• Archives of Plastic Surgery
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• v.39 no.4
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• pp.426-430
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• 2012

Dupuytren's contracture is a condition commonly encountered by hand surgeons, although it is rare in the Asian population. Various surgical procedures for Dupuytren's contracture have been reported, and the outcomes vary according to the treatment modalities. We report the treatment results of segmental fasciectomies with multiple transverse incisions for patients with Dupuytren's contracture. The cases of seven patients who underwent multiple segmental fasciectomies with multiple transverse incisions for Dupuytren's contracture from 2006 to 2011 were reviewed retrospectively. Multiple transverse incisions to the severe contracture sites were performed initially, and additional incisions to the metacarpophalangeal (MCP) joints, and the proximal interphalangeal (PIP) joints were performed if necessary. Segmental fasciectomies by removing the fibromatous nodules or cords between the incision lines were performed and the wound margins were approximated. The mean range of motion of the involved MCP joints and PIP joints was fully recovered. During the follow-up periods, there was no evidence of recurrence or progression of disease. Multiple transverse incisions for Dupuytren's contracture are technically challenging, and require a high skill level of hand surgeons. However, we achieved excellent correction of contractures with no associated complications. Therefore, segmental fasciectomies with multiple transverse incisions can be a good treatment option for Dupuytren's contracture.

• Earthquakes and Structures
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• v.9 no.6
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• pp.1233-1250
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• 2015

The behavior of reinforced concrete (RC) columns made from high strength materials was investigated experimentally. Six high-strength concrete specimen columns (1:4 scale), which included three with high-strength transverse reinforcing bars and three with normal-strength transverse reinforcement, were tested under double curvature bending load. The effects of yielding strength and ratio of transverse reinforcement on the cracking patterns, hysteretic response, shear strength, ductility, strength reduction, energy dissipation and strain of reinforcement were studied. The test results indicated that all specimens failed in splitting failure, and specimens with high-strength transverse reinforcement exhibited better seismic performance than those with normal-strength transverse reinforcement. It also demonstrated that the strength of high-strength lateral reinforcing bars was fully utilized at the ultimate displacements. Shear strength formula of short concrete columns, which experienced a splitting failure, was proposed based on the Chinese concrete code. To enhance the applicability of the model, it was corroborated with 47 short concrete columns selected from the literature available. The results indicated that, the proposed method can give better predictions of shear strength for short columns that experienced a splitting failure than other shear strength models of ACI 318 and Chinese concrete codes.

• Journal of International Academy of Physical Therapy Research
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• v.7 no.2
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• pp.1066-1070
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• 2016

The purpose of this article was to investigate the effects of Maitland's transverse movement on change of pain, trunk flexion movement and Cobb's angle in patient with upper thoracic scoliosis. The subject are 37 years old with chronic low back pain participated in this study and has no experience surgery within the last six months due to back pain. 10 set was applied 10 times on the T3-T5 applied the transverse movement with grade IV to each segment by skilled physical therapist. Transverse movement was applied convex toward the concave side. Pressure pain threshold was reduced from 4/10 to 2/10. Trunk flexion range that is the distance between the middle finger and floor was increase from 7.3cm to 2cm. Cobb's angle was decreased from degree 18 to 16. This result demonstrated that the Maitland's transverse movement was benefit to reduce the pain and Cobb's angle, and to increase the trunk flexion movement.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.16 no.1
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• pp.57-63
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• 2010

The palpation of spinous process and transverse process of vertebra are important part of the assesment and treatment from Orthopedic manual therapy. But the palpation area is descriptive differently each of literatures. So we generally got these outcomes. : There are C2, C3, C4 and C6 process as a bony landmarks and these are important part of establish the precise location of pain appears from cervical spine. Even though C7 process regard a prominent part, it is hard to distinguish C6 and process of T1. Thru that differentiation, grab the patient's forehead and try them cervical and hyper-extension check any movement of process or put on the fingers on C7 preocess and check the movement. The palpation of thoracic spine process is the land mark which determines general level orientation in the spine easily, there are T2, T7 spinous process. However, It is depends on how do you test the patient's arm when you palpate it and it can effect on spinous process. The transverse process of C1 is the only spot for palpation in cervical spine, and T1-3, T12 transverse process can palpate it when it stands on the process. The end of T4-6, T11 is placed on middle on vertebra of transverse process and transverse process. T7-9, T10 transverse process is place on same position as spinous process which is upper part of the spine.

• The Journal of Korean Physical Therapy
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• v.31 no.2
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• pp.111-116
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• 2019

Purpose: This study examined the effects of horse riding simulator exercise on the thickness changes in the transverse abdominis in normal adults. Methods: Forty-five healthy adults were recruited and randomized to a horseback riding simulation exercise group (n=15), a sling exercise group (n=15), and a trunk stabilization exercise group (n=15). A horseback riding simulator offers the indoor experience of horseback riding and mimics the rhythmic movement of horseback riding, thereby provided a virtual environment, such as riding a real horse on the front screen. The velocity of the horse riding simulator exercise was regulated within the subject's ability to control the exercise on the horse riding simulator. A sling exercise group performed sling exercise under the inspection of the experimenter. In the trunk stabilization exercise group, the subjects were instructed to perform the exercise accurately and pause the session when pain occurred during the intervention. The subjects in each group carried out the interventions three times per week for six weeks. The thickness of the transverse abdominis was measured using a pressure biofeedback unit and the ultrasound. Results: Significant differences in the thickness of transverse abdominis within the groups were observed between before and after the interventions. On the other hand, there were no differences in the parameters among the groups. Conclusion: Horse riding simulator exercise can be an alternative to trunk stabilization exercise by increasing the thickness of the transverse abdominis in healthy adults.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.49 no.3
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• pp.107-113
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• 2023

Bimaxillary transverse width discrepancies are commonly encountered among patients with dentofacial deformities. Skeletal discrepancies should be diagnosed and managed appropriately with possible surgical corrections. Transverse width deficiencies can present in varieties of combinations involving the maxilla and mandible. We observed that in a significant proportion of cases, the maxilla is normal, and the mandible showed deficiency in the transverse dimension after pre-surgical orthodontics. We designed novel osteotomy techniques to enhance mandibular transverse width correction, as well as simultaneous genioplasty. Chin repositioning along any plane is applicable concomitant with mandibular midline arch widening. When there is a requirement for larger widening, gonial angle reduction may be necessary. This technical note focuses on key points in management of patients with transversely deficient mandible and the factors affecting the outcome and stability. Further research on the maximum amount of stable widening will be conducted. We believe that developing evidence-based additional modifications to existing conventional surgical procedures can aid precise correction of complex dentofacial deformities.

• Journal of the Korea Concrete Institute
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• v.21 no.4
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• pp.389-400
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• 2009

A compression lap splice can be calculated longer than a tension lap splice in high strength concrete according to current design codes. Including effects of transverse reinforcement, a compression splice becomes much longer than a tension splice. Effects of transverse reinforcement and bar size on strength and behavior of compression lap splice, which always exist in actual structures, have been investigated through experimental study of column tests with concrete strength of 40 and 60 MPa. The results of the tests with bar diameters of 22 and 29 mm show that there is no size effect of bar diameter on compression lap splice. Bond strength of small bar diameter may increase. However, large diameters of re-bars are used in compression member and the size effect of re-bars does not have to be considered in compression lap splice. Confined specimens have twice of calculated strengths by current design codes. New design equations for the compression lap splice including the effects of transverse reinforcement are required for practical purpose of ultra-high strength concrete. End bearing is enhanced by transverse reinforcement placed at ends of splice not by transverse reinforcement within splice length. As more transverse reinforcement are placed, the stresses developed by bond linearly increase. The transverse reinforcements at ends of splice a little improve the strength by bond. Because the stresses developed by bond in compression splice with transverse reinforcement are nearly identical to or less than those in tension splice with same transverse reinforcement, strength increment of compression splice is attributed to end bearing only.

• Journal of the Korea Concrete Institute
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• v.15 no.5
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• pp.679-688
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• 2003

For box girders in which the longitudinal tendon is profiled in the inclined webs, longitudinal prestressing force will induce transverse effects as well as longitudinal ones. In this paper, the method to estimate transverse effects induced by longitudinal prestressing is proposed. The concept of transverse equivalent loading which is calculated through longitudinal prestressing analysis is developed. The transverse stress in slabs of box girders due to longitudinal prestressing are investigated. The comparison of numerical results of the proposed method and those of folded plate method represents that the method is reasonable. Numerical analyses are carried out depending on the parameters such as web inclination and ratio of girder length to tendon eccentricity. Analysis results show that when only prestressing are considered the magnitude of transverse stress in slabs of box girder is not so large. However, if the other stresses due to dead and live load et al. are superposed on these stresses, it may be that the longitudinal prestressing effects are significant.

• International Journal of Concrete Structures and Materials
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• v.10 no.4
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• pp.479-497
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• 2016

Many experimental studies have evaluated the in-plane behavior of reinforced concrete frames in order to understand mechanisms that resist progressive collapse. The effects of transverse beams, frames and slabs often are neglected due to their probable complexities. In the present study, an experimental and numerical assessment is performed to investigate the effects of transverse beams on the collapse behavior of reinforced concrete frames. Tests were undertaken on a 3/10-scale reinforced concrete sub-assemblage, consisting of a double-span beam and two end columns within the frame plane connected to a transverse frame at the middle joint. The specimen was placed under a monotonic vertical load to simulate the progressive collapse of the frame. Alternative load paths, mechanism of formation and development of cracks and major resistance mechanisms were compared with a two-dimensional scaled specimen without a transverse beam. The results demonstrate a general enhancement in resistance mechanisms with a considerable emphasis on the flexural capacity of the transverse beam. Additionally, the role of the transverse beam in restraining the rotation of the middle joint was evident, which in turn leads to more ductile behavior. A macro-model was also developed to further investigate progressive collapse in three dimensions. Along with the validated numerical model, a parametric study was undertaken to investigate the effects of the removed column location and beam section details on the progressive collapse behavior.

• Journal of the Korea Concrete Institute
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• v.14 no.6
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• pp.982-988
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• 2002

Current design equations for shear strength of reinforced concrete columns generally overestimate the shear strength contribution by the circular transverse reinforcement. This is due to the simplification of the discrete distribution of the reinforcement to the continuous one and the imprudent application of the classical truss model to the circular section, which is different in shear-resisting mechanism from the rectangular section. This study presents a rational model for the prediction of shear strength contribution by the circular transverse reinforcement considering the starting location of a diagonal crack, the number of transverse reinforcing bars crossing the main crack and the geometrical strength component of the transverse resistance. It was found that, for lower amount transverse reinforcement, the crack starting point and the number of crack crossing bars greatly influence the shear-resisting capacity. Proposed model leads to a reliable design equation which is derived using a linear regression method and is in good agreement with the lower bound of exact strength curve.