• Archives of Plastic Surgery
• /
• 제50권5호
• /
• pp.507-513
• /
• 2023

Background Free tissue transfer is considered the gold standard option for the reconstruction of distal leg defects. Free tissue transfer using recipient vessels in the contralateral leg (cross-leg bridge) is a potential option to supply the flap if there are no suitable recipient vessels in the injured leg. Most studies have described this technique using end-to-end anastomosis which sacrifices the main vessel in the uninjured leg. This study evaluated the use of a cross-leg free latissimus dorsi muscle flap for the reconstruction of defects in single-vessel legs, using end-to-side anastomosis to recipient vessels in the contralateral leg without sacrificing any vessel in the uninjured leg. Methods This is a retrospective study that included 22 consecutive patients with soft tissue defects over the lower leg. All the reconstructed legs had a single artery as documented by CT angiography. All patients underwent cross-leg free latissimus dorsi muscle flap using end-to-side anastomosis to the posterior tibial vessels of the contralateral leg. Results The age at surgery ranged from 12 to 31 years and the mean defect size was 86 cm². Complete flap survival occurred in 20 cases (91%). One patient had total flap ischemia. Another patient had distal flap ischemia. Conclusion Cross-leg free latissimus dorsi muscle flap is a reliable and safe technique for the reconstruction and salvage of mutilating leg injuries, especially in cases of leg injuries with a single artery. As far as preservation of the donor limb circulation is concerned, end-to-side anastomosis is a reasonable option as it maintains the continuity of the donor leg vessels.

• 한국기계가공학회지
• /
• 제18권3호
• /
• pp.26-32
• /
• 2019

This study was conducted to analyze the stresses by impact loads on front-end loaders attached to tractors using flexible multi-body dynamics. The model was designed and validated by comparing previous experimental data with the simulation data obtained in this study. Nine sets of conditions were designed using three weights (500, 300, and 100 kg) loaded inside a bucket and three heights (1700, 1350, and 1000 mm) of the bucket from ground level. A parametric study was carried out at five locations for two types of parts of a front-end loader. All the safety factors for the five locations under all conditions were calculated and were greater than 1. Thus, the designs of the front-end loaders were structurally safe. Based on this study, front-end loaders attached to tractors can be designed effectively in terms of cost and safety.

• Journal of Chest Surgery
• /
• 제17권4호
• /
• pp.775-779
• /
• 1984

Reconstruction of the pharynx and cervical esophagus is a difficult surgical problem. A successful case of reconstruction of cervical esophagus by free jejunal graft upon a 23-year-old female who had stricture in the pharynx and cervical esophagus after ingestion of hydrochloric acid is presented. This procedure was done after the primary traditional reconstruction with right sided colon had resulted in restenosis due to necrosis of the cervical portion of the graft. A proximal jejunal segment, about 12 cm in length was isolated for free graft preserving its vascular arcade. Both superior thyroid artery and vein were anastomosed to the graft vessels in end to end by continuous suture of 8-0 monophil. Nylon. The postoperative course was uneventful. The patient has been followed for 4 months after operation and she can eat every kind of food without dysphagia. We think free jejunal graft offers an excellent and safe method of reconstructing cervical esophagus and pharynx with definitive advantages over other traditional techniques.

• Journal of the Korean Wood Science and Technology
• /
• 제35권5호
• /
• pp.87-92
• /
• 2007

For the safe disposal of the end used CCA treated wood, the biological method was studied. Aspergillus niger has been known to be grown on the fresh wood surfaces even on the CCA treated wood surface. Therefore, in this study we estimated the removal efficacy of heavy metals from CCA treated wood by A. niger. The selected fungi, A. niger adsorbed the heavy metals from CCA solution. A. niger removed 95% of arsenic, 55% of copper, and 23% of chromium. From these results, A. niger appeared to be useful for the removal of chromium, copper, and arsenic from the end used CCA-treated wood and the use of A. niger-alginate could be effective.

• Structural Engineering and Mechanics
• /
• 제81권1호
• /
• pp.59-68
• /
• 2022

Prestressed prefabricated hollow core concrete slabs with spans of 5 m and 10 m are commonly used since last century and still in service due to the advantage of construction convenience and durability. However, the end slabs are regularly subjected to cracks at the top and fail with brittleness due to the asymmetric boundary conditions. To better maintain such widely used type of hollow core slabs, the effect of asymmetric constraint in the end slabs are systematically studied through detailed nonlinear finite element analyses and experimental data. Experimental tests of slabs with four prestressed tendons and seven prestressed tendons with different boundary conditions were conducted. Results observe three failure modes of the slabs: the bending failure mode, shear and torsion failure mode, and transverse failure mode. Detailed nonlinear finite element models are developed to well match the failure modes and to reveal potential damage scenarios with asymmetric boundary conditions. Recommendations regarding ultimate capacity of the slabs with asymmetric boundary conditions are made to ensure a safe and rational design of prestressed concrete hollow slabs for short span bridges.

• 방재기술
• /
• 통권18호
• /
• pp.17-20
• /
• 1995

A diagnosis the concrete structure suffered a fire has an end in the view of safe investigation of structures and judgement of the re-use for the existing facilities to close examination of structural resisting forces and the extent of damages. And then, in this report, it has an object of references needed to fit management of concrete struc-ture suffered a fire, with describing epitome of conerete crack examination, displacement strain investi-gation, stregth examination, steel bar probing & carbonation test.

• 한국조명전기설비학회:학술대회논문집
• /
• 한국조명전기설비학회 2008년도 춘계학술대회 논문집
• /
• pp.133-135
• /
• 2008

In a design of ballast for discharge lamp, various kind of protection circuit are essential for safe operation. In this paper, overvoltage and current detection, no-load detection, lamp-fault detection, end of lamp detection for protection are introduced. Individual circuit operation and their function are described with the base that all circuit form is similar with overvoltage protection circuit.

• 지역연구
• /
• 제14권1호
• /
• pp.65-90
• /
• 1998

Time series data on the size of Chonsei deposit has been estimated. At the end of 1997, that size has been estimated as 112 trillion Korean Won. If the Chonsei system can be moved toward the monthly rental system, it is highly probable to achieve the Pareto imporvement whether there are uncertainties or not. The new system named as the Chonsei system without the Chonsei deposite has been suggested, which can be readily to be introduced. Under this system, the owner can sustain opportunitities of using Chonsei deposit, renters can rent houses whithout the Chonsei deposity and financial intermediaries can secure safe sources of loans, which will increase BIS capital ratio of banks.

• Journal of Chest Surgery
• /
• 제55권4호
• /
• pp.277-282
• /
• 2022

Lung transplantation is a life-saving procedure in patients with end-stage lung disease. However, it inherently depends on the availability of donor organs. The selection of suitable lungs for transplantation, management of donors to minimize further injury and improve organ function, and safe procurement remain critical for successful transplantation. In this review, we provide an update on the current understanding of donor selection, management, and lung procurement.

• 한국실내디자인학회논문집
• /
• 제25권5호
• /
• pp.16-30
• /
• 2016

There is an increasing interest in and efforts for safe residential environment from crimes nationwide. Many cities are making efforts to create safe residential environment by enacting ordinances and guidances on safe design for preventing crimes and implementing demonstration projects. In line with the trends of the times toward 'improvement of living conditions' through urban regeneration, the importance of the Crime Prevention Through Environmental Design(CPTED) has recently emerged in the field of residential housing regeneration. Indeed, the CPTED is included as essential factor in the recent deteriorated residential area regeneration related projects. In this respect, the purpose of this study is to provide the basic data on the methodology of CPTED to be applied to the regeneration of deteriorated residential area in the future. To this end, this study selected three representative CPTED projects in Busan - 'Deokpo-dong Hope and Stepping Stone Village,' 'Chilsan-dong CPTED Happiness Village' and 'Sujeong-dong Crime Prevention and Safe Village' as objects of this study and then investigated and analyzed project contents, application of CPTED strategy, subjects who are implementing projects, and the time when they implement projects as the framework of my analysis. The findings from this study are as follows: First, the projects that were largely based on hardware should be improved by including software in the future. Second, the current Step 2 should expand into Step 3 Maintenance in applying CPTED strategy. Third, it is necessary to encourage exchange and cooperation between unit projects and subjects who are operating related projects.