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Functional Assessment after Tongue Reconstruction using Free Flap (유리피판을 이용한 설재건 후의 기능평가)

  • Park, Sung-Ho;Chung, Chul-Hoon;Lee, Jong-Wook;Chang, Yong-Joon;Rho, Young-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.2
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    • pp.119-122
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    • 2009
  • Objectives : Ablation of carcinoma of the tongue leads to deficits in speech and swallowing, but none to date has provided all of the qualities of mobility and sensation to simulate the complex function of the tongue. The authors evaluated postoperative swallowing and pronouncing function in patients who underwent tongue reconstruction using free flap. Material and Methods : This is a retrospective review documenting the outcome of 42 patients between January of 1991 and August of 2008. We classified patients according to the size of resection of the tongue like as 7 partial glossectomy, 25 hemiglossectomy, 2 subtotal glossectomy, and 8 total glossectomy. Swallowing function was graded into 4 point scale and pronouncing function was analyzed using picture consonant articulation test. Aspiration was evaluated with videofluoroscopic swallowing study. Results : The average points for swallowing function were 3.43 in partial glossectomy, 3.52 in hemiglossectomy, 3 in subtotal glossectomy, and 2.63 in total glossectomy. The percentage of consonants correct showed 76.5% in partial glossectomy, 72.29% in hemiglossectomy, 47.69% in subtotal glossectomy, and 29.94% in total glossectomy. Aspiration was noted in 3 patients(1 hemiglossectomy and 2 total glossectomy) and 2 total glossectomy patients were taken permanent feeding gastrostomy. Conclusion : Free flap gave us proper volume in tongue reconstruction and showed good result in preserving swallowing function. Swallowing function difference according to the size of defect showed no statistical significance, whereas articulation function was shown to decrease in accuracy as the size of defect was larger.

Emergent Exploration after Free Tissue Transfer in Head and Neck Cancer (두경부 악성종양 환자에서 유리조직이식 후 시행한 혈류장애 구제술)

  • Chang, Yong-Joon;Chung, Chul-Hoon;Lee, Jong-Wook;Joe, Woo-Sung;Kim, Jin-Hwan;Rho, Young-Soo
    • Archives of Reconstructive Microsurgery
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    • v.17 no.1
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    • pp.19-27
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    • 2008
  • Purpose: Microvascular reconstructive surgery has become an integral part of the treatment of head and neck cancer patients. This review of 121 free flaps for head and neck cancer patients performed over the last 11 years was done to evaluate circulatory crisis, salvage, and secondary reconstruction and to investigate which factors may contribute to these rates. Method: Nine emergent explorations among 121 head and neck reconstruction with free flaps were reviewed to analyze detection of vascular crisis, the time interval from detection of circulatory crisis to exploration, operation procedures and results, and secondary reconstructions. Emergent exploration was done with our protocol. Result: Nine free flaps exhibited signs of vascular problems between 1 day and 6 days postoperatively. The emergent exploration rate of this series was 7.4% (9/121). The salvage rate was 55.6% (5/9), giving an overall flap viability of 96.7% (117/121). In our study, preoperative radiation therapy, positive smoking history, alcohol consumption history, combined disease such as diabetes mellitus and hypertension, recipient vessels and types of vascular anastomosis were not related to the causes of circulatory crisis. The mean time interval between the onset of clinical recognition of impaired flap perfusion and re-exploration of the salvaged 5 flaps was 3.2 hours, that of failed 4 flaps was 11.25 hours. Conclusion: Despite high overall success rate, relatively low salvage rate may be attributed to late detection of circulatory crisis and in long time interval between detection and exploration. We conclude that early detection of circulatory crisis and expeditious re-exploration are a matter of great importance for the success of salvage operation.

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Two Cases of Auricular Salvage after Wide Excision of Malignant Tumor at Periauricular Area (이개 주변 악성종양의 광범위절제술 후 이개의 보존 2례)

  • Kim, Kyul-Hee;Chung, Chul-Hoon;Chang, Yong-Joon;Lee, Jong-Wook;Rho, Young-Soo;Kim, Chang-Woo
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.1
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    • pp.39-42
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    • 2009
  • Wide excision for curative treatment of malignant tumor on periauricular area often leads to loss of the external ear. But the auricle has rich vascular supply, Conservation of auricular contour is possible through salvage and engineering of remained auricular tissue. We experienced two cases of auricular salvage after wide excision of malignant tumor. In the first case, we performed two-staged technique. In first step, we covered soft tissue defect on periauricualr area with the anterolateral thigh free flap and remained auricle was floating over the flap after split-thickness skin graft was applied on it's posterior raw surface because it's survival was not confirmed. Second step was reposition of remained auricule on the anterolateral thigh flap. In the second case, we packed in periauricular dead space and external auditory canal with temoporalis muscle and temporoparietal fascial flap and then covered the flap with split thickness skin graft. In these two cases, there were no recurrence of tumors and we obtained cosmetically & functionally satisfactory results.

Color Deepening and Antimicrobial Finish in the Dyeing of Cotton Fabrics using Rhus verniciflua Extract (옻 추출물을 이용한 면직물 염색에서의 농색화 및 항미생물성 가공)

  • Jang, Yong-Joon;Choi, Young-Hwan;Lee, Hye-Mi;Tak, Mi-So;Lyoo, Won-Seok;Jang, Jin-Ho
    • Textile Coloration and Finishing
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    • v.23 no.1
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    • pp.28-34
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    • 2011
  • Deep coloration of cotton fabrics with concentrated Rhus verniciflua extract was carried out using large amount of Glauber's salt and a mordant in order to improve dyeability and functional properties such as deodorizing and antimicrobial activity. With increasing in the salt addition upto 80% in the dyeing liquor containing 0.45% extract concentration, K/S value and exhaustion increased threefold from 1.2 to 3.5, indicating that the salt reduced the electrostatic repulsion between the dyes and the cotton fibers. Also the concentrated extract solution to 8% can increase the color build up upto a K/S of 11.1. In addition the combined pre- and post-mordanting methods with potassium alum enhanced the dyeability upto a K/S of 22.2. The ammonia deodorizing property increased with increased color yield of the dyed fabrics. Also the dyed and post-mordanted fabrics with 8% extract concentration showed antimicrobial activity against both Klebsiella pneumoniae and Staphylococcus aureus.

The Study on Fire Phenomena in The Deeply Underground Subway Station (대심도 지하역사에서의 화재현상 연구)

  • Jang, Yong-Jun;Kim, Hag-Beom;Lee, Chang-Hyun;Jung, Woo-Sung
    • Proceedings of the KSR Conference
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    • 2008.06a
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    • pp.1773-1780
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    • 2008
  • When the fire occur in the deeply underground subway station, the difficulties of passenger evacuation are expected because of many stairs to the exit. In this study, SOONGSIL-University station (7 line, 47m depth) is the one of the deepest subway stations of the each line in the Seoul metro. The numerical computational-simulation was performed for the fire driven flow in the subway station. Hot and smoke flow was analyzed from the simulation results. The proper plan of evacuation against fire was considered through the results. The fire driven flow was simulated using FDS code in which LES method was applied. The Heat Release Rate was 10MW and the ultrafast model was applied for the growing model of the fire source. The proper mesh size was determined from the characteristic length of fire size. The parallel computational method was employed to compute the flow and heat eqn's in the meshes, which are about 10,000,000, with 6cpu of the linux clustering machine.

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The Analysis of Fire-Driven Flow and Temperature in The Railway Tunnel with Ventilation (환기를 동반한 철도터널 화재 연기유속 및 온도장 해석)

  • Jang, Yong-Jun;Lee, Chang-Hyun;Kim, Hag-Beom;Lee, Woo-Dong
    • Proceedings of the KSR Conference
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    • 2008.06a
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    • pp.1794-1801
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    • 2008
  • Fire-driven flow and temperature distribution in a ventilated tunnel was analyzed by Large Eddy Simulation using FDS code. The simulated tunnel is 182m length, 5.4m wide and 2.4m height. A pool fire was located 112m from tunnel entrance and was taken as a heat source of $0.89m^2$. The heat is assumed to be released uniformly throughout the whole simulated time. The fire strength was 2.76MW and the fuel burnt was octane. The parallel computational method was employed to accelerate the computing time and manage the large grid points which is not possible to handle in the one CPU. The total grid points used were $2.4{\times}10^6$ and 7 CPUs were used to calculate the momentum and energy equations. The simulated results were well compared with the experiments.

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The Study of fire Driven flow and Smoke Exhaust Efficiency for PSD Installation Subway Station (PSD 설치역사의 화재유동 및 배연 효율 연구)

  • Jang, Yong-Jun;Lee, Chang-Hyun;Kim, Hag-Beom;Kim, Jin-Ho
    • Proceedings of the KSR Conference
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    • 2009.05a
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    • pp.1054-1061
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    • 2009
  • This research was performed with emphasis on fire driven flow behavior and smoke exhaust efficiency which depend on the presence of PSD which are being installed domestically and overseas. For simulation, Jung-ang-ro station of Dae-gu subway station was chosen as model, and fire driven flow analysis was performed by using FDS as flow analysis code. Since many calculation time are required for calculation due to increase in the number of grid as the entire station is modeled, simulation was conducted in parallel processing technique. The fire driven flow analysis was analyzed case by case with composing fire scenario to compare fire driven flow and smoke exhaust efficiency changes depending on the presence of PSD. For fire scale, fire strength of 10MW was studied by referring to NFPA-l30. The calculation results were analyzed with focus on passenger safety by referring to NFPA-130.

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Parameter Study for the Application of Ultra Thin Polymer Concrete Pavement (초박층 폴리머콘크리트 포장적용을 위한 매개변수 해석)

  • Yoon, Sang il;Jang, Yong joon;Choi, Jinwoong;Hong, Sungnam;Park, Sun-Kyu
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.19 no.6
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    • pp.46-54
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    • 2015
  • Base on Korean design code, previous design code had not considered the effect of pavement on the orthotropic steel deck, however recent design code (Limit State Design Method, 2012) allowed to consider the effect of pavement on the orthotropic steel deck, and efforts to apply the stiffness of pavement to the deck continue. Meanwhile, research on the effect of ultra thin bridge deck overlay on the orthotropic steel deck is inadequate, previous study was limited in about fatigue stress and performance between pavement layer and the orthotropic steel deck. In this study, according to changing of pavement layer stiffness application, pavement materials, pavement thickness and steel deck thickness, analysis of deflection. In addition to base on this result, consider effectiveness of ultra-thin pavement stiffness application on the orthotropic steel deck.

An R-lambda Model based Rate Control Scheme to Support Parallel GOP Coding for Real-Time HEVC Software Encoders (HEVC 실시간 소프트웨어 인코더를 위한 GOP 병렬 부호화를 지원하는 R-lambda 모델 기반의 율 제어 방법)

  • Kim, Dae Eun;Chang, Yongjun;Kim, Munchurl;Lim, Woong;Kim, Huiyong;Seok, Jinwuk
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2016.11a
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    • pp.107-109
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    • 2016
  • 본 논문에서는 4K UHD 입력 영상을 실시간으로 부호화하기 위해 적용되는 GOP 단위 또는 IDR 주기 단위의 병렬 부호화 구조를 지원하도록 R-${\lambda}$ 모델 기반의 율 제어 방법을 개선하는 비트 분배(bit allocation) 방법을 제안한다. GOP 단위 또는 IDR 주기 단위의 병렬 부호화기 내에서 율 제어기를 작동시키는 경우, 계층적 B 구조에서 같은 계층에 있는 프레임 간에는 상호간에 얼마만큼의 비트를 소모 하였는지에 대한 정보를 공유 할 수 없기 때문에 기존의 비트 분배 방식으로는 비트 예산(bit budget) 관리가 불가능하다. 이를 해결하기 위해 본 논문에서는, 기존의 R-${\lambda}$ 모델 기반 율 제어 방법을 개선하여 부호화 순서에 의한 시간 순서 방향의 비트 예산 갱신 기반 비트 분배하던 방식으로부터, GOP 마다 비트를 할당한 후 계층적 B 구조에서의 계층이 깊어지는 방향으로 비트 예산을 갱신하여 비트를 분배하는 방식으로 율 배분 방식을 개선하였다. 실험 결과를 통해 R-${\lambda}$ 모델 기반 율 제어의 기존 비트 분배 방식보다 제안 방법에 의한 목표 비트 율 달성 오차가 감소함을 확인하였다.

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Numerical Study on the Effect of Range Surrounding Environment on Detecting Time for Cooking Oil Fire in Kitchen (주방내 조리용 기름 화재 발생시 레인지 주변 환경이 감지 시간에 미치는 영향에 대한 수치해석적 연구)

  • Lee, Jin-Woo;Ko, Gwon-Hyun;Ryou, Hong-Sun;Jang, Yong-Jun;Jung, Woo-Sung
    • Fire Science and Engineering
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    • v.24 no.1
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    • pp.134-139
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    • 2010
  • According to the "Yearbook of disaster response, fire safety and fire statistics (NEMA: National Emergency Management Agency)", approximately 34% of all fire is interior fire such as hotel, restaurant and residence and more than 53% of which is occurring in the kitchen. The evaluation of fire extinguishing system in the kitchen is performed in accordance with the "Korea Fire Equipment Inspection Standard (KOFEIS 0101-1)" which is using one environmental condition. However, only using one environmental condition is not enough to evaluate the performance of the automatic fire extinguisher in kitchen fire. So the study of fire detecting characteristic about various environmental condition needs. In this study, the numerical analysis is carried out about detecting time characteristic for various range's surrounding environment. As a result, it showed up to 100 s difference in the detection time depending on the position of the range. And detecting time also showed difference for on-off hood operation. From this results, it can be verify and improve the evaluation standard for the fire extinguishing system in kitchen fire.