• Title/Summary/Keyword: Repair integrity

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Effect of co-administration of atelocollagen and hyaluronic acid on rotator cuff healing

  • Jeong, Jeung Yeol;Khil, Eun Kyung;Kim, Tae Soung;Kim, Young Woo
    • Clinics in Shoulder and Elbow
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    • v.24 no.3
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    • pp.147-155
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    • 2021
  • Background: This study aimed to evaluate the co-administration effect of atelocollagen combined with hyaluronic acid (HA) injections for treatment of full-thickness rotator cuff tear (RCT). Methods: Eighty patients who underwent arthroscopic rotator cuff repair for full-thickness RCT from March 2018 to November 2019 were enrolled. The patients were randomly allocated to the following groups: combined atelocollagen and HA injection (group I, n=28), only HA injection (group II, n=26), and no injection (group III, n=26). Clinical outcomes were assessed at 3, 6, and 12 months after surgery using the American Shoulder and Elbow Surgeons score, visual analog scale pain score, functional scores (pain visual analog scale, function visual analog score), and range of motion. Magnetic resonance imaging was performed 12 months after surgery to evaluate rotator cuff integrity. Results: Preoperative demographic data and postoperative clinical outcomes did not differ significantly among the three groups (p>0.05). However, in group I, the number of steroid injections after surgery was significantly lower than that in the other groups (p=0.011). The retear rate on follow-up magnetic resonance imaging was significantly higher in group II (9.5%, n=2) and group III (13.6%, n=3) than in group I (0%) (p=0.021). Conclusions: Co-administration of atelocollagen and HA improves healing of the rotator cuff and increases the integrity of the rotator cuff repair site. This study provides encouraging evidence for use of combined atelocollagen-HA injections to treat patients with full-thickness RCT.

The effect of crack length on SIF and elastic COD for elbow with circumferential through wall crack

  • Kim, Min Kyu;Jeon, Jun Hyeok;Choi, Jae Boong;Kim, Moon Ki
    • Nuclear Engineering and Technology
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    • v.52 no.9
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    • pp.2092-2099
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    • 2020
  • Many damages due to flow-accelerated corrosion and cracking have been observed during recent in-service inspections of nuclear power plants. To determine the operability or repair for damaged pipes, an integrity evaluation related to the damaged piping system should be performed by using already proven code and standards. One of them, the ASME Code Case is most popularly used to integrity assessment in nuclear power plants. However, the recent version of CC N-513 still recommends the simplified method which means a damaged elbow is assumed as an equivalent straight pipe. In addition, to enhance the accuracy integrity assessment in elbow, several previous studies recommend that the SIF and elastic COD values for an elbow with relatively large crack could be predicted by an interpolation technique. However, those estimates for elbow with relatively large crack might be derived to inaccurate results for crack growth analysis, such as for the allowable crack size and life estimation. Therefore, in this paper, the effect of crack length (0.3≤θ1/π≤0.5) on SIF and elastic COD for elbow is systematically investigated. Then, for large crack in elbow, accurate estimates for SIF and elastic COD, which are widely used to assess the integrity of elbows, are proposed. Those proposed solutions are expected to be the technical basis for revisions of CC N-513-4 through the validation.

Pain Recovery Pattern According to the Integrity after an Arthroscopic Rotator Cuff Repair (관절경하 회전근 개 봉합술 후 파열 정도에 따른 통증 회복 양상)

  • Kim, Ju-O;Sim, Sang-Don;Noh, Kyung-Hwan;Shon, Suk-June;Kim, Sul-Jun;Yang, Yun-Hyeok
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.155-160
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    • 2009
  • Purpose: The purpose of this study was to evaluate the pain recovery pattern according to the integrity and to analyze the factors affecting the progress and level of pain postoperatively. Materials and Methods: We examined 153 patients, who were treated with arthroscopic rotator cuff repair. 101 rotator cuff tears were full-thickness tear and 52 were partial tear. The mean follow up duration was 20 months (12~30 months). We evaluated the visual analogue scale, range of motion, ASES (American Shoulder and Elbow Surgeons), and UCLA (University of California at Los Angeles) scores preoperatively and postoperatively. We analyzed the pain recovery pattern between partial and full thickness tear using Student T-test and the factors affecting the progress and level of postoperative pain using multiple regression analysis. Results: The change patterns of visual analogue scale after arthroscpoic repair were similar regardless of the tear integrity. The VAS showed a continuous decreasing pattern, but increased at first 3 weeks postoperatively and at 7 weeks postoperatively, and then, decreased thereafter. The average VAS was ${\leqq}2$ points by postoperative 3 months. The factor affecting the pain score at 3 months was related to the preoperative limitation in forward flexion ($r^2=0.377$, p=0.021). Conclusion: There was no differences of the pain recovery pattern according to the integrity, and the factor affecting the progress of postoperative pain was preoperative angle of forward elevation. So, the appropriate preoperative rehabilitation protocol that can improve motions of the shoulder joint would help to improve the level of postoperative pain and functional recovery.

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A Study on the Development of the Repair Standards for Underground Pipelines Carrying Natural Gas (도시가스 매설배관 보수기준 개발에 관한 연구)

  • Ryou, Young-Don;Lee, Jin-Han;Jo, Young-Do
    • Journal of the Korean Institute of Gas
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    • v.20 no.4
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    • pp.33-43
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    • 2016
  • Grinding, weld deposition, type A sleeve, type B sleeve, composite sleeve, hot tapping and clamp are used as the method to repair the buried pipelines in the United States, UK and Europe. In the event of defect to the pipeline, they have repaired the pipeline through the fitness-for-service assessments. In addition, they have guidelines for the possible repair methods to apply to each type of damage, which is occurred due to the 3rd party construction or corrosion. According to the KGS FS551, Safety Validation in Detail including ECDA(External Corrosion Direct Assessment) as one method of integrity management should be carried out for the old pipeline which supply natural gas as the middle pressure in Korea. Where a defect on the pipelines is found, on the result of Safety Validation in Detail, the pipelines should be repaired or replaced by new piping. However, there are no guidelines or regulations regarding the repair and reinforcement of pipeline, so that, cutting the damaged pipeline and replacing it as a segment of new pipe is the only way in Korea until now. We have suggested pipeline repair methods including type A, B sleeve, composite sleeve, after the survey of foreign repair method and standards including the method of United States and the United Kingdom, and after analysis of the results on pipeline repair test including type A, type B sleeve and composite sleeve.

A Decision-Supporting Model for Rehabilitation of Old Water Distribution Systems

  • Kim, Joong-Hoon;Geem, Zong-Woo;Lee, Hyun-dong;Kim, Seong-Han
    • Korean Journal of Hydrosciences
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    • v.8
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    • pp.31-40
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    • 1997
  • Flow carrying capacity of water distribution systems is getting reduced by deterioration of pipes in the systems. The objective of this paper is to present a managerial decision-making model for the rehabilitation of water distribution systems with a mininum cost. The decisions made by the model also satisfy the requirements for discharge and pressure at demanding nodes in the systems. Replacement cost, pipe break repair cost, and pumping cost are considered in the economic evaluation of the decision along with the break rate and the interest rate to determine the optimal replacement time for each pipe. Then, the hydraulic integrity of the water distribution system is checked for the decision by a pipe network simulator, KYPIPE, if discharge and pressure requirements are satisfied. In case the system does not satisfy the hydraulic requirements, the decision made for the optimal replacement time is revised until the requirments are satisfied. The model is well applied to an existing water distribution system, the Seoul Metropolitan Water Supply System (1st Phase). The results show that the decisions for the replacement time determined by the economic analysis are accepted as optimal and hydraulic integrity of the system is in good condition.

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Analysis of Tube Support Plate Reinforcement Effects on Burst Pressure of Steam Generator Tubes with Axial Cracks (증기발생기 전열관지지판의 축균열 파열억제 효과 분석)

  • Kang, Yong Seok;Lee, Kuk Hee;Kim, Hong Deok;Park, Jai Hak
    • Journal of the Korean Society of Safety
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    • v.30 no.4
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    • pp.168-173
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    • 2015
  • A steam generator tubing is one of the main pressure boundary of the reactor coolant system in the nuclear power plants. Structural integrity refers to maintaining adequate margins against failure of the tubing. Burst pressure of a tube at tube support plate can be higher than that for a free-span tube because failure behaviors could be interfered from the tube support plate. Alternative repair criteria for out-diameter stress corrosion cracking indications in tubes to the drilled type tube support plate were developed, however, there are very limited information to the eggcrate type tube support plate. This paper discussed reinforcement effect of steam generator tube burst pressure with axial out-diameter stress corrosion cracking within an eggcrate type tube support plate. A series of tube burst tests were performed under the room temperature and it was found out that there is no significant but marginal effects.

Unbalanced Restriction Impairs SOS-induced DNA Repair Effects

  • Katna, Anna;Boratynski, Robert;Furmanek-Blaszk, Beata;Zolcinska, Natalia;Sektas, Marian
    • Journal of Microbiology and Biotechnology
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    • v.20 no.1
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    • pp.30-38
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    • 2010
  • The contribution of a type II restriction-modification system (R-M system) to genome integrity and cell viability was investigated. We established experimental conditions that enabled the achievement of hemimethylated and unmethylated states for the specific bases of the recognition sequences of the host's DNA. To achieve this, we constructed the MboII R-M system containing only one (i.e., M2.MboII) out of two functional MboII methyltransferases found in Moraxella bovis. Using the incomplete R-M system, we were able to perturb the balance between methylation and restriction in an inducible manner. We demonstrate that upon the SOS-induced DNA repair in mitomycin C treated cells, restriction significantly reduces cell viability. Similar results for the well-studied wild-type EcoRI R-M system, expressed constitutively in Escherichia coli, were obtained. Our data provide further insights into the benefits and disadvantages of maintaining of a type II R-M system, highlighting its impact on host cell fitness.

A Fracture Mechanics Analysis of Bonded Repaired Skin/Stiffener Structures with Inclined Central Crack (경사균열을 갖는 Skin/Stiffener 구조물의 보수에 의한 균열의 파괴역학적 거동)

  • Chung, Ki-Hyun;Yang, Won-Ho;Kim, Cheol;Heo, Sung-Pil;Ko, Myung-Hoon
    • Proceedings of the KSME Conference
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    • 2001.06a
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    • pp.292-297
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    • 2001
  • Composite patch repair of cracked aircraft structures has been accepted as one of improving fatigue life and attaining better structural integrity. Analysis for the stress intensity factor at the skin/stiffener structure with inclined central crack repaired by composite stiffened panels are developed. A numerical investigation was conducted to characterize the fracture behavior and crack growth behavior. In order to investigate the crack growth direction, maximum tangential stress(MTS) criteria is used. The main objective of this research is the validation of the inclined crack patching design. In this paper, the reduction of stress intensity factors at the crack-tip and prediction of crack growth direction are determined to evaluate the effects of various non-dimensional design parameter including; composite patch thickness and stiffener distance. The research on cracked structure subjected to mixed mode loading is accomplished and it is evident that more work using different approaches is necessary.

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Integrity test and depth estimation of deep foundations (깊은 기초의 건전도시험과 근입깊이 조사)

  • Jo Churl-hyun;Jung Hyun-key;Lee Tai-sup;Kim Hag-soo
    • 한국지구물리탐사학회:학술대회논문집
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    • 1999.08a
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    • pp.202-216
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    • 1999
  • The deep foundation is frequently used for the infrastructures. Since the quality control of the cast-in-place concrete foundations such as CIP piles and slurry walls is not so easy as that of the ready made PC(prestressed concrete) piles, it is necessary to get the information on the integrity of the concrete of the foundation. The depth estimation of foundations whose depths are unknown is also very important in repair and reinforcement works or in safety inspection and assessment to the big structures. The cross-hole sonic logging(CSL) system and the single channel reflection seismic measurement system were developed to test the integrity of pile. The former is well applied to CIP structures, while the later to all kinds of piles with less accurate result compared to that of CSL. To estimate the depth of the deep foundations, parallel seismics, borehole RADAR, and borehole magnetics can be used.

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Onlay patch augmentation in rotator cuff repair for moderate to large tears in elderly patients: clinical and radiologic outcomes

  • Sung-Yup Hong;Seung-Jin Lee;Hee-Bum Hahm;Ji-Woo Chang;Yoon-Suk Hyun
    • Clinics in Shoulder and Elbow
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    • v.26 no.1
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    • pp.71-81
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    • 2023
  • Background: This study evaluated the clinical and radiologic outcomes of onlay patch augmentation in rotator cuff repair for moderate-to-large tears in elderly patients. Methods: We reviewed 24 patients who underwent onlay augmentation with dermal allograft after arthroscopic rotator cuff repair from January 2017 to March 2020. Inclusion criteria were patients aged >65 years with tears >2.5 cm, who were followed for >12 months after surgery, and patients who could raise their arms above 90° preoperatively. American Shoulder and Elbow Surgeons (ASES) score, Constant-Murley score, pain visual analog scale (VAS), and VAS for satisfaction were used as clinical outcomes. For the evaluation of cuff integrity, magnetic resonance imaging scans were performed every 3 months after surgery. The results were compared before and after surgery in all patients and between the retear and intact groups. Results: The average follow-up period was 16.38 months, and the mean age of patients was 71.05 years. All patients showed significant improvement in ASES score, Constant-Murley score, and pain VAS at the last evaluation. The average value of satisfaction VAS was 7.27/10. The retear rate was 25% (6/24) if Sugaya type 3 was categorized in the retear group, otherwise 16.7% (4/24), if Sugaya type 3 was categorized into the intact group. Irrespective of Sugaya type 3 being included in the retear group, there was no significant difference in outcome variables between the intact and retear groups during follow-up. Conclusions: In moderate-to-large rotator cuff tear in elderly patients, onlay patch augmentation improved clinical outcomes. Retear did not adversely affect clinical outcomes.