• Archives of Plastic Surgery
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• v.36 no.2
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• pp.153-160
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• 2009

Purpose: The heterodigital or homodigital artery island flap is a popular method of reconstruction for finger defects. Sometimes, digital artery island flap has some disadvantages such as postoperative flap edema, congestion, and partial necrosis of the flap margin. However, we could decrease these disadvantages by means of venous superdrainage. The aim of this study is to report usefulness and postoperative results of venous supercharging digital artery island flaps for finger reconstruction. Methods: From March of 2005 to March of 2008, a total of eight patients with soft tissue defects of the finger underwent venous supercharging digital island flap transfer. Briefly, the flap is harvested along with dorsal vein that is then anastomosed to a recipient vein in an end - to - end fashion, after flap transfer and insetting. Using this technique, eight patients were operated on, ranging in age 23 to 52 years. Results: All the flaps survived with a success rate of 100 percent, thus fully satisfying the reconstructive requirements. No postoperative flap congestion was recognized, obviating the need to take any measures for venous engorgement, such as suture removal. Among 8 cases, it was possible to make an long - term and follow - up observation more than 6 months. In these cases, the fact that light touches and temperature sensations can be detected in all the flaps. Cold intolerance and hyperesthesia were not seen in our series. Conclusion: Providing good harmony with conventional methods and microsurgery, inclusion of a vein with the heterodigital and homodigital artery island flap allows a more reliable and safer reconstructive choice for finger defects. The venous supercharged island flap is a reliable flap with a consistent arterial structure, and with its augmented venous drainage, it is more reliable, providing single - stage reconstruction of adjacent finger defects, including the fingertip.

• Journal of the Korean Burn Society
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• v.24 no.1
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• pp.7-13
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• 2021

Purpose: Currently, the most recommended method for burn first aid is the cool running water for 20 minutes (CRW20). If CRW20 is not practicable, cooling dressing products with tea tree oil are used as substitutes. In this study, we analyze the effect of various burn first aids, including CRW20, cooling products, on the treatment period. Methods: This study was conducted on patients who suffered burns and visited Hangangsoo Hospital from March 2019 to March 2020. The study conducted in a retrospective method. The duration of treatment was analyzed by dividing the experimental group. Results: The treatment period was shortened when first aid was given (P<0.001). Cold water, ice, and ice packs resulted in reduced treatment periods (P<0.001, P=0.004). The treatment period was reduced when cooling dressing products were used in all groups (P=0.041). The implementation of first aid has reduced the duration of burn treatment. This means that cooling helps burn treatment. CRW20 did not show statistically meaningful results. This is the result of a failure to fully control the temperature and time of tap water. In addition, the change in temperature of tap water according to season, the use of water is higher than that of animal testing, and the general lack of information on proper burn first aid may have affected. Conclusion: The treatment period was statistically significantly reduced in the group that performed first aid. Among the various first aid methods, cold water and ice reduced the treatment period.

• Archives of Craniofacial Surgery
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• v.24 no.1
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• pp.18-23
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• 2023

Background: When performing reduction of zygomatic arch fractures, locating the inward portion of the fracture can be difficult. Therefore, this study investigated the discrepancy between the locations of the depression on the soft tissue and bone and sought to identify how to determine the inward portion of the fracture on the patient's face. Methods: We conducted a retrospective review of chart with isolated zygomatic arch fractures of type V in the Nam and Jung classification from March 2013 to February 2022. For consistent measurements, a reference point (RP), at the intersection between a vertical line passing through the end point of the root of the ear helix in the patient's side-view photograph and a transverse line passing through the longest horizontal axis of the external meatus opening, was established. We then measured the distance between the RP and the soft tissue depression in a portrait and the bone depression on a computed tomography (CT) scan. The discrepancy between these distances was quantified. Results: Among the patients with isolated zygomatic arch fractures, only those with a fully visible ear on a side-view photograph were included. Twenty-four patients met the inclusion criteria. There were four types of discrepancies in the location of the soft tissue depression compared to the bone depression: type I, forward and upward discrepancy (7.45 and 3.28 mm), type II, backward and upward (4.29 and 4.21 mm), type III, forward and downward (10.06 and 5.15 mm), and type IV, backward and downward (2.61 and 3.27 mm). Conclusion: This study showed that discrepancy between the locations of the depressions on the soft tissue and bone exists in various directions. Therefore, applying the transverse and vertical distances measured from a bone image of the CT scan onto the patient's face at the indicated RP will be helpful for predicting the reduction location.

• Journal of Korean Society of Steel Construction
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• v.29 no.3
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• pp.217-228
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• 2017

Full-scale flexural testing of asymmetric H-shape hybrid composite beams was conducted in this study. In fabricating hybrid H-shape sections, high strength steels were utilized for the bottom flange while ordinary strength steels were used for the top flange and web. With adding a fully composite floor slab, a total of 8 hybrid composite beam specimens were tested. The primary objective was to develop the asymmetric hybrid H-shape composite beams with maximized flexural efficiency and investigate their flexural behavior. Not all the hybrid composite specimens tested in this study exhibited the plastic moment and reasonable deformability. In the specimens with high-strength bottom flange, the longitudinal shear crack of the slab along the beam axis often preceded the development of beam plastic moment, although the slab was designed as fully composite. The mechanical reason for this unexpected behavior is discussed. It is emphasized that the longitudinal shear strength of composite slab should be checked in designing hybrid composite beams utilizing high strength steels like in this study.

• Journal of the Korean Geotechnical Society
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• v.18 no.1
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• pp.91-99
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• 2002

In this study, a new methodology for the assessment of liquefaction potential is proposed. Since there is no data on the liquefaction damage in Korea, the dynamic behavior of fully saturated soils is characterized through laboratory dynamic tests. There are two experimental parameters related to the soil liquefaction resistance characteristics : the one is the index of disturbance determined by $G/G_{max}$ curve and the other is a plastic shear strain trajectory evaluated from stress-strain curve. The proposed methodology takes advantage of the site response analysis based on real earthquake records to determine the driving effect of earthquake. In the evaluation of liquefaction resistance characteristics, it is verified experimentally that the magnitude of cyclic shear stress has no influence on the critical value of plastic shear strain trajectory at which the initial liquefaction occurs. Cyclic triaxial tests under the conditions of various cyclic stress ratios and torsional shear tests are carried out far the purpose of verification. Through this study, the critical value at the initial liquefaction is found unique regardless of the cyclic stress ratio. It is also f3und that liquefaction resistance curve drawn with disturbance and plastic shear strain trajectory can simulate the behavior of fully saturated soils under dynamic loads.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.39 no.5
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• pp.453-460
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• 2015

Since the Fukushima nuclear accident, several researchers are extensively studying the effect of torsion on the piping systems In nuclear power plants. Piping installations in power plants with a circumferential crack can be operated under combined loading conditions such as bending and torsion. ASME Code provides flaw evaluations for fully plastic fractures using limit load criteria for the structural integrity of the cracked pipes. According to the recent version of Code, combined loadings are provided only for the membrane and bending. Even though actual operating conditions have torsion loading, the methodology for evaluating torsion load is not established. This paper provides the results of limit load analyses by using finite element models for circumferentially cracked pipes under pure bending, pure torsion, and combined bending and torsion with tension. Theoretical limit load solutions based on net-section fully plastic criteria are suggested and verified with the results of finite element analyses.

• Journal of the Korean Geotechnical Society
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• v.21 no.8
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• pp.27-35
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• 2005

Several damages due to large displacement caused by liquefaction have been reported increasingly. Numerical procedures based on effective stress analysis are therefore necessary to predict liquefaction-induced deformation. In this paper, the fully coupled effective stress model called UBCSAND is proposed to simulate pore pressure rise due to earthquake or repeated loadings. The proposed model is a modification of the simple perfect elasto-plactic Mohr-Coulomb model, and can simulate a continuous yielding by mobilizing friction and dilation angles below failure state. Yield function is defined as the ratio of shear stress to mean normal stress. It is radial lines on stress space and has the same shape of Mohr-Columob failure envelope. Plastic hardening is based on an isotropic and kinematic hardening rule. The proposed model always causes plastic deformation during loading and reloading but it predicts elastic unloading. It is verified by capturing direct simple shear tests on loose Fraser River sand.

• Steel and Composite Structures
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• v.36 no.4
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• pp.399-415
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• 2020

Responses of semi-rigid frames having different degrees of semi-rigidity obtained by the nonlinear static analysis (NSA) are evaluated at specific target displacements by comparing them with those obtained by the nonlinear time-history analysis (NTHA) for scaled earthquakes. The peak ground accelerations (PGA) of the earthquakes are scaled such that the obtained peak top story displacements match with the target displacements. Three different types of earthquakes are considered, namely, far-field and near-field earthquakes with directivity and fling-step effects. In order to make the study a comprehensive one, three degrees of semi-rigidity (one fully rigid and the other two semi-rigid), and two frames having different heights are considered. An ensemble of five-time histories of ground motion is included in each type of earthquake. A large number of responses are considered in the study. They include the peak top-story displacement, maximum inter-story drift ratio, peak base shear, total number of plastic hinges, and square root of sum of the squares (SRSS) of the maximum plastic hinge rotations. Results of the study indicate that the nonlinear static analysis provides a fairly good estimate of the peak values of top-story displacements, inter-story drift ratio (for shorter frame), peak base shear and number of plastic hinges; however, the SRSS of maximum plastic hinge rotations in semi-rigid frames are considerably more in the nonlinear static analysis as compared to the nonlinear time history analysis.

• Journal of the Earthquake Engineering Society of Korea
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• v.14 no.4
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• pp.37-48
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• 2010

The seismic control effect of reinforced concrete structures with low energy dissipating capacity due to stiffness degradation is investigated through nonlinear time history analysis. The primary structure is idealized as a SDOF system of modified Takeda hysteresis rule and an elasto-perfectly-plastic nonlinear spring is added to represent a hysteretic damping device. Based on statistics of the numerical analysis, equivalent linearization techniques are evaluated, and empirical equations for response prediction are proposed. As a result, estimation of the ductility demand with proposed empirical equations is more desirable than the equivalent linearization techniques. The optimal yield strengths based on empirical equations are significantly different from the optimal yield strength of elasto-perfectly-plastic systems. Also, the results indicate that the reduction effect of the ductility demand is more remarkable for smaller natural periods.

• Structural Engineering and Mechanics
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• v.9 no.3
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• pp.241-256
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• 2000

The major sources of energy dissipation in steel frames with partially restrained (PR) connections are evaluated. Available experimental results are used to verify the mathematical model used in this study. The verified model is then used to quantify the energy dissipation in PR connections due to hysteretic behavior, due to viscous damping and at plastic hinges if they are formed. Observations are made for two load conditions: a sinusoidal load applied at the top of the frame, and a sinusoidal ground acceleration applied at the base of the frame representing a seismic loading condition. This analytical study confirms the general behavior, observed during experimental investigations, that PR connections reduce the overall stiffness of frames, but add a major source of energy dissipation. As the connections become stiffer, the contribution of PR connections in dissipating energy becomes less significant. A connection with a T ratio (representing its stiffness) of at least 0.9 should not be considered as fully restrained as is commonly assumed, since the energy dissipation characteristics are different. The flexibility of PR connections alters the fundamental frequency of the frame. Depending on the situation, it may bring the frame closer to or further from the resonance condition. If the frame approaches the resonance condition, the effect of damping is expected to be very important. However, if the frame moves away from the resonance condition, the energy dissipation at the PR connections is expected to be significant with an increase in the deformation of the frame, particularly for low damping values. For low damping values, the dissipation of energy at plastic hinges is comparable to that due to viscous damping, and increases as the frame approaches failure. For the range of parameters considered in this study, the energy dissipations at the PR connections and at the plastic hinges are of the same order of magnitude. The study quantitatively confirms the general observations made in experimental investigations for steel frames with PR connections; however, proper consideration of the stiffness of PR connections and other dynamic properties is essential in predicting the dynamic behavior.