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Tourniquet-Free Hand Surgery Using the One-per-Mil Tumescent Technique

  • Prasetyono, Theddeus O.H.
    • Archives of Plastic Surgery
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    • v.40 no.2
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    • pp.129-133
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    • 2013
  • Background A pneumatic tourniquet is generally used to achieve a bloodless operation field in hand surgery. However, this has changed with tumescent solution-based wide-awake surgery. This study is a preliminary prospective case series study to elaborate the formula and indications of the tumescent technique in hand surgery without a tourniquet. Methods Seven patients (age range, 4 months to 37 years) underwent hand or upper extremity surgery for conditions such as nerve palsy, electric burn defect, fingertip injury, contracture, constriction ring syndrome, or acrosyndactyly. A "one-per-mil" tumescent solution (epinephrine 1:1,000,000+20 mg lidocaine/50 mL saline) was used to create a bloodless operating field without a tourniquet. Observation was performed to document the amount of solution injected, the operation field clarity, and the postoperative pain. Results The "one per mil" epinephrine solution showed an effective hemostatic effect. The tumescent technique resulted in an almost bloodless operation field in the tendon and in the constriction ring syndrome surgeries, minimal bleeding in the flap and contracture release surgeries, and acceptable bleeding in acrosyndactyly surgery. The amount of solution injected ranged from 5.3 to 60 mL. No patient expressed significant postoperative pain. Flap surgeries showed mixed results. One flap was lost, while the others survived. Conclusions Epinephrine 1:1,000,000 in saline solution is a potential replacement for a tourniquet in hand surgery. Further studies are needed to delineate its safety for flap survival.

hydration of the Fly Ash-CaO System in the Presence of Various Chemical Activators (화학 활성화제에 의한 플라이애쉬-생석회계의 수화반응)

  • 송종택;김재영;류동우;고상렬;한경섭
    • Journal of the Korean Ceramic Society
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    • v.35 no.2
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    • pp.185-195
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    • 1998
  • This experiment carried out in order to investigate the effect of the chemical activators for acceleration of hydration the system of Fly ash-Cao The paste was consisted of 80wt% Fly ash and 20wt% CaO with 1. 3. 5wt% of 4 activators(N{{{{ alpha _2 }}S{{{{ OMICRON _4 }}, CaC{{{{ {l }_{2 } }}, NaOH, Ca(N{{{{ OMICRON _3 {)}_{2 } }} and W/S ratio of 0.42 After curing for 1, 3, 7, 14, 28 days the paste hydration was characterized by the measurement of compressive strength XRD analysis SEM observation the combined water and the reaction amount of Ca(OH)2 determination. As a result of this ex-periment all of the system which involved Na2SO4 or NaOH had a god compressive strength. In the case of 7 days curing a system which added CaCl2 showed the highest compressive strength among all especially NaOH system showed a high increase in strength as a dosage of it increased. Hydration products were different according to activatores added. Only C-S-H was observed in NaOH system. As the reaction amount of Ca(OH)2 and combined water were increased the compressive strength increased. There were few differences in the comparision of strength between ignited loss 3.1% and loss 9.3% of fly ash.

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Assessment of Coastal Ground Water Discharge for Complex Coastlines (해안선의 형태를 고려한 지하수 해안 유출량 평가 기법)

  • Han, Su-Young;Hong, Sung-Hoon;Park, Nam-Sik
    • Journal of Korea Water Resources Association
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    • v.37 no.11
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    • pp.939-947
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    • 2004
  • Amount of ground water discharging through coastline(CGD) is small compared to the amount of river discharges. However, CGD is important for gound water development in coastal areas and for contamination of coastal waters by nutrients transported by ground water. In the previous study, a method was proposed to estimate CGD from simple data such as ground water levels at observation wells and hydraulic conductivities. In this study, the method is enhanced by taking into account complexity of coastlines. A new method is proposed to estimate average hydraulic gradient, length of coastline, and average thickness of freshwater The new method is verified against numerical solutions. It is shown that the method is able to estimate CGD from complex coastlines more accurately than the previous method.

Photoelectronic Properties of CdTe Films Sintered with $CdCl_2$ and $CuCl_2$ ($CdCl_2$$CuCl_2$ 양에 따른 CdTe 소결막의 광전기적 성질)

  • Im, Ho-Bin;Sohn, Dong-Kyun
    • Proceedings of the KIEE Conference
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    • 1987.11a
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    • pp.257-259
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    • 1987
  • The photoelectronic properties of CdTe films sintered with various amounts of $CdCl_2$ and $CuCl_2$ have been investigated by measurements of dark electrical resistivity, photocurrent, thermoelectric power, optical transmission and by observation of microstructure. The grain size and optical transmission of sintered CdTe films increase with increasing amount of $CdCl_2$ indicating that $CdCl_2$ acts as a sintering aid. The photoconductivity gain(A-$cm^2/W$) increases and resistivity($\Omega$-cm) decreases with increasing amount of $CuCl_2$ up to 100ppm due to the occurance of Cu-doping during sintering. The dark resistivity could be reduced farther by post heat treatments. The dark resistivity was still high($10^3{\Omega}$-cm) so that the accurate determination of the hole concentration by Hall measurement or by thermoelectric power measurement was not possible. From the analysis of electrical activation energy, however it can be concluded that the hole concentration is less than $10^{14}/cm^3$ and all grains are depleted of carrier by the trapping centers at grain boundaries.

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Cavitation-Erosion Characteristics of the Stainless Steel with Adding Ti Stabilizer Element in Sea Water (안정화 원소 Ti 첨가에 따른 스테인리스강의 해수 내 캐비테이션-침식 특성)

  • Choi, Yong-Won;Yang, Ye-Jin;Kim, Seong-Jong
    • Journal of the Korean institute of surface engineering
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    • v.49 no.4
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    • pp.344-348
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    • 2016
  • Stainless steel is widely applied in many industrial fields due to its excellent anti-corrosion and durability characteristics. However, stainless steel is very vulnerable to cavitation attack caused by high speed flow of fluid in the chloride environments such as marine environment. These conditions promote intergranular corrosion and cavitation-erosion, leading to degradation of the structural integrity and service life. In order to prevent these problems, the stabilized stainless steel is applied to the offshore and shipbuilding industries. In this study, Ti was added to 19%Cr-9%Ni as the stabilizer element with different concentrations (0.26%, 0.71%), and their durabilities were evaluated with cavitation-erosion experiment by a modified ASTM G32 method. The microstructural change was observed with the stabilizer element contents. The result of the observation indicated that the amount of carbide precipitation was decreased and its size became finer with increasing Ti content. In the cavitation-erosion experiment, both weight loss and surface damage depth represented an inverse proportional relationship with the amount of Ti element. Consequently, the stainless steel containing 0.71% of Ti had excellent durability characteristics.

Prediction Correlation of Solar Insolation using Relationships between Meteorological Data and Solar Insolation in 2012 (2012년 기상관측 결과와 한국형 수평면전일사량 예측식(I))

  • Kim, Ha-Yang;Kim, Jeongbae
    • Journal of the Korean Solar Energy Society
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    • v.36 no.1
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    • pp.1-9
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    • 2016
  • To well design the solar energy system, the correlation to calculate and predict solar irradiation is basically needed. So, this study was performed to reveal the relationships between the solar irradiation and four meteorological observation data(dry-bulb temperature, relative humidity, duration of sunshine, and amount of cloud) that didn't show from previous any other researches. And then, we finally proposed the various order non-linear correlation from the measured solar irradiation and four meteorological measurement data using MINITAB. To show the deviation and accuracy of the solar irradiation between measured and calculated, this study compared for the daily total solar insolation. From those results, the calculation error could well predicted about maximum 97% for the daily total solar insolation. But, the coefficients of the proposed correlations didn't show any relationships. So, needs more studies to make the proper one correlation for the country.

Physicochemical and Sensory Properties of Baikseolgi Incorporated with Strawberry Powders

  • Lee, Jun Ho;Kim, Ji-Hye
    • Food Engineering Progress
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    • v.14 no.3
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    • pp.271-276
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    • 2010
  • Strawberry powder was incorporated into Baikseolgi by substituting the non-glutinous rice flour in the range of 0-8% based on the total weight of the non-glutinous rice flour and the effects on physicochemical and sensory properties were investigated. pH decreased significantly with the higher amount of strawberry powder in the formulation whereas titratable acidity showed a reverse trend (p<0.05). Moisture content also decreased significantly with the increasing amount of strawberry. Lightness ($L^{*}$-value) decreased significantly with higher strawberry powder concentration, indicating that the color of Baikseolgi became dark as also indicated by the visual observation. Redness ($a^{*}$-value) and yellowness ($b^{*}$-value), on the other hand, increased significantly with the substitution of strawberry powders up to 8% (p<0.05). Increases in strawberry powder concentration up to 8% in the Baikseolgi formulation significantly increased the intensities of sensory color, flavor, and taste attributes; on the other hand, the intensities of sensory moistness and chewiness decreased significantly (p<0.05). Results from the consumer test revealed that control received the highest acceptability scores in all attributes but 4% sample also obtained the competitive scores. Finally, Pearson correlation analysis revealed several very highly significant linear correlation between the means used to access physicochemical, sensory properties, and consumer preferences.

Effect of Zn additions on the Mechanical Properties of High Strength Al-Si-Mg-Cu alloys (Zn 첨가량에 따른 Al-Si-Mg-Cu계 합금의 미세조직 및 기계적 특성변화)

  • Hwang, Soo-Been;Kim, Byung-Joo;Jung, Sung-Su;Kim, Dong-Gyu;Lee, Young-Cheol
    • Journal of Korea Foundry Society
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    • v.39 no.3
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    • pp.33-43
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    • 2019
  • In this study, the effects of Zn additions on the mechanical properties of Al-Si-Mg-Cu alloys were investigated by increasing the amount of Zn up to 8wt.%. As the Zn content was increased up to 6 wt.%, the yield strength and elongation changed linearly without any significant changes in the size and shape of the main reinforcement phase. However, it was confirmed by SEM observation that the Mg-Zn phase formed between the reinforcement phases when the amount of Zn added exceeded 7wt.%. A Mg-Zn intermetallic compound formed between the $Mg_2Si$ phase, becoming a crack initiation point under stress. Thus, the formation of the Mg-Zn phase may cause a sharp decrease in the elongation when Zn at levels exceeding 7 wt.%. It was also found that the matrix became more brittle with increasing the Zn content. From these results, it can be concluded that the formation of the Mg-Zn intermetallic compound and the brittle characteristics of the matrix are the main causes of the remarkable changes in the mechanical properties of this alloy system

The Characteristics of Rock Weathering due to Freeze-Thawing - Focused on Rhyolite, Basalt, Tuff - (동결-융해작용에 따른 암석풍화의 특성 - 유문암, 현무암, 응회암을 중심으로 -)

  • Yang, Jae-Hyuk
    • Journal of The Geomorphological Association of Korea
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    • v.25 no.1
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    • pp.47-65
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    • 2018
  • Frost shattering has traditionally been considered as one of the most effective process in rock weathering. Each slab specimens of five or six rhyolite, basalt and tuff was prepared and put in freeze-thaw cycles and repeated 300 times in the temperature of $-25^{\circ}C$ to $+30^{\circ}C$ and their weathering patterns and products were analyzed by surface observation, particle size, XRD and thin section. As the result, some changes were observed in weathering patterns and weathering products. Rock shattering was more active in waterlogging rather than atmospheric conditions, but there are many differences depending on the type of rock. Rhyolite is hardly weathered by 300 times freeze-thaw cycles and generates the least amount of weathering products. Weathering of Basalt is limited to the surface layer where water can be absorbed, and produces a few amount of platy-shape debris. Tuff are separated by blocky structure which the particles are aggregated along their edges rather than enlarged existing cracks/joins or generated new joints.

Effect of Process Variables on the Flash Butt Welding of High Strength Steel

  • Kim, Y.S.;Kang, M.J.
    • International Journal of Korean Welding Society
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    • v.3 no.2
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    • pp.24-28
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    • 2003
  • This study was aimed to evaluate the quality of flash welded joints and optimize the welding process for flash butt welding of 780MPa grade high strength steel. And then the relationship between the welding process variables and the joint quality would be established. The effect of process variables between flashing and upsetting process was elucidated. Microstructure observation of the joint indicated that the decarburized band was mainly changed with upsetting process. Width of HAZ was also related to the upsetting conditions rather than the flashing conditions. Generally maximum hardness at HAZ was correlated with Ceq of steel and the empirical relationship was obtained to estimate the HAZ properties. Tensile elongation at the joint was usually decreased with increasing the initial clamping distance. Investigation of fracture surface after tensile and bending tests reveal that the origin of cracking at the joint was oxide inclusions composed of $SiO_2$, MnO, $Al_2O_3$, and/or FeO. The amount of inclusions was dependent on the composition ratio of Mn/Si in steel. If this ratio was above 4, the amount of inclusions was low and then the resistance to cracking at the joint was enough to maintain the joint performance. It was obtained that the flashing process influenced the conditions for the energy input to establish uniform or non­uniform molten layer, while the upsetting conditions influenced the joint strength. Heat input variable during flashing process was also discussed with the joint properties.

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