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Dual-innervated multivector muscle transfer using two superficial subslips of the serratus anterior muscle for long-standing facial paralysis

  • Sakuma, Hisashi;Tanaka, Ichiro;Yazawa, Masaki;Oh, Anna
    • Archives of Plastic Surgery
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    • v.48 no.3
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    • pp.282-286
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    • 2021
  • Recent reports have described several cases of double muscle transfers to restore natural, symmetrical smiles in patients with long-standing facial paralysis. However, these complex procedures sometimes result in cheek bulkiness owing to the double muscle transfer. We present the case of a 67-year-old woman with long-standing facial paralysis, who underwent two-stage facial reanimation using two superficial subslips of the serratus anterior muscle innervated by the masseteric and contralateral facial nerves via a sural nerve graft. Each muscle subslip was transferred to the upper lip and oral commissures, which were oriented in different directions. Furthermore, a horizontal fascia lata graft was added at the lower lip to prevent deformities such as lower lip elongation and deviation. Voluntary contraction was noted at roughly 4 months, and a spontaneous smile without biting was noted 8 months postoperatively. At 18 months after surgery, the patient demonstrated a spontaneous symmetrical smile with adequate excursion of the lower lip, upper lip, and oral commissure, without cheek bulkiness. Dual-innervated muscle transfer using two multivector superficial subslips of the serratus anterior muscle may be a good option for long-standing facial paralysis, as it can achieve a symmetrical smile that can be performed voluntarily and spontaneously.

Spontaneous Regression of Eyelid Histiocytoma in a Maltese Dog

  • Kim, Boyun;Lim, Jaegook;Shim, Jae-ho;Seo, Kangmoon;Kang, Seonmi
    • Journal of Veterinary Clinics
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    • v.39 no.3
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    • pp.121-125
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    • 2022
  • A 1-year-old neutered male Maltese dog was presented with a mass on the upper eyelid of the left eye (OS). A pinkish and alopecic mass was located in the nasal portion of the upper eyelid of OS. The mass was firmly attached to the eyelid and round-shaped with a diameter of 11 mm. Any spread to conjunctiva was not identified. On a cytological examination, cutaneous histiocytoma was confirmed, with the presence of small lymphocytes indicating later regression stage. The patient received no treatment and complete regression of the mass was verified 2 months later. The cytological examination was helpful for the diagnosis and staging of cutaneous histiocytoma. Canine eyelid histiocytoma can regress spontaneously, and thus medical or surgical treatment for removal should be considered carefully.

3D stability of pile stabilized stepped slopes considering seismic and surcharge loads

  • Long Wang;Meijuan Xu;Wei Hu;Zehang Qian;Qiujing Pan
    • Geomechanics and Engineering
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    • v.32 no.6
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    • pp.639-652
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    • 2023
  • Stepped earth slopes incorporated with anti-slide piles are widely utilized in landslide disaster preventions. Explicit consideration of the three-dimensional (3D) effect in the slope design warrants producing more realistic solutions. A 3D limit analysis of the stability of pile stabilized stepped slopes is performed in light of the kinematic limit analysis theorem. The influences of seismic excitation and surcharge load are both considered from a kinematic perspective. The upper bound solution to the factor of safety is optimized and compared with published solutions, demonstrating the capability and applicability of the proposed method. Comparative studies are performed with respect to the roles of 3D effect, pile location, pile spacing, seismic and surcharge loads in the safety assessments of stepped slopes. The results demonstrate that the stability of pile reinforced stepped slopes differ with that of single stage slopes dramatically. The optimum pile location lies in the upper portion of the slope around Lx/L = 0.9, but may also lies in the shoulder of the bench. The pile reinforcement reaches 10% universally for a looser pile spacing Dc/dp = 5.0, and approaches 70% when the pile spacing reaches Dc/dp = 2.0.

A Sudy on the Cold Forging of Spur Gears form Hollow Cylindrical Billets (중공소재에 의한 스퍼어기어의 냉간단조에 관한 연구)

  • Choi, J.C.;Kim, C.H.;Hur, K.D.;Choi, Y.
    • Journal of the Korean Society for Precision Engineering
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    • v.12 no.8
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    • pp.63-72
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    • 1995
  • Closed-die forging of spur gears with hollow cylindrical billet has been analysed by using the upper-bound method. A kinematically admissible velocity field has been developed, wherein, an involute curve has been introduced to represent the forging die profile. In the analysis, the deformation region has been divided into nine zones. A constant frictional stress has been assumed on the contacting surfaces. Utilizing the formulated velocity field, numerical calculations have been carried out to investigate the effects of various parameters, such as module, number of teeth and friction factor, on the forging of spur gears. Hardness and accuracy of forged gears are measured. The following results have been obtained: (1) It is verified that an axisymmetric deformation zone exists between root circle and center of gear through forged gears. (2) The average relative forging pressure is predominantly dependent on the number of teeth and increases near the final filling stage as the addendum modification coefficient increases. (3) Close agreement was found between the predicted values of forging load and those obtained from experimental results.

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Temporary aerodynamic countermeasures for flutter suppression of a double-deck truss girder during erection

  • Zewen Wang;Bokai Yang;Haojun Tang;Yongle Li
    • Wind and Structures
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    • v.38 no.5
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    • pp.399-410
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    • 2024
  • Long-span suspension bridges located in typhoon-prone regions face significant risks of flutter instability, particularly in girder erection. Despite the implementation of aerodynamic countermeasures designed for the service stage, the flutter stability of bridge in girder erection may not meet the required standards. Nowadays, the double-deck truss girder is increasingly common in practical engineering which exhibits different performance from the single-deck truss girder. To gain insights into the flutter performance of this girder type and determine temporary aerodynamic countermeasures for flutter suppression in girder erection, wind tunnel tests were conducted. The effects of affiliated members on the flutter performance were first examined. Subsequently, different aerodynamic countermeasures were designed and their effectiveness was tested. The results indicate that the stabilizers above and below the upper and lower decks are the most effective for the flutter stability of bridge at positive and negative angles of attack, respectively. The higher the stabilizers are, the better the effect on flutter suppression achieves. Considering the feasibility in practical engineering, a temporary stabilizer above the upper deck was considered. It is expected that the results could provide references for the aerodynamic design of double-deck truss girder during erection.

Characteristics of Geomorphological Surface and Analysis of Deposits in Fluvial Terraces at Upper Reach of Soyang River (소양강 상류 하안단구의 지형면 특성과 퇴적물 분석)

  • 이광률
    • Journal of the Korean Geographical Society
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    • v.39 no.1
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    • pp.27-44
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    • 2004
  • Upper reach of Soyang River at the northernmost area around Taebaek Mountains in South korea is profitable area to understand paleo-environment during the Quaternary such as tectonic process and climate change in the Korean Peninsula. This study explained paleo-environment affect to channel development by geomorphic distribution and characteristics of terrace surfaces, and analysis of deposits at 58 fluvial terraces in upper reach of Soyang River. Fluvial terraces were classified from T1 to T6. Most terraces are distributed on the point bar in meandering channel and one side along river valley. Terraces tend to decrease in number and superficial dissection rate to be higher and channel slope to be steeper if it takes long time from T1 to 6. The paleo-channel of Soyang River is supposed to be stronger meandering in period of T2 than T3. The weathering rind of gravel is generally thicker in older terrace, however, differs by contents of water and air in deposits. Based on the data of stratigraphy, grain size analysis, pollen analysis and rubification index in deposit, formation age of T5 terrace in Soyang River are estimated in MIS(Marine Oxygen Isotope Stage) 10, and T2 terrace are estimated in MIS 6.

Study on the limitation of AVO responses shown in the seismic data from East-sea gas reservoir (동해 가스전 탄성파 자료에서 나타나는 AVO 반응의 한계점에 대한 고찰)

  • Shin, Seung-Il;Byun, Joong-Moo;Choi, Hyung-Wook;Kim, Geon-Deuk;Ko, Seung-Won;Seo, Young-Tak;Cha, Young-Ho
    • 한국지구물리탐사학회:학술대회논문집
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    • 2008.10a
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    • pp.107-112
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    • 2008
  • In the case of the deep reservoirs like the gas reservoirs in the East-sea, it is often difficult to observe AVO responses in CMP gathers. Because the reservoir becomes more consolidated as its depth deepens, P-wave velocity does not decrease significantly when the pore fluid is replaced by the gas. In this study, we analyzed the effects of Poisson's ratio difference on AVO response with a variety of Poisson's ratios for the upper and lower layers. The results show that, as the difference in Poisson's ratio between the upper and lower layers decreases, the change in the reflection amplitude with incidence angle decreases. To consider the limitation of AVO responses shown in the gas reservoir in East-sea, the velocity model was made by simulation Gorae V structure with seismic data and well logs. The results of comparing AVO responses observed from the synthetic data with theoretical AVO responses calculated by using material properties show that the amount of the change in reflection amplitude with increasing incident angle is very small when the difference in Poisson's ratio between the upper and lower layers is small. In addition, the characteristics of AVO responses were concealed by noise or amplitude distortion arisen during preprocessing. To overcome such limitations of AVO analysis of the data from deep reservoirs, we need to acquire precisely reflection amplitudes in data acquisition stage and use processing tools which preserve reflection amplitude in data processing stage.

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Analysis of Body Surface Change from 3D Scan Data of Men's Upper Bodies in Twenties - Focus on Application of Motorcycle Jacket Pattern - (3차원 인체데이터에 의한 20대 성인남성 상반신 체표변화 분석 - 모터사이클복 패턴설계시 적용을 중심으로 -)

  • Do, Wol-Hee
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.4
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    • pp.530-541
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    • 2008
  • The early stage of 3D anthropometry data has been used to obtain qualitative rather than quantitative information. However recent 3D body scanners as a common research tool for anthropormatric measurments have made it possible to obtain body surface data of sufficient resolution and accuracy. The purpose of this study is finally to develop motorcycle jacket for enhanced comfort and fit, to test the accuracy and reliability of 3D measurments of motorcycle riding posture, and to analyze the change in 20's adult male's body surface measurements between the standard anthropometric position and motorcycle riding posture. The results of this study were as follows: There were no significant differences between the study and Size Korea measurments in total traditional measuring items and most of measuring items, such as length, circumference antropometric items and interscye items though not waist back length and upper arm circumference. A comparison of 3D body surface measurments in the two different measuring postures, the bodysurface measurments such as waist front length, biacromion length, front interscye, arm length, underarm length in the motorcycle riding posture decreased than that in basic posture, whereas waist back length, back interscye, C.T.W length increased. The body surface measurments such as chest, bust, upper circumference in the motorcycle riding posture decreased than that in basic posture, whereas neck, waist, hip, elbow circumference increased.

Effects of Postural Control Exercise on the Delayed Heart Rate Increase in Heart Transplant Patients -A Case Study- (자세 조절 운동이 심장이식환자의 심박수 상승지연에 미치는 영향 -단일사례연구-)

  • Choi, Su-Hong;Lee, Sang-Yeol
    • PNF and Movement
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    • v.16 no.2
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    • pp.161-168
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    • 2018
  • Purpose: This study aimed to investigate the effects of postural control exercise on the delayed heart rate increase in heart transplant patients. Methods: The subject was a female heart transplant recipient who had a delayed increase in heart rate during exercise. The intensity of exercise was performed at MBorg level 4. The A-B-A' and A-B-A'-B' designs were used to identify the changes in heart rate during active-assisted exercise, lower limb postural control exercise, and upper limb postural control exercise. Experiments were performed for four weeks. The heart rates at pre- and post-exercise were compared, and the time to reach MBorg 4 was measured. Results: In the active-assisted exercise, the average heart rates at pre- and post-exercise and after 10 min of exercise were 88, 89, and 87.7 bpm, respectively. In the repetitive comparison of pre- and post-exercise in the lower limb postural control exercise, the difference in the mean heart rate was 3.5 and 3 bpm in stable support and 14 and 14.5 bpm in unstable support, respectively. In the repetitive comparison of pre- and post-exercise in the upper limb postural control exercise, the difference in the mean heart rate was 6 and 4 bpm in stable support and 4 and 4.5 bpm in unstable support. The time required to reach MBorg 4 was short when both the upper and lower postural control exercises were performed in an unstable state. Conclusion: We suggest that combining proper postural control exercise with strength exercise and aerobic exercise, among others, may be effective in rehabilitating patients in the recovery stage after a heart transplant.

Tree Diversity, Distribution and Population Structure of a Riparian Forest from Certain Zones along the Dikhu River in Nagaland, India

  • Leishangthem, Devlin;Singh, Maibam Romeo
    • Journal of Forest and Environmental Science
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    • v.34 no.1
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    • pp.31-45
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    • 2018
  • At present the biodiversity of the riparian forest is under threat due to various anthropogenic pressures. Hence study was conducted along the three unprotected zones of riparian forest in Dikhu river, Nagaland, north-east India in order to compared the diversity, distribution and population structure of riparian trees. In each zone $100{\times}100m^2$ plot were marked and subdivided into 20 plots of $10{\times}10m^2$. 10 plots on each side of the river were taken randomly covering 0.02 ha. Only tree with dbh ${\geq}10cm$ and dbh above 1.5 m above ground level were recorded as individual species. A total of 29 tree species belonging to 18 families were recorded from the three zones of the river. Tree species richness was highest at the middle zone (19) followed by upper (14) and lower zone (7). The most abundant species and family recorded at upper, middle and lower zones were Melia azaderach of Euphorbiaceae ($380\;stems\;ha^{-1}$), Terminalia chebula of Euphorbiaceae ($432.5\;stems\;ha^{-1}$) and Duabanga grandiflora of Lythraceae ($365\;stems\;ha^{-1}$) respectively. The ranges of diversity indices observed in the three zones were: Shannon-Wiener index (1.25-0.73), Simpson diversity index (0.42-0.93), Evenness index (0.47-0.37) and Index of co-dominance (0.75-0.94). Rest of other indices were also estimated and compared. Distribution of trees shows the contagious pattern common in the upper and middle zones and regular in the lower zone. The girth size class analysis demonstrated that the riparian forest is in less mature succession stage. This study emphasize the need for management and conservation of riparian forest by developing policy to declare the riparian zone as protected area to prevent further degradation and loss of biodiversity from these unregulated zones along the river.