• Title/Summary/Keyword: lateral bulging

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

  • Lee, Min-Young;Eom, Jin-Sup;Lee, Taik-Jong
    • Archives of Reconstructive Microsurgery
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    • v.19 no.1
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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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A study on the three-dimensional upsetting of non-prismatic blocks considering different frictional conditions at two flat dies (상하면의 마찰이 틀린 비직각주 소재의 3차원 업셋팅에 관한 연구)

  • 김종호;류민형;양동열
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.13 no.3
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    • pp.345-352
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    • 1989
  • Upsetting of non-circular blocks is characterized by the three-dimensional deformation with lateral sidewise spread as well as axial bulging along thickness. A kinematically admissible velocity field for the upsetting of prismatic or non-prismatic blocks is proposed which considers the different frictional conditions at the top and bottom surfaces of a billet. From the proposed velocity field the upper-bound load and the deformed configuration are determined by minimizing the total power consumption with respect to some chosen parameters. Experiments are carried out with annealed SM 15C steel billets at room temperature for different billet shapes and frictional conditions. The theoretical predictions both in the forging load and the deformed configurations are shown to be in good agreement with the experimental observations. Therefore, the velocity field proposed in this work can be used for the prediction of forging load and deformation in upsetting of prismatic or non-prismatic blocks, considering the different frictional conditions at two flat dies.

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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    • v.38 no.1
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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
    • The korean journal of orthodontics
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    • v.53 no.2
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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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    • v.26 no.1
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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.

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

  • Kim, Jeong-Ho;Kim, Seung-Wook;Kim, Hong-Taek;Hwang, Jeong-Soon
    • Journal of the Korean Geotechnical Society
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    • v.22 no.7
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    • pp.73-83
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    • 2006
  • The behaviour characteristics of Granular Compaction Pile (GCP) are mainly governed by the lateral confining pressure mobilized in the soft soil matrix to restrain the bulging failure of the granular compaction pile. The GCP method is most effective in soft soil with undrained shear strength ranging $15{\sim}50kPa$. However, the efficiency of this method reduces the more compressible soil conditions, which does not provide sufficient lateral confinement. In the present study, the GCP method reinforced with uniformly graded permeable concrete is suggested for the extension of application to the soft ground. Also, large triaxial compression tests are conducted on composite-reinforced soil samples for verification of availability of the suggested method and the settlement estimation method of the reinforced GCP is proposed. Furthermore, for the verification of the proposed method, predicted settlements by the proposed method are compared with results of 3-dimensional numerical analyses. In addition, parametric studies are performed together with detailed analyses of relevant design parameters.