• Title/Summary/Keyword: Pull-through

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Esophageal Reconstruction with Gastric Pull-up in a Premature Infant with Type B Esophageal Atresia

  • Han, Young Mi;Lee, Narae;Byun, Shin Yun;Kim, Soo-Hong;Cho, Yong-Hoon;Kim, Hae-Young
    • Neonatal Medicine
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    • v.25 no.4
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    • pp.186-190
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    • 2018
  • Esophageal atresia (EA) with proximal tracheoesophageal fistula (TEF; gross type B) is a rare defect. Although most patients have long-gap EA, there are still no established surgical guidelines. A premature male infant with symmetric intrauterine growth retardation (birth weight, 1,616 g) was born at 35 weeks and 5 days of gestation. The initial diagnosis was pure EA (gross type A) based on failure to pass an orogastric tube and the absence of stomach gas. A "feed and grow" approach was implemented, with gastrostomy performed on postnatal day 2. A fistula was detected during bronchoscopy for recurrent pneumonia; thus, we confirmed type B EA and performed TEF excision and cervical end esophagostomy. As the infant's stomach volume was insufficient for bolus feeding after reaching a body weight of 2.5 kg, continuous tube feeding was provided through a gastrojejunal tube. On the basis of these findings, esophageal reconstruction with gastric pull-up was performed on postnatal day 141 (infant weight, 4.7 kg), and he was discharged 21 days postoperatively. At 12 months after birth, there was no catch-up growth; however, he is currently receiving a baby food diet without any complications. In patients with EA, bronchoscopy is useful for confirming TEF, whereas for those with long-gap EA with a small stomach volume, esophageal reconstruction with gastric pull-up after continuous feeding through a gastrojejunal tube is worth considering.

Strain Characteristics of Reinforcing materials in the transition zone of slopes (사면의 변이영역에서 보강재의 변형률 특성)

  • 김경태;장대수;장기태;한희수
    • Proceedings of the Korean Geotechical Society Conference
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    • 2003.06a
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    • pp.119-127
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    • 2003
  • For the calculation of internal stability, the hypothesis in conventional design is on the basis of two distinct zones, which are‘active zone’and‘passive zone’. This means that there is an abrupt discontinuous transition from active to passive states across a potential failure line. The existence of a discontinuity of this nature appears physically unreasonable, especially from kinematic considerations. A series of pull-out model tests was undertaken from a wall being rotated about the toe to find the strain distribution mobilized from near the wall face into the deep, stable zone through the centre plane. With this finding of transition zone, the objective of study is aiming at identifying the likely effect of this zone in designing method by comparing with the prevailing design method.

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Proposal of Bond Strength Evaluation Method for Overlay Concrete at Field (유한요소해석을 이용한 현장 덧씌우기 콘크리트의 부착강도 평가 방법 제안)

  • Lee, Bong-Hak;Hong, chang-Woo;Lee, Joo-Hyung;Kim, Seong-Hwan
    • Journal of Industrial Technology
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    • v.21 no.B
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    • pp.295-300
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    • 2001
  • Significant improvements in bond strength between new and existing concrete can be achieved through the modification of the new concrete by latex modification. But, no test method has been adopted as a standard to measure the bond strength between the concrete used to repair and the substrate being repaired. The performance of old and the new concrete construction defends upon band strength between old and the new concrete. Current adhesion strength measurement method is inaccurate method that ignore effect of stress concentration by shape of specimens. Therefore, this research calculates stress concentration coefficient using finite element analysis and direction tensile strength test (pull-off test). The result shows that the required core depth is 2.5 cm. Elastic modulus and overlay thickness do not influence in stress concentration.

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A Experimental Study on the Friction Characteristics of the Fiber Glass Geogrid (유리섬유 지오그리드의 마찰특성에 관한 실험연구)

  • 채영수;박연준;유광호;송신석;강승문
    • Proceedings of the Korean Geotechical Society Conference
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    • 2000.03b
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    • pp.496-503
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    • 2000
  • The friction between soils and the geosynthetics varies depending upon the types and characteristics of the involved materials. Many engineers have studied the frictional characteristics between the two materials in may way but the results obtained so far is not satisfactory. In this study the frictional characteristics between the soil and the geogrid were examined through laboratory direct shear test and pull-out test. Tests were conducted on two different types of geogrid: Polyester grids(PET) which are currently used and newly developed fiber-glass grids(FG). Result showed that FG grid yielded smaller displacements and uniform displacement distribution mainly due to much higher stiffness. Therefore, it is expected that more efficientbfl support and displacement control can be achieved by the FG grid.

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Proposal of Bond Strength Evaluation Method for Bridge Deck Overlay (교면 덧씌우기 콘크리트의 부착강도 평가 방법 제안)

  • 장흥균;홍창우;정원경;이봉학;윤경구
    • Proceedings of the Korea Concrete Institute Conference
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    • 2002.05a
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    • pp.349-354
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    • 2002
  • Significant improvements in bond strength between new and existing concrete can be achieved through the modification of the new concrete by latex modification. But, no test method has been adopted as a standard to measure the bond strength between the concrete used to repair and the substrate being repaired. The performance of old and the new concrete construction depends upon bond strength between old and the new concrete. Current adhesion strength measurement method ignores the effect of stress concentration by shape of specimens. Therefore, this research calculates stress concentration coefficient using finite element analysis and direction tensile strength test (pull-off test). The result shows that the required core depth is 2.5cm. Elastic modulus and overlay thickness do not influence in stress concentration.

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Wear and Wear Transition Mechanisms During Sliding in Al2O3 (Al2O3에서 미끄럼시의 마모 및 마모천이 기구)

  • 조성재;김종집;한준희;문한규
    • Journal of the Korean Ceramic Society
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    • v.26 no.1
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    • pp.51-58
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    • 1989
  • Wear and wear transition mechanisms during sliding as a function of time in Al2O3 have been studied to understand the wear behaviour of brittle ceramic materials. Commercial Si3N4 ball was rotated against flat Al2O3 specimens which were hot pressed and polished using upto 1${\mu}{\textrm}{m}$ diamond paste. Paraffin oil was used as a lubricant. Experimental data show that wear of Al2O3 is separated into distinct two stages, i.e., initial stage of slow wear and final stage of rapid wear. Microstructural observations at worn surface show that wear occurs through grooving and grain pull-out in the initial and final stage respectively. TEM observations beneath the worn surfaces show that grain pull-out starts to occur by the propagation of grain boundary cracks induced by dislocation pile-up throughthe surface.

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The Development of the Distribution/VMI Game Based on Theory of Constraints

  • Zheng, Kai-Wen;Tsai, Chih-Hung;Li, Rong-Kwei;Chen, Ching-Piao;Tsai, Shih-Chieh
    • International Journal of Quality Innovation
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    • v.10 no.1
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    • pp.53-76
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    • 2009
  • As the flourish of today's supply chain, the traditional model of replenishment will cause accumulation of excessive inventory to the retailers and customers, or cause shortages and inability to meet the demands. To solve this problem, Theory of Constraints (TOC) proposed the replenishment model of demand-pull, combined with the establishment of factory-ware-house to achieve performance improvement. In the absence of empirical research, this study applied the Bean Game developed by Dr. Goldratt to design a supply chain system for different scenarios, in order to allow players and managers better understanding and supporting the TOC replenishment method through the operations of the game.

Strain Distribution of transition zone in a nailed wall (네일로 보강된 구조물에서의 변이영역과 변형률 분포)

  • 장기태;남궁한;유병선;김경태;권병근;이선경
    • Proceedings of the Korean Geotechical Society Conference
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    • 2000.11b
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    • pp.235-239
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    • 2000
  • For the calculation of internal stability, the hypothesis in conventional design is on the basis of two distinct zones, which are 'active zone' and 'passive zone'. This means that there is an abrupt discontinuous transition from active to passive states across a potential failure line. The existence of a discontinuity of this nature appears physically unreasonable, especially from kinematic considerations. A series of pull-out model tests was undertaken from a wall being rotated about the toe to find the strain distribution mobilized from near the wall face into the deep, stable zone through the centre plane. With this finding of transition zone, the objective of study is aiming at identifying the likely effect of this zone in designing method by comparing with the prevailing design method.

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Strain Distribution of Transition Zone in a Nail Wall (네일로 보강된 구조물에서의 변이영역과 변형률 분포)

  • Chang, Ki-Tae;NamGung, Han;Yoo, Byung-Sun
    • Journal of the Korean Geophysical Society
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    • v.8 no.1
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    • pp.39-43
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    • 2005
  • For the calculation of internal stability, the hypothesis in conventional design is on the basis of two distinct zones, which are 'active zone' and 'passive zone'. This means that there is an abrupt discontinuous transition from active to passive states across a potential failure line. The existence of a discontinuity of this nature appears physically unreasonable, especially from kinematic considerations. A series of pull-out model tests was undertaken from a wall being rotated about the toe to find the strain istribution mobilized from near the wall face into the deep, stable zone through the centre plane. With this finding of transition zone, the objective of study is aiming at identifying the likely effect of this zone in designing method by comparing with the prevailing design method.

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