• Archives of Plastic Surgery
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• 제45권3호
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• pp.275-279
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• 2018

Chronic lymphedema is caused by an impairment of the lymphatic system due to primary or secondary causes. Vascularized lymph node transplantation (VLNT) is currently the most promising and frequently used technique besides lymphaticovenous anastomosis. However, the vessel anatomy in the lateral thoracic region is sometimes quite variable. Based on our experiences with vascular anatomical inconstancy in the lateral thoracic region, we planned a lateral intercostal artery perforator flap for VLNT in a female patient with chronic stage II lymphedema of both legs after cervical cancer treatment. After surgery, the patient reported significant improvement in limb volume and the accompanying symptoms. The limb circumference was reduced by an average of 19.2% at 6 months postoperatively. Despite having a short pedicle and small vessel caliber, the lateral intercostal artery perforator flap can safely be used for VLNT in lymphedema patients with anatomical variants.

• 한국군사과학기술학회지
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• 제14권6호
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• pp.979-985
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• 2011

This paper includes that there are results of designing the flash hider and analyzing fluid dynamics of a front area of the barrel to shorten the length of small arms. Generally, the muzzle flash can be generated out of the barrel by the reaction between the oxygen in the air and unburned gunpowder contained in the propellant gas if a barrel is not long enough to burn gunpowder fully inside of the barrel. Though, the hugh muzzle flash, which is a characteristic of small arms with short barrel length, caused a soldier to aim at the target at night by making the soldier blind for a while and endangers his life by revealing firing position to enemies. Besides, the heat of muzzle flash can weaken the performance of thermal sights, which are attached to small arms for night battlefield. In this paper, flash hiders with several different shapes were designed for a newly developed 5.56mm caliber rifle with short barrel length. The performance of each flash hider to reduce the muzzle flash was compared theoretically and experimentally. Through the authorized test procedure, a highly efficient design of flash hider for reducing the muzzle flash was identified. The result of the paper can be helpful when designing flash hiders for small arms with short barrel length.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제33권5호
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• pp.375-384
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• 2011

Purpose: The advent of microsurgical technique and instruments, particularly in the field of perforator flap and supermicrosurgery, which have expanded the scope of microsurgery. However, supermicroanastomosis without any compression, tension, or distortions must be achieved to reach successful outcomes. Small-caliber vessels, such as those with an internal diameter less than 0.2 mm, are susceptible to inadvertent twisting of the anastomosis. In this study, using the superficial inferior epigastric artery (SIEA)-based flap model in Sprague-Dawley (SD) rats, we evaluated the acceptable limits of twisting effects on supermicroanastomotic sites. Methods: A total of 20 supermicroanastomoses were performed using the SIEA-based flap model in 10 male SD rats, 10-weeks-of-age, weighing 300~350 g. Rats were divided into five groups of two with four flaps as follows: 1) sham, 2) control group with end to end SIEA arterial supermicroanastomosis, 3) experimental I (EA1) with $90^{\circ}$ twisting, 4) experimental II (EA2) with $180^{\circ}$ twisting, and 5) experimental III (EA3) with $270^{\circ}$ twisting of the supermicroanastomosis. Each SIEA was anastomosed using six 11-0 $Ethilon^{(R)}$ (Ethicon Inc. Co., NJ, USA) stitches except in the sham group where the SIEA was only clamped with Supermicro vascular $clamps^{(R)}$ (S&T, Neuhausen, Switzerland) for 20 minutes. Results: The anastomosed arterial patency showed no remarkable changes according to doppler waveforms measured with a Smardop 45 Doppler System (Hadeco Inc., Kawasaki, Japan). The pulsatility index (PI) was increased at postoperative day 10 in the EA2 and EA3 groups, and the resistance index (RI) showed no statistically significant difference between preoperative and postoperative values at 10 days. Histologic specimens from the EA3 group showed increased tunica media necrosis, convolution of the internal elastic lamina, densely packed platelets, fibrin, and erythrocytes. Flap viability and anastomosed vessel patency were not significantly affected by the degree of arterial twisting in this study, other than in the EA3 group where minor effects on arterial patency of the microanastomoses were encountered. Conclusion: It appears that minor twisting on small caliber arteries, used in supermicroanastomoses, can be tolerated. However, twisting should be avoided as much as possible, and more than $180^{\circ}$ twisting must be prevented in clinical practice.

• 한국시뮬레이션학회논문지
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• 제30권1호
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• pp.55-63
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• 2021

본 논문은 전투 시뮬레이션 상에서 모의되는 무기체계의 방호성능에 대한 연구로, 입사각도에 따른 방호성능의 개선효과를 제시하고자 하였다. 이를 위해, 여러 속도로 발사된 5.45 mm 보통탄을 사용한 소화기 위협에 대하여 일반적으로 사용되는 균일압연강판 재질의 장갑판 3종의 완전 및 부분관통 여부를 판정하는 실사격 탄도실험이 수행되었다. 주요 실험 변수는 무기체계 장갑의 재질 그리고 탄자의 입사각도이었다. 또한, 방호성능에 대한 정량적인 분석을 위하여 기존 세 가지 방호한계속도 측정방법들이 사용되었다. 그 결과 탄자의 입사각이 30도인 경우 장갑의 방호성능은 0도인 경우 대비 재질별 1.04배부터 1.14배까지 향상되었으며, 방호효과가 평균적으로 약 1.1배 개선되는 것을 확인하였다. 이러한 실험결과는 장갑판의 방호성능을 증진시키는 변수에 반영되어 보다 현실에 가까운 전투 시뮬레이션을 개발하는데 기여할 것으로 기대된다.

• Tuberculosis and Respiratory Diseases
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• 제59권6호
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• pp.679-683
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• 2005

저자들은 시야 결손 등의 시력 변화를 주 증상으로 내원한 환자에서 소세포 폐암과 이로 인한 부종양성증후군으로 동반된 암 관련 망막증을 진단하고 항암화학요법을 시행하여, 원발 병변의 부분 관해 보였으나, 시야 결손은 회복되지 않았던 1예를 경험하였기에 문헌 고찰과 함께 보고 하는 바이다.

• 한국전산유체공학회:학술대회논문집
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• 한국전산유체공학회 2006년도 PARALLEL CFD 2006
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• pp.94-99
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• 2006

As part of a Department of Defense Grand Challenge Project, advanced high performance computing (HPC) time-accurate computational fluid dynamics (CFD) techniques have been developed and applied to a new area of aerodynamic research on microjets for control of small and medium caliber projectiles. This paper describes a computational study undertaken to determine the aerodynamic effect of flow control in the afterbody regions of spin-stabilyzed projectiles at subsonic and low transonic speeds using an advanced scalable unstructured flow solver in various parallel computers such as the IBM SP4 and Linux Cluster. High efficiency is achieved for both steady and time-accurate unsteady flow field simulations using advanced scalable Navier-Stokes computational techniques. Results relating to the code's portability and its performance on the Linux clusters are also addressed. Numerical simulations with the unsteady microjets show the jets to substantially alter the flow field both near the jet and the base region of the projectile that in turn affects the forces and moments even at zero degree angle of attack. The results have shown the potential of HPC CFD simulations on parallel machines to provide to provide insight into the jet interaction flow fields leading to improve designs.

• 한국석유지질학회:학술대회논문집
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• 한국석유지질학회 2000년도 제7차 학술발표회 발표논문집
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• pp.47-56
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• 2000

The northwestern part of Kyongsang Basin largely comprises interbedded sandstone and mudstone with local conglomeratic deposits in the basin margin, representing marginal alluvial fans and fluvial depositional environments. The non-marine successions are divided into successive stratigraphic units, each of which is unique in facies assemblages and architecture of sandstone bodies. Two stratigraphic units, i.e., Sinpyong-Anpyong and Jotap units are examined in terms of stratigraphic architecture and its causative processes. Detailed architectural analysis reveals that the channel systems of Sinpyong-Anyong unit were of braided patterns, whereas those of Jotap unit were dominated by small-scale bedforms. The difference in fluvial styles can be attributed to the changes in amount and caliber of sediment load and water discharge, which might have been ultimately governed by basin tectonics, climate, and base level. Along with the marked change in fluvial style, the two successive units show repeated expansions of distal, water-logged floodplains and lacustrine facies in the basal and uppermost parts of Sinpyong-Anpyong unit, where the proportion of channel sandstone bodies is relatively low. These stratigraphic intervals are succeeded by the sequences with proximal, well-drained floodplain facies and relatively coarser-grained channel sandstone bodies of higher proportion, reflecting the progradation of proximal systems (the middle part of Sinpyong-Anpyong unit and Jotap unit). The overall stratigraphic architecture can be ascribed to the fluctuations in accommodation space and sediment supply induced by repeated basin subsidence.

• 한국군사과학기술학회지
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• 제19권5호
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• pp.629-637
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• 2016

This paper presents a ballistic limit velocity measurement using the support vector machine that classifies two classes, the partial penetration and the complete penetration, by generating a linear separating hyperplane that equally divides the classes. For the ballistic limit velocity measurement, the previous methods(MIL-STD-662F and NIJ-STD-0101.06) have required a large number of experiments that caused high cost and time. However, the proposed method is not only flexible, requiring 0.85 ~ 4.8 times fewer experiments but also reliable, providing less than 2 % difference in results compared to the previous methods. For its validation, live fire experiments were conducted using various thickness SS400 iron plates as a target and two different types of live bullets such as 5.56 mm M193 and 7.62 mm M80.

• Archives of Plastic Surgery
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• 제49권2호
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• pp.240-252
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• 2022

Rather than just another "review," this is intended to be an "overview" of the entire subject of the medial sural artery perforator (MSAP) flap as has been presented in the reconstructive literature from its inception in 2001 until the present, with any exceptions not purposefully overlooked. Unfortunately, the pertinent anatomy of the MSAP flap is always anomalous like most other perforator flaps, and perhaps even more variable. No schematic exists to facilitate the identification of a dominant musculocutaneous perforator about which to design the flap, so some adjunctive technology may be highly valuable for this task. However, if a relatively thin free flap is desirable for a small or moderate sized defect that requires a long pedicle with larger caliber vessels, the MSAP flap deserves consideration. Indeed, for many, this has replaced the radial forearm flap such as for partial tongue reconstruction. Most consider the donor site deformity, even if only a conspicuous scar on the calf, to be a contraindication. Yet certainly if used as a local flap for the knee, popliteal fossa, or proximal leg, or as a free flap for the ipsilateral lower extremity where a significant recipient site deformity already exists, can anyone really object that this is not a legitimate indication? As with any perforator flap, advantages and disadvantages exist, which must be carefully perused before a decision to use the MSAP flap is made. Perhaps not a "workhorse" flap for general use throughout the body, the MSAP flap in general may often be a valuable alternative.

• Tuberculosis and Respiratory Diseases
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• 제44권5호
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• pp.1094-1104
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• 1997

연구배경 : 자연 기흉은 기저 질환이 없는 건강한 사람에서 발생하는 원발성 자연 기흉과, 결핵이나 만성폐쇄성 폐질환에서 발생하는 속발성 자연기흉으로 나뉘어지며, 자연 기흉에 대한 치료는 다양하지만 흔히 흉관 삽입을 우선적으로 고려하고 있다. 흉관삽입법은 특별한 술식과 삽입시 통증, 피하기종, 감염 등의 합병증이 문제되는 바 본 저자들은 흉관에 비해 직경이 훨씬 작은 8 French 도관을 자연 기흉의 치료에 적용했을 때 단기적인 치료 효과가 있음을 이전 연구에서 확인한 바 있다. 본 연구는 의인성 기흉의 치료에 이용되어져 왔던 작은 직경의 도관을 자연 기흉의 치료에 적용하였을 때, 치료 성공후 추적관찰을 통하여 재발율을 조사하여 장기적인 치료적 효과를 살펴보고자 하였다. 방법 : 1990년 1월부터 1996년 1월까지 중앙대학교 부속병원 내과와 흉부외과에서 8 French 도관 또는 흉관 삽입법으로 치료받은 원발성 또는 속발성 자연 기흉 환자 62명을 대상으로 하였으며 이들은 기흉의 크기가 가 25% 이상, 기흉의 크기에 관계없이 호흡곤란이나 흉통이 발생하였을 때, 기흉의 크기가 증가할 때, 다시 재발한 자연 기흉 환자를 대상으로 하였다. 긴장성 기흉, 혈흉, 화학적 흉막유착술이나 흉강경하 기포절제술을 한 경우는 대상에서 제외되었다. 임상특성(성별, 연령별, 과거 기흉의 유무, 기흉의 크기, 기저 질환의 유무)을 조사하고 합병증, 유치기간, 의무기록이나 개인적 접촉을 통하여 관찰 후 재발율을 비교 분석 하였다. 결과 : 8 French 삽입군과 흉관 삽입군의 추적 관찰기간의 중앙값은 각각 28개월, 22개월로 양군간에 유의한 차이를 보이고 있지 않았다. 8 French 도관 삽입군과 흉관 삽입군의 대상환자들의 임상적 특성-성별, 연령별, 기저 질환의 유무, 기흉의 크기의 분포에는 유의한 차이가 없었다. 원발성 및 속발성을 포함한 자연 기흉을 대상으로 비교한 결과, 도관 또는 흉관의 유치기간은 8 French 도관 삽입군이 $6.2{\pm}3.8$일로 흉관삽입군의 $9.1{\pm}7.5$일에 비해 유의하게 짧았다(p=0.047). 원발성 자연 기흉을 대상으로 두군을 비교하여, 8 French 도관 삽입군의 치료와 관련된 합병증은 6.25%로 흉관삽입군의 23.8%에 비해 더 적은 경향을 관찰할 수 있었다(0.041 ; one-tailed, p=0.053, two-tailed). 8 French 도관 삽입군과 흉관 삽입군에서 재발율에 있어서는 유의한 차이를 나타내지 않았다. 결론 : 이상의 결과로 원발성 또는 속발성 자연 기흉에 대한 치료로 지금까지의 흉관삽입법에 대하여 더 작은 직경의 도관을 삽입하여 치료에 의한 합병증의 빈도를 줄이면서, 치료기간을 줄이고 장기적인 재발을 예방할 수 있을 것으로 기대되며, 더 많은 환자를 대상으로하여 전향적인 연구가 앞으로 필요할 것으로 사료된다.