• Archives of Plastic Surgery
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• 제51권1호
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• pp.52-61
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• 2024

Background Although prepectoral implant-based breast reconstruction has recently gained popularity, dual-plane reconstruction is still a better option for patients with poor-quality mastectomy skin flaps. However, shoulder morbidity is aggravated by subpectoral reconstruction, especially in irradiated patients. This study aimed to demonstrate shoulder exercise improvement in subpectoral reconstruction by delayed prepectoral conversion with an acellular dermal matrix (ADM) inlay graft technique at the time of expander-to-implant exchange after irradiation. Methods Patients with breast cancer treated for expander-to-implant exchange after subpectoral expander insertion and subsequent radiotherapy between January 2021 and June 2022 were enrolled. An ADM inlay graft was inserted between the pectoralis major muscle and the previously inserted ADM. The ADM was sutured partially overlapping the pectoralis muscle from the medial side with the transition part, to the muscle border at the lateral side. Perioperative shoulder joint active range-of-motion (ROM) for forward flexion, abduction, and external rotation was also evaluated. Results A total of 35 patients were enrolled in the study. Active shoulder ROM significantly improved from 163 degrees preoperatively to 176 degrees postoperatively in forward flexion, 153 to 175 degrees in abduction, and 69 to 84 degrees in external rotation. There was no difference in patient satisfaction regarding the final outcome between the conventional prepectoral reconstruction group and the study group. Conclusion Shoulder exercises in irradiated patients who underwent subpectoral reconstruction were improved by delayed prepectoral conversion using an ADM inlay graft. It is recommended that subpectoral reconstruction not be ruled out due to concerns regarding muscle contracture and shoulder morbidity in radiation-planned patients with poor mastectomy skin flaps.

• 한국태양에너지학회:학술대회논문집
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• 한국태양에너지학회 2012년도 춘계학술발표대회 논문집
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• pp.182-187
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• 2012

Since PV PCS uses output current sensor for ac output current control, the sensor's sensing value includes unnecessary offset inevitably. If PV inverter is controlled by the included offset value, it's output current will generate DC offset. The DC offset of output current for trans-less PV inverter is fatal to grid, which results in saturating grid side transformer. Usually DSP controller of PV inverter reads several times sensing value during initial operation and, finally, it's average value is used for offset calibration. However, if temperature changes, the offset changes, too. Therefore, output current sensor measures sensing value that includes offset again. In this paper we propose new algorithm where two identical forward and reverse sensors are used to calculate the offset in real time. As a result the offset is not correlated with temperature change. The proposed algorithm is verified through PSIM simulation for validity.

• 한국항공우주학회지
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• 제44권6호
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• pp.468-476
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• 2016

본 연구에서는 이중구조를 갖는 팬의 날개 끝에서 발생하는 손실을 저감시키기 위하여 바깥 날개 끝 익형단면을 세 축으로 회전시키는 Conic winglet을 적용하였다. 손실을 계산하기 위하여 CFD 전산해석을 수행하였으며, 최소의 손실을 얻기 위하여 최적화를 수행하였다. 최적화 결과 Conic winglet은 바깥 날개 끝의 후단 부근에서 압력면 쪽으로 휘어진 형상을 보였으며 이 형상은 날개 끝에서 발생하는 전압력 손실을 3.24 % 저감시켰다.

• 한국전자파학회논문지
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• 제11권6호
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• pp.996-1005
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• 2000

본 논문에서는 저유전체의 한 면에 고유전체를 부착하는 기존의 광대역 기법을 개선하여 새로운 광대역 세라믹 유전체 안테나를 제시하였다. 제안한 광대역 기법을 사용하여 광대역 안테나를 설계할 수 있었으며 대역폭의 감소문제를 줄일 수 있었다. 본 논문에서 제안한 세라믹 유전체 안테나의 경우 10dB 반사손실에서 대역폭을 33.9%까지 증가시켰으며 세라믹 유전체 안테나의 특성은 실험치와 유한요소법을 사용한 해석치가 잘 일치함으로써 확일할 수 있엇다. 제안한 세라믹 유전체 모델을 사용하여 PCS 및 IMT-2000 이중대역에서 사용이 가능한 광대역 안테나를 설계, 제작하였다.

• Tuberculosis and Respiratory Diseases
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• 제81권1호
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• pp.13-18
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• 2018

Bronchodilator therapy is central to the management of chronic obstructive pulmonary disease and are recommended as the preferred treatment by the Global Obstructive Lung Disease Initiative (GOLD). Long acting anti-muscarinics (LAMA) and long acting ${\beta}_2$ agonists (LABA) are both more effective than regular short-acting drugs but many patients remain symptomatic despite monotherapy with these drugs. Combination therapy with LAMA and LABA increases the therapeutic benefit while minimizing dose-dependent side effects of long-acting bronchodilator therapy. The TOviTO programme has investigated the benefits of treatment with a combination of tiotropium and olodaterol administered via a single inhaler. Tiotropium+olodaterol $5/5{\mu}g$ significantly improved forced expiratory volume in 1 second ($FEV_1$) area under the curve from 0 to 3 hours, trough $FEV_1$ health status and breathlessness versus the mono-components and placebo. Tiotropium+olodaterol $5/5{\mu}g$ also increased endurance time and reduced dynamic hyperinflation during constant work rate cycle ergometry. On the basis of these and other studies the 2017 GOLD report recommends escalating to dual bronchodilator therapy in patients in groups B and C if they remain symptomatic or continue to have exacerbations and as initial therapy for patients in group D.

• 한국정보통신학회논문지
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• 제7권8호
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• pp.1604-1611
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• 2003

듀얼­밴드 마이크로스트립 안테나를 설계하기 위해, 정삼각형 패치에 두 쌍의 슬릿(slit)을 두며, 그중 한 쌍은 패치의 양 빗변에 두고 다른 한 쌍은 밑변에 둔다. 두 공진주파수 비는 패치의 밑변에 둔 두 슬릿의 위치와 길이에 따라 변화시킬 수 있다 Ensemble 5.0으로 설계된 안테나의 두 공진주파수 비는 $1.66 ({f_10}=1.928GHz, {f_20}=3.2GHz)$인데 반해, 측정치는 2.04 $({f_10}=1.6806 GHz, {f_20}=3.435 GHz)$이며, 오차의 원인은 제작 및 급전위치 오차와 유전율 분산 효과를 들 수 있다.

• 융합신호처리학회논문지
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• 제3권1호
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• pp.27-32
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• 2002

본 논문에서 제안한 텔레미트리 시스템은 생체신호를 중거리로 전송하기 위한 RF 송신기와 전자파 간섭의 영향이 없는 광을 매체로한 수신기이다. 텔레미트리 시스템은 of 65$\times$125$\times$45mm크기이며, RF 송신부, 광 수신부와 생체신호 처리를 위한 CMOS 칩으로 구성되어 있다. 제안된 텔레메트리 장점은 전자파에 노출을 최소화하면서 중거리(50m) 텔레메트리가 가능하여, 자유로운 상태에서의 모니터링이 가능하다. 관측 시스템은 실시간 처리를 위해 dual-processor구조로 설계했다. 본 연구에서는 1 채널 360Hz, 16 Bits의 심전도 데이터를 1.42초 간격으로 실시간 웨이브렛 변환할 수 있었다.

• Archives of Reconstructive Microsurgery
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• 제26권1호
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• pp.14-17
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• 2017

The superior gluteal artery perforator flap technique has increasingly been used for soft tissue defects in the sacral area following its introduction nearly 25 years ago. Advantages in covering sacral defects include muscle sparing, versatility in design, and low donor side morbidity. The bilateral superior gluteal artery perforator flap procedure is planned in cases of large sacral defects that cannot be covered with the unilateral superior gluteal artery perforator flap. Here, we report two cases of large sacral defects in which patient factors of poor general health, such as old age, pneumonia, and previous operation scar, led to use of a large unilateral superior gluteal artery perforator super-flap with parasacral perforator. The approach was utilized to reduce the operation time and prevent unpredictable flap failure due to the large flap size. Even though the parasacral perforator was included, the versatility of the large superior gluteal artery perforator flap was preserved because sufficient perforator length was acquired after adequate dissection.

• Journal of the Optical Society of Korea
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• 제17권1호
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• pp.57-62
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• 2013

We have numerically implemented a receiver side all-optical signal processing method, i.e. optical backward propagation (OBP), by dispersion compensating fiber (DCF) and non-linear compensator (NLC) devised by effective negative Kerr non-linear coefficient using two highly non-linear fibers (HNLFs). The method is implemented for the post-processing of fiber transmission impairments, i.e. chromatic dispersion (CD) and non-linearities (NL). The OBP module is evaluated for dual-polarization (DP) m-ary (m=4,16,32,64,256) quadrature amplitude modulation (QAM) in 112 Gbit/s coherent transmission over 1200 km standard single mode fiber (SMF). We have also investigated an intensity limited optical backward propagation module (IL-OBP) by using a self-phase modulation-based optical limiter with an appropriate pre-chirping to compensate for the intensity fluctuations in the transmission link. Our results show that in highly non-linear sensitive 256QAM transmission, we have observed a 66% increase in the transmission distance by implementing IL-OBP as compared to conventional OBP.

• Steel and Composite Structures
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• 제44권1호
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• pp.105-117
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• 2022

Impact resistance efficiency of the newly designed sandwich beam with a laterally arched core as bio-inspired by the woodpecker is numerically investigated. The principal components of the beam comprise a dual-core system sandwiched by the top and bottom laminated CFRP skins. Different materials, including hot melt adhesive, high-density polyethylene (HDPE), acrylonitrile butadiene styrene (ABS), epoxy resin (EPON862), aluminum (Al6061), and mild carbon steel (AISI1018), are considered for the side-arched core layer of the beam for impact efficiency assessment. The aluminum honeycomb takes the role of the second core. Contact force, stress, damage formation, and impact energy for beams equipped with different materials are examined. A diversity in performance superiority is noticed in each of these indicators for different core materials. Therefore, for overall performance appraisal, the impact resistance efficiency index, which covers several chief impact performance parameters, of each sandwich beam is computed and compared. The impact resistance efficiency index of the structure equipped with the AISI1018 core is found to be the highest, about 3-10 times greater than other specimens, thus demonstrating its efficacy as the optimal material for the bio-inspired dual-core sandwich beam system.