• Archives of Plastic Surgery
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• 제39권5호
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• pp.509-513
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• 2012

Background The extended latissimus dorsi flap is important for breast reconstruction. Unfortunately, donor site seroma is the most common complication of extended latissimus dorsi flap for breast reconstruction. Although using fibrin sealant in the donor site reduces the rate of seroma formation, donor site seroma remains a troublesome complication. The purpose of this study was to analyze the effectiveness of the combination of quilting sutures and fibrin sealant in the latissimus dorsi donor site for the prevention of seroma. Methods Forty-six patients who underwent breast reconstruction with extended latissimus flap were enrolled in the study. The patients received either fibrin sealant (group 1, n=25) or a combination of fibrin sealant and quilting sutures (group 2, n=21) in the extended latissimus dorsi donor site. Outcome measures were obtained from the incidence, volume of postoperative seroma, total drainage amount, indwelling period of drainage, and duration of hospital stay. Results The incidence of seroma was 76% in group 1 and 42.9% in group 2 (P=0.022). We also found significant reductions in seroma volume (P=0.043), total drainage amount (P=0.002), indwelling period of drainage (P=0.01), and frequency of aspiration (P=0.043). The quilting sutures did not affect the rate of drainage, tube reinsertion, or hospital stay. Conclusions The use of quilting sutures combined with fibrin sealant on the latissimus dorsi flap donor site is helpful for reducing the overall seroma volume, frequency of aspiration, and total drainage amount.

• 한국방사선학회논문지
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• 제10권6호
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• pp.435-442
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• 2016

본 연구는 X-선관 각도 변경에 따른 경사효과(Anode Heel Effect)의 변화를 알아보고자 실시하였다. 실험조건은 70 kV, 30 mAs, 초점-검출기간의 거리 100 cm, 조사야는 $35{\times}43cm^2$, 측정점은 조사야의 정중앙점에서 좌우 3.5 cm 간격으로 나누어 양극쪽으로 A1, A2, A3, A4, A5, A6 점을 설정하고 음극쪽으로 C1, C2, C3, C4, C5, C6 점으로 설정하였다. X-선관을 수직으로 하여 측정점인 A6에서 C6까지 각각 입사표면선량을 측정하였다. 다음에 X-선관을 양극쪽으로 15도 30도로 변경 하면서 각각 측정하고 같은 방법으로 음극쪽으로 15도 30도로 변화시켜 측정하였다. 결과로 X-선관이 수직인 경우 A5보다 C5점이 3배정도 입사표면선량이 높게 나타나 수직 촬영 시 방사선감수성이 높은 장기가 위치해 있는 쪽으로 양극을 위치시키면 피폭을 줄일 수 있었다. X-선관의 각도를 주고 촬영할 경우에는 음극측으로 각도를 주는 것이 양극과 음극측의 입사표면선량 차이를 줄일 수 있으며 상, 하 두께 차이가 있는 부위를 촬영할 경우에는 음극측이 두꺼운 부위를 향하게 각도를 주는 것이 입사표면선량의 차이를 줄여 좀 더 균일한 영상을 만들 수 있었다.

• 한국산학기술학회논문지
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• 제17권6호
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• pp.18-25
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• 2016

대형 압축식 냉동기의 증발기 전열관으로는 그간 평활관이 주로 사용되어 왔으나 최근들어 비등 성능이 우수한 성형 가공관을 많이 사용하고 있다. 증발기는 관군으로 구성되고 따라서 증발기 내 위치에 따라 냉매 상태가 다르다. 특히 R-11, R-123과 같은 저압 냉매는 압력변화에 따른 포화온도 변화가 크므로 위치에 따라 포화온도가 다르게 된다. 따라서 증발기를 적절히 설계하려면 증발기 내 각 위치에서의 냉매의 상태를 적절히 예측하여야 한다. 본 연구에서는 대형 냉동기의 만액식 증발기를 모사할 수 있는 컴퓨터 프로그램을 개발하였다. 이 프로그램은 증발기를 미소 체적으로 구분하고 각 미소 체적에 적절한 관 내외측 열전달 및 압력손실 상관식을 적용하여 해석을 수행하였다. 본 프로그램을 R-123을 사용하는 T사의 만액식 증발기 해석에 적용한 결과 만족할 만한 결과를 얻었다. 이 프로그램을 이용하여 신 냉매인 R-123, R-134a를 사용하는 만액식 증발기의 해석을 수행하였고 특히 관군 세장비의 영향을 검토하였다.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2001년도 춘계학술대회논문집D
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• pp.201-207
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• 2001

We modeled the liquid film dryout(LFD) process for both tube and annulus which have uniformly heated vertical channels. We set phenomenological initial conditions in the model. The initial void fraction on the onset of the annular flow location is derived from the physical chum-to-annular flow criterion with the help of the drift-flux-model. The initial thermodynamic-equilibrium-quality is calculated by iteration with the flow quality to find the onset of the annular-flow location. Present model tends to predict very well at the lower exit quality but under-estimates at the higher exit quality. We found that the prediction error of the present model is gradually bigger as the inlet subcooling approaches near the saturation. We obtained excellent results for both tube and annulus channels as the mean of 0.97 and root-mean-square error of 11% for the number of 3883 experimental data on tubes, and of 0.96 and of 12% for 593 on annuli. The present model extended the applicable range to the relatively low exit quality region than previous LFD models.

• Journal of Chest Surgery
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• 제7권2호
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• pp.169-174
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• 1974

Duplication of the alimentary tract, especially of the esophagus, have been regarded as rare cong- enital anomalies. However, they are being reported with increasing frequency in the literature. In the . ,- past they have been described by a variety of names, such as "enteric cysts", "intestinal cysts", "giant diverticula", "`mediastinal cysts of foregut origin" "enterogenous cysts" and other descriptive terms. . Most authorities now agree that these anomalies are best described by the term "duplications of the alimentary tract. The duplications [of the alimentary tract] are spherical or tubular structures which poses a well developed smooth muscle layer and are lined with a mucous membrane from any part of the alimentary tract. They may occur at any place in the digestive tube from the tongue to the rectum and usually are intimately attached to some portion of the alimentary tube. We have experienced a duplication of the esophagus in 14 years old middle schoolboy. He complained dysphagia, eructation and substernal pain associated with intermittent high fever and chilliness, increasing in severity for recent three weeks. Routine chest X-ray film revealed nore markable abnormal finding but esophagogram. revealed marked narrowing of the esophagus throughout with a large blind pouch in lower half with fistulous communication at mid portion of the esophagus. On thoracotomy, a large infected blind pouch communicating with the lumen of normal esophagus proximally, Was extended from the level of 5th to 10th thoracic spine. The duplicated segment of the esophagus has a common muscular .wall and proximal communication with the adjacent esophagus. The infected, duplicated esophagus was segmentally resected, and esophagogastrostomy with pyloroplasty was done by displacing the stomach into the right thoracic cavity through midline laparotomy. His Postoperative course was uneventful and discharged without complication.

• Steel and Composite Structures
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• 제28권5호
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• pp.541-557
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• 2018

This paper presents the influence of carbon nanotubes (CNTs) waviness and aspect ratio on the vibrational behavior of functionally graded nanocomposite sandwich annular sector plates resting on two-parameter elastic foundations. The carbon nanotube-reinforced (CNTR) sandwich plate has smooth variation of CNT fraction along the thickness direction. The distributions of CNTs are considered functionally graded (FG) or uniform along the thickness and their mechanical properties are estimated by an extended rule of mixture. In this study, the classical theory concerning the mechanical efficiency of a matrix embedding finite length fibers has been modified by introducing the tube-to-tube random contact, which explicitly accounts for the progressive reduction of the tubes' effective aspect ratio as the filler content increases. Effects of CNT distribution, volume fraction, aspect ratio and waviness, and also effects of Pasternak's elastic foundation coefficients, sandwich plate thickness, face sheets thickness and plate aspect ratio are investigated on the free vibration of the sandwich plates with wavy CNT-reinforced face sheets. The study is carried out based on three-dimensional theory of elasticity and in contrary to two-dimensional theories, such as classical, the first- and the higher-order shear deformation plate theories, this approach does not neglect transverse normal deformations. The sandwich annular sector plate is assumed to be simply supported in the radial edges while any arbitrary boundary conditions are applied to the other two circular edges including simply supported, clamped and free.

• Steel and Composite Structures
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• 제36권5호
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• pp.587-602
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• 2020

In recent years, the composite columns have been widely used in the structures. These columns are mainly used to construct the structures with a large span and high floor height. Concrete filled tubes (CFTs) are a type of composite column, which are popular nowadays due to their numerous benefits. The purpose of this study is to investigate such frames at elevated temperatures. The method used in this research is based on section 2.2 of Eurocode 4. First, for the verification purpose, a comparison was made between the experimental results and the numerical model of the concrete filled tube. Then a composite frame was analyzed under fire temperature with different parameters. The results showed that the failure time decreased with increasing the friction of different models. Moreover, investigation of the concrete moisture content revealed that an increase in the concrete moisture content from 3% to 10% led to extended failure time for different models. For instance, in the second frame model, the failure time has increased up to 8%.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2000년도 추계학술대회논문집A
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• pp.837-842
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• 2000

In the coiling process of helical steam generator tubes of integral reactor SMART, a considerable amount of spring back, which induces dimensional inaccuracy and difficulty in fabrication, has been arised. In this research, an analytical model was derived to evaluate the amount of the spring back for steam generator tubes. The model was developed on the basis of beam theory and elastic-perfectly plastic material property. This model was extended to consider the effect of plastic hardening and the effect of the tensile force on the spring back phenomena. Parametric studies were performed for various design variables of steam generator tubes in order to minimize the spring back in the design stage. A sensitivity analysis has shown that the low yield strength, the high elastic modulus, the small helix diameter, and the large tube diameter result in a small amount of the spring back. The amount of the spring back can be controlled by the selection of adequate design values in the basic design stage and reduced to an allowable limit by the application of the tensile force to the tube during the coiling process.

• 한국초지조사료학회지
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• 제7권3호
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• pp.157-161
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• 1987

In order to utilize the tuber of Jerusalem artichoke (Jerusalem tuberosus L.) which has been considered one of the most economical resources for bioenergy, the tubers of the plant were processed into silage in 11 lab-silo with three levels of mixture of concentrates i.e. 10, 20, 30%. The silage was stored for 20 to 40 days before analyses. The quality of silage was compared with those of the tube-only silage without concentrates. Aproximate composition, pH, ammonium nitrogen, total nitrogen, and organic acids were analyzed. The results obtained are summarized ; 1. With the mixture of concentrates, the water content of the silage was able to be adjusted to 70 percent and NDF significantly increased (P<0.05) while ADF significantly decreased. 2. The content of water-soluble carbohydrate (WSC) was significantly decreased in silages of the mixture of concentrate and the tuber (P<0.05), while total nitrogen and ammonium nitrogen increased. 3. Tube-only silage gave satisfaction in fermentation, particularly organic-acid fermentation. As the storage period extended, Flieg's score of the silage was improved. Conclusively, the tuber of Jerusalem artichoke found to satisfy the requirements of good silage and to be recommended as a good resource for all-inane silage provided the tuber was ensilaged with 20 to 30 percent concentrate.

• 한국윤활학회:학술대회논문집
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• 한국윤활학회 2001년도 제34회 추계학술대회 개최
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• pp.245-251
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• 2001

A fretting wear tester is developed for experimental study on the fuel fretting problem of light water reactor. The feature of the developed tester is it can simulate the existence of gap between spring and fuel rod as well as different contacting force including the just-contact condition (0 N on the contact). Used are a servo-motor, an eccentric cylinder and lever mechanism for driving system. A spacer grid cell is constituted with four strap segments (each segment has a spring). This fretting wear tester can also be used as a fatigue tester of a spacer grid spring with the frequency of more than 10 Hz. It is required to simulate the frequency of the vibrating fuel rod due to flow-induced vibration in a reactor. In fretting wear test, up to two span-length of a fuel cladding tube can be accommodated. A specimen of cladding tube of one span-length is specially designed, which can be extended for two-span test. For .fatigue test, a device for clamping the spring fixture is installed additionally, Presently, the tester is designed for the condition of air environment and room temperature. The variation of the reciprocal distance is measured to check the stability of input force, which will be exerted to the cladding (for fretting wear. test) and the spring (for fatigue test) specimen.