• Archives of Plastic Surgery
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• v.33 no.6
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• pp.776-779
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• 2006

Purpose: Prior to closure of the epiphysis of the distal phalanx, fracture usually occurs through the growth plate, Salter-Harris type I or II, or through the juxtaepiphyseal region 1 to 2 mm distal to the growth plate. The terminal tendon of extensor inserts into the epiphysis only, while insertion site of the flexor digitorum profundus spans both the epiphysis and metaphysis. Because of the difference between these tendon insertions, this injury mimics a mallet deformity. But, this type of injury does not involve a tear or avulsion of the extensor, unlike mallet finger of adults. Seymour was the first to describe this type of injury in children and called after his name, Seymour's fracture. This fracture is prone to infection or remain the residual deformity unless adequate treatment. Methods: We report a case of Seymour's fracture. A 9-year-old boy presented a laceration of the nail matrix, with the nail lies degloved from the nail fold on the right middle finger gotten from an impact against a door. An X-ray examination showed the fracture line lying 1 mm distal to the growth plate. The injury was treated with debridement and the fracture was reduced by applying hyperextension force. Under the C-arm, a single 0.7 mm K-wire was used to immobilize the distal interphalangeal joint. Intravenous antibiotics were applied for 5 days after surgery. Results: The K-wire was removed in the 3rd week. No infection or significant deformity was found until follow-up of 12 months. Conclusions: Seymour's fracture may be at first classically mallet deformity by its appearance. But it is anatomically different and more problematic injury. If it isn't corrected at the time of injury, derangement of the extensor mechanism, and growth deformity of the distal phalanx may occur. The fracture site should be debrided, removed of any interposed soft tissue, and the patient should be given appropriate antibiotics. Reduction should be maintained by K-wire fixation. We experienced no infection or premature epiphyseal closure.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.24 no.5
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• pp.513-520
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• 2011

In this paper, the advanced explicit algorithm is proposed to simulate the stress-erection process analysis of Strarch system. The Strarch(Stressed-Arch) system is a unique and innovative structural system and member prestress comprising prefabricated plane truss frames which are erected by a post-tensioning stress-erection procedure. The flexible bottom chord which have sleeve and gap detail are closed by the reaction force of prestressing tendon. The prestress imposing to the tendon will make the Strarch system to be erected. This post tensioning process is called as "stress-erection process". During the stress-erection process, the plastic rigid body rotation is occurred to the flexible top chord by the excessive amount of plastic strain, and the structural characteristic becomes to be unstable. In this study, the large deformational beam-column element with plastic hinge is used to model the flexible top chord, and the advanced Dynamic Relaxation method(DRM) are applied to the unstable problem of stress-erection process of Strarch system. Finally, the verification of proposed explicit algorithm is evaluated by analysing the stress-erection of real project of Strarch system.

• Journal of the Korea institute for structural maintenance and inspection
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• v.18 no.4
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• pp.77-83
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• 2014

Prestressed concrete girder bridge has been one of the most widely used bridges in the world because of its excellent construction feasibility, economic efficiency, serviceability, and safety. In certain situations, the prestressing tendon is supposed to be bent by the construction error and the radius of curvature at the continuous joint of PSC girders, and this leads to the loss of prestressing force. However, this kind of prestress loss is not considered in the design and construction processes. This study proves that the prestress loss occurs at the continuous joint due to the local bending of tendon by the construction error or the radius of curvature. Also, a method that can reduce this type of prestress loss is proposed, and proved by the experiment. The result shows that maximum 10% of prestress loss occurs at the continuous joint and the proposed block-out method can reduce the prestress loss ratio by maximum 5%, approximately. This means that the block-out method can enhance the prestressing efficiency of continuous PSC girder bridges.

• Journal of Yeungnam Medical Science
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• v.38 no.4
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• pp.289-307
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• 2021

Avulsion injuries result from the application of a tensile force to a musculoskeletal unit or ligament. Although injuries tend to occur more commonly in skeletally immature populations due to the weakness of their apophysis, adults may also be subject to avulsion fractures, particularly those with osteoporotic bones. The most common sites of avulsion injuries in adolescents and children are apophyses of the pelvis and knee. In adults, avulsion injuries commonly occur within the tendon due to underlying degeneration or tendinosis. However, any location can be involved in avulsion injuries. Radiography is the first imaging modality to diagnose avulsion injury, although advanced imaging modalities are occasionally required to identify subtle lesions or to fully delineate the extent of the injury. Ultrasonography has a high spatial resolution with a dynamic assessment potential and allows the comparison of a bone avulsion with the opposite side. Computed tomography is more sensitive for depicting a tiny osseous fragment located adjacent to the expected attachment site of a ligament, tendon, or capsule. Moreover, magnetic resonance imaging is the best imaging modality for the evaluation of soft tissue abnormalities, especially the affected muscles, tendons, and ligaments. Acute avulsion injuries usually manifest as avulsed bone fragments. In contrast, chronic injuries can easily mimic other disease processes, such as infections or neoplasms. Therefore, recognizing the vulnerable sites and characteristic imaging features of avulsion fractures would be helpful in ensuring accurate diagnosis and appropriate patient management. To this end, familiarity with musculoskeletal anatomy and mechanism of injury is necessary.

• Journal of the Korean Recycled Construction Resources Institute
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• v.6 no.4
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• pp.336-341
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• 2018

The prestressing force introduced to the tendon in pretensioned concrete members is transferred by direct bond between tendon and concrete, which requires a proper estimation of stress transfer length. The use of pretensiond and/or precast members with UHPC (Ultra High Performance Concrete) may give many advantages in quality control. This paper presents an experiment to estimate the stress transfer length of UHPC for various compressive strength levels of UHPC, cover depths, diameters of tendons and tensioning forces. According to the result of this experiment, the stress transfer length of UHPC member is much reduced comparing that of normal strength concrete. The reduction in stress transfer length of UHPC may come from the high bond strength capacity of UHPC. The transfer lengths obtained from this experiment are compared to those in current design code and a new formula is proposed.

• Journal of the Earthquake Engineering Society of Korea
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• v.23 no.3
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• pp.159-167
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• 2019

2016 Gyeongju and 2017 Pohang earthquakes led Koreans to acknowledge that the Korean peninsula is not an earthquake-free zone anymore. Among various buildings crucial to after-shock recovery, general hospital buildings, especially existing old ones, are very significant so seismic retrofitting of those must be an important issue. Self-centering energy dissipative(SCED) brace is one of retrofitting methods, which consists of tendon with restoring force and friction device capable of dissipating seismic energy. The strength of the SCED brace is that the tendon forces a structure to go back to the original position, which means residual drift can be negligible. The residual drift is a very important parameter to determine usableness of general hospitals after shock. To the contrary, buckling-restrained braces(BRB) are also a very effective way to retrofit because they can resist both compressive and tensile, but residual drift may exist when the steel core yields. On this background, the seismic retrofitting effect of general hospitals reinforced with SCED braces was investigated and compared to that of the BRD in this study. As a result, although the floor acceleration cannot be reduced, the story drift and residual drift, and the shear demand of walls significantly decreased. Consequently, seismic retrofitting by SCED braces are very effective for domestic low-rise general hospitals.

• Clinics in Shoulder and Elbow
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• v.26 no.2
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• pp.169-174
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• 2023

Background: Sleep quality, quantity, and efficiency have all been demonstrated to be adversely affected by rotator cuff pathology. Previous measures of assessing the impact of rotator cuff pathology on sleep have been largely subjective in nature. This study was undertaken to objectively analyze this relationship through the use of activity monitors. Methods: Patients with full-thickness rotator cuff tears at a single institution were prospectively enrolled between 2018 and 2020. Waist-worn accelerometers were provided for the patients to use each night for 14 days. Sleep efficiency was calculated using the ratio of the time spent sleeping to the total amount of time that was spent in bed. Retraction of the rotator cuff tear was classified using the Patte staging system. Results: This study included 36 patients: 18 with Patte stage 1 disease, 14 with Patte stage 2 disease, and 4 patients with Patte stage 3 disease. During the study, 25 participants wore the monitor on multiple nights, and ultimately their data was used for the analysis. No difference in the median sleep efficiency was appreciated amongst these groups (P>0.1), with each cohort of patients demonstrating a generally high sleep efficiency. Conclusions: The severity of retraction of the rotator cuff tear did not appear to correlate with changes in sleep efficiency for patients (P>0.1). These findings can better inform providers on how to counsel their patients who present with complaints of poor sleep in the setting of full-thickness rotator cuff tears.

• Journal of Urban Science
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• v.11 no.2
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• pp.19-24
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• 2022

Conventional RC beams for crossing small and medium-sized rivers do not have a cross-sectional area, so the floating debris is accumulated and disasters such as damage to bridges occur. To improve this, the PSC method was invented. However, this also had problems such as transverse curvature, increase in dead weight due to cross-sectional shape, and negative moment generated during serialization, so it was necessary to develop a new type of girder. Therefore, it was intended to propose a LIT(Leton Interaction Thrust) girder bridge that is safer and has better performance than the conventional PSC girder with improved section efficiency. Unlike existing girder bridges, the LIT girder has the feature that the change in the strands of the entire girder occurs only in the vertical direction when the first tension is applied because the tendon arrangement is symmetrical by applying the raised portion. In addition, slab continuation generates a secondary moment that is advantageous to the continuous point, effectively controlling the negative moment and preventing the corrosion of the tendon. The dimensions of the cross section were determined, and the arrangement of the strands was designed to conduct structural analysis and detailed analysis. As a result of the structural analysis, the stress of the girder showed results within the allowable compressive stress, and the deflection showed the result within the allowable deflection. showed results. In addition, a detailed analysis was performed to examine the stress distribution around the girder body and the anchorage area and the stress distribution of the embossed portion, and as a result, the stress of the girder body due to the tension force showed a stable level.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.28 no.5A
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• pp.747-756
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• 2008

The purpose of this paper is to investigate the effect of the important parameters on the transfer length during the dynamic flame cutting of tendon experimentally. The considered parameters were strand diameter, concrete cover thickness, stirrup, debonding strand and release method. Ten pretensioned concete beam specimens were cast and tested. Time history curves for the axial strain of tendon were measured by electrical resistance strain gauges mounted on the strands. Experimental results indicated that large dynamic shock effects occurred near cut-end during the sudden release. The prestressing forces are dependent on the parameters above considered. The ratio of residual prestressing forces of 12.7 mm strands is greater than 15.2 mm strands. Using debonding strand and gradual release are more efficient for applying prestressing forces.

• Journal of the Korean Institute of Intelligent Systems
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• v.26 no.2
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• pp.147-152
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• 2016

Shape Memory Alloys (SMAs) undergo changes in shape and hardness when heated or cooled, and do so with great force. Since wire-type SMAs contract in length when heated and pull with a surprisingly large force and move silently, they can be used as actuactors which replace motors. These SMA actuators can be heated directly with electricity and can be used to create a wide range of motions. This paper presents the mechanical design and control for a three fingered, six degree-of-freedom robotic hand actuated by SMA actuators. Each finger has two joints and each joint is actuated with two tendons in the antagonistic manner. In order to create the sufficient force to make the smooth motion, the tendon is composed of two SMA actuators in parallel. For controlling the current to heat the SMA actuators, PWM drivers are used. In experiments, the antagonistic interaction of fingers are evaluated.