• Title/Summary/Keyword: wall defect

Search Result 432, Processing Time 0.025 seconds

Sternal defect reconstruction using a double-barrel vascularized free fibula flap: a case report

  • Gravina, Paula Rocha;Chang, Daniel K.;Mentz, James A.;Dibbs, Rami Paul;Maricevich, Marco
    • Archives of Plastic Surgery
    • /
    • v.48 no.5
    • /
    • pp.498-502
    • /
    • 2021
  • Total and subtotal sternectomy oncological defects can result in large deficits in the chest wall, disrupting the biomechanics of respiration. Reviewing the current literature involving respiratory function and rib motion after sternectomy, autologous rigid reconstruction was determined to provide the optimal reconstructive option. We describe a novel technique for sternal defect reconstruction utilizing a double-barrel, longitudinally oriented, vascularized free fibula flap associated with rib titanium plates fixation. Our reconstructive approach was able to deliver a physiological reconstruction, providing rigid support and protection while allowing articulation with adjacent ribs and preservation of chest wall mechanics.

Acceleration data and shape change characteristics of a gravity quay wall according to inclination condition grades

  • Su-Kyeong Geum;Jong-Han Lee;Dohyoung Shin;Jiyoung Min
    • Structural Engineering and Mechanics
    • /
    • v.90 no.6
    • /
    • pp.591-600
    • /
    • 2024
  • This study investigated the acceleration response and shape change characteristics of a gravity quay wall according to the magnitude of the applied acceleration. The quay wall was defined as a port facility damaged by the Kobe earthquake. Four experimental scenarios were established based on the inclination condition grades, considered to be a significant defect factor in the quay wall. Then, the shaking table test was conducted using scaled-down quay wall models constructed per each scenario. The ground acceleration was gradually increased from the peak ground acceleration (PGA) of 0.1 g to 0.7 g. After each ground acceleration test, acceleration installed on the wall and backfill ground and inclination on the top of the wall were measured to assess the amplification of peak response acceleration and maximum response amplitude and the change in the inclination of the quay wall. This study also analyzed the separation of the quay wall from the backfill and the crack pattern of the backfill ground according to PGA values and inclination condition grades. The result of this study shows that response acceleration could provide a reasonable prediction for the changes in the inclination of the quay wall and the crack generation and propagation on the backfill from a current inclination condition grade.

A Case of Traumatic Ventral Hernia Repair with a Porcine Dermal Collagen Graft (Permacol) (외상성 복벽 탈장 환자에서 biologic mesh를 이용한 치료)

  • Yu, Byung Chul;Chung, Min
    • Journal of Trauma and Injury
    • /
    • v.25 no.2
    • /
    • pp.63-66
    • /
    • 2012
  • Resection of the bowel is necessary for the repair of a ventral hernia after recovery from trauma in some cases. In such instances, polyester or polypropylene meshcannot be used due to the possibility of infection; we had to use biological mesh instead. We report a case in which a traumatic hernia was repaired with Permacol (Covidien, Norwalk, CT, USA). A 42-year-old male patient had been injured by a factory machine seven months prior to admission. At that time, he had abdominal wall injury and small bowel perforation. His abdominal wall had been a defect after operation. A CT scan of the abdomen showed that the left abdominal wall, which is lateral to left rectus abdominis muscle had only one muscle layer, an external oblique muscle, and that a previous abdominal incision had a defect along the entire incision. During the exploration, 10 cm of small bowel was removed due to firm adhesion to the previous surgical scar. Permacol mesh was applied and fixed with transfascial fixations and tacks by using the intraperitoneal onlay mesh technique. There were no complications after the surgery and the patient was discharged without any problems.

Morphological study of pulmonary arterioles in patients with ventricular septal defect associated with pulmonary hypertension (폐동맥고혈압을 동반한 심실중격결손증 환자의 폐세동맥의 형태학적 고찰)

  • 조범구
    • Journal of Chest Surgery
    • /
    • v.17 no.3
    • /
    • pp.339-345
    • /
    • 1984
  • Thirty four patients with a ventricular septal defect, aged 2 months to 24 years [median 2.33 years], had lung biopsies during open heart procedures to assess the degree of pulmonary vascular disease. The patients were divided into two groups according to their age; group 1 - under 2 years of age [15 patients], and group 2- over 2 years of age [19 patients]. The, pathologic change of the pulmonary arterioles was correlated with pre-operative hemodynamic data in 34 patients. There was no significant correlation between the severity of pulmonary vascular disease according to Heath-Edwards classification and the patients age [X2=1.8381, P=0.1751 ]. There was a significant correlation between degree of medial wall thickness and arteriolar diameter and the level of preoperative peak pulmonary artery pressure and peak systemic artery pressure [Pp/Ps]. Also, there was a good correlation between the preoperative pulmonary vascular resistance and systemic vascular resistance [Rp/Rs]. There was no significant correlation between wall thickness and Pp/Ps, and Rp/Rs below the age of 2 years. We conclude that, in patients over 2 years of age, there was a significant correlation between the medial wall thickness of the pulmonary arteriole and elevation of Pp/Ps and Rp/Rs. This is not true in patients under 2 years of age.

  • PDF

Thermal Performance Evaluation of Apartment Housing Using Infra-red Camera (적외선 열화상을 이용한 공동주택 단열성능 평가 : TDR(온도차비율)을 중심으로)

  • Choi, Gyeong-Seok;Sohn, Jang-Yeul
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
    • /
    • v.22 no.6
    • /
    • pp.404-412
    • /
    • 2010
  • The purpose of this study is to accomplished an in-site evaluation method for existing building insulation status using Infra-red camera and to consider improvement performance to prevent condensation and draw the optimum insulation design method for building using simulation tool. The research contents of this study are to evaluate validity and suitability of building insulation defect survey using Infra-red camera for apartment housing with temperature and heat flow pattern analyze method. Based on this research, the three corners, weak part in condensation, were selected in apartment building and conducted simulation by three-dimensional steady state. From the results, it is required to strengthen insulation design, and it is founded that existing insulation system typically applied to most Korean apartment housings have serious insulation defect that insulation is disconnected by structural components at the joints of wall-slab and wall-wall in envelope. Thus, it is considerate to need a concrete technology improvement.

Growth and point defect for $CdGa_2Se_4$single crystal thin film by hot wall epitaxy (Hot Wall Epitaxy(HWE)법에 의한 $CdGa_2Se_4$ 단결정 박막 성장과 점결함)

  • Hong, Kwang-Joon
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
    • /
    • 2007.11a
    • /
    • pp.81-82
    • /
    • 2007
  • The stochiometric mix of evaporating materials for the $CdGa_2Se_4$ single crystal thin films was prepared from horizontal furnace. To obtain the single crystal thin films, $CdGa_2Se_4$ mixed crystal was deposited on thoroughly etched semi-insulating GaAs(100) substrate by the Hot Wall Epitaxy (HWE) system. The source and substrate temperature were $630^{\circ}C\;and\;420^{\circ}C$, respectively. After the as-grown single crystal $CdGa_2Se_4$ thin films were annealed in Cd-, Se-, and Ga -atmospheres, the origin of point defects of single crystal $CdGa_2Se_4$ thin films has been investigated by PL at 10 K. The native defects of $V_{Cd},\;V_{Se},\;Cd_{int},\;and\;Se_{int}$ obtained by PL measurements were classified as donors or acceptors. And we concluded that the heat-treatment in the Cd-atmosphere converted single crystal $CdGa_2Se_4$ thin films to an optical p-type. Also, we confirmed that Ga in $CdGa_2Se_4$/GaAs did not form the native defects because Ga in single crystal $CdGa_2Se_4$ thin films existed in the form of stable bonds.

  • PDF

Strength Properties of Wooden Retaining Walls Manufactured with Pinus rigida Miller

  • Park, Jun-Chul;Kim, Keon-Ho;Lee, Dong-Heub;Son, Dong-Won;Hong, Soon-Il
    • Journal of the Korean Wood Science and Technology
    • /
    • v.39 no.2
    • /
    • pp.140-147
    • /
    • 2011
  • The strength properties of wooden retaining wall which was made with pitch pine were evaluated. Wooden retaining wall was made with diameter 90 mm of pitch pine round posts treated with CUAZ-2 (Copper Azole). The length of the front stretcher of the retaining wall was 3,000 mm. The distance between the headers (the notched member) is 1,000 mm in center and is 900 mm in side. There were connections every 2,000 mm because actually the length of stretcher is limited in the retaining wall. The strength test was carried out according to connection type because the section between stretchers can act as a defect. A result of the strength test according to connection type confirms that connection does not act as defect because the strength of retaining wall in single stretcher is similar to that in the section between stretchers. The strength test of the wooden retaining wall was carried out in 5 types according to the condition of the base section. When the upper soil pressure was 9.8 kN/$m^2$, the maximum load of the retaining wall fixing the front foundation shows higher values than those of others. But the total deformation is lower in the retaining wall not to fix a base section than in that to fix a base section. It is thought that the retaining wall not to fix a base section shows low value because the deformation is distributed throughout the retaining wall and it is confirmed that the soil pressure affects supporting the structure because the deformation of the retaining wall under low pressure is 3~4 fold higher than those of others. The failure mode of the retaining wall is the overturning type because the high section is deformed. Mostly, the failure mode is the separation of the header in the notched section.

Partial Anomalous Pulmonary Venous Return - Report of 1 case - (부분 폐정맥환류이상 1례 보고)

  • 조대윤
    • Journal of Chest Surgery
    • /
    • v.21 no.1
    • /
    • pp.148-151
    • /
    • 1988
  • We experienced 2 years and 5 months old male patient with partial anomalous pulmonary venous return of the left lung into the coronary sinus without atrial septal defect. After incising the atrial septum and the wall between the left atrium and the coronary sinus, we made the roof of the coronary sinus and closed the artificial atrial septal defect, with using patch, then we could change the direction of the blood flow from the coronary sinus into the left atrium. The patient was discharged on the 13th postoperative day after uneventful postoperative course.

  • PDF

Aortopulmonary Window -Report of A Case- (폐동맥 대동맥 중격결손증 1례 보고)

  • 박기진
    • Journal of Chest Surgery
    • /
    • v.28 no.7
    • /
    • pp.721-725
    • /
    • 1995
  • One case of surgical correction of a large aortopulmonary window in a 4 months old female is reported in detail. Clinical symptoms consisted of fatigue when feeding and recurrent upper respiratory tract infection. Under cardiopulmonary bypass with moderate hypothermia and cardioplegic arrest of the heart, the aortopulmonary window was approached through a vertical incision at the anterior wall of window itself. The defect was closed with pericardial patch using continuous suture posteriorly and sandwitch technique anteriorly. The patient was weaned from the cardiopulmoanry bypas without hemodynamic problem and postoperative course was uneventful. This surgical technique is recommandable as it provides good exposure of the defect and can be performed easily and safely.

  • PDF

Evaluation of Failure Behavior of a Pipe Containing Circumferential Notch-Type Wall Thinning (원주방향 노치형 감육부를 가진 배관의 손상거동 평가)

  • Kim, Jin-Weon;Park, Chi-Yong
    • Transactions of the Korean Society of Mechanical Engineers A
    • /
    • v.27 no.8
    • /
    • pp.1295-1302
    • /
    • 2003
  • In order to evaluate a failure behavior of pipe with notch-type wall thinning, the present study performed full-scale pipe tests using the 102mm, Schedule 80 pipe specimen simulated notch- and circular-type thinning defects. The pipe tests were conducted under the conditions of both monotonic and cyclic bending moment at a constant internal pressure of 10 MPa. From the results. of experiment the failure mode, load carrying capacity, deformation ability, and fatigue life of a notch-type wall thinned pipe were investigated, and they were compared with those of a circular-type wall thinned pipe. The failure mode of notched pipe was similar to that of circular-type thinned pipe under the monotonic bending load. Under the cyclic bending load, however, the mode was clearly distinguished with variation in the shape of wall thinning. The load carrying capacity of a pipe containing notch-type wall thinning was about the same or slightly lower than that of a pipe containing circular-type wall thinning when the thinning area was subjected to tensile stress, whereas it was higher than that of a pipe containing circular-type thinning defect when the thinning area was subjected to compressive stress. On the other hand, the deformation ability and fatigue life of a notch-type wall thinned pipe was lower than those of a circular-type wall thinned pipe.