Penile augmentation using filler injections is a growing trend; however, the foreign body reaction can cause complications such as ulcer and necrosis of the penis, which can requires reconstruction. The existing method of reconstruction of the penis focused on filling the deficit. We report a case involving a scrotal flap and autologous augmentation using a de-epithelialization technique for a soft tissue defect caused by delayed infection after a penile filler injection. The defect was reconstructed and an augmentation effect was achieved. The patient was a 41-year-old man who received an injection of Aquafilling® (Biomedica, Prague, Czech Republic) 7 years previously and developed a delayed infection. After debridement, the penile defect spanned the entire shaft, and the circumference of the penis was 7.5 cm. Using a bilateral scrotal flap technique, the inferior margins of both flaps were rolled inward after de-epithelialization to achieve autologous augmentation. No infection or flap necrosis occurred during the 3-month follow-up period after surgery. Additionally, the penis circumference was expanded to 12 cm, and the patient indicated that he was very satisfied with the result. This surgical technique can be widely applied as treatment for penile defects.

We propose a wave-like design on the surface of cathode channels (wave form cathode channels) to improve oxidant delivery to gas diffusion layers (GDLs) [1-2]. We performed experiments using PEMFCs combined with wave form surface design on cathodes. We varied the factors of the distance between wave-bumps (the Adhesive distance, AD), and the size of the wave-bumps (the Expansion ratio, ER). The ADs are 3, 4, and 5 times the size of the half-circle bump’s radius, and the ERs are 1/1.5, 1/2, and 1/3 times the channel’s height. We evaluated the performances of the fuel cells, and compared the current-voltage (I-V) relations. For comparison, we prepared PEMFCs with conventional flat-surfaced oxygen channels. Our aim in this work is to identify fuel cell operation by modifying the surface design of channels, and ultimately to find the optimal design of cathode channels that will maximize fuel cell performance.

Developing high performance HVAC system using natural refrigerants including carbon dioxide (CO₂) has been important in respect of environmental preservation and associated technologies. Thus studies to optimize the HVAC (heating ventilation air conditioner) system using natural refrigerants through clarifying the cycle performance characteristics are necessary. The CO₂ heat pump system using air and water sources was consisted to examine its performance characteristics, and by varying conditions of several factors that affect or characterize the system performance like the amount of refrigerant charge, EEV (electronic expansion valve) opening, and internal heat exchanger under cooling mode. The performance characteristics of CO₂ heat pump system were tested by using an air enthalpy calorimeter. In the case of the CO₂ heat pump system without internal heat exchanger, the opening of #3 EEV and #4 EEV was 60% and refrigerant charge amount was 5,600g. However, in the case of that with internal heat exchanger, the best performance was obtained when the opening of #2 EEV is 20%. From the present studies, it was observed that the performance variation and operational characteristics of the CO₂ heat pump system were affected by design factors like refrigerant charge amount, EEV opening, and internal heat exchanger and thereby, the configuration on an optimal operation conditions of the system was enabled.