• Title/Summary/Keyword: Complex exposure

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Left Common Femoral to Right Common Iliac Venous Bypass Through a Retroperitoneal Exposure

  • Cuen-Ojeda, Cesar;Bobadilla-Rosado, Luis O;Garcia-Alva, Ramon;Arzola, Luis H.;Anaya-Ayala, Javier E.;Hinojosa, Carlos A.
    • Vascular Specialist International
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    • v.34 no.4
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    • pp.117-120
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    • 2018
  • The endovascular recanalization of the iliocaval system has replaced venous surgical reconstructions as the primary treatment option in severe post-thrombotic syndrome (PTS). We herein present a 51-year-old female with previous deep venous thrombosis, complicated with PTS with a large and complex circumferential calf ulcer measuring 25 cm of length in the left lower extremity. Venogram revealed a complete and extensive occlusion in the left iliofemoral system. A surgical bypass from the left common femoral vein to the right common iliac vein was performed. Patient recovered well and after 12 months postoperation her large wound is healing favorably with a clean and well granulated bed. Iliofemoral venous bypass is a feasible treatment for non-healing ulcer of lower extremity.

Accelerated Prediction Methodologies to Predict the Outdoor Exposure Lifespan of Galvannealed Steel

  • Kim, Ki Tae;Yoo, Young Ran;Kim, Young Sik
    • Corrosion Science and Technology
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    • v.18 no.3
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    • pp.86-91
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    • 2019
  • Generally, atmospheric corrosion is the electrochemical degradation of metal that can be caused by various corrosion factors of atmospheric components and weather, as well as air pollutants. Specifically, moisture and particles of sea salt and sulfur dioxide are major factors in atmospheric corrosion. Using galvanized steel is one of the most efficient ways to protect iron from corrosion by zinc plating on the surface of the iron. Galvanized steel is widely used in automobiles, building structures, roofing, and other industrial structures due to their high corrosion resistance relative to iron. The atmospheric corrosion of galvanized steel shows complex corrosion behavior, depending on the plating, coating thickness, atmospheric environment, and air pollutants. In addition, corrosion products are produced in different types of environments. The lifespans of galvanized steels may vary depending on the use environment. Therefore, this study investigated the corrosion behavior of galvannealed steel under atmospheric corrosion in two locations in Korea, and the lifespan prediction of galvannealed steel in rural and coastal environments was conducted by means of the potentiostatic dissolution test and the chemical cyclic corrosion test.

Causes of local collapse of a precast industrial roof after a fire

  • Bruno Dal Lago;Paride Tucci
    • Computers and Concrete
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    • v.31 no.5
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    • pp.371-384
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    • 2023
  • Precast roofing systems employing prestressed elements often serve as smart structural solutions for the construction of industrial buildings. The precast concrete elements usually employed are highly engineered, and often consist in thin-walled members, characterised by a complex behaviour in fire. The present study was carried out after a fire event damaged a precast industrial building made with prestressed beam and roof elements, and non-prestressed curved barrel vault elements interposed in between the spaced roof elements. As a consequence of the exposure to the fire, the main elements were found standing, although some locally damaged and distorted, and the local collapse of few curved barrel vault elements was observed in one edge row only. In order to understand and interpret the observed structural performance of the roof system under fire, a full fire safety engineering process was carried out according to the following steps: (a) realistic temperature-time curves acting on the structural elements were simulated through computational fluid dynamics, (b) temperature distribution within the concrete elements was obtained with non-linear thermal analysis in variable regime, (c) strength and deformation of the concrete elements were checked with non-linear thermal-mechanical analysis. The analysis of the results allowed to identify the causes of the local collapses occurred, attributable to the distortion caused by temperature to the elements causing loss of support in early fire stage rather than to the material strength reduction due to the progressive exposure of the elements to fire. Finally, practical hints are provided to avoid such a phenomenon to occur when designing similar structures.

A Study on the Allergen Skin Test Prevalence in the Residents of a Non-Industrial Area (비산단지역 주민 피부 알레르기반응에 관한 연구)

  • Ahn, Seung-Chul;Kim, Dae-Seon;Yu, Hwa-Yon;Kwon, Young-Min;Zoo, Duck-Hyun
    • Journal of Environmental Health Sciences
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    • v.38 no.5
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    • pp.398-406
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    • 2012
  • Objectives: In order to investigate the relation between environmental pollution and its effect on human health in large-scale industrial complex regions, monitoring studies have been conducted since 2003. The main purpose of this Gangneung study is to produce background data which can be compared with several large-scale industrial complex regions such as Ulsan, Sihwa, Banwol, Gwangyang, Yeosu, Pohang and Cheongju Daesan industrial complexes. Methods: In this Gangneung study, 1,007 local residents were recruited and the framework of this study was designed to evaluate and monitor health effects associated with low-level but long-term exposure to environmental pollutants. A survey was performed based on personal questionnaires, medical check-ups, and allergy skin prick tests for twelve common allergens. The authors reviewed the prevalence rate of skin allergens in Gangneung compared with in large-scale industrial areas. The results are summarized as follows. Results: The diagnosis prevalence and medical treatment prevalence of asthma were lower than in industrial complex regions, but allergic rhinitis was higher. The allergy skin test prevalence was 26.0% and the most common allergens were dust mites (D. pteronysinus 16.7% and D. farinae 16.3%). Conclusions: The positive findings of the skin prick test were similar with large-scale industrial complex regions in Korea. Further study is required to find the cause of the regional differences in skin prick prevalence.

Comparative study of 82Sr separation/purification methods used at Brookhaven National Laboratory and ARRONAX

  • Ha, Yeong Su;Yoon, Sang-Pil;Kim, Han-Sung;Kim, Kye-Ryung
    • Journal of Radiopharmaceuticals and Molecular Probes
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    • v.5 no.2
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    • pp.71-78
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    • 2019
  • Nuclear imaging is one of the most powerful measures for non-invasive diagnosis of myocardial vascular disease. Radionuclide such as 13N, 15O, 201Tl and 82Rb is used for the measurement of cardiac blood flow. 13N, 15O and 201Tl are produced in cyclotrons while 82Rb is obtained from generator. Rubidium (Rb), an alkali ion, behaves biologically like potassium, and accumulates in myocardial tissue. Rb has rapid blood clearance profile which allows the use of 82Rb with a short physical half-life of 75 s for non-invasive evaluation of regional myocardial perfusion. There are several advantages of 82Rb over other radioisotopes. An ultra-short half-life significantly reduces the exposure of patients to radiation and allows to repeat injections for studying the effects of medical intervention. As a positron emitter, 82Rb allows positron emission tomography (PET) imaging which have shown superior diagnostic performances. 82Rb can be produced from generator by decay of its parent 82Sr. However, the preparation of 82Sr is difficult, because appropriate purity is required to meet the specification of the product. Recently reported procedure from ARRONAX research institute showed that a Chelex-100 resin is sufficient for this purpose and additional column is not necessary. Whereas Brookhaven National Laboratory (BNL) procedure contains three ion exchange resin separation, including Chelex-100 resin. Currently, since 82Sr production site is non-existent in Korea, Korea Atomic Energy Research Institute (KAERI) has plan to produce 82Sr within specifications. We compared 82Sr purification procedures reported from ARRONAX and BNL to investigate the most suitable procedure for our conditions.

Modified Approach in Reduction Malarplasty for Repositioning and Fixation (광대뼈 축소술에 있어서 재배치와 고정)

  • Hwang, So-Min;Song, Jennifer Kim;Baek, Se-Min;Baek, Rong-Min
    • Archives of Plastic Surgery
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    • v.38 no.3
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    • pp.273-278
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    • 2011
  • Purpose: It has always been an aspiration for Asians to look more balanced and feminine, considering their facial features regarding relatively flat midface with marked prominences of the zygoma. Many studies have been dealt in this subject. However, the authors would like to emphasize the concept and introduce the technique of repositioning of the malar complex to a cosmetically beneficial point and stationing it on proper position by fixation on zygoma body and arch. Methods: From January 1998 to December 2007, this method was performed in 50 patients of mild to moderate prominence and malposition of the malar complex. A simplified technique of lateral orbital osteotomy and oblique osteotomy on zygomatic arch through intraoral and preauricular incision was developed. Then, liberal malar complex can be moved to a supero-posterior direction and repositioned to a more cosmetically beneficial point. To maintain the stationed position and to protect from vector affected by the attached masticating muscle to zygomatc bone, fixation was done on both zygoma body and arch. Results: We have obtained satisfactory results using this procedure without any observable complications. The advantages of this procedure are proper exposure, inconspicuous scar, safe, more natural contour, improved stability, and shorter healing time. Conclusion: The authors suggest that reduction malarplasty should be approached with underlying concept of repositioning and fixation. In mild moderate malar prominent cases, our technique will provide with maintenance of aesthetic concept, equal to the malar reduction performed under coronal approach and provide with more natural facial contour with stability even with less invasive surgical approach.

Development of a mouse model for pulp-dentin complex regeneration research: a preliminary study

  • Kim, Sunil;Lee, Sukjoon;Jung, Han-Sung;Kim, Sun-Young;Kim, Euiseong
    • Restorative Dentistry and Endodontics
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    • v.44 no.2
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    • pp.20.1-20.8
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    • 2019
  • Objectives: To achieve pulp-dentin complex regeneration with tissue engineering, treatment efficacies and safeties should be evaluated using in vivo orthotopic transplantation in a sufficient number of animals. Mice have been a species of choice in which to study stem cell biology in mammals. However, most pulp-dentin complex regeneration studies have used large animals because the mouse tooth is too small. The purpose of this study was to demonstrate the utility of the mouse tooth as a transplantation model for pulp-dentin complex regeneration research. Materials and Methods: Experiments were performed using 7-week-old male Institute of Cancer Research (ICR) mice; a total of 35 mice had their pulp exposed, and 5 mice each were sacrificed at 1, 2, 4, 7, 9, 12 and 14 days after pulp exposure. After decalcification in 5% ethylenediaminetetraacetic acid, the samples were embedded and cut with a microtome and then stained with hematoxylin and eosin. Slides were observed under a high-magnification light microscope. Results: Until 1 week postoperatively, the tissue below the pulp chamber orifice appeared normal. The remaining coronal portion of the pulp tissue was inflammatory and necrotic. After 1 week postoperatively, inflammation and necrosis were apparent in the root canals inferior to the orifices. The specimens obtained after experimental day 14 showed necrosis of all tissue in the root canals. Conclusions: This study could provide opportunities for researchers performing in vivo orthotopic transplantation experiments with mice.

The Health Status of Residents near Iksan Industrial Complex Based on Questionnaires (설문조사에 근거한 익산 산업단지 인근 주민의 건강수준조사)

  • Bang, Hyuk;Lee, Mee-Ri;Kim, Nam-Soo;Hwangbo, Young;Kim, Hwa-Sung;Lee, Sung-Soo;Kim, Geun-Bae;Lee, Bo-Eun;Yoon, Mi-Ra;Kim, Yong-Bae
    • Journal of Environmental Health Sciences
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    • v.46 no.1
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    • pp.35-44
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    • 2020
  • Objectives: The purpose of this study was to compare the health status of residents who were exposed to the Iksan industrial area in the living environment and those who were not exposed to such a source of industrial activity through a questionnaire survey designed to appraise the residents' health levels. Method: The authors conducted a health questionnaire survey of 1,012 residents around Iksan regarding their personal information, physician-diagnosed disease history, odors experienced, and more. Logistic regression was performed to identify the associations between hazardous chemical exposure and physician-diagnosed diseases. Result: Logistic regression shows significant differences in allergic rhinitis, cardiovascular disease, hypertension, dyslipidemia, liver disease, and osteoporosis. Odors were experienced by 88.0% of the survey group. The seasons were summer (71%) and spring (24.9%). Conclusion: For allergic rhinitis, cerebral cardiovascular disease, and hypertension, which were significantly higher in the case group than in the control group in the disease diagnosis and disease treatment history of physicians, it was difficult to completely eliminate the association with odor exposure in the Iksan Industrial Complex. It is considered that it has affected nearby residents. This study means that a correlation between chronic diseases has been found through regression analysis, and furthermore, this result can be used as a basis for sampling for secondary epidemiological surveys.

Superior Gluteal Artery Perforator Turn-Over Flap Coverage for Lumboscaral Soft Tissue Defect in Ambulatory Patient (보행 환자에서의 위볼기동맥천공지뒤집기피판을 이용한 허리엉치 부위 연부조직 결손의 치료)

  • Moon, Suk-Ho;Kim, Dong-Seok;Oh, Deuk-Young;Lee, Jung-Ho;Rhie, Jong-Won;Seo, Je-Won;Ahn, Sang-Tae
    • Archives of Plastic Surgery
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    • v.37 no.5
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    • pp.712-716
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    • 2010
  • Purpose: Extensive lumbosacral defects after removal of spinal tumors have a high risk of wound healing problems. Therefore it is an effective reconstructive strategy to provide preemptive soft tissue coverage at the time of initial spinal surgery, especially when there is an instrument exposure. For soft tissue reconstruction of a lumbosacral defect, a variation of the gluteal flap is the first-line choice. However, the musculocutaneous flap or muscle flap that is conventionally used, has many disadvantages. It damages gluteus muscle and causes functional disturbance in ambulation, has a short pedicle which limits areas of coverage, and can damage perforators, limiting further surgery that is usually necessary in spinal tumor patients. In this article, we present the superior gluteal artery perforator turn-over flap that reconstructs complex lumbosacral defects successfully, especially one that has instrument exposure, without damaging the ambulatory function of the patient. Methods: A 67 year old man presented with sacral sarcoma. Sacralectomy with L5 corpectomy was performed and resulted in a $15{\times}8\;cm$ sized complex soft tissue defect in the lumbosacral area. There was no defect in the skin. Sacral stabilization with alloplastic fibular bone graft and reconstruction plate was done and the instruments were exposed through the wound. A $18{\times}8\;cm$ sized superior gluteal artery perforator flap was designed based on the superior gluteal artery perforator and deepithelized. It was turned over 180 degrees into the lumbosacral dead space. Soft tissue from both sides of the wound was approximated over the flap and this provided in double padding over the instrument. Results: No complications such as hematoma, flap necrosis, or infection occurred. Until three months after the resection, functional disturbances in walking were not observed. The postoperative magnetic resonance imaging scan shows the flap volume was well maintained over the instrument. Conclusion: This superior gluteal artery perforator turn-over flap, a modification of the conventional superior gluteal artery perforator flap, is a simple method that enabled the successful reconstruction of a lumbosacral defect with instrument exposure without affecting ambulatory function.

LATERAL CANTHOTOMY-CONJUNCTIVAL APPROACH TO THE LATERAL AND INFERIOR ORBIT (안와하연 및 측벽(frontozygomatic suture)에 대한 lateral canthotomy-conjunctival approach를 이용한 협골체 골절의 치료)

  • Kim, Hyoun-Chull;Byun, Sook;Yoon, Ok-Byung;Lee, Tae-Young;Esaki, Seiji;Kameyama, Tadamitsu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.1
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    • pp.99-103
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    • 1994
  • Various extraoral and intraoral approaches to reduction and fixation of zygomatic complex fractures were used. The method for exposure of inferior orbital area include the subciliary, inferior eyelid, infraorbital rim and conjunctions incisions. For exposure of frontozygomatic suture, lateral brow, coronal and b'ephaloplasty incisions were used. It is necessary that the usual approaches to the inferior and lateral orbit have two incisions. However, lateral canthotomy-conjunctival approach presented on this paper provide optimal exposure to lateral and inferior orbit.

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