• Archives of Plastic Surgery
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• 제48권6호
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• pp.577-582
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• 2021

Robot-assisted surgery is evolving to incorporate a higher number of minimally invasive techniques. There is a growing interest in robotic breast reconstruction that uses autologous tissue. Since a traditional latissimus dorsi (LD) flap leads to a long donor scar, which can be an unpleasant burden to patients, there have been many attempts to decrease the scar length using minimally invasive approaches. This study presents the case of a patient who underwent a robot-assisted nipple-sparing mastectomy followed by immediate breast reconstruction with an LD flap using a single-port robotic surgery system. With the assistance of a single-port robot, a simple docking process using a short and less visible incision is possible. Compared to multiport surgery systems, single-port robots can reduce the possibility of collision between robotic arms and provide a clear view of the medial border of the LD where the curvature of the back restricts the visual field. We recommend the use of single-port robots as a minimally invasive approach for harvesting LD flaps.

• Clinics in Orthopedic Surgery
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• 제10권4호
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• pp.508-512
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• 2018

Foraminal decompression using a minimally invasive technique to preserve facet joint stability and function without fusion reportedly improves the radicular symptoms in approximately 80% of patients and is considered one of the good surgical treatment choices for lumbar foraminal or extraforaminal stenosis. However, proper decompression was not possible because of the inability to access the foramen at the L5-S1 level due to prominence of the iliac crest. To overcome this challenge, endoscopy-based minimally invasive spine surgery has recently gained attention. Here, we report the technical skills required in unilateral extraforaminal biportal endoscopic spinal surgery using a $30^{\circ}$ arthroscope to enable foraminal decompression at the L5-S1 level. Two 0.8-cm portals were created 2 cm lateral from the lateral border of the pedicles at the L5-S1 level. After sufficient working space was made, half of the superior articular process (SAP) in the hypertrophied facet joint was removed using a high-speed burr and a 5-mm wide osteotome, whereas the remaining inside part of the SAP was removed using a Kerrison punch and pituitary punch. The foraminal ligamentum flavum should be removed to inspect the conditions of the L5 exiting root and disc. Removing of the extruded disc could decompress the L5 root. The extraforaminal approach using a $30^{\circ}$ arthroscope is considered a minimally invasive alternative technique for decompressing foraminal stenosis at the L5-S1 level that preserves facet stability and provides symptomatic relief.

• 대한간호학회지
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• 제34권5호
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• pp.771-780
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• 2004

Purpose: The purpose of this study was to explore how older adults kept their health good at a doctorless farm village. Method: Data was collected through in-depth interviews with 32 participants who were over 65 years old and analyzed in terms of Strauss and Corbin's (1990) grounded theory methodology. Result: The Core Category of health care of older adults was identified as 'enduring physical changes by themselves'. The process of this could be divided into 4 stages: the stage of bearing, the stage of managing daily living activities, the stage of passively collecting information and the stage of minimally utilizing health care services. Older adults accepted the aging process positively but health sources limitation passively, so they managed daily living activities and used natural food for health. In addition, they collected information related to health care and used health care services minimally. Conclusion: We found that participants managed their health passively because of negative attitudes toward active health behaviors of older adults by themselves and the difficulty of access to health care services. Therefore, various community health services for older adults need to be developed to empower older adults in the community.

• 한국식품저장유통학회지
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• 제11권3호
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• pp.313-318
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• 2004

원료 양송이의 수확시기 및 보관 기간에 따른 신선편이 가공적성을 비교키 위하여 계절별로 수확한 양송이를 각각2$^{\circ}C$ 에 보관하면서 주기적으로 일정량씩을 취하여 각각 절단한 후 5$^{\circ}C$ 에 방치하면서 표면의 갈변진행정도와 총 페놀화합물 함량 변화를 조사하였다. 원료 양송이의 호흡률은 여름철 및 가을철에 수확한 것이 9.55$\~$10.47 mLCO$_{2}$kg$\cdot$hr로 봄철 및 겨울철에 수확한 것에 비해 낮았고, 중량감소율은 봄에 수확한 양송이가 가장 낮았다. 원료상태로 보관한 양송이의 표면색은 여름철 양송이가 가장 빨리 변하였으며 봄, 가을 및 겨울철에 수확한 양송이는 비슷한 수준을 나타내었다. 절단 처리시 여름철 수확한 양송이가 다른 계절양송이에 비해 표면색 변화가 가장 심하였으며, 7일 이상 보관한 원형 양송이는 절단처리 전 표면색 열화 및 절단처리 후 빠른 갈변으로 인하여 가공적성이 낮았다.

• KSBB Journal
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• 제28권6호
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• pp.356-365
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• 2013

The novel Aloe gels were prepared with dewatering and impregnation by soaking (DIS) processing of Aloe vera leaf slice at four different temperatures (25, 35, 45 and $55^{\circ}C$), using dehydration solution of 40% (w/v) polyethylene glycol (PEG4000). The PEG-impregnation to Aloe vera leaf slice during DIS was observed depending on immersion temperature, and the PEG-impregnated Aloe vera gel (PEG-i-AVG) obtained was characterized using $^1H$ NMR, FT-IR, GPC, XRD and TGA. The PEG-i-AVG had the higher levels of Aloe bioactives (glucomannan and O-acetyl contents) and better quality indices by $^1H$ NMR and FT-IR spectroscopy than those of native Aloe gel. Also, the obtained Aloe gel maintained the bimodal patterns in higher molecular weight region by GPC indicating no degradation of polysaccharide from native Aloe gel. The result observed by SEM confirmed a surface modification by forming the porous structure, and TGA result exhibited better thermal stability than that of native Aloe gel. XRD result revealed that the crystalline structure in Aloe gel was led by incorporation of PEG. Significant decrease of %insolubility and high enhancement of water solubility index were observed, respectively, and highly ordered conformation such as a helix structure was also indicated by Congo red reaction. We concluded that the modification effect for enhancing function of native Aloe gel was successfully obtained by DIS process using PEG as a dehydrating agent. These results suggested that this DIS process had a high potential for developing a new minimally processed product from Aloe vera leaf.

• 품질경영학회지
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• 제31권3호
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• pp.185-192
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• 2003

In this paper, the properties on the optimal replacement policies for the general failure model are developed. In the general failure model, two types of system failures may occur : one is Type I failure (minor failure) which can be removed by a minimal repair and the other, Type II failure (catastrophic failure) which can be removed only by complete repair. It is assumed that, when the unit fails, Type I failure occurs with probability 1-p and Type II failure occurs with probability p, $0\leqp\leq1$. Under the model, the system is minimally repaired for each Type I failure, and it is repaired completely at the time of the Type II failure or at its age T, whichever occurs first. We further assume that the repair times are non-negligible. It is assumed that the minimal repair times in a renewal cycle consist of a strictly increasing geometric process. Under this model, we study the properties on the optimal replacement policy minimizing the long-run average cost per unit time.

• Preventive Nutrition and Food Science
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• 제6권3호
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• pp.163-169
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• 2001

To produce expanded, minimally hard extrudates from blends of raw pork meat (20%), defatted soy flour (25%), and corn starch using a single-screw extruder, various combinations of feed moisture, process temperature, and screw speed were evaluated. First series of extrusion runs were conducted according to a central composite rotatable design/response surface methodology (RSM). Upon assessing the full model for each response, insignificant terms were eliminated to determine final response surface models. Screw speed within the range evaluated was found to have no significant effect on expansion ratio (ER) or shear force (SF) of extrudates. Since examinations of the response surfaces and their generated grids of predicted values indicated that maximum ER and minimum SF were likely to be attained with a moisture-temperature combination outside the RSM experimental range, the second series of extrusion runs were conducted with several selected combinations of moisture and temperature to determine a practical optimum extrusion condition. The combination of 22.78% feed moisture, 16$0^{\circ}C$ process temperature, and 170 rpm screw speed was chosen as such a condition, and used in the final extrusion. The final product required less force to break than did commercial pretzel sticks.

• 한국기계가공학회지
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• 제20권1호
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• pp.34-41
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• 2021

Interventional radiology and minimally invasive surgery both require a precisely shaped microcatheter. Microcatheters are manufactured using polymer extrusion processes with a die and puller. The manufacturing parameters and die geometry greatly influence the profile of the extrudate and designing dies using a trial-and-error process is expensive and requires a lot of time. Therefore, predicting the profile of the extrudate is important for manufacturing microcatheters. This study investigates the effects of die design and geometry on the profile of the extrudate. The profiles of the extrudate are predicted using ANSYS Polyflow with respect to the different die geometries. The outer and inner diameters and wall thickness of the predicted extrudate are compared to those of a target extrudate. The die swell of melt polymer and the effect of the pulling are both examined. Optimized die designs are suggested for manufacturing the target extrudate.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제39권
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• pp.32.1-32.5
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• 2017

Background: Osteochondroma is a benign tumor that tends to develop in mandibular condyle and coronoid process in the craniofacial region. If tumor mass has grown from condyle into the infratemporal space with zygomatic arch obstructing the access, there are risks associated with surgical exposure and local resection of these masses. Case presentation: This study reports on a case of osteochondroma on mandibular condylar head where we treated with surgical excision via preauricular approach with 3D analysis. After the local resection, there were no surgical and post-operative complications until 8-month follow-up period. Conclusions: In local excision of osteochondroma, our method is a minimally invasive method. It is a good example of osteochondroma treatment.

• Journal of Chest Surgery
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• 제31권5호
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• pp.466-471
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• 1998

연구목적: 소아연령군에서의 최소침투적심장수술의 적용가능성 여부와 안전성 및 효율성 등을 검증해 보기 위해 본연구를 시행하였다. 대상환아) 1997년 7월부터 1997년 11월까지 본 서울대학교병원 어린이병원 흉부외과에서 최소침투적심장수술을 받은 46례의 환아를 대상으로 하였으며 환아의 평균 연령 및 체중은 각각 34.6$\pm$41.8 (범위:1~148) 개월, 14.5$\pm$9.9 (범위:3.0~40.0) kg였다. 28명의 환아가 남아였으며 술전 진단은 15례의 심방중격결손증, 25례의 심실중격결손증 (이중 16례는 막주변형이었고 1례는 대동맥판하 막성협착을 동반함), 1례의 대동맥내 이물, 3례의 부분방실중격결손증, 1례의 전폐정맥연결이상 (심장형), 1례의 활로씨사징증이었다. 수술방법 : 상흉골함요(陷凹)로부터 가능한 하부로 멀리 떨어져 정중피부절개를 가한후, 하부흉골을 노출시켰다. 검상돌기부터 정중흉골절개를 시작하여 제 2늑간 수준까지 연장한 후, 흉골의 한쪽 또는 양쪽에 횡절개를 가하여 T형, J형, I형 또는 역 C형 흉골절개가 되게하여 우측 또는 양측 들창모양의 흉골개구부를 확보하였다. 삽관을 대동맥과 상,하공정맥에 일반적인 방법으로 시행하고, 질환별 수술방법 역시 통상적인 방법에 의해서 시행되었다. 결과 : 평균 피부절개의 길이는 6.1$\pm$1.0 (범위:4.0~9.0) cm였고 상흉골함요와 피부절개상단사이의 거리는 평균 4.0$\pm$1.1 (범위:2.0-7.0) cm였다. 평균심폐우회시간, 대동맥차단시간, 및 총수술시간은 각각 62.9$\pm$20.0 (범위:28~147), 29.8$\pm$12.8(범위:11~79), 161.1$\pm$34.5(범위:100~250) 분이었다. 수술후 수혈총량은 평균 71.0$\pm$68.1 (범위: 0~267) cc였으며 환아는 평균 11.3$\pm$13.8 (범위:1-73) 시간후에 인공호흡기이탈이 가능하였다. 진통제로는 평균 0.8$\pm$1.8 (범위: 0~9) mg 용량의 모르핀이 사용되었으며 환아는 평균 35.0$\pm$32.2 (범위: 10~194) 시간동안 중환자실 관리가 필요했고 평균 재원기간은 6.2$\pm$2.0 (범위: 3~11) 일이었다. 상흔관련 합병증 및 수술사망례는 발생하지 않았다. 결론: 비록 단기간의 관찰이었지만 본연구를 통해 저자등은 소아연령군에서 일부 선천성 심질환에 대하여 최소침투적심장수술의 적용의 가능성 및 유용성을 입증하였으며 특히 미용효과면에서 탁월하다는 사실을 발견하였다.