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Hand Reconstruction with Medial Sural Perforator Free Flap (내측 비복 천공지 유리피판을 이용한 수부재건)

  • Ryu, Min Hee;Kim, Hyo Heon
    • Archives of Plastic Surgery
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    • v.33 no.6
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    • pp.715-722
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    • 2006
  • Purpose: The main advantages of the perforator flap are minimal donor site morbidity, preservation of any main source artery and its thin characteristics. Most perforator flaps for hand reconstruction need primary and secondary procedures such as a flap debulkiness and liposuction etc. However, flap thickness of calf area is thinner than any other perforator flaps. Methods: We performed an anatomical study and clinical application of medial sural artery perforator flap. We found that there are two or more medial sural perforators located on a straight line drawn from the mid-point of popliteal crease to the mid-point of medial malleolus. Most pathway of medial sural artery comes along with this line. It is possible to observe the first perforators almost exactly 8 cm from midpoint of popliteal crease in a distal half circle drawn with a radius of 2 cm. Results: We report 12 cases in 11 patients of hand reconstruction with medial sural perforator free flap from Febrary 2003 to Febrary 2006. Complete healing was possible in 11 cases. Total flap loss for venous insufficiency was in 1 patient. During the follow-up, good contour and full range of motion was observed on hand reconstruction with medial sural perforator free flap. Conclusion: In the authors' experience, this anatomical study made it possible to prepare a diagram of the exact location of the medial sural perforators. This flap can be used to achieve acceptable functional and aesthetic results for hand reconstruction because of its thin characteristics.

An Analysis on Nonpatient Revenues in Hospitals (병원의 의료외수익 분석)

  • Yang, Jong-Hyun;Chang, Dong-Min
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.348-356
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    • 2013
  • This study examines nonpatient revenues of hospital in korea. The data source for this study was the 11 national university hospitals over the period 2008-2012. In this study, patient revenues, patient expenses, operating profit, nonpatient revenues, total revenues, ratio of the nonpatient revenues in the total revenues, operating margin, normal profit to gross revenues were analysed by the annual. The analysis of nonpatient revenue differences by management performance, bed size, location was performed. The results were as follows. Nonpatient revenues of national university hospitals were increased during the period 2008-2012. Nonpatient revenues were no significant differences by management performance. Nonpatient revenues in hospitals which are large bed size and located in big city were larger. Based on these results, this study suggests implications to diversify profitability for management performance in hospitals.

Modeling for Prediction of Water Quality According to Dredging Operation (퇴적물 준설에 따른 수환경 영향 예측 모의)

  • Ahn, Jae-Hwan;Kim, Mee-Kyung;Lee, Mi-Kyung;Hwang, Byung-Gi
    • Journal of Korean Society of Environmental Engineers
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    • v.27 no.11
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    • pp.1228-1237
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    • 2005
  • In order to predict the long-term effects of pollutants in sediment on the water quality and the improvement of water quality according to dredging operation, models applied to decide the location and the propriety of dredging were developed. At first, the area was divided into several segments and the developed model was applied to simulate the behaviors of contaminants in an aquatic environment by using estimated parameters. And then through the sensitivity analysis between parameters, the optimum values were determined. The long-term modelling in the area A forecasted that PCBs concentration in the hot spot was decreased from $3.1\;{\mu}g/L$ to $2.4\;{\mu}g/L$ in 30 years. Contaminants in sediment as a source of water pollution did not reduce remarkably in the long run. Therefore it is difficult to expect the improvement of water qualities without the fundamental isolation of contaminants from sediment. It is considered that the selective dredging in the spot improves the water quality consequently.

Clinical Effectiveness of Ultrasound-guided Costotransverse Joint Injection in Thoracic Back Pain Patients

  • Yoon, Kyung Bong;Kim, Shin Hyung;Park, Sang Jun;Moon, Ji Ae;Yoon, Duck Mi
    • The Korean Journal of Pain
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    • v.29 no.3
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    • pp.197-201
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    • 2016
  • Because of its anatomical location and function, the costotransverse (CTRV) joint can be a source of thoracic back pain. In this retrospective observational study, we evaluated the clinical effectiveness of the CTRV joint injection in thoracic back pain patients with suspected CTRV joint problems. We enrolled 20 thoracic back pain patients with localized tenderness that was provoked by the application of pressure on the affected CTRV joints. We injected it with 0.5 ml of a ropivacaine and triamcinolone mixture at each level. The mean pre-injection pain score decreased by 37.9% ($7.2{\pm}1.5$ to $4.5{\pm}1.7$, P < 0.001) two weeks after CTRV joint injection. In addition, 70% of patients reported an excellent or good level of satisfaction. We demonstrated that an ultrasound-guided injection of the CTRV joint reduced patients' pain scores and led to a high level of satisfaction at short-term follow-ups in patients with suspected CTRV joint problems.

Variability of Pb, Mn, Al and Na Concentrations is Snow Deposited from Winter to Early Summer 1998 in Livingston lsland, Antarctic Peninsula

  • Sungmin Hong;Lee, Gangwoong;Velde, Katja-Van de;Claude F. Boutron
    • Journal of Korean Society for Atmospheric Environment
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    • v.16 no.E2
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    • pp.85-96
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    • 2000
  • The concentrations of Pb, Mn, Al and Na were measured from a total of 26 snow samples collected from a 1.5-m deep snow pit in Livingston Island, South Shetland Islands, at the northern tip of the Antarctic Peninsula. Ore sampling location is great concern, because of its proximity to the southern extremity of south America, a candidate for the source regions of pollutant aerosols entering Antarctica. The mean concentrations of Pb and Mn were found to be 4.97 pg g(sup)-1 and 20.6 pgg(sup)-1, respectively. These concentrations levels are similar to those reported for recent snow at other Antarctic sites with pronounced spring maxima for both metals. Contributions form natural sources are estimated to be minor (∼16%) for Pb. For Mn, on the other hand, contribution from rock and soil dusts is found to be very important. Excess Pb over Pb from natural sources is likely to be anthropogenic, especially from South Americal. Our results show that yearly Pb fallout flux is much greater in Antarctic coastal areas than at other Antarctic locations far from the coast , indicating that the transport and deposition patterns of pollutant aerosols are not simple is Antarctica. It is also suggested that the recycling of anthropogenic Pb in seawater to the atmosphere could significantly contribute to the Pb fallout flux in the Antarctic coastal regions.

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Efficient Hierarchical Mobility Management Scheme for Mobile Content Centric Networking (이동 컨텐츠 중심 네트워크에서의 효율적인 계층적 이동성 관리 방안)

  • Lee, Jihoon;Lee, Juyong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.2
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    • pp.37-41
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    • 2018
  • As individuals generate and share various content anytime and anywhere, new networking architectures, such as content-centric networking (CCN) using the content name as a packet identifier, have been in the spotlight recently. However, the current CCN hardly takes into account node mobility problems, especially the mobility of content sources. The movement of content sources causes long delivery latency and long service disruptions. To solve that, the tunneling-based redirection scheme was proposed. However, the tunneling-based scheme requires a location-update procedure whenever the network changes, which creates many control messages and causes long latency. So, this paper presents hierarchical mobility management of mobile CCN to reduce the number of control messages and handoff latency. Performance evaluation shows that the proposed scheme can provide low control overhead, which results in network scalability.

Application of FDS for the Hazard Analysis of Lubricating Oil Fires in the Air Compressor Room of Domestic Nuclear Power Plant (국내 원자력발전소의 공기 압축기실에서 윤활유 화재의 위험성 분석을 위한 FDS의 활용)

  • Han, Ho-Sik;Hwang, Cheol-Hong;Baik, Kyung Lok;Lee, Sangkyu
    • Journal of the Korean Society of Safety
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    • v.31 no.2
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    • pp.1-9
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    • 2016
  • The standard procedure of fire modeling was reviewed to minimize the user dependence, based on the NUREG-1934 and 1824 reports. The hazard analysis of lubricating oil fires in the air compressor room of domestic nuclear power plant (NPP) was also performed using a representative fire model, FDS (Fire Dynamics Simulator). The area ($A_f$) and location of fire source were considered as major parameters for the realistic fire scenarios. As a result, the maximum probability to exceed the thermal damage criteria of IEEE-383 unqualified electrical cables was predicted as approximately 70% with $A_f=1m^2$. It was also found that for qualified electrical cables, the maximum probabilities of exceeding the criteria were 2% and 90% with $A_f=2$ and $4m^2$, respectively. It was concluded that all electrical cables should be replaced with IEEE-383 qualified cables and the dike to restrict as $A_f{\leq}2m^2$ should be installed at the same time, in order to assure the thermal stability of electrical cables for lubricating oil fires in the air compressor room of domestic NPP.

A Study on the Change of Condensable Particulate Matter by the SO2 Concentration among Combustion Gases (연소 배출가스 중 SO2 농도에 따른 응축성먼지 변화에 관한 연구)

  • Yu, JeongHun;Lim, SeulGi;Song, Jihan;Lee, DoYoung;Yu, MyeongSang;Kim, JongHo
    • Journal of Korean Society for Atmospheric Environment
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    • v.34 no.5
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    • pp.651-658
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    • 2018
  • Particulate matter (PM) emitted from fossil fuel-combustion facilities can be classified as either filterable or condensable PM. The U.S. Environmental Protection Agency (EPA) defined condensable PM as material that is in the phase of vapor at the stack temperature of the sampling location which condenses, reacts upon cooling and dilution in the ambient air to form solid or liquid in a few second after the discharge from the stack. Condensable PM passed through the filter media and it is typically ignored. But condensable PM was defined as a component of primary PM. This study investigates the change of condensable PM according to the variation in the sulfur dioxide of combustion gas. Domestic oil boilers were used as the source of emission ($SO_2$) and the level of $SO_2$ concentration (0, 50, 80, and 120 ppm) was adjusted by diluting general light oil and marine gas oil (MGO) that contains sulfur less than 0.5%. Condensable PM was measured as 2.72, 6.10, 8.38, and $13.34mg/m^3$ when $SO_2$ concentration in combustion gas were 0, 50, 80, and 120 ppm respectively. The condensable PM tended to increase as the concentration of $SO_2$ increased. Some of the gaseous air pollutants emitted from the stack should be considered precursors of condensable PM. The gas phase pollutants which converted into condensable PM should reduced for condensable PM control.

Incorporating Time Constraints into a Recommender System for Museum Visitors

  • Kovavisaruch, La-or;Sanpechuda, Taweesak;Chinda, Krisada;Wongsatho, Thitipong;Wisadsud, Sodsai;Chaiwongyen, Anuwat
    • Journal of information and communication convergence engineering
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    • v.18 no.2
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    • pp.123-131
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    • 2020
  • After observing that most tourists plan to complete their visits to multiple cultural heritage sites within one day, we surmised that for many museum visitors, the foremost thought is with regard to the amount of time is to be spent at each location and how they can maximize their enjoyment at a site while still balancing their travel itinerary? Recommendation systems in e-commerce are built on knowledge about the users' previous purchasing history; recommendation systems for museums, on the other hand, do not have an equivalent data source available. Recent solutions have incorporated advanced technologies such as algorithms that rely on social filtering, which builds recommendations from the nearest identified similar user. Our paper proposes a different approach, and involves providing dynamic recommendations that deploy social filtering as well as content-based filtering using term frequency-inverse document frequency. The main challenge is to overcome a cold start, whereby no information is available on new users entering the system, and thus there is no strong background information for generating the recommendation. In these cases, our solution deploys statistical methods to create a recommendation, which can then be used to gather data for future iterations. We are currently running a pilot test at Chao Samphraya national museum and have received positive feedback to date on the implementation.

An Operation Scheme of Local Sink in Geographic Routing for Wireless Sensor Networks (무선 센서 네트워크를 위한 위치 기반 라우팅에서 로컬 싱크 운영 기법)

  • Lee, Eui-Sin;Park, Soo-Chang;Jin, Min-Sook;Park, Ho-Sung;Kim, Tae-Hee;Kim, Sang-Ha
    • Journal of KIISE:Computing Practices and Letters
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    • v.15 no.3
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    • pp.201-205
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    • 2009
  • This paper addresses issues to efficiently collect and aggregate data of sources within a local and adjacent region in geographic routing for wireless sensor networks. We first introduce the concept of a local sink which collects and aggregates data form source nodes in the region and delivers the aggregated data to a global sink. We also design a model to determine an optimal location of the local sink and propose a mechanism to collect data through the local sink. Simulation results show that the proposed mechanism with the local sink is more efficient in terms of the energy and the data delivery ratio than the existing mechanism without the local sink in a geographic routing.