• Archives of Plastic Surgery
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• v.38 no.3
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• pp.287-294
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• 2011

Purpose: Reduction malarplasty is one of the common aesthetic procedures performed in the Orient. We have analyzed effective operative methods according to the pivot point for the osteotomy and reposition of the zygoma for reduction malarplasty after confirming the shapes of the individual zygomas. Methods: Thirty-six patients had been received malarplasty over the last 10 years. The average follow-up period was 16 months. We categorized the patients into three groups according to their prominent appearance features. Group I had a prominently protruded zygomatic body, group II had a prominently protruded zygomatic arch, and group III had a prominently protruded body and zygomatic arch. In the group I, two parallel oblique osteotomies on the body, the middle portion was removed, and with the zygomatic arch as the pivot point, the body was repositioned inwards. In the group II, the zygomatic body and arch osteotomy is performed, with the body as the pivot point, and the arch is depressed medially. In the group III, using the two aforementioned methods, the zygoma was repositioned medially. In each case, postoperative complications and patients satisfaction over the surgery were surveyed. Results: Each group had 25, 5 and 12 patients respectively. No significant complications were found except for one patient who experienced a non-union of zygomatic bone. In the case of group I, four patients underwent a secondary operation. Conclusion: Reduction malarplasty is popular as an effective facial contouring surgery. In order to obtain more effective results,however, the zygomatic shape should be identified, and appropriately repositioned by different operative technique according to pivot points.

• Journal of The Korean Dental Society of Anesthesiology
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• v.8 no.1
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• pp.1-9
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• 2008

Common dental procedures (local anesthesia and dental treatment) are potentially stress-inducing in many patients, especially medically compromised patients. The body response to dental stress involves the cardiovascular system (an increase in cardiovascular workload), the respiratory organ and the endocrine system (change in metabolism). To minimize the stress to the medical risk patient, the stress reduction protocol was established. The obtained contents were as follows: (1) Recognize the patient's degree of medical risk (2) Complete medical consultation before dental therapy (3) Schedule the patient's appointment in the morning (4) Monitor and record preoperative, perioperative and postoperative vital signs (5) Use psychosedation during therapy (6) Use adequate pain control during therapy (7) Short length of appointment: do not exceed the patient's limits of tolerance (8) Follow up with postoperative pain/anxiety control (9) Telephone the higher medical risk patient later on the same day that treatment was given. This protocol is predicated on the belief that the prevention of or reduction of stress ought to begin before the start of an appointment, continue throughout treatment, and, if indicated, into the postoperative period. The authors used the stress reduction protocol in the care of local anesthesia infected teeth in medically compromised patients. The final prognosis was comfortable without any complications.

• Archives of Plastic Surgery
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• v.47 no.1
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• pp.15-19
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• 2020

Background Pain caused by nasal pack removal after closed reduction of nasal bone fractures is a common problem. This study investigated the effect of infiltrating lidocaine into nasal packs on the pain caused by pack removal after closed reduction of nasal bone fractures. Methods Seventy-five patients who underwent closed reduction of nasal bone fractures between March 2016 and March 2018 were enrolled in this prospective, randomized, single-blind study. Merocel (hydroxylated polyvinyl acetate) packs were applied bilaterally and retained for 5 days. Twenty minutes before removal, both packs were rehydrated with 6 mL of 2% lidocaine in 26 patients and with 6 mL of saline in 24 patients; the packs were not rehydrated in 25 patients. Visual analog scale (VAS) scores for pain on removal were recorded. Results The mean VAS score was 5.3±2.0 in all patients, 3.8±1.5 in the lidocaine group, 5.8±1.4 in the saline group, and 6.3±2.1 in the non-rehydrated group. There was a significant difference in the pain score between the lidocaine and saline groups (P<0.001) but not between the saline and non-rehydrated groups (P=0.186). Conclusions Infiltration of lidocaine into Merocel packs reduced the pain caused by pack removal after closed reduction of nasal bone fractures.

• Archives of Craniofacial Surgery
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• v.23 no.5
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• pp.220-227
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• 2022

Background: Frontal sinus fractures are relatively rare. Their surgical management significantly differs depending on whether the posterior wall is invaded and the clinical features vary. A bicoronal incision or endoscopic approach can be used. However, the minimally invasive approach has been attracting attention, leading us to introduce a simple and effective surgical method using multiple-threaded Kirschner wires. Methods: All patients had isolated anterior wall fractures without nasofrontal duct impairment. The depth from the skin to the posterior wall was measured using computed tomography to prevent injury. The edge of the bone segment on the skin was marked, a threaded Kirschner wire was inserted into the center of the bone segment, and multiple Kirschner wires were gently reduced simultaneously. Results: Surgery was performed on 11 patients. Among them, seven patients required additional support for appropriate fracture reduction. Therefore, a periosteal elevator was used as an adjunct through a small sub-brow incision because the reduction was incomplete with the Kirschner wire alone. The reduction results were confirmed using facial bone computed tomography 1 to 3 days postoperatively. The follow-up period was 3 to 12 months. Conclusion: The patients had no complications and were satisfied with the surgical results. Here we demonstrated an easy and successful procedure to reduce a pure anterior wall frontal sinus fracture via non-invasive threaded Kirschner wire reduction.

• Nuclear Engineering and Technology
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• v.52 no.9
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• pp.2119-2129
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• 2020

Flow-accelerated corrosion (FAC), liquid droplet impingement erosion (LDIE), cavitation and flashing can cause continuous wall-thinning in nuclear secondary pipes. In order to prevent pipe rupture events resulting from the wall-thinning, most NPPs (nuclear power plants) implement their management programs, which include periodic thickness inspection using UT (ultrasonic test). Meanwhile, it is well known in field experiences that the thickness measurement errors (or deviations) are often comparable with the amount of thickness reduction. Because of these errors, it is difficult to estimate wall-thinning exactly whether the significant thinning has occurred in the inspected components or not. In the previous study, the authors presented an approximate estimation procedure as the first step for thickness measurement deviations at each inspected component and the statistical & quantitative characteristics of the measurement deviations using plant experience data. In this study, statistical significance was quantified for the current methods used for wall-thinning determination. Also, the authors proposed new estimation procedures for determining local wall-thinning to overcome the weakness of the current methods, in which the proposed procedure is based on analysis of variance (ANOVA) method using subgrouping of measured thinning values at all measurement grids. The new procedures were also quantified for their statistical significance. As the results, it is confirmed that the new methods have better estimation confidence than the methods having used until now.

• Journal of KSNVE
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• v.4 no.1
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• pp.33-42
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• 1994

When a vibration is generated due to the misalignment, the reduction of the vibration level is not attainable unless a correct shaft alignment is conducted. In a turbine system, an alignment procedure requires quite a lot amount of expense and time. To reduce this effort, an algorithm of the turbine alignment is developed to be used in the computer program. The program consists of five parts : input, calculation, display of the results, file management, and printer output. In the input part, users must provide the data on the turbine number, the reference value of the alignment, and the number of the feet of the generator. In calculation, the moving distance of the bearing and the necessary amount of the shims are calculated. In the display and the output parts, the calculated results are displayed and calculated. In the display and the output parts, the calculated results are displayed and printed. Then, by using the file management, results and procedures conducted are saved in the floppy diskette or in the hard disk. The developed program can be run in IBM PC compatible with more than 640 KB of main memory with the operating system of MS-DOS v 3.3 or higher. It is developed for novice users with no experience or specialty in this field. The program is not only useful in the power plant application, but also helpful for recording of the alignment procedures.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.29 no.2
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• pp.174-181
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• 2007

Today, endoscopic procedures are common in diagnostic and other surgical procedures, with endoscopically enhanced and magnified images permitting surgical access through minimal incisions. This has expanded the treatment options for many difficult anatomic sites, and the endoscope facilitated safe anatomic reduction and fixation. The use of the endoscope may reduce the disadvantages of open fracture repair and should be considered for broad application in the treatment of displaced facial bone fractures. Optical endoscopic magnification minimizes the disadvantages associated with open surgical repair, including the risk of facial nerve injury and external facial scarring, and no postoperative complications have been attributable to the endoscopic approach. This technique was used in 14 patients treated at Ulsan University Hospital, Korea, from September 2004 to August 2006, including six mandibular subcondyle fractures, five blowout fractures and three zygomaticomaxillary complex (ZMC) fractures. Careful preoperative evaluation and proper surgical technique were essential to achieve optimal results in the selected patients.

• The Magazine of the IEIE
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• v.21 no.11
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• pp.75-85
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• 1994

Safety and Reliability assessments of Avionics Parts must be conducted essentially in the step of disign and manufacture as it constitutes a major field of aircraft critical operation. Recently Avionics parts fabrication techniques are continuously developing by applying digital techniques. Airborne computer is being adopted on an aircraft for flight is being adopted on an aircraft for flight safety augmentation and simplification of controls including reduction of human error. Therefore inspection and evaluation procedures should be developed in order to accomodate such trends. The number of avionics parts is approximitely 72% of total TSO parts, so it is expected high added-values through manufactures of TSO parts in aircraft industries. Particuarly avionics parts must be manufacturered with our own technology to be used in Mid-class aircraft which will be developed soon. Along with this, preparation of Certification Procedures is essential for Avionics Parts.

• Journal of Advanced Navigation Technology
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• v.19 no.1
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• pp.1-6
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• 2015

Due to the rapid increase in air traffic worldwide, ICAO has replaced the existing navigation equipment with equipment based on satellite navigation. As a part of that work, ICAO was planning to replace conventional takeoff and landing service using ILS with GBAS. Unlike ILS, GBAS which uses precision approach service inducing aircraft to airport and satellite based augmentation system providing precise position information service surrounding airport is capable of providing a required performance by only a system, regardless of the number of systems, and has an advantage that it is possible curved approach. In this paper, fuel reduction of ILS approach procedures and GBAS curved approach procedures is estimated and determined by flight test in Taean Airport.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.3 no.3
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• pp.266-284
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• 2009

The challenges of rapidly growing numbers of mobile nodes in IPv6-based networks are being faced by mobile computing researchers worldwide. Recently, IETF has standardized Mobile IPv6 and Fast Handover for Mobile IPv6(FMIPv6) for supporting IPv6 mobility. Even though existing literatures have asserted that FMIPv6 generally improves MIPv6 in terms of handover speed, they did not carefully consider the details of the whole handover procedures. Therefore, in conventional protocols, the handover process reveals numerous problems manifested by a time-consuming network layer based movement detection and latency in configuring a new care of address with confirmation. In this article, we study the impact of the address configuration and confirmation procedure on the IP handover latency. To mitigate such effects, we propose a new scheme which can reduce the latency taken by the movement detection, address configuration and confirmation from the whole handover latency. Furthermore, a mathematical analysis is provided to show the benefits of our scheme. In the analysis, various parameters are used to compare our scheme with the current procedures, while our approach is focused on the reduction of handover latency. Finally, we demonstrate total handover scenarios for the proposed techniques and discussed the major factors which contribute to the handover latency.