• Archives of Plastic Surgery
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• 제49권2호
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• pp.215-220
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• 2022

Background In Japan, there is a large regional disparity in plastic surgery availability. In order for plastic surgery to be widely available for all citizens, it is essential for at least one plastic surgery facility to be located in each secondary medical zone. Methods Using the Japan Society of Plastic and Reconstructive Surgery homepage and some databases, we extracted data on secondary medical zones that do not have a plastic surgery facility. The national and regional coverage rates were calculated. The coverage rate for each group divided by the degree of population concentration was also calculated. Results We found that 147 of 344 secondary medical zones did not have a plastic surgery facility, and the area coverage rate was found to be 57.27% nationwide. The coverage rate in terms of population was 87.07% (correlation coefficient of area and population coverage = 0.983). The area coverage rates in Hokkaido-Tohoku, Kanto, Chubu, Kansai, Chugoku-Shikoku, and Kyushu-Okinawa districts were 47.46, 72.15, 76.47, 62.79, 52.08, and 32.81%, respectively. The corresponding population coverage rates were 79.92, 91.62, 94.27, 90.59, 80.68, and 69.54%, respectively. The area coverage rates in metropolitan areas, provincial cities, and rural areas were 98.08, 75.90, and 15.87%, respectively. In contrast, the area coverage rate of dermatology was 62.79% and that of orthopaedics was 97.09%. Conclusion Unfortunately, it is estimated that more than 40% of secondary medical zones are underserved by plastic surgery, and 13% of the population is not able to fully benefit from this specialty in Japan.

• 소성∙가공
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• 제3권3호
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• pp.291-301
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• 1994

In the simultaneous forward-backward extrusion the effects of some process variables including area reduction, stroke advance, materials(Al 2024 and commercial pure copper) on the extrusion load, plastic flow and height ratio of upper to lower extruded parts are experimentally investigated and analyzed. Grid-marking technique is employed to visualize the plastic flow. The influence of using split and original specimen on the extrusion load and height ratio is evaluated by experiments. Experimental results show that the plastic flow if oriented to the part of lower area reduction in the begining but it is usually variated during the overall process. The configurations of plastic deformation and plastic flow are dependent on the working materials and the lubricational conditions.

• 지질공학
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• 제32권1호
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• pp.1-12
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• 2022

Based on the extended spatial mobilization plane (SMP) criterion, we present an elastic-brittle-plastic solution for an axisymmetric cylindrical tunnel. The influences of the intermediate principal compressive stress and material strain-softening behavior are considered. Closed-form formulas for the critical support force, radius of plastic zone, and distributions of stress and displacement in surrounding rock are proposed. The elastic-plastic solution based on SMP is compared with the Kastner solution to verify the credibility of the obtained elastic-plastic solution. The elastic-brittle-plastic solution following the SMP criterion and the current solution based on the Mohr-Coulomb criterion are also compared. The rock strain-softening rate and the intermediate principal stress affect the stability of the surrounding rock. The results provide guidance for optimizing the design of support systems for tunnels.

• 한국정밀공학회지
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• 제10권3호
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• pp.47-56
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• 1993

Typical plastic strains in the machined surface are very difficult to measure, since they are located within a very short distance from the surface and they change very rapidly. There is an alternative way to determine the residual strain in plastically deformed materials by measuring the grain size after a subsequent recrystallization precess. Although, this technique has been successfully applied by several researchers to find the plastic zone around notches and cracks in various materials and welding beads, few works have been reported using the recrystallization method to determine the residual strains in machined surface. Therefore, the purpose of this investigation is to explore the effectiveness of the recrystallization technique in machining applications and in particular, to find the effect of cutting parameters, i.e., depth of cut, rake angle, on the plastic strains. As the result, the recrystallization technique was succesfully applid to determine the plastic strain in machined surface.

• 대한기계학회논문집A
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• 제24권2호
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• pp.472-480
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• 2000

A macroscopic yield criterion for porous solids with pressure-sensitive matrices modeled by Coulomb's yield criterion was obtained by generalizing Gurson's yield criterion with consideration of the hydrostatic yield stresses for a spherical thick-walled shell and by fitting the finite element results of a voided cube. The macroscopic yield criterion is valid for negative mean normal stresses as well as for positive mean normal stresses. From the yield criterion, a plastic potential function for the porous solids was derived either for plastic normality flow or for plastic non-normality flow of pressure- sensitive matrices. In addition, the elastic relation, an evolution equation of the plastic flow stress of the matrices and an evolution equation of the void volume fraction were presented to complete a set of constitutive relations. The set of constitutive relations was implemented into a finite element code ABAQUS to analyze the material behavior of rubber-toughened epoxies. The cavitation and the deformation behavior were analyzed around a crack tip under three-point bending and around notch tips under four-point bending. In the numerical analyses, the cavitation of rubber particles was considered via a stress-controlled nucleation model. The numerical results indicate that a reasonable cavitation zone can be obtained with void nucleation controlled by the macroscopic mean normal stress, and a plastic zone is smaller around a notch tip under compression than under tension. These numerical results agree well with corresponding experimental results on the cavitation and plastic zones.

• 한국강구조학회 논문집
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• 제26권3호
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• pp.205-217
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• 2014

본 연구에서는 인장 플랜지에 HSB 고성능 강재를 적용한 강합성 복합단면 I-거더의 정모멘트에 대한 휨저항강도 및 연성 요구조건을 검토하였다. AASHTO LRFD 설계기준에서 강합성 거더의 정모멘트에 대한 공칭 휨저항강도 및 연성 요구조건은 소성모멘트와 소성 중립축을 이용하여 규정하고 있으며, 이때 소성모멘트와 소성중립축은 일반 강재에 대하여 유도된 값이다, 하지만 응력-변형률 거동에서 일반강재와 다르게 HSB 고성능 강재의 소성영역은 명확히 정의될 수 없다. 따라서 고성능 강재의 이상화된 응력-변형률 곡선을 통해 고성능 강재의 소성영역을 가정하여 소성모멘트를 정의하였으며, 다양한 치수를 갖는 임의의 단면에 대하여 수행된 수치 해석의 결과를 통해 인장 플랜지에 HSB 고성능 강재를 적용한 강합성 복합단면 I-거더의 연성 요구조건 및 공칭 휨저항강도 산정식을 제안하였다.

• 대한기계학회논문집
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• 제10권1호
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• pp.25-33
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• 1986

본 연구에서는 선단요소 해법의 방법을 토대로 소형컴퓨터를 위한 비선형 유한요소의 개발을 시도한 것이다. 주로 참조한 선단요소 해법의 프로그램은 Hinton과 Owen이 작성한 프로그램이며 원판메모리를 최대로 활용하여, 활동변수를 최소화 시키므로써, 실제 소형컴퓨터인 HP-3000II(512KB) 컴퓨터에서 총 자유도가 1000정도 되는 유한요소까지는, 해석이 가능하도록 만들어지게 되었다. 이와같이 완성된 프로그램의 응용성과 신뢰성을 검토해 보기 위해서 표준 CT 시편의 유한요소 를 작성하여(124 element, 428 node, 941 freedom) 크랙선단에 형성되는 소성역의 형상과 소성변형 크기를 수치적으로 추적하여 본 결과, 실험결과와 매우 잘 일치함을 볼 수 있어서 프로그램의 신뢰성을 확인 할 수 있었다. 이때 실험은 SUS-304스테인 레스강단의 소성역을 형성시킨다음, 재결정 방법에 의해 소성역의 형상과 크기를 가시 화 및 정량화 하여서 계산결과와 비교 하였다.

• Structural Engineering and Mechanics
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• 제17권1호
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• pp.51-68
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• 2004

Since the linear elastic fracture analysis has been proved to be insufficient in predicting the failure of strain hardening materials, a number of fracture concepts have been studied which remain applicable in the presence of plasticity near a crack tip. This work thereby presents a new finite element model to predict the elastic-plastic crack-tip field and fatigue life of center-cracked panels(CCP) with ductile fracture under large-scale yielding conditions. Also, this study has been carried out to investigate the path-dependence of J-integral within the plastic zone for elastic-perfectly plastic, bilinear elastic-plastic, and nonlinear elastic-plastic materials. Based on the incremental theory of plasticity, the p-version finite element is employed to account for the accurate values of J-integral, the most dominant fracture parameter, and the shape of plastic zone near a crack tip by using the J-integral method. To predict the fatigue life, the conventional Paris law has been modified by substituting the range of J-value denoted by ${\Delta}J$ for ${\Delta}K$. The experimental fatigue test is conducted with five CCP specimens to validate the accuracy of the proposed model. It is noted that the relationship between the crack length a and ${\Delta}K$ in LEFM analysis shows a strong linearity, on the other hand, the nonlinear relationship between a and ${\Delta}J$ is detected in EPFM analysis. Therefore, this trend will be depended especially in the case of large scale yielding. The numerical results by the proposed model are compared with the theoretical solutions in literatures, experimental results, and the numerical solutions by the conventional h-version of the finite element method.

• Archives of Plastic Surgery
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• 제34권2호
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• pp.261-264
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• 2007

Purpose: Extranodal marginal zone B cell lymphoma of MALT type represents approximately 8% of non-Hodgkin's lymphomas and this lymphoma is present in extranodal sites. Although the presentation of this lymphomain in stomach is usually associated with H. pylori infection in 95% of cases, MALT lymphoma found in soft tissue has been reported very rarely in the field of plastic surgery. We report a case of MALT lymphoma in the submandibular gland without any involvement of other organs such as the stomach. Methods: A 49-year-old man complained of a huge neck mass sized about $10{\times}12cm$. It started about 2 years ago and grew rapidly for the late 6 months. It was of hard nature with erythematous skin overlying it. Under the diagnosis of possible malignant lymphoma or sarcoma, radical resection was performed and the defect was reconstructed using transverse rectus abdominis musculocutaneous free flap. Results: The mass was well demarcated from the normal tissue, $11{\times}10.5{\times}10cm$ in size and whitish-gray color. Immunohistochemical analysis demonstrated that the tumor cells were LCA(+), CD20(+), CD3(-) and CD5(-). The tumor was diagnosed as extranodal marginal zone B cell lymphoma. The patient was treated with prophylactic radiation therapy after surgery, there was no complication for 1 year. Conclusion: We reported that very rare form of MALT lymphoma in 49-year-old male patient was experienced with clinical characteristics, histologic features and references.

• 대한두개안면성형외과학회지
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• 제10권2호
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• pp.67-70
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• 2009

Purpose: Anatomical basis around orbit can be helpful in periorbital surgery, and there are many articles about measurement between periorbital reference points. In 1967, Jones and Evans measured the orbital wall thickness of Asian cadavers and this article has been cited more than 50 times. But there is no research in orbital thickness in Vivo. Author's idea was based on difference between live human and human cadaver. Material & Method: We conducted this study from 63 consecutive blow out fracture patients between January, 2000 to june, 2005 by collecting the bone fragments and measured the thickness of that fragment using vernia calipers. Anatomically, orbital floor is separated two area by inferior orbital fissure and we measured each area. Three areas were zone I (medial wall), zone II (medial to inferior orbital fissure) and zone III (lateral to inferior orbital fissure). Result: When the overall results were considered, the thickness of Zone I (medial wall of orbit) was average $0.131{\pm}0.006mm$ in male and $0.129{\pm}0.007mm$ in female and Zone II (medial side of orbital floor) was $0.251{\pm}0.005mm$ in male and $0.245{\pm}0.006mm$ in female, Zone III (lateral side of orbital floor) was $0.237{\pm}0.006mm$ in male and $0.226{\pm}0.006mm$ in female. There were no statistical difference between orbital wall thickness of male and female. Also, orbital wall thickness of adults measured $0.130{\pm}0.005mm$, $0.250{\pm}0.005mm$, $0.232{\pm}0.006mm$ in Zone I, Zone II, Zone III and $0.128{\pm}0.006mm$, $0.233{\pm}0.005mm$, $0.215{\pm}0.007mm$ in Zone I, Zone II, Zone III from childs, and there were no statistical difference between adult and child. Conclusion: This article is the first study about Korean orbital wall thickness, and can be helpful to periocular surgery.