• Archives of Plastic Surgery
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• 제35권5호
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• pp.589-596
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• 2008

Purpose: The nasal bone fracture is most common fracture in facial bone injuries. Regardless of the severity or type of fracture, closed reduction has traditionally been the common method of treatment. However, through detailed pre-operative evaluation, we found out that many patients consider rhinoplasty prior to trauma due to aesthetic desire or nasal deformity with or without septal deviation. In treatment of nasal bone fracture, we focused not only on the fracture management but also on the patients' desire prior to trauma, and we made additional operation according to patients' desire with fracture reduction and gained rewarding outcomes. Methods: From March 2005 to June 2007, total 263 patients were treated for nasal bone fracture. Among these patients, 57 patients (21%) had the additional operation with nasal fracture reduction. The additional operations were categorized in three types: augmentation rhinoplasty with tip plasty (40%), septoplasty only (16%), corrective rhinoplasty (44%). The mean follow-up period was 5.6 months and results were evaluated by scoring. Results: Forty four of 57 patients (77%) were highly satisfied regardless of any additional operation kinds. The complications were one septal perforation, two displacement of implant and four remnant nasal deformities. For the septal perforation, no further management was performed because we lost the contact with the patient. Then 4 of the other complicated patients were revised. Conclusion: In general, many physicians tend to consider nasal fracture as a simple trauma. However through the strict history taking, physical examination and professional counseling, we could catch the patient's cosmetic desire and get the eyes on new concept: the nasal fracture is not only a trauma but a cosmetic and functional field. In the treatment of nasal bone fracture, if additional rhinoplasty is performed, patients will be more satisfied and we also can expect higher profits.

• 한국운동역학회지
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• 제16권3호
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• pp.1-7
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• 2006

The Primary type of swinging motion in human movement is that which is characteristic of a pendulum. The two types of pendulums are identified as simple and compound. A simple pendulum consist of a small body suspended by a relatively long cord. Its total mass is contained within the bob. The cord is not considered to have mass. A compound pendulum, on the other hand, is any pendulum such as the human body swinging by hands from a horizontal bar. Therefore a compound pendulum depicts important motions that are harmonic, periodic, and oscillatory. In this paper one discusses and compares two algorithms of Newton's method(F = m a) and Euler's method (M = $I{\times}{\alpha}$) in compound pendulum. Through exercise model such as human body with weight(m = 50 kg), body length(L = 1.5m), and center of gravity ($L_c$ = 0.4119L) from proximal end swinging by hands from a horizontal bar, one finds kinematic variables(angle displacement / velocity / acceleration), and simulates kinematic variables by changing body lengths and body mass. BSP by Clauser et al.(1969) & Chandler et al.(1975) is used to find moment of inertia of the compound pendulum. The radius of gyration about center of gravity (CoG) is $k_c\;=\;K_c{\times}L$ (단, k= radius of gyration, K= radius of gyration /segment length), and then moment of inertia about center of gravity(CoG) becomes $I_c\;=\;m\;k_c^2$. Finally, moment of inertia about Z-axis by parallel theorem becomes $I_o\;=\;I_c\;+\;m\;k^2$. The two-order ordinary differential equations of models are solved by ND function of numeric analysis method in Mathematica5.1. The results are as follows; First, The complexity of Newton's method is much more complex than that of Euler's method Second, one could be find kinematic variables according to changing body lengths(L = 1.3 / 1.7 m) and periods are increased by body length increment(L = 1.3 / 1.5 / 1.7 m). Third, one could be find that periods are not changing by means of changing mass(m = 50 / 55 / 60 kg). Conclusively, one is intended to meditate the possibility of applying a compound pendulum to sports(balling, golf, gymnastics and so on) necessary swinging motions. Further improvements to the study could be to apply Euler's method to real motions and one would be able to develop the simulator.

• 한국공간구조학회논문집
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• 제8권4호
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• pp.47-55
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• 2008

이 논문은 지오데식 돔 구조물의 구조최적화에 대한 연구내용과 관련이론 그리고 수치해석결과를 기술하고 있다. 지오데식 돔의 공간 효율성을 알아보기 위해 돔의 기저인 정이십면체의 외피면적과 내부공간의 비율을 계산하고 건축구조물에서 나타나는 다른 입방체의 값과 정량적으로 비교하였다. 지오데식 돔을 형성하기 위한 절차를 세부적으로 정리하고 이를 프로그래밍하여 설계최적화프로그램 ISADO-OPT에 연동하였다. 본 연구에서는 반구 형태의 지오데식 돔이 집중하중에 효율적으로 저항할 수 있는 최적의 부재크기 패턴을 조사하기 위하여 수학적 프로그래밍 기법을 도입하였다. 이때 최소화해야하는 돔 전체 부재의 중량을 목적함수로 이용하고 하중이 가해지는 절점에서 발생하는 변위 값과 각 부재에서 발생하는 응력 값을 허용치 이하로 제한하는 제약조건으로 사용하였다. 목적함수와 주어진 제약조건을 만족하는 최적 설계변수값을 검색하기 위해 설계변수에 대한 목적함수의 민감도 값을 유한차분법을 이용하여 계산하였다. 본 연구에서 기술한 지오데식돔을 위한 설계최적화 기본이론을 바탕으로 도출한 최적 부재패턴은 향후 돔의 최적설계에 기본 벤치마크테스트결과로 유용하게 사용될 것으로 판단된다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제22권2호
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• pp.217-232
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• 2000

The author studied on the 128 cases of benign odontogenic tumors which had been diagnosed with biopsy during the period of Jan. 1989 to Dec. 1998 at the Kyungpook National University Hospital, Yeungnam University Medical Center, Keimyung University Dongsan Medical Center, and Taegu Catholic Medical Center. This study contained the clinicostatistical analysis of the frequency in relation to sex, age, locations, chief complaints, duration, radiographic findings, recurrence, teeth, and treatment methods. The results were as follow : 1. Of a total of 128 benign odontogenic tumors, ameloblastomas(57 cases; 44.5%) and odontomas (44 cases ; 34.4%) mostly occupied. The other types of lesions were 8 calcifying odontogenic cysts, 7 benign cementoblastomas, 4 myxomas, 3 adenomatoid odontogenic tumors, 2 calcifying epithelial odontogenic tumors, 2 ameloblastic fibro-odontomas, and 1 odontogenic fibroma. 2. In age and sex distribution, benign odontogenic tumors occured slightly more often in males(53.9%) than females(46.1%) and the majority of cases(79.7%) were found during 2nd, 3rd, and 4th decade. 3. There was a predilection for mandibular lesions(mandible-maxilla ratio, 2.6 : 1). 4. The most common chief complaint was swelling(29.7%) and in respect to duration, the cases less than 1 year(50.0%) mainly appeared. 5. There were 7 cases(13.0%) of recurrence on ameloblastoma and there was no recurrence in the others. 6. In Ameloblastoma It commonly occured during 3rd and 4th decade(59.6%) and mean age was 30.2 years. The majority of cases were occurred in mandible(96.5%) , especially mandibular molar and angle area(71.9%). The most common chief complaint was swelling(47.4%) and in respect to duration, the cases less than 1 year(52.6%) mainly appeared. In relation to teeth, there were resorption of root(52.6%), displacement of teeth(31.6%), and in relation to impacted teeth(43.9%). There was higher recurrence rate in the cases by conservative treatment(14.7%) than radical treatment(10.0%). As regards radiographic findings, conservative treatments were prevalent in the cases of unilocular type(85.7%) as compared with multilocular type(48.5%). and there was higherrecurrence rate in the cases of multilocular type(18.2%) than unilocular type(4.8%). As regards the type of treatment in relation to age, conservative treatments were prevalent in patients younger than 20 years of age. 7. In Odontomas It commonly occured during 2nd decade(50.0%) and in maxillary anterior teeth(40.9%). The most common chief complaint was delayed retention and permanent impaction of teeth(72.7%), and most frequently associated with impacted teeth(79.5%).

• 대한토목학회논문집
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• 제31권3A호
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• pp.215-225
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• 2011

일반적으로 프리캐스트 교각은 공장에서 모든 제품을 생산하여 품질의 균질성을 확보할 수 있으며, 고강도 콘크리트를 사용할 수 있어 중공 형태로 블록을 제작할 수 있어 사하중 절감효과가 발생한다. 이러한 프리캐스트 교각 공법은 미국 일본 등에서 이미 실용화하여 적용되고 있는 공법으로 주로 PC 긴장재를 사용한 블록간의 연결에 의해 이루어지고 있다. 하지만, PC 긴장재를 사용하게 되면 과다한 초기 공사비가 소요되어 비경제적 시공이 불가피하다. 본 연구의 목적은 공기 단축과 초기 공사비를 절감하기 위해 PC 긴장재를 사용하지 않고, 슬리브와 일반 철근만으로 구성된 경제적이면서 시공성이 우수한 프리캐스트 교각 공법 개발에 있다. 이를 위해 본 연구에서는 신형식 철근이음 장치인 그라우팅형(形) 슬리브를 이용한 프리캐스트 교각 단면에 대하여 중공율, 주철근 직경, 단면 크기 등을 변수로 총 5개의 축소모형에 대하여 실험적으로 성능을 평가하였으며, 스케일 효과가 배제된 상태에서의 현장 적용성을 살펴보기 위해 최종적으로 성능을 검토하기 위하여 대형모형실험을 통해 교각의 성능을 검증하였다.

• Archives of Plastic Surgery
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• 제47권6호
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• pp.574-582
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• 2020

Background Several oncoplastic approaches have been implemented in recent years to enhance cosmetic results and to reduce complications. The round block technique is a volume displacement technique for breast reconstruction after breast-conserving surgery (BCS). However, its indications are currently limited according to tumor location, and its cosmetic results and complications have not been clearly established. We hypothesized that the round block technique could produce favorable cosmetic results without major complications regardless of tumor location or nipple-tumor distance, below a certain resected tumor volume and tumor-breast volume ratio. Methods All breast reconstructions using the round block technique after BCS were included in this analysis. Patients' data were reviewed retrospectively to investigate complications during follow-up, and clinical photos were used to evaluate cosmetic results. The relationships of tumor location, nipple-tumor distance, tumor volume, and the tumor-breast volume ratio with cosmetic results were investigated. Results In total, 108 breasts were reconstructed. The mean resected tumor volume was 30.2±15.0 mL. The cosmetic score was 4.5±0.6 out of 5. Tumor location, nipple-tumor distance, tumor volume, tumor-breast volume ratio, radiotherapy, and chemotherapy had no significant effects on cosmetic results or complications. There were no major complications requiring reoperation. Conclusions Breast reconstruction using the round block technique after BCS can lead to good cosmetic results without major complications regardless of the tumor location, nippletumor distance, radiotherapy, or chemotherapy. Below the maximum tumor volume (79.2 mL) and the maximum tumor-breast volume ratio (14%), favorable results were consistently obtained.

• 지구물리
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• 제9권4호
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• pp.377-386
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• 2006

인류의 문명과 토목은 불가분의 관계를 갖고 있다. 고도의 산업화 사회로 발전하면서 제한된 지형적인 여건에 따라 다양한 대형 구조물이 형성되고 있다. 그러나 대형 구조물은 인간 생활의 편리함을 제공하는 국가 시설이지만 침하 붕괴 등 예상하지 못한 재해가 발생할 수 있다. 현재 활용되고 있는 상대적 변위측정 시스템은 전체적인 변형량을 해석하기 어려운 실태이며 설계 허용 범위내에서 구조물의 변형이 일어나고 있는지를 알 수가 없다. 본 연구에서는 약13년 된 필댐을 대상체로 하여 3D Laser Scanning을 이용하여 흙댐의 3차원 공간좌표를 가지는 측점군(point-cloud)을 생성하여 대상체 표면상의 수많은 3차원 공간좌표(x,y,z)를 얻는 방법으로서 실제 댐 사면과 동일한 사면형상 데이터를 취득할 수 있다. 이것은 3차원 공간상의 모델링이 형성되며, 이 자료로부터 댐 사면의 거리, 면적과 체적 등을 측정하여 댐체와 관련된 각종 정보를 얻을 수 있다. 본 연구를 통하여 댐체의 배부름(bulging)현상을 미연에 발견하여 유지관리의 중요 자료원으로 활용 할 수 있도록 한다.

• Radiation Oncology Journal
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• 제2권2호
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• pp.261-270
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• 1984

The intrauterine irradiation is essential to achieve adequate tumor dose to central tumor mass of uterine malignancy in radiotherapy. The complications of pelvic organ are known to be directly related to radiation dose and physical parameters. The simulation radiation and medical records of 203 patients who were treated with intrauterine irradiation from Feb. 1983 to Oct. 1983, were critically analized. The physical parameters to include distances between lateral walls of vaginal fornices, longitudinal and lateral angles of tandem applicator to the body axis, the distance from the external os of uterine cervix to the central axis of ovoids were measured for low dose rate irradiation system and high dose rate remote control afterloading system. The radiation doses and dose distributions within cervical area including interesting points and bladder, rectum, according to sources arrangement and location of applicator, were estimated with personal computer. Followings were summary of study results ; 1. In distances between lateral walls of vaginal fornices, the low dose rate system showed as $4\~7cm$ width and high dose rate system showed as $5\~6cm$. 2. In horizontal angulation of tandem to body axis, the low dose rate system revealed mid position$64.6\%$, left deviation $19.2\%$and right deviation $16.2\%$. 3. In longitudinal angulation of tandem to body axis, the mid position was $11.8\%$ and anterior angulation $88.2\%$ in low dose rate system but in high dose rate system, anterior angulation was $98.5\%$. 4. Down ward displacement of ovoids below external os was only $3\%$ in low dose rate system and $66.7\%$ in high dose rate system. 5. In radiation source arrangement, the most activities of tandem and ovoid were 35 by 30 in low dose rate system but 50 by 40 in high dose rate system. 6. In low and high dose rate system, the total doses an4 TDF were 50, 70 Gy and 141, 123, including 40 Gy external irradiation. 7. The doses and TDF in interesting points Co, B, were 93, 47 Gy and 230, 73 in high dose rate system but in low doss rate system, 123, 52 Gy and 262, 75 respectively. 8. Doses and TDF in bladder and rectum were 70, 68 Gy and 124, 120 in low dose rate system, but in high dose rate system, 58, 64 Gy 98, 110 respectively, and then grades of injuries in bladder and rectum were 25, $30\%$ and 18, $23\%$ respectively.

• 대한두개안면성형외과학회지
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• 제21권5호
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• pp.276-282
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• 2020

Background: Orbital fractures are the most common pediatric facial fractures. Treatment is conservative due to the anatomical differences that make children more resilient to severe displacement or orbital volume change than adults. Although rarely, extensive fractures may result in enophthalmos, causing cosmetic problems. We aimed to establish criteria for extensive fractures that may result in enophthalmos. Methods: We retrospectively reviewed the charts of patients aged 0-15 years diagnosed with orbital fractures in our hospital from January 2010 to February 2019. Computed tomography images were used to classify the fractures into linear, trapdoor, and open-door types, and to estimate the defect size. Data on enophthalmos severity (Hertel exophthalmometry results) and fracture pattern and size at the time of injury were obtained from patients who did not undergo surgery during the follow-up and were used to identify the surgical indications for pediatric orbital fractures. Results: A total of 305 pediatric patients with pure orbital fractures were included-257 males (84.3%), 48 females (15.7%); mean age, 12.01±2.99 years. The defect size (p=0.002) and fracture type (p=0.017) were identified as the variables affecting the enophthalmometric difference between the eyes of non-operated patients. In the linear regression analysis, the variable affecting the fracture size was open-door type fracture (p<0.001). Pearson's correlation analysis demonstrated a positive correlation between the enophthalmometric difference and the bony defect size (p=0.003). Using receiver operating characteristic curve analysis, a cutoff value of 1.81 ㎠ was obtained (sensitivity, 0.543; specificity, 0.724; p=0.002). Conclusion: The incidence of enophthalmos in pediatric pure orbital fractures was found to increase with fracture size, with an even higher incidence when open-door type fracture was a cofactor. In clinical settings, pediatric orbital fractures larger than 1.81 ㎠ may be considered as extensive fractures that can result in enophthalmos and consequent cosmetic problems.

• 대한토목학회논문집
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• 제6권2호
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• pp.67-75
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• 1986

본 연구에서는 파랑의 에너지 및 에너지 수송과 관련된 변량들의 계산과 그 비선형효과의 분석을 능률적으로 수행하기 위하여 설계파에 대한 비선형 흐름함수파이론을 도입한다. 흐름함수파이론은 비대칭성 파형을 갖는 실측파와 이론적인 대칭 파형을 갖는 설계파. 두 경우 모두에 사용할 수 있는 이론으로 Dean에 의해 처음 창안되었다. 후에 Dalrymple이 특정한 파고의 조건과 0의 평균해수면 변위의 조건을 만족하도록 하는 두 라그란지 승수를 사용하여 기존의 수치계산 과정을 개량함으로써 수치계산이 좀 더 효율적으로 수행되도록 하였다. 그리고 흐름함수의 계수 (Stream function coeffiicient)들은 본 연구를 위해 개량한 Marquardt algorithm을 사용하여 수치계산된다. 본 연구의 결과로서 평균 위치에너지와 평균 운동에너지, 평균 전에너지의 비선형효과는$L^*/L_O$의 감소와 $H/H_B$의 증가에 한결같이 증가하여 흐름함수이론과 비교하여 선형파이론이 항상 과대평가된다. 군속도와 파장의 비선형효과는 $H/H_B$의 증가에 한결같이 증가하되 선형파이론이 항상 과소평가된다. 마지막으로 평균 전에너지 Flux의 비선형효과는 천해파(shallow-water waves)에 대해서는 선형파이론이 과대평가되고 심해파 (deep-water waves)에 대해서는 선행파이론이 과소평가되는 양면성을 지닌다.