• Title/Summary/Keyword: Scarf

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Modified Scarf Osteotomy for Hallux Valgus with Lesser Metatarsalgia (소족지 중족골통을 동반한 무지 외반증에서의 변형 스카프 절골술)

  • Chung, Jin-Wha;Jung, Hyun-Woo;Chu, In-Tak
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.2
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    • pp.134-139
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    • 2008
  • Purpose: The purpose of this study was to evaluate the radiological and clinical results of modified scarf osteotomy for hallux valgus with lesser metatarsalgia. Materials and Methods: Total 19 patients (24 feet) were reviewed by medical records and radiographs. All patients were female and the mean age at the time of operation was 46.4 years. The mean follow-up time was 14.8 months. We modified original scarf osteotomy by adding the procedure of closing wedge osteotomy at the medial side of distal fragment for achieving of the supination of the first metatarsal head. Additionally, Akin osteotomy of the first proximal phalanx was done in 16 patients (20 feet) and no lesser metatarsal operation was done. First-second intermetatarsal, hallux valgus and distal metatarsal articular angles were analyzed radiologically before and after the operation. And 3-dimensional CT was used to evaluate the supination of the first metatarsal head. Clinical results were assessed by American Orthopaedic Foot and Ankle Society (AOFAS) score and persistence of lesser metatarsalgia. Results: First-second intermetatarsal and hallux valgus angles were reduced from the mean pre-operative values of $14.2^{\circ}$ and $32.5^{\circ}$ to $8^{\circ}$ and $12.5^{\circ}$, respectively, 12 months after the operation. And the supination of the first metatarsal head was confirmed by 3-dimensional CT. The mean AOFAS score improved from 41.4 points pre-operatively to 87.2 points at follow-up. Lesser metatarsalgia still remained in 2 patients (2 feet). Conclusion: Modified scarf osteotomy would be an effective surgical procedure, especially, for achieving downward displacement and supination of the first metatarsal head in hallux valgus with lesser metatarsalgia.

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Short Scarf Osteotomy for Moderate Hallux Valgus (중등도 무지외반증에서 시행한 단축 스카프 절골술)

  • Kwon, Soon-Yong;Gil, Ho-Jin;Chung, Jin-Wha
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.4
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    • pp.235-240
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    • 2012
  • Purpose: The aim of this study was to evaluate the radiographic and clinical results of short scarf osteotomy that has minimized longitudinal cut for moderate hallux valgus. Materials and Methods: Total 12 patients (12 feet) were reviewed by medical records and radiographs. All patients were female and the mean age at the time of operation was 41.5 years. The mean followup time was 21.2 months. We modified original scarf osteotomy by shortening the longitudinal cut to 15~20 mm in length. Additionally, Akin osteotomy of the first proximal phalanx was done in 7 feet and Weil osteotomy of the second metatarsal was done in 4 feet. First-second intermetatarsal and hallux valgus angles were analyzed radiographically before and after the operation. And the clinical result was assessed by AOFAS (American Orthopaedic Foot and Ankle Society) hallux score. Results: First-second intermetatarsal and hallux valgus angles were reduced from the mean preoperative values of $14.6^{\circ}$ and $32.8^{\circ}$ to $6.5^{\circ}$ and $11.2^{\circ}$, respectively. The mean AOFAS hallux score was increased from 52.4 points preoperatively to 88.2 points at followup. Three complications were found: metatarsal fracture during the operation, painful scar around second metatarsal head after Weil osteotomy and postoperative neuralgia. There was no transfer metatarsalgia or recurrence of hallux valgus during followup. Conclusion: Short scarf osteotomy would be an effective surgical procedure for moderate hallux valgus with the benefits of minimized soft tissue dissection and stable fixation.

The Effect of Warm Scarf on Postoperative Xerostomia and Sore Throat in Colon Cancer Patients (대장암 수술 후 온열 목 마스크 적용이 구강건조와 인후통에 미치는 효과)

  • Choi, Song Yi;Lee, Ga Eun;Yoon, Bo Ra;Yoon, Ji Sun;Chung, Seo Young
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.1
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    • pp.67-74
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    • 2023
  • Purpose: This study aimed to identify the effect of warm scarf on xerostomia and sore throat in postoperative colon cancer patients. Methods: A total of 40 participants with colon cancer who underwent colon cancer operation over 2hours were included from C University hospital in Seoul. The number of experimental group and control group is each 20 calculated by G*Power, and they were assigned by using nonequivalent control group no-synchronized design. In the experimental group, a warm scarf was applied to the neck for 120 minutes from entering the recovery room after the colorectal cancer surgery was completed. In the experimental group and the control group, xerostomia and sore throat were measured twice at 60-minute intervals. The degree of xerostomia was measured through the degree of wetness of the absorbent paper in mm, and the degree of sore throat was measured through the NRS (Numeral Rating Scale). Data were collected using self-administered questionnaires from August 2018 to September 2020 and were analyzed using IBM SPSS/WIN 21.0 Descriptive statistics, x2 test, Fisher's exact test, t-test were used to determine the participant's characteristics. The effect of warm scarf on xerostomia and sore throat were separately estimated by Repeated Measures ANOVA. Results: The experimental group showed significant decrease of xerostomia and sore throat as time goes (p<.001). Conclusion: Results indicate that warm scarf on xerostomia and sore throat in postoperative colon cancer patients is helpful method for relieving side effect of tracheal intubation.

Evaluation Method of Interface Strength in Bonded Dissimilar Materials of AU/Epxy (Al/ Epoxy 이종 접합체에 대한 계면강도의 평가방법)

  • Chung, Nam-Yong
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.26 no.11
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    • pp.2277-2286
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    • 2002
  • The application of bonded dissimilar materials to industries as automobiles, aircraft, rolling stocks, electronic devices and engineering structures is increasing gradually because these materials, compared to the homogeneous materials, have many advantages for material properties. In spite of such wide applications of bonded dissimilar materials, the evaluation method of quantitative strength considering the stress singularities for its bonded interface has not been established clearly. In this paper, the stress singularity for Bctors and the stress intensity factors were analyzed by boundary element method(BEM) for the scarf joints of Al/Epoxy with and without a crack, respectively. From static fracture experiments of the bonded scarf joints, a fracture criterion and a evaluation method of interface strength in bonded dissimilar materials were proposed and discussed.

Finger Jointing of MDF by High-frequency Plate Heating (고주파 평면가열에 의한 중밀도섬유판(MDF)의 핑거접합)

  • So, Won-Tek
    • Journal of the Korea Furniture Society
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    • v.17 no.2
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    • pp.25-34
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    • 2006
  • This experiment was carried out to investigate the high-frequency gluing characteristics of poly vinyl acetate emulsion adhesive(PVAc) on MDF edge-glued boards. The edge-glued boards were glued lengthwise with butt, scarf, or finger joint. The wastes of MDF boards were reused as board materials. The obtained results are summarized as follows; the bending strength of edge-glued MDF increased slightly with the HF heating time, but the economically desirable heating time was 6 minutes. The bending and tensile strength of edge-glued MDF were high with scarf, finger and butt joint, in order. The strength of finger jointed MDF showed 80% of scarf jointed MDF. The effects of location of finger joints on the bending strength of edge-glued MDF were larger than those of the numbers of finger joints. The bending strength of edge-glued MDF with one joint on the middle position showed 40% decrease in comparison with non-jointed MDF.

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Evaluation of Fracture Toughness on Interface Cracks in Bonded Components of Dissimilar Materials (이종 접합부재의 계면균열 파괴인성의 평가)

  • Chung, Nam-Yong;Lee, Myung-Dae;Park, Chul-Hee
    • Proceedings of the KSME Conference
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    • 2003.04a
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    • pp.346-351
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    • 2003
  • In this paper, an evaluation method of fracture toughness on interface cracks has been investigated under various mixed-mode conditions of the bonded scarf joints. Two types of the bonded scarf joints with an interface crack were prepared to analyze the stress intensity factors using boundary element method(BEM) and to perform the fracture toughness test. From the results of fracture toughness experiments and BEM analysis, an evaluation method of fracture toughness on interface cracks in the bonded components of dissimilar materials has been proposed and discussed.

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An Evaluation Method of fracture Toughness on Interface Cracks in Bonded Dissimilar Materials (이종 접합체의 계면균열에 대한 파괴인성의 평가방법)

  • 정남용
    • Transactions of the Korean Society of Automotive Engineers
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    • v.11 no.4
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    • pp.110-116
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    • 2003
  • In this paper, an evaluation method of fracture toughness on interface cracks has been investigated under various mixed-mode conditions of the bonded scarf joints. Two types of the bonded scarf joints with an interface crack were prepared to analyze the stress intensity factors using boundary element method(BEM) and to perform the fracture toughness test. From the results of fracture toughness experiments and BEM analysis, an evaluation method of fracture toughness on interface cracks in the bonded dissimilar materials has been proposed and discussed.

Side Channel Analysis System - SCARF (부채널 분석 시스템 - SCARF)

  • Kim, Ju-Han;Oh, Kyung-Hee;Choi, Yong-Je;Kim, Tae-Sung;Choi, Doo-Ho
    • Proceedings of the Korean Information Science Society Conference
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    • 2012.06c
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    • pp.266-268
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    • 2012
  • 부채널 분석 공격은 하드웨어 또는 소프트웨어로 구성된 암호모듈이 동작 시에 발생되는 전력 또는 전자파 등의 부가 정보들을 수집하고 통계적으로 처리하여 해당 암호모듈의 키를 찾아내는 공격방법이다. 부채널 분석 공격을 막기 위해 암호모듈 개발자들은 부채널 분석 공격에 안전한지 미리 점검하고 시험할 수 있는 시스템이 필요하며, 부채널 안전성 평가 기관에서는 해당 암호모듈이 안전한지 평가하기 위한 시스템이 필요하다. 본 논문에서는 부채널 안전성 평가 및 시험을 하기 위해 개발한 부채널 안전성 검증 시스템인 SCARF를 소개한다.

Optimization of scarf patch stacking sequences using the design of experiments method

  • Salma Aminallah;Sidi Mohamed Fekih;Abdelrahmen Sahli
    • Advances in aircraft and spacecraft science
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    • v.10 no.4
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    • pp.335-346
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    • 2023
  • In this study, The Von Mises stresses in composite plate loaded in tension and repaired by a boron/epoxy scarf patch were analyzed using the finite element method. The performance of the repairs depends on several parameters: the dimensions and the intrinsic properties of the patch and the adhesive which are dependent on each other. Therefore, the method of experiment designs is used to determine the interaction effect of different parameters (patch folds), their optimum and the most influential parameter. The optimum of stacking sequences allows reducing stresses significantly, and thus permits designers to improve the quality of repairs.

Multi-dimentional Correction of the Scarf Osteotomy for the Treatment of Hallux Valgus (무지 외반증에 시행한 Scarf 절골술의 3차원적 변형 교정력에 관한 연구)

  • Moon, Gi-Hyuk;Ahn, Gil-Yeong;Yun, Ho-Hyun;Lee, Yeong-Hyun;Lee, Jung-Ick;Nam, Il-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.1
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    • pp.23-27
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    • 2007
  • Purpose: Scarf osteotomy can provide the simultaneous correction of the hallux valgus angle (HVA), 1-2 intermetatarsal angle ($IMA_{1-2}$), DMAA and the plantar displacement of the fragment. The study was conducted to understand the multi-dimensional correction of the hallux valgus. Materials and Methods: Fourty eight patients who had undergone Scarf osteotomy with hallux valgus at more than $30^{\circ}$ of HVA and more than $15^{\circ}$ of $IMA_{1-2}$ were studied. Before an osteotomy, a reference K-wire was inserted to the 1st metatarsal head. After the osteotomy, the plantar fragment was moved laterally and the proximal end of the fragment was forced beyond the distal end which resulted in an internal rotation of the head fragment to correct the DMAA. Results: The HVA improved an average of $33.3^{\circ}$ to $7.7^{\circ}$ with the IMA1-2 respectively from $15.4^{\circ}$ to $6.5^{\circ}$. The DMAA improved an average of $19.5^{\circ}$ ($5.2-30.9^{\circ}$) to $4.5^{\circ}$ ($0.4-13.8^{\circ}$). By checking the angle, which was at an average of $25^{\circ}$ between the plantar surface of the foot and the osteotomy plane, the average distance of 1.9 mm (1.18-3.1 mm) of plantar displacement was measured using the value of sine (sin 25 = 0.422). Conclusions: It is possible to correct the HVA, IMA1-2 and DMAA simultaneously with one osteotomy making the lateral shift, the internal rotation and the plantar displacement of the plantar head fragment as desired. Despite the technicality and difficulty of the Scarf osteotomy, once familiarized through myriad procedures, all disadvantages are outweighed by the success and satisfaction of both patient and surgeon.

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