The Korean Institute of Electrical Engineers
/
v.66
no.7
/
pp.1141-1148
/
2017
Generally, a thermistor made by sintering a metal oxide is widely used to measure the ambient temperature. This thermistor is widely used not only for industrial use but also for medical use because of its excellent sensitivity, durability, temperature change characteristics and low cost. In particular, the normal body temperature is 36.9 degrees relative to the armpit temperature, and it is most closely related to the circulating blood flow. Previous studies have shown that body temperature changes during biomechanical changes and body temperature changes by anomalous signs or illnesses. Therefore, in this study, we propose a Lock-In-Amp design to detect minute temperature changes of clothing and thermistor wired by a preacher as a method to regularly measure body temperature in daily life. Especially, it is designed to measure the minute resistance change of the thermistor according to body temperature change even in a low-cost microprocessor environment by using a micro-processor-based Lock-In-Amp, and a jacquard and the thermistor is arranged so as to be close to the side, so that the reference body temperature can be easily measured. The temperature was measured and stored in real time using short-range wireless communication for non - restraint temperature monitoring. A baby vest was made to verify its performance through temperature experiments for infants. The measurement of infant body temperature through the existing skin sensor or thermometer has limitations in monitoring infant body temperature for a long time without restriction. However, it can be overcome by using the embroidery fabric based micro temperature monitoring wireless monitoring device proposed in this study.
Background: The study aimed to evaluate nasal reconstruction techniques customized for Asians. The currently available nasal reconstruction guidelines are based on Caucasian patients, and their applicability is limited in Asian patients due to differences in anatomical and structural features. Methods: A retrospective analysis was performed of the medical records of 76 patients who underwent nasal reconstruction at a single center between January 2010 and June 2020. A comprehensive evaluation was conducted of patients' baseline demographics and clinical characteristics, including age, sex, medical history, defect size and location, reconstructive procedure, pathological diagnosis, postoperative complications, and recurrence. Results: In 59 cases (77%), nasal defects resulted from tumor ablation, and the remaining 17 cases involved post-traumatic (20%) and infection-induced (3%) tissue damage. The most common defect location was the alae, followed by the sidewalls, tip, and dorsum. Forehead flaps were the most commonly used reconstructive technique, followed by nasolabial advancement flaps, rotation flaps, and skin grafts. Each procedure was applied considering aspects of structural anatomy and healing physiology specific to Asians. Complications included nasal deformity, hypertrophic scarring, secondary infection, and partial flap necrosis, but no cases required additional surgical procedures. Tumors recurred in two cases, but tumor recurrence did not significantly affect flap integrity. Conclusion: Nasal reconstruction techniques applied considering Asians' facial features resulted in fewer postoperative complications and higher patient satisfaction than the approaches that are currently in widespread use. Therefore, this study is expected to serve as an essential reference for establishing treatment guidelines for nasal reconstruction in Asians.
Kim, Dmitriy Spartakovich;Murayama, Kentaro;Nurtazin, Yernat;Koguchi, Yasuhiro;Kenzhin, Yergazy;Kawamura, Hiroshi
Journal of Radiation Protection and Research
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v.44
no.2
/
pp.79-88
/
2019
Background: The main goal of experiments is to compare various operational and technical characteristics of D-Shuttle semiconductor personal dosimeters of the Japanese company "Chiyoda Technol Corporation" and Harshaw thermoluminescent dosimeters (TLD) manufactured by "Thermo Fisher Scientific" and DTL-02 of the Russian Research and Production Enterprise (RPE) "Doza" by their occupational and calibration exposure at various dose equivalents from 0.5 to 20 mSv of gamma-radiation. Materials and Methods: Besides dosimeters DTL-02, D-Shuttle and Harshaw TLD, there were also used: (1) the primary reference radionuclide source Hopewell Designs IAEA: G10-1-12 with $^{137}Cs$ isotope (an error is not more than 6% and activity is 20 Ci), and (2) the verification device UPGD-2M of RPE "Doza" and installed in the National Center for Expertise and Certification of the Republic of Kazakhstan (Kapchagai, the National Center for Expertise and Certification). Results and Discussion: The main results of researches are the following: (1) TLDs for Harshaw 6600 and DVG-02TM have an approximately equal measurement accuracy of the individual dose equivalents in the range from 0.5 to 20 mSv of gamma-radiation. (2) Advantages of dosimeters for Harshaw 6600 are due to the high measurement productivity and opportunity to indicate the dose on the skin $H_p$(0.07). Advantages of DVG-02TM consist of operation simplicity and lower cost than of Harshaw 6600. (3) D-Shuttles are convenient for use in the current and the operational monitoring of ionizing radiation. Measurement accuracy and 10% linearity of measurements are ensured when D-Shuttle is irradiated with dose equivalents below 1 mSv at the equivalent dose rate not higher than $3mSv{\cdot}hr^{-1}$. This allows using D-Shuttle at a routine technological activity. Conclusion: The obtained results of experiments demonstrate advantages and disadvantages of D-Shuttle semiconductor dosimeters in comparison with two TLD systems of DVG-02TM and Harshaw 6600.
Proceedings of the National Institute of Ecology of the Republic of Korea
/
v.2
no.1
/
pp.26-31
/
2021
Reproduction and molt are costly processes in avian life histories. These two fitness-related traits are expected to be under one of physiological trade-offs. Age-related molt is known to be higher in young birds than that in adults presumably due to the cost of reproduction in adults. The present study partially replicated a previous study using a non-invasive method of seasonal wing feather loss instead of capture-inspection for molting progress in oriental storks (Ciconia boyciana). We first examined characteristics of the known six wing feather types (i.e., primaries [P], primary coverts [PC], secondaries [S], secondary coverts [SC], and tertials [T]) from two specimens with four wings. Results were utilized as references for further investigation. We then collected a total of 3,807 wing feathers shedded by 61 captive storks for one year and classified them into six wing feather types based on the reference with structures of vane (i.e., how asymmetrical) and calamus (i.e., how rigidly attached to skin) of wing feathers. Our results indicated that annual losses of all six-type wing feathers decreased with increasing ages, ranging from 29% to 58% for PC, alula, SC, P, S, and T in order. Our results were also comparable to those of a former study, suggesting that the pattern of age-specific molt might be associated with the cost of reproduction in adults. However, juveniles might shed more wing feathers with low quality formed during the previous development stage than older birds.
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