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Split orthodontic airway plate: An innovation to the utilization method of conventional orthodontic airway plate for neonates with Robin sequence

  • Choo, HyeRan;Kim, Seong-Hun;Ahn, Hyo-Won;Poets, Christian F.;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.52 no.4
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    • pp.308-312
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    • 2022
  • Since the emergence of neonatal infant orthodontics for treatments of cleft lip and palate with or without Robin sequence (RS) in Europe in the 1950s, advancements in design and scope of its application have been remarkable. As the first institution to adopt orthodontic airway plate (OAP) treatment in the United States in 2019, we saw a need for innovation of the original design to streamline the most labor-intensive and time-consuming aspects of OAP utilization. A solution is introduced using a systematic split expansion mechanism to re-size the OAP periodically to accommodate the neonate's maxillary growth. To date, seven RS patients have received this modified treatment protocol at our institution. Each patient completed full treatment using only one OAP. This innovative utilization method is aptly named the split orthodontic airway plate (S-OAP). Details of the S-OAP and its modifications from conventional OAP are reported.

The utility of three-dimensional models in complex microsurgical reconstruction

  • Ogunleye, Adeyemi A.;Deptula, Peter L.;Inchauste, Suzie M.;Zelones, Justin T.;Walters, Shannon;Gifford, Kyle;LeCastillo, Chris;Napel, Sandy;Fleischmann, Dominik;Nguyen, Dung H.
    • Archives of Plastic Surgery
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    • v.47 no.5
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    • pp.428-434
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    • 2020
  • Background Three-dimensional (3D) model printing improves visualization of anatomical structures in space compared to two-dimensional (2D) data and creates an exact model of the surgical site that can be used for reference during surgery. There is limited evidence on the effects of using 3D models in microsurgical reconstruction on improving clinical outcomes. Methods A retrospective review of patients undergoing reconstructive breast microsurgery procedures from 2017 to 2019 who received computed tomography angiography (CTA) scans only or with 3D models for preoperative surgical planning were performed. Preoperative decision-making to undergo a deep inferior epigastric perforator (DIEP) versus muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flap, as well as whether the decision changed during flap harvest and postoperative complications were tracked based on the preoperative imaging used. In addition, we describe three example cases showing direct application of 3D mold as an accurate model to guide intraoperative dissection in complex microsurgical reconstruction. Results Fifty-eight abdominal-based breast free-flaps performed using conventional CTA were compared with a matched cohort of 58 breast free-flaps performed with 3D model print. There was no flap loss in either group. There was a significant reduction in flap harvest time with use of 3D model (CTA vs. 3D, 117.7±14.2 minutes vs. 109.8±11.6 minutes; P=0.001). In addition, there was no change in preoperative decision on type of flap harvested in all cases in 3D print group (0%), compared with 24.1% change in conventional CTA group. Conclusions Use of 3D print model improves accuracy of preoperative planning and reduces flap harvest time with similar postoperative complications in complex microsurgical reconstruction.

Validation of Three Breast Cancer Nomograms and a New Formula for Predicting Non-sentinel Lymph Node Status

  • Derici, Serhan;Sevinc, Ali;Harmancioglu, Omer;Saydam, Serdar;Kocdor, Mehmet;Aksoy, Suleyman;Egeli, Tufan;Canda, Tulay;Ellidokuz, Hulya;Derici, Solen
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.6181-6185
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    • 2012
  • Background: The aim of the study was to evaluate the available breast nomograms (MSKCC, Stanford, Tenon) to predict non-sentinel lymph node metastasis (NSLNM) and to determine variables for NSLNM in SLN positive breast cancer patients in our population. Materials and Methods: We retrospectively reviewed 170 patients who underwent completion axillary lymph node dissection between Jul 2008 and Aug 2010 in our hospital. We validated three nomograms (MSKCC, Stanford, Tenon). The likelihood of having positive NSLNM based on various factors was evaluated by use of univariate analysis. Stepwise multivariate analysis was applied to estimate a predictive model for NSLNM. Four factors were found to contribute significantly to the logistic regression model, allowing design of a new formula to predict non-sentinel lymph node metastasis. The AUCs of the ROCs were used to describe the performance of the diagnostic value of MSKCC, Stanford, Tenon nomograms and our new nomogram. Results: After stepwise multiple logistic regression analysis, multifocality, proportion of positive SLN to total SLN, LVI, SLN extracapsular extention were found to be statistically significant. AUC results were MSKCC: 0.713/Tenon: 0.671/Stanford: 0.534/DEU: 0.814. Conclusions: The MSKCC nomogram proved to be a good discriminator of NSLN metastasis in SLN positive BC patients for our population. Stanford and Tenon nomograms were not as predictive of NSLN metastasis. Our newly created formula was the best prediction tool for discriminate of NSLN metastasis in SLN positive BC patients for our population. We recommend that nomograms be validated before use in specific populations, and more than one validated nomogram may be used together while consulting patients.

The Condition and Practical Solution of Writing Education in the Major of Natural Sciences and Engineering: Focus on the Cases of Seoul National University, Massachusetts Institute of Technology and Stanford University (이공계 전공글쓰기 교육의 실태 및 현실적인 교육방안: 서울대학교와 해외 대학(MIT, Stanford)의 사례를 중심으로)

  • Chung, So-Yeon;Kim, Sang-Chul;Park, Jun-Young;Yu, Byeong-Jun;Cho, Yong-Min
    • Journal of Engineering Education Research
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    • v.14 no.4
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    • pp.20-28
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    • 2011
  • Writing education for the students who major in natural sciences and engineering is concentrated on just writing in liberal education. So, this article study the condition and practical solution of writing education with a focus on natural sciences and engineering. This article researches the condition of writing in these majors of Seoul National University, Massachusetts Institute of Technology and Stanford University. As a result, students keenly feel the necessity of writing in this major, but SNU does not offer such courses and few teachers that could teach it. To solve this, we propose that writing teachers of liberal education give feedback on the reports of the capstone research subject 3 or 4 times, which corresponds to 1 credit. This solution would be applicable to most universities in practice, though it is not final method.

Field Experiments Using In Situ Bioremediation to Treat Trichloroethylene (TCE)-Contaminated Groundwater

  • Goltz, Mark N.;Gandhi, Rahul K.;Gorelick, Steven M.;Hopkins, Gary D.;McCarty, Perry L.
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 2001.04a
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    • pp.261-266
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    • 2001
  • Three innovative technologies to remediate trichloroethylene (TCE) in situ were (or currently are being) evaluated at a TCE-contaminated groundwater site at Edwards Air Force Base (AFB), California. The three technologies all make use of groundwater recirculation to obviate the need to pump contaminated groundwater to the surface fer treatment. The first technology, which implements aerobic cometabolic bioremediation to destroy TCE in situ, successfully reduced dissolved TCE concentrations from above 1 mg/L to 20-30 $\mu\textrm{g}$/L. The second technology, in-well vapor stripping (IWVS), is capable of treating dissolved TCE at concentrations in the tens to hundreds of mg/L. Finally, the third technology, bioenhanced in-well vapor stripping (BEHIVS): is a combination of the first two technologies, and is designed to reduce very high levels of TCE (tens to hundreds of mg/L) to concentrations that meet regulatory requirements 5 $\mu\textrm{g}$/L). Results of field evaluations of tile first two technologies are presented, and the design of the BEHIVS system. as well as model predictions of BEHIVS performance and the current status of the technology field evaluation. is discussed.

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Cutaneous Patches to Monitor Myoelectric Activity of the Gastrointestinal Tract in Postoperative Pediatric Patients

  • Taylor, Jordan S.;Ruijter, Vivian de;Brewster, Ryan;Navalgund, Anand;Axelrod, Lindsay;Axelrod, Steve;Dunn, James C.Y.;Wall, James K.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.6
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    • pp.518-526
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    • 2019
  • Purpose: Limited means exist to assess gastrointestinal activity in pediatric patients postoperatively. Recently, myoelectric gastrointestinal activity recorded by cutaneous patches has been shown in adult patients to be predictive of clinical return of gastrointestinal function postoperatively. The aim of this case series is to demonstrate the feasibility of this system in pediatric patients and to correlate myoelectric signals with return of bowel function clinically. Methods: Pediatric patients undergoing abdominal surgery were recruited to have wireless patches placed on the abdomen within two hours postoperatively. Myoelectric data were transmitted wirelessly to a mobile device with a user-interface and forwarded to a cloud server where processing algorithms identified episodes of motor activity, quantified their parameters and nominally assigned them to specific gastrointestinal organs based on their frequencies. Results: Three patients (ages 5 months, 4 year, 16 year) were recruited for this study. Multiple patches were placed on the older subjects, while the youngest had a single patch due to space limitations. Rhythmic signals of the stomach, small intestine, and colon could be identified in all three subjects. Patients showed gradual increase in myoelectric intestinal and colonic activity leading up to the first recorded bowel movement. Conclusion: Measuring myoelectric intestinal activity continuously using a wireless patch system is feasible in a wide age range of pediatric patients. The increase in activity over time correlated well with the patients' return of bowel function. More studies are planned to determine if this technology can predict return of bowel function or differentiate between physiologic ileus and pathologic conditions.

Hypoglossal nerve stimulation for treatment of obstructive sleep apnea (OSA): a primer for oral and maxillofacial surgeons

  • Hong, Sung ok;Chen, Yu-Feng;Jung, Junho;Kwon, Yong-Dae;Liu, Stanley Yung Chuan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.27.1-27.5
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    • 2017
  • The prevalence of obstructive sleep apnea (OSA) is estimated to be 1-5% of the adult population world-wide, and in Korea, it is reported at 4.5% of men and 3.2% of women (Age 40 to 69 years old). Active treatment of OSA is associated with decrease in insulin resistance, cardiovascular disease, psychosocial problems, and mortality. Surgical treatment of OSA has evolved in the era of neuromodulation with the advent of hypoglossal nerve stimulation (HGNS). We share this review of HGNS with our maxillofacial surgical colleagues to expand the scope of surgical care for OSA.

QUANTITATIVE ANALYSES USING 4D MODELS - AN EXPLORATIVE STUDY

  • Rogier Jongeling;Jonghoon Kim;Claudio Mourgues;Martin Fischer;Thomas Olofsson
    • International conference on construction engineering and project management
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    • 2005.10a
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    • pp.830-835
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    • 2005
  • 4D models help construction planners to develop and evaluate construction plans. However, current analyses using 4D models are mainly visual and limit the quantitative comparison of construction alternatives. This paper explores the usefulness of extracting quantitative information from 4D models to support time-space analyses. We use two 4D models of an industry test case to illustrate how to analyze 4D content quantitatively (i.e., work space areas and distances between concurrent activities). This paper shows how these two types of 4D content can be extracted from 4D models to support 4D-based-analysis and novel presentation of construction planning information. We suggest further research to formalize the content of 4D models to enable comparative quantitative analyses of construction planning alternatives. Formalized 4D content will enable the development of reasoning mechanisms that automate 4D-model-based analyses and provide the information content for informative presentations of construction planning information.

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