• 제목/요약/키워드: lateral bulging

검색결과 36건 처리시간 0.017초

얕은 하복벽동맥 천공지 피판을 이용한 유방 재건술 - 2예 보고 - (Case Report of Breast Reconstruction with SIEA Flap)

  • 이민영;엄진섭;이택종
    • Archives of Reconstructive Microsurgery
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    • 제19권1호
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    • pp.56-60
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    • 2010
  • Purpose: Breast reconstruction with abdominal flap has many advantages. However, it might cause abdominal complications such as bulging or hernia. SIEA (Superficial inferior epigastric artery) flap is the most advanced form of abdominal flap which has no adverse effect on abdominal fascia. We report 2 cases of breast reconstruction with SIEA flap with reference review. Methods: From Jun 2006 to Jan 2009, 110 patients underwent breast reconstruction with free abdominal flap. We tried to find the SIEA in every cases and adopted SIEP flap if the diameter was larger than 1mm and it had visible pulsation. 2 patients underwent breast reconstruction with SIEA flap. After design of abdominal flap SIEA was investigated with portable Doppler. SIEA was usually found 4-5 cm lateral to the midline. Flap was elevated with SIEA and SIEV to their maximal length at hiatus. Results: There were no complications, such as infection, hematoma, and necrosis of flap. In both cases, flaps survived completely with excellent vascularity and breast reconstruction was successful. In one case, there was skin necrosis of mastectomy flap, and it was healed by conservative management. Conclusion: With the SIEA flap, donor site morbidity can be minimized along with reduction of operation time. If there is reliable SIEA, SIEA flap would be the preferred skills. However, the limitation of the SIEA flap is difficulty in identifying the SIEA. The reason for less availability of the flap in Korea might include high prevalence of the Caesarian section scar and relatively higher level of the lower margin of the flap.

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상하면의 마찰이 틀린 비직각주 소재의 3차원 업셋팅에 관한 연구 (A study on the three-dimensional upsetting of non-prismatic blocks considering different frictional conditions at two flat dies)

  • 김종호;류민형;양동열
    • 대한기계학회논문집
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    • 제13권3호
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    • pp.345-352
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    • 1989
  • 본 연구에서는 3차원 변형형상을 갖는 소재에서 상하금형면의 마찰이 다른 경우에, 작각주 소재와 비직각주 소재(non-prismatic block)에 대해서 적용할 수 있는 동적 가용 속도장(kinematically admissible velocity field)을 유도해 내고자 한다.이론계산에 있어서 가공경화를 고려하기 위해 소성변형 영역을 유한개의 요소들로 나누고 이들 각 요소에 대해서 유효변형도, 유효응력을 계산하여 에너지 소비율을 계산하였다.

Mechanical behaviour of composite columns composed of RAC-filled square steel tube and profile steel under eccentric compression loads

  • Ma, Hui;Xi, Jiacheng;Zhao, Yaoli;Dong, Jikun
    • Steel and Composite Structures
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    • 제38권1호
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    • pp.103-120
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    • 2021
  • This research examines the eccentric compression performance of composite columns composed of recycled aggregate concrete (RAC)-filled square steel tube and profile steel. A total of 17 specimens on the composite columns with different recycled coarse aggregate (RCA) replacement percentage, RAC strength, width to thickness ratio of square steel tube, profile steel ratio, eccentricity and slenderness ratio were subjected to eccentric compression tests. The failure process and characteristic of specimens under eccentric compression loading were observed in detail. The load-lateral deflection curves, load-train curves and strain distribution on the cross section of the composite columns were also obtained and described on the basis of test data. Results corroborate that the failure characteristics and modes of the specimens with different design parameters were basically similar under eccentric compression loads. The compression side of square steel tube yields first, followed by the compression side of profile steel. Finally, the RAC in the columns was crushed and the apparent local bulging of square steel tube was also observed, which meant that the composite column was damaged and failed. The composite columns under eccentric compression loading suffered from typical bending failure. Moreover, the eccentric bearing capacity and deformation of the specimens decreased as the RCA replacement percentage and width to thickness ratio of square steel tube increased, respectively. Slenderness ratio and eccentricity had a significantly adverse effect on the eccentric compression performance of composite columns. But overall, the composite columns generally had high-bearing capacity and good deformation. Meanwhile, the mechanism of the composite columns under eccentric compression loads was also analysed in detail, and the calculation formulas on the eccentric compression capacity of composite columns were proposed via the limit equilibrium analysis method. The calculation results of the eccentric compression capacity of columns are consistent with the test results, which verify the validity of the formulas, and the conclusions can serve as references for the engineering application of this kind of composite columns.

Histological analysis on tissues around orthodontically intruded maxillary molars using temporary anchorage devices: A case report

  • Hui-Chen Tsai;Julia Yu-Fong Chang;Chia-Chun Tu;Chung-Chen Jane Yao
    • 대한치과교정학회지
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    • 제53권2호
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    • pp.125-136
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    • 2023
  • Before progress was recently made in the application of temporary anchorage devices (TADs) in bio-mechanical design, orthodontists were rarely able to intrude molars to reduce upper posterior dental height (UPDH). However, TADs are now widely used to intrude molars to flatten the occlusal plane or induce counterclockwise rotation of the mandible. Previous studies involving clinical or animal histological evaluation on changes in periodontal conditions after molar intrusion have been reported, however, studies involving human histology are scarce. This case was a Class I malocclusion with a high mandibular plane angle. Upper molar intrusion with TADs was performed to reduce UPDH, which led to counterclockwise rotation of the mandible. After 5 months of upper molar intrusion, shortened clinical crowns were noticed, which caused difficulties in oral hygiene and hindered orthodontic tooth movement. The mid-treatment cone-beam computed tomography revealed redundant bone physically interfering with buccal attachment and osseous resective surgeries were followed. During the surgeries, bilateral mini screws were removed and bulging alveolar bone and gingiva were harvested for biopsy. Histological examination revealed bacterial colonies at the bottom of the sulcus. Infiltration of chronic inflammatory cells underneath the non-keratinized sulcular epithelium was noted, with abundant capillaries being filled with red blood cells. Proximal alveolar bone facing the bottom of the gingival sulcus exhibited active bone remodeling and woven bone formation with plump osteocytes in the lacunae. On the other hand, buccal alveolar bone exhibited lamination, indicating slow bone turnover in the lateral region.

The seismic performance of steel pipe-aeolian sand recycled concrete columns

  • Yaohong Wang;Kangjie Chen;Zhiqiang Li;Wei Dong;Bin Wu
    • Earthquakes and Structures
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    • 제26권1호
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    • pp.77-86
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    • 2024
  • To investigate the seismic performance of steel pipe-aeolian sand recycled concrete columns, this study designed and produced five specimens. Low-cycle repeated load tests were conducted while maintaining a constant axial compression ratio. The experiment aimed to examine the impact of different aeolian sand replacement rates on the seismic performance of these columns. The test results revealed that the mechanical failure modes of the steel pipe-recycled concrete column and the steel pipe-aeolian sand recycled concrete column were similar. Plastic hinges formed and developed at the column foot, and severe local buckling occurred at the bottom of the steel pipe. Interestingly, the bulging height of the damaged steel pipe was reduced for the specimen mixed with an appropriate amount of wind-deposited sand under the same lateral displacement. The hysteresis curves of all five specimens tested were relatively full, with no significant pinching phenomenon observed. Moreover, compared to steel tube-recycled concrete columns, the steel tube-aeolian sand recycled concrete columns exhibited improved seismic energy dissipation capacity and ductility. However, it was noted that as the aeolian sand replacement rate increased, the bearing capacity of the specimen increased first and then decreased. The seismic performance of the specimen was relatively optimal when the aeolian sand replacement rate was 30%. Upon analysis and comparison, the damage analysis model based on stiffness and energy consumption showed good agreement with the test results and proved suitable for evaluating the damage degree of steel pipe-wind-sand recycled concrete structures.

등입도 투수성 콘크리트 보강 조립토 다짐말뚝의 거동특성 및 침하량 평가기법 (An Estimation Method of Settlement and the Behaviour Characteristics of Granular Compaction Pile Reinforced with Uniformly Graded Permeable Concrete)

  • 김정호;김승욱;김홍택;황정순
    • 한국지반공학회논문집
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    • 제22권7호
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    • pp.73-83
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    • 2006
  • 조립토 다짐말뚝의 거동특성은 주로 말뚝의 횡방향 팽창을 억제하는 연약한 원지반의 횡방향 구속응력에 의해 지배된다. 따라서 조립토 다짐말뚝의 지반 보강 능력은 원지반의 비배수 전단강도가 $15{\sim}50kPa$ 정도인 경우에 가장 효과적인 것으로 알려지고 있으며, 보다 연약한 지반에서는 구속압력이 충분하게 발휘되지 않으므로 적용성이 크게 저하된다. 본 연구에서는 연약지반에 대한 조립토 다짐말뚝의 적용성 확대를 위해 등입도 투수성 콘크리트 보강 조립토 다짐말뚝 공법을 제안하였으며, 등입도 투수성 콘크리트와 쇄석 및 연약 점성토로 구성된 복합 공시체의 대형삼축압축시험을 통해 제안된 공법의 효율성을 입증하였다. 또한 본 연구에서는 제안된 공법의 실무 적용성 확보를 위해 침하량 산정기법을 제안하였으며, 제안된 침하량 산정기법의 검증을 위한 목적으로 3차원 유한요소해석을 실시하여 해석결과로 분석된 말뚝의 침하량과 제안식에 의해 산출된 침하량을 상호 비교 분석하였다. 추가적으로 본 연구에서는 다양한 변수분석을 수행하여 설계변수의 영향정도를 평가하였다.