• Archives of Reconstructive Microsurgery
• /
• 제14권1호
• /
• pp.57-62
• /
• 2005

Microvascular anastomosis with suture technique is a basic skill but there are several problems such as stenosis, thrombosis and long operating time. Recently plastic surgeons have developed non-suturing mechanical coupling devices for microvascular anastomosis. The authors applied non-penetrating vascular clips (VCS clips) in the field of free flap surgery of head and neck area. Between August of 2004 and January of 2005, we performed 9 free flaps (16 vessels) using small-sized VCS clips. Four stay sutures were applied first and then VCS clips were placed between sutures about 1 mm apart. Vascular pedicle of free flap included the descending branch of lateral circumflex femoral vessel, thoracodorsal vessel, deep inferior epigastric vessel and cephalic vein. The recipient vessels were the superior thyroid artery, superficial temporal artery, internal jugular vein, external jugular vein, and superficial temporal vein. We performed 13 end-to-end (4 arteries and 9 veins) and 3 venous end-to-side anastomoses. No flap related complication occurred but we applied additional clips or sutures in two cases due to blood leakage after completion of anastomosis. Primary patency rates seemed to be good and more rapid anastomosis could be done than conventional suture technique. Advantages of VCS technique are high patency rate, low thrombogenecity and rapidity. Although the high cost of VCS instrument may be a problem, this clip could be applied safely in microvascular free tissue transfer.

• 한국임상수의학회지
• /
• 제28권6호
• /
• pp.566-570
• /
• 2011

본 연구에서는 난소자궁적출술에 있어서 티타늄(titanium) 클립 적용 시 발생할 수 있는 합병증을 평가하고, 난소혈관과 난소걸이인대의 두 가지 결찰법을 비교하여 합병증을 최소화 할 수 있는 수술법을 찾고자 하였다. 실험을 위해 6마리의 암컷 비글견이 사용되었으며, 세 마리씩 두 그룹으로 나누어 한 그룹은 난소걸이인대와 난소혈관을 함께 결찰 하였고, 나머지 한 그룹은 난소걸이인대를 결찰하지 않고 난소혈관만 결찰 하였다. 두 수술법을 비교하기 위해서 매달 1회씩 1년 동안 복강 X-ray 검사를 통해 적용된 클립의 위치 변화를 확인하였고, 적용된 클립에 의한 염증반응 유무는 혈액검사를 통해 확인하였다. X-ray 검사 상에서 두 그룹의 클립 위치는 큰 변화를 보이지 않았으며, 혈액 검사에서도 거의 모든 수치들이 정상범위에 있었고, 염증과 관련된 임상증상 또한 관찰되지 않았다. 부검을 통한 두 그룹의 클립 포매 형태를 관찰한 결과 난소걸이인대를 결찰한 클립은 복강의 얇은 막으로 두껍게 싸여서 신장 후연에 위치하고 있는 것을 확인하였고, 난소걸이인대를 결찰하지 않은 클립은 얇게 둘러싸인 막 표면에 위치하여 신장의 아래쪽에서 관찰되었다. 이러한 결과는 난소걸이인대가 클립의 움직임을 최소화 할 수 있도록 지지해주는 역할을 하는 것을 의미하며, 따라서 티타늄 클립을 적용하는 난소자궁적출술에서 난소걸이인대를 함께 결찰하는 방법이 합병증 예방에 있어서 보다 적합한 방법으로 생각된다.

• 한국정밀공학회:학술대회논문집
• /
• 한국정밀공학회 2012년도 추계학술대회 논문집
• /
• pp.893-894
• /
• 2012

• Structural Engineering and Mechanics
• /
• 제58권1호
• /
• pp.121-142
• /
• 2016

The national standard being used in Turkey for suspended ceiling systems (SCS) regulates material and dimensional properties but does not contain regulations regarding installation instructions which cause substandard applications of SCSs in practice. The lack of installation instructions would potentially affect the dynamic performance of these systems. Also, the vast majority of these systems are manufactured using substandard low-quality materials, and this will inevitably increase SCS related damages during earthquakes. The experimental work presented here focuses on the issue of dynamic performance of SCSs with different types of carrier systems (lay-on and clip-in systems), different weight conditions, and material-workmanship qualities. Moreover, the effects of auxiliary fastening elements, so called seismic perimeter clips, in improving the dynamic performance of SCSs were experimentally investigated. Results show that clip-in ceiling system performs better than lay-on system regardless of material and workmanship qualities. On the other hand, the quality aspect becomes the most important parameter in affecting the dynamic performance of lay-on type systems as opposed to tile weights and usage of perimeter clips. When high quality system is used, tile weight does not change the performance of lay-on system, however in poor quality system, tile weight becomes an important factor where heavier tiles considerably decrease the performance level. Perimeter clips marginally increase the dynamic performance of lay-on ceiling system, but it has no effect on the clip-in ceiling system under the shaking levels considered.

• Structural Engineering and Mechanics
• /
• 제63권2호
• /
• pp.195-206
• /
• 2017

This paper presents the parametric numerical analysis on the ultimate bearing capacity of the purlin-sheet roofs connected by standing seam clips. The effects of several factors on failure modes and ultimate bearing capacity of the purlins are studied, including setup of anti-sag bar, purlin type, sheet thickness and connection type et al. A simplified design formula is proposed for predicting the ultimate bearing capacity of purlins. Results show that setting the anti-sag bars can improve the ultimate bearing capacity and change the failure modes of C purlins significantly. The failure modes and ultimate bearing capacity of C purlins are significantly different from those of Z purlins, in the purlin-sheet roof connected by standing seam clips. Setting the anti-sag bars near the lower flange is more favorable for increasing the ultimate bearing capacity of purlins. The ultimate bearing capacity of C purlins increases slightly with sheet thickness increasing from 0.6 mm to 0.8 mm. The ultimate bearing capacity of the purlin-sheet roofs connected by standing seam clips is always higher than those by self-drilling screws. The predictions of the proposed design formulas are relatively in good agreement with those of EN 1993-1-3: 2006, compared with GB 50018-2002.

• 대한건축학회논문집:구조계
• /
• 제33권12호
• /
• pp.29-36
• /
• 2017

A recent global trend in the increase of earthquake-related disasters has become so frequent as to cause various damages to a wide range of mid- to high-rise buildings. Particularly, more attention is being paid to the effect of horizontal load in high-rise buildings not only on the key structural elements of the structures, but also on the possibility of the secondary damages to them due to the failure of exterior panels, which are non-structural elements, but such damages are difficult to cope with as they may be caused by unexpected changes. The present study examined exterior panels using moving clips to prevent such secondary damages on the non-structural elements and analyzed the structural performance of these exterior panels through the finite element analysis and the shaking table test. The analysis results showed that the exterior panels using moving clips satisfied the structural performance against the allowable story drift of KBC2009 and the safety of the exterior panels was verified by the shake table test.

• 한국콘텐츠학회논문지
• /
• 제19권6호
• /
• pp.92-104
• /
• 2019

TV를 통한 방송프로그램 시청 등 수동적인 태도로 미디어를 이용하던 과거와 달리 현대의 시청자는 원하는 시간에 원하는 장소에서 원하는 콘텐츠를 본다. 이러한 비선형적 시청행태에 적합한 영상 콘텐츠 형태로서 클립영상이 있다. 클립영상은 기존 방송프로그램을 5~10개로 분절하거나 처음부터 짧은 길이로 기획한 영상 콘텐츠이다. 선형적 미디어 환경에서 비선형적 미디어 환경으로 변화하면서 여러 미디어 간 경쟁이 치열해지고 있으며, 기존 미디어의 콘텐츠가 타 미디어에서 다른 형태로 제공되고 있다. 미디어와 콘텐츠 간 경쟁이 치열해지는 시점에서 이 연구는 네이버TV캐스트의 클립영상 이용자를 대상으로 설문을 진행하여, 클립영상 이용량, 클립영상 이용동기, 클립영상 유형별 시청정도가 클립영상의 TV 방송프로그램에 대한 인지된 대체가능성에 어떠한 영향을 주는지 살펴보았다. 연구결과, 클립영상 이용량, 이용동기의 대인관계, 선택적이용, 화제성 요인과 웹전용 콘텐츠의 시청정도가 클립영상의 TV 방송프로그램에 대한 인지된 대체가능성에 유의미한 영향을 주었다.

• 한국전산구조공학회:학술대회논문집
• /
• 한국전산구조공학회 1989년도 봄 학술발표회 논문집
• /
• pp.71-76
• /
• 1989

Structural design, generally engineering design, is a complex process combinding design knowledges and analysis techniques. While analysis techniques can be automated in an algorithmic fashion, relatively little work has been done in the area of the design automation. An effect approach method for the automation of the engineering design may be a hybrid system, in which design knowledges, specification requirements and interpretations are represented using an expert system methodology and numerically intensive operations of the design process are implemented using an algorithmic language such as FORTRAN. The purpose of this paper is concentrated on the knowledge of K-CLIPS(KAIST-C Language Integrated Production System) used to design and implement this hybrid system. In K-CLIPS, some representation methods : frame, production rule, fact and user defined function are used to construct the knowledge base. The hierarchical knowledges could be expressed more naturally with a little number of rules than other plain production systems.

• KSII Transactions on Internet and Information Systems (TIIS)
• /
• 제7권6호
• /
• pp.1433-1448
• /
• 2013

This study presents empirical evidence of the benefit of viewing narrative video clips on embedded virtual reality (VR) websites of hotels to relieve travel anxiety. As the effectiveness of using VR functions to relieve travel anxiety has been shown, we proposed that a VR website enhanced with narrative video clips could relieve travelers' anxiety about accommodations by showing the important aspects of a hotel. Thus, we created a website with a narrative video showing the escape route from a hotel room and another narrative video showing the surrounding neighborhood. We then conducted experiments by having human subjects explore the enhanced VR website and fill out a questionnaire. The results confirmed our hypothesis that there is a statistically significant relationship between relief from travel anxiety and the use of narrative videos on embedded VR websites of hotels.

• 한국의학물리학회:학술대회논문집
• /
• 한국의학물리학회 2006년도 제33회 추계학술대회 발표논문집
• /
• pp.96-96
• /
• 2006