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Immediate Nipple Reconstruction in Breast Reconstruction with TRAM Free Flap (횡복직근 유리피판을 이용한 유방재건술에서의 즉시 유두재건)

  • Kim, Jeong Tae;Kim, Chang Yeon;Cha, Ji Hun;Hwang, Weon Jung
    • Archives of Plastic Surgery
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    • v.32 no.1
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    • pp.76-84
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    • 2005
  • Immediate breast reconstruction in breast cancer patients is universalized and now with a wide variety of methods to choose from, we can select a breast reconstruction method according to the patient's condition. Among these methods, immediate breast reconstruction with TRAM free flap is the most commonly used. Nipple reconstruction is usually performed as a secondary procedure, reconstructed. Nipple is reconstructed with contralateral nipple composite graft or with local flap. Areola is reconstructed with skin graft and tattooing. Therefore, to reconstruct complete breast, two or more staged operations are needed and are troublesome to both the surgeon and the patient. If we could reconstruct breast mound and nipple at same time, we would reduce the operative stages and heighten the patient's satisfaction. The author performed delayed or immediate breast reconstruction with TRAM free flap and nipple reconstruction at the same time. If the TRAM flap was to situate in the whole of the breast or at the center of the breast mound, nipple was reconstructed with a local flap from the TRAM flap. If the TRAM flap was not situated in center of breast mound, nipple was reconstructed with a local flap from remnant breast skin. Immediate nipple reconstructions in breast reconstruction consisted total of 22 cases. Among these, delayed breast reconstruction were 5 cases and immediate breast reconstruction were 17 cases. According to patient's condition and mastectomy method, nipple reconstruction method was selected; nipple reconstruction with contralateral nipple composite graft(3 cases); nipple reconstruction with remnant breast skin(6 cases); nipple reconstruction from flap margin(10 cases); nipple reconstruction with prefabricated nipple on flap(3 cases). Malposition of the reconstructed nipple was the most common and serious complication(6 cases). The other complications were atrophy of the nipple(1 case), and necrosis(1 case). Reconstruction of the breast and nipple at the same time can reduce the need of a secondary operation and use remnant skin or redundant flap tissue maximally. On the other hand, it must be considered that position and shape of nipple could be deformed, because the nipple reconstruction is performed before the shape of reconstructed breast settles completely. Prudent attention is needed, because the danger of complication is higher than delayed nipple reconstruction.

Surgical Result of Congenital Mitral Regurgitation in Children (선천성 승모판폐쇄부전증 교정수술의 단기성적)

  • 홍유선;박영환
    • Journal of Chest Surgery
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    • v.30 no.4
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    • pp.373-377
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    • 1997
  • Between January, 1991 and May 1995, mitral valve repair was undertaken on 32 patients under 15 years for congenital mitral regurgitation. Mean age was 24.0$\pm$26.1 months(range 3 months to 15 years), 16 patients were male and 16 patients were female associated cardiac anomalies were found in 26 patients (81%), and ventricular septal defects were noted in 18 patients(56%). In regards to pathologic findings, there were annular dilatation(n:7), leaflet prolapse(n=18), cleft leaflet(n=5) and restricted valve motion (n=2). The method of repair consisted of annuloplasty(Modif ed Devega type) in 14, repair of redundunt leaflet in 6, closure of cleft in 5, triangular resection in 2 and splitting of papillary muscle in one. There was no operative mortality and two late deaths occurred as a result of heart failure and sepsis. Tro patients required replacement of the mitral valve after 3 months and 7 months respectivehy because of recurrent mitral regurgitation. Actuarial survival was 92.5% at 46 months and actuarial freedom from reoperation was 95% at 12 months and 92.5% at 46 months. Actuarial freedom from valve repair failure was 68% at 12 months and 61.8% at 46 months. Although valve repair failure rate was high, we believe that mitral valve repair should be of rcrred to children because of low mortality and low reoperation rate.

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A Study on the Practical Application of Image Control Point Using Stereo Image Chip (입체 영상칩을 이용한 영상기준점 활용방안에 관한 연구)

  • Kim, Hoon-Jung;Kim, Kam-Lae;Cheong, Hae-Jin;Cho, Won-Woo
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.26 no.4
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    • pp.423-431
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    • 2008
  • The control surveying which aims at identifying the coordinate system of satellite images with that of ground is a repeatedly performed essential process to produce digital ortho - photos and it acts as the main factor to increase the production cost of the photos by duplicated budgets and redundant works when executing the projects for acquiring basic geographical information from high density satellite images. During the experimentation, an application system was established for producing a stereo image chip by the analysis of DPPDB file structure, the stereo image chip was produced with SPOT and IKONOS images, the analysis of 3D modeling accuracy was performed to secure the required accuracy and to present the optimal number and deployment of the control points, and a 3D modeling was performed for new SPOT images and lastly, 3D ground coordinates were extracted by the observation of the same points through the overlapping with the new images. As the results of the research, it is proved that the stereo image chip can be used as the ground controls through the accuracy analysis between the coordinates of the images and the ground, close results were obtained between the coordinates by the ground survey and those by the 3D modeling using new images and the observation of the same points, positional changes were not found during observing the same points, and the research presented the methodology for improving the process of the control survey by showing the availability of the image controls on the stereo image chip instead of the ground controls.

A Study on Automatic Threshold Selection in Line Simplification for Pedestrian Road Network Using Road Attribute Data (보행자용 도로망 선형단순화를 위한 도로속성정보 기반 임계값 자동 선정 연구)

  • Park, Bumsub;Yang, Sungchul;Yu, Kiyun
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.31 no.4
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    • pp.269-275
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    • 2013
  • Recently, importance of pedestrian road network is getting emphasized as it is possible to provide mobile device users with both route guidance services and surrounding spatial information. However, it costs a tremendous amount of budget for generating and renovating pedestrian road network nationally, which hinder further advances of these services. Hence, algorithms extracting pedestrian road network automatically based on raster data are needed. On the other hand, road dataset generated from raster data usually has unnecessary vertices which lead to maintenance disutility such as excessive turns and increase in data memory. Therefore, this study proposed a method of selecting a proper threshold automatically for separate road entity using not only Douglas-Peucker algorithm but also road attribute data of digital map in order to remove redundant vertices, which maximizes line simplification efficiency and minimizes distortion of shape of roads simultaneously. As a result of the test, proposed method was suitable for automatic line simplification in terms of reduction ratio of vertices and accuracy of position.

Array Bounds Check Elimination using Ineguality Graph in Java Just-in-Time Compiler (대소관계 그래프를 이용한 Just-in-Time 컴파일 환경에서의 배열 경계 검사 제거)

  • Choi Sun-il;Moon Soo-mook
    • Journal of KIISE:Software and Applications
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    • v.32 no.12
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    • pp.1283-1291
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    • 2005
  • One of the problems in boosting Java performance using a Just-in-Time (JIT) compiler is removing redundant array bound checks. In conventional static compilers, many powerful algorithms have been developed, yet they are not directly applicable to JIT compilation where the compilation time is part of the whole running time. In the current JIT compilers, we tan use either a naive algorithm that is not powerful enough or an aggressive algorithm which requires the transformation into a static single assignment (SSA) form of programs (and back to the original form after optimization), thus causing too much overhead not appropriate for JIT compilation This paper proposes a new algorithm based on an inequality graph which can eliminate array bounds check codes aggressively without resorting to the SSA form. When we actually perform this type of optimization, there are many constraints in code motion caused by the precise exception rule in Java specification, which would cause the algorithm to miss many opportunities for eliminating away bound checks. We also propose a new method to overcome these constraints.

The secured mobile wallet system using by integrated ID (통합 아이디를 이용한 안전한 모바일 월렛 시스템)

  • Nam, Choon-Sung;Jeon, Min-Kyung;Shin, Dong-Ryeol
    • Journal of Internet Computing and Services
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    • v.16 no.1
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    • pp.9-20
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    • 2015
  • Nowadays, Smart Wallet technology trend that is able to save users' consuming costs and also retain users' redundant behaviors such as Single-tapping, One-way communication, Integrated ID, has been issued in recent Mobile Industrial Fields. As one of Smart Wallet functions, Integrated ID is proposed for users' convenience, handiness, and immediate responses. It is designed for the effective management of users' IDs which are easy to be forgot because of its unusual structures. To be detail, instead of user, Integrated ID system can certificate users identification from various online sites (where user resisted) authorization requests via one-clicking, not putting identification data in each sites. So, this technology would be helpful much to a certain user who has lots ID and its Password in multiple Online shopping companies by establishing integrated ID. However, although Integrated ID has lots advantages to be used, most Mobile Service Companies has hesitated to apply Integrated ID service in their shopping systems because this technology requires them sharing their users' data. They have worried that this service would be not helpful to gain their profits. Furthermore, Users who join in multiple shopping companies and use Integrated ID services also are difficult to decide which company they have to save their points in before payment because this system could not show any financial benefit analysis data to their users. As following facts, via this paper majorly we propose the advanced Integrated ID system which concern shopping point management. Basically, this system has a strong security payment service and secure network services like other mobile Shopping systems. Additionally, this system is able to service (or to support) shopping -point -saving guide for customers' financial benefits and conveniences.

CACB-Q2AM Modulation for High Bandwidth Efficiency and Constant Amplitude Signal Transmission (높은 대역폭 효율과 정진폭 신호 전송을 위한 CACB-Q2AM 변조)

  • Hong, Dae-Ki;Kang, Sung-Jin
    • Journal of Internet Computing and Services
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    • v.9 no.1
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    • pp.21-32
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    • 2008
  • In this paper, we propose new modulation schemes using the conventional CACB (Constant Amplitude Coded Multicode Biorthogonal) modulation with constant amplitude property. Also the proposed modulation schemes supports high transmission data rate by increasing the spectral efficiency, In order to obtain the high spectral efficiency, the $Q^2$AM (Quadrature-Quadrature Amplitude Modulation) and CA-$Q^2$AM (Constant Amplitude-$Q^2$AM) are used. We explain the simplest combining modulation scheme of CACB and $Q^2$AM (i.e., CACB-$Q^2$AM). However, this modulation scheme cannot support the constant amplitude property. Hence the first CACB-CA-$Q^2$AM (or CACB-CA-$Q^2$AM I) modulation scheme is proposed for the constant amplitude property. In the modulation scheme, the redundant constant amplitude encoding (spectral efficiency decrease) is required. Therefore, the second CACB-CA-$Q^2$AM (or CACB-CA-$Q^2$AM II) modulation scheme is proposed retaining the constant amplitude and the spectral efficiency. Computer simulations show that the proposed CACB-CA-$Q^2$AM II is the efficient modulation scheme.

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A Study on the Improvement of the Quality Management in Apartment Construction Projects (공동주택 현장의 품질관리 개선에 관한 연구)

  • Moon Hyeon;Wang Ilkook;Chin Sangyoon
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.373-378
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    • 2001
  • In order to analyze the problems and improvement methods in the quality management of domestic apartment construction projects, this study derived the four barrier factors through relevant literature survey and interviews with construction practitioners. Among these four factors, which are 1) policies and regulations, 2) technologies, 3) human and organization, and 4) other miscellaneous aspects, the human and organization factor is the main focus of this survey and it was decomposed into perception, management system, education, and system on quality management according to the Taguchi's S/N theory to survey existing problems and suggest improvement methods for them. The survey on the quality perception showed that all the members need to cooperate actively, and CEO and chief construction managers should recognize the quality as the highest priority and act by themselves accordingly. The survey on the quality management showed that they need to reform their business process to reduce redundant tasks and miscommunications among participants. Quality education should be provided in a way that people at different management level can be educated differently with close relation to their practices. Quality systems should help corrective actions against quality problems at construction fields. Also with clear quality management implantation polices and objectives, the quality system should be established in order to support better communication among project stakeholders.

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G-RAID: A Green RAID Mechanism for enhancing Energy-Efficiency in Massive Storage System (G-RAID: 대용량 저장장치에서 에너지 효율향상을 위한 그린 RAID 기법)

  • Kim, Young-Hwan;Suck, Jin-Sun;Park, Chang-Won;Hong, Ji-Man
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.6
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    • pp.21-30
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    • 2011
  • In the global IT market, a lot of issues for responding to various environmental regulations emerged. In case of the data centers, it is consuming huge amounts of energy to maintain. So there have been various technical attempts as Consolidation, Virtualization, Optimization to efficiently manage energy and data storage to fix the problems. In this paper, we propose a new RAID(Redundant Array of Independent Disks) mechanism which is differing the intensity of power consumption and works to provide data protection and disaster recovery(backup, mirroring etc.) to stratify multiple volumes. G-RAID minimize the power consumption and the lower of I/O performance by selecting the volume depending on the frequency of data access while classifying the power consumption between volumes in storage system. Also, it is possible that a filesystem and block map information of G-RAID is processed by basic unit which is group located in a row for the blocks to work efficiently and can minimize the performance degradation of block mapping load by the access frequency in each groups. As a result, we obtained to elevate a little bit of response time caused by block relocation work, but showed the decrease of power consumption by 38%.

CORE-Dedup: IO Extent Chunking based Deduplication using Content-Preserving Access Locality (CORE-Dedup: 내용보존 접근 지역성 활용한 IO 크기 분할 기반 중복제거)

  • Kim, Myung-Sik;Won, You-Jip
    • Journal of the Korea Society of Computer and Information
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    • v.20 no.6
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    • pp.59-76
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    • 2015
  • Recent wide spread of embedded devices and technology growth of broadband communication has led to rapid increase in the volume of created and managed data. As a result, data centers have to increase the storage capacity cost-effectively to store the created data. Data deduplication is one way to save the storage space by removing redundant data. This work propose IO extent based deduplication schemes called CORE-Dedup that exploits content-preserving access locality. We acquire IO traces from block device layer in virtual machine host, and compare the deduplication performance of chunking method between the fixed size and IO extent based. At multiple workload of 10 user's compile in virtual machine environment, the result shows that 4 KB fixed size chunking and IO extent based chunking use chunk index 14500 and 1700, respectively. The deduplication rate account for 60.4% and 57.6% on fixed size and IO extent chunking, respectively.