• Title/Summary/Keyword: Tongue & groove

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Gluteus Maximus Muscle Flap in Tongue in Groove and Wrap Around Pattern for Refractory CSF Leakage in Extradural Cyst Patient

  • Park, Kyong Chan;Lee, Jun Ho;Shim, Jae Jun;Lee, Hyun Ju;Choi, Hwan Jun
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.365-368
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    • 2022
  • Spinal extradural arachnoid cyst (SEAC) is a rare disease and has surgical challenges because of the critical surrounding anatomy. We describe the rare case of a 58-year-old woman who underwent extradural cyst total excision with dural repair and presented with refractory cerebrospinal fluid (CSF) leakage even though two consecutive surgeries including dural defect re-repair and lumbar-peritoneal shunt were performed. The authors covered the sacral defect using bilateral gluteus maximus muscle flap in tongue in groove and wrap around pattern for protection of visible sacral nerve roots and blockage of CSF leakage point. With the flap coverage, the disappearance of cyst and fluid collection was confirmed in the postoperative radiological finding, and the clinical symptoms were significantly improved. By protecting the sacral nerve roots and covering the base of sacral defect, we can minimize the risk of complication and resolve the refractory fluid collection. Our results suggest that the gluteus muscle flap can be a safe and effective option for sacral defect and CSF leakage in extradural cyst or other conditions.

The effect of the tongue in groove technique on the nasolabial angle and nasal tip projection

  • Khabir, Fatemeh;Sezavar, Mehdi;Bohluli, Behnam;Mesgarzadeh, Vahid;Tavakoli, Hamidreza
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.19.1-19.4
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    • 2020
  • Background: The tongue in groove technique (TIG) is a useful technique for the correction of the nasal tip projection and the nasolabial angle. The purpose of this study was to determine the utility of this technique for nasal tip rotation and projection correction in the Iranian society. Methods: This is a retrospective clinical trial study of 20 patients undergoing open septo-rhinoplasty using TIG technique from January 2017 to August 2019 at the oral and maxillofacial unit of Bu Ali Hospital and private sector. Preoperative and postoperative profile view photographs were compared to assess the changes in tip projection and rotation. Results: Fifteen patients (75%) had normal angular size, and 5 of them (25%) were not within the normal range after the surgery. The Fisher exact test showed that this success was statistically significant (P = 0.006). Ten patients (50%) had normal projection size, postoperatively. The Fisher exact test showed that this effect was statistically significant (P < 0.01) Conclusion: The study demonstrated the benefit of TIG on the correction of nasal tip projection and rotation.

Preliminary Study of the Siemens Primus Linac MLC modelling using BEAM Monte Carlo code (BEAM 몬테칼로 코드를 이용한 Siemens Primus 선형가속기 다엽콜리메이터의 모델링 예비연구)

  • Cheong, Kwang-Ho;Suh, Tae-Suk;Cho, Byung-Chul;Park, Sung-Ho
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2004.11a
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    • pp.29-32
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    • 2004
  • In this study, we had modelled Siemens type MLC using BEAM Monte Carlo code and tested the feasibility of the modelling. To model the Primus linac MLC, we had measured the actual dimensions of MLC and each leaves, then approximated the leaf shape. VARMLC component module was used for the modelling and leakage, tongue-and-groove effect were also considered. Simulation result showed the good agreement with the film measurement.

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Morphological study on the tongue of Korean native goat (한국재래산양 혀에 관한 형태학적 연구)

  • Lee, Heungshik S.;Lee, In-se;Kang, Tae-cheon
    • Korean Journal of Veterinary Research
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    • v.36 no.2
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    • pp.255-264
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    • 1996
  • This studies were carried out to identify the characteristics of the tongue of Korean native goat(Capra hircus) by macroscopy, microscopy and scanning microscopy. Korean native goat had torus linguae, median lingual sulcus, lingual fossa and ventral median fissure but did not have glossoepiglottic fold and terminal sulcus in the tongue. The whole length of tongue was $11.51{\pm}0.76cm$. The length of tongue apex, tongue body, tongue root and the torus linguae were $2.62{\pm}0.28$, $7.39{\pm}0.27$, $1.56{\pm}0.26$ and $6.37{\pm}0.29cm$, respectively. The width of tongue apex, torus linguae and tongue root were $3.41{\pm}0.24$, $3.74{\pm}0.29$ and $3.68{\pm}0.11$, respectively. The thickness of tongue apex was $1.60{\pm}0.10$, and the height of torus linguae was $1.52{\pm}0.15cm$. Filiform papillae were present at the tongue apex and the tongue body rostral to torus linguae. Fungiform papillae were scattered from tongue apex to rostral portion of torus linguae, being in abundance at the tongue apex. Vallate papillae were showed at the lateral portion of torus linguae, while lentiform papillae were present at its central portion. Conical papillae were located between vallate and lentiform papillae. The numbers of filiform, fungiform, conical, vallate and lentiform papillae were $46,980{\pm}1070.98$, $446.8{\pm}36.97$, $818.4{\pm}43.99$, $34.8{\pm}2.77$, and $255.6{\pm}39.30$, respectively. The average numbers of taste bud were $8.3{\pm}2.04$ in a fungiform papilla and $247.3{\pm}37.44$ in a vallate papilla. The filiform papilla had secondary and tertiary papillae. The height of filiform papilla was about $150{\mu}m$ and the diameter was $100{\mu}m$. The diameters of fungiform papillae were 350 to $550{\mu}m$. The long and short diameters of maximum-sized lentiform papilla were 4000 and $3000{\mu}m$, respectively, while those of minimum-sized papilla were 700 and $600{\mu}m$, respectively. The height of conical papillae was 450 to $600{\mu}m$ and diameter was 250 to $450{\mu}m$. The vallate papilla was round or oval in shape and its diameter was 500 to $850{\mu}m$. It had well-developed papillary groove around itself. The modified conical papillae were not observed in the tongue of Korean native goat.

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Finite element investigation of the joints in precast concrete pavement

  • Sadeghi, Vahid;Hesami, Saeid
    • Computers and Concrete
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    • v.21 no.5
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    • pp.547-557
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    • 2018
  • This paper measures the mechanical response of precast pavement joints under moving axle loads using the finite-element method, and the models were validated with results of field tests. In order to increase the ability to use the non-linear FE analysis for design and assessment of precast pavement subjected to moving axle load, this paper investigated the effects of different load transfer between the slabs using the ABAQUS finite-element package to solve the nonlinear explicit model equations. The assembly of the panels using dowels and groove-tongue keys has been studied to assess the efficiency of keyway joint system. Concrete damage plasticity model was used to calculate the effects of permanent damages related to the failure mechanisms. With aggregate interlock as the only load transferring system, Load transfer efficiency (LTE) is not acceptable when the axle load reaches to slab joints. The Finite-element modelling (FEM) results showed that keyway joints significantly reduced tensile stresses developed at the mid-slab. Increasing the thickness of the tongue the LTE was improved but with increasing the height of the tongue the LTE was decreased. Stresses are transferred to the adjacent slab efficiently when dowels are embedded within the model. When the axle load approaches joints, tensile damage occurs sooner than compressive damage, but the damage rate remains constant, then compressive damage increases significantly and become the major form of distress under the dowels.

Shear performance of green timber wall panels (그린팀버월 패널의 전단성능)

  • Kim, Yun-Hui;Shin, Il-Joong;Jang, Sang-Sik
    • Korean Journal of Agricultural Science
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    • v.38 no.3
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    • pp.541-547
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    • 2011
  • Korean building industry was developed by concrete and steel construction. However, concrete and steel have some problems which low carbon storage capability and difficulty of recycling. According to many studies, timber has high carbon storage capability, high recycling capability and sustainable supporting capability. Focus on this factors of timber, make new wall structure as Green Timber Wall panels and check the shear performance to use wall system in housing construction such as light-weight timber construction and nondearing wall on other construction. In the results, B-4-B and B-4-S show similar modulus of shear stiffness on the table. GH-4-GH has slip shape failure mode between Green Timber Wall boards. GH-4-GV has most stable characteristic curve than other specimens.

Evaluation of Flexural Performance According to the Plywood Bonding Method of Ply-Lam CLT (Ply-lam CLT의 합판 접합방식에 따른 휨 성능 평가)

  • CHOI, Gyu Woong;YANG, Seung Min;LEE, Hyun Jae;KIM, Jun Ho;CHOI, Kwang Hyeon;KANG, Seog Goo
    • Journal of the Korean Wood Science and Technology
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    • v.49 no.2
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    • pp.107-121
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    • 2021
  • The purpose of this study is to optimize the bonding method of the plywood suitable for cross-laminated timber (CLT) with plywood as a core by analyzing the flexural performance and failure mode according to the lamina species, the method of bonding plywood in the longitudinal direction, and whether or not adhesive is applied to the joint. In the case of the Douglas fir lamina layer, the modulus of elasticity decreased by about 11.5% due to longitudinal bonding, and the modulus of rupture increased or decreased according to the adhesive application and bonding method. The optimal conditions were derived as the butt joint without adhesive, half lap joint with adhesive, and butt joint. In the case of the larch lamina layer, the modulus of rupture and the modulus of elasticity decreased by about 15% and 40%, respectively. When using the half lab joint and tongue & groove joint, it is believed that it reduces the load transmitted to the middle layer by primarily preventing the failure on flexure at the joint of the plywood layer. From the results of this study, the larch lamina layer used in the manufacturing process of Ply-lam CLT did not show any difference based on the bonding method. Butt joint and half lap joint bonding method are determined to be suitable when using Douglas fir lamina layer.

Heat transfer of green timber wall panels (그린팀버월 패널의 열전달 특성)

  • Kim, Yun-Hui;Jang, Sang-Sik;Shin, Il-Joong
    • Korean Journal of Agricultural Science
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    • v.38 no.1
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    • pp.115-120
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    • 2011
  • 20% of total energy use to sustain temperature of building inside. In this reasons, researchers effort to improve the thermal insulation capacity with new wall system. Using appropriate materials and consisting new wall system should considered in energy saving design. OSB(Oriented strand board), Larch lining board used to consist wall system. $2{\sim}6$ Larch lining board has tongue & groove shape for preventing moisture. Comparing with gypsum board and green timber lining board as interior sheathing material, temperature difference of Green timber wall system was bigger than temperature difference of gypsum board wall system. This aspects indicate that Green timber wall system was revealed higher thermal insulation property than gypsum board wall system. Gypsum board portion transfer heat easily because temperature difference gradient of gypsum board wall system was smaller than OSB wall system. Total temperature variation shape of G-4-S and G-6-S show similar model but, temperature variation shape in green timber wall portion assume a new aspect. The purpose of this study was that possibility of thermal insulation variation and new composition of wall system identify to improve thermal insulation performance. In the temperature case, this study shows possibility of improving thermal insulation performance. Humidity, sunshine and wind etc. should considered to determine building adiabatic properties.

A study on A Cabinet Maker in Western Gyeongnam Porvince in Korea - A Curriculrum of Byeung-Soo Kim, A Master in Korea - (서부경남의 소목장 연구 I - 대한민국 명장 김병수의 교육과정 -)

  • Kim, Min-Keung;Byeon, Hee-Sup;Kim, Chul-Whan;Moon, Sun-Ok
    • Journal of the Korea Furniture Society
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    • v.26 no.4
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    • pp.409-420
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    • 2015
  • This study intends to explore a teaching philosophy of a Master, a joiner, a cabinet maker, Byeung-Soo Kim who has devoted his entire life on creating and making traditional Korean wood furniture since the elementary school. His teaching method is to make his learners skillful by learning how to make traditional Korean furniture with the traditional technique or joint handmade. They are able to create the furniture in passing through some levels such as a beginning, a middle, a high, and a special class for three years. Each level suggests that the students should study its own joints from laminating, dado, butt, dovetail, mitered, mortise-and-tenon, rabbet, tongue-and-groove and so on. The teaching method is very unique as the technique different and difficult to fine it from other education processes throughout the country.

A Comparison Study of Volumetric Modulated Arc Therapy Quality Assurances Using Portal Dosimetry and MapCHECK 2

  • Jin, Hosang;Jesseph, Fredrick B.;Ahmad, Salahuddin
    • Progress in Medical Physics
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    • v.25 no.2
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    • pp.65-71
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    • 2014
  • A Varian Portal Dosimetry system was compared to an isocentrically mounted MapCHECK 2 diode array for volumetric modulated arc therapy (VMAT) QA. A Varian TrueBeam STx with an aS-1000 digital imaging panel was used to acquire VMAT QA images for 13 plans using four photon energies (6, 8, 10 and 15 MV). The EPID-based QA images were compared to the Portal Dose Image Prediction calculated in the Varian Eclipse treatment planning system (TPS). An isocentrically mounted Sun Nuclear MapCHECK 2 diode array with 5 cm water-equivalent buildup was also used for the VMAT QAs and the measurements were compared to a composite dose plane from the Eclipse TPS. A ${\gamma}$ test was implemented in the Sun Nuclear Patient software with 10% threshold and absolute comparison at 1%/1 mm (dose difference/distance-to-agreement), 2%/2 mm, and 3%/3 mm criteria for both QA methods. The two-tailed paired Student's t-test was employed to analyze the statistical significance at 95% confidence level. The average ${\gamma}$ passing rates were greater than 95% at 3%/3 mm using both methods for all four energies. The differences in the average passing rates between the two methods were within 1.7% and 1.6% of each other when analyzed at 2%/2 mm and 3%/3 mm, respectively. The EPID passing rates were somewhat better than the MapCHECK 2 when analyzed at 1%/1 mm; the difference was lower for 8 MV and 10 MV. However, the differences were not statistically significant for all criteria and energies (p-values >0.05). The EPID-based QA showed large off-axis over-response and dependence of ${\gamma}$ passing rate on energy, while the MapCHECK 2 was susceptible to the MLC tongue-and-groove effect. The two fluence-based QA techniques can be an alternative tool of VMAT QA to each other, if the limitations of each QA method (mechanical sag, detector response, and detector alignment) are carefully considered.