• 대한두개안면성형외과학회지
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• 제15권2호
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• pp.70-74
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• 2014

Background: Many options are available to cover a palatal defect, including local or free flaps. The objective of this study was to evaluate the usefulness of palatal mucoperiosteal island flap in covering a palatal defect after tumor excision. Methods: Between October 2006 and July 2013, we identified 19 patients who underwent palatal reconstruction using a palatal mucoperiosteal island flap after tumor excision. All cases were retrospectively analyzed by defect location, size, tumor pathology, type of reconstruction, and functional outcomes. Speech and swallowing functions were evaluated using a 7-point visual analog scale (VAS) score. Results: Among the 19 patients, there were 7 men and 12 women with an age range of 25 to 74 years (mean, $52.5{\pm}14.3$ years). The size of flaps was $2-16cm^2$ (mean, $9.4{\pm}4.2cm^2$). Either unilateral or bilateral palatal island flaps were used depending on the size of defect. During the follow-up period (mean, $32.7{\pm}21.4$ months), four patients developed a temporary oronasal fistula, which healed without subsequent operative. The donor sites were well re-epithelized. Speech and swallowing function scores were $6.63{\pm}0.5$ and $6.58{\pm}0.69$ on the 7-point VAS, indicating the ability to eat solid foods and communicate verbally without significant disability. Conclusion: The palatal mucoperiosteal island flap is a good reconstruction modality for palatal defects if used under appropriate indications. The complication rates and donor site morbidity are low, with good functional outcomes.

• Archives of Plastic Surgery
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• 제46권4호
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• pp.330-335
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• 2019

Background The use of anatomic implants has improved the aesthetic results of breast surgery; however, implant malrotation is an uncommon, but serious complication of these procedures. Nevertheless, little research has explored implant adhesion. In this study, we investigated adhesion between the expander and the capsule. Methods Seventy-nine cases of immediate breast reconstruction via two-stage implant-based reconstruction performed between September 2016 and November 2017 were evaluated. Mentor CPX4 expanders were used in 14 breasts, and Natrelle expanders in 65. We analyzed areas of adhesion on the surfaces of the tissue expanders when they were exchanged with permanent implants. We investigated whether adhesions occurred on the cephalic, caudal, anterior, and/or posterior surfaces of the expanders. Results Total adhesion occurred in 18 cases, non-adhesion in 15 cases, and partial adhesion in 46 cases. Of the non-adhesion cases, 80% (n=12) were with Mentor CPX4 expanders, while 94.4% (n=17) of the total adhesion cases were with Natrelle expanders. Of the partial adhesion cases, 90.7% involved the anterior-cephalic surface. The type of tissue expander showed a statistically significant relationship with the number of attachments in both univariate and multivariate logistic regression analyses (P<0.001) and with total drainage only in the univariate analysis (P=0.015). Conclusions We sought to identify the location(s) of adhesion after tissue expander insertion. The texture of the implant was a significant predictor of the success of adhesion, and partial adhesion was common. The anterior-cephalic surface showed the highest adhesion rate. Nevertheless, partial adhesion suffices to prevent unwanted rotation of the expander.

• 한국환경복원기술학회지
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• 제14권5호
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• pp.127-136
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• 2011

This study was conducted on the field application for a method which is currently used. Although the method was performed with experimental knowledge, this study attempted to approach scientific ways through thirty sets of test-bed and three times monitoring limited by control variations for three months. The factors on previous studies are slope location, slope degree, type (roadfill vs. roadcut), aspect, vegetation cover, species, thickness, vertical length, horizontal length, soil type, elevation, erosion, soil-moisture, soil-hardness, pH, and so on. However, the factors of a suitable and significant level are slope degree, type, aspect, thickness, soil-moisture, vertical length and horizontal length in slope revegetation. the results were as follows : As a result of survey on soil types based on the status before construction, the rate of vegetation cover with non-mesh construction in soil areas was better than the rate of vegetation cover with fiber meshes and wire meshes. The rate of vegetation cover with fiber meshes in weathered rocks was better than using wire meshes. The rate of vegetation cover with the wire meshes in blasted rocks was better than using fiber meshes. Also, the factors affecting the rate of vegetation cover presented the number of appearance species, soil-moisture, thickness. this result presented the more appearance species as a positive role, and the lower soil-moisture and the thicker soil as a negative role.

• 한국환경복원기술학회지
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• 제17권1호
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• pp.65-79
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• 2014

This study selected Nakdong River basin zone in Daegu as an example area to conduct landscapetope classification and aesthetic value assessment of landscape according to the classified landscapetope. The main result of this research can be summed up as following. First, the result of landscapetope type classification showed 28 types of landscapetope including complex residential area (AA), natural stream type with copious vegetation (BA), forest type centered on mixed forest of soft and hardwood (EB) along with 129 types of imputed specific landscapetope. The result of the total first assessment using B-VAT showed the first grade 10 types, II grade 4 types, III grade6 types, IV grade 3 types, 5 types for V grade with the lowest value. The second assessment conducted toward the landscapetope types with the grade higher than the average (including III grade) in the result of the first assessment showed that there are 66 spaces for the sites (1a, 1b) with special meaning for aesthetic landscape evaluation. And also, there were 69 spaces for those (2a, 2b, 2c) with meaning for aesthetic landscape evaluation. The design model of this research is largely divided into improvement goal and specific execution plan. First, the improvement goal is divided into 6 categories including conservation area, complementary area, and restoration area, and the specific execution plan is divided into 14 categories including special landscape management area, general landscape management area, conservation of hill areas with optically good condition. A comprehensive master plan was suggested by directly applying the set landscape planning model to the subject place of this research.

• 한국환경복원기술학회지
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• 제24권1호
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• pp.37-51
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• 2021

The purpose of this research is to develop the Habitat Suitability Index (HSI) for habitat environments of Aix galericulata (A. galericulata) and Dendrocopos major (D. major), which tend to inhabit urban environments. A. galericulata and D. major are the keystone species representing the ecosystem of wetlands and forests. Based on the analysis of their urban habitat environments, this study selects artificially adjustable levels of the environmental index in order to produce the HSI model, which can be used when either restoring or creating the urban habitats for these species. To develop the HSI, we conducted field surveys at Jungnangcheon Stream, Changgyeonggung, Jangneung, Bangbae Neighborhood Park, Gildong Ecological Park, and Seodalsan Mountain. These surveys were conducted between April and August 2020, and this period includes the breeding season of both A. galericulata and D. major. Based on our findings from the surveys, we conclude that there are six SI factors for A. galericulata. These include (1) the presence of alluvial islands, (2) waterfront vegetation cover rate, (3) type of aquatic plants for food, (4) size of forest patch, (5) type of trees in nearby forests, and (6) connectivity of waterfront and forest. We also conclude that there are five SI factors for D. major, which include (1) size of forest patch, (2) rate of broadleaf trees in forest patches, (3) type of nesting trees, (4) diameter at breast height (DBH) of nesting trees, and (5) density of dead trees. The result of this research can provide future studies with useful guidance when both (1) comparing the habitat suitability of the target species in different environments and (2) restoring or creating habitats for these species.

• Journal of Korean Neurosurgical Society
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• 제59권5호
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• pp.512-517
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• 2016

Objective : The pathophysiology of idiopathic Chiari malformation (CM) type 1 is disturbance of free cerebrospinal fluid (CSF) flow and restoration of normal CSF flow is the mainstay of treatment. Additional migration of the medulla oblongata in pediatric patients is referred to as CM type 1.5, but its significance in adult patients is unknown. This study is to compare surgical outcomes of adult idiopathic CM type 1.5 with that of type 1. Methods : Thirty-eight consecutive adult patients (M : F=11 : 27; median, 33.5; range, 18-63) with syringomyelia due to idiopathic CM type 1 were reviewed. Migration of the medulla oblongata was noted in 13 patients. The modified McCormick scale (MMS) was used to evaluate functional status before and one year after surgery. All patients underwent foramen magnum decompression and duroplasty. Factors related to radiological success (${\geq}50%$ decrease in the diameter of the syrinx) were investigated. The follow-up period was $72.7{\pm}55.6$ months. Results : Preoperative functional status were MMS I in 11 patients and MMS II in 14 of CM type 1 and MMS I in 8 and II in 5 of CM type 1.5. Of patients with MMS II, 5/14 patients in group A and 3/5 patients in group B showed improvement and there was no case of deterioration. Radiological success was achieved in 32 (84%) patients and restoration of the cisterna magna (p=0.01; OR, 46.5) was the only significant factor. Conclusion : Migration of the medulla oblongata did not make a difference in the surgical outcome when the cisterna magna was restored.

• 한국환경복원기술학회지
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• 제19권1호
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• pp.121-133
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• 2016

It was required to evaluate ecological restorations in a comprehensive way in order to systematically manage conservation areas such as DMZ and national parks in South Korea. In this research we developed a new approach to evaluating ecological restorations with more various indexes than vegetation covering-related indexes. By analyzing damaged areas in the vicinity of DMZ, major damaged types were identified as six classes: landform modification, surface loss, soil pollution, soil physio-chemical modification, vegetation decline and vegetation damaged. From literature review, 39 indexes were selected and were grouped into four divisions: soil property, vegetation growth & structure, habitat property and landscape structure & functions. By conducting a survey with the selected indexes targeting relevant experts, data on relative importance among the divisions and indexes by damaged type were collected. As a result, it was found that the orders and values of weighted values of the divisions were different by damaged type: for example, soil property (0.402), vegetation growth & structure (0.209), habitat property (0.225), landscape structure & function (0.163) for "landform modification"; but soil property (0.171), vegetation growth & structure (0.401), habitat property (0.270), landscape structure & function (0.158) for "vegetation decline". Similarly, evaluation indexes showed different orders and values of relative importance, easiness in field measurement and representativeness for the division by damaged type, and the values were used for calculating importance factor for each index. In the evaluation table, score1 and score2 were made by the importance factors of indexes multiplied by distribution values which present grades and by the weighted values of divisions. In conclusion, while dealing with the damaged type was considered significant for evaluating and managing restorations, further tests on this table with a range of cases were needed to improve its quality.

• 한국환경복원기술학회지
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• 제11권6호
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• pp.91-103
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• 2008

The purpose of this study is to compare the satisfaction of the urban parks and to classify and assess the environmentally-friendly behaviors in the urban parks. For this purpose, the park user's behaviors and satisfactions were surveyed in 10 parks in Seoul and its suburb area. Parks are divided into 2 types, the walking-distance parks and the metropolitan parks, by time to reach, visit frequency and visit purpose. The park users are generally satisfied with the facilities, but not satisfied with some specific items, such as cultural facilities, accommodations for the handicapped, safety facilities and sports facilities. The environmentally-friendly behaviors are positively assessed in general, but the behavior of the natural experience was negatively assessed. The environmentally-friendly behaviors in the urban parks are classified into 2 factors; the experience factor and the activity factor. The parks are categorized into 3 types by these factors. For type I parks, the experience factor is dominant, but the activity factor is relatively low. For type II parks, the both factors are low and the parks are necessary to improve. And type III parks are positively assessed in the aspect of the environmentally-friendly behaviors, even though some park are necessary to complement.

• 한국환경과학회지
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• 제24권2호
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• pp.261-266
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• 2015

We have analyzed the external morphology and the environment of the foraging site of Vespertilio sinensis. The external morphology was analyzed by twelve parameters and the environment characteristics of the foraging site was analyzed using GIS 10.1 program. The wing membrane was inserted into the ankle of the hind foot and the wing ratio was 1.42, the middle type between broad-short wing type and long-narrow wing type. The fur color was blackish brown but the guard hair color was whitish. The shape of the ear was a rounded triangle and tragus was a fan shape. This study showed that V. sinensis preferred the deciduous forest of the upper forest zone, where human interference was less. We believed that abundance of insects, depending on water system, was closely related to the use of the foraging site. This result showed that the environment characteristics was very similar to the nature preservation zone including Baekyang valley and Keumsun valley in Naejangsan National Park.

• 한국환경복원기술학회지
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• 제17권2호
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• pp.125-136
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• 2014

Urban Green Area has ecologically deteriorated along with quantitative loss, being developed as a dot itself rather than connected to forests and green networks around the park. The present study aims to propose a connected plan on Urban Ecological Network establishment through 'assessment of the connectivity of the entire urban parks' in accordance with distance of forest and river and 'assessment of trends in connection fragmentation of urban parks' in accordance with the past change of forest and river. According to the result of this study, criteria based on previous research was "directly linked type is less than 300m, conceptually linked type is between 300m to 1km, the isolated type is greater than 1km". And the result of 'assessment of the connectivity of the entire urban parks' is analyzed as the rate of park and green network, 41.7% in Suwon, 80.0% in Seongnam, 88.9% in Namyangju on the basis of office and field investigation. Also, according to the result of 'assessment of trends in connection fragmentation of urban parks', consideration for connection to the original forest is insufficient.