• Maxillofacial Plastic and Reconstructive Surgery
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• v.11 no.1
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• pp.226-230
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• 1989

As carotid-cavernous fistula is the major complication that can be occurred uncommonly after maxillofacial injuries, it is abnormal arteriovenous communication between cavernous sinus and internal carotid artery. Such an arteriovenous communication is most often the result of injuries, but need not be associated with bony fracture. It usually begins soon after an injury, but it may be delayed for as long as several months. It begins undramatically with eye pain, headache and slow protrusion of eye ball. A bruit may be heard above the eye with stethoscope. Close examination will reveal dilatation of superficial veins of the eyelid and forehead and periorbital edema. There will be complete or partial ophthalmoplesia of the affected eye. Compression of the common carotid artery on the ipsilateral side will reduce or obliterate the bruit. The lesion in the cavernous sinus is them demonstrable by angiography.

• Archives of Reconstructive Microsurgery
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• v.11 no.1
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• pp.47-52
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• 2002

One of the most common problems in cord injury is pressure sores. In the early stage of pressure sores, the wound can be covered by advancing or transpositioning a local myocutaneous flap. However, it can be a great challenge to treat end-stage paraplegic patient who underwent multiple prior flaps, where continuous treatment is needed to prevent recurrent pressure sore due to infection and metabolic drain. In these patients, a local myocutaneous flap may be very difficult for coverage of the wounds. Therefore, hemipelvectomy may be considered. The authors performed a hemipelvectomy on a 33 year-old male paraplegic patient who presented with multiple, large wounds seen in end-stage pressure sores. He had a compression fracture of the lumber spine 9 years ago during a motor vehicle accident. After a wide exicision of the wound, the anterior flap was used as a fillet-flap for reconstruction. On the sixth day postoperatively, secondary repair was done due to wound dehiscence and the postoperative results have been satisfactory thus far.

• Journal of Korean Neurosurgical Society
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• v.56 no.2
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• pp.141-145
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• 2014

Vertebral artery (VA) injuries usually accompany cervical trauma. Although these injuries are commonly asymptomatic, some result in vertebrobasilar infarction. The symptoms of VA occlusion have been reported to usually manifest within 24 hours after trauma. The symptoms of bilateral VA occlusions seem to be more severe and seem to occur with shorter latencies than those of unilateral occlusions. A 48-year-old man had a C3-4 fracture-dislocation with spinal cord compression that resulted from a traffic accident. After surgery, his initial quadriparesis gradually improved. However, he complained of sudden headache and dizziness on the 5th postoperative day. His motor weakness was abruptly aggravated. Radiologic evaluation revealed an infarction in the occipital lobe and cerebellum. Cerebral angiography revealed complete bilateral VA occlusion. We administered anticoagulation therapy. After 6 months, his weakness had only partially improved. This case demonstrates that delayed infarction due to bilateral VA occlusion can occur at latencies as long as 5 days. Thus, we recommend that patients with cervical traumas that may be accompanied by bilateral VA occlusion should be closely observed for longer than 5 days.

• The Korean Journal of Pain
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• v.18 no.2
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• pp.226-228
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• 2005

Zoster sine herpete (ZSH) is a varicella zoster virus (VZV) reactivation without a zoster that is difficult to diagnose early after onset. This study examined 12 patients who presented with intercostal neuralgia, had no history of trauma, cutaneous eruption and no scar of a herpes zoster on the lesion. Two patients had a vertebral compression fracture. Two patients had a history of a zoster in the other site. No other suspicious findings were observed. Ten of the twelve patients were checked for the IgG and IgM varicellar zoster virus antibody. All the patients tested positive to the Ig G antibody test and only one patient tested positive to the IgM antibody test. One patient was confirmed to have ZSH and the other patients were suspected of having ZSH. All the patients were treated for postherpetic neuralgia, resulting in a significant decrease in the intercostal neuralgia.

• Transactions of the Korean Society of Automotive Engineers
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• v.10 no.4
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• pp.149-157
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• 2002

This paper is to investigate collapse mechanisms of CFRP(Carbon Fiber Reinforced Plastics)composite tubes and to evaluate collapse characteristics on the change of interlaiminar number and ply orientation angle of outer under static and impact axial compression loads. When a CFRP composite tube is crushed, static/impact energy is consumed by friction between the loading plate and the splayed fronds of the tube, by fracture of the fibers, matrix and their interface. These are associated with the energy absorption capability. In general, CFRP tube with 6 interlaminar number(C-type), absorbed more energy than other tubes(A, B, D-types). The maximum collapse load seemed to increase as the interlaminar number of such tubes increases. The collapse mode depended upon orientation angle of outer of CFRP tubes and loading status(static/impact). Typical collapse modes of CFRP tubes are wedge collapse mode, splaying collapse mode and fragmentation collapse mode. The wedge collapse mode was shown in case of CFRP tubes with 0° orientation angle of outer under static and impact loadings. The splaying collapse mode was shown in only case of CFRP tubes with 90°orientation angle of outer under static loadings, however in Impact tests those were collapsed in fragmentation mode .

• Journal of Yeungnam Medical Science
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• v.33 no.1
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• pp.48-51
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• 2016

Milk-alkali syndrome (MAS), a triad of hypercalcemia, metabolic alkalosis, and renal failure, is associated with ingestion of large amounts of calcium and absorbable alkali. MAS is the third most common cause of hypercalcemia in hospital, after primary hyperparathyroidism and malignant neoplasm. MAS is not often reported in the Korean literature. We describe MAS secondary to intake of calcium citrate for the treatment of osteoporosis with thoracic spine compression fracture. A 70-year-old man presented to our hospital with a 1-week history of general weakness and lethargy. He was found with acute kidney injury (serum creatinine, 4.6 mg/dL), hypercalcemia (total calcium, 14.8 mg/dL), and alkalosis. Laboratory evaluation excluded both hyperparathyroidism and malignancy. Mental status and serum calcium level was normalized within a week after proper hydration and intravenous administration of furosemide. However, he developed aspiration pneumonia, pseudomembranous colitis, and sepsis with multi-organ failure. Despite intensive treatment including inotropics, mechanical ventilation, and renal replacement therapy, he expired with no signs of renal recovery on the 28th hospital day.

• Steel and Composite Structures
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• v.23 no.3
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• pp.285-302
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• 2017

Buckling-restrained braced frames (BRBFs) are commonly used as the lateral force-resisting systems in building structures in the seismic regions. The nearly-symmetric hysteretic response and the delayed brace core fracture of buckling-restrained braces (BRBs) under the axial cyclic loading provide the adequate lateral force and deformation capacity to BRBFs under the earthquake excitation. However, the smaller axial stiffness of BRBs result in the undesirable higher residual drift response of BRBFs in the post-earthquake scenario. Two alternative approaches are investigated in this study to improve the elastic axial stiffness of BRBs, namely, (i) by shortening the yielding cores of BRBs; and (ii) by reducing the BRB assemblies and adding the elastic brace segments in series. In order to obtain the limiting yielding core lengths of BRBs, a modified approach based on Coffin-Manson relationship and the higher mode compression buckling criteria has been proposed in this study. Both non-linear static and dynamic analyses are carried out to analytically evaluate the seismic response of BRBFs fitted with short-core BRBs of two medium-rise building frames. Analysis results showed that the proposed brace systems are effective in reducing the inter-story and residual drift response of braced frames without any significant change in the story shear and the displacement ductility demands.

• Journal of Chest Surgery
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• v.10 no.1
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• pp.38-43
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• 1977

With the adevance of widespread mechanization and high-speed era, the incidence of traumatic rupture of the tracheobronchial tree has been increased considerably. We have experienced these diseased of the 3 cases in our department. The first case was a 25 year old male who was severe dyspneic and subcutaneous emphysema, hemoptysis, and hemopneumothorax of both side were noted. During tracheostomy, it was found that the 2net ring of the trachea was ruptured. No definitive procedure was made on admission. Corrective surgery was performed with end-to-end anastomosis on 31 post-traumatic day. The second case was a 43 year old female who received multiple stab wounds on the anterior neck and it was found that the cricoid cartilage was transected partially. The injured cartilage was approximated with interrupted suture of No. 600 wire. The third case was a 19 year old male who had sustained a compression chest injury without external wound or rib fracture. At five days after trauma, he had suffered from dyspnea, and obstruction of the left main bronchus due to traumatic bronchial rupture was confirmed by means of bronchoscopy and bronchography at two weeks after the trauma. End-to-end anastomosis of the bronchus was performed and the left lung was aerated well. Mild postoperative stenosis of trachea was remained in the first case. Others were uneventful.

• Transactions of Materials Processing
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• v.10 no.7
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• pp.565-572
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• 2001

It is well known that a multicomponent $Zr_{4l.2}Ti_{13.8}Cu_{12.5}Ni_{10}Be_{22.5}$ bulk metallic glass alloy shows good bulk glass forming ability due to its high resistance to crystallization in the undercooled liquid state. DSC and XRD have been performed to confirm the amorphous structure of the master alloy. To investigate the mechanical properties and deformation behavior of the bulk metallic $Zr_{4l.2}Ti_{13.8}Cu_{12.5}Ni_{10}Be_{22.5}$ alloy, a series of compression tests has been carried out at the temperatures ranging from $351^{\circ}C$ to $461^{\circ}C$at the various initial strain rates from $2{\times}10^4s^1$ to $2{\times}10^2s^1$. Three types of nominal stress-strain curves have been identified such as linear stress-strain relationship meaning fracture at maximum stress, plastic deformation including stress overshoot and steady-state flow, plastic deformation without stress overshoot depending on the strain rate and test temperature. Also DSC analysis for the compressed specimens was carried out to investigate the change of structure, thermal stability and crystallization behavior for the various test conditions.

• Proceedings of the Korean Society of Marine Engineers Conference
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• 2005.11a
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• pp.212-213
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• 2005

The results of an experimental and analytical study of composite pressure hull on buckling pressure are presented for URN 300. We predicted the buckling and post buckling analysis of composite laminated cylindrical shell and panel under external compression by using ABAQUS/Standard[Ver 6.4]. To obtain nonlinear static equilibrium solutions for unstable problems, where the load-displacement response can exhibit the type of nonlinear buckling behavior, during periods of the response, the load and/or the displacement may decrease as the solution evolves, used the modified Riks method. Experiments were conducted to verify the validation of present analysis for cross-ply laminated shells. The shells considered in the study have four different lamination patterns, [${\pm}{\Theta}$/0/90]$_{14s}$,[${\pm}{\Theta}_{14}$/$0_{14}$/$90_{14}$],[${\pm}$45/0/90]$_{18s}$ and [/0/90]$_{18s}$. At the result of this study, the optimized ply orientation angle is $75^{\circ}$. The critical load from experiment is 69% of that of numerical analysis, because the fracture of matrix was generated before buckling. So URN 300 is not proper to use at the condition under high external pressure.