• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2003년도 봄 학술발표회 논문집
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• pp.597-600
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• 2003

The development and maintenance of a sound bond are an essential requirements of concrete repair and replacement. The bond property of a bonded overlay to its substrate concrete during the lifetime is one of the most important performance requirements which should be quantified. A standard or a verified bond strength measurement method is required at field for screening, selecting materials and quality control for overlay or repair materials. This study compares the nipple pipe direct tensile test, flexural adhesion test, and core pull-off test with their test results. Substantial differences in the failure stresses of three test methods were attributed to their different geometries and loading conditions. From these comparison and investigation, core pull-off test was relatively good because the coefficient of variation values were about 2%. It would be suitable for use in-situ because of its simplicity and accuracy.

• Carbon letters
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• 제1권2호
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• pp.76-81
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• 2000

Physical properties of artificial graphite electrodes were evaluated along three different directions; circumferential (X), radial (Y), and axial (Z) directions. Four kinds of commercial electrode products were used in this study for the evaluation; pole (AP) and nipple (AN) of manufacturer A, pole (BP) and nipple (BN) of manufacturer B. The mechanical, electrical, and thermal properties in X and Y directions were very similar to each other. In Z direction, however, the mechanical properties, including flexural strength and compressive strength, were higher, and electric resistance and thermal expansion were much lower than those in the other directions. The microstructures observed by optical microscope and scanning electron microscope revealed that the differences in properties by the measuring direction were caused by the preferential alignment of needle cokes along the Z direction. When comparing the properties of the electrode samples in the same direction, the mechanical properties mainly depended on the bulk density or porosity of the samples as well as preferential alignment of needle cokes.

• Archives of Plastic Surgery
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• 제34권5호
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• pp.622-627
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• 2007

Purpose: Although the autogenous tissue transfer has been the mainstay of the breast reconstruction, concern for the donor site morbidity can lead to the superseded method using tissue expander with implant or permanent expander-implant. However, the additional procedure of tissue expansion possibly cause discomfort and raise the cost. We tried to verify the efficacy of using the saline-filled breast implant by itself for the safe and convenient immediate breast reconstruction modality if the patients have small, round and non-ptotic breasts and the sufficient breast skin can be saved with mastectomy. Methods: From July 2002 to July 2005, 29 breasts of 26 patients were restored only with the saline-filled breast implant immediately after the skin sparing or nipple-areolar skin sparing mastectomy in Asan Medical Center. A pocket with pectoralis major and serratus anterior muscle was created and the implant was covered with this muscle pocket. Simultaneous contralateral augmentation was performed in patients whose mastectomy specimen weighed less than 100g. Results: Using only the saline-filled breast implant resulted in the successful reconstruction with few complications including partial necrosis of nipple areolar skin (five cases, 17.2%), capsular contracture (three cases, 10.3%), hematoma (one case, 3.4%), depigmentation of areolar skin (one case, 3.4%), hypertrophic scar (one case, 3.4%), which were all healed by conservative management. There were no significant complications such as implant exposure and subsequent removal. Conclusion: Immediate breast reconstruction only with the saline-filled breast implant can be a satisfactory alternative option for the patients whose breast is small, round and non-ptotic, especially when the nipple-areolar skin of the breast is preserved in the mastectomy.

• 한국가스학회지
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• 제16권6호
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• pp.67-72
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• 2012

본 연구에서는 압축천연가스 자동차용으로 사용하는 CNG 충전니플의 밀봉성과 밀봉내구 안전성에 관련된 접촉법선응력 및 등가진응력을 유한요소법으로 해석하였다. 기존의 원형 오링과 새로운 더블립 오링에 초기압축률 15%를 가한 상태에서 밀봉력을 해석한 결과에 의하면, 두 곳에서 밀봉작용을 하는 더블립 오링이 한곳에서 밀봉작용을 하는 기존의 원형 오링보다 41% 더 높게 나타남을 알 수 있다. 오링에 초기압축력 15%와 가스압축압력 8MPa을 작용한 상태에서 가스누출 차단 안전성을 비교하면, 기존의 원형 오링보다는 더블립 오링에서 5% 향상된 해석결과를 제시하고 있다. 또한, 오링의 밀봉내구 안전성을 비교한 FEM 해석결과에 의하면, 원형 오링보다는 더블립 오링에서 발생된 최대등가진응력이 10.2%나 더 높게 발생한 것으로 나타났다. 이것은 더블립 오링이 기존의 원형 오링보다는 장수명을 보장할 수 있다는 것이다.

• Archives of Plastic Surgery
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• 제42권4호
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• pp.446-452
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• 2015

Background Various techniques are used for performing breast reduction. Wise-pattern and vertical scar techniques are the most commonly employed approaches. However, a vertical scar in the mid-lower breast is prominent and aesthetically less pleasant. In contrast, a semicircular horizontal approach does not leave a vertical scar in the mid breast and transverse scars can be hidden in the inframammary fold. In this paper, we describe the experiences and results of semicircular horizontal breast reductions performed by a single surgeon. Methods Between September 1996 and October 2013, our senior author used this technique in 38 cases in the US and at our institution. We used a superiorly based semicircular incision, where the upper skin paddle was pulled down to the inframammary fold with the nipple-areola complex pulled through the keyhole. Results The average total reduction per breast was 584 g, ranging from 286 to 794 g. The inferior longitudinal pedicle was used in all the cases. The average reduction of the distance from the sternal notch to the nipple was 13 cm (range, 11-15 cm). The mean decrease in the bra cup size was 1.7 cup sizes (range, a decrease of 1 to 3). We obtained very satisfactory results with a less noticeable scar, no complication such as necrosis of the nipple or the skin flap, wound infection, aseptic necrosis of the breast tissue, or wound dehiscence. One patient had a small hematoma that resolved spontaneously. Conclusions This technique is straightforward and easy to learn, and offers a safe, effective, and predictable way for treating mammary hypertrophy.

• Archives of Plastic Surgery
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• 제38권1호
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• pp.63-68
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• 2011

Purpose: Mastectomy is one of the operative procedures of female to male transsexuals. It is aimed to excise all of breast tissues and to reconstruct male chest wall, areola, and nipple. Breast sizes are varied by developmental status and their hormonal therapy. There are several approaches for mastectomy. This study is aimed to suggest appropriate mastectomy methods according to breast size in the female to male transgenders. Methods: We retrospectively analysed 46 patients of female to male transgenders. Breast size was categorized by their inner wear size. In A cup size, mastectomy was done with periareolar approach. In C cup size, inframammary fold approach subcutaneous mastectomy was performed. In B cup size, periareolar approach was used for grade A or B ptosis patient, and inframammary fold approach was choosen for the patient with grade C ptosis. Results: Subcutaneous mastectomy was done through semicircular periareolar approach for 26 patients. There were 2 cases of major complications that should be corrected by hematoma evacuation. Circumareolar approach was used for 5 patients, and a case of nipple-areolar complex necrosis was observed. Two cases of another complications which were irregularity of breast and wound disruption could be corrected. Inframammary fold approach was selected for 15 patients. There was a case of wound disruption, so revision surgery whould be done. Four cases of breast irregularity was corrected spontaneously, and 2 cases of partial necrosis of nipple-areolar complex were corrected with secondary healing. Patient satisfaction score for periareolar, cicumareolar, and inframmammary fold approach were 4.5, 4.2 and 4.1, respectively. Some major and minor complications were observed, but satisfactory results could be secured. Conclusion: Semicircular periareolar incision looked adequate for A cup size patient, circumareolar incision was suitable for B cup size with grade A or B ptosis. In B cup size with grade C ptosis patient and C cup patients, inframammary fold incision looked suitable for optimal results.

• 비파괴검사학회지
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• 제33권5호
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• pp.436-442
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• 2013

마찰용접은 축 대칭 단면금속을 용접하는 매우 유용한 결합 과정이다. 본 논문에서는 굴삭기용 호스 니플의 관대관 마찰용접을 시행하여 수송산업 등에 적용 가능성을 제안하고 마찰용접 변수의 기계적 특성을 분석하여 최적화 조건을 결정하고자 하였다. 회전속도, 마찰가열압력 및 가열시간 등 주요 변수를 선정하고 각 매개변수의 세 가지 수준에서 실험을 수행하였다. 한편, 최적의 마찰용접조건을 비파괴적으로 도출하기 위하여 음향방출기법이 적용되었으며 카운터, 이벤트 및 파형과 주파수 스팩트럼 등의 AE 파라미터들을 이용하여 마찰용접시 발생하는 신호를 분석하고자 하였다. 인장시험 결과 최적의 용접 변수는 회전속도 1300 rpm, 마찰가열압력 15 MPa, 마찰가열시간 10초로 나타났으며, 이벤트는 마찰용접된 시험편의 인장강도를 추정하는데 유용한 파라미터가 되었다.

• Archives of Plastic Surgery
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• 제41권4호
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• pp.366-373
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• 2014

Background The advent of skin-sparing mastectomy has allowed for the reconstruction of the breast and nipple with improved cosmesis. However, the nipple-areolar complex (NAC) in Asian patients is more pigmented and scars easily. Therefore, commonly described incisions tend to result in poor aesthetic outcomes in Asian patients with breast cancer. Methods We describe an algorithmic approach to skin-sparing mastectomy incisions in Asian patients on the basis of the location of the biopsy scar and the tumor site and size. Four incision types are described: peri-areolar, a peri-areolar incision with a second distant skin paddle, "racquet handle," and peri-areolar with adjacent skin excision. Results 281 immediate breast reconstructions were performed between May 2001 and February 2012 after skin-sparing mastectomy. The mastectomy incisions used included the peri-areolar design (n=124, 44%), peri-areolar design with a second distant skin paddle (n=39, 14%), "racquet handle" (n=21, 7.5%), and peri-areolar design with adjacent skin excision (n=42, 14%). The traditional elliptical incision and other variants where the NAC outline was not preserved were performed in the remaining 55 patients. The average follow-up was 44.7 months during which there was 1 case of total flap loss and 7 cases of partial flap necrosis; all remaining flaps survived. 24% of the patients (68/281) underwent subsequent nipple reconstruction. Conclusions Our algorithm avoids breast incisions that are randomly placed or excessively long and prevents the unnecessary sacrifice of normal breast skin. This allows skin-sparing mastectomy and immediate breast reconstruction to be performed with a consistently achievable aesthetic result in Asian women without neglecting oncological safety.

• Archives of Plastic Surgery
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• 제41권4호
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• pp.407-413
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• 2014

Background Implant malposition can produce unsatisfactory aesthetic results after breast augmentation. The goal of this article is to identify aspects of the preoperative surgical planning and intraoperative flap fixation that can prevent implant malposition. Methods This study examined 36 patients who underwent primary dual plane breast augmentation through an inframammary incision between September 1, 2012 and January 31, 2013. Before the surgery, preoperative evaluation and design using the Randquist formula were performed. Each patient was evaluated retrospectively for nipple position relative to the breast implant and breast contour, using standardized preoperative and postoperative photographs. The average follow-up period was 10 months. Results Seven of 72 breasts were identified as having implant malposition. These malpositions were divided into two groups. In relation to the new breast mound, six breasts had an inferiorly positioned and one breast had a superiorly positioned nipple-areolar complex. Two of these seven breasts were accompanied with an unsatisfactory breast contour. Conclusions We identified two main causes of implant malposition after inframammary augmentation mammaplasty. One cause was an incorrect preoperatively designed nipple to inframammary fold (N-IMF) distance. The breast skin and parenchyma quality, such as an extremely tight envelope, should be considered. If an extremely tight envelope is found, the preoperatively designed new N-IMF distance should be increased. The other main cause of malposition is failure of the fascial suture from Scarpa's fascia to the perichondrium through an inframammary incision. As well, when this fixation is performed, it should be performed directly downward to the perichondrium, rather than slanted in a cranial or caudal direction.

• Archives of Plastic Surgery
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• 제48권5호
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• pp.483-493
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• 2021

Background Direct-to-implant (DTI) breast reconstruction after nipple-sparing mastectomy (NSM) with the use of acellular dermal matrix (ADM) provides reliable outcomes; however, the use of ADM is associated with a higher risk of complications. We analyzed our experiences of post-NSM DTI without ADM and identified the predictive factors of adverse surgical outcomes. Methods Patients who underwent NSM and immediate DTI or two-stage tissue expander (TE) breast reconstruction from 2009 to 2020 were enrolled. Predictors of adverse endpoints were analyzed. Results There were 100 DTI and 29 TE reconstructions. The TE group had a higher rate of postmastectomy radiotherapy (31% vs. 11%; P=0.009), larger specimens (317.37±176.42 g vs. 272.08±126.33 g; P=0.047), larger implants (360.84±85.19 g vs. 298.83±81.13 g; P=0.004) and a higher implant/TE exposure ratio (10.3% vs. 1%; P=0.035). In DTI reconstruction, age over 50 years (odds ratio [OR], 5.43; 95% confidence interval [CI], 1.50-19.74; P=0.010) and a larger mastectomy weight (OR, 1.65; 95% CI, 1.08-2.51; P=0.021) were associated with a higher risk of acute complications. Intraoperative radiotherapy for the nipple-areolar complex increased the risk of acute complications (OR, 4.05; 95% CI, 1.07-15.27; P=0.039) and the likelihood of revision surgery (OR, 5.57; 95% CI, 1.25-24.93; P=0.025). Conclusions Immediate DTI breast reconstruction following NSM is feasible in Asian patients with smaller breasts.