Long-Term Comparison of Esthetic Outcomes Between Hatchet and Transposition Flaps in Facial-Defect Reconstruction.

BACKGROUND: Transposition flaps are commonly used for facial-defect repair after wide excision of skin cancers. However, such repair often causes excessive tension at the donor site that can result in distortion of the adjacent area. The hatchet flap, a rotation-advancement flap, can prevent distortion by redistributing the donor site tension evenly to the recipient site. This study aims to compare the esthetic outcomes of the hatchet flap and transposition flap in facial-defect reconstruction. METHODS: We retrospectively included 50 patients who underwent facial reconstruction with the hatchet flap or transposition flap after excision of skin cancer. They were followed up for more than 6 months. At the last follow-up visit, the esthetic outcome was evaluated by subjective and objective assessments using the patients and observer scar assessment scale and Manchester scar scale. RESULTS: Thirty patients and 20 patients underwent reconstruction using the hatchet flap and the transposition flap, respectively. The total score from the patient and observer scar assessment scale was significantly lower in the hatchet flap group compared with the transposition flap group (p = 0.009). The Manchester scar scale showed a total score of 7.67 ± 2.2 for the hatchet flap and 9.95 ± 1.99 for the transposition flap: in the color (p < 0.001), distortion (p < 0.001), and texture (p < 0.02) categories, the hatchet flap yielded significantly better outcomes than the transposition flap. CONCLUSIONS: The hatchet flap had good esthetic outcome for facial reconstruction and could be a valuable option for reconstructing facial defects. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266.

Complete Preservation of Orbital Fat by Restoration of Attenuated Orbital Septa Using an Acellular Dermal Matrix in Lower Blepharoplasty.

BACKGROUND: We hypothesized that application of acellular dermal matrix (ADM) over the orbital septum overlying the herniated orbital fat to tighten and strengthen the attenuated orbital septum in lower blepharoplasty would allow successful repositioning of the herniated orbital fat within the bony orbit. METHODS: The author prospectively compared the cosmetic outcomes of lower blepharoplasty using ADM with standard blepharoplasty. We evaluated recurrence of eyelid bulging and tear trough deformity, volume of the lower periorbital region, and enophthalmos and eyelid droop 1 year after surgery. RESULTS: Twenty-two of the 24 enrolled patients completed the study. There was no significant difference in recurrence of eyelid bulging and tear trough deformity between standard blepharoplasty and blepharoplasty with ADM graft groups. In the standard blepharoplasty group, the volume of the lower periorbital region decreased significantly after surgery. In the blepharoplasty with ADM graft group, there was no significant change in the volume of the lower periorbital region after surgery. In the standard blepharoplasty group, there was no significant change in eyelid droop on either side after surgery. In the blepharoplasty with ADM graft group, the eyelid droop decreased significantly after surgery on the right side but showed no significant change on the left side. There was no significant change in enophthalmos after surgery for either group. CONCLUSIONS: This study demonstrated that ADM graft provided effective support for maintaining the replaced orbital fat in lower blepharoplasty. In the long-term, blepharoplasty with ADM graft might be effective in slowing development of age-related enophthalmos. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Statistical Reliability Analysis of Ultrasonic Velocity Method for Predicting Residual Strength of High-Strength Concrete under High-Temperature Conditions.

Herein, we conducted a comprehensive statistical assessment of the ultrasonic pulse velocity (UPV) method's effectiveness in predicting concrete strength under diverse conditions, specifically early age, middle age, and high-temperature exposure. The concrete mixtures, with water-to-cement (W/C) ratios of 0.33 and 0.28, were classified as granite aggregate or coal-ash aggregate mixes. Compressive strength and UPV measurements were performed under these conditions, and subsequent statistical analyses treated the identified factors as distinct groups. The results revealed a substantial difference in compressive strength between specimens at early age (average of 13.01) and those at middle age (average of 41.96) and after high-temperature exposure (average of 48.08). Conversely, UPV analysis showed an insignificant difference between the early-age specimens and those after high-temperature exposure. The analysis of the W/C ratio and coarse aggregate demonstrated significant differences (p-value < 0.05) in compressive strength between specimens in middle age and those exposed to high temperatures, excluding the early-age specimens. However, UPV analysis revealed insignificant differences, with p-values of 0.67 and 0.38 between specimens at an early age and post-high-temperature exposure, respectively. Regression analysis identified suitable functions for each scenario, emphasizing the importance of a strength prediction model for concrete after high-temperature exposure, particularly considering the W/C ratio. Since concrete showed statistically different compressive strength, UPV, and strength prediction models in three conditions (early age, middle age, and high temperature), different strength prediction models must be used for the purpose of accurately predicting the strength of concrete.

Microstructural Evolution, Hardness and Wear Resistance of WC-Co-Ni Composite Coatings Fabricated by Laser Cladding.

This study investigated how process parameters of laser cladding affect the microstructure and mechanical properties of WC-12Co composite coating for use as a protective layer of continuous caster rolls. WC-Co powders, WC-Ni powders, and Ni-Cr alloy powder with various wear resistance characteristics were evaluated in order to determine their applicability for use as cladding materials for continuous caster roll coating. The cladding process was conducted with various parameters, including laser powers, cladding speeds, and powder feeding rates, then the phases, microstructure, and micro-hardness of the cladding layer were analyzed in each specimen. Results indicate that, to increase the hardness of the cladding layer in WC-Co composite coating, the dilution of the cladding layer by dissolution of Fe from the substrate should be minimized, and the formation of the Fe-Co alloy phase should be prevented. The mechanical properties and wear resistance of each powder with the same process parameters were compared and analyzed. The microstructure and mechanical properties of the laser cladding layer depend not only on the process parameters, but also on the powder characteristics, such as WC particle size and the type of binder material. Additionally, depending on the degree of thermal decomposition of WC particles and evolution of W distribution within the cladding layer, the hardness of each powder can differ significantly, and the wear mechanism can change.

A Study to Improve the Reliability of High-Strength Concrete Strength Evaluation Using an Ultrasonic Velocity Method.

The ultrasonic pulse velocity (UPV) technique, which is an efficient technique for concrete quality evaluation, can be affected by several factors. Many studies have proposed compressive-strength prediction models based on UPV in concrete; however, few studies have investigated the factors resulting in statistically different UPV results for different models. This study examined the difference between compressive strengths of various concrete specimens calculated by age-dependent and temperature-dependent UPV-based prediction models. Furthermore, a statistical analysis was conducted to evaluate the influence of aggregates and water/cement ratio (design compressive strength), which are said to affect UPV, on the compressive-strength prediction models. The experimental results revealed that the residual compressive strength of concrete after high-temperature exposure was about 9.5 to 24.8% higher than the age-dependent compressive strength. By contrast, after high-temperature exposure, UPV tended to be about 34.5% lower. The compressive strengths and UPVs were significantly different with respect to high temperature, aggregate density, and design compressive strength. The compressive-strength prediction model derived from the regression analysis showed a high R2 (average 0.91) and mean error converged to zero compared to the compressive-strength prediction model without considering these factors. Finally, the differences between the age- and temperature-based compressive-strength prediction models were analyzed according to the corresponding microstructures.

Residual Compressive Strength Prediction Model for Concrete Subject to High Temperatures Using Ultrasonic Pulse Velocity.

This study measured and analyzed the mechanical properties of normal aggregate concrete (NC) and lightweight aggregate concrete (LC) subjected to high temperatures. The target temperature was set to 100, 200, 300, 500, and 700 °C, and W/C was set to 0.41, 0.33 and 0.28 to evaluate high temperature properties at various intensities. Measurement parameters included mass loss, compressive strength, ultrasonic pulse velocity (UPV), and elastic modulus. We compared the residual mechanical properties between the target and preheating temperatures (20 °C) and then analyzed the correlation between UPV and compressive strength. According to the research findings, after exposure to high temperatures, LC demonstrated a higher mass reduction rate than NC at all levels and exhibited higher residual mechanical properties. The results of analyzing the correlation between compressive strength and UPV for concrete subjected high temperatures were very different from the compressive strength prediction equation previous proposed at room temperature, and the error range of the residual strength prediction equation considering W/C was reduced.

Investigating Ultrasonic Pulse Velocity Method for Evaluating High-Temperature Properties of Non-Sintered Hwangto-Mixed Concrete as a Cement Replacement Material.

Research on alternative cement materials is active worldwide, and in terms of fire safety, research on the evaluation of high-temperature properties of alternative materials is very important. Studies on concrete mixed with hwangto have been conducted by several researchers, but studies on high-temperature properties are lacking. Therefore, in this study, we evaluated the mechanical properties of concrete by partially replacing cement with non-sintered hwangto (NSH) at high temperatures. Normal concrete without NSH mixing and non-sintered hwangto concrete (NSHC) with HNT replacement were prepared as the specimens. The W/B of the concrete was set to 41 and 33, whereas the NSH replacement ratio was 15 and 30% of the cement. The target heating temperatures were set to 20, 100, 200, 300, 500, and 700 °C, and the heating rate was maintained at 1 °C/min. The following were calculated to evaluate the mechanical properties of the specimens: mass loss, compressive strength, ultrasonic pulse velocity (UPV), and modulus of elasticity. After analyzing the correlation between residual compressive strength and UPV, we proposed a compressive strength prediction model using different values of W/B for NSHC. Experimental results suggest that mass loss (%) shows a decreasing trend as NSH increases. In terms of residual compressive strength, residual compressive strength at W/B 41 increased with NSH replacement, whereas residual compressive strength values for W/B 33 were observed regardless of NSH replacement. Residual UPV showed a similar trend, regardless of the NSH replacement ratio, and residual modulus of elasticity was low at all W/B ratios as NSH replacement increased. A linear equation with a high correlation coefficient (R2) was proposed to predict compressive strength, and the linear value of W/B 41 was slightly higher than that of W/B 33.

Strength Prediction of Non-Sintered Hwangto-Substituted Concrete Using the Ultrasonic Velocity Method.

This paper presents and investigates the properties of concrete in which a portion of the cement is substituted with non-sintered Hwangto (NSH), a readily available building material in Asia. Given the inactive nature of NSH, this study aimed to determine the optimal cement replacement ratio and quantitative strength of the material. The unit weight, compressive strength, ultrasonic pulse velocity (UPV), and stress-strain of the NSH concrete (NSHC) were evaluated. Additionally, we developed a predictive model for determining compressive strength based on the regression analysis of compressive strength and UPV. The water-to-binder ratio was set to 0.41, 0.33, and 0.28, and the NSH replacement rates in the cement were set to 0%, 15%, 30%, and 45% for evaluating various strength ranges. The mechanical property measurements indicated reductions of 5.35% in unit weight, 35.62% in compressive strength, and 6.34% in UPV as the NSH was replaced. Notably, the smallest deviation from plain concrete was observed at a replacement rate of 15%. The scanning electron microscopy analysis results showed that the plain concrete exhibited a crystalloid structure; however, as the NSH replacement rate increased, the amorphous structure and pores increased while unreacted NSH particles were also observed. The X-ray diffraction analysis results demonstrate that the peak intensities for kaolinite and mullite increased as the NSH replacement rate increased, while those of C-S-H gel and CaO showed low peak intensities. Furthermore, the regression analysis concluded that an exponential function was suitable. Consequently, a compressive strength prediction model was developed, and in the error test, the NSHC model demonstrated an average error of <10%, with fewer errors at the lower compressive strength boundaries.

Evaluation on Early Strength Development of Concrete Mixed with Non-Sintered Hwangto Using Ultrasonic Pulse Velocity.

Currently, in order to reduce the greenhouse gases of global warming, research on alternative cement materials is being actively conducted in the construction industry to reduce cement use, and it is judged to be important to evaluate the timing of form removal for the initial age. Therefore, in this study, we evaluated the initial mechanical properties of concrete in which cement was partially replaced with non-sintered hwangto (NHT). Specimens without NHT (namely, normal mortar (NM) and normal concrete (NC)) and specimens with NHT (namely, non-sintered hwangto mortar (HTM) and non-sintered hwangto concrete (HTC)) were prepared. NHT was substituted for 15% and 30% of cement. Two water-to-binder (W/B) ratios, 41% and 33%, were used to analyze the variation in the mechanical properties according to the cement and NHT content per unit volume of concrete. The compressive strength and ultrasonic pulse velocity (UPV) were measured. Experimental results indicated that compressive strength decreased with an increase in NHT content. The mortar with NHT substitution rates of 15% and 30% exhibited higher UPV than NM at a W/B ratio of 41%, in contrast to the behavior observed for concrete. The UPVs of most specimens were similar regardless of the NHT substitution rate. The correlation between the compressive strength and UPV of HTC was analyzed, and therefrom, exponential equations with a high correlation coefficient (R2) were proposed for strength prediction; the resulting predictions were compared with the results of previous compressive strength prediction models.

Optical and quantitative detection of cobalt ion using graphitic carbon nitride-based chemosensor for hydrometallurgy of waste lithium-ion batteries.

A hydrometallurgy is one of the most important techniques for recycling waste LIBs, where identifying the exact composition of the metal-leached solution is critical in controlling the metal extraction efficiency and the stoichiometry of the regenerated product. In this study, we report a simple and selective optical detection of high-concentrated Co2+ using a graphitic carbon nitride (g-CN)-based fluorescent chemosensor. g-CN is prepared by molten salt synthesis using dicyandiamide (DCDA) and LiI/KI. The mass ratio of LiI/KI to DCDA modifies the resulting g-CN (CNI) in terms of in-plane molecular distances of base sites including cyano functional groups (─CN) and fluorescent emission wavelength via nucleophilic substitution. The fluorescent sensing performance of CNIs is evaluated through photoluminescence (PL) emission spectroscopy in a broad Co2+ concentration range (10-4-100 M). The correlation between the surface exposure of hidden nitrogen pots (base sites) and PL intensity change is achieved where the linear relationship between the PL quenching and the logarithm of Co2+ concentration in the analyte solution is well established with the regression of 0.9959. This study will provide the design principle of the chemosensor suitable for the fast and accurate optical detection of Co2+ present in a broad concentration range for hydrometallurgy for the recycling of waste LIBs.