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One-stage nipple and breast reconstruction using a deep inferior epigastric perforator flap after a skin-sparing mastectomy

  • Cho, Hyun Jun;Kwon, Hyo Jeong;Moon, Suk-Ho;Jun, Young Joon;Rhie, Jong Won;Oh, Deuk Young
    • Archives of Plastic Surgery
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    • v.47 no.1
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    • pp.26-32
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    • 2020
  • Background Nipple reconstruction is usually performed as a delayed procedure in patients with breast cancer who undergo skin-sparing mastectomy and breast reconstruction surgery using a deep inferior epigastric perforator (DIEP) flap. The authors designed this study to evaluate the utility of breast reconstruction based on a DIEP flap and immediate nipple reconstruction. Methods A retrospective review was conducted of all patients who underwent breast reconstruction performed by a single plastic surgeon from October 2016 to June 2018. Through a questionnaire and chart review, we compared surgical results and complications in cases of single-stage nipple reconstruction after skin-sparing mastectomy (n=17) with patients who underwent delayed nipple reconstruction after skin-sparing mastectomy, modified radical mastectomy, or simple mastectomy (n=7). Results In a subjective analysis using clinical photos, the immediate nipple reconstruction group had higher scores than their counterparts in an evaluation of the nipple-areolar complex (NAC) (NAC placement, 3.34 vs. 3.04; nipple projection, 3.05 vs. 3.03; nipple size, 3.30 vs. 3.29). No significant differences between the groups were found in terms of complications. Conclusions Simultaneous nipple reconstruction is a reliable surgical method with economic advantages. No differences were found in terms of outcomes and complications in comparison to delayed reconstruction. Therefore, surgeons can consider simultaneous nipple reconstruction without particular concerns about asymmetry or necrosis.

Optimal Network Design Using Sensitivity Analysis for Variable Demand Network Equilibrium (가변수요 통행배정의 민감도 분석을 통한 최적가로망 설계)

  • 권용석;박병정;이성모
    • Journal of Korean Society of Transportation
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    • v.19 no.1
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    • pp.89-99
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    • 2001
  • The conventional studies on equilibrium network design problem(ENDP) with fixed travel demand models assume that the future OD travel demand might not be changed even if the structure and the capacity of the network are improved. But this fixed demand assumption may loose its validity in the long-range network design because OD travel demand actually shifts with the network service level. Thus, it is desirable to involve the variable travel demand which is determined endogenously in the model in the optimal network design. In this paper a hi-level model formulation and solution procedure for ENDP with variable travel demand are presented. Firstly It is considered how to measure the net user benefits to be derived from the improved in link capacities, and the equilibrium network design problem considered here is to maximize the increase of net user benefit which results from a set of lift capacity enhancements within the budget constraints, while the OD travel demands and link travel times are obtained by solving the lower level network equilibrium problem with variable demand. And secondly sensitivity analysis is carried out to find the links to which the network equilibrium flow pattern is the most sensitive. Finally numerical example with simple network is carried out to test the validity of the model.

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Non-contact Ultrasonic Inspection Technology of Fillet Weldments (필렛 용접부의 비접촉 초음파 검사 기법)

  • Park, Ik-Keun;Lee, Chul-Ku;Kim, Hyun-Mook;Park, Tae-Sung;Kim, Yong-Kwon;Cho, Yong-Sang;Song, Won-Joon;Ahn, Houng-Kun
    • Journal of Welding and Joining
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    • v.23 no.5
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    • pp.37-42
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    • 2005
  • The non-destructive Inspection of the fillet weldment has difficulties due to its geometrical complexity and uneasy access. The surface shear horizontal wave (SH-wave), however, has been successfully applied to the detection of cracks on the surface and sub-surface of the filet weldment heel part. The conventional ultrasonic inspection using the surface SH-wave is usually a contact method using piezoelectric transducer. Thus, it is not suitable for a field application because the reliability and repeatability of inspection are significantly affected by test conditions such as couplant, contact pressure and pre-process. In order to overcome this problem, a non-contact SH-wave inspection method using EMAT is propose. The experimental results with this non-contact method are compared with those with a conventional ultrasonic method in fillet weldment with slit type defects. It is shown that the non-contact inspection technique requires simple procedure and less time in the fillet weldment inspection.

Identification of two cytopathogenic agents, Mycoplasma hyorhinis and mammalian orthoreovirus 3 based on modified particle associated nucleic acids PCR

  • Kim, Hye Kwon;Moon, Hyoung Joon;Park, Seong Jun;Rho, Se Mi;Han, Jae Yeon;Nguyen, Van Giap;Park, Bong Kyun
    • Korean Journal of Veterinary Research
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    • v.51 no.2
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    • pp.129-137
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    • 2011
  • Swine diseases could be caused by unrecognized or minor pathogens. In this study, two unknown cytopathogenic agents were isolated from swine, through cell culture. In order to identify these two cytopathogenic agent (designated CP129 and #2045-7), a particle associated nucleic acids PCR (PANPCR) from previous paper was used with simple modification. The cloning procedure was more specified in this study by adding cell control system. According to the modified PAN-PCR, two and four agentsspecific DNA sequences were obtained from CP129 and #2045-7, respectively, and they were identified as Mycoplasma (M.) hyorhinis and Mammalian orthoreovirus by nucleotide BLAST. Since M. hyorhinis (CP129) was filterable and non-visible by microscope, this unusual virus-like nature of M. hyorhinis (CP129) was discussed. Especially, the reovirus (#2045-7) was a serotype 3 and a triple reassortant among three serotypes of reoviruses. It was grouped with recently reported reoviruses from disease cases (swine, human and feline), based on the genetic analysis of L1 and S1 partial sequences. In conclusion, two unknown cytopathogenic agents were successfully identified using modified PAN-PCR with cell control system and they were characterized in this study.

Acoustic Radiation from the Modal Vibrations of a Thick, Finite Cylinder with Various Boundary Conditions (다양한 경계조건을 가진 유한 길이 후판 실린더의 고유진동에 의한 소음방사에 관한 연구)

  • Lee, Hyeongill
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.23 no.7
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    • pp.585-596
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    • 2013
  • This study introduces a hybrid approach combining numerical results with pre-developed analytical calculations for the sound radiation from the modal vibration of a thick, finite length cylinder with various boundary conditions. Structural vibrations of the cylinder are numerically investigated with the finite element method, and distributions of vibratory displacements on the cylinder surface are idealized as simple mathematical expressions based on the numerical results. Sound radiations from the normal vibration of the cylinder are calculated based on idealized modal displacements using a previously introduced theoretical solution. The results are confirmed with numerical analyses using the boundary element method. Based on these results, it can be concluded that the solutions suggested in this study have good accuracies in calculating the vibro-acoustic properties of a thick, finite cylinder with various boundary conditions. Also, the sound radiation characteristics of many practical components such as brake drums and motor housings are expected to be investigated using the procedure proposed in this study.

Design and Fabrication of Coaxial Rotorcraft-typed Micro Air Vehicle for Indoor Surveillance and Reconnaissance (실내감시정찰용 동축반전 헬리콥터형 미세비행체 설계 및 제작)

  • Byun, Young-Seop;Shin, Dong-Hwan;An, Jin-Ung;Song, Woo-Jin;Kim, Jeong;Kang, Beom-Soo
    • Journal of the Korean Society for Precision Engineering
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    • v.28 no.12
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    • pp.1388-1396
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    • 2011
  • This paper is focused on the procedure of the development of a micro air vehicle which has vertical take-off and landing capability for indoor reconnaissance mission. Trade studies on mission feasibility led to the proposal of a coaxial rotorcraft configuration as the platform. The survey to provide a guide for preliminary design were conducted based on commercial off-the-shelf platform, and the rotor performance was estimated by the simple momentum theory. To determine the initial size of the micro air vehicle, the modified conventional fuel balance method was applied to adopt for electric powered vehicle, and the sizing problem was optimized with the sequential quadratic programming method using MATLAB. The designed rotor blades were fabricated with high strength carbon composite material and integrated with the platform. The developed coaxial rotorcraft micro air vehicle shows stable handling quality with manual flight test in indoor situation.

Numerical study of a turbulent plane jet under the pressure gradient in the transverse direction (진행축에 수직방향 압력구배를 받는 난류 평면제트의 수치적 연구)

  • 최문창;최도형
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.12 no.5
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    • pp.1150-1157
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    • 1988
  • Two-dimensional turbulent plane jet which is under the pressure gradient in the transverse direction is studied numerically. Full Navier-Stokes equations are used to correctly account for the pressure variation in the transverse direction. Using the standard k-.epsilon. turbulence model as a closure relationship, a time marching procedure gives the velocity field. The temperature fields are obtained for two different cases : (1) Hot jet is issued into the cold still air, and (2) Hot jet is issued into the surrounding across which exists a temperature difference. The velocity and temperature fields along with other flow and heat-transfer characteristics for two different pressure gradients are presented. A simple formula that relates the jet trajectory to the pressure gradient is also proposed. The mass flux in the longitudinal direction and the jet halfwidth seem insensitive to the pressure gradient. However, the pressure gradient increases the heat flux in the longitudinal direction as well as in the transverse direction.

Quantitative Method to Measure Thermal Conductivity of One-Dimensional Nanostructures Based on Scanning Thermal Wave Microscopy (주사탐침열파현미경을 이용한 1 차원 나노구조체의 정량적 열전도도 계측기법)

  • Park, Kyung Bae;Chung, Jae Hun;Hwang, Gwang Seok;Jung, Eui Han;Kwon, Oh Myoung
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.38 no.12
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    • pp.957-962
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    • 2014
  • We present a method to quantitatively measure the thermal conductivity of one-dimensional nanostructures by utilizing scanning thermal wave microscopy (STWM) at a nanoscale spatial resolution. In this paper, we explain the principle for measuring the thermal diffusivity of one-dimensional nanostructures using STWM and the theoretical analysis procedure for quantifying the thermal diffusivity. The SWTM measurement method obtains the thermal conductivity by measuring the thermal diffusivity, which has only a phase lag relative to the distance corresponding to the transferred thermal wave. It is not affected by the thermal contact resistances between the heat source and nanostructure and between the nanostructure and probe. Thus, the heat flux applied to the nanostructure is accurately obtained. The proposed method provides a very simple and quantitative measurement relative to conventional measurement techniques.

The Determination of Methyl Isocyanate in the Workplace by Gas Chromatography with Flame Ionization Detector (GC/FID에 의한 작업환경중 메틸 이소시아네이트의 분석)

  • Lee, Eun Jung;Yoo, Chul;Han, Young Sun;Cho, Young Bong
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.11 no.3
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    • pp.249-253
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    • 2001
  • The purpose of this study is the development of the simple and precise sampling and analysis method of methyl isocyanate(MIC) in the work place as their secondary aliphatic amine derivatives by gas chromatography with flame ionization detector. The urea derivatives are quantitatively and simultaneously derived from MIC with secondary aliphatic amines such as dipropylamine(DPA), dibutylamine(DBA), and dipentylamine (DAA) in methylene chloride. The method is based on sampling glass tube in XAD-2 resin which is coated with secondary aliphatic amines. The samples are desorbed by $2m{\ell}$ methylene chloride and analysed using gas chromatography with flame ionization detector(GC/FID). In the results, the detection limit of the overall procedure and reliable quantity are $0.020-0.027{\mu}g$($1.347-1.740{\mu}g/m^3$(0.529-0.684 ppb) based on a 15 L air volume) MIC per sample. The average desorption efficiencies are 97.96 - 101.23 %. The results of versus storage time are high and stable recovery rates.

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The Development of a Bag Design Using the Yi Tribe's Traditional Patterns: Focusing on the Fabric Pattern Design (이족의 전통문양을 활용한 가방디자인 개발 연구: 패브릭 패턴 디자인을 중심으로)

  • Lee, Mokgyul;Cho, Jeansuk
    • Journal of Fashion Business
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    • v.19 no.2
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    • pp.149-170
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    • 2015
  • The purpose of this study is to link the Yi tribe's traditional patterns to bag design. Yi tribe is a minor ethic group in China, whose traditional pattern has a high artistic value in that its shapes are diverse and each one has peculiar elegance. Traditional patterns are also indicative of spiritual dept or symbolic stories, rather than being indicative of simple formative beauty. Thus, reorganizing these patterns and applying them artistically to design- in terms of resource utilization- would be significant. Out of all of the Yi tribe's traditional patterns, the cherry blossom_(马樱花), water wave_(水波), sky father and earth mother_(天父地母), pomegranate blossom, triangle, sheep' horn, wisteria vine_(藤条), square and diaper_(四角菱形) and the zigzag_(曲折) patterns were chosen for use during the development of a bag design. This study is based upon document study, including research papers and internet web sites, the point of which was to investigate the form of the traditional patterns, and the creative design process. The design procedure includes these sub-processes: selection, arrangement and color-scheme. In the selection process, the form of the pattern was edited using Adobe Photoshop. The pattern was freely arranged to reflect various emotions. In terms of the color-scheme of the patterns, the colors used by Henri Matisse(1869-1954) in his work were selected and adapted when dyeing the patterns. Subsequently, the final design resulting from these design development processes was applied to the actual production of the bag by using canvas fabric and leather, after which the bag image was proposed using computer simulation. In conclusion, six bag designs were created using traditional patterns from the Yi tribe. Through the processes explained above, this study confirmed that traditional patterns could be widely applied as design motifs and that more sophisticated, modern, and creative designs could be developed based on traditional patterns.