• 제목/요약/키워드: site choice

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얇은 부분층 조갑상 이식을 통한 조갑하 외골종의 치료: 2예 보고 (Thin Split-Thickness Toe Nail-Bed Grafts for Nail Bed Defects in Subungal Exostosis: Two Cases Report)

  • 오인석;김창희;최종순;이상형
    • 대한골관절종양학회지
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    • 제18권2호
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    • pp.83-88
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    • 2012
  • 조갑하 외골종으로 nail bed의 파괴와 손톱의 변형이 동반된 2명의 환자를 대상으로 수술 후 발생하는 발톱 변형에 초점을 두고 수술적 치료를 시행하였다. 조갑상을 손상시킨 병변에 대해 직접 절개를 통해 병변을 제거하였고 제거 후 조갑상의 결손 부위가 넓어 얇은 부분층 조갑상 이식을 시행하였고 만족할 만한 결과를 얻었다. 부위가 넓어 얇은 부분층 조갑상 이식을 통한 조갑상 결손부위의 치료는 공여부를 비교적 잘 보전하면서 표면이 매끄럽고 접촉성이 좋으며 비교적 정상에 가까운 형태의 발톱을 다시 얻는 데 효과적인 방법이다. 따라서 병변의 크기가 큰 조갑하 외골종의 절제 후 발생한 조갑상 결손의 치료에 좋은 치료방법으로 사료된다.

후하악부 절개를 통한 하악골 관절돌기 골절의 치료 후 임상경과에 대한 고찰 (Consideration of Clinical Progress after Open Reduction with Retromandibular Approach in Treatment of Mandibular Condyle Fractures)

  • 김한구;권남호;배태희;김우섭
    • 대한두개안면성형외과학회지
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    • 제9권1호
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    • pp.17-22
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    • 2008
  • Purpose: For several decades, open reduction has been a controversial issue in mandibular condyle fracture. The authors have successfully used the open reduction and internal fixation with retromandibular approach and have found it to be satisfactory for mandibular condyle fracture. Methods: A total of 10 patients with mandibular condyle fracture underwent open surgical treatment using retromandibular approach. The incision for the retromandibular approach was carried below the ear lobe and the facial nerve branches were identified. Dissection was continued until the fracture site was exposed and internal fixation was performed with miniplate following intermaxillary fixation. The average period of joint immobilization was 1 weeks and the arch bars were removed in 3 weeks on average. The preoperative and postoperative panoramic view and three-dimensional computed tomography were compared. During the follow up period, we evaluated the presence of malocclusion, chin deviation, trismus, pain, click sound, facial nerve palsy, hypertrophic scar and skin fistula. Results: According to the radiographic findings, the fractured condyle was reducted satisfactorily in all patients without any symptoms of facial palsy. During the follow up period ranged form 6 to 12 months, all clinical symptoms were improved except in one case with chin deviation and malocclusion. Conclusion: Using open reduction and internal fixation of mandibular condyle fracture with retromandibular approach, all results were satisfactory with good functional outcomes and minimal complication. We concluded that the open surgical treatment should be considered as the first choice for mandibular condyle fracture management.

이동 가능한 숙박용 모듈러 건축의 경제성 비교 분석에 관한 연구 (An Economic Feasibility Analysis on the Movable Modular Lodging Buildings)

  • 이지희;손정욱;정운성;이준성
    • 한국건설관리학회논문집
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    • 제16권5호
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    • pp.12-20
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    • 2015
  • 최근 건설프로젝트는 기존의 노동집약적 현장생산 방식이 아닌, 공장 생산 기반의 현장 조립 방식인 모듈러 건축물에 주목하고 있다. 모듈러 건축 공법은 기존 방식에 비해 공기 단축효과가 높고, 해체 및 재사용이 용이해 임시 주거시설을 중심으로 적용되고 있다. 그러나 모듈러 공법 실현을 위한 초기 투자비용에 대한 부담으로 인해 국내의 모듈러 건축시장은 아직 활성화되지 못하고 있다. 이에 본 연구에서는 모듈러 건축물이 가지고 있는 경제적 부담에 대한 대안으로서 시장의 수요에 따라 이동 가능한 모듈러 건축 방식에 대하여, 기존의 건축 방식과의 생애주기비용 비교를 통해 경제적 효과를 분석하고자 한다. 본 연구에서 분석의 대상으로 삼은 RC 공법과 모듈러 공법의 이동형 모델의 경제성 평가 결과, 단기적인 측면에서는 RC공법이 빠른 수익률을 달성하였지만 건물의 전 생애주기 측면에서는 이동 가능한 모듈러 건축 방식의 경제성이 보다 큰 것으로 나타났다.

환경자원의 이용가치 평가 (Valuation of Use Value on Environmental Goods)

  • 박용치
    • 한국조사연구학회:학술대회논문집
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    • 한국조사연구학회 2001년도 춘계학술대회
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    • pp.83-107
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    • 2001
  • 가상상황 가치평가법은 시장에서 거래되지 않는 비시장재 또는 공공재의 가치를 평가하는데 자주 사용된다. 이 방법은 특정 금액에 대한 응답자의 지불의사를 질문함으로써 특정 공공재에 대한 지불의사확률을 추정하고 이를 binary-logit 분석을 통하여 그 재화의 사용가치를 추정한다. 본 논문에서는 이 방법을 사용하여 P산의 사용가치를 3가지 시나리오를 사용하여 평가하였다. 그 결과 P산에 대한 1회 이용의 지불의사액은 1,055.92월 ~ 1,995.61원이고 매주 10만명의 이용객을 가정할 때 P산의 사용가치는 년 54.91억원 ~ 103.77억원으로 추정되었다.

환경자원의 이용가치 평가 (Valuation of Use Value on Environmental Goods)

  • 박용치
    • 한국조사연구학회지:조사연구
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    • 제2권2호
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    • pp.83-107
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    • 2001
  • 가상상황 가치평가법은 시장에서 거래되지 않는 비시장재 또는 공공재의 가치를 평가하는데 자주 사용된다. 이 방법은 특정 금액에 대한 응답자의 지불의사를 질문함으로써 특정 공공재에 대한 지불의사확률을 추정하고 이를 binary-logit 분석을 통하여 그 재화의 사용가치를 추정한다. 본 논문에서는 이 방법을 사용하여 P산의 사용가치를 3가지 시나리오를 사용하여 평가하였다. 그 결과 P산에 대한 1회 이용의 지불의사액은 1,055.92원 ~ 1,995.61원이고 매주 10만 명의 이용객을 가정할 때 P산의 사용가치는 년 54.91억원 ~ 103.77억원으로 추정되었다.

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Strategy for Insecticide Resistance Management Approach to IPM

  • Motoyama, Naoki;Dauterman, W.C.
    • 한국응용곤충학회지
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    • 제31권3호
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    • pp.314-327
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    • 1992
  • Insecticide resistance is a serious is a serious threat to IPM, resulting in various adverse effects not to mention the loss of yield in agriculture. One approach to counter the problem is the disruption of resistance mechanisms. This can be achieved by (1) compounds which show a negative correlation with resistance at the site of action, (2) specific metabolic inhibitors which serve as synergists, or (3) a certain combination of two insecticides producing a joint action. This approach, however, requires certain precautions for the side effects may cause an increase in toxicity to mammals. Owing to the recent advances in theoretical studies on resistance management employing computer simulation and mathematical models, a few principles to reduce the risk of development of resistance have been clarified. They are helpful in designing operational strategies with regard to, for instance, insecticide doses to be applied, mode of application, and choice and nature of the insecticide(s) to be used. For restoration of insecticide susceptibility of a resistant population, reintroduction of susceptible individuals to the resistant population is feasible when certain conditions are met. Natural enemies which developed resistance to insecticides can be an important component of IPM as has been shown in the pest management in apple orchards. After all, the implementation of a successful resistance management program depends upon cooperation between different sigments of the agricutural community. Although resistance is a preadaptive phenomenon, in some cases spontaneous loss of resistance does occur without contamination by susceptible individuals. The instability of resistance in these insects implies the possible existence of a switch machanism controlling the expression of resistance gene(s). Elucidation of such a mechanism may eventually provide us with a new technical approach with which we can combat the problem of insecticide resistance.

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수부의 연부조직 결손 재건을 위한 유리 피판의 선택 (Selection of Free Flap for the Reconstruction of Soft Tissue Defect of the Hand)

  • 김택규;김한수;최상묵;정찬민;서인석
    • Archives of Reconstructive Microsurgery
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    • 제6권1호
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    • pp.87-95
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    • 1997
  • Traumatic injury to the hand often leads to soft tissue defects with exposed tendons, bones, or joints. Though many new flap have been introduced, the choice of flap that would be best for the patient depends on such factors as the site, size, and degree of wounds. Additionally the selected surgical method should be yielded cosmetic and functional superiority by the one-staged reconstruction. In our experience, small to medium sized soft tissue defect with bone and tendon exposure of hand can be resurfaced with an arterialized venous free flap from the volar aspect of distal forearm. Wide and deep defects of the hand can be covered with a sensory cutaneous free flap such as the medial plantar free flap, dorsalis pedis free flap, and radial forearm free flap. Specialized flap such as wrap-around flap, toe-to-finger transfer, onychocutaneous free flap can be used for the recontruction of defect on the thumb and finger. Based on the above considerations and our clinical experience of 60 free flap cases of the hand, the various methods for the proper repair of soft tissue defects of the hand are described. And we obtained satisfactory functional and cosmetic results with 95% success rate of free flap.

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설소대 단축증 아동의 설소대 절개술 전 후 치조음 발음 양상의 변화 (Effect of Frenulotomy in Tongue-Tie : Focused on Alveolar Sounds)

  • 안서지;양해동;김병철;신지철;고중화
    • 대한후두음성언어의학회지
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    • 제11권1호
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    • pp.5-11
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    • 2000
  • Background and Objectives : Tongue-tie, or partial ankyloglossia, is manifested by an abnormally short and thick lingual frenulum. Degree of tongue-tie varies from the mild to the rare, severe and its treatment of choice is frenulotomy. Theoretically tongue-tie can affect expression of alveolar sounds. The purpose of this study is to evaluate the degree of articulation problem and to evaluate the efficacy of frenulotomy itself on alveolar sounds in tongue-tie patients. Materials and Methods : Prospectively, the authors performed preoperative and postoperative speech evaluation using picture consonants test for tongue-tie patients. Percentage of consonants correct(PCC), mean value of each alveolar phoneme depends on articulation site were evaluated. for exclusion of other articulatory improving factors except of frenulotomy itself, postoperative picture consonants test was performed 1 month after surgery. Results : Preoperative speech evaluation was performed to 37(male 21, female 16) patients and postoperative speech evaluation was performed to 17(male 9, female 8) patients, the other 20 patients were follow-up loss. Low PCC was observed in tongue-tie patients and PCC of female was higher an at of male in 2-4 years old patients. Overall PCC was improved after frenulotomy. Preoperative mean value of liquids and fricatives was lower than the other alveolar phonemes(p<0.05) and it was improved postoperatively(p<0.05). Conclusion : Frenulotomy itself can improve the articulation of liquids and fricatives on short follow-up. Speech therapy would be needful for improvement of the other alveolar phonemes.

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Smart monitoring analysis system for tunnels in heterogeneous rock mass

  • Kim, Chang-Yong;Hong, Sung-Wan;Bae, Gyu-Jin;Kim, Kwang-Yeom;Schubert, Wulf
    • 한국지구물리탐사학회:학술대회논문집
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    • 한국지구물리탐사학회 2003년도 Proceedings of the international symposium on the fusion technology
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    • pp.255-261
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    • 2003
  • Tunnelling in poor and heterogeneous ground is a difficult task. Even with a good geological investigation, uncertainties with respect to the local rock mass structure will remain. Especially for such conditions, a reliable short-term prediction of the conditions ahead and outside the tunnel profile are of paramount importance for the choice of appropriate excavation and support methods. The information contained in the absolute displacement monitoring data allows a comprehensive evaluation of the displacements and the determination of the behaviour and influence of an anisotropic rock mass. Case histories and with numerical simulations show, that changes in the displacement vector orientation can indicate changing rock mass conditions ahead of the tunnel face (Schubert & Budil 1995, Steindorfer & Schubert 1997). Further research has been conducted to quantify the influence of weak zones on stresses and displacements (Grossauer 2001). Sellner (2000) developed software, which allows predicting displacements (GeoFit$\circledR$). The function parameters describe the time and advance dependent deformation of a tunnel. Routinely applying this method at each measuring section allows determining trends of those parameters. It shows, that the trends of parameter sets indicate changes in the stiffness of the rock mass outside the tunnel in a similar way, as the displacement vector orientation does. Three-dimensional Finite Element simulations of different weakness zone properties, thicknesses, and orientations relative to the tunnel axis were carried out and the function parameters evaluated from the results. The results are compared to monitoring results from alpine tunnels in heterogeneous rock. The good qualitative correlation between trends observed on site and numerical results gives hope that by a routine determination of the function parameters during excavation the prediction of rock mass conditions ahead of the tunnel face can be improved. Implementing the rules developed from experience and simulations into the monitoring data evaluation program allows to automatically issuing information on the expected rock mass quality ahead of the tunnel.

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Combining ability and heterosis of Korean sorghum varieties

  • Choe, Myeongeun;Ko, Jeeyeon;Song, Seokbo;Park, Changhwan;Kwak, Doyeon
    • 한국작물학회:학술대회논문집
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    • 한국작물학회 2017년도 9th Asian Crop Science Association conference
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    • pp.79-79
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    • 2017
  • Grain Sorghum varieties grown in Korea have low productivity and are constrained by the fact that farmers' choice of improved varieties is limited. Hybrid cultivars have been demonstrated to be more productive and food security than pure line varieties. However, There's no available hybrid cultivars and never planted before in Korea. This study was, therefore, conducted to determine combining ability of Korean landrace varieties and cultivar, the level of heterosis of experimental hybrids depending on environments. Two cytoplasmic male-sterile lines were crossed with six male-fertile lines in accordance with North Carolina II mating scheme to generate 12 experimental hybrids. The hybrids were evaluated in replicated row-column alpha designs at two sites in Texas and South Korea under on-season production conditions. For each trait, general combining ability (GCA) and specific combining ability (SCA) effects were estimated using the line-tester method of analysis. Results indicated significant differences among genotypes for both grain yield potential and secondary traits. Hybrids were predominant for grain yield, and displayed up to 127% heterosis of A03017 ${\times}$ Sodamchal in Korea. Positive GCA for yield was observed for Donganme, Hwanggeumchal and Jungmo4002 in Korea. Among them Jungmo4002 and Donganme had highly positive for yield (227.90 and 84.90 kg ha-1), while it showed negative GCA for yield in College station (-40.90, -189.60 kg ha-1). ATx630 ${\times}$ Sodamchal had the greatest SCA for yield (468.10 kg/ha) in College station but at South Korea its SCA effect was -302.40 kg/ha. A similar trend was observed, followed by A03017 ${\times}$ Donganme (SCA effect = 215 kg ha-1 at College station vs. -44.20 kg ha-1 at South Korea). At South Korea the greatest positive SCA effect for grain was observed in ATx630 ${\times}$ Jungmo4002 as 322.20 kg/ha. Both GCA and SCA effects significantly interacted with site effects demonstrating the need for region adaptation of potential cultivars and test for developing Korea suitable cultivar.

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