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Arterialized Venous Free Flap at the Insufficient Vascular Recipient Bed in Finger Reconstruction (수지 재건시 불충분한 혈행상태의 수혜부에 시행한 동맥화 정맥 유리 피판술)

  • Lee, Young-Keun;Park, Ki-Tae;Lee, Jun-Mo;Park, Hyuk
    • Archives of Reconstructive Microsurgery
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    • v.21 no.2
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    • pp.131-136
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    • 2012
  • Purpose: Arterialized venous flap is useful for reconstruction of the traumatic soft tissue defect in fingers, but insufficient circulation of the traumatic fingers makes surgeons annoying to use the flap. We have grafted flaps in 7 fingers with insufficient vascular bed hoping to expanded the category of the flap. Materials and Methods: Arterialized venous flap have transplanted in 7 fingers from March 2008 through February 2010 and followed up for 4 to 16 months(average 7.2 months). They were all male with a mean age at the time of surgery was 33. The main injury was crushing in 4 degloving, contact burn and saw injury was I respectively. Time interval from injury to flap transplantation was average 3.1. weeks(3 days to 6 weeks). Designed flap size ranges from $8cm{\times}3.5cm$to $4cm{\times}3cm$. Vessel type of flap was one artery with two veins were 5 cases and one artey with one vein 2. Flap type was cutaneous in 3, tendocutaneous 2, neurotendocutaneous 1 and neurocutaneous 1. The circulation state of recipient site was avascular in 2 cases, insufficiency 3 and tip avascular 2. Results: Arterialized venous flap was complete survived in 2 cases, partial necrosis(less than 10%) 3 and failed in 2. Conclusion: An arterialized venous free flap could be a useful procedure for reconstruction in soft tissue or combined defect of the finger despite an avascular or insufficient vascular beds if the recipient beds were free from infection.

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Children's Understanding on the Roles of Male Childcare Teachers and Children's Gender Role Concepts (유아가 인식하는 남성보육교사의 역할과 유아의 성역할 개념)

  • Lim, Jung Soo;Lee, Wan Jeong
    • Korean Journal of Childcare and Education
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    • v.11 no.1
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    • pp.43-61
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    • 2015
  • The purpose of this study was to analyze children's perspectives on the role of male childcare teachers and children' s gender role concepts. According to the results, when it comes to how the children perceive the roles of the male childcare teacher, the children mostly saw the male childcare teacher as a person who teaches and in another case, they regarded him as someone who takes care of their daily life and who is willing to play games with them. On the other hand, the male childcare teacher's organizing of an environment, supporting tasks and working on a computer were perceived less by the children. In terms of the gender role concepts, the study confirmed that depending on the role performance of the male childcare teacher, the children in the male childcare teacher's class had better understanding than those children in the female childcare teacher's class. In order to secure the children's right to participate specified in the convention of the rights of the child, the study applied not only the interviews with the children but also their drawings to the analysis, and that was what led the study to an in-depth discussion on the perception of the children.

Inferior alveolar nerve cutting; legal liability versus desired patient outcomes

  • Kim, Soung Min;Lee, Jong Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.5
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    • pp.318-323
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    • 2017
  • Objectives: Mandibular angle reduction or reduction genioplasty is a routine well-known facial contouring surgery that reduces the width of the lower face resulting in an oval shaped face. During the intraoral resection of the mandibular angle or chin using an oscillating saw, unexpected peripheral nerve damage including inferior alveolar nerve (IAN) damage could occur. This study analyzed cases of damaged IANs during facial contouring surgery, and asked what the basic standard of care in these medical litigation-involved cases should be. Materials and Methods: We retrospectively reviewed a total of 28 patients with IAN damage after mandibular contouring from August 2008 to July 2015. Most of the patients did not have an antipathy to medical staff because they wanted their faces to be ovoid shaped. We summarized three representative cases according to each patient's perceptions and different operation procedures under the approvement by the Institutional Review Board of Seoul National University. Results: Most of the patients did not want to receive any further operations not due to fear of an operation but because of the changes in their facial appearance. Thus, their fear may be due to a desire for a better perfect outcome, and to avoid unsolicited patient complaints related litigation. Conclusion: This article analyzed representative IAN cutting cases that occurred during mandibular contouring esthetic surgery and evaluated a questionnaire on the standard of care for the desired patient outcomes and the specialized surgeon's position with respect to legal liability.

The effect of gender between the oral symptoms experience and health behavior factors (청소년의 성별에 따른 건강행태와 구강질환증상경험의 상관관계: 2015년 청소년건강행태온라인조사를 중심으로)

  • Lee, Won-Jeong;Choi, Bo-Youl;Hwang, Kyung-Gyun
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.1
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    • pp.125-138
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    • 2018
  • Objectives: The purpose of the study was to investigate the effect of gender in the association between the oral symptoms experience and health behavior. Methods: The subjects were 54,219 adolescents selected from the web-based survey of the 11th (2015) Korean Youth Risk Behavior of Korean Center for Disease Control. Data were analyzed using SPSS 18.0. The subjects consisted of 27,198 male students(50.2%) and 27,021 female students(49.8%) from 400 middle schools and 400 high schools. Results: Multiple logistic regression analysis after adjustment to demographic characteristics and oral health behavior showed experience with drinking and smoking in adolescents increased oral symptoms experienced by both male and female students (OR = 1.3, 95% CI = 1.20-1.34 / OR =1.3, 95% CI = 1.18-1.33), (OR = 1.3, 95% CI = 1.24-1.40 / OR = 1.4, 95% CI = 1.43-1.30). But the difference was not significant between genders. In terms of diet, consumption of carbonated beverages, snacks and fast food saw an increase in oral symptoms experience both gender compared with those whose "No(weekly)" in particular to women, alternatively vegetable, fruit consumption(weekly) were having less intake adolescents increase oral symptoms experience than "time daily(weekly)" intake adolescents both boy and girl especially to girl. Conclusions: There was a correlation between oral symptom experiences and health behaviors. There was also slight differences between genders, with more effect shown on female students. Based on this study, proper and systematic education of oral health management should be carried out at schools.

Productivity test on some screened strains of Gibberella fujikuroi(Saw.) (Gibberellin 산류 생산균주의 분리와 생산성검토)

  • Lim, S.U.;Lee, C.Y.
    • Applied Biological Chemistry
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    • v.14 no.2
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    • pp.171-175
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    • 1971
  • Gibberella fujikuroi(imperfect stage Fusarium moniforme) a soil fungi is well known as the producer of plant growth regulator Gibberellins. The present work was planned for the isolation of the active strains of Gibberella fujikuroi from the native paddy soils. Twenty two strains were isolated from the infected rice seedlings collected from four local areas. Pyongtaek, Yesan, Tangjin and Sunchon and screened through the activity test for the production of Gibberellins. The strains P-105, Y-14 and T-58 yielded higher activity than the others isolated and the referred strain IAM-8048. The strains Y-5, Y-7, T-54 and S-152, however, were less promotive or rather inhibitory in the growth of rice seedlings. Six different kinds of culture media developed by Cross, Raulin-Thom, Borrow, West, Stodola and Kurosawa respectively were compared with each other for the production of Gibberellins and the best result was obtained with Raulin-Thom's media(glucose 16% and $NH_4NO_3$ 0.24%).

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Process Development of Wastewater Containing Silicon Fine Particles by Ultrafiltration for Water Reuse -III. Permeation Characteristics of Pilot Scale Hollow Fiber Membrane Modules- (한외여과에 의한 Si 미립자 함유폐수 재이용 공정개발(III) -Pilot-Scale 중공사막 모듈에 의한 투과 특성)

  • 전재홍;함용규;이석기;박영태;남석태;최호상
    • Membrane Journal
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    • v.9 no.3
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    • pp.185-192
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    • 1999
  • The ultrafiltration characteristics of wafer processing wastewater produced from semicon¬ductor industry was investigated for wastewater reuse. Using the pilot-scale ultrafiltration system con¬taining poly sulfone hollow fiber membranes (MWCO : 10,000, 20,000, 30,(00), the membrane performance, such as flux, rejection rate and concentration factor for flux was examined. The SDhs, turbidity, electrical conductivity and concentration of Si particles were measured, and the possibility of permeate reuse was validated from the experimental results. It was shown that the flux was recovered by the sweeping with air and water effectively. The permeate flux of 30,000 MWCO membrane was about 5 times higher than that of 10,000 and 20,000 MWCO membranes. The concentration of Si particle in the saw wastewater was analyzed 3.8-5.6 mg/$\ell$ and that of Si particle in the permeate was analyzed less than 0.2${\mu}g$/$\ell$. This means the rejection of silicon particle was over 96%.

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Effect of Biofilter on Reducing Malodor Emission (악취 발산감소를 위한 필터의 이용 효과)

  • 김원영;정광화;노진식;김원호;전병수;류호현;전영륜
    • Journal of Animal Environmental Science
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    • v.4 no.2
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    • pp.161-166
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    • 1998
  • Controlling malodor originating from livestock feces has become a major issue, due to its influence on the health of man and livestock, together with its influences on atmospheric pollution. In this study, Five types of biofilters filled with saw-dust, night soil, fermented compost, leaf mold and a mixture(a compound of night soil, fermented compost and leaf mold at the same rates, respectively) were manufactured and tested. To study the effect of the biofilter on reducing malodor in a composting facility and swine building, a pilot scale composting facility enclosed with polyethylene film was constructed. Swine feces was composted in the facility and malodorous gas generated from the decomposition of organic matter in the feces was gathered by vacuum pump. Each biofilter achieved 87∼96% NH3 removal efficiency. This performance was maintained throughout 10 days of operation. The highest NH3 removal efficiency was achieved by leaf mold on the first day of operation period. It reduced the concentration of NH3 by about 96%. Night soil and fermented compost showed nearly equal performance of 93 to 94% for 10 days from the beginning of operation. The mixture achieved the lowest NH3 removal efficiency. It reduced NH3 concentration by about 89∼94% for 10 days from the beginning of operation. However NH3 removal efficiency of each biofilter declined with the passage of operational time. After 30 days from the beginning of operation, NH3 removal efficiency of each biofilter of each biofilter was below 60%, respectively. The concentration of H2S and CH3-SH originating from compost were equal to or less than 5mg/l and 3mg/l, respectively. After passing throughout the biofilter, the concentration of H2S and CH3-SH were not detected.

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The Moderating Effect of Perceived Control over Appearance in the Social Comparison Process with Advertisement Models (광고모델과의 사회적 비교과정에서 외모통제력 지각이 갖는 조정효과)

  • Lee Yoon-Jung
    • Journal of the Korean Society of Clothing and Textiles
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    • v.30 no.4 s.152
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    • pp.633-643
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    • 2006
  • When women are exposed to images of other attractive women such as media models, it is known that many go through a social comparison process and a contrast effect occurs which results in unfavorable perception and attitudes toward the self. This paper suggests women's perception of control over their appearance as one of the factors that may moderate the contrast effect of a social comparison with attractive media models. An experiment with 211 women was conducted to examine the differential effect of viewing attractive models versus non-human images on the responses of women with high/low perceived control over appearance. A two(Stimuli Type: attractive-model image vs. non-human image) by two(Perceived Control over Appearance: High vs. Low) MANCOVA model was tested with physical appearance anxiety, self-esteem, and body satisfaction as dependent variables and appearance orientation, body mass index, age, years of schooling, ethnicity, and marital status as covariates. A significant Perceived Control main effect on Physical Appearance Anxiety and Self-Esteem and a significant Stimuli Type by Perceived Control interaction effect on Physical Appearance Anxiety and Self-Esteem were found. Those who perceived high control over their appearance were more likely to have higher self-esteem and lower appearance anxiety. However, among those who saw attractive model's images, women perceived low appearance control showed less anxiety and higher body satisfaction than those perceived high appearance control.

EFFECT OF SALIVARY CONTAMINATION OF TEETH ON MICROTENSILE BOND STRENGTH OF VAR10US DENTIN BONDING SYSTEMS. (타액에 의한 오염이 상아질 접착제의 미세전단결합강도에 미치는 영향)

  • Choi, Kyoung-Kyu;Ryu, Gil-Joo
    • Restorative Dentistry and Endodontics
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    • v.28 no.3
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    • pp.203-208
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    • 2003
  • The purpose of this study was to evaluate the effect of salivary contamination of teeth on bonding efficacy of self-priming and self-etching DBSs. The materials used were Single Bond(SB, self-priming system, 3M), Unifil Bond(UB, self-etching system, GC), and Scotchbond Multi-Purpose Plus(SM, 3M) as control. Forty five human molars randomly allocated to three groups as dentin bonding systems tested and embedded in epoxy resin. Then the specimens were wet-ground to expose flat buccal enamel surface or flat occlusal dentin surface and cut bucco-lingually to form two halves with slow speed diamond saw. One of them was used under non-contamination, other under contamination with saliva. The bonding procedure was according to the manufacturer's directions and resin composite(Z-100, 3M Dental Products, St. Paul, MN) was built-up on the bonded surface 5mm high. The specimens were ground carefully at the enamel-composite interface with fine finishing round diamond bur to create an hour-glass shape yielding bonded surface areas of $1.5{\pm}0.1\textrm{mm}^2$. The specimens were bonded to the modified microtensile testing apparatus with cyanoacrylate, attached to the universal testing machine and stressed in tension at a CHS of 1mm/min. The tensile force at failure was recorded and converted to a tensile stress(MPa). Mean values and standard deviations of the bond strength are listed in table. One-way ANOVA was used to determine significant difference at the 95% level. The bond strength of SBMP and SB were not affected by salivary contamination, but that of UB was significantly affected by salivary contamination. These results indicate that DBSs with total etch technique seems less likely affected by salivary contamination in bonding procedure.

Communication of Young Black-Tailed Gulls, Larus crassirostris, in response to Parents Behavior

  • Chung, Hoon;Cheong, Seok-Wan;Park, Shi-Ryong
    • Animal cells and systems
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    • v.8 no.4
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    • pp.295-300
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    • 2004
  • In the breeding colony of black-tailed gull, as nests of conspecific neighbors are very closely located, chicks are permanently exposed by sound and visual stimuli produced by adult conspecifics approaching their nests. The chicks, therefore, may need to learn ways to appropriately respond to their parents approach. In this study we experimentally manipulated sensory stimulation that is potentially provided by the parents to the offspring. Chicks incubated in the laboratory were exposed to a mew call of the conspecific adult. Then they were tested in three situations differing in sensory stimulation: 1) visual stimulation only, 2) auditory stimulation only, and 3) Simultaneous visual and auditory stimulations. We observed occurrence of different response of the chicks, which were categorized into three behaviors (begging call response, chirirah call and pecking behavior). We also investigated intensity of the chicks call in response to the different stimulations and the degree of response with age. The chicks exposed to only auditory stimulation made significantly more chirirah calls. The intensities (dB) of the mew call and chicks chirirah call were directly correlated. On the other hand, when chicks just saw the stuffed adult gull, they responded significantly more with a begging call and pecking behavior. In the situation of costimulation, the chicks responded with a begging call and pecking, but less frequently than visual stimulation only. The results suggest that young black-tailed gulls use call repertories to properly respond to parents behavior. Such results suggest an evolutionary process for uncreasing their survival rate in a group breeding site.