• Clinics in Shoulder and Elbow
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• v.16 no.1
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• pp.33-39
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• 2013

Purpose: The aim of this study is to evaluate the clinical result of intra-articular fractures of the distal humerus (AO type C) in elderly osteoporotic patients treated with double tension band osteosynthesis. Materials and Methods: From January 2006 to December 2010, 10 elderly osteoporotic patients(1 male, 9 females) with intra-articular fractures of the distal humerus (AO type C) were treated with double tension band osteosynthesis. The mean age of patients at the time of surgery was 74.6(66~84) years and the mean follow-up period was 39.2(20~74) months. The fracture union and complications were assessed and the functional result was evaluated by the rating system of Jupiter et al. and the Mayo elbow performance index. Results: Bone union was achieved in all patients with no secondary displacement. The mean time for union was 16.6(13~22) weeks. The average postoperative arc of elbow flexion was 119(100~140) degrees with a mean flexion contracture of 8.5(0~15) degrees. The recovery in two patients was rated as excellent, in 7 as good, and in 1 as fair in terms of the Mayo elbow performance index with average value of 82(70~90) points. Seven patients were rated as excellent, 1 as good, and 2 as fair in terms of the rating system of Jupiter et al. Changing tension band wiring was performed in one patient as skin irritation was noticed due to tension band knots. Heterotopic ossification developed in one patient but had no symptom. Conclusion: Double tension band osteosynthesis in intra-articular fractures of distal humerus (AO type C) in elderly osteoporotic patients can provide sufficient and secure stability to allow early rehabilitation.

• Clinical and Experimental Pediatrics
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• v.53 no.4
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• pp.532-537
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• 2010

Purpose : Early postoperative arrhythmias are a major cause of mortality and morbidity after open heart surgery in the pediatric population. We evaluated the incidence and risk factors of early postoperative arrhythmias after surgery of congenital heart disease. Methods : From January 2002 to December 2008, we retrospectively reviewed the medical records of the 561 patients who underwent cardiac surgery in Kyungpook National University Hospital. We analyzed patients' age and weight, occurrence and type of arrhythmia, cardiopulmonary bypass (CPB) time, aortic cross clamp (ACC) time, and postoperative electrolyte levels. Results : Arrhythmias occurred in 42 of 578 (7.3%) cases of the pediatric cardiac surgery. The most common types of arrhythmia were junctional ectopic tachycardia (JET) and accelerated idioventricular rhythm (AIVR), which occurred in 17 and 13 cases, respectively. The arterial switch operation (ASO) of transposition of the great arteries (TGA) had the highest incidence of arrhythmia (36.4%). Most cases of cardiac arrhythmia showed good response to management. Patients with early postoperative arrhythmias had significantly lower body weight, younger age, and prolonged CPB and ACC times ($P$<0.05) than patients without arrhythmia. Although the mean duration of ventilator care and intensive care unit stay were significantly longer ($P$<0.05), the mortality rate was not significantly different among the 2 groups. Conclusion : Early postoperative arrhythmias are a major complication after pediatric cardiac surgery; however, aggressive and immediate management can reduce mortality and morbidity.

• Journal of Chest Surgery
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• v.33 no.12
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• pp.941-947
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• 2000

Background: Central nervous system complication after coronary artery bypass grafting(CABG) is one of the major prognostic determinants and the use of the cardiopulmonary bypass(CPB) may increase the incidence of this devastating complication. In this study, the outcomes after off-pump CABG were studied and compared with those following the conventional CABG using CPB. Material and Method: Among the consecutive isolated CABG's performed in SNUH during Feb. 1995 and Jun. 1999, 338 coronary artery bypass grafting were divided into two groups. 223 patients underwent CABG using the CPB(Group I), and 115 patients underwent CABG without CPB(OPCAB)(Group II). All patients enrolled in this study received extensive preoperative examinations including thorough neurologic examination before and after surgery, transcranial doppler study, carotid duplex ultrasonography, and magnetic resonance angiography if necessary. Central nervous system(CNS) complications were defined as stroke, seizure, metabolic or hypoxic encephalopathy and transient delirium after surgery. Result: There were 61 cases(27.3%) who developed postoperative CNS complication in Group I, whereas 8 cases(7.0%) of CNS complications developed postoperatively in group II(p<0.05). Statistically significant predictors of postoperative CNS complications in group I were age and the use of cardiac assist devices perioperatively. Conclusion: This study suggested that omitting the use of CPB in CABG resulted in significant decrease of the postoperative CNS complications. OPCAB should be more widely applied especially to the elderly who have preexisting cerebrovascular disease.

• Clean Technology
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• v.25 no.3
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• pp.256-262
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• 2019

Hydroxylammonium nitrate (HAN)-based liquid propellants are attracting attention as environmentally friendly propellants because they are not carcinogens and the combustion gases have little toxicity. The catalyst used to decompose the HAN-based liquid propellant in a thruster must have both low temperature activity and high heat resistance. The objective of this study is to prepare an Ru/alumina/metal foam catalyst by supporting alumina slurry on the surface of NiCrAl metal foam using a washing coating method and then to support a ruthenium precursor thereon. The decomposition activity of a HAN aqueous solution of the Ru/alumina/metal foam catalyst was evaluated. The effect of the number of repetitive coatings of alumina slurry on the physical properties of the alumina/metal foam was analyzed. As the number of alumina wash coatings increased, mesopores with a diameter of about 7 nm were well-developed, thereby increasing the surface area and pore volume. It was optimal to repeat the wash coating alumina on the metal foam 12 times to maximize the surface area and pore volume of the alumina/metal foam. Mesopores were also well developed on the surface of the Ru/alumina/metal foam catalyst. It was found that the metal form itself without the active metal and alumina can promote the decomposition reaction of the HAN aqueous solution. In the case of the Ru/alumina/metal foam-550 catalyst, the decomposition onset temperature was significantly lowered compared with that of the thermal decomposition reaction, and ${\Delta}P$ could be greatly increased in the decomposition of the HAN aqueous solution. However, when the catalyst was calcined at $1,200^{\circ}C$, the catalytic activity was lowered inevitably because the surface area and pore volume of the catalyst were drastically reduced and Ru was sintered. Further research is needed to improve the heat resistance of Ru/alumina/metal foam catalysts.

• Korean Journal of Ecology and Environment
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• v.52 no.2
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• pp.126-135
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• 2019

We carried out a literature review of fish food sources research in the coast - estuary areas of Korean peninsula for the last fifty years(1969~2018). A total of 101 research papers were reviewed, of which 81 were published in domestic journals, 7 were puliched in domestic reports and 14 were published in international journals. When divided into the decade periods, 21 papers (19.4%) between 1990 and 1999 and 26 papers (24.1%) between 2000 and 2009, and 42 papers (48.1%) were published in 2010 and 2018, respectively. When divided into the survey area by a bearing (East sea, South-East sea, South Sea, and West Sea), 65 papers(69.1%) were carried out in the South Sea. Followed by 13 papers (13.8%) in the East Sea and 8 papers (8.5%) in the West Sea and the South-East Sea, respectively. The surveyed area was dominant in Gwangyang Bay (18 papers; 24.3%), followed by Gadeok-do (8 papers; 10.8%). Of the diversity indices, 14 indices were used to calculate the ecological status. The dominant indices were IRI(Index of relative importance), Pi(Prey-specific abundance) followed by E (electivity index) and Bi (dietary breadth index). A total of 11 statistical methods were used to find feeding strategy. The correlation analysis and Bray-Curtis similarity matrix were applied most frequently. In terms of ecological research topics, the papers focused on seasonal or spatial differences before 2000. Since 2000, specifically, the international journal papers have been published based on competition, sympatric, niche overlap and other ecological topics.

• Radiation Oncology Journal
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• v.18 no.2
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• pp.92-100
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• 2000

Purpose :This study was performed to determine the optimal treatment velum of Patients treating with radiation therapy for intracranial germ cell tumor. Materials and Methods : From 1993 to 1998, 19 patients with intracranial germ cell tumors treated by gamma knife radiosurgery were analyzed. The location of tumor was as follows; 9 cases on pineal region, 1 case on suprasellar region, and 9 cases of multiple lesion. 7 patients were pathologically verified; 5 cases of germ cell tumor and 2 cases of non germinomatous germ cell tumor. Tumor volume was ranged from 2.4 cm$^{3}$ to 74 cm$^{3}$. Irradiation dose was 10 Gy to 20 Gy with 50% isodose curve. Follow up period was 10 months to 54 months. Results : Recurrences were observed in 14 cases among 19 (74%) patients. Complete remission and partial remission were achieved in 2 (11%) and 10 (53%) respectively. No response was observed in 7 (36%). 2 cases were recurred within original tumor bed. 6 cases were recurred beyond but contiguous with tumor bed. Ventricular relapses separated from pretreatment tumor bed were 3. Spinal recurrences were 4. Among 8 recurred cases of which tumor volume is smaller than 20 cm$^{3}$, 2 were recurred within original tumor bed, 4 were recurred beyond but contiguous with tumor bed, and 1 spinal recurrence. Meanwhile, 6 cases of which tumor volume larger than 20 cm3, 1 case was recurred beyond but contiguous with tumorbed, 2 ventricular recurrences separated with original tumor bed, and 3 spinal recurrences. 5 cases which did not show any recurrence sign showed characteristics of single lesion, tumor volume smaller than 20 cm$^{3}$ and normal tumor marker. All of 4 cases of spinal recurrences happened in the case having ventricular invasion or lesion. Among 9 cases having multiple lesion, only 3 cases recurred within original tumor bed or around tumor bed, the other 6 cases recurred separated from pretreatment tumor bed. Conclusion : Gamma knife radiosurgery is not recommended for the treatment of intracranial germ cell tumor. It is because of small treatment volume and inadequate radiation dose that are characteristics of gamma knife radiosurgery. Tumor volume, ventricular invasion or ventricular lesion in multiple lesion are important factors to be considered for the wide field radiation therapy Tumor volume smaller than 20 cm$^{3}$, single lesion, no ventricular lesion or invasion, and normal tumor marker are ideal indications for small involved field radiation therapy. Prophylactic spinal irradiation seems to be necessary when there is ventricular lesion, ventricular invasion, and multiple lesions. When the tumor volume is larger than 20 cm$^{3}$, multiple lesions, abnormal tumor marker, and whole ventricular irradiation or partial brain irradiation would be possible and neoadjuvant chemotherapy would be most beneficial in these group.

• Journal of the Korea Concrete Institute
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• v.24 no.4
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• pp.399-406
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• 2012

Beam-column joints are generally recognized as the critical regions in the moment resisting reinforced concrete (RC) frames subjected to both lateral and vertical loads. As a result of severe lateral load such as seismic loading, the joint region is subjected to horizontal and vertical shear forces whose magnitudes are many times higher than in column and adjacent beam. Consequently, much larger bond and shear stresses are required to sustain these magnified forces. The critical deterioration of potential shear strength in the joint area should not occur until ductile capacity of adjacent beams reach the design demand. In this study, a method was provided to predict the deformability of reinforced concrete beam-column joints failing in shear after the plastic hinges developed at both ends of the adjacent beams. In order to verify the deformability estimated by the proposed method, an experimental study consisting of three joint specimens with varying tensile reinforcement ratios was carried out. The result between the observed and predicted behavior of the joints showed reasonably good agreement.

• Journal of Korean Society of Coastal and Ocean Engineers
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• v.28 no.3
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• pp.132-145
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• 2016

In case of the seabed around and under gravity structures such as submerged breakwater is exposed to a large wave action long period, the excess pore pressure will be generated significantly due to pore volume change associated with rearrangement soil grains. This effect will lead a seabed liquefaction around and under structures as a result from decrease in the effective stress. Under the seabed liquefaction occurred and developed, the possibility of structure failure will be increased eventually. In this study, to evaluate the liquefaction potential on the seabed quantitatively, numerical analysis was conducted using the expanded 2-dimensional numerical wave tank model and the finite element elasto-plastic model. Under the condition of the regular wave field, the time and spatial series of the deformation of submerged breakwater, the pore water pressure (oscillatory and residual components) and pore water pressure ratio in the seabed were estimated.

• Journal of the Korean GEO-environmental Society
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• v.11 no.9
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• pp.27-38
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• 2010

A series of model test as well as numerical analysis by FEM was performed to investigate lateral earth pressure acting on a buried pipe in soft ground undergoing horizontal soil movement. A model test apparatus was manufactured so as to simulate horizontal soil movement in model soft ground, in which a model rigid buried pipe was installed. The velocity of soil deformation could be controlled as wanted during testing. The model test was performed on buried pipes with various diameters and shapes to investigate major factors affected the lateral earth pressure. The result of model tests showed that the larger lateral earth pressure acted on the buried pipes under the faster velocity of soil movement. The result of numerical analysis, which was performed under immediate loading condition, showed a similar behavior with the result of model tests under 0.3mm/min to 1.0mm/min velocity of soil deformation. Most of model tests showed the soil deformation-lateral load behavior, in which the first yielding load developed at small soil deformation and elastic behavior was observed by the yielding load. Then, lateral load was kept constant by the second yielding load, in which plastic behavior was observed between the first yielding load and the second yielding one. Beyond the second yielding load, the compression behavior zone was observed. When the velocity was too fast, however, the lateral load was increased with soil deformation beyond the first yielding load without showing the second yielding load. The buried pipes with the larger diameter was subjected to the larger lateral load and the larger increasing rate of lateral load. At small soil deformation, the influence of diameter and shape of buried pipes on lateral load was small. However, when soil deformation was increased considerably, the influence became more and more.

• Journal of the Korean Geotechnical Society
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• v.30 no.2
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• pp.65-76
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• 2014

For soil improvement, sand mats or sand compaction piles are often constructed on soft marine clays. In such cases, some amounts of sand and clay are inevitably mixed. Sand or gravel often exists in the weathered soils near the slope surface. This research investigates the effect of mixing sand content on consistency limits and shear strength of clays. Firstly, sand was mixed with kaolinite or bentonite at 0, 9, 17, 23, 29, 33, 50% and then liquid and plastic limits were measured. Both plastic and liquid limits decreased as a sand content increased. The water content of clay-sand mixtures with different sand content increased by 10% or 20% step by step and then their undrained shear strength was measured using a portable vane shear device called Torvane. For all cases, undrained shear strength of clay-sand mixtures decreased rapidly until reaching a certain value. Their state changed from undrained to drained state gradually as the sand content increased, which caused their undrained shear strength to decrease. On the other hand, a series of direct shear tests were also conducted on such clay-sand mixtures to investigate the effect of sand content on cohesion and angle of internal friction. It was found from clay-sand mixtures that their cohesion decreased but angle of internal friction increased as the sand content increased.