• Title/Summary/Keyword: partial plastic

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Efficacy of Aquacell® Dressing in Partial Thickness Burn Patients (부분층 화상 환자에서 Aquacell®을 이용한 드레싱의 유용성)

  • Park, Jae Hyun;Na, Young Chun;Cho, Kyu Sung;Yu, Su Jin;Ahn, Hun Cheol
    • Archives of Plastic Surgery
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    • v.32 no.4
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    • pp.491-495
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    • 2005
  • In partial thickness burn injuries, silver sulfadiazine cream 1%(SSD, $Silvadene^{(R)}$) is the most commonly used topical agent worldwide. But silver sulfadiazine cream 1% has no exudate absorption property. Usually after escar is removed from wound surface, $Silvadene^{(R)}$ is changed to saline wet gauze dressing to promote epithelization. $Aquacel^{(R)}$(ConvaTec, UK) is a 100% sodium carboxymethylcellulose Hydrofiber material. It absorbs exudates directly into the hydrofibers by vertical wicking which allows rapid uptake of liquid into the fibers. The absorbed exudate fluid can be distributed to the entire dressing rather than just over the wound surface, which results in larger fluid absorption capacity. From April, 2003 to July, 2004 a study was done with 40 patients who had variable partial thickness burns. $Aquacel^{(R)}$ dressing was compared in 21 cases to silver sulfadiazine cream 1% and saline wet gauze dressings in 19 cases. In the $Aquacel^{(R)}$ cases, the average healing time on the face was $5.36{\pm}1.69$ a day; on the hands was $8.46{\pm}2.15$ a day; and, on the neck was $6.0{\pm}2.0$ a day. With the $Silvadene^{(R)}$ and Saline wet gauze dressing, the average healing time on the face was $6.44{\pm}1.74$ a day; on the hands was $13.79{\pm}5.35$ a day; and, on the neck was $11.17{\pm}3.31$ a day. As a result, the $Aquacel^{(R)}$ group showed a shorter healing time compared to the $Silvadene^{(R)}$ and saline wet gauze dressing group and patients were satisfied because of less pain and improved comfort. In conclusion, $Aquacel^{(R)}$ is a better choice for partial thickness burn injuries because of shorter healing time, less pain and more confortable dressing.

Studies on the Preservation of Apples by Plastic Film Coating (Plastic Coating에 의(依)한 사과의 저장연구(貯藏硏究))

  • Park, Nou-Poung
    • Applied Biological Chemistry
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    • v.13 no.2
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    • pp.131-151
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    • 1970
  • A new method of plastic film coating has been investigated to extend storage life of apples. The film coating was effected by dipping fresh apples in a plastic emulsion. The effect of plastic film coating on the preservation of freshness, respiratory activities and chemical components during storage, has been investigated on four leading varieties of apples. The results are summarized as follows: 1. The effect of film coating on storage life of apples was apparent, resulting in delay of after-ripening, shriveling, softening or physiological impediment as well as reducing consumption of reserve materials and waste fruits. 2. Change in the partial pressure of gas, i.e., increase in carbon dioxide and decrease in oxygen in apple tissue was resulted by the plastic film coating, suggesting that the film deposited on the fruit interfered with the diffusion of gases formed therein. 3. The effects of plastic film coating on the fruit storage varied with the type of plastic emulsions, coating temperature, varieties of apples and degree of fruit ripening. As regard to apple varieties, good results were obtained with PVA 217 for both American Summer Pearmain and Jonathan, and PVC 443 for McIntosh. 4. Reduction in the diminution rates of L-malic acid, ascorbic acid and soluble pectin etc. during storage of apples may account for the improved storage life of the fruits treated with plastic films.

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Characteristics of the Haute Couture Design in Paris and Rome (파리와 로마의 오뜨 꾸띄르(Haute Couture) 디자인의 특성)

  • 공미선
    • Journal of the Korean Society of Costume
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    • v.39
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    • pp.39-58
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    • 1998
  • In this research, first of all, the special feat-ures of Haute Couture design world (1990∼1996) prevailed in Paris and Rome are investigated, and additionally the understanding of collection concept and design structure analysis are performed to show the various method-ology of creative design. Expression method and design method are the main criteria in analyzing, and the main results of this research are summarized as follows : 1. Most of designers in Paris and Rome ex-press the traditional costume style. Paris designers are focusing on the expression of design morphology through the abstraction and re-appearance without being confined to theme expression ; Rome designers are expressing their main ideas utilizing the fashion image as their theme in lieu of expressing the design morphology. 2. Most of the designers in Paris and Rome are using simple lines for their design. Paris designers prefer the plastic design based upon formal and symmetrical balance of informal and asymmetrical balance to the partial trans-formation design ; Rome designers are enjoy-ing rather the partial transformation using the detail and trimming than the plastic design.

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A Study on the Apparent Negative Crack Growth Phenomenon of J-R Curve(I) (J-R곡선에서의 균열길이 감소현상에 관한 연구 (I))

  • 석창성;최용식
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.16 no.6
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    • pp.1115-1120
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    • 1992
  • The apparent negative crack growth phenomenon which usually arises in partial unloading compliance test is well known. The reason for apparent negative crack growth is the compressive residual stress caused by the plastic zone around the crack tip. The phenomenon as a possible source of error in determining $J_{JC}$ or J-R curve from partial unloading compliance experiments may be eliminated by the correction of compliance. A compliance correction equation is derived from a stress field analysis near the crack tip.

A method of Determination of Fracture Toughness of Reactor Pressure Vessel Steel by J Integral (J적분을 이용한 원자력 압력용기강의 파괴인성치의 결정)

  • 오세욱;임만배;김진선
    • Journal of Ocean Engineering and Technology
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    • v.9 no.1
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    • pp.111-119
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    • 1995
  • The elastic-plastic fracture toughness($J_{IC}$) and fracture resistance (J-R curve) of SA508-3 alloy steel used for nuclear reactor pressure vessel are investigated by using CT-type specimens. Fracture toughness tests are conducted by unloading compliance method and multiple specimen method at room temperature, -2$0^{\circ}C$ and 20$0^{\circ}C$. The apparent negative crack growth phenomenon which usually arises in partial unloading compliance test is well known. The negative crack growth phenomenon in determining J sub(IC) or J-R cure from partial unloading compliance experiments may be eliminated by the offset technique. In this study, the evaluation of $J_{IC}$ multiple specimen method recommended by the JSME gives the most reliable results by using half-size CT(similar-type) specimens.

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Fretting Wear Mechanisms of Zircaloy-4 and Inconel 600 Contact in Air

  • Kim, Tae-Hyung;Kim, Seock-Sam
    • Journal of Mechanical Science and Technology
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    • v.15 no.9
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    • pp.1274-1280
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    • 2001
  • The fretting wear behavior of the contact between Zircaloy-4 tube and Inconel 600, which are used as the fuel rod cladding and grid, respectively, in PWR nuclear power plants was investigated in air. In the study, number of cycles, slip amplitude and normal load were selected as the main factors of fretting wear. The results indicated that wear increased with load, slip amplitude and number of cycles but was affected mainly by the slip amplitude. SEM micrographs revealed the characteristics of fretting wear features on the surface of the specimens such as stick, partial slip and gross slip which depended on the slip amplitude. It was found that fretting wear was caused by the crack generation along the stick-slip boundaries due to the accumulation of plastic flow at small slip amplitudes and by abrasive wear in the entire contact area at high slip amplitudes.

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Elbow Reconstruction Using Island Flap for Burn Patients

  • Hur, Gi Yeun;Song, Woo Jin;Lee, Jong Wook;Lee, Hoon Bum;Jung, Sung Won;Koh, Jang Hyu;Seo, Dong Kook;Choi, Jai Ku;Jang, Young Chul
    • Archives of Plastic Surgery
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    • v.39 no.6
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    • pp.649-654
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    • 2012
  • Background Deep burns of the elbow lead to soft tissue necrosis and infection, with exposure of deep structures. Adequate wound coverage of this area requires thin, pliable, and durable tissue, while optimal functional recovery requires early coverage and functional rehabilitation. We have found 3 types of island flaps that provide reliable coverage for the elbow. Methods A retrospective study was performed on all patients who underwent flap coverage of an elbow defect at our hospital. The patients' data including age, sex, cause of injury, wound dimensions, timing of flap coverage, postoperative elbow motion, and complications were investigated. Results Between 2001 and 2012, 16 patients were treated at our hospital. The mean age was 53.3 years. Three kinds of flaps were performed: 9 latissimus dorsi flaps, 4 lateral arm flaps, and 4 radial forearm flaps. The average defect size was 183.5 $cm^2$ (range, 28 to 670 cm2). Wound coverage was performed at mean duration of 45.9 days (range, 14 to 91 days). The mean postoperative active elbow flexion was $98^{\circ}$ (range, $85^{\circ}$ to $115^{\circ}$). Partial flap failure occurred in 1 latissimus dorsi flap. Minor complications included partial flap loss (11.8%), hematoma (23.5%), seroma (35.3%), and wound infection (5.9%). Conclusions Flap selection for elbow reconstruction is determined by the defect size and the extent of the adjacent tissue injury. Elbow reconstruction using an island flap is a single-staged, reliable, and relatively simple procedure that permits initiation of early rehabilitation, thereby improving a patient's functional outcome.

Pain Control for Hydrofluoric Acid Chemical Burn Using EMLA® creams (EMLA® 연고를 이용한 불산 화학 화상의 통증 조절)

  • Choi, Hwan Jun;Song, Jin Woo;Choi, Chang Yong
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.113-117
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    • 2009
  • Purpose: Although Hydrofluoric acid(HF) is not a strong acid when compared to other hydrogen halides, it is a feared corrosive and is particularly dangerous at higher concentrations. HF burns are characterized by symptoms, often delayed and localized with diluted HF solutions, to include erythema, edema and severe pain. Pain, a well known symptom following exposure to calcium binding. And, EMLA$^{(R)}$ cream is a topical formulation based upon the eutectic mixture of lidocaine and prilocaine and is used in clinical settings to provide pain relief undergoing superficial surgical procedures. The aim of this study is to evaluate effects of EMLA$^{(R)}$ cream, pain - control dressing on the treatment for HF injury wound. Methods: From June 2007 to June 2008, this study was carried out with 10 patients who had HF partial thickness burns. We were applied topically EMLA$^{(R)}$ cream to injured wound with vaseline gauze and 10% calcium gluconate wet gauze dressings. As a principle, in the emergency treatment, partial or complete removal of the bullae along with copious washing with normal saline was done, depending on the degree of HF invasion of the distal digital extremities. The effect of dressing was investigated by visual analogue pain scale. Results: We therefore reviewed 10 cases of HF - induced pain and pain relief treatment principle. The 10 cases who came to the hospital nearly immediately after the injury healed completely without sequelae and EMLA$^{(R)}$ related complications. Conclusion: Proper initial treatment of HF burns are important, if not promptly recognized and properly treated, for produce serious injury. Topical EMLA$^{(R)}$ cream remain a powerful, new advancement for minimizing HF - related pain during dressing procedures. When used appropriately, topical EMLA$^{(R)}$ cream can provide a safe and effective alternative to other forms of HF - pain control treatment.

Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Free Flap (심부하복벽천공지 유리피판을 이용한 즉시 유방 재건술)

  • Ryu, Min Hee;Kim, Hyo Heon;Jeong, Jae Ho
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.229-236
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    • 2007
  • Purpose: Breast reconstruction with deep inferior epigastric perforator(DIEP) free flap is known to be the most advanced method of utilizing autologous tissue. The DIEP free flap method saves most of the rectus abdominis muscle as well as anterior rectus sheath. Therefore, the morbidity of the donor site is minimized and the risk of hernia is markedly decreased. Methods: We chose the internal mammary artery and its venae comitantes as recipient vessels, and deep inferior epigastric vessels as donor vessels. The number and location of the perforators derived from medial or lateral branch of deep inferior epigastric artery(DIEA) in 23 DIEP flaps were identified. Ten patients underwent evaluation of their abdominal wall function preoperatively and 6 months postoperatively by using Lacote's muscle grading system. Results: Of the 23 patients, a patient with one perforator from lateral branch of DIEA experienced partial necrosis of flap. Total flap loss occurred in one patient. Mild abdominal bulging was reported in one patient 4 months postoperatively probably because of early vigorous rehabilitational therapy for her frozen shoulder. Postoperative abdominal wall function tests in 10 patients showed almost complete recovery of muscle function upto their preoperative level of upper and lower rectus abdominis and external oblique muscle function at 6 months postoperatively. All patients have been able to resume their daily activities. Conclusion: The breast reconstruction with DIEP free flap is reliable and valuable method which provide ample soft tissue from abdomen without compromising the integrity of abdominal wall. Selection of reliable perforators is important and including more than two perforators may decrease fat necrosis and partial necrosis of flap.

Development of Elastic-Plastic Fracture Analysis Program for Structural Elements under an Impact Loadings (충격하중을 받는 구조부재의 탄소성 파괴해석 프로그램 개발)

  • K.S. Kim;J.B. Park
    • Journal of the Society of Naval Architects of Korea
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    • v.35 no.1
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    • pp.61-71
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    • 1998
  • This paper describes a dynamic fracture behaviors of structural elements under elastic or elasto-plastic stress waves in two dimensional space. The governing equation of this problem has the type of hyperbolic partial differential equation, which consists of the equation of motions and incremental elasto-plastic constitutive equations. To solve this problem we introduce Zwas' method which is based on the finite difference method. Additionally, in order to deal with the dynamic behavior of elasto-plastic problems, an elasto-plastic loading path in the stress space is proposed to model the plastic yield phenomenon. Based on the result of this computation, the dynamic stress intensity factor at the crack tip of an elastic material is calculated, and the time history of a plastic zone of a elasto-plastic material is to be shown.

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