• Journal of Nutrition and Health
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• 제32권1호
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• pp.75-82
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• 1999

In order to investigate the longitudinal changes on zinc secretion of lactating women and zinc intake of breast-fed infants, we examined 20 lactating women(10 primipare and 10 multipare) and their infants during the first 90 days postpartum. We measured the consumed volume of human milk by test-weighing method and zinc concentration by atomic absorption spectophotometry after wet digestion. Weight gain of infants was -5.7, 54.1, 46.3, 42.0 and 32.3g/day at 7, 15, 30, 60 and 90 days postpartum, respectively. The secretion volume of human milk was 527, 608, 724, 841 and 798g/day respectively. The consumed volume of human milk of breast-fed infants was 432, 503, 603, 715 and 715g/day. The intake level of breast milk to secretion volume reached 85.0% in average. The zinc concentration of the milk was 4.29, 3.32, 2.52, 1.62 and 1.18mg/l, and the zinc intake of breast-fed infants was 1.80, 1.69, 1.45, 1.15 and 0.70mg/day. Zine intake per body weight of infants averaged 0.32mg/kg/day during the first 90 days postpartum. The average zinc intake of breast-fed infants was 1.36mg/day, which is 27.2% of the recommended daily allowance for 0-4-month-old infants.

• Radiation Oncology Journal
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• 제33권1호
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• pp.50-56
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• 2015

Purpose: To investigate the coverage of axillary lymph node with tangential breast irradiation fields by using virtual lymph node (LN) analysis. Materials and Methods: Forty-eight women who were treated with whole breast irradiation after breast-conserving surgery were analyzed. The axillary and breast volumes were delineated according to the Radiation Therapy Oncology Group (RTOG) contouring atlas. To generate virtual LN contours, preoperative fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) scans with identifiable LN were fused with the CT scans, and the virtual LN contour were delineated on the CT. Results: The median level I and II axillary volume coverage percentages at the $V_{D95%}$ line were 33.5% (range, 5.3% to 90.4%) and 0.6% (range, 0.0% to 14.6%), respectively. Thirty-one LNs in 18 patients were delineated (26 in level I and 5 in level II). In the level I axilla, 84.6% of virtual LNs were encompassed by the 95% isodose line. In the level II axilla, by contrast, none of the virtual LNs were encompassed by the 95% isodose volumes. There was a substantial discrepancy between the RTOG contouring atlas-based axillary volume analysis and the virtual LN analysis, especially for the level I axillary coverage. The axillary volume coverage was associated with the body mass index (BMI) and breast volume. Conclusion: The tangential breast irradiation did not deliver adequate therapeutic doses to the axillary region, particularly those in the level II axilla. Patients with small breast volumes or lower BMI showed reduced axillary coverage from the tangential breast fields. For axillary LN irradiation, individualized anatomy-based radiation fields for patients would be necessary.

• 한국의류학회지
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• 제21권4호
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• pp.689-698
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• 1997

The purpose of this study is to develop the well-fitted brassieres by observing the changes in the breast sizes and shapes, the surface area and the volume of the breast through the arm movements of 3 types (0$^{\circ}$, 90$^{\circ}$ and 180$^{\circ}$) in vertical motion. The subjects are females, who are aged twenties and wearing a brassiere size 70B, In particular, to obtain the measures regarding the surface area and the volume of the breast, replicas are made at each motion. The results of this study are as follows: 1. The changes in the breast sizes and shapes at each motion By increasing the motions of the arm movement, the following measure items are inclined to decrease: Shoulder length, Side neck point~B.P., Front neck point~B.P., Horizontal length of the cup, Upper bust circumference, Bust circumference, Upper bust depth, Bust depth, Under bust depth, Nipple to tipple breadth, Horizontal distance of bust, Bust height, Cup size. By increasing the motions of the arm movement, the following measure items are inclined to increase: Center point of shoulder~B.P., Shoulder point~B.P., Armpit~ lowest point of breast drooping, Upper bust point~B.P., B.P~Under bust point, Under bust line, Width of gap between breast, Vertical distance of Bust. 2. The changes in the surface area and volume of breast at each motion By making the replica to observe changes in the surface area, which are sectioned to 4 parts(area 1 to area 4) , and volume of breast at each motion, the results are as follows: At 0$^{\circ}$ and 90$^{\circ}$, the sizes of each part are ordered as the following: area2> areal> area4> area3. At 180$^{\circ}$, the sizes of each part are ordered as the following: areal> area2> area4> area3. Through these orders, it is found that the upper and inside part of the breast has the inclination to increase so long as the motions of the arm movement increase. Also, the total surface area increases so long as the motions of the arm movement increase. The volume of the breast increase when the surface area of the breast increases. As a result of the F-test on the changes in the each surface areas, the surface area and volume by arm movements, the significant differences among the each surface areas and the surface area are not found.

• 한국의류학회지
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• 제34권3호
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• pp.385-392
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• 2010

The breast types of middle-aged women of 80A (formerly 80B) size were classified through a 3D scanned nude body. Thirty seven measurements including the radius of curvature, surface area, volume, surface length, and breast displacements were used as input variables. We extracted five main factors through the factor analysis of the measurements and classified 36 subjects into 3 clusters through the cluster analysis. As a result of the factor analysis, the size of the breast, breast sag, the curvature of the inner and the outer breast curve, the width of the breast, and the nipple direction were found as the main factors. For the results of the classification of breast types, Cluster 1 was characterized by narrow breast width and unsymmetrical under the breast curve, whereas Cluster 2 was a wide and sagged shape. Cluster 3 was classified into big breast volume and symmetrical under-breast curve. The results are useful to the product development of high quality brassieres which reflect the 3D characteristics of breast types of middle-aged women.

• 복식
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• 제40권
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• pp.81-93
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• 1998

It is necessary to research shape of the breast of girls at adolescence for developing well-fit brassiers. 313 participants reside in Chonju and Kunsan were gathered for body measurement. The conclusion of this study can be summarized as follows. 1) The Analysis of Body Shape by Measurement. Comparing Age GroupⅠ(aged 10 to 12)' measurement with Age GroupⅡ(aged 13 to 15)', Each items has statistical significance. Two groups differed in the length, girth, depth, width items. 2) Factor Analysis of Body Measurement (1) Age GroupⅠ'characteristics were categorized Three Factor : Breast size and breast apex length. Breast volume, Length of the Breast part. (2) Age GroupⅡ' characteristics consist of four factors, which are named as breast size and its jut (first factor), breast volume (second factor), contour of breast profile & its jut (third factor), shoulder length (fourth factor). 3) Characteristics of Breast Shape. (1) Breast shapes of Age GroupⅠ are classified into three types. Types 1 is a protruded and more voluminous shape. Type 2 is the most voluminous and breast fatness is highest. Type 3 is the smallest and flat shape growing now. (2) Breast shapes of Age GroupⅡ are also classified into three types. Type 1 is the longest in length and middle in fatness, voluminous in size. Type 2 is the smallest in stature and the slimmest in fatness in breast shape. Type 3 is middle in length, the fattest and the most voluminous in breast.

• 복식
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• 제64권4호
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• pp.106-117
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• 2014

The purpose of this study is to provide basic information for the development of well-fitting and comfortable brassieres for women in their 30s, based on the classification of breast shapes by utilizing 3D body measurement data of women in the age group. The result of processing the measurements from the 3D body scan data through RapidForm 2006 shows that while the vertical body measurements decrease, the horizontal measurements, which indicates the degree of obesity, increase proportionally with age. Also, the relevant measurements for upper breasts increase proportionally with age, while the measurements for lower part of the breasts decrease as the degree of sagging increases. Four composition factors of the breasts were identified through the factor analysis: Factor 1 is the level of volume in the breasts and the surrounding area; Factor 2 is the position of nipples and the shape of upper part of breasts; Factor 3 is the position and vertical length of the breasts; Factor 4 is the shape of lower part of breasts; and Factor 5 is the shape of inner part of breasts and degree of width between both breasts. The breasts have been categorized into three distinctive shapes: Breast Shape 1, Breast Shape 2 and Breast Shape 3. According to the results of the cluster analysis, the largest percentage (36.68%) of women in their 30s falls into the category of Breast Shape 2 with small volume and flat upper breasts, followed by Breast Shape 1 (32.66%) with large volume in the upper and lower parts of breasts, and large side to side area, and Breast Shape 3 (30.65%) with average volume and width between breasts.

• 한국의류학회지
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• 제41권4호
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• pp.646-660
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• 2017

This study provides basic data to develop a brassiere pattern that can cover the big breast of breast enlargement patients. In this study, we also showed areas of the brassiere cup pattern and the body surface of the breast on a breast enlargement patient. The results of the study are as follows. Correlation analysis was obtained between volume and body surface area and breast detail dimensions. After the correction process, we proposed a research bra pattern for breast augmentation patients. The cup-boundary in bra patterns of breast enlargement surgery patients is longer than the bra patterns of the general breast; therefore, the height of the inner and outer edges of the upper cups is higher. Also, it is necessary to set the new breast upper point when measuring the upper length in patients with breast augmentation surgery because the points of circumference of the breast are marked higher than chest circumference.

• Archives of Plastic Surgery
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• 제43권2호
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• pp.197-203
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• 2016

Background The aim of unilateral breast reconstruction after mastectomy is to craft a natural-looking breast with symmetry. The latissimus dorsi (LD) flap with implant is an established technique for this purpose. However, it is challenging to obtain adequate volume and satisfactory aesthetic results using a one-stage operation when considering factors such as muscle atrophy, wound dehiscence and excessive scarring. The two-stage reconstruction addresses these difficulties by using a tissue expander to gradually enlarge the skin pocket which eventually holds an appropriately sized implant. Methods We analyzed nine patients who underwent unilateral two-stage LD reconstruction. In the first stage, an expander was placed along with the LD flap to reconstruct the mastectomy defect, followed by gradual tissue expansion to achieve overexpansion of the skin pocket. The final implant volume was determined by measuring the residual expander volume after aspirating the excess saline. Finally, the expander was replaced with the chosen implant. Results The average volume of tissue expansion was 460 mL. The resultant expansion allowed an implant ranging in volume from 255 to 420 mL to be placed alongside the LD muscle. Seven patients scored less than six on the relative breast retraction assessment formula for breast symmetry, indicating excellent breast symmetry. The remaining two patients scored between six and eight, indicating good symmetry. Conclusions This approach allows the size of the eventual implant to be estimated after the skin pocket has healed completely and the LD muscle has undergone natural atrophy. Optimal reconstruction results were achieved using this approach.

• Archives of Plastic Surgery
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• 제46권2호
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• pp.135-139
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• 2019

Background In immediate breast reconstruction using an extended latissimus dorsi musculocutaneous (eLDMC) flap, the volume of the flap decreases, which causes a secondary deformity of the breast shape. Since little research has investigated this decrease in muscle volume, the authors conducted an objective study to characterize the decrease in muscle volume after breast reconstruction using an eLDMC flap. Methods Research was conducted from October 2011 to November 2016. The subjects included 23 patients who underwent mastectomy due to breast cancer, received immediate reconstruction using an eLDMC flap without any adjuvant chemotherapy or radiotherapy, and received a computed tomography (CT) scan from days 7 to 10 after surgery and 6 to 8 months postoperatively. In 10 patients, an additional CT scan was conducted 18 months postoperatively. Axial CT scans were utilized to measure the volumetric change of the latissimus dorsi muscle during the follow-up period. Results In the 23 patients, an average decrease of 54.5% was observed in the latissimus dorsi muscle volume between the images obtained immediately postoperatively and the scans obtained 6 to 8 months after surgery. Ten patients showed an average additional decrease of 11.9% from 6-8 months to 18 months after surgery. Conclusions We studied changes in the volume of the latissimus dorsi muscle after surgery using an eLDMC flap performed after a mastectomy without adjuvant chemotherapy or radiotherapy. In this study, we found that immediate breast reconstruction using a latissimus dorsi muscle flap led to a decrease in muscle volume of up to 50%.

• 대한가정학회지
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• 제41권6호
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• pp.119-129
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• 2003

This study was peformed to establish the standard size system to be required for the production of brassiere. The subject were 155 Korean twenties-aged women and were directly measured anthropometrically. From 27 measurements, 5 factors were extracted through factor analysis. The accumulative contribution ratio is 76.92％. Factor 1 indicates the degree of obesity around the chest, factor 2 is the drooping degree of breast, factor 3 is the contours and prominence, factor 4 is the breast breadth and breadth of bust point, factors 5 is the volume of breast. The subject were classified into 3 cluster as their breast types through cluster analysis. Type 1 is the closest to the ideal breast shape and not too droopy. This group belonged to 75A. Type 2 has small breast and belonged to 70AA group. Type 3 is the obesest and has the biggest and droopy breast. This group belonged to 75B. The distribution of size of brassiere had 3 sections from 70 to 80 showing a rate of 81.94% and the sin of the cup had 4 sections from AAA cup to B cup showing a rate of 89.70％. The production ratio of each brassiere size, it was found that the brassiere size of highest production ratio was 75A(16.39％) in type 1,70AA(16.27%) in type 2, and 75B(13.72％) in type 3. This suggests that it is necessary to adjust for the production rate of brassieres.