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The efficacy of elongated axillary incision on extended latissimus dorsi flap for immediate breast reconstruction

  • Park, Tae Seo;Nam, Su Bong;Choi, Jae Yeon;Bae, Sung Hwan;Lee, Jae Woo;Kim, Hyun Yul
    • Archives of Plastic Surgery
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    • v.45 no.4
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    • pp.340-344
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    • 2018
  • Background In performing extended latissimus dorsi (ELD) flap procedures, a skin paddle design on the bra line helps reduce visible scarring. This improves the patient's satisfaction with the outcome. However, such a design leads to a longer operation time and increased fatigue of the surgeon due to the narrow operative field. In this study, the authors propose a method that elongates the axillary incision line posteriorly by 1.5 cm from the lateral border of the latissimus dorsi muscle. We examined whether this method could shorten the operation time and compared the incidence of complications between patients who underwent this novel procedure and patients who underwent the traditional procedure. Methods In this study of patients who underwent ELD flap procedures for immediate breast reconstruction, 89 underwent surgery with the elongated axillary incision and 45 underwent surgery without the elongated incision. The total operation time and complications were retrospectively examined based on the patients' medical records, and we examined whether there was any statistically significant difference in the total operation time. Results In the experimental group with the elongated axillary incision, the operation time ranged from 125 to 255 minutes (median, 175 minutes). In contrast, in the control group without the elongated axillary incision, the operation time ranged from 142 and 340 minutes (median, 205 minutes). The operation time was statistically significantly different between the two groups, and no significant complications were observed in the experimental group. Conclusions Elongation of the axillary incision alone may shorten the operation time of the ELD flap procedure without causing additional complications.

Modified Abbé flap for reconstruction of Cupid's bow and vermilion tubercle in secondary cleft lip deformity

  • Lee, Jun Won;Lee, Seong Joo;Suh, In Suck;Lee, Chong Kun
    • Archives of Craniofacial Surgery
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    • v.19 no.1
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    • pp.13-19
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    • 2018
  • Background: $Abb{\acute{e}}$ flap technique is one of the most challenging operations to correct horizontal deficiencies in secondary cleft lip deformity. Since its first introduction, the operative method was dynamically modified from simple variation to complete conceptual change, but conventional $Abb{\acute{e}}$ flap has many drawbacks in esthetic and functional aspect. Our purpose was reconstructing the symmetry of Cupid's bow and central vermilion tubercle with minimal sequalae. Methods: From 2008 to 2016, this technique was applied to 16 secondary cleft lip patients who had total or more than 60% of unilateral deficiency of Cupid's bow and central lip or tubercle pouting deficiency. A quadrangular-shaped flap was transferred from vermilion including skin and white line of central or contralateral lower lip. Pedicle division and insetting were made at 9 (unilateral) or 10 (bilateral) days after transfer. Secondary lip revision was done with open rhinoplasty after wound maturation. Results: Overall satisfaction was high with modified technique. Scar was minimally noticeable on both upper and lower lip especially. Balanced Cupid's bow and symmetric vermilion tubercle were made with relatively small size of flap compared to conventional $Abb{\acute{e}}$ flap. An accompanying benefit was reduced ectropion of lower lip, which made balanced upper and lower lip protrusion with more favorable profile. Conclusion: A new modified $Abb{\acute{e}}$ flap technique showed great satisfaction. It is worth considering in secondary cleft lip patient who has central lip shortage and asymmetry of upper lip vermilion border line. Our technique is one of the substitutes for correction of horizontal and central lip deficiency with asymmetric Cupid's bow.

Chemical Composition of Seed in Medicinal Soybean Collected in Korea

  • Seong, Rak-Chun;Kim, Jeong-Gyu;Hwang, Young-Hyun
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.43 no.3
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    • pp.141-146
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    • 1998
  • Production of medicinal soybean [Glycine max (L.) Merrill], characterized with black seed, white stripe at hilum border, yellow cotyledon and small seed, is increasing with increasing consumption. The objective of this study was to investigate the chemical composition of medicinal soybean seed and to provide basic information, for the characterization of these soybeans among genetic resources. Forty-four lines of medicinal soybeans collected from Korea and two control cultivars, 'Hwangkeumkong' (Yellow seed coat) and 'Geomjeongkong l' (Black seed coat) were planted at the Research Farm of the College of Natural Resources, Korea University, located at Namyangju City on May 25, 1996. Seeds of these lines were harvested at full maturity and analyzed for protein, oil, sugar, starch and mineral contents. Mean protein and oil content of the medicinal line seeds were 42.6 and 16.1%, respectively, and those of the control cultivars were in the middle range for protein and oil content. However, sugar and starch content of the medicinal line seeds appeared to be in the lower range of the distributions compared to the control cultivars and were 10.0 and 1.68%, respectively. Mean P, K, Ca, and Mg contents of the seeds of medicinal soybean lines were 15.9, 21.5, 3.11, and 2.81 mg/g, respectively, indicating that these lines had higher P, K, and Mg and lower Ca contents when compared to the control cultivars. Mean Na and Fe contents were 671 and 224 mg/kg, respectively, showing lower Na and similar Fe contents. The observed results provided that chemical compositions of medicinal soybean were, on average, different from those of the general soybean cultivars.

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Contact buckling behaviour of corrugated plates subjected to linearly varying in-plane loads

  • Dong, Jianghui;Ma, Xing;Zhuge, Yan;Mills, Julie E.
    • Steel and Composite Structures
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    • v.29 no.3
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    • pp.333-348
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    • 2018
  • An analytical method is developed for analysing the contact buckling response of infinitely long, thin corrugated plates and flat plates restrained by a Winkler tensionless foundation and subjected to linearly varying in-plane loadings, where the corrugated plates are modelled as orthotropic plates and the flat plates are modelled as isotropic plates. The critical step in the presented method is the explicit expression for the lateral buckling mode function, which is derived through using the energy method. Simply supported and clamped edges conditions on the unloaded edges are considered in this study. The acquired lateral deflection function is applied to the governing buckling equations to eliminate the lateral variable. Considering the boundary conditions and continuity conditions at the border line between the contact and non-contact zones, the buckling coefficients and the corresponding buckling modes are found. The analytical solution to the buckling coefficients is also expressed through a fitted approximate formula in terms of foundation stiffness, which is verified through previous studies and finite element (FE) method.

New Record of the Gobiid Fish, Parioglossus dotui(Pisces, Gobiidae) from Korea (한국산 망둑어과 어종 1미기록종, Parioglossus dotul)

  • Kim Yong Uk;Han, Kyeong Ho
    • Animal Systematics, Evolution and Diversity
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    • v.9 no.1
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    • pp.51-59
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    • 1993
  • A gobiid fish, Parioglossus dotui Tomiyama is described from 359 specimens collected at Cheju-do and Pusan, in August 1994 of 1986. This is the first definitive record of the species in the Korean waters. Parioglossus dotui having a small-sized body usually is found swimming in schools. The branchiostegals are 5 in number on each side. It grows up to 40mm in total length. Most of ventral fins are separated and connected with rudimentray membrane. In this species, the lateral line were indistincet or absent. The caudal fin slightly emarginates or truncates in both sexes, with a dark spot at the border of the base. It Inhabits inlet waters and estuaries of rivers. "Deungsul mang-dug" is proposed as Korean name of this species.

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A Neural network Model for the Perception of Illusory Surfaces (가상 표면 인식을 위한 신경회로망 모델)

  • Jeong, Eun-Hwa;Hong, Keong-Ho;Kim, Wook-Hyun
    • The Transactions of the Korea Information Processing Society
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    • v.5 no.1
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    • pp.236-248
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    • 1998
  • Human observers perceive a contour where no line or edge is given, such as the border between gratings of thin lines offset by half a cycle. Illusory contours occur in a wide variety of circumstances in nature. A common factor in all such figures is the perception of a surface or contour occluding part of a background, i.e. illusory contours are always accompanied by illusory surfaces. Some examples about these kinds of figures are given by Kanizsa's triangle or square. In this paper, we proposed a neural network model for forming(extracting) the illusory surfaces, based on the mechanism of feature extraction found in a mammals' visual pathway. It will be shown that the model can extract the illusory surfaces from illusory contours successfully.

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On the Recognition of the Occluded Objects Using Matching Probability (정합확률을 이용한 겹쳐진 물체의 인식에 대하여)

  • Nam, Ki-Gon;lee, Soo-Dong;Lee, Ryang-Sung
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.26 no.1
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    • pp.20-28
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    • 1989
  • The recognition of partially occluded objects is of prime importance for industrial machine vision applications and to solve real provlems in factory automation. This paper describes a method tc solve the problem of occlusion in a two dimensional scene. The technique consists of three steps: searching of border, extracting of line segments and clustering of hypotheses by matching probability. Computer simulation results have been tested for 20 scenes contained the 80 models, and have obtained 95% of properly correct recognition rate on the average.

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Selection of the human factors design variables of in-vehicle navigation system (자동차 항법장치의 HMI 설계변수 선정에 관한 연구)

  • Cha, Doo-Won;Park, Peom;Lee, Seung-Whan;Kim, Byung-Woo
    • Proceedings of the ESK Conference
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    • 1996.10a
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    • pp.185-190
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    • 1996
  • Navigation system is regarded as the interface border line between the Intelligent Transportation Systems (ITS) and the driver as the prospective information provider of the ATIS (Advanced Traveler Information System). Following theory, if the navigation system appropriately designed and utilized, that can maximize the transport efficiency, contribute to improvements of the environments and road safety. To accomplish these dinds of objectives of the navigation system use, human factors plays an important roles specially focused on the driver's safety, performance and system usability. Because the effectiveness of the system depends on the acceptance of the system, and the extent to which the system conforms to driver physical and cognitive limitations and capabilities. Therefore, the ergonomic design vaniables must be seriously selected and reflected in early design step for more effective and appreciate product design. As the first step of this aim, this study selected and categorized the human factors design variables of the navigation system.

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Report on the Sam Han Chang Gun Manganese Deposits (삼한(三韓) 장군(將軍) 광산(鑛山) 조사(調査) 보문(報文))

  • Hwang, In Chon
    • Economic and Environmental Geology
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    • v.1 no.1
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    • pp.9-34
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    • 1968
  • Manganese ore deposits of the Samhan Changgun Properties are located at the valley of west-lope-side of Changgun-bong (1132m) occupied over the Myon border between Sochon-myon and Jaesan-myon Pongwha-gun, Kyongsang-Pukdo. Geology of the more property and it's vicinity consists of Wonnan formation and Yulri formation of pre-Cambrain and Changgun limestone formation, Mica-schist formation, quartizite formation and Jaesan formation (containing coal bearing zone the unknown age. And granites and dykes were intruded into the above formation later. 1. Management deposits is embedded the formation of Janggun limestone especially Contact zone in the contact zone to of Chunyang Granite limestone enclosed by Granite, and Maginal zone of fault line in the limestone. Therefore, Chunyang Granite is Closely related to ore deposit. Pegmatite which is near by ore deposit was intruded before mineralization and it seems to be a channelway of ore solution. The most important ore deposits of property grouped into south deposit, east deposit, east-Gachon deposit, South-Gachon deposit, Durimgok deposit and West deposit, out-crops at several place. Besides these deposits there also are several prospects on outcrop scathered. Hydrothermal alteration take place strongly in the well rock and it's sequence are Characterized as following; 1) Dolomitization 2) Carbonization 3) Mamgamotozation 4) Pyritization 5) Silicification 6) Oxidation 2. The grade of manganese dioxide is up to Mn 45% in Maximum, but generally, averaging Mn 30~35% of high grade ore and averaging Mn 30~32% of manganese carbonates are mined in his property.

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Forehead reconstruction using modified double-opposing rotation-advancement flaps for severe skin necrosis after filler injection

  • Kim, Jinwoo;Hwang, Woosuk
    • Archives of Craniofacial Surgery
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    • v.19 no.1
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    • pp.64-67
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    • 2018
  • Varying degrees of complications can occur after hyaluronic acid filler injections. Tissue necrosis due to interruption of the vascular supply is an early complication that can be severe. If the site of tissue necrosis due to the filler injection is the forehead, successfully reconstructing the region without distorting the key landmarks is challenging. We describe the case of a 50-year-old man who experienced widespread forehead skin necrosis after hyaluronic acid filler injection in the glabellar area. We successfully covered the forehead area with a $3{\times}4-cm^2$ midline necrotic tissue using the modified double-opposing rotation-advancement flap method. Although modified double-opposing rotation-advancement flap closure has the disadvantage of leaving a longer scar compared to conventional double-opposing rotation-advancement flap closure, the additional incision line made along the superior border of the eyebrow aids in camouflaging the scar and decreases eyebrow distortion. Therefore, it is believed that the modified double-opposing rotation-advancement flap technique is an excellent tool for providing adequate soft tissue coverage and minimal free margin distortion when reconstructing widespread skin necrosis in the central mid-lower forehead that can occur after filler injection in the glabellar area.