• Archives of Plastic Surgery
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• v.37 no.6
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• pp.742-748
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• 2010

Purpose: The method of using ultrasound-assisted liposuction and excision of the remaining glandular tissue is the preferred method for treating gynecomastia and is currently used worldwide. Herein, this article described the role of ultrasound-assisted liposuction before a surgical excision in the treatment of gynecomastia. The cosmetic results were objectively evaluated. Methods: 11 patients (22 breasts) underwent ultrasoundassisted liposuction and suction-assisted lipectomy between April 2007 and January 2009. At the end of the liposuction, the remaining glandular tissue was removed through the incision used for liposuction. We evaluated the cosmetic results using ordinary scale methods on the basis of four categories (recurrence, symmetry, contour irregularity, and scar). Results: The volume of aspirates ranged between 50 and 200 cc per breast and the average weight of tissue removed by excision was 65g per breast. No complications were recorded. Regarding the cosmetic evaluation, the recurrence, contour irregularity, and scar were excellent, the symmetry was good, and the overall results represented all those cases were mostly excellent. Conclusion: Ultrasound-assisted liposuction has many advantages in the treatment of gynecomastia. When excising the remaining glandular tissue, bleeding is decreased by the use of a tumescent technique. The glandular tissue is easily mobilized and excised after being "morselized" with ultrasound-assisted liposuction. The glandular tissue is simply dissected via the suction surface. Compared the residual mound of glandular tissue beneath the nipple and areola to the periphery, it facilitates precise control of the excision.

• Journal of Environmental Policy
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• v.9 no.2
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• pp.41-55
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• 2010

This paper analyzes optimal watershed management focusing on reservoir-level sediment removal techniques. Although dams and reservoirs provide several benefits, sedimentation may reduce their storage capacity. As of today, the Aswan High Dam (AHD) in Egypt faces approximately 76% reduced life of the reservoir. Since the AHD is the major fresh water source in Egypt, sustainable use of this resource is extremely important. A model is developed to simultaneously determine optimal sediment removal strategies for upstream soil conservation efforts and reservoir-level sediment control. Two sediment removal techniques are considered: mechanical dredging and hydro-suction sediment removal system (HSRS). Moreover, different levels of upstream soil conservation efforts have introduced to control soil erosion, which is a major contributor of reservoir storage capacity reduction. We compare a baseline case, which implies no management alternative, to non-cooperative and social planners' solution. Our empirical results indicate that the socially optimal sediment removal technique is a mechanical dredging with unconstrained amount with providing a sustainable life of the reservoir. From the empirical results, we find that social welfare can be as high as $151.01 billion, and is sensitive to interest rates and agricultural soil loss.

• International Journal of Air-Conditioning and Refrigeration
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• v.13 no.4
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• pp.196-205
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• 2005

In this paper, recent research trend on heat transfer in impinging jet is reviewed. We focused on submerged jet that air issued into air or liquid issued into liquid. To control and enhance the heat transfer in single jet, researchers have performed a lot of experiments by considering the nozzle geometry, impinging surface and active method such as jet vibration, secondary injection and suction flow. The studies on multiple jet have been mainly focused on finding out the optimum condition and on investigating many different factors concerned with application condition (crossflow, rotation and geometry etc.) and combined techniques (rib turbulator, pin fin, dimple and effusion hole etc.). All most experiments showed the detailed heat transfer data by using liquid crystal method, infrared camera technique and naphthalene sublimation method. Many numerical calculations have been performed to investigate the flow and heat transfer characteristics in laminar jet region. Various turbulence models such as $k-\varepsilon-\bar{\nu^2}$, modified $k-\varepsilon-f_{\mu}$ were applied to the calculation for turbulent jet and the predicted results showed a good agreement with the experimental data. Although a lot of studies on impinging jet have performed consistently up to recently, further studies are still required to understand the flow and heat transfer characteristics more accurately, and to give a guideline for optimum impinging jet design in various applications.

• The Korean Journal of Emergency Medical Services
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• v.2 no.1
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• pp.26-35
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• 1998

This study was to exhibit the effective emergency care method for the drowning and non-drowning who are reached two-thousand peoples every year in our country. For investigate the effective emergency care, this study was discussed as follows ; Pathophysiology of the water submersion, Fresh-water & sea-water drowning, Factors affecting survival, and Prehospital management. The conclusions from this study were summarized as follows; 1. Remove the patient from the water. If you suspect neck or spinal injuries, Always support the head and neck level with the back and, begin rescue breathing. 2. Maintain the airway and support ventilation in the water use the jaw-thrust technique to avoid farther injury to the neck or spine. We might encounter more resistance to ventilations than you expect because of water in the airway. Once you have determined that there are no foreign objects in the airway, apply ventilations with more force; adjust ventilations until you see the patient's chest rise and fall but not until you see gastric distention. Do not attempt to remove water from the patient's lungs or stomach. 3. If there is no pulse, begin CPR. 4. Administer high-flow supplemental oxygen; suction as needed. 5. Once the patient is breathing and has a pulse, assess for hemorrhage; control any serious bleeding that you find. 6. Cover the patient to conserve body heat, Handle the patient very gently, and, Transport the patient as quickly as possible to Emergency Department, Continuing resuscitative measures during transport. If the patient have the hypothermia, follow hypothermia management.