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Management for Gait Disturbance and Foot Pain in a Patient with Klippel-Trenaunay-Weber Syndrome : A case report

  • Choi, Yoon-Hee
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.85-89
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    • 2021
  • Background : Klippel-Trenaunay-Weber syndrome (KTS) is a rare congenital medical condition characterized by complex vascular malformation. KTS consists of a classic triad of capillary malformation (hemangioma), venous malformations and bone or soft tissue hypertrophy causing limb asymmetry. The aim of this report is to describe management for gait disturbance and foot pain in a Patient with KTS using custom-made total contact insole. Case presentation : A 32-year-old man with KTS presented with a 3-year history of gait disturbance on hard surface due to right first toe pain and Achilles tendon tightness. The patient had soft tissue hypertrophy, varicose veins and port-wine stains over the right lower limb associated with KTS. True leg length discrepancy was 2 cm. We prescribed custom-made total contact insole to protect his deformed foot and correct leg length discrepancy. The insole of right side included wedge shaped heel lift and the insole of left side included full length lift to add extra support on unaffected side. Also, we provided compression stocking and physiotherapy including manual lymphatic drainage for lymphedema and stretching exercise for tightness in right lower extremity. At 3 years follow-up, postural alignment including pelvic obliquity was improved using a custom-made total contact insole. The degree of scoliosis and foot pain were also reduced. Conclusion : An individualized and multidisciplinary approach is essential regarding the complexity of comorbidities in patients with KTS. For patients with KTS, orthotic management should be considered to prevent and correct deformities related to KTS. Active orthotic management, compression stocking and physiotherapy can enhance the quality of life and function in patients.

Evaluation on the Photovoltaic Module Arrangement Planning Considering Shading Conditions in Apartment Buildings (음영조건을 고려한 공동주택 옥상 태양광모듈의 배치계획 평가 연구)

  • Lee, Keo-Re;Lee, Yoon-Sun;Lim, Jae-Han
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.35 no.5
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    • pp.169-179
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    • 2019
  • During the initial design stage of apartment complex, the photovoltaic(PV) system has been considered as an alternative of renewable energy system and planned to install at the rooftop floor level in general. The electric power generation characteristics can be influenced by the block layout, building orientation and roof top structure because of azimuth angle, tilt angle, and partial shading. This study aims to investigate power generation characteristics of photovoltaic system in apartment buildings by considering the partial shading conditions due to the block layout, building orientation and roof-top structures. For the photovoltaic module arrangement planning in rooftop floor level, shading areas were firstly analyzed due to the adjacent building structure. And the annual and seasonal power generation of PV system were analyzed through the PVsyst simulation results. The results show that shading period at the roof top surface can be increased due to the parapet and water tank. Initial design power capacity can be decreased by considering the daily insolation period and distance between PV modules through the shading simulation. As the number of PV modules decreases, the annual power generation can be decreased. However annual power generation per unit area of PV modules can be increased and performance ratio can be increased above 80%. Also the power generation of PV system can be critically affected by building orientation and the performance ratio can be drastically decreased in east-oriented buildings due to the shading problems caused by adjacent structures at roof top level such as parapet and water tank.

Development of a process to apply uniform pressure to bond CFRP patches to the inner surface of undercut-shaped sheet metal parts (언더컷 형상의 판재 성형품에 보강용 CFRP 패치의 접합을 위한 공정기술 개발)

  • Lee, Hwan-Ju;Jeon, Yong-Jun;Cho, Hoon;Kim, Dong-Earn
    • Design & Manufacturing
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    • v.14 no.4
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    • pp.65-70
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    • 2020
  • Partial reinforcement of sheet metal parts with CFRP patch is a technology that can realize ultra-lightweight body parts while overcoming the high material cost of carbon fiber. Performing these patchworks with highly productive press equipment solves another issue of CFRP: high process costs. The A-pillar is the main body part and has an undercut shape for fastening with other parts such as roof panels and doors. Therefore, it is difficult to bond CFRP patches to the A-pillar with a general press forming tool. In this paper, a flexible system that applies uniform pressure to complex shapes using ceramic particles and silicone rubber is proposed. By benchmarking various A-pillars, a reference model with an undercut shape was designed, and the system was configured to realize a uniform pressure distribution in the model. The ceramic spherical particles failed to realize the uniform distribution of high pressure due to their high hardness and point contact characteristics, which caused damage to the CFRP patch. Compression equipment made of silicone rubber was able to achieve the required pressure level for curing the epoxy. Non-adhesion defects between the metal and the CFRP patch were confirmed in the area where the bending deformation occurred. This defect could be eliminated by optimizing the process conditions suitable for the newly developed flexible system.

Experimental design approach for ultra-fast nickel removal by novel bio-nanocomposite material

  • Ince, Olcay K.;Aydogdu, Burcu;Alp, Hevidar;Ince, Muharrem
    • Advances in nano research
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    • v.10 no.1
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    • pp.77-90
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    • 2021
  • In the present study, novel chitosan coated magnetic magnetite (Fe3O4) nanoparticles were successfully biosynthesized from mushroom, Agaricus campestris, extract. The obtained bio-nanocomposite material was used to investigate ultra-fast and highly efficient for removal of Ni2+ ions in a fixed-bed column. Chitosan was treated as polyelectrolyte complex with Fe3O4 nanoparticles and a Fungal Bio-Nanocomposite Material (FBNM) was derived. The FBNM was characterized by using X-Ray Diffractometer (XRD), Scanning Electron Microscopy-Energy Dispersive X-Ray Spectroscopy (SEM-EDS), Fourier Transform Infrared spectra (FTIR) and Thermogravimetric Analysis (TGA) techniques and under varied experimental conditions. The influence of some important operating conditions including pH, flow rate and initial Ni2+ concentration on the uptake of Ni2+ solution was also optimized using a synthetic water sample. A Central Composite Design (CCD) combined with Response Surface Modeling (RSM) was carried out to maximize Ni2+ removal using FBNM for adsorption process. A regression model was derived using CCD to predict the responses and analysis of variance (ANOVA) and lack of fit test was used to check model adequacy. It was observed that the quadratic model, which was controlled and proposed, was originated from experimental design data. The FBNM maximum adsorption capacity was determined as 59.8 mg g-1. Finally, developed method was applied to soft drinks to determine Ni2+ levels. Reusability of FBNM was tested, and the adsorption and desorption capacities were not affected after eight cycles. The paper suggests that the FBNM is a promising recyclable nanoadsorbent for the removal of Ni2+ from various soft drinks.

Management of complicated crown fracture by tooth fragment reattachment with fiber post: a case report (섬유 강화형 포스트를 이용한 치관 파절된 치아의 재부착: 증례보고)

  • Kim, Yu-Ri;Jung, Kyoung-Hwa;Son, Sung-Ae;Park, Jeong-Kil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.251-258
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    • 2021
  • Dental trauma is very common in children and relatively young people, with the line of treatment depending on the time elapsed, age of the child, and tooth maturity. If the fractured segment is available and there is close approximation of the segment to the remaining tooth, reattachment of the fractured segment is a feasible option. This treatment offers several advantages, including the reestablishment of function, aesthetics, shape, shine and surface texture, in addition to the original contour and alignment of the teeth. The following cases present two different complex crown fracture cases that were treated using tooth fragment reattachment with fiber-reinforced composite post.

Performance of selective combining according to channel selection decision method of frequency diversity in underwater frequency selective channel (수중 주파수 선택적 채널에서 주파수 다이버시티의 채널 선택 판정법에 따른 선택 합성법의 성능)

  • Lee, Chaehui;Jeong, Hyunsoo;Park, Kyu-Chil;Park, Jihyun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.26 no.3
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    • pp.436-442
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    • 2022
  • In this paper, the performance of the selective combining according to the channel selection decision method of frequency diversity is evaluated in the underwater frequency selective channel. The underwater acoustic channel in the shallow sea has a complex multipath characteristic by combining various environmental factors such as boundary surface reflection and sound wave refraction according to the water temperature layer. In particular, frequency selectivity due to multipath causes energy fluctuation in a communication channel, which reduces SNR (Signal to Noise Ratio) and deteriorates communication performance. In this paper, we applied the frequency diversity technique using multiple channels to secure the communication performance according to the frequency selectivity by multipath. For each channel, 4-FSK (Frequency Shift Keying) and selective combining were applied, the performance was evaluated by applying the maximum value, average value, and majority decision of the signal in order to decide the demodulation channel selection of the selective combining.

Surface Analysis and Heavy Metal Adsorption Evaluation of Chemically Modified Biochar Derived from Starfish (Asterina pectinifera) (화학적 개질을 통한 별 불가사리 바이오차 표면 분석 및 중금속 흡착 효율 평가)

  • Jang, Ha Rin;Moon, Deok Hyun
    • Journal of Korean Society on Water Environment
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    • v.38 no.2
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    • pp.82-94
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    • 2022
  • In this study, chemically modified biochar (NSBP500, KSBP500, OSBP500) derived from starfish was utilized to improve the adsorption ability of the SBP500 (Starfish Biochar Pyrolyzed at 500℃) in a solution contaminated with heavy metals. According to the biochar modification performance evaluation batch tests, the removal rate and adsorption amount of NSBP500 increased 1.4 times for Cu, 1.5 times for Cd, and 1.2 times for Zn as compared to the control sample SBP500. In addition, the removal rate and adsorption amount of KSBP500 increased 2 times for Cu, 1.8 times for Cd, and 1.2 times for Zn. The removal rate and adsorption amount of OSBP500 increased 5.8 times for Cu. The FT-IR analysis confirmed the changes in the generation and movement of new functional groups after adsorption. SEM analysis confirmed Cu in KSBP500 was in the form of Cu(OH)2 and resembled the structure of nanowires. The Cd in KSBP500 was densely covered in cubic form of Cd(OH)2. Lead(Pb) was in the form of Pb3(OH)2(CO3)2 in a hexagonal atomic layer structure in NSBP500. In addition, it was observed that Zn was randomly covered with Zn5(CO3)2(OH)6 pieces which resembled plates in KSBP500. Therefore, this study confirmed that biochar removal efficiency was improved through a chemical modification treatment. Accordingly, adsorption and precipitation were found to be the complex mechanisms behind the improved removal efficiency in the biochar. This was accomplished by electrostatic interactions between the biochar and heavy metals and ion exchange with Ca2+.

Evaluation of Formability Dependent on the Location of Injection Gate of Vertical Machining Center ATC Tool Port Using Injection Molding Analysis (사출성형해석을 이용한 수직머시닝센터 ATC 툴 포트의 사출 게이트 위치에 따른 성형성 평가)

  • Lee, Yu-Wool;Park, Chul-Woo;Kim, Jin-Rok;Choi, Hyun-Jin
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.20 no.12
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    • pp.129-135
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    • 2021
  • Injection molding is a manufacturing method of melting the polymer resin and injecting it into a mold to molding it into the desired form. Due to the short molding time and outstanding formability, complex products can be shaped with high precision and it is the most widely used polymer molding method. However, there may be areas that are not filled depending on the location of the injection gate where polymer resin is injected. Formability is determined by deformation and surface precision due to the impact of residual stress after molding. Hence, choosing the location of the injection gate is very important and molding analysis of injection molding is essential to reduce the cost of the mold. This study evaluated the injection formability based on the location of the injection gate of the vertical machining center ATC tool port using injection molding analysis and the results were compared and analyzed. Injection molding analysis was conducted on filling, packing, and deformation according to the location of the gate of the ATC tool port. From each injection gate location, filling time, pressure, and maximum deformation were compared. At gate 2, conditions of molding time and the location of the gate were far superior in production and quality. Gate 2 produced the smallest deformation of 0.779mm with the best quality.

Evaluation on Soil Washing of Metal-contaminated Soil using Non-Inorganic Acids (비 무기산 세척제에 의한 중금속 오염 토양 세척효과 평가)

  • Lee, Ga-Bin;Jeong, Won-Gune;Lee, Su-Min;Park, Jin;Jo, Yong-Hwan;Baek, Kitae
    • Journal of Soil and Groundwater Environment
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    • v.27 no.5
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    • pp.10-17
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    • 2022
  • Inorganic acids such as HCl, HNO3, and H2SO4 have been commonly applied to soil washing of heavy metals-contaminated soil due to their cost-effectiveness. However, implementing the 'Chemical Substance Control Act' requires off-site risk assessment of the chemicals used in the soil washing. Therefore, in this study, organic acids or Fe(III)-based washing agents were evaluated to replace commonly used inorganic acids. Ferric removed heavy metals via H+ generated by hydrolysis, which is similar to the HCl used in the control group. Oxalic acid and citric acid were effective to remove Cu, Zn, and Cd from soil. Organic acids could not remove Pb because they could form Pb-organic acid complexes with low solubility. Furthermore, Pb could be adsorbed onto the iron-organic acid complex on the soil surface. Ferric could remove exchangeable-carbonate, Fe-Mn hydroxide, and organic matter and sulfides bound heavy metals (F1, F2, and F3). Organic acids could remove the exchangeable-carbonate and Fe-Mn hydroxide bound metals (F1&F2). Therefore, this research shows that the fractionation of heavy metals in the soil and the properties of washing agents should be considered in the selection of agents in the process design.

Sediment Trap Studies to Understand the Oceanic Carbon Cycling: Significance of Resuspended Sediments (퇴적물 트랩을 이용한 해양 탄소 순환 연구 동향: 재부유 퇴적물의 중요성)

  • KIM, MINKYOUNG
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.26 no.2
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    • pp.145-166
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    • 2021
  • For several decades, sediment traps have served as one of the key tools for constraining the biological carbon pump (BCP), a process that vertically exports particulate organic carbon (POC) and associated biogenic materials from marine primary production in surface waters to the deep ocean interior. In this paper, I introduced the general methods, the current status of global sediment trap studies, and importance of it to understand the deep ocean carbon cycling. Recent studies suggest that sinking POC in the deep ocean are more complex and spatio-temporally heterogeneous than we considered. Especially researches those studied resuspended and laterally transported particles are presented. Researches that used organic (radiocarbon; 14C) and inorganic (Al) tracers to understand the oceanic POC cycling and the significance of resuspended particles are reviewed, and the importance of radiocarbon study by using MICADAS (Mini radioCarbon Dating Systems) is emphasized.