• Archives of Plastic Surgery
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• 제46권6호
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• pp.544-549
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• 2019

Background As the indications for postmastectomy radiotherapy expand, innovative solutions are required to reduce operative complications and reconstructive failure after prosthetic breast reconstruction. In this study, we investigated the effectiveness of acellular dermal matrix (ADM) inlay grafts in preventing postoperative wound dehiscence of irradiated breasts in the context of prosthetic breast reconstruction. Methods A retrospective analysis was conducted of 45 patients who received two-stage prosthetic reconstruction and radiotherapy following mastectomy. An ADM graft was placed beneath the incisional site during the second-stage operation in 19 patients using marionette sutures, whereas the control group did not receive the ADM reinforcement. Patient demographics and complications such as wound dehiscence, capsular contracture, peri-prosthetic infection, cellulitis, and seroma were compared between the two groups. Results During an average follow-up period of 37.1 months, wound dehiscence occurred significantly less often in the ADM-reinforced closure group (0%) than in the non-ADM group (23.1%) (P=0.032). There was no significant difference between the two groups in relation to other complications, such as capsular contracture, postoperative infection, or seroma. Conclusions The ADM inlay graft is a simple and easily reproducible technique for preventing incisional dehiscence in the setting of radiotherapy after prosthetic breast reconstruction. The ADM graft serves as a buttress to offload tension during healing and provides a mechanical barrier against pathogens. Application of this technique may serve to reduce complications in prosthetic breast reconstruction after radiotherapy.

• 한국지하수토양환경학회지:지하수토양환경
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• 제23권4호
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• pp.26-41
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• 2018

The purpose of this study is to improve the Original DRASTIC Model (ODM) for the assessment of groundwater contamination vulnerability on the GIS platform. Miryang City of urban and rural features was selected for the study area to accomplish the research purpose. Advanced DRASTIC Model (ADM) was developed adding two more DRASTIC factors of lineament density and landuse to ODM. The fuzzy logic was also applied to ODM and ADM to improve their ability in evaluating the groundwater contamination vulnerability. Although the vulnerability map of ADM was a little simpler than that of ODM, it increased the area of the low vulnerability sector. The groundwater vulnerability maps of ODM and ADM using DRASTIC Indices represented the more detailed descriptions than those from the overlap of thematic maps, and their qualities were improved by the application of fuzzy technique. The vulnerability maps of ODM, ADM and FDM was evaluated by NO3-N concentrations in the study area. It was proved that ADM including lineament density and landuse factors produced a more reliable groundwater vulnerability map, and fuzzy ADM (FDM) made the best detailed groundwater vulnerability map with the significant statistical results.

• 대한전자공학회논문지
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• 제15권4호
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• pp.1-6
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• 1978

• 한국광학회:학술대회논문집
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• 한국광학회 1999년도 제16회 광학 및 양자전자 학술발표회Proceedings of 16th Optics and Quantum Electronics Conference, 1999
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• pp.104-105
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• 1999

• Journal of Periodontal and Implant Science
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• 제46권1호
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• pp.22-34
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• 2016

Purpose: Gingival recession is a major esthetic concern and may lead to root sensitivity during periodontal treatment. Coronally advanced flaps (CAFs) with and without acellular dermal matrix (ADM) are widely used in root coverage procedures. The aim of this study was to analyze the efficacy of CAF in combination with ADM in the treatment of gingival recession. Methods: PubMed, The Cochrane Library, and Embase were used to identify relevant articles. The articles were screened, data were extracted, and the quality of the studies was assessed by three reviewers with expertise in clinical practice, trials, statistics, and biomedical editing. The clinical endpoints of interest included changes in recession, probing depth (PD), clinical attachment level (CAL), and keratinized tissue (KT). Results: Ten randomized controlled trials were identified, including six studies that compared CAFs with ADM and CAFs using connective tissue grafting (CTG) and four studies that compared CAFs with or without ADM. No statistically significant differences were found between the use of ADM and CTG, whereas statistically significant differences were found between groups in which ADM and CAF were combined and groups that underwent CAF alone with regard to recession coverage, CAL, and KT. The combination of CAF with an ADM allograft achieved more favorable recession coverage and recovery of CAL and KT than CAF alone. Conclusions: The results from the ADM and CTG groups suggest that both procedures may be equally effective in clinical practice. Given the limitations of this study, further investigation is needed to clarify the effectiveness of ADM and CAF in clinical practice.

• 한국콘텐츠학회논문지
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• 제6권9호
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• pp.9-18
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• 2006

본 논문에서는 새로운 가상 토폴로지 재구성 기법을 제안하여 WDM 기반의 클러스터 시스템 구현을 위한 이론 연구를 수행하였다. 제안 기법의 핵심 아이디어는 파장 할당이 요구되는 연결 요청을 최대한 이어서 집합을 형성하는 것으로, 각 집합은 서로 소이며 집합 내의 연결 요청들 중에는 링크의 중복이 일어나지 않도록 한다. 이러한 조건을 만족하도록 집합을 형성한 후, 각 집합마다 파장을 하나씩 할당한다. 이는 일괄적으로 재구성을 수행하는 방법이다. 제안된 기법은 OWns 시뮬레이션도구를 사용하여 측정한 결과, 블로킹 확률 및 ADM 이용률 측면에서 First-fit 기법에 비해 10% 정도의 블로킹 감소율과 30% 정도의 ADM 이용률이 향상되었음을 보였다.

• 한국콘텐츠학회논문지
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• 제8권1호
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• pp.160-168
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• 2008

본 논문에서는 새로운 가상 토폴로지 재구성 기법을 제안하여 WDM 기반의 클러스터 시스템 구현을 위한 이론 연구를 수행하였다. 제안 기법의 핵심 아이디어는 파장 할당이 요구되는 연결 요청을 최대한 이어서 집합을 형성하는 것으로, 각 집합은 서로 소이며 집합 내의 연결 요청들 중에는 링크의 중복이 일어나지 않도록 한다. 이러한 조건을 만족하도록 집합을 형성한 후, 각 집합마다 파장을 하나씩 할당한다. 이는 일괄적으로 재구성을 수행하는 방법이다. 제안된 기법은 OWns 시뮬레이션도구를 사용하여 측정한 결과, 블로킹 확률 및 ADM 이용율 측면에서 First-fit 기법에 비해 10% 정도의 블로킹 감소율과 30% 정도의 ADM 이용율이 향상되었음을 보였다.

• Nuclear Engineering and Technology
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• 제28권5호
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• pp.452-457
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• 1996

A system, such as a reactor point kinetics equation, can be solved with Adomian Decomposition Method (ADM) which uses the notion that all solutions and operators can be expressed as an infinite sum of those basis states, like Adomian polynomials. In this work, ADM is applied to point reactor kinetics equations for step reactivity insertion, ramp input of reactivity, and nonlinear feedback cases without linearization approximation. The results of ADM are more accurate and faster than those of other existing methods, even though we use comparatively large time step sizes.

• 전자공학회지
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• 제12권5호
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• pp.23-35
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• 1985

본 논문은 디지털 음성통신에서 사용되는 예측부호화(predictive coding) 방식에 관하여 기술하고 있다. 특히 전송속도가 16∼48kbit/s 대역에서 많이 사용하고 있는 adaptive differential pulse code modulation(ADPCM)과 adaptive delta modulation(ADM)에 관하여 중점적으로 토의한다. 또한 variable-rate ADPCM과 ADM에 관해서 기술하고, 이들 시스템의 noisy channel에서의 효과 및 성능개선방법, 그리고 PCM과의 transcoding에서의 문제점 등을 통의한다. ADPCM은 최근 CCITT에서의 표준화 결과로 앞으로 PCM과 함께 많이 쓰여질 전망이며, ADM은 시스템이 간단하고 또한 channel error에 강한 이유로 특수통신에 많이 쓰여질 것이다.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1999년도 추계학술대회 논문집 학회본부 C
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• pp.1126-1127
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• 1999

연산자 분리 시영역 모델을 이용하여 광섬유 커플러 ADM(add-drop multiplexer)의 필터링 효과를 분석하였다. 이 모델은 방향성 결합기나 브래그 격자를 포함하는 소자의 해석에 유용하다. 본 논문에서는 비대칭 구조를 고려했으며 결합계수, 코어의 반경, 개구수, 굴절율 변조 등의 파라미터를 이용하여 최적의 필터링 효과를 얻기 위한 구조를 설계하였다.