• Title/Summary/Keyword: Lateral Tunnel

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The pedicled anterolateral thigh flap for trochanteric pressure sore reconstruction: Technical notes to optimize surgical outcomes

  • Hifny, Mahmoud A.
    • Archives of Plastic Surgery
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    • v.48 no.1
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    • pp.114-120
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    • 2021
  • Background The pedicled anterolateral thigh (ALT) flap has become more popular for the reconstruction of soft-tissue defects in neighboring areas. Nonetheless, few studies in the literature have explored the use of this flap for trochanteric ulcer reconstruction. The aim of our study is to present the author's experience of utilizing the ALT flap, with a focus on technical elements regarding the flap design and the tunneling method to maximize the reach of the flap. Methods The medical records of patients who received pedicled ALT flaps for the reconstruction of trochanteric pressure sores were retrospectively reviewed. The patients' demographic data, operative details, and postoperative complications were evaluated. Results Between October 2018 and December 2019, 10 consecutive patients (age range, 13-45 years) underwent 11 pedicled ALT myocutaneous flaps for trochanteric pressure sore reconstruction. Each flap was designed around the most distal cutaneous perforator that was included in the proximal third of the skin paddle. The flaps ranged in size from 11×6 to 14×8 cm. The ALT flap was transposed through a lateral subcutaneous tunnel in five patients, while the open tunnel technique was used in six patients. All flaps survived, and no vascular compromise was observed. Conclusions The pedicled ALT flap is a safe and reliable option for reconstructing trochanteric pressure sores. An appropriate flap design and a good choice of the tunneling method are crucial for successful flap transposition.

Dynamic analysis of wind-vehicle-bridge system considering additional moments of non-uniform winds by wind shielding effect of multi-limb tower

  • Xu Han;Huoyue Xiang;Xuli Chen;Yongle Li
    • Wind and Structures
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    • v.36 no.1
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    • pp.1-14
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    • 2023
  • To evaluate the wind shielding effect of bridge towers with multiple limbs on high-speed trains, a wind tunnel test was conducted to investigate the aerodynamic characteristics of vehicles traversing multi-limb towers, which represented a combination of the steady aerodynamic coefficient of the vehicle-bridge system and wind environment around the tower. Subsequently, the analysis model of wind-vehicle-bridge (WVB) system considering the additional moments caused by lift and drag forces under nonuniform wind was proposed, and the reliability and accuracy of the proposed model of WVB system were verified using another model. Finally, the factors influencing the wind shielding effect of multi-limb towers were analyzed. The results indicate that the wind speed distributions along the span exhibit two sudden changes, and the wind speed generally decreases with increasing wind direction angle. The pitching and yawing accelerations of vehicles under nonuniform wind loads significantly increase due to the additional pitching and yawing moments. The sudden change values of the lateral and yawing accelerations caused by the wind shielding effect of multi-limb tower are 0.43 m/s2 and 0.11 rad/s2 within 0.4 s, respectively. The results indicate that the wind shielding effect of a multi-limb tower is the controlling factor in WVB systems.

Effects of the Thermal Cracking on the Deformation Behaviour of Granites (열균열이 화강암의 변형거동에 미치는 영향)

    • Tunnel and Underground Space
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    • v.8 no.3
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    • pp.249-256
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    • 1998
  • Pocheon, Keochang and Sangju granite samples of different granularity and mineralogical composition were thermally treated at pre-determined temperature of $600^{\circ}C$. Thermally-induced microcracks were characterized using an optical microscopy and their effects on the deformation behavior of thermally cycled samples were studied performing compressive mechanical tests. Optical observations shows that by $600^{\circ}C$ nearlly all crystal boundaries open and the new intracrystalline cracks form in the more grains. The intracrystalline cracks are most pronounced at thermally treated Pocheon and Keochang granite samples. Results from mechanical tests represents negative lateral strains, which give negative Poisson's ratios. It is the most probable that negative lateral strains are produced by residual stresses induced during cooling.

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Ion beam etching of sub-30nm scale Magnetic Tunnel Junction for minimizing sidewall leakage path

  • Kim, Dae-Hong;Kim, Bong-Ho;Chun, Sung-Woo;Kwon, Ji-Hun;Choi, Seon-Jun;Lee, Seung-Beck
    • Proceedings of the Korean Magnestics Society Conference
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    • 2011.12a
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    • pp.29-30
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    • 2011
  • We have demonstrated the fabrication of sub 30 nm MTJ pillars with PMA characteristics. The multi-step IBE process performed at $45^{\circ}$ and $30^{\circ}$, using NER resulted in almost vertical side profiles. There deposition on the sidewalls of the NER prevented lateral etching of the resist hard mask allowing vertical MTJ side profile formation without any reduction in the lithographically defined resist lateral dimensions. For the 28nm STT-MTJ pillars, the measured TMR ratio was 13 % with resistance of 1 $k{\Omega}$, which was due to remaining redeposition layers less than 0.1 nm thick. With further optimization in multi-step IBE conditions, it will be possible to fabricate fully operating sub 30 nm perpendicular STT-MTJ structures for application to future non-volatile memories.

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Experiences of the Specified Symptoms from the Selected Work-Related Musculoskeletal Syndrome and Posture and Action of the Dental Hygienists When Work-Related Musculoskeletal Diseases of Dental Hygienists Patient Care Procedure

  • Lee, Ka Yeon;Chun, Jong Ae
    • International Journal of Clinical Preventive Dentistry
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    • v.14 no.4
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    • pp.235-240
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    • 2018
  • Objective: The purpose of this study is to examine about dental hygienists' myofascial pain syndrome, lower back pain, carpal tunnel syndrome (CTS), medial and lateral epicondylitis, hand-arm vibration syndrom and work-related musculoskeletal syndrome (WMSD) experience and hygienists' posture, motion. Methods: The self-administered questionnaire was surveyed from June 1 to September 30 of 2018 targeting 280 dental hygienists in Gyeongnam province and 266 dental hygienists' answers were analyzed. Results: The average daily working hours of a dental hygienist was more than eight hours 59.0%, with an average of 33 patients per day. The average number of patients who receive treatment for more than 30 minutes is 15. The angle of motion of the subjective evaluation was above 60%. Medical position and form of movement were more than 50% above the standard level. Symptoms of posture and motion that cause WMSD were hand-arm vibration syndrome 68.1%, myofascial pain syndrome 58.6%, lower back pain 51.1%, CTS 50.4% in order. Experience WMSD related symptoms which dental hygienists experience were myofascial pain syndrome 92.9%, CTS 57.9%, lower back pain 56.4%, medial and lateral epicondylitis 37.2%, hand-arm vibration syndrome 24.4%. Conclusion: The above results showed the posture and motion of dental hygienists and were found that the experience rate which dental hygienists experience WMSD of myofascial pain syndrome, Lower back pain, and CTS was significantly more than 56%.

Effect of stall delay characteristics of symmetrical aerofoil using lateral circular ridges

  • Raatan, V.S.;Ramaswami, S.;Mano, S.;Pillai, S. Nadaraja
    • Wind and Structures
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    • v.34 no.4
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    • pp.385-394
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    • 2022
  • Global Warming has been driven majorly by the consumption of fossil fuels. Harnessing energy from wind is viable solution towards reducing carbon footprint created due to burning such fuels, However, wind turbines have their problems of flow separation and aerodynamic stall to tackle with. In an attempt to delay the stall angle and improve the aerodynamic characteristics of the NACA 0015 symmetrical aerofoil, lateral cylindrical ridges were attached to its suction surface, at chord positions ranging from 0.1c to 0.5c. The characteristics of the original and ridged aerofoils were obtained using simultaneous pressure readings taken in a wind tunnel, at a free stream Reynolds number of Re = 2.81 × 105 for a wide range of free stream angles of attack ranging from -45° to 45°. Depending on the ridge size, a delay in stall angle varying from 5° to 20° was achieved together with the maximum increase in lift in the post-stall phases. Additionally, efforts were made to identify the optimum position for each ridge.

A Study on the Stability of Asymmetrical Twin Tunnels in Alternating Rock Layers Using Scaled Model Tests (호층암반내 비대칭 쌍굴터널의 안정성에 관한 모형실험 연구)

  • Kim, Jong-Woo
    • Tunnel and Underground Space
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    • v.22 no.1
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    • pp.22-31
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    • 2012
  • In this study, scaled model tests were performed to investigate the stability of an asymmetrical twin tunnels constructed in rock mass comprising alternating layers of sandstone and shale. Each of tunnels had a differently shaped section, where the one was already constructed tunnel including lining structure but the other was planned to be under construction. Four types of test models which had respectively different pillar widths and loading conditions were experimented, where both crack initiating pressures and deformation behaviors around tunnels were investigated. The cracks of pillar mainly began to appear at the interfaces of alternating layers, following additional shear displacement between layers was confirmed as one of the most important factors of pillar failure in case of the model of pillar width 0.5D. The models with shallower pillar widths proved to be unstable because of lower crack initiating pressures and more tunnel convergences than the models with thicker pillar widths. The failure and deformation behaviors of tunnels were also dependent on the loading conditions, where the model of coefficient of lateral pressure 1.0 was more stable than the other model. Futhermore, the results of FLAC analysis were qualitatively coincident with the experimental results.

Identification of acrosswind load effects on tall slender structures

  • Jae-Seung Hwang;Dae-Kun Kwon;Jungtae Noh;Ahsan Kareem
    • Wind and Structures
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    • v.36 no.4
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    • pp.221-236
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    • 2023
  • The lateral component of turbulence and the vortices shed in the wake of a structure result in introducing dynamic wind load in the acrosswind direction and the resulting level of motion is typically larger than the corresponding alongwind motion for a dynamically sensitive structure. The underlying source mechanisms of the acrosswind load may be classified into motion-induced, buffeting, and Strouhal components. This study proposes a frequency domain framework to decompose the overall load into these components based on output-only measurements from wind tunnel experiments or full-scale measurements. First, the total acrosswind load is identified based on measured acceleration response by solving the inverse problem using the Kalman filter technique. The decomposition of the combined load is then performed by modeling each load component in terms of a Bayesian filtering scheme. More specifically, the decomposition and the estimation of the model parameters are accomplished using the unscented Kalman filter in the frequency domain. An aeroelastic wind tunnel experiment involving a tall circular cylinder was carried out for the validation of the proposed framework. The contribution of each load component to the acrosswind response is assessed by re-analyzing the system with the decomposed components. Through comparison of the measured and the re-analyzed response, it is demonstrated that the proposed framework effectively decomposes the total acrosswind load into components and sheds light on the overall underlying mechanism of the acrosswind load and attendant structural response. The delineation of these load components and their subsequent modeling and control may become increasingly important as tall slender buildings of the prismatic cross-section that are highly sensitive to the acrosswind load effects are increasingly being built in major metropolises.

The responses of battered pile to tunnelling at different depths relative to the pile length

  • Mukhtiar Ali Soomro;Naeem Mangi;Dildar Ali Mangnejo;Zongyu Zhang
    • Geomechanics and Engineering
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    • v.35 no.6
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    • pp.603-615
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    • 2023
  • Population growth and urbanization prompted engineers to propose more sophisticated and efficient transportation methods, such as underground transit systems. However, due to limited urban space, it is necessary to construct these tunnels in close proximity to existing infrastructure like high-rise buildings and bridges. Battered piles have been widely used for their higher stiffness and bearing capacity compared to vertical piles, making them effective in resisting lateral loads from winds, soil pressures, and impacts. Considerable prior research has been concerned with understanding the vertical pile response to tunnel excavation. However, the three-dimensional effects of tunnelling on adjacent battered piled foundations are still not investigated. This study investigates the response of a single battered pile to tunnelling at three critical depths along the pile: near the pile shaft (S), next to the pile (T), and below the pile toe (B). An advanced hypoplastic model capable of capturing small strain stiffness is used to simulate clay behaviour. The computed results reveal that settlement and load transfer mechanisms along the battered pile, resulting from tunnelling, depend significantly on the tunnel's location relative the length of the pile. The largest settlement of the battered pile occurs in the case of T. Conversely, the greatest pile head deflection is caused by tunnelling near the pile shaft. The battered pile experiences "dragload" due to negative skin friction mobilization resulting from tunnel excavation in the case of S. The battered pile is susceptible to induced bending moments when tunnelling occurs near the pile shaft S whereas the magnitude of induced bending moment is minimal in the case of B.

Field Measurements of Ground Movements Around Tunnel (현장계측에 의한 터널주변지반의 변위연구)

  • 홍성완;배규진
    • Geotechnical Engineering
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    • v.1 no.2
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    • pp.41-54
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    • 1985
  • Generally, ground settlements and lateral displacements are accompanied by underground excavation associated with open-cut or tunnling. These ground movements cause a harmful influence upon nearby super.structures and sub-structures. Occasionally, the ground movements may pose serious problems as the function of the nearby structures may be disrupted. Therefore, prior to the subway construction in an urban area, it is necessary to identify the causes of ground settlements and estimating the extent St the magnitude of ground movements since any potential damage to the nearby structures such as gas lines, water mains, high buildings and cultural assets must be assessed. The research was performed mainly on ground movements such as surface settlements, lateral displacements, subsurface settlements and crown settlements to predict the maximum settlement and settlement zone, and to identify the causes of ground settlements in NATM sections of Busan subway. As a result, it was found that lateral distribution of settlements could be approximated reasonably by a Gaussian normal probability curve and longitudinal distribution of settlements by a cumulative Gaussian probability curve, and that the early closure of temporary invert was very important to minimize ground settlements.

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