• Title/Summary/Keyword: Pivot

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Reconstruction of the Soft Tissue Defect of the Lower Leg by Distally Based Superficial Sural Artery Fasciocutaneous Island Flap Using Supercharged Vein (원위기저 도서형 천비복동맥 근막피판으로 하지 재건 시 과급정맥문합의 이용)

  • Ha, Young In;Choi, Hwan Jun;Choi, Chang Yong;Kim, Yong Bae
    • Archives of Plastic Surgery
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    • v.35 no.2
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    • pp.208-213
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    • 2008
  • Purpose: Distally based superficial sural artery island flap has some disadvantages such as postoperative flap edema, congestion, and partial necrosis of the flap margin. Venous congestion is an area of considerable concern in distally based superficial sural artery fasciocutaneous flap and is one of the main reasons for failure, particularly when a large flap is needed. However, we could decrease these disadvantages by means of venous superdrainage. Methods: From June of 2006 to June of 2007, a total of two patients with soft tissue defects of lower one third of the leg underwent venous supercharging distally based superficial sural artery island flap transfer. The distal pivot point of this flap was designed at septocutaneous perforator from the peroneal artery of the posterolateral septum, which was 5 cm above the tip of the lateral malleolus. Briefly, this technique is performed by anastomosing the proximal end of the lesser saphenous vein and collateral vein to any vein in the area of the recipient defect site. Results: No venous congestion was noted in any of the two cases. No other recipient or donor-site complications were observed, except for minor wound dehiscence in one case. In 3 to 6 months follow-up, patients had minor complaints about lack of sensation in the lateral dorsal foot. Conclusion: The peroneal artery perforator is predictable and reliable for the design of a distally based superficial sural artery island flap. Elevation of the venous supercharging flap is safe, easy, and less time consuming. In conclusion, the venous supercharging distally based superficial sural artery island flap offers an alterative to free tissue transfer for reconstruction of the lower extremity.

Using Rib Bone Turnover Technique, Prevention of Chest Wall Depression after Microtia Reconstruction (늑골 Turnover 방법을 이용한 소이증 재건 시 흉벽 함몰 예방술)

  • Park, Chan Young;Lee, Yoon Ho
    • Archives of Plastic Surgery
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    • v.35 no.2
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    • pp.214-218
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    • 2008
  • Purpose: Reconstruction of microtia using costal cartilage graft is commonly used technique nowadays. The chest wall depression at the donor site after the graft, however, has been noticed in many articles. Prevention or correction technique for the depression at the donor site also has been reported and we also have been concerned about the problem. This article is a case report about a new technique preventing chest wall depression after costal cartilage graft. Methods: We selected total 15 microtia patients who visited our clinic, from December 2005 to July 2007. They were 10 male and 5 female patients and the mean age was 11.9 years. The average follow up period was 9.2 months(2 to 15 months). We used 6, 7, and $8^{th}$ costal cartilage for microtia reconstruction. And then we turned over pivot of cartilage resection margin, after bihalving costal cartilage involving about 5-6 cm of $6^{th}$ and $7^{th}$ rib bone. After microtia reconstruction, chest donor sites were evaluated by physical examination and radiography. Results: Postoperative depression at the donor site was much less when the costal cartilage turnover technique was performed. Postoperative physical examination and three dimensional reconstruction CT showed that the rest part of rib bone was turned over and it supported the soft tissue defect during respiration. Conclusion: We expect that the turnover rib bone will not be absorbed after graft, as well as offering mechanical support, compared to the other reports.

A Case Report on the Meniscal Tear due to Repetitive Foot-Switch Stepping (반복적으로 풋스위치를 밟는 작업에 의한 반월상 연골 손상 증례)

  • Yu, Sun-Hee;Lim, Hyun-Sul;Kim, Doo-Hie;Chae, Dong-Ju;Kang, Suk
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.4 s.59
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    • pp.805-814
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    • 1997
  • Injuries to the menisci occur in a variety of ways, most commonly with a twist, pivot, squat, or valgus stress to the knee. Tear patterns are classified to longitudinal, horizontal, or transverse features according to the mechanism of injury. Work-related meniscal tear usually occurs with a repetitive usage of the foot, hence it can be classified as a cumulative traumatic disorder. We found a 47 year-old female worker who had been taking charge of repetitive foot-switch stepping for 8 years. She suffered from pain in the right knee since 5 months ago. Tenderness along the medial joint line of the right knee was observed and pain was aggravated with full flexion of the right knee. On magnetic resonance imaging, high signal intensity was observed at the posterior horn of the medial meniscus of the right knee. Degenerative longitudinal and transverse complex tear in the medial meniscus was observed on arthroscopy. Arthroscopic partial meniscectomy was performed. We surveyed the work process and the health status of co-workers. It turned out that the work process was compatible to injure the meniscus and nine out of fourteen co-worker(64.3%) complained pain of the knee. No other factors related to her meniscal tear could be found except for the situation at her work. Therefore, we conclude that meniscal tear is related to the repetitive stepping of foot switch.

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The Research for Relationships between Concentration of Indoor Radon and Distribution of Soil Geological Map using GIS : Based on the Hwacheon and Jangsu Areas (지리정보시스템(GIS)을 이용한 토양지질도 분포와 실내라돈 상관성 연구 : 화천 및 장수의 사례를 근거로)

  • Kwon, Myunghee;Lee, Jaewon;Kim, Seongmi;Lee, Jungsub;Jung, Joonsig;Yoo, Juhee;Lee, Kyusun;Song, Suckhwan
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.27 no.4
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    • pp.333-351
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    • 2017
  • Objectives: This study examines the relationships between indoor radon concentrations and distribution from soil geological mapping in the Hwacheon and Jangsu areas. Methods: GIS and a pivot table were used for inquiries about indoor radon contents, soil characteristics, and geological differences. Results: The Hwacheon area was characterized by the presence of normal and reverse faults as a passage of runoff for radon, sufficient occurrences of minerals containing uranium within granite as a radon source, a high concentration of radon within the granite area and clear differences of radon concentrations between granitic and metamorphic areas. The Jangsu area was characterized by the presence of normal faults, wide distributions of alluvium, and ambiguities on radon concentrations indoors among areas of geological differences. Considering the granite area and alluvium surrounded with granite areas, the characteristics of radon concentrations within soils and indoors in the Jangsu area are similar to those of the Hwacheon area. High concentrations are found with entisol and inceptisol in the Hawcheon area, but with entisol, inceptisol, and ultisol in the Jangsu area. High radon concentrations are found in sandy loam and/or loam. High concentrations are found in recently constructed or brick buildings, but low concentrations in traditional or prefabricated houses showing a high possibility of outward flow. Conclusions: The overall results suggest that radon concentrations in the Hwacheon and Jangsu area are dominantly influenced by geological characteristics with additional artificial influences.

A New Surface Micromachining Technology for Low Voltage Actuated Switch and Mirror Arrays (저전압 구동용 전기스위치와 미러 어레이 응용을 위한 새로운 표면미세가공기술)

  • Park, Sang-Jun;Lee, Sang-Woo;Kim, Jong-Pal;Yi, Sang-Woo;Lee, Sang-Chul;Kim, Sung-Un;Cho, Dong-Il
    • Proceedings of the KIEE Conference
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    • 1998.07g
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    • pp.2518-2520
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    • 1998
  • Silicon can be reactive ion etched (RIE) either isotropically or anisotropically. In this paper, a new micromachining technology combining these two etching characteristics is proposed. In the proposed method, the fabrication steps are as follows. First. a polysilicon layer, which is used as the bottom electrode, is deposited on the silicon wafer and patterned. Then the silicon substrate is etched anisotropically to a few micrometer depth that forms a cavity. Then an PECVD oxide layer is deposited to passivate the cavity side walls. The oxide layers at the top and bottom faces are removed while the passivation layers of the side walls are left. Then the substrate is etched again but in an isotropic etch condition to form a round trench with a larger radius than the anisotropic cavity. Then a sacrificial PECVD oxide layer is deposited and patterned. Then a polysilicon structural layer is deposited and patterned. This polysilicon layer forms a pivot structure of a rocker-arm. Finally, oxide sacrificial layers are etched away. This new micromachining technology is quite simpler than conventional method to fabricate joint structures, and the devices that are fabricated using this technology do not require a flexing structure for motion.

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Optimum Design of Radial Gate (회전식 수문의 최적 설계)

  • 권영두;권순범;박창규;윤영중
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.14 no.3
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    • pp.267-276
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    • 2001
  • On the basis of structural analysis of the radial gate(that is, Tainter gate), this paper focuses on the optimization of the moment distribution according to the location of the arm of the radial gate. In spite of its importance from economical view point, we could hardly find the study on the optimum design of radial gate. Accordingly, the present study identifies the optimum section modulus for a radial arm along with the optimum position for 2 of 3 radial arms with a convex cylindrical skin plate relative to a given radius of the skin plate curvature, pivot point, water depth, ice pressure, etc. These optimum measurements are then compared with previously constructed radial gates. The results indicate that the optimum section modulus vague for a radial arm was appreciably smaller than the previously constructed examples.

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A Study on the Revitalization of Operating Analysis D.I.Y Carpentry Shop (D.I.Y 목공방 운영 분석을 통한 활성화 방안에 관한 연구)

  • Kim, Young Joo
    • Journal of the Korea Furniture Society
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    • v.23 no.4
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    • pp.415-424
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    • 2012
  • Since the Korean War, starvation and severly desperate living conditions hit the whole country. However, Koreans finally overcame such difficulties, achieving the miracle on the Han River. Through rapid industrial developments, Korea would not need any more supports from the outside but rather became a country which would offer a support. Meanwhile, in 1997, the Korean domestic economy underwent IMF which had caused a massive number of unemployeds. Among those people, many began to show interest in D.I.Y woodcraft for a whole new change and eventually, the industry of D.I.Y woodcraft business became expanded. Now, Korea survived I.M.F and was grown as one of the leading countries in the world, having held the G20 summit conference. Such achievements helped national income increased with the domestic GNP of $30,000, having exceeded $20,000. The population also grew to over fifty million and with all these factors, Korea joined the ranks of advanced countries. As a living environment of an individual gets improved and people have had time on their sides due to the five-day workweek, many have been taking this opportunity to engage in self-development and leisure activities. As trends are pursuing eco-friendliness and D.I.Y, D.I.Y woodcraft workshops are opening nationwide. Considering this, as analyzing present conditions of D.I.Y woodcraft workshops, which are being quickly popular at this moment in Korea, this study focuses on presenting a Korean-style D.I.Y woodcraft workshop, suggesting how to promote D.I.Y woodcraft business to be a pivot of the furniture industry in Korea.

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Reconstruction of Disarticulated Knee Stump by Using Distally Based Anterolateral Thigh Island Flap (역혈류성 전외측대퇴섬피판을 이용한 무릎 잘린끝의 재건)

  • Kim, Hyoung Jin;Pyon, Jai Kyong;Burm, Jin Sik;Kim, Yang Woo
    • Archives of Plastic Surgery
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    • v.34 no.4
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    • pp.485-489
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    • 2007
  • Purpose: The basic vascular anatomy and versatility of the anterolateral thigh flap was reported firstly by Song in 1984 and then by Zhang who introduced the reverse flow pattern of this flap. In this case, the authors reviewed various articles and their experiences with the distally based anterolateral thigh flap and applied it for coverage of bone-exposed wound occurred at the distal of the disarticulated knee stump. We consequently reported the reliability and resourcefulness of this flap in the difficult and limited situation. Methods: A 67-year-old-man who had suffered from arteriosclerotic obliterans inevitably underwent the disarticulation at knee joint due to clinical deterioration. He presented to our clinic with soft tissue necrosis and bone exposure at the stump. We debrided the wound and conducted the distally based anterolateral thigh island flap by transecting proximal portion of descending branch of the lateral circumflex femoral artery and the $14{\times}10cm$ sized flap was transferred to cover the defect. The pedicle measured 14 cm in length with pivot point 7 cm above the patella. Results: The postoperative course was mainly uneventful except early venous congestion for 4 days and subsequent partial skin loss. The wound was healed by secondary intension and no other sequelae had been observed during follow-up period of 12 months. Conclusion: Despite the presence of various reconstructive choices, the distally based anterolateral thigh island flap can be designed to repair soft tissue defects around the knee region, providing its reliable blood supply and long pedicle length, especially in the challenging cases.

Aanalysis the Structure of Heat Environment in Daegu Using Landsat-8 (Landsat-8을 활용한 대구시 열 환경구조 분석)

  • Kim, Jun Hyun;Choi, Jin Ho
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.32 no.4_1
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    • pp.327-333
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    • 2014
  • To improve thermal environments in urban area, the structural characteristic analysis of thermal environments of the certain area should be preceded to analyze and supplement its problems. With Landsat-8, we measured the centrality estimation, the distribution map, and the spatial statistical analysis of Daegu Metropolitan City in January and August, which of data applied in analyzing the structure of thermal environments following to its spatial property. The thermal infrared band of satellite images has been used to analyze the standard normal deviated scores, which extract the centrality, while the cluster map, based upon Local Local Moran's I, has composed for understanding the autocorrelation of local spatial within environment space structure. Understanding the distribution features as well as the pivot center of thermal environments with satellite images provides principle database for updating urban thermal environments' policies and plans; because those are reference materials that should have precedence over for diverse thermal environment policies.

A key management scheme for the cluster-based sensor network using polar coordinated (극 좌표를 이용한 클러스터 기반 센서 네트워크의 키 관리 기법)

  • Hong, Seong-Sik;Ryou, Hwang-Bin
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.12 no.5
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    • pp.870-878
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    • 2008
  • The level of security of most sensor nodes that comprise the sensor networks is low, but because of the low computing power and small storage capacity, it is even very difficult to apply a security algorithm efficiently to the sensor nodes. Therefore, preventing the join of an illegal node to a sensor network is impossible, and the transmitting information is easily exposed and overheard when the transmitting algorithm of the sensor node is hewn. In this paper, we propose a group key management scheme for the sensor network using polar coordinates, so that the sensor nodes can deliver information securely inside a cluster and any illegal node is prevented from joining to the cluster where a sensor network is composed of many clusters. In the proposed scheme, all of the sensor nodes in a cluster set up the authentication keys based on the pivot value provided by the CH. The intensive simulations show that the proposed scheme outperforms the pair-wise scheme in terms of the secure key management and the prevention of the illegal nodes joining to the network.