• 한국융합학회논문지
• /
• 제11권9호
• /
• pp.169-173
• /
• 2020

본 연구에서는 Model A와 Model B 그리고 Model C의 총 3가지의 차축 모델을 이용하여 차축에 하중이 가해졌을 때의 차량 서포트빔에 대한 구조해석을 하였다. 3가지의 Model A, B, C를 비교해 보았을 때 등가응력은 Model C가 재료의 항복 응력보다 작게 나와서 그 내구성면에서 좋다고 사료된다. Model A와 Model B에서 발생한 최대 등가응력들은 항복응력보다 각각 1.8배와 2.5배이상 발생되어 재료가 파단됨을 보여 주고 있어 서포트빔으로서는 효율적으로 보이지 않는다. Model C가 Model A와 Model B에 비하여 그 내구성면에 있어서 효율적으로 차축 서포트 빔의 설계 향상에 응용할 수 있다. 본 연구 결과를 자동차 부품에 적용함으로서 자동차 서포트빔의 강도를 평가할 수 있다. 그리고 본 연구가 실제적으로 효율적인 설계와 미적인 융합에 적합하다고 보인다.

• 한국의류학회지
• /
• 제36권11호
• /
• pp.1197-1207
• /
• 2012

This study provides information for the design of pediatric inpatient uniforms with functionality and aesthetic beauty through a questionnaire-survey of the conditions of providing, wearing, preferences and improvement requirements for pediatric inpatient uniforms. As a result of the survey, intravenous injections were mostly given on the back of the hand, and the method of changing uniforms after intravenous injections was (in most cases) to pass the injection bottle through a sleeve or pant leg while the needle is inserted. The respondents answered that the sleeve length and pant length did not match. As a result of the preference of the pediatric inpatient design survey, respondents indicated they preferred pajama type, yellow color and medium size animal patterns. A similar ratio of set-in and raglan with no collar but with 3/4 length sleeve of round neck, front end, sleeve top opening, button closing and two pockets were preferred for shirts; however, a 3/4 length with rubber string on the waist, no opening and inner opening were preferred at the same ratio for pants. As for the method to adjust the length to assign functionality to pediatric inpatient uniforms, the most preferred sleeve was a roll-up sleeve with a strap and the most preferred pants were length adjusted pants that used a strap for both shirts and pants with a both sides strap. In addition, the majority of the respondents answered that a hand wrapper that protects the injection location during intravenous injections needs be developed. As for the development type, a half glove type and glove type were preferred in sequential order.

• 한국미생물·생명공학회지
• /
• 제40권3호
• /
• pp.169-179
• /
• 2012

미생물에 의한 탄산칼슘침전은 생물 화학적으로 풍화, 침식된 시멘트 건축구조물 표면의 미학적 복원 및 수분침투 방지를 목적으로 응용되었다. 이 기술의 두드러진 장점이 보고된 후 유럽과 미국을 중심으로 미생물을 이용한 건축공학적 응용가능성에 대한 연구가 활발히 이루어져 왔다. 견고하고 원재료와의 호환성이 뛰어난 이 기술은 다양한 탄산칼슘형성세균의 선별 또는 배양 및 적용방법의 개발로 그 관심이 촉발되었다. 본 총설의 목적은 친환경적 건축소재에 대한 관심이 높아지고 그 필요성이 대두되고 있는 현 시점에서 미생물 탄산칼슘형성 매카니즘과 그 관련 기술들을 검토해 보고자 한다. 본론에선 시멘트 건축물 표면코팅 효과에 대한 방법론적 연구사례들을 조사하였고, 시멘트 구조물의 내구성 증진을 위한 미생물의 첨가에 대한 연구사례들도 함께 살펴보았다. 부가적으로 향후 미생물의 다기능성을 이용한 자기수복 스마트 콘크리트 개발에 대한 개념을 살펴보고 그 미래를 전망하였다.

• Archives of Plastic Surgery
• /
• 제34권2호
• /
• pp.243-249
• /
• 2007

Purpose: Posttraumatic nasal deformities might not be corrected adequately by conventional osteotomy techniques when the configuration of the nasal bone has been changed due to malunion. To consistently obtain good aesthetic and functional results, the anatomic reduction of malunion sites of the nasal bone is important. The purpose of this study is to present an osteotomy technique, including refracture along malunion sites and anatomical reduction of a malformed nasal bone, for the correction of a posttraumatic deviated nose. Methods: From March of 2003 to May of 2004, 27 patients, who underwent corrective rhinoplasty for the correction of bony pyramid deviation, were included in this study. Postoperative results of the technique were evaluated objectively at 1 year after surgery regarding nasal midline location, nose symmetry, and nasal contour. Results were rated as excellent, good, fair, or poor. All patients were also evaluated subjectively for cosmetic improvement, changes in breathing, and overall satisfaction. Results: Objective analysis of the outcomes revealed an excellent result in 17 patients(63%), good in 9(33%), and fair in 1 patient(4%). No case evaluated had a poor result. Regarding subjective analysis, 19 patients(70%) evaluated the cosmetic outcome as perfect. Among the 21 patients with preoperative airway problems, 19 patients(90%) reported improved breathing post-operatively. Patients' overall satisfaction levels were also very positive. No postoperative complications occurred during the 14 month mean follow-up period. Conclusion: The osteotomy technique presented in this study is simple, effective, and safe for correcting posttraumatic nasal deviation, and also produces consistent results.

• Archives of Plastic Surgery
• /
• 제38권5호
• /
• pp.642-648
• /
• 2011

Purpose: The recent advances in microsurgical techniques and their refinement over the past decade have greatly expanded the indications for digital replantations and have enabled us to salvage severed fingers more often. Many studies have reported greater than 80% viability rates in replantation surgery with functional results. However, replantation of multi-level amputations still remain a challenging problem and the decision of whether or not to replant an amputated part is difficult even for an experienced reconstructive surgeon because the ultimate functional result is unpredictable. Methods: Between January of 2002 and May of 2008, we treated 10 multi-level amputated digits of 7 patients. After brachial plexus block, meticulous replantation procedure was performed under microscopic magnification. Postoperatively, hand elevation, heat lamp, drug therapy and hyperbaric oxygen therapy were applied with careful observation of digital circulation. Early rehabilitation protocol was performed for functional improvement. Results: Among the 19 amputated segments of 10 digits, 16 segments survived completely without any complications. Overall survival rate was 84%. Complete necrosis of one finger tip segment and partial necrosis of two distal amputated segments developed and subsequent surgical interventions such as groin flap, local advancement flap and skin graft were performed. The overall result was functionally and aesthetically satisfactory. Conclusion: We experienced successful replantations of multi-level amputated digits. When we encounter a multi-level amputation, the key question is whether or not it is a contraindication to replantation. Despite the demand for skillful microsurgical technique and longer operative time, the authors' results prove it is worth attempting replantations in multi-level amputation because of the superiority in aesthetic and functional results.

• Archives of Plastic Surgery
• /
• 제38권4호
• /
• pp.427-437
• /
• 2011

Purpose: Composite tissue allotransplantation is a new therapeutic modality to reconstruct major tissue defects of the head and neck region and extremities. However, there is a serious ethical debate about whether the risks posed by the life-long immunosuppression that a recipient would have to take justify the benefits of receiving this non-life saving procedure. The purpose of this study is to examine differences between expert and non-expert groups in risk acceptance and expectations regarding hand and foot allotransplantations. Methods: The author conducted a survey of 345 subjects in total (lay public n=110; medical students, n=120; doctors, n=115), using a questionnaire-based instrument, the Louisville Instrument for Transplantation (translated to Korean). Results: Of the three groups studied, risk acceptance was found to be lowest in the doctor group and highest in the non-expert group, and the difference was significant (p < 0.05). The expectations of aesthetic and functional improvement from the procedure, however, were found to be highest in the non-expert group and lowest in the doctor group, and the differences were also significant (p < 0.05). Conclusion: The results of this study shows that the three populations have noticeable differences in risk acceptance and expectations regarding hand and foot allotransplantations. Therefore, accurate and sufficient information on these procedures should be provided to patients from both medical and ethical perspectives.

• 융합정보논문지
• /
• 제11권11호
• /
• pp.195-203
• /
• 2021

본 연구의 목적은 치위생학과 학생들의 취업스트레스를 조절하고자 외모만족도, 자아효능감과의 관련성을 파악하여 진로성숙도 향상을 위한 교육적 방향 구축과 심리적 자원을 탐색하는데 기초자료를 제공하기 위한 서술적 조사연구이다. 자료 수집은 2019년 11월 25일부터 12월 13일까지 충청·전라도 치위생학과에 재학 중인 연구에 동의한 학생들을 대상으로 편의추출하여 자기기입식 설문법을 작성하였다. 외모만족도는 자아효능감과 양의 상관관계를 나타냈고, 취업스트레스와는 음의 상관관계를 나타냈으며, 자아효능감과 취업스트레스는 음의 상관관계를 나타내었다. 취업스트레스의 영향요인은 자아효능감, 외모만족도, 전공만족도로 나타났다. 이에 치위생전공 대학생들의 취업역량 집중강화를 위해 올바른 미적 가치관에 기반한 긍정적인 외모 수용과 자아효능감 증진을 융합한 실제적인 상담프로그램이 고려될 필요가 있을 것으로 사료된다.

• 대한치과교정학회지
• /
• 제49권4호
• /
• pp.222-234
• /
• 2019

Objective: To investigate the three-dimensional lip vermilion changes after extraction and non-extraction orthodontic treatment in female adult patients and explore the correlation between lip vermilion changes and incisor changes. Methods: Forty-seven young female adult patients were enrolled in this study (skeletal Class III patients were excluded), including 34 lip-protruding patients treated by extraction of four first premolars (18 patients requiring mini-implants for maximum anchorage control and 16 patients without mini-implants) and 13 patients requiring non-extraction treatment. Nine angles, seven distances, and the surface area of the lip vermilion were measured by using pre- and post-treatment three-dimensional facial scans. Linear and angular measurements of incisors were performed on lateral cephalograms. Results: There were no significant changes in the vermilion measurements in the non-extraction group. The vermilion angle, vermilion height, central bow angle, height/width ratio, and vermilion surface area decreased significantly after the orthodontic treatment in the extraction groups, but the upper/lower vermilion proportion remained unchanged. Significant correlations were found between the changes in incisor position and those in vermilion angles, vermilion height, and surface area. Conclusions: Extraction of the four first premolars probably produced an aesthetic improvement in lip vermilion morphology. However, the upper/lower vermilion proportion remained unchanged. The variations in the vermilion were closely related to incisor changes, especially the upper incisor inclination changes.

• 농촌계획
• /
• 제25권2호
• /
• pp.89-98
• /
• 2019

The purpose of this study is to develop the evaluation factors for formation of the future - oriented rural residential environment and to derive the importance of this evaluation factors. The main research methods are network analysis using Net-miner, AHP analysis and importance analysis for experts. The main research results are as follows. First, 6 factors for evaluation rural residential environment(environmental-sustainability, communality, self-reliance, aesthetic, enjoyment, settlement), 3 sub-factors of each factors, and key physical facilities(10 for rural center and 28 for rural villages) were derived by literature analysis and network analysis on it. Second, key priority factors that should be considered in physical formation of rural residential environment was deducted by AHP analysis. Improving accessibility of living services in the settlement factor, improvement of garbage collection and wastewater treatment system around the residential area, and ensuring topographic continuity in the environmental-sustainability factor was derived as a priority factors. Third, as a result of evaluation of the importance of physical facilities in the rural residential environment, there was a high demand for cultural welfare facilities in common. However, when compared with the villages where the harmony between the natural environment and the living environment is emphasized, convenience of living and accessibility of transportation were important in the rural center. These results suggest that solving the qualitative conditions as residential environment will help to attract new population. This study will contribute to enhance the qualitative level of the rural residential environment by suggesting strategic priority items when carrying out projects related to the rural residential environment creation in the future.

• Archives of Plastic Surgery
• /
• 제46권3호
• /
• pp.221-227
• /
• 2019

Background Gynecomastia is a common condition that can cause severe emotional and physical distress in both young and older men. Patients in whom symptomatic recalcitrant gynecomastia persists for a long time are potential candidates for surgery. Methods From January 2014 to January 2016, 15 patients underwent correction of gynecomastia through a single 3-mm incision at our institution. Only patients with true gynecomastia underwent surgery with this new technique. Through the small incision, sharp dissection was performed in a clockwise and counterclockwise direction describing two half-circles. Health-related quality of life and aesthetic outcomes were evaluated using a modified version of the Breast Evaluation Questionnaire (BEQ). Results The patients' average age was 23.5 years (range, 18-28 years), and their average body mass index was $23.2kg/m^2$ (range, $19.2-25.3kg/m^2$). One case was unilateral and 14 cases were bilateral. The weight of glandular tissue resected from each breast ranged from 80 to 170 g. No excess skin was excised. Bleeding was minimal. The mean operating time was 25 minutes (range, 21-40 minutes). No complications were recorded. All lesions were histologically benign. The patients' average score was 3.5 (on a 5-point Likert scale) in all domains of the BEQ for themselves and their partners. Conclusions In this study, we demonstrated the safety and reliability of a new technique that allows mastectomy through an imperceptible 3-mm incision. We obtained high patient satisfaction scores using our surgical technique, and patients reported considerable improvement in their social, physical, and psychological well-being after surgery.