Purpose: A rib fracture secondary to blunt thoracic trauma continues to be an important injury with significant complications. Unfortunately, there are no definite treatment guidelines for severe multiple rib fractures. The purpose of this study was to evaluate the result of early operative stabilization and to find the risk factors of surgical fixation in patients with bilateral multiple rib fractures or flail segments. Methods: From December 2005 to December 2008, the medical records of all patients who underwent operative stabilization of ribs for severe multiple rib fractures were reviewed. We investigated patients' demographics, preoperative comorbidities, underlying lung disease, chest trauma, other associated injuries, number of surgical rib fixation, combined operations, perioperative ventilator support, and postoperative complications to find the factors affecting the mortality after surgical treatment. Results: The mean age of the 96 patients who underwent surgical stabilization for bilateral multiple rib fractures or flail segments was 56.7 years (range: 22 to 82 years), and the male-to-female ratio was 3.6:1. Among the 96 patients, 16 patients (16.7%) underwent reoperation under general or epidural anesthesia due to remaining fracture with severe displacement. The surgical mortality of severe multiple rib fractures was 8.3% (8/96), 7 of those 8 patients (87.5%) dying from acute respiratory distress syndrome or sepsis. And the other one patient expired from acute myocardial infarction. The risk factors affecting mortality were liver cirrhosis, chronic obstructive pulmonary disease, concomitant severe head or abdominal injuries, perioperative ventilator care, postoperative bleeding or pneumonia, and tracheostomy. However, age, number of fractured ribs, lung parenchymal injury, pulmonary contusion and combined operations were not significantly related to mortality. Conclusion: In the present study, surgical fixation of ribs could be carried out as a first-line therapeutic option for bilateral rib fractures or flail segments without significant complications if the risk factors associated with mortality were carefully considered. Furthermore, with a view of restoring pulmonary function, as well as chest wall configuration, early operative stabilization of the ribs is more helpful than conventional treatment for patients with severe multiple rib fractures.
As digital systems were introduced to automotive design in the mid 1980s, the design process has adopted many digital programs to save time compared to the conventional hand drafting. Digital technology was introduced not only to satisfy the reeds of the global environment, as the number of automobiles exported to many different parts of the world has increased, but also to save time and effort in developing several models of quality automobiles. Therefore, every automotive manufacturer in the world has expanded its virtual reality(VR) studio to establish visualization systems that visualize automobiles in the actual size and a co-operation system that enables simultaneous feedback from all of its design studios around the world. Unlike the existing design reviewing methos, the new improved feedback system is assessed as a reasonable method to evaluates and understand how the automobiles are actually manufactured in simulation. It is especially helpful when advanced products and concept cars require fast results. Other strengths of the new system include shorter development period, cost efficiency, no more manual labor, various designs within a short period of time, and realistic visualization of concepts. Large-scale products, including automobiles, need to be projected in the actual size and high clarity through the Power-wall System and are examined in a virtual space called a Cave. Therefore, it took much time to establish digital infrastructure. An infrastructure would constantly require system improvement and performance enhancement, but it is certain that now is the right time for the take-off to utilizing the strengths of digital design and improve the weaknesses. In this respect, this study provided an understanding of the importance of digital design based on digital reinforcements and examined an effective utilization of digital technology for an efficient development of automobiles in the future.
Journal of Korean Tunnelling and Underground Space Association
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v.19
no.3
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pp.533-549
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2017
In this study, drainage systems were proposed to drain the leakage of groundwater in the existing underground concrete structures. The system consists of drainage board, wire mesh, fixed nail, and mortar with mineral. In order to increase constructability, the drainage board and wire mesh were attached on the surface of cement concrete using the air nailer and fixed nail. The mortar with 30% of blast furnace slag was sprayed on the drainage board and wire mesh using the spray mortar equipment. The field test construction was carried out in a conventional concrete lining tunnel and concrete retaining wall for performance verification of the drainage system in the field. There was no problem with performance degradation in the drainage system for three years after construction. The bond strength tests were performed on the sprayed mortar at 14 days and about 3 years after field test construction. In case of attaching the wire mesh on the drainage board, the bond strengths of the sprayed mortar were 1.04 MPa at 14 days and 1.46 MPa about 3 years. In case of the drainage board without the wire mesh, the bond strengths of the sprayed mortar were 1.13 MPa at 14 days and 0.89 MPa, less than 1 MPa of bond strength criteria, about 3 years.
Journal of the Korea Academia-Industrial cooperation Society
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v.17
no.11
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pp.355-362
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2016
The pipe material is selected according to the physical and chemical properties of the fluid flowing within it. Because the fluid used in fire extinguish systems is water, the various foreign substances dissolved in it cause scale to form on the pipe wall and accelerate the corrosion and aging of the pipe itself. This results in an increase in the friction loss and eventually degrades the efficiency of the pump. The use of CPVC (Chlorinated Poly-Vinyl Chloride) pipes was confirmed to reduce the friction loss compared to conventional steel pipes in the design and construction stages. The friction loss was found to be 76.64MPa with a C-value of 120 for the steel pipe and 50.72 MPa with a C-value of 150 for the CPVC pipe in an actual apartment construction environment. It was confirmed that the friction loss was improved by about 34% when using the CPVC pipe. When the steel and CPVC pipes were employed in the construction, the construction costs were 1,585,158 and 931,842 won, respectively. Therefore, it was shown that the construction cost was reduced by about 41%. We investigated the safety of the fire extinguishing system and the improvement in the economic performance due to the reduction in the total installed capacity by studying practical applications in the field.
Seasonal semi-greenhouse type solar-drying of 2.5cm-and 5.0cm-thick lumber of Quercus aliena Blume and Quercus variailis Blume was carried out to investigate the possibility of solar-drying of wood and to decide the active solar-drying period in Korea. In the active solar-drying period obtained solar-dehumidification, semi-greenhouse type solar-, air- and kiln-drying of 2.5cm -thick lumber of oaks were carried out to analyze drying-rates. -defects, and -yield in each drying-method and to calculate daily total absorbed solar-radiation the solar dryers. The energy balance equations were set up, considering all the energy requirements, to analyze the heat efficiencies of semi-greenhouse type solar and solar-dehumidification-dryer. In a seasonal drying the drying rate of semi-greenhouse type solar-dryer was highest in summer, and greater in fall, spring, and winter in order. Solar-drying time was 45% in summer to 50% in winter of the air-drying rime, and more serious drying-defects occurred in air-drying than in solar-drying. In the active solar-drying period. April, May, and June, the average drying rate in solar-dehumidification-drying was 1.0%/day and greater than 0.8%/day in semi-greenhouse type solar-drying. In solar-dehumidification-drying the time required to dry lumber to 10% moisture content was less than 60 days, and solar-dehumidification-drying showed the highest drying-yield, 65.01%, than the other drying methods. The daily total absorbed solar radiations were 8.51MJ on the roof collector and 6.22 MJ on the south wall collector. In the energy blance 69.48% of total energy input was lost by heat conduction through walls, roof. and floor 11.68% by heat leakage, 0.33% by heating the internal structures of the solar-dryer and 5.38% by air-venting. Therefore the heat efficiency of semi-greenhouse type solar-dryer 13.13%, was lower than that of solar-dehumidification-dryer, 14.04%. Solar-drying of lumber in Korea showed the possibility to reduce the air-drying-time in every season and the efficiency of solar-dehumidification drying was higher than that of semi-greenhouse type solar-drying.
This paper is to determine the possibility of re-using waste concrete from Incheon city area. The strength test was conducted with five aggregate compounds which was replaced a natural aggregate with recycled aggregate. After checking the physical characteristics of recycled aggregate compounds, the mix design of recycled concrete was conducted. For the relatively comparison between natural and recycled compounds, while the unit aggregate weight was changed, other conditions were fixed. The freezing and thawing test which included fly-ash and super-plastezer were performed to check the durability and workability when recycling waste concrete. In the physical characteristics of recycled aggregate, it was found that the specific gravity of recycled coarse aggregate and recycled fine aggregate satisfied the first grade of recycle specification(KS), and all compounds of recycled aggregate also satisfied the second grade of absorption specification, Especially up to the 50% substitution of recycled aggregate is equal to or a bit lower than that of convention aggregate. In comparison with conventional concrete, the recycled concrete is lower than maximum by 7% in compressive strength decreasing rate after freezing-thawing test. From now, although most of recycled concrete was used to the building lot, subgrade, asphalt admixture, through the result. It was proved that possibility of re-using recycled aggregate as the substructure of bridge, retaining wall, tunnel lining and concrete structure which is not attacked the drying shrinkage severely.
Kim, Seongjun;Cho, Jiyong;Choi, Jaesoon;Lee, Don Haeng;Kim, Jung Kyung
Transactions of the Korean Society of Mechanical Engineers B
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v.37
no.9
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pp.807-814
/
2013
A fundamental study on laser-tissue interaction was conducted with the aim of developing a therapeutic medical device that can remove lesions on the intestinal wall by irradiating a high-power 808-nm infrared laser light incorporated in an endoscopic system. The perforation depth was linearly increased in the range of 1~4 mm in proportional to laser output (3~12 W) and irradiation time (5~20 s). We demonstrated that the perforation depth during laser irradiation was varied according to the tissue property of each extracted porcine organ. The measurement of the temperature distribution suggests that the energy is localized in the irradiation spot and transferred to deep tissue, which protects the surrounding tissue from thermal injury. These results can be used to set the driving parameters for a laser incision technique as an alternative to conventional surgical interventions.
In this work, EPM (effective point of measurement) of parallel plate ionization chamber with three different spacing were investigated. If the plate separation is less than 2 mm one generally assumes that the effective point of measurement is just behind the front window of the parallel plate ionization chamber. For chamber with relatively large separation, such as the ones used for very accurate exposure measurements, this assumption breaks down and the EPM depends on plate separation and thickness of the front window. For parallel plate chambers, conventional theoretical analyses suggest that the EPM is the inner front wall and that it shifts towards the geometric centre of the chamber as the plate separation increases. The PP-IC (parallel plate ionization chamber) is fabricated using acrylic plate for the chamber medium and printed circuit board for electrical configuration. The various sizes of the sensitive volumes designed so far are 0.9, 1.9, and 3.1 cc. The gap between two electrodes ranges from 3, 6, and 10mm. Also the charge-to-voltage converter is designed to collect the electrons produced in the ionization chamber cavity. As the result of our experiment, the EPM shift was within 0.6 mm in photon beams and 0.4 mm to 2.5 mm in electron beams for the plate separation of 6 mm and 10 mm. EPM shifts towards the geometric center of the chamber as the plate separation increases.
To investigate the effect of resin cement, which had been known to increase the adhesive capacity of the cast gold inlay, on the gingival marginal fit and whether the tin-planting of the beveled area affects the marginal fit, Class II cast gold inlays were made on the 25 sound molars. Control group(ZPC goup) was cemented with the ZPC by conventional method. Experimental groups were cemented with the resin cement(Super-hond & $Panavia_{EX}$) and subdivided further by the existence or nonexistence of the tin-plating of the beveled area(ST & PT groups: with plating, SNT & PNT groups: without plating). So, each group was consisted of 5 teeth and the gingival margin of each specimen was mesiodistally sectioned by 3 times and the marginal and internal gap were evaluated by the Stereo Microscope (${\times}180$) and the Scanning Electron Micrascope(${\times}5,000$) was used for examining the adhesive relationship of the resin cement to the cavity wall and to the cast gold surface. The results were as follows : 1. Marginal gap was less than internal gap in all groups. 2. ZPC and SNT(bevel without tin-plating) groups showed the least gap and gap in PNT(bevel without tin-plating) group, ST(bevel with tin-plating) group, PT(bevel with tin-plating) group showed the greater value in order in evaluation of the both internal gap and marginal gap. 3. With the exception of the relationships between ZPC and SNT groups, ST and PNT groups, relationships between any other groups showed the statistical significance in the internal gap(p<0.05). 4. In the marginal gap, all relationships between groups showed the statistical significance (p<0.05) except the relationships between ZPC and SNT groups, ST and PNT groups, ZPC and PNT groups. 5. ZPC group showed more soluble phenamena than the resin groups(ST, SNT, PT, PNT). 6. Resin cement showed the void spaces in spite of good penetration into the micro-irregularities on both the tooth surface and the cast surface. The void was shown more in PT and PNT groups than in the ST and SNT groups. 7. After the treatment of heat and desiccation for SEM specimen, resin cements were detached more easily from the tooth surface than from the cast surface.
Journal of the Korea institute for structural maintenance and inspection
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v.21
no.4
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pp.13-20
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2017
Unreinforced masonry buildings are vulnerable to lateral forces, such as earthquakes, owing to the nature of the building materials, yet numerous masonry buildings remain in South Korea. Since the majority of the existing masonry buildings were constructed more than 20 years ago, it is necessary to develop economical reinforcement methods for disaster reduction. In this study, external reinforcement of masonry walls using adhesive stiffeners was proposed as a reinforcement method for such age-old masonry buildings. Six specimens were fabricated with different aspect ratios (L/H = 1.0, 1.3, and 2.0) and used in static load tests to verify the reinforcement effect. The experimental results showed that the masonry walls before and after reinforcement were ruptured by rigid body rotation and slip. In addition, the maximum strength, maximum displacement, and dissipated energy of the walls were shown to increase after applying the adhesive stiffeners, thereby verifying the excellent reinforcement effect. Furthermore, an adhesive stiffener design for unreinforced masonry walls was proposed based on the increased shear strength achieved by using conventional glass fibers. The proposed design can be used as a basis for the application of adhesive stiffeners for unreinforced masonry walls.
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