• 대한구순구개열학회지
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• 제13권2호
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• pp.77-84
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• 2010

Vomer flap is used to repair anterior hard palate in complete cleft lip and palate patients. As the midline structure located in between the two cleft segments of hard palate, the vomer flap is very useful because of its vicinity to cleft site and their ease of execution when it is done with primary cheiloplasty simultaneously. In addition, the quality of tissue is very similar to that of the nasal mucosa with good vascularity. In cases of simultaneous repair of cleft lip with anterior palate using vomer flap, the hard palate can be repaired at the same time with primary cheiloplasty which is earlier period than other techniques. With simultaneous close of cleft lip and cleft hard palate by vomer flap, subsequent palatoplasty does not require wide dissection, and consequently chance of oronasal fistula formation will be minimized. Additionally, surgical time will be reduced and, the harmful effects on mid-facial growth will be diminished. In this article, we will introduce the comprehensive vomer flap technique with primary lip closure and review the comparative studies of the outcome of simultaneous repair of cleft lip and cleft hard palate with vomer flap.

• 디지털융복합연구
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• 제20권2호
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• pp.251-260
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• 2022

기술의 발달과 스마트 스피커 보급의 증가에도, 스마트 스피커의 대화 오류로 사용자 만족도는 하락하고 있다. 이 연구는 스마트 스피커의 대화형 에이전트 맥락에서 '자기발화수정 전략'이 과업 중요도 수준과 대화 오류 여부에 따라 사용자 경험에 미치는 영향을 살펴보았다. 대화 오류에 따라 시나리오를 제작하고 과업 중요도 수준에 따라 집단을 나눠 실험을 진행해 신뢰, 지각된 유용성, 지각된 용이성, 수용의도를 측정하였다. 연구 결과, 에이전트의 자기발화수정 전략은 완전한 수행과 비교해 신뢰와 지각된 용이성에 부적 영향을 주며, 과업 중요도와의 상호작용을 통해 수용의도에 영향을 미치는 것을 발견하였다. 이 연구는 대화형 에이전트 연구에서 미흡했던 자기발화수정 전략의 효과를 실증적으로 알아보았고, 자기발화수정 전략의 수용과 관련된 사용자 경험 요인을 살펴보았다는 점에서 의의를 가진다.

• The Journal of Asian Finance, Economics and Business
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• 제7권9호
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• pp.613-620
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• 2020

The development of mobile Internet services allows more consumers to adopt smartphones as their primary communication device. This study focused on the application of the Technology Acceptance Model (TAM) to determine the willingness of batik and textile craftsmen to use smartphones. The population of this study was batik and textile craftsmen in the Bayat, Klaten, Central Java, Indonesia. A total sample of 243 people had answered 30 questions on the questionnaire with a 5-point Likert scale. The results of data analysis using GSCA software showed that, from eight hypotheses proposed, two hypotheses had not been supported. Technical support was not significant for the ease-of-use. It is because the damage experienced can be easily resolved by a repair shop. The findings reinforce the importance of training during the implementation of new technology. This training can make the users understand how to use new technology. The findings of this study strengthen the theory of TAM. Management support further influences the usefulness. This finding supports the theory of Igbaria technology acceptance. However, social influence did not significant influence the usefulness. This was because this study was conducted when the smartphone was no longer said to be a new technology.

• Advances in pediatric surgery
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• 제16권2호
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• pp.101-107
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• 2010

Herniorrhaphy of Indirect inguinal hernia (IIH) is one of the most frequently performed surgical procedures in children. The overall incidence of inguinal hernias in childhood ranges from 0.8 to 4.4 %. The incidence is up to 10 times higher in boys than girls, especially much higher in premature infants. IIHs in children are basically an arrest of embryologic development rather than an acquired weakness, which explains the increased incidence in premature infants. In normal development, the processus vaginalis closes, obliterating the peritoneal opening of the internal ring between 36th and 40th week of gestation. This process is often incomplete, leaving a small patent processus in many newborns. However, closure continues postnatally, and the rate of patency is inversely proportional to age of the child. The presence of a patent processus vaginalis is a necessary but not sufficient variable in developing a congenital IIH. In other words, all congenital IIHs are preceded by a patent processus vaginalis, but not all patent processus vaginalis go on to become IIHs. The overall incidence of IIH in population is approximately 1 to 2 % and the incidence of a processus vaginalis is approximately 12 to 14%, clinically appreciable IIH should develop in approximately 8 to 12 % of patients with a patent processus vaginalis. Although the classic open inguinal hernia repair remains the gold standard for most pediatric surgeons, laparoscopic repair is being performed in many centers. Like open technique, laparoscopic technique is fundamentally a high ligation of the indirect hernia sac with or without internal ring ligation. The advantages of laparoscopic approach include the ease of examining the contralateral internal ring, the avoidance of access damage to vas and vessels during mobilization of cord, decreased operative time, and an ability to identify unsuspected direct or femoral hernias. Almost all groin hernias in children are IIHs and occur as a result of incomplete closure of processus vaginalis. The treatment is repair by high ligation of hernia sac, which can be done by an open or laparoscopic technique. The contralateral side can be explored by laparoscopy or left alone, open exploration is no longer indicated due to potential risk of infertility.

• The Korean Journal of Pain
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• 제34권2호
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• pp.201-209
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• 2021

Background: Inguinal hernia repair is one of the most commonly performed surgical procedures. Regional blocks might provide excellent analgesia and reduce complications in the postoperative period. We aimed to compare the postoperative analgesic effect of the ultrasound-guided transversalis fascia (TF) plane block versus the transmuscular quadratus lumborum (QL) block in patients undergoing unilateral inguinal hernia repair. Methods: Fifty patients enrolled in this comparative study and were randomly assigned into two equal groups. One group received an ultrasound-guided QL block. In comparison, the other group received an ultrasound-guided TF plane block. The primary outcome was the patient-assessed resting, and movement-induced pain on the numeric pain rating scale (NRS) measured at 30 minutes postoperatively. Secondary outcomes included the percentage of patients receiving rescue analgesia in the first postoperative day, ease of performance of the technique, and incidence of adverse effects. Results: There were no statistically significant differences in NRS at rest and with movement between the groups over the first 24 hours postoperatively. The proportion of patients that received postoperative rescue analgesics during the first 30 minutes postoperatively was 4% (n = 1) in the QL group compared to 12% (n = 3) in the TF group. However, the mean performance time of the TF block was shorter than that of the QL block, and the performance of the TF block appeared easier technically. Conclusions: The ultrasound-guided TF plane block could be as effective as the QL block in lowering pain scores and decreasing opioid consumption following non-recurrent inguinal herniorrhaphy.

• 대한관절경학회지
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• 제9권2호
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• pp.180-185
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• 2005

목적: 본 논문의 목적은 Rapid Loc 기기를 이용한 관절경적 연골판 봉합술의 임상적, 방사선학적 결과를 평가하고자 하였다. 대상 및 방법: 44례를 대상으로 후향적으로 결과를 분석하였다. 퇴행성 병변이 동반되지 않은 단순 종파열로 진단되어 관절내시경하에서 Rapid Loc 기기를 이용하여 연골판을 봉합한후 평균 6개월이상의 추시가 가능하였던 환자 군을 대상으로 하였다. Orthopaedische Arbeitsgemeinschaft Knie (OAK) 평가 지표와 자기 공명 영상 촬영을 이용하여 임상적 방사선학적 결과를 평가하였다. 관절연 압통, 관절내 부종, McMurray 검사에서 양성인 경우는 임상적 실패로 간주하였다. 결과: 평균 연령은 33.4세 평균 추시기간은 15개월이었다. 임상결과는 우수 15례(34.1%), 좋음 20례 (45.5%), 양호 7례(15.9%), 불량 2례(4.5%) 였다. MRI상 Reicher 분류를 이용한 방사선학적 평가에서 grade 1 15례(33.3%), grade II 21례(50%), grade III 7례(16.7%)였으며, 임상적 실패는 8례(18%)였다. 술후 합병증은 1례에서 발생되었다. 결론: Rapid Loc 기기는 연골판 봉합술에 있어서 매우 우수한 결과를 보였으며, 삽입물이 유연하여 연골 손상이 적고, 사용이 간편하고 파열 부위의 압박 정도를 조절 할 수 있는 등 많은 장점이 있는 기법이라 사료된다.

• Smart Structures and Systems
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• 제22권6호
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• pp.699-709
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• 2018

With increasing traffic volumes and rising vehicle traffic, especially in cities, the number of pedestrian bridges has also increased significantly. Like all other structures, pedestrian bridges also suffer damage. In order to increase the safety of pedestrians, it is necessary to identify existing damage and to repair them to ensure the safety of the bridge structures. Owing to the shortcomings of local methods in identifying damage and in order to enhance the reliability of detection and identification of structural faults, signal methods have seen significant development in recent years. In this research, a new methodology, based on cone-shaped kernel distribution with a new damage index, has been used for damage detection in pedestrian truss bridges. To evaluate the proposed method, the numerical models of the Warren Type steel truss and the Arregar steel footbridge were used. Based on the results, the proposed method and damage index identified the damage and determined its location with a high degree of precision. Given the ease of use, the proposed method can be used to identify faults in pedestrian bridges.

• Molecules and Cells
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• 제19권2호
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• pp.167-179
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• 2005

The cells of metazoans respond to DNA damage by either arresting their cell cycle in order to repair the DNA, or by undergoing apoptosis. This response is highly conserved across species, and many of the genes involved in this DNA damage response have been shown to be inactivated in human cancers. This suggests the importance of DNA damage response with regard to the prevention of cancer. The DNA damage checkpoint responses vary greatly depending on the developmental context, cell type, gene expression profile, and the degree and nature of the DNA lesions. More valuable information can be obtained from studies utilizing whole organisms in which the molecular basis of development has been well established, such as Drosophila. Since the discovery of the Drosophila p53 orthologue, various aspects of DNA damage responses have been studied in Drosophila. In this review, I will summarize the current knowledge on the DNA damage checkpoint response in Drosophila. With the ease of genetic, cellular, and cytological approaches, Drosophila will become an increasingly valuable model organism for the study of mechanisms inherent to cancer formation associated with defects in the DNA damage pathway.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1995년도 추계학술대회 논문집 학회본부
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• pp.216-218
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• 1995

This paper presents the concepts developed to propose Distributed Control System(DCS). To achieve adequate satisfaction under various conditions, the DCS should be designed from two points of view of functions distributions and performance planning. Performance evaluation criteria can be specified by the response time between units and the utilization of each unit. One has to also consider the ease and the cost of installation, maintenance, repair. Based on these characteristics, different system configuration can be evaluated and compared through results about evaluation criteria in order lo select the best DCS for particular process. The results, in abbreviated form, of the simulation DCS controlling a CAL(Continuos Annealing Line) plant of iron process ate presented.

• 대한치과의사협회지
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• 제16권3호통권106호
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• pp.235-237
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• 1978

Dr. Walter Wright first presented the results of his studies on acrylic resins in July, 1937. The use of resins for adaptation in inlay and crown and bridge prosthesis was first reported in June 1940 by Harris. There has been now and acceptable list of several physical and mechanical properties of acrylic resins which have been studied to a considerable extent by various researchers, or determined from clinical experience. They include; pleasant esthetics, taste, odor, cleanliness, compatibility with oral tissue, dimensional stability, water sorption by imbibition, hardness, ease and success of repair, weight, thermal coefficient of expansion and strength to resist functional stress. The author carried a series of experiments forward to check the strength. Specimens which were cured at boiling temperature showed weaker strength than those ones which were cured at 72℃.