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Investigation of the dorsolateral branch of the posterior intercostal artery for use as the pedicle of a free flap: A cadaveric study and case series

  • Nam, Su Bong;Seo, Jung Yeol;Park, Tae Seo;Sung, Ji Yoon;Kim, Joo Hyoung;Lee, Jae Woo;Kim, Min Wook;Oh, Heung Chan
    • Archives of Plastic Surgery
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    • v.46 no.1
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    • pp.39-45
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    • 2019
  • Background The dorsolateral branch of the posterior intercostal artery (DLBPI) can be easily found while harvesting a latissimus dorsi (LD) musculocutaneous flap for breast reconstruction. However, it remains unknown whether this branch can be used for a free flap and whether this branch alone can provide perfusion to the skin. We examined whether the DLBPI could be reliably found and whether it could provide sufficient perfusion. Methods We dissected 10 fresh cadavers and counted DLBPIs with a diameter larger than 2 mm. For each DLBPI, the following parameters were measured: distance from the lateral margin of the LD muscle, level of the intercostal space, distance from the spinal process, and distance from the inferior angle of the scapula. Results The DLBPI was easily found in all cadavers and was reliably located in the specified area. The average number of DLBPIs was 1.65. They were located between the seventh and eleventh intercostal spaces. The average length of the DLBPI between the intercostal space and the LD muscle was 4.82 cm. To assess the perfusion of the DLBPIs, a lead oxide mixture was injected through the branch and observed using X-rays, and it showed good perfusion. Conclusions The DLBPI can be used as a pedicle in free flaps for small defects. DLBPI flaps have some limitations, such as a short pedicle. However, an advantage of this branch is that it can be reliably located through simple dissection. For women, it has the advantage of concealing the donor scar underneath the bra band.

ADDITIVE ρ-FUNCTIONAL INEQUALITIES IN β-HOMOGENEOUS F-SPACES

  • LEE, HARIN;CHA, JAE YOUNG;CHO, MIN WOO;KWON, MYUNGJUN
    • The Pure and Applied Mathematics
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    • v.23 no.3
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    • pp.319-328
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    • 2016
  • In this paper, we solve the additive ρ-functional inequalities (0.1) ||f(2x-y)+f(y-x)-f(x)|| $\leq$ ||${\rho}(f(x+y)-f(x)-f(y))$||, where ρ is a fixed complex number with |ρ| < 1, and (0.2) ||f(x+y)-f(x)-f(y)|| $\leq$ ||${\rho}(f(2x-y)-f(y-x)-f(x))$||, where ρ is a fixed complex number with |ρ| < $\frac{1}{2}$. Using the direct method, we prove the Hyers-Ulam stability of the additive ρ-functional inequalities (0.1) and (0.2) in β-homogeneous F-spaces.

Importance, Support and Application for Contract Foodservice Management Company′s Infra-System in the Viewpoint of Headquarters and Branch Office (위탁급식전문업체의 운영관리 인프라 시스템에 대한 본사와 업장 측면에서의 중요도, 지원도, 활용도 탐색)

  • 양일선;박문경;한경수;채인숙;박소현;이해영
    • Korean Journal of Community Nutrition
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    • v.9 no.2
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    • pp.233-240
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    • 2004
  • This study was design to grope the suggestions leading synergic effects by bridging the gap between headquarters and branch office, and so to identify the infra-system of contract foodservice management company (CFMC) necessary for operating any kind of branch office including school, hospital and business and industry (B&I). Among 8 categories consisted of infra-system in CFMC, 'C8. Evaluation & analysis for branch office's operation' was the most important category in the headquarter's viewpoint, while 'C3. Sanitation management system' was the most important category in branch office's viewpoint. In support and application, 'C3. Sanitation management system' was the highest category in both headquarters and branch offices including school, hospital and B&I. As a result of analysis on gap between main and branch office in importance, support and application in 8 categories, the efforts of communication and community of perception for infrastructure were needed, because 'C4. Education & training for human resource management (HRM) system' and 'C8. Evaluation & analysis for branch office's operation' in importance, 'C2. Menu management system', 'C4. Education & training for HRM system', 'C6. Facility & utility support system' and 'C8. Evaluation & analysis for branch office's operation' in support had a gap. Correlation analysis to grasp the relation between importance of infra-system and headquarters' support or branch office's application showed that headquarters's importance and support were correlated positively in 'C3. Sanitation management system', 'C6. Facility & utility support system', 'C7. Customer satisfaction management system' and 'C8. Evaluation & analysis for branch office's operation' and branch office's importance and application were correlated positively in 'C1. Procurement & food processing system', 'C5. Management Information system', 'C7. Customer satisfaction management system' and 'C8. Evaluation & analysis for branch office's operation'. Lastly, 'C6. Facility & utility support system' in the branch office of school and hospital and 'C2. Menu management system' in the branch office of B&I were high in importance, low in support and application, therefore Intensive support for these categories was needed. In conclusion, continuous check and improvement for categories, which were identified as an urgent problems to be solved in this study, among infra-structure qualifying for CFMC, would enable contract foodservice industry that has grown quantitatively till now to grow qualitatively.

A Study on the Mitigation Schemes of Thermal Stratification Phenomenon in a Branch Piping (분기배관에서의 열성층 현상 완화방안에 관한 연구)

  • Park Man-Heung;Kim Kwang-Chu;Lee Seung-Chul
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.18 no.7
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    • pp.603-611
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    • 2006
  • A variety of schemes were sought for a mitigation of thermal stratification phenomenon in the branch piping of domestic nuclear power plant. Several mechanisms of thermal stratification occurrence were introduced in this paper. A number of factors were selected to find out the schemes for thermal stratification mitigation and the computational analysis were performed. The length of vertical branch piping, the diameter, the radius of curvature of the elbow, the direction of connection between main piping and branch piping, the slope of branch piping, the leakage flow rate, the installation of additional valve, the change of the 1st valve position and another branch piping connected with branch piping were mentioned as factors in this paper.

Fault Location for Incomplete-Journey Double-Circuit Transmission Lines on Same Tower Based on Identification of Fault Branch

  • Wang, Shoupeng;Zhao, Dongmei;Shang, Liqun
    • Journal of Electrical Engineering and Technology
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    • v.12 no.5
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    • pp.1754-1763
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    • 2017
  • This paper analyses the characteristics of incomplete-journey double-circuit transmission lines on the same tower formed by single-circuit lines and double-circuit lines, and then presents a fault location algorithm based on identification of fault branch. With the relationship between the three-phase system and the double-circuit line system, a phase-mode transformation matrix for double-circuit lines can be derived. Based on the derived matrix, the double-circuit lines with faults can be decoupled, and then the fault location for an incomplete-journey double-circuit line is achieved by using modal components in the mode domain. The algorithm is divided into two steps. Firstly, the fault branch is identified by comparing the relationships of voltage amplitudes at the bonding point. Then the fault location, on the basis of the identification result, is calculated by using a two-terminal method, and only the fault distance of the actual fault branch can be obtained. There is no limit on synchronization of each terminal sampling data. The results of ATP-EMTP simulation show that the proposed algorithm can be applied within the entire line and can accurately locate faults in different fault types, fault resistances, and fault distances.

Fenestrated popliteal vein pierced by a branch of the tibial nerve

  • Edward C. Muo;Joe Iwanaga;Juan J. Cardona;Lukasz Olewnik;Aaron S. Dumont;R. Shane Tubbs
    • Anatomy and Cell Biology
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    • v.56 no.4
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    • pp.566-569
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    • 2023
  • Knowledge of anatomical variations is important so as to avoid potential iatrogenic injury or misdiagnosis on imaging. Here we report an unusual finding and relationship between the tibial nerve and popliteal vein. During the routine dissection of an adult cadaver, it was noted that a branch of the tibial nerve in the popliteal fossa pierced the most distal part of the popliteal vein. This unusual finding is described and relevant reports in the literature discussed. Our hopes are that such a report might help surgeons avoid injury to such a fenestrated popliteal vein and the tibial nerve branch traveling through it therefore decreasing patient morbidity.

A study on the step branch's feedback in teaching for mathematic s underachiever (수학 학습부진아 지도에서 단계 분기의 피드백에 관한 연구)

  • Seo Jong-Jin;Byun Du-Won;Kim Yung-Seok;Kim Seung Dong;No Young Soon;Park Dal-Won;Kim Yung-Hwan
    • Journal of the Korean School Mathematics Society
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    • v.8 no.2
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    • pp.249-271
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    • 2005
  • The study was aimed to show effects of the newly step branch's feedback models on the mathematics underachievers' mathematics achievement and attitude toward the mathematics, extent of self-check. The subject are 26 mathematics underachievers in the End grade of H middle school located in Taejeon. They were divided into an experimental group and a control group, and the attribution disposition. Experiment group was provided step branch's feedback and control group was provided general formative' feedback. The duration of the treatment was over a period of six weeks. The result of study, the step branch's feedback was effects for increasing he mathematics achievement and attitude toward the mathematics than the general formative' feedback(p<.05). In addition, the step branch's feedback group had better extent of self-check than the general formative' feedback.

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Novel Quadrature Branch-line Coupler Using CPW-to-Microstrip Transitions (마이크로스트립 전이를 이용하는 CPW Branch-line 커플러)

  • Lee, Jung-Ho;Lee, Hae-Yeong
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.37 no.5
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    • pp.10-16
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    • 2000
  • This paper presents new double-sided 3-dB branch-line coupler using CPW-to-Microstrip via-hole transitions for the multi-layer applications. The characteristic impedance is obtained using the even-odd mode method, and the circuit performance Is accurately estimated by the Finite Difference Time Domain(FDTD) method. The fabricated double-sided 3-dB branch-line coupler has less than 0.3 dB power dividing imbalance and 1。 phase imbalance, greater than 30 dB isolation, and 25 dB return loss over a 20% bandwidth centered at 2 GHz. Calculated and fabricated results show that this coupler provides better performance as compared to the conventional microstrip branch-line couplers.

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