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The facial tissue expansion to achieve the natural cervicomental angle (자연스러운 목턱각 성형을 위한 안면부 조직확장술)

  • Lee, Ki Eung;Koh, Jang Hyu;Seo, Dong Kook;Lee, Jong Wook;Choi, Jae ku;Jang, Young Chul
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.629-636
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    • 2009
  • Purposes: Wide scars occurring on the lower face and neck are a source of both functional and esthetic problems. Consequently, we can use skin grafts, pedicled flaps, free flaps, and tissue expansion for the reconstruction of this area. Compared with other reconstruction techniques, tissue expansion is advantageous in that it enables the maintenance of a color and texture similar to that of the adjacent tissue. However, the conventional method of tissue expansion has been reported to lead to an unnatural cervicomental angle and to the deformity of adjacent structures. We have therefore made efforts to prevent these problems through the use of several operative procedures. Methods: Forty-one patients with lower facial and cervical scars underwent tissue expansion. The tissue expansion was performed using a rectangular-shaped Nagosil$^{(R)}$ tissue expansion device. On insertion of the tissue expander, the intermediate area of superficial fat layer was dissected and then the tissue expander was inserted to make a flap that was as thin as possible. In advancement of the flap, a capsule-formed by the tissue expander-was used for the interrupted fixed suture of the flap to the fascia of the platysma muscle of the neck. This procedure was performed multiple times and also performed between the flap and the periosteum of the mandible, such that the tension was removed during the suture of the flap margin. Finally, the patients were fitted with a Jobst$^{(R)}$ facial garment in order to stabilize the operation site at least twelve months. Results: The most prevalent location of the scar was the cheek (15 cases), followed by the chin in 14 cases and the neck in 12 cases. The mean size of scar was $55.7{\pm}39.4cm^2$. Conclusions: Using our procedures, we have experienced no significant deformities and have also achieved a more natural cervicomental angle in the patients.

Endovenous 980-nm Diode Laser Treatment of Incompetent Great Saphenous Vein (정맥 내 980-nm 다이오드 레이저를 이용한 대복재정맥 역류의 치료)

  • Kim, Kun-Il;Jo, Tae-Jun;Lee, Jae-Woong;Hong, Ki-Woo;Lee, Won-Yong
    • Journal of Chest Surgery
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    • v.40 no.2 s.271
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    • pp.97-102
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    • 2007
  • Background: Endovenous laser treatment has recently been introduced as a less invasive technique, with many good results reported, A 980-nm diode laser was used on the great saphenous vein (GSV) occlusions in patients with varicose veins, due to GSV reflux, and the therapeutic effects analyzed. Material and Method: Between September 2003 and February 2006, 238 patients (332 cases) with GSV reflux underwent endovenous laser treatment with a 980-nm diode laser. Operative procedures were simultaneous endovenous laser treatment and ambulatory phlebectomy. The preoperative clinical findings, postoperative complications and postoperative duplex US follow up results at 1 and 3 months were reviewed. Result: Postoperative complications were ecchymosis in almost cases, paresthesia 68 cases (20.5%) and skin burn in 3 cases (0.9%). Follow up duplex US revealed 26 and 10 cases at 1 and 3 months of GSV reflux or partial recanalization, with therapeutic success rates of 91.3 and 87.9%, respectively. Conclusion: The treatment of GSV occlusion with an endovenous laser is less invasive than traditional GSV stripping, but relatively high recanalization was experienced, possibly due to inadequate laser power, laser fiber pullback speed or an extremely dilated GSV. However, continuous attempts will be required to reduce the recanalization after the procedure, with accurate follow up using duplex US.

The Performance of the Combined Operation of Sprinkler and Smoke Curtain for Smoke Control in the Sloped Stairway Corridor (경사통로로 전파되는 연기에 대한 스프링클러와 제연커텐의 통합제연성능)

  • Jeon, Heung-Kyun;Choi, Young-Sang;Choo, Hong-Lok
    • Fire Science and Engineering
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    • v.20 no.4 s.64
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    • pp.1-12
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    • 2006
  • In this study, CFD computer simulations by FDS are carried out in order to confirm the performance of the combined operation of both sprinkler system and smoke curtain of 0.54 m depth installed for cooling and blocking the smoke which propagates beneath the sloped ceiling of a stairway corridor of which dimensions are 17.92 m long, 4.00 m wide, and 6.12 m high. It is shown that the response time of sprinklers decreases with fire size and it increases more about 1.1 second in case without smoke curtain than in case with smoke curtain, that the time of smoke transport from the fire source to the stairway outlet decreases considerably with fire size, and that the delay effect of smoke transport is not related to the sprinkler system, whether it is operated or not. This study shows that the combined operation of both sprinkler system and smoke curtain is very effective in smoke cooling, but it is a little for effect on smoke blockage. Although the hazard of skin burn due to radiative heat flux from hot smoke layer is decreased by spray cooling effect, the hazard of smoke suffocation and the weakening of visibility is increased by smoke downdrag and the turbulence of smoke-air mixing due to water spray. These conditions may result in preventing occupants from going out of the stairway during evacuation.

Radiological Safety Assessment for KAERI Incineration Plant on the Basis of Trial Burn Results (시험소각결과에 기준한 한국원자력연구소 소각시설의 방사학적 안전성 평가)

  • Yang, Hee-Chul;Kim, Bong-Hwan;Kim, Chang-Hee;Park, Won-Man;Jeong, Myung-Soo
    • Journal of Radiation Protection and Research
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    • v.23 no.2
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    • pp.109-114
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    • 1998
  • Radiological safety for the conventional operation of Demonstration-Scale Incineration Plant (DSIP) was assessed on the basis of the results of trial burns using the simulated and real radioactive wastes. Radiation dose assessments for routine releases on an annual basis as well a several severe accidental releases on a short-term basis (2h) revealed that there would be no significant environmental impact when low-level waste Is incinerated in DSIP. For semivolatile radioactive cesium species, expected emission concentrations slightly exceeded 10% of maximum permissible concentration. Removal characteristics of the bag filter for condensed-phase cesium species was investigated by the trial burns of simulated waste with inactive cesium tracer. In the off-gas before passing through bag filter, distributions of condensed cesium species in the transition size ranging between the diffusional and inertial region are less than 5%. The overall collection efficiency of the bag filter for cesium species was higher than 99.9%, showing enough decontamination capability as a primary filter for the low-temperature dry off-gas system in radwaste incineration plant.

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Effect of Newly Developed Pectin/CMC Dressing Materials on Three Different Types of Wound Model (펙틴/CMC 드레싱의 세가지 유형별 창상에서의 치유효과)

  • Lim, Hyun-Ju;Kim, Hak-Tae;Oh, Eun-Jung;Choi, Jin-Hyun;Ghim, Han-Do;Pyun, Do-Gi;Lee, Soo-Bok;Chung, Dong-Jun;Chung, Ho-Yun
    • Polymer(Korea)
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    • v.34 no.4
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    • pp.363-368
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    • 2010
  • Adequate acidic environment in wound healing prevents the inflammation of virus, increases the cell activity, promotes cell proliferation and regular rearrangement of fibroblast, and results in matured epithelialization. In this study, we prepared dressing materials consisting of pectin and carboxymethylcellulose (CMC) with varied ratios. These dressing materials showed different pH values according to the composition ratio. The effect of acidity of pectin/CMC dressing materials on wound healing rates, degree of epithelialization, collagen deposition, and so on, in 3 types of wound models (fresh surgical wounds, $3^{rd}$ degree burn wounds, and infection wounds) were investigated by animal tests. From the results of wound contraction, wound healing, and epithelialization, it can be deduced that dressing material having pectin/CMC ratio of 16/19 (pH 4.67) is most effective among the 3 types of wound models.

A Study on the Characteristics of Coffee Ground(CG)-RDF by Using Different Drying Method (건조법에 따른 커피박 고형연료의 특성 고찰 연구)

  • Kim, Sang-bin;Ha, Jin-wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.451-457
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    • 2019
  • In this study, the characteristics of coffee grounds were reviewed by making them from solid fuel through heat-drying and oil-drying method. The differences in the higher calorific power by each dried sample were compared. And industrial analysis using the thermogravimetric analyzer was considered for applicability to organic waste and oily samples. Before and after drying, the surface of the specimen was observed with SEM equipment and the ingredients were measured through the EDS equipment. As a result, no other hazardous substances, such as heavy metals, were measured. Next, The differences between thermal decomposition and combustion reactions were considered through the TG and DTG curves. As a result, it is that the oil-dried coffee grounds is longer to burn than the heat-dried coffee grounds. Finally, the combustion gases emitted through the thermogravimetric analyzer were collected and the carbon monoxide and carbon dioxide performed qualitative and quantitative analysis using GC over time.

A Study for Comparison of Geometric Characteristics on Forearms for Improvement of Convinience in Splint Manufacturing with 3D Printing Technology (3D 프린팅 기술을 적용한 스플린트의 제작 용이성 향상을 위한 아래팔 기하 정보 비교에 관한 연구)

  • Chang, Ji Hong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.12 no.5
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    • pp.475-481
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    • 2019
  • A splint is one of assisting devices for the disabled with hemiplegia or contracture and is manually made by an experienced expert. Heated thermoplastic materials are continuously fitted to the affected part. This traditional method has a possible risk of low-temperature burn, quality variance of the splint due to the proficiency of maker. etc. While various approaches has been made using 3D printing technology in order to redeem those disadvantages, they still carry high cost issues with 3D scanners or accuracy issues with manual measurement. This research begins with symmetrical characteristics of human body and focuses on the preliminary study for the possibility of splint manufacturing with 3D printing technology based on geometric characteristics of unaffected arm. 3D right and left forearm models of healthy male adults were created by photogrammetry software and a series of digital images in order to measure the circumference and cross-sectional area of the forearm models at every 20mm from the elbow. The circumference and cross-sectional area showed tolerable levels of differences between both sides within subjects; The circumference and cross-sectional area showed very strong correlations between both sides within subjects. From these findings, the possibility of splint manufacturing with 3D printing technology could be confirmed based on the geometric characteristics of unaffected side.

The Government Policies of New Tobacco Products: Strategies for Managing Electronic Cigarettes and Heated Tobacco Products (신종담배의 출현과 정책방향: 전자담배 및 가열담배에 대한 전략)

  • Park, Myung-Bae
    • Health Policy and Management
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    • v.29 no.1
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    • pp.4-10
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    • 2019
  • The term new tobacco products (NTPs) refers to the new alternatives to conventional cigarettes. There are several kinds of NTPs in South Korea. The present study discusses the most widely used NTPs namely electronic cigarette (ECs) and heated tobacco products (HTPs). The aims of this study are to evaluate the risk related to the use of ECs and HTPs, introduce policy examples across different countries of management of this issue, and finally, present some policy implications of the problem and our response strategies. Since the advent of ECs, there has been a lot of debate about its risk. Some studies have reported that ECs are less harmful than conventional cigarettes and that they are effective in aiding smoking cessation. Nevertheless, the efficacy of ECs in smoking cessation and its potential health risks are still unclear. However, the obvious fact is that it is not harmless. Regulations on ECs differ from country to country. In many countries, they are strictly regulated as tobacco or toxic substances; however, in the United Kingdom, the use of ECs are included as part of their smoking cessation policy, and in Japan, they are treated as a form of medication. On the other hand, HTPs are the most recently introduced NTPs and they have attained sensational popularity because of the wrongly held belief that they are less harmful to health. So, what about our policy response to these two tobacco products? The research on ECs requires more systematic statistical monitoring, such as monitoring the ratio of dual-users. Further, the new EC smokers should be identified taking into account that the arguments for the use of ECs often emphasize smoking cessation or less risks to health, the government should further strengthen its policy to prevent those claims. The HTPs market experienced a very sharp growth and continues to grow because the government policy is too passive. Taking this as a lesson, it is necessary to approach NTPs, such as HTPs, proactively and increase their contribution to the National Health Promotion Fund by imposing greater taxes on them. Finally, considering the likelihood of NTPs being promoted as a less harmful tobacco product, it is essential to strictly regulate tobacco companies' publicity from the very beginning to ensure that potential consumer s are not mislead.

Effects of First Aid Training Program on Child Care Teachers' Coping Intentions and Knowledge in the Case of Emergency Situations (응급처치교육 프로그램이 보육교사들의 응급상황 대처 의지 및 지식에 미치는 효과)

  • Yi, Seung-Hoon
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.464-471
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    • 2019
  • The purpose of this study was to analyze the effects of first aid programs(FAP) on the knowledge and will to cope with emergency situations, and to suggest the effective FAP for child care teachers by analyzing the needs of FAP. The subjects of this study were 159 child care teachers who received upgrading education. The results of the study are as follows. First, child care teachers have a willingness to cope with emergency situations. and child care teachers who were not able to do were caused by the burden of legal liability and lack of confidence in first aid techniques. Second, teachers who received FAP showed higher knowledge about first aid knowledge. Third, the type of FAP desired by the child care teachers showed the most favored type of whole practice. Fourth, the contents of FAP desired by child care teachers were CPR, airway obstruction, burn treatment and temperature related symptoms. In this study, FAP is needed in the process of child care teacher training. FAP should be practice-oriented education, and the contents of FAP should be structured based on the needs of child care teachers.

Research on the Soul & Body Thought of Chinese Six Dynasties thinker (육조시기(六朝時期) 사상가들의 육체(肉體)와 영혼(靈魂)의 관념에 대한 개략적 고찰)

  • Cho, Won-il
    • (The)Study of the Eastern Classic
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    • no.59
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    • pp.387-404
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    • 2015
  • A great number of philosophers during 'Six's Dynasty'(六朝) had the most active and furthest discussion throughout the history of China to study the concerns; Having a question such as "Where the body and the soul come out around us?", "What is the essence of complicated and delicate mental operation?" "Are there any relationships between the body and the soul?" and then "How do the human soul exist after death?" First, during 'Don-Jin' period as body and soul theory was based on 'Yin'(陰) and 'Yang'(陽). 'He Cheng Tian' said that everything which was burn on earth should die because the soul couldn't stay the dead body longer. In the same age, 'Ming Fo Run' and 'Da Xing Run' which denied that the soul couldn't exist forever were main topics of the discuss among the distinguished philosophers. Next, during 'Northern & Southern dynasty', body and soul theory was divided into two. First of all, body and soul of 'Heng Cun' might be harmonized, however, that was not perfectly put together. Because, after human death, even if the body of human might be existed, the soul left elsewhere but always stayed around us. The body was the soul which meant that the soul was to the nature of the body and the body was to the usage of soul. Many philosophers insisted that nobody meant no soul according to 'Shen Bu Mie Run' and 'Shen Mie Run'which was the main topic as an academic argument in those days. Finally, during Dong-Jin dynasty covered the significance of Body and Soul theory and analyzed the influence into the history of the history philosophy in china.