• Archives of Plastic Surgery
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• 제34권5호
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• pp.569-573
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• 2007

Purpose: The selection of the recipient vessels in breast reconstruction has a great influence on the surgical result and the shape of the reconstructed breast. We would like to introduce the criteria for the selection of recipient vessels in delayed reconstruction of the breast. Methods: We studied 56 patients with delayed breast reconstruction using free TRAM flaps from April 1994 to December 2006. The thoracodorsal and the ipsilateral internal mammary vessels were used as recipients in 25 patients each, the opposite internal mammary vessels in 3 patients, the thoracoacromial vessels in 2 patients, and the transverse cervical artery with the cephalic vein in 1 patient. The survival rate of the flaps, the vessel diameter, the length of the pedicles, and the convenience of vessel dissection were studied. Results: The diameter of the recipient vessel did not influence the anastomosis. The operation time, the survival rate of flap, the postoperative complications showed no significant difference according to the recipient vessel. Dissection of the thoracodorsal vessels was tedious due to scar formation from the prior operation. Dissection of the internal mammary vessels proved to be relatively easy, and the required length of the pedicle was shorter than any other site, but the need for removal of rib cartilage makes this procedure inconvenient. Conclusion: The first choice of the recipient vessel in immediate breast reconstruction is the thoracodorsal vessels, but in cases of delayed reconstruction the internal mammary vessels are favored as the first choice, because the thoracodorsal vessels have a high unusability rate. If the ipsilateral internal mammary vessels prove to be useless, the contralateral vessels can be used. The thoracoacromial vessels are useful, when the mastectomy scar is located in the upper portion. The transverse cervical artery and the cephalic vein can serve as the last resort, if all other vessels are unreliable.

• Steel and Composite Structures
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• 제18권1호
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• pp.273-288
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• 2015

As one of the most common failure types of arch bridges, stability is one of the critical aspects for the design of arch bridges. Using 3D finite element model in ABAQUS, this paper has studied the stability performance of an arch bridge with inclined arch ribs and hangers, and the analysis also took the effects of geometrical and material nonlinearity into account. The impact of local buckling and residual stress of steel plates on global stability and the applicability of fiber model in stability analysis for steel arch bridges were also investigated. The results demonstrate an excellent stability of the arch bridge because of the transverse constraint provided by transversely-inclined hangers. The distortion of cross section, local buckling and residual stress of ribs has an insignificant effect on the stability of the structure, and the accurate ultimate strength may be obtained from a fiber model analysis. This study also shows that the yielding of the arch ribs has a significant impact on the ultimate capacity of the structure, and the bearing capacity may also be approximately estimated by the initial yield strength of the arch rib.

• The Korean Journal of Pain
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• 제13권2호
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• pp.237-241
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• 2000

Vertebral compression fractures commonly afflict the elderly. Some patients suffer from severe mechanical pain in spite of treatments with strong analgesics and bracing. Vertebroplasty, which was originally used for vertebral hemangioma, is effective for patients who do not respond to these more conservative treatments. However, the procedure has some risk. Leaks of bone cement into perineural tissues can be a serious complication. In contrast to the lumbar vertebrae, the outer margin of the pedicle of the thoracic vertebrae is almost in line with the outer margin of the body. This, combined with the thinner pedicle of the thoracic vertebrae, makes proper needle placement difficult. The posterolateral approach is preferred to the transpedicular approach in order to avoid the danger of destroying the inner cortex of the pedicle. But there can be a problems with the standard posterolateral approach. The rib can be broken, the pleura can be punctured. A new and safer approach is possible. Before penetrating the bone, the needle is positioned at the upper margin of the transverse process, 5 mm away from the pedicle. To achieve this positioning, the needle must puncture the skin 1~1.5 cm laterally and 3~5 mm cranially to the target point on the bone. This approach was used for 10 patients and we achieved good results with no serious complication.

• 대한정형외과스포츠의학회지
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• 제8권2호
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• pp.125-128
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• 2009

양측 쇄골 골절은 양측 견관절 부위에 강한 외력이 동시에 작용하여 발생하는 드문 골절이다. 편측 쇄골 골절은 보존적 치료로 대부분 만족할 만한 임상 경과를 보이나 동시에 양측이 골절 되는 경우 극심한 통증과 재활 운동의 어려움을 겪게 되며, 호흡운동 장애를 초래할 수도 있다. 저자들은 다발성 늑골 골절 및 혈흉과 흉추 가시돌기 골절을 동반한 양측 쇄골 골절 환자에 대해 수술적 치료를 통해 견관절 기능 회복을 얻었으며, 호흡운동 장애 문제를 해결하였기에 문헌 고찰과 함께 보고하고자 한다.

• Computers and Concrete
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• 제14권3호
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• pp.327-345
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• 2014

This paper presents the application of multi-gene genetic programming (MGP) technique for modeling the bond strength of ribbed steel bars in concrete. In this regard, the experimental data of 264 splice beam tests from different technical papers were used for training, validating and testing the model. Seven basic parameters affecting on the bond strength of steel bars were selected as input parameters. These parameters are diameter, relative rib area and yield strength of steel bar, minimum concrete cover to bar diameter ratio, splice length to bar diameter ratio, concrete compressive strength and transverse reinforcement index. The results show that the proposed MGP model can be alternative approach for predicting the bond strength of ribbed steel bars in concrete. Moreover, the performance of the developed model was compared with the building codes' empirical equations for a complete comparison. The study concludes that the proposed MGP model predicts the bond strength of ribbed steel bars better than the existing building codes' equations. Using the proposed MGP model and building codes' equations, a parametric study was also conducted to investigate the trend of the input variables on the bond strength of ribbed steel bars in concrete.

• Structural Engineering and Mechanics
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• 제59권5호
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• pp.867-883
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• 2016

In this paper, the effects of steel-fiber and rebar reinforcements on the ultimate bearing strength of the local anchorage zone were investigated based on experiments and comparisons between test results and design-equation predictions (AASHTO 2012, NCHRP 1994). Eighteen specimens were fabricated using the same anchorage device, which is one of the conventional anchorage devices, and two transverse ribs were used to secure an additional bearing area for a compact anchorage-zone design. Eight of the specimens were reinforced with only steel fiber and are of two concrete strengths, while six were reinforced with only rebars for two concrete strengths. The other four specimens were reinforced with both rebars and steel fiber for one concrete strength. The test and the comparisons between the design-equation predictions and the test results showed that the ultimate bearing strength and the section efficiency are highly affected by the reinforcement details and the concrete strength; moreover, the NCHRP equation can be conservatively applied to various local anchorage zones for the prediction of the ultimate bearing strength, whereby conditions such as the consideration of the rib area and the calibration factor are changed.

• Physical Therapy Rehabilitation Science
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• 제10권4호
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• pp.444-449
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• 2021

Objective: The purpose of this study is to observe the change in the thickness of abdominal muscles when electrical muscle stimulation (EMS) is applied to the abdomen during rest and abdominal muscle exercise to investigate the effect of EMS applied to the abdomen on the superficial and deep muscles thickness. Design: Cross sectional design. Methods: Twenty healthy subjects participated in this study. Subjects were performed resting position, resting position with EMS, curl-up and curl-up with EMS. The electrode of the EMS belt is attached to the abdominal wall between the 12th rib and iliac crest. The thickness of abdominal muscles including rectus abdominis (RA), external oblique (EO), internal oblique (IO), and transverse abdominis (TrA) were captured in each position by ultrasound image during expiration. All subjects were performed four positions randomly. Data were analyzed using repeated ANOVA with the level of significance set at 𝛼=0.05. Results: The muscle thickness of RA, EO, IO and TrA were significantly different at each position (p<0.05). The thickness of all abdominal muscles increased significantly when curl-up than curl-up with EMS. Both RA and EO thickness were significantly increased at resting position than resting position and EMS were combined(p<0.05). But IO and TrA thickness were decreased at resting position when EMS were combined. Conclusions: The results suggest that EMS activates superficial abdominal muscles RA and EO. Therefore, abdominal strengthening exercise combined EMS can activate abdominal muscles and can be applied to various patients and rehabilitation in clinical practice.

• Journal of Species Research
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• 제12권1호
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• pp.55-67
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• 2023

Two new records of marine nematodes, belonging to the family Ironidae de Man, 1876, are reported based on the specimens collected from intertidal sediments from the west coast of Korea. Conilia sinensis is characterized by a relatively long body length, a well-developed buccal cavity with three claw-like teeth, the presence of a single spicule with transverse striations, the presence of rib-shaped telamons, and single precloacal supplement. Pheronous donghaiensis is distinguished from other species of the genus by a well-developed buccal cavity with four claw-like solid teeth and minute denticles, relatively short and thick spicules with the central septum, the presence of 8-9 curved tubular-shaped precloacal supplements, and a sharp pointed tail with three small tubular supplements arranged into two rows in males. In this report, we provide a taxonomic description and illustrations of two unrecorded species of the family Ironidae by differential interference contrast microscopy. This is the first taxonomic report on the species of the family Ironidae from Korea.

• Tuberculosis and Respiratory Diseases
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• 제81권2호
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• pp.123-131
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• 2018

Background: Chronic obstructive pulmonary disease (COPD) may cause changes in the shape of the thoracic cage by increasing lung volume and hyperinflation. This study investigated changes in thoracic cage dimensions and related factors in patients with COPD. Methods: We enrolled 85 patients with COPD (76 males, 9 females; mean age, $70.6{\pm}7.1years$) and 30 normal controls. Thoracic cage dimensions were measured using chest computed tomography at levels 3, 6, and 9 of the thoracic spine. We measured the maximal transverse diameter, mid-sagittal anteroposterior (AP) diameter, and maximal AP diameter of the right and left hemithorax. Results: The average AP diameter was significantly greater in patients with COPD compared with normal controls ($13.1{\pm}2.8cm$ vs. $12.2{\pm}1.13cm$, respectively; p=0.001). The ratio of AP/transverse diameter of the thoracic cage was also significantly greater in patients with COPD compared with normal controls ($0.66{\pm}0.061$ vs. $0.61{\pm}0.86$; p=0.002). In COPD patients, the AP diameter of the thoracic cage was positively correlated with body mass index (BMI) and 6-minute walk test distance (r=0.395, p<0.001 and r=0.238, p=0.028) and negatively correlated with increasing age (r=-0.231, p=0.034). Multiple regression analysis revealed independent correlation only between BMI and increased ratio of AP/transverse diameter of the thoracic cage (p<0.001). Conclusion: Patients with COPD exhibited an increased AP diameter of the thoracic cage compared with normal controls. BMI was associated with increased AP diameter in these patients.

• 한국지반신소재학회논문집
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• 제12권4호
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• pp.57-66
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• 2013

본 연구에서는 산업폐기물인 저회와 폐어망을 각각 뒤채움 재료와 보강재로 재활용하기 위하여 저회와 폐어망 사이의 인발특성을 분석하였다. 이를 위해 저회로 구성된 지반에 망목크기가 다른 3종류의 폐어망(WFN20 : $20mm{\times}20mm$, WFN30 : $30mm{\times}30mm$, WFN40 : $40mm{\times}40mm$)과 지오그리드를 보강재로 사용하여 인발시험을 수행하였다. 인발시험 수행 결과, 지오그리드와 동일한 망목크기를 갖는 WFN20의 인발마찰각은 지오그리드와 유사하게 나타났다. 이것은 WFN20의 인장강도와 강성은 지오그리드 보다 작으나, WFN20의 두께가 지오그리드 보다 커서 횡리브에 의한 지지력이 발현되었기 때문이다. 보강재의 잔류변형률 분포는 연직응력에 의존한다. 연직응력이 증가함에 따라 보강재 선단에 인발력이 크게 집중되어 변형이 크게 나타난다.