• Tuberculosis and Respiratory Diseases
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• 제70권1호
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• pp.63-68
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• 2011

Multiple symmetrical lipomatosis (MSL), also called Madelung's disease, is a rare disorder of unknown etiology and characterized by abnormal accumulation of large subcutaneous fatty masses in neck, shoulder, and upper trunk. MSL has known to predominantly affect middle-aged men with a history of alcoholism. Although the clinical course of MSL is considered to be slowly progressive, in advanced stage, fatty masses in the neck may compress the upper aerodigestive tract, resulting in dyspnea and dysphagia. The treatment of MSL is surgical resection, but radical excision is very difficult and recurrence after surgery is frequent. We report the case of 55-year-old man with long lasting MSL, which caused severe airway obstruction. This patient was admitted with progressive dyspnea and massive accumulation of fat around the vocal cord that was detected on a neck CT scan. This abnormal fatty infiltration in supraglottic region caused upper airway obstruction.

• 대한전자공학회논문지
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• 제24권5호
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• pp.747-752
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• 1987

Analysis and design procedures for both symmetrical and non-symmetrical open-circuited interdigital multiple coupled microstrip line structures for applications as wide-band DC blocks/filters have been presented. The design equations, as is the case of other microstrip structures, are based on a simplified TEM model. The experimental results are in good agreement with the theoretically predicted ones.

• Journal of Mechanical Science and Technology
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• 제14권1호
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• pp.1-10
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• 2000

This work shows that it is possible to obtain information about more than one parameter from acoustic field information. A variety of ultrasonic Lamb wave modes were utilized to reconstruct thickness and density of an isotropic plate. An image reconstruction of one parameter (thickness of a plate) was carried out for four cases, i.e., the lowest symmetrical and anti symmetrical modes, and the fastest symmetrical and anti symmetrical Lamb waves among multiple modes. For two parameter reconstructions (thickness and density), the image processing was performed using the lowest symmetrical and antisymmetrical modes simultaneously. In this work, a modified version of algebraic reconstruction technique (ART), which is a form of finite-series expansion method, was employed to reconstruct the ultrasonically computed tomographic images. Results from several sample geometries are presented.

• 대한두경부종양학회지
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• 제31권2호
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• pp.58-62
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• 2015

Benign symmetric lipomatosis, also known as Madelung's disease, Launois-Bensaude syndrome and multiple symmetric lipomatosis is a cutaneous condition characterized by extensive symmetric fat deposits in the neck, shoulders, and upper trunk. But symmetrical lipomatosis of the tongue is very rare and characterized by involvement exclusively of the tongue, invasiveness, and absence of encapsulation of the adipose tissue. A 75-year-old man presented with about a year history of painless tongue masses on both lateral border. Bilateral partial glossectomy was performed and subsequently was confirmed as symmetrical lipomatosis pathologically. We report this case with a review of the literatures.

• 한국전문물리치료학회지
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• 제4권1호
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• pp.63-69
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• 1997

Asymmetrical posture during static stance has been identified as a common problem in persons with hemiplegia. This study examined the effect of a purposeful exercise training program on symmetrical weight bearing in three adult persons with hemiplegia. Multiple baseline design was used. The intervention program, including ball throwing and catching, rolling ball catching and throwing, and Swiss ball pulling and stopping was introduced for 15 minutes each day during each intervention phase. Quantitative measurement of the weight distribution was taken with the Limloader. Visual inspection and mean of data revealed a significant improvement in symmetrical weight distribution. This result suggests that a purposeful exercise training program can be effective in helping persons with hemiplegia achieve symmetric stances.

• 대한두개안면성형외과학회지
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• 제21권5호
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• pp.305-308
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• 2020

Madelung's disease (MD) otherwise known as Launois-Bensaude syndrome, multiple symmetrical lipomatosis, or benign symmetric lipomatosis, is a rare disease characterized by abnormal diffuse lipomatosis in proximal upper limbs and neck. Here, we report a rare case of MD. A 66-year-old man presented with massive growth of soft tissues in the cervico-occipital region of more than 2 years duration. Physical examination showed diffuse enlargement of the anterior neck (Madelung's collar) and three huge humps at the posterior neck. Under a diagnosis of MD, lipectomy via a single anterior transverse incision and liposuction were performed. This rare case report may be helpful for assessing patients with abnormal diffuse lipomatosis in the neck and proximal upper limbs.

• 한국광학회지
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• 제14권5호
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• pp.555-564
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• 2003

광통신용 WDM 박막필터를 다중 공동 구조에 의한 방법과 등가 박막을 이용한 방법으로 설계하였고 특징을 비교하였다. 다중 공동 필터는 공동의 수가 증가함에 따라 변수(공동의 수, 각 거울의 주기수, 간격층의 차수)가 많아 설계가 매우 복잡해지므로 보다 실용성 있는 설계를 위해 대칭적으로 변수를 변화시켜 설계하였다. 다중 공동 구조에 의한 방법은 일반적으로 사용되는 4중, 5중 공동 필터를 대칭적으로 변수를 변화시켜 각각 100 ㎓, 50 ㎓ DWDM박막필터를 설계하기 위한 조건을 제시하였고, 또한 다중 공동 필터를 등가 박막으로 해석하여 변수를 최소화하고, 등가 박막의 특성과 WDM 필터의 규격이 대응되도록 설계과정을 일반화시켜 WDM 박막필터를 설계하였다. 두 방법을 비교한 결과 중요한 특징은 다중 공동 구조에 의한 방법은 변수를 적절히 변화시키는 방법을 사용하고 있어 시행착오를 거쳐야 하지만, 등가 박막을 이용한 방법은 체계적이고 정량화된 설계를 할 수 있다.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1987년도 전기.전자공학 학술대회 논문집(II)
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• pp.1090-1093
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• 1987

In this paper, we describe the principle, the procedure and calculation of the measurement. Finally the experimental results are shown and discussions are given. Interpreting of a skewed symmetry in the image as a real symmetry in the 3-D space provides strong constraints on 3-D sharp analysis. In order to apply the idea to the real scene, a method is presented which can find the skewed symmetry in the image of the skewed symmetrical object, even if it is occluded partly. there parameters of the skewed symmetry are estimated by examining peaks in two 2-D hough spaces, onto which the parameters of all candidates of boundary line segments for skewed symmetries are voted. The method is characterized with a small amount of computation, finding of multiple symmetry axes and inference of the occluded parts of the symmetrical object.

• Journal of Power Electronics
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• 제17권1호
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• pp.222-231
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• 2017

In this paper, a new architecture for a cost-effective power conditioning systems (PCS) using a single-sourced asymmetric cascaded H-bridge multilevel inverter (MLI) for photovoltaic (PV) applications is proposed. The asymmetric MLI topology has a reduced number of parts compared to the symmetrical type for the same number of voltage level. However, the modulation index threshold related to the drop in the number of levels of the inverter output is higher than that of the symmetrical MLI. This problem results in a modulation index limitation which is relatively higher than that of the symmetrical MLI. Hence, an extra voltage pre-regulator becomes a necessary component in the PCS under a wide operating bias variation. In addition to pre-stage voltage regulation for the constant MLI dc-links, another auxiliary pre-regulator should provide isolation and voltage balance among the multiple H-bridge cells in the asymmetrical MLI as well as the symmetrical ones. The proposed PCS uses a single-ended DC-DC converter topology with a coupled inductor and charge-pump circuit to satisfy all of the aforementioned requirements. Since the proposed integrated-type voltage pre-regulator circuit uses only a single MOSFET switch and a single magnetic component, the size and cost of the PCS is an optimal trade-off. In addition, the voltage balance between the separate H-bridge cells is automatically maintained by the number of turns in the coupled inductor transformer regardless of the duty cycle, which eliminates the need for an extra voltage regulator for the auxiliary H-bridge in MLIs. The voltage balance is also maintained under the discontinuous conduction mode (DCM). Thus, the PCS is also operational during light load conditions. The proposed architecture can apply the module-integrated converter (MIC) concept to perform distributed MPPT. The proposed architecture is analyzed and verified for a 7-level asymmetric MLI, using simulation results and a hardware implementation.

• Archives of Plastic Surgery
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• 제33권6호
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• pp.769-772
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• 2006

Purpose: Benign symmetrical lipomatosis(Madelung's disease) is a disease of uncertain etiology that manifests as massive lipomatous deposits in specific area of the body. It is usually located on the neck, shoulder, proximal regions of the extremities and the abdomen. Madelung's disease is found many in middle-aged, Mediterranean man. Imaging using either computed tomography or magnetic resonance imaging is often recommended. Dietary restriction provides no relief of disease. Abstinence with alcohol may delay further progression but does not regression tumor mass. The objective of this study is to prove effectiveness of liposuction for treatment of benign lipomatosis. Methods: We conducted liposuction as a treatment for benign lipomatosis. After general anesthesia, We conducted power assisted liposuction and amount of suctioned volume was about 2500 cc. After surgery, we did compressive dressing and then followed by pressure garment. Results: Six months after surgery, patient was examined for follow up at outpatient department. Recurred lipoma was not observated. Patient was satisfied with result.Conclusion: The only effective therapy for Madelung's disease is surgical removal but recurrence could be occurring. Also multiple surgical scars will be visible. We report a patient with multiple large lipomatosis successfully treated with liposuction.