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광배근-전거근 유리피판술을 이용한 광범위 복합조직 결손의 재건 (Reconstruction of Extensive Compound Defects Using Combined Latissimus dorsi and Serratus Anterior Flaps)

  • 신예식;박명철;이병민;김관식
    • Archives of Reconstructive Microsurgery
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    • 제4권1호
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    • pp.33-42
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    • 1995
  • Frequently, a single muscle flap is not enough to cover a large compound defects after extensive trauma or ablation of tumor. For a extensive defects, several kinds of flaps are available for various needs of reconstruction. The combined latissimus dorsi and serratus anterior flaps provide the largest possible soft tissue coverage. Two flaps composed of latissimus dorsi and serratus anterior muscles are consistently nourished through the subscapular-thoracodorsal vessels and their many branches, and thus the two flaps can be isolated with one vascular pedicled free flap. We experienced 4 cases of reconstruction in closure of extensive compound defects using the combined latissimus dorsi and serratus anterior muscles with one vascular pedicled free flap. The advantages of using these flaps are : 1) its versatlity and excellent malleability 2) easy to dissection 3) long-stalked pedicle 4) the use of a vascularized rib 5) negligible motor dysfunction from the muscle removal.

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A Prototyping Tool of Free-Coding-Type Microcontroller Board for Design Education

  • Nam, Wonsuk
    • International Journal of Advanced Culture Technology
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    • 제6권3호
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    • pp.129-141
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    • 2018
  • As the scope of social expectations and roles in the design field has expanded, the demand for education to cope with changes in the technology environment is increasing in design education. In response to this trend, microcontroller board-type design-prototyping tools have also been introduced into design education, and much educational content is being developed. However, there is the perception that students who are majoring in design without engineering knowledge are still barred from entry. A variety of educational content and tools have been developed to solve these difficulties, although there are several limitations to their practical application. Especially, in the design education courses in universities, the functional expectation level for prototyping is high, but most of the content developed for solving the difficulties has been developed for the lower education levels, and it could be said that a great deal of learning is necessary to solve the problem. In this study, students were asked about microcontroller board utilization and their satisfaction with their design through questionnaires and with the developed microcontroller board development direction via Focus Group Interviews. Based on this, we tested microcontroller boards that eliminate the coding process and which students can use to create and prototype their work as a suggestion to fulfil demand. After using the board, both the usability and improvement of the product were checked. Confirmation of the usefulness of the free- coding-type microcontroller was obtained through this study along with the possibility of responding to various educational demands by applying the application design related to this product.

Herbal Medicine Treatment of Refractory Epilepsy in Tuberous Sclerosis Complex : A Case Report

  • Son, Kwanghyun;Lee, Jinsoo;Kim, Moonju
    • 대한한의학회지
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    • 제36권2호
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    • pp.50-55
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    • 2015
  • Infants with tuberous sclerosis complex (TSC) have a higher chance of experiencing seizures before the age of 1 year; in particular, they commonly accompany infantile spasms. In cases where infantile spasms resulting from TSC are drug-resistant, more severe neuro-developmental and cognitive impairments occur. This particular case dealt with an infant with TSC who continued to experience partial seizures and infantile spasms despite using two different kinds of antiepileptic drugs (AEDs). His spasms ceased on the seventh day of taking modified Yukmijihwang-tang (YMJ), at which point he stopped the use of all AEDs. He became seizure-free after a month of the treatment and modified hypsarrythmia was found to have been resolved in the electroencephalogram test. Until now, the infant has been taking YMJ for 16 months and is maintaining the seizure-free state without side effects. Moreover, his developmental status is continually improving, with a significant progress in language and cognitive-adaptive abilities. Such results suggest that YMJ can serve as an alternative treatment option for refractory epilepsy.

숏크리트용 고분말도 슬래그 시멘트의 특성 (A Study on Properties of High Blaine Slag Cement for Shotcrete)

  • 김재영;염수경;유동우;최현국
    • 한국세라믹학회지
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    • 제47권5호
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    • pp.357-364
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    • 2010
  • This study was performed to get basic information about properties of high blaine slag cement(HSC) to use shotcrete(or sprayed concrete and mortar). Particle size distribution, setting time and compressive strength test, analysis like as SEM, DSC thermal analysis, XRD was carried out to investigate principle properties of HSC. Setting time of HSC was delayed slightly, but influence of accelerators was more bigger than ordinary portland cement(OPC). Compressive strength of HSC at 28 days was more higher than OPC regardless of using accelerators. Results of analysis showed early period hydration products of HSC is more small and located widely, because of the interface of between cement particle and water is increased as specific surface of cement increase. From the SEM observation and analysis of DSC and XRD results, aluminates accelerators bring on some hydration products like as calcium aluminium hydrates, alkali free accelerators increases ettringite and monosulfates. Aluminates accelerators has a advantage of setting time and early strength, alkali free accelerators increases strength after 7 days.

Reconstruction of a pathologic fracture following osteomyelitis of the mandible using a fibula osteocutaneous flap

  • Kim, Taeki;Kim, Junhyung;Choi, Jaehoon;Jo, Taehee;Shin, Hyeong Chan;Jeong, Woonhyeok
    • 대한두개안면성형외과학회지
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    • 제22권2호
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    • pp.105-109
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    • 2021
  • The use of a fibula osteocutaneous flap is currently the mainstay of segmental mandibular reconstruction. This type of flap is used to treat tumors, trauma, or osteoradionecrosis of the mandible. However, a fibula osteocutaneous flap may also be a good option for reconstructing the mandible to preserve oropharyngeal function and facial appearance in cases of pathological fracture requiring extensive segmental bone resection. Chronic osteomyelitis is one of the various causes of subsequent pathologic mandibular fractures; however, it is rare, and there have been few reports using free flaps in osteomyelitis of the mandible. We share our experience with a 76-year-old patient who presented with a pathologic fracture following osteomyelitis of the mandible that was reconstructed using a fibula osteocutaneous flap after wide segmental resection.

A Binary Classifier Using Fully Connected Neural Network for Alzheimer's Disease Classification

  • Prajapati, Rukesh;Kwon, Goo-Rak
    • Journal of Multimedia Information System
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    • 제9권1호
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    • pp.21-32
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    • 2022
  • Early-stage diagnosis of Alzheimer's Disease (AD) from Cognitively Normal (CN) patients is crucial because treatment at an early stage of AD can prevent further progress in the AD's severity in the future. Recently, computer-aided diagnosis using magnetic resonance image (MRI) has shown better performance in the classification of AD. However, these methods use a traditional machine learning algorithm that requires supervision and uses a combination of many complicated processes. In recent research, the performance of deep neural networks has outperformed the traditional machine learning algorithms. The ability to learn from the data and extract features on its own makes the neural networks less prone to errors. In this paper, a dense neural network is designed for binary classification of Alzheimer's disease. To create a classifier with better results, we studied result of different activation functions in the prediction. We obtained results from 5-folds validations with combinations of different activation functions and compared with each other, and the one with the best validation score is used to classify the test data. In this experiment, features used to train the model are obtained from the ADNI database after processing them using FreeSurfer software. For 5-folds validation, two groups: AD and CN are classified. The proposed DNN obtained better accuracy than the traditional machine learning algorithms and the compared previous studies for AD vs. CN, AD vs. Mild Cognitive Impairment (MCI), and MCI vs. CN classifications, respectively. This neural network is robust and better.

졸-겔법에 의해 제조한 K0.5Bi0.5TiO3 막과 압전발전기의 특성 (Properties of Piezoelectric Generators and K0.5Bi0.5TiO3 Films Prepared by Sol-Gel Method)

  • 이영호;박상식
    • 한국재료학회지
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    • 제31권11호
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    • pp.649-656
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    • 2021
  • K0.5Bi0.5TiO3 (KBT) thin films were prepared by sol-gel processing for future use in piezoelectric generators. It is believed that the annealing temperature of films plays an important role in the output performance of piezoelectric generators. KBT films prepared on Ni substrates were annealed at 500 ~ 700 ℃. Tetragonal KBT films were formed after annealing process. As the annealing temperature increased, the grain size of KBT films increased. KBT thin films show piezoelectric constant (d33) from 23 to 41 pC/N. The increase of grain size in KBT films brought about output voltage and current in the KBT generators. Also, the increase in the displacement of specimens during bending test resulted in increases in output voltage and current. Although KBT generators showed lower output power than those of generators prepared using NBT films, as reported previously, the KBT films prepared by sol-gel method show applicability as piezoelectric thin films for lead-free nano-generators, along with NBT films.

UHPC 외장패널을 활용한 비정형건축물 외장패널의 목업 시공사례에 대한 연구 - 부산 오페라 하우스 신축 공사 - (Study on Mock-up Construction Example of Free-Form Building Facade using External UHPC Panels - Focused on the Construction of Busan Opera House -)

  • 김태익;윤주용;최병걸;박용규;윤기원
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2021년도 봄 학술논문 발표대회
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    • pp.187-188
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    • 2021
  • In the case of the Busan North Port, where the Busan Opera House is located, it is an environment exposed to various external deterioration factors such as frequent strong winds, seawater and salty winds, and an exterior material using UHPC (Ultra High Performance Concrete), a highly durable exterior material as a solution to this. Has been adopted. in this study, an economical production and construction direction was reviewed by applying UHPC to the exterior panels of atypical buildings that cannot cope with GFRC, metal, and glass, which are the main exterior finishing materials applied so far. When steel fibers are used, structural performance may be better than organic fibers, but due to environmental factors in Busan, corrosion due to exposure to steel fibers or problems with safety management after construction and completion may occur. Therefore, the site used the newly developed SACF fiber. Facade design of atypical buildings, which will increase in the future, is an important part, and the scope of use of UHPC panels is expected to increase in the future as design trends and demand for high durability increase.

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Antioxidants as alleviating agents of in-vitro embryo production oxidative stress

  • Areeg Almubarak;Il-Jeoung Yu;Yubyeol Jeon
    • 한국동물생명공학회지
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    • 제38권2호
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    • pp.47-53
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    • 2023
  • Despite numerous advances in in-vitro embryo production (IVP), many documented factors have been shown to influence the development of mammalian preimplantation embryos and the success of IVP. In this sense, elevated levels of reactive oxygen species (ROS) correlate with poor outcomes in assisted reproductive technologies (ART) due to oxidative stress (OS), which results from an imbalance between ROS production and neutralization. Indeed, excessive production of ROS compromises the structural and functional integrity of gametes and embryos both in vivo and in vitro. In particular, OS damages proteins, lipids, and DNA and accelerates cell apoptosis. Several in-vivo and in-vitro studies report an improvement in qualityrelevant parameters after the use of various antioxidants. In this review, we focus on OS and the source of free radicals and their effects on oocytes, sperm, and the embryo during IVP. In addition, antioxidants and their important role in IVP, supplementation during oocyte in vitro maturation (IVM), in vitro culture (IVC), and semen extenders were discussed. Nevertheless, various methods for determining the level of ROS in germ cells have been briefly described. Still, it is crucial to develop standardized antioxidant supplement systems to improve overall IVP success. Further studies should explore the safety, efficacy, mechanism of action, and combination of different antioxidants to improve IVP outcomes.

돼지 액상정액 보존 일수에 따른 정액내 세균과 정자 기능의 변화 (Effects of Storage Time on Bacteria Concentration and Sperm Parameters in Boar Semen)

  • 정기화;김인철
    • Reproductive and Developmental Biology
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    • 제36권3호
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    • pp.163-166
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    • 2012
  • This study was conducted to determine the relationship between elapsed time after semen preservation on the changes of bacteria and semen quality. Semen was diluted with BTS(Beltsville Thawing Solution) extender without antibiotic for 7 days and sperm parameter and fertility were measured. Sperm motility was measured by CASA and total bacteria number was counted after 22~24 hr incubation from counting agar plate in which sperm dilute to $10{\sim}10^6$ in 0.9% saline solution and inoculate to agar. Acrosomal integrity was measured by Chlortetracycline (CTC) staining. CTC patterns were uniform fluorescence over the whole head (pattern F), characteristic of incapacitated acrosome-intact spermatozoa; fluorescence-free band in the post-acrosomal region (pattern B), characteristic of capacitated acrosome-intact spermatozoa; and almost no fluorescence over the whole head except for a thin band in the equatorial segment (pattern AR), characteristic of acrosome reacted spermatozoa. Total number of bacteria was significantly increased (p<0.0001) 3 days after preservation. Sperm motility, viability, and morphological abnormality on elapsed time after preservation were lower from 5 ($77.24{\pm}6.47$, p<0.001) and 7 days ($77.24{\pm}6.47$, p<0.001) after preservation compared to 1 ($15.71{\pm}7.18$) and 3 days($18.39{\pm}7.22$) after preservation, respectively. Sperm viability was significantly lower ($53.25{\pm}35.03$, p<0.0001) at 7 days after preservation. Morphological abnormality of sperm was lower (p<0.001) at 1 ($15.71{\pm}7.18$) and 3 ($18.39{\pm}7.22$) days compared to 5 ($21.84{\pm}7.91$) and 7 ($22.59{\pm}9.93$) days after preservation. Acrosomal integrity and capacitation rate (pattern F) were significantly lower (p<0.001) from 5 days after preservation. Based on the data we obtained from this study suggested that semen preserved more than 5 days without antibiotic would not recommend use for artificial insemination.