• 의료법학
• /
• 제9권1호
• /
• pp.505-534
• /
• 2008

Aesthetic plastic surgery rarely has the lifesaving, the medical necessity, and the emergency, because it was executed in order to acquire personal satisfaction in the external features. In addition, aesthetic plastic surgery has the strong commerciality in that it is based on the attraction of a client through medical advertisement and the range of uninsurance. These characteristics cause whether aesthetic plastic surgery is included in medical procedure and the legal contract between physician and client is controversial issue. Also, attention and explanation in aesthetic plastic surgery are more emphasized than those in general medical procedure. According, this document presents the various characteristics of aesthetic plastic surgery, which differs from that of general medical procedure.

• 한국전산구조공학회논문집
• /
• 제22권6호
• /
• pp.549-555
• /
• 2009

본 논문에서는 굽힘과 내압이 가해질 때 미터밴드의 한계하중을 3차원 유한요소해석을 이용하여 연구하였다. 재료는 탄성-완전 소성재료로 가정하였고, 기하학적 선형과 비선형 효과를 고려하여 소성 한계하중을 결정하였다. 본 연구를 위한 해석에서는 다양한 범위의 형상 변수가 고려되었다. 유한요소해석 결과를 바탕으로 굽힘에 관한 보간식을 제시하였다.

• Archives of Plastic Surgery
• /
• 제38권6호
• /
• pp.798-802
• /
• 2011

Purpose: A wart is caused by epidermal infection with the human papilloma virus. Although wart naturally disappears in some cases, it require treatment because of pain, aesthetic problem, and the possibility of malignant change. Conventional non-surgical treatment cannot be a fundamental solution for the pain and has such disadvantages as frequent recurrence and difficulties in achieving a satisfactory outcome. A surgical procedure was performed on patients with wart and the procedure had a good outcome. Methods: We investigated the gender, age, lesion site, mean treatment duration, and presence or absence of recurrence in 21 patients with a wart within the period of January 2007 to July 2011. For local lesions, primary closure, including subcuticular suture after the excision, was performed. If the defect size was too big to do primary closure, we performed rotation flap. For wide multiple lesions, a split thickness skin graft was performed. Results: Among the 21 patients, 12 patients were male and 9 patients were female, and their mean age was 42 years (SD=17.38, range: 11~75 years). The lesion site was the foot in 10 patients, the hand in 8 patients, the face in 2 patients, and the scalp in 1 patient. The mean treatment duration was 13.5 days (SD=4.36, range: 6~15 days) for the primary closure or rotation flap, and 18.5 days (SD=2.12, range: 17~20 days) for the skin graft. 20 patients were cured without recurrence. No recurrence was observed in the patients who underwent primary closure or rotation flap. One of the two patients who underwent a skin graft of their wart that had covered their entire palm had local recurrence in part of her finger tips. Conclusion: We performed surgical procedure on recalcitrant wart. As a results, we can treat it with short treatment duration, low recurrence rate and less scarring and get high patient satisfaction.

• Archives of Plastic Surgery
• /
• 제40권5호
• /
• pp.510-516
• /
• 2013

Background This paper discusses the treatment protocol for patients with frostbite. Methods We performed a retrospective analysis of a series of 17 patients with second- and higher-degree frostbite who had been treated at our medical institution between 2010 and 2012. Results Our clinical series of patients (n=17) included 13 men and four women, whose mean age was $42.4{\pm}11.6$ years (range, 22-67 years). The sites of injury include the foot in six patients (35.3%), the hand in six patients (35.3%) and the facial region in five patients (29.4%). Seven patients with second-degree frostbite were completely cured with only conservative treatment during a mean period of $12.7{\pm}3.3$ days (range, 8-16 days). Of the five patients with third-degree frostbite, two underwent skin grafting following debridement, and the remaining three achieved a complete cure with conservative treatment during a mean period of $35{\pm}4.3$ days (range, 29-39 days). Five patients with fourth-degree frostbite were treated with surgical procedures including amputation. Conclusions With the appropriate conservative management in the early stage of onset, surgeons should decide on surgery after waiting for a sufficient period of time until the demarcation of the wound. Continuous management of patients is also needed to achieve functional recovery after a complete cure has been achieved. This should also be accompanied by patient education for the avoidance of re-exposure to cold environments.

• International Journal of Automotive Technology
• /
• 제5권4호
• /
• pp.297-302
• /
• 2004

This paper presents the low cycle thermal fatigue of the engine exhaust manifold subject to thermo-mechanical cyclic loading. As a failure of the exhaust manifold is mainly caused by geometric constraints of the less expanded inlet flange and cylinder head, the analysis is based on the exhaust system model with three-dimensional temperature distribution and temperature dependent material properties. The result show that large compressive plastic deformations are generated at an elevated temperature of the exhaust manifold and tensile stresses are remained in several critical zones at a cold condition. From the repetition of these thermal shock cycles, maximum plastic strain range (0.454%) could be estimated by the stabilized stress-strain hysteresis loops. It is used to predict the low cycle thermal fatigue life of the exhaust manifold for the thermal shock test.

• 한국전산구조공학회:학술대회논문집
• /
• 한국전산구조공학회 2010년도 정기 학술대회
• /
• pp.542-545
• /
• 2010

재료의 마이크로 스케일 해석에서 결정의 geometrically necessary dislocation (GND) 효과에 의한 소성구배(plastic gradient)를 고려하는 것은 재료의 소성 거동을 분석하는데 영향을 미친다. 본 연구에서는 먼거리(long range)에서 전위(dislocation)의 영향을 고려하는 GND의 효과를 적용하여 소성 구배의 영향을 받는 다결정(polycrystal) 고체의 거동을 유한요소해석을 이용하여 살펴보았다. 재료의 거동을 분석하기 위해 탄성(elastic)과 소성(plastic) 변형에 먼 거리 변형률(long range strain)을 고려한 항(term)이 포함된 변형 구배(deformation gradient)의 multiplicative decomposition 모델을 사용하였다. 먼 거리 변형률에 의한 영향을 고려하기 위해 구배 경화 계수(gradient hardness coefficient)와 먼 거리 변형률 길이에 대한 재료변수(parameter)가 사용되었다. 각각의 계수들이 다결정 고체의 거동에 미치는 영향을 확인하기 위해 두 변수의 적용에 따른 다결정 고체의 거동을 분석하였다. 다결정 재료의 GND 효과에 의한 소성 구배 효과를 고려해서, 고려하지 않은 경우와 비교하여 발생하는 경화(hardening)의 차이를 분석함으로서 GND에 의한 다결정 고체 거동의 영향을 확인하였다.

• 반도체디스플레이기술학회지
• /
• 제19권2호
• /
• pp.37-44
• /
• 2020

In improving laser cutting of optical plastic films for mass production of optoelectronics display units, it is important to understand particle contamination over optical film surface due to fume particle generation and dispersion. This numerical study investigates the effects of downward and upward air flow motions on fume particle dispersion around laser cut line. The simulations employ random particle sampling of up to one million fume particles by probabilistic distributions of particle size, ejection velocity and angle, and fume particle dispersion and surface landing are predicted using Basset-Boussinesq-Oseen model of low Reynolds number flows. The numerical results show that downward air flow scatters fume particles of a certain size range farther away from laser cut line and aggravate surface contamination. However, upward air flow pushes fume particles of this size range back toward laser cut line or sucks them up with rising air motion, thus significantly alleviating surface contamination.

• 국제강구조저널
• /
• 제18권5호
• /
• pp.1560-1576
• /
• 2018

With the aim to provide an efficient platform for the elastic-plastic analysis of steel structures, reinforced concrete (RC) structures and steel-concrete composite structures, a program iFiberLUT based on the fiber model was developed within the framework of ABAQUS. This program contains an ABAQUS Fiber Generator which can automatically divide the beam and column cross sections into fiber sections, and a material library which includes several concrete and steel uniaxial material models. The range of applications of iFiberLUT is introduced and its feasibility is verified through previously reported test data of individual structural members as well as planar steel frames, RC frames and composite frames subjected to various loadings. The simulation results indicate that the developed program is able to achieve high calculation accuracy and favorable convergence within a wide range of applications.

• Archives of Plastic Surgery
• /
• 제45권5호
• /
• pp.458-465
• /
• 2018

Background Volar plate avulsion fracture of the proximal interphalangeal (PIP) joint is one of the most common hand injuries. In this study, we divided patients into two groups: patients with pure volar plate avulsion fracture, and patients with volar plate avulsion fracture concomitant with collateral ligament rupture. The purpose of this study was to compare long-term surgical outcomes between the two groups. As a secondary measure, the Mitek bone anchoring and polydioxanone (PDS) bone suturing techniques were compared. Methods A single-institutional retrospective review of the surgical treatment of volar plate avulsion fracture was performed. The cases were divided into those with pure volar plate avulsion fracture (group A, n=15) and those with volar plate avulsion fracture concomitant with collateral ligament rupture (group B, n=15). Both groups underwent volar plate reattachment using Mitek bone anchoring or PDS bone suturing followed by 2 weeks of immobilization in a dorsal protective splint. Results The average range of motion of the PIP joint and extension lag were significantly more favorable in group A (P<0.05). Differences in age; follow-up period; flexion function; visual analog scale scores; disabilities of the arm, shoulder, and hand scores; and the grip strength ratio between the two groups were non-significant. No significant differences were found in the surgical outcomes of Mitek bone anchoring and PDS bone suturing in group A. Conclusions Overall, the surgical outcomes of volar plate reattachment were successful irrespective of whether the collateral ligaments were torn. However, greater extension lag was observed in cases of collateral ligament injury.

• Archives of Plastic Surgery
• /
• 제43권4호
• /
• pp.344-351
• /
• 2016

Background Xeroderma pigmentosum (XP) is an autosomal recessive disorder characterized by xerosis, ultraviolet light sensitivity, and cutaneous dyspigmentation. Due to defects in their DNA repair mechanism, genetic mutations and carcinogenesis inevitably occurs in almost all patients. In these patients, reconstruction of cutaneous malignancies in the head and neck area is associated with some challenges such as likelihood of recurrence and an aggressive clinical course. The aim of this study is to discuss the therapeutic options and challenges commonly seen during the course of treatment. Methods Between 2005 and 2015, 11 XP patients with head and neck cutaneous malignancies were included in this study. Demographic data and treatment options of the patients were evaluated. Results The mean age of the patients was 32 years (range, 10-43) (4 males, 7 females). The most common tumor type and location were squamous cell carcinoma (6 patients) and the orbital region (4 patients), respectively. Free tissue transfer was the most commonly performed surgical intervention (4 patients). The average number of surgical procedures was 5.5 (range, 1-25). Six patients were siblings with each other, 5 patients had local recurrences, and one patient was lost to follow-up. Conclusions Although genetic components of the disease have been elucidated, there is no definitive treatment algorithm. Early surgical intervention and close follow-up are the gold standard modalities due to the tendency toward rapid tumor growth and possible recurrence. Treatment must be individualized for each patient. In addition, the psychological aspect of the disease is an important issue for both patients and families.