• Journal of the Korean Burn Society
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• v.24 no.2
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• pp.64-67
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• 2021

Free flap surgery is commonly used for extensive facial burn. However, free flap surgery requires long operation time and difficult technique. Also, it requires further procedure to prepare the recipient vessels. Hence, applying pedicle flap surgery instead of free flap surgery is effective for patients with facial burn. Among a wide range of pedicle flaps, we performed lower trapezius myocutaneous pedicle flap to patients with third degree facial burn and got satisfactory results without complications. Lower trapezius myocutaneous pedicle flap has a wide arc of rotation so that it can cover middle and lower part of the face. Furthermore, it is thinner than other myocutaneous pedicle flap that can be used for facial reconstruction. Due to these advantages, lower trapezius myocutaneous pedicle can be an attractive option for the reconstruction of facial burn.

• Journal of Korean Society of Steel Construction
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• v.23 no.4
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• pp.417-428
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• 2011

Depending on the plastic deformation capacity required, structural steel design under the current codes can be classified into three categories: elastic, plastic, and seismic design. Most of the current steel codes explicitly forbid the use of a steel material with a yield strength higher than 450 MPa in the plastic design because of the concerns about its low plastic deformation capacity as well as the lack of test data on local and lateral torsional buckling behavior. In this study, flexural tests on full-scale H-shape members built with SM490A (ordinary steel or benchmark material) and HSB800 (high-strength steel) were carried out. The primary objective was to investigate the appropriateness of extrapolating the local buckling criterion of the current codes, which was originally developed for normal-strength steel, to the case of high-strength steel. All the SM490A specimens performed consistently with the current code criteria and exhibited sufficient strength and ductility. The performance of the HSB800 specimens was also very satisfactory from the strength perspective; even the specimens with a noncompact and slender flange developed the plastic moment capacity. The HSB800 specimens, however, showed an inferior plastic rotation capacity due to the premature tensile fracture of the beam bottom flange beneath the vertical stiffener at the loading point. The plastic rotation capacity that was achieved was less than 3 (or the minimum level required for a plastic design). Although the test results in this study indicate that the extrapolation of the current flange local-buckling criterion to the case of high-strength steel is conservative from the elastic design perspective, further testing together with an associated analytical study is required to identify the causes of the tensile fracture and to establish a flange slenderness criterion that is more appropriate for high-strength steel.

• Archives of Plastic Surgery
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• v.47 no.5
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• pp.473-477
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• 2020

Superficial inferior epigastric artery (SIEA) flaps represent a useful option in autologous breast reconstruction. However, the short-fixed pedicle can limit flap inset options. We present a challenging flap inset successfully addressed by de-epithelialization, turnover, and counterintuitive rotation. A 47-year-old woman underwent left tertiary breast reconstruction with stacked free flaps using right deep inferior epigastric perforator and left SIEA vessels. Antegrade and retrograde anastomoses to the internal mammary (IM) vessels were preferred; additionally, the thoracodorsal vessels were unavailable due to previous latissimus dorsi breast reconstruction. Optimal shaping required repositioning of the lateral ends of the flaps superiorly, which would position the ipsilateral SIEA hemi-flap pedicle lateral to and out of reach of the IM vessels. This problem was overcome by turning the SIEA flap on its long axis, allowing the pedicle to sit medially with the lateral end of the flap positioned superiorly. The de-epithelialized SIEA flap dermis was in direct contact with the chest wall, enabling its fixation. This method of flap inset provides a valuable solution for medializing the SIEA pedicle while maintaining an aesthetically satisfactory orientation. This technique could be used in ipsilateral SIEA flap breast reconstructions that do not require a skin paddle, as with stacked flaps or following nipple-sparing mastectomy.

• Steel and Composite Structures
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• v.9 no.5
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• pp.419-444
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• 2009

Flange and web local buckling in beam plastic hinge regions of steel moment frames can prevent beam-column connections from achieving adequate plastic rotations under earthquake-induced forces. Reducing the flange-web slenderness ratios (FSR/WSR) of beams is the most effective way in mitigating local member buckling as stipulated in the latest seismic design specifications. However, existing steel moment frame buildings with beams that lack the adequate slenderness ratios set forth for new buildings are vulnerable to local member buckling and thereby system-wise instability prior to reaching the required plastic rotation capacities specified for new buildings. This paper presents results from a research study investigating the cyclic behavior of steel I-beams modified by a welded haunch at the bottom flange and reinforced with glass fiber reinforced polymers at the plastic hinge region. Cantilever I-sections with a triangular haunch at the bottom flange and flange slenderness ratios higher then those stipulated in current design specifications were analyzed under reversed cyclic loading. Beam sections with different depth/width and flange/web slenderness ratios (FSR/WSR) were considered. The effect of GFRP thickness, width, and length on stabilizing plastic local buckling was investigated. The FEA results revealed that the contribution of GFRP strips to mitigation of local buckling increases with increasing depth/width ratio and decreasing FSR and WSR. Provided that the interfacial shear strength of the steel/GFRP bond surface is at least 15 MPa, GFRP reinforcement can enable deep beams with FSR of 8-9 and WSR below 55 to maintain plastic rotations in the order of 0.02 radians without experiencing any local buckling.

• Structural Engineering and Mechanics
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• v.66 no.2
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• pp.217-227
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• 2018

In the last decades, valuable results have been reported regarding conventional passive, active, semi-active, and hybrid structural control systems on two-dimensional and a few three-dimensional shear buildings. In this research, using a three-dimensional finite element model of high-rise concrete structures, designed by performance based plastic design method, it was attempted to construct a relatively close to reality model of concrete structures equipped with Tuned Mass Damper (TMD) by considering the effect of soil-structure interaction (SSI), torsion effect, hysteresis behavior and cracking effect of concrete. In contrast to previous studies which have focused mainly on linearly designed structures, in this study, using performance-based plastic design (PBPD) design approach, nonlinear behavior of the structures was considered from the beginning of the design stage. Inelastic time history analysis on a detailed model of twenty-story concrete structure was performed under a far-field ground motion record set. The seismic responses of the structure by considering SSI effect are studied by eight main objective functions that are related to the performance of the structure, containing: lateral displacement, acceleration, inter-story drift, plastic energy dissipation, shear force, number of plastic hinges, local plastic energy and rotation of plastic hinges. The tuning problem of TMD based on tuned mass spectra is set by considering five of the eight previously described functions. Results reveal that the structural damage distribution range is retracted and inter-story drift distribution in height of the structure is more uniform. It is strongly suggested to consider the effect of SSI in structural design and analysis.

• Archives of Plastic Surgery
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• v.48 no.4
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• pp.457-461
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• 2021

Background Pedicled perforator flaps can present postoperative complications similar to those encountered in free flap surgery. Beyond a clinical evaluation, there is still no reliable technical aid for the early prediction of vascular issues. The aim of this study was to assess the support of near-infrared spectroscopy technology as an intraoperative tool to anticipate postsurgical flap ischemia. Methods We prospectively enrolled 13 consecutive patients who were referred to our hospital from March 2017 to July 2018 and required a reconstructive procedure with a pedicled fasciocutaneous perforator flap. We measured flap peripheral capillary oxygen saturation (SpO₂) in each patient with a Somanetics INVOS 5100C Cerebral/Somatic Oximeter (Medtronic), both before and after transposition. Patient demographics, operative data, and complications were then recorded during the following 6 months. We analyzed the data using the Wilcoxon signed-rank test and linear regression. Results The mean flap SpO₂ before and after transposition was 92%±3% and 78%±19%, respectively. The mean change in SpO₂ was 14%±17%, with a range of 0% to 55%. The change in saturation and mean saturation ratio were significantly different between patients with and without postoperative flap necrosis. Conclusions An immediate quantitative analysis of flap peripheral capillary SpO₂ after transposition has never before been described. In our experience, an intraoperative drop in SpO₂ equal to or greater than 15%-20% predicted vascular complications in pedicled perforator flaps. Conversely, flap size and rotation angle were not correlated with the risk of flap necrosis.

• International Journal of Precision Engineering and Manufacturing
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• v.1 no.1
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• pp.91-97
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• 2000

Anisotropic work hardening of cold rolled low carbon steel sheets is studied. The experiments consist of two stage tensile prestraining and tensile tests. At the first prestraining, steel sheets are streteched along the rolling direction by 3% and 6% tensile strains. The second prestrains are at 0${\cric}$, 30${\cric}$, 60${\cric}$to the rolling directions by varying degrees. Tensile tests are performed on the specimens cut from the sheets after the two stage prestraining. A theoretical framework on anisotropic hardening is proposed which includes Hill's quadratic yield function, ziegler's kinematic hardening rule, and Kim and Yin's assumption on the rotation of orthotropy axes. The predicted variations of R-values with second stage tensile strain are compared with the experimental data.

• Proceedings of the Korea Concrete Institute Conference
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• 1997.10a
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• pp.546-551
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• 1997

New typology of failure mechanisms for uniform compression fields are presented based on the classical theory of plasticity, in particular th normality rule, and the limit theorem. The concrete is assumed as a rigid-perfectly plastic material obeying the modified Coulomb failure criteria with zero tension cut-off. The failure mechanisms are capable of explaining flexural types of crushing failure in uniaxial uniform compression stress fields which are called struts in truss models. The failure mechanisms consist of sliding failure along straight failure lines or hyperbolic failure curves and rigid body rotation. The failure mechanisms involving straight failure lines are explained by constant strain expansion in the first principal direction and rigid body rotation motion. The failure mechanisms presented are applied to the explanation of bond failure of bar combined with concrete crushing failure and flexural crushing failure of concrete.

• Steel and Composite Structures
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• v.6 no.4
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• pp.335-351
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• 2006

The present paper hopes to elucidate the problem of determining if a given I-shaped cross-section is properly proportioned to accommodate sufficient plastic hinge rotation capacity to facilitate the redistribution of moments in a structural system as needed to accommodate the formation of a collapse mechanism. It might be tempting to believe that application of the limiting flange plate slenderness value for the case of major axis flexure are applicable in this case; since the pervasive belief is that this approach ought to be conservative. However, the present research study indicates that this is not the case and thus more sophisticated analysis techniques are required to better understand this case.

• Earthquakes and Structures
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• v.16 no.4
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• pp.455-468
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• 2019

The behavior of pile-deck connections of pile-supported marginal wharfs subjected to earthquake loading is of key importance to ensure a good performance of this type of structures. Two precast-pretensioned pile-deck connections used in the construction of pile-supported marginal wharfs were tested under cyclic loading. The first is a connection with simple reinforcement details and light steel ratio developed for use where moderate pile-deck rotation demands are expected in the wharf. The second is specifically developed to sustain the large rotation, shear force and bending moment demands, as required for the shortest piles in a marginal wharf. Data obtained from the test program is used in the paper to calibrate an equivalent plastic hinge length that can be incorporated into nonlinear analysis models of these structures when prestressed pile-deck connections with duct embedded dowels are used.