• Title/Summary/Keyword: Skin Depth

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Reduction of comminuted fractures of the anterior wall of the frontal sinus using threaded Kirschner wires and a small eyebrow incision

  • Lee, Da Woon;Kwak, Si Hyun;Choi, Hwan Jun;Kim, Jun Hyuk
    • Archives of Craniofacial Surgery
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    • v.23 no.5
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    • pp.220-227
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    • 2022
  • Background: Frontal sinus fractures are relatively rare. Their surgical management significantly differs depending on whether the posterior wall is invaded and the clinical features vary. A bicoronal incision or endoscopic approach can be used. However, the minimally invasive approach has been attracting attention, leading us to introduce a simple and effective surgical method using multiple-threaded Kirschner wires. Methods: All patients had isolated anterior wall fractures without nasofrontal duct impairment. The depth from the skin to the posterior wall was measured using computed tomography to prevent injury. The edge of the bone segment on the skin was marked, a threaded Kirschner wire was inserted into the center of the bone segment, and multiple Kirschner wires were gently reduced simultaneously. Results: Surgery was performed on 11 patients. Among them, seven patients required additional support for appropriate fracture reduction. Therefore, a periosteal elevator was used as an adjunct through a small sub-brow incision because the reduction was incomplete with the Kirschner wire alone. The reduction results were confirmed using facial bone computed tomography 1 to 3 days postoperatively. The follow-up period was 3 to 12 months. Conclusion: The patients had no complications and were satisfied with the surgical results. Here we demonstrated an easy and successful procedure to reduce a pure anterior wall frontal sinus fracture via non-invasive threaded Kirschner wire reduction.

Analysis of a Bi-directional Load Test Result on tong PHC Piles in Consideration of Residual Load (잔류하중을 고려한 장대 PHC 말뚝의 양방향 재하시험 결과해석)

  • Kim, Sung-Ryul;Chung, Sung-Gyo;Lee, Bong-Yeol
    • Journal of the Korean Geotechnical Society
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    • v.24 no.6
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    • pp.85-93
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    • 2008
  • For long piles driven in deep clay deposits, it is difficult to estimate the ultimate bearing capacity due to large resistance induced by long embedded depth, and also the load transfer curve due to large residual load induced by negative skin friction, even with the performance of pile load tests. In this research, a hi-directional load test on a PHC pile driven in deep soft deposit was performed in order to evaluate the tip and shaft resistances separately, which are feasible to estimate the ultimate bearing capacity of the pile. Residual load of the pile was determined by continuous monitoring of pile strains after the pile installation. The true resistance and true load-movement curve of the pile were properly estimated by taking account of the residual load. A model far behavior of the shaft resistance vs. movement was also proposed, which includes the effects of residual load based on the experiment. Consequently, it was proved that the residual load should be taken into consideration for correctly analyzing load test results of piles in deep clay deposits.

The influence of Winkler-Pasternak elastic foundations on the natural frequencies of imperfect functionally graded sandwich beams

  • Avcar, Mehmet;Hadji, Lazreg;Akan, Recep
    • Geomechanics and Engineering
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    • v.31 no.1
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    • pp.99-112
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    • 2022
  • The present study examines the natural frequencies (NFs) of perfect/imperfect functionally graded sandwich beams (P/IP-FGSBs), which are composed of a porous core constructed of functionally graded materials (FGMs) and a homogenous isotropic metal and ceramic face sheets resting on elastic foundations. To accomplish this, the material properties of the FGSBs are assumed to vary continuously along the thickness direction as a function of the volume fraction of constituents expressed by the modified rule of the mixture, which includes porosity volume fraction represented using four distinct types of porosity distribution models. Additionally, to characterize the reaction of the two-parameter elastic foundation to the Perfect/Imperfect (P/IP) FGSBs, the medium is assumed to be linear, homogeneous, and isotropic, and it is described using the Winkler-Pasternak model. Furthermore, the kinematic relationship of the P/IP-FGSBs resting on the Winkler-Pasternak elastic foundations (WPEFs) is described using trigonometric shear deformation theory (TrSDT), and the equations of motion are constructed using Hamilton's principle. A closed-form solution is developed for the free vibration analysis of P/IP-FGSBs resting on the WPEFs under four distinct boundary conditions (BCs). To validate the new formulation, extensive comparisons with existing data are made. A detailed investigation is carried out for the effects of the foundation coefficients, mode numbers (MNs), porosity volume fraction, power-law index, span to depth ratio, porosity distribution patterns (PDPs), skin core skin thickness ratios (SCSTR), and BCs on the values of the NFs of the P/IP-FGSBs.

Creation of Consistent Burn Wounds: A Rat Model

  • Cai, Elijah Zhengyang;Ang, Chuan Han;Raju, Ashvin;Tan, Kong Bing;Hing, Eileen Chor Hoong;Loo, Yihua;Wong, Yong Chiat;Lee, Hanjing;Lim, Jane;Moochhala, Shabbir M.;Hauser, Charlotte A.E.;Lim, Thiam Chye
    • Archives of Plastic Surgery
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    • v.41 no.4
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    • pp.317-324
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    • 2014
  • Background Burn infliction techniques are poorly described in rat models. An accurate study can only be achieved with wounds that are uniform in size and depth. We describe a simple reproducible method for creating consistent burn wounds in rats. Methods Ten male Sprague-Dawley rats were anesthetized and dorsum shaved. A 100 g cylindrical stainless-steel rod (1 cm diameter) was heated to $100^{\circ}C$ in boiling water. Temperature was monitored using a thermocouple. We performed two consecutive toe-pinch tests on different limbs to assess the depth of sedation. Burn infliction was limited to the loin. The skin was pulled upwards, away from the underlying viscera, creating a flat surface. The rod rested on its own weight for 5, 10, and 20 seconds at three different sites on each rat. Wounds were evaluated for size, morphology and depth. Results Average wound size was $0.9957cm^2$ (standard deviation [SD] 0.1845) (n=30). Wounds created with duration of 5 seconds were pale, with an indistinct margin of erythema. Wounds of 10 and 20 seconds were well-defined, uniformly brown with a rim of erythema. Average depths of tissue damage were 1.30 mm (SD 0.424), 2.35 mm (SD 0.071), and 2.60 mm (SD 0.283) for duration of 5, 10, 20 seconds respectively. Burn duration of 5 seconds resulted in full-thickness damage. Burn duration of 10 seconds and 20 seconds resulted in full-thickness damage, involving subjacent skeletal muscle. Conclusions This is a simple reproducible method for creating burn wounds consistent in size and depth in a rat burn model.

Inspection of Welded Zone and Flat Plate Using Flexible ECA Probe (Flexible ECA Probe를 이용한 평판 및 용접부 검사)

  • Lee, Chang-Jun;Lee, Kyu Sung;Shin, Chung-Ho;Lee, Kyoung-Jun;Jang, Yoon Young
    • Journal of the Korean Society for Nondestructive Testing
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    • v.36 no.4
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    • pp.288-294
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    • 2016
  • This paper aims to compare the ability to detect notch defects existing in the plate and welded area using a flexible ECA (eddy current array) probe with OmniScan MX and MS-5800E. The characteristics of signals with various frequencies and lift-offs were also compared. As a result, when signals of frequencies 500, 1000, and 1500 kHz were used, the amplitude of the signal increased, as the depth of the notch increased, but reduced linearly in accordance with the lift-off variation. In addition, the detection sensitivity of the weld defect was found to be closely related to the contact surface of the probe and specimen. In this paper, it was demonstrated that the detection sensitivity was excellent when the contact surface of the probe and the specimen was sufficient, but it was poor when the contact surface was insufficient.

Characteristics of Load-Settlement Behaviour for Embeded Piles Using Load-Transfer Mechanism (하중전이기법을 이용한 매입말뚝의 하중-침하 거동특성)

  • Oh, Se Wook
    • Journal of the Korean GEO-environmental Society
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    • v.2 no.4
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    • pp.51-61
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    • 2001
  • A series of model tests and analyses by load transfer function were performed to study load-settlement behaviour with relative compaction ratio of soil and embeded depth of pile. In the model tests, embeded depth ratio(L/D) of pile were installed 15, 20, 25 and relative compaction of soil(RC) is 85%, 95% and then cement were injected at around perimeter of pile. For analysis of embedded pile, the paper were compared results of model tests with analysis results by Vijayvergiya model and Castelli model, Gwizdala model of elastic plasticity-perfect plastic model and then the fitness load transfer mechanism was proposed to predict load-settlement behaviour of embeded pile. The analysis results of predicted bearing capacity by load transfer function, ultimate bearing capacity of embeded pile were approached to measured value and behaviour of initial load-settlement curve were estimated that load transfer function by Castelli were similar to measured value. The result of axial load analysis of bored pile shows that skin friction estimated by load transfer mechanism is investigated more a little than that of measured values.

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Monte Carlo Based Planning System for a Beam Spoiler

  • 강세권;조병철;박희철;배훈식
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2003.09a
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    • pp.56-56
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    • 2003
  • For the treatment of superficial tumors like squamous cell carcinoma of the head and neck, 6 MV photon beam is not appropriate and a spoiler is widely used to increase dose in the buildup region, while preserving the skin sparing effect. However, commercially available treatment planning systems assume a normal unspoiled beam, thereby cannot predict the buildup dose with spoiler accurately. We aimed to implement a Monte Carlo (MC) based planning system to apply it to the radiation treatment of head and neck. Lucite with thickness of 10-mm was used for the beam spoiler with Siemens Primus 6 MV photon beam. BEAM/DOSXYZ MC system was employed to model the linac and the spoiler. To verify the calculation accuracy of MC simulations, the percent depth doses (PDDs) and profiles with and without spoiler were measured using a parallel-plate chamber. For the MC based planning, we adopted a hybrid interface system between Pinnacle (Philips, USA) and BEAM/DOSXYZ to support treatment parameters of Siemens linac and the spoiler. The measurements of PDDs and profiles agreed with the corresponding MC simulations within 2% (lSD), which demonstrate the reliability of our MC simulations. The spoiler generated electrons make a contribution to the absorbed dose up to depth of 2cm, which shows that the dominant source of increased dose from spoiler system is the contaminating electrons created by the spoiler. The whole procedures necessary for MC based treatment planning were performed seamlessly between Pinnacle and BEAM/DOSXYZ system. This ability helps to increase the clinical efficiency of the spoiler technique. In conclusion, we implemented a MC based treatment planning system for a 6 MV photon beam with a spoiler. We demonstrate sophisticated MC technique makes it possible to predict dose distributions around buildup region accurately.

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Hair Growth-Promoting Effects of Lavender Oil in C57BL/6 Mice

  • Lee, Boo Hyeong;Lee, Jae Soon;Kim, Young Chul
    • Toxicological Research
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    • v.32 no.2
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    • pp.103-108
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    • 2016
  • The purpose of this study was to determine the hair growth effects of lavender oil (LO) in female C57BL/6 mice. The experimental animals were divided into a normal group (N: saline), a vehicle control group (VC: jojoba oil), a positive control group (PC: 3% minoxidil), experimental group 1 (E1: 3% LO), and experimental group 2 (E2: 5% LO). Test compound solutions were topically applied to the backs of the mice ($100{\mu}L$ per application), once per day, 5 times a week, for 4 weeks. The changes in hair follicle number, dermal thickness, and hair follicle depth were observed in skin tissues stained with hematoxylin and eosin, and the number of mast cells was measured in the dermal and hypodermal layers stained with toluidine blue. PC, E1, and E2 groups showed a significantly increased number of hair follicles, deepened hair follicle depth, and thickened dermal layer, along with a significantly decreased number of mast cells compared to the N group. These results indicated that LO has a marked hair growth-promoting effect, as observed morphologically and histologically. There was no significant difference in the weight of the thymus among the groups. However, both absolute and relative weights of the spleen were significantly higher in the PC group than in the N, VC, E1, or E2 group at week 4. Thus, LO could be practically applied as a hair growth-promoting agent.

Application of a paste-type acellular dermal matrix for coverage of chronic ulcerative wounds

  • Jeon, Minseok;Kim, So Young
    • Archives of Plastic Surgery
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    • v.45 no.6
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    • pp.564-571
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    • 2018
  • Background Chronic wounds occur due to failure of the normal healing process, associated with a lack of deposition of cellular components and a suitable microenvironment such as the extracellular matrix (ECM). Acellular dermal matrix (ADM) is viewed as an ECM substitute, and a paste-type ADM has recently been introduced. We hypothesized that CGPaste, an injectable paste-type ADM, could serve as a scaffold and promote wound healing. Methods We retrospectively studied seven patients in whom CGPaste was applied between 2017 and 2018, who had pressure ulcers, necrotizing fasciitis, diabetic foot ulcers, traumatic defects, and osteomyelitis. The goal of applying CGPaste was to achieve complete wound healing with re-epithelialization or growth of granulation tissue, depending upon the wound bed status. CGPaste was injected based on the wound size along with the application of a dressing. Results Four of the seven patients showed granulation tissue on their wound bed, while the other three patients had a bony wound bed. The mean wound area was $453.57mm^2$ and the depth was 10.71 mm. Wound healing occurred in five of the seven patients (71.43%). The mean duration of complete healing was 2.4 weeks. Two patients showed failure due to paste absorption (29.57%); these patients had wound beds comprising bone with relatively large and deep wounds ($40{\times}30$ and $30{\times}20mm^2$ in area and 15 and 10 mm in depth). Conclusions CGPaste is an effective option for coverage of small and deep chronic wounds for which a flap operation or skin grafting is unfeasible.

A Study on Rebuildup of 6MV X-ray by the Cavity (공동에 의한 6MV X선의 재선량증가 현상에 관한 연구)

  • Cho, Moon-June;Choi, Eun-Kyung;Chung, Woong-Ki;Kang, Wee-Saing;Park, Charn-Il
    • Radiation Oncology Journal
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    • v.7 no.1
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    • pp.113-121
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    • 1989
  • The inclusion of air filled cavities in treatment fields creates a potential dosimetric problem due to the rebuildup phenomenon near the air-tissue interface using a simulated phantom, such as air gap, air cylinder, and air cavity, the amount of rebuldup along the various field sizes and air cavity dimensions was measured. The results are as follows. 1. As the field size becomes larger in comparison with the cavity size, or as the cavity size gets bigger when the field size is equal to the cavity size, rebuildup decreases. 2. When the distance between the phantom surface and the air cavity is less than 1.5cm, there is prominent rebuildup. And when the distance is more than 1.5cm, rebuildup is relatively constant, 3. The change according to the depth of the cavity is affected by the field size and the cavity size, rebuildup usually increases when the depth of the cavity increases. 4. It is suggested that tissue equivalent material should be applied on the skin to make tissue thickness over the air cavity more than 1.5cm and that the field size should include the air cavity with at least 1cm margin.

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