• Journal of Korean Neurosurgical Society
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• v.54 no.4
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• pp.359-362
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• 2013

Chronic hypoventilation due to injury to the brain stem respiratory center or high cervical cord (above the C3 level) can result in dependence to prolonged mechanical ventilation with tracheostomy, frequent nosocomial pneumonia, and prolonged hospitalization. Diaphragm pacing through electrical stimulation of the phrenic nerve is an established treatment for central hypoventilation syndrome. We performed chronic phrenic nerve stimulation for diaphragm pacing with the spinal cord stimulator for pain control in a quadriplegic patient with central apnea due to complete spinal cord injury at the level of C2 from cervical epidural hematoma. After diaphragmatic pacing, the patient who was completely dependent on the mechanical ventilator could ambulate up to three hours every day without aid of mechanical ventilation during the 12 months of follow-up. Diaphragm pacing through unilateral phrenic nerve stimulation with spinal cord stimulator was feasible in an apneic patient with complete quadriplegia who was completely dependent on mechanical ventilation. Diaphragm pacing with the spinal cord stimulator is feasible and effective for the treatment of the central hypoventilation syndrome.

• Journal of Chest Surgery
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• v.27 no.2
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• pp.148-152
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• 1994

We have experienced 21 cases of traumatic diaphragm injury between October, 1989 and September, 1993. Of these patients, 17 cases were caused by blunt trauma and 4 by penetrating injury. Among 17 blunt traumas, 10 cases developed at left side, 6 at right and 1 at central subpericardial diaphragm, and among penetrating injuries, 3 cases developed at right side and 1 at left. Overall mortality rate was 21% and one due to blunt trauma was 29%. Initial hypotension was a predisposing factor to presume future death. When associated injuries involved 4 or more organs, mortality rate was high.

• Explosives and Blasting
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• v.20 no.3
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• pp.59-71
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• 2002

The points of this design case are the planning and excavation method of a new double-tracked railroad tunnel which is approx. 11∼22 meters apart from existing single-tracked railroad tunnel. For the optimum excavation method some needs are required in design stage, such as the reduction of noise and vibration, public resentment, damage of buildings and construction costs. Hence the estimation and application of allowable noise and vibration criterion is important. The ground coefficient (K, n) of this site is determined by field trial blasting. The excavation method is chosen to satisfy the allowable noise and vibration criterion. In addition, in order to ensure the stability of existing single-tracked railroad tunnel, the instrumentation of maintenance level is accompanied during the construction stage. As a result of this design condition, central diaphragm excavation with line drilling and pre-large hole boring blasting is applied to the area within 15 meters apart from existing tunnel. And above 15 meters apart, pre-large hole boring blasting is designed.

• Journal of Chest Surgery
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• v.21 no.3
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• pp.567-573
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• 1988

Coarctation of the aorta is classically a congenital narrowing of the upper descending thorac aorta adjacent to the site of attachment of the ductus arteriosus which is sufficiently severe that there is a pressure gradient across the area. Recently we have experienced two cases of coarctation of the aorta and successfully performed resection of the sites of coarctation and end to end anastomosis of the aorta. The first case was a juxtaductal type of coarctation of the aorta with PDA and the pathology of the lesion was a diaphragm with central narrow opening. And the resection length was about 0.5cm and aortic clamping time was 20 minutes. The second case was also juxtaductal type coarctation of the aorta with mild tubular hypoplasia of aortic isthmus, left SVC and the pathology was also a diaphragm with central narrow opening. And the resection length was about 0.5cm and aortic clamping time was 29 minutes. Both postoperative course was uneventful and the patients were discharged two weeks after operation.

• Journal of Veterinary Clinics
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• v.16 no.2
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• pp.478-481
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• 1999

A 8 years old male Pomeranian weighing 4 kg was referred because of coughing of 4 months' duration. Heart sounds and cardiac apex beat were showed more intense on the right side. On radiographic views, loss of normal line of the diaphragm, gas-containing intestines and stomach in thoracic cavity, and right displacement of heart were observed. Ultrasonography revealed that liver located adjacent to the heart. Although the dog died due to severe respiratory disorder in surgical procedure, in thoracic and abdominal surgery, a large defect was found in the left and right ventral muscular portion and left central tendon of the diaphragm, extending from the esophageal hiatus to rib. Left and right cranial lobe of liver, small intestines, stomach and spleen were herniated in the thoracic cavity. Because of the size and chronicity of the defect in the diaphragm, closure was impossible with an abdominal muscle graft.

• Geomechanics and Engineering
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• v.31 no.5
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• pp.489-503
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• 2022

A 1257-m-long irregular deep foundation pit located in the central of Nanjing, China was constructed using the combined full-width and half-width top-down method. Based on the long-term field monitoring data, this study analyzed the evolution characteristics of the vertical movement of the columns, internal force of the struts, and axial force of the structural beam and slab. The relevance of the three mentioned above and their relationship with the excavation process, structural system, and geological conditions were also investigated. The results showed that the column uplift was within the range of 0.08% to 0.22% of the excavation depth, and the embedded depth ratio of the diaphragm wall and the bottom heave affected significantly on the column uplift. The differential settlement between the column and diaphragm wall remained unchanged after the base slab was cast. The final settlement of the diaphragm wall was twice the column uplift. The internal force of the struts did not varied monotonically but was related to numerous factors such as the excavation depth, number of struts, and environmental conditions. Additionally, the dynamic force and deformation of the columns, beams, and slabs were analyzed to investigate the inherent relationship and variation patterns of the responses of different parts of the structure.

• Journal of Chest Surgery
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• v.25 no.10
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• pp.1001-1012
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• 1992

13 cases of traumatic diaphragmatic ruptures were treated at the department of thoracic and cardiovascular surgery in Lee-Rha general hospital, Cheong-Ju, Choong Cheong Buk Do, between Oct. 1989 and Feb. 1992. The above 13 cases were reviewed in this study. And the following results were obtained. 1. Sex ratio is 11: 2 with male dominance 2. The 9 cases were due to blunt trauma and other 4 cases were due to penetrating injury. 3. Right side injury was more common than left[7: 5] and there was 1 case of central type which ruptured through subepicardial diaphragm. 4. All of the cases had association injury. 5. Preoperative diagnosis was possible in the 9 cases and others were diagnosed during operation under other indication. 6. Finger exploration was one of effective diagnostic procedure. 7. All of diaphragmatic ruptures was corrected through thoracotomy and exploratory laparotomy was done in 6 cases. 8. A patient died after operation due to associated injuries.

• Steel and Composite Structures
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• v.36 no.4
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• pp.447-462
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• 2020

The paper aims to investigate the mechanical mechanism and seismic effect of stiffeners in blind bolt endplate connection to CFST column. A precise 3D finite element model with considering the cyclic properties of concrete and steel materials was established, and the efficiency was validated through monotonic and cyclic test data. The deforming pattern and the seismic performance of the unstiffened and stiffened blind bolt endplate connections were investigated. Then a parametric analysis was conducted to analyze the contribution of stiffeners and the joint working behaviors with endplate under cyclic load. The joint stiffness classifications were compared and a supplement stiffness classification method was proposed, and the energy dissipation ability of different class connections were compared and discussed. Results indicated that the main deformation pattern of unstiffened blind bolt endplate connections was the local bending of end plate. The vertical stiffeners can effectively alleviate the local bending deformation of end plate. And influence of stiffeners in thin endplate and thick endplate was different. Based on the stiffness of external diaphragm welded connection, a more detailed rigidity classification was proposed which included the pin, semi-rigid, quasi-rigid and rigid connection. Beam was the main energy dissipation source for rigid connection. For the semi-rigid and quasi-rigid connection, the extended endplate, stiffeners and steel beam would all participate in the energy dissipation.

• Journal of Korean Medical classics
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• v.22 no.1
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• pp.27-34
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• 2009

In "Maekyojeongmiron(脈要精微論)", Jangbu(臟腑) is assigned to Chon.Gwan.Cheok(寸關尺) in according to the position. Kidney[腎] is assigned to the backward area of Cheok. Abdominal cavity[腹中] is assigned to the middle area of Cheok. Hypochondrium[季脇] is assigned to the forward area of Cheok. Liver[肝] is assigned to the backward area of left Gwan. Diaphragm[鬲] is assigned to the forward area of left Gwan. Stomach[胃] is assigned to the backward area of right Gwan. Spleen[脾] is assigned to the forward area of right Gwan. Heart[心] is assigned to the backward area of left Chon. Central part of the chest[膻中] is assigned to the forward area of left Chon. Lung[肺] is assigned to the backward area of right Chon. Thoracic cavity[胸中] is assigned to the forward area of right Chon. This method of assignment is simple and useful in clinic.

• Proceedings of the KIEE Conference
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• 1996.07c
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• pp.1476-1478
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• 1996

This paper describes the recent development of a thin-film pressure transducer with Cu-Ni films as strain gages. The construction details and the output characteristics are presented. In order to improve the sensitivity and the temperature compensation, two circumferential gages are placed in the central region of the diaphragm, and two radial gages are placed near the edge. The output sensitivity obtained is 2.1mV/V and the maximum non-linearity and hysteresis is less than 2%FS.