• Title/Summary/Keyword: ablation

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Free Flap Reconstruction of Head and Neck Defects after Oncologic Ablation: One Surgeon's Outcomes in 42 Cases

  • Lim, Yun Sub;Kim, Jun Sik;Kim, Nam Gyun;Lee, Kyung Suk;Choi, Jae Hoon;Park, Sang Woo
    • Archives of Plastic Surgery
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    • v.41 no.2
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    • pp.148-152
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    • 2014
  • Background Free flap surgery for head and neck defects has gained popularity as an advanced microvascular surgical technique. The aims of this study are first, to determine whether the known risk factors such as comorbidity, tobacco use, obesity, and radiation increase the complications of a free flap transfer, and second, to identify the incidence of complications in a radial forearm free flap and an anterolateral thigh perforator flap. Methods We reviewed the medical records of patients with head and neck cancer who underwent reconstruction with free flap between May 1994 and May 2012 at our department of plastic and reconstructive surgery. Results The patients included 36 men and 6 women, with a mean age of 59.38 years. The most common primary tumor site was the tongue (38%). The most commonly used free flap was the radial forearm free flap (57%), followed by the anterolateral thigh perforator free flap (22%). There was no occurrence of free flap failure. In this study, risk factors of the patients did not increase the occurrence of complications. In addition, no statistically significant differences in complications were observed between the radial forearm free flap and anterolateral thigh perforator free flap. Conclusions We could conclude that the risk factors of the patient did not increase the complications of a free flap transfer. Therefore, the risk factors of patients are no longer a negative factor for a free flap transfer.

Thermo-Mechanical Analysis of Continuous-Adjustment Thruster using Explosion Pressure (폭압을 사용하는 연속조정 추진구조체의 열-구조해석)

  • Kim, Kyung-Sik;Kwon, Young-Doo;Kwon, Soon-Bum;Gil, Hyuck-Moon
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.24 no.6
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    • pp.699-705
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    • 2011
  • High-maneuver missile is a projectile which demands a strong momentum at short time. To produce a necessary thrust for the flight, the gas of high temperature and pressure is generated through explosive combustion of solid propellant, and a great thrust can be obtained by expanding this high temperature and pressure gas. Although the operating time of a rocket motor is less than a few seconds, a failure of part or ablation near the throat of nozzle may take place during the expansion of high temperature and pressure gas for great thrust. In other words, for the precise control of a missile an exact stress analysis considering both, the thermal stress caused by the heat transfer between combustion gas and wall, and the mechanical stress caused by the pressure change in the flow, should be considered first. In this connection, this study investigated the safety, as a point of view of stress and melting point of the material, of the pre-designed thrust generating structure which is subjected to high temperature and pressure as a function of motor operating time.

Multi-site based earthquake event classification using graph convolution networks (그래프 합성곱 신경망을 이용한 다중 관측소 기반 지진 이벤트 분류)

  • Kim, Gwantae;Ku, Bonhwa;Ko, Hanseok
    • The Journal of the Acoustical Society of Korea
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    • v.39 no.6
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    • pp.615-621
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    • 2020
  • In this paper, we propose a multi-site based earthquake event classification method using graph convolution networks. In the traditional earthquake event classification methods using deep learning, they used single-site observation to estimate seismic event class. However, to achieve robust and accurate earthquake event classification on the seismic observation network, the method using the information from the multi-site observations is needed, instead of using only single-site data. Firstly, our proposed model employs convolution neural networks to extract informative embedding features from the single-site observation. Secondly, graph convolution networks are used to integrate the features from several stations. To evaluate our model, we explore the model structure and the number of stations for ablation study. Finally, our multi-site based model outperforms up to 10 % accuracy and event recall rate compared to single-site based model.

CNT-PDMS Composite Thin-Film Transmitters for Highly Efficient Photoacoustic Energy Conversion

  • Song, Ju Ho;Heo, Jeongmin;Baac, Hyoung Won
    • Proceedings of the Korean Vacuum Society Conference
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    • 2016.02a
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    • pp.297.2-297.2
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    • 2016
  • Photoacoustic generation of ultrasound is an effective approach for development of high-frequency and high-amplitude ultrasound transmitters. This requires an efficient energy converter from optical input to acoustic output. For such photoacoustic conversion, various light-absorbing materials have been used such as metallic coating, dye-doped polymer composite, and nanostructure composite. These transmitters absorb laser pulses with 5-10 ns widths for generation of tens-of-MHz frequency ultrasound. The short optical pulse leads to rapid heating of the irradiated region and therefore fast thermal expansion before significant heat diffusion occurs to the surrounding. In this purpose, nanocomposite thin films containing gold nanoparticles, carbon nanotubes (CNTs), or carbon nanofibers have been recently proposed for high optical absorption, efficient thermoacosutic transfer, and mechanical robustness. These properties are necessary to produce a high-amplitude ultrasonic output under a low-energy optical input. Here, we investigate carbon nanotube (CNT)-polydimethylsiloxane (PDMS) composite transmitters and their nanostructure-originated characteristics enabling extraordinary energy conversion. We explain a thermoelastic energy conversion mechanism within the nanocomposite and examine nanostructures by using a scanning electron microscopy. Then, we measure laser-induced damage threshold of the transmitters against pulsed laser ablation. Particularly, laser-induced damage threshold has been largely overlooked so far in the development of photoacoustic transmitters. Higher damage threshold means that transmitters can withstand optical irradiation with higher laser energy and produce higher pressure output proportional to such optical input. We discuss an optimal design of CNT-PDMS composite transmitter for high-amplitude pressure generation (e.g. focused ultrasound transmitter) useful for therapeutic applications. It is fabricated using a focal structure (spherically concave substrate) that is coated with a CNT-PDMS composite layer. We also introduce some application examples of the high-amplitude focused transmitter based on the CNT-PDMS composite film.

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Pollicization of the Middle Finger

  • Bahk, Sujin;Eo, Su Rak;Cho, Sang Hun;Jones, Neil Ford
    • Archives of Reconstructive Microsurgery
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    • v.24 no.2
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    • pp.62-67
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    • 2015
  • Purpose: Pollicization typically involves surgical migration of the index finger to the position of the thumb. This procedure facilitates the conversion of a useless hand into a well-functioning one in patients who are not amenable to the toe-to-hand transfer. However, middle finger pollicization has been rarely reported. Materials and Methods: We reconstructed a thumb by immediate pollicization of the remnants of the middle finger in two patients who sustained a tumor and a trauma, respectively. The former, after cancer ablation was performed, has not been reported literally, and the latter involved free devitalized pollicization of the middle finger using a microsurgical anastomosis. The distal third extensor communis tendon was sutured to the proximal extensor pollicis longus tendon and the distal flexor digitorum superficialis and profundus were sutured to the proximal flexor pollicis longus. The abductor pollicis brevis tendon was sutured to the distal end of the first palmar interosseous muscle. Coaptation of the third digital nerve and the superficial radial nerve branch was performed. Results: Patients showed uneventful postoperative courses without complication such as infection or finger necrosis. Based on the principles of pollicization, a wide range of pinch and grasp movements was successfully restored. They were pleased with the functional and cosmetic results. Conclusion: Although the index finger has been the digit of choice for pollicization, we could also use the middle finger on specific occasions. This procedure provides an excellent option for the reconstruction of a mutilated thumb and could be performed advantageously in a single step.

A Study on Surface Properties of Ablative Materials from 0.4MW Arc-Heated Wind Tunnel Test (0.4MW 아크 가열 풍동 시험을 통한 삭마 재료의 표면 특성 연구)

  • Kim, Nam Jo;Oh, Philyong;Shin, Eui Sup
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.43 no.12
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    • pp.1048-1053
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    • 2015
  • Ablative materials in a thermal protection system for atmospheric re-entry suffers from the most severe heat fluxes and temperatures, which induces surface recession in the thickness direction. In this paper, a 0.4MW arc-heated wind tunnel is operated to test for ablative materials, and a non-contact three-dimensional surface measuring system is used to evaluate the different surface characteristics of them. In particular, by postprocessing the three-dimensional image data, the surface roughness and recession of ablative materials can be calculated before and after the wind tunnel test. Moreover, the surface properties are analyzed quantitatively by comparing volume and mass losses of the test specimens.

Development of Liquid Propellant Rocket Engine for KSR-III (KSR-III 액체추진제 로켓 엔진 개발)

  • Choi Hwan-Seok;Seol Woo-Seok;Lee Soo-Yong
    • Journal of the Korean Society of Propulsion Engineers
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    • v.8 no.3
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    • pp.75-86
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    • 2004
  • KSR-III is the first Korean sounding rocket propelled by a liquid propellant propulsion system and it has been developed over 5 years using purely domestic technologies. The propulsion system of KSR-III is a 13-ton class see-level thrust liquid rocket engine(LRE) which utilizes liquid oxygen and kerosene for its propellants and employed pressurized propellant feeding and ablative cooling system. The problem of combustion instabilities which has brought the most difficulty in the development was resolved by implementation of a baffle. Through the development of KSR-III LRE, meaningful achievements have been made in the core technologies of LRE such as design of injectors and combustion chambers and test, evaluation, and control of combustion instabilities. The acquired technologies will be applied to the development of higher performance LREs necessary for future space development programs such as Korean Small Launch Vehicles(KSLV) In this paper, the development of KRE-III LRE system is described including its design, analyses. performance tests and evaluation.

C-Reactive Protein Changes in Oral Cancer Patients After Resection and Reconstructive Surgery (구강암 수술 및 재건 환자에서의 C-Reactive Protein 수치의 변화)

  • Kim, Chul-Hwan;Hwang, Seung-Yeon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.5
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    • pp.422-430
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    • 2010
  • Purpose: The aim of this study is that we evaluate the change of the White Blood Cell(WBC) count, Absolute Neutrophil Count (ANC), Erythrocyte Sedimentation Rate (ESR) and C-reactive Protein (CRP) values, and try to make standardization for postoperative sequels before and after the oral cancer resection and reconstructive surgery. Materials and Methods: The study was comprised of 34 patients (male 15, female 19) who were diagnosed as an oral cancer and had performed ablation and reconstructive surgery at Dankook university dental hos-pital. Each blood specimen was collected from patients and estimated WBC count, Neutrophil count, ESR, CRP on first, third, fifth, seventh day efore and after surgery and analyzing inter relationship between each value. Classifying Group I (resection with reconstructive surgery patients) and Group II (resection without reconstructive surgery patients). Also classifying group A (below 4 hours of operation time), Group B (4 to 8 hours of operation time), Group C (above 8 hours of operation time), each group was analyzed and compared. The Following results were induced. Results: (1) In coefficient of correlation, the CRP and WBC has highest value except WBC count and Neutrophil count. (2) There was no significant difference any lapse in the progress between Group I and II of WBC count, Neutrophil count, but the CRP shows statistically higher level in group I than group II at immediate postoperative day, and 1 to 5 days after surgery. (3) There is no significant difference any lapse in the progress between Group A, B, C of WBC count, Neutrophil count, but CRP shows statistically significant difference in 1 day, 3 days after surgery Conclusion: It should be suggested that, determination of CRP is most valuable parameter for postopera-tive management and determination of postoperative clinical changes than other parameter such as WBC count, neutrophil count, and ESR values in oral cancer patient after resection and reconstructive surgery, based on the results of this study.

Research Trends in Photothermal Therapy Using Gold Nanoparticles (금 나노입자를 이용한 광열치료 연구 동향)

  • Kim, Bong-Geun;Yeo, Do Gyeong;Na, Hyon Bin
    • Applied Chemistry for Engineering
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    • v.28 no.4
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    • pp.383-396
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    • 2017
  • The photothermal therapy is a method of cell ablation using the heat converted from the incident light by photothermal transducers. It offers a selective treatment to desired abnormal cells, in particular, tumor tissues. Among various photothermal agents, gold nanoparticles (Au NPs) have received enormous attention due to their unique physicochemical property over last two decades. In this review, we address research strategies and methods to improve treatment efficacy by organizing recent research works. We mainly focus on research works to enhance light-to-heat conversion via optimizing the morphology of Au NPs and related assemblies as well as the strategies to deliver Au NPs efficiently to specific targets. We also introduce convergence research efforts to combine Au NP-mediated photothermal treatment and other functions such as diagnostic capabilities and other therapeutic methods.

Patterning of ITO on Touch Screen Panels using a beam shaped femtosecond laser (빔 쉐이핑된 펨토초 레이저를 이용한 터치스크린 패널의 ITO 박막 패터닝)

  • Kim, Myung-Ju;Kim, Yong-Hyun;Yoon, Ji-Wook;Choi, Won-Seok;Cho, Sung-Hak;Choi, Jiyeon
    • Laser Solutions
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    • v.16 no.4
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    • pp.1-6
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    • 2013
  • Femtosecond laser patterning of ITO on a touch screen panel with a shaped fs laser beam was investigated. A quasi flat-top beam was formed using a variable mask and a planoconvex lens. The spatial profile of the original Gaussian beam and the shaped beam were monitored by a CCD beam profiler. The laser patterned ITO film was examined using an optical microscope, Scanning Electron Microscope (SEM) with Energy Dispersive X-ray Spectroscopy (EDS), and Atomic Force Microscope (AFM). It turned out that the quality of the ITO pattern fabricated by a shaped beam is superior to that of the pattern without beam shaping in terms of debris generation, height of the craters, and homogeneity of the bottom. Optimum processing window was determined at the laser irradiance exhibiting 100% removal of Sn. The removal rate of In was measured to be 83%.

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