• Archives of Plastic Surgery
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• v.45 no.6
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• pp.583-587
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• 2018

Kaposiform hemangioendothelioma (KHE) is a very rare, locally aggressive vascular neoplasm. It occurs mostly in children and is rarely observed in adults. It typically originates on the skin, later affecting the deep soft tissue of the extremities, head or neck, and retroperitoneum by infiltrative growth. It is locally aggressive, does not regress spontaneously, and tends to metastasize locally as well as to the regional lymph nodes. In this article, we report a case of adult-onset KHE with neurofibromatosis type 1. The patient presented to our department with a 2-month history of a painful ulceration in her left popliteal area. Since KHE had not previously been reported in patients with neurofibromatosis, the diagnosis was difficult due to the similarity of the skin manifestation to neurofibromatosis-associated lesions. We share our experience of diagnosing and treating this rare case of adult-onset KHE.

• Archives of design research
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• v.16 no.2
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• pp.311-322
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• 2003

In this research, a way to design a more convenient road for walking by creating more pedestrian space for streets located in busy areas due to many people crowded together was looked into. A symbol or characteristic was given to the street representing the image or regional culture of the area, and effort was given to create convenient yet characteristic street landscape by turning an environmentally sound, open area into pedestrian space. The basic concept of pedestrian space design was taken as the correlations between physical and psychological factors that appear on the environmental aspect of landscape. Areas for which it was difficult to come up with, a method to create a unique open space for pedestrians was looked into by analyzing with other known cases where the pedestrian area landscape was compared with that of the area in question.

• Archives of Craniofacial Surgery
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• v.21 no.1
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• pp.58-63
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• 2020

Spindle cell squamous cell carcinoma (SpSCC) is a biphasic tumor composed of squamous cell epithelial and spindle cell mesenchymal components, both of which are malignant. Cutaneous SpSCC can cause diagnostic and therapeutic difficulties because of its rarity, heterogeneity, morphological similarity to other cutaneous spindle cell neoplasms, and uncertain pathogenesis and prognosis, particularly when the squamous cell carcinoma component is minimal or missing. Intransit metastasis and satellite lesion (satellitosis) constitute a spectrum of non-nodal regional metastases. Here the author reports the first known case of cutaneous SpSCC presenting with intransit metastases and a satellite lesion, which were exceptionally aggressive. A 77-year-old female patient presented with a 3×3×0.5 cm mass on her right cheek. Despite wide excision and postoperative radiation, the patient resulted in local recurrence and multiple distant metastases within 3 months. If many high-risk factors-particularly satellitosis and in-transit metastases are observed in a tumor with epithelial to mesenchymal transition, then further wide excision and adjuvant chemoradiation should be considered early in the treatment process. A multidisciplinary approach could be the key to cure the most aggressive malignancies of the skin, as in other organs.

• Archives of Plastic Surgery
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• v.33 no.3
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• pp.353-358
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• 2006

Propofol is widely used for supportive sedation in local and regional anaesthesia in plastic surgical procedure. We studied comparative effect of propofol comparing fontanel and midazolam that was previously used. From April 2003 to July 2005, 118 patients were reviewed whom propofol was used intravenous sedation in various plastic surgical procedures. In some cases, midazolam were used initially then converted to propofol. Patients were questioned for their satisfaction in group of propofol alone and midazoline and propofol combination. Vital sign(Blood pressure, Respiration rate) and $O_2$ saturaion, sedation time, side effect and subjective satisfaction were evaluated. The result reveals that propofol is effective medicine for supplement intravenous sedative medicine for plastic surgeries especially when it was used with combination of midazolam.

• Archives of design research
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• v.11
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• pp.32-37
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• 1995

The purpose of this study was to explore the characteristics of the urban apartment dwellers' favorite interior design Interior design was examined by renovation, the amibience, the color and the materials ofliving room. Questionnaire survey method was used in this research. By random sampling, 2, 609 apartment dwellers from Seoul. Pusan, Kwangju and Cheonan were selected. On the basis of findings of this study, conclusions were drawn as follows: By regional comparison, the dwellers of Seoul have a tendency to prefer elegant space, those of Pusan incline to prefer rich space, those of Kwangju imposing space and those of Cheonan casual one.

• Journal of Korean Library and Information Science Society
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• v.49 no.2
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• pp.105-129
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• 2018

Efforts to establish a joint preservation facility for library materials are being discussed in the regional representative libraries recently, but this is mainly a movement in public libraries. This study aimed to provide a model for a joint preservation facility construction and management especially for the National Universities Library in Busan/Gyeongnam area. For this job, after analyzing the current situation, this study focuses on 1) estimated size of the planned facility calculated by investigating the size and equipment, operation policy, collection quantity and saturation status of participating library archives, 2) strategies for construction, proposed a joint preservation architecture construction management model such as organization and human resources, and standards for transferring materials.

• Archives of design research
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• v.12 no.2
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• pp.121-130
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• 1999

The purpose of this study is to provide standardization on the examination that could measure students' diagrammatic creativity at design college. For this purpose, we tested college students, who was selected by educational system, regional, and grade groups to use the examination, and suggested the standardization criterion by analyzing these data. The data analysis procedures of this study consist of three step, the first that was to investigate the goodness of the examination paper, second step was to measure the reliability and the validity for the goodness of questions, the last step was to suggest the standardize scores for standardization on the examination. The results of the goodness and standardization analysis showed three structural factors(fluency, flexibility, originality) of this examination were proper to measure the diagrammatic creativity, and the proposed examination tool seemed to be good enough to apply in practice.

• Archives of design research
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• v.18 no.3 s.61
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• pp.161-170
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• 2005

This research is an analysis of the working plan, to build a pedestrian bridge for Eunpa amusement park in Kunsan, South Korea. This research takes into consideration the need of harmony with the surrounding area as well as the assessment of the activity of people on the pedestrian bridge. This research finds that it is possible for an efficient method to understand the interaction between humans and movement in this space. Another research objective is to understand human interaction and the relationship with the local scenery through a study of the scale and form of the bridge, the form of the main tower, and various subsidiary facilities in the space studied too. This research is to be an attempt to access a new way to approach bridge design and with the hope for the revitalization of the site.

• Archives of Plastic Surgery
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• v.38 no.4
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• pp.490-493
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• 2011

Purpose: Basosquamous carcinoma is a rare malignancy, with features of both basal cell carcinoma and squamous cell carcinoma. It is considered as aggressive tumor with a high risk of recurrence and metastases. Authors report a case of basosquamous cell carcinoma. Methods: A 72 year-old man, who had an erythematous ulcer on his left auricle, described a slow growing lesion, starting at the posterior surface of the superior helix with a steady increase in size during the past 10 years. At operation, auricular cartilage was grossly invaded by the tumor and was, therefore, amputated with tumor-free margins. Results: Histopathologic examination was revealed a basosquamous cell carcinoma. On positron emission tomography/computed tomography (PET/CT) and neck CT were negative for signs of further nodal involvement or metastases to other organs. At follow-up 6 months later, his wounds were noted to be well healed, with no evidence of local recurrence or identifiable metastases. Conclusion: Because basosquamous cell carcinoma has a significant potential to recur and metastasize, surgical excision for this type of carcinoma should be more extensive than that performed for conventional basal cell carcinoma or squamous cell carcinoma. In addition, regional lymph nodes should be monitored and close follow-up should be carried out.

• Archives of Plastic Surgery
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• v.47 no.1
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• pp.88-91
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• 2020

Cutaneous squamous cell carcinoma (SCC) is the second most common skin malignancy. This report describes the case of an unusual extensive SCC involving the whole hemiface, which required reconstruction with a combination of a dual vascular free transverse rectus abdominis muscle (TRAM) flap and a skin graft. A 79-year-old woman visited our hospital with multiple large ulcerated erythematous patches on her right hemiface, including the parieto-temporal scalp, bulbar and palpebral conjunctiva, cheek, and lip. A preliminary multifocal biopsy was performed in order to determine the resection margin, and the lesion was resected en bloc. Orbital exenteration was also performed. A free TRAM flap was harvested with preserved bilateral pedicles and was anastomosed with a single superior thyroidal vessel. The entire TRAM flap survived. The final pathological examination of the resected specimen confirmed that there was no regional nodal metastasis, perineural invasion, or lymphovascular involvement. The patient was observed for 6 months, and there was no evidence of local recurrence. Usage of a TRAM flap is appropriate for hemifacial reconstruction because the skin of the abdomen matches the color and pliability of the face. Furthermore, we found that the independent attachment of two extra-flap anastomoses to a single recipient vessel can safely result in survival of the flap.