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양측 협부 근점막 피판을 이용한 2차성 연구개 비인강 폐쇄 부전의 치료: 증례보고 (Use of Double Buccinator Myomucosal Flap for Treating Secondary Velopharyngeal Insufficiency: a Case Report)

  • 김태운;최진영
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권5호
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    • pp.454-458
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    • 2010
  • Velopharyngeal insufficiency is defined as a status in which nasal cavity and oral cavity can not be sepa-rated when speaking, swallowing by any reason. It has been treated by palatorrhaphy, pharyn-geal flap, local flap, free flap etc. When the size of the defect is small, it can be restored by palatorrhaphy, pharyngeal flap etc. But they are not proper for treatment of the large size of defect. In that case, local flap and free flap are more beneficial. Although large defect can be restored by free flap technique, but it is very complex, time-consuming and may bring about esthetical, functional complications of donor site. Buccinator myomucosal flap is a kind of local flap and reported for the first time by Bozola et al in 1989 and it has become a useful way for reconstruction of large intraoral defect. Authors experienced the use of buccinators myomucosal flap for treating secondary velopharyngeal insufficiency with large soft palate defect and obtained good result. So we report the case with literature reviews.

Production of Acrylamide Using Immobilized Cells of Rhodococcus rhodochrous M33

  • Kim, Bu-Youn;Hyun, Hyung-Hwan
    • Biotechnology and Bioprocess Engineering:BBE
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    • 제7권4호
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    • pp.194-200
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    • 2002
  • The cells of Rhodococcus rhodochrous M33, which produce a nitrile hydratase enzyme, were immobilized in acrylamide-based polymer gels. The optimum pH and temperature for the activity of nitrile hydratase in both the free and Immobilized cells were 7.4 and 45$\^{C}$, respectively, yet the optimum temperature for acrylamide production by the immobilized cells was 20$\^{C}$. The nitrile hydratase of the immobilized cells was more stable with acrylamide than that of the free cells. Under optimal conditions, the final acrylamide concentration reached about 400 g/L with a conversion yield of almost 100% after 8 h of reaction when using 150 g/L of immobilized cells corresponding to a 1.91 g-dry cell weight/L. The enzyme activity of the immobilized cells rapidly de-creased with repeated use. However, the quality of the acrylamide produced by the immobilized cells was much better than that produced by the free cells in terms of color, salt content, turbidity, and foam formation. The quality of the aqueous acrylamide solution obtained was found to be of commercial use without further purification.

Fast Evaluation of Sound Radiation by Vibrating Structures with ACIRAN/AR

  • Migeot, Jean-Louis;Lielens, Gregory;Coyette, Jean-Pierre
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2008년도 추계학술대회논문집
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    • pp.561-562
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    • 2008
  • The numerical analysis of sound radiation by vibrating structure is a well known and mature technology used in many industries. Accurate methods based on the boundary or finite element method have been successfully developed over the last two decades and are now available in standard CAE tools. These methods are however known to require significant computational resources which, furthermore, very quickly increase with the frequency of interest. The low speed of most current methods is a main obstacle for a systematic use of acoustic CAE in industrial design processes. In this paper we are going to present a set of innovative techniques that significantly speed-up the calculation of acoustic radiation indicators (acoustic pressure, velocity, intensity and power; contribution vectors). The modeling is based on the well known combination of finite elements and infinite elements but also combines the following ingredients to obtain a very high performance: o a multi-frontal massively parallel sparse direct solver; o a multi-frequency solver based on the Krylov method; o the use of pellicular acoustic modes as a vector basis for representing acoustic excitations; o the numerical evaluation of Green functions related to the specific geometry of the problem under investigation. All these ingredients are embedded in the ACTRAN/AR CAE tool which provides unprecedented performance for acoustic radiation analysis. The method will be demonstrated on several applications taken from various industries.

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Yield and Free Sugar Contents of Burdock (Arctium lappa L.) depending on Nitrogen Levels

  • Lee, Ye-Jin;Sung, Jwa-Kyung;Lee, Seul-Bi;Lim, Jung-Eun;Song, Yo-Sung;Lee, Deog-Bae
    • 한국토양비료학회지
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    • 제49권6호
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    • pp.677-681
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    • 2016
  • Excessive nitrogen fertilization influences crop yields and quality as well as environmental pollution. In this study, yields, nitrogen use efficiency and free sugar contents of burdock (Arctium lappa L.) were evaluated at different levels of nitrogen fertilization. Nitrogen fertilizer was applied at 5 levels (0, 50, 100, 150, 200%) based on the conventional fertilization ($N=230kg\;ha^{-1}$), and phosphate and potassium fertilizer were treated by conventional P and K fertilization ($P_2O_5-K_2O=140-210kg\;ha^{-1}$) in all plots. The root yields of burdock were the highest in N 100~150% treatment plots. Nitrogen use efficiency and nitrogen recovery decreased from over N 150% treatment. Nitrogen uptake of root was greater than that of shoot in N 50~200% treatments. Fructose contents in root were inversely proportional to the level of nitrogen fertilization. As considering nitrogen recovery and root quality, economical burdock yield was obtained in N $230kg\;ha^{-1}$.

Functional Reconstruction of a Combined Tendocutaneous Defect of the Achilles Using a Segmental Rectus Femoris Myofascial Construct: A Viable Alternative

  • DeFazio, Michael Vincent;Han, Kevin Dong;Evans, Karen Kim
    • Archives of Plastic Surgery
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    • 제41권3호
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    • pp.285-289
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    • 2014
  • The composite anterolateral thigh flap with vascularized fascia lata has emerged as a workhorse at our institution for complex Achilles defects requiring both tendon and soft tissue reconstruction. Safe elevation of this flap, however, is occasionally challenged by absent or inadequate perforators supplying the anterolateral thigh. When discovered intraoperatively, alternative options derived from the same vascular network can be pursued. We present the case of a 74-year-old male who underwent composite Achilles defect reconstruction using a segmental rectus femoris myofascial free flap. Following graduated rehabilitation, postoperatively, the patient resumed full activity and was able to ambulate on his tip-toes. At 1-year follow-up, active total range of motion of the reconstructed ankle exceeded 85% of the unaffected side, and donor site morbidity was negligible. American Orthopaedic Foot and Ankle Society and Short Form-36 scores improved by 78.8% and 28.8%, respectively, compared to preoperative baseline assessments. Based on our findings, we advocate for use of the combined rectus femoris myofascial free flap as a rescue option for reconstructing composite Achilles tendon/posterior leg defects in the setting of inadequate anterolateral thigh perforators. To our knowledge, this is the first report to describe use of this flap for such an indication.

상악결손부의 2차적 재건에 있어 유리 혈관화 피판의 적용 (Late reconstruction of oncological maxillary defect with microvascular free flap)

  • 권대근;김진수
    • 대한치과의사협회지
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    • 제49권9호
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    • pp.527-534
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    • 2011
  • Microvascular reconstruction of maxillary composite defect after oncologic resection has improved both esthetic and functional aspect of quality of life of the cancer patients. However, a lot of patients had prior surgery with radiation and/or chemotherapy as a part of comprehensive cancer treatment. Sometimes it is nearly impossible to find out adequate recipient vessel for maxillary reconstruction with microvascular anastomosis. Therefore long pedicle of the flap is needed to use distant neck vessels located far from the reconstruction site such as ipsilateral transverse cervical artery or a branch of contralateral external carotid artery. For this reason, although we know the treatment of the choice is osteocutaneous flap, it is difficult to use this flap when we need long pedicle with complex three dimensional osseous defect. Vascular option for these vessel-depleted neck patients can be managed by a soft tissue reconstruction with long vascular pedicle and additional free non-vascularized flap that is rigidly fixed to remaining skeletal structures. For this reason, maxillofacial reconstruction by vascularized soft tissue flap with or without the secondary restoration of maxillary bone with non-vascularized iliac bone can be regarded as one of options for reconstruction of profound maxillofacial composite defect resulted from previous oncological resection with chemo-radiotherapy.

Ansys를 이용한 셀카봉 해석 및 새로운 설계 제안

  • 이정혁;장호익
    • 한국CDE학회지
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    • 제21권2호
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    • pp.61-64
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    • 2015
  • In this paper, the FREECAD 0.14 was used for modeling conventional Selfie-stick and the newly proposed Selfie-stick design. The purpose of this paper is to demonstrate the utility of FREECAD 0.14, which is open-source and still in development for further use. After modeling the conventional Selfie-stick, CatiyaV5 was used to assemble FREECAD 0.14 drawn elements. Main issue in newly designed Selfie-stick is the portability. To improve portability of the Selfie-stick, folding mechanism was adopted from folding LED stands. Several mechanisms were adopted to improve user convenience as well. Ansys 14.0 was used for structural analyses of conventional Selfie-stick model and the newly designed model as well. Several simplifications for the models were needed to process the analyses. When analyzing the newly designed model various materials were used one by one to find compatible composition. Using Magnesium Alloy for the stick and the hand grip was found to be compatible. FREECAD was useful for suggestion of the newly designed model but not so much useful to design an actual product. Various efforts would make FreeCAD the best choice for industrial use for free as it is named.

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도서관의 자유학기제 프로그램에 대한 학생수요조사 연구 (A Study on Students' Need for Free Learning Semester Programs of Libraries)

  • 노영희;김혜인
    • 한국도서관정보학회지
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    • 제47권3호
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    • pp.187-211
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    • 2016
  • 본 연구는 도서관의 자유학기제 프로그램에 대한 학생의 수요조사를 알아보기 위하여 설문을 개발하여, 이를 기반으로 중학교 1, 2학년 학생들을 대상으로 인식을 조사하였다. 중학생들이 자유학기제를 통해서 향상시키고자 하는 능력요소는 진로탐색능력이며, 중점적으로 운영된 자유학기제 유형은 진로탐색활동이다. 수업방식은 주로 체험중심 수업으로 이루어졌으며, 자유학기제 동안 참여하고 싶은 활동으로는 진로탐색 영역에서는 현장 체험 활동을, 학생선택 프로그램에서는 요리실습을, 동아리활동에서는 스마트폰 앱 개발, 예술영역에서는 디자인 활동을, 체육영역에서는 배드민턴을, 정보활용능력에서는 아이패드 사용하기를 가장 선호하는 것으로 나타났다. 또한 자유학기제와 연계한 도서관 프로그램 중 직업체험 프로그램을 가장 선호하는 것으로 나타났다. 향후 학생들의 의견을 참고하여 자유학기제 프로그램 개발과 실행을 해야 할 것이며, 도서관이 제공한 자유학기제 프로그램에 대한 만족도를 조사할 필요성이 나타났다.

프리사이즈 의복에 대한 대학생 소비자의 인식 및 구매실태 조사 (A Study on the College Student Consumer's Attitude and Purchasing Practice of Free Size Clothes)

  • 임지영
    • 한국의류산업학회지
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    • 제16권5호
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    • pp.785-790
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    • 2014
  • This study was performed to investigate purchasing practice and size satisfaction in order to establish marketing strategy and produce free-size clothes for the male and female in their 20s. Results were as follows; first, regarding the size selection method, it has been found that 71.5% of subjects answered that they buy clothes as a sales clerk chooses for them without knowing the old size name or notation. Second, 47.5% of subjects answered that free size is the size, which fits well to 55~66 size. Meanwhile, 36.1% answered that free size fits well to any body type; while 4% answered that free size fits well to 77 size. Third, regarding the clothes kind, which consumers buy most as free size, consumers buy shirts and sportswear by free size. Fourth, they were observed to purchase free-size clothes "free-size clothes what I want" and to not purchase clothes "due to the lack of right sizes." The size notation of clothes products is basic information, by which consumers can tell whether the clothes fit to self or not before the consumer would wear the clothes and confirm its fitness. Therefore, it is suggested that all clothes products would be manufactured by having KS clothes size as basic data and they would use standard size notation so that consumers would not have confusion. Standardized size notation by proper education and utilization on new KS notation method and attitude change of companies and consumers on size are suggested.

Optimal Wiener-Hopf Decoupling Controller Formula for State-space Algorithms

  • Park, Ki-Heon;Kim, Jin-Geol
    • International Journal of Control, Automation, and Systems
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    • 제5권4호
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    • pp.471-478
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    • 2007
  • In this paper, an optimal Wiener-Hopf decoupling controller formula is obtained which is expressed in terms of rational matrices, thereby readily allowing the use of state-space algorithms. To this end, the characterization formula for the class of all realizable decoupling controller is formulated in terms of rational functions. The class of all stabilizing and decoupling controllers is parametrized via the free diagonal matrices and the optimal decoupling controller is determined from these free matrices.