• Archives of Plastic Surgery
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• v.32 no.5
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• pp.613-618
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• 2005

When a large peripheral nerve defect occurs, an autologous nerve graft is the most ideal method of recinstruction. But an autologous nerve graft has many limitations due to donor site morbidities. Many previous focused on finding the ideal nerve conduit. Among them, $Gore-Tex^{(R)}$ has several advantages over other conduits. It can be manipulated to a suitable size, does not collapse easily, and it is a semi- permeable material that contain pores. A round shaped nerve can be newly formed because of its smooth inner surface. The purpose of this study was to evaluate the availability of $Gore-Tex^{(R)}$ tube as a nerve conduit at the peripheral nerve defect in the rat sciatic nerve. The 10 mm nerve gap was made in each group. A $Gore-Tex^{(R)}$ tube filled with skeletal muscle was inserted and autologous nerve graft was harvested, respectively. In the experimental group, we placed a 0.5 mm thickness, $30{\mu}m$ pored, 1.8 mm in diameter and 14 mm length tube with skeletal muscle inserted inside. In the control group, the nerve gap was inserted with a rat sciatic nerve. We estimated the results electrophysiologically and histologically to 16 weeks postoperatively. Results in the nerve conduction velocity, total myelinated axon count, myelin sheath thickness and mean nerve fiber diameter, the experimental group was substantially lower than that of the control group, but the statistic difference was not significant (p<0.05). The morphology was very similar in both groups, microscopically. From the above results, We conclude that $Gore-Tex^{(R)}$ qualifies as an ideal nerve conduit. It is suggested that $Gore-Tex^{(R)}$ tube filled with skeletal muscle may, substitute for an autologous nerve graft.

• Journal of the Korean institute of surface engineering
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• v.49 no.5
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• pp.439-446
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• 2016

In 2015, a fin tube (Cu-Ni 70/30 alloy) of package type heat exchanger for navy vessel was perforated through the wall which led to refrigerant leakage. This failure occurred after only one year since its installation. In this study, cause of the failure was determined based on available documents, metallographic studies and computational fluid dynamics simulation conducted on this fin tube. The results showed that dimensional gap between inserted plastic tube and inside wall of fin tube is the cause of the swirling turbulent stream of sea water. As a result of combination of swirling turbulence and continuing collision of hard solid particles in sea water, erosion corrosion has begun at the end of inserted plastic tube area. Crevice corrosion followed later in the crevice between the outer wall of plastic tube and inner wall of fin tube. It was found that other remaining tubes also showed the same corrosion phenomena. Thorough inspection and prompt replacement will have to be accomplished for the fin tubes of the same model heat exchanger.

• Archives of Plastic Surgery
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• v.36 no.2
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• pp.183-187
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• 2009

Purpose: Because of the volume of elective sterilizations performed in the world during the past decade, the vasectomy was a popular method for male sterilization in Korea and this, in turn, had been followed by an increase in the number of patient requiring vasectomy reversal with the high rate of subsequent divorce and remarriage. Recently, many authors have reported high success rates of vasovasostomy using microsurgical techniques and we performed modified two layer vasovasostomy with intravasal silicone tube to increase postoperative patency and pregnacy rate. Methods: Microscopic vasovasostomy was performed in 9 patients and their average age was $35.78{\pm}1.36years$(from 28 years to 44 years) from June 2006 to June 2008 at our department using modified two layer vasovasostomy with silicone tube insertion. Standard Guibor silicone tube, consisting of two 17.7 cm, 0.064 cm diameter, malleable, stainless steel probes connected by 29 cm of silicone tubing wedged onto disposable probes, were used in all cases. Results: Success rates were 88.8 % for patency and pregnancy 44.4 % for pregnancy in modified two layer vasovasostomy with silicone tube insertion. The patency rates were higher in cases of long postoperative day and in cases of short duration of vasectomy and vasovasostomy. Conclusion: We used a modified method to correspond the patency and pregnancy rate in microscopical modified two layer vasovasostomy using the intravasal silicone tube permanently. This method brings normal patency in microsurgical vasovasostomy because the silicone tube prevent obstruction of anastomosed site of the vas permanently.

• Transactions of the Korean Society of Mechanical Engineers
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• v.16 no.7
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• pp.1314-1321
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• 1992

In analyzing the plastic flow of axisymmetric tube extrusion a new method of formulation using the stream function approach and upper-bound theorem is proposed which permits the prediction of plastically deformed zone in analytic expression as well as metal flow. It is shown that the formulation proposed in this work covers the solid extrusion and tube extrusion in axisymmetric case. The effect of some process parameters such as area reduction, the ratio of radii(inner radius to outer radius) and friction factor on extrusion pressure, deformation zone and plastic flow through stream-lined dies has been studied. The presented theoretical analysis can be effectively used for the prediction of deformation zone and plastic flow.

• Archives of Plastic Surgery
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• v.49 no.5
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• pp.668-675
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• 2022

Background Educational resources on the internet are extensively used to obtainmedical information. YouTube is the most accessed video platform containing information to enhance the learning experience of medical professionals. This study systematically analyzed the educational value of microsurgery-related videos on this platform. Methods A systematic review was conducted on YouTube from April 18 to May 18, 2020, using the following terms: "microsurgery," "microsurgical," "microsurgical anastomosis," "free flap," and "free tissue transfer." The search was limited to the first 100 videos, and two independent reviewers screened for eligible entries and analyzed their educational value using validated scales, including a modified version of the DISCERN score (M-DISCERN), Journal of the American Medical Association (JAMAS) benchmark criteria, and the Global Quality Score (GQS). Evaluation of video popularity was also assessed with the video power index (VPI). Results Of 356 retrieved videos, 75 (21%) were considered eligible. The educational quality of videos was highly variable, and the mean global scores for the M-DISCERN, JAMAS, and GQS for our sample were consistent with medium to low quality. Conclusions A limited number of videos on YouTube for microsurgical education have high-educational quality. The majority scored low on the utilized criteria. Peer-reviewed resources seem to be a more reliable resource. Although the potential of YouTube should not be disregarded, videos should be carefully appraised before being usedas an educational resource.

• Steel and Composite Structures
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• v.23 no.2
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• pp.229-238
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• 2017

This paper presents a combined numerical and theoretical study on the composite action between steel and concrete of circular steel tube confined concrete (STCC) stub columns under axial compressive loading with a full theoretical elasto-plastic model and finite element (FE) model in comparison with experimental results. Based on continuum mechanics, the elasto-plastic model for STCC stub columns was established and the analysis was realized by a FORTRAN program and the three dimensional FE model was developed using ABAQUS. The steel ratio of the circular STCC columns were defined in range of 0.5% to 2% to analyze the composite action between steel tube and concrete, and make a further study on the advantages of the circular STCC columns. By comparing the results using the elasto-plastic methods with the parametric analysis result of FE model, the appropriate friction coefficient between the steel tube and core concrete was defined as 0.4 to 0.6. Based on ultimate balance theory, the formula of ultimate load capacity applying to the circular STCC stub columns was developed.

• Design & Manufacturing
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• v.11 no.3
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• pp.35-40
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• 2017

PCR(Polymerase chain reaction) is a technique to replicate and amplify a desired part of DNA. It is used in various aspects such as DNA fingerprint analysis and rare DNA amplification of an extinct animal. Especially in the medical diagnosis field, it provides various measurement methods at the molecular level such as genetic diagnosis, and is a basic tool for molecular diagnostics. The internal shape of the plastic vial tube for PCR analysis used in the DNA detection process, and the surface roughness and internal cleanliness can affect detection and discrimination results. The plastic vial tube demanded by the developer of the PCR analysis equipment should be changed to a structure that eliminates the residual washing solution in the washing process to ensure the internal cleanliness. Thus the internal structure and the internal surface design for improving the PCR amplification efficiency are key issues to develop the plastic vial tube for the DNA detection process.

• Transactions of the Korean Society of Automotive Engineers
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• v.15 no.2
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• pp.87-94
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• 2007

It has been argued that the use of plastics can cause problems during design and manufacture owing to their low strength, relatively poor thermal conductivity and large thermal expansion. However, the advantages of plastics e.g., corrosion resistance, low cost, curtailment of weight, design flexibility etc., can compensate abundantly for the disadvantages. This study analyzes and compares the heat transfer performance characteristics of automotive compact oil cooler composed of plastic tube bundle with conventional metal oil cooler on the same core area basis as diameter, tube thickness, number of tube or tube arrangement varies. The performance analyses are accomplished by use of computational fluid dynamics program Fluent 6.2, which is verified and compared with the results of performance tests. The result of analyses is coincided with that of experiments. Flow pattern at air side according to tube arrangement is dominant factor which affects heat dissipation in case of similar total heat transfer surface area.

• Archives of Plastic Surgery
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• v.38 no.1
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• pp.127-129
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• 2011

Purpose: Nasotracheal or oral intubation procedure is widely used for facial bone fractures. However, during the operation intubated tube can interfere or obstruct the view of the operator. We authors used a modified submental intubation method in panfacial bone fracture patients for intact airway and the operation view. Methods: After intravenous induction of anaesthesia, traditional orotracheal tubation was done. A horizontal incision was made 2 cm from the midline, 2 cm medial to and parallel with the mandible in the submental region. 1 In order to approach to the floor of the oral cavity, a haemostat was pushed through the soft tissues. A chest tube front cover was applied to the intubation tube and the tube was inserted through the submental tunnel. Orotracheal tube was disconnected and pulled back through the soft tissue and secured with a suture. Results: The procedure took about 30 minutes and there were no problems during the intubation. Intraoral manipulation and occlusal checks were free without any interference. Extubation was also easily done without any complications such as lung aspiration, infection, hematoma, or fistula. Conclusion: Submental endotracheal intubation is fast, safe, easy to use and free from the concern about the tube being pull back again. Conventional submental intubations are being held without any coverage of the tip. We authors applied the modified method to the trauma patients and obtained satisfactory results. From the above advantages, modified submental intubation can be widely available not only in fractured patients, but also in aesthetic or orthognathic surgeries.

• Archives of Plastic Surgery
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• v.33 no.2
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• pp.213-218
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• 2006

As the large defect of peripheral nerve occurs, the autologous nerve graft is the most ideal method but it has many limitations due to donor site morbidities. Various materials have been developed for the nerve defect as the conduits, but none of these materials is satisfactory. Among them, $Gore-Tex^{(R)}$ tube seems to be one of the most ideal nerve conduit materials at peripheral nerve defect. Many researches have focused on finding the neurotrophic factors. It is recently demonstrated that Valproic acid(VPA) has an effect of axonal regeneration as a neurotrophic factor without enzymatic degradation and toxicity problems. The purpose of this study is to evaluate the effect of VPA on the nerve regeneration at the peripheral nerve defect. A 10 mm gap of rat sciatic nerve was made and $Gore-Tex^{(R)}$ tube filled with biceps femoris muscle was placed at the nerve defect site. We let the rat take VPA as drinking water in experimental group and did not give VPA to the control group. We estimated the results as electrophysiologic and histological aspects for 16 weeks after the surgery. The nerve conduction velocity, total myelinated axon count, myelin sheath thickness and mean nerve fiber diameter significantly increased in VPA-treated experimental group when compared to the control (p < 0.05). From the above results, we conclude that VPA promotes the nerve regeneration at the peripheral nerve defect site. It is suggested that $Gore-Tex^{(R)}$ tube filled with skeletal muscle and VPA administration may be a good substitute for autologous nerve graft.