• Archives of Plastic Surgery
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• 제37권5호
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• pp.607-612
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• 2010

Purpose: Maxillectomy for malignant tumor resection often leads to functional and aesthetic sequalae. Reconstruction following maxillectomy has been a challenging problem in the field of head and neck cancer surgery. In this article, we described three dimensional midface reconstructions using free flaps and their functional and aesthetic outcomes. Methods: We reconstructed 35 cases of maxillectomy defects using 9 radial forearm free flaps, 7 lattisimus dorsi musculocutaneous free flaps, 6 rectus abdominis musculocutaneous free flaps, 4 fibular osteocutaneous free flaps, and 9 anterolateral thigh free flaps, respectively. We classified post-maxillectomy defects by Brown's classification. 1 Articulation clarity was measured with picture consonant articulation test. Swallowing function was evaluated with the University of Washington quality-of-life Head and Neck questionnaire by 4 steps.2 Aesthetic outcomes were checked to compare preoperative with postoperative full face photographs by 5 medical doctors who did not involve in our operation. Results: The average articulation clarity was 92.4% (100-41.9%). 27 (81.9%) patients were able to eat an unrestricted diet. Aesthetic results were considered excellent in 18 patients (51.4%). Functional results were best in the group reconstructed with fibular osteocutaneous free flap. Considering the range of wide excision, aesthetic results is best in the group reconstructed with anterolateral thigh free flap. Conclusion: The free flap is a useful technique for the reconstruction of the midface leading to good results, both functionally and aesthetically. Especially, because osteocutaneous flap such as fibular osteocutaneous free flap offered bone source for osteointegrated implant, It produces the best functional results. And perforator flap like as anterolateral thigh free flap reliably provides the best aesthetic results, because it provides sufficient volume and has no postoperative volume diminution.

• Tribology and Lubricants
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• 제22권3호
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• pp.131-136
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• 2006

Cylinder bore wear may not be a problem in most current automotive engines. However, a small change in cylinder bore diameter can significantly affect the lubrication characteristics and ring axial motion. This in turn can cause to change inter-ring pressure, blow-by and oil consumption in an engine. Therefore, by predicting the wear of piston ring face, ring groove and cylinder bore altogether, the changed ring end gap and the changed volume of gas reservoir can be calculated. Then the excessive oil consumption can be predicted. Being based on the calculation of gas flow amount by the theory of piston ring dynamics and gas flow, and the calculation of oil film thickness and friction force by the analysis of piston ring lubrication, the calculation theory of oil amount through top ring gap into combustion chamber will be set. This is estimated as engine oil consumption. Furthermore, the wear theories of ring, groove and cylinder bore are included. Then the each amount of wear is to be obtained. The changed oil consumption caused by the new end gap and the new volume of oil reservoir around second land, can be calculated at some engine running interval. Meanwhile, the wear amount and oil consumption occurred during engine durability cycle are compared with the calculated values. Next, the calculated amount of oil consumption and wear are compared with the guideline of each pare0s wear and oil consumption. So, the timing of part repair and engine life cycle can be predicted in advance without performing engine durability test. The wear data of cylinder bore diameter are obtained from three engines before and after engine durability test. The calculated wear data of cylinder bore diameter are turn out to be twice of the lower bound of averaged test values at TDC and the lower bound at BDC.

• Journal of Korean Neurosurgical Society
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• 제63권3호
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• pp.358-365
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• 2020

To describe how to perform urological evaluation in children with tethered cord syndrome (TCS). Although a common manifestation of TCS is the development of neurogenic bladder in developing children, neurosurgeons often face difficulty in detecting urological problems in patients with TCS. From a urological perspective, diagnosis of TCS in developing children is further complicated due to the differentiation between neurogenic bladder dysfunctions and transient bladder dysfunctions owing to developmental problems. Due to the paucity of evidence regarding evaluation prior to and after untethering, I have shown the purpose and tools for evaluation in my own practice. This may be tailored to the types of neurogenic bladder, developmental status, and risks for deterioration. While the urodynamic study (UDS) is the gold standard test for understanding bladder function, it is not a panacea in revealing the nature of bladder dysfunction. In addition, clinicians should consider the influence of developmental processes on bladder function. Before untethering, UDS should reveal synergic urethral movement, which indicates an intact sacral reflex and lack of TCS. Postoperatively, the measurement of post-void residual urine volume is a key factor for the evaluation of spontaneous voiders. In case of elevation, fecal impaction, which is common in spinal dysraphism, should be addressed. In patients with clean intermittent catheterization, the frequency-volume chart should be monitored to assess the storage function of the bladder. Toilet training is an important sign of maturation, and its achievement should be monitored. Signs of bladder deterioration should be acknowledged, and follow-up schedule should be tailored to prevent upper urinary tract damage and also to determine an adequate timing for intervention. Neurosurgeons should be aware of urological problems related to TCS as well as urologists. Cooperation and regular discussion between the two disciplines could enhance the quality of patient care. Accumulation of experience will improve follow-up strategies.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제9권11호
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• pp.4268-4290
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• 2015

Future mobile communications face enormous challenges as traditional voice services are replaced with increasing mobile multimedia and data services. To address the vast data traffic volume and the requirement of user Quality of Experience (QoE) in the next generation mobile networks, it is imperative to develop efficient content distribution technique, aiming at significantly reducing redundant data transmissions and improving content delivery performance. On the other hand, in recent years cloud computing as a promising new content-centric paradigm is exploited to fulfil the multimedia requirements by provisioning data and computing resources on demand. In this paper, we propose a cooperative caching framework which implements State based Content Distribution (SCD) algorithm for future mobile networks. In our proposed framework, cloud service providers deploy a plurality of cloudlets in the network forming a Distributed Cloud Service Network (DCSN), and pre-allocate content services in local cloudlets to avoid redundant content transmissions. We use content popularity and content state which is determined by content requests, editorial updates and new arrivals to formulate a content distribution optimization model. Data contents are deployed in local cloudlets according to the optimal solution to achieve the lowest average content delivery latency. We use simulation experiments to validate the effectiveness of our proposed framework. Numerical results show that the proposed framework can significantly improve content cache hit rate, reduce content delivery latency and outbound traffic volume in comparison with known existing caching strategies.

• Korean Journal of Digital Imaging in Medicine
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• 제17권1호
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• pp.33-41
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• 2015

This study attempts to examine the clinical usefulness of High b-value DWI (diffusion weighted imaging) for brain tumors with an edema. Subjects were seven patients selected from 65 patients who received an MRI scan for suspected encephalopathy and confirmed diagnosis at our hospital from February to July 2015 (male: 7, average age : 66 years old). As test equipment, 3.0T MR System (ACHIEVA Release, Philips, Best, The Netherlands) and 8Channel SENSE Head Coill were used. DWI checks on the use of the variable TR 5460ms, TE 132ms, Slice Thickness 4mm, gap 1mm, Slice number 29 is, 3D T1WI is TR 8.4ms, TE 3.9ms, matrix size $240{\times}240$, Slice can set 180 piecesIt was. b value of 0, 1,000, 2,000 s/mm2 with DWI acquisition and 3D T1WI enhancement five minutes after the Slice Thickness 3mm, gap 0mm to reconstruct the upper face axis (MPR TRA CE) was. As for the experiment, in b-value 1,000 and 2,000 images, SNR and the lesion at the lesion site and CNR in the normal site opposite to the lesion are measured. WW(window width) and WL(window level) are made equal in MRICro software, and the volume of the lesion is measured from each of b-value and MPR TRA CE image. Using SPSS ver. 1.8.0.0 Mann Whitney-test was analyzed for SNR and CNR, while Kruskal-Wallis test was analyzed for volume.

• Journal of the Korea institute for structural maintenance and inspection
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• 제16권1호
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• pp.1-8
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• 2012

Since the cement industry is expected to face serious setbacks in the near future associated with environmental concerns. With the advent of new technologies and increased public awareness about global environmental issues, the cement industry is actively seeking to adopt new technologies as part of an effort to diversity its resources. This study is designed to assess the fundamental properties of zeolite cement concrete which consists mainly of natural zeolite, which is known for removal of and harmful gas, ion exchange capacity removing cation contaminant including heavy metals and ammonia, absorptive capacity and molecular sieving effect together with excellent insulation capacity as a porous material, and recently draws much attention for its possibility as an alternative material to cement. The study was conducted to show the compressive strength of concrete, slump, bleeding and air volume according to the changes of natural zeolite and alkali activator(NaOH). As a result of measuring the compressive strength of natural zeolite concrete, it was almost 40MPa and displayed similar to general concrete in the tests of slump, bleeding and air volume, with which it was considered that it may be used as a future high performance, high performance construction material.

• Archives of Plastic Surgery
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• 제38권4호
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• pp.451-457
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• 2011

Purpose: As a central feature of the face, the nose has considerable significance in appearance and expression. Reconstruction of full thickness defects of the nasal ala has always been a challenge because of the 3-dimensional structure. For reconstruction of post burn defects of ala, skin graft, local or pedicled flap and composite graft are optionally available. We have reconstructed the ala defects using adiposocutaneous graft and observed the outcome. Methods: From March 2003 to December 2010, 19 cases in 11 patients with scar contracture and defect on ala portion were performed operation using adiposocutaneous graft. As a donor site, we used the inguinal crease and posterior auricular area and the donor site was primarily closed. We made incision through the superior rim of ala and released fully. A graft is applied to recipient site with larger size than recipient volume. Results: The mean age of the patient was 38.6 years (16~51), males are seven patients and females are four patients. The operation was performed bilaterally in 5 patients and unilaterally in 6 patients. Composite grafts were harvested from inguinal area in 13 cases and posterior auricular area in 6 cases. In one case, we did 4 times of operation to get enough volume. All the grafts were well taken. The mean size of the graft was 3.63 $cm^2$. Conclusion: For reconstruction of post burn defects of ala, it's not easy to use local flap or pedicled flap because of hardness and fibrosis of surrounding tissue. So, we choose adiposocutaneous graft for ala deformity reconstruction, got satisfactory outcome in color matching and texture.

• Applied Chemistry for Engineering
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• 제32권6호
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• pp.607-612
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• 2021

Silicon (Si) is one of the promising active materials to replace the widely used graphite because of its low electrochemical potential and high theoretical capacity. However, Si anodes still face in problems with the huge volume expansion and continuous decomposition of the electrolyte during repeated charge and discharge processes. To address these issues, a cross-linkable waterborne polyurethane (CWPU) based on a bio-oil, castor oil, was prepared and reacted with Tris(2,3-epoxypropyl) isocyanurate (TGIC) linkers, resulting in the formation of a mechanically robust 3D network structure. Si anodes fabricated with the CWPU-TGIC exhibited stable cycling performances and excellent discharge capacities. The results revealed that the CWPU-TGIC binder efficiently accommodates the large volume change for Si anode during charge and discharge cycles. Overall, the eco-friendly binder shows great promise in improving the electrochemical performances of Si anodes.

• Composites Research
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• 제35권2호
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• pp.69-74
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• 2022

In this study, the conductive paste used in a wide range such as wiring in the electronic packaging field, the automobile industry, and electronic products is manufactured under various process conditions due to the simplicity of the process, and then the thermal, mechanical, and electrical characteristics are analyzed and simulation studies are conducted to optimize the process. to establish the conditions of the conductive paste manufacturing process. First, a conductive paste was prepared by setting various types of binder resin, an essential component of the conductive paste, and characteristics such as thermal conductivity, tensile strength, and elongation were analyzed. Among the binder resins, the conductive paste applied with a flexible epoxy material had the best physical properties, and a simulation study was conducted based on the physical property data base of the conductive face. As a result of the simulation, the best physical properties were exhibited when the Ag flake volume fraction was 60%.

• Structural Engineering and Mechanics
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• 제88권1호
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• pp.1-12
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• 2023

In this study, forced vibration behavior of a piezo magneto electric sandwich Timoshenko beam is investigated. It is assumed a sandwich beam with porous core and graphene platelet reinforced composite (GPLRC) in facesheets subjected to magneto-electro-elastic and temperature-dependent material properties. The magneto electro platelets are under linear function along with the thickness that includes a cosine function and magnetic and electric constant potentials. The governing equations of motion are derived using modified strain gradient theory for microstructures. The effects of material length scale parameters, temperature change, different distributions of porous, various patterns of graphene platelets, and the core to face sheets thickness ratio on the natural frequency and excited frequency of a sandwich Timoshenko beam are scrutinized. Various size-dependent methods effects such as MSGT, MCST, and CT on the natural frequency is considered. Moreover, the final results affirm that the increase in porosity coefficient and volume fractions lead to an increase in the amount of natural frequency; while vice versa for the increment in the aspect ratio. From forced vibration analysis, it is understood that by increasing the values of volume fraction and the length thickness of GPL, the maximum deflection of a sandwich beam decreases. Also, it is concluded that increasing the temperature, the thickness of GPL, and the initial force leads to a decrease in the maximum deflection of GPL. It is also shown that resonance phenomenon occurs when the natural and excitation frequencies become equal to each other. Outcomes also reveal that the third natural frequency owns the minimum value of both deflection and frequency ratio and the first natural frequency has the maximum.