• Title/Summary/Keyword: repair part size

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Incarcerated Hiatal Hernia with Perforation after Laparoscopic Total Gastrectomy with Roux-en-Y Reconstruction: a Case Report

  • Wang, Nai-Yu;Tsai, Chung-Yu;Liu, Yuan-Yuarn;Chen, I-Shu;Ho, Kai-Hung
    • Journal of Gastric Cancer
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    • v.19 no.1
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    • pp.132-137
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    • 2019
  • The occurrence of hiatal hernia after total gastrectomy with Roux-en-Y reconstruction is rare. We report the case of a 76-year-old man who presented with dyspnea, vomiting, and fever around 8 days after total gastrectomy with Roux-en-Y reconstruction. Abdominal computed tomography revealed a hiatal hernia containing part of the small intestine in the left thoracic cavity. Emergent reduction and repair of the hiatal hernia were performed later. Operative findings revealed that the Roux limb was incarcerated in the left pleural cavity. Esophagojejunostomy leakage, perforation of the small intestine with transient ischemic change, and pyothorax were also found. Thus, feeding jejunostomy, thoracoscopic decortication, and diversion T-tube esophagostomy were performed. Considering that the main cause of hiatal hernia is blunt dissection with division of the phrenoesophageal membrane, approximating the crus with 1 or 2 figure-8 sutures, according to the size of the defect, to prevent the incidence of hiatal hernia after total gastrectomy may be performed.

Lower body shape classification of male university students

  • Cha, Su-Joung
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.3
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    • pp.135-141
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    • 2019
  • The purpose of this study was to analyze the direct measurement data of 20-25 years male university students of 7th Size Korea data and to characterize and to type the body shape of lower body. It was to provide basic data for male university students' pants pattern production. The lower body part consisted of the 'horizontal factor' of the lower body composed of circumference, thickness, width, and 'vertical factor' of the lower body composed of the length and height. This was consistent with the analysis of the body shape factor of the lower half of male adolescents. The lower body shape was classified into four types. Type 1 was thick and relatively long in the lower body and was named 'thick long leg'. Type 2 was named 'short bird legs' because the lower body was thin and relatively short. Type 3 was relatively thin and long, so the lower body was named 'long crane leg'. In Type 4, the lower body was relatively thick and short, which means 'short pillar leg'. In the case of 20-25 year-old male university students, they have different body shapes depending on the girth and length of the lower half of their body as they have reached adulthood. Therefore, it would be necessary to provide a sales system that allows the repair of the length of the pants to be facilitated, and the length of the pants to be repaired when the pants are selected according to the circumference. Future studies will need to classify the body shape according to angle and flatness.

Analysis for the Economic efficiency of District Heating and Gas Engine Co-generation System comparing with Central Heating System (중앙난방방식을 지역난방.소형열병합난방방식으로 전환시의 경제성 비교 분석)

  • Kim, Kyu-Saeng;Lee, Sang-Hyeok;Hong, Kyung-Pyo;Won, Young-Jae
    • Proceedings of the SAREK Conference
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    • 2007.11a
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    • pp.459-465
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    • 2007
  • This study was conducted to calculate the LCC of a apartment complex with a type of heating system, district heating and cogeneration system. For the purpose of analyzing LCC according to size of apartment complex, 500, 1,500 and 4,000 houses of model apartment selected. This research performs design of heating system and the life cycle cost analysis including an initial cost, energy cost, maintenance and operation cost, replacement cost and renovation cost during the project period(15years). According to the calculated results, 1) Initial cost of cogeneration system with 500, 1500 and 4000 houses is higher than district heating system each of 20%, 13%, 12%. 2) In case of cogeneration system, the payback period by electric generation is 5.21, 4.92 and 4.47 years and saving cost was calculated 29 billion won, 94 billion won and 262 billion won after payback period. 3) Cogeneration system LCC was 1.12, 1.07 and 1.06 times larger than district system with the size of apartment complex. According to the case of this study district heating system is more efficient than cogeneration system in terms of the reduction of LCC. 4) Gas Engine Co-generation System is more efficient than other systems because it can collect progressive part from electric charge progressive stage system. However, the efficiency is decreasing because of raising of fuel bills(LNG) and lowering of power rate for house use. Especially the engine is foreign-made so the cost of maintenance and repair is high and the technical expert is short. 5) District heating is also affected by fuel bills so we should improve energy efficiency through recovering of waste heat(incineration heat, etc.). Also, we should supply district cooling on the pattern of heat using of let the temperature high in winter and low in summer.

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Analysis of Bearing Capacity Change of Forest Roadbed by Opening Year (개설시기에 따른 임도 노반의 지지력 변화분석)

  • Chen, Hyeong-Uk;Kim, Dong-Hyeon;Lee, Kwan-Hee;Kim, Dong-Geun
    • Journal of Korean Society of Forest Science
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    • v.108 no.3
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    • pp.322-328
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    • 2019
  • The purpose of this study was to provide basic data for maintenance and repair of the forest road surfaces using the light drop weight test (LDWT), density test, and grain size analysis at four sites in Yeongyang-gun Mt. (2011y, 2014y, 2016y, and 2017y). In terms of the density test results, the opening density in 2011 was the highest at $2.0694g/cm^3$, and the opening density in 2017 was the lowest at $1.7443g/cm^3$. The grain size analysis showed that the proportion of large aggregates was highest at the opening in 2017, and the proportion of large aggregates decreased with the delay of opening date. From the LDWT results, $E_{vd}$ (the dynamic deformation coefficient) of the 2011y forest road was $35.7MN/m^2$, 2014y was $30.5MN/m^2$, 2016y was $28.6MN/m^2$, and 2017y was $23.5MN/m^2$. The $E_{vd}$ value for the oldest forests opened with the 2011y forest road was the highest, the average $E_{vd}$ value of the center portion was $21.45MN/m^2$, the average $E_{vd}$ value of the wheel portion of the banking part was $31.31MN/m^2$, and the average $E_{vd}$ value of the wheel portion of the cut part was $36.71MN/m^2$.

Comparative study on dynamic properties of argillaceous siltstone and its grouting-reinforced body

  • Huang, Ming;Xu, Chao-Shui;Zhan, Jin-Wu;Wang, Jun-Bao
    • Geomechanics and Engineering
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    • v.13 no.2
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    • pp.333-352
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    • 2017
  • A comparison study is made between the dynamic properties of an argillaceous siltstone and its grouting-reinforced body. The purpose is to investigate how grout injection can help repair broken soft rocks. A slightly weathered argillaceous siltstone is selected, and part of the siltstone is mechanically crushed and cemented with Portland cement to simulate the grouting-reinforced body. Core specimens with the size of $50mm{\times}38mm$ are prepared from the original rock and the grouting-reinforced body. Impact tests on these samples are then carried out using a Split Hopkinson Pressure Bar (SHPB) apparatus. Failure patterns are analyzed and geotechnical parameters of the specimens are estimated. Based on the experimental results, for the grouting-reinforced body, its shock resistance is poorer than that of the original rock, and most cracks happen in the cementation boundaries between the cement mortar and the original rock particles. It was observed that the grouting-reinforced body ends up with more fragmented residues, most of them have larger fractal dimensions, and its dynamic strength is generally lower. The mass ratio of broken rocks to cement has a significant effect on its dynamic properties and there is an optimal ratio that the maximum dynamic peak strength can be achieved. The dynamic strain-softening behavior of the grouting-reinforced body is more significant compared with that of the original rock. Both the time dependent damage model and the modified overstress damage model are equally applicable to the original rock, but the former performs much better compared with the latter for the grouting-reinforced body. In addition, it was also shown that water content and impact velocity both have significant effect on dynamic properties of the original rock and its grouting-reinforced body. Higher water content leads to more small broken rock pieces, larger fractal dimensions, lower dynamic peak strength and smaller elastic modulus. However, the water content plays a minor role in fractal dimensions when the impact velocity is beyond a certain value. Higher impact loading rate leads to higher degree of fragmentation and larger fractal dimensions both in argillaceous siltstone and its grouting-reinforced body. These results provide a sound basis for the quantitative evaluation on how cement grouting can contribute to the repair of broken soft rocks.

A Study on the Hanok Architectural Characteristics and Boundaries of the Geumsan Church in Gimje (김제 금산교회의 한옥건축 특성과 경역에 관한 연구)

  • Kim, Yun-Sang
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.229-235
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    • 2018
  • The Hanok church is an important cultural heritage that can be considered from a religious point of view of life in the modern age in Korea. We will investigate the bounadaries of the Hanok church built in modern age and the characteristics of Hanok architectural. To do so, we have conducted field trips, interviews, and repair reports of the Gimje Geumsan Church in the Jeollabuk province. The Geumsan Church is present, and the architectural characteristics can be confirmed in detail. In addition, Yugwang School, which was responsible for the education function, was able to guess the location and size through the data. As a result, the boundaries of Geumsan Church is the present fence, the west side has the building, and the east side has the playground. The Geumsan Church's flat form was divided into male and female according to the space configuration of ㄱ-shaped reflecting Confucian thought of the time. And it seems that the Yugwang school was located in the entrance part of the modern church with a two-frame scale, which is suitable for lecture.

Flexural behaviour of reinforced low-strength concrete beams strengthened with CFRP plates

  • Boukhezar, Mohcene;Samai, Mohamed Laid;Mesbah, Habib Abdelhak;Houari, Hacene
    • Structural Engineering and Mechanics
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    • v.47 no.6
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    • pp.819-838
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    • 2013
  • This paper summarises the results of an experimental study to investigate the flexural behaviour of reinforced concrete beams strengthened using carbon-fibre reinforced polymer (CFRP) laminate in four-point bending. The experimental parameters included are the reinforcing bar ratio ${\rho}_s$ and preload level. Four bar ratios were selected (${\rho}_s=0.13$ to 0.86%), representing the section of two longitudinal tensile reinforcements, with diameters of 8, 14, 16, and 20 mm in order to reveal the effect of bar ratio on failure load and failure mode. Eight beams that could be considered "full-scale" in size, measuring 200 mm in width, 400 mm in total height and 2300 mm in length, were tested. Three beams were selected with different bar ratios (${\rho}_1$, ${\rho}_2$, ${\rho}_3$), and considered as control specimens (without ), while three other beams identical to the control beams with the same CFRP laminates ratio and a seventh beam with ${\rho}_{min}$ (the lowest bar ratio) were also used. In the second part of the study, two beams with the bar ratio ${\rho}_2$ were preloaded at two levels, 50 and 100% of their ultimate loads, and then repaired. This experimental investigation was consolidated using an analytical model. The experimental and analytical results indicate that the flexional capacity and stiffness of strengthened and repaired beams using CFRP laminate were increased compared to those of control beams, and the behaviour of repaired beams was nearly similar to the undamaged and strengthened beams; unlike the ductility of strengthened beams, which was greatly reduced compared to the control.

An Experimental Study for the Evaluation of the Structural Behavior Eco Deck Plate (Eco Deck Plate의 구조적 거동 평가를 위한 실험적 연구)

  • Lee, Jin-Eung;Lee, Yong-Jae;Lee, Soo-Kueon;Jung, Byung-Joo
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.17 no.5
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    • pp.40-48
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    • 2013
  • Eco deck plate system is a construction method that deconstruction of galvanized steel sheets is possible by integrating steel-wire-integrated girders and the galvanized steel sheets with bolts. Therefore, compared with previous steel-wire-integrated deck plates which were joined by welding, the system is acknowledged as the construction method possible management and repair. This study conducted an experimental research by manufacturing total 24 full size specimens in a same condition for 12-shape specimens by two parts to evaluate structural behaviors of the eco deck plates. In the results after the test, permissible deflection for the construction load action was shown to be values under design values and satisfactory. The processing of lattice steel wires was presented to be structurally advantageous in being manufactured by cutting downward. Also, in case of a specimen that D13 as a steel wire was used, destruction occurred at the welding part of the bottom steel wire and the lattice steel wire, so improvement measures for the welding in factory manufacture are necessary.

Load and Deflection Recovery Capacities of PSC Girder with Unbonded PS H-Type Steel

  • Kim, Jong Wook;Kim, Jang-Ho Jay;Kim, Tae-Kyun;Lee, Tae Hee;Yang, Dal Hun
    • International journal of steel structures
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    • v.18 no.4
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    • pp.1336-1349
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    • 2018
  • Generally, a precast prestressed concrete (PSC) beam is used as girders for short-to-medium span (less than 30 m) bridges due to the advantages of simple design and construction, reduction of construction budget, maintenance convenience. In order to increase the span length beyond 50 m of precast PSC girder, PSC hollow box girder with unbonded prestressed H-type steel beam placed at the compressive region is proposed. The unbonded compressive prestressing in the H-type steel beams in the girder is made to recover plastic deflection of PSC girder when the pre-stressing is released. Also, the H-steel beams allow minimization of depth-to-length ratio of the girder by reducing the compressive region of the cross-section, thereby reducing the weight of the girder. A quasi-static 3-point bending test with 4 different loading steps is performed to verify safety and plastic deflection recovery of the girder. The experimental results showed that the maximum applied load exceeded the maximum design load and most of the plastic deflection was recovered when the compressive prestressing of H-type steel beams is released. Also using prestressed H-type steel as compression reinforcements in the upper part of cross section, repair and restoration difficulty and cost of PSC girders should be significantly reduced. The study result and analysis are discussed in detail in the paper.

THE STUDY OF BONE HEALING ON PARTIAL DEFECT OF CALVARIAL BONE WITH OR WITHOUT PERIOSTEUM IN RAT (백서 두개골 부분결손시 골막 유무에 의한 골치유 양상에 관한 연구)

  • Song, Young-Wan;Cho, Byoung-Ouck;Shin, Jung-Weon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.4
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    • pp.746-757
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    • 1996
  • Bony defects may be found as a result of congenital anomalies, traumatic injury, automobile collisions and industrial accidents in the maxillofacial area. Such conditions are often associated with severs functional and esthetic problem. Various surgical procedure has been utilized in attempts to repair and reconstruct bony defects. Bone is a complex, living, constantly changing tissue. The architecture and composition of cancellous and cortical bone allow the skeleton to perform its essential mechanical functions. Periosteum covers the external surface of bone and consists of two layers : an outer fibrous layer and an inner more cellular and vascular layer. The inner osteogenic layer or cambium layer can form new bone while the outer layer firms part of the insertions of tendons, ligaments and muscles. This study was under taken to evaluate bone healing process on partial defect of calvarial bone with or without periosteum in rat. We made calvarial defects of different size(4mm, 6mm, 8mm) with periosteum or without periosteum in rat to study the effect of defect size on healing process. Control and experimental groups sacrified at 1, 2, 4, 6, 8 weeks, postoperatively. We examed the specimens by gloss findings, light microscophy, and fluorescent microscophy. The results were as follows. 1. Gloss findings: Control groups are larger bony defects than experimental groups after 2 weeks, and than control groups advanced healing of defected bone but experimental groups are lesser after 4, 6 weeks. After 8 weeks, bone defect has not been identified in control and experimental groups. 2. Light microscope: All defects of control groups are larger bony defects than experimental groups after 2 weeks. And than control groups show smaller defect after 4 weeks. After 8 weeks, the control group reveal pin-point sized, hardly identifiable defect space and the experimental group reveal small, but definite defect space. 3. Fluorescent microscope : Each week, new bone formation of control group is very similar to the experimental group. In this study, Osteogenesis of calvarial bone defects with periosteum or without periosteum was examined for 8 weeks in rats. The replaced periosteum had batter new bone formation than the removed periosteum.

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