• Archives of Plastic Surgery
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• v.42 no.4
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• pp.446-452
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• 2015

Background Various techniques are used for performing breast reduction. Wise-pattern and vertical scar techniques are the most commonly employed approaches. However, a vertical scar in the mid-lower breast is prominent and aesthetically less pleasant. In contrast, a semicircular horizontal approach does not leave a vertical scar in the mid breast and transverse scars can be hidden in the inframammary fold. In this paper, we describe the experiences and results of semicircular horizontal breast reductions performed by a single surgeon. Methods Between September 1996 and October 2013, our senior author used this technique in 38 cases in the US and at our institution. We used a superiorly based semicircular incision, where the upper skin paddle was pulled down to the inframammary fold with the nipple-areola complex pulled through the keyhole. Results The average total reduction per breast was 584 g, ranging from 286 to 794 g. The inferior longitudinal pedicle was used in all the cases. The average reduction of the distance from the sternal notch to the nipple was 13 cm (range, 11-15 cm). The mean decrease in the bra cup size was 1.7 cup sizes (range, a decrease of 1 to 3). We obtained very satisfactory results with a less noticeable scar, no complication such as necrosis of the nipple or the skin flap, wound infection, aseptic necrosis of the breast tissue, or wound dehiscence. One patient had a small hematoma that resolved spontaneously. Conclusions This technique is straightforward and easy to learn, and offers a safe, effective, and predictable way for treating mammary hypertrophy.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.33 no.2
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• pp.145-152
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• 2009

SGBEM(Symmetric Galerkin Boundary Element Method)-FEM alternating method has been proposed by Nikishkov, Park and Atluri. In the proposed method, arbitrarily shaped three-dimensional crack problems can be solved by alternating between the crack solution in an infinite body and the finite element solution without a crack. In the previous study, the SGBEM-FEM alternating method was extended further in order to solve elastic-plastic crack problems and to obtain elastic-plastic stress fields. For the elastic-plastic analysis the algorithm developed by Nikishkov et al. is used after modification. In the algorithm, the initial stress method is used to obtain elastic-plastic stress and strain fields. In this paper, elastic-plastic J integrals for three-dimensional cracks are obtained using the method. For that purpose, accurate values of displacement gradients and stresses are necessary on an integration path. In order to improve the accuracy of stress near crack surfaces, coordinate transformation and partitioning of integration domain are used. The coordinate transformation produces a transformation Jacobian, which cancels the singularity of the integrand. Using the developed program, simple three-dimensional crack problems are solved and elastic and elastic-plastic J integrals are obtained. The obtained J integrals are compared with the values obtained using a handbook solution. It is noted that J integrals obtained from the alternating method are close to the values from the handbook.

• Archives of Plastic Surgery
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• v.35 no.2
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• pp.205-207
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• 2008

Purpose: Although muscle hernia has been well described in the lower-extremity, muscle hernias in the upper extremity are extremely rare. As with lower extremity muscle hernias, the forearm muscle hernia may result from forced exertion of strenuous activity or following blunt trauma. The objective of this paper is to report an extraordinary case of forearm muscle hernia after radial forearm sensory tendocutaneous free flap with references. Methods: A 58-year-old male patient received wide excision and radical neck dissection and lower lip reconstruction with radial forearm sensory tendocutaneous free flap for squamous cell cancer on the lower lip. 16 weeks after the operation, he complained of protruding mass on the forearm and the size was increasing. In postoperative 18 weeks, MRI showed herniation of flexor digitorum superficialis. For unaesthetic cause and preventing progress, the authors performed direct fascial closure and Mesh graft. Results: In 12 months after the surgery there was no recurrence and the patient remained symptom-free. Conclusion: Pain on extremity exertion and unaesthetic buldge of forearm due to forearm muscle hernia were the primary indications for surgery which consist of direct closure, fasciotomy, fascia lata onlay graft, fascia lata inlay graft, etc. The authors experienced uncommon forearm muscle hernia after radial forearm free flap and satisfying result of treatment.

• Archives of Plastic Surgery
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• v.36 no.4
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• pp.489-492
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• 2009

Purpose: Autologous fat injection is ideal for patients who wish to add contour, projection and gross volumization of the aging, atrophic face and is claimed to be a safe procedure. However, there are several case reports in the literature where patients have suffered from acute visual loss and cerebral infarction after facial fat injection. This paper will explore a rare case of vessel related complication, an arteriovenous fistula that occurs after fat injection on forehead. Method: A 28 - year - old female who showed a non - tender, soft $1.0{\times}2.5cm$ sized mass on forehead for 3 weeks. A thrill could be detected on the totuous dilatated vessel - like structure around the mass. She had a fat injection on forehead for soft tissue augmentation 3 months prior to developing the mass. 3 - dimensional brain CT angiography showed arteriovenous fistula. Results: The fistula is totally excised with ligation of feeding vessels. Pathology report showed an atypical vessel which had intimal thickening, myxoid degeneration and thrombus formation. There were no evidences of recurrence at least for 2 months of follow - up. Conclusion: An occurrence of arteriovenous fistula after autologous fat injection is very rare. After perforation of artery and vein by coincidence, blood extravasates with the formation of a hematoma capsule and a pseudocapsule around it. The hematoma capsule would expand and clot would reabsorb resulting in a cavity leading to fistula formation. Other vessel related complications like acute visual loss or cerebral infarction are very severe. Therefore, surgeons should be cautious during facial fat injection to avoid vessel injuries.

• Archives of Plastic Surgery
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• v.44 no.6
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• pp.490-495
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• 2017

Background Cleft lip and palate repair requires a deep and small surgical field and is usually performed by surgeons wearing surgical loupes. Surgeons with loupes can obtain a wider surgical view, although headlights are required for the deepest procedures. Surgical microscopes offer comfort and a clear and magnification-adjustable surgical site that can be shared with the whole team, including observers, and easily recorded to further the education of junior surgeons. Magnification adjustments are convenient for precise procedures such as muscle dissection of the soft palate. Methods We performed a comparative investigation of 18 cleft operations that utilized either surgical loupes or microscopy. Paper-based questionnaires were completed by staff nurses to evaluate what went well and what could be improved in each procedure. The operating time, complication rate, and scores of the questionnaire responses were statistically analyzed. Results The operating time when microscopy was used was not significantly longer than when surgical loupes were utilized. The surgical field was clearly shared with surgical assistants, nurses, anesthesiologists, and students via microscope-linked monitors. Passing surgical equipment was easier when sharing the surgical view, and preoperative microscope preparation did not interfere with the duties of the staff nurses. Conclusions Surgical microscopy was demonstrated to be useful during cleft operations.

• Journal of the Korean GEO-environmental Society
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• v.12 no.11
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• pp.65-70
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• 2011

It is well known all much information for evaluation on possibility of liquefaction and lateral flow for sand over the world. Recently, it is started to be known that liquefaction happens on non-plastic silt, too. But cyclic and post-cyclic characteristics for non-plastic silt is a few familiar to the world. Specially, it is not aware of the estimating method for lateral flow on non-plastic silt. The main purpose in this paper is to propose the evaluation for liquefaction and lateral flow on non-plastic silt. The method used in this research is that possibility for liquefaction on non-plastic silt was evaluated with cyclic direct simple shear test, and then residental strength was estimated with static shear test. Through the test results liquefaction on non-plastic silt is well not happened but strength decreases rapidly with increasing shear stress. With the proposed method it can be evaluated possibility of liquefaction and propose lateral flow.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.1
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• pp.88-98
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• 2016

The Korean summer is hot and humid, and air-conditioners consume considerable amounts of electricity. In such cases, the simultaneous use of indirect evaporative coolers may help reduce the sensible heat and save electricity. In this study, heat transfer and pressure drop characteristics of indirect or regenerative evaporative coolers made from plastic/paper are investigated. The results showed that heat and mass transfer model based on the ${\epsilon}-NTU$ method predicted the indirect evaporation efficiencies, cooling capacities and pressure drops adequately. Both for indirect or regenerative evaporative cooler, the indirect evaporation efficiency increased with increasing dry channel inlet temperature or relative humidity. The indirect evaporation efficiency of the regenerative evaporative cooler was larger than that of the indirect evaporative cooler.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.27 no.7
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• pp.1159-1169
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• 2003

This paper investigates the effects of T-stress and plastic hardening mismatch on the interfacial crack-tip stress field via finite element analyses. Plane strain elastic-plastic crack-tip fields are modeled with both MBL formulation and a full SEC specimen under pure bending. Modified Prandtl slip line fields illustrate the effects of T-stress on crack-tip constraint in homogeneous material. Compressive T-stress substantially reduces the interfacial crack-tip constraint, but increases the J-contribution by lower hardening material, J$\_$L/. For bimaterials with two elastic-plastic materials, increasing plastic hardening mismatch increases both crack-tip stress constraint in the lower hardening material and J$\_$L/. The fracture toughness for bimaterial joints would consequently be much lower than that of lower hardening homogeneous material. The implication of unbalanced J-integral in bimaterials is also discussed.

• Journal of the Korean Recycled Construction Resources Institute
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• v.2 no.3
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• pp.225-232
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• 2014

This paper concerns the mechanical properties of recycled plastic fiber-reinforced concrete. It presents experimental research results of recycled fiber-reinforced concrete with fiber volume fractions of 0, 0.5, 1.0, 1.5, and 2%. Experiments were performed to measure mechanical properties such as compressive strength, elastic modulus, tensile strength, and length changes. The results show that both compressive strength and elastic modulus decreased as fiber volume fraction increased. In addition, the experimental results show that recycled fiber-reinforced concrete is in favor of split tensile strength, flexural tensile strength, characteristic regarding crack mouth opening displacement, and length changes. The results of this study can be used to provide realistic information for modeling of mechanical properties in recycled plastic fiber-reinforced concrete in the future.

• Resources Recycling
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• v.19 no.2
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• pp.63-72
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• 2010

The patents were searched to investigate the trend of recycling technologies about plastic waste. Database was collected from WIPS site and the range of the search was limited to patents opened in U.S.A (US), European Union (EU), Japan (JP) and Korea (KR) to september 2009. In this paper, 4,795 patents were selected by investigation abstracts and the trend of the recycling technologies relating to waste plastic were investigated through the analyzing by the years, countries, companies. The patents were occupied 65% by Japan and the most of the patents were about chemical recycling. In the case of Korea, material recycling was major in the patents of waste plastic recycling.