• Journal of Korean Tunnelling and Underground Space Association
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• v.8 no.3
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• pp.273-287
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• 2006

This study investigates the failure mechanism and load-carrying capacity of a single-shell lining which has no disturbance in transfer of shear force, with respect to a conventional double-shell lining which has separation between layers of shotcrete lining and secondary concrete lining by water-proof membrane. In order to evaluate the capacity, a 2-D numerical investigation is preliminarily carried out and then real-scale loading tests with tunnel lining section specimens are performed on the condition given by the numerical investigation. In the test, a concentrated load is applied for considering a released ground load or rock wedge load. Through this study, it appears that the single-shell lining takes the load-bearing capacity 20% higher than in case of the double-shell lining. In addition, a possibility of a composite single-shell shotcrete layer composed by multiple bonded layers partly involving different contents of high-capacity additives is shown thereby leading to use of less amount of the high-capacity additives on the condition of taking a similar load-bearing capacity.

• Journal of Gastric Cancer
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• v.16 no.1
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• pp.14-20
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• 2016

Purpose: Early diagnosis of gastric cancer is still the exception in Western countries. In the East, as in Japan and Korea, this disease is an endemic disorder. More conservative surgical procedures are frequently performed in early gastric cancer cases in these countries where sentinel lymph node navigation surgery is becoming a safe option for some patients. This study aims to evaluate preliminary outcomes of patients with early gastric cancer who underwent sentinel node navigation surgeries in Brazil, a country with non-endemic gastric cancer levels. Materials and Methods: From September 2008 to March 2014, 14 out of 205 gastric cancer patients underwent sentinel lymph node navigation surgeries, which were performed using intraoperative, endoscopic, and peritumoral injection of patent blue dye. Results: Antrectomies with Billroth I gastroduodenostomies were performed in seven patients with distal tumors. The other seven patients underwent wedge resections. Sentinel basin resections were performed in four patients, and lymphadenectomies were extended to stations 7, 8, and 9 in the other 10. Two patients received false-negative results from sentinel node biopsies, and one of those patients had micrometastasis. There was one postoperative death from liver failure in a cirrhotic patient. Another cirrhotic patient died after two years without recurrence of gastric cancer, also from liver failure. All other patients were followed-up for 13 to 79 months with no evidence of recurrence. Conclusions: Sentinel lymph node navigation surgery appears to be a safe procedure in a country with non-endemic levels of gastric cancer.

• Tunnel and Underground Space
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• v.28 no.6
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• pp.569-583
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• 2018

The purpose of this study is to identify the collapse characteristics by analyzing various factors causing collapse based on field survey and existing data on rock slopes occurring in the construction of roads and industrial complexes in Gyeongsangnam - do area. In the case of the slope where the slope has been directly surveyed, the analysis of the collapse characteristics can be used for the prediction and prevention of slope failure through the continuous collection of the slope data, database construction, management and analysis. The evaluation items used in the collapse characteristics of slope were selected among the items that can be regarded as objective evaluation items among the overlapping factors by comparing the evaluation items frequently used for the evaluation of the existing slope stability among various factors. The type of destruction of the rock slope depends on the type of carcass of the bedrock, such as planar fracture, wedge fracture, onho fracture, and conduction fracture, which are different from each other. And the slope stability analysis should be performed accordingly.

• Journal of Chest Surgery
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• v.32 no.5
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• pp.422-427
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• 1999

Background: Tachycardia induced heart failure model would be the model of choice for the dilated cardiomyopathy. This more closely resembles the clinical syndrome and does not require major surgical trauma, myocardial ischemia and pharmacological or toxic depression of cardiac function. When heart failure is progressive, application of new surgical procedures to the faling heart is highly risky. It has been shown that recovery trajectory from heart failure is a new method in decreasing animal mortality. The purpose is to establish the control datas for recovery trajectory in the canine heart failure model. Material and Method: 21 mongrel dogs were studied at 4 stages(baseline, at the heart failure, 4 and 8 weeks after recovery). Heart failure was induced during 4 weeks of continuous rapid pacing using a pacemaker. Eight weeks of trajectory of recovery period was allowed. Indices of left ventricular function and dimension were measured every 2 weeks and the hemodynamics were measured by use of Swan-Ganz catheterization and thermodilution method every 4 weeks. Values were expressed as mean${\pm}$standard deviation. Result: 4(20%) dogs died due to heart failure. Left ventricular end-diastolic volume at the 4 stages were 40.8${\pm}$7.4, 82.1${\pm}$21.1, 59.9${\pm}$7.7 and 46.5${\pm}$6.5ml. Left ventricular end-systolic volume showed the same trend. Ejection fractions were 50.6${\pm}$4.1, 17.5${\pm}$5.8, 36.3${\pm}$7.3, and 41.5${\pm}$2.4%. Blood pressure and heart rate showed no significant changes. Pressures of central vein, right ventricle, pulmonary artery, and pulmonary capillary wedge showed significant increase during the heart failure period, normalizing at the end of recovery period. Stroke volumes were 21.5${\pm}$8.2, 12.3${\pm}$3.5, 17.9${\pm}$4.6, and 15.5${\pm}$3.4ml. Blood norepinephrine level was 133.3${\pm}$60.0pg/dL at the baseline and 479.4${\pm}$327.3pg/dL at the heart failure stage(p=0.008). Conclusion: Development of tachycardia induced heart failure model is of high priority due to ready availability and reasonable amenability to measurements. Recovery trajectory after cessation of tachycardia showed reduction of cardiac dilatation and heart function. Application of new surgical procedures during the recovery period could decrease animal mortality.

• Geomechanics and Engineering
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• v.5 no.2
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• pp.143-164
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• 2013

Calculation of seismic displacements in reinforced slopes plays a crucial role in appropriate design of these structures however current analytical methods result indifferent values for permanent displacements of the slope. In this paper, based on limit equilibrium and using the horizontal slices method, a new formulation has been proposed for estimating the seismic displacements of a reinforced slope under earthquake records. In this method, failure wedge is divided into a number of horizontal slices. Assuming linear variations for tensile forces of reinforcements along the height of the slope, the coefficient of yield acceleration has been estimated. The simplicity of calculations and taking into account the frequency content of input triggers are among the advantages of the present formulation. Comparison of the results shows that the yield acceleration calculated by the suggested method is very close to the values resulted from other techniques. On the other hand, while there is a significant difference between permanent displacements, the values obtained from the suggested method place somehow between those calculated by the other techniques.

• Journal of Chest Surgery
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• v.32 no.7
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• pp.671-674
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• 1999

At OPD follow-up in December 1998, chest x-ray of a 42-year-old female showed a solit ary pulmonary nodule at a superior basal segment in the right lower lobe. After percut aneous transthoracic needle aspiration failure, wedge resection of the superior basal segment of lower lobe in right lung was performed for diagnosis and therapy. Three years ago, she had received surgery to remove a mass in the left buttock. The mass was pathologically diagnosed as malignant fibrous histiocytoma. She subsequently received 4500 rad radiotherapy for 35 days. Pathology confirmed metastatic malignant fibrous histiocytoma of the lung.

• Journal of Chest Surgery
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• v.17 no.4
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• pp.666-671
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• 1984

During a fire-year period from March 1979 to February 1984, 559 patients underwent surgical treatment for rheumatic mitral valve disease at Seoul National University Hospital. Left atrial thrombus was found at surgery in 74 of these patients, an incidence of 13.2%. This report outlines the surgical experience with these seventy-four patients. They were 32 men and 42 women, and their age ranged between 23 and 57 with mean of 42 years old. All except one had the findings of atrial fibrillation on the preoperative electrocardiogram. Ten [13.5%] had experienced embolic events before surgery. A history of one or more episodes of cardiac failure requiring digitalis and diuretics was noted in all patients Nineteen were associated with the aortic and/or tricuspid valve disease and closed mitral commissurotomy had been performed previously in four patients. The average cardiac index was 2.68L/min/M2 [1.59 to 3.47 L/min/M2] The mean systolic pulmonary artery pressure was 57mmHg [26 to 120 mmHg]and pulmonary capillary wedge pressure 21.5 mmHg [12 to 40 mmHg]. There were no significant hemodynamic findings to suggest the presence of the left atrial thrombus. Operative mortality was acceptable with two early deaths [2.7%]. The follow-up of the hospital survivors has shown excellent functional status.

• Proceedings of the KSR Conference
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• 2007.05a
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• pp.1882-1889
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• 2007

Surveying rocks for engineering aims for prediction of geological feature of the construction site. Conventionally, survey information at outcrops and bore holes are projected to the construction sites, such as tunnel and slopes, and rock properties of the sites are predicted by interpretations of specialists. This system, the "Fracjection", aims to assist the specialist for visualization of the projected fractures from borehole and outcrop survey. The Fracjection accepts the BIPS and outcrop survey data to its database and allows plotting them in AutoCad map. The software also reads elevation data from contours of the topographic map and constructs DEM of the construction sites. With user's guide, it generates 3D excavation sites such as slopes and tunnels at the topographic map. The s/w projects borehole and outcrop surveyed fractures onto the modeled excavation surface and allows analysis of failure criteria, such as plane, wedge, and toppling failures by built-in stereonet function. Projected fractures can further be analyzed for structural homogeneities and rock mass quality. Moving window style correlation comparison of stereonet plots are used for formal analyses, and RQD type counts of the projected fractures are adopted for the latter analyses.

• The Journal of the Korean dental association
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• v.48 no.4
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• pp.297-307
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• 2010

Noncarious cervical lesions(NCCLs) are characterized as structural defects found on the tooth surface of the cement-enamel junction. Loss of tooth structure through noncarious mechanisms may vary in etiology and clinical presentation for each individual but presently many clinician now classify this as tooth failure of abfraction due to the stress applied in the cervical area of the tooth under oral physiological and pathological loads. In the current study, we investigated the stress distribution of maxillary premolar with NCCL using simulated 3D finite element analysis. The results were as follows: 1. In the sound maxillary premolar, the stresses were highly concentrated at cervical enamel surface of the mesiobuccal line angle, asymmetrically. 2. Once the lesion has been formed, the highest stress concentration was observed around the apex of the wedge shaped lesion. 3. In four types of NCCL, the patterns of stress distribution were similar and the peak stress was observed at mesial corner and also stresses concentrated at lesion apex. 4. Lesion cavity modification of rounding apex, reduced stress of lesion apex. 5. When restoring the notch-shaped lesion, material with high elastic modulus worked well at the lesion apex and material with low elastic modulus worked well at the cervical cavosurface margin.

• Computers and Concrete
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• v.2 no.6
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• pp.499-516
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• 2005

A composite model is used to represent the heterogeneity of plain concrete consisting of coarse aggregates, mortar matrix and the mortar-aggregate interface. The composite elements of plain concrete are modeled using triangular finite element units which have six interface nodes along the sides. Fracture is captured through a constitutive single branch softening-fracture law at the interface nodes, which bounds the elastic domain inside each triangular unit. The inelastic displacement at an interface node represents the crack opening or sliding displacement and is conjugate to the internodal force. The path-dependent softening behaviour is developed within a quasi-prescribed displacement control formulation. The crack profile is restricted to the interface boundaries of the defined mesh. No re-meshing is carried out. Solutions to the rate formulation are obtained using a mathematical programming procedure in the form of a linear complementary problem. An event by event solution strategy is adopted to eliminate solutions with simultaneous formation of softening zones in symmetric problems. The composite plain concrete model is compared to experimental results for the tensile crack growth in a Brazilian test and three-point bending tests on different sized specimens. The model is also used to simulate wedge-type shear-compression failure directly under the loading platen of a Brazilian test.