• Archives of Plastic Surgery
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• v.36 no.6
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• pp.707-713
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• 2009

Purpose: The deep inferior epigastric perforator(DIEP) free flap is well known as an ideal donor site for the breast reconstruction. The flap can provide huge amount of fat tissue for breast and buttock contour, while it is also very useful as a thin skin flap to reconstruct the upper and lower extremities. We used a DIEP free flap in various site reconstructions besides the breast and would like to reinsure the usefulness of this flap. Methods: Twenty nine consecutive patients who underwent DIEP free flap surgery from 2001 January to 2007 December were reviewed. The case constituted seven male patients and twenty two female patients. There were sixteen breast reconstructions, five face reconstructions, five lower extremity reconstructions, two upper extremity reconstructions, and one buttock contour reconstruction. All clinical data were based on the patient's medical records. Results: All DIEP free flaps survived without major complications. There was no hematoma, seroma, or partial necrosis. The donor sites were closed primarily with linear scar on lower abdomen. The thinnest part of flap was 0.7 cm in thickness. The size of the largest flap was $38{\times}13cm$. The flaps were used in various types of skin and adipose tissue, adipose tissue only, and skin only according to the requirement of recipient site. Conclusion: The DIEP free flap was enough to provide a thin and huge flap for both breast and extremity reconstructions. It was able to provide versatile designs with sufficient adipose tissue. So we use it for 3 - dimentional face and buttock contour reconstructions. The DIEP free flap is a valuable reconstructive donor for face, upper and lower extremity in addition to breast without compromising the integrity of abdominal wall.

• Journal of Acupuncture Research
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• v.23 no.5
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• pp.93-103
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• 2006

Objectives : To Investigate Severity Measurement and the Correlation between Acupoints on the Face and the Upper limb in Bell's Palsy Patients by Using of DITI. Methods : By using of DITI, thermal differences between abnormal and normal site in acupoints on the face and the upper limbs of 21 Bell's palsy patients who visited department of Acupuncture & Moxibustion in National Medical Center from 1st February 2004 to 31th December 2005 were measured around 7days after the onset in standardized Environment. The patients were classified by severity scale. Results : The means of thermal difference of the facial acupoints were significantly distributed at each grade. The thermal difference of GB14 was significantly correlated with thermal difference of TE4, the thermal difference of S4 was significantly correlated with thermal difference of L6 and SI4, the thermal difference of STI18 was significantly correlated with thermal difference of LI11 and the thermal difference of LI20 was significantly correlated with thermal difference of LI11 and LI4. The thermal differences of acupoints in Large intestine meridian were more closely correlated with thermal difference of the facial acupoints than thermal difference of acupoints in the other meridians. Conclusion : Severity of Bell's palsy can be presumed through DITI image. And the theory of meridian was confirmed by DITI in Bell's palsy patients.

• Journal of Acupuncture Research
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• v.21 no.1
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• pp.21-32
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• 2004

Objective: A study on $\ll$Lingchui, 靈樞 Weiqi, 衛氣$\gg$ which descripted Twelve meridian Biaoben(標本) pulse diagnosis method. Methods: A study on Twelve meridian Biaoben(標本) pulse diagnosis method which has the cognizance of Biaoben(標本) on upper and low twelve meridian as linear upper and low pulse diagnosis point. Results: Twelve meridian Biaoben(標本) pulse diagnosis method is derived from using each twelve meridian pulse diagnosis and it can be explained that the ben(本) pulse point on wrist ankle and the biao(標) pulse point on thorax axillary neck head face correspond to upper and low part of meridian for diagnosis and treatment which become the theory of "treat upper disease on low part, treat low disease on upper part". Conclusions: Twelve meridian Biaoben(標本) pulse diagnosis method started confirming the general concept of Jue-symptom(厥症) and Jue-symptom(絶症) and developed upper and low pulse diagnosis point or acupuncture point to treatment.

• Proceedings of the Korea Concrete Institute Conference
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• 2009.05a
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• pp.581-582
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• 2009

Continuous deep girders which transmit the gravity load from the upper wall to lower columns have frequently long end shear spans between the boundary of the upper wall and the face of the lower column. This paper presents the results of tests and analyses performed on three 1:2.5 scale specimens with long end shear spans, (the ratios of shear-span/height : 2.0

• Journal of Chest Surgery
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• v.27 no.4
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• pp.335-338
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• 1994

Traumatic asphyxia is a distinctive clinical syndrome characterized by cervicofacial cyanosis and edema, bilateral subconjuctival hemorrhage, and multiple petechiae of the face, neck, and upper part of the chest after a severe compressive crush injury of the thorax or of the upper part of the abdomen.The pathophysiologic mechanism of traumatic asphyxia is reflux of blood from the heart retrograde through the valveless superior vena cava and the great veins of the head and neck by severe compression of the thorax or the abdomen.We experienced one case of the traumatic asphyxia, and its clinical features are discussed.

• The Research Journal of the Costume Culture
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• v.12 no.6 s.53
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• pp.933-944
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• 2004

This study was aimed to provide the fundamental and various measurement data of the head and face for male children. Two hundred forty one male children, aged nine to twelve years, participated for this study. The 31 regions on the head and face of the subjects were directly measured by the expert experimenters. Through factor analysis, the six factors were extracted upon factor scores and those factors comprised $67.47\%$ for the total variances. The first factor was described the general height elements for the mouth and the environs of the mouth. The second factor was described the general height around the nose, forehead and eyes. The third factor was described the height of the ear environs. The forth factor contained the length around the sinciput to the occiput, the head thick and the head circumstance. The fifth factor was described the general width of the outer head and the corner of the eyes. The last factor contained the depth of the mouth and nose. Four clusters as their head and face shape were categorized using six factor scores by cluster analysis. Type 1 was characterized by the shortest head and face width, surface length and girth, and the shorter length of head, but the highest position of chin, philtrum, upper lip. Type 2 was characterized by the shortest head and face length and thickness, and the lowest position of the forehead, eye, nose, mouth, ear environs, but that had wider width of head and face. Type 3 was characterized by the longest and the widest head and face type, and the highest position of the mouth. Type 4 was characterized by longer length of head and face, and the widest head girth and largest head thickness, and the highest position of the forehead, eye, nose environs. And this type had the widest width of nose and mouth, and the longest head surface length.

• Geomechanics and Engineering
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• v.36 no.5
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• pp.417-426
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• 2024

Shield tunneling method is widely used to build tunnels in complex geological environment. Stability control of tunnel face is the key to the safety of projects. To improve the excavation efficiency or perform equipment maintenance, the excavation chamber sometimes is not fully filled with support medium, which can reduce the load and increase tunneling speed while easily lead to ground collapse. Due to the high risk of the face failure under non-fully support mode, the tunnel face stability should be carefully evaluated. Whether compressive air is required for compensation and how much air pressure should be provided need to be determined accurately. Based on the upper bound theorem of limit analysis, a non-fully support rotational failure model is developed in this study. The failure mechanism of the model is verified by numerical simulation. It shows that increasing the density of supporting medium could significantly improve the stability of tunnel face while the increase of tunnel diameter would be unfavorable for the face stability. The critical support ratio is used to evaluate the face failure under the nonfully support mode, which could be an important index to determine whether the specific unsupported height could be allowed during shield tunneling. To avoid of face failure under the non-fully support mode, several charts are provided for the assessment of compressed air pressure, which could help engineers to determine the required air pressure for face stability.

• The Journal of Advanced Prosthodontics
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• v.6 no.6
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• pp.483-490
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• 2014

PURPOSE. The purpose of this study was to determine the average facial proportions and mandibular movement capacity of 316 first-year dental students who carefully recorded them on each other. MATERIALS AND METHODS. This early exacting clinical experience was closely supervised by the authors in Columbus, Ohio during 1969-70. Five vertical and six horizontal distances were measured on each subject's face. An ala-tragus line and an occlusal line were drawn on the left side of the face to determine if these two lines were parallel. Measurements of mandibular movements involved maximum normal and hinge opening at the incisors and maximum amounts of right, left lateral and protrusive excursions of the mandible. RESULTS. The ala width and distance between the tips of upper right and left canine cusps averaged (35.2 mm and 34.8 mm) but with very large individual variations. The distance between ala to occlusal plane lines was 29.9 mm at the tragus and 31.3 mm near the ala. The angle between orbitale and ala-tragus averaged 13.6 degrees. CONCLUSION. The upper lip length was the most variable and the distance between the pupils was the most stable of the eleven facial measurements. The ala-tragus line and the occlusal plane lines were for all practical purposes parallel. Maximum jaw opening averaged 51.2 mm which was 3.0 times larger than maximal hinge opening of 17.2 mm. The maximum right plus left side jaw excursions (9.2 and 9.4 mm) totaled 18.6 mm, 2.3 times more than the 8.0 mm mean maximum forward protrusion.

• Journal of Industrial Convergence
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• v.20 no.4
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• pp.57-69
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• 2022

This study is a qualitative study attempting to understand the experiences of blended learning of curriculum of fundamental nursing practice under the COVID-19. In the present study participated with 18 nursing students, data was collected through focus group interviews, the blended class was organized until 14^th week by configuring a non-face-to-face e-Learning for the odd week and the face-to-face practice for the even week, and the collected data was analyzed using content analysis methods. As a result of analysis, a total of 250 significant statements were derived, the statements being analyzed based on eight subcategories, four upper categories, and two subjects. The derived four upper categories were "maladjustment to a sudden change in teaching method," "lowering of learning efficiency and confusion during class," "ambivalence toward online class," and "positive experience for a new learning method." The present study would be able to provide the basic data for developing a blended, learning operating program and applying to various practice-based curriculum by providing useful information relating to the blended learning class for the fundamental nursing practice for nursing students in the on-tact era.

• The Korean Journal of Pain
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• v.14 no.2
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• pp.239-244
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• 2001

Stellate ganglion block (SGB) is a frequently used sympathetic block utilized to diagnose or treat various painful conditions of the cervical regions and the upper extremities. Additionally, RadioFrequency (RF) lesions of the stellate ganglion can be useful in managing sympathetically-maintained pain. Two patients were suffering from pain in the face, neck and the upper extremities were treated with stellate ganglion block. In spite of repeated blocks, the degree and duration of pain did not decrease. However, after performing radiofrequency thermocoagulation of the stellate ganglion under fluroscopy, followed by thermography on the process of treatment with RF stellate ganglion neurolysis, the patients' pain levels were alleviated after the RF lesions of stellate ganglion and the procedure also increased the temperature at the upper extremity on thermogarphy. Additionally, the patients did not complain of any remarkable complications following this procedure.