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A Case of Primary Reconstruction using Fibular Osteocutaneous Free Flap after Total Maxillectomy Due to Rhabdomyosarcoma (횡문근육종으로 인한 상악골 전절제술 후 유리비골골피판을 이용한 치험례)

  • Kim, Tae Hyung;Oh, Deuk Young;Lee, Paik Kwon;Kim, Min Sik;Rhie, Jong Won;Ahn, Sang Tae
    • Archives of Plastic Surgery
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    • v.32 no.3
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    • pp.381-384
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    • 2005
  • Rhabdomyosarcoma is a rare malignancy of head and neck region. When rhabdomyosarcoma occurs in maxillary area, total maxillectomy is necessary. Total maxillectomy causes defects of orbital floor, palate, gingiva, and alveolar bone, causing severe facial deformity and functional impairment. Immediate maxillary reconstruction has to cover both bone and soft tissue to minimize cosmetic and functional problems. The fibular osteocutaneous free flap can provide paranasal, gingiva, oral mucosal lining and foundation for dental prosthesis, thus ensuring good cosmetic results and mastication, phonation function. We have experienced a reconstruction case of a 19-year-old man with rhabdomyosarcoma of the left maxillary sinus. The patient underwent total maxillectomy and neck dissection. We designed a fibular free flap that had a vascularized bone segment and a double skin paddle. Surgical outcomes were excellent in cosmetic and functional aspects.

Observation Research on Preschoolers' Play Behavior for the Design Plan for the Indoor Play Area of Day Care Centers - Focusing on Preschoolers of Day Care Centers between Korea and US - (어린이집 실내놀이 영역 계획을 위한 유아의 놀이행위 관찰 연구 - 한국과 미국의 어린이집 이용 유아를 대상으로-)

  • Jang, Sang-Ock;Shin, Kyung-Joo
    • Korean Institute of Interior Design Journal
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    • v.19 no.6
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    • pp.214-223
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    • 2010
  • As the population of preschooler increases with the increment of employed women today, the physical environment of day-care center is becoming an important factor for the preschooler as well as home environment. In order to create a suitable and desirable day-care environment for preschoolers, the using behavior of the preschoolers, who are the main users, needs to be applied to the spacial design. In this research, play preference area of Korea and United States which have different physical environments are analyzed. Child behavior observation analysis technique, interview with the teacher in charge, floor plan and furniture arrangement plan of the day-care centers and photography were performed for this research. The subjects were 63 preschoolers of 50 months old who are using Korean and American day-care centers and play of five minutes per preschooler was filmed for 3 days. Total 01 189 motion pictures were analyzed for this research. As a result, the physical environment, programs, preference area and finally the similarity and difference according to the gender were clarified for each countries' day-care center. The Korean preschoolers preferred the block area most, the second most favorite area being art for the younger class and language for older class. According to the gender, girls preferred language area while boys chose block area. On the other hand in American preschoolers' case, due to the large variety of play area, the play preference was distributed among various area except several high preference area. Based on this research, when designing indoor play area of day care centers, the area of block, language, and art which are popular play preferences should be considered firsthand, and gender preference is also needed to be thought of. These results may be used as an important data for planning the day care center play area in the future.

Investigation for Fire Flow of the Deeply Underground Shin-Gum-Ho Subway Station (대심도 신금호역사의 화재 유동에 대한 고찰)

  • Jang, Yong-Jun;Park, Il-Soon;Kim, Jin-Ho;Jung, Woo-Sung;Kim, Hag-Beom;Lee, Chang-Hyun
    • Proceedings of the KSR Conference
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    • 2010.06a
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    • pp.110-115
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    • 2010
  • Recently the deeply underground tunnels have been increased along the subway railroads of urban area compared to the past subway railroads. The Shin-Gum-Ho subway station (the Fifth lines, the depth : 46m) which is the third among the deep subway stations in the Korea was chosen as the model of deeply underground stations, and attempted to do simulation of fire. This station consists of three entrance, the basement first floor (B1), the basement second floor (B2), the basement eighth floor or platform (B8) and escalators and stairs from B2 to B8. The total number of grid was about 9,000,000 to make simulation of fire and smoke from the platform to entrance in this research, and the grid system was divided into 19 blocks to increase the efficiency of this simulation. The FDS (Fire Dynamics Simulation) was chosen to make the simulation of fire, and the model of turbulent flow was LES (Large Eddy Simulation). Each block is processed in a CPU using parallel processing of MPI (Message Passing Interface). The resource of CPU for this simulation is a ten of Intel 3.0 GHz Dual CPU (20 CPU).

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A Study on Present Condition and Adjustment of the Minmium Height Regulation District in Busan Metropolitan City (부산시 최저고도지구 실태 및 기준조정에 관한 연구)

  • Lee, Dong-Hyun;Baek, Tae-Kyung
    • Journal of the Korean Association of Geographic Information Studies
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    • v.11 no.2
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    • pp.51-60
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    • 2008
  • The Purpose of this study is to find the adjustment of the minimum height regulation district in Busan metropolitan city. For this purpose, data of buildings in the minimum height regulation district are collected and analysed. Especially, detailed data of buildings in CBD are analysed. The results of this study provide that CBD's average building height is the fourth floor and the ratio that a building less than the fourth floor holds in total building is 51%. In the case of central area, CBD's building height should be maintained and it is necessary to make the policy that reinforce limited height for the high land use and landscape management. Based on these findings this study suggests that the limit building height should put it up more than the seventh floor.

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A Study on the Illumination of Household and Research on the Actual Conditions of Wearing Spectacles in Dwellers (주택의 조명과 거주자의 면경착용 실태조사연구)

  • 석호작;남철현
    • Journal of Environmental Health Sciences
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    • v.17 no.2
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    • pp.54-66
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    • 1991
  • As a result of measuring illumination and making up a question at home visit directly by investigator who trained over twenty days period from October 4 to 24, 1990, in order to render help which illumination problem against house, society against eyes or framing of health instruction potgram by seizing natural lighting actual conditions of house and actual conditions of wearing spectacles and by investigating interrelationship, I can summarize as follows. 1) In property of investigation subject, woman 66.9%, In an age, the twenties was largest of 27.4%, the forties was 20.2%, the fifties was 18.6%, the thirties was 17.4%. In academic career, those of upper secondary school grauates was largest of 28.6%, those who possess university career was 25.9%, those who middle school career was 20.9%, decoding of Korean alphabet was 2%. 2) By a residence area, a big city was 43.3%, farming and fishing villages were 20.3%, the rest was a small town and the administrative office of town, township. In positon of house, the middle area was 43.6%, resident of suburb area was 38.0%. In form of house, a Korean-style house was 40.8%, a western-style house was 34.8%, an apartment house was 11.0%. In the a standard of living, the middle classes 77.2%, the lower classes were 15.3%. In residential house unit of area, from 21 to 30 unit of area was largest of 31.5%, from 10 to 20 unit of area was 19.9%, from 31 to 40 was 18.7%. 3) The wearing spectacles rate of study user was 44.1%. By the area, those who wearing spectacles was more than a half of 50.8% in the resident of big city area. As passing from the farm area to the city, that is being resident of big city was high wearing spectacles rate. In position of house, as being residence in central street showed high wearing spectacles rate. (central street was 51.5%, the middle area was 44.5% and the suburb area was 40.1%.) It seemed similarity difference a variable by position of house from wearing spectacles in standard of 1%. By form of house, wearing spectacles rate those who resident in apartment house was 49.5%, that rate those who resident in a western-style house was high of 49.0%, that rate those who resident in a Korean-style house was the lowest 39.0%. By social position of resident in room, in students case who study showed very high, as university students were very high of 62.3% idn wearing spectacles rate, middle and high school students 'were 50.0%, members of society were 47.6%, workers 20.3%. It seemed similarity difference from academic career in standard of 1%. By an age, the thirties was high of 54.1% in wearing spectacles rate, the twenties was 43.2%, the teenage was the lowest of 11.8%. 4) In illumination of study, over 200Lux was high of 40.1%. but below 99Lux which inappropriate illumination to see the books was 32.4%. Average by area, below 99Lux was 22.7% and over 400Lux was 50.0% in case of wooden floor. As examine by area, below 99Lux was high of 27.0% a case of wooden floor in the big city area, it was not good in illumination passing from the farm area(15.0%) to the city(19.0%). Average illlumination by area of the main living room below 99Lux was high of 37.5%, less than 200Lux was 58.5% of whole. In general, illumination of the main livingroom was inappropriate. By area, the big city was 32.5% below 99Lux, the middle and small city area were 33.8%, town and township area were 45.0%, farming and fishing area were 42.8%. By area, in the big city, illumination of study was 52.5% over 200Lux and 28.9% below 99Lux. In case of the middle and small city, study user of below 99Lux was 38.8% and over 200Lux was 46.9%. In case of the seat of town township, below 99Lux was 34.1% and over 200Lux was 39.7%. In case of farming and fishing area, illumination of study was 33.4% below 99Lux and 48.4% over 200Lux. It tends to high rate of inappropriate illumination. 5) By position of house, in case of wooden floor, less than 100Lux was 24.5% in central street. It was bad illumination than others position of house. In case of the main livingroom, less than 100Lux was 40.4% in the suburb area. It was bad iliumnation than others position of house. In case of study, less than 100Lux was 35.4% in the middle area, it was worse in illumination. In case of the main living room, is seemed similarity difference in standard of 1%. 6) By form of house, in case of wooden floor, illumination of less than 100Lux was 23.8% in a western-style house, it was bad illumination than others form of house. In case of the main livingroom, illumination of less than 100Lux was 47.4% in a Korean-style house, it was remarkably bad illumination than others form of house. In case of study, a Korean-style house was 38.8%, it was very bad illumination than others form of house. In case of the main livingroom and study, it seemed similatrity difference each as P < 0.01 and P < 0.05 in standard of 1%. 7) The wearing spectacles rate of those who use room of illumination over 400Lux was 40.7%, and that of those who use room of illumination less than 100Lux was 28.1%. It seemed similarity differecce in standard of 1%. 8) In period of wearing spectacles, 21.3% of total investigator-highest-was from before five years, 8.6% was from before three years. Among those who use of illumintion less than 99Lux, 34.0% began to wear spectacles from before two years 31.7% was from before five years, 30.3% was from before four years. It seemed similarity difference from period of wearing spectacles by illumination in standard of 1 %. 9) Among cause which sight grow worse, the first was that it was each 33.2% and 27.4% in response rate because watch TV nearly to wearing spectacles person and non-wearing person. The second was that a lot of seeing books was 25.3% in wearing spectacles person and response rate for dark illumination was 7.4% in nonwearing spectacles person. It seemed similarity difference in standard of 1%. (P < 0.01). 10) In experience which take medicine good for eyes, it was 50.1% in wearing spectacles person and 8.5% in non-wearing spectacles person. It seemed similarity difference in standard of 1%(P < 0.01). As we have seen above, inappropriate illumination can be a cause of wearing spectacles. Nevertheless, actually, is realities to indifferent against illumination of house. So it must learn knowledge about health obstacle of illumination through society instruction and school eduction against students as well as general residents. In case that natural lighting is inappropriate structural of house, we must be able to maintain appropriate illumination through artificial illumination. And so eyes which is core of human life have to be protected, related the authorities, related group, and all health medical personnel will organically cooperate with and make efforts.

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An Economic Evaluation Study of Office Remodeling and Green-remodeling Projects : A Simulation Approach to a Rental Office in GBD, Seoul (생애주기를 고려한 오피스 건물의 리모델링과 그린리모델링의 경제성 평가 연구 : 서울시 강남업무지구의 임대오피스 사례)

  • Lee, Seong-Ho;Lee, Jae-Su
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.34 no.3
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    • pp.23-34
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    • 2018
  • Due to a waste of energy in korea, about 525,000 which are 75 percent of total buildings are at least 15 years old buildings that need remodeling. There are two current remodeling systems. One is a remodeling system to reduce a waste of resources from the reconstruction. The other is a green-remodeling system aimed to energy savings and reducing environmental costs. This study is to analyze quantitatively these current systems with respect to the cost-benefit caused by the life cycle and suggests the political and institutional implications through the interpretation of the results. For a quantitative analysis, we analyzed reducing maintenance costs and rent benefits with simulation by using opportunity costs, construction costs, plan costs and supervision costs as expense variables and using the reduced floor area ratio, institutional incentives, energy, water resources and certified emission reduction(CER) as benefit variables. As a result of the empirical study, the green-modeling was more beneficial in the field of environment such as the energy savings, however, the final benefits of remodeling which has no green building certification costs but more floor area ratio incentives were more economical. The green-remodeling system focused on reducing environmental costs and energy savings needs a equatable institutional incentive system.

A Study on the Design Method of Zero Energy Building considering Energy Demand and Energy Generation by Region (지역별 에너지 소요량과 생산량을 반영한 제로에너지건축물의 설계 방안에 관한 연구)

  • Lee, Soon-Myung;Lee, Tae-Kyu;Kim, Jeong-Uk
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.34 no.8
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    • pp.13-22
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    • 2018
  • The purpose of this study was to consider the energy generation of the building as well as the energy demand of the building in terms of zero energy building design. The reason why the zero energy building viewpoint should be discussed is that direction of the building, heat transfer rate of the building, and the S/V ratio of the building are variables related to energy demand and solar panels installed on the building roof and building envelope are variables related to energy generation. This study proceeded as follows; Firstly, the simulation model of large office and elementary school has the same mutual volume and total floor area, and the each floor area and number of floors are adjusted so that the S/V ratio is different. To the next, the energy demand and energy generation of the simulation model were derived based on the meteorological data of Seoul, Daejeon, Busan. Finally, energy demand, energy generation, and final energy demand were compared with heat transfer rate, S/V ratio, building type, region, and orientation. The results of this study is that consideration of solar power generation in terms of energy generation should be taken into consideration at the same time in consideration of the heat transfer rate, the shape, the region and the direction of the zero energy building design.

Analysis of the Relationship between Three-Dimensional Built Environment and Urban Surface Temperature (도시의 3차원 물리적 환경변수와 지표온도의 관계 분석)

  • Li, Yige;Lee, Sugie;Han, Jaewon
    • Journal of Korea Planning Association
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    • v.54 no.2
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    • pp.93-108
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    • 2019
  • This study examines the relationship between three-dimensional urban built environment and urban surface temperature using LANDSAT 8 satellite image data in Seoul city. The image was divided into 600m×600m grid units as an unit of analysis. Due to the high level of spatial dependency in surface temperature, this study uses spatial statistics to take into account spatial auto-correlation. The spatial error model shows the best goodness of fit. The analysis results show that the three-dimensional built environment and transport environment as well as natural environment have statistically significant associations with surface temperature. First, natural environment variables such as green space, streams and river, and average elevation show statistically significant negative association with surface temperature. Second, the building area shows a positive association with surface temperature. In addition, while sky view factor (SVF) has a positive association with surface temperature, surface roughness (SR) shows a negative association with it. Third, transportation related variables such as road density, railway density, and traffic volume show positive associations with surface temperature. Moreover, this study finds that SVF and SR have different effects on surface temperature in regard to the levels of total floor areas in built environment. The results indicate that interactions between floor area ratio (FAR) and three-dimensional built environmental variables such as SVF and SR should be considered to reduce urban surface temperature.

A field survey on roof ventilation system of single-span plastic greenhouse in cucurbitaceae vegetable cultivation (박과작물 재배 단동 비닐하우스의 천장 환기시스템 설치 실태조사)

  • Yeo, Kyung-Hwan;Yu, In-Ho;Rhee, Han-Cheol;Cheong, Jae-Woan;Choi, Gyeong Lee
    • Korean Journal of Agricultural Science
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    • v.40 no.4
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    • pp.317-323
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    • 2013
  • This research was conducted to obtain the basic information for establishment of standard guidelines in the design and installation of roof ventilation system in single-span plastic greenhouse. To achieve this, the greenhouse structure & characteristics, cultivation status, and ventilation system were investigated for single-span greenhouse with roof ventilation system cultivating the Cucurbitaceae vegetables, watermelon, cucumber, and oriental melon. Most of single-span watermelon greenhouse in Haman and Buyeo area were a hoop-style and the ventilation system in those greenhouses mostly consisted of two different types of 'roof vent (circular or chimney type) + side vent (hole) + fan' and 'roof vent (circular type) + side vent (hole or roll-up type)'. The diameter of circular and chimney-type vent was mostly 60cm and the average number of vents was 10.5 per a bay with vent spacing of average 6.75m. The ratio of roof vent area to floor area and side vent area in the single-span watermelon greenhouse with ventilation fan were 0.46% and 7.6%, respectively. The single-span cucumber greenhouse in Haman and Changnyeong area were a gable roof type, such as even span, half span, three quarter and the 70.6% of total investigated single-span greenhouses was equipped with a roof ventilation fan while 58.8% had a circulation fan inside the greenhouse. The ratios of roof vent area to floor area in the single-span cucumber greenhouse ranged from 0.61 to 0.96% and in the case of the square roof vent, were higher than that of the circular type vent. On average, the roof ventilation fan in single-span cucumber greenhouse was equipped with the power input of 210W and maximum air volume of $85.0m^3/min$, and the number of fans was 9.75 per a bay. The number of roof vent of single-span oriental melon greenhouse with only roll-up type side vent ranged from 8 to 21 (average 14.8), which was higher than that of other Cucurbitaceae vegetables while the vent number of the greenhouse with a roof ventilation fan was average 7 per a bay.

CLINICAL EVALUATION OF PROGNOSIS OF OSSEOINTEGRATED DENTAL IMPLANT IN TREATMENT OF MAXILLARY EDENTULOUS AREA (골유착 치과 임플란트를 이용한 상악 무치악부 치료의 예후에 관한 임상적 평가)

  • Shim, Won-Bo;Lee, Dong-Keun;Choi, Kyu-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.2
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    • pp.189-197
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    • 1999
  • The use of osseointegrated implant has been reported that is an acceptable procedure for the restoration of totally or partially edentulous patient and that offers good predictability of long term success. It is difficult to get high success rate in edentulous maxillae with inadequate bony quality and quantity, and anatomic limitations such as pneumatic maxillary sinus and nasal floor. The various trials such as sinus lifting, bone grafting, guided bone regeneration, trabecular condensation with osteotome, and the use of wide-diameter implant have been introduced to solve these problems. This study was undertaken to assess the evaluation of clinical prognosis of the implant restorations with these various implantation techniques in the maxillary edentulous area. One hundred eight patients were treated with a total of 386 endosseous implants from March 1994 to January 1998 at Dept. of Dentistry, Korea Veterans Hospital in Seoul Korea. The various techniques for implantation in the edentulous maxillae were supplied to overcome the limitations of implant fixation. These techniques consist of sinus lifting, guided bone regeneration, onlay bone grafting, and osteotome trabecular condensation technique. The total success rate of implant restoration of this study was 93% in the maxillae. The success rate of implant restorations with conventional technique was 94.6%, with osteotome trabecular condensation technique was 94.1%, with guided bone regeneration technique was 93.3%, with bone grafting technique was 92.9%, with sinus lifting technique was 83.8%. The success rate on the maxillary anterior area was 95.2% and that on the posterior area was 91.9%. The failures were associated not only with surgical installation techniques but also bony quality and quantity, characteristics of implant, and stress distribution when in function.

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