• Title/Summary/Keyword: deep inferior

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An Algorithmic Approach to Total Breast Reconstruction with Free Tissue Transfer

  • Yu, Seong Cheol;Kleiber, Grant M.;Song, David H.
    • Archives of Plastic Surgery
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    • v.40 no.3
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    • pp.173-180
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    • 2013
  • As microvascular techniques continue to improve, perforator flap free tissue transfer is now the gold standard for autologous breast reconstruction. Various options are available for breast reconstruction with autologous tissue. These include the free transverse rectus abdominis myocutaneous (TRAM) flap, deep inferior epigastric perforator flap, superficial inferior epigastric artery flap, superior gluteal artery perforator flap, and transverse/vertical upper gracilis flap. In addition, pedicled flaps can be very successful in the right hands and the right patient, such as the pedicled TRAM flap, latissimus dorsi flap, and thoracodorsal artery perforator. Each flap comes with its own advantages and disadvantages related to tissue properties and donor-site morbidity. Currently, the problem is how to determine the most appropriate flap for a particular patient among those potential candidates. Based on a thorough review of the literature and accumulated experiences in the author's institution, this article provides a logical approach to autologous breast reconstruction. The algorithms presented here can be helpful to customize breast reconstruction to individual patient needs.

Cutting force regulation of microdrilling using the sliding mode control (슬라이딩 모드 제어를 이용한 마으크로 드릴의 절삭력 제어)

  • 정만실;조동우
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1997.04a
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    • pp.842-846
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    • 1997
  • Micro-hole drilling (holes less than 0.5 mm in diameter with aspect ratios larger than 10) is gaining increased attention in a wide spectrum of precision production industries. Alternative methods such as EDM, laser drilling, etc. can sometimes replace mechanical micro-hole drilling but are not acceptable in PCB manufacture because they yield inferior hole quality and accuracy. The major difficulties in micro-hold drilling are related to wandering motions during the inlet stage, high aspect ratios, high temperature,etc. However, of all the difficulties, the most undesirable one is the increase of drilling force as the drill penetrates deeper into hold. This is caused mainly by chip related effects. Peck-drilling is thus widely used for deep hole drilling despite the fact that it leads to low productivity. Therefore, in this paper, a method of cutting force regulation is proposed to achieve continuous drilling. A proportional plus derivative (PD) and a sliding modecontrol algorithm will be implemented for controlling the spinle rotational frequeency. Experimental results will show that sliding mode control reduces the nominal cutting force and its variation better than the PD control, resulting in a number of advantages such as an increase in drill life, fast stabilization of the wandering motion, and precise positioning of the hole.

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Image Restoration using GAN (적대적 생성신경망을 이용한 손상된 이미지의 복원)

  • Moon, ChanKyoo;Uh, YoungJung;Byun, Hyeran
    • Journal of Broadcast Engineering
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    • v.23 no.4
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    • pp.503-510
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    • 2018
  • Restoring of damaged images is a fundamental problem that was attempted before digital image processing technology appeared. Various algorithms for reconstructing damaged images have been introduced. However, the results show inferior restoration results compared with manual restoration. Recent developments of DNN (Deep Neural Network) have introduced various studies that apply it to image restoration. However, if the wide area is damaged, it can not be solved by a general interpolation method. In this case, it is necessary to reconstruct the damaged area through contextual information of surrounding images. In this paper, we propose an image restoration network using a generative adversarial network (GAN). The proposed system consists of image generation network and discriminator network. The proposed network is verified through experiments that it is possible to recover not only the natural image but also the texture of the original image through the inference of the damaged area in restoring various types of images.

CHANGES IN INTRADENTAL NERVE ACTIVITY FOLLOWING LOCAL APPLICATION OF CGRP, SP AND ELECTRICAL STIMULI IN CATS (CGRP, SP의 국소도포와 전기자국에 의한 고양이 치수신경활동의 변화)

  • Kim, Mi-Ja;Son, Ho-Hyun
    • Restorative Dentistry and Endodontics
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    • v.20 no.2
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    • pp.527-537
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    • 1995
  • The effect of calcitonin gene-related peptide (CGRP), substance P (SP) and electrical stimulation of the tooth on the intradental nerve activtiy (INA) was investigated in anesthetized cats. The INA was recorded from single pulp nerve units dissected from the inferior alveolar nerve under stereomicroscope. The INA elicited by 3 minute application of 4M NaCl in deep dentinal cavity was compared before and after stimulation at 10 minute intervals. The magnitude of INA was calculated as the total number of nerve impulses produced in given period, and the changes of INA are expressed as % of control INA. The results obtained were as follows. 1. 16 single pulp nerve units were classified as 14 $A{\delta}$-fibers (3.4~19.4m/sec) and 2-fibers (1.5~1.7m/sec) according to the conduction velocity. 2. 4M NaCl evoked an irregular bursts of spikes which continued until washing out. Isotonic saline did not affect INA to subsequent applications of the hypertonic NaCl solution (P>0.05). 3. Local application of CGRP ($200{\mu}g$/ml) in deep dentinal cavity reduced the INA induced by 4M NaCl in $A{\delta}$-fiber units (P<0.01) and some units of those responded to CGRP during application. 4. Local application of SP ($100{\mu}g$/ml) in deep dentinal cavity reduced the INA induced by 4M NaCl in AS-fiber units (p<0.05), but increased the INA in C-fiber unit coincided with large reduction of the INA of $A{\delta}$-fiber units. 5. Monopolar electrical stimulation applied to the crown at intensities high enough to excite C-fibers (12V, 5ms, 10Hz, 10~30min) decreased the INA in $A{\delta}$-fiber units (P<0.01) and systemic pretreatment with phenoxybenzamine (3mg/kg, i.v.) enhanced this inhibitory effect (P<0.01). On the contrary, electrical stimulation increased the INA in C-fiber unit.

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Suggestion on Locating Method for ST36 Acupoint Based on Neuroanatomical Features (족삼리 취혈방식 제안: 신경해부학적 특성을 기반으로)

  • Heeyoung Moon;Da-Eun Yoon;Yeonhee Ryu;In-Seon Lee;Dody Chang;Poney Chiang;Younbyoung Chae
    • Korean Journal of Acupuncture
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    • v.40 no.3
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    • pp.128-133
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    • 2023
  • Objectives : There are many variations in the ST36 acupoint location. The purpose of this article is to suggest a method of locating the ST36 acupoint. Methods : Based on the available research and the neuroanatomical characteristics of the underlying acupoint, we summarized the proper procedure for finding the ST36 acupoint. Results : ST36 is 3 B-cun inferior to ST35 and is vertically situated on the line that connects ST35 and ST41. The ST36 acupoint corresponds to the deep peroneal nerve, which is situated in the tibialis anterior muscle's back. The neurovascular bundles that are located on the interosseous membrane between the interosseous crests of the tibia and fibula include the deep peroneal nerve, anterior tibial artery, and anterior tibial vein. According to both classical and modern literature, this acupoint can be found horizontally between the two muscles, tibialis anterior and extensor digitorum longus. Conclusions : Based on a review of the literature and neuroanatomical features, we suggest that ST36 can be positioned horizontally between tibialis anterior and extensor digitorum longus. Additional imaging studies and clinical proof are required to determine ST36 acupoint.

Paraumbilical Perforator Skin Flap (배꼽주위 관통지를 이용한 유리 피판)

  • Park, Myong-Chul;Shin, Ye-Shik;Lee, Byeong-Min;Kim, Kwan
    • Archives of Reconstructive Microsurgery
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    • v.5 no.1
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    • pp.92-98
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    • 1996
  • The rectus abdominis myocutaneous flap is frequently used in the field of plastic and reconstructive surgery such as breast reconstruction and as a donor of free tissue transfer. Major problems with this flap is bulkiness, the possibility of postoperative abdominal herniation and muscle weakness following the removal of the rectus abdominis muscle. We used paraumbilical perforator based skin flap fed by a muscle perforator from the deep inferior epigastric artery, with no or little muscle and fatty tissue, in three patients for the resurfacing of relatively wide and thin defects. This technique has all of the advantages of the conventional rectus abdominis myocutaneous flap with decreased possibility of postoperative abdominal herniation or muscle weakness. Another challenging merit is possibility of skin flap thinning.

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New Record of a Aglaophenian Species (Hydrozoa: Thecatae: Plumulariidae) from Korea

  • Park, Jung-Hee
    • Animal Systematics, Evolution and Diversity
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    • v.28 no.2
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    • pp.145-147
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    • 2012
  • The hydroid specimens for this study were collected by SCUBA diving from about 15 m deep at the Isl. Marado, Jeju-do, Korea. Among the identified species $Aglaophenia$ $latecarinata$ Allman, 1877 was shown to be new to the Korean fauna. This species belongs to the family Plumulariidae which is the second large hydroid taxon in Korea. The distinct morphological characteristic of this species is the nine marginal teeth of hydrotheca, one median abcauline and four pairs laterals. Median abcauline tooth is bifid, with a broad keel extending along the front of the hydrotheca from its margin to the mesial inferior nematotheca, from which the species name was originated. Up to date four aglaophenian species of 35 plumularians have been reported from Korea.

Press Formabilities of Aluminum Sheets for Autobody Application (차체용 알루미늄 판재의 프레스 성형성)

  • Kim, Y.S.;Kim, K.S.;Kwon, N.C.
    • Transactions of the Korean Society of Automotive Engineers
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    • v.2 no.1
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    • pp.73-83
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    • 1994
  • Press formabilities of aluminum sheets for automobile body were investigated. Plane strain stretching test (called RIST-PSST), cupping test and U bending test were performed to assess the press formability of aluminum sheets respectively. The results showed that aluminum sheets are generally inferior to cold-rolled steel sheet of deep drawing quality (CSP3N) in press formability. The limiting punch height (LPH) and limiting plane strain (FLCo) of aluminum sheets are 50%-70% level compared to that of CSP3N. Moreover, the limiting drawing ratios(LDR) of aluminum sheets are ranged between 1.95 and 2.1. The poor press formability of aluminum sheets is responsible for low values of total elongation and plastic anisotropy parameter in tensile characteristic. The shape fixability of aluminum sheets evaluated in U bending test is very poor due to its low elastic modulus compared to CSP3N.

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Anatomic basis for flap thinning

  • Park, Seong Oh;Chang, Hak;Imanishi, Nobuaki
    • Archives of Plastic Surgery
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    • v.45 no.4
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    • pp.298-303
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    • 2018
  • Flap thinning is a procedure for making a thick flap thinner. This procedure does more than simply fill in the defected area, and it is better for reconstructing the area both functionally and aesthetically. However, because flap thinning is a rather blind procedure, it may have harmful effects on flap vascularity. Therefore, the vasculature of a flap must be understood before performing flap thinning. This paper analyzes the basic anatomy underlying flap thinning based on the previous anatomic study that categorized flaps into 6 types by their vascular structures. This paper also reviews specific studies of frequently practiced flap procedures (deep inferior epigastric artery perforator flap, thoracodorsal artery perforator flap, and anterolateral thigh flap) and presents important precautions for flap thinning procedures. Finally, this paper briefly examines the axiality of the subdermal plexus, which needs to be taken into account when performing flap thinning.

Breast Reconstruction with Microvascular MS-TRAM and DIEP Flaps

  • Chang, David W.
    • Archives of Plastic Surgery
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    • v.39 no.1
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    • pp.3-10
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    • 2012
  • The free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) and deep inferior epigastric perforator (DIEP) flaps involve transferring skin and subcutaneous tissue from the lower abdominal area and have many features that make them well suited for breast reconstruction. The robust blood supply of the free flap reduces the risk of fat necrosis and also enables aggressive shaping of the flap for breast reconstruction to optimize the aesthetic outcome. In addition, the free MS-TRAM flap and DIEP flap require minimal donor-site sacrifice in most cases. With proper patient selection and safe surgical technique, the free MS-TRAM flap and DIEP flap can transfer the lower abdominal skin and subcutaneous tissue to provide an aesthetically pleasing breast reconstruction with minimal donor-site morbidity.