• 제목/요약/키워드: Short-segment

검색결과 197건 처리시간 0.023초

Achalasia 의 외과적 치료 -Modified Heller Operation을 시행한 9례의 관찰성적- (Surgical Treatment of Achalasia of the Esophagus -Report of 9 Cases Performed Modified Heller Operation-)

  • 이호일
    • Journal of Chest Surgery
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    • 제1권1호
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    • pp.53-60
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    • 1968
  • Achalasia is a functional disorder of a short segment of the lower esophagus showing obstruction of the esophagogastric junction. Dysphagia. regurgitation and weight loss are outstanding features,however, complicated pulmonary troubles aspiration pneumonitis, bronchiectasis, lung abscess etc. --are sometimes more apparent than the disease entity in children though achalasia is rarely encountered in children. During the period of January, 1961, to May, 1968, the authors experienced 9 cases of achalasia of the esophagus in Chest Surgery Department,N.M.C. 1. Seven of nine were male and four were under 5 years of age. 2. So-called symptoms triad noted in almost every case, and 3 of 4 children showed recurrent attacks of pneumonitis. 3. Chest film showed widened superior mediastinum by dilated esophagus in 6 cases, and pulmonary infiltrations in 3 cases of children. 4. Preoperative diagnosis were achalasia,esophageal stricture by rodent-cidal ingestion and suggestive esophageal cancer in 7 cases,one case and remaining one case. respectively. 5. Modified Heller procedure was performed in all cases with definite diagnosis of achalasia at operation table in misdiagnosed 2 cases. 6. Immediate postoperative complications were 2 cases of wound infection and one case of atelectasis and no operative mortality encountered. 7. Seven of nine showed excellent result of operation, and good in one case. Remaining one case failed relieving obstruction and underwent interposition of ileocolonic segment with excellent result.

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Mesoscopic Traffic Simulator를 이용한 고속도로 지정체 관리방안평가 (Evaluation of Freeway Congestion Management Using Mesoscopic Traffic Simulator)

  • 최기주;이승환
    • 한국시뮬레이션학회논문지
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    • 제10권3호
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    • pp.47-58
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    • 2001
  • Evaluation of Freeway Congestion Management Using Mesoscopic Traffic Simulator A mesoscopic simulation study to measure the effects of trip generation caused by rampant expansion of residential area around the Kyungbu corridor has been conducted. Some alternatives, which seem to be judgememtally plausible and technically feasible to mitigate such congestion, have been carefully examined and evaluated by the simulation model called INTEGRATION. Alternatives are mostly network improvements. Banpo IC dedicated ramp construction (A1), Seocho IC TSM based weaving elimination (A2), dedicated local and express separation over Seocho-Yangjae segment (A3), Heonleung IC (A4) and Daewang If installations (A5), Pangyo IC improvement (A6), Baikhyun IC (A7) and Dongbaek IC installations (A8) along with Shingal-Pangyo segment capacity addition (A9). The most capital intensive ones are A9, A5, and A4 in that order. A1, A6, A7, and A8 are short in distance but they are also capital intensive and need some construction periods. The least capital driven alternatives are h2 and A3, the h2 is easier to do, but A3 needs traffic diversion scheme during construction. The A1, A7, and A8 have been identified cost effective in terms of speed increase and travel time saving. Along with these results, some limitations and future research agenda regarding simulation have also been presented.

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세그먼트 라이닝의 열차 진동하중에 대한 동적 응답특성 (Dynamic response of segment lining due to train-induced vibration)

  • 이경주;송기일
    • 한국터널지하공간학회 논문집
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    • 제25권4호
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    • pp.305-330
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    • 2023
  • 쉴드TBM 터널은 NATM 터널과 달리 라이닝이 세그먼트로 분절되어 있다. 따라서 라이닝에 동일 하중이 발생되어도 NATM 터널 라이닝과 쉴드TBM 터널 라이닝의 응력 분포가 다르게 발생된다. 쉴드TBM 터널에서 라이닝에 발생되는 응력을 분석하는 대표적 방법은 연결부를 고려하지 않는 강성일체법과 링간 이음 및 세그먼트 연결을 고려하는 2링 빔스프링 모델이 있다. 본 연구는 라이닝 분절 Segmentaion을 고려한 Break-joint Mode 해석 방법이지만 세그먼트 라이닝 연결부의 구조적 역할을 고려하지 않고 마찰력 성분인 수직강성과 전단강성 만 도입된 쉘 인터페이스 요소를 이용한 모델링을 적용하여 진동하중 발생 시 라이닝의 응력 및 변위에 대한 응답결과를 분석했다. 토압 등 정적 하중에 대해 천 정부에서 가장 큰 응력이 발생되는 강성일체법과 달리 본 연구의 해석방법에 의해 발생된 세그먼트 라이닝 응력 분포는 세그먼트 연결부가 집중된 천정부 Key 세그먼트에서 가장 작은 응력이 발생하였고 연결부를 경계로 응력의 분포가 뚜렷이 구분되었다. 그리고 정적 해석 결과는 강성일체법에 발생된 라이닝 응력이 본 연구 방법에 의해 발생된 세그먼트 라이닝의 응력에 비해 최대 7배의 큰 응력이 발생되었다. 이러한 결과는 세그먼트 연결부를 고려한 기존의 2링 빔-스프링 모델의 응력분포 양상과 일치하는 결과다. 그러나 열차 진동하중에 대한 응력값은 Break-joint Mode로 해석한 본 연구방법의 응력이 강성일체법에 비해 더 큰 응력을 발생되었다. 이는 짧은 부재들의 조합으로 이루어진 세그먼트 Ring이 원주방향으로 일체로 되어 부재의 길이가 상대적으로 더 긴 강성일체법 결과에 비해 더 작은 응력이 발생되는 정역학적 개념과 상이한 결과다. 진동하중에 대해 Break-joint Mode에서 세그먼트 라이닝에 응력이 더 크게 발생된 원인은 부재의 고유주기, 감쇠비 등 동역학적 요인의 차이보다는 열차 진동하중에 대해 라이닝에 발생되는 변위의 차이에 기인하는 것으로 판단되지만 이에 대한 증명은 추후의 과제로 남겨두었다. 본 연구 방법의 Break-joint Mode를 이용하면 정지상태의 열차 하중에 의해 발생되는 라이닝의 응력과 변위값을 비교하여 쉴드TBM 터널의 충격계수(DIF)를 비교적 간단하게 추정할 수 있다. 본 연구는 쉴드TBM 터널의 Segmentaion을 고려한 3차원 모델링으로 추후 지진파 등 다양한 하중조건의 검토를 통해 기존 해석방법 결과와 비교하여 모델링의 추가적 신뢰성을 확보할 필요가 있다.

LSI의 Layout CAD에 있어서의 배선 혼잡도를 고려한 배치 문제 (A Placement Prablem with Wire Congestion in LSI Layout CAD)

  • 임인칠;정정화;이병호
    • 대한전자공학회논문지
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    • 제19권3호
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    • pp.19-27
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    • 1982
  • LSI, 프린트 기판등의 배치 문제에 있어서의 목적 함수로써 총배선장의 최소화, 통과선선의 최소화가 지금까지 채용되어 왔었다. 이 목적 함수는 layout의 궁극적인 목표(100% 결선률)를 대국적으로는 반영하고 있다고 말할 수 있지만 국기적으로 혼잡한 배선 상태를 나타내고 있지 않기 때문에 목적 함수로써 불충분한 경우가 많이 보여 지고 있다. 본 논문에서는 국소적인 배선 혼잡도를 나타내기 위해 쎄그먼트(segment) 혼잡도라고 하는 새로운 개념을 도입하여 이 쎄그먼트 혼잡도를 최소로 하는 것을 목적 함수로 하는 것을 제안하였다. 그리고 이 목적 함수를 최적화 하기 위해 능률 좋은 휴리스틱 알고리즘을 제안하고 프로그램 실험에 의해 그 유용성을 확인하였다. 쎄그먼트 혼잡도의 최대치는 총배선장이 짧게 되면 적게 되고 총배선장이 길게 되면 크게 되는 것이 실험의 결과로 얻어져 총배선장을 ?게 하고 동시에 쌔그먼트 혼잡도의 최대치를 적게 하는 제어 파라미터 (혼잡도 Parameter)의 값의 범위를 실험적으로 구하였다.

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경추 전방 잠금식 금속판이 장기적으로 경추에 미치는 영향 (Long-term Effects on the Cervical Spine after Anterior Locking Plate Fixation)

  • 김근수
    • Journal of Korean Neurosurgical Society
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    • 제30권4호
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    • pp.493-500
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    • 2001
  • Objective : Anterior cervical locking plates are the devices for achieving anterior cervical spinal fusion. This study was conducted to evaluate the locking plate system regarding its long-term advantages and disadvantages in the view of interbody fusion rate, hardware-related failures, vertebral change close to the fusion segment and postoperative complications. Method : Eight-six patients, operated from Jan., 1996 to Jun. 1998, were followed-up for more than two years. All of the cases were fused with iliac bone graft and ORION locking plate(Sofamor Danek USA, Inc., Memphis, TN) fixation. The patients were discharged or transferred to rehabilitation department 2-7 days after operation. A comprehensive evaluation of the interbody fusion state, instrument failure, vertebral change and postoperative complications were made by direct interview and cervical flexion-extension lateral plain films. Results : There were 55 male and 31 female with a mean age of 45 years(18-75 years). The mean follow-up period was 29 months(24-43 months). Various disorders that were operated were 40 cervical discs, 6 cervical stenosis including OPLL, 2 infections, and 38 traumas. Fusion level was single in 59 cases, two levels of each disc space in 15 cases, and two levels after one corpectomy in 12 cases. There was no instrument failure. Pseudoarthrosis was observed in two cases(2%) without radiological instability. The other patients(98%) showed complete cervical fusion with stable instrument. Mild settling of interbody graft with upward migration of screws was found in 12 cases(14%). Anterior bony growth at the upper segment was found in 5 cases(6%). Postoperative foreign body sensation or dysphagia was observed in 12 cases(4%), and disappeared within one month in 7 cases and within six months in 4 cases. One patient complained for more than six months and required reoperation to remove paraesophageal granulation tissue. Conclusion : The results show that Orion cervical locking plate has some disadvantages of upward migration of screws, anterior bony growth at the upper segment, or possibility of esophageal compression even though it has advantages of high interbody fusion rate or low instrument failure. Author believe that anterior cervical locking plate in the future should be thinner, and should have short end from the screw hole, and movable screw with adequate stability.

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심장 자기공명영상에서 방사형 임계치 결정법을 통한 좌심실 분할 알고리즘 (Left Ventricle Segmentation Algorithm through Radial Threshold Determination on Cardiac MRI)

  • 문창배;이해연;김병만;신윤식
    • 한국정보과학회논문지:소프트웨어및응용
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    • 제36권10호
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    • pp.825-835
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    • 2009
  • 의학기술이 발전하면서 결핵, 폐렴, 영양실조, A형간염 등의 질병에 의한 사망률은 감소하는 반면, 심장 질환으로 인한 사망률은 증가하는 추세이다. 심장병을 예방하기 위하여 정기적인 검사가 중요하고, 인체에 무해한 자기공명영상을 활용하여 심장의 혈류량과 심박구출률을 계산하여 심장의 기능을 분석할 필요가 있다. 본 논문에서는 기존의 노동집약적이고 시간적 비용이 큰 수동윤곽분할을 대체하기 위한 자동 좌심실 분할 알고리즘을 제안하였다. 방사형 임계치 결정법을 통하여 심실을 분할하고 혈류량 및 심박구출률을 계산하였으며, 특히 기존 방법들에서 문제가 되었던 기저 영상도 사용자 간섭률을 최소화하여 자동분할을 수행하였다. 제안 알고리즘의 검증을 위하여 36명의 심장 자기공명영상 데이터를 사용하여 전문가에 의한 수동윤곽분할 및 제너럴일렉트로닉스 MASS 소프트웨어와 정량적 비교를 수행하였다. 실험을 통해 제안한 방법이 표준으로 간주되는 수동윤곽분할과 정확도가 유사하며, MASS 소프트웨어보다 높은 정확도를 갖고 있음을 알 수 있었다.

구안와사(口眼喎斜) 환자(患者)의 Gadolinium-DPTA enhanced MRI 소견(所見)에 대한 임상적(臨床的) 고찰(考察) (Clinical Study on Gadolinium-DPTA enhanced MRI of Bell's palsy)

  • 김재수;최우석;김용석;고형균;강성길;김창환
    • Journal of Acupuncture Research
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    • 제17권3호
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    • pp.87-98
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    • 2000
  • This study is designed to evaluate the clinical implications of Gd-DPTA (Gadolinium-diethyl enetriamine pentacetic acid) enhanced MRI(Magnetic resonance imaging) in Bell's palsy and find it's usefulness in Oriental Medicine In this study, 25 outparients with Bell's palsy were studied that MRI was performed. To evaluate degree of facial palsy, H-B(House-Brackmann) Grade was used. In Oriental Medical therapy, Acupuncture and Herbal medicine were treated. Subjective cause was divided into exposure to chill, fatigue, stress, mixed cases. Enhanced site was compared with symptoms which were disorder of eye, hearing, taste, and facial muscle palsy. Also, Relation between time which was performed MRI and enhancement was analyzed. The enhanced lesion in MRI was divided into five segments; Internal audiitory canal, Labyrinthine segment, Geniculate ganglion, Tympanic segment, Mastoid segment. In Bell's palsy, 20 of 25 patients(80%) had abnormal contrast enhancement of the facial nerve. The H-B grade and interval performed MRI from onset were directly proportionate to enhancement. That is to say, Severe facial palsy short interval show high possibility of enhancement. There was no relation between subjective causes and enhanced site of facial nerve in MRI. Also Clinical symptoms didn't coincide with MRI findings.

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이동 환경에서 다중점 질의를 위한 효율적인 방송 데이타 클러스터링 (Efficient Broadcast Data Clustering for Multipoint Queries in Mobile Environments)

  • 방수호;정연돈;김명호
    • 한국정보과학회논문지:데이타베이스
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    • 제28권4호
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    • pp.715-722
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    • 2001
  • 최근 뛰어난 성능의 휴대용 컴퓨터들이 등장하고 무선 통신 기술이 발달함에 따라 이동 컴퓨팅에 대한 관심이 급격히 증가하고 있다. 이동 컴퓨팅에서는 무선 통신이 가지는 통신 대역과 에너지의 제약 때문에 방송 기법을 많이 사용한다. 본 논문은 다수의 데이타를 참조하는 다중 점 질의에 대한 방송 데이타 클러스터링 기법에 대해 기술한다. 방송 데이타의 클러스터링을 통해 사용자는 보다 빨리 필요로 하는 데이타를 얻을 수 있다. 본 논문에서는 먼저 데이타 친화도와 세그먼트 친화도라는 기준을 제시하며 이에 기반한 클러스터링 방법을 제안한다. 데이타 친화도는 두 데이타 개체가 질의에서 같이 참조되는 정 도를 나타내며, 세그먼트 친화도는 두 데이타 집합(세그먼트)이 질의에서 같이 참조되는 정도를 나타낸다.제안하는 방법은 질의의 수가 증가에도 성능이 크게 저하되지 않는 특징을 지닌다.

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Perceptional Change of a New Product, DMB Phone

  • Kim, Ju-Young;Ko, Deok-Im
    • 마케팅과학연구
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    • 제18권3호
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    • pp.59-88
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    • 2008
  • Digital Convergence means integration between industry, technology, and contents, and in marketing, it usually comes with creation of new types of product and service under the base of digital technology as digitalization progress in electro-communication industries including telecommunication, home appliance, and computer industries. One can see digital convergence not only in instruments such as PC, AV appliances, cellular phone, but also in contents, network, service that are required in production, modification, distribution, re-production of information. Convergence in contents started around 1990. Convergence in network and service begins as broadcasting and telecommunication integrates and DMB(digital multimedia broadcasting), born in May, 2005 is the symbolic icon in this trend. There are some positive and negative expectations about DMB. The reason why two opposite expectations exist is that DMB does not come out from customer's need but from technology development. Therefore, customers might have hard time to interpret the real meaning of DMB. Time is quite critical to a high tech product, like DMB because another product with same function from different technology can replace the existing product within short period of time. If DMB does not positioning well to customer's mind quickly, another products like Wibro, IPTV, or HSPDA could replace it before it even spreads out. Therefore, positioning strategy is critical for success of DMB product. To make correct positioning strategy, one needs to understand how consumer interprets DMB and how consumer's interpretation can be changed via communication strategy. In this study, we try to investigate how consumer perceives a new product, like DMB and how AD strategy change consumer's perception. More specifically, the paper segment consumers into sub-groups based on their DMB perceptions and compare their characteristics in order to understand how they perceive DMB. And, expose them different printed ADs that have messages guiding consumer think DMB in specific ways, either cellular phone or personal TV. Research Question 1: Segment consumers according to perceptions about DMB and compare characteristics of segmentations. Research Question 2: Compare perceptions about DMB after AD that induces categorization of DMB in direction for each segment. If one understand and predict a direction in which consumer perceive a new product, firm can select target customers easily. We segment consumers according to their perception and analyze characteristics in order to find some variables that can influence perceptions, like prior experience, usage, or habit. And then, marketing people can use this variables to identify target customers and predict their perceptions. If one knows how customer's perception is changed via AD message, communication strategy could be constructed properly. Specially, information from segmented customers helps to develop efficient AD strategy for segment who has prior perception. Research framework consists of two measurements and one treatment, O1 X O2. First observation is for collecting information about consumer's perception and their characteristics. Based on first observation, the paper segment consumers into two groups, one group perceives DMB similar to Cellular phone and the other group perceives DMB similar to TV. And compare characteristics of two segments in order to find reason why they perceive DMB differently. Next, we expose two kinds of AD to subjects. One AD describes DMB as Cellular phone and the other Ad describes DMB as personal TV. When two ADs are exposed to subjects, consumers don't know their prior perception of DMB, in other words, which subject belongs 'similar-to-Cellular phone' segment or 'similar-to-TV' segment? However, we analyze the AD's effect differently for each segment. In research design, final observation is for investigating AD effect. Perception before AD is compared with perception after AD. Comparisons are made for each segment and for each AD. For the segment who perceives DMB similar to TV, AD that describes DMB as cellular phone could change the prior perception. And AD that describes DMB as personal TV, could enforce the prior perception. For data collection, subjects are selected from undergraduate students because they have basic knowledge about most digital equipments and have open attitude about a new product and media. Total number of subjects is 240. In order to measure perception about DMB, we use indirect measurement, comparison with other similar digital products. To select similar digital products, we pre-survey students and then finally select PDA, Car-TV, Cellular Phone, MP3 player, TV, and PSP. Quasi experiment is done at several classes under instructor's allowance. After brief introduction, prior knowledge, awareness, and usage about DMB as well as other digital instruments is asked and their similarities and perceived characteristics are measured. And then, two kinds of manipulated color-printed AD are distributed and similarities and perceived characteristics for DMB are re-measured. Finally purchase intension, AD attitude, manipulation check, and demographic variables are asked. Subjects are given small gift for participation. Stimuli are color-printed advertising. Their actual size is A4 and made after several pre-test from AD professionals and students. As results, consumers are segmented into two subgroups based on their perceptions of DMB. Similarity measure between DMB and cellular phone and similarity measure between DMB and TV are used to classify consumers. If subject whose first measure is less than the second measure, she is classified into segment A and segment A is characterized as they perceive DMB like TV. Otherwise, they are classified as segment B, who perceives DMB like cellular phone. Discriminant analysis on these groups with their characteristics of usage and attitude shows that Segment A knows much about DMB and uses a lot of digital instrument. Segment B, who thinks DMB as cellular phone doesn't know well about DMB and not familiar with other digital instruments. So, consumers with higher knowledge perceive DMB similar to TV because launching DMB advertising lead consumer think DMB as TV. Consumers with less interest on digital products don't know well about DMB AD and then think DMB as cellular phone. In order to investigate perceptions of DMB as well as other digital instruments, we apply Proxscal analysis, Multidimensional Scaling technique at SPSS statistical package. At first step, subjects are presented 21 pairs of 7 digital instruments and evaluate similarity judgments on 7 point scale. And for each segment, their similarity judgments are averaged and similarity matrix is made. Secondly, Proxscal analysis of segment A and B are done. At third stage, get similarity judgment between DMB and other digital instruments after AD exposure. Lastly, similarity judgments of group A-1, A-2, B-1, and B-2 are named as 'after DMB' and put them into matrix made at the first stage. Then apply Proxscal analysis on these matrixes and check the positional difference of DMB and after DMB. The results show that map of segment A, who perceives DMB similar as TV, shows that DMB position closer to TV than to Cellular phone as expected. Map of segment B, who perceive DMB similar as cellular phone shows that DMB position closer to Cellular phone than to TV as expected. Stress value and R-square is acceptable. And, change results after stimuli, manipulated Advertising show that AD makes DMB perception bent toward Cellular phone when Cellular phone-like AD is exposed, and that DMB positioning move towards Car-TV which is more personalized one when TV-like AD is exposed. It is true for both segment, A and B, consistently. Furthermore, the paper apply correspondence analysis to the same data and find almost the same results. The paper answers two main research questions. The first one is that perception about a new product is made mainly from prior experience. And the second one is that AD is effective in changing and enforcing perception. In addition to above, we extend perception change to purchase intention. Purchase intention is high when AD enforces original perception. AD that shows DMB like TV makes worst intention. This paper has limitations and issues to be pursed in near future. Methodologically, current methodology can't provide statistical test on the perceptual change, since classical MDS models, like Proxscal and correspondence analysis are not probability models. So, a new probability MDS model for testing hypothesis about configuration needs to be developed. Next, advertising message needs to be developed more rigorously from theoretical and managerial perspective. Also experimental procedure could be improved for more realistic data collection. For example, web-based experiment and real product stimuli and multimedia presentation could be employed. Or, one can display products together in simulated shop. In addition, demand and social desirability threats of internal validity could influence on the results. In order to handle the threats, results of the model-intended advertising and other "pseudo" advertising could be compared. Furthermore, one can try various level of innovativeness in order to check whether it make any different results (cf. Moon 2006). In addition, if one can create hypothetical product that is really innovative and new for research, it helps to make a vacant impression status and then to study how to form impression in more rigorous way.

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"Mini-Flow-Through" Deep Inferior Epigastric Perforator Flap for Breast Reconstruction with Preservation of Both Internal Mammary and Deep Inferior Epigastric Vessels

  • Satake, Toshihiko;Sugawara, Jun;Yasumura, Kazunori;Mikami, Taro;Kobayashi, Shinji;Maegawa, Jiro
    • Archives of Plastic Surgery
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    • 제42권6호
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    • pp.783-787
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    • 2015
  • This procedure was developed for preservation of the rectus muscle components and deep inferior epigastric vessel after deep inferior epigastric perforator (DIEP) flap harvesting. A 53-year-old woman with granuloma caused by silicone injection underwent bilateral nipple-sparing mastectomies and immediate reconstruction with "mini-flow-through" DIEP flaps. The flaps were dissected based on the single largest perforator with a short segment of the lateral branch of the deep inferior epigastric vessel that was transected as a free flap for breast reconstruction. The short segments of the donor deep inferior epigastric vessel branch are primarily end-to-end anastomosed to each other. A short T-shaped pedicle mini-flow-through DIEP flap is interposed in the incised recipient's internal mammary vessels with two arterial and four concomitant venous anastomoses. Although it requires multiple vascular anastomoses and a short pedicle for the flap setting, the mini-flow-through DIEP flap provides a large pedicle caliber, enabling safer microsurgical anastomosis and well-vascularized tissue for creating a natural breast without consuming time or compromising the rectus muscle components and vascular flow of both the deep inferior epigastric and internal mammary vessels.