• The Korean Journal of Pain
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• v.6 no.2
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• pp.258-260
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• 1993

We experienced a rare case of erection failure which developed after unilateral lumbar sympathetic block. A 43 year old male patient suffering from reflex sympathetic dystrophy, which had developed after multiple communitted fracture of the right ankle, underwent right lumbar sympathetic block with 99.9% alcohol. The effectiveness of the lumbar sympathetic block was evaluated by monitoring the clinical symptoms, signs and temperature changes by digital infrared thermographic imaging. Postoperatively, the temperature of the affected side limb rose about $2^{\circ}C$, but the patient's conditions gradually returned to normal. Ten days after the operation the patient complainted of difficulty in achieving an erection. The patient was examined by a urologst without much results. The patient gradually recovered his ability to achieve an erection approximately 5 weeks after the lumbar sympathetic block.

• Journal of Ocean Engineering and Technology
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• v.18 no.1
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• pp.22-27
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• 2004

An orthotropic steel deck system is widely adapted form for a long-span bridge. It has many advantages, such as the big reduction of dead weight, the simplicity for erection, and the reduction of the construction period. However, an orthotropic steel deck system requires a lot of welding work, which may result in defects and deformation of connection. Therefore, the research for the general behavior and fatigue strength of the several details in orthotropic steel deck bridge is necessary. The fatigue failure with distortion results from secondary stress by out-of-plane deformation; these kinds of cracks are very difficult to measure, and can not be precisely calculated through finite element analysis. This stress concentration phenomenon generates the fatigue failure around the lower scallop of the transverse rib. This paper presents improved details of the intersection between the longitudinal rib and the transverse rib of an orthotropic steel deck bridge by the third dimensional hit size test, and the finite element method, which can minimize local stress through parametric study.

• Steel and Composite Structures
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• v.32 no.5
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• pp.571-582
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• 2019

This study aimed to assess the feasibility on the wide and long 9%Ni steel plate for use in the LNG storage inner tank shell. First, 5-m-wide and 15-m-long 9%Ni steel plates were test manufactured from a steel mill and specimens taken from the plates were tested for strength, toughness, and flatness to verify their performance based on international standards and design specifications. Second, plates with a thickness of 10 mm and 25 mm, a width of 4.8~5.0 m, and a length of 15 m were test fabricated by subjecting to pretreatment, beveling, and roll bending resulting in a final width of 4.5~4.8 m and a length of 14.8m with fabrication errors identical to conventional plates. Third, welded specimens obtained via shield metal arc welding used for vertical welding of inner tank shell and submerged arc welding used for horizontal welding were also tested for strength, toughness and ductility. Fourth, verification of shell plate material and fabrication was followed by test erection using two 25-mm-thick, 4.5-m-wide and 14.8-m-long 9%Ni steel plates. No undesirable welding failure or deformation was found. Finally, parametric design using wide and long 9%Ni steel plates was carried out, and a simplified design method to determine the plate thickness along the shell height was proposed. The cost analysis based on the parametric design resulted in about 2% increase of steel weight; however, the construction cost was reduced about 6% due to large reduction in welding work.

• Anatomy and Cell Biology
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• v.56 no.4
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• pp.421-427
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• 2023

Bladder exstrophy is a rare congenital condition of the pelvis, bladder, and lower abdomen that opens the bladder against the abdominal wall, produces aberrant growth, short penis, upward curvature during erection, wide penis, and undescended testes. Exstrophy affects 1/30,000 newborns. The bladder opens against the abdominal wall in bladder exstrophy, a rare genitourinary condition. This study is vital to provide appropriate therapy choices as a basis to improve patient outcomes. This study may explain bladder exstrophy and provide treatment. Epispadias, secretory placenta, cloacal exstrophy, and other embryonic abnormalities comprise the exstrophy-spades complex. The mesenchymal layer does not migrate from the ectoderm and endoderm layers in the first trimester, affecting the cloacal membrane. Embryological problems define the exstrophy-aspidistra complex, which resembles epimedium, classic bladder, cloacal exstrophy, and other diseases. Urogenital ventral body wall anomalies expose the bladder mucosa, causing bladder exstrophy. Genetic mutations in the Hedgehog cascade pathway, Wnt signal, FGF, BMP4, Alx4, Gli3, and ISL1 cause ventral body wall closure and urinary bladder failure. External factors such as high maternal age, smoking moms, and high maternal body mass index have also been associated to bladder exstrophy. Valproic acid increases bladder exstrophy risk; chemicals and pollutants during pregnancy may increase bladder exstrophy risk. Bladder exstrophy has no identified cause despite these risk factors. Exstrophy reconstruction seals the bladder, improves bowel function, reconstructs the vaginal region, and restores urination.

• Steel and Composite Structures
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• v.18 no.6
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• pp.1423-1450
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• 2015

The paper presents the details and results of an experimental study on bolted end-plate joints of industrial type steel building frames. The investigated joints are commonly used in Lindab-Astron industrial buildings and are optimized for manufacturing, erection and durability. The aim of the research was to provide an experimental background for the design model development by studying load-bearing capacity of joints, bolt force distribution, and end-plate deformations. Because of the special joint details, (i.e., joints with four bolts in one bolt-row and HammerHead arrangements), the Eurocode 3 standardized component model had to be improved and extended. The experimental programme included six different end-plate and bolt arrangements and covered sixteen specimens. The steel grade of test specimens was S355, the bolt diameter M20, whereas the bolt grade was 8.8 and 10.9 for the two series. The end-plate thickness varied between 12 mm and 24 mm. The specimens were investigated under pure bending conditions using a four-point-bending test arrangement. In all tests the typical displacements and the bolt force distribution were measured. The end-plate plastic deformations were measured after the tests by an automatic measuring device. The measured data were presented and evaluated by the moment-bolt-row force and moment-distance from centre of compression diagrams and by the deformed end-plate surfaces. From the results the typical failure modes and the joint behaviour were specified and presented. Furthermore the influence of the end-plate thickness and the pretension of the bolts on the behaviour of bolted joints were analysed.