• 제목/요약/키워드: Early reconstruction

검색결과 381건 처리시간 0.018초

「경복궁도」 제작 시기와 배경 연구 (A Study on the Production Period and Background of Gyeongbokgungdo)

  • 홍현도
    • 건축역사연구
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    • 제32권4호
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    • pp.51-62
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    • 2023
  • Gyeongbokgungdo depicts the composition and layout of Gyeongbokgung Palace before the Japanese Invasion of Korea in 1592, as well as a monument related to pro-jamrye held at the site of Gyeongbokgung Palace in Yeongjo. Based on literature such as Dongguk Yeoji Seungram, such as Gyeongbokgungdo painted major buildings, government offices, and buildings in the backyard. In addition, the literature and the foot of the mountain, waterway, and Pond, which were identified as the site identified during the reconstruction process, are reflected, and some of the Gyeongbokgungdo contain reconstruction records. As such, Gyeongbokgungdo depicts Gyeongbokgung Palace in the early Joseon Dynasty and facilities built after the Imjin War based on the literature, and seems to have been produced around the time of reconstruction as it reflects the mountain and water system. In addition, the layout of the main hall of Gyeongbokgungdo was partially reflected in the reconstructed Gyeongbokgung Palace and used as a material to understand the layout of Gyeongbokgung Palace in the early Joseon Dynasty.

고속도로 노후 콘크리트 포장 보강의 경제성 분석 사례 연구 (Case Studies of the Life Cycle Cost Analysis for Rehabilitation of Deteriorated Expressway Concrete Pavements)

  • 서영찬;박지원;김찬우
    • 한국도로학회논문집
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    • 제18권3호
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    • pp.33-45
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    • 2016
  • PURPOSES : Concrete pavement has been used in the construction of the Jungbu expressway in 1987. More than 60% of the pavement on the expressway is currently made of concrete, but most has been used far beyond their design life. Pavement life has been extended through routine maintenance or overlay. However, the structural capacity of the pavement has reached its limit, and extensive rehabilitation/reconstruction with long time traffic blocking should be considered. The three following issues on concrete rehabilitation/reconstruction will be discussed: (1) economic comparison of asphalt inlay and asphalt overlay, (2) economic comparison preventive overlay on a section which is currently good and routine overlay on the section which will be poor, and (3) economic analysis of early-strength concrete when it is used in concrete reconstruction. METHODS : First, various life cycle cost analysis tools were compared, and the proper tool for the extensive rehabilitation/reconstruction was selected. Second, a sensitivity analysis of the selected tool was performed to find the influential input variables, which should be carefully selected in the analysis. Third, three case studies, which can be issues in the rehabilitation/reconstruction of the expressway concrete pavement in Korea, were performed. RESULTS : Asphalt overlay without milling the deteriorated concrete showed 18~25% lower life cycle cost than the current asphalt inlay with milling. The good current preventive overlay on the section was economically justified within the scope of this study. The construction cost limit of the early strength concrete was suggested to be economical for 1, 3, and 7 days of construction alternative opening. CONCLUSIONS : CA4PRS was a viable tool for comparing various rehabilitation/reconstruction issue alternatives. Several concrete issues associated with the rehabilitation/reconstruction of the deteriorated concrete pavement were discussed as mentioned above.

요전박유리피판을 이용한 하인두협착 재건 (A Case of Reconstruction of Hypopharyngeal Stricture with Radial Forearm Free Flap)

  • 김민식;선동일;이동희;조승호
    • 대한기관식도과학회지
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    • 제3권2호
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    • pp.307-312
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    • 1997
  • Reconstruction of the pharyngoesophagus is one of the most difficult challenges in head and neck surgery. The goals of pharyngoesophageal reconstruction include restoration of a person's ability to swallow and to speak with minimal morbidity, but no current reconstruction modality is clearly best. Following its first introduction as fasciocutaneous flap by Yang in 1981, the forearm flap based on radial artery has become recognized as a very reliable and relatively easy one to use. The forearm flap has thin, pliable and predominantly hairless skin and scant subcutaneous layer In addition, its vascular pedicle is long and of large caliber, which greatly increases the chance of successful revascularization. The forearm flap shows the potentiality for better functional rehabilitation in swallowing and speech as well as the possibility of three dimensional reconstruction. We experienced a case of radial forearm free flap for the reconstruction in a patient with the hypopharyngeal stricture. The early return of oral feeding was possible and successfully enough to return to the normal daily activity.

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오토인코더를 이용한 열간 조압연설비 상태모니터링과 진단 (Condition Monitoring and Diagnosis of a Hot Strip Roughing Mill Using an Autoencoder)

  • 서명교;윤원영
    • 품질경영학회지
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    • 제47권1호
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    • pp.75-86
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    • 2019
  • Purpose: It is essential for the steel industry to produce steel products without unexpected downtime to reduce costs and produce high quality products. A hot strip rolling mill consists of many mechanical and electrical units. In condition monitoring and diagnosis, various units could fail for unknown reasons. Methods: In this study, we propose an effective method to detect units with abnormal status early to minimize system downtime. The early warning problem with various units was first defined. An autoencoder was modeled to detect abnormal states. An application of the proposed method was also implemented in a simulated field-data analysis. Results: We can compare images of original data and reconstructed images, as well as visually identify differences between original and reconstruction images. We confirmed that normal and abnormal states can be distinguished by reconstruction error of autoencoder. Experimental results show the possibility of prediction due to the increase of reconstruction error from just before equipment failure. Conclusion: In this paper, hot strip roughing mill monitoring method using autoencoder is proposed and experiments are performed to study the benefit of the autoencoder.

후방 십자 인대 손상 치료의 개관(over view) (Overview of the PCL Reconstruction)

  • 정영복
    • 대한관절경학회지
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    • 제2권1호
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    • pp.1-3
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    • 1998
  • The PCL reconstruction in chronic isolate PCL reconstruction was still controversy. 1) In isolate PCL deficient knee, functionally not so bad as like ACL deficient knee. 2) The result of the PCL reconstruction was not as good as ACL reconstruction. Therefore, isolate PCL injuries has been treated as nonoperatively. Hey Grovere, who was the first to attempt an intra-articular reconstruction of the PCL, utilized the semi-tendinous tendon other static procedures have been described in only a few cases with very limited follow-up. Dynamic procedures utilizing the medial head of the gastrocnemius has been reported by Hugston and Degenhardt, Kennedy and Grainger, and Insall and Hood. These procedures did not improve static stability. Dr Clancy, who was introduce the use of BPTB for the PCL reconstruction transtibial and femoral tunnel. From 1995, untill early 1990 PCL reconstruction was done as tend as placement of the isometric point. Physiometic placement of Anatomical placement of the femoral tunnel in PCL reconstruction were introduced in 1995. Tibial Inlay Technique was reported by Dr Berg in 1995. The main advantage of the tibial Inlay Technique was to avoid fraying of the graft at the posterior tibial tunnel orifice. In complete PCL ruptured and severely posterior unstable knee, dual femoral tunnel technique will be to get better result than one bundle technique. To achieve restoration of normal posterior laxity, it is critical to address the posterior as well as the posterolateral structures. Futher research is necessary to evaluate new surgical approches such as double-bundle reconstructions and tibial inlay techniques as well as improved techniques for capsular and collateral ligament injuries.

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19세기 초 서양 남성상의 고증제작 연구 (A Study of the Historical Reconstruction of the Western Man's Coat in the Early of the 19th Century)

  • 류경화;김양희
    • 복식
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    • 제65권1호
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    • pp.136-149
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    • 2015
  • This research aimed to study the making of western men's coats in the early 19th century. First of all, the study figured out the concepts and forms of western men's tops in the early 19th century by collecting and categorizing pictures including engravings, paintings and pattern books, and literature data. Second, this research identified the patterns, sewing, and design techniques by examining the pattern books on men's clothing in the early 19th century, and analyzed the preserved costumes to restore the selected models. Third, this research presented historical evidences and patterns after designing a men's tailcoat of the early $19^{th}$ century and checking the fit based on the analyzed forms and design techniques. The research discovered that the analyzed results between the tailcoat forms depicted in literature, pictures and pattern books and preserved costumes were almost identical. From this, it can be assumed that the tailors followed a manual when designing garments during that time given the similarity between historical records and remaining items. In addition, it can be seen that the forms and designing methods of men's clothing in the 19th century were almost similar to that of the modern menswear, despite the differences in producing process.

One-Stage Nipple and Breast Reconstruction Following Areola-Sparing Mastectomy

  • Kim, Hye Ri;Lim, Jin Soo;Kim, Sue Min;Jung, Sung No;Yoo, Gyeol;Rha, Eun Young
    • Archives of Plastic Surgery
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    • 제40권5호
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    • pp.553-558
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    • 2013
  • Background Skin-sparing mastectomy with immediate breast reconstruction is increasingly becoming a proven surgical option for early-stage breast cancer patients. Areola-sparing mastectomy (ASM) has also recently become a popular procedure. The purpose of this article is to investigate the reconstructive and aesthetic issues experienced with one-stage nipple and breast reconstruction using ASM. Methods Among the patients who underwent mastectomy between March 2008 and March 2010, 5 women with a low probability of nipple-areolar complex malignant involvement underwent ASM and immediate breast reconstruction with simultaneous nipple reconstruction using the modified C-V flap. The cosmetic outcomes of this series were reviewed by plastic surgeons and patient self-assessment and satisfaction were assessed via telephone interview. Results During the average 11-month follow-up period, there were no cases of cancer recurrence, the aesthetic outcomes were graded as excellent to very good, and all of the patients were satisfied. Two patients developed a gutter-like depression around the reconstructed nipple, and one patient developed skin erosion in a small area of the areola, which healed with conservative dressing. The other complications, such as necrosis of the skin flap or areola, seroma, hematoma, or fat necrosis did not occur. Conclusions Since one-stage nipple and breast reconstruction following ASM is an oncologically safe, cost-effective, and aesthetically satisfactory procedure, it is a good surgical option for early breast cancer patients.

십자인대 재건술 후 닫힌사슬운동과 열린사슬운동의 효과 (Effect of Closed and Open Kinetic Chain Exercise after Cruciate Ligament Reconstruction)

  • 권순복;이현옥
    • The Journal of Korean Physical Therapy
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    • 제17권3호
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    • pp.297-310
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    • 2005
  • Open kinetic chain exercise has lost favour in rehabilitation after cruciate ligament reconstruction due to concerns that this exercise is harmful to the graft and will be less effective in improving function. Therefore rehabilitation has focused over the past decade on closed kinetic chain exercise. Open kinetic chain and closed kinetic chain exercises were compared for their effects on proprioception, muscle strength and knee instability in the early period of cruciate ligament reconstruction rehabilitation. The study subjects were 14 patients in 28weeks from cruciate reconstruction surgery(11 male, 3 female; mean age = 44.36 years). Closed kinetic chain exercise group used ball, balance pad and air cushion, to perform weightbearing exercises and the open kinetic chain exercise group used elastic rope and N-K table, to perform non-weightbearing exercises. Between tests, subjects trained 5 times per week for 2 weeks. Statistical analysis was by Wilcoxon signed rank test and Mann Whitney U test. In result, this study shows that both open and closed kinetic chain exercise programs lead to an improved muscle strength and Lysholm score. But there was no improvement in proprioception at both exercises. Closed versus open kinetic chain exercise in early period of rehabilitation after cruciate ligament reconstruction surgery do not differ in their effects on knee proprioception, muscle strength and instability. But the effect of closed kinetic chain exercises was showed more improvement than open kinetic chain exercises between pre-post exercises. Therefore further study is required to assess effect of both groups in more long period.

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Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap

  • Ribeiro, Luis Mata;Meireles, Rita P.;Brito, Iris M.;Costa, Patricia M.;Rebelo, Marco A.;Barbosa, Rui F.;Choupina, Miguel P.;Pinho, Carlos J.;Ribeiro, Matilde P.
    • Archives of Plastic Surgery
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    • 제49권2호
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    • pp.158-165
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    • 2022
  • Background Implant-based breast reconstruction has evolved tremendously in the last decades, mainly due to the development of new products and techniques that make the procedure safer and more reliable. The purpose of this study was to compare the outcomes in immediate one-stage breast reconstruction between acellular dermal matrix (ADM) and inferior dermal flap (IDF). Methods We conducted a retrospective comparative study of patients submitted to immediate breast reconstructions with an anatomical implant and ADM or IDF in a single center between 2016 and 2018. Outcomes evaluated included major complications, early complications, reinterventions, readmissions, and reconstruction failure. Simple descriptive statistics and univariate analysis were performed. Results A total of 118 breast reconstructions (85 patients) were included in the analysis. Patients in the IDF group had a higher body mass index (median = 27.0) than patients in the ADM group (median = 24). There were no statistically significant differences among both groups regarding immediate major complication, early complications, readmissions, and reinterventions. Conclusion There are no significant differences in complications between the ADM and IDF approach to immediate implant breast reconstruction. In patients with higher body mass index and large, ptotic breasts, we recommend an immediate implant reconstruction with IDF.

전방십자인대 재건술의 합병증 (Complications of Anterior Cruciate Ligament Reconstruction)

  • 송은규;김종석
    • 대한정형외과스포츠의학회지
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    • 제2권1호
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    • pp.15-19
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    • 2003
  • Although the number of anterior cruciate ligament reconstruction is increasing, complications after primary ACL reconstruction are more difficult to determine. Intraoperative and postoperative complications can lead to ultimate failure of a primary reconstructive procedure. Therefore, surgical success in ACL reconstruction requires detailed knowledge and technical advancements about ACL reconstruction. Preoperatively surgeon must pay attention to selection of grafts and methods of fixation, and intraoperatively, attention to the harvest of graft, passage of graft, intraarticuar placement of the graft, notchplasty, proper tensioning of the graft, and others. Postoperative complications must be detected early, including infection, abnormal healing responses, arthrofibrosis, graft rejection, and reflex sympathetic dystrophy. Careful patient selection, appropriate surgical timing, careful surgical technique, and supervised preoperative and postoperative rehabilitation can minimize postoperative complications.

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