• Archives of Plastic Surgery
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• v.43 no.6
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• pp.544-550
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• 2016

Background Although the use of temporary shunts in proximal extremity amputations has been reported, no study has described the use of temporary shunts in distal extremity amputations that require vein grafting. Moreover, the total volume of blood loss when temporary shunts are used has not been reported. The aim of this study was to investigate the applicability of a temporary shunt for distal extremity amputations requiring repair by vessel grafting with an ischemia time of >6 hours. This study also aimed to determine the total volume of blood loss when temporary shunts were used. Methods Patients who underwent distal major extremity replantation and/or revascularization with a vessel graft and who experienced ischemia for 6-8 hours between 2013 and 2014 were included in the study. A 6-Fr suction catheter was cut to 5 cm in length after the infusion of heparin, and secured with a 5-0 silk suture between the distal and the proximal ends of the artery. While bleeding continued, the bones were shortened and fixed. After the complete restoration of circulation, the arterial shunt created using the catheter was also repaired with a vein graft. Results Six patients were included in this study. The mean duration of ischemia was 7.25 hours. The mean duration of suction catheter use during limb revascularization was 7 minutes. The mean transfusion volume was 7.5 units. No losses of the extremity were observed. Conclusions This procedure should be considered in distal extremity amputations requiring repair by vessel grafting during critical ischemia.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.28 no.2
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• pp.74-85
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• 2019

The aesthetic restoration of dental implants in the anterior maxilla is a challenge for clinicians because it requires proper harmony in three following conditions; reconstruction of hard tissue, soft tissue, and aesthetic prosthesis. A newer technique, VIP-CT (Vacularized Interpositional Periosteal Connective Tissue) graft has been introduced as an alternative to these technique which allows the clinicians perform large volume soft tissue augmentation in esthetic sites with a single procedure. The advantages of the VIP-CT graft technique are that it allows the reconstruction of large soft tissue deficiency, with little constriction postoperatively. Furthermore, it facilitates improved hard tissue augmentation due to the additional blood supply and improved bone healing by mesenchymal cells. Moreover, this technique reduces patient discomfort and treatment time. This clinical report describes the procedure of bone augmentation during immediate implantation in facial dehiscence defect, especially Vascularized Interpositional Periosteal Connective Tissue(VIP-CT) graft for aesthetic anterior soft tissue.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.22 no.6
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• pp.139-146
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• 2019

There is often confliction between conservation for protected ecosystem assets and development for various stakeholders at wetland protection areas. The concept of Ecosystem Services can be an alternative solution for the conflicts. This paper attempted to measure and evaluate cultural ecosystem services according to the index evaluation approach. For the evaluation, the paper suggested five indicators of ecosystem cultural services including: inspiration, landscape aesthetics, education, eco-tourism, and heritage. The developed indices of cultural services in this study can be also utilized as a policy support tool for conservation of the wetland protected areas. The result illustrates the ranking and correlation of each indicator of ecosystem cultural services and suggestions for useful means of management policy in wetland protected areas.

• Ocean and Polar Research
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• v.24 no.1
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• pp.73-77
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• 2002

This study intends to find out what manmade elements in typical moderately disturbed coastal landscape are most adversely affecting its aesthetic quality. Simulation photos including a combination of five most common manmade structures (houses, roads, power lines, embankments, and aquaculture facilities) found on coastal areas were made, and thirty eight subjects in the field of landscape architecture and forty eight average subjects were asked to evaluate their visual preferences of the 32 simulation photos using seven levels of Likert scale. Overall, average and professional subjects did not show significant differences in their evaluations. Visual preferences were greatly influenced by the presence of the manmade structures. A natural coastal landscape without any manmade structures was most preferable, and a disturbed coastal landscape by all five manmade structures was least preferable. Power lines had the most serious negative impact on the landscape, and followed by the embankment. In coastal landscape restoration works and management, priority needs to be given to these manmade structures which have bigger negative landscape impacts.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.7 no.1
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• pp.97-109
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• 2004

The disposal of stormwater is one of the major problems in urban water management. One method of reducing peak runoff rates and other detrimental impacts of stormwater is detention storage. Detention ponds as a water quality control alternatives have been investigated by a number of researchers. Recognizing multiple roles such as flood peak attenuation, pollution removal and aesthetic enhancement, the design and management of detentions ponds deserve more research. The purpose of this research is to establish design criteria wet detention ponds to improve water quality. Water quality in detention pond discharge might be improve with physical, chemical and biological alterations. Physical alteration was focused in this study. There are several methods for estimating the suspended solid control capability of wet detention ponds. Existing models of suspended solids removal are based on sedimentation and gravity settling theory. The pollutant trap efficiency of pond is a function of several interrelating factors. Detention time is the most important factor, because it determine gravity settling quantities of pollutants. Desirable modification of physical factors for improvement of water quality in wet detention ponds are volume ratio, area ratio, length to width ratio, depth, out let location, bottom soil type. In order to apply design procedure in actual site, Namak new town development area was selected.

• Journal of Technologic Dentistry
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• v.45 no.3
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• pp.81-86
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• 2023

Purpose: This study aimed to observe the effect of laminate veneer on patient's teeth based on the manufacturing of laminate veneer restorations, which are produced by fabricating a ceramic cast body using IPS Empress, a pressure casting method and then forming the veneer by layering. Subsequently, we assessed the potential of its clinical application. Methods: This study discusses and preserves various treatment plans, such as diagnostic wax-up and treatment room diagnosis, for patients who visit the hospital to improve the appearance of teeth due to diastema of maxillary teeth, inexperienced resin filling, lack of esthetics, and external teeth. A ceramic cast body is constructed using IPS Empress, which is an effective and aesthetic restoration pressure casting method to restore the veneer with a laminate made by layering. Results: Compared with the preoperative state, the frontal view of the patient after the final restoration showed the formation of a natural smile line; the space between the central and lateral incisors was filled in synchronously with the adjacent teeth. In addition, the emergence profile is maintained by reducing the over-contour as much as possible. Conclusion: The patient's quality of life is improved by providing them with a satisfactory natural smile.

• Archives of Plastic Surgery
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• v.51 no.4
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• pp.417-422
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• 2024

Persistent lymphocele of the groin is a complication of groin surgery that can severely impact the quality of life. The restoration of the interrupted lymphatic pathway is considered by many authors the ideal treatment to prevent a recurrence. However, multiple aspiration procedures and surgical revisions can compromise the availability of local veins needed for a lymphovenular bypass surgery. In addition, surgical debridement of a long-standing lymphocele can generate extensive dead space and contour deformity. A flap delivering additional venules for trans-flap lymphovenular anastomoses (LVAs) can overcome both problems by providing soft tissue and competent veins harvested outside the zone of injury. A successful case of severe groin lymphocele treated with trans-flap LVAs from an abdominal-based flap is presented. The patient was referred to us for a recurrent lymphocele developed in the right groin after lipoma excision that persisted despite multiple surgical attempts. After the identification of patent and draining inguinal lymphatic vessels, a pinch test was used to design a mini-abdominoplasty superficial inferior epigastric artery flap. The superficial veins of the cranial incision were identified and anastomosed to the lymphatic vessels after the pedicled flap harvested and insetted in the groin. The early restoration of lymphatic drainage and the optimal aesthetic outcome supports the combined approach offered by trans-flap LVAs as a valuable therapeutic option for severe and persistent lymphocele.

• Restorative Dentistry and Endodontics
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• v.49 no.3
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• pp.32.1-32.12
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• 2024

From the restorative perspective, various methods are available to prevent the progression of non-carious cervical lesions. Direct, semi-direct, and indirect composite resin techniques and indirect ceramic restorations are commonly recommended. In this context, semi-direct and indirect restoration approaches are increasingly favored, particularly as digital dentistry becomes more prevalent. To illustrate this, we present a case report demonstrating the efficacy of hybrid ceramic fragments fabricated using computer-aided design (CAD)/computer-aided manufacturing (CAM) technology and cemented with resin cement in treating non-carious cervical lesions over a 48-month follow-up period. A 24-year-old male patient sought treatment for aesthetic concerns and dentin hypersensitivity in the cervical region of the lower premolar teeth. Clinical examination confirmed the presence of two non-carious cervical lesions in the buccal region of teeth #44 and #45. The treatment plan involved indirect restoration using CAD/CAM-fabricated hybrid ceramic fragments as a restorative material. After 48 months, the hybrid ceramic material exhibited excellent adaptation and durability provided by the CAD/CAM system. This case underscores the effectiveness of hybrid ceramic fragments in restoring non-carious cervical lesions, highlighting their long-term stability and clinical success.

• Archives of Plastic Surgery
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• v.34 no.5
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• pp.663-666
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• 2007

Purpose: Autologous fat injection into the facial area is a frequently used technique in aesthetic plastic surgery for augmentation of the soft tissue. Fat injection is a very safe procedure because of the advantage of being autologous tissue. Minimal foreign body reaction or infections are noted after fat injection. However, there may be some complications including those as severe as blindness. There have been some case reports on visual disturbances after autologous fat injection reported in the literature. Methods: A 21-year-old female patient underwent autologous fat injection into left eyebrow area to correct depression of soft tissue. Immediately after injection of autologous fat, she complained sudden visual loss on the left eye. She had come to our emergency room and ophthalmologic evaluation showed that the patient could only recognize hand motion. There was no abnormality of the optic nerve on magnetic resonance imaging. Suspecting an ischemic optic neuritis from fat embolism of the central retinal artery, the patient was treated conservatively with occular massage, antiglaucomatic agent, anti-inflammatory drugs and antibiotics. Visual field examination showed visual defect of half the lower hemisphere. Results: While maintaining antiglaucomatic agents and non steroidal anti inflammatory drugs, fundoscopic examination showed no abnormalities on the second day of admission. Visual field examination showed an improvement on the fourth day along with decreased eyeball pain. Significant improvement of vision was noted and the patient was discharged on the fifth day of admission. The patient was followed-up 2 days afterwards with improved vision and visual field defect. Conclusion: We describe an unusual case of sudden unilateral visual disturbance following autologous fat injection into periorbital area.

• Journal of the Korean Institute of Traditional Landscape Architecture
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• v.42 no.1
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• pp.14-21
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• 2024

This research focuses on the restoration of stone structures situated within the landscaping facilities at royal palace and tomb heritages of the Joseon Dynasty, emphasizing their considerable importance in terms of scale and their contribution to the landscape's aesthetic form. The study conducts its analysis through the lens of three critical value attributes the form and design of the structures, the materials and textures used, and the traditional techniques employed. The subject of the study is the Gonshinji Pond, the pond and royal canal at Yeongneung and Nyeongneung, the royal canal at Gyeongbokgung Palace, and the flower steps at Yeongchunheon and Jipbokheon. Finding instances of stone wall repairs that complied with the established standards for cultural heritage repair proved challenging. Nonetheless, adherence to these norms and a methodical approach to deducing the original structure were evident in the most recent restoration cases. This discovery is likely to have considerable implications for the approach to future stone wall repair and restoration efforts. There's a clear need for the development of detailed guidelines and handbooks that thoroughly document the restoration process for stone walls, as outlined in repair reports.