• 제목/요약/키워드: anchoring method

검색결과 123건 처리시간 0.03초

악관절 융기 증강술을 통한 습관성 악관절 탈구환자의 치험례 (Surgical treatment of recurrent mandibular dislocation by augmentation of the articular eminence)

  • 김일규;신주호;오성섭;최진호;김형돈;오남식;김의성
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제22권2호
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    • pp.238-242
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    • 2000
  • Recurrent mandibular dislocation is frequent morbidity of temporomandibular joint relatively. There are many etiologic causes in TMJ disorders but, difficult to find obvious one. Various treatment methods have been utilized for a mandibular dislocation. It is categorized into two groups broadly - nonsurgical or surgical methods. The basic rationale of the surgical method is to allow free movement of the condyle by reducing height of articular eminence or to limit anterior excessive movement of the condyle by increasing height of articular eminence or soft tissue anchoring procedure. In this case, 69 year-old woman was treated by augmentation of the articular eminence with mandibular symphysial bone graft leading to osteosynthesis without difficulty. As a result, favorable postoperative outcome was obtained functionally without any complication or recurrence.

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Feasibility of Use of a Barbed Suture (V-Loc 180) for Quilting the Donor Site in Latissimus Dorsi Myocutaneous Flap Breast Reconstruction

  • Thekkinkattil, Dinesh Kumar;Hussain, Tasadooq;Mahapatra, Tapan Kumar;McManus, Penelope Louise;Kneeshaw, Peter John
    • Archives of Plastic Surgery
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    • 제40권2호
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    • pp.117-122
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    • 2013
  • Background Latissimus dorsi (LD) myocutaneous flap is a popular method of breast reconstruction which can be associated with high incidence of seroma formation. Quilting sutures at the harvest site are used to reduce this. Barbed sutures are self anchoring sutures which avoid multiple knotting and can be useful in quilting. Methods A retrospective analysis of prospectively maintained database of patients who underwent LD flap breast reconstruction between January 2009 and January 2011 was carried out. Seroma formation at the harvest site, wound related complications, inpatient stay and duration of surgery were analysed and a comparison was made between two groups where quilting was done with barbed (V-Loc) suture and conventional polydioxanone (PDS) II sutures. Results Fifty-seven patients were included of which 33 had quilting by V-Loc sutures and in 24 patients PDS II suture was used. Median age in the PDS group was 55 years (interquartile range [IQR)], 45 to 61 years) which was comparable to the V-Loc group (53 years [IQR, 48 to 59 years]; P-value 0.948). Sixteen patients (28%) had significant seroma formation and 5 (9%) patients developed superficial wound dehiscence. Incidences of seroma or wound complications were comparable (P-value 0.378 and 1.00, respectively). Secondary outcomes such as total duration of surgery, total inpatient stay, total amount of drain at the donor site were also similar in two groups. Conclusions Use of barbed sutures for quilting the donor site in LD flap reconstruction is a feasible option and the associated seroma formation and wound complications are comparable with conventional sutures.

A Revision Restoring Projection after Nipple Reconstruction by Burying Four Triangular Dermal Flaps

  • Kim, Ji Hun;Ahn, Hee Chang
    • Archives of Plastic Surgery
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    • 제43권4호
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    • pp.339-343
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    • 2016
  • Background Numerous techniques have been used to achieve long-term projection of the nipple following nipple-areola reconstruction. However, the reconstructed nipple loses projection over time. We describe a technique that uses local flaps to improve the lost projection of reconstructed nipples. Methods Between November 2013 and March 2015, nine patients (11 nipples) underwent revisional nipple reconstruction for lost projection. Only C-H nipple reconstructions were included in this study. The medical history of each patient was reviewed and photographs were taken in front and lateral views. All patients attended routine follow-up visits. Deepithelialized triangular flaps were made on all four sides of the nipple and buried in the opposite corners in order to augment the volume of the nipple. Anchoring sutures were used to attach each triangular flap on the side opposite their point of origin, and the resulting defects were closed directly. Results This procedure was used successfully in nine patients (11 nipples). Adequate projection was achieved in all patients and no complications occurred. The average nipple height was 3 mm before operation, 7 mm one day after operation, 5 mm at the six-month follow-up, and 5 mm at the 12-month follow-up. The average nipple-areolar angle was $164^{\circ}$ before the operation, $111^{\circ}$ one day after the operation, $130^{\circ}$ at the six-month follow-up, and $133^{\circ}$ at the 12-month follow-up. Conclusions The method described provides a solution to the loss of projection in reconstructed nipples. We recommend this technique because it leads to better projection, greater volume, and a more natural shape.

ABS 수지상의 도금층 형성을 위한 에칭 방법 연구 (Study of Etching Method for Plating Layer Formation of ABS Resin)

  • 최경수;최기덕;신현준;이상기;최순돈
    • 한국표면공학회지
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    • 제47권3호
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    • pp.128-136
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    • 2014
  • In the present study, we successfully developed an eco-friendly chemical etching solution and proper condition for plating on ABS material. The mechanism of forming Ni plating layer on ABS substrate is known as following. In general, the etching solution used for the etching process is a solution of chromic acid and sulfuric acid. The etching solution is given to the surface resulting in elution of butadiene group, so-called anchor effect. Such a rough surface can easily adsorb catalyst resulting in the increase of adhesion between ABS substrate and Ni plating layer. However a use of chromic acid is harmful to environment. It is, therefore, essential to develop a new alternative solution. In the present study, we proposed an eco-friendly etching solution composed of potassium permanganate, sulfuric acid and phosphoric acid. This solution was testified to observe the surface microstructure and the pore size of electrical Ni plating layer, and the adhesive correlation between deposited layers fabricated by electro Ni plating was confirmed. The result of the present study, the newly developed, eco-friendly etching solution, which is a mixture of potassium permanganate 25 g/L, sulfuric acid 650ml/L and phosphoric acid 250ml/L, has a similar etching effect and adhesion property, compared with the commercially used chromium acid solution in the condition at $70^{\circ}C$ for 5 min.

Slope stabilization with high-performance steel wire meshes in combination with nails and anchors

  • Rudolf Ruegger;Daniel Flum
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2000년도 사면안정 학술발표회
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    • pp.3-38
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    • 2000
  • Slope draperies in soil and rock are a well known method to avoid rockfalls into the roads or onto housings. Common wire mesh or a combination of wire mesh and wire rope nets are pinned to the slope by the means of fully grouted nails or anchors. Most of these installations have not been designed to stabilize the slope, but simply avoid the rocks from bouncing. The combination of soil- or rocknailing with a designable flexible facing system offers the advantage of a longterm stabilization of slopes and can replace other standard methods for slope stabilization. The capability to transfer axial and shear loads from the flexible facing system to the anchor points is most decisive for the design of the stabilization system. But the transfer of forces by mesh as pure surface protection devices is limited on account of their tensile strength and above all also by the possible force transmission to the anchoring points. Strong wire rope nets increase the performance for slope stabilizations with greater distances between nails and anchors and are widely used in Europe. However, they are comparatively expensive in relation to the protected surface. Today, special processes enable the production of diagonally structured mesh from high-tensile steel wire. These mesh provide tensile strengths comparable to wire rope nets. The interaction of mesh and fastening to nail / anchor has been investigated in comprehensive laboratory tests. This also in an effort to find a suitable fastening plates which allows an optimal utilization of the strength of the mesh in tangential (slope-parallel) as well as in vertical direction (perpendicular to the slope). The trials also confirmed that these new mesh, in combination with suitable plates, enable substantial pretensioning of the system. Such pretensioning increases the efficiency of the protection system. This restricts deformations in the surface section of critical slopes which might otherwise cause slides and movements as a result of dilatation. Suitable dimensioning models permit to correctly dimension such systems. The new mesh with the adapted fastening elements have already been installed in first pilot projects in Switzerland and Germany and provide useful information on handling and effects.

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선종 변화를 고려한 의장수 계산식의 적합성 검증 (Verification of Equipment Number Equation Considering New Types of Ships)

  • 구남국;하솔;이규열;양진혁;배재류;이수호
    • 대한조선학회논문집
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    • 제52권2호
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    • pp.119-124
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    • 2015
  • The purpose of this research is a verification of the current equation for calculating equipment number and a suggesting a method for development of a rational new equation. The equation for calculating equipment number consists of total surface area of a ship that fluid resistance act on. Equipment number determines the specification of anchoring and mooring equipment such as anchor weight, anchor chains length and diameter, the number, length and breaking load of tow lines and mooring lines. The equation for equipment number calculation is basically derived considering x, y components of a wind and current force acting on a ship. But this equation is only based on a tanker, which was main type of ships when the equation was derived. Therefore, verification of the equation is required for other types of ships, such as container carrier, LNG carrier, etc. Therefore, in this research, we find out the equation for equipment number calculation should be revised for other types of ships especially the container carrier, by comparing wind and current force acting on a ship to holding force of an anchor and anchor chains, which are selected based on the equipment number.

견갑하 건 단독 파열에 대한 쇄골하 삽입구를 이용한 봉합술 - 술기보고 - (Subclavian Portal Approach for Isolated Subscapularis Tendon Tear - Technical Note -)

  • 최창혁;김신근;장일웅;김세식
    • Clinics in Shoulder and Elbow
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    • 제12권2호
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    • pp.221-225
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    • 2009
  • 목적: 저자들은 견갑하 건 단독 파열에 대한 쇄골하 삽입구를 이용함으로써 봉합나사못을 보다 적절한 각도로 삽입하고 충분한 작업공간을 확보하여 봉합갈고리를 이용한 건 봉합을 용이하게 할 수 있었다. 대상 및 방법: 기존의 방법은 일반적으로 전방 및 전외측 삽입구를 이용하여 견갑하 건의 견인과 부착부 족문 (footprint)의 변연절제술을 시행한 후 봉합나사못을 삽입하여 복원술을 시행하고 있으며, 저자들은 삽입관을 따로 위치시키지 않고 쇄골하 삽입구를 이용하여 피하 (subcutaneous)로 봉합나사못 삽입과 봉합고리를 이용한 봉합사 통과작업을 시행하고, 전방 삽입구에만 삽입관을 위치시켜 봉합사를 결찰하여 견갑하 건 복원술을 시행하였다. 결과 및 결론: 이 술식은 간단하며 견갑하 건의 부분 파열이나 퇴축이 많이 되지 않은 전 파열에 용이하게 사용될 수 있을 것으로 생각된다.

일반선박의 Tier3 수준의 온실가스 배출량 산정에 관한 연구 (A Study on the Calculation of GHG Emissions from General Ships by Tier3 Method)

  • 봉춘근;박성진;김용구;이임학;이희관;황의현
    • 대한환경공학회지
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    • 제33권10호
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    • pp.701-708
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    • 2011
  • 본 연구에서는 일반선박으로부터 배출되는 온실가스 배출량을 연료소비를 근거로 한 배출(Tier1)과 선종을 고려한 출력, SFOC, 운항특성(시간과 부하율 등) 등을 근거로 한 활동도에 의한 배출(Tier3)로 구분하여 산정하고 비교분석하였다. 2009년도 기준으로 배출량을 산정한 결과, Tier1 방법에 의한 배출량은 총 28,273천톤 $CO_{2eq}$, Tier3 방법에 의한 산정량은 총 30,810 천톤 $CO_{2eq}$으로 나타났다. Tier3에 의한 온실가스 배출량이 Tier1에 의한 산출결과보다 약 9% 정도 많게 나타났다. 이는 설문조사에 의한 선박의 부하율, 운항시간 등의 활동도 조사결과가 약간 과대평가되었기 때문으로 판단되었다. 향후 Tier3 방법을 적용하여 온실가스의 발생량을 정확하게 산정하기 위해서는 선박의 종류 및 특성에 따라 SFOC, 운항특성별 시간과 부하율, 운항속도 등에 대한 상세한 활동도 자료의 확보가 필요할 것으로 판단되었다. 운항특성 등을 고려한 보다 상세하고 다양한 활동도 자료가 확보될 경우, 적절한 저감대책 수립이 가능할 것으로 생각된다.

탄소섬유판을 사용한 목재 보의 휨보강 (Flexural Reinforcement of Timber Beams Using Carbon Fiber Plates)

  • 최진철;김승훈;이용택
    • 한국구조물진단유지관리공학회 논문집
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    • 제26권6호
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    • pp.238-246
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    • 2022
  • 본 논문은 목재 보의 휨성능을 향상시키기 위한 CFRP 판의 보강상세 개발과 보강성능평가를 정리한 것이다. 본 연구에서 EBM 공법에 의한 CFRP 판으로 목재 보를 보강하는 상세로서 고력볼트에 의한 단부구속보강상세를 개발하였다. 이에 대한 휨성능을 평가하기 위하여 단부 구속이 없는 EBM 공법과 NSM 공법 등의 보강 상세와 함께 휨실험을 실시하였다. 실험결과로부터, 단부구속되지 않은 CFRP 판 보강실험체는 CFRP 판의 부착파괴와 목재의 쪼갬파괴가 동시에 일어났으며, 고력볼트로 단부구속된 CFRP 판 보강실험체는 목재의 쪼개짐에 의해 최종파괴되었다. 하중-변위곡선에서 무보강 실험체들은 선형탄성거동을 하다가 최대하중 이후 취성파괴되는 거동을 나타내었으며, EBM 공법으로 보강된 실험체들은 탄성변형후 휨강성 기울기가 감소되며 최대하중에 도달하는 거동을 나타내었다. EBM 공법으로 보강된 실험체들의 최대하중은 무보강 실험체들에 비하여 31.5~63.0% 증가하였으며, 고력볼트의 단부구속에 따른 최대하중은 24.0% 증가효과를 나타내었다. 동일한 CFRP 판의 보강량을 기준으로 EBM 보강이 NSM 보강에 비하여 최대하중 증가율에서 2.67배 크게 나타났다.

A refined Panax ginseng karyotype based on an ultra-high copy 167-bp tandem repeat and ribosomal DNAs

  • Waminal, Nomar Espinosa;Choi, Hong-Il;Kim, Nam-Hoon;Jang, Woojong;Lee, Junki;Park, Jee Young;Kim, Hyun Hee;Yang, Tae-Jin
    • Journal of Ginseng Research
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    • 제41권4호
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    • pp.469-476
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    • 2017
  • Background: Panax ginseng Meyer (Asian ginseng) has a large nuclear genome size of > 3.5 Gbp in haploid genome equivalent of 24 chromosomes. Tandem repeats (TRs) occupy significant portions of the genome in many plants and are often found in specific genomic loci, making them a valuable molecular cytogenetic tool in discriminating chromosomes. In an effort to understand the P. ginseng genome structure, we characterized an ultrahigh copy 167-bp TR (Pg167TR) and explored its chromosomal distribution as well as its utility for chromosome identification. Methods: Polymerase chain reaction amplicons of Pg167TR were labeled, along with 5S and 45S rDNA amplicons, using a direct nick-translation method. Direct fluorescence in situ hybridization (FISH) was used to analyze the chromosomal distribution of Pg167TR. Results: Recently, we reported a method of karyotyping the 24 chromosome pairs of P. ginseng using rDNA and DAPI (4',6-diamidino-2-phenylindole) bands. Here, a unique distribution of Pg167TR in all 24 P. ginseng chromosomes was observed, allowing easy identification of individual homologous chromosomes. Additionally, direct labeling of 5S and 45S rDNA probes allowed the identification of two additional 5S rDNA loci not previously reported, enabling the refinement of the P. ginseng karyotype. Conclusion: Identification of individual P. ginseng chromosomes was achieved using Pg167TR-FISH. Chromosome identification is important in understanding the P. ginseng genome structure, and our method will be useful for future integration of genetic linkage maps and genome scaffold anchoring. Additionally, it is a good tool for comparative studies with related species in efforts to understand the evolution of P. ginseng.