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A New Interpretation of Ptosis-like Eyes through the Results of Small-Incision Double-Eyelid Operation (부분절개 쌍꺼풀성형술의 결과로 유추한 가성 안검하수의 새로운 해석)

  • Park, Sung Gyu;Lee, Seung Kook;Baek, Rong Min
    • Archives of Plastic Surgery
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    • v.33 no.4
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    • pp.449-453
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    • 2006
  • Purpose: Perceiving the experience that $MRD_1$ is increased after small-incision double-eyelid operation, it has been statistically verified the improvement of $MRD_1$ retrospectively. Therefore, we suggest new interpretation for Korean-specific small eye and more definite classification for ptosis. Methods: In operation, we made 3 small incisions according to the line designed on upper eyelid and removed some soft tissues including connective tissues. Then, figure-of-8 continuous buried ligation was performed through the incision windows. This study is a retrospective study, measures $MRD_1$ changes and excursion distance change of eyelid margine and eyebrow using pre-and post-operative photos of 14 patients. Results: Postoperative photos were taken on the 4th day and all of 14 patients had an improvement in $MRD_1$ statistically. The excursion distance of upper eyelid was improved in half of patients, though not in the range of statistical verification. It was statistically confirmed that the movement of eyebrow was reduced after operation. Conclusion: It is thought that $MRD_1$ improvement without any operation on levator complex means that soft tissue including connective tissue eliminated in operation restricts the movement of upper eyelid. It is defined such factors as burden factors and such phenomenon as burdened eyelid. It is thougt that Korean's small eye is mainly burdened eyelid and cosmetic improvement may be obtaind even by removing such burden factors.

Open reduction of zygoma fractures with the extended transconjunctival approach and T-bar screw reduction

  • Song, Seung Han;Kwon, Hyeokjae;Oh, Sang-Ha;Kim, Sun-Je;Park, Jaebeom;Kim, Su Il
    • Archives of Plastic Surgery
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    • v.45 no.4
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    • pp.325-332
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    • 2018
  • Background Zygomaticomaxillary complex (ZMC) fractures mostly occur in the form of tripod fractures. The surgical field is accessed using a combination of three classic approaches. However, the subciliary incision may have unfavorable aesthetic results. Herein, the authors report the advantages of the extended transconjunctival approach (ETA) combined with T-bar screw reduction in minimizing scarring and complications for the treatment of ZMC fractures. Methods A total of 26 patients underwent ZMC reduction through the ETA and intraoral approach. A skin incision measuring roughly 5 to 8 mm in length was placed following the lateral canthal skin crease. After releasing the inferior crus of the lateral canthal tendon for canthotomy, the medial periosteum of the lateral orbital rim was preserved for canthal reattachment. A limited subperiosteal dissection and partial relaxing incision of the orbicularis oculi were performed to expose the fracture line of the inferior orbital rim and zygomaticofrontal suture. Reduction was performed using a T-bar screw through the transconjunctival incision and an elevator through the intraoral incision. Results The aesthetic and functional results were excellent. Successful reduction was achieved and the skin incision was less than 8 mm in 20 cases (76.9%). Only six patients had an additional skin incision (less than 5 mm) to achieve reduction. No cases of ectropion, entropion, or excessive scarring were noted. Conclusions The ETA using a T-bar screw is a useful method for maximizing aesthetic results in ZMC fractures, with the advantages of minimal scarring, faster recovery, and maintenance of pretarsal fullness.

Application of IDA Method for Hull Plate Forming by Multi-Point Press Forming (다점 프레스를 이용한 곡면 성형의 가공 정보 산출을 위한 IDA방법)

  • Yoon, Jong-Sung;Lee, Jang-Hyun;Ryu, Cheol-Ho;Hwang, Se-Yun;Lee, Hwang-Beom
    • Journal of Ocean Engineering and Technology
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    • v.22 no.6
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    • pp.75-82
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    • 2008
  • Flame bending has been extensively used in the shipbuilding industry for hull plate forming In flame bending it is difficult to obtain the desired shape because the residual deformation dependson the complex temperature distribution and the thermal plastic strain. Mechanical bending such as reconfigurable press forming multi-point press forming or die-less forming has been found to improve the automation of hull plateforming because it can more accurately control the desired shape than line heating. Multi-point forming is a process in which external forces are used to form metal work-pieces. Therefore it can be a flexible and efficient forming technique. This paper presents an optimal approach to determining the press-stroke for multi-point press forming of curved shapes. An integrated configuration of Finite element analysis (FEA) and spring-back compensation algorithm is developed to calculate the strokes of the multi-point press. Not only spring-back is modeled by elastic plastic shell elements but also an iterative algorithm to compensate the spring-back is applied to adjust the amount of pressing stroke. An iterative displacement adjustment (IDA) method is applied by integration of the FEA procedure and the spring-back compensation work. Shape deviation between the desired surface and deform£d plate is minimized by the IDA algorithm.

A Survey of the Scope of Nursing Competency for Developing Learning Objectives In Adult Health Nursing (성인간호학 학습목표 개발을 위한 간호실무 조사연구)

  • Ko, Ja Kyung
    • Korean Journal of Adult Nursing
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    • v.12 no.3
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    • pp.418-430
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    • 2000
  • Nurses in today's challenging health care settings need to be skilled critical thinkers and clinical experts. The nurse must be able to use a broad knowledge base to mobilize resources, coordinate actions and evaluate outcomes in complex new situations. So the national licensing examination for registered nurses is change to improve the quality of professional competency of nurses in Korea. Prior to this, learning objectives should be developed and improved periodically. The purpose of this study is to describe the nursing competency to provide base line data for developing learning objectives in adult health nursing. This study was conducted by means of a questionnaire which was developed by the researcher after reviewing the literature. The questionnaire was based on learning objectives which were developed by a nation-wide nursing faculty majoring in adult health nursing. The subjects were 45 nurses in a middle level hospital. The collected data were treated using SPSS Win 7.5 Statistical Package so as to obtain such descriptive statistics as mean score, frequency, and to test reliability test, nonpar-Friedman test. To summarize the major findings in this study, it showed the scope of nursing competency and can guide the direction of study and methodological criteria to develop learning objectives. Recommendations for further research are: firstly, it is necessary to state learning objectives with learners' behavioral terminology; secondly, to overcome locality in scope of this study, there is a need to analyze with nation-wide sampling by an in-depth statistical analysis; thirdly, because the subjects of this study are mostly three-year graduate nurses, there is a need to compare this study with other studies of different subjects.

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Comparison of Expression Signature of Histone Deacetylases (HDACs) in Mesenchymal Stem Cells from Multiple Myeloma and Normal Donors

  • Ahmadvand, Mohammad;Noruzinia, Mehrdad;Soleimani, Masoud;Abroun, Saeid
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3605-3610
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    • 2016
  • Background: Histone acetylation in chromatin structures plays a key role in regulation of gene transcription and is strictly controlled by histone acetyltransferase (HAT) and deacetylase (HDAC) activities. HDAC deregulation has been reported in several cancers. Materials and Methods: The expression of 10 HDACs (including HDAC class I and II) was studied by quantitative reverse transcription-PCR (qRT-PCR) in a cohort of mesenchymal stem cells (MM-MSCs) from 10 multiple myeloma patients with a median age 60y. The results were compared with those obtained for normal donors. Then, a coculture system was performed between MM-MSCs and u266 cell line, in the presence or absence of sodium butyrate (NaBT), to understand the effects of HDAC inhibitors (HDACi) in MM-MSCs on multiple myeloma cases. Also, the interleukin-6 (IL-6) and vascular endothelial growth factor (VEGFA) gene expression level and apoptotic effects were investigated in MM-MSCs patients and control group following NaBT treatment. Results: The results indicated that upregulated (HDACs) and downregulated (IL6 and VEGFA) genes were differentially expressed in the MM-MSCs derived from patients with multiple myeloma and ND-MSCs from normal donors. Comparison of the MM-MSCs and ND-MSCs also showed distinct HDACs expression patterns. For the first time to our knowledge, a significant increase of apoptosis was observed in coculture with MM-MSCs treated with NaBT. Conclusions: The obtained findings elucidate a complex set of actions in MSCs in response to HDAC inhibitors, which may be responsible for anticancer effects. Also, the data support the idea that MSCs are new therapeutic targets as a potential effective strategy for MM.

FPGA Implementation of SURF-based Feature extraction and Descriptor generation (SURF 기반 특징점 추출 및 서술자 생성의 FPGA 구현)

  • Na, Eun-Soo;Jeong, Yong-Jin
    • Journal of Korea Multimedia Society
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    • v.16 no.4
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    • pp.483-492
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    • 2013
  • SURF is an algorithm which extracts feature points and generates their descriptors from input images, and it is being used for many applications such as object recognition, tracking, and constructing panorama pictures. Although SURF is known to be robust to changes of scale, rotation, and view points, it is hard to implement it in real time due to its complex and repetitive computations. Using 3.3 GHz Pentium, in our experiment, it takes 240ms to extract feature points and create descriptors in a VGA image containing about 1,000 feature points, which means that software implementation cannot meet the real time requirement, especially in embedded systems. In this paper, we present a hardware architecture that can compute the SURF algorithm very fast while consuming minimum hardware resources. Two key concepts of our architecture are parallelism (for repetitive computations) and efficient line memory usage (obtained by analyzing memory access patterns). As a result of FPGA synthesis using Xilinx Virtex5LX330, it occupies 101,348 LUTs and 1,367 KB on-chip memory, giving performance of 30 frames per second at 100 MHz clock.

A STUDY FOR THE BONDING STRENGTH OF COMPOSITE RESIN CORE TO GLASS FIBER POST (Glass Fiber Post와 Composite Resin Core의 전단결합강도)

  • Kim Tae-Hyoung;Shim June-Sung;Lee Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.43 no.4
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    • pp.415-425
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    • 2005
  • Statement of problem : Fracture of composite resin core will be occulted by progress of crack. Bonding interface of different materials has large possibility of starting point of crack line. Therefore, the bond strength of glass fiber post to composite resin core is important for prevention of fracture. Purpose: This in vitro study tried to find out how to get the higher strength of glass fiber post to composite resin core through surveying the maximum load that fractures the post and cote complex. Materials and methods: 40 specimens made with glass fiber Posts(Style $post^{(R)}$, Metalor, Swiss) and composite resin core ($Z-100^{(R)}$, 3M, USA) were prepared and loaded to failure with push-out type shear-bond strength test in a universal test machine. The maximum fracture load and fracture mode were investigated in the specimens that were restored with four different surface treatments. With the data. ANOVA test was used to validate the significance between the test groups, and Bonferroni method was used to check if there is any significant statistical difference between each test group. Evely analysis was approved with 95% reliance. Results: On measuring the maximum fracture load of specimens, both the treatments of sandblasted and acid-etched one statistically showed the strength increase rather than the control group (p<0.005). The scanning electric microscope revealed that sand blasting made more micro-retention form not only on the resin matrix but on the glass fiber, and acid-etching contributed to increase in surface retention form, eliminated the inorganic particles in resin matrix. Specimen fracture modes investigation represented that sand blasted groups showed lower bonding failure than no-sand blasted groups. Conclusion: Referring to the values of maximum fracture load of specimens, the bonding strength was increased by sand blasting and acid-etching.

Discharge Computation in Natural Rivers Using Chiu's Velocity Distribution and Estimation of Maximum Velocity (자연하천에서 Chiu의 유속분포와 최대유속 추정을 이용한 유량산정)

  • Kim, Chang-Wan;Lee, Min-Ho;Yoo, Dong-Hoon;Jung, Sung-Won
    • Journal of Korea Water Resources Association
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    • v.41 no.6
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    • pp.575-585
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    • 2008
  • It is essential to obtain accurate and highly reliable streamflow data for water resources planning, evaluation and management as well as design of hydraulic structures. A new discharge computation method proposed in this research uses Chiu's velocity distribution and estimation of maximum velocity. This method shows acceptable channel discharges comparing these by the exiting velocity-area method. When velocity-area method is used, it is required to observe velocities at every specified point and vertical line using a velocity meter like Price-AA. If the method proposed in this research, is used, however it is not necessary to observe all point velocities needed in the velocity-area method. But this method can not be applied for the cases of very complex and strongly asymmetric channel cross-sections because Chiu's velocity distribution using entropy concept may be quite biased from that of natural rivers.

Online Learning of Bayesian Network Parameters for Incomplete Data of Real World (현실 세계의 불완전한 데이타를 위한 베이지안 네트워크 파라메터의 온라인 학습)

  • Lim, Sung-Soo;Cho, Sung-Bae
    • Journal of KIISE:Computer Systems and Theory
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    • v.33 no.12
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    • pp.885-893
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    • 2006
  • The Bayesian network(BN) has emerged in recent years as a powerful technique for handling uncertainty iii complex domains. Parameter learning of BN to find the most proper network from given data set has been investigated to decrease the time and effort for designing BN. Off-line learning needs much time and effort to gather the enough data and since there are uncertainties in real world, it is hard to get the complete data. In this paper, we propose an online learning method of Bayesian network parameters from incomplete data. It provides higher flexibility through learning from incomplete data and higher adaptability on environments through online learning. The results of comparison with Voting EM algorithm proposed by Cohen at el. confirm that the proposed method has the same performance in complete data set and higher performance in incomplete data set, comparing with Voting EM algorithm.

Visualization of Passenger Flows of the Metropolitan Seoul Subway System (서울 수도권 지하철 교통망 승객 흐름의 시각화)

  • Kim, Ho-Sun;Park, Jong-Soo;Lee, Keum-Sook
    • The Journal of the Korea Contents Association
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    • v.10 no.4
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    • pp.397-405
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    • 2010
  • This study proposes visualization methods of the diurnal passenger flows on the Metropolitan Seoul Subway system (MSSs) and examines the passenger trip behaviors of major central business districts (CBDs). We mine the MSS passenger flow information from a single day T-card passenger trip transaction database. It is practically intractable to analyze such flows, involving huge, complex space-time data, by means of general statistical analysis. On the other hand, dynamic visualizations of the passenger flows make it possible to analyze intuitively and to grasp effectively characteristics of the passenger flows. We thus propose several methods to visualize the passenger flow information. In particular, we visualize dynamic passenger flows of each link on the subway network and analyze the time-space characteristics of passenger ridership for the three major CBDs. As the result, we can ascertain the strong association between CBD and subway line and clarify the distinction among three major CBDs in the diurnal patterns of subway passenger flow.