• Title/Summary/Keyword: Plate opening

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Correction of Problematic Hypospadias with Dartos Fascia-Reinforced Flap and Slanted Incision of Fistula

  • Choi, Dong Sik;Lee, Jeong Woo;Yang, Jung Dug;Chung, Ho Yun;Cho, Byung Chae;Byun, Jin Suk;Choi, Kang Young
    • Archives of Plastic Surgery
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    • v.40 no.6
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    • pp.766-772
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    • 2013
  • Background Hypospadias is the most common congenital malformation of the male urinary tract, wherein the urethral opening is located proximal to the normal site. Tubularized incised-plate urethroplasty reconstruction, and its efficacy, remains controversial due to the high recurrence rate. This study aimed to evaluate the results of dartos fascia-reinforced flap surgery in hypospadias patients with previous operative complications. Methods Nine patients (mean age, 12 years) who had previous one- or two-stage repair with TIP urethroplasty and suffered from urethrocutaneous fistulas or fissures as complications, underwent dartos fascia-reinforced flap surgery in our clinic between January 2010 and December 2012. The mean postoperative follow-up period was 6 months. Results Among the 9 patients, 7 had complete correction. In all the patients, the maximum uroflow angle was > $45^{\circ}$. No patient complained of an unnatural urinating position. The patients and parents gave very high satisfaction scores (4.7 points) with regard to the appearance of the outer genitalia. Conclusion The dartos fascia-reinforced flap could be a useful and reliable option for complications of hypospadias repair or fissure with the prepuce preserved, given that histological aspects vary and that the possibility of recurrence in the glanular region is high.

Possibility of Wound Dressing Using Poly(L-leucine)/poly(ethylene glycol)/poly(L-leucine) Triblock Copolymer

  • Kim, Hyeon-Jeong;Jo, Jong-Su
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.249-254
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    • 1997
  • ABA-type block copolymers composed of poly(L-leucine)(PLL) as the A component and poly(ethylene glycol)(PEG) as the B component were synthesized by ring-opening polymerization of L-leucine N-carboxyanhydride initiated by primary amino group located at both ends of PEG chain. A silver sulfadiazine(AgSD)-impregnated wound dressing of sponge-type was prepared by the lyophilization method. Morphological structure of this wound dressing obtained by scanning electron microscopy(SEM) was composed of a dense skin layer and a macroporous inner sponge layer. Equilibrium water content(EWC) of wound dressing was above 10%. It increased with an increased of PEO content in the block copolymer due to the hydrophilicity of PEO. AgSD release from AgSD- impregnated wound dressing in PBS buffer(pH=7.4) was dependent on PEG composition in the block copolymer. Therefore, EWC and release of AgSD can be control by PEG composition. Antibacterial capacity of AgSD-impregnated wound dressing was examined in agar plate against Pseudmonas aeruginosa and Stapplococus aruous. Cytotoxicity of the wound dressing was evaluated by studing mouse skin fibroblast(L929). From the behavior of antimicrobial releasing and the investigation of the suppression of bacterial proliferation, it was supposed that the wound dressing containing antibiotics could protect the wound surfaces from bacterial invasion to suppress the bacterial proliferation effectively. In cytotoxicity observation, cellular damage was reduced by the control led released of AgSD from the LEL sponge matrix of AgSD-medicated wound dressing. In vivo test, granulous tissue formation and wound contraction or the AgSD and DHEA impregnated wound dressing were aster than any other groups.

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Flow Characteristics inside a Throttle Valve Used to Control the Intake Air Flow in Engines (엔진의 흡기 공기량 조절용 스로틀 밸브에서의 유동 특성)

  • Kim, Sung-Cho;Kim, Cheol
    • Transactions of the Korean Society of Automotive Engineers
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    • v.7 no.8
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    • pp.91-98
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    • 1999
  • This paper describes the air flow characteristics inside the throttle valve. Tow-dimensional steady incompressible Navier-Strokes equation are solved numerically with embedding the conceopt of the artificial compressibility and adopting the Baldwin-Lomax turbulence model. With varying the valve opening angles(the Reynolds number )such as 15$^{\circ}$(5000) , 45$^{\circ}$(3000) , 75$^{\circ}$(7000) and 90$^{\circ}$(10000), respectively. tow cases, with a valve shaft and without one, are analysed. The pressure loss between the entrance and exit is severe at 15$^{\circ}$, 100 times as larger as that of 90$^{\circ}$ case, which also depends much on the existece of the valve shaft. The counter rotating vortices are formed over the valve plate with the shaft at only 75$^{\circ}$. They are smally and very large scale in front and back of the valve shaft , respectively. The velocity profiles of 15$^{\circ}$ and 90$^{\circ}$ at the exit are almost symmetric to the horizontal center line, however, the symmetricity is no longer maintained at 45$^{\circ}$ and 75$^{\circ}$ , and in addition, the flow at 75$^{\circ}$ is enforced a lot below center line. The pressure distribution on the walls is largely changed near the valve shaft, and its magnitude becomes great as the valve angle decreases.

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Microplate Fixation without Maxillomandibular Fixation in Double Mandibular Fractures

  • Song, Seung Wook;Burm, Jin Sik;Yang, Won Yong;Kang, Sang Yoon
    • Archives of Craniofacial Surgery
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    • v.15 no.2
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    • pp.53-58
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    • 2014
  • Background: Maxillomandibular fixation (MMF) is usually used to treat double mandibular fractures. However, advancements in reduction and fixation techniques may allow recovery of the premorbid dental arch and occlusion without the use of MMF. We investigated whether anatomical reduction and microplate fixation without MMF could provide secure immobilization and correct occlusion in double mandibular fractures. Methods: Thirty-four patients with double mandibular fractures were treated with open reduction and internal fixation without MMF. Both fracture sites were surgically treated. For bony fixations, we used microplates with or without wire. After reduction, each fracture site was fixed at two or three points to maintain anatomical alignment of the mandible. Interdental wiring was used to reduce the fracture at the superior border and to enhance stability for 6 weeks. Mouth opening was permitted immediately. Results: No major complications were observed, including infection, plate exposure, non-union, or significant malocclusion. Five patients experienced minor complications, among whom the only one patient experienced a persistant but mild malocclusion with no need for additional management. Conclusion: This study showed that double mandibular fractures correction with two-or three-point fixation without MMF simplified the surgical procedure, increased patient comfort, and reduced complications, due to good stability and excellent adaptation.

Assessment of Steam Generator Tubes with Multiple Axial Through-Wall Cracks (축방향 다중관통균열이 존재하는 증기발생기 세관 평가법)

  • Moon, Seong-In;Chang, Yoon-Suk;Kim, Young-Jin;Lee, Jin-Ho;Song, Myung-Ho;Choi, Young-Hwan
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.28 no.11
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    • pp.1741-1751
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    • 2004
  • It is commonly requested that the steam generator tubes wall-thinned in excess of 40% should be plugged. However, the plugging criterion is known to be too conservative for some locations and types of defects and its application is limited to a single crack in spite of the fact that the occurrence of multiple through-wall cracks is more common in general. The objective of this research is to propose the optimum failure prediction models for two adjacent through-wall cracks in steam generator tubes. The conservatism of the present plugging criteria was reviewed using the existing failure prediction models for a single crack, and six new failure prediction models for multiple through-wall cracks have been introduced. Then, in order to determine the optimum ones among these new local or global failure prediction models, a series of plastic collapse tests and corresponding finite element analyses for two adjacent through-wall cracks in thin plate were carried out. Thereby, the reaction force model, plastic zone contact model and COD (Crack-Opening Displacement) base model were selected as the optimum ones for assessment of steam generator tubes with multiple through-wall cracks. The selected optimum failure prediction models, finally, were used to estimate the coalescence pressure of two adjacent through-wall cracks in steam generator tubes.

Numerical Analysis of Reflection Characteristics of Perforated Breakwater with a Resonant Channel (공진수로 내장형 유공방파제의 반사특성에 관한 수치해석 연구)

  • Kim, Jeong-Seok;Seo, Ji-Hye;Lee, Joong-Woo;Park, Woo-Sun
    • Journal of Navigation and Port Research
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    • v.38 no.5
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    • pp.503-509
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    • 2014
  • In this study, a new concept perforated breakwater is proposed, which is having resonant channels. In the channel, perforated plate is installed for dissipating wave energy induced by flow separations. The breakwater has two advantages compared with conventional perforated breakwater having wave chamber with slotted walls. One is easy to control the target wave condition for dissipating wave energy, and the other is having the high structural safety because the structural members are not exposed to impact waves, directly. To evaluate wave reflection characteristics of the proposed breakwater, numerical experiment was carried out by using Galerkin's finite element model based on the linear potential theory. The results indicated that considerable energy dissipation occurs near the resonant period of channel, and wave reflection characteristics are affected by channel shape, location and opening ratio.

Study on the Skin-frictional Drag Reduction Phenomenon by Air Layer using CFD Technique (CFD 기법을 활용한 공기층에 의한 마찰항력 감소 현상 연구)

  • Kim, Hee-Taek;Kim, HyoungTae;Lee, Dong-Yeon
    • Journal of the Society of Naval Architects of Korea
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    • v.56 no.4
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    • pp.361-372
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    • 2019
  • The flow pattern of air layers and skin-friction drag reduction by air injection are investigated to find the suitable multiphase flow model using unstructured finite-volume CFD solver for the Reynolds-averaged Navier-Stokes equations. In the present computations, two different multiphase flow modeling approaches, such as the Volume of Fluid (VOF) and the Eulerian Multi-Phase (EMP), are adopted to investigate their performances in resolving the two-phase flow pattern and in estimating the frictional drag reduction. First of all, the formation pattern of air layers generated by air injection through a circular opening on the bottom of a flat plate are investigated. These results are then compared with those of MMkiharju's experimental results. Subsequently, the quantitative ratios of skin-friction drag reduction including the behavior of air layers, within turbulent boundary layers in large scale and at high Reynolds number conditions, are investigated under the same conditions as the model test that has been conducted in the US Navy's William B. Morgan Large Cavitation Channel (LCC). From these results, it is found that both VOF and EMP models have similar capability and accuracy in capturing the topology of ventilated air cavities so called'air pockets and branches'. However, EMP model is more favorable in predicting quantitatively the percentage of frictional drag reduction by air injection.

Facial Nerve Palsy after Bilateral Sagittal Split Ramus Osteotomy: Case Report (양측 하악지 시상골 절단술 후 발생한 안면 신경 마비의 증례)

  • Jin, Soo-Young;Kim, Su-Gwan;Kim, Hak-Kyun;Moon, Seong-Yong;Oh, Ji-Su;Jeong, Kyung-In;Jeon, Woo-Jin;Yun, Dae-Woong;Yang, Seok-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.3
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    • pp.276-280
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    • 2011
  • BSSRO (bilateral sagittal split ramus osteotomy) is an effective surgical method for maxillofacial deformities. Rigid fixation using a plate and screws can stabilize bony segments and induce early mouth opening. Though this procedure has a low complication rate, normal function and esthetic recovery is achieved through proper and early management of the complications. Complications consisting of temporomandibular disorders, sensory disturbances due to inferior alveolar nerve damage, open bite, malunion or nonunion, and facial nerve palsy occur, but these rarely develop. Facial nerve palsy causes the muscles involved in facial expression to depress, which results in ocular dryness or retinal damage. When facial nerve palsy develops, early management involving steroid medication and physical therapy is effective. In the case of severe damage, surgical intervention should be considered. A 20-year-male patient came to the oral and maxillofacial surgery department for orthognathic surgery. The mandible was set back by BSSRO under general anesthesia. Facial nerve palsy was observed on the left side of the face: steroid and vitamins were administered early and physical therapy was performed daily. These forms of management can aid in function and allow for gradual esthetic recovery. Presumed causes were excessive soft tissue retraction or soft tissue injury by the osteotome at the horizontal osteotomy of the ramus. Careful dissection, retraction and a precise osteotomy are needed for protection of the facial nerve. If nerve damage is observed, early management can help in the recovery of facial nerve function and esthetics.

Tensile Testing of Groove Welded Joints Joining Thick-HSA800 Plates (HSA800 후판재의 맞댐용접부 인장강도 실험)

  • Lee, Cheol Ho;Kim, Dae Kyung;Han, Kyu Hong;Park, Chang Hee;Kim, Jin Ho;Lee, Seung Eun;Kim, Do Hwan
    • Journal of Korean Society of Steel Construction
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    • v.25 no.4
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    • pp.431-440
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    • 2013
  • In this study, a standard tensile welded-joint test was conducted to select a welding electrode suitable for recently developed HSA800 steel. Two welding electrodes were available at the time of this study; one was GMAW-based and the other FCAW-based. The tensile test specimens were fabricated by joining 60mm-thick HSA800 plates according to the AWS-prequalified groove welded joint details. Specimens which violate the standard root opening distance (ROD) were also included to see if poor construction tolerance could be accommodated. During fabrication, serious concerns about the welding efficiency of the GMAW-based product were raised by a certified welder. Both welding electrodes showed satisfactory and similar performance from welded joint strength perspective. But groove welded joints made by using the FCAW-based rod consistently showed more ductile and stable behavior. The AISC provisions for PJP joint strength were shown to be very conservative under direct tensile loading. Violating the AWS prequalified ROD by 100% apparently passed the strength criteria, but unusual crater-like fracture surface was observed.

Tectonics of the Tertiary Eoil and Waeup basins in the southeastern part of Korea (한반도 동남부 제3기 어일분지 및 와읍분지의 지구조 운동)

  • Chang, Tae-Woo;Jeong, Jae-Hyok;Chang, Chun-Joong
    • The Journal of Engineering Geology
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    • v.17 no.1 s.50
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    • pp.27-40
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    • 2007
  • Stratigraphy has been renewedly set up and the evolution of tectonic events related to basin formation has been exam-ined on the basis of fault-slip data analysis in the Tertiary Eoil and Waeup basins of the southeastern part of Korea. First of all, field mapping was carried out in detail for Tertiary formations and then paleostress analysis were peformed with more than 400 fault slip data collected from 11 sites in the Tertiary formations and the Yucheon Group. It is judged that both the Eoil and Waeup basins filled up with Tertiary deposits might be simultaneously formed in separate locations. The Janggi Group in the Eoil basin is divided into following stratigraphic units in ascending order: Gampo Conglomerte, Hongdeok Basalt, Nodongri Conglomerate and Yeondang Basalt, and the Bomkori Group in the Waeup basin: Waeupri Tuff; Andongri Conglomerate, Yongdongri Tuff and Hoamri Volcanic Breccia. Paleostress analysis by using striated faults reveals five sequential tectonic events: (1) NW-SE transtension (event I), (2) NW-SE transpression (event IIl), (3) NE-SW pure extension (event III), (4) N-S transpression (event IV) and (5) E-W pure compression (event V). Therefore, five sequential tectonic movements are closely associated with the formation and evolution of the Tertiary basins in the study area: tectonic event I of NW-SE extension is related to formation of the Tertiary basins during the late Oligocene to the Early Miocene, tectonic events II, III and IV caused the termination of the Tertiary basin opening and the crustal uplift in the study area, and tectonic event V upheaved the east coast or Korean Peninsula with compressive stress due to intense subduction of the Pacific plate into Asian continent since the Early Pliocene.