• Archives of Plastic Surgery
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• 제32권6호
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• pp.753-756
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• 2005

In the cases of severe arrythmia and conduction failure, a permanent implanted pacemaker is considered an essential treatment modality with less complication rate, broad indications and low morbidity. However, some pacemakers needs to be removed or replaced due to infection, in need of a lead upgrade, elective replacement, conduction failure or insulation failure. The most common indication for pacemaker extraction is infection. Conservative treatments such as administration of intravenous antibiotics and limitation of debridement are not effective and the removal of the entire pacing system is considered to be the best approach to pacemaker pocket infection. Although a locking stylet, a laser sheath and other newer methods of transvenous lead extraction have been proven to be effective, all leads cannot be removed. Moreover, major complications such as, cardiac tamponade and respiratory arrest during leads extraction procedure should not be ignored. We experienced two cases of exposed pacemakers in the subclavicular region. After removing the pacemaker body, exposed proximal lead was pulled out and cut off. The end of remnant external insulation tube was tied to prevent infection propagation between external insulation tube and inner metalic coil. Wounds were covered by local flap coverage. No other problems were detected during the one-year follow-up. Since there are few reports on lead-preserving method of treating limited infection of exposed pacemakers, we would like to present our new method for treating exposed pacemakers.

• Archives of Plastic Surgery
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• 제49권5호
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• pp.642-647
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• 2022

Hemifacial microsomia (HFM) is a complex congenital condition with heterogeneous malformations of the facial skeleton that almost always involves mandibular hypoplasia. Here we introduce a unique case in which a patient with HFM had initially successful optimization of facial symmetry using a polyetheretherketone implant for mandibular augmentation. However, multiple factors associated with the intraoperative and postoperative course, including hardware failure and infection, led to diminished mechanical strength of the mandible, ultimately resulting in a mandibular fracture. In this unique case presentation of HFM, we discuss the various factors that contributed to mandibular weakness and increased susceptibility to fracture.

• Archives of Plastic Surgery
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• 제32권4호
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• pp.461-466
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• 2005

Despite the major advances in the microvascular surgery with success rates of up to 98%, failure and vascular complications still remain even in the experienced hands. Failure of blood to flow across an anastomosis is usually caused by three factors: (1) Technical errors; (2) Undetected damage more proximally or via vasospasm; or (3) A clot or a thrombus. The success of a microvascular surgery depends on the severity of the vascular injury and, proper debridement of an injured vessel, and the failure rate of microvascular anastomosis in cases of trauma is higher as the thrombogenic possibility is increased by the endothelial damage. From January to November in 2003, 460 patients were underwent microvascular surgery(270 replantations and 190 free flap transfers) and re-operations were performed in 15 cases. Cases were reviewed by clinical and operative records. In these cases, causes of post-operative circulation insufficiency were identified as 9 vascular spasms and 6 thromboses at the previous anastomotic site. The average of re-operative success rate was 73%(60% in replantations and 100% in free flaps). In conclusion, through precise postoperative monitoring and assessment, immediate surgical re-exploration could be performed when a vascular complication is suspicious, the success rate of microvascular surgery would be increased more.

• Geomechanics and Engineering
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• 제8권1호
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• pp.33-52
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• 2015

Based on the Mohr-Coulomb failure criterion, a gradient-dependent plastic model that considers the strain-softening behavior is presented in this study. Both triaxial shear tests on conventional specimen and precut-specimen, which were obtained from an ancient landslide, are performed to plot the post-peak stress-strain entire-process curves. According to the test results of the soil strength, which reduces from peak to residual strength, the Mohr-Coulomb criterion that considers strain-softening under gradient plastic theory is deduced, where strength reduction depends on the hardening parameter and the Laplacian thereof. The validity of the model is evaluated by the simulation of the results of triaxial shear test, and the computed and measured curves are consistent and independent of the adopted mesh. Finally, a progressive failure of the ancient landslide, which was triggered by slide of the toe, is simulated using this model, and the effects of the strain-softening process on the landslide stability are discussed.

• 한국기계가공학회지
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• 제7권1호
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• pp.62-66
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• 2008

Machine parts subjected to fluctuating or cyclic loads induce repeated stresses that often result in failure by fatigue. In such cases, the fatigue failures unfortunately sometimes occur. These may arise from a lack of knowledge with regard to the design, fabrication and operation of the machines or structures. The failure analysis provides valuable information regarding the prevention of similar failures. Furthermore, this information will be useful to improve or to develop new products. Failure stress analysis is classified into X-ray fractography. X-ray fractography has the limited applications because of material crystal size, difficult measurement method, electrolytic polishing precision, and long test time. Therefore, this study proposed the new method to improve the measurement precision of plastic zone depth and test time using TRIZ.

• Nuclear Engineering and Technology
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• 제55권11호
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• pp.4146-4158
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• 2023

This paper proposes a combined plastic and creep constitutive model of A533B1 pressure vessel steel to simulate progressive deformation of nuclear pressure vessels under severe accident conditions. To develop the model, recent tensile test data covering a wide range of temperatures (from RT to 1,100 ℃) and strain rates (from 0.001%/s to 1.0%/s) was used. Comparison with experimental data confirms that the proposed combined plastic and creep model can well reflect effects of temperature and strain rate on tensile behaviour up to failure. In the companion paper (Part II), the proposed model will be used to simulate OECD lower head failure (OLHF) test data.

• 한국생산제조학회지
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• 제9권5호
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• pp.80-86
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• 2000

The Tailor Welded Blanks(TWB) are using various materials (different thickness, strength and different materials) can be welded together prior to the forming process. Therefore, TWB applications have become little by little important in automobile industries, because it has more light weight and process reduction. A burnish area is very important for TWB using laser welding. In this paper, evaluated failure criterion, effect of clearance and distance of between pad and punch by computer simulation. We used element separation method for fracture. And applied a plastic strain to failure criterion. According to the analysis results, we obtain failure criterion, when plastic strain is 2.0. The burnish area and clearance were inverse proportional.

• Interaction and multiscale mechanics
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• 제2권3호
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• pp.235-261
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• 2009

This study illustrates the differences between the elasto-plastic cap model and Lade's model with Cosserat rotation through the analyses of two large-scale geosynthetic-reinforced soil (GRS) retaining wall tests that were brought to failure using a monotonically increasing surcharge pressure. The finite element analyses with Lade's model were able to reasonably simulate the large-scale plane strain laboratory tests. On average, the finite element analyses gave reasonably good agreement with the experimental results in terms of global performances and shear band occurrences. In contrast, the cap model was not able to simulate the development of shear banding in the tests. In both test simulations the cap model predicted failure loads that were substantially less than the measured ones.

• 국제초고층학회논문집
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• 제2권2호
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• pp.141-152
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• 2013

This paper presents a brief overview of the recently developed performance-control method of moment frame design subjected to monotonously increasing lateral loading. The final product of any elastic-plastic analysis is a nonlinear loaddisplacement diagram associated with a progressive failure mechanism, which may or may not be as desirable as expected. Analytically derived failure mechanisms may include such undesirable features as soft story failure, partial failure modes, overcollapse, etc. The problem is compounded if any kind of performance control, e.g., drift optimization, material savings or integrity assessment is also involved. However, there is no reason why the process can not be reversed by first selecting a desirable collapse mechanism, then working backwards to select members that would lead to the desired outcome. This article provides an overview of the newly developed Performance control methodology of design for lateral resisting frameworks with a view towards integrity control and prevention of premature failure due to propagation of plasticity and progressive P-delta effects.

• Archives of Plastic Surgery
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• 제44권2호
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• pp.173-174
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• 2017