• Archives of Plastic Surgery
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• 제49권1호
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• pp.43-49
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• 2022

Background Cleft lip and cleft palate are the most frequent congenital craniofacial deformities, with an incidence of approximately 1 per 700 people. Postoperative palatal fistula is one of the most significant long-term complications. This study investigated the incidence of postoperative palatal fistula and its predictive factors based on 25 years of experience at our hospital. Methods We retrospectively reviewed 636 consecutive palatal repairs performed between January 1996 and October 2020 by a single surgeon. Data from patients' medical records regarding cleft palate repair were analyzed. The preoperative extent of the cleft was evaluated using the Veau classification system, and the cleft palate repair technique was chosen according to the extent of the cleft. SPSS version 25.0 was used for all statistical analyses, and exploratory univariate associations were investigated using the t-test. Results Fistulas occurred in 20 of the 636 patients; thus, the incidence of palatal fistula was 3.1%. The most common fistula location was the hard palate (9/20, 45%), followed by the junction of the hard and soft palate (6/20, 30%) and the soft palate (5/20, 25%). The cleft palate repair technique significantly predicted the incidence of palatal fistula following cleft palate repair (P=0.042). Fistula incidence was significantly higher in patients who underwent surgery using the Furlow double-opposing Z-plasty technique (12.1%) than in cases where the Busan modification (3.0%) or two-flap technique (2.0%) was used. Conclusions The overall incidence of palatal fistulas was 3.1% in this study. Moreover, the technique of cleft palate repair predicted fistula incidence.

• Archives of Plastic Surgery
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• 제49권3호
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• pp.304-309
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• 2022

Background Laminin 5, which is found in the basement membrane of dermal-epidermal junction (DEJ), is a major adhesive component and associated with proliferating and migrating keratinocytes. In this study, we hypothesized that the topical application of the skin care products containing the novel peptides might restore the DEJ structure by deriving deposition of laminin 5 and promoting the keratinocyte migration. Here, we evaluated the restoration of DEJ by measuring the skin thickness. Methods Single-center retrospective analysis was performed on a total of 13 patients who underwent skin care using Baume L.C.E. (France, Laboratories d' Anjou) between January and March 2021. All patients applied the skin care agent for 2 weeks only on their left hand dorsum. Before the initiation of the application and after 2 weeks, both their hands were evaluated on photography and ultrasound. And the patients were asked to rate their satisfaction with the questionnaire after 2 weeks. Results There was no obvious improvement in photographic assessment and questionnaire. The post-pre difference of skin thickness in ultrasound images was, in left hand, 0.1 ± 0.37 in distal point and 0.1 ± 0.35 in proximal point; and, in right hand, 0 ± 0.17 in distal point and 0 ± 0.15 in proximal point, respectively. The pre-post difference was statistically significant in proximal point (p = 0.035). Conclusion Topical application of novel peptide derivative comprising laminin 5 demonstrated cutaneous changes including skin thickness, as assessed by ultrasound. Further studies using other modalities including dermal density measurement, three-dimensional photography, optical coherence tomography, or skin biopsy would be helpful to determine the skin-improving effects.

• 한국전기전자재료학회논문지
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• 제36권5호
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• pp.442-453
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• 2023

Tandem or multijunction solar cells (MJSCs) can convert sunlight into electricity with higher efficiency (η) than single junction solar cells (SJSCs) by dividing the solar irradiance over sub-cells having distinct bandgaps. The efficiencies of various common SJSC materials are close to the edge of their theoretical efficiency and hence there is a tremendous growing interest in utilizing the tandem/multijunction technique. Recently, III-V materials integration on a silicon substrate has been broadly investigated in the development of III-V on Si tandem solar cells. Numerous growth techniques such as heteroepitaxial growth, wafer bonding, and mechanical stacking are crucial for better understanding of high-quality III-V epitaxial layers on Si. As the choice of growth method and substrate selection can significantly impact the quality and performance of the resulting tandem cell and the terminal configuration exhibit a vital role in the overall proficiency. Parallel and Series-connected configurations have been studied, each with its advantage and disadvantages depending on the application and cell configuration. The optimization of both growth mechanisms and terminal configurations is necessary to further improve efficiency and lessen the cost of III-V on Si tandem solar cells. In this review article, we present an overview of the growth mechanisms and terminal configurations with the areas of research that are crucial for the commercialization of III-V on Si tandem solar cells.

• Wind and Structures
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• 제35권4호
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• pp.269-285
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• 2022

The pressure-mitigating effects of a high-speed train passing through a tunnel with a partially reduced cross-section are investigated via the numerical approach. A compressible, three-dimensional RNG k-ε turbulence model and a hybrid mesh strategy are adopted to reproduce that event, which is validated by the moving model test. Three step-like tunnel forms and two additional transitions at the tunnel junction are proposed and their aerodynamic performance is compared and scrutinized with a constant cross-sectional tunnel as the benchmark. The results show that the tunnel step is unrelated to the pressure mitigation effects since the case of a double-step tunnel has no advantage in comparison to a single-step tunnel, but the excavated volume is an essential matter. The pressure peaks are reduced at different levels along with the increase of the excavated earth volume and the peaks are either fitted with power or logarithmic function relationships. In addition, the Arc and Oblique-transitions have very limited gaps, and their pressure curves are identical to each other, whereas the Rec-transition leads to relatively lower pressure peaks in C_Pmax, C_Pmin, and ΔC_P, with 5.2%, 4.0%, and 4.1% relieved compared with Oblique-transition. This study could provide guidance for the design of the novel railway tunnel.

• 대한토목학회논문집
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• 제29권5B호
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• pp.453-461
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• 2009

본 연구에서는 한강와 평창강이 만나는 합류부 상류, 특히 영월지점에서 발생하는 홍수위의 배수영향을 분석하기 위하여, 최근 홍수사상들에 대한 적절한 경계조건을 사용하고 조도계수를 보정함으로써 동역학적 흐름해석 모형을 구축하였다. 구축된 모형을 사용하여 본류 및 지류의 다양한 유입량 조건이 발생할 경우, 영월지점에서 발생 가능한 수위-유량 관계곡선의 변화를 살펴보고, 지류 유입에 따른 홍수위의 영향범위를 분석하였다. 분석결과, 영월지역에서는 지류유입 조건에 따라 매우 다른 수위-유량관계곡선들이 작성되었고, 지류 유입으로 인하여 동일한 유량에서 약 4.0 m정도 수위차이가 발생하였다. 따라서 영월 지점과 같이 지류 합류에 의한 배수영향을 크게 받는 지점에서는 단일 수위-유량관계를 결정하는 것이 매우 어려움을 보였고, 지류 유입으로 인한 홍수위 변화는 합류점 상류 약 8.0 km까지 미치는 것으로 분석되었다. 향후 합류부 배수영향을 크게 받는 지점의 홍수위 예측을 위해서는 기존 수문학적 모형보다 잘 보정되고 검증된 완전한 동역학적 모형이 활용되어야 할 것으로 판단된다.

• 건축역사연구
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• 제33권2호
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• pp.17-27
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• 2024

This research interprets the unique hybridity of the pavilion architecture in the Joseon Dynasty, in which the name and form do not match and the rooms and floors are combined in various ways, through the Confucian architectural prototype Muijeongsa(武夷精舍) built by Zhu Xi(朱熹). The architectural representation of Muijeongsa, developed against the background of the mid-Joseon period of active pavilion management by Sarim(士林) groups, the spread of ondols due to the Little Ice Age, and an architectural culture following the footsteps of the Zhu Xi is likely to have influenced the perception and practice of pavilion architecture. In this research, by examining and analyzing the contents of the Muijeongsa Japyeongbyeongseo(武夷精舍雜詠幷序) containing the architectural composition of Muijeongsa, it was confirmed that different types of spaces such as Dang(堂), Jeong(亭), Jae(齋), and Gwan(館) are integrated into Muijeongsa. Based on this, the main examples of the architecture of Jeongsa in the mid-Joseon Dynasty were reinterpreted into four types from the perspective of the combination of Dang and Jeong, and the junction of Jeong and Jeongsa. Dang and Jeong were either juxtaposed as separate buildings or implemented with a relationship of inclusion within one building. And the concept of Jeong, which was considered secondary to Dang, was used as a category that was replaced with the Jeongsa itself. Lastly, the name 'Jeongsa' was used, but the location had a strong character of 'Jeong', and the architectural form adhered to the form of 'Dang', thereby exquisitely reconstructing the composition of Muijeongsa as a single building.

• Journal of Cerebrovascular and Endovascular Neurosurgery
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• 제26권1호
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• pp.37-45
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• 2024

Objective: To review the characteristics of distal middle cerebral artery (MCA) aneurysm treated by microsurgery, the detailed surgical options, and the clinical result. Methods: We retrospectively reviewed cerebral aneurysm in the M2 and M3 segments of the MCA surgically treated between January 2015 and December 2022. The demographic data, aneurysm-related findings, type of surgical approach, surgical technique, and clinical outcomes of the enrolled patients were analyzed. Results: Sixteen distal MCA aneurysms were treated with microneurosurgery (incidence, 1.0%; female, 12; mean age, 58.1 years; ruptured, three). Twelve aneurysms were in the M2 segment (insular segment), two aneurysms at the M2-M3 junction, and two aneurysms in the M3 segment (opercular segment). Twelve aneurysms were saccular (average size, 4.9 mm; multiplicity, 50%; average aneurysms, 3.0; partially thrombosed, 1; sidewall aneurysm, 2). Three aneurysms were fusiform, of which two were ruptured. Of the ruptured aneurysms, one was a ruptured dissecting aneurysm. The trans-sylvian and trans-sulcal approaches were used in fourteen and two patients, respectively. Neck clipping, wrap clipping, and surgical trapping were performed in twelve, one, and one patient, respectively. Proximal occlusion was performed in one patient. Bypass technique was required in two patients (neck clipping and proximal occlusion). The modified Rankin Score was 6 in the two patients with ruptured aneurysms. The remaining patients did not show further neurological deterioration after microneurosurgery. Conclusions: Distal MCA aneurysms had a high incidence of being diagnosed with multiple other aneurysms and were relatively non-saccular.

• 한국의학물리학회지:의학물리
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• 제12권2호
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• pp.161-169
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• 2001

두경부 종양의 방사선치료에서 비대칭 콜리메이터를 이용한 이분조사는 두 조사면을 겹침없이 연결시켜 조사할 수 있는 효과적인 방법이고, 동일 방사선 조사면을 분리하여 X-선과 전자선을 인접시켜 조사하는 경우는 빈번히 사용되는 방법이다. 본 연구는 X-선의 이분조사면을 이용한 두 조사면의 인접면의 선량과, X-선과 전자선 조사면의 인접면에서 선량을 측정하여 임상에 적용할 수 있는 자료를 얻고자 하였다. X-선의 반쪽 조사면의 선량측정에서 하부 전방 단일 이분조사면의 선량분포는 Y축이 0 cm인 면(콜리메이터가 닫힌 면)에서 0.5 cm, 1 cm 거리에서는 각각 개방조사 선량의 93%, 95%, 전후방 이분조사의 경우 Y축이 0 cm인 면에서 0.3 cm, 0.5 cm, 1 cm거리에서는 각각 개방조사 선량의 92%, 95%, 98%로 선량감소를 보였다. X-선과 전자선의 조사면을 인접시켰을 때 깊이 0 cm, 0.5 cm, 1.5 cm, 2 cm, 3 cm에서의 두 조사면의 인접면에서의 선량 분포의 분석에서 X-선 조사면에서 선량 증가는 깊이 1.5 cm에서 폭 7 mm에 걸쳐 있었고 최고 6%의 증가를 보였으며 다른 측정 깊이에서는 선량증가가 허용범위 내에 있었다. 그리고 전자선 조사면쪽에서 선랑 감소는 전 측정 깊이 0.5 cm-3 cm에서 각각 폭이 1mm-12.5 mm에 걸쳐 4.5%- 30%의 주변부 보다 선량감소를 보였다. 본 연구에서 이분 조사면의 선량은 콜리메이터가 닫힌 면에서 감소함을 확인하였다. 그리고 X-선과 전자선을 인접시켜 조사 할 때 두 조사면의 인접면을 중심으로 X-선 조사면 쪽에서 선량증가, 전자선 조사면쪽에서 선량 감소를 보임을 확인하였다.

• 한국공간구조학회논문집
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• 제2권1호
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• pp.85-92
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• 2002

Two way grid single-layer domes are of great advantage in fabrication and construction because of the simple fact that they have only four members at each junction. But, from a point of view of mechanics, the rectangular latticed pattern gives rise to a nonuniform rigidity-distribution in the circumferential direction. If the equivalent rigidity is considered in the axial direction of members, the in-plane equivalent shearing rigidity depends only on the in-plane bending rigidity of members and its value is very small in comparison to that of the in-plane equivalent stretching rigidity. It has a tendency to decrease buckling -strength of dome considerably by external force. But it is possible to increase buckling strength by the use of roofing covering materials connected to framework. In a case like this, shearing rigidity of roofing material increases buckling strength of the overall structure and can be designed economically from the viewpoint of practice. Therefore, the purpose of this paper, in Lamella dome and rectangular latticed dome that are a set of 2-way grid dome, is to clarify the effects of roofing covering materials for increasing of buckling strength of overall dome. Analysis method is based on FEM dealing with the geometrically nonlinear deflection problems. The conclusion were given as follows: 1. In case of Lamella domes which have nearly equal rigidity in the direction of circumference, the rigidity of roofing covering materials does not have a great influence on buckling-strength, but in rectangular latticed domes that has a clear periodicity of rigidity, the value of its buckling strength has a tendency to increase considerably with increasing rigidity of roofing covering materials 2. In case of rectangular latticed domes, as rise-span-ratio increases, models which is subjected to pressure -type-uniform loading than vertical-type-uniform loading are higher in the aspects of the increasing rate of buckling- strength according to the rate of shear reinforcement rigidity, but in case of Lamella dome, the condition of loading and rise-span-ratio do not have a great influence on the increasing rate of buckling strength according to the rate of shear reinforcement rigidity.

• 대한기계학회논문집B
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• 제40권2호
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• pp.69-73
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• 2016

최근 자동차 엔지니어들은 자동차 엔진의 열효율을 향상시키기 위한 수단으로 폐열 회수 기술에 많은 관심을 기울이고 있다. 배기량이 큰 가솔린 엔진은 대체로 V형인데, 열 회수를 위해 두 개의 슈퍼히터를 각각의 배기 다기관 가까이에 설치하는 것은 비용 면에서 효율적이지 않다. 하나의 슈퍼히터를 한쪽 배기 다기관에 최대한 가깝게 부착하면 좀 더 높은 열교환 효율을 얻을 수 있으나 폐열회수를 위한 배기가스의 유량은 절반이 된다. 반면에, 배기가스의 유량을 전부 이용하기 위하여 두 배기관이 합류된 지점에 슈퍼히터를 설치하면 배기가스의 온도는 많이 감소된다. 이 사실을 바탕으로 슈퍼히터의 최적 위치를 조사하기 위하여 상용프로그램인 AMESim을 이용해 해석을 수행하였다. 이 때, 배기가스 유량 중 절반만을 사용하더라도 슈퍼히터를 배기 다기관과 최대한 가까이 부착하는 것이 엔진의 배기가스로부터 3.8 kW의 열을 더 회수할 수 있는 것으로 나타났다. 이 결과를 바탕으로 최적의 폐열 회수 모델을 도출하고 제안하였다.