• Archives of Plastic Surgery
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• 제44권6호
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• pp.523-529
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• 2017

Background Serial tissue expansion is performed to remove giant congenital melanocytic nevi. However, there have been no studies comparing the expansion rate between the subsequent and preceding expansions. In this study, we analyzed the rate of expansion in accordance with the number of surgeries, expander location, expander size, and sex. Methods A retrospective analysis was performed in pediatric patients who underwent tissue expansion for giant congenital melanocytic nevi. We tested four factors that may influence the expansion rate: The number of surgeries, expander location, expander size, and sex. The rate of expansion was calculated by dividing the 'inflation amount' by the 'expander size'. Results The expansion rate, compared with the first-time group, was 1.25 times higher in the second-or-more group (P=0.04) and 1.84 times higher in the third-or-more group (P<0.01). The expansion rate was higher at the trunk than at other sites (P<0.01). There was a tendency of lower expansion rate for larger expanders (P=0.03). Sex did not affect the expansion rate. Conclusions There was a positive correlation between the number of surgeries and the expansion rate, a positive correlation between the expander location and the expansion rate, and a negative correlation between the expander size and the expansion rate.

• 동아시아식생활학회지
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• 제10권1호
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• pp.55-61
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• 2000

Physicochemical and sensory characteristics of Yukwa(fried rice cookie) made by different processing condition were investigated to estabilish the optimum expansion of Yukwa. The expansion rate and crispness of Yukwa prepared by soaking waxy rice for 24 hours was satisfactory . Addition of 15% soy slurry gave better effect on increasing the expantion rate, crispiness and sensory preference than no addition of soy slurry . Yeast, Soju(distilled liquor) , Mackeali(rice wine, turbid) and Chunju(rice wine, clear) as expansion reagent were added to Yukwa prepration . Yeast and Mackeali among tested expansion reagent showed better expansion rate and lower hardness meausred by texturometer than Chunju. Yukwa added chungju showed more fine structure and lower expantion rate than others. Microwave puffed Yukwa was less expansion rate, but same level of crispiness and hardness compared with oil puffed. And no difference in sensory characteristics such as degree of crispiness and stickiness of microwave puffed and oil puffed.

• 한국세라믹학회지
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• 제37권6호
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• pp.576-582
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• 2000

Two type of expanding cement generally referred to as CSA with Hauyne(3CaO 3Al2O3 CaSO4) and Quick lime(CaO). Hauyne is formed to ettringite when there are presented with CaO and CaSO4, and CaO reacts wtih water to form Ca(OH)2. REcently, the mechanism of compensation and expand mortar or concrete tend to same and it has been used improving on its shrink property. The volume of cement paste varies with its water content shrink with drying and re-wetting. Concrete and mortar works are required shrinking compensation and expansion properties to reduce of potential crack. The use of expansion cement may improve on its shrinking volume changes. CSA dosages for shrinking compensation limited by cement weight, but obtained difference expansion rate with varied W/C or inorganic admixture. This paper studies expansion rate according to expansion cement dosages, water and inorganic admixtures as Silica fume. Therefor, the expansion factor has to considered before the application.

• 한국항공우주학회지
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• 제35권8호
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• pp.706-713
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• 2007

코안다 효과를 유발시키기 위해 환상 슬릿과 팽창률이 일정하지 않은 축소 노즐로부터 분사되는 제트의 구조와 환상의 슬릿과 팽창률이 일정한 노즐로부터 분사되는 제트의 구조를 비교 연구하였다. 실험에 있어서 노즐 입구와 출구 직경을 각각 40mm, 20mm로 하였고, 노즐 출구 평균 속도를 90m/s로 하였다. 3축 이송 장치와 스캐닝 밸브 시스템을 이용하여 제트 축 및 반경 방향 압력을 측정하고, 측정된 정압 및 전압으로부터 구한 속도 분포를 비교 검토하였다. 안정성과 수속성이 우수한 제트를 얻기 위해서는 팽창률이 일정하지 않은 노즐보다 팽창률이 일정한 축소 노즐과 환상의 슬릿을 통해 코안다 효과를 이용하여 분사하는 것이 효과적임을 밝혔다. 또한 팽창에 따른 압력 강하도 팽창률이 일정한 노즐의 경우가 상대적으로 더 작게 됨을 알았다.

• 대한치과교정학회지
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• 제54권3호
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• pp.142-152
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• 2024

Objective: This retrospective cohort study aimed to assess and compare the accuracy of 3 different Invisalign^® treatment regimens in terms of variations of aligner change frequency and type of aligner material in achieving maxillary dental buccal expansion. Methods: Altogether, 120 adult patients whose treatment involved maxillary dental expansion with Invisalign^® were included. The patients were divided into 3 groups, with each group comprising 40 patients as follows: SmartTrack^® 1-week changes (ST1), SmartTrack^® 2-week changes (ST2), and EX30^® 2-week changes (EX2). The groups were assessed by comparing actual changes achieved with those prescribed by ClinCheck^®. The rates of clinically significant inaccuracies (CSI) observed for buccal expansion (≥ 0.5 mm) and buccolingual inclination (≥ 2°) during expansion were then determined. Results: In terms of expansion, the ST1 group demonstrated the highest CSI rate at all tooth levels, whereas the ST2 group had the lowest rate of CSI and the lowest mean inaccuracy for each tooth level. In terms of buccolingual inclination, the ST1 group had the highest CSI rate across all tooth levels, whereas the EX2 group had the lowest CSI rate at all tooth levels except for the canine level where the ST2 group had the lowest CSI rate. A tendency toward overexpression of buccal crown inclination, and underexpression of buccal expansion was observed at all tooth levels. Conclusions: Two-week aligner change regimens offer improved accuracy compared with 1-week aligner changes. SmartTrack^® 2-week changes were the most accurate for buccal expansion, whereas EX30^® 2-week changes were the most accurate for buccolingual inclination.

• 한국가정과학회지
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• 제7권3호
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• pp.35-48
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• 2004

In this study, by determining lower limb movements which cause significant changes in body surface lines, body parts with the greatest maximum expansion and contraction rate respectively were illustrated in descending order. Using unmarried female university students aged 18 - 24 as subjects, a total of 32 body surface categories (15 body surface lines and 17 body surface segment lines) were measured in one static and 9 movement poses. In particular, expansion and contraction levels and rates were measured and used in the analysis. The analysis first involved the calculation of the average measurement per body part in body surface line in static pose as well as of the average expansion and contraction levels and rates in 9 lower limb movements. Two-way MANOVA and multiple comparison analysis (Tukey) were conducted on movements and individual somatotypes regarding measurement per body part and expansion and contraction rates. Movements which cause measurements of body surface lines differed significantly in body surface line in static pose versus in movement were then identified. Among average expansion and contraction rates in such movements, maximum average expansion and contraction levels, maximum average expansion and contraction rate, and classes of expansion and contraction rate were determined per body part. The results of this study are as follows. First, 5 lower limb movements; F2, F5, F6, F7, F8, which caused significant changes in body surface lines were determined and illustrated in table 4. Second, the levels, rates, and classes of expansion and contraction rate per body part are illustrated in Tables 5 and 6. Body parts with the greatest maximum expansion rate were, in descending order: upper segment of center back leg line, upper segment of inner leg line, middle segment of center front leg line, posterior crotch length, anterior knee girth, anterior thigh girth, center back leg line, girth at crotch height, anterior midway thigh girth, hip girth, anterior crotch length, knee girth, waist girth, inner leg line, thigh girth, and crotch length. Those with the greatest maximum contraction rate were, in descending order: anterior crotch length, upper segment of center front leg line, lower segment of center back leg line, center front leg line, and posterior thigh girth. The maximum expansion rates and maximum contraction rates, which ranged from 2.05 to $35.95\%$ and from -0.20 to $-30.16\%$ respectively, were classified per body part into 4 ABCD classes. The body part with maximum expansion was the upper segment of the center back leg line at vertical body surface line, expanding by $35.95\%$ or 16.03cm in F5 flexion movement. In contrast, the body part with maximum contraction was the anterior crotch length at vertical body surface line, contracting by $-30.16\%$ or -10.54cm in F5 flexion movement. Both, however, were the body parts to expand or contract the most among all horizontal and vertical body surface lines.

• 한국연초학회지
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• 제19권1호
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• pp.70-75
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• 1997

The expansive properties of leaf tobacco by nitrogen gas was investigated with cut tobacco AB3O-1, CD3L-1(NC82). Major factors for the best expansion of the tobacco by the gas were an impregnated pressure and expansion temperature. The expansion rate for AB3O-1 and CD3L-1 at 250℃, 750kg/cm2 was 96.6%, 99.4% respectively. The shred size and fineness index at 96.6% of expansion rate for AB3O-1 was almost the same as at 58.3% for CD3L-1. The time reaching at equilibrium moisture under of RH 57% was 36hr in non-treated leaf tobacco, but it was 20hr in expanded tobacco. We confirmed that total sugar contents of leaf tobacco by the expansion was decreased with 9.3∼10.9%. Total alkaloid was decreased with 17.5∼21.1% and ether extracts was declined with 4.9∼9.3%. These results suggest that the expansion method of leaf tobacco by nitrogen gas is a useful method without any serious environmental troubles. Key words : expansion, nitrogen gas, heat treatment, tobacco.

• 설비공학논문집
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• 제11권6호
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• pp.928-936
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• 1999

An experimental study was performed to investigate characteristics of an inverter driven water-to-water refrigeration system with a variation of compressor frequencies and expansion devices. The frequency of a compressor varied from 30Hz to 75Hz, and performance of the systems applying three different expansion devices such as capillary tube, thermostatic expansion valve(TXV), and electronic expansion valve(EEV) were measured. The load conditions were altered by varying the temperature of the secondary fluid entering condenser and evaporator with a constant flow rate. When the test conditions were deviated from the standard value(rated value), TXV and EEV showed better performance than capillary tube due to optimum control of mass flow rate and superheat. In the present study, it was observed that the variable area expansion device had better performance than constant area expansion device in an inverter refrigeration system due to active control of flow area with a change of compressor frequency and load conditions.

• 보건행정학회지
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• 제20권1호
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• pp.87-102
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• 2010

The objective of this study were to examine the impact of medicaid coverage expansion policy aimed at improving access to primary care. The case-control study was conducted to compare preventable hospitalization(PH) rate in new medicaid recipients versus national health insurance(NHI) enrollees form 1996 to 2001. Rates of preventable hospitalization associated with ambulatory care sensitive conditions(ACSC) were calculated and standardized by age and sex. Multinomial logit regression model was used to control the confounding factors such as age, gender and charlson comorbidity index Annual PH rates in the new medicaid increased 1.64 times after medicaid expansion, with controling confounding factors. Meanwhile, annual PH rate in the NHI increased 1.68 times during the same period, with adjusting confounding factors. Current findings suggest that the new medicaid PH rate was less likely to rise than NHI PH rate after implementing medicaid expansion. This study is expected to provide policy-relevant evidence of medicaid expansion to include population with low income.

• Archives of Plastic Surgery
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• 제47권5호
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• pp.419-427
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• 2020

Background This study evaluated the Blossom system, an innovative self-filling, rate-controlled, pressure-responsive saline tissue expander (TE) system. We investigated the feasibility of utilizing this technology to facilitate implant-based and combined flap with implant-based breast reconstruction in comparison to conventional tissue expansion. Methods In this prospective, single-center, single-surgeon pilot study, participants underwent either implant-based breast reconstruction or a combination of autologous flap and implantbased breast reconstruction. Outcome measures included time to full expansion, complications, total expansion volume, and pain scores. Results Fourteen patients (TEs; n=22), were included in this study. The mean time to full expansion was 13.4 days (standard error of the mean [SEM], 1.3 days) in the combination group and 11.7 days (SEM, 1.4 days) in the implant group (P=0.78). The overall major complication rate was 4.5% (n=1). No statistically significant differences were found in the complication rate between the combination group and the implant group. The maximum patient-reported pain scores during the expansion process were low, but were significantly higher in the combination group (mean, 2.00±0.09) than in the implant group (mean, 0.29±0.25; P=0.005). Conclusions The reported average duration for conventional subcutaneous TE expansion is 79.4 days, but this pilot study using the Blossom system achieved an average expansion duration of less than 14 days in both groups. The Blossom system may accommodate single-stage breast reconstruction. The overall complication rate of this study was 4.5%, which is promising compared to the reported complication rates of two-stage breast reconstruction with TEs (20%-45%).