• Title/Summary/Keyword: soft transfer

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A Study on the Effect of Carrying Vertical Loads Over Embankment Piles (성토지지말뚝의 연직하중 분담효과에 관한 연구)

  • 홍원표;이광우
    • Journal of the Korean Geotechnical Society
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    • v.18 no.4
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    • pp.285-294
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    • 2002
  • Embankment Piles, which is subjected to damage due to lateral movement of soft ground, can be classified into pile slab, cap beam pile, and isolated cap pile according to the installation pattern of pile cap. In the cap beam pile and the isolated cap pile method, the soil arch is developed by the different stiffness between pile and soil, and most embankment loads are transferred into embankment piles through soil arch. In these two methods, the difference of soil arch is that the soil arch of the cap beam pile method develops like the arch from of tunnel between cap beams and the soil arch of the isolated cap pile method develops like dome between isolated caps. Therefore, theoretical analysis methods on soil arching effect of the cap beam pile and the isolated cap pile method were respectively proposed according to their own arch form considering the limiting equilibrium of stresses in a crown of soil arch. And a series of model tests were performed both to investigate the load transfer by soil arching in fills above embankment piles and to verify the reliability of the theoretical analysis.

Treatment of Soft Tissue Defect on Ankle or Dorsum of Foot with Extended Gracilis Muscle Free Flap (확장된 박근 유리 피판을 이용한 족관절 및 족배부 연부조직 결손의 치유)

  • Kim, Sug Won;Kim, Kwang Seop;Seo, Dong Wan;Lee, Hoon Bum;Chung, Yoon Kyu
    • Archives of Reconstructive Microsurgery
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    • v.9 no.2
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    • pp.147-153
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    • 2000
  • Soft tissue defects of the dorsum of foot and ankle can be covered from skin graft to free tissue transfer. The extent of injury which may be complex including the exposure of paratenons or bones requires free flap reconstruction. Some of the precautions for reconstruction are providing minimal bulkiness and well conforming to irregular contour thus making normal footwear possible. Though the muscle flap having its advantages and versatility, the fascial flap such as temporoparietal fascial flap has been considered the choice for reconstruction of the dorsum of foot and ankle. The purpose of our study is to utilize the advantages and versatility of the muscle flap as a first choice for reconstruction for the defects involving the dorsum of foot and ankle. The gracilis muscle with its anatomic and donor characteristics, it can be utilized to maximal effect by expanding its slim muscle width removing the epimysium and reducing its bulk by muscle atrophy through denervation. We present our experience with ten cases of reconstruction for the dorsum of foot and ankle using the gracilis muscle free flap. Results were satisfactory without flap loss, skin loss and infection. The contour and aesthetic aspect of the foot was satisfactory. Gait analysis showed near normal gait without limitations from everyday activities. Normal footwear was tolerable in all the cases. The keys to consider in the reconstruction of the dorsum of foot and ankle are appropriate bulkiness, conforming to its contour and able to apply normal footwear. With minimal donor morbidity and satisfying results, the extended gracilis muscle should be considered as the first line for reconstruction of the ankle and dorsum of foot.

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Reconstruction of Greater Trochanteric defect using Lumbar Artery Perforator Free Flap - A Case Report - (요추부 천공지 유리피판을 이용한 대전자부 결손의 재건 - 증례보고 -)

  • Heo, Chan-Yeong;Baek, Rong-Min;Minn, Kyung-Won;Eun, Seok-Chan
    • Archives of Reconstructive Microsurgery
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    • v.16 no.1
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    • pp.48-51
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    • 2007
  • There could be several methods for trochanteric reconstruction including local flap, pedicled perforator flaps, free flap, etc. We performed greater trochanteric reconstruction with lumbar artery perforator free flap in some aberrant method. So we report this experience with review of literatures. A 42-year-old man visited our hospital with a large soft tissue defect in his left greater trochanteric area by traffic accident. The patient had wide skin and soft tissue defect combined with open femur fracture. During one month period of admission, he underwent femur open reduction and wound debridement four times. After that we planned thoracodorsal perforator free flap reconstruction. The flap was outlined as large as $20{\times}15\;cm$ and elevated in a suprafascial plane from the lateral border. During intramuscular perforator dissection, we found that two 1.5 mm diametered perforator vessels coursed inferomedially toward second lumbar region. Finally the flap became lumbar artery perforator flap based on second lumbar artery perforator as a main pedicle. After flap transfer, the perforator vessels were connected with inferior gluteal artery and vein microsurgically. The operation was successful without uneventful course. We found no significant postoperative complication and donor site morbidity during six months follow up periods. Lumbar artery perforator flap could be an alternative procedure for thoracodorsal perforator flap in some patients with anatomic variant features.

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DETECTABILITY OF SUNGRAZING COMET SOFT X-RAY IRRADIANCE (SUNGRAZING 혜성이 방출하는 X-선 관측 가능성에 관한 연구)

  • Oh, Su-Yeon;Yi, Yu;Nah, Ja-Kyoung;Kim, Yong-Ha
    • Journal of Astronomy and Space Sciences
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    • v.24 no.4
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    • pp.309-314
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    • 2007
  • Originating from the Oort cloud, some comets disappear to impact against the Sun or to split up by strong gravitational force. Then they don't go back to the Oort cloud. They are called sungrazing comets. The comets are detected by sublimation of ices and ejection of gas and dust through solar heat close to the Sun. There exists the charge transfer from heavy ions in the solar wind to neutral atoms in the cometary atmosphere by interaction with the solar wind. Cometary atoms would be excited to high electronic levels and their do-excitation would result in X-ray emission, or it would be scattering of solar X-ray emission by very small cometary grains. We calculated the X-ray emission applying the model suggested by Mendis & Flammer (1984) and Cravens (1997). In our estimation, the sungrazing comet whose nucleus size is about 1 km in radius might be detectable within a distance of 3 solar radius from the sun on soft X-ray solar camera.

Arterial or venous free flaps for volar tissue defects of the proximal interphalangeal joint: A comparison of surgical outcomes

  • Choi, Min Suk;Roh, Si Young;Koh, Sung Hoon;Kim, Jin Soo;Lee, Dong Chul;Lee, Kyung Jin;Hong, Min Ki
    • Archives of Plastic Surgery
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    • v.47 no.5
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    • pp.451-459
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    • 2020
  • Background For volar soft tissue defects of the proximal interphalangeal (PIP) joint, free flaps are technically challenging, but have more esthetic and functional advantages than local or distant flaps. In this study, we compared the long-term surgical outcomes of arterial (hypothenar, thenar, or second toe plantar) and venous free flaps for volar defects of the PIP joint. Methods This was a single-center retrospective review of free flap coverage of volar defects between the distal interphalangeal and metacarpophalangeal joint from July 2010 to August 2019. Patients with severe crush injuries (degloving, tendon or bone defects, or comminuted/intra-articular fractures), thumb injuries, multiple-joint and finger injuries, dorsal soft tissue defects, and defects >6 cm in length were excluded from the study, as were those lost to follow-up within 6 months. Thirteen patients received arterial (hypothenar, thenar, or second toe plantar) free flaps and 12 received venous free flaps. Patients' age, follow-up period, PIP joint active range of motion (ROM), extension lag, grip-strength ratio of the injured to the uninjured hand, and Quick Disabilities of Arm, Shoulder & Hand (QuickDASH) score were compared between the groups. Results Arterial free flaps showed significantly higher PIP joint active ROM (P=0.043) and lower extension lag (P =0.035) than venous free flaps. The differences in flexion, grip strength, and QuickDASH scores were not statistically significant. Conclusions The surgical outcomes of arterial free flaps were superior to those of venous free flaps for volar defects of the PIP joint.

Cross-Leg Achilles Tendon Reconstruction Using a Composite Flap of Dorsalis Pedis and Tendon Strips of the Extensor Digitorum Longus in a Vascular Compromised Wound (족지 신건이 포함된 족배부 도서형 교차하지 피판을 이용한 혈행장애 하지부의 일단계 아킬레스건 재건 -증례보고-)

  • Lee, June Bok;Lee, Sung Jun;Kim, In Gue;Kim, Sug Won
    • Archives of Plastic Surgery
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    • v.32 no.4
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    • pp.539-542
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    • 2005
  • Reconstructions of soft tissue defect of the posterior ankle including Achilles the tendon should take into account not only coverage but functional outcome. Various methods of tendon transfer and tendon graft have been reported as a single-stage procedure. With advances and refinements in microsurgical techniques, several free composite flaps including tendon, fascia, or nerve have been used in single-stage reconstructions of large defects in this area minimizing further damage to the traumatized leg. However, when free flap is not feasible for some reasons, this cannot be accomplished successfully. Here we present a patient with Achilles tendon and circumferential large soft tissue defect. Because of circulatory compromise of the lower extremity, free flap reconstruction could not be applied. Instead, cross-leg composite flap of the dorsalis pedis flap including the extensor hallucis brevis musle and tendon, and tendon strips of the Second, third and fourth extensor digitorum logus were employed, Functional reconstruction of the tendon and resurfacing were obtained at the same time. The flap was detached 3 weeks postoperatively, and the transplanted flap has survived without any complications. By 3 months after surgery, full weight bearing, tip-toe standing and even walking without crutch assistance was possible. When functional reconstruction with the free flap is unattainable in the large defect of the posterior ankle including the Achilles tendon, cross-leg composite island flap of dorsalis pedis flap and tendon strips of the extensor digitorum longus tendon is a viable alternative.

Cladosporium sp. is the Major Causal Agent in the Microbial Complex Associated with the Skin Sooty Dapple Disease of the Asian Pear in Korea

  • Park, Young-Seob;Kim, Ki-Chung;Lee, Jang-Hoon;Cho, Song-Mi;Choi, Yong-Soo;Kim, Young-Cheol
    • The Plant Pathology Journal
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    • v.24 no.2
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    • pp.118-124
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    • 2008
  • Skin sooty dapple disease, a fungal disease that lowers Asian pear fruit quality, has emerged recently in Korea but has not yet been thoroughly characterized. This disease affects the surface of fruit, leaves, and young shoots of the Asian pear, typically appearing as a dark or pale black dapple on the fruit surface. The disease initiates on the fruit with small circular lesions that become bigger, eventually spreading to form large circular or indefinite lesions. Sparse dark or flourishing white-greyish aerial mycelia and appearance of a dark or pale black dapple on the fruit surface are typical signs of this disease. The disease was severe during cold storage of the Niitaka and Chuhwangbae varieties, but more limited on the Gamcheonbae and Hwangkeumbae varieties. To identify causal pathogens, 123 fungal isolates were obtained from lesions. The fungi that caused typical skin sooty dapple disease symptoms in our bioassay were identified. Based on their morphological characteristics, 74% of the isolates were Cladosporium sp. and 5-7 % of the isolates were Leptosphaerulina sp., Tripospermum sp., or Tilletiopsis sp. None of the isolates caused severe soft rot by injection to a wound plug, but some of the Cladosporium sp. isolates caused mild maceration. Therefore this microbiol complex cannot account for the soft rot also observed in stored fruits. The high frequency of isolation of Cladosporium sp. from disease tissues and bioassay on pear fruit surface suggest that Cladosporium sp. could be a major pathogen in the microbial complex associated with skin sooty dapple disease of the Asian pear in Korea.

A Clinical Study of Free Vascularized Osteocutaneous Fibular Transplantation in Infected Nonunion of Tibia (감염성 경골 불유합에 시행한 혈관 부착 유리 피부편 및 생비골 이식 수술의 임상적 고찰)

  • Song, Joon-Min;Kim, Jin-Ill;Kwon, Hee;Yoo, Jae-Eung;Park, Jong-Suk;Rah, Soo-Kyoon;Choi, Chang-Uk
    • Archives of Reconstructive Microsurgery
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    • v.9 no.1
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    • pp.27-36
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    • 2000
  • February 1995 to September 1999, authors have experienced seven cases of infected nonunion of tibial fractures with associated soft tissue injury and skin defect, and have accomplished union in all cases by free vascularized fibular graft. All grafts healed with no radiographic evidence of bone necrosis or resorption and have been able to treat large bony defect and skin defect simultaneously. In this study, five cases of vascularized free fibular osteocutaneous flap transfer and two cases of free fibular graft are reported. All of seven cases were infected nonunion of tibia. The results were obtained as follows 1) The mean duration of the radiologic bone union was average 5.3months. 2) Grafted fibular has been hypertrophied, average 10.6 months. 3) In five cases of preservation of posterior cortex of tibia, bony union and hypertrophy of grafted bone were earlier than that two cases of complete segmental resection of tibia. 4) In two cases which only free vascularized fibular graft were performed because achievement of cutaneous flap was failed, authors found that soft tissue defect was filled with granulation tissue and split-thickness skin graft was possible over the granulation tissue after 3 weeks postoperatively.

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Evaporation Theory for Reclaimed Clay (준설 점토 지반에서의 증발 이론 개발)

  • 이형주;이인모;이영남;성상규
    • Journal of the Korean Geotechnical Society
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    • v.19 no.4
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    • pp.55-64
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    • 2003
  • Desiccation of a soil is basically the removal of water by evaporation, which is controlled by evaporativity and evaporability. Surface evaporation improves the trafficability which is essential for the access of construction equipment in the area reclaimed with soft clay. The existing traditional methods for evaluating evaporation can not account for the deformation of reclaimed soft soils during evaporation. Therefore, a theoretical model for predicting the rate of evaporation from the surface of a deformable material is proposed. The model is based on a system of equations for coupled heat and mass transfer in unsaturated soils. The modified pressure plate extractor test and glass desiccator test were carried out to obtain the soil-water characteristic curve for a deformable soil. The column drying test was conducted to investigate one dimensional water flow, heat flow and evaporation in the surface. A finite difference program was developed to solve the coupled nonlinear partial differential equations, which permit the study of water, vapor and heat flows in the deformable soil. Comparison between measured and simulated values shows a reasonably good matching between the two.

The Evaluation of Image Quality According to the Change of Reconstruction Algorithm of CT Images (재구성 알고리즘 변화에 따른 CT 영상의 화질 평가)

  • Han, Dong-Kyoon;Park, Kun-Jin;Ko, Shin-Kwan
    • Korean Journal of Digital Imaging in Medicine
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    • v.12 no.2
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    • pp.127-132
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    • 2010
  • In this study, the correlation among the changes of Modulation Transfer Function(MTF) in the noise and high-contrast resolution and the change of Contrast to noise ratio(CNR) in the low-contrast resolution will be examined to investigate the estimation of image quality according to the type of algorithms. The image data obtained by scanning American Association of Physicists in Medicine(AAPM) phantom was applied to each algorithm and the exposure condition of 120 kVp, 250 mAs, and then the CT number and noise were measured. The MTF curved line of the high-contrast resolution was calculated with Point Spread Function(PSF) by using the analysis program by Philips, resulting in 0.5 MTF, 0.1 MTF and 0.02 MTF respectively. The low-contrast resolution was calculated with CNR and the uniformity was measured to each algorithm. Since the measurement value for the uniformity of the equipment was below ${\pm}$ 5 HU, which is the criterion figure, it was found to belong to the normal range. As the algorithm got closer from soft to edge, the standard deviation of CT number increased, which indicates that the noise increased as well. As for MTF, 0.5 MTF, 0.1 MTF and 0.02 MTF were all sharp algorithms, and as the algorithm got closer from soft to edge, it was possible to distinguish more clearly with the naked eye. On the other hand, CNR gradually decreased, because the difference between the contrast hole CT number and the acrylic CT number was the same while the noise of hole increased.

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