• Title/Summary/Keyword: closure method

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The Closure Stage of Cranial Sutures in Correlation with Age (증령적 변화로서의 두개골 봉합의 유합 상태)

  • Ahn, Hyoung-Joon;Sin, Kyoung-Jin;Kwon, Jeong-Seung;Do, Hyung-Joo;Choi, Jong-Hoon;Kim, Chong-Youl
    • Journal of Oral Medicine and Pain
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    • v.26 no.4
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    • pp.377-393
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    • 2001
  • In order to study the closure stage of cranial sutures and its correlations with age, the ectocranial closure stage of coronal suture, sagittal suture, and lambdoidal suture of 67 skulls was measured. Among the skulls kept at the department of anatomy, college of medicine, Yonsei University, the ones with ages identified were used for this study. These measurements of suture closure were conducted by 4 examiners independently. The sutures were further divided by Frederic's method into 16 suture parts. The closure stages were classified by five stages of Broca-Ribbe. The following results were obtained: 1. The inter-observer reliability among 4 examiners showed high intraclass correlation coefficient of over 0.75(mean : 0.856) in all suture parts. Therefore, the determination of closure stage wasn't influenced by the subjective view of each examiner. 2. In all suture parts, the closure stage increased proportionally with age.(p<0.01) In terms of each suture part, the S2 part of sagittal suture showed the highest correlation(68.1%) while the L1-R part of lambdoidal suture showed the lowest correlation(51.3%). In addition, in terms of suture types, the correlation with age decreased in the order of sagittal suture(60.0%), coronal suture(57.7%), and lambdoidal suture (55.7%). In general, the average value of suture closure stages had 57.8% correlation with age(p<0.01). 3. The most frequent suture closure stage according to age group was '0' for ages below 30, '0' and '1' for ages within the 30's, '1' and '2' for ages within the 40's, and '2' for ages within the 50's. With older age groups, the frequency of '3' and '4' increased, and the suture closure stage increased proportionally with age. 4. The mean age by closure stage of each suture were within the 40's for the closure stage of '1', within the 50's for the closure stage of '2', and from 50's through 60's for the closure stage of '3'. The standard deviation was over 10 for all closure stages. In addition, at the same suture closure stage, the mean age according to the coronal suture was higher than the ages according to the sagittal suture or lambdoidal suture. Especially, C1-R, C1-L, C2-R, and C2-L parts showed the highest age when at the same suture closure stage. 5. The values appropriate for age estimations using suture closure stages of 16 suture parts were calculated, and a calculator for age estimation ($R^2=0.6944$, p<0.01) by ectocranial suture closure stage for Koreans is presented. From the above results, the method of using the closure stage of sutures of the skull to estimate age can be useful in individual identification of forensic science. Further extensive and accurate research using larger samples would be worthy of study.

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Evaluation of a Traffic Lane Closure and Pavement Repair for a Certain Period (Focusing on the Gimcheon~Sunsan Project) (1차로 전면차단 후 도로포장 보수방법의 효과분석 (김천~선산 사례중심))

  • Ryu, Sung Woo;Park, Kwon-Je;Han, SeungHwan;Choi, InGu;Cho, Yoon-Ho
    • International Journal of Highway Engineering
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    • v.18 no.3
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    • pp.11-19
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    • 2016
  • PURPOSES : This study supports the evidence that it is possible to rehabilitate a damaged pavement with a lane closure specifically based on the Gimcheon~Sunsan project. METHODS : The prediction results from the simulation programs were compared with field monitoring, which focused on traffic management planning, congestion (length, time, and passing speed), bypass, and user cost, among others. RESULTS : The research results showed that lane closure application and pavement repair of the aged pavement in Korea were possible, even though the prediction results were minimally different from the field monitoring. The road agency contributes to service life extension of the rehabilitated pavement using this method. CONCLUSIONS : A marginal effect caused by the lane closure was observed on travelling users or vehicles, and the user cost of pavement repair decreased. Therefore, introducing the repair method or rehabilitation in Korea is possible. Information dissemination through various media was properly done to execute the project well. Moreover, the construction area traffic utilized nearby alternative roads. Therefore, improving the repaired pavemen's service life while ensuring that the pavement management agency can provide a road with comfortable user riding quality was possible.

The Efficiency of VAC(Vacuum-Assisted Closure) in Non-healing Wound (하지의 난치성 창상치유에 있어 VAC(Vacuum-Assisted Closure)의 유용성)

  • Park, Jung Min;Kwon, Yong Seok;Jung, Ki Hwan;Lee, Keun Cheol;Kim, Seok Kwun;An, Won Suk
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.727-732
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    • 2005
  • The treatment of wounds of the lower extremity caused by diabetes or vascular dysfunction remains a difficult problem for the plastic surgeon. The use of negative pressure in wound healing is a relatively new method to facilitate chronic wound healing by secondary healing. The use of vacuum-assisted closure(VAC) system is purposed to reduce local edema, increase regional blood flow, enhance epithelial migration, preserve a moist wound environment, reduce bacterial colonization, promote granulation tissue formation, and mechanically enhance wound closure. The VAC also can be used as a dressing for anchoring an applied split thickness skin graft. We reviewed the data from 20 consecutive patients with non-healing wound in lower extremity at Dong-A University from March 2002 to December 2004. We used the VAC in 20 patients and compared the results with the control group. In the VAC using group, mean application duration was about 3 weeks and dressing change was done every other day. The follow-up period of patients ranged from 3 months to 30 months with a mean of 17 months. The points of comparison with control group are wound size, granulation tissue proliferation rate, operation method, preoperative time, postoperative healing time, complication, and cost. With those points, we propose to approve the efficiency of the VAC in non-healing wound. As a result, the VAC used in non-healing wound decrease wound size, accelerate granulation tissue formation, do a wound closure with less invasive operation method, make less postoperative complication, can make operation time shorter. Therefore it is cost effect. Our results demonstrate the usefulness of VAC as an adjunct in management of chronic wounds with other extrinsic factors.

Stochastic Response of a Hinged-Clamped Beam (Hinged-clamped 보의 확률적 응답특성)

  • Cho, Duk-Sang
    • Journal of the Korean Society of Industry Convergence
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    • v.3 no.1
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    • pp.43-51
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    • 2000
  • The response statistics of a hinged-clamped beam under broad-band random excitation is investigated. The random excitation is applied at the nodal point of the second mode. By using Galerkin's method the governing equation is reduced to a system of nonautonomous nonlinear ordinary differential equations. A method based upon the Markov vector approach is used to generate a general first-order differential equation in the dynamic moment of response coordinates. By means of the Gaussian and non-Gaussian closure methods the dynamic moment equations for the random responses of the system are reduced to a system of autonomous ordinary differential equations. The case of two mode interaction is considered in order to compare it with the case of three mode interaction. The analytical results for two and three mode interactions are also compared with results obtained by Monte Carlo simulation.

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A Study on the Delamination Growth in Composite Laminates Subjected to Low-Velocity Impact (저속 충격을 받는 복합 재료 적층판의 층간 분리 성장에 관한 연구)

  • 장창두;송하철;김호경;허기선;정종진
    • Journal of Ocean Engineering and Technology
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    • v.16 no.6
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    • pp.55-59
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    • 2002
  • Delamination means that cracking occurs on the interface layer between composite laminates. In this paper, to predict the delamination growth in composite laminates subjected to low-velocity impact, the unit load method was introduced, and an eighteen-node 3-D finite element analysis, based on assumed strain mixed formulation, was conducted. Strain energy release rate, necessary to determine the delamination growth, was calculated by using the virtual crack closure technique. The unit load method saves the computation time more than the re-meshing method. The virtual crack closure technique enables the strain energy release rate to be easily calculated, because information of the singular stress field near the crack tip is not required. Hence, the delamination growth in composite laminates that are subjected to low-velocity impact can be efficiently predicted using the above-mentioned methods.

Prediction of Growth Behavior of Initially Semicircular Surface Cracks under Axial Loading (축하중을 받는 초기 반원 표면피로균열의 진전거동 예측)

  • 김종한;송지호
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.16 no.8
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    • pp.1536-1544
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    • 1992
  • A relatively simple prediction method is proposed for initially semicircular surface crack growth under axial loading. The method takes into account the difference in surface crack closure behavior at the depth point and at the surface intersection point, and also the relationship of crack closure for surface crack and through-thickness crack. The prediction method provides conservative estimation for fatigue life within factor of two, and the predicted crack geometry variations agree well with the observed results. As a result, the prediction method proposed here is considered to be useful for engineering application.

Decrease of Burst Pressure used a Nozzle Closure and Ignition Characteristics for a Gas Generator (가스발생기용 노즐마개 파열압력 저감화에 따른 점화특성)

  • Cha, Hong-Seok;Oh, Seok-Jin;Park, Jae-Beom;Lee, Yeung-Jo
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2010.11a
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    • pp.217-220
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    • 2010
  • This paper presents an achieving method of reducing maximum acceleration for the missile by decrease of burst pressure in a nozzle closure. The relation of notch shape and burst pressure for a nozzle closure is examined by experiment. In the point of maximum acceleration reduction for a missile, an improved nozzle closure effects well compared with that of a reference closure by ground burning test of a gas generator.

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Calculation of $G_1$ for unidirectional laminated composites by using the two parameter technique (이항변수방법을 사용한 단일방향 적층복합재의 전단모드 에너지방출률 계산)

  • Rhee, Gyeong-Yeop
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.21 no.1
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    • pp.164-172
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    • 1997
  • Two parameter technique that uses far-field stress and displacement distributions was applied to composite laminates in order to calculate mode II energy release rate, $G_{II}$ . The $G_{II}$ calculated by two parameter technique was compared with that calculated from the crack closure method to inspect the effectiveness of two parameter technique. Sensitivity study of two parameter technique to the crack extension size was also performed. The results showed that both methods produced comparable $G_{II}$ results. In particular, it was found that although the crack closure method was affected by the crack extension size, the two parameter technique was less affected by the crack extension size.

Stochastic Responses of a Spring-Pendulum System under Narrow Band Random Excitation (협대역 불규칙가진력을 받는 탄성진자계의 확률적 응답특성)

  • Cho, Duk-Sang
    • Journal of the Korean Society of Industry Convergence
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    • v.4 no.2
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    • pp.133-139
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    • 2001
  • The nonlinear response statistics of an spring-pendulum system with internal resonance under narrow band random excitation is investigated analytically- The center frequency of the filtered excitation is selected to be close to natural frequency of directly excited spring mode. The Fokker-Planck equations is used to generate a general first-order differential equation in the dynamic moment of response coordinates. By means of the Gaussian closure method the dynamic moment equations for the random responses of the system are reduced to a system of autonomous ordinary differential equations. The nonlinear phenomena, such as jump and multiple solutions, under narrow band random excitation were found by Gaussian closure method.

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Feasibility and Safety of a New Chest Drain Wound Closure Method with Knotless Sutures

  • Kim, Min Soo;Shin, Sumin;Kim, Hong Kwan;Choi, Yong Soo;Kim, Jhingook;Zo, Jae Ill;Shim, Young Mog;Cho, Jong Ho
    • Journal of Chest Surgery
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    • v.51 no.4
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    • pp.260-265
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    • 2018
  • Background: A method of wound closure using knotless suture material in the chest tube site has been introduced at our center, and is now widely used as the primary method of closing chest tube wounds in video-assisted thoracic surgery (VATS) because it provides cosmetic benefits and causes less pain. Methods: We included 109 patients who underwent VATS pulmonary resection at Samsung Medical Center from October 1 to October 31, 2016. Eighty-five patients underwent VATS pulmonary resection with chest drain wound closure utilizing knotless suture material, and 24 patients underwent VATS pulmonary resection with chest drain wound closure by the conventional method. Complications related to the chest drain wound were compared between the 2 groups. Results: There were 2 cases of pneumothorax after chest tube removal in both groups (8.3% in the conventional group, 2.3% in the knotless suture group; p=0.172) and there was 1 case of wound discharge due to wound dehiscence in the knotless suture group (0% in the conventional group, 1.2% in the knotless suture group; p=0.453). There was no reported case of chest tube dislodgement in either group. The complication rates were non-significantly different between the 2 groups. Conclusion: The results for the complication rates of this new chest drain wound closure method suggest that this method is not inferior to the conventional method. Chest drain wound closure using knotless suture material is feasible based on the short-term results of the complication rate.