• Title/Summary/Keyword: 팽창주의

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Trachea Necrosis after Thyroidectomy ; Case Report and Review (갑상선절제술 후 발생한 기도 괴사 ; 증례보고)

  • Choi, Ji Woo;Lee, Jeonghun;Song, Youngpeck;Kim, Chul-Ho;Soh, Euy Young
    • Korean Journal of Head & Neck Oncology
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    • v.30 no.2
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    • pp.109-114
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    • 2014
  • 갑상선절제술은 내분비 외과의사가 하는 수술 중 가장 안전한 수술이지만 수술 중 기도나 식도가 손상 받을 수 있으므로 각별한 주의를 기울여야 한다. 특히 기도 괴사와 같이 생명에 위협을 주는 합병증이 있음을 유념해야 한다. 본 논문은 갑상선 전 절제술과 승모판 치환술을 함께 받은 72세 여성환자가 수술 후 3일만에 기도 괴사가 발생한 케이스이다. 3개의 기관륜에 걸쳐 괴사가 발생되어 있었다. 괴사된 조직을 제거하고, 이후 지속적인 괴사조직에 대한 제거와 치료와 적으로 기관개창술을 시행하고, 자연폐쇄를 유도하여 성공적으로 치료되었다. 비슷한 여러 논문들을 살펴본 결과 기도 괴사를 유발하는 요인으로는 조절되지 않는 기침, 여성, 갑상샘중독 결절, 기도 삽관 시 발생되는 손상, 삽관튜브 커프의 과팽창으로 기도가 장시간 높은 압력으로 압박되었을 때, 적절하기 않은 커프 크기, 삽관튜브 커프의 공기를 빼지 않고 무리하게 움직였을 때, 출혈이 많을 때, 과도한 전기소작으로 인한 손상, 기도로 가는 혈관손상으로 인한 혈액공급의 차단, 감염 등으로 보고 있다. 치료는 기도의 괴사와 감염의 정도에 따라 달라질 수 있다. 일차 봉합술, 일시적 스토마 형성, 일시적 기관조루술, 단단연결술, 기도 스텐트 설치술, 근육피판 재건술, 보존적 치료 등을 시행할 수 있다. 기도 괴사에 대한 위험인자와 치료에 대해서는 아직 확실히 적립되지 않은 상태이다. 드문 합병증이지만 생명을 위협할 수 있는 이러한 합병증에 대해 항상 염두 해 두고 수술 시 신중을 기하고 문제 발생시 신속한 대응을 해야겠다.

Failure analysis of capacitor for sub-module in HVDC (HVDC 서브모듈용 커패시터의 고장 분석)

  • Kang, Feel-soon;Song, Sung-Geun
    • Journal of IKEEE
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    • v.22 no.4
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    • pp.941-947
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    • 2018
  • In general, capacitors have a large influence on the life of the system due to frequent charging and discharging. In this paper, we analyze the cause of the core failure of high voltage, high current HVDC sub-module film capacitor and analyze the precautions of the capacitor design and manufacturing process. First, the cause of the fault, the failure mode, and the effect are analyzed through the FMEA of the capacitor. To quantitatively evaluate the causes and effects of faults that have the greatest effect on the failure of a capacitor, a fault tree for the capacitor is presented and the failure rate is analyzed according to the design parameters and the driving conditions. It is verified that the main cause of capacitor failure is the capacitance change, and it is necessary to minimize the temperature rise, corona occurrence, electrode expansion, and insulation distance decrease during capacitor design and manufacturing process in order to reduce the failure rate of the capacitor.

Examination on the Types, Characteristics, and Electoral Responsiveness of Legislator-sponsored Bills: Evidence from the 17~19th National Assembly of South Korea (의원입법의 유형, 특성 및 선거반응성 검토: 대한민국 제17~19대 국회 법률안 분석)

  • Jung, Hoyong
    • Korean Journal of Legislative Studies
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    • v.26 no.3
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    • pp.85-123
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    • 2020
  • Under representative democracy, members of the National Assembly exercise their authority to propose, enact, and revise bills on behalf of the people, and the legislation of such lawmakers has a great impact on individuals and society. There exist criticisms that the quality of legislator-sponsored bills has not improved while the number of them has been expanding recently. This study examines the type, productivity, and efficiency of legislation in the 17~19th National Assembly, and empirical analysis is conducted on how the lawmaker's legislations respond to election-related variables such as voter turnout and election competition. The results show that legislator-sponsored bills are mainly produced in the area of governance, finance, macroeconomic policy, social welfare, and health. The number of legislator's proposals increases, while the passing rate decreases, and the processing period extends. Constituents' participation in voting has been shown to enhance legislative efficiency. Based on the results, the paper emphasizes the enhancement of transparency in the legislative process, the improvement of the people's political knowledge, and the revitalization of election functions for the improvement of parliamentary legislation.

Industrial restructuring and uneven regional development in the 1980s (산업구조조정과 지역불균등발전 : 1980년대)

  • ;Choi, Byung-Doo
    • Journal of the Korean Geographical Society
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    • v.29 no.2
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    • pp.137-165
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    • 1994
  • Structural adjustment of industry (or industrial restructuring) seems to be inherent in the process of capitalist economic development, which tends to be proceeded with shifts from one stage to another in order to overcome structural crises generated in each stage. The structural adjustment of industry is necessarily accompanied with regional restructuring, since it is not only projected on spece, but also mediated by space. Such a restructuring necessitates industrial and uneven regional devlopment through which capital can seek excessive profits over the rate of socio-spatial average. The industrial restructuring and uneven regional development in the 1980s in Korea can be seen as a process in which capital attempted with a strong support of the govenment to overcome the crises in the end of 1970s and hence to go on rapid economic growth. In this process, capital, especially monopoly capital concentrated into few conglomerates, pursued both extensive expansion and intensive development of industry simultaneously. In results, the Korean economy could eliminate some of peripheral characters and maturate the Fordist accumulation system. The extensive expansion of the Korean industry in the 1980s was stimulated mainly through the enlargement and adjustment of investment for equipment facilities which was planned to exclude or rationalize traditional light industries on some places, and to continue rapid growth of key heavy-chemical industries, especially of fabricated metal industry, on other places. In this process, keeping mainly the existing developmental axis which polarized the Seoul Metroplitan region and the Southeast region in Korea, the enhancing spatial mobiiity of capital and the further differentiating division of labour enforced a tendency of concentration of all types of industry in the Seoul Metropolitan region, and at the same time provoked the diffusion of some industries over Jeolla and Chungchong regions in a considerable extent. The intensive development of industriai structure in the 1980s was pursued through the strategic encouragement of subcontracting small firms mainly which produced assembling components, the technical enhancement and factory (semi-) automation, and the enrichment of service industries for estate management, finance, distribution and retailing which supported and complemented the production of goods. In this process, enabling capital to extend and elaborate its domination over space through the reorganization of regulating systems, the Fordist division of labour generated a socio-spatial hierarchy in the nation-wide scale that characterized: the Seoul Metropolitan region as an overmaturated (or overarching) Fordist region performing the conceptive functions of management, research and development, in which all types of industry (including service industries) tended to be reconcentrated; Kyungsang region as a maturated Fordist region with excutive branches of large conglomerates and with subcontracting firms around them which produced standardized products through the automized production processes in secialized Fordist industries or rationalized traditional industries; and Jeolla and Chungchong regions as newly devloping Fordist regions with newly migrated branches and some subcontracting small firms-in relatively older Fordist industries or partly rationalized traditional industries. From these analyses, it can be argued that the structural adjustment of the Korean industry in the 1980s, which had carried out both through the extensive expansion and the intensive deveiopment, strengthened further uneven regional development process, even though it appears to have reduced apparently the economic and regional disparity by balancing numerically large and small firms and by extending the Fordist industrial space nation-wideiy. And it seems more persuasive to see that the Korean industrial structure in the 1980s maturated the Fordist system of accumulation, but not yet transformed towards the post-Fordist (or the so-called flexible) accumulation system, even though the Korean economy in the 1990s seems to be under a pressure of restructuring towards the latter system.

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Engineering Properties of Mylonite in the Youngju Area (영주지역 압쇄암의 공학적 특성 연구)

  • Kim, Sung-Wook;Choi, Eun-Kyeong;Yang, Tae-Sun;Lee, Kyu-Hwan
    • Journal of the Korean Geotechnical Society
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    • v.27 no.10
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    • pp.35-43
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    • 2011
  • The area to be studied is the place where the main line rail way will be constructed in accordance with the scheduled construction project of Yeongju dam, and is a fold and mylonite zone over several km that is formed by ductile-shearing effect. The ductile shear zone, which has been transformed by faulting for long geological time, shows a complicated geological structure. Due to the recrystallization of mineral caused by transformation in deep underground (>8km), a mylonite zone with lamellar structure has properties distinguished from other fault zones formed by transformation near earth surface <2km). To see the properties of mylonite, this study analyzed the transformation rate of sample rocks and the shape of constriction structure accompanied with transformation. While the transformation of fault zone shows a round oblate, the mylonite zone shows a prolate form. Transformation rate in fault zone was measured to be less than 1.2 compared to the state before transformation while the measured rate in mylonite zone was 2.5 at most. Setting the surface of discontinuity as the base, the unconfined compressive strength of slickenside can be categorized in sedimentary rocks, and a change of strength was observed after water soaking over certain time. Taking into account that the weathering resistance of the rock based on mineral and chemical organization is relatively higher, its engineering properties seems to result from the shattered crack structure by crushing effect. When undertaking tunnel construction in mylonite zone, there should be a special care for the expansion of shattered cracks or the fall of strength by influx of ground water.

The Behavior on Stress and Settlement of GCP Composite Ground with Different Shear Strength of Soil (GCP로 개량된 복합지반의 지반강도 별 응력 및 침하거동)

  • Na, Seung-Ju;Kim, Daehyeon;Kim, Gyeong-Eop
    • Journal of the Korean Geosynthetics Society
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    • v.16 no.3
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    • pp.63-74
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    • 2017
  • Although the Granular Compaction Pile (GCP) has been used for many decades, several failures still occur such as bulging, shear failure and other phenomena, indicating that more refined study is needed. The main objective of the study is to evaluate the stress concentration ratio for both area replacement ratio and shear strength of soil through literature review and numerical analysis. Numerical analysis using the finite element program ABAQUS has been performed for the composite ground with GCP. The behavior stress and settlement of composite ground have been analyzed for both the area replacement ratio (10~40%) and shear strength of soil (25~75 kPa). As a result of numerical analysis, as the soil strength and area replacement ratio increased, the average stree related coefficient and stress concentration ratio for depth tended to decrease, and stress related coefficient of upper layer tend to decrease equally, but the stress concentration ratio decreased. Therefore, tendency that the value in th upper layer differs from the value in other depths was displayed. Care should be taken because it is possible to make mistakes in designing the entire composite ground with the values measured in the upper layer. Also, the settlement reduction factor was compared with the existing equation and numerical analysis. And the value obatined from the existing equation and numerical analysis are similar.

Engineering Properties of Lightweight Foaming Grouting Materials for Underground Cavities (지반 공동의 충진을 위한 발포성 경량그라우트재의 공학적 특성)

  • Han, WooJin;Lee, Jong-Sub;Byun, Yong-Hoon
    • Journal of the Korean GEO-environmental Society
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    • v.19 no.2
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    • pp.5-12
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    • 2018
  • Underground cavities could induce road subsidence, which have been frequently observed in urban areas. Therefore, adequate backfilling materials and the restoring methods of the cavities are required to prevent the road subsidence. The objective of this paper is to evaluate the suitability of backfilling methods using foaming lightweight grouting materials considering the flow values, unit weights, and air contents at slurry and expanded states, and unconfined compressive strengths. The grouting materials consist of water, cement, and foaming agent whose proportions of water, cement, and foaming agent are 25: 25: 1.0 and 25: 25: 1.2. The flow values of the two materials are greater than 200 mm, and their unconfined compressive strengths at 28 days age are smaller than 1.3 MPa. From the results, the two proportions of materials are expected to be effectively used as a backfilling material. However, the material components should be carefully mixed because poor mix of these materials could induce non-homogeneous distribution of air bubbles. The unexpectedly non-homogeneous distribution of air bubbles may induce significant cracks or additional cavities.

The New Urbanization Process and Urban Policy of Daegu in the 1990s (1990년대 대구의 신도시화 과정과 도시정책)

  • Kim, Soon-Cheon;Choi, Byung-Doo
    • Journal of the Korean association of regional geographers
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    • v.9 no.4
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    • pp.461-480
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    • 2003
  • This paper is to consider the new urbanization process of Daegu in the 1990s, especially with its economy, politics, social culture, environment and space. In the economic aspect, the industrial structure of Daegu has shifted from the manufacturing- centered economy to the service economy. But it has not yet overcome the linear frame of industrial structure still relying on the textile industry, though the degree of industrial specialization has increased in the part of the fabricated metal products and the precision and optical instrument. In the political situation that the implementation of the local self-government has made the relation between localities more competitive, the local government of Daegu has led a boom for boosting the regional economic growth, organizing private-public-research relations to improve the weakening regional investment and production function. In the social and cultural aspect of the new urbanization, the investment into the soft-ware facilities has been increased, and the urban festivals have been changed so as to revitalize the regional economy. In the environmental aspect, as the self-government system has launched, conflicts around values and interests of local governments have revealed frequently due to locations of infra-structures and of abhorrence facilities. Finally, seen from the spatial dimension of the city, the extension of residential areas and unregulated use of urban space have a result of inefficience of land-use, and this kind of unplanned outer expansion of the city has brought about with further separation of house and working place, and increasing distance of movements and the an urban spatial structure which requires more energy consumption.

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Ultrastructural Changes of Fat-storing Cells in Experimental Hepatic Fibrosis (실험적 간섬유화에서 Fat-storing Cell의 미세구조의 변화에 대한 연구)

  • Kim, Mi-Jin;Choi, Won-Hee;Lee, Tae-Sook
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.224-238
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    • 1992
  • Hepatic fibrosis was induced in Sprague-Dawley rats to evaluate the ultrastructural changes of fat-storing cells(Ito cells). For experimental induction of liver fibrosis, the rats were administered intraperitoneally with 0.5ml of 50% $Ccl_4$ solution per Kg body weight, twice weekly for 12 weeks. The rats were sacrified every week. The liver tissues were examined under light and eletron microscopes. And the immunohistochemical study of desmin was also performed. The results were summarized as follows : Light microscopic findings : The cellular infiltrations with inflammatory cells and Kupffer cells developed from 1 week after $Ccl_4$ injection, and were the most severe in 4 weeks. The strong immunoreactivity for desmin was also evident in 4 weeks. The centrilobular necrosis and fibrosis developed from 2 weeks after injection, and the necrosis persisted until 8 weeks. The progress of fibrosis was accompanied by decreases in cellular infiltration and reactivity for desmin, and increased gradual nodular formation was also observed. The cirrhosis was developed after 10 weeks. Electron microscopic findings : An increase in number of fat-storing cells was observed from 1 week after injection. Transitional cells characterized by a depletion of lipid droplets and a hypertrophy of the rER appeared after 2 weeks. The number of transitional cells with abundant collagen fibers in the extracellular spaces increased in 4 weeks. With progression of fibrosis the number of fat-storing cells decreased and proliferating fibroblasts with dilated rER were observed. According to these results it was revealed that there was an apparent transition from fat-storing cells to transitional cells and to fibroblasts. These cells had a few similar characteristics and may belong to the same cell population. Thus it was suggested that fat-storing cells might play an important role in hepatic fibrosis.

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Engineering Properties of Uncemented Mudrock from Yeoju Area, Gyeonggi-Do (경기도 여주지역 미고결 이암의 공학적 특성)

  • Ban, Hoki;Lee, Huiyoun;Bae, Kyujin;Cho, Wanjei
    • Journal of the Korean GEO-environmental Society
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    • v.16 no.12
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    • pp.53-58
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    • 2015
  • Engineers should take great care of characterizing the engineering properties of mudrock, because the uncemented mudrock can be considered as a hard rock in appearance. Therefore, the mudrock samples obtained from the cut slope in Gyeongki-do were tested to evaluate the strength characteristics of uncemented mudrock in this study. The performed tests are index properties, slake durability, and swelling tests for the classification of the mudrock for engineering practice. To evaluate the effect of water on the engineering properties of the uncemented mudrock, resonant column, triaxial compression and direct shear tests with various water contents were performed. With the increasing water contents, stiffness at very small to small strain region and the cohesion value of the strength parameters decrease. Based on the test results, engineers should take great care of evaluating the engineering properties of uncemented mudrock.