• Maxillofacial Plastic and Reconstructive Surgery
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• 제40권
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• pp.24.1-24.6
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• 2018

Temporalis tendon transfer is a technique for dynamic facial reanimation. Since its inception, nearly 80 years ago, it has undergone a wealth of innovation to produce the modern operation. Temporalis tendon transfer is a relatively minimally invasive technique for the dynamic reanimation of the paralyzed face. This technique can produce significant and appropriate movement of the lateral oral commissure, more closely mimicking the normal side. The aim of this article is to review the technique of temporalis tendon transfer involving transferring of the coronoid process of the mandible with the insertion of the temporalis tendon via intra-oral and transcutaneous approach.

• 대한의용생체공학회:의공학회지
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• 제28권1호
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• pp.139-147
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• 2007

The aim of this study was to evaluate effects of short-tenn repetitive-bilateral excercise on the activation of motor network using functional magnetic resonance imaging (fMRI). The training program was performed at 1 hr/day, 5 days/week during 6 weeks. Fugl-Meyer Assessments (FMA) were performed every two weeks during the training. We compared cerebral and cerebellar cortical activations in two different tasks before and after the training program: (1) the only unaffected hand movement (Task 1); and (2) passive movements of affected hand by the active movement of unaffected hand (Task 2). fMRI was performed at 3T with wrist flexion-extension movement at 1 Hz during the motor tasks. All patients showed significant improvements of FMA scores in their paretic limbs after training. fMRI studies in Task 1 showed that cortical activations decreased in ipsilateral sensorimotor cortex but increased in contralateral sensorimotor cortex and ipsilateral cerebellum. Task 2 showed cortical reorganizations in bilateral sensorimotor cortex, premotor area, supplemetary motor area and cerebellum. Therefore, this study demonstrated that plastic changes of motor network occurred as a neural basis of the improvement subsequent to repetitive-bilateral excercise using the symmetrical upper-limb ann motion trainer.

• Geomechanics and Engineering
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• 제16권5호
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• pp.463-469
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• 2018

In offshore engineering, lateral cyclic loading may induce excessive lateral movement and bending strain in pile foundations. Previous studies mainly focused on deformation mechanisms of single piles due to lateral cyclic loading. In this paper, centrifuge model tests were conducted to investigate the response of a $2{\times}2$ pile group due to lateral cyclic loading in clay. After applying each loading-unloading cycle, the pile group cannot move back to its original location. It implies that residual movement and bending strain are induced in the pile group. This is because cyclic loading induces plastic deformation in the soil surrounding the piles. As the cyclic load increases from 62.5 to 375 kN, the ratio of the residual to the maximum pile head movements varies from 0.30 to 0.84. Moreover, the ratio of the residual to the maximum bending strains induced in the piles is in a range of 0.23 to 0.82. The bending strain induced in the front pile is up to 3.2 times as large as that in the rear pile. Thus, much more protection measures should be applied to the front piles to ensure the serviceability and safety of pile foundations.

• 한국지반신소재학회논문집
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• 제7권3호
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• pp.31-40
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• 2008

탄소성구성방정식을 적용한 유한요소법을 이용하여 흙막이벽의 변형형상에 따른 배면지반의 변형거동을 예측하였다. 굴착배면 지반의 변형형상은 흙막이벽 부근에서는 흙막이벽 변형형상과 유사하게 나타나지만 흙막이벽으로부터 멀어질수록 켄틸레버 형상으로 변한다. 그리고 흙막이벽의 상부변형을 억제시키면 배면지반의 변형(침하량, 측방이동량)을 감소시킬 수 있다. 또한, 굴착에 따른 흙막이벽의 변형형상은 굴착배면지반의 소성파괴영역 및 안전율 저하영역에 영향을 미치는 것으로 나타났다.

• Archives of Reconstructive Microsurgery
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• 제11권1호
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• pp.73-77
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• 2002

Medical application of leeches, by means of leech's blood suction, has advantages in not only directly removing blood congestion, but also preventing hindrance to venous drainage by inhibiting local thrombus formation and inducing continuous bleeding. Nevertheless, Aeromonas hydrophila infection secondary to such suction is most common and may develop into serious conditions from local inflammatory reaction to total necrosis of replanted parts and enterocolitis as well as sepsis. Once infected, it requires infection treatment, removal of necrotic tissues and reconstruction. Hence, duration and cost of treatment increase while functional recovery falls markedly. Accordingly, we present measures to reduce Aeromonas infections as follows: First, do not manipulate as much as possible while the leeches are sucking or moving. Second, the site which suction plates of the leeches are attached, should be selected away from the surgical wound site or open wound as much as possible. Third, contaminated or blood-wet gauze should be replaced often so that the skin of surgical areas would not swell. Furthermore, bleeding or oozing should be well-drained. Fourth, the areas other than the sites of leech attachment should be covered with sterilized gauzes in order to limit leech movement.

• 소성∙가공
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• 제18권7호
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• pp.565-571
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• 2009

This paper is concerned with the analysis on the surface stress profiles of perfectly plastic material in backward extrusion process. Due to heavy surface expansion appeared usually in the backward extrusion process, the tribological conditions along the interface between the material and the punch land are very severe. In the present study, the analyses have focused to reveal the surface conditions at the contact boundary for various punch shapes in terms of surface expansion, contact pressure, and relative movement between punch and workpiece which consists of sliding velocity and distance, respectively. Punch geometries adopted in the analysis include concave, hemispherical, pointed and ICFG recommended shapes. Extensive simulation has been conducted by applying the rigid-plastic finite element method to the backward extrusion process under different punch geometries. The simulation results are summarized in terms of surface expansion, contact pressure, sliding velocity and sliding distance at different reduction in height, deformation patterns, and load-stroke relationship, respectively.

• 대한두개안면성형외과학회지
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• 제13권2호
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• pp.130-134
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• 2012

Purpose: Brown syndrome is motility disorder of the eyeball which shows limited elevation in adduction and occurs very rarely after eye surgery. The authors have experienced a case of strabismus-like Brown syndrome combined with blepharoptosis and report this case with the review of literatures. Methods: A 28-year-old female suffered from hypotropia in the primary gaze and severe blepharoptosis with diplopia of the right eye after upper blepharoplasty. Rotation showed an inability to elevate the adducted right eye. She underwent extraocular muscle surgery about the 7 mm tucking of the right superior rectus muscle and 6 mm recession of right inferior rectus muscle. Intraoperatively, injury of the superior rectus muscle and foreign body were observed. Seven months after the extraocular surgery, the patient underwent frontalis muscle transfer on the right upper eyelid for the correction of blepharoptosis. Results: Postoperatively, the patient was orthophoric in the primary gaze, and she had improvements in the correction of blepharoptosis and eyeball movement. Conclusion: Repeated eyelid surgeries increase the risk of ocular motility disorder. Careful approach is essential for the proper treatment and successful outcome in secondary surgeries.

• 소성∙가공
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• 제23권7호
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• pp.425-430
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• 2014

The aim of the current study was to predict the plastic deformation behavior of a heated slab during hot rough rolling. FE-simulations were performed to investigate the metal flow and to locate the position of surface material from the slab through the rough rolling and onto the strip, using a material point tracking technique. In addition, experimental hot rolling trials were conducted where artificial defects were impressed onto a heated slab in order to validate the FE-simulation results. The simulated results show the same tendency of deformation behavior as the experimental measurements. The movement of slab defects from the side surface towards the strip center is directly linked to the extent of lateral spread during the rolling.

• 대한두개안면성형외과학회지
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• 제20권5호
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• pp.324-328
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• 2019

Intraorbital infection shows a low incidence, but it might cause blindness or even death. This case is unusual in that its origin from a craniofacial bone fracture prior to infection of the maxillary sinus. A 33-year-old female patient was referred for right cheek swelling. When she visited the emergency room, we removed right cheek hematoma and bacterial examination was done. In the past, she had craniofacial bone surgical history due to a traffic accident 6 years ago. Next day, the swelling had remained with proptosis and pus was recognized in the conjunctiva. We planned an emergency operation and removed the pus which was already spread inside the orbit. And the evaluation for sinusitis was consulted to the otorhinolaryngology department simultaneously. There were Prevotella oralis and methicillin-resistant Staphylococcus epidermidis bacterial infection in the intraorbital and sinus respectively. Afterwards, the vigorous dressing was done for over a month with intravenous antibiotics. Though the intraorbital infection was resolved, blindness and extraocular movement limitation were inevitable. In conclusion, close follow up of the maxillary sinus in facial bone fracture patients is important and aggressive treatment is needed when an infection is diagnosed.

• 미술이론과 현장
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• 제9호
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• pp.151-170
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• 2010

As an art group, De Stijl (1917-1931) led a total art movement encompassing painting, sculpture, design, and architecture. Among these, architecture, as a model of the total art pursued by the group, was encapsulated by the term 'plastic architecture.' The term reflects architecture's shared features with plastic art, especially its pictorial characteristics. Firstly, De Stijl architecture shares geometric form with painting. Assembled in simple, clear and rational structures, the geometric forms signified universal forms, and extended the pictorial experimentation that Mondrian exercised through Neo-Plasticism to architecture. Constructed with colour fields made of concrete wall, De Stijl architecture is geometric abstract painting embodied in space. Together with such pictorial characteristics, large plate glass windows, narrow window frames, and cantilever structure minimize the building's visual weight. De Stijl architecture, which appears suspended in the air, is an architectural version of the abstract paintings of the era that revealed unknown spaces beyond perspective. De Stijl architecture is also an 'open' architecture, where the units placed as if radiating from the center form relations with each other flexibly and organically. The observer in such a space is encouraged to experience space within time, as his/her physical and visual mobility and extension are maximized. De Stijl architecture is an example of how the time-space continuum, represented within picture frame through Cubism, Futurism, and abstract art, can be realized in space. By transforming the ideal space of painting into real space in this way, 'plastic architecture' turned out to be an architectural manifestation of the utopianism of the era, aimed at building a society in 'perfect harmony.' However, such rationalism and universalism are not free from the violence of totalization that deletes various differences. This is evident in the history that followed as the geometric form of architecture and urban planning proliferated across the globe, engulfing the diverse natural landscapes and local cultures.