• Title/Summary/Keyword: skin tension

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Prognosis of Full-Thickness Skin Defects in Premature Infants

  • Moon, Hyung Suk;Burm, Jin Sik;Yang, Won Yong;Kang, Sang Yoon
    • Archives of Plastic Surgery
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    • v.39 no.5
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    • pp.463-468
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    • 2012
  • Background In the extremities of premature infants, the skin and subcutaneous tissue are very pliable due to immaturity and have a greater degree of skin laxity and mobility. Thus, we can expect wounds to heal rapidly by wound contraction. This study investigates wound healing of full-thickness defects in premature infant extremities. Methods The study consisted of 13 premature infants who had a total of 14 cases of full-thickness skin defects of the extremities due to extravasation after total parenteral nutrition. The wound was managed with intensive moist dressings with antibiotic and anti-inflammatory agents. After wound closure, moisturization and mild compression were performed. Results Most of the full-thickness defects in the premature infants were closed by wound contraction without granulation tissue formation on the wound bed. The defects resulted in 3 pinpoint scars, 9 linear scars, and 2 round hypertrophic scars. The wounds with less granulation tissue were healed by contraction and resulted in linear scars parallel to the relaxed skin tension line. The wounds with more granulation tissue resulted in round scars. There was mild contracture without functional abnormality in 3 cases with a defect over two thirds of the longitudinal length of the dorsum of the hand or foot. The patients' parents were satisfied with the outcomes in 12 of 14 cases. Conclusions Full-thickness skin defects in premature infants typically heal by wound contraction with minimal granulation tissue and scar formation probably due to excellent skin mobility.

The Study on Skin Adhesive Technology for Automotive Interior Using the Vacuum Suction Process (진공흡착공정을 이용한 자동차 내장부품의 표피재 접착기술에 관한 연구)

  • Kim, Key-Sun;Kim, Sung-Wha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.3
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    • pp.1045-1050
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    • 2011
  • This study proposed the new pressing method under heat for the plastic automotive interior part in order to make embossing on the skin of the raw material of the part. The raw material is laid on the lower mold and it is pressed by the upper one with embossing shape. The air is suctioned from the inside of both molds for producing tension and making embossing shapes on the skin of the part without its breakage. The corresponding molds and test machines are made and the proposed manufacturing process is validated.

Analysis of Optimal and Pleasant Driving Condition using Physiological Signals (생리신호 측정을 통한 심리적 적정 운전상태 분석)

  • 김정룡;황민철;박지수;윤상영
    • Science of Emotion and Sensibility
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    • v.7 no.3
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    • pp.27-35
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    • 2004
  • This study has investigated a psychological status of optimal and pleasant driving condition by measuring various physiological signals using SCR(skin conductance response), PPG(peripheral plethysmograph), SKT(skin temperature) and HR(heart rate). The physiological response was measured during various simulated driving conditions. We developed a hardware and algorithm to measure and analyze the physiological response. The physiological signals has reflected the level of driver's tension or relaxation as well as the heart rate. The emotional responses of drivers were also measured and analyzed in this experiment. The result of the study can be used to design a system to enhance the driver's emotional satisfaction as well as to monitor the driver's safety and health condition.

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Formation of Cupid's Bow and Vermilion Tubercle using Inferior-Based Lip Skin Flap in a Secondary Bilateral Cleft Lip Deformity

  • Cho, Byung Chae
    • Archives of Craniofacial Surgery
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    • v.11 no.1
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    • pp.19-22
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    • 2010
  • The author presents a new method for the formation of Cupid's bow and the vermilion tubercle by using the inferior-based lip skin flap in a secondary bilateral cleft lip deformity. The length of the flap includes the entire length of the previous upper lip scar. Both skin flaps are elevated and turned down toward the central part of the vermilion. The distant portion of the turned-down skin flaps are deepithelialized and trimmed according to the new shape of Cupid's bow. The deepithelialized portions of both flaps are buried under the central vermilion mucosa in order to create the vermilion tubercle. The advantages of the proposed procedure are; provision of a more natural shape of Cupid's bow, the lip length is increased, and the vermilion tubercle can be reconstructed at the same time. Therefore, this technique is best suited for a case of a bilateral absence of Cupid's bow combined with a short lip in a sufficient upper lip of a bilateral cleft lip deformity. The proposed procedure, however, should be avoided in the tight upper lip because of a great deal of tension on the donor.

Redoable Tie-Over Dressing Using Multiple Loop Silk Threads

  • Jo, Hyeon Jong;Kim, Jun Sik;Kim, Nam Gyun;Lee, Kyung Suk;Choi, Jae Hoon
    • Archives of Plastic Surgery
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    • v.40 no.3
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    • pp.259-262
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    • 2013
  • After skin grafting, to prevent hematoma or seroma collection at the graft site, a tie-over dressing has been commonly used. However, although the conventional tie-over dressing by suture is a useful method for securing a graft site, refixation is difficult when repeated tie-over dressing is needed. Therefore, we recommend a redoable tie-over dressing technique with multiple loops threads and connecting silk threads. After the raw surface of each of our cases was covered with a skin graft, multiple loop silk thread attached with nylon at the skin graft margin. We applied the ointment gauze and wet cotton/fluffy gauze over the skin graft, then fixed the dressing by connecting cross-counter multiple loop thread with connecting silk threads. When we opened the tie-over dressing by cutting the connecting silk threads, we repeated the tie-over dressing with the same method. The skin graft was taken successfully without hematoma or seroma collection or any other complications. In conclusion, we report a novel tie-over dressing enabling simple fixation of the dressing to maintain proper tension for wounds that require repetitive fixation. Further, with this reliable method, the skin grafts were well taken.

Characteristics on Pullout Behavior of Belled Tension Pile in Sandy Soils (사질토지반의 선단확장형말뚝의 인발거동 특성)

  • Cho, Seok-Ho;Kim, Hak-Moon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.9
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    • pp.3599-3609
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    • 2010
  • Recently, the construction of coastal structures and high-rise structures against the horizontal and uplift forces increases with the developing the coastal developments. Especially the application of belled tension pile as foundation type to effectively resist uplift force is increasing in coastal structures. However, research on pullout resistance of belled tension pile has been limited and not yet been fully performed. Therefore, the pullout load tests of belled tension piles in four overseas sites were performed, then the bearing capacity, characteristics on load-displacement of piles and load distribution considering skin friction were investigated in this paper. In addition, the limit pullout bearing capacity calculated by the three-dimensional finite element analysis and theoretical methods were compared with values of in-situ test.

Crack Growth Retardation Behavior in Aluminium 2024-T3 Alclad Alloy by Pre-Indentation (예비압입에 의한 알루미늄 2024-T3 알클래드 합금의 균열성장 지연거동)

  • 황정선;조환기
    • Journal of the Korea Institute of Military Science and Technology
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    • v.4 no.2
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    • pp.42-51
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    • 2001
  • The effects of pre-indentation technique are presented for A12024-T3 Alclad alloy using as skin material for aircraft fuselage and wing. Indentations were applied to specimens to be placed on the presumed path of fatigue crack growth before fatigue tests. Tension-tension fatigue tests were conducted on the edge cracked specimens in the L-T orientation. Test results were analyzed to investigate the effectiveness of pre-indentation with the variation of specimen's thickness, position of indentation and applied maximum stress. Fatigue crack retardation by pre-indentation is well recognized in the various conditions.

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Compare breath-training by Kigong-training groups in Korea (국내 기공수련 단체별 호흡수련 비교)

  • Lee, Sang-Nam;Han, Chang-Hyun;Park, Soo-Jin;Kwon, Young-Kyu
    • Korean Journal of Oriental Medicine
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    • v.14 no.1
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    • pp.73-83
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    • 2008
  • Background : Kigong(氣功) is to develope a nature-therapy by controling and recovering Jinki(眞氣) and it has common features in Yangsaengbeob(養生法), Doinbeob(導引法) and Jeongkisin(精氣神), but it is rarely researched and applied in clinic examine. Objectives : it is compared and contrasted among Kukseondo(國仙道) Yeonjeongwon(硏精院), Seokmunhoheub(石門呼吸). Result : Kukseondo, Yeonjeongwon, Seokmunhoheub have the same point that beginners breath slowly, deeply and naturally. The breathing in each group becomes deeper gradually by mental and physical relaxation although each group has a different breathing method, and it is similar to Jogigyeol(調氣訣) in Dongeuibogam. Ywasik(臥式) is distinguished by the presence of sensation. The breathing in Kukseondo is Yidanhoheub(二段呼吸), the breathing in Yeonjeongwon is Yugi(留氣) and the breathing in Seokmunhoheub is that the ratio of inhaling and blowing are 6 to 4. The breathing in each group is deep and small, Ki also accumulates in the Below-abdomen between blowing and inhaling. This is confirmed by Sinjunapgi(腎主納氣) theory in Oriental-medicine. There is the breath, which is through skin, in Kigonghoheub(氣孔呼吸) of Samhabdanbeop(三合丹法) and Jolidanbeop(造理丹法) in Kukseondo, it is also in Gwiilbeop(歸一法) of Seokmunhoheub. In Kukseondo's case, the breathing is through skin mainly instead of a respiratory organ. In Seokmunhoheub's case, the circulation of Ki is through skin during breathing. In Oriental-medicine, this is called as Pyejupimo(肺主皮毛) which is connected with lung and skin. The breathing coincide with tension and relaxation of body while the breathing through skin and the absorption of Ki spread sensation over the whole body, but the breathing through skin is just a specific ability from a training.

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Bearing Capacity of In-situ Cast Piles in Weak Sedimentary Rocks (미고결 퇴적암층에서의 현장타설말뚝 지지력 특성 연구)

  • Sim, Dong-Hyun;Kim, Ki-Seop;Yu, Seok-Joon
    • Proceedings of the Korean Geotechical Society Conference
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    • 2004.03b
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    • pp.100-109
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    • 2004
  • Is this study, results of static pile load tests of in-situ cast piles in weak or uncemented sedimentary rock layers have been analyzed and presented. Consdierations on the characteristics of soils sedimentary rocks have been made. From the measurements of strain gauges and extensometers the relationship of unit skim friction versus displacement and that of unit end bearing versus displacement have been obatined to verity the characteristics of bearing capacity of this uncemented sedimentary rock layers. Also, a comparison has been made between ultimate skin friction in compression and tension.

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Serially expanded flap use to treat large hairless scalp lesions

  • Shin, Dongwoo;Kim, Yong Hun;Song, Han Gyeol;Hong, Jong Won
    • Archives of Craniofacial Surgery
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    • v.20 no.6
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    • pp.408-411
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    • 2019
  • Hairless scalp areas can occur due to trauma, tumors, or congenital disease. This aesthetically unpleasing condition can lead to psychosocial distress, and thin skin flaps may be prone to scarring. Treating the hairless scalp by simple excision is challenging because of skin tension. Tissue expanders are a good option for hairless scalp resurfacing. However, a single expansion may be inadequate to cover the entire defect. This report describes good results obtained using a serial resurfacing method involving re-expansion of the flap with a tissue expander to treat two patients with large lesions: one due to aplasia cutis congenital and another who underwent dermatofibrosarcoma protuberance resection. The results suggest that scalp resurfacing by serial tissue expansion using a tissue expander can be used for extensive lesions.