• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제22권1호
• /
• pp.98-104
• /
• 2000

Expansion in the scope and technique of head and neck tumor resection during the past two decades has paralleled precise tumor localization with advanced radiographic imaging and the availability of microvascular free tissue transfer. Especially, the defect reconstruction utilizing free flap results in improvement of patient survival due to decrease of local recurrence by wide resection of cancer. The rectus abdominis free flap has been used widely in reconstruction of the breast and extremities. However, the report of cases on its applications in the head and neck, based on the deep inferior epigastric artery and vein, is rare. This flap is one of the most versatile soft-tissue flaps. The deep inferior epigastric artery and vein are long and large-diameter vessels that are ideal for microvascular anastomosis. The skin area that can be transferred is probably the largest of all flaps presently in use. The versatility of the donor site is due to the ability to transfer large areas of skin with various thickness and amounts of underlying muscle. This article is to report reconstruction of midface defects utilizing the rectus abdominis free flap in 2 patients with maxillary squamous cell carcinoma and discuss briefly considerations in flap design and orbital exenteration, and healing of irradiated recipient site by hyperbaric oxygen therapy with literature review.

• 전력전자학회:학술대회논문집
• /
• 전력전자학회 2017년도 전력전자학술대회
• /
• pp.208-209
• /
• 2017

When controlling a three-phase inverter that drives AC motor, it is important to know the value of the current. In this case, shunt sensing methods are known as low cost and useful performance. However, for certain swithcing condition, immeasurable areas exist and it is necessary to reconstruct the current in the area. This paper proposes a reconstruction method using voltage injection in synchronous coordinates system at the area, and verify the validity of the method through simulation.

• Journal of Power Electronics
• /
• 제13권2호
• /
• pp.232-242
• /
• 2013

To obtain phase currents information in AC drives, shunt sensing technology is known to show great performance in cost-effectiveness and therefore it is widely used in low cost applications. However, shunt sensing methods are unable to acquire phase currents in certain operation conditions. This paper deals with the derivation of the boundary conditions for phase current reconstruction in three-shunt sensing inverters and proposes a voltage injection method to expand the measurable areas. As the boundary conditions are deeply dependent on the switching patterns, they are typically analyzed on the voltage vector plane for space vector pulse width modulation (SVPWM) and discontinuous pulse width modulation (DPWM). In the proposed method, the voltage injection and its compensation are conducted within one sampling period. This guarantees fast current reconstruction and the injected voltage is decided so as to minimize the current ripple. In addition to the voltage injection method, a sampling point shifting method is also introduced to improve the boundary conditions. Simulation and experimental results are presented to verify the boundary condition derivation and the effectiveness of the proposed voltage injection method.

• Archives of Plastic Surgery
• /
• 제46권4호
• /
• pp.330-335
• /
• 2019

Background The use of anatomic implants has improved the aesthetic results of breast surgery; however, implant malrotation is an uncommon, but serious complication of these procedures. Nevertheless, little research has explored implant adhesion. In this study, we investigated adhesion between the expander and the capsule. Methods Seventy-nine cases of immediate breast reconstruction via two-stage implant-based reconstruction performed between September 2016 and November 2017 were evaluated. Mentor CPX4 expanders were used in 14 breasts, and Natrelle expanders in 65. We analyzed areas of adhesion on the surfaces of the tissue expanders when they were exchanged with permanent implants. We investigated whether adhesions occurred on the cephalic, caudal, anterior, and/or posterior surfaces of the expanders. Results Total adhesion occurred in 18 cases, non-adhesion in 15 cases, and partial adhesion in 46 cases. Of the non-adhesion cases, 80% (n=12) were with Mentor CPX4 expanders, while 94.4% (n=17) of the total adhesion cases were with Natrelle expanders. Of the partial adhesion cases, 90.7% involved the anterior-cephalic surface. The type of tissue expander showed a statistically significant relationship with the number of attachments in both univariate and multivariate logistic regression analyses (P<0.001) and with total drainage only in the univariate analysis (P=0.015). Conclusions We sought to identify the location(s) of adhesion after tissue expander insertion. The texture of the implant was a significant predictor of the success of adhesion, and partial adhesion was common. The anterior-cephalic surface showed the highest adhesion rate. Nevertheless, partial adhesion suffices to prevent unwanted rotation of the expander.

• 농촌계획
• /
• 제24권1호
• /
• pp.21-31
• /
• 2018

This study is a basic research for the development of 'Marginal Village Policy' in response to the hollowing-out of rural areas. For this purpose, the viewpoint of "Regeneration" & "Reconstruction" of the "Marginal Village Theory" and the recent "Rural Planning Theory of Evacuation" in Japan were reviewed. The background and trends of Marginal Village policy in Japan were also investigated. And based on this, the implications and future tasks for Korea were summarized as follows; (1)It is necessary to be interested in the disappearance of villages and marginal villages and to form positive discussions and social consensus. (2)Continuous field investigation and management of changes in population and village functions at regional and village level are required. (3)In addition to increasing the importance of depopulation problems, it is necessary to establish 'marginal villages' as a public policy target. (4)It is necessary to review and consider the viewpoint of reconstruction along with regeneration. (5)It is necessary to pay attention that the software project is expanded, and the regeneration & reconstruction policies of the rural villages are aimed at revitalizing the rural community. (6)It is necessary to consider the possibility of applying 'spacial construction' along with the expansion of the academic debate on the 'rural planning theory of evacuation'. On the basis of this, in this study, rural villages were classified into 'continuous villages', 'semi-marginal villages' and 'marginal villages' according to the degree of marginalization, and the basic framework of 'Marginal Village Policy' was proposed, which is to encourage the differentiated policies of 'continuous villages' by 'rural village policy', 'semi-marginal villages' and 'marginal villages' by 'marginal village policy'.

• Archives of Plastic Surgery
• /
• 제47권2호
• /
• pp.194-197
• /
• 2020

Anterior neck burns represent a major reconstructive challenge due to severe sequalae including restriction in movement and poor aesthetic outcomes. Common treatment options include skin grafting with/without dermal matrices, and loco-regional and distant free flap transfers with/without prior tissue expansion. Such variation in technique is largely influenced by the extent of burn injury requiring resurfacing. In order to optimize like-for-like reconstruction of the anterior neck, use of wide, thin and long flaps such as the anterolateral thigh (ALT) perforator flap have been reported with promising results. Of note, some patients have a tendency towards severe scar contractures, which may be contributed by the greater extent of inflammation during wound healing. We report our experience at 4 years' followup after secondary reconstruction of severe, anterior neck burn contractures in two patients by harvesting the ALT flap with a butterfly design. This technique provides adequate wound resurfacing of the burned neck and surrounding areas, and provides good neck extensibility by addressing both anterior and lateral aspects of the scar defect simultaneously. Such a flap design reduces tension on wound edges and thus, the risk of contracture recurrence in what remains a particularly challenging type of burn reconstruction.

• 대한두개안면성형외과학회지
• /
• 제12권1호
• /
• pp.48-52
• /
• 2011

Purpose: Many advances have been made in lower eyelid reconstruction surgical procedures after tumor ablative therapy. These include skin grafts, local flaps, free flaps, and skin expansion. When a full-thickness defect of the lower eyelid is reconstructed with many free flaps, ectropion and deformity of the medial and lateral canthal areas are common late complications caused by gravitational descent. The radial forearm free flap is widely used because of its lack of bulk, ease of dissection, malleability, and hairlessness. This report introduces a novel method for preventing ectropion using a composite radial forearm free flap reconstruction and palmaris longus suspension technique. Methods: A 70-year-old man had a malignant melanoma on his left lower eyelid. The patient was referred to our department after a biopsy confirmed the initial diagnosis. A full-thickness wide resection with a 25 mm free margin was performed, and a $5{\times}8cm$ radial forearm flap was elevated with a vascularised palmaris longus tendon. The palmaris longus tendon was fixed to the medial and lateral orbital rim perisoteum and the deep temporal fascia. The buccal mucosa was grafted to reconstruct the inner conjunctival layer. The pedicle vessels were anastomosed to the left superficial temporal artery and vein. Results: The postoperative clinical course was uneventful. The flap showed good texture and color match. No ectropion was noted 14 months after surgery and the tumor did not recur. The patient was quite satisfied with the final outcomes. Conclusion: Use of a radial forearm free flap and the palmaris longus tendon is an effective method for a full-thickness lower eyelid reconstruction.

• Nuclear Engineering and Technology
• /
• 제37권1호
• /
• pp.25-78
• /
• 2005

As a key and core knowledge for the design of various types of nuclear reactors, the discipline of reactor physics has been advanced continually in the past six decades and has led to a very sophisticated fabric of analysis methods and computer codes in use today. Notwithstanding, the discipline faces interesting challenges from next-generation nuclear reactors and innovative new fuel designs in the coming. After presenting a brief overview of important tasks and steps involved in the nuclear design and analysis of a reactor, this article focuses on the currently-used design and analysis methods, issues and limitations, and current activities to resolve them as follows: (1) Derivation of the multi group transport equations and the multi group diffusion equations, with representative solution methods thereof. (2) Elements of modem (now almost three decades old) diffusion nodal methods. (3) Limitations of nodal methods such as transverse integration, flux reconstruction, and analysis of UO2-MOX mixed cores. Homogenization and related issues. (4) Description of the analytic function expansion nodal (AFEN) method. (5) Ongoing efforts for three-dimensional whole-core heterogeneous transport calculations and acceleration methods. (6) Elements of spatial kinetics calculation methods and coupled neutronics and thermal-hydraulics transient analysis. (7) Identification of future research and development areas in advanced reactors and Generation-IV reactors, in particular, in very high temperature gas reactor (VHTR) cores.

• 한국산학기술학회논문지
• /
• 제19권6호
• /
• pp.614-627
• /
• 2018

국내 도시철도 노선은 이용자의 접근을 편리하게 하기 위하여 주거단지 및 도심지 인근 지역에 시공되는 사례가 많다. 도시 인구 증가로 인하여 교통망 확충과 재건축 등이 지속적으로 이루어짐에 따라 도시철도 인접 지역 굴착이 불가피하며 굴착 시 발생하는 지반 응력 및 지하수위 변화는 도시철도 궤도틀림을 유발한다. 이에 본 논문에서는 삼차원 유한차분 해석 상용프로그램 FLAC3D를 이용하여 도시철도 인접지반 대규모 굴착 시 지하수위에 따른 굴착 부 벽체 수평변위 및 배면지반의 침하와 궤도틀림량 산정 후 이들의 상관관계를 분석하고 궤도틀림 및 지하 박스구조물 안정성 평가를 실시하였다. 그 결과 깊은 굴착 시 지하수위에 따른 궤간틀림은 매우 미소하게 발생하였으나 줄틀림 72.5%, 수평틀림 83.3%, 면틀림 61.9%, 평면성틀림 43.3%로서 상대적으로 큰 차이가 발생하는 것으로 나타났다. 또한, 흙막이 벽체의 최대 수평 변위 및 벽체 배면 침하 차는 각각 65.1%, 21.4%가 발생하는 것으로 나타났으며 지하수위가 지표면에 위치한 경우 지하 박스구조물의 인장 응력이 허용 기준을 초과하는 것으로 나타났다. 그러므로 도시철도 구조물에 인접하여 깊은 굴착이 시공된 경우 궤도틀림으로 인한 사고를 미연에 방지하기 위해 본 연구에서 수행한 삼차원 수치해석과 실시간 모니터링을 실시하는 것이 바람직하다.

• 한국환경교육학회지:환경교육
• /
• 제24권4호
• /
• pp.111-128
• /
• 2011

This study was aimed at developing a common curriculum for the department of environmental education from 5 colleges of education. The need and background of curriculum reform can be summarized as follow; first, it has been recognized that new national curriculum of 2009 and 2011 created need for training teachers equipped with more integrated competency. Second, global environmental problems such as climate change and energy crisis asked for more responsible choice and action from all citizens. Third, the extremely low hiring rate resulted in the consideration of new working fields for teacher students majoring in environmental education. Fourth, the expansion of new environmental education paradigms including education for sustainable development called for practicing reconstruction of both contends and methods. From a series of research processes including analysis of current curriculum, DACUM, opinion survey and interest groups review, several new approaches for developing new curriculum had been identified as follow; first, content areas of environmental education should be extended beyond environmental natural science. Second, new learning approaches such as project-based learning need to be emphasized for strengthening the identity of environment as a separate subject. Third, more selective majoring system need to be applied in connection with environment government officials, researchers, and social environmental educators. It was recommended that the application of new curriculum developed by the study would be evaluated and managed by teaching conditions surrounding each of the five university members joined this developing processes. However, it needs to be noted that there is not much time because we had experienced zero hiring rate for the last 4 years and environmental policy and education programs are moving rapidly toward sustainable development.