• Archives of Plastic Surgery
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• v.39 no.2
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• pp.162-165
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• 2012

The synchondrosis between the sixth and seventh costal cartilage is usually used for the base frame in autogenous ear reconstruction. If the synchondrosis is loose, a variety of modifications can be devised. This report introduces new methods for these problems. In cases of incomplete synchondrosis, only the surface of the base block margin was smoothly tapered without carving for the removal of the conchal deepening. The secure fixation of the two segments (helix and antihelix) to the base block using fine wire sutures gave stability to the unstable basal frame. After confirming that all the segments were assembled in one stable piece, the remaining conchal deepening of the basal framework was removed, and the outer lower portion of the basal cartilage was trimmed along its whole length. A total of 10 consecutive patients with microtia, ranging from 8 to 13 years old, were treated from 2008 to 2009. The follow-up period was 6 months to 2 years. Despite incomplete synchondrosis, the stable frameworks were constructed using the authors' method and aesthetically acceptable results were achieved. The proposed method can provide an easy way to make a stable cartilage framework regardless of the variable conditions of synchondrosis.

• Archives of Plastic Surgery
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• v.35 no.5
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• pp.615-618
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• 2008

Purpose: Pyoderma gangrenosum is a rare cutaneous ulcerative disease. First described in 1930, the condition is characterized by progressive ulceration with deeply undermined purple-red edge. The lower extremities are most commonly affected but other parts of the skin and mucous membranes may also be involved. Although medical treatments with topical wound therapy are commonly used, surgical intervention is still controversial. In this paper, we report an atypical case of pyoderma gangrenosum which was characterized by extensive soft tissue breakdown. Methods: A 27-year-old male patient was referred to our institution with a $7{\times}8cm$ sized deeply undermined ulceration with pus-like discharge and fever. Incision and drainage was performed at another clinic 3 days prior to admission to our institution. After a thorough physical examination and the MRI review, a diagnosis of necrotizing faciitis was made. Accordingly, fasciotomy and debridement was performed. However, the wound enlarged progressively and the patient remained highly febrile for 9 days after the treatment. Septic screening did not reveal any occult infection. After a secondary review of the case, the initial diagnosis of necrotizing fasciitis was rejected and changed to pyoderma gangrenosum. With the use of dexamethasone intravenously, the wound improved dramatically and the fever was eliminated. Steroid mediation was tapered with duration of 1 month. The wound was stabilized and subsequently covered with split-thickness skin graft. Results: Split-thickness skin grafting with 1 : 1.5 mesh was successfully taken. Conclusion: Initial clinical features of pyoderma gangrenosum are very similar to that of necrotizing fasciitis. High fever and progressive ulceration with severe pain could invite earlier surgical approach. The advancing wound margins (the well defined violaceous, undermined border and necrotic ulcer base) and lack of isolation of pathogenic organism was used to make the correct diagnosis of pyoderma gangrenosum. We achieved a good result with proper medication and split-thickness skin graft.

• Journal of Biosystems Engineering
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• v.16 no.2
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• pp.133-141
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• 1991

This study was undertaken to investigate the structural and configurational characteristics of the tailings return-unit in the commercially available head-feed combines and to study the aero-dynamical behavior of the tailings in the units. The mathematical model of the motion of tailings in the thrower casing was developed and the simulated trajectories for different type of units was analyzed to compare with the measured ones. The air-stream velocity profile in various locations along the tailings returning duct was measured to find the effect of configurational characteristics and blade tip speed. The results of the study are summerized as follows. 1. The ejecting angle, which is the angle between the direction of the particle velocity ejecting from the blade and the horizontal axis, was found to be about $66^{\circ}$ in both the simulation and experiment. The angle was much greater than the setting angle of actual duct of the combines studied, which were $48{\sim}56^{\circ}$. By comparison of these results, it was suggested to change duct setting angle so as to reduce the frictional force, between the duct wall and tailings, by reducing the difference between the ejecting and setting angles. 2. The velocity of the air stream in the duct was in general higher in the upper bound of the duct compared to the lower and decreased as the stream went toward the end of duct. The comparison of the tailings units among the combines studied showed a superior performance with the tapered duct having small diameter in the outlet and with greater number of thrower blade.

• Structural Engineering and Mechanics
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• v.68 no.4
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• pp.475-483
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• 2018

Square tubular columns are commonly used in moment resisting frames, while through-diaphragm connection is the most typical configuration detail to connect the H-shaped beam to the column. However, brittle fracture normally occurs at the complete joint penetration weld between the beam flange and the through-diaphragm due to the stress concentration caused by the geometrical discontinuity. Accordingly, three improved types of through-diaphragm are presented in this paper to provide smooth force flow path comparing to that of conventional connections. Tensile tests were conducted on four specimens and the results were analyzed in terms of failure modes, load-displacement response, yield and ultimate capacity, and initial stiffness. Furthermore, strain distributions on the through-diaphragm, the beam flange plate, and the column face were comprehensively evaluated and discussed. It was found that all the proposed three types of improved through-diaphragm connections were able to reduce the stress concentration in the welds between the beam flange and the through-diaphragm. Furthermore, the stress distribution in connection with longer tapered through-diaphragm was more uniform.

• Journal of Advanced Navigation Technology
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• v.7 no.2
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• pp.101-107
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• 2003

In this study, we provide a single element log-periodic antenna that the feeding networks and array structures are aperture coupled and series dipole array type. We made the antenna for direct receiving the Moogoongwha satellite broadcasting signal. The transmission power was able to feed the patch dipole in series due to lay perpendicularly 8 series patch dipole on tapered slot. The patch dipole radiation pattern which fed in series power, make the main beam direction up $37^{\circ}{\sim}42^{\circ}$ within the BS/CS bandwidth. The main beam gain was measured 9.31~11.03 dBi. Using 32 elements to array the elements properly, we acquire $4{\times}8$ array structure on limited PCB board. As a result, it has been found that the new planar DBS antenna structure have high gain over 10dBi and acceptable elevation angle over 42 degree, and we can apply this result to commercial DBS reception antenna manufacturing.

• Journal of Korean Neurosurgical Society
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• v.58 no.6
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• pp.539-546
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• 2015

Objective : To report the learning curve of percutaneous endoscopic lumbar discectomy (PELD) for a surgeon who had not been previously exposed to this procedure based on the period and detailed technique with a retrospective matched comparative design. Methods : Of 213 patients with lumbar disc herniation encountered during the reference period, 35 patients who were followed up for 1 year after PELD were enrolled in this study. The patients were categorized by the period and technique of operation : group A, the first 15 cases, who underwent by the 'in-and-out' technique; group B, the next 20 cases, who underwent by the 'in-and-out-and-in' technique. The operation time, failure rate, blood loss, complication rate, re-herniation rate, the Visual Analogue Scale (VAS) for back and leg were checked. The alteration of dural sac cross-sectional area (DSCSA) between the preoperative and the postoperative MRI was checked. Results : Operative time was rapidly reduced in the early phase, and then tapered to a steady state for the 35 cases receiving the PELD. After surgery, VAS scores for the back and leg were decreased significantly in both groups. Complications occurred in 2 patients in group A and 2 patients in group B. Between the two groups, there were significant differences in operative time, improvement of leg VAS, and expansion of DSCSA. Conclusion : PELD learning curve seems to be acceptable with sufficient preparation. However, because of their high tendency to delayed operation time, operation failure, and re-herniation, caution should be exercised at the early phase of the procedure.

• Journal of The Institute of Information and Telecommunication Facilities Engineering
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• v.4 no.2
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• pp.29-36
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• 2005

All-optical fiber-type $2{\times}32$ splitters for an Ethernet PON (passive optical network) were fabricated by using a FBT (fiber biconical tapered) process and the performance of the splitters was tested in upstream transmission of the EPON system. The $2{\times}32$ splitters was obtained by cascading $1{\times}4$ splitters fabricated by a conventional FBT process and showed -18 dB of insertion loss with 1.5 dB uniformity of output power at each channel and -0.1 dB of polarization dependent loss. The insertion loss variation was below 0.1 dB at the temperature range of $-40^{\circ}C\;to\;80^{\circ}C$. For upstream channel transmission test in the EPON system were a Zig board and a burst mode receiver. Zenko-made optical module was used for the burst mode receiver by adding functions of serializer/deserializer and clock data recovery, a Virtex II pro20 chipset and Vitesse VSC7123 were used in the Zig board for characterizing the burst mode and in the clock data recovery chipset, respectively. Startup acquisition lock time and data acquisition lock time were measured to be 670ns and 400ns, respectively, in the upstream channel transmission of the EPON system adapting the $2{\times}32$ splitter fabricated in this work.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.20 no.4
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• pp.793-798
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• 2016

In this work, the memory window characteristics of vertical nanowire device with asymmetric source and drain was analyzed using bipolar junction transistor mode for 1T-DRAM application. A gate-all-around (GAA) MOSFET with higher doping concentration in the drain region than in the source region was used. The shape of GAA MOSFET was a tapered vertical structure that the source area is larger than the drain area. From hysteresis curves using bipolar junction mode, the memory windows were 1.08V in the forward mode and 0.16V in the reverse mode, respectively. We observed that the latch-up point was larger in the forward mode than in the reverse mode by 0.34V. To confirm the measurement results, the device simulation has been performed and the simulation results were consistent in the measurement ones. We knew that the device structure with higher doping concentration in the drain region was desirable for the 1T-DRAM using bipolar junction mode.

• Journal of Korean Neurosurgical Society
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• v.60 no.6
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• pp.627-634
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• 2017

Objective : Few studies have reported the outcome of mechanical thrombectomy with Solitaire stent retrival (MTSR) in subtypes of acute ischemic stroke. The purpose of this study was to evaluate the efficacy and result of MTSR in acute cardioembolic stroke. Methods : Twenty consecutive patients with acute cardioembolic stroke were treated by MTSR. The angiographic outcome was assessed by thrombolysis in cerebral infarction (TICI) grade. TICI grade 2a, 2b, or 3 with a measurable thrombus that was retrieved was considered as a success when MTSR was performed in the site of primary vessel occlusion, and TICI grade 2b or 3 was considered as a success when final result was reported. Clinical and radiological results were compared between two groups divided on the basis of final results of MTSR. Persistent thrombus compression sign on angiogram was defined as a stenotic, tapered arterial lumen whenever temporary stenting was performed. The clinical outcomes were assessed by the modified Rankin Scale (mRS) at 3 months. Results : The failure rate of MTSR was 20% (4/20) and other modalities, such as permanent stenting, were needed. Final successful recanalization (TICI grade 2b or 3) was 80% when other treatments were included. The rate of good outcome ($mRS{\leq}2$) was 35% at the 3-month follow-up. Failure of MTSR was significantly correlated with persistent thrombus compression sign (p=0.001). Conclusion : Some cases of cardioembolic stroke are resistant to MTSR and may need other treatment modalities. Careful interpretation of angiogram may be helpful to the decision.

• Journal of the Korean Institute of Telematics and Electronics
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• v.26 no.7
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• pp.50-57
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• 1989

Tapered etching of polysilicon films has been achieved by implanting phosphorus ions into the polysilicon film and using plasma etch in either $CF_4-O_2\;or\;SF_6$. A two-step plasma etching method is also proposed to control the taper angle of the etched edge without changing the implantion conditions. The taper angle is determined by the ratio of the etch rate of the undamaged region to that of the damaged top region of the polysilicon layer. The ratio is found to be dependent on the implantion dose, the implantion energy and the anisotropy of etching. The minimum angle in our experiments is about $10^{\circ}$. When the two-step etching method is employed, the taper angles can be controlled from the minimum angle up to about $55^{\circ}$.