• Title/Summary/Keyword: REMNANT

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Patch Reconstruction with Radial Forearm Free Flap of Hypopharyngeal Cancer Using the Narrow Strip Pharynageal Wall (소폭의 잔존 하인두벽을 이용한 첩포형 전완유리 피판 인두 재건술)

  • Jeong, Hii Sun;Lee, Won Jai;Lew, Dae Hyun;Rah, Dong Kyun;Tark, Kwan Chul
    • Archives of Plastic Surgery
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    • v.33 no.4
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    • pp.407-412
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    • 2006
  • Purpose: Various attempts of reconstruction for pharyngoesophageal defects after ablative surgery have been made to restore the function of the pharyngoesophagus. A fabricated tubed radial forearm free flap or free jejunal free flap was used when the width of remnant pharyngeal wall was less than 50% of the normal width. However there are many disadvantages such as stricture, saliva leakage and fistula formation on tubed radial forearm free flap. The jejunal free flap has the problem such as short pedicle, poor tolerance of ischemic time, wet voice and delayed transit of swallowed food due to the uncoordinated contraction. The authors studied the utility of patch-type radial forearm free flap using the remnant posterior pharyngeal wall of the hypopharynx. Methods: Retrospective reviews in Severance Hospital were made on 25 patients who underwent reconstruction surgery with patched radial forearm free flap because of the hypopharyngeal cancer between 1996 and 2005. The patients of Group I had the narrow posterior pharyngeal wall and its width was less than 3centimeters after the tumor was resected. Those of Group II had the partial pharyngectomy and the width of the remnant pharynx was larger than 3 centimeters. Results: Seven patients belonged to the group I and the flap of this group had 100% survival rate. One case of fistula and no swallowing discomfort due to stricture was reported. The Group II including 18 patients also had the 100% flap survival rate. Neither fistula nor stricture was seen but the lower diet grade was checked. Conclusion: The patch type radial forearm free flap using the remnant pharyngeal wall have the advantage of the radial forearm free flap, and furthermore this flap is the safe reconstructive method even if the width of the remnant pharyngeal wall is less than 30% of that of normal pharynx.

Characteristics of Habitats and Small Rodent Populations caused by Different Remnant Treatments on Forest Floor in Fired Coniferous Forest (산불피해지역에서 임상잔존물의 처리에 따른 서식환경과 소형 설치류 개체군 특성)

  • Lee, Eun Jae;Lee, Woo-Shin;Lee, Young-Geun;Lee, Myung-Bo;Rhim, Shin-Jae
    • Journal of Korean Society of Forest Science
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    • v.95 no.6
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    • pp.711-715
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    • 2006
  • This study was conducted to clarify the characteristics of habitats and small rodent populations between remnant removed and left areas caused by different remnant treatment on forest floor in fired coniferous forest, Mt Gumbong, Samcheok, Korea, There were higher value of variables of understory coverage, snags, downed coarse woody debris (CWD) in natural restored area. Mean number of captured individuals and body weights of Apodemus peninsulae and Eothenomys regulus were more higher in remnant left area than in removed area, The differences in density and body weight of small rodents would be related with habitats between both study areas. The remove of remnant trees on the forest floor would not be good for small rodents. The more detailed and long-term researches would be needed for proper restoration in fired forest area.

Arthroscopic Posterior Cruciate Ligament Reconstruction with Preservation of the Remnant Posterior Cruciate Ligament (남아 있는 후방 십자 인대 다발을 보존한 관절경하 후방 십자 인대 재건술)

  • Ahn Jin Hwan;Ha Kwon Ik;Chung Yoon Sung;Yang Il Soon
    • Journal of the Korean Arthroscopy Society
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    • v.4 no.2
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    • pp.97-104
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    • 2000
  • Purpose : The majority of PCL deficient knees have some intact remnant PCL bundles. In these cases, the remnant PCL bundles were removed fur easy passage of graft(especially in bone-patellar tendon-bone graft). The purpose of study is to report the results of PCL reconstruction by posterior transseptal portal technique and by preserving the remnant posterior cruciate ligament bundles. Materials & Methods : From November 1993 to June 1999, 44 arthroscopic posterior cruciate ligament reconstructions have been performed by one surgeon. We studied 37 knees those were followed up over 1 year among them. The mean age($14\~56$ years) was 31.8 years. The average follow-up period was 17.8 months($12\~61$ months). The graft materials were 29 double-loop hamstring autografts, 4 double-loop hamstring allografts and 4 Achilles tendon-bone allograft. Results : There are significant improvement of the preoperative subjective symptoms. The last follow-up shows that the average Lysholm knee score was markedly improved from 59.8 pre-operation to 89.2 post-operation and the average KT 2000 side difference was decreased from 11.1mm pre-operation to 2.3 mm post-operation. Follow-up MRI showed that the graft was healed with remnant posterior cruciate ligament bundles as one ligament. Conclusion : The posterior trans-septal portal makes it possible to locate the exact tibial tunnel. The arthroscopic PCL reconstruction preserving the remnant of original PCL bundles seems to provide the good result.

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Ferroelectric Properties of Hetero-Junction SrBi$_2Ta_2O_9$/Pb(Zr,Ti)O$_3$ (이종접합 SrBi$_2Ta_2O_9$/Pb(Zr,Ti)O$_3$박막 케패시터의 강유전 특성)

  • 이광배;김종탁
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 1997.04a
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    • pp.217-221
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    • 1997
  • We have investigated the ferroelectric properties of multi-layered SrBi$_2$Ta$_2$$O_{9}$Pb(Zr,Ti)O$_3$, SBT/PZT, thin film capacitors. Specimens were prepared onto Pt-coated Si wafer by sol-gel method. Ferroelectric properties of these finns could be obtained only for thin SBT layers below 50nm in thickness. The values of dielectric constant and remnant polarization depend mainly on the thickness of SBT layer, which arises from the paraelectric interface layer between SBT and PZT due to the thermal diffusion of Pb. The value of remnant poarization of PZT/SBT is greater than that of SBT, and the plarization fatigue behaviors of PZT/SBT/Pt capacitors are somewhat improved as compared with those of PZT/Pt.t.

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Patent Omphalomesenteric Duct Remnants - Report of 4 Cases - (개방성 제장간막관 기형4예 보고)

  • Lee, Woo-Yong;Lee, Suk-Koo;Kim, Hyun-Hahk
    • Advances in pediatric surgery
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    • v.3 no.2
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    • pp.148-151
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    • 1997
  • The omphalomesenteric duct normally obliterates by the sixth week of intrauterine life. Incomplete obliteration results in various abnormalities which may be apparent in the newborn infant. These include fistula resembling ileum, a prolapsed loop of intestine through the umblicus and a fistula draining intestinal contents. The tract may contain ectopic tissue of stomach, colon or pancreas. Although this malformation should be recognizable at birth, 40 % of patients are not treated until after the first month of life. In the past 28 months since the Samsung Medical Center opened its doors to public, the authors have treated 4 cases of patent omphalomesenteric duct remnant including one case of T-shaped total prolapse of the duct and adjacent ileum. These cases will be discussed and the literature reviewed.

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POLARIZATION OBSERVATIONS OF BACKGROUND RADIO SOURCES SEEN THROUGH THE SUPERNOVA REMNANT S 147

  • Kim, Kwang-Tae
    • Journal of The Korean Astronomical Society
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    • v.21 no.2
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    • pp.133-153
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    • 1988
  • Linear polarization has been measured for fifteen extragalactic radio sources in the field of supernova remnant S 147. These observations were made at 4885, 4835, 1665, 1515, 1465, and 1385 MHz using the Very Large Array, primarily to determine unambiguous Rotation Measures (RM) of the sources. This yields a total of 11 new RM sources. Comparisons of a sample of sources which are seen through S 147 were made with sources located farther away. The result tentatively indicates that the distribution of the rotation measure of the former population is broadened, with more than a 85% level of confidence. This constitutes evidence that there is a SNR contribution to rotation measure in sources seen through the SNR. Limits on this RM contribution are statistically at 30 < | RM | < 70 rad $m^{-2}$ with a 85% statistical level of confidence. These result imply the magnetic field in the rim of S 147 has strength 10 microguass if the electron density is $1\;cm^{-3}$.

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Multiple Sluicing in English

  • Park, Myung-Kwan;Kang, Jung-Min
    • Proceedings of the Korean Society for Language and Information Conference
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    • 2007.11a
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    • pp.394-404
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    • 2007
  • This paper explores the nature of multiple sluicing in English, which has two or more remnant wh-phrases in clause edge position. At the beginning part of the paper we argue against Nishigauchi's (1998) and Lasnik's (2007) Gapping analysis of multiple sluicing, which says that two remnant wh-phrases each actually occupies the left and right edge of a clause, with the in-between string of words undergoing Gapping. We rather argue that multiple sluicing in English is the same kind as found in Bulgarian and Serbo-Croatian. In other words, multiple sluicing in English is also derived by multiple wh-fronting which otherwise does not apply. We demonstrate that some important properties of the construction noted by Lmultiple sluicing, multiple wh-movement/fronting, sluicing, TP/IP-deletion, asnik (2007) under the Gapping approach to it can be accounted for in a principled way by our proposed analysis.

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A Case of Forehead Reconstruction with Remnant Forehead Flap Unit (잔여 전두피판을 한 단위로 이용한 전두연부조직 결손의 재건: 증례보고)

  • Lee, Sung Jun;Kim, In Kyu;Seul, Chul Hwan;Kim, Sug Won
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.757-759
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    • 2005
  • Acquired defects involving exposed bone on the forehead is challenging to reconstruct. Skin expansion provides an ideal thin flap for forehead aesthetic unit, but it takes long time and high cost, and many patients are dissatisfied at their figures. Free flap can provide enough tissue immediately, but it takes long time and has the risk of mismatches of color and texture. This report details our experiences with two patients who had soft tissue defect on their forehead that was covered with remnant forehead flap unit. This method uses one-unit-forehead island flap based on supratrochlear and supraorbital vessel. We obtained satisfactory results in terms of aesthetic and functional consideration.