• Journal of Chest Surgery
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• v.47 no.4
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• pp.406-408
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• 2014

A 66-year-old male patient arrived at the emergency room with a crush injury to his chest. Multiple rib fractures, hemothorax on both sides, left scapular fracture, liver laceration, and retroperitoneal hematoma were found upon the radiologic examination. After closed thoracostomy, the patient had been initially admitted to the intensive care unit, but he was transferred to the general ward on the next day. On the 4th post-trauma day, the patient complained of severe pain and there was bloody drainage through the chest tube. This case is an exploration with the consideration of the possibility of major bleeding and the subsequent repair of the descending thoracic aorta. This case is regarded as a case in which the aorta wall was damaged as the sharp margin of the fractured ribs caused continuous irritation.

• Magazine of the Korean Society of Agricultural Engineers
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• v.45 no.7
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• pp.27-37
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• 2003

This study was performed to examine the flowing ability and filling ability of polypropylene fiber reinforced high performance concrete. The slump flow was decreased with increasing the polypropylene fiber content, rapidly. At the box-type filling ability, the difference of box height was increased with increasing the fiber content and the box-type passing ability was closed in fiber content 1 %. The final flowing distance of L-type was decreased with increasing the fiber content. Also, it was decreased above 0.75% of polypropylene fiber content, rapidly. The filling ability of L-type was badly showed above polypropylene fiber content 0.75%. Also, the compressive strength was decreased with increasing the fiber content, but the flexural strength was shown higher than that of the concrete without fiber. At the impact resistance, drop numbers for reaching in final fracture were increased with increasing the fiber content. Also, the drop numbers for reaching initial fracture of 1mm were increased with increasing the fiber content. At the acid resistance, the percent of original mass was decreased with increasing the fiber content.

• Archives of Craniofacial Surgery
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• v.18 no.1
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• pp.59-61
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• 2017

As the number of people who have undergone augmentation rhinoplasty has increased recently, nasal fractures are becoming more common after rhinoplasty. A silicone implant can affect the nasal fracture pattern, but there is no significant difference in treatment methods commonly. A 28-year-old female who had undergone augmentation visited our clinic with a nasal fracture. Computed tomography revealed that the silicone implant was sandwiched between the intact nasal bones with fractured bone fragments. In this case, open reduction was inevitable and a new silicone implant was inserted after reduction. Migration of the silicone implant beneath the nasal bone is a very rare phenomenon, but its accurate prevention and diagnosis is important because a closed reduction is impossible.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.36 no.1
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• pp.30-36
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• 2014

There are many treatment options in management of mandibular condylar neck fractures. Closed reduction is the most conservative treatment; however, achievement of anatomic reduction is difficult, and there are some risks of mandibular functional impairment. Open anatomic reduction and internal fixation have some advantages; therefore, many oral and maxillofacial surgeons have attempted to achieve anatomic reduction through the open approach and extracorporeal reduction and fixation. However, when using this method, there is some risk of resorption of the fractured mandibular condylar head. Therefore, we designed a modified extracorporeal reduction technique, without detaching the lateral pterygoid muscle in order to maintain the blood supply to the fractured mandibular condylar head. We believe that this minor modification may minimize the risk of resorption of the fractured mandibular condylar head. In this article, we introduce this technique in detail, and report on two cases.

• Journal of Chest Surgery
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• v.21 no.2
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• pp.307-315
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• 1988

A clinical analysis was performed on 97 cases of chest injuries experienced at Department of Thoracic and cardiovascular Surgery, Armed Forces Capital Hospital during 2 years period from 1986 to 1988. Of 97 patients of chest trauma, 39 cases were result from penetrating injuries whereas 58 cases were from non-penetrating injuries, and there were 77 cases of hemothorax and / or pneumothorax, 47 of rib fracture, 8 of foreign body, 6 scapular and clavicle fracture, 5 of diaphragmatic injuries, 4 of paraplegia. The majority of chest injuries were encounted in the age group between 21 and 30 years-old, mean age was 25.9 years-old and all cases were male except one. Gun-shot wound was the most common cause in the penetrating injuries and the majority of non-penetrating chest injury patients were traffic accident and fist or kick accounted for next. The principles of therapy for chest trauma were rapid expansion of the lung by closed thoracostomy[45 cases] and thoracentesis only[3 cases] but thoracotomy done at 27 cases because of massive bleeding or intrapleural hematoma, foreign body, cardiac injury, diaphragmatic injury and bronchial rupture. The over-all mortality was 2.07 percent[2 cases among all], a case was from penetrating injuries and another was from non-penetrating injuries.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.27 no.1
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• pp.66-76
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• 2003

The arbitrary V-notched crack problem is considered. The general expressions for the stress components on this problem are obtained as explicit series forms composed of independent unknown coefficients which are denoted by coefficients of eigenvector. For this results eigenvalue equation is performed first through introducing complex stress functions and applying the traction free boundary conditions. Next solving this equation, eigenvalues and corresponding eigenvectors are obtained respectively, and finally inserting these results into stress components, the general equations are obtained. These results are also shown to be applicable to the symmetric V-notched crack or straight crack. It can be shown that this solutions are composed of the linear combination of Mode I and Mode II solutions which are obtained from different characteristic equations, respectively. Through performing asymptotic analysis for stresses, the stress intensity factor is given as a closed form equipped with the unknown coefficients of eigenvector. In order to calculate the unknown coefficients. based on these general explicit equations, numerical programming using the overdetermined boundary collocation method which is algorithmed originally by Carpenter is also worked out. As this programming requires the input data, the commercial FE analysis for stresses is performed. From this study, for some V-notched problems, unknown coefficients can be calculated numerically and also fracture parameters are determined.

• Clinics in Shoulder and Elbow
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• v.22 no.1
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• pp.37-39
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• 2019

Irreducible dislocation of the elbow is an uncommon event. We present the case of a posterolateral elbow dislocation after a fall injury in a 67-year-old woman. A closed reduction performed in the emergency department was unsuccessful since the limited passive range of motion resulted in difficulty to perform longitudinal traction and flexion. Computed tomography images showed that the posterolateral aspect of the capitellum was impacted by the tip of the coronoid process, thus appearing similar to the Hill-Sachs lesion in the humeral head. Subsequent open reduction of the elbow revealed the dislocation to be irreducible since the tip of the coronoid process had wedged into a triangular Hill-Sachs-like lesion in the capitellum. The joint was reduced by providing distal traction on the forearm, and main fragments were disengaged using digital pressure. At the 3-month follow-up, the patient reported no dislocations, and had an acceptable range of motion. Thus, we propose that to avoid iatrogenic injury to the joint or other nearby structures, irreducible dislocations should not be subjected to repeated manipulation.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.39 no.10
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• pp.971-977
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• 2015

Because foam metal has the excellent physical characteristics and mechanical performance, they are applied extensively into a lot of advanced technology areas. The aluminum foam with closed cell is one of the foam metals. It is applied widely into automobile and airplane because of the excellent absorption performance of impact energy. In this study, the mechanical characteristics by thickness was analyzed through the impact experiment of closed-cell aluminum foam, and the simulation analysis was performed for the verification. As the simulation analysis method, a finite-element analysis was carried under the same boundary conditions as the experiment by using ANSYS. By comparing with the results of experiment and simulation, it was thought that the case of thickness of 20mm was the most efficient of among the cases of thicknesses of 10mm, 20mm and 30mm. At the case of thickness of 20mm, the absorption energy by comparing with the specimen thickness is shown to become the most among three models. By using the result of this study, it is thought that it can apply the material necessary to develop the mechanical structure with aluminum foam.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.28 no.4
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• pp.435-442
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• 2004

This paper presents a hermetic MEMS on-chip package bonded by a closed-loop AuSn solder-line. We design three different package specimens, including a substrate heated specimen without interconnection-line (SHX), a substrate heated specimen with interconnection-line (SHI) and a locally heated specimen with interconnection-line (LHI). Pressurized helium leak test has been carried out for hermetic seal evaluation in addition to the critical pressure test for bonding strength measurement. Substrate heating method (SHX, SHI) requires the bonding time of 40min. at 400min, while local heating method (LHI) requires 4 min. at the heating power of 6.76W. In the hermetic seal test. SHX, SHI and LHI show the leak rates of 5.4$\pm$6.7${\times}$$^{-10}$ mbar-l/s, 13.5$\pm$9.8${\times}$$^{-10}$ mbar-l/s and 18.5$\pm$9.9${\times}$$^{-10}$ mbar-l/s, respectively, for an identical package chamber volume of 6.89$\pm$0.2${\times}$$^{-10}$. In the critical pressure test, no fracture is found in the bonded specimens up to the applied pressure of 1$\pm$0.1MPa, resulting in the minimum bonding strength of 3.53$\pm$0.07MPa. We find that the present on-chip packaging using a closed AuSn solder-line shows strong potential for hermetic MEMS packaging with interconnection-line due to the hermetic seal performance and the shorter bonding time for mass production.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.15 no.2
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• pp.100-104
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• 1993

Carotid-cavernous sinus fistula(CCSF) is an abnormal arterio-venous communication between the cavernous sinus and the internal carotid artery. It is usually caused by craniofacial trauma and a very rarely encountered complication, but it may also occur spontaneously. The most common cause of traumatic CCSF is blunt trauma, which usually associated with a skull base, frontal or midfacial fracture. The common clinical feature of CCSF are orbital bruit, headache, exophthalmos, chemosis, diplopia, visual disturbance and others. This dramatic ocular-orbital symptoms are principally due to orbital venous hypertension. The symptoms occured within a few hours to a maximum of a year after injury, usually within several weeks. The patient, 33-year-old female, developed a carotid-cavernous sinus fistula after only minimal closed trauma We present a rare case of CCSF associated facial bone fracture that was successfully treated by detachable balloon embolization with a review of the literature.