• Archives of Reconstructive Microsurgery
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• 제21권2호
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• pp.118-130
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• 2012

Background: Women receiving mastectomy usually prefer a single-stage surgical procedure without the need for additional surgery. Hence, nipple sparing mastectomy was introduced, and the follow-up data on the aesthetic outcome and recurrence of breast cancer were investigated in this study. Materials and Methods: The study subjects comprised 22 patients who received nipple-sparing mastectomy and immediate breast reconstruction using the free transverse abdominal rectus abdominis myocutaneous flap between June of 2007 and June of 2012. The patients' aesthetic outcomes were measured with 2 methods for the objective result: Breast size measurements and breast volume calculation both at preoperative phase and postoperative 1 years phase. Also, the patients' satisfaction was evaluated at postoperative 1 year with the self-assessment questionnaire. Follow up check for assessing cancer recurrence was performed for an average period of postoperative 1063 days. Results: First, in objective aesthetic outcome, there were no significant differences between the preoperative and postoperative results on both the breast size and the volume. Second, the patient satisfaction analysis scores were graded as very good in 15 patients (68.2%), and as good in 6 patient (27.3%). Most of the patients were very satisfied with our surgery method. Last, there was no local or distant recurrence in these 22 patients during the follow-up period. Conclusion: In this study, the nipple-sparing mastectomy achieved satisfactory results for the breast scar and shape with a single-stage surgical procedure, and the cancer recurrence rate was not significantly different from that of the conventional mastectomy. Besides, the nipple-sparing mastectomy is more cost-effective than the conventional mastectomy since it reduces the need for additional procedures. However, we think that it is necessary to determine the long-term outcomes about the recurrence rate.

• Archives of Plastic Surgery
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• 제42권4호
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• pp.446-452
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• 2015

Background Various techniques are used for performing breast reduction. Wise-pattern and vertical scar techniques are the most commonly employed approaches. However, a vertical scar in the mid-lower breast is prominent and aesthetically less pleasant. In contrast, a semicircular horizontal approach does not leave a vertical scar in the mid breast and transverse scars can be hidden in the inframammary fold. In this paper, we describe the experiences and results of semicircular horizontal breast reductions performed by a single surgeon. Methods Between September 1996 and October 2013, our senior author used this technique in 38 cases in the US and at our institution. We used a superiorly based semicircular incision, where the upper skin paddle was pulled down to the inframammary fold with the nipple-areola complex pulled through the keyhole. Results The average total reduction per breast was 584 g, ranging from 286 to 794 g. The inferior longitudinal pedicle was used in all the cases. The average reduction of the distance from the sternal notch to the nipple was 13 cm (range, 11-15 cm). The mean decrease in the bra cup size was 1.7 cup sizes (range, a decrease of 1 to 3). We obtained very satisfactory results with a less noticeable scar, no complication such as necrosis of the nipple or the skin flap, wound infection, aseptic necrosis of the breast tissue, or wound dehiscence. One patient had a small hematoma that resolved spontaneously. Conclusions This technique is straightforward and easy to learn, and offers a safe, effective, and predictable way for treating mammary hypertrophy.

• 한국식품영양과학회지
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• 제12권1호
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• pp.12-18
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• 1983

An ecological survey of early childhood nutrition was conducted from January 23 to February 18, to study the feeding method and weaning practice in Whaseong-gun, Kyonggi-do. This study covered a total of 283 children. Seventy three percent of the subjects had been breast-fed; 10% had been bottle-fed; others had been combination-fed before the introduction of supplementary foods. Only 26.9% of the subjects began to be fed supplementary food before the age of 6 months. The supplementary food used most frequently by the majority of children at the beginning of weaning was plain cooked rice; rarely special preparation, or different from the food eaten by the family. As for age of termination of breast feeding, 42.7% of the subjects were before 12 months; 32.8% were between 13 and 18 months of age; 24.5% were more than 19 months old. As for methods of stopping breast feeding, 44.5% of the subjects were naturally terminated while 38.5% were forced to terminate by the application of sticking plaster or medicines to the mother's nipples. The results indicate a need for nutrition and hygiene intervention to improve the weaning practice of rural area through the community nutrition education.

• 복식
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• 제64권4호
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• pp.106-117
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• 2014

The purpose of this study is to provide basic information for the development of well-fitting and comfortable brassieres for women in their 30s, based on the classification of breast shapes by utilizing 3D body measurement data of women in the age group. The result of processing the measurements from the 3D body scan data through RapidForm 2006 shows that while the vertical body measurements decrease, the horizontal measurements, which indicates the degree of obesity, increase proportionally with age. Also, the relevant measurements for upper breasts increase proportionally with age, while the measurements for lower part of the breasts decrease as the degree of sagging increases. Four composition factors of the breasts were identified through the factor analysis: Factor 1 is the level of volume in the breasts and the surrounding area; Factor 2 is the position of nipples and the shape of upper part of breasts; Factor 3 is the position and vertical length of the breasts; Factor 4 is the shape of lower part of breasts; and Factor 5 is the shape of inner part of breasts and degree of width between both breasts. The breasts have been categorized into three distinctive shapes: Breast Shape 1, Breast Shape 2 and Breast Shape 3. According to the results of the cluster analysis, the largest percentage (36.68%) of women in their 30s falls into the category of Breast Shape 2 with small volume and flat upper breasts, followed by Breast Shape 1 (32.66%) with large volume in the upper and lower parts of breasts, and large side to side area, and Breast Shape 3 (30.65%) with average volume and width between breasts.

• Archives of Plastic Surgery
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• 제41권6호
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• pp.748-752
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• 2014

Background Gynecomastia is benign enlargement of breast tissue in males and is fairly common. Mastectomy not only helps in improving the shape of anterior chest, but can also improve the location of nipple. Therefore, a principle element of mastectomy design is defining the normal location of nipple based on major anatomical reference points. Here, the nipple location was compared for before and after gynecomastia surgery. In addition, the same was also compared between male patients undergoing gynecomastia surgery and control group of subjects without gynecomastia. Methods We retrospectively analyzed gynecomastia patients who underwent conventional subcutaneous mastectomy. Preoperative and postoperative anatomical landmark distances and chest circumferences were measured and compared to the same anthropometric data from 20 healthy adult male controls. Results Nipple locations were compared among 13 patients and 20 controls. The mean weight of resected breast tissue was 246 g, and overall patient satisfaction grade was 4.3 out of 5. In the patient group, the slopes for the height-distance from the sternal notch to the nipple and chest circumference-distance between the mid-line of the sternum and the nipple were 0.175 and 0.125 postoperatively, respectively. The slopes of the control group were 0.122 and 0.177, respectively; these differences were statistically significant (P<0.05). Conclusions Nipple positions were considerably lower in patients with gynecomastia than in control subjects. Subcutaneous mastectomy was associated with mild elevations, but postoperative locations were still lower compared to controls. Further efforts are needed to improve the location of postoperative nipple-areola complex in patients with gynecomastia.

• 한국산학기술학회논문지
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• 제17권11호
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• pp.403-409
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• 2016

최근 들어, 나체 사진이나 그림과 같은 유해한 영상 콘텐츠가 쉽게 유통 및 보급되고 있는 실정이어서 이런 유해 영상 콘텐츠를 효과적으로 검출하고 필터링하기 위한 연구 방법들이 지속적으로 소개되고 있다. 따라서 본 논문에서는 입력되는 칼라 영상으로부터 영상의 유해성을 나타내는 요소인 사람의 배꼽 영역을 하르-라이크(Haar-like) 특징과 에이다부스트(Adaboost) 알고리즘을 이용하여 강인하게 검출하는 새로운 접근 방법을 제안한다. 본 논문에서 제안된 방법에서는 먼저 입력 영상으로부터 색상 정보를 이용하여 사람의 유두 영역을 검출하고, 검출된 유두 영역과의 위치 정보를 사용하여 배꼽의 후보 영역을 검출한다. 그런 다음, 하르-라이크 특징과 에이다부스트 알고리즘을 이용한 필터링을 통해 실제 배꼽 영역들만을 검출한다. 실험 결과에서는 제안된 방법이 입력되는 칼라 영상으로부터 배꼽 영역을 기존의 방법보다 1.6% 더 정확하게 추출한다는 것을 보여준다. 본 논문에서 제안된 배꼽 영역 검출 알고리즘은 2 차원이나 3 차원의 유해 콘텐츠 검출 및 필터링과 관련된 여러 가지 응용 분야에서 매우 효과적으로 이용될 것으로 기대된다.

• Human Ecology Research
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• 제52권5호
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• pp.509-518
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• 2014

This study strives to analyze the characteristics of and changes in breast shapes of women in their 30s, whose bodies start to age and whose breasts experience changes due to internal and external factors such as pregnancy, childbearing, and breast-feeding. The analysis of the indirect breast measurements for each age group (early, mid, and late 30s) demonstrates that the volume of the breasts increases proportionally with age, the breasts lose their firmness, and the nipples start to point downwards rather than to the sides. The breast shapes experience more significant changes vertically than horizontally as the breasts start to sag downwards. The composition factors of the breasts have been classified into five factors: the level of volume in the breasts and the surrounding area, the degree of sagging in the breasts, the position and vertical width of the breasts, the volume of the breasts, and the degree of width between the breasts. The breasts have been categorized into three different shapes. Breast Shape I (32.56%) appeared most frequently among women in their mid 30s, and this shape falls into the category of Sagging I, which is one of the six breast types that have been classified by the Japanese Wacoal Research Center, in addition to Korean size 80A. Breast Shape II (38.76%) appeared most frequently among women in their mid 30s, and this shape has been categorized as flat with its size being 70A. Breast Shape III (28.68%) appeared most frequently among women in their early 30s with a conical shape and size 75A.

• 한국식품영양학회지
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• 제20권4호
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• pp.487-493
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• 2007

Internet websites are excellent resources for younger people to gain information related to breastfeeding. So in this study, we evaluated the breastfeeding knowledge of university students, as well as the currently available website information on breastfeeding. Among the criteria, the six most important evaluation categories for the breastfeeding information on websites were selected and identified. The study participants completed the modified Williams and Hammer's tool, in order to evaluate their breastfeeding knowledge. An additional tool took into consideration the website breastfeeding information criteria, to evaluate the Korean websites. This 34 item tool was categorized into milk supply, comfort during breastfeeding, health of the baby and mother, social support, presentation of message, and products or financial motivation. Thirty-seven websites related to breastfeeding were evaluated, and the results were then discussed by nursing students. The students in this study were not knowledgeable on breastfeeding management with regard to the expression and storage of breast milk, the prevention and care of sore nipples, or use of breastfeeding aids. The breastfeeding information found on the Korean websites received positive evaluations for milk supply, comfort during breastfeeding, and health of the baby and mother. However, the educational content on social support, the message presentation, and the product areas on websites were rare or required additional information from breastfeeding specialists. In conclusion, based on our empirical survey, we need to design websites and evaluation tools for accurate website information regarding the social and economic benefits of breastfeeding, so that Korean women are better motivated to breastfeed by the information they obtain through the Internet.

• Archives of Plastic Surgery
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• 제43권5호
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• pp.424-429
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• 2016

Background The objective of this paper was to describe a novel technique for improving the maintenance of nipple projection in primary nipple reconstruction by using acellular dermal matrix as a strut in one of three different configurations, according to the method of prior breast reconstruction. The struts were designed to best fill the different types of dead spaces in nipple reconstruction depending on the breast reconstruction method. Methods A total of 50 primary nipple reconstructions were performed between May 2012 and May 2015. The prior breast reconstruction methods were latissimus dorsi (LD) flap (28 cases), transverse rectus abdominis myocutaneous (TRAM) flap (10 cases), or tissue expander/implant (12 cases). The nipple reconstruction technique involved the use of local flaps, including the C-V flap or star flap. A $1{\times}2-cm$ acellular dermal matrix was placed into the core with O-, I-, and L-shaped struts for prior LD, TRAM, and expander/implant methods, respectively. The projection of the reconstructed nipple was measured at the time of surgery and at 3, 6, and 9 months postoperatively. Results The nine-month average maintenance of nipple projection was $73.0%{\pm}9.67%$ for the LD flap group using an O-strut, $72.0%{\pm}11.53%$ for the TRAM flap group using an I-strut, and $69.0%{\pm}10.82%$ for the tissue expander/implant group using an L-strut. There were no cases of infection, wound dehiscence, or flap necrosis. Conclusions The application of an acellular dermal matrix with a different kind of strut for each of 3 breast reconstruction methods is an effective addition to current techniques for improving the maintenance of long-term projection in primary nipple reconstruction.

• 한국의류학회지
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• 제32권1호
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• pp.123-133
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• 2008

The purpose of this study is to analyze dissatisfaction and size appropriateness of the women with big breast for design the high functional big size brassiere. The data were collected from 179 women(between the ages of 20 and 39) residing in Gwang-ju using a questionnaire to purchase, wearing comfort, dissatisfaction of the size, wire and the pad of the big size brassiere. The data were analyzed with Chi-square test, t-test and ANOVA using statistical program SPSS 12.0. The results of this research are as follows; 1) Seven-two-point-two percent of the women with big breast more than C cup size polled said they had difficulty in looking for the suitable size of the brassiere and they usually weared the smaller size than the their own size. As a result, they felt inconvenience for the discord with the nipples and lack of the shape revision. 2) According to the result of the correlation analysis, breast size and Rohrer's index showed low correlation. 3) After dividing all respondents for this research into categories of the group of more than C cup and less than B cup the differences in responses were compared. The dissatisfaction with brassier were 'discord of cup size', 'pain due to the wire' and 'unnatural breast shape' in the group of more than C cup, compared to 'discord of cup size' and 'deformation of the wire and pad' in the group of less than B cup.