• Title/Summary/Keyword: Secondary Defects

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Reconstruction of the Heel and Distal Leg Using Pedicled Dorsalis Pedis Island Flap (유경 족배 도서형 피판을 이용한 족부 및 하지 원위부 재건술)

  • Lee, Mun-Mo;Yu, Chang-Eun
    • Archives of Reconstructive Microsurgery
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    • v.12 no.2
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    • pp.112-118
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    • 2003
  • Purpose : Soft tissue defect and exposed tendons and bones with concomitant infection in the foot and lower leg have to be covered with vascularized flap as the one stage treatment. Authors have performed 6 cases of pedicled dorsalis pedis island flaps under the loupes magnification and evaluated the benefits. Materials and methods : From 1994 through 2003, we have performed 6 pedicled dorsalis pedis island flaps for reconstruction of soft tissue defects in the foot and lower leg. The causes were trauma in 3 cases, skin necrosis and secondary infection after Achilles tendon repair in 2 cases and acute osteomyelitis in 1 case. Average age was 38 years and 5 cases were male and 1 female. The results of the procedure was evaluated by survival of the island flap, comfort in putting on shoes and walking, comfort in the donor site, comfort in the recipient site and range of motion of the ankle joint. Results : All pedicled dorsalis pedis island flaps survived except 1. Three cases felt discomfort in the dorsum of foot as the donor site and 1 case of the Achilles tendon ruptured and repaired showed limited dorsiflexion of ankle joint. Conclusion : Nonmicrosurgical pedicled dorsalis pedis island flaps under the loupes magnification are one of the useful treatment methods because procedure is rapid, survival is confident and overall reconstructive results are good.

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The Detection of the Steam Generator Tubing Defects in the Sludge Piles by the Eddy Current Testing (과전류탐상법(過電流探傷法)에 의한 Sludge Pile속의 결함검출(缺陷檢出))

  • Ahn, Byeong-Wan;Yim, Chang-Jae;Koo, Kil-Mo
    • Journal of the Korean Society for Nondestructive Testing
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    • v.7 no.2
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    • pp.16-26
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    • 1988
  • In the in-service inspections for the steam generator tubing of the nuclear power plants by the Eddy Current Testing, the ECT signals are evaluated by their phase. If oxidized copper sludge is piled up in the secondary side, however, big sludge signals occur in large quantities which originate from copper layers forming in the sludge piles due to the pitting mechanism of the steam generator tubing by $Cu^{2+}$, and modulate the defect signals, causing the difficulty in the defect detection. In this research, sludge specimens were prepared considering the formations of the sludge signal sources and multi-frequency ECT mixing experiments by different choices of the mixing standards were performed. The results were found to be 5 to 30% of the tube wall thickness over-estimated. Experiments using the ring-type mixing standards showed the least errors of all, while those with the mixing standards nearing the sludge conditions brought larger errors as a result of the influence of the interference between the defect and the copper layers.

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The Technology for Reducing Abnomal Grain Growth in 3- Roll Type Wire Rod Rolling (3-Roll 선재압연에서의 결정립조대화 방지기술)

  • 임규환;김병홍;김기환;권정석
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 1999.08a
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    • pp.163-171
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    • 1999
  • The abnormal grain coarsening in wire rolling induces detrimental defects, such as jagged size tolorance, severe bending after heat treatments and drawing troubles, in the following secondary processes. Neishi et al observed that there is a band type region where grain coarsenting occurs in the plastic strain vs. deformation temperature plot. Based on the finding, we have investigate whether grain sizes and ferrite volume fractions are correlation to deformation strain with three kinds of wire rod diameters as for the different average deformation conditions. The samples were chosen from the No.2 Wire Rod Mill of POSCO where 3-roll type of finishing mill stand are used. It was found in the present work that the grain size and ferrite volume fraction of the rolled and cooled microstructure were changed with rolling reduction and rolling temperature. Abnormally grown grains at various observed points were also found. To have homogeneously fine grains of microstructure from the No. 2 Wire Rod Mill, it will be easier to control finish rolling temperature at around 750$^{\circ}C$ rather than to find another rolling schedule.

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APPLICATION OF ARTIFICIAL DERMIS($Terudermis^{(R)}$) AND SPLIT THICKNESS SKIN GRAFT ON THE DONOR SITE OF RADIAL FOREARM FLAP (인공진피($Terudermis^{(R)}$)와 부분층 피부이식을 이용한 전완피판 공여부 수복)

  • Oh, Jung-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.3
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    • pp.227-232
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    • 2007
  • The radial forearm fasciocutaneous flap(RFFF) is a well-known flap for the reconstruction of oral and maxillofacial defects. It was first described by Yang et al. in 1981 and Soutar et al. developed it for the reconstruction of intraoral defect. RFFF provides a reliable, thin, and pliable soft tissue/skin paddle that is amenable to sensate reconstruction. It also has a long vascular pedicle that can be anastomosed to any vessel in either the ipsilateral or contralateral neck. However, split thickness skin graft(STSG) is most commonly used to cover the donor site, and a variety of donor site complications have been reported, including delayed healing, swelling of the hand, persistent wrist stiffness, reduced hand strength, and partial loss of the graft with exposure of the forearm flexor tendon. Various methods for donor site repair in addition to STSG have been developed and practiced to minimize both functional and esthetic morbidity, such as direct closure, V-Y closure, full thickness skin graft, tissue expansion, acellular dermal graft. We got a good result of using artificial dermis($Terudermis^{(R)}$) and secondary STSG for the repair of RFFF donor site defect esthetically and report with a review of literature.

Development of Learning Materials on Constructibility of Roots of Cubic Polynomials (삼차방정식 해의 작도(불)가능성에 대한 학습 자료 개발)

  • Shin, Hyunyong;Han, Inki
    • Communications of Mathematical Education
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    • v.30 no.4
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    • pp.469-497
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    • 2016
  • In this research, we develop a systematic learning the materials on constructibility of cubic roots. We propose two sets of materials: one is based on concepts of field, vector space, minimal polynomial in abstract algebra, another based on properties of cubic roots in elementary algebra. We assess the validity, applicability, defects and merits of developed materials through prospective teachers, in-service teachers, and professionals. It could be expected that materials be used for advanced secondary students, mathematics majoring college students and mathematics teachers. Furthermore, we may expect the materials be useful for understanding and solving the (un)constructibility problems.

The Study of Corrosion Induced Co migration and Its Effect on Thermal Asperity Phenomenon (부식작용으로 인하여 디스크면으로 이동된 코발트가 Thermal Asperity 현상에 미치는 영향)

  • 좌성훈
    • Tribology and Lubricants
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    • v.15 no.4
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    • pp.335-342
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    • 1999
  • Corrosion of the disk has been an ongoing concern for the manufacturers of hard disk drives. With the advent of magnetoresistive (MR) head, very low levels of corrosion and contamination become more critical since the raised defects and corrosion products on the disk surface-anything that heats the MR sensor due to the contact-can distort the output signal of the head. This phenomenon is called as thermal asperity. In this paper, the effect of corrosion as a form of Co migration on the occurrence of thermal asperity in MR drives was investigated. The corrosion test at high temperature (60$^{\circ}C$) and high relative humidity (80%) was emphasized in this study and the testing results at ambient condition were compared. The corrosion on the disks was characterized as the amount of Co ion migration using an ion chromatography (IC) and a time-of-flight secondary ion mass spectroscopy (TOF-SIMS). It is proved that corrosion on the disk surface after storage testing is closely correlated to the amount of Co ions migration from the magnetic layer to disk surfaces and higher Co migration causes more thermal asperities in the drive. In order to reduce Co migration, several methods such as burnishing process and structure of the carbon overcoat were investigated. It is found that the hydrogenated carbon overcoat shows the least Co migration among different types of overcoat layer. However, the most effective way to reduce Co migration is the application of Cr layer between the overcoat and the magnetic alloy layer.

An Organization Theory Perspective on the Structural Reform of the Health Care Delivery System (의료공급체계 구조의 개혁방향에 대한 조직이론적 시각)

  • Han, Dal Sun
    • Health Policy and Management
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    • v.28 no.3
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    • pp.197-201
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    • 2018
  • There is a general consensus that many health care problems are attributable to the structural defects of the health care delivery system in Korea. The basic policy aimed to address these problems is to reform the delivery system so as that it incorporates two core principles: (1) stratification of medical care institutions into primary, secondary, and tertiary care providers according to the capability to perform specialized and complex services; (2) patients seeking care starting from the primary care provider and, if necessary, to be referred to the other provider step by step. This policy has been consistently pursued for about 30 years, but the achievement is far from success. Thus it is believed that the feasibility of the policy should be questioned. Starting from this question, based upon the observation of the current structure of the delivery system and its expected changes, the reform policy was discussed focusing on the assessment of its feasibility from both practical and theoretical viewpoints. The discussion leads to cast doubt on the policy for its possibility of making planned changes and producing expected desirable effects. Therefore it is advisable to investigate a wide range of alternative strategies and models for improving health care delivery.

Effect of Hydrogen on Mechanical S tability of Amorphous In-Sn-O thin films for flexible electronics (수소 첨가에 의한 비정질 ITO 박막의 기계적 특성 연구)

  • Kim, Seo-Han;Song, Pung-Geun
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2018.06a
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    • pp.56-56
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    • 2018
  • Transparent conductive oxides (TCOs) have attracted attention due to their high electrical conductivity and optical transparency in the visible region. Consequently, TCOs have been widely used as electrode materials in various electronic devices such as flat panel displays and solar cells. Previous studies on TCOs focused on their electrical and optical performances; there have been numerous attempts to improve these properties, such as chemical doping and crystallinity enhancement. Recently, due to rapidly increasing demand for flexible electronics, the academic interest in the mechanical stability of materials has come to the fore as a major issue. In particular, long-term stability under bending is a crucial requirement for flexible electrodes; however, research on this feature is still in the nascent stage. Hydrogen-incorporated amorphous In-Sn-O (a-ITO) thin films were fabricated by introducing hydrogen gas during deposition. The hydrogen concentration in the film was determined by secondary ion mass spectrometry and was found to vary from $4.7{\times}10^{20}$ to $8.1{\times}10^{20}cm^{-3}$ with increasing $H_2$ flow rate. The mechanical stability of the a-ITO thin films dramatically improved because of hydrogen incorporation, without any observable degradation in their electrical or optical properties. With increasing hydrogen concentration, the compressive residual stress gradually decreased and the subgap absorption at around 3.1 eV was suppressed. Considering that the residual stress and subgap absorption mainly originated from defects, hydrogen may be a promising candidate for defect passivation in flexible electronics.

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Reverse Dorsalis Pedis Flap Based on the Distal Communicating Artery of the Dorsalis Pedis Artery for the Reconstruction of the Forefoot Defect (원위교통동맥 기저 역행성 족배피판을 이용한 전족부 결손의 재건)

  • Kwon, Chan;Cho, Sang Hun;Eo, Su Rak
    • Archives of Reconstructive Microsurgery
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    • v.22 no.1
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    • pp.38-41
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    • 2013
  • A 31-year-old female patient presented with a skin and soft tissue defect measuring $8{\times}6cm$ in size with exposure of the extensor hallucis longus tendon and the first metatarsal bone after metatarsal lengthening for brachymetatarsia. The defect was covered with a distally based dorsalis pedis flap based on the distal communicating branch of the dorsalis pedis artery. Secondary defect was covered by a split thickness skin graft. There was congestion of the flap tip after the operation; however, it was resolved using medical leeches and anti-coagulants. No necrosis or infection was encountered and the contour of the flap was satisfactory. There was no donor site morbidity. Reverse dorsalis pedis flap has not been commonly used due to the anatomical variation and uncertainty, which is different from the reverse radial forearm flap. However, when faced with the challenge of a moderate soft tissue defect of the distal forefoot, we believe that the reverse dorsalis pedis flap offers a good option with various advantages.

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Lesson and proposal of revised equations from the Pan method application case for soft clay improvement (PBD 공법 시공사례를 통한 교훈 및 개선안 제안)

  • 유한구;조영묵;김종석;박정규
    • Proceedings of the Korean Geotechical Society Conference
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    • 2001.10a
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    • pp.147-158
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    • 2001
  • In general, two methods have been used to predict settlement of soft ground. One method is Terzaghi's one dimensional consolidation theory which gives time-settlement relationship using the standard consolidation test results. The other is forecasting method of ground settlement to be occured in the future using in-situ monitoring data. The above both methods have some defects in application manner or in itself especially in very deep and soft clayey ground. In view of the lessons and experiences of soft ground improvement projects, several techniques were proposed for more accurate theorectical calculation of consolidation settlement as follows ; ① Subdivision of soft ground, ② Consideration of secondary compression, ③ Using the modified compression index, etc. And also, revised hyperbolic fitting method was suggested to minimize the error of predicted future settlement. In addition, revised De-Beer equation of immediate settlement of loose sandy soil was proposed to overcome the tendency to show too small settlement calculation results by original De-Deer equation. And also, considering the various effects of settlement delay in the improved ground by vertical drains, time-settlement caculation equation(Onoue method) was revised to match the tendency of settlement delay by using the characteristics of discharge capacity decreases of vertical drain with time elapse by the pattern of hyperbolic equation.

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