• Title/Summary/Keyword: Early reconstruction

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A Study on the Experimental Characteristics of Libeskind's Early Drawing Works (리베스킨트 초기 드로잉 작업의 실험적 특성에 관한 연구)

  • Chung, Tae-Yong
    • Korean Institute of Interior Design Journal
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    • v.22 no.1
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    • pp.97-104
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    • 2013
  • This study aims at finding out the characteristics and influences of Libeskind's early drawing works through comparisons of each drawing. The importance of his experimental drawing works is not only their uniqueness but also relationship to creation and development of his architecture. Libeskind's musical and educational background had great impacts on forming his early drawings. A series of drawings including 'Micromegas', 'Chamberworks', and 'Theatrum Mundi' shows variety and experiments about reconstruction of three dimensional architectural fragments, abstractive line drawing and plane oriented painting. Libeskind himself cease to experiment drawing techniques but their characteristics still remain in his sketches, diagram and conceptual drawings. In spite of influences of undergraduate design studios, theoretical background of graduate studies, their experimental features are due to his continuous endeavor to make and develop his drawing skills and contents. As a result, his early drawings act as media and way to communicate and develop his concepts.

Understanding the Construction of Chang-ui in the Middle Chosun Dynasty -Through the Process of Reconstructing Chang-ui Excavated from General Parks Tomb- (조선중기 창의구성의 이해 -전 박장군묘 청색무명겹창의의 재현을 통하여-)

  • 장인우
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.3
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    • pp.548-559
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    • 2001
  • This study is to understand Chang-ui construction of the middle Chosun Dynasty through the reconstruction of the blue Chang-ui which was excavated from General Parks tomb. The followings are the results of this study. There are 4 styles in excavated Chang-ui of middle Chosun Dynasty: Two styles seem to belong to the early 17th Century and the other, the late 17th century. The former is classified into 2 styles by the gender of the wearer, the latter is also classified into 2 styles by etiquette of clothing. We can assume that Chang-ui excavated from General Parks tomb was the womans clothing in early 17th century. This Chang-ui(II) differs from other Chang-ui(I) at two points. One is the construction of the trapezoid and triangle gussets on the side seam of clothing. The other is the construction of the narrow width of clothing(23cm). We have found that these two gussets could improve the active aspect of clothing and save materials. It is identified that the green tone was faded from the blue color of Chang-ui according to the calculation of the L*a*b.

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Single-Port Laparoscopic Proximal Gastrectomy with Double Tract Reconstruction for Early Gastric Cancer: Report of a Case

  • Lee, Chang Min;Park, Da Won;Jung, Do Hyun;Jang, You Jin;Kim, Jong-Han;Park, Sungsoo;Park, Seong-Heum
    • Journal of Gastric Cancer
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    • v.16 no.3
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    • pp.200-206
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    • 2016
  • In Korea, proximal gastrectomy has recently attracted attention as a better choice of function-preserving surgery for proximal early gastric cancer than total gastrectomy. Of the various strategies to overcome reflux symptoms from remnant stomach, double tract reconstruction not only reduces the incidence of anastomosis-related complications, but is also sufficiently reproducible as a laparoscopic procedure. Catching up with the recent rise of single-port laparoscopic surgeries, we performed a pure single-port laparoscopic proximal gastrectomy with DTR. This procedure was designed by merging the function-preserving concept of proximal gastrectomy with single-port laparoscopic total gastrectomy.

A Preliminary Study on Developing a Photoacoustic Imaging System for Inflammatory Arthritis Diagnosis (관절염 진단용 광음향 이미징 시스템 개발을 위한 선행 연구)

  • Youn, Jong-In;Park, Ji-Won
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.83-89
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    • 2010
  • Purpose: The goal of this study was to investigate the feasibility for the early diagnosis of inflammatory arthritis by the reconstruction of three-dimensional photoacoustic imaging with a tissue phantom. Methods: Q-switched Nd:YAG laser (l = 532 nm) was applied to a tissue phantom to generate photoacoustic waves, and the acquired photoacoustic signals at different positions around the sample were used to recombine the distribution of the optical absorption and the images were subsequently generated through a reconstruction algorithm. Results: From the acquired photoacoustic signals, the surface andinner core of the phantom was clearly distinguished. Furthermore, the back-projection algorithm was able to reconstruct two-dimensional and three-dimensional photoacoustic images that contained the optical absorption property information of the tissue phantom. Conclusion: The results indicate that the photoacoustic imaging technique has many advantages such as high optical contrast and high acoustic resolution. The acquired images can be used for the early diagnosis of inflammatory arthritis by the structural information obtained from the region of interest.

Initial Palliation of the Pulmonary Atresia with Interventricular Communication (심실간 중격결손을 동반한 폐동맥 폐쇄증의 일차 고식적 수술)

  • 김삼현
    • Journal of Chest Surgery
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    • v.25 no.1
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    • pp.23-31
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    • 1992
  • The ideal approach in the staged management of patients with pulmonary atresia has been a challenging problem and the result has not been always satisfactory. We reviewed our early result of initial palliative surgeries in fifteen cases of pulmonary atresia with interventricular communication Included are eight cases of simple pulmonary atresia with ventricular septal defect and seven cases of pulmonary atresia associated with other complex cardiac anomalies. The ages of the patients were less than one year except one. The morphology of pulmonary vasculature was highly variable and showed unfavorable conditions in most cases. Pulmonary artery was nonconfluent in two. Two-thirds of all cases showed significant problems such as juxtaductal stenosis or diffuse hypoplasia. The ductus arteriosus usually narrowed at its pulmonic end. Initial palliation was done by modified Blalock-Taussig shunt in six, central shunt with or without pulmonary angioplasty in five, right ventricular outflow tract [RVOT] reconstruction in three and direct connection of nonconfluent pulmonary arteries with bilateral cav-opulmonary shunt in one patient. There were 3 hospital deaths. Two of them underwent simultaneous repair of the associated anomaly of TAPVR. Among the six patients who received modified Blalock-Taussig shunt, three needed early second palliative procedure by central shunt, RVOT patch reconstruction and pulmonary angioplasty in each case, All patients who received central shunt showed marked clinical improvement. Among the twelve patients who survived the palliative procedures, two patients underwent total correction 13 months and 18 months after initial palliation respectively. We think that the choice of palliative procedure must be individualized according to the morphology of the pulmonary arteries. More experience and long term follow-up data are necessary to meet this challenging problem.

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A Study on the Trimming of Wood in the Construction of the Palace in the 2nd half of the Choseon Dynasy (조선후기(朝鮮後期) 궁궐공사(宮闕工事)의 목재치련(木材治鍊)에 관한 연구)

  • Lee, Kweon-Yeong;Kim, Soon-Il
    • Journal of architectural history
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    • v.8 no.1 s.18
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    • pp.9-28
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    • 1999
  • Broadly speaking, this paper is concentrated on the trimming of the wood demanded for the palace, constructed in the 2nd half of the Choseon Dynasty. To be concrete, this is the study on the craftman and craftmanship corncerned with the trimming of the wood, its system, and terms of payment of his wages, Construction reports, financial reports, job slips, written estimates, bills for payment, and other documents in those days are examined for the study. Following conclusions have been reached through the study. 1) The operation system of whole construction office and its suboffice was very specialized and systematized from the early 19th century. 2) The craftman engaged in trimming of the wood was subdivided by work function. 3) The craftman for its first trimming, i.e. 'keojang' or 'seonjang' had been treated as a speacial labor recruited to the mid-l8th century, after that, was enrolled into the craftman. 4) A unit cost of its first trimming was firstly appropriated into the reconstruction of the Kyongwoon Palace in the early 20th century, and it was very subdivided for a personnel management. 5) Contract works were widely applied to all workers engaged in the reconstruction for an efficiency of the accomplishments.

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A Comparison of Ipsilateral Upper Limb Sensory Changes after Mastectomy Alone and Mastectomy with Immediate Breast Reconstruction (유방암 환자에서 유방절제술과 절제 후 즉시 재건술에 의한 동측 상지의 피부 감각 변화 비교)

  • Kim, Jeong Min;Yoo, Sung In;Kim, Eui Sik;Hwang, Jae Ha;Kim, Kwang Seog;Lee, Sam Yong
    • Archives of Plastic Surgery
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    • v.35 no.5
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    • pp.533-538
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    • 2008
  • Purpose: Sensory changes in the upper limb are complications of a mastectomy with immediate breast reconstruction with the treatment of breast cancer. The purpose of this study is to clarify whether immediate breast reconstruction worsens the sensory changes. Methods: From March 2004 to December 2005, 20 patients who had a mastectomy with immediate breast reconstruction(reconstruction group) were compared with 23 patients who had a mastectomy alone(control group). All patients had stage I or II breast cancer. The sensory changes were assessed in a blind manner by one examiner that used light touch sensation, static two-point discrimination, pain, vibration, hot and cold temperature perception. The sensory changes were identified along the sensory dermatome for diagnosing the damaged nerves. The following factors and their relationship with the sensory changes were analyzed : age, complications, and the mastectomy method. Results: There was no statistical difference in the static two-point discrimination, pain, vibration, hot and cold temperature perception between the two groups. However, the ability to recognize light touch was significantly better(p=0.045) in the reconstruction group than in the control group. The main site of sensory change was the proximal and medial portion of the upper limb in both groups. At these sites, the mean value of Semmes-Weinstein monofilament was $1.01g/mm^2$(reconstruction group 0.82, control group 1.17) and 2-point discrimination was 51.74(converted to perfect score of 100; reconstruction group 42.50, control group 59.78). The total rate of early complications was found to be significantly lower(p=0.006) in the reconstruction group than in the control group. Conclusion: These findings suggest that an immediate breast reconstructive procedure following a mastectomy is as safe as or safer than a mastectomy alone with respect to postoperative sensory changes of the ipsilateral upper limb.

Evaluating the Effectiveness of Cryopreserved Acellular Dermal Matrix in Immediate Expander-Based Breast Reconstruction: A Comparison Study

  • Kim, So-Young;Lim, So Young;Mun, Goo-Hyun;Bang, Sa-Ik;Oh, Kap Sung;Pyon, Jai-Kyong
    • Archives of Plastic Surgery
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    • v.42 no.3
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    • pp.316-320
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    • 2015
  • Background CGCryoDerm was first introduced in 2010 and offers a different matrix preservation processes for freezing without drying preparation. From a theoretical perspective, CGCryoDerm has a more preserved dermal structure and more abundant growth factors for angiogenesis and recellularization. In the current study, the authors performed a retrospective study to evaluate freezing- and freeze-drying-processed acellular dermal matrix (ADM) to determine whether any differences were present in an early complication profile. Methods Patients who underwent ADM-assisted tissue expander placement for two stage breast reconstruction between January of 2013 and March of 2014 were retrospectively reviewed and divided into two groups based on the types of ADM-assisted expander reconstruction (CGDerm vs. CGCryoDerm). Complications were divided into four main categories and recorded as follows: seroma, hematoma, infection, and mastectomy skin flap necrosis. Results In a total of 82 consecutive patients, the CGCryoDerm group had lower rates of seroma when compared to the CGDerm group without statistical significance (3.0% vs. 10.2%, P=0.221), respectively. Other complications were similar in both groups. Reconstructions with CGCryoDerm were found to have a significantly longer period of drainage when compared to reconstructions with CGDerm (11.91 days vs. 10.41 days, P=0.043). Conclusions Preliminary findings indicate no significant differences in early complications between implant/expander-based reconstructions using CGCryoderm and those using CGDerm.

Immediate Partial Breast Reconstruction with Endoscopic Latissimus Dorsi Muscle Flap Harvest

  • Yang, Chae Eun;Roh, Tai Suk;Yun, In Sik;Kim, Young Seok;Lew, Dae Hyun
    • Archives of Plastic Surgery
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    • v.41 no.5
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    • pp.513-519
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    • 2014
  • Background Currently, breast conservation therapy is commonly performed for the treatment of early breast cancer. Depending on the volume excised, patients may require volume replacement, even in cases of partial mastectomy. The use of the latissimus dorsi muscle is the standard method, but this procedure leaves an unfavorable scar on the donor site. We used an endoscope for latissimus dorsi harvesting to minimize the incision, thus reducing postoperative scars. Methods Ten patients who underwent partial mastectomy and immediate partial breast reconstruction with endoscopic latissimus dorsi muscle flap harvest were reviewed retrospectively. The total operation time, hospital stay, and complications were reviewed. Postoperative scarring, overall shape of the reconstructed breast, and donor site deformity were assessed using a 10-point scale. Results In the mean follow-up of 11 weeks, no tumor recurrence was reported. The mean operation time was 294.5 (${\pm}38.2$) minutes. The postoperative hospital stay was 11.4 days. Donor site seroma was reported in four cases and managed by office aspiration and compressive dressing. Postoperative scarring, donor site deformity, and the overall shape of the neobreast were acceptable, scoring above 7. Conclusions Replacement of 20% to 40% of breast volume in the upper and the lower outer quadrants with a latissimus dorsi muscle flap by using endoscopic harvesting is a good alternative reconstruction technique after partial mastectomy. Short incision benefits from a very acceptable postoperative scar, less pain, and early upper extremity movement.