• Archives of Plastic Surgery
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• 제38권5호
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• pp.655-662
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• 2011

Purpose: The anterolateral thigh flap is versatile flap for soft-tissue reconstruction for defects located at various sites of the body. This useful flap offers a thick and vascular fascia lata component with large amounts that can be soft tissue coverage for different reconstructive purposes. We present our clinical experience with the use of vascular fascia lata, combined with anterolateral thigh flap for various reconstructive goals. Methods: From April 2008 to February 2011, we transferred anterolateral thigh flaps with fascia lata component to reconstruct soft-tissue defects for different purposes in 11 patients. The fascia lata component of the flap was used for tendon gliding surface in hand/forearm reconstruction in 4 patients, for reconstruction medial and lateral patellar synovial membrane and retinaculum in 2 patients, for reconstruction of plantar aponeurosis in the foot in 2 patients, for reconstruction of fascial and peritoneal defect in the abdominal wall in 2 patient, and for dural defect reconstruction in the scalp in the remaining one. Results: Complete loss of the flap was not seen in all cases. Partial flap necrosis occurred in 2 patients. These complications were treated successfully with minimal surgical debridement and dressing. Infection occurred in 1 patient. In this case, intravenous antibiotics treatment was effective. Conclusion: Anterolateral thigh flap has thick vascular fascia with large amounts. This fascial component of the flap is useful for different reconstructive aims, such as for tendon, ligament, aponeurosis defects, abdominal wall or dura reconstruction. It should be considerated as an important advantage of the flap, together with other well-known advantages.

• 한국정밀공학회지
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• 제15권3호
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• pp.24-30
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• 1998

Strength and displacement of jig body in index machine utilized for multiprocess machining such as drilling, boring and tapping, etc, at the same time were analyzed by the use of finite element analysis soft ware ANSYS 5.2A. The whole geometry was constructed by 4048 elements and 7016 nodes employing 8 node brick element. The analyses were carried out on five loading cases combining vertical and horizontal machining to simulate the case occurring large displacement and the one occurring small displacement one and provided following conclusions. (1) Jig body had sufficient strength because its safety factor was 6.95 even in the most severe loading case. (2) The largest displacement in Z direction was 549 m and that in radial direction was 43.7 m. (3) In order to reduce the displacement, vertical machining rather than horizontal or two or three processes should be adopted in the same station. (4) Alternate change of horizontal machining direction at consecutive stations can reduce the displace ment. (5) The dimension of the slider should be increased to reduce the displacement by the tolerance in the sliding part. (6) A bypass idle piston head needs to be installed to give a counterpart supporting load from opposite direction for a single horizontal machining case.

• 대한치과의사협회지
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• 제49권9호
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• pp.520-526
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• 2011

Vascularized iliac crest flap include bone tissue of good quality and quantity for mandible segmental defect. Even if fibular flap can contain longer bone tissue, iliac crest has esthetic shape for mandible body reconstruction and large height for implant. Conventional vascularized iliac crest osteomyocutaneous flap is too bulky for reconstruction of intraoral soft tissue defect. But modified flap can reduce soft tissue volume, so is good for functional reconstruction of oral mucosa. It takes only one month for completely replace oral mucosa. The final mucosal texture is much better than other skin paddle flap, especially for implant prosthesis. Donor site morbidity of this method looks same level or less with other modalities functionally and socially. In case of oral mucosa-mandible combined defect, vascularized iliac crest with internal oblique muscle flap shows good outcomes for hard and soft tissue.

• 대한기계학회논문집A
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• 제33권12호
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• pp.1366-1374
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• 2009

Anterior cruciate ligament(ACL) of human body experiences a large deformation. May during everyday when large deformation is repeated by various activities such as outdoor activity, ACL easily get damaged. In order to acknowledge the effect of the cyclic large deformation to ACL, the constitutive equations for ACL are derived from experiment data. The concept of the objective stress rate plays a important role wherever large deformation occurs. In order to obtain the objective stress rates the eigenprojection technique is used. A comparison is made for four different cases: Jaumann rate, Green-Naghdi rate, logarithmic rate and twirl tensor of Eulerian triad rate for an isotropic material subject to cyclic deformation, such as simple shear motion. Four different materials are studied to compare the behavior of the materials for ACL using different objective rates. Finally, more complicated model with fibers for soft tissues is used to calculate the behavior subjected to cyclic large deformation.

• 대한수의학회지
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• 제60권3호
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• pp.179-182
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• 2020

A 16-year-old cat presented with a 2-week history of anorexia and lethargy. Radiography revealed a soft-tissue opacity, heart-shaped mass between the descending colon and urinary bladder. Ultrasonography showed a large uterine body with a heterogeneously hypoechoic, thickened wall and hypoechoic intraluminal fluid. Computed tomography revealed a large, fluid-filled uterine mass with contrast enhancement, without evidence of regional lymph node or pulmonary metastasis. Ovariohysterectomy was performed and leiomyosarcoma was confirmed by histology. No notable abnormalities were observed during the 1-year postoperative follow-up periods. This report describes the diagnostic imaging and treatment of a rare case of feline uterine leiomyosarcoma.

• 산업공학
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• 제16권3호
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• pp.352-361
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• 2003

Vehicle manufacturing plant is a typical mixed-model production system. Generally it consists of three main shops including body shop, painting shop and assembly shop in addition to engine shop. Each shop contains diverse manufacturing processes, all of which are integrated in a form of flow line. Due to the high pressure from the market requesting small-volume large variety production, production planning becomes very critical for the competitiveness of automotive industry. In order to save costs and production time, production planning system is requested to meet some designated requirements for each shop: to balance the work load in body and assembly shops, and to minimize the number of color changes in painting shop. In this context, we developed a sequencing module for a vehicle production planning system using the ILOG Solver Library. It is designed to take into account all the manufacturing constraints at a time with meeting hard constraints in body shop, minimizing the number of soft constraints violated in assembly shop, and minimizing the number of color changes in painting shop.

• 대한세포병리학회지
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• 제1권2호
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• pp.158-163
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• 1990

Ancient (degenerated) schwannomas are benign tumors that display pronounced degenerative changes including cyst formation, calcification, hemorrhage, and hyalinization. The tumors are usually infiltrated by large numbers of inflammatory cells such as neutrophils, lymphocytes, siderophages, and histiocytes. They are located in deep locations such as the retroperitoneum and must be differentiated from malignant soft tissue tumors because spindle cells with nuclear atypia may be present. In the fine needle aspiration biopsy. The cytologic findings of two cases of ancient schwannoma occurring in posterior mediastinum and retroperitoneum, respectively, are described. Computerized tomographic findings of both cases showed changes of cystic degeneration or necrosis. A case occurred in retroperitoneum revealed features of destruction of vertebral body to suggest a malignant soft tussue tumor radiologically. The cytologic findings of aspiration biopsy of both tumors revealed that the tumor cells were spindle in shape with elongated nuclei. Some of tumor cells were arranged in a palisading fashion. Cell structures that resemble the Verocay bodies were observed. Some of the tumor cells showed pleomorphic bizarre nuclei, but no mitotic activity or chromatin clumping was seen. Inflammatory cells, siderophages and histiocytes were scattered in fibrillar material. These cytologic findings are important in the diagnosis of ancient schwannoma and in the differentiation of this tumor from the malignant spindle cell tumor.

• International Journal of Naval Architecture and Ocean Engineering
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• 제11권1호
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• pp.59-69
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• 2019

This paper focuses on the numerical simulation of ice abrasion induced by unbreakable ice floe. Under the assumption that unbreakable floes behave as rigid body, the Discrete Element Method (DEM) was applied to simulate the interaction between a fixed structure and ice floes. DEM is a numerical technique which is eligible for computing the motion and effect of a large number of particles. In DEM simulation, individual ice floe was treated as single rigid element which interacts with each other following the given interaction rules. Interactions between the ice floes and structure were defined by soft contact and viscous Coulomb friction laws. To derive the details of the interactions in terms of interaction parameters, the Finite Element Method (FEM) was employed. An abrasion process between a structure and an ice floe was simulated by FEM, and the parameters in DEM such as contact stiffness, contact damping coefficient, etc. were calibrated based on the FEM result. Resultantly, contact length and contact path length, which are the most important factors in ice abrasion prediction, were calculated from both DEM and FEM and compared with each other. The results showed good correspondence between the two results, providing superior numerical efficiency of DEM.

• 한국양식학회지
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• 제20권1호
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• pp.60-64
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• 2007

양식 자라, Pelodiscus sinensis를 사용하여 진동 스트레스에 노출될 때 나타나는 생리적 반응의 단기적 지표로서 산소소비량(호흡)과 암모니아 배설량 변화를 조사하였다. 자라는 대형(갑장: $16{\sim}20\;cm$, 체중: $700{\sim}1,000\;g$)와 중형(갑장: $12{\sim}16\;cm$, 체중: $300{\sim}600\;g$)으로 구분하여, 1.5 ton 크기의 FRP 수조에 20마리씩 수용하였다. 진동 자극은 자체 제작한 진동기(vibrator)에 타임머를 연결하여, 하루 중 주간($08:00{\sim}18:00$)에만 2시간 간격으로 15분씩 28일 동안 매일 스트레스 자극을 주었다. 진동의 크기는 $45.0{\sim}68.2$(평균 56.6) dB(V) 였으며, 대조군 자라는 진동의 영향이 없는 별도의 사육수조에서 정상적으로 사육하면서 실험에 사용하였다. 연구결과, 진동 자극은 자라에 상당한 스트레스 요인으로 작용한 것으로 나타났다. 산소소비량 및 암모니아 배설량 등에서 체내 항상성이 스트레스 자극 10일 이후 생리활성도가 50% 이하로 감소하여 항상성 유지를 위한 모든 에너지를 소비하여 생리적 피폐기로 폐사직전인 것으로 나타났다. 자라는 다른 수산 생물과는 다르게 스트레스 상황에 처해 있을 때, 체외로 나타나는 징후가 뚜렷하지 않아 본 연구에서 나타난 산소소비와 암모니아 배설량은 자라의 생리적 활성도를 조사하는데 기초자료로 유용하게 사용될 것으로 판단된다.

• 대한두개안면성형외과학회지
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• 제22권4호
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• pp.183-192
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• 2021

Background: The purse-string suture (PSS) is a simple and rapid wound closure method that results in minimal scarring. It has been used to treat circular or oval skin defects caused by tumor excision or trauma. However, due to obscurity, it is not widely used, especially for the head and neck. This study aimed to modify the PSS to obtain predictable and acceptable results. Methods: A total of 45 sites in 39 patients with various types of skin and soft tissue defects in the head and neck were treated with PSS. We used PDS II (2-0 to 5-0), which is an absorbable suture. Minimal dissection of the subcutaneous layer was performed. The suture knot was hidden by placing it in the dissection layer. Depending on the characteristics of the skin and soft tissue defects, additional surgical interventions such as side-to-side advancement sutures, double PSS, or split-thickness skin graft were applied. Results: All wounds healed completely without any serious complications. Large defects up to 45 mm in diameter were successfully reconstructed using only PSS. Postoperative radiating folds were almost flattened after approximately 1-2 months. Conclusion: PSS is simple, rapid, and relatively free from surgical design. Owing to the circumferential advancement of the surrounding tissue, PSS always results in a smaller scar than the initial lesion and less distortion of the body structures around the wound in the completely healed defect. If the operator can predict the process of healing and immediate radiating folds, PSS could be a favorable option for round skin defects in the head and neck.