• Title/Summary/Keyword: cast

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Clinical and patient-reported outcomes after recession coverage using modified vestibular incision subperiosteal tunnel access with a volume-stable collagen matrix as compared to a coronally advanced flap with a subepithelial connective tissue graft

  • Chun-Teh Lee;Marlena Lange;Alain Jureidini;Nurit Bittner;Ulrike Schulze-Spate
    • Journal of Periodontal and Implant Science
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    • v.52 no.6
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    • pp.466-478
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    • 2022
  • Purpose: Coronally advanced split-or full-thickness (CAST or CAFT) flaps in combination with subepithelial connective tissue grafts (SCTGs) are commonly used in root-coverage procedures despite postoperative pain and bleeding from the graft donor site. Therefore, the modified vestibular incision subperiosteal tunnel access procedure (VISTAX) uses a novel collagen matrix (VCMX) instead of autogenous tissue to address the limitations associated with autogenous tissue grafting. This retrospective study compared the clinical outcomes of VISTAX to the results obtained after using a CAST or CAFT flap in combination with SCTG for root coverage. Methods: Patients with single or multiple adjacent recession I/II defects were included, with 10 subjects each in the VISTAX, CAFT, and CAST groups. Defect coverage, keratinized tissue width, esthetic scores, and patients' perceived pain and dentinal hypersensitivity (visual analogue scale [VAS]) were assessed at baseline, 3 months, and 6 months. Results: All surgical techniques significantly reduced gingival recession (P<0.0001). Defect coverage, esthetic appearance, and the reduction in dentinal hypersensitivity were comparable. However, the VAS scores for pain were significantly lower in the VISTAX group than in the CAFT and CAST groups, which had similar scores (P<0.05). Furthermore, the clinical results of VISTAX and CAFT/CAST generally remained stable at 6 months. Conclusions: The clinical outcomes of VISTAX, CAFT, and CAST were comparable. However, patients perceived significantly less pain after VISTAX, indicating a potentially higher patient acceptance of the procedure. A prospective trial with a longer follow-up period and a larger sample size should therefore evaluate VISTAX further.

Primary Treatment of Acute Ankle Sprain: Retrospective Comparison of Cast Immobilization and Functional Ankle Brace (족관절 급성 염좌의 일차 치료: 석고고정과 기능적 보조기를 이용한 치료의 후향적 비교)

  • Bae, Su-Young;Ahn, Soo Hyung;Chung, Hyung-Jin;Kam, Min-Cheol
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.3
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    • pp.105-109
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    • 2019
  • Purpose: To compare the efficacy between cast immobilization and functional treatment using an ankle brace as a treatment for acute lateral ankle sprain. Materials and Methods: This study reviewed the medical records of 157 acute ankle sprain patients who were treated between 2009 and 2014. A total of 101 cases were included in this study except for cases with a combined injury, and could not be followed up for eight weeks after the first visit. The patients were divided according to the treatment modality: a cast immobilization group (64 cases) and functional treatment group (37 cases). The clinical outcomes were assessed retrospectively based on the medical records of each group. The residual symptoms, such as pain, swelling, and instability, at three weeks after the primary treatment and at the last visit were compared. Results: The residual pain and instability were significantly common in the functional treatment group at three weeks. Five cases (7.8%) of pain and one case (1.6%) of instability were in the cast group whereas nine cases (24.3%) of pain and six cases (16.2%) of instability in functional treatment group (p=0.021, p=0.014). On the other hand, there was no meaningful difference at the last follow-up. Residual pain, swelling, and instability at the last visit were noted in three (4.7%), six (9.4%), and four cases (6.3%) in the cast group, and three (8.1%), three (8.1%), and three (8.1%) were observed in the functional treatment group. Six patients refused cast immobilization. Conclusion: Although there was no significant difference at the last follow-up, cast immobilization appears to be more effective than a functional brace in terms of early pain relief and early restoration of ankle stability as a treatment for acute ankle lateral sprain in this study.

Investigation of Friction and Wear Characteristics of Cast Iron Material Under Various Conditions (다양한 조건에 따른 주철 소재의 마찰/마모 특성에 관한 연구)

  • Joo, Ji-Hoon;Kim, Chang-Lae;Nemati, Narguess;Oh, Jeong-Taek;Kim, Dae-Eun
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.39 no.8
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    • pp.765-772
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    • 2015
  • Cast iron is widely used in fields such as the transport and heavy industries. For parts where contact damage is expected to occur, it is necessary to understand the friction and wear characteristics of cast iron. In this study, we use cast iron plates as the specimens to investigate their friction and wear characteristics. We perform various experiments using a reciprocating type tribotester. We assess the frictional characteristics by analyzing the friction coefficient values that were obtained during the sliding tests. We observe the wear surfaces of cast iron and steel balls using a scanning electron microscope, confocal microscope, and 3d profiler. We investigate the friction and wear characteristics of cast iron by injecting sand and alumina particles having various sizes. Furthermore, we estimate the effect of temperature on the friction and wear characteristics. The results obtained are expected to aid in the understanding of the tribological characteristics of cast iron in industry.

A Study on the Development of Large Aluminum Flange Using Casting/Forging Process (주조/단조 기술을 이용한 대형 알루미늄 플랜지 개발에 관한 연구)

  • Bae, Won-Byeong;Wang, Sin-Il;Seo, Myeong-Gyu;Jo, Jong-Rae
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.25 no.9
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    • pp.1438-1443
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    • 2001
  • The significance of the casting/forging process for reducing the production cost of large components is being noted in these days. This casting/forging process is a method of forging a workpiece preformed by casting into the final shape. In this study, the casting/forging process has been applied in manufacturing a large aluminum flange in order to reduce press capacity and material cost. Firstly, a hot compression test was performed with cast cylindrical billets in order to determine the optimum forging condition of the aluminum flange. The optimum range of forging temperature of Al 5083 was from 420$\^{C}$ to 450$\^{C}$. The suitable strain rate was 1.5 sec(sup)-1. The deformation amount of a preform of a preform in a forging process is a key role in the mechanical properties of casting/forging products. In order to find the change of mechanical properties according to effective stain of cast aluminum billets, a hot upsetting test were performed with rectangular blocks and then a uniaxial tensile test was performed with specimens cut from the upsetted billets. The tensile strength and the elongation of cast/upsetted aluminum billets were increased largely until the effective strain was 0.7. FE analysis was performed to determine the configurations of case preform and die for an aluminum flange. In the FE analysis, the forging load-limit was fixed 1500ton for low equipment cost. The cast preform was designed so that the effective stain around the neck of a flange exceeded 0.7. From the result of FE analysis, optimal configurations of the cast preform and the die were designed for a large flange. The filling and solidification analysis for a sound cast-preform was carried out with MAGMA soft. In the forging experiment for an aluminum flange, it was confirmed that the optimal configuration of the cast preform predicted by FE analysis was very useful. The cast/forged products using designed preform were made perfectly without any defects.

Seismic analysis and dynamic behavior characterization of rib-reinforced pre-cast tunnels (리브 보강 프리캐스트 터널의 내진 해석 및 동적거동 특성 파악)

  • Song, Ki-Il;Jung, Sung-Hoon;Cho, Gye-Chun
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.11 no.3
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    • pp.287-301
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    • 2009
  • The novel cut-and-cover tunnel construction method using rib-reinforced pre-cast arch segments has been recently developed and applied for practice to secure a structural stability of high covering and wide width section tunnels. Cut-and-cover tunnels are usually damaged by the seismic behavior of backfill grounds in case of a low covering condition. Seismic analyses are performed in this study to characterize the dynamic behavior of rib-reinforced pre-cast arch cut-and-cover tunnels. Seismic analyzes for 2 lane cast-in-place and rib-reinforced pre-cast arch cut-and-cover tunnels are carried out by using the commercial FDM program (FLAC2D) considering various field conditions such as the covering height embankment slope and excavation slope. It can be concluded that the amplification of seismic wave is reduced due to an increase in the structural stiffness induced by rib-reinforcement. The results show that the rib-reinforced pre-cast arch cut-and-cover tunnels are more effective against the seismic loading, compared to the cast-in-place cut-and-cover tunnels.