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Small Bowel Strangulation after Free TRAM Breast Reconstruction in Post-hysterectomy Patient: A Case Report (전자궁적출술을 시행받은 환자에서 횡복직근 유리피판을 이용한 유방재건술 후 발생한 소장 교액의 증례)

  • Kim, Min-Ho;Jin, Ung-Sik;Myung, Yu-Jin;Chang, Hak;Minn, Kyung-Won
    • Archives of Plastic Surgery
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    • v.38 no.4
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    • pp.531-534
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    • 2011
  • Purpose: The rectus abdominis myocutaneous flap is currently the most commonly used donor site of immediate and delayed breast reconstruction surgery, for its versatility and ease of handling, as well as sufficient blood supply. Despite many advantages of rectus abdominis flap, morbidity of donor site is considered as inevitable shortcoming. The authors recently faced a devastating complication, small bowel obstruction that led to strangulation, after delayed breast reconstruction with free transverses rectus abdominis myocutaneous (TRAM) flap. And we would like to report it, because abdominal pain after TRAM flap is a common symptom and can be overlooked easily. Methods: A 56-year-old female patient who had history of receiving total abdominal hysterectomy 20 years ago underwent delayed breast reconstruction with TRAM flap transfer. She complained abdominal discomfort and pain from third postoperative day, postoperative small bowel obstruction that arose from strangulated bowel and prompt emergency operation was done. Results: After resection of the strangulated bowel and reanastomosis, quickly her symptoms were relieved, and there were no further problems during her hospital stay. 7 days after her emergency operation she was discharged. Conclusion: In patients with previous abdominal surgical history, prolonged ileus can lead to bowel strangulation, so surgeons should always consider the possibility, and must be aware of abdominal symptoms in patients who receive free TRAM flap operations.

Solvent Extraction of Tb(III) from Hydrochloric Acid Solution with Cyanex 272, Its Mixture and Ionic Liquid (염산용액에서 Cyanex 272 및 혼합용매와 이온성 액체에 의한 Tb(III)의 용매추출)

  • Oh, Chang Geun;Lee, Man Seung
    • Korean Journal of Metals and Materials
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    • v.56 no.12
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    • pp.870-877
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    • 2018
  • Cyanex 272 shows the highest separation factor for the rare earth elements from hydrochloric acid solution among the organophosporus acidic extractants, D2EHPA and PC 88A. Solvent extraction of Tb(III) from weak hydrochloric acid solution with an initial pH 3 to 6 was compared with Cyanex 272, its mixture with Alamine 336, and ionic liquid with Aliquat 336. The solvent extraction reaction of Tb(III) using Cyanex 272 was the same as that of light rare earth elements. Synergism was observed for the extraction of Tb(III) by the mixture with Alamine 336 when the initial concentration ratio of Cyanex 272 to Alamine 336 was higher than 5. Use of the ionic liquid led to a great increase in the extraction percentage of Tb(III) from the same initial extraction conditions. While the equilibrium pH of the mixture was always lower than the initial pH, under some conditions extraction with the ionic liquid resulted in a higher equilibrium pH than the initial pH. The loading capacity of the mixture and the ionic liquid was the same and 2.6 times larger than that using Cyanex 272 alone. Ionic liquid was recommended as a suitable extractant for the extraction of Tb(III) from hydrochloric acid solution based on the ease of handling and higher extraction percentage.

Clinical use of Platelet Rich Fibrin(PRF) in Various Hard and Soft Tissue Defect : Case Report (혈소판 유래 섬유소(Platelet Rich Fibrin(PRF))를 이용한 골결손부의 치료 : 증례보고)

  • Chee, Young-Deok;Go, Seo-Wook
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.4
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    • pp.303-312
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    • 2007
  • Recently several studies have been developed not only to apply bone materials to bony defect, but also to use osteogenic and osteoinductive materials to form bone more effectively. In 1998 Mark et al applied gel formation of PRP(platelet-rich plasma) in bony transplantation for mandibular reconstruction as one of the method of stimulating bone formation in maxillofacial area, which is contain of varies growth factors. After he reported that PRP accelerate bone formation, which is used in varies bone transplantation and augmentation with a good result. Especially there are amount of growth factors in PRP, and PRP increase angiogenesis, cell division, and mesenchymal cell growth. Moreover it is capable of osteoconduction, hemostatitis, anti-infection, forming the shape at transplantation, ease of handling, and recipient site stability. So it is known that success rate is high in bone transplantation. However PRP need tissue adhesive to make plasma to solid form. Thrombin and calcium chloride, component of PRP, is extracted from autogenic donor. So it is expensive to extract and there is possibility of hepatitis, AIDS, and hematogenous metastasis. After all, tissue adhesive have the limitation and danger of use. So we are willing to introduce that we had get some idea after using PRF(platelet-rich fibrin) in the various hard and soft tissue bony defect, which is self extracted simply and contain growth factors.

A Study on Synthetic Method and Material Characteristics of Magnesium Ammine Chloride as Ammonia Transport Materials for Solid SCR (Solid SCR용 암모니아 저장물질인 Magnesium Ammine Chloride의 합성방법 및 물질특성 연구)

  • Shin, Jong Kook;Yoon, Cheon Seog;Kim, Hongsuk
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.39 no.11
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    • pp.843-851
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    • 2015
  • Among various ammonium salts and metal ammine chlorides used as solid materials for the sources of ammonia with solid SCR for lean NOx reduction, magnesium ammine chloride was taken up for study in this paper because of its ease of handling and safety. Lab-scale synthetic method of magnesium ammine chloride were studied for different durations, temperatures, and pressures with proper ammonia gas charged, as a respect of ammonia gas adsorption rate(%). To understand material characteristics for lab-made magnesium ammine chloride, DA, IC, FT-IR, XRD and SDT analyses were performed using the published data available in literature. From the analytical results, the water content in the lab-made magnesium ammine chloride can be determined. A new test procedure for water removal was proposed, by which the adsorption rate of lab-made sample was found to be approximately 100%.

Rules for Control Propagation of Geospatial Data Generalization (공간데이터 일반화의 파급을 처리하기 위한 규칙)

  • Kang, He-Gyoung;Li, Ki-Joune
    • Journal of Korea Spatial Information System Society
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    • v.4 no.1 s.7
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    • pp.5-14
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    • 2002
  • The generalization of geospatial data is an important way in deriving a new database from an original one. The generalization of a geospatial object changes not only its geometric and aspatial attributes but also results in propagation to other objects along their relationship. We call it generalization propagation of geospatial databases. Without proper handling of the propagation, it brings about an inconsistent database or loss of semantics. Nevertheless, previous studies in the generalization have focused on the derivation of an object by isolating it from others. And they have proposed a set of generalization operators, which were intended to change the geometric and aspatial attributes of an object. In this paper we extend the definition of generalization operators to cover the propagation from an object to others. In order to capture the propagation, we discover a set of rules or constraints that must be taken into account during generalization procedure. Each generalization operator with constraints is expressed in relational algebra and it can be converted to SQL statements with ease. A prototype system was developed to verify the correctness of extended operators.

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A Study on the Development of Porcelain Bonded Ni-Cr Dental Alloy (도재소부용 Ni-Cr 보철합금 개발에 관한 연구)

  • Lee, Gyu-Hwan;Sin, Myeong-Cheol;Choe, Bu-Byeong
    • Journal of Biomedical Engineering Research
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    • v.6 no.1
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    • pp.37-46
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    • 1985
  • Development of a dental Ni-Cr alloy system for porcelain veneering crown and bridge was studied in this research. The principles of alloy design were a) It should not contain toxic beryllium. b) It should have low melting Point. c) It should be easily ground and polished. d) It should possess an adequate strength to resist the deformational force In the mouth. e) It should be bondable Ivith porcelain by chemically. After investigating the effect of minor elements such as boron and rare earth metals on the mechanical properties of the Ni-Cr alloy system, the compromised ideal composition for dental use was determined. The composition was l9.6%, Cr, 5.6% Mo, 3.4% Si, 1, 0% Fe, 0.01% Ti, 0.5-1.0% B, 0.2-0.6% misch metal, balance Ni. To compare the performance of experimental alloy with commercially available alloys, the properties such as strength, melting point, and bond strength were measured. The results Ivere as follows: a) Boron increases the strength of the alloy but reduces the elongation. b) Misch metal increases the strength when the boron content is low, but does not increase the strength when boron content is high. And it reduces the elongation drastically, c) Mechanical strength of the experimental alloy was not superior to commercially available Be containing alloy, but handling performance such as castability, ease of granting and polishing, and cuttability were superior to the Be containing alloy.

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Separation Technologies for the Removal of Nitrate-Nitrogen from Aqueous Solution (수용액으로부터 질산성질소 제거를 위한 기술)

  • Seo, Yang Gon;Jung, Se Yeong
    • Clean Technology
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    • v.23 no.1
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    • pp.1-14
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    • 2017
  • At high nitrate concentrations, water must be treated to meet regulated concentrations because it results in threat to human health and eutrophication of natural water. However, it is almost impossible to remove nitrate by conventional water treatment methods such as coagulation, filtration and precipitation, due to its high water solubility. Therefore, other technologies including adsorption, ion exchange, reverse osmosis, denitrification, and electrodialysis are required to effectively remove nitrate. Each of these technologies has their own strengths and drawbacks and their feasibility is weighted against factors such as cost, water quality improvement, residuals handling, and pre-treatment requirements. An adsorption technique is the most popular and common process because of its cost effectiveness, ease of operation, and simplicity of design. Surface modifications of adsorbents have been enhanced their adsorption of nitrate. The nitrate-selective membrane process of electrodialysis reversal and reverse osmosis have proven over time and at many locations to be highly effective in removing nitrate contaminating problems in aqueous solutions. Both electrodiaysis and reverse osmosis methods generate highly concentrated wastes and need careful consideration with respect to disposal.

Behaviour Studies of Red Till Fish, Branchiostegus Japonicus to a Longline Gear for Hook Design (연승어구에 대한 옥돔의 행동과 낚시형상 설계)

  • Lee, Chun-Woo;Park, Seong-Wook
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.31 no.3
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    • pp.240-246
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    • 1995
  • The responses of red tile fish, Branchiostegus Japonicus to a longline gear were examined in an experimental tank using two video cameras, in order to know hooking mechanism and improve longline hook. In attraction stage, the fish swim to upstream direction slowly just above the bottom toward the baited hook. The majority of the fish then biting the bait incompletely, after the biting, the fish made a backward swimming with low intense, and the bait was usually spitting out when snood was stretched. In most case, hooking took place at the moment the fish made jerk or rush after the bait wallowed. The behaviour sequence closely related to hooking are chewing and jerking or chewing and rushing. According to the field experiments, the tested hooks of long shank show very low catching efficiency compared to the traditional hook with short shank, and the hooked position of the traditional hooks were oesophagus or stomach but the tested hooks were mouth in the most cases. For catching efficiency, desirable hook shape were inferenced inner-curved point and short shank because its ease to swallow. The shape and demensions of a porposed hook were determined in consideration of mechanized gear handling and hooking performance.

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Study on Shearing Properties and Behavior of the Grout-reinforced Underground with ERP Pipes (FRP 그라우팅 보강지반의 전단특성에 관한 연구)

  • 최용기;박종호;권오엽;이상덕
    • Journal of the Korean Geotechnical Society
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    • v.18 no.5
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    • pp.73-81
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    • 2002
  • Nowadays , the grouted-reinforcing method, which is called FRP(Fiberglass-reinforced-plastic) pipe .reinforcing method, has been introduced in the community of pound reinforcements. The resistance to corrosion and chemical attack high strength to weight ratio, and ease of handling make these pipes a better alternative to steels in tunnel. However, to fully utilize FRP pipes as grouted reinforcing members at the face and the crown in tunnel, their mechanical properties and behaviors and the grout-reinforced underground have to be verified. Laboratory shear tests were conducted to evaluate the mechanical properties for FRP pipes, the grout-reinforced members and the grout-reinforced body of FRP pipes. According to the test results, it was observed that FRP pipes play a dominant role in shearing behavior of the grout-reinforced members and that their shearing resistance exerts after the shearing displacement increases to some extent.

A P2P Multimedia Streaming Protocol Using Multiple-Peer Binding (다중 피어 결합을 이용한 P2P 멀티미디어 스트리밍 프로토콜)

  • Jung Eui-Hyun
    • Journal of the Korea Society of Computer and Information
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    • v.11 no.2 s.40
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    • pp.253-261
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    • 2006
  • In spite of the popularity of P2P technology, a multimedia streaming using the P2P technology has been neglected. The reason for this is that the P2P multimedia streaming has suffered from several inherent problems especially poor bandwidth and unreliable connection among peers. We suggest a Multi-Peer Binding Protocol (MPBP) in this paper that provides a virtual single channel composed of multiple connections to several peers to ease these problems. The protocol enables applications to download data from multiple peers simultaneously, so they can achieve throughput improvement and reliable streaming. For this, the MPBP splits media files into small chunks and provides a mechanism for identifying and transmitting each chunk. Implemented MPBP engine focuses on handling an abrupt disconnection from data sending peers and the evaluation result shows the MPBP is able to handle it gracefully. The MPBP is also desisted to support various media types. To verify this, video and audio applications are implemented using the MPBP engine in this paper.

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