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Reconstruction of Pretibial Defect Using Pedicled Perforator Flaps

  • Shin, In Soo;Lee, Dong Won;Rah, Dong Kyun;Lee, Won Jai
    • Archives of Plastic Surgery
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    • v.39 no.4
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    • pp.360-366
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    • 2012
  • Background Coverage of defects of the pretibial area remains a challenge for surgeons. The difficulty comes from the limited mobility and availability of the overlying skin and soft tissue. We applied variable pedicled perforator flaps to overcome the disadvantages of local flaps and free flaps on the pretibial area. Methods Eight patients who had the defects in the anterior tibial area were enrolled. Retrospective data were obtained on patient demographics, cause, defect location, defect size, flap dimension, originating artery, pedicle length, pedicle rotation, complication, and postoperative result. The raw surface created following the flap elevation was covered with a split thickness skin graft. Results Posterior tibial artery-based perforator flaps were used in five cases and peroneal artery-based perforator flaps in three cases. The mean age was 54.3 and the mean period of follow-up was 6 months. The average size of the flaps was 63.8 $cm^2$, with a range of 18 to 135 $cm^2$. There were no major complications. No patients had any newly developed functional deficit of the lower leg. Conclusions We suggest that pedicled perforator flaps can be an alternative treatment modality for covering pretibial defects as a simple, safe and versatile procedure.

Treatment of glabellar frown lines using selective nerve block with radiofrequency ablation (고주파절제술을 통한 선택적 신경차단법을 이용한 미간주름의 개선)

  • Hwang, Yong Seok;Kim, Young Seok;Roh, Tai Suk;Tark, Kwan Chul;Lee, Kun Chang
    • Archives of Plastic Surgery
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    • v.36 no.2
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    • pp.205-210
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    • 2009
  • Purpose: Corrugator supercilii muscle pulls eyebrow to inferomedial direction and produces the vertical component of the glabellar line formation. Current techniques for eliminating of glabellar frown include direct resection of corrugators and botulinum toxin injection. Muscle resection in endoscopic face lift procedure is relatively complex and has many disadvantages ranging from possible nerve injury, postoperative edema, pain and a long recovery period. The Botox treatment on the other hand is much more simple in technique but has a short duration of action. The authors have attempted new ways of finding improved treatment of the glabellar frown by selectively blocking of motor nerves innervating the corrugator supercili muscle by using radiofrequency ablation technique. Methods: A total of 80 patients were recruited in our study during the period between Feb. 2007 to June 2008. A probe was introduced from the supraorbital ridge and advanced to the corrugator supercilii muscle. Nerve stimulator was then used to locate the nerve innervating the corrugator and radiofrequency ablation of the nerve was done. Results: In all patients, there were marked improvement in glabellar frown after treatment. There were no reported cases of any relapses during the follow up period. No complication was noted such as facial nerve injury. No patient complained of any adverse symptoms other than slight discomfort due to swelling of the operation site. Conclusion: The treatment of glabellar frown lines using selective nerve block with radiofrequency ablation was not only less invasive but also excellent in surgical outcomes.

Effects of Cold Shock Pretreatment and Carbohydrate Sources on Anther Culture of Rice (벼 약배양에 효과적인 배지조성 및 저온처리 방법)

  • Yi, Gi-Hwan;Won, Yong-Jae;Ko, Jong-Min;Park, Hyang-Mi;Cho, Jun-Hyeon;Oh, Byeong-Geun;Yang, Sae-Jun;Kim, Soon-Chul;Nam, Min-Hee
    • Journal of Plant Biotechnology
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    • v.30 no.4
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    • pp.369-373
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    • 2003
  • In spite of potential benefits of anther culture, low productivity of plant regeneration in some genotypes; e.g. tonsil and indica rice, is one of the major obstacles for practical use of anther culture. This study was conducted to improve cold shock method and carbohydrate source for increasing the efficiency of anther culture in rice. The most common carbon source, sucrose was replaced to maltose, which has two molecules of glucose. Maltose increased callus induction 1.4-to 1.8-fold higher in japonica rice, 3.2-to 11.6-fold in tongil types and 2.7-fold in indica rice IR50. Callus induction was increased from 0.2% to 12.5% in maltose medium compared to the medium supplemented with sucrose plus glucose in indica rice "Tetep". A simple procedure of vacuum packaging of panicles during cold shock treatment prolonged not only anther viability more than 15 days but also increased callus induction more than 2-fold compared to open-air storage (conventional method). Combining of above two methods, callus induction was increased 28 to 56% in japonica, 13 to 33% in tonsil type and 12 to 31% in indica rice. Plant regeneration was increased 14 to 35% in japonica, 10 to 20% in tonsil and 4 to 15% in indica rice, respectively.

Evaluation of HACCP system implementation in meat packaging industry (식육포장처리업의 HACCP 운용실태 분석)

  • Kang, Cheon-Kun;Hong, Chong-Hae
    • Korean Journal of Veterinary Service
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    • v.36 no.4
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    • pp.291-296
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    • 2013
  • The purpose of this study was to determine food safety practices and procedures based on Hazard Analysis Critical Control Point (HACCP) system and to suggest more effective method of HACCP implementation in meat packaging industry in Korea. We used the non-compliance rate of each evaluation item to compare the weak points of prerequisite requirements and HACCP. The prerequisite items related to facility, equipment, and tools showed inadequate level of requirements or unsanitary conditions for proper HACCP operation. A lack of understanding of sanitation standard operation procedures was identified as a fundamental barrier to HACCP implementation. High rate of non-compliance in HACCP items compared to prerequisite requirements signify that small businesses have potential difficulties of applying HACCP due to lack of technical expertise, financial resources for prerequisite requirements, and available personnel to prepare and operate HACCP plan. Also we suggest to revise and minimize current critical control points (CCPs). Time-temperature control of cold-storage rooms for carcasses and final products could be performed by control points of prerequisite requirements. As the occurrence frequency getting lower, metal detector should be replaced by intensified training of sanitary handling and safety procedure. This will be more effective and preventive measures against physical contaminants including metal particles. In conclusion, control point of prerequisite requirement may replace CCP in the plant with simple processing line and no heating process such as meat packaging industry.

Development of Evaluation Technique for Hydrogen Embrittlement Behavior of Metallic Materials Using in-situ SP Testing under Pressurized Hydrogen Gas Conditions (고압수소가스하 in-situ SP시험법을 사용한 금속재료의 수소취화거동 평가기법 개발)

  • Shin, Hyung-Seop;Kim, Ki-Hyun;Baek, Un-Bong;Nahm, Seung-Hoon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.11
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    • pp.1377-1382
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    • 2011
  • Recently, alternative and novel energy resources have been developed for use in the future because of the current environmental problems and exhaustion of fossil energy resources. Hydrogen energy has many merits, such as its environmental friendliness, easy storage, and easy production, but it also has disadvantages, in that it is highly combustible and explosive. In this study, a test procedure using a simple SP test under highly pressurized hydrogen gas conditions was established. In order to evaluate its applicability, SP tests were carried out using a stainless steel (SUS316L) sample under atmospheric, pressurized helium, and pressurized hydrogen gas conditions. The results under the pressurized hydrogen gas condition showed fissuring and produced a reduction of the elongation in the plastic instability region due to hydrogen embrittlement, showing the effectiveness of the current in-situ SP test.

Characterization and Fatigue Life Evaluation of Rubber/Clay Nanocomposites (고무-점토 나노복합체 물성 및 피로내구성 평가)

  • Woo, Chang-Su;Park, Hyun-Sung;Joe, Deug-Hwan;Jun, Young-Sig
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.10
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    • pp.1199-1203
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    • 2011
  • Nanocomposites were prepared through the compounding of rubber and clay. Measurements of the static and dynamic mechanical properties of different compositions over a temperature range $70-100^{\circ}C$ showed that the mechanical properties of these rubber/clay nanocomposites are superior to those of existing rubber materials. In this study, by using the parameter of the maximum Green.Lagrange strain appearing at certain locations, the relationship between fatigue life and maximum Green.Lagrange strain, and the correlations between test-piece tests and bench tests of actual rubber components are proved. In order to predict the fatigue life of rubber components at the design stage, a simple procedure of life prediction is suggested. The predicted fatigue lives of the rubber engine mounts agree fairly well with the fatigue lives determined experimentally.

Construction of Sound Quality Index for the Vehicle HVAC System Using Regression Model and Neural Network Model (회귀모형과 신경망모형을 이용한 차량공조시스템의 음질 인덱스 구축)

  • Park, Sang-Gil;Lee, Hae-Jin;Sim, Hyun-Jin;Lee, Jung-Youn;Oh, Jae-Eung
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2006.05a
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    • pp.1443-1448
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    • 2006
  • The reduction of the vehicle interior noise has been the main interest of NVH engineers. The driver's perception on the vehicle noise is affected largely by psychoacoustic characteristic of the noise as well as the SPL. In particular, the HVAC sound among the vehicle interior noise has been reflected sensitively in the side of psychology. Even though the HVAC noise is not louder than overall noise level, it clearly affects subjective perception in the way of making a diver become nervous or annoyed. Therefore, these days a vehicle engineer takes aim at developing sound quality as well as reduction of noise. In this paper, we acquired noises in the HVAC from many vehicles. Through the objective and subjective sound quality evaluation with acquiring noises caused by the vehicle HVAC system, the simple and multiple regression models were obtained for the subjective evaluation 'Pleasant' using the sound quality metrics. The regression procedure also allows you to produce diagnostic statistics to evaluate the regression estimates including appropriation and accuracy. Furthermore, the neural network model were obtained using three inputs(loudness, sharpness and roughness) of the sound quality metrics and one output(subjective 'Pleasant'). And then the models were compared with correlations between sound quality index outputs and hearing test results for 'Pleasant'. As a result of application of the sound quality index, the neural network was verified with the largest correlation of the sound quality index.

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Bioremediation of Heavy Metal Contaminated Mine Wastes using Urease Based Plant Extract (요소분해효소 기반 식물추출액을 이용한 광산폐기물 내 중금속 오염 저감)

  • Roh, Seung-Bum;Park, Min-Jeong;Chon, Chul-Min;Kim, Jae-Gon;Song, Hocheol;Yoon, Min-Ho;Nam, In-Hyun
    • Journal of Soil and Groundwater Environment
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    • v.20 no.1
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    • pp.56-64
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    • 2015
  • Acid mine drainage occurrence is a serious environmental problem by mining industry, it usually contains high levels of metal ions, such as iron, copper, zinc, aluminum, and manganese, as well as metalloids of which arsenic is generally of the greatest concern. An indigenous plant extract was used to produce calcium carbonate from Canavalia ensiformis as effective biomaterial, and its ability to form the calcium carbonate under stable conditions was compared to that of purified urease. X-ray diffraction and scanning electron microscopy were employed to elucidate the mechanism of calcium carbonate formation from the crude plant extracts. The results revealed that urease in the plant extracts catalyzed the hydrolysis of urea in liquid state cultures and decreased heavy metal amounts in the contaminated soil. The heavy metal amounts were decreased in the leachate from the treated mine soil; 31.7% of As, 65.8% of Mn, 50.6% of Zn, 51.6% of Pb, 45.1% of Cr, and 49.7% of Cu, respectively. The procedure described herein is a simple and beneficial method of calcium carbonate biomineralization without cultivation of microorganisms or further purification of crude extracts. This study suggests that crude plant extracts of Canavalia ensiformis have the potential to be used in place of purified forms of the enzyme during remediation of heavy metal contaminated soil.

Quadruplex Genotype Analysis at HumTH01, HumTPOX, HumCSF1PO and Amelogenin Loci by FoLT-PCR (FoLT-PCR에 의한 유전자형 (HumTH01, HumTPOX, HumCSF1PO & Amelogenin) 분석)

  • Lee, Yang-Han;Lim, Si-Keun;Kang, Pil-Won;Choi, Dong-Ho;Yoon, Song-Ro;Han, Myun-Soo
    • Analytical Science and Technology
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    • v.12 no.3
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    • pp.260-264
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    • 1999
  • A simple and rapid procedure, called FoLT-PCR(Formamide Low Temperature-Polymerase Chain Reaction) was applied to amplifying DNA directly from various forensic biological evidences including human blood, saliva, hair root, or semen without any DNA preparative steps. We added washing step with non-ionic detergent, 1% Triton X-100, and used Taq DNA polymerase instead of Tth DNA polymerase to amplify 3 STR loci and gender allele simultaneouly. Optimal concentration of formamide and annealing temperature were determined empirically to 8%(v/v), and $48^{\circ}C$ respectively. We also compared this method with standard PCR.

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Terminal Cancer Pain Management by Tunnelled Epidural Catheter (경막외 도관 피하매몰법에 의한 말기암환자의 통증조절)

  • Ryu, Sie-Jeong;Han, Sang-Mi;Kim, Doo-Sik;Park, Se-Hoon;Kim, Kyung-Han;Jang, Tae-Ho;Kim, Se-Hwan;Park, Jung-Kie
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.95-100
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    • 1999
  • Background: About 75% of terminal cancer patients have severe pain. For the treatment of these patients, physicians usually use potent opioid analgesics. But many of the cancer patients were not controlled by IV or IM injection of opioids. In spite of the untreatable nature of the patient's illness, they should be hospitalized only for pain control. In that case, epidural opioid injection is one of the most effective methods in pain management. Methods: We retrospectively analyzed 126 terminal cancer patients who were treated with epidural morphine for pain management from 1993-97. In the routine procedure, an epidural catheter was inserted into the epidural space and tunnelled subcutaneously, exiting out from the anterior chest or abdomen. Morphine was used as the main analgesic and Multiday Infusor$^{(R)}$ (Baxter, 0.5 ml/h) as a continuous infusion system. Results: 1. Mean treatment time was 55 days (range; 3~373). 2. Mean daily epidural start mg dose of morphine was 8 mg (range; 2~20). 3. Mean daily dose at termination was 19 mg (range; 4~60) 4. 94 patients were controlled with continuous infusion but 32 patients needed additional bolus doses of morphine. 5. heter-associated subcutaneous infection occurred in 2 patients (1.6%). Conclusion: Terminal cancer pain management administered by a tunnelled epidural catheter is a simple, inexpensive method with a very small rate of infection.

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