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Fibular flap for mandible reconstruction in osteoradionecrosis of the jaw: selection criteria of fibula flap

  • Kim, Ji-Wan;Hwang, Jong-Hyun;Ahn, Kang-Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.46.1-46.7
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    • 2016
  • Background: Osteoradionecrosis is the most dreadful complication after head and neck irradiation. Orocutaneous fistula makes patients difficult to eat food. Fibular free flap is the choice of the flap for mandibular reconstruction. Osteocutaneous flap can reconstruct both hard and soft tissues simultaneously. This study was to investigate the success rate and results of the free fibular flap for osteoradionecrosis of the mandible and which side of the flap should be harvested for better reconstruction. Methods: A total of eight consecutive patients who underwent fibula reconstruction due to jaw necrosis from March 2008 to December 2015 were included in this study. Patients were classified according to stages, primary sites, radiation dose, survival, and quality of life. Results: Five male and three female patients underwent operation. The mean age of the patients was 60.1 years old. Two male patients died of recurred disease of oral squamous cell carcinoma. The mean dose of radiation was 70.5 Gy. All fibular free flaps were survived. Five patients could eat normal diet after operation; however, three patients could eat only soft diet due to loss of teeth. Five patients reported no change of speech after operation, two reported worse speech ability, and one patient reported improved speech after operation. The ipsilateral side of the fibular flap was used when intraoral soft tissue defect with proximal side of the vascular pedicle is required. The contralateral side of the fibular flap was used when extraoral skin defect with proximal side of the vascular pedicle is required. Conclusions: Osteonecrosis of the jaw is hard to treat because of poor healing process and lack of vascularity. Free fibular flap is the choice of the surgery for jaw bone reconstruction and soft tissue fistula repair. The design and selection of the right or left fibular is dependent on the available vascular pedicle and soft tissue defect sites.

Treatment of Proximal Humeral Fracture Using Polarus Nail and Philos Plate

  • Choi, Chang Hyuk;Sim, Jung Hyun;Lee, Sang Hwa;Lee, Joo Hwan;Nam, Jun Ho
    • Clinics in Shoulder and Elbow
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    • v.17 no.3
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    • pp.120-126
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    • 2014
  • Background: To compare the treatment of the proximal humerus fracture using a Polarus nail or Philos plate, we aimed to analyze the functional recovery and the factors affecting the selection between the two types of surgery. Methods: The study included 107 patients with proximal humerus fracture who underwent surgery at our institution. Of these patients, 67 underwent surgery with Polarus nails (G1) and 40 with Philos plates (G2). In G1, the cases of two- and three-part fractures were 60 and 7 cases, in G2, the cases of two-, three-, and four-part fractures were 28, 10, and 2 cases, respectively. The average age was 61 years old, and the average follow-up period was 32.5 months. We compared radiological results, the functional recovery retrospectively. Results: The radiological union time was 6.8 weeks and 8.7 weeks on average in G1 and G2 (p < 0.05). At the one-year follow-up period, these were visual analogue scale (VAS) 1.355, forward flexion (FF) 130.968, external rotation (ER) 50.161, internal rotation (IR) L2 in G1, and VAS 0.781, FF 135.806 ER 51.25, IR L1 in G2, respectively, showing no significant differences between the two groups (p > 0.05). Similar observations were made at the final follow-up. In terms of functional recovery, no significant differences were seen at the one-year or at the final follow-up period (p > 0.05). Conclusions: For the surgical treatment of proximal humeral fracture, the selection of the type of surgery is affected by the fracture pattern. However, both methods give satisfactory outcomes and do not show significant differences in the functional outcome after the surgery.

Factors associated with nutrition label use among female college students applying the theory of planned behavior

  • Lim, Hyun Jeong;Kim, Min Ju;Kim, Kyung Won
    • Nutrition Research and Practice
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    • v.9 no.1
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    • pp.63-70
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    • 2015
  • BACKGROUND/OBJECTIVES: Use of nutrition labels in food selection is recommended for consumers. The aim of this study is to examine factors, mainly beliefs explaining nutrition label use in female college students based on the Theory of Planned Behavior (TPB). SUBJECTS/METHODS: The subjects were female college students from a university in Seoul, Korea. The survey questionnaire was composed of items examining general characteristics, nutrition label use, behavioral beliefs, normative beliefs, corresponding motivation to comply, and control beliefs. The subjects (n = 300) responded to the questionnaire by self-report, and data from 275 students were analyzed using t-test or ${\chi}^2$-test. RESULTS: The results showed that 37.8% of subjects were nutrition label users. Three out of 15 behavioral beliefs differed significantly by nutrition label use. Nutrition label users agreed more strongly on the benefits of using nutrition labels including 'comparing and selecting better foods' (P < 0.001), 'selecting healthy foods' (P < 0.05). The negative belief of 'annoying' was stronger in non-users than in users (P < 0.001). Three out of 7 sources (parents, siblings, best friend) were important in nutrition label use. Twelve out of 15 control beliefs differed significantly by nutrition label use. These included beliefs regarding constraints of using nutrition labels (e.g., time, spending money for healthy foods) and lack of nutrition knowledge (P < 0.001). Perceived confidence in understanding and applying the specifics of nutrition labels in food selection was also significantly related to nutrition label use (P < 0.001). CONCLUSIONS: This study found that the beliefs, especially control beliefs, suggested in the TPB were important in explaining nutrition label use. To promote nutrition label use, nutrition education might focus on increasing perceived control over constraints of using nutrition labels, acquiring skills for checking nutrition labels, as well as the benefits of using nutrition labels and receiving support from significant others for nutrition label use.

Efficient and Precise Construction of Markerless Manipulations in the Bacillus subtilis Genome

  • Yu, Haojie;Yan, Xin;Shen, Weiliang;Shen, Yujia;Zhang, Ji;Li, Shunpeng
    • Journal of Microbiology and Biotechnology
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    • v.20 no.1
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    • pp.45-53
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    • 2010
  • We have developed an efficient and precise method for genome manipulations in Bacillus subtilis that allows rapid alteration of a gene sequence or multiple gene sequences without altering the chromosome in any other way. In our approach, the Escherichia coli toxin gene mazF, which was used as a counter-selectable marker, was placed under the control of a xylose-inducible expression system and associated with an antibiotic resistance gene to create a "mazF-cassette". A polymerase chain reaction (PCR)-generated fragment, consisting of two homology regions joined to the mazF-cassette, was integrated into the chromosome at the target locus by homologous recombination, using positive selection for antibiotic resistance. Then, the excision of the mazF-cassette from the chromosome by a single-crossover event between two short directly repeated (DR) sequences, included in the design of the PCR products, was achieved by counter-selection of mazF. We used this method efficiently and precisely to deliver a point mutation, to inactivate a specific gene, to delete a large genomic region, and to generate the in-frame deletion with minimal polar effects in the same background.

Academic Vocabulary Selection and the Development of Learning Application for Students with Multi-cultural Backgrounds (다문화 배경 학생을 위한 학습 도구어 선정 및 학습 어플리케이션 개발)

  • Min, Kyeongah;Yoo, Donghee
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.23-36
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    • 2020
  • This study indicates there is a need for delivering key academic vocabulary to students with multi-cultural backgrounds before they enter middle school and thus select academic vocabularies necessary for satisfactory middle school education and self-directed learning methods using a more focused selected academic vocabulary list. To this end, we first examine the vocabularies appearing in the main Korean language, math, social studies and science textbooks used in the first year of middle school and compile the most practical academic vocabulary list. Then we offer a selection method for the main academic vocabulary from these compiled vocabularies. We also propose a self-directed vocabulary learning model for using these selected academic vocabularies and an academic vocabulary learning application as a prototype. As a result, students with multi-cultural backgrounds will be able to adapt to middle school education more quickly when they learn the necessary academic vocabularies on their own using the academic vocabulary learning application.

Implementation of the Speech Emotion Recognition System in the ARM Platform (ARM 플랫폼 기반의 음성 감성인식 시스템 구현)

  • Oh, Sang-Heon;Park, Kyu-Sik
    • Journal of Korea Multimedia Society
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    • v.10 no.11
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    • pp.1530-1537
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    • 2007
  • In this paper, we implemented a speech emotion recognition system that can distinguish human emotional states from recorded speech captured by a single microphone and classify them into four categories: neutrality, happiness, sadness and anger. In general, a speech recorded with a microphone contains background noises due to the speaker environment and the microphone characteristic, which can result in serious system performance degradation. In order to minimize the effect of these noises and to improve the system performance, a MA(Moving Average) filter with a relatively simple structure and low computational complexity was adopted. Then a SFS(Sequential Forward Selection) feature optimization method was implemented to further improve and stabilize the system performance. For speech emotion classification, a SVM pattern classifier is used. The experimental results indicate the emotional classification performance around 65% in the computer simulation and 62% on the ARM platform.

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Study of Ddvdlopment of Ecological Urban Open Space in Eastern Area, Japan(I) - Planning and Management - (일본 관동지방의 도시내 친자연공간 조성에 관한 사례연구(I) - 계획 및 관리 -)

  • Cho, Woo
    • Korean Journal of Environment and Ecology
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    • v.11 no.2
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    • pp.177-200
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    • 1997
  • This study has been conducted to propose the guidelines for development of ecological urban open space in Korea. The eastern area of Japan was studied as case area. It was classified into sex biotope types and the project background of each sites was analyzed. The contents and technique on the basis concept, survey of environmental and biotic condition planning and design(zoning and use planning, target selection and management), preparation and management of natural environment and management, and monitoring was analyzed. It was planned out the projects in order to create the nature experience space in urban area. It was found that development of ecological urban open space by the biotope creation technic was based on three types(environmental transfer, environmental creation, and environmental inprovement type). Also most cases of projects created the biotope by the conservation of the present enviroment and ecosystem. When the development of ecological urban open space was planned, selection of target species was seemed to very important that clearly propose to the guidelines.

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An Effective Method for Selection of WGN Band in Man Made Noise(MMN) Environment (인공 잡음 환경하에서의 효율적인 백색 가우시안 잡음 대역 선정 방법)

  • Shin, Seung-Min;Kim, Young-Soo
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.21 no.11
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    • pp.1295-1303
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    • 2010
  • In this paper, an effective method has been proposed for selection of white Gaussian noise(WGN) band for radio background noise measurement system under broad band noise environment. MMN which comes from industrial devices and equipment mostly happens in the shape of broad band noise mostly like impulsive noise and this is the main reason for increasing level in the present radio noise measurements. The existing method based on singular value decomposition has weak point that it cannot give good performance for the broad band signal because it uses signal's white property. The proposed method overcomes such a weakness of singular value decomposition based method by using signal's Gaussian property based method in parallel. Moreover, this proposed method hires a modelling based method which uses parameter estimation algorithm like maximum likelihood estimation(MLE) and gives more accurate result than the method using amplitude probability distribution(APD) graph. Experiment results under the natural environment has done to verify feasibility of the proposed method.

The Study on Selection of human Model for Controllability Evaluation According to Working Postures

  • Kim, Do-Hoon;Park, Sung-Joon;Lim, Young-Jae;Jung, Eui-S.
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.3
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    • pp.437-444
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    • 2012
  • The purpose of this study was to suggest appropriate human model for ergonomic evaluation considering working postures on 3D space. Background: Traditionally extreme design rules have been widely utilized at the stage of designing products. Body size of 5th percentile and 95th percentile in stature has been generally selected for controllability and clearance evaluation, respectively. However, these rules had limitations in reflecting working posture in ergonomic evaluation. Method: In order to define working posture on 3D space, not only sagittal plane but also lateral plane was considered. Kinematic linkage body model was utilized for representation of working posture. By utilizing the anthropometric data of 2,836 South Korean male populations, the point cloud for end points of linkage models was derived. The individuals who were lacking in certain controllability were selected as human models for the evaluation. Result: In case of standing posture it was found that conventional approach is proper for all controllability evaluations. Contrary to standing posture, tall people had less controllability on control location below shoulder point in sitting posture. Conclusion: From the derived proper range on controllability, ergonomic evaluation rule was suggested according to working posture especially in standing and sitting. Application: The results of the study are expected to aid in selection of appropriate human model for ergonomic evaluation and to improve the usability of products and work space.

Selection of Implants in Unilateral Prosthetic Breast Reconstruction and Contralateral Augmentation

  • Kim, Soo Jung;Song, Seung Yong;Lew, Dae Hyun;Lee, Dong Won
    • Archives of Plastic Surgery
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    • v.44 no.5
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    • pp.413-419
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    • 2017
  • Background In breast reconstruction using implants after unilateral mastectomy, it is challenging to create a natural, ptotic contour, and asymmetry is a potential drawback. To achieve breast symmetry and an ideal shape for both breasts, we performed contralateral augmentation in patients undergoing breast reconstruction with implants. Methods Patients underwent unilateral mastectomy and 2-stage reconstruction. During the second stage of the procedure, contralateral augmentation mammoplasty was performed. Preoperatively, we obtained the patients' demographic information, and we then assessed breast volume, the volume and dimensions of the inserted implants, and complications. Breast symmetry was observed by the surgeon and was assessed by measuring the disparity between the final volume of each breast. Results Contralateral augmentation was performed in 52 cases. When compared to patients who did not undergo a contralateral balancing procedure, patients who received contralateral augmentation were younger, thinner, and had smaller breasts. During implant selection for contralateral augmentation, we chose implants that were approximately 1 cm shorter in width, 1 level lower in height, and 1 or 2 levels lower in projection than the implants used for reconstruction. The postoperative breast contours were symmetric and the final volume discrepancy between each breast, which was measured by 3-dimensional scanning, was acceptable. Conclusions We demonstrate that contralateral augmentation can be recommended for patients who perceive their breasts to be small and not beautiful in order to achieve an ideal and beautiful shape for both breasts. Furthermore, this study offers guidelines for selecting the implant that will lead to the optimal aesthetic outcome.