• Journal of Chest Surgery
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• v.24 no.7
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• pp.693-700
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• 1991

A rare case of the association of distal aortopulmonary septal defect, aortic origin of the right pulmonary artery, intact ventricular septum, patent ductus arteriosus and interrupted aortic isthmus in a 40-day-old infant is reported. The infant was suffered from two operations with an interval of nine days. At the first operation a 10mm polytetrafluoroethylene prosthesis was inserted instead of the interrupted aortic isthmus and ductus was ligated via the left posterolateral thoracotomy. But the patient could not be weaned from the respirator because of large amount of left-to-right shunt. So the total correction was subsequently performed after an interval of nine days. At the second operation, tunneling of the right pulmonary artery to the main pulmonary artery through the aortopulmonary septal defect was performed using the Dacron patch via a longitudinal transaortic approach and a separate autologous pericardial patch was applied to the longitudinally incised margins of the anterior wall of the ascending aorta. The second postoperative course was relatively uneventful except some respiratory distress and nutritional problems. Now he is at 6 months of age and thrives well without any symptom. Because the success of the surgical repair of this complex anomalies depends upon the accurate diagnosis and meticulous design of each step of procedure prior to operation these problems are also discussed.

• Journal of the Institute of Electronics Engineers of Korea TC
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• v.47 no.12
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• pp.69-77
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• 2010

This paper presents a fast IP mobility management scheme in heterogeneous networks using the multiple wireless network interlaces. More specifically, in order to minimize the packet loss and handover latency due to handover, the E-HMIPv6, IETF HMIPv6 has been extended, is presented where the multiple tunnels between E-MAP and mobile node are dynamically constructed. E-HMIPv6 is composed of the extension of IETF HMIPv6 MAP, handover procedure, and simultaneous multiple tunnels. In order to demonstrate superior to the proposed method, the NS-2 simulation has done for performance evaluation of TCP and UDP-based application comparison with the existing mobility management method.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.39
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• pp.24.1-24.6
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• 2017

Background: Tunneled transposition of the facial artery myomucosal (FAMM) island flap on the lingual side of the mandible has been reported for intraoral as well as oropharyngeal reconstruction. This modified technique overcomes the limitations of short range and dentition and further confirms the flexibility of the flap. This paper presents a case of reconstructing secondary soft palatal defect due to flap necrosis following two-flap palatoplasty in irradiated patient with lingually transposed facial artery myomucosal island flap. Case presentation: The authors successfully reconstructed secondary soft palatal defect due to flap necrosis following two-flap palatoplasty in an irradiated 59-year-old female patient with tunnelized-facial artery myomucosal island flap (t-FAMMIF). Conclusions: Islanding and tunneling modification extends the versatility of the FAMM flap in the reconstruction of soft palatal defects post tumor excision and even after radiation, giving a great range of rotation and eliminating the need for revision in a second stage procedure. The authors thus highly recommend this versatile flap for the reconstruction of small and medium-sized oral defects.

• KIEE International Transactions on Electrophysics and Applications
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• v.5C no.3
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• pp.111-114
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• 2005

Organic monolayers were fabricated onto Au(l l l) substrate by self-assembly method using dipyridinium. Also, organic single molecule in the organic monolayers was selected to measure the current-voltage (I-V) curves by using the ultrahigh vacuum scanning tunneling microscopy (UHV-STM). The organic molecule used in the experiment was dipyridinium dithioacetate, which contains thiol functional group and can be self-assembled easily onto Au(l l l) substrate. The concentration of dipyridinium dithioacetate for self-assembly procedure was I [mM/L]. To confirm the formation of self-assembled mono layers (SAMs), the differences of thickness of the self-assembled organic monolayers were observed by using an ellipsometer, and the morphology and I-V curves of the SAMs were investigated by using UHV-STM. The applied voltages were from -2 [V] to +2 [V], temperature was 300 [K]. The vacuum for measuring current of the organic single molecule was 6 $\times$ 10$^{-8}$ [Torr]. As a result, properties of the negative differential resistance (NDR) in constant voltage were found.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.22 no.2
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• pp.254-261
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• 2000

Since callus distraction technique was applied clinically for the correction of dentofacial deformity to the patients with hemifacial dysplasia by McCarthy in 1992, many surgeons have tried to apply this method to the maxillofacial region. But this technique has some drawbacks. One of the disadvantages of this technique is extensive scar formation in the facial area, which is a sequelae of extraoral approach for supraperiosteal dissection of the periosteum overlying the mandible. Recently, we have made an effort to perform this technique through intraoral approaches to prevent scar formation on the submandibular area and modified the design of the osteotomy, that is step osteotomy technique, to increase the raw bone surface on both osteotomized segments. The rationale for the application of this step osteotomy technique is to increase the amount of regenerated bone and the length of distraction, to avoid damage of inferior alveolar neurovascular bundle, and to increase initial stability of the splitted segments. Step osteotomy procedure can be done with fine micro-osteotomy saw through subperiosteal tunneling. Extraoral pins should be inserted before making the osteotomy. Since 1994 we have applied this technique at 8 sites In 5 patients with mandibular deficiencies: 2 cases of hemifacial microsomia, 1 case of developmental facial asymmetry and 2 cases of mandibular bony defect. Mandibular elongation have been achieved from 12 to 20mm in length. 1 out of 8 site, we experienced non-union in the case of mandibular body defect. Some skeletal relapse and growth retardation phenomenon have been observed in some cases with the longest follow-up of 48 months.

• Tunnel and Underground Space
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• v.19 no.5
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• pp.407-420
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• 2009

In this study geostatistical technique using indicator kriging was performed to evaluate the optimal rock mass classification by integrating the various geophysical information such as borehole data and geophysical data. To get the optimal kriging result, it is necessary to devise the suitable technique to integrate the hard (borehole) and soft (geophysical) data effectively. Also, the model parameters of the variogram must be determined as a priori procedure. Iterative non-linear inversion method was implemented to determine the model parameters of theoretical variogram. To verify the algorithm, behaviour of object function and precision of convergence were investigated, revealing that gradient of the range is extremely small. This algorithm for the field data was applied to a mountainous area planned for a large-scale tunneling construction. As for a soft data, resistivity information from AMT survey is incorporated with RMR information from borehole data, a sort of hard data. Finally, RMR profiles were constructed and attempted to be interpreted at the tunnel elevation and the upper 1D level.

• Journal of the Korean Geotechnical Society
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• v.21 no.5
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• pp.133-142
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• 2005

The research concentrates on improving the in-hole seismic probe, which has been developed in past five years, to be used in stiffness measurements of tunnel-face materials. The size of probe was reduced to be fit in 45-mm diameter holes (or BX) drilled by a jumbo-drill, which is used to drill holes to install explosives for tunneling. Also trigger system was improved by using a down-speeding motor for operating convenience and air packing system was replaced with a set of plate-springs to eliminate supply of compressed air. These modifications are to adjust the probe for the unfavourable environment inside of tunnels and to test without any further drilling cost. The probe and testing procedure were successfully adopted with horizontal holes drilled by a jumbo-drill at a tunnel-face to evaluate the stiffness of rock mass. The measured shear wave velocities can be used to estimate deformation properties of rock mass for tunnel analyses.

• Geomechanics and Engineering
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• v.8 no.2
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• pp.153-171
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• 2015

The observational method in tunnel engineering allows the evaluation in real time of the actual conditions of the ground and to take measures if its behavior deviates considerably from predictions. However, it lacks a consistent and structured methodology to use the monitoring data to adapt the support system in real time. The definition of limit criteria above which adaptation is required are not defined and complex inverse analysis procedures (Rechea et al. 2008, Levasseur et al. 2010, Zentar et al. 2001, Lecampion et al. 2002, Finno and Calvello 2005, Goh 1999, Cui and Pan 2012, Deng et al. 2010, Mathew and Lehane 2013, Sharifzadeh et al. 2012, 2013) may be needed to consistently analyze the problem. In this paper a methodology for the real time adaptation of the support systems during tunneling is presented. In a first step limit criteria for displacements and stresses are proposed. The methodology uses graphics that are constructed during the project stage based on parametric calculations to assist in the process and when these graphics are not available, since it is not possible to predict every possible scenario, inverse analysis calculations are carried out. The methodology is applied to the "Bois de Peu" tunnel which is composed by two tubes with over 500 m long. High uncertainty levels existed concerning the heterogeneity of the soil and consequently in the geomechanical design parameters. The methodology was applied in four sections and the results focus on two of them. It is shown that the methodology has potential to be applied in real cases contributing for a consistent approach of a real time adaptation of the support system and highlight the importance of the existence of good quality and specific monitoring data to improve the inverse analysis procedure.

• Journal of Dental Rehabilitation and Applied Science
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• v.35 no.4
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• pp.253-259
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• 2019

In this case report, gingival recession of the mandibular anterior teeth was treated with a laterally closed tunnel technique. Two patients had altered the inclination of mandibular anterior tooth during past orthodontic treatment and had periodontal thin biotype. The recipient site was formed by tunneling method, and the connective tissue graft obtained from the palatal side was placed in the tunnel, and the margins of flap were gathered at the center of the root and sutured. Despite the thin periodontal biotype, the root coverage was successfully obtained, keratinized gingiva was increased, and aesthetics were achieved by harmonizing with surrounding tissues in terms of shape and color.

• Geomechanics and Engineering
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• v.30 no.4
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• pp.325-336
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• 2022

This paper analyzes the ground surface settlements induced by side-by-side twin shield tunnels bored in sedimentary soils, which primarily consist of sand with clay strata above the tunnel crown. The measurements were obtained during the construction of twin tunnels underneath the Incheon International Airport (IIA) located in Korea. The measured surface settlement troughs are approximated with Gaussian functions. The trough width parameters i and K of the settlement troughs produced by the first and second tunnel passings are determined, along with those for the total settlement trough. The surface settlement troughs produced by the first shield passing are reasonably represented by a symmetric Gaussian curve. The surface settlement troughs induced by the second shield tunnel display marginal asymmetric shapes at selected sections. The total settlement troughs are fitted both with a shifted symmetric Gaussian function and the superposition method utilizing an asymmetric function for the incremental trough produced by the second tunnel. It is revealed that the superposition method does not always produce better fits with the total settlement. Instead, the shifted symmetric Gaussian function is overall demonstrated to provide more favorable agreements with the recordings. Therefore, the shifted symmetric Gaussian function is recommended to be used in the design for the prediction of the settlement in clays caused by twin tunneling considering the simplicity of the procedure compared with the superposition method. The amount of increase in the width parameter K for the twin tunnel relative to that for the single tunnel is quantified, which can be used for a preliminary estimate of the surface settlement in clay induced by twin shield tunnels.