• Knowledge Management Research
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• v.20 no.1
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• pp.45-75
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• 2019

Recently, the growth of beauty industry such as plastic surgery and beauty is continued every year in Korea. With the increased interest in appearance based on the improvement of life standard and the development of media, people's perception of cosmetic plastic surgery is changing. Now, as the service for consumer satisfaction based on their desire, the perception of plastic surgery medical service is changed to the high value-added industry with the high growth potential. Thus, this study aims to suggest the strategies for providing the medical service that could satisfy customers, by drawing the factors cognized as important when customers aim to get the cosmetic plastic surgery, and then additionally analyzing the relationships of those factors. On top of performing the topic modeling based on customers' comments data of social commerce related to cosmetic plastic surgery, this study also conducted the network analysis for visualizing the relations of each keywords. The drawn main factors were divided by applying the sub-categories of the SERVQUAL theory, and the additional characteristics of plastic surgery were shown by referring the relevant previous researches. Moreover, the interview with the cosmetic plastic surgery specialists (plastic surgeons) and customers who actually received the plastic surgery, helped the understanding of the interpretation of each factor and the actual relevant phenomenons. The significance of this study is to draw and discuss the main factors that should be observed by Korean cosmetic plastic surgery medical institutes, by mining and analyzing the opinions of customers interested in the cosmetic plastic surgery and procedure with the use of topic modeling. In other words, the quality of medical service of cosmetic plastic surgery could be improved by presenting the key factors that could be considered by the cosmetic plastic surgery medical service suppliers and also the actual strategies.

• Archives of Plastic Surgery
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• v.41 no.3
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• pp.218-224
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• 2014

Plastic surgery training worldwide has seen a thorough restructuring over the past decade, with the introduction of formal training curricula and work-based assessment tools. Part of this process has been the introduction of revalidation and a greater use of simulation in training delivery. Simulation is an increasingly important tool for educators because it provides a way to reduce risks to both trainees and patients, whilst facilitating improved technical proficiency. Current microsurgery training interventions are often predicated on theories of skill acquisition and development that follow a 'practice makes perfect' model. Given the changing landscape of surgical training and advances in educational theories related to skill development, research is needed to assess the potential benefits of alternative models, particularly cross-training, a model now widely used in non-medical areas with significant benefits. Furthermore, with the proliferation of microsurgery training interventions and therefore diversity in length, cost, content and models used, appropriate standardisation will be an important factor to ensure that courses deliver consistent and effective training that achieves appropriate levels of competency. Key research requirements should be gathered and used in directing further research in these areas to achieve on-going improvement of microsurgery training.

• Journal of Korean Society for Atmospheric Environment
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• v.20 no.6
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• pp.759-771
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• 2004

This study analyzed concentrations of volatile organic compounds (VOCs) produced from incineration of plastic wastes at $600^{\circ}C$. The plastic wastes used in this study included polyethyleneterephthlate (PETE), high density polyethylene (HOPE), polyvinyl chloride (PVC), low density polyethylene (LOPE), polypropylene (PP), polystyrene (PS) and other. Plastic wastes were heated from room temperature upto $600^{\circ}C$ providing the compressed air inside of a small-scale electric furnace for 90 minutes and then they were oxidized (incinerated) for 60 minutes at $600^{\circ}C$ maintaining the same air supply. VOCs emitted from the incineration process were sampled using an air sampling pump and Tedlar air bags for 150 minutes and then the components and concentrations of the VOCs were analyzed by a GC-MS. The most prominent chemical structure of the VOCs obtained from the incineration process of the HOPE, LOPE and PP, which include ethylene groups in their main chains, was identified as aliphatic hydrocarbons such as 1-hexene. However, aromatics such as benzene were major chemical structure from the incineration of PETE, PVC and PS which include benzene rings in their main chains. This study estimated the total VOC production from the incineration of the plastic wastes based on the real plastic waste production and the emission factors. 64% and 27% of the total VOC emissions consisted of aliphatic hydrocarbons and aromatics, respectively, which have double bonds within their molecular structure and thus a high ground level ozone formation potential.

• Archives of Plastic Surgery
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• v.35 no.5
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• pp.626-629
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• 2008

Purpose: We investigate the possibility of vessel preservation with glycerol and evaluate the potential of preserved gastroepiploic artery as a tool for the microsurgical practice. Methods: In 5 early gastric cancer patients, IRB(No. C-0603-040-170), we gained gastroepiploic artery specimens(5 segments, about 10 cm) after gastrectomy. Each segment was rinsed in a normal saline and subsequently placed in a bottle, containing 50 mL anhydrous glycerol (87%). The bottles were refrigerated at $4^{\circ}C$, the longest preservation time being 5 months. Results: At first glance, no fragmentation was detected and the surface of vessel seemed mild sclerotic. In histological examination, vascular structures remained intact though preservation with glycerol led to a mild atrophy of the smooth muscle in the tunica media. Especially, we found out the elastic fibers and endothelial lining of the intima were preserved until 5 months. Adequate status for using microsurgical practice was also maintained and leakage test was performed successfully with gentian violet ink. Conclusion: Based on the results obtained in this study, the gastroepiploic artery preservation with glycerol as a training model for microvascular anastomosis is a technically very simple procedure and useful for the novice microsurgeon.

• Archives of Plastic Surgery
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• v.41 no.5
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• pp.588-593
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• 2014

Lymphedema is a chronic disorder characterized by lymph stasis in the subcutaneous tissue. Lymphatic fluid contains several components including hyaluronic acid and has many important properties. Over the past few years, significant research has been performed to identify an ideal tissue to implant as a filler. Because of its unique composition, fat harvested from the lymphedema tissue is an interesting topic for investigation and has significant potential for application as a filler, particularly in facial rejuvenation. Over a 36-month period, we treated and assessed 8 patients with lymphedematous limbs who concurrently underwent facial rejuvenation with lymphedema fat (LF). We conducted a pre- and postoperative satisfaction questionnaire survey and a histological assessment of the harvested LF fat. The overall mean general appearance score at an average of 6 months after the procedure was $7.2{\pm}0.5$, demonstrating great improvement. Patients reported significant improvement in their skin texture with a reading of $8.5{\pm}0.7$ and an improvement in their self-esteem. This study demonstrates that LF as an ideal autologous injectable filler is clinically applicable and easily available in patients with lymphedema. We recommend the further study and clinical use of this tissue as it exhibits important properties and qualities for future applications and research.

• Archives of Plastic Surgery
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• v.47 no.5
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• pp.435-443
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• 2020

Background The innervated radial artery superficial palmar branch (iRASP) flap was designed to provide consistent innervation by the palmar cutaneous branch of the median nerve (PCMN) to a glabrous skin flap. The iRASP flap is used to achieve coverage of diverse volar defects of digits. However, unexpected anatomical variations can affect flap survival and outcomes. Methods Cases in which patients received iRASP flaps since April 1, 2014 were retrospectively investigated by reviewing the operation notes and intraoperative photographs. The injury type, flap dimensions, arterial and neural anatomy, secondary procedures, and complications were evaluated. Results Twenty-eight cases were reviewed, and no flap failures were observed. The observed anatomical variations were the absence of a direct skin perforator, large-diameter radial artery superficial palmar branch (RASP), and the PCMN not being a single branch. Debulking procedures were performed in 16 cases (57.1%) due to flap bulkiness. Conclusions In some cases, an excessively large RASP artery was observed, even when there was no direct skin perforator from the RASP or variation in the PCMN. These findings should facilitate application of the iRASP flap, as well as any surgical procedures that involve potential damage to the PCMN in the inter-thenar crease region. Additional clinical cases will provide further clarification regarding potential anatomical variations.

• Proceedings of the KSME Conference
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• 2008.11a
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• pp.1788-1793
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• 2008

Classical molecular dynamics simulations (MDS) were conducted to simulate nano-sized cluster collisions with a weakly attractive static surface. Energy exchanges associated with the cluster collision and the adhesion probability are discussed. Routes of the energy exchanges and the kinetic energy loss are vastly altered in their mode according to the cluster incident velocity. In the elastic collision regime ($V_0$<0.1), most incident kinetic energy is recovered into the rebounding kinetic energy, but a little loss in the incident kinetic energy causes the cluster adhesion. Dissipated kinetic energy is converted into the rotational energy. In the weakly plastic collision regime (0.1<$V_0$<0.3), the transition from elastic to plastic collision occurs, and a large part of the released potential energy is converted into rebounding translational energy. For strongly plastic collisions ($V_0$>0.3), permanent cluster deformation occurs with extensive collapse of the lattice structure inducing a solid-to-solid phase transition; moreover, most of the cluster kinetic energy is converted into cluster potential and thermal energy.

• Earthquakes and Structures
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• v.23 no.2
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• pp.183-196
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• 2022

Reduced beam section (RBS) moment connections used in special moment resisting frames are currently limited to beam sections that are not larger than nominal depths of 920 mm, weight of 447 kg/m and flange thickness of 44 mm. Due to the higher demand for structural components with jumbo sections, which can potentially be applied in the transfer girders in long-span building structures, the newly available steel heavy members are promising. To address this issue, advanced numerical models are developed to fully evaluate the distribution of stresses and concentrations of plastic strains for such jumbo RBS connections. This paper first presents a brief overview of an experimental study on four specimens with large beam and column sections. Then, a numerical model that includes initial imperfections, residual stresses, geometric nonlinearity, and explicitly modeled welds is presented. The model is used to further explore the behavior of the test specimens, including distribution of stresses, distribution of plastic strains, stress triaxiality and potential for fracture. The results reveal that the stresses are highly non-uniform across the beam flange and, similarly, the plastic strains concentrate at the extreme fiber of the bottom flange. However, neither of these phenomena, which are primarily a function of beam flange thickness, is reflected in current design procedures.

• Structural Engineering and Mechanics
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• v.6 no.7
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• pp.785-800
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• 1998

This paper deals with the nonlinear finite element analysis of fibre-reinforced plastic poles. Based on the principle of stationary potential energy and Novozhilov's derivations of nonlinear strains, the formulations for the geometric nonlinear analysis of general shells are derived. The formulations are applied to the fibre-reinforced plastic poles which are treated as conical shells. A semi-analytical finite element model based on the theory of shell of revolution is developed. Several aspects of the implementation of the geometric nonlinear analysis are discussed. Examples are presented to show the applicability of the nonlinear analysis to the post-buckling and large deformation of fibre-reinforced plastic poles.

• Archives of Craniofacial Surgery
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• v.17 no.1
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• pp.25-27
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• 2016

Cutaneous horns are conical, circumscribed protuberances formed by densely layered keratin. These lesions originate from basal keratinocytes and may manifest as benign, premalignant, or malignant cutaneous pathology in chronically sun-damaged areas. Complete surgical excision with histologic examination is needed for potential malignancy. In this report, we describe two elderly women presenting with solitary facial cutaneous horns, which were respectively diagnosed as actinic keratosis and squamous cell carcinoma.