• Archives of Plastic Surgery
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• v.37 no.6
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• pp.736-741
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• 2010

Purpose: Radical surgical extirpation in advanced breast cancer patients produces extensive loss of skin with large defects requiring plastic surgical procedures for the closure. Many reconstructive methods exist, the choice of which depends upon the characteristic of the wound, extent of resection and patient comorbidities. For adequate coverage of the large skin defects following resection of advanced breast cancer, current authors have performed a thoracoabdominal flap. Methods: From August 2008 to June 2009, 4 cases of thoraco-abdominal flap were performed for chest wall reconstruction after mastectomy of advanced breast cancer. Flap dissection was entirely performed in a subfascial plane and the flap involving the external oblique abdominal muscle. The flap was rotated clockwise in left chest wall defects and counterclockwise in right chest defects and the donor site was closed directly. Results: Their mean age, 55.7 years and the average follow-up interval was 9 months. Patients' oncologic status ranged from stage IIIc to stage IV, it was classified according to the TNM staging system. Flap dimensions ranged between $15{\times}15$ and $25{\times}25\;cm$. One flap sustained a partial loss at the distal margin and revision with pectoralis major musculocutaneous island flap. Conclusion: Large chest wall reconstructions are usually required after radical excision of advanced cancer stages patients with poor general conditions. Thoracoabdominal flap is a simple, quick single-stage procedure, and offer to patient fast recovery, low complication rate, enabling further concomitant adjuvant therapy.

• Archives of Plastic Surgery
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• v.36 no.5
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• pp.565-570
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• 2009

Purpose: Numerous techniques have been introduced to reconstruct the perineal area in order to preserve function of both the recipient and the donor site while satisfying aesthetic results. There are several advantages of using the pudendal aretery perforator based flap in that it provides thin coverage of defect area and a relatively excellent circulation through perforators. The perineal region can be divided into two areas : the urogenital triangle and the anal triangle. Since each area differs in structure and function so does its reconstructive plan. The authors of this article report clinical results obtained from pudendal artery perforator based reconstructed cases according to each differrent triangles. Methods: A total of 15 patients who underwent perineal reconstruction were enrolled in our study between the year 2002 and 2006. There were 4 cases of vaginal cancer, 4 cases of extramammary Paget's disease, 1 case of rectovaginal fistula in females and 2 cases of Paget's disease and 4 cases of Fournier's gangrene in male cases. The follow up period was on average 6 month. In female, superfical pudendal artery perforator based local flap were used to reconstruct the urogenital triangle defects, while internal pudendal artery perfoator based local flaps were used to reconstruct the anal traingle defects. In males the gracilis myocutaneous flap and internal pudendal artery perforator based local flaps were used in reconstruction of the scrotum and perineal defect. Result: In females, there was 1 case of partial flap necorsis that employed the superficial pudendal artery perforator but secondary repair through the internal pudendal artery perforator based local flap was done. In addition, there were 4 wound dehiscence cases in females and 2 cases in males. Conclusion: We believe that a better aesthetic and functional outcome can be achieved in perineal reconstruction if discrete surgical planning is carried out systematically categorizing the choice of flap employed acccording to distinct anatomical regions : the urogenital and the anal triangle.

• Journal of Chest Surgery
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• v.29 no.12
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• pp.1366-1372
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• 1996

Bronchoplasty has gained popularity in the selected cAses of bronchogenic carcinoma with poor pulmonary reserve, and also has been a choice of treatment for obstructive bronchial diseases since it can cure patient completely with preservation of pulmonary function. From Apr. 1990 to hpr. 19'96 two methods of bronchoplastic procedures, d patch dilating bronchoplasty and a segmental bronchial resection with end-to-end anastomosis, were performed with or without concominant pulmonary resection in 13 patients with benign bronchial stenosis and obstruction. The patients were 8 men and 5 women with average age of 43years(range 19 to 64 years). Patch dilating bronchoplasty using autogenous perichondrium and pericardium was applied in 5 cases of bronchial stenosis. Antecedan diseases of bronchial stenosls were 3 inflammatory bronchiectas is, and 2 endobronchial tuberculose is mixed with bronchi,ectas is. Segmental bronchial resection with end-to-end anastomosis was applied in 8 cases of bronchial obstruction, which were caused by endobronchial tuberculosis in 6 and cicatrization after trauma and foreign body in one case each. Bronchial obstructive symptoms and signs including recurrent pulmonary infection, dyspnea and wheezing were disappeared postoperatively with satisfactory recovery of physical activity. There was no operative mortality. Morbidity occured in 2 patients which were one case of unstability of applied bronchial patch resulting atelectasis and one case of bronchial restenosis at the anastomotic site. Based upon our experiences, we conclude that bronchoplastic procedure can be done with great success in patients with lung atelectasis caused by bronchial obstruction or stenosis and it restores physiologic function of collapsed lung with acc ptable complication.

• Journal of Animal Environmental Science
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• v.16 no.3
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• pp.245-252
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• 2010

Disposal methods of managing carcass in Korea livestock production systems include burying, digesting, rendering, carcass dumping to manure pile, dead animal disposer and mini-incinerator. Burying was usually the most practical method of carcass disposal in our livestock farms. Burying, carcass dumping to manure pile, dead animal disposer and mini-incinerator may have environmental regulatory and economic liabilities when used as a means of carcass disposal. In many cases in this survey, these disposal methods offer a poor choice for the producer due to individual site conditions, geology, cost, air emissions, rendering plants. A survey questionnaire that addressed the issues to livestock producers was prepared. The questionnaire addressed two main topics as follows: 1) types of livestock and generation amounts of carcass 2) Number of breeding animals and disposal methods of livestock mortality. A total of 36 livestock producers were interviewed. The results of obtained in this survey were summarized as follows: The number of breeding poultry, swine, beef cow and dairy cow was 251,000, 2,600, 142 and 92 heads per year and the generation amounts of annually carcass was 0.46, 15.32, 0.36, 1.36 tons per year of each poultry, swine, beef cow and dairy cow farms, respectively. The disposal methods of carcass were burying (42%), carcass dumping to manure pile (36%), rendering (8%), incineration (6%), digesting (6%), carcass disposer (2%), respectively. These results can be used as basic information to establish the standard of carcass composting facility.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.25 no.4
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• pp.15-31
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• 2022

The Green Purification Unit System (GPUS) is a green infrastructure facility applicable to the roadside to reduce particulate matter from road traffic. This study introduces two types of GPUS (type1 and type2) and assesses the performance and maintenance costs of each of them. The GPUS's performance analysis used the data collected in November 2021 after the installation of the GPUS type1 and type2 at the study site in Suwon. The changes in the particulate matter concentration near the GPUS were measured. The maintenance cost of GPUS type1 and type2 was assessed by calculating the initial installation cost and the management and repair cost after installation. The results of the performance analysis showed that the GPUS type1, which was manufactured by combining plants and electric dust collectors, had a superior particulate matter reduction performance. In particular, type1 produced a greater effect of particulate matter reduction in the time with a high concentration (50㎍/m³ or higher) of particulate matter due to the operation of electric dust collectors. GPUS type2, which was designed in the form of a plant wall without applying an electric dust collector, showed lower reduction performance than type1 but showed sufficiently improved performance compared to the existing band green area. Meanwhile, the GPUS type1 had three times higher costs for the initial installation than GPUS type2. In terms of costs for managing and repairing, it was evaluated that type1 would be slightly more costly than type2. Finally, this study discussed the applicability of two types of GPUS based on the result of the analysis of their particulate matter performance and maintenance cost at the same time. Since GPUS type2 has a cheaper cost than type1, it could be more economical. However, in the area suffering a high concentration of particulate matter, GPUS type1 would be more effective than type2. Therefore, the choice of GPUS types should rely on the status of particulate matter concentration in the area where GPUS is being installed.

• Journal of Service Research and Studies
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• v.13 no.3
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• pp.70-81
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• 2023

The choice of business method is a necessary decision at the last moment of life, and to this end, we use several criteria. Our funeral methods were dominated by ancestral worship culture and religion, not nature. It is only recently that nature was used as a means from a human perspective, but natural field methods such as consideration for nature and symbiosis with nature have emerged. The recent high public preference for natural fields is today's strong zeitgeist and nature-friendly values. Based on statistics in 2021, Korea's national cremation rate exceeded 92%, and compared to less than 20% of the cremation rate just 20 years ago, our business method has changed rapidly. As the cremation promotion movement and government policies, which began in the early 90s, were systematically developed, the enshrinement facility was established next to us. However, while this was also subject to criticism of national damage, the Jang Act called natural field was introduced into the system in 2008, and about 15 years have passed, but the revitalization of natural field is slower than expected. One of the reasons for the stagnation of development is to forget the basic spirit of the natural field (once you return to the forest), and to think like a graveyard grave. Accordingly, this study aims to identify the background of the introduction and current operation of natural fields and present development measures to improve memorial services to make natural fields loved by the people.

• Journal of Korean Medicine Rehabilitation
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• v.33 no.3
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• pp.149-160
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• 2023

Objectives This study is for reporting current status and strategies of thread embedding acupuncture (TEA) in temporomandibular joint disorder (TMD) using web-based survey. Methods Survey was conducted online via E-mail among Korean medicine doctors registered with the Association of Korean Medicine. The questionnaire is developed by Korean medicine doctor in Kyung Hee University Hospital at Gangdong. The survey consisted mainly of multiple-choice questions on the current status and strategies of TEA for TMD. Results Total of 427 doctors responded. TEA was mostly used for 'Cosmetic purpose and others' with 287 respondents (67.2%), and 102 respondents (23.9%) having experience with TEA for TMD. The most common purpose for TEA for TMD was 'Improving muscle contraction and tension' with 290 respondents (67.9%). The average interval was reported 2.12 weeks, and the most common response for the number of treatments was five sessions with 127 respondents (29.7%). The most common criterion for determining the treatment site was based on anatomical structure, accounting for 92.7%. The most effective anatomical structure was the 'Masseter muscle' with 83.1%, followed by the 'Temporal muscle' with 51.8%. TEA direction for TMD was dominant in 'affected side' for all muscles. Conclusions Through a survey, we can investigate clinical usage of TEA for TMD. This study can be helpful in creating standardized criteria for TEA on TMD in the future.

• Journal of the Korean Society of Earth Science Education
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• v.17 no.1
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• pp.34-48
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• 2024

With the global rise in interest in competency-based education, the Ministry of Education of the Republic of Korea outlined six core competencies in the 2015 revised curriculum, essential for future society's 'creative and convergent talent'. This study introduces an HTE-STEAM constellation education program designed to develop the core competencies outlined in the 2015 revised curriculum and address the limitations of hands-on astronomy education. The program's effectiveness was assessed through a pilot test. The program was implemented at G Library, an out-of-school education site in Cheongju-si, Chungcheongbuk-do, targeting students from 3rd to 6th grade. The study's results include: First, the HTE-STEAM program significantly impacted all aspects of the STEAM attitude test except for 'self-concept', particularly influencing 'science and engineering career choice', 'consideration', and 'communication'. Thus, it has led to positive outcomes in the cultivation of future society's core competencies, including 'creative thinking skills', 'communication skills', and 'community skills'. Secondly, the HTE-STEAM constellation education program, despite covering the challenging concept of spacetime, was deemed easy by many students. Observations of students applying the spatial concepts they learned by using teaching aids suggest that the program was effective in enhancing students' understanding of the spatial structure of the sky and the universe. Additionally, this program aligns with the 2022 curriculum's updated standards for understanding the sky's spatial structure. Consequently, the HTE-STEAM constellation education program positively cultivates future society's core competencies and serves as a valuable complement to night observation practices in schools.

• Journal of Dental Anesthesia and Pain Medicine
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• v.24 no.2
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• pp.109-117
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• 2024

Background: Dental fear and anxiety are significant challenges in managing behavior in children. Oral administration of sucrose or sweet-tasting solutions has shown effectiveness in reducing procedural pain in infants and neonates. This study aimed to investigate whether pre-application of sucrose solution had an effect on minimizing pain perception during injection and to assess the potential impact of the child's age and sweet preference. Methods: A randomized control clinical trial was conducted on 60 children aged 3-9 years requiring buccal infiltration injections. Following parental consent, demographic data of the children were recorded. Sweet preferences was assessed using a modified forced-choice test. Children were equally and randomly allocated into study (sucrose) and control groups using a lottery method. Sucrose solution or distilled water, respectively, was applied to the lateral surface of the tongue for 2 min. Topical anesthetic was applied at the site of injection, followed by local anesthesia administration. The children rinsed their mouths thrice with water immediately after anesthetic injection. A video was recorded during injection which was then scored by three blinded examiners on the Sound Eye Motor (SEM) scale. The children also self-evaluated using Wong-Baker Faces Pain Rating Scale (WBFPS). Results: The mean SEM scores and WBFPS scores were analyzed using the Kruskall-Wallis test. The mean SEM score in the study group was 1.37 ± 0.61, compared to 3.17 ± 0.87 in the control group, showing a statistically significant difference (P < 0.001). Mean pain scores assessed by WBFPS in the study group were 0.60 ± 1.4, while in the control group, they were 6.27 ± 2.33, also showing a statistically significant difference (P < 0.001). Children with a sweet preference demonstrated a subjective reduction in pain perception. Conclusion: Application of sucrose before dental injections in children helps to minimize pain upon injection across all age groups.

• Journal of the Korean Geosynthetics Society
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• v.23 no.3
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• pp.23-30
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• 2024

According to the method of settling the construction structure on the ground to keep the structure safe, the ground anchor method is divided into a load-distributing anchor and a general anchor. Recently, the application of load-distributed anchors, which show a large degree of recognition by anchors, is increasing in the field, but the problem of field applicability is also caused. The load-distributed anchor fixes the tensile force to each section of the lecture line and applies it, causing a problem of asymmetric loads in which the maximum tensile force size of each settlement site differs due to the length difference of the anchor body. Therefore, in this study, as a quality management method according to the asymmetric load of anchors, a mono-type load cell that can measure the load for each lecture line of a load-distributed anchor was developed, and the field applicability was analyzed by comparing and analyzing the measurement results of the existing multi-type load cell and mono-type load cell. As a result of the study, the multi-type load cell had no choice but to estimate the working load for each inner body, so it was impossible for the load-distributed anchor to manage it according to the generation of asymmetric loads for each lecture line. However, in the case of a mono-type load cell the load was measured for each inner body and for each lecture line, regardless of ground conditions and construction conditions, and thus the load value was measured for each lecture line, enabling safety management and construction management according to the occurrence of asymmetric loads.