• Archives of Plastic Surgery
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• v.34 no.2
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• pp.191-196
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• 2007

Purpose: Gluteal perforator is easily identified in the gluteal region and gluteal perforator flap is a very versatile flap in sacral sore reconstruction. We obtained satisfying results using the gluteal perforator flap, so we report this clinical experiences with a review of the literature. Methods: Between November of 2003 and April 2006, the authors used 16 gluteal perforator flaps in 16 consecutive patients for coverage of sacral pressure sores. The mean age of the patients was 47.4 years (range, 14 to 78 years), and there were 9 male and 7 female patients. All flaps in the series were supplied by musculocutaneous arteries and its venae comitantes penetrating the gluteus maximus muscle and reaching the intrafascial and suprafascial planes, and the overlying skin forming a rich vascular plexus arising from gluteal muscles. Patients were followed up for a mean period of 11.5 months. Results: All flaps survived except one that had undergone total necrosis by patient's negligence. Wound dehiscence was observed in three patients and treated by secondary closure. There was no recurrence during the follow-up period. Conclusion: Gluteal perforator flaps allow safe and reliable options for coverage of sacral pressure sores with minimal donor site morbidity, and do not sacrifice the gluteus maximus muscle and rarely lead to post-operative complications. Freedom in flap design and easy-to perform make gluteal perforator flap an excellent choice for selected patients.

• Korean Journal of Ecology and Environment
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• v.47 no.spc
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• pp.74-82
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• 2014

A perennial plant species of Ranunculaceae, Pulsatilla tongkangensis is a very rare species only found in limestone vegetation of South Korea. It is not only rare but also has great value as a horticultural resource, thus resulting in serious problems of overexploitation and habitat disturbance. For the conservation of the rare species and its development as a resource, the study was conducted with the following three aims: first, to investigate any new geographical distribution of the species; second, to identify the site condition and vegetation structure of its habitat; and third, to compare the ecology of P. tongkangensis in other microhabitats such as rock, slope and ridge area. A new distribution was found in limestone vegetation at Danyang-gun, Chungcheongbuk-do. It was, therefore, confirmed that the distribution of P. tongkangensis exactly coincides with the area of distribution of limestone, indicating a possibility that the species might be a calcicole. 87% of the microhabitats found in rocks. Compared to P. tongkangensis, at ridges or slopes, number of P. tongkangensis plants were few in rocks. It is possibly due to the lack of microhabitats that could settle in rocky areas. Once established on rocks, however, plants grew large enough to flower with higher number of leaves and flowers per plant, resulting in higher flowering rate on rocky areas. Cracks in/between rocks are likely to be safe places for the plants with favorable light conditions, abundant fine particles to root down and reduced competition for resources. Yet, further research is necessary in terms of determining whether the species is indeed a calcicole, whether other limiting factors work in its establishment stage, and genetic diversity exists in the population.

• Journal of Korean Neurosurgical Society
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• v.30 no.sup1
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• pp.85-90
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• 2001

Objective : DREZotomy is effective for the treatment of deafferentation pain as a consequence of root avulsion, postparaplegic pain, posttraumatic syrinx, postherpetic neuralgia, spinal cord injury, and peripheral nerve injury. We performed microsurgical DREZotomy to the patients with deafferentation pain and relieved pain without any serious complication. The purpose of this study is to evaluate the usefulness of the microsurgical DREZotomy for deafferentation pain. Methods : We evaluated 4 patients with deafferntation pain who were intractable to medical therapy. Two of them were brachial plexus injury with root avulsion owing to trauma, one was axillary metastasis of the squamous cell carcinoma of the left forearm, and the last was anesthesia dolorosa after surgical treatment(MVD and rhizotomy) of trigeminal neuralgia. Preoperative evaluation was based on the neurologic examination, radiologic imaging, and electrophysiological study. In the case of anesthesia dolorosa, we produced two parallel lesions in cephalocaudal direction, 2mm in distance, from the C2 dorsal rootlet to the 5mm superior to the obex including nucleus caudalis, after suboccipital craniectomy and C1-2 laminectomy, with use of microelectrode. In the others, we confirmed lesion site with identification of the nerve root after hemilaminectomy. We performed arachnoid dissection along the posterolateral sulcus and made lesion with microsurgical knife and microelectrocoagulation, 2mm in depth, 2mm in distance, to the direction of 30-45 degrees in the medial portion of the Lissauer's tract and the most dorsal layers of the posterior horn at the one root level above and below the lesion. Results : Compared with preoperative state, microsurgical DREZotomy significantly diminished dosage of the drugs and relieved pain meaningfully. One patient showed tansient ipsilateral ataxia, but recovered soon. There was not any serious complication. Conclusion : It may be concluded that microsurgical DREZotomy is very useful and safe therapeutic modality for deafferentation pain, especially segmentally distributed intermittent or evoke pain. Complete preoperative evaluation and proper selection of the patients and lesion making device are needed to improve the result.

• Journal of Korean Neurosurgical Society
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• v.30 no.sup2
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• pp.203-210
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• 2001

Objective : Paraclinoidal aneurysms termed that aneurysms arising from proximal internal carotid artery(ICA) between the site of emergence of the carotid artery from roof of the cavernous sinus and origin of the posterior communicating artery(PCoA). These aneurysms pose conceptual and technical surgical problems with regard to acquisition of proximal control and safe intracranial exposure. The efficiency of surgical technique according to the location of paraclinoidal aneurysm was studied for minimal exposure. Materials and Methods : Over the past four years, the authors treated surgically 171 cases of cerebral aneurysm, among them ten patients were paraclinoidal aneurysms with two patients unruptured aneurysms. Mean age was 47 years old, and all patients were female. Three patients were proximal posterior carotid artery wall aneurysms(one large, one giant), four patients carotid-ophthalmic artery aneurysms and three patients superior hypophyseal artery aneurysms. Results : There could be done clip in all cases, there were no deaths and no complication. And no patient developed sustained neurological deficits including visual function except hydrocephalus in one case. Four patients complained of visual disturbance but two patients had recovery after postoperation and two patient were not longer to bad. Conclusion : Our recent experience suggests that preoperative scrutiny of diagnostic angiography allows classification of all paraclinoidal aneurysms regardless of size and surgical technique which this classification has focused on operative approaches unique to each aneurysm projection was helpful to improve the operative outcome with good visual function and to shorten the operative time.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.41 no.2
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• pp.161-172
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• 2021

Along with the emergence of technologies related to the 4th industrial revolution, all industry sectors are making efforts to dramatically increase productivity by actively introducing high-tech technologies. Recently, the MLIT (Ministry of Land, Infrastructure and Transport) is trying to solve problems related to low productivity and high accident rate in the construction industry by applying the 4th industrial revolution technologies to infrastructure construction through smart construction R&D projects. This research was performed as part of the smart construction R&D project supported by MLIT, and the purpose is to develop a module that automatically generates moving paths for construction equipment based on the earthwork plan for road construction. The generated moving path can be used to provide safe and efficient paths for construction equipment and to support MC and MG to work efficiently. The moving paths for construction equipment are created based on the Visibility Graph and a case study is performed to show how the paths are generated based on a given construction site.

• Journal of the Korean GEO-environmental Society
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• v.20 no.7
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• pp.5-10
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• 2019

In recent Gyeongju and Pohang earthquakes, motions that exceed the design ground motion were recorded. This has led to adjustments to the design earthquake intensity in selected design guidelines. An increment in the design intensity requires reevaluation of all associated facilities, requiring extensive time and cost. Firstly, the seismic factor of safety of built concrete retaining walls are calculated. Secondly, the seismic margin of concrete retaining walls is evaluated. The design sections of concrete walls built at power plants and available site investigation reports are utilized. Widely used pseudo-static analysis method is used to evaluate the seismic performance. It is shown that all concrete walls are safe against the adjusted design ground motion. To determine the seismic margin of concrete walls, the critical accelerations, which is defined as the acceleration that causes the seismic factor of safety to exceed the allowable value, are calculated. The critical acceleration is calculated as 0.36g~0.8g. The limit accelerations are significantly higher than the design intensity and are demonstrated to have sufficient seismic margin. Therefore, it is concluded that the concrete retaining walls do not need to be reevaluated even if the design demand is increased up to 0.3g.

• Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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• v.16 no.4
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• pp.441-454
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• 2018

Since the permanent shutdown of Kori Unit 1 in 2017, a full-scale decommissioning project for a commercial nuclear reactor has been approaching. It is estimated that about 160,000 t of low-activity concrete waste will be produced from decommissioning of one unit of this commercial nuclear power reactor. Accordingly, it is necessary to review whether the effectiveness of the current regulatory framework for clearance waste (i.e. waste stream that meets activity concentration guidelines or dose criteria for clearance set forth in NSSC Notice No. 2017-65) can be maintained for the clearance of a bulk amount of concrete waste. In this regard, the IAEA SRS No. 44, which was used as a basis for revision of the Korean clearance regulations, is thoroughly analyzed and the radiological effects from four different clearance scenarios, along with input values and parameters derived from industrial practices in Korea, were evaluated. Though it is shown that the maximum annual dose from most recycling scenarios will be less than the clearance dose criterion for the normal scenario (i.e. an order of magnitude of $0.01mSv{\cdot}y^{-1}$), the radiation dose, estimated with conservative assumptions for the banking scenario, may exceed the above clearance dose criteria. Therefore, for safe and sustainable clearance of the bulk amount of concrete waste, it is required to diversify the concrete waste processors, perform more detailed site-specific assessment, and apply limiting conditions to the banking scenario.

• Fire Science and Engineering
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• v.32 no.6
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• pp.46-54
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• 2018

A total of 19 elevators for evacuation were installed in the Lotte World Tower and it is planned to operate the shuttle using the manual key from five refuge floors to the 1st floor in an emergency. In the event of a fire or other disaster, it is necessary to conduct intensive analysis to determine how much RSET reduction could be achieved using the evacuation elevator compared to the existing evacuation plans. When the optimal transportation sharing ratio by the evacuation elevators was 40% at the Lotte World Tower, the RSET of the evacuation scenario in parallel with the elevators in the entire building was calculated to be 1 hour and 2 minutes. The RSET of a conventional evacuation scenario (Walking along the stairs without using the elevators) was calculated to be 1 hour 29 minutes, therefore, the former evacuation scenario were found to have a shortening effect of approximately 27 minutes compared to the latter. On the other hand, to maintain this effect, each part of the evacuation route using the elevator must have the capability to protect the evacuee from any hazards caused by fires, such as smoke, flame, and radiant heat during the evacuation. Moreover, the evacuation route should be continuous from the residence position of the elevator user to the final evacuation site, and be recognized easily.

• Journal of Conservation Science
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• v.35 no.3
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• pp.217-225
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• 2019

The chimi(ridge-end tile) of Wangheungsa temple is the oldest in our country. The upper part of the chimi was excavated from the southern side of Wangheungsa temple and the lower part from the northern side. These parts are considered to be portions of the same chimi, because they are similar in shape and are excavated from two sides of the same temple structure. However, the original shape of the chimi cannot be determined owing to substantial deterioration. Hence, in this study, replicas of the deteriorated chimi portions of Wangheungsa temple were fabricated by employing 3D scanning technology and the computer numerical control machining method. While observing the bending phenomenon of the chimi, the proposed model was warped realistically on the basis of the bending direction of the actual chimi. Consequently, the restoration process was modified several times. The results indicated that no gaps can be found between the upper and lower parts, and the corresponding patterns connect naturally. Furthermore, the proposed method is contactless, safe, operable, reproducible, and appropriate for restoration of artifacts. Additionally, the modeling data is semi-permanent. Hence, if modelling data is appropriately applied as per the characteristics of artifacts, it can be utilized in various fields such as virtual exhibitions, hands-on exhibitions, cultural heritage restoration, and production of teaching aids and souvenirs.

• Korean Journal of Clinical Laboratory Science
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• v.51 no.2
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• pp.198-204
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• 2019

Various treatments can be attempted in patients with intractable epilepsy, in whom the symptoms of seizures are not controlled by various drugs. On the other hand, in patients requiring a surgical method, a preoperative examination is needed to determine the portion of seizure site to be resected. Electrodes are inserted into the cerebral cortex for accurate lesion measurements and safe operation. The electrodes inserted in the cortex not only record the electroencephalography (EEG), but also allow various tests to confirm the function of the part. One of these methods is the evoked potential test. From January 2015 to December 2018, the trends of measured waveforms in were analyzed 70 patients. The somatosensory evoked potential (SSEP) recorded on the electrode inserted in the cerebral cortex can be searched for the pathway of the central sulcus to avoid the primary motor area and primary sensory area. In addition, using the middle latency auditory evoked potentials (MLAEP) and flash visual evoked potentials (FVEP), the functional cortex in the auditory cortex and the visual cortex were compared with the seizure focus point on the EEG to help determine the location of the ablation and minimize functional impairment after surgery.