• Journal of the korean academy of Pediatric Dentistry
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• v.21 no.2
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• pp.496-503
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• 1994

Three cases of treated permanenet teeth are presented. A horizontal root fracture was treated by endodontic treatment in which coronal segment only was done. A replanted incisor is ankylosed because of false restorative method and long extraoral period. Resorption of traumatized bone can be seen in the third case. The prognosis of traumatized incisor depends on proper restoration, adequate amergency treatment and periodic follow-up check.

• Archives of Plastic Surgery
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• v.36 no.5
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• pp.565-570
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• 2009

Purpose: Numerous techniques have been introduced to reconstruct the perineal area in order to preserve function of both the recipient and the donor site while satisfying aesthetic results. There are several advantages of using the pudendal aretery perforator based flap in that it provides thin coverage of defect area and a relatively excellent circulation through perforators. The perineal region can be divided into two areas : the urogenital triangle and the anal triangle. Since each area differs in structure and function so does its reconstructive plan. The authors of this article report clinical results obtained from pudendal artery perforator based reconstructed cases according to each differrent triangles. Methods: A total of 15 patients who underwent perineal reconstruction were enrolled in our study between the year 2002 and 2006. There were 4 cases of vaginal cancer, 4 cases of extramammary Paget's disease, 1 case of rectovaginal fistula in females and 2 cases of Paget's disease and 4 cases of Fournier's gangrene in male cases. The follow up period was on average 6 month. In female, superfical pudendal artery perforator based local flap were used to reconstruct the urogenital triangle defects, while internal pudendal artery perfoator based local flaps were used to reconstruct the anal traingle defects. In males the gracilis myocutaneous flap and internal pudendal artery perforator based local flaps were used in reconstruction of the scrotum and perineal defect. Result: In females, there was 1 case of partial flap necorsis that employed the superficial pudendal artery perforator but secondary repair through the internal pudendal artery perforator based local flap was done. In addition, there were 4 wound dehiscence cases in females and 2 cases in males. Conclusion: We believe that a better aesthetic and functional outcome can be achieved in perineal reconstruction if discrete surgical planning is carried out systematically categorizing the choice of flap employed acccording to distinct anatomical regions : the urogenital and the anal triangle.

• Archives of Plastic Surgery
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• v.37 no.4
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• pp.469-472
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• 2010

Purpose: Aplasia Cutis Congenita (ACC) is a rare disease characterized by the focal defect of the skin at birth, frequently involving scalp, but it may affect any region of the body. There are no etiology known but some conditions such as intrauterine vascular ischemia, amniotic adherences and viral infections are associated. The ideal treatment for the ACC is not known. Superficial and relatively small sized defects (< $3{\times}5\;cm$) may heal spontaneously and large defects related with risks of infection and bleeding may require aggressive surgical treatment. Hyalomatrix$^{(R)}$ is a bilayer of an esterified hyaluronan scaffold beneath a silicone membrane. It has been used as a temporary dermal substitute to cover deep thickness skin defect and has physiological functions derive from the structural role in extracellular matrix and interaction with cell surface receptor. This material has been used for the wound bed pre-treatment for skin graft to follow and especially in uncooperative patient, like a newborn, this could be a efficient and aseptic way of promoting granulation without daily irritative wound care. For this reason, using Hyalomatrix$^{(R)}$ for the treatment of ACC was preferred in this paper. Methods: We report a case of a newborn with ACC of the vertex scalp and non-ossified partial skull defect. The large sized skin and skull defect ($6{\times}6\;cm$) was found with intact dura mater. No other complications such as bleeding or abnormal neurologic sign were accompanied. Escharectomy was performed and Hyalomatrix$^{(R)}$ was applied for the protection and the induction of acute wound healing for 3 months before the split-thickness skin graft. During the 3 months period, the dressing was renewed in aseptic technique for every 3 weeks. The skin graft was achieved on the healthy granulation bed. Results: The operative procedure was uneventful without necessity of blood transfusion. Postoperative physical examination revealed no additional abnormalities. Regular wound management was performed in out-patient clinic and the grafted skin was taken completely. No other problems developed during follow-up. Conclusion: Hyalomatrix$^{(R)}$ provides protective and favorable environment for wound healing. The combination of the use of Hyalomatrix$^{(R)}$ and the skin graft will be a good alternative for the ACC patients with relatively large defect on vertex.

• Journal of Wetlands Research
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• v.21 no.spc
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• pp.1-8
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• 2019

River works for water utilization have substantially altered the natural flow regime, and it has resulted in deformation of healthy river ecosystems. In Korea, river restoration projects have conducted actively since 1990's. Major purposes of the river restoration are the rehabilitation of modified river channel, improvement of water quality, and creation of aquatic habitats as well as recreational spaces using natural material for river work. However, there have been little interests about the restoration of flow regime which influences to most aspects of river ecosystems. The restoration of natural flow regime has received much attention in preservation of aquatic ecosystems. It should be needed to explore the relationship between flow regime and river ecosystems, and the restoring flow regime is essential. This paper introduce the concept of environmental flow through the interrelation between flow regime and river ecosystem. It provides rolls of flow regime and addresses the method of establishing target flow regime using the RVA(Range of Variability Approach) that suggested by Richter et al.(1997) through analysis of altered flow pattern case of Han river basin.

• Journal of Conservation Science
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• v.29 no.2
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• pp.161-170
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• 2013

The purpose of this study is to find the reasonable plan for the restoration method through the practical repair of excavated costume. The minimal repair only without adding the physical force as far as possible after investigating the state of excavated costume has been progressed in case of excavated costume since it is already degraded and weak due to the characteristics of organic matter at the moment when it is excavated. Moreover, it has been restored as the following course; The restoration has been applied according to the state of excavated costume with the maximum stability by classifying items capable of being restored considering the fabric state of excavated costume. The drawn thread from the weak in strength and the refined thread of the Juasa(simple gauze) or the light degraded silk thread has been used in case of thread for restoration. The cotton fabrics has been used in the fabric of cellulose system, the Juasa or the silk has been used in the silk depending on the kind of fabric in connection with the support fabric, some parts have been dyed with Alnus firma fruit and the persimmon, has been repaired by using the dyed fabric with the clove for the purpose of mothproof-antibacterial treatment. The method to repair has been carried out by classifying according to the state of damage and the way of formation of costume. The needlework method suitable for the part and state of damage by using the basting, the broad-stitching, backstitch, the blind stitch and the hemming stitch in connection with the needlework method for restoration.

• Archives of Plastic Surgery
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• v.35 no.4
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• pp.439-445
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• 2008

Purpose: Malignant fibrous histiocytoma(MFH) is the most common soft tissue sarcoma in adult. As to this date, tissue development, treatment and prognosis of the tumor has not been definitely clarified, however, it has been reported that wide surgical resection of the tumor along with the radiotheraphy and chemotheraphy is needed for treatment. In MFH with high recurrence rate, the reconstruction method and points to be considered for reconstruction in recurrent case were studied in 10 patients who were treated in our hospital. Methods: From August of 1991 to August 2007, location of tumor, initial mass size, 1st recurred period, lymph node metastasis, recurrence rate, treatment modality, complication, reconstruction in recurrent defect, and follow up period was studied in 10 patients who underwent reconstruction at our Plastic surgery department following wide excision. Results: The average age was 62.8(46 - 73) years old, average follow up period was 7.7(1 - 17) years. Various reconstructions has been performed for recurrent cases and postoperative chemotheraphy and radiotheraphy was done. As for reconstruction in recurrent cases, After wide excision, local flap was performed in 6 cases, and free flap in 2 cases. After radiotherapy, osteoradionecrosis was occurred in 4 cases. Recurrence rate was 1 - 5(2.6) times and reconstruction due to recurrence was 7 out of 10 cases(70%). Conclusion: The treatment modality of MFH is not yet defined. Due to it's high recurrence rate, radiotherapy and chemotherapy is commonly combined with surgery. Even still, additional excision and reconstruction may be required. Therefore, possibility of re-operation must be considered when performing every excision and reconstruction; in case a recurrence or osteoradionecrosis occurs. Free flap coverage should be left as the last resort, according to the principle of reconstruction. Nevertheless, if the defect is large or osteoradionecrosis is present, it will benefit greatly to the patient's quality of life.

• The Journal of Korean Academy of Prosthodontics
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• v.59 no.1
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• pp.79-87
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• 2021

The digital workflow of optical impressions by the intraoral scanner and CADCAM manufacture of dental prostheses is actively developing. The complex process of traditional impression taking, definite cast fabrication, wax pattern making, and casting has been shortened, and the number of patient's visits can also be reduced. Advances in intraoral scanner technology have increased the precision and accuracy of optical impression, and its indication is progressively widened toward the long span fixed dental prosthesis. This case report describes the long span implant case, and the operator fully utilized digital workflow such as computer-guided implant surgical template and CAD-CAM produced restoration after the digital impression. The provisional restoration and customized abutments were prepared with the optical impression taken on the same day of implant surgery. Moreover, the final prosthesis was fabricated with the digital scan while utilizing the same customized abutment from the provisional restoration. During the data acquisition step, stl data of customized abutments, previously scanned at the time of provisional restoration delivery, were imported and automatically aligned with digital impression data using an 'A.I. abutment matching algorithm' the intraoral scanner software. By using this algorithm, it was possible to obtain the subgingival margin without the gingival retraction or abutment removal. Using the digital intraoral scanner's advanced functions, the operator could shorten the total treatment time. So that both the patient and the clinician could experience convenient and effective treatment, and it was possible to manufacture a prosthesis with predictability.

• Journal of the Korean Geosynthetics Society
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• v.19 no.1
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• pp.75-82
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• 2020

There have been often cases of collapse for geogrid reinforced soil (GRS) retaining wall. Hence, social interest in the reinforcement and restoration of the collapsed GRS wall is increasing day by day. However, there are only few researches. For this reason, a series of numerical analyses using the Plaxis 2D program was conducted in this study to analyze the suitable reinforcement methods that can be applied on the existing damaged GRS wall caused by overturning of the modular blocks facing and the surface settlement at the backfill as the results from the design failure. The restoration plan used in this study is composed of two cases: (Case 1) soil nailing reinforcement and reinforced concrete (RC) wall facing construction on the existing damaged GRS wall; and (Case 2) removal of the entire damaged GRS wall and then reconstruction. The results on the internal stability of the GRS wall show that Case 1 obtained a greater safety factor than Case 2 for tensile force while Case 2 had a greater safety factor than Case 1 for pullout failures. Case 1 was found to be more stable than Case 2 in terms of the global slope safety by shear strength reduction method and the external deformation behavior by numerical analysis. In this study, the existing damaged GRS wall which was reinforced using Case 1 method shows more stable external behavior.

• Korean Journal of Environment and Ecology
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• v.32 no.1
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• pp.47-54
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• 2018

This study examined the behavior of red fox (Vulpes vulpes) during the estrus period, breeding period, and mating including the estrus period along as well as the effect of environmental factors in an outdoor breeding facility. The average mating duration was 19.95 min (n = 13, range = 1.17-35.25 min). The breeding season was mainly early February (56.6%) for foxes aged more than one year and mid-March (60.0%) for foxes aged less than one year. The mating duration was longest when both male and female were more than one year old ($24.4{\pm}11.08min$), although copulation took place regardless of partner's age. Females that mated twice within two days after estrus started or with two males had 100% pregnancy rate. In addition, the pregnancy rate was highest (87%) when both mating partners were more than one year old. Foxes preferred daytime to nighttime for mating, and thus mating usually took place on sunny days or between 10:00 and 12:00 on partly cloudy days. A male mated with different females for a maximum of five times, and the higher the mating frequency of a male, the longer the mating duration. Interest in mating decreased after three copulations in the case of males and after two copulations in the case of females. Males required at least 4 hours and 46 minutes between the first and second copulation. For this study, we collected reference data that might be applied to breeding programs for the red fox to secure the restoration of individuals of this important species.

• 대한치과보철학회:학술대회논문집
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• 1999.04a
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• pp.98.1-98.1
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• 1999