• Archives of Craniofacial Surgery
• /
• v.22 no.4
• /
• pp.183-192
• /
• 2021

Background: The purse-string suture (PSS) is a simple and rapid wound closure method that results in minimal scarring. It has been used to treat circular or oval skin defects caused by tumor excision or trauma. However, due to obscurity, it is not widely used, especially for the head and neck. This study aimed to modify the PSS to obtain predictable and acceptable results. Methods: A total of 45 sites in 39 patients with various types of skin and soft tissue defects in the head and neck were treated with PSS. We used PDS II (2-0 to 5-0), which is an absorbable suture. Minimal dissection of the subcutaneous layer was performed. The suture knot was hidden by placing it in the dissection layer. Depending on the characteristics of the skin and soft tissue defects, additional surgical interventions such as side-to-side advancement sutures, double PSS, or split-thickness skin graft were applied. Results: All wounds healed completely without any serious complications. Large defects up to 45 mm in diameter were successfully reconstructed using only PSS. Postoperative radiating folds were almost flattened after approximately 1-2 months. Conclusion: PSS is simple, rapid, and relatively free from surgical design. Owing to the circumferential advancement of the surrounding tissue, PSS always results in a smaller scar than the initial lesion and less distortion of the body structures around the wound in the completely healed defect. If the operator can predict the process of healing and immediate radiating folds, PSS could be a favorable option for round skin defects in the head and neck.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.49 no.5
• /
• pp.278-286
• /
• 2023

Objectives: This review assessed the performance of implant-supported fixed hybrid prostheses in 21 patients who received a total of 137 implants between 2003 and 2010. The implants were evaluated for marginal bone resorption, complications, success rate, and survival rate based on their vertical angularity, type of bone graft, and measured implant stability. Materials and Methods: One-way ANOVA and chi-square tests were used to analyze the relationships among long-term evaluation factors and these variables. The mean initial bone resorption in the implant group with a vertical angle of more than 20° was 0.33 mm and mean final bone resorption was 0.76 mm. In contrast, the mean initial bone resorption in the implant group with a vertical angle of less than 10° was 1.19 mm and mean final bone resorption was 2.17 mm. Results: The results showed that mean bone resorption decreased with an increase in the vertical placement angle of the implants used in fixed hybrid prostheses, as well as in the group without additional bone grafts and those with high implant stability. The success rate of implants placed after bone grafting was found to be higher than those placed simultaneously. Conclusion: These results suggest that implant-supported fixed hybrid prostheses may be an effective treatment option for edentulous patients, and intentionally placing implants with high angularity may improve outcomes.

• Journal of the Korean Society of Marine Environment & Safety
• /
• v.29 no.1
• /
• pp.76-85
• /
• 2023

Demand for hydrogen as a renewable energy resource is increasing. However, unlike conventional fossil fuels, hydrogen requires a dedicated refueling station for fuel supply. A risk assessment of hydrogen refueling stations must be undertaken to secure the infrastructure. Therefore, in this study, a risk assessment for hydrogen refueling stations was conducted through both qualitative and quantitative risk assessments. For the qualitative evaluation, the hydrogen dispenser module was evaluated as two nodes using the hazard and operability (HAZOP) analysis. The risk due to filter clogging and high-pressure accidents was evaluated to be high according to the criticality estimation matrix. For the quantitative risk assessment, the Hydrogen Korea Risk Assessment Module (Hy-KoRAM) was used to indicate the shape of the fire and the range of damage impact, and to evaluate the individual and social risks. The individual risk level was determined of to be as low as reasonably practicable (ALARP). Additional safety measures proposed include placing the hydrogen refueling station about 100m away from public facilities. The social risk level was derived as 1E-04/year, with a frequency of approximately 10 deaths, falling within the ALARP range. As a result of the qualitative and quantitative risk assessments, additional safety measures for the process and a safety improvement plan are proposed through the establishment of a restricted area near the hydrogen refueling station.

• Korean Institute of Interior Design Journal
• /
• no.14
• /
• pp.82-89
• /
• 1998

During the boom of museum building in the 1970s-80s two museum wee erected in Germany. They are James Stirling's Neue Stattsgalerie Stuttgart and hans Hollein's Stadtisches Museum Abteiberg Monchengladbach, These two museums share the folowing point of similarity : Stirling's Neue Stattsgalerie Stuttgart and Hollein's Staditisches Museum Abetiberg Monchenbladbach both manifest the conditions of the times in light of their respective cities' local characters and historical contexts without being bound to traditional formality. Stirling and Hollein attempted to grasp the meaning of the 기nuseum as a city in miniature." Taking into account the t two museums’s territorial characteristics of being situated on a slope, both Stirling and Hollein made the walker to pass t through their building complex and introduced the concept of a public square within them. As a result, the museums are not j just two large buildings but are architecture composed of a collage of various structures. S Stirling’s architecture employs the method of attaching additional elements on top of basic constituents, which is suggestive '||'&'||'#61551; of the historical fragment from Shinkel's Altes Museum. On the other hand, Hollein applies a collage-style method as if he w were doing urban planning, maintaining the distinctiveness of each of the various forms and materials of buildings. T The object style buildings of the two museums actively demonstrate the contrast of double meaning to represent the a ambiguous and multifarious characteristics of the modern times. Stirling explores the theme of opposition and coexistence in h his Neue Stattsgalerie Stuttgart by placing a series of opposing concepts, such as the past and present and histor${\gamma}$ and t technology, in one space. Thereby, the contradiction and its appeal are manifested. Hollein made use of the visual illusion and c contradiction in alluding to the irony of the modern reality induced by nature and culture and history and technology. F For the above reasons and methods, James Stirling ’ s Neue Stattsgalerie Stuttgart allowed the penetration of art into daily l life and became the general public’s favored museum for its free and unrestrained environment. Likewise, Hans Hollein’s S Stadtisches Museum Abteiberg Moncbengladbach contribute to the development of museum function as it an expression of art i in the form of a complex piece of scupture on its own.ts own.

• Journal of the Korean Arthroscopy Society
• /
• v.14 no.1
• /
• pp.49-52
• /
• 2010

Purpose: We introduce arthroscopically assisted mini-open rotator cuff repair using anterolateral approach. Operative Technique: Placing lateral decubitus position on general anesthesia, a standard arthroscopic glenohumeral examination is performed to evaluate lesions of shoulder joint through posterior and anterior portal. And then arthroscope is placed in the subacromial space and we evaluate the size of the torn tendon and perform arthroscopic acromioplasty through lateral portal. A 3 to 4 cm skin incision is performed from anterolateral edge of acromion to distal and dissected along to raphe between anterior and middle deltoid. A deltoid retractor is then placed, allowing direct visualization of the rotator cuff and humeral head. As torn tendon is tagged by traction suture, we try to anatomical reduction on the footprint and then perform single row or double row repair of the rotator cuff using suture anchors. To prevent avulsion of the deltoid from the acromion, additional sutures by bone tunnel with acromion and deltoid is performed. Conclusion: This technique is useful procedure to get direct approach to anterior portion of supraspinatus tendon and to need lesser deltoid retraction than portal extension approach due to dividing along to raphe between anterior and middle deltoid. Also it provide better visualization of the superior portion of subscapularis and infraspinatus.

• The Journal of Korean Academy of Prosthodontics
• /
• v.56 no.3
• /
• pp.218-226
• /
• 2018

In partial edentulous patients, implant-assisted removable partial denture which provide additional retention and support by placing a small number of implants in strategic positions might be suitable treatment. This case of patient with loss of maxillary posterior teeth and moderate to severe wear of residual dentition, three implants were placed in the maxillary anterior edentulous area and then surveyed bridges were made including remaining anterior natural teeth. Posterior edentulous area was restored with distal extension removable partial denture (RPD). In addition, the worn mandibular natural teeth were restored with fixed prostheses. As a result, reduced vertical dimension and collapsed occlusal plane were rehabilitated, and improved functionally and aesthetically. The purpose of this case was to report the results of three-year follow-up of full mouth rehabilitation with anterior implant surveyed bridges and distal extension RPD.

• Journal of the Korea Institute of Building Construction
• /
• v.14 no.5
• /
• pp.477-485
• /
• 2014

Standard production unit system and historical cost data are the most typical data base for calculating budget price in construction. However, these construction cost estimation methods are difficult to calculate proper construction cost because definition, additional allowance or modification criteria is not clear in construction within one day. Therefore, this study identifies problems for standard production unit system and historical cost data and suggests the improvements for them. For the objectives, this study analyzes frequency after implementing survey for 44 specialty contractors in placing at kyeonggi-province. As the results of the study, labor costs in standard production unit system and equipment costs in historical cost data and in construction of pavement and maintenance by project type was exceeded at most high rate against construction cost estimation methods. Based on this result, standard production unit system and historical cost data need to be modified by three improvements such as classification by project scale. These will be baseline data for improvement of construction cost estimation methods for less than one day workload.

• Journal of the Korea Concrete Institute
• /
• v.13 no.2
• /
• pp.99-106
• /
• 2001

The main objective of this study is to develop a continuity of double tee slab with two modified dap-ends to solve the problems of excessive moment, slab depth, deflection, and joint cracking in the original simply supported double tee slab systems. The modified joint is produced in a combination with two slabs with modified dap and one rectangular beam. The modified joint can be justified as following different merits. The span capacity for a design load is increased, while the deflection of the slab is decreased due to the decrease of positive moment at the center span of the slab. The joint cracking between slab and beam, which occur frequently in the original slab systems of double tee will be reduced. No more additional form work is needed to cast topping concrete for continuity. Three point loading tests are performed on the specimens with a variable of an amount of main longitudinal reinforcement to evaluate flexural and shear behavior. Following conclusions are obtained from the experimental investigation. The continuity of double tee slab effectively is provided by placing longitudinal steel reinforcement in the topping concrete over the connection, and generally leads to an increase in span capacity of double tee slabs with reduced deflection. It is more effective to control the initial cracking at the connection than that of some simply supported double tee slab systems.

• Journal of Biomedical Engineering Research
• /
• v.32 no.2
• /
• pp.151-157
• /
• 2011

Tattooing is a performance for decorative and cosmetic marking by placing permanent ink into the skin. As the cultural meaning of tattoo in Korea is changing, the tattoo machines are widely spread n permanent cosmetic market. Though the use of the tattoo machine was increased, the evaluation standards of tattoo machine were not existed. Korea Food and Drug Association regulated the electrical and mechanical safety standards which were founded on the IEC 601-1 second edition. Also they regulated he biological safety standards which were derived from the ISO 10993 series, however, these general valuations of common medical device were insufficient for evaluating tattoo machine. We developed the standards of tattoo machine for safety and performance evaluation for tattoo machine by preliminary hazard analysis in ISO 14971. The evaluation criteria of tattoo machines are focused on the mechanical invasion. We suggested the additional evaluation items of the needle speed, length, vibration with general valuation criteria of common medical device. We anticipate that this research may be a primary stage to figure a standard regulation and evaluation for tattoo machine.

• The Journal of the Convergence on Culture Technology
• /
• v.7 no.3
• /
• pp.509-515
• /
• 2021

This study analyzes the efficient floor layout plan of classrooms for securing evacuation stability in school in case of fire by using the Pathfinder simulation program. Efficient evacuation methods and safety were evaluated by analyzing REST (Required Safe Egress Time) according to the allocation of personnel by floor targeting a high school 5-story building equipped with a ramp and stairs. The current status of personnel assignments exceeded the Required Safe Egress Time(RSET), resulting in a problem with evacuation safety. When students were placed on the 3rd, 4th, and 5th floors, the result was that the time exceeded RSET the most. When students were placed on the 1st, 2nd, and 3rd floors, the result was that they completed evacuation in the shortest time, less than RSET. In the current state, when evacuation was guided by designating an evacuation exit depending on the location, the result of shortening RSET was obtained. As a result, it is effective to put the students on the lower floors when placing students in high-rise school buildings in terms of evacuation safety, and in the preliminary training, it is required to designate evacuation exits so that they can use the nearest exit for each location in case of a fire. As a future research project, additional research is needed on the RSET when a fire occurs in a specific location according to whether the automatic fire door at that location is opened or closed.