• Title/Summary/Keyword: Pull-through

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Gracilis pull-through flap for the repair of a recalcitrant recto-vaginal fistula

  • Mok, Wan Loong James;Goh, Ming Hui;Tang, Choong Leong;Tan, Bien Keem
    • Archives of Plastic Surgery
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    • v.46 no.3
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    • pp.277-281
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    • 2019
  • Recto-vaginal fistulas are difficult to treat due to their high recurrence rate. Currently, no single surgical intervention is universally regarded as the best treatment option for recto-vaginal fistulas. We present a case of recurrent recto-vaginal fistula surgically treated with a gracilis pull-through flap. The surgical goals in this patient were complete excision of the recto-vaginal fistula and introduction of fresh, vascularized muscle to seal the fistula. A defunctioning colostomy was performed 1 month prior to the present procedure. The gracilis muscle and tendon were mobilized, pulled through the freshened recto-vaginal fistula, passed through the anus, and anchored externally. Excess muscle and tendon were trimmed 1 week after the procedure. Follow-up at 4 weeks demonstrated complete mucosal coverage over an intact gracilis muscle, and no leakage. At 8 weeks post-procedure, the patient resumed sexual intercourse with no dyspareunia. At 6 months post-procedure, her stoma was closed. The patient reported transient fecal staining of her vagina after stoma reversal, which resolved with conservative treatment. The fistula had not recurred at 20 months post-procedure. The gracilis pull-through flap is a reliable technique for a scarred vagina with an attenuated recto-vaginal septum. It can function as a well-vascularized tissue plug to promote healing.

Static Characteristics of a Moving-Coil-Type Linear Motor in Consideration of Interaction between PM and Armature Field (영구자석 계자와 전기자 자속의 상호작용 효과를 고려한 가동코일형 리니어모터의 정특성)

  • Jang, Seok-Myeong;Jeong, Sang-Seop;Park, Hui-Chang;Mun, Seok-Jun;Park, Chan-Il;Jeong, Tae-Yeong
    • The Transactions of the Korean Institute of Electrical Engineers B
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    • v.48 no.1
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    • pp.19-26
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    • 1999
  • A moving-coil-type linear motor, designed and fabricated, is consisted of the NdFeB permanent magnets with high specific energy as the stator, a coil-wrapped nonmagnetic hollow rectangular structure and an iron core as a pathway for magnetic flux. The interaction between permanent magmet and armature fie1d, so called "push/pull effect", is to shift the airgap flux density variation due to the magnet alone by a certain amount. Thrust therefore is shift downward or upward. The push/pull effect was presented through the FEM analysis and the static tests. We compared the thrust obtained through the FEM analysis with the static tests. Finally, we present the linearity and correction coefficients of the thrust in consideration of the push/pull effects.l effects.

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A Study on the Behavioral Characteristics of a Circular Foundation Dominated by Pull-Out Load through Field Test (현장시험을 통한 인발하중이 지배적인 원형기초의 거동 특성 연구)

  • Shin, Kyung-Ha;Lee, Seung-Ho;Lee, Dong-hyuk;Park, Du-hee
    • Journal of the Korean Geosynthetics Society
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    • v.20 no.4
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    • pp.53-62
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    • 2021
  • For the rational application of LRFD, which is actively applied in Korea, for the study of the pull-out load and the horizontal load, which are insufficient examples, a circular foundation based on the transmission tower foundation, which is a socially important structure, through field tests in single and mixed layer. Factors that can affect the design were studied by analyzing the resistance of each stratum to pull-out and horizontal loads.

Supporting Characteristics of a Spiral Bolt through Pull-out Test (인발시험을 통한 스파이럴 볼트의 지보특성)

  • Kim, Jang-Won;Kang, Choo-Won;Song, Ha-Lim
    • Explosives and Blasting
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    • v.29 no.1
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    • pp.10-16
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    • 2011
  • To make large slopes or rock structures stable, supporting systems, such as anchor bolt, rock bolt and spiral bolt which are developed recently, are commonly used. In this study, in-situ pull-out tests were carried out to compare the characteristics of rock bolt that is most widely used with ones of spiral bolt that is newly developed. Re-pull-out test for the spiral bolt in which loading and unloading cycles are repeated three times showed that the maximum pull-out load is almost constant irrespective of the number of loading cycles, which may be due to no failure between spiral bolt and filler. On the other hand, the maximum pull-out load for the conventional rock bolt decreases with the number of loading cycles due to the partial failure between rock bolt and filler.

Analysis of Health-related Push and Pull Factors in Mountain Climbing (등산활동의 건강관련 동기요인과 유인요인 분석)

  • Kim, Jae Jun;Lee, Hye Rin;Lee, Min Ha;Kang, Min Ji;Park, Su Jin
    • Journal of Korean Society of Forest Science
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    • v.100 no.3
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    • pp.327-333
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    • 2011
  • This study was aimed to specify health-related push and pull factors in mountain climbing and provide effective management strategy for mountain-based recreational setting through the identification of the reciprocal relationship between the push and pull factors. The results of survey by 440 mountain climbers at Mt. Dobong, Mt. Bukhan, Mt. Kwanak, and Mt. Cheonggye showed that three dimensions were respectively derived from health-related 15 push items and 11 pull items; therapeutic care, mental health, physical fitness in push factors and cultural, socio-economic, and natural environment in pull factors. According to an analysis of influence between push and pull factors, natural environment was reported to be the greatest influencing pull factor on therapeutic care and physical fitness, and socio-economic environment was on mental health.

AN INSTURMNETED SEINGLE TREE FOR DIRECT DRAFT MEASUREMENT OF ANIMAL DRAWIN IMPLEMENTS

  • Paskikatan, M.C.;Quick, G.R.
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 1993.10a
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    • pp.307-315
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    • 1993
  • A direct draft measurement system was developed based on the swingle tree- the rear component of the single-animal harnessing (or yoking) system . The prototype was made from a tube, on which four strain gages were attached. The pull of the draft animal through the flexible pull chains or ropes causes the beam to bend, The bending strain is sensed by the strain gages and the bridge converts this to a voltage signal. Counterweights keep the tube correctly oriented if the angle of pull changes , while end bearing follow the variations in the angle of pull. Hence, the voltage output is proportional to the draft. the device has highly linear response, acceptable sensitivity negligible error and hysteresis. It is suitable for electronic data acquisition, non-intrusive , easy to attach and detach and is reasonably priced.

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Evaluation of Behavior Characteristics of Geosynthetic Fiber Nail System from the Field Pull-Out Tests (현장인발시험을 통한 섬유형 쏘일네일의 거동특성 평가)

  • Kim, Hong-Taek;Park, Si-Sam;Cho, Byeong-Guk;Jung, Sung-Pil
    • Proceedings of the Korean Geotechical Society Conference
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    • 2004.03b
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    • pp.342-347
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    • 2004
  • Excavation nearby the existing structures is being performed vigorously to get the greatest use of land along with fast economic growth in the downtown area. The application of soil nailing system gradually increases because of an advantage of soil nailing system adjacently constructed in the existing structures. In this study, friction resistance by pull-out is considered as main resistance except resistance formed by flexural rigidity of nail observing that resistance of flexural rigidity is about $0{\sim}15\;%$ of whole safety factor according to degree of flexural rigidity in general soil nail wall and application of geosynthetic fiber soil nailing system is evaluated through laboratory tensile strength test and field pull-out test.

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A Kinematic Analysis of Snatch Technique in Weight-Lifting (역도 인상동작의 운동학적 분석)

  • Moon, Young-Jin;Song, Joo-Ho;Kim, Ji-Seob
    • Korean Journal of Applied Biomechanics
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    • v.14 no.2
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    • pp.41-55
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    • 2004
  • This study analyzed snatch technique in weight-lifting performed by female gold, silver, and copper medalists at the 75kg level in the 2002 Pusan Asian Games and obtained the following conclusions. 1. KSH used more extensor in the waist than those in ankles, knees, or hip joints during the second pull, So further training is required to manifest both each of joints and waist extensor effectively and thus for the line from shoulders through barbell to hip joints to form a smooth vertical pattern. 2. Contrary to those in other countries, Korean athlete KSH tended to be swift in starting but slow in the second pull section, showing less effectiveness in movement during the second pull; therefore, they must try to exert a swift movement in lockout. 3. KSH showed slowdown in the speed, which was a factor interfering with performance during second pull, despite the great maximum speed of moving barbell. It is important to use barbell sufficiently not to reduce the speed of vertical movement but rather to keep the speed increasing. 4. KSH, who kept doing inefficient movements such as failure to perform swift lockout after lifting the heel at the maximum angle of lower limbs, needs to reduce this meaningless extension of ankles, knees, or hip joints to exert energy effectively.

Design of a Push-Pull Type High Power Ultrasonic Transducer by using the PEM (유한요소해석을 이용한 푸쉬-풀형 고출력 초음파 트랜스듀서 설계)

  • 윤양기;강국진;노용래
    • The Journal of the Acoustical Society of Korea
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    • v.19 no.4
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    • pp.107-114
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    • 2000
  • This work is aimed to develop a new type of the Push-Pull ultrasonic transducer that can provide higher sound pressure level and simpler internal structure than conventional types. The driving part of the newly designed transducer is positioned in the middle of the cylinder, and its optimum geometry is determined by using the FEM package, ANSYS. Through FEM model analysis, the effects of all of its geometrical variables such as transducer length, transducer radius, and the edge shape of the end cap have been examined, and the results have led to the optimum geometry. The newly designed transducer has been found to give better performance than that of traditional ones.

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A Study on Operating Position Sensing System of Pull Cord Switches Using Power Line Communication (전력선 통신을 이용한 풀 코드 스위치의 동작위치 인식 시스템에 대한 연구)

  • Choi, Nam-Sup;Lee, Buhm
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2003.10a
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    • pp.745-748
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    • 2003
  • This paper presents a study on pull cord switch system which is employed in various industry for emergency stop of the equipments. By using power line communication(PLC) technique, in this paper, a new method for operation position detection of pull cord switch is suggested without complicated wiring of separate cables which utilize only 2 lines. Also, using control function of PLC IC, a reset signal for each switch reset can be implemented in the switch status control/sensing device. Finally, this paper shows validity and practical applicability of the proposed operating position sensing system of pull cord switch by implementing the system and revealing the response time and signal through the PLC line.

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