• Archives of Plastic Surgery
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• 제45권3호
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• pp.253-258
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• 2018

Background The nasolabial flap is ideal for reconstruction of the nasal alar subunit due to its proximity, color and contour match, and well-placed donor scar. When raised as a random-pattern flap, there is a risk of vascular compromise to the tip with increased flap length and aggressive flap thinning. Surgical delay can greatly improve the chances of tip survival, allowing the harvest of longer flaps with greater reach. Methods We describe our technique of lengthening the nasolabial flap through multiple delay procedures. A bipedicled flap was first raised and then transferred as a unipedicled flap with a 6:1 length-to-width ratio. During the delay process, the flap tip was thinned to the subdermal layer. Results In our case series of seven patients, defects as far as the medial canthal area and contralateral ala were reconstructed successfully with no incidence of tip necrosis or flap loss. The resultant flaps were thin enough to be folded over for the reconstruction of alar rim defects. Conclusions We highlight the success of our surgical technique in creating thin and robust nasolabial flaps for the reconstruction of full-thickness defects around the nose.

• The Journal of Korean Physical Therapy
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• 제28권6호
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• pp.393-397
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• 2016

Purpose: This study was conducted in an effort to determine the effects of various abdominal drawing-in maneuver (ADIM) on the thickness and length of the transversus abdominis (TrA) when using lumbar stabilization exercises on healthy adults. Methods: 72 healthy adults were divided into four groups of 18 subjects each, to which different ADIM methods were applied. 1) a simple ADIM exercise, 2) an ADIM with pressure bio-feedback units, 3) an ADIM exercise with sling, and 4) an ADIM exercise with sling and vibration. Changes in the thickness and sliding length of TrA were measured when ADIM was conducted in the supine position prior to exercise and again when beginning the exercises. Following exercise, changes in the thickness and sliding length of TrA were measured using the same methods. Differences in group measurements prior to and following exercise were compared using a one-way analysis of variance. A paired t-test was applied to compare the before and after differences within each group. Results: Differences in TrA thickness change revealed that the ADIM exercise with sling and vibration group showed a significant difference in measurements taken prior to and following exercise. Differences in TrA length change revealed that the ADIM exercise with sling and vibration group showed a significant difference in measurements taken prior to and following exercise. Conclusion: ADIM exercise with vibration stimulation conducted in the bridge posture while in a prone position using a sling can be recommended as an effective exercise to improve the function of lumbar TrA.

• Journal of Mechanical Science and Technology
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• 제20권2호
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• pp.234-241
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• 2006

A functional external fixator system for bone deformity near the joints using worm gear was developed for curing the angle difference in fracture bones while the lengthening bar was developed for curing the differences in length, also in fracture bones. Both experiments and FE analysis were performed to compare the elastic stiffness in several loading modes and to improve the functional external fixator system for bone deformity near joints. The FE model using compressive and bending FE analysis was applied due to the angle differentiations. The results indicate that compressive stiffness value in the experiment was 175.43N/mm, bending stiffness value in the experiment was 259.74 N/mm, compressive stiffness value in the FEA was 188.67 N/mm, and bending stiffness value in the FEA was 285.71 N/mm. Errors between experiments and FEA were less than $10\%$ in both the 'compressive stiffness and the bending stiffness. The maximum stress (157 MPa) applied to the angle of the clamp was lower than the yield stress (176.4 MPa) of SUS316L. The degree of stiffness in both axial compression and bending of the new fixator are about 2 times greater than other products, with the exception of EBI (2003).

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제10권10호
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• pp.4957-4976
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• 2016

This paper investigates the error performance of the amplify-and-forward (AF) relaying systems in the context of full-duplex (FD) communication. In addition to the inherent self-interference (SI) due to simultaneous transmission and reception, coexistent FD terminals may cause crosstalk. In this paper, we utilize the information exchange via the crosstalk channel to construct a particular distributed space-time code (DSTC). The residual SI is also considered. Closed-form pairwise error probability (PEP) is first derived. Then we obtain the upper bound of PEP in high transmit power region to provide more insights of diversity and coding gain. The proposed DSTC scheme can attain full cooperative diversity if the variance of SI is not a function of the transmit power. The coding gain can be improved by lengthening the frame and proper power control. Feasibility and efficiency of the proposed DSTC are verified in numerical simulations.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제45권5호
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• pp.254-259
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• 2019

Objectives: Crown-root fracture and cervical caries in maxillary premolars constitute a challenge in cases of subgingival placement of restoration margins. Surgical extrusion has been practiced successfully in permanent anterior teeth. The aim of the present retrospective study was to assess the clinical outcome of surgical extrusion after orthodontic extrusion in maxillary premolars. Materials and Methods: Twenty-one single, tapered root maxillary premolars with subgingival crown-root fracture or caries were included. Presurgical orthodontic extrusion was performed on all teeth to prevent root resorption. Extent of extrusion and rotation was determined based on crown/root ratio. The postoperative splinting period was 7 to 14 days. Clinical and radiographic examination was performed at an interval of 1, 2, and 3 months. Results: After the mean follow-up of $41.9{\pm}15.2months$, failure was observed as increased mobility in 3 of 21 cases. No significant difference was observed in the outcome of surgical extrusion based on tooth type, age, sex, $180^{\circ}$ rotation, or time for extraction. Furthermore, marginal bone loss was not observed. Conclusion: Surgical extrusion of maxillary premolars can be a possible therapeutic option in cases of subgingival crown-root fracture.

• 대한두개안면성형외과학회지
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• 제22권4호
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• pp.209-213
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• 2021

Primary palatoplasty for cleft palate places patients at high risk for scarring, altered vascularity, and persistent tension. Palatal fistulas are a challenging complication of primary palatoplasty that typically form around the hard palate-soft palate junction. Repairing palatal fistulas, particularly wide fistulas, is extremely difficult because there are not many choices for closure. However, a few techniques are commonly used to close the remaining fistula after primary palatoplasty. Herein, we report the revision of a palatal fistula using a pedicled buccal fat pad and palatal lengthening with a buccinator myomucosal flap and sphincter pharyngoplasty to treat a patient with a wide palatal fistula. Tension-free closure of the palatal fistula was achieved, as well as velopharyngeal insufficiency (VPI) correction. This surgical method enhanced healing, minimized palatal contracture and shortening, and reduced the risk of infection. The palate healed with mucosalization at 2 weeks, and no complications were noted after 4 years of follow-up. Therefore, these flaps should be considered as an option for closure of large oronasal fistulas and VPI correction in young patients with wide palatal defects and VPI.

• Structural Engineering and Mechanics
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• 제77권5호
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• pp.661-672
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• 2021

In this article, the role of spans number and length in fire-resistance ratings (FRRs) of fireproofed steel frames are investigated. First, over a span-lengthening scenario, two one- and three-bay frames under the ISO834 fire are examined. It is shown that the FRRs of the frames rely highly on the changes made on their span length. Second, a building designed for three spans number of three, four, and five under natural fire is investigated. The beams are designed for two load-capacity-ratios (LCRs) of optimum and ultimate. The fire curves are determined through a probabilistic-based approach. It is shown that the structural vulnerability vastly increases while the number of spans decreases. The results show that for an optimum LCR, while the five-span frame can meet the required FRR in 87% of the fire scenarios, the four- and three-span frames can meet the required FRR in only 56%, and 50% of the fire scenarios, respectively. For an ultimate LCR, the five-, four- and three-span frames can meet the required FRR in 81%, 50%, and 37.5% of the fire scenarios, respectively. Functional solutions are then proposed to resolve the insufficiencies in the results and to rectify the application of the standard-based FRRs in the cases studied. The study here highlights how employing current standard-based FRRs can endanger structural safety if they are not connected to structural characteristics; a crucial hint specifically for the structural engineering community who may be not well familiar with the fundamentals of performance-based approaches.

• 한국지진공학회논문집
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• 제26권3호
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• pp.117-125
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• 2022

In this study, centrifuge model tests were performed to evaluate the seismic response of multi-DOF structures with shallow foundations. Also, elastic time history analysis on the fixed-base model was performed and compared with the experimental results. As a result of the centrifuge model test, earthquake amplification at the fundamental vibration frequency of the soil (= 2.44 Hz) affected the third vibration mode frequency (= 2.50 Hz) of the long-period structure and the first vibration mode (= 2.27 Hz) of the short-period structure. The shallow foundation lengthened the periods of the structures by 14-20% compared to the fixed base condition. The response spectrum of acceleration measured at the shallow foundation was smaller than that of free-field motion due to the foundation damping effect. The ultimate moment capacity of the soil-foundation system limited the dynamic responses of the multi-DOF structures. Therefore, the considerations on period lengthening, foundation damping, and ultimate moment capacity of the soil-foundation system might improve the seismic design of the multi-DOF building structures.

• Geomechanics and Engineering
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• 제34권6호
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• pp.649-664
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• 2023

Structural inertial interaction is a representative the effect of dynamic soil-foundation-structure interaction (SFSI), which leads to a relative displacement between soil and foundation, period lengthening, and damping increasing phenomena. However, for a system with a significantly heavy foundation, the dynamic inertia of the foundation influences and interacts with the structural seismic response. The structure-to-foundation mass ratio (MR) quantifies the distribution of mass between the structure and foundation for a structure on a shallow foundation. Although both systems exhibit the same vertical factor of safety (FS_v), the MR and corresponding seismic responses attributed to the structure and foundation masses may differ. This study explored the influence of MR on the permanent deformation and seismic response of soil-foundation-structure system considering SFSI via numerical simulations. Given that numerous dimensionless parameters of SFSI described its influence on the structural seismic response, the parameters, except for MR and FS_v, were fixed for the sensitivity analysis. The results demonstrated that the foundation inertia of heavier foundations induced more settlement due to sliding behavior of heavily-loaded systems. Moreover, the structural inertia of heavier structures evidently exhibited foundation rocking behavior, which results in a more elongated natural period of the structure for lightly-loaded systems.

• 한국해양공학회지
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• 제38권3호
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• pp.137-147
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• 2024

Green hydrogen presents a sustainable and environmentally friendly solution for clean energy production and transportation. This study aims to identify the optimal profile of green hydrogen transportation risers originating from a floating offshore wind turbine (FOWT) integrated with a hydrogen production facility. Employing the Cummins equation, a fully coupled dynamic analysis for FOWT with a flexible riser was conducted, with the tower, mooring lines, and risers described using a lumped mass line model. Initially, motion response amplitude operators (RAOs) were compared with openly published results to validate the numerical model for the FOWT. Subsequently, a parametric study was conducted on the length of the buoyancy module section and the upper bare section of the riser by comparing the riser's tension and bending moment. The results indicated that as the length of the buoyancy module increases, the maximum tension of the riser decreases, while it increases with the lengthening of the bare section. Furthermore, shorter buoyancy modules are expected to experience less fatigue damage, with the length of the bare section having a relatively minor impact on this phenomenon. Consequently, to ensure safety under extreme environmental conditions, both the upper bare section and the buoyancy module section should be relatively short.