• Title/Summary/Keyword: Lateral pressure

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Pressure Sore and Necrosis over the lateral malleolus of the Ankle (족근 관절 외과 부위의 압박궤양과 괴사)

  • Park, In-Heon;Song, Gyung-Won;Shin, Sung-Il;Lee, Jin-Young;Suh, Dong-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.1
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    • pp.21-27
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    • 2002
  • Pressure sores are an ulceration and necrosis of the skin and underlying tissue usually occur after prolonged or repeated pressure by interruption of blood flow from the small. vessels to the skin and deep tissue. The management of pressure sores is mostly difficult and requires prolonged hospitalization or repeated surgical interventions with a high recurrence rate. In this article we reviewed 14 cases of National Pressure Ulcer Advisory Pannel staging III, IV over the lateral malleolar area of the ankle in 2 years period from January 1999 to October 2001. The pressure over lateral malleolar area was mainly due to unique Korean sitting position with cross legs at flexed hips and knees or supine position of patient with external rotation of low extremity. Male to female ratio was 11: 3 and ages were between 36 and 83 (mean age: 67.1 years). Associated diseases were DM(7 cases), Hemiparesis caused by CVA(2 cases), Liver cirrhosis(2 cases), disarticulation of opposite hip due to squamous cell ca.(1 case), Intertrochanteric Fx.(1 case). Wound cultures reported Staphylococus, Pseudomonas and others. Abnormally elevated ESR and CRP were seen in 6 cases. Operative treatments were irrigation and debridement, direct closure with gravity drainage and skin grafting. The most important aspect of pressure sore treatment is pressure relief of the lateral malleolar area. Pressure-relieving Cast or Brace was helpful for local management and preventing recurrence.

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Reconstruction of Trochanteric Pressure Sores using Perforator-based Flap from the Ascending Branch of Lateral Circumflex Femoral Artery (외측대퇴회선동맥 상행가지의 천공지피판을 이용한 대전자부 욕창의 재건)

  • Kim, Jun-Hyung;Eo, Su-Rak;Cho, Sang-Hun
    • Archives of Plastic Surgery
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    • v.37 no.5
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    • pp.595-599
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    • 2010
  • Purpose: Trochanteric pressure sores management has been improved through the development of musculocutaneous flaps. But it has many drawbacks such as donor site morbidity and functional muscle sacrifice. With the introduction of perforator flap, it is possible to use in every location where musculocutaneous perforators are present. We have reconstructed trochanteric pressure sores using perforator-based flaps from the ascending branch of lateral circumflex femoral artery. Methods: Between May of 2006 and April of 2008, we performed six cases of perforator-based flap from the ascending branch of lateral circumflex femoral artery for the coverage of trochanteric pressure sores. For identifying perforators, a line was drawn from the anterior superior iliac spine to the superolateral border of the patella as the vertical axis, from the pubis to the trochanteric prominence as the horizontal axis. In the lateral aspect of the intersection of these two axes, various flap were designed according to its defects. The flap was raised in the subcutaneous plane above the fascia and the pedicle was traced by doppler and identified. The pedicle was meticulously dissected not to injure the periadventitial tissues and transposed to the defect. The donor site was closed primarily. Results: The mean age of patients was 56.2 years. Four male and two female patients were studied. Five patients were paraplegic. The mean defect size was $6{\times}4\;cm$. The largest flap dimension was $14{\times}7\;cm$. Donor sites were closed primarily without any complications. All flaps survived completely without necrosis, hematoma or infection. There were no recurrence during the follow-up period. Conclusion: Trochanteric pressure sores using perforator-based flap from the ascending branch of lateral circumflex femoral artery can be performed safely and it would be a reliable option for coverage of trochanteric pressure sores with minimal donor site morbidity.

Earth Pressure of a Reinforced Retaining Wall During Construction (보강토의 시공중 토압변화)

  • 노한성;최영철
    • Proceedings of the Korean Geotechical Society Conference
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    • 2001.06a
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    • pp.13-19
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    • 2001
  • The use of reinforced soil have been increased due to it's cost effectiveness, flexibility and so on. In this study, a full-scale reinforced soil with rigid facing were constructed to investigate the soil pressure variation of reinforcing system. The results of soil pressure during backfill construction are described. The influence of facing stiffness on soil pressure is addressed. The results show that lateral earth pressures on the wall are active state during backfill. It is obtained that the lateral soil pressure highly depends on the installation condition of pressure cell and construction condition. Long-term measurement will be followed to verify the design assumptions with respect to the distribution of lateral stress on the facing.

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Utimate strength analysis of cylindrical members of offshore structure subject to combined loads (조합하중을 받는 해양구조물 원통부재의 최동강도 해석)

  • 박치모
    • Journal of Ocean Engineering and Technology
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    • v.11 no.2
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    • pp.11-17
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    • 1997
  • Simple and efficient way of nonlinear analysis considering elasto-plastic large deformation is introduced to calculate the strength of ring-stiffened cylinears subject to combined load of axial compression and lateral pressure. Parametric study gives various collapse modes according to the combination ratio of axial compression and lateral pressure, interaction between axial compression and lateral pressure and imperfection sensitivity of ultimate strength.

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Influence of the Lateral Pressure on the Interface Shear Transfer of Concrete (콘크리트의 경계면 전단 전달에 대한 측압의 영향)

  • 이재혁;김상식;최영규
    • Proceedings of the Korea Concrete Institute Conference
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    • 1995.10a
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    • pp.278-283
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    • 1995
  • In this study, the influence of the lateral pressure on the interface shear transfer of concrete has been investigated experimentally. A total of 21 specimens has been tested at the laboratory. The lateral pressure intensities in the tests have been taken as 0, 7, 14, 28, and 35kg/$\textrm{cm}^2$ for the specimens, the compressive strengths of which are either 180, 400 or 550kg/$\textrm{cm}^2$. The linear regression analysis based on the test results has shown relatively good agreements with the values given in the shear friction theory.

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Study on deformation law of surrounding rock of super long and deep buried sandstone tunnel

  • Ding, Lujun;Liu, Yuhong
    • Geomechanics and Engineering
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    • v.16 no.1
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    • pp.97-104
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    • 2018
  • The finite difference software Flac3D is used to study the influence of tunnel burial depth, tunnel diameter and lateral pressure coefficient of original rock stress on the stress and deformation of tunnel surrounding rock under sandstone condition. The results show that the maximum shear stress, the radius of the plastic zone and the maximum displacement in the surrounding rock increase with the increase of the diameter of the tunnel. When the lateral pressure coefficient is 1, it is most favorable for surrounding rock and lining structure, with the increase or decrease of lateral pressure coefficient, the maximum principal stress, surrounding displacement and plastic zone range of surrounding rock and lining show a sharp increase trend, the plastic zone on the lining increases with the increase of buried depth.

An Experimental Study on the Characteristics and Lateral Pressure of Super-Workable Concrete (초유동 콘트리트의 재료적 특성과 거푸집 측압에 관한 실험적 연구)

  • 이준구
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.42 no.1
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    • pp.83-91
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    • 2000
  • The purpose of this study is to estimate quantitatively lateral pressure of super-workable fresh concrete applied to form-work of prototype structures, such as tall wall, retaining wall and beam. As a result of this experiment, a function applicable to design a form work system and to predict lateral pressure curve is formulated . Super-workable concrete may be used for the structures reinforced with dense re-bar like box culvert to place concrete at a time, and this study for lateral pressure of super-workable concrete may be useful for form design.

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An Experimental Study on the Development of Unit Column Wall Form System Using (Focusing on the Lateral Pressure) (기둥식 벽체 거푸집 시스템 개발에 관한 실험적 연구)

  • Kang, Chang-Soo;Lee, Han-Seung;Tae, Sung-Ho
    • Proceedings of the Korea Concrete Institute Conference
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    • 2005.05a
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    • pp.507-510
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    • 2005
  • Euro form which constructs the present RC structures is used widely by the form method of construction of a wall type structure had much consumption of the human power and equipments by the assembly and the demolition, and the complement was required according to demerit with much leakage of cement paste by the form joint, so it developed the new pillar type form system. On the study, in order to consider the modification characteristic by lateral pressure which does the influence most important for the new developed pillar type form system performance, research of a paper manufactured a miniature wall form model, and advanced performance evaluation focusing on lateral pressure. Moreover, lateral pressure evaluation of a new style system was actually gone on through the on-site experiment about a part of wall type srutcture spot for a model experiment and its result on the foundation which is the purpose in evaluating on-site application possibility propriety at the foundation time of wall type concrete structure construction of a pillar type form system.

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A Simple Method for Predicting Lateral Earth Pressure in Consideration of Construction Speed of Embankment (성토 재하속도를 고려한 측방토압의 간이예측법)

  • Im, Eun-Sang;Kim, Hyoung-Soo;Kim, Tae-Hoon
    • Proceedings of the Korean Geotechical Society Conference
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    • 2005.03a
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    • pp.1055-1060
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    • 2005
  • In evaluating the stability of underground structures and designing prevention methods against the lateral flow, it is necessary to predict the amount and the distribution of the lateral earth pressure acting on these retaining structures. However, because the lateral deformation of real ground is a very complex phenomenon influenced by interaction between volumetric deformation bringing an increase of stability of ground and shear deformation causing failure of ground, any appropriate methods for estimating the lateral earth pressure in consideration of the geotechnical properties of ground and the construction conditions in embankment have not been developed as yet. Therefore, a prediction method, which considers effects of a construction speed of embankment, using the Boussinesq's solution based on the elasticity theory without using complex numerical analyses such as finite element analyses is proposed in this research.

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Soil Failure Mode of a Buried Pipe Around in Soil Undergoing Lateral Movement (측방변형지반속 매설관 주변지반의 파괴모드)

  • Hong, Won-Pyo;Han, Jung-Geun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.5 no.5
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    • pp.11-21
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    • 2002
  • A series of model tests is performed to evaluate the relationship between soil and a buried pipe in soil undergoing lateral movement. As the result of the model tests, a wedge zone and plastic flow zones could be observed in front of the pipe. And also an arc failure of cylindrical cavity could be observed at both upper and lower zones. Failure shapes in both cohesionless and cohesive soils are nearly same, which was investigated failure angle of $45^{\circ}+{\phi}/2$. In the cohesionless soil, the higher relative density produces the larger arc of cylindrical cavity. On the basis of failure mode observed from model tests, the lateral earth pressure acting on a buried pipe in soil undergoing lateral movement could be applying the cylindrical cavity extension mode. The deformation behavior of soils was typically appeared in three divisions, which are elastic zones, plastic zones and pressure behavior zones.