• Archives of Plastic Surgery
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• 제41권4호
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• pp.330-336
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• 2014

Background For patients with full thickness skin defects, autologous Split-thickness skin grafts (STSG) are generally regarded as the mainstay of treatment. However, skin grafts have some limitations, including undesirable outcomes resulting from scars, poor elasticity, and limitations in joint movement due to contractures. In this study, we present outcomes of Matriderm grafts used for various skin tissue defects whether it improves on these drawbacks. Methods From January 2010 to March 2012, a retrospective review of patients who had undergone autologous STSG with Matriderm was performed. We assessed graft survival to evaluate the effectiveness of Matriderm. We also evaluated skin quality using a Cutometer, Corneometer, Tewameter, or Mexameter, approximately 12 months after surgery. Results A total of 31 patients underwent STSG with Matriderm during the study period. The success rate of skin grafting was 96.7%. The elasticity value of the portion on which Matriderm was applied was 0.765 (range, 0.635-0.800), the value of the trans-epidermal water loss (TEWL) was 10.0 (range, 8.15-11.00)$g/hr/m^2$, and the humidification value was 24.0 (range, 15.5-30.0). The levels of erythema and melanin were 352.0 arbitrary unit (AU) (range, 299.25-402.75 AU) and 211.0 AU (range, 158.25-297.00 AU), respectively. When comparing the values of elasticity and TEWL of the skin treated with Matriderm to the values of the surrounding skin, there was no statistically significant difference between the groups. Conclusions The results of this study demonstrate that a dermal substitute (Matriderm) with STSG was adopted stably and with minimal complications. Furthermore, comparing Matriderm grafted skin to normal skin using Cutometer, Matriderm proved valuable in restoring skin elasticity and the skin barrier.

• Archives of Reconstructive Microsurgery
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• 제18권1호
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• pp.35-39
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• 2009

Purpose: Various techniques have been attempted for design of the flaps. However, there are some disadvantages. They have thin, pliable, and two dimensional methods. The aim of this study is to report usefulness of polyurethane foam dressing materials for three dimensional design of the digital island flap. Methods: From June of 2007 to september of 2008, 10 patients received digital island flap surgery for soft tissue defect of the finger. After minimal debridement of the wound, size and shape of the defect were measured using polyurethane foam. We used Medifoam-$5^{(R)}$ And then, designed this inset the wound. The flap was designed on the donor site with a arterial pedicle as the central axis according to size and shape. A full thickness skin graft from the groin is applied on the flap donor defect and secured with a tieover bolster dressing. Results: Reviewing sizes of the flaps, the length and width of flaps ranged from 1.5 to 3.3 cm and 1.0 to 2.5 cm. The PACS(Picture Archiving Communication System) program allows identification of the donor depth of finger. The distance for the soft tissue ranged from 4.3 mm to 6.7 mm. Mean depth of donor site was 5.3${\pm}$0.6 mm. Also, the thickness of Medifoam-$5^{(R)}$ ranged nearly 5 mm. On flap insetting, full-thickness skin graft was necessary. We did not experience any problems in the recipient site size either, regardless of the extended flaps. Conclusion: Polyurethane foam has many advantages over the more conventional templates. Refinements in flap design and surgical technique resulted in favorable functional and cosmetic results. Especially, for beginner, Polyurethane foam dressing material is a simple and safe tool and therefore is an excellent choice for design of the island flap.

• Archives of Plastic Surgery
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• 제46권1호
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• pp.57-62
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• 2019

Background Full-thickness nail bed defects with significant exposure of the distal phalanx are typically challenging to reconstruct. We describe a novel method of nail bed defect reconstruction using a thenar fascial flap combined with nail bed grafting. Methods Full-thickness nail bed defects were reconstructed in a 2-stage operation involving the placement of a thenar fascial flap and subsequent nail bed grafting. A proximally-based skin flap was designed on the thenar eminence. The flap was elevated distally to proximally, and the fascial layer covering the thenar muscle was dissected proximally to distally. The skin flap was then closed and the dissected fascial flap was turned over (proximal to distal) and inset onto the defect. The finger was immobilized for 2 weeks, and the flap was dressed with wet and ointment dressings. After 2 weeks, the flap was divided and covered with a split-thickness nail bed graft from the great toe. Subsequent nail growth was evaluated on follow-up. Results Nine patients (9 fingers) treated with the novel procedure were evaluated at follow-up examinations. Complete flap survival was noted in all cases, and all nail bed grafts took successfully. Five outcomes (55.6%) were graded as excellent, three (33.3%) as very good, and one (11.1%) as fair. No donor site morbidities of the thenar area or great toe were observed. Conclusions When used in combination with a nail bed graft, the thenar fascial flap provides an excellent means of nail bed reconstruction.

• 한국가구학회지
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• 제21권6호
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• pp.449-458
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• 2010

본 연구는 중밀도섬유판(MDF)의보드두께에 따른 수평밀도분포(HDD: horizontal density distribution)를 조사하기 위해 수행하였다. 생산공장에서 제조된 보드두께가 다른 5 종류 즉 2 mm, 4.5 mm, 9 mm, 18 mm 및 30 mm의 원판을 두 가지 다른 시편크기 즉 $500{\times}500\;mm$와 $120{\times}120\;mm$로 제작하여 수평밀도분포를 측정하였다. 전체적으로MDF의 밀도는 보드두께가 증가할수록 감소하는 경향을 보였으며, 가장 얇은 보드두께의 MDF가 가장높은 밀도를 나타내었다. 수평밀도분포의 변이는 작은 크기 즉 $120{\times}120\;mm$의 시편에서 큰 차이를 보여 MDF의 보드두께가 수평밀도분포에 큰 영향을 미치는 것으로 나타났으며 보드두께가 클수록 감소하는 경향을 나타내었다. 또 보드두께가 적을수록 수평밀도분포의 밀도분포는 컸으나 보드두께가 클수록 밀도범위가 좁게 나타났다. 수평밀도분포의 변이계수(COV)는 보드두께가 증가함에 따라 감소하는 경향을 보였다. 요약하면 MDF 보드두께는 수평밀도분포에 매우 큰 영향을 미치며시편의 크기 또한 상당한 영향을 미치는 것으로 나타났다.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2003년도 학술.기술논문발표회
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• pp.139-142
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• 2003

Traditionally, the thickness of fire protection materials of structural elements such as beam and column have been decided by fire test using the predominant steel section of $H-300{\times}300{\times}10{\times}15$ for column and $H-400{\times}200{\times}8{\times}13$ for beam in Korea. But this way of determination of fire protection thickness yields very unduly results. Because the temperature-increment rate of structural steel elements depends mainly on magnitude of their cross-areas. In general, the thicker size of cross-areas for structural elements, the lower temperature shows up. It had already proved that the fire protection thickness only depends on the size of cross-areas and the fire protection method for three-fide or four-side exposed conditions in European countries, the United State of America and so on. To demonstrate there would be differences among various cross-areas for structural elements, we conducted several fire tests with full-scale specimens of beams and columns. For the determination of critical temperature for steel section when the fire resistant performance is needed to be decided, we conducted with a loaded fire test for beam and column, respectively. The small column in 1.0 meter length and beam in 1.5 meter length were used in order to deprive the rational fire protection thickness of structural elements such as beam and column, respectively. After test, we could obtain there were significant temperature lass between higher cross-areas and lower cross-areas. The critical temperature of steel as a criterion is used 538$^{\circ}C$ for column and 593$^{\circ}C$ for beam which is from ASTM E 119 because we don't make provisions as critical temperature by elements. We could consider that the best way of determination of fire protection thickness is using the following multi-regression equation which was deprived from several fire tests using the concept of section factor, FR(column) = 0.17 +5191.49t A/Hp + 40.77t, FR(beam) = 0.25 +6899.31t A/Hp + 32.60t(where, FR means fire resistant time, t means thickness, A means cross-area and Hp means heated parameter).

• 한국산림과학회지
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• 제99권1호
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• pp.68-74
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• 2010

본 연구는 산마늘, 곰취, 곤달비를 대상으로 피음 수준을 전광 처리구(상대 투광율; 100%), 약피음 처리구 (상대 투광율; 64~73%), 보통피음 처리구(상대 투광율; 35~42%), 강피음 처리구(상대 투광율; 9~16%)의 4단계로 달리하여 이들의 생장 특성 및 ascorbic acid 함량을 조사 분석하였다. 산마늘의 엽면적과 총 물질생산량은 보통피음 처리구에서 가장 높았지만 곰취와 곤달비는 엽면적과 총 물질생산량이 약피음 처리구에서 가장 높았다. 또한 세 식물의 엽두께는 피음 수준이 증가할수록 감소하였으며 피음 수준이 증가할수록 지하부의 생장보다 지상부의 생장이 양호하여 T/R율은 증가하였다. ascorbic acid 함량은 산마늘이 곰취와 곤달비보다 많았으며, 산마늘은 보통피음 처리구에서, 곰취와 곤달비는 약피음 처리구에서 가장 많은 함량을 보였다.

• Steel and Composite Structures
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• 제13권1호
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• pp.15-33
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• 2012

For an axially loaded box-shaped member, the width-to-thickness ratio of the plate elements preferably should not be greater than 40 for Q235 steel grades in accordance with the Chinese code GB50017-2003. However, in practical engineering the plate width-to-thickness ratio is up to 120, much more than the limiting value. In this paper, a 3D nonlinear finite element model is developed that accounts for both geometrical imperfections and residual stresses and the ultimate capacity of welded built-up box columns, with larger width-to-thickness ratios of 60, 70, 80, and 100, is simulated. At the same time, the interaction buckling strength of these members is determined using the effective width method recommended in the Chinese code GB50018-2002, Eurocode 3 EN1993-1 and American standard ANSI/AISC 360-10 and the direct strength method developed in recent years. The studies show that the finite element model proposed can simulate the behavior of nonlinear buckling of axially loaded box-shaped members very well. The width-to-thickness ratio of the plate elements in welded box section columns can be enlarged up to 100 for Q235 steel grades. Good agreements are observed between the results obtained from the FEM and direct strength method. The modified direct strength method provides a better estimation of the column strength compared to the direct strength method over the full range of plate width-to-thickness ratio. The Chinese code and Eurocode 3 are overly conservative prediction of column capacity while the American standard provides a better prediction and is slightly conservative for b/t = 60. Therefore, it is suggested that the modified direct strength method should be adopted when revising the Chinese code.

• Imaging Science in Dentistry
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• 제38권2호
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• pp.73-79
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• 2008

Purpose: To assess the internal echo intensity and morphological variability of masseter muscles on ultrasonography and to establish diagnostic criterion of estimation. Materials and Methods: Participants consisted of 50 young adults (male 25, female 25) without pathologic conditions and with full natural dentitions. Sonographic examinations were done with real time ultrasound equipment as Logiq 500 (GE Medical Systems, Seoul, Korea) at 3 parts according to lines paralleling with ala-tragus line as reference line. The thickness and area of masseter muscles according to reference line in cross-sectional images were measured at rest and at maximum contraction. The visibility and width of the internal echogenic intensity of the masseter muscles were also assessed and the muscle appearance was classified into 4 types. Data were statistically analyzed by paired t-test and $x^2$-test. Results: 1. When comparing the thickness and area of masseter muscles concerning with gender, there was few significant difference between right and left sides, however, there were significant differences between males and females except for the greatest thickness of left side. 2. The changes of the greatest thickness and the area between rest and maximum contraction showed that the part of the least thickness manifested more increase at maximum contraction. 3. Each part the manifestations of the internal echogenic intensity of the masseter muscles were different depending on the locations. But there was no statistically significance. Conclusion: Changes of muscles thickness with contraction and internal echogenic intensity with locations showed great disparity within the masseter muscles, which will be diagnostic criteria for pathophysiologic and anatomic changes of masseter muscles.

• 한국안광학회지
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• 제14권3호
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• pp.7-15
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• 2009

목적: 각막굴절교정렌즈를 장기간 착용한 어린이에서 렌즈 착용 중지 후 나타나는 각막복귀현상을 분석하였다. 방법: 각막굴절교정렌즈를 평균 8개월 이상 착용하고 굴절교정효과를 보인 착용자 중 렌즈 착용을 중지한 25명을 대상으로 각막굴절교정렌즈 착용 전과 착용 중지 후 1개월 동안 나안시력, 굴절이상도, 각막곡률(Sim K), 각막중심 두께 및 각막이심율을 측정하여 분석하였다. 결과: 나안시력과 각막형상은 각막굴절교정렌즈 착용 후 유의한 변화를 보였고, 렌즈 착용 중지 후 1개원 동안 대부분 복귀되었다. 나안시력과 굴절이상도는 착용 중지 2주 후에 완전히 복귀되었고, 각막중심두께 변화와 상관성이 있었다. 그러나 각막형상은 서서히 복귀되어 각막중심두께와 각막이 심율은 착용 중지 1개월 후에 복귀되었고 각막곡률은 1개월까지 착용 전 상태로 복귀되지 않았다. 결론: 각막굴절 교정렌즈 장기 착용자의 경우 렌즈 착용 중지 후 굴절력은 빠르게 복귀되나 각막곡률과 중심두께는 서서히 복귀되므로 콘택트렌즈를 재피팅할 경우 주의가 필요할 것으로 사료된다.

• Journal of Mechanical Science and Technology
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• 제14권1호
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• pp.48-56
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• 2000

The bifurcation problem of thin walled structures in contact with rigid surfaces is formulated by adopting the multiple scales asymptotic technique. The general theory developed in this paper is very useful for the bifurcation analysis of waviness instabilities in the sheet metal forming. The formulation is presented in a full Lagrangian formulation. Through this general formulation, the bifurcation functional is derived within an error of O($(E^4)$) (E: shell's thickness parameter). This functional can be used in numerical solutions to sheet metal forming instability problem.