• Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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• v.6 no.4
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• pp.265-282
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• 2008

Based on the site characterization works in a low and intermediate level waste(LILW) repository site, the numerical simulations for groundwater flow were carried out in order to understand the groundwater flow system of repository site. To accomplish the groundwater flow modeling in the repository site, the discrete fracture network(DFN) model was constructed using the characteristics of fracture zones and background fractures. At result, the total 10 different hydraulic conductivity(K) fields were obtained from DFN model stochastically and K distributions of constructed mesh were inputted into the 10 cases of groundwater flow simulations in FEFLOW. From the total 10 numerical simulation results, the simulated groundwater levels were strongly governed by topography and the groundwater fluxes were governed by locally existed high permeable fracture zones in repository depth. Especially, the groundwater table was predicted to have several tens meters below the groundwater table compared with the undisturbed condition around disposal silo after construction of underground facilities. After closure of disposal facilities, the groundwater level would be almost recovered within 1 year and have a tendency to keep a steady state of groundwater level in 2 year.

• Journal of the Korean Society of Groundwater Environment
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• v.3 no.2
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• pp.51-59
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• 1996

In case waste disposal site is to be constructed close to the underground facilities such as LPG storage cavern which is completely maintained by groundwater pressure, it is generally requested that the possibility on leachate contamination of cavern area be reviewed and the countermeasure, if it is estimated cavern area is severely affected by leachate, be taken into consideration. Prediction was performed and leachate control plan was made using by analytical and the numerical analysis on the leachate migration which is likely to happen at the area between the proposed waste disposal site and the underground LPG storage cavern located at the U petrochemical complex. Analytical solutions were obtained by the conservative mass advection-diffusion equation and the effect of advection and dispersion factor on the leachate migration was reviewed through peclet number calculation and the functional relationship between the factors and leachate transport velocity was established, which leads to enable us to predict the leachate transport velocity without difficulties when different parameters (factors) are used for analytical solution. Numerical solutions were obtained by FEM using AQUA2D which is for the simulation of groundwater flow and contaminant transport. 3-D discrete fracture models were simulated and fracture flow analysis was performed and feasibility study on the water-curtain system was conducted through the fracture connectivity analysis in rock mass. As results of those analyses, it was interpreted that the leachate would trespass on the LPG storage cavern area in 30 years from the proposed wate disposal site and the vertical water-curtain system was effective mathod for the prevention of leachate's migration further into the cavern area.

• Archives of Craniofacial Surgery
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• v.10 no.2
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• pp.131-134
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• 2009

Purpose: Mandible fractures are common in maxillofacial trauma and the incidence of condylar fracture is high. The management of mandibular condylar fracture continues to be controversial. Conservative treatment of it may lead to complications such as asymmetry, malocclusion, temporomandibular joint dysfunction. Moreover, open reduction can cause facial nerve injury, parotid gland injury, scarring and hematoma formation. We present a case of mandibular condylar fracture that was treated by manual reduction without incision under C-arm fluoroscopy. Methods: A 76-year-old female was admitted due to left side mandibular condylar fracture that required surgical intervention. Because of her age, history of diabetes mellitus, hypertension, she underwent closed manual reduction under general anesthesia. We adopted C-arm fluoroscopy as a method of identifying the fracture site and a evaluation of reduction state. C-arm fluoroscopy was set up like modified Towne's view. Results: The reduction was successful and didn't result in any complications that could occur in open reduction-facial nerve injury, infection, parotid gland injury, hematoma, avascular necrosis. The mandibular-maxillary fixations were removed after 4 weeks and patients were could open 3.5 cm after 6 weeks with physical therapy. Conclusion: We tried closed manual reduction of mandibular condylar fracture due to high risk of complication using C-arm fluoroscopy and did achieve anatomic reduction with avoiding open incision. This is simple, effective, reversible, time saving and fairly attemptable method in condylar fracture cases before open reduction.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.11 no.1
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• pp.32-40
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• 1989

This study is based on 247 patients(348 cases) with facial bone fracture who were admitted to the department of oral and maxillofacial surgery, Kangnam sacred heart Hospital during the period of Jan. 1983 through sep. 1988. The patients with mandible fracture were analysed with the following items such as complications with treatment method undertaken : Bicortical osteosynthesis vs Monocortical osteosynthesis, advantages and Disadvantages. The results obtained are as follows : 1) The most common age groups for the facial bone fracture were 20 years 2) The ratio of Men to women was 5 : 1 3) The most frequent location of facial bone fractures was the Mandible(76.7%), Maxillae(10.6%), Zygoma(9.5%), Nasal bone(3.2%) 4) The ratio of Mandible to Maxillae was 7.2 : 1 5) In mandible fractures, the most frequent fracture site was Symphysis(48.7%) 6) In maxilla fractures, the most frequent case was Le fort III fracture(51.4%), followed by Le fort I fracture(29.7%), Le fort II fracture(18.9%) 7) The main contributing causes of facial bone fractures were Traffic Accident(37.7%), Fight(31.6%), Accident(27.5%) 8) In open reduction methods of mandible fracture, the frequency of postop, malocclusion was 15% in interosseous wiring, 7% in Bicortical osteosynthesis, 3% in Monocortical osteosynthesis. The miniplates show advantages over other forms of fixation, in that they are malleable and easy to insert, they achieve rigid fixation and stability.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.37 no.4
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• pp.255-263
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• 2011

Introduction: Maxillomandibular fixation (MMF) is essential before surgery under general anesthesia in maxillofacial trauma patients. MMF is used basically to reconstruct the occlusion and occlusal stability to recover the facial shape and oral functions. The arch bar and wire is a traditional method for MMF, but it can not only bring pressure to the periodontal ligaments and teeth but also cause a penetrating injury to the surgeons. Materials and Methods: In this study, 198 patients with an open reduction using a manual reduction without MMF from September 2005 to May 2010 in Dankook University Dental Hospital were subjected to a follow-up evaluation during the postoperative 4 months periods. This study evaluated the incidence of complications according to the condition of the patient (gender, age), the state of bony union of the fracture sites and a numeric rating scale evaluation for postoperative pain scoring. Results: 1. The complications were classified into major and minor according to the seriousness, and the major complication rate was as low as 2.02%. Only 2 cases of re-operations (1.01%) were encountered. In the classification according to the fracture line, plate fracture was observed in both cases of mandibular symphysis fracture, and angle fractures and loosening of two screws were noted in the case of mandibular angle fracture. 2. The complication rate was similar regardless of gender and age. 3. The degree of bony union was satisfactory, and the complication rate was reduced as the bony union improved. 4. More patients complained of pain as the operation time was increased. Conclusion: The use of MMF is not always necessary if a skilled assistant is provided to help manually reduce the fracture site. Compared to other studies of mandibular fracture surgery using MMF, the complication rate was similar using only manual reduction and the patients' discomfort was reduced without MMF.

• Journal of Korean Medicine Rehabilitation
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• v.30 no.2
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• pp.19-35
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• 2020

Objectives The aim of this study is to evaluate the fracture healing effect of Jinmu-tang (JM) on femur fractured rats. Methods Rats were randomly divided into 5 groups (normal, control, positive control, JM extract with low concentration and JM extract with high concentration). All group except normal group went through both femur fracture. Normal and control group received no treatment at all. Positive control group were medicated with tramadol (20 mg/kg) once a day for 14 days. Experimental group was orally medicated with JM extract (10 mg/kg for low concentration, 50 mg/kg for high concentration) once a day for 14 days. In order to investigate fracture healing process, plasma and serum were obtained. Also, micro-computed tomography was conducted to see the frature site visually. Immunohistochemistry for transforming growth factor-β1, Ki67, alkaline phosphatase, runt-related transcription factor 2, receptor activator of nuclear factor kappa-β, tartrate resistant acid phosphatase was conducted to observe bone healing progress after 14 days since fracture occured. Aspartate aminotransferase, alanine aminotransferase, blood urea nitrogen and creatinine levels were measured in plasma, for hepatotoxicity and nephrotoxicity of JM extract. Osteocalcin was measured to observe activity of osteoblast. Results Through Micro-CT, more fracture healing was observed on both experimental group than control and positive control group. Through Hematoxylin & Eosin and safranin O staining showed bone cell proliferation and bone formation in the experimental group. RANK was significantly increased in the experimental groups. JM with high concentration showed statistically significant of TGF-β and Osteocalcin. NO, TRAP and ALP were not significantly changed. Liver toxicity was not significantly observed. Creatinine significantly increased in both experimental groups after 28 days. Conclusions As described above, JM extract showed anti-inflammatory effect, promoted fracture healing by stimulating the bone regeneration factor, and showed little hepatotoxicity and nephrotoxicity. In conclusion, JM extract can promote fracture healing and it can be used clinically to patients with fracture.

• Geomechanics and Engineering
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• v.18 no.6
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• pp.585-594
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• 2019

In-situ leaching could be one of the promising mining methods to extract the minerals from deep fractured rock mass. Constrained by the low permeability at depth, however, the performance does not meet the expectation. In fact, the rock mass permeability mainly depends on the pre-existing natural fractures and therefore play a crucial role in in-situ leaching performance. More importantly, fractures have various characteristics, such as aperture, persistence, and density, which have diverse contributions to the promising method. Hence, it is necessary to study the variation of fluid rate versus fracture parameters to enhance in-situ leaching performance. Firstly, the subsurface fractures from the depth of 1500m to 2500m were mapped using the discrete fracture network (DFN) in this paper, and then the numerical model was calibrated at a particular case. On this basis, the fluid flow through fractured rock mass with various fracture characteristics was analyzed. The simulation results showed that with the increase of Fisher' K value, which determine the fracture orientation, the flow rate firstly decreased and then increased. Subsequently, as another critical factor affecting the fluid flow in natural fractures, the fracture transmissivity has a direct relationship with the flow rate. Sensitive study shows that natural fracture characteristics play a critical role in in-situ leaching performance.

• Parasites, Hosts and Diseases
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• v.51 no.4
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• pp.453-459
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• 2013

Although Serbia is recognized as an endemic country for echinococcosis, no information about precise incidence in humans has been available. The aim of this study was to investigate the skeletal manifestations of hydatid disease in Serbia. This retrospective study was conducted by reviewing the medical database of Institute for Pathology (Faculty of Medicine in Belgrade), a reference institution for bone pathology in Serbia. We reported a total of 41 patients with bone cystic echinococcosis (CE) during the study period. The mean age of 41 patients was $40.9{\pm}18.8$ years. In 39% of patients, the fracture line was the only visible radiological sign, followed by cyst and tumefaction. The spine was the most commonly involved skeletal site (55.8%), followed by the femur (18.6%), pelvis (13.9%), humerus (7.0%), rib (2.3%), and tibia (2.3%). Pain was the symptom in 41.5% of patients, while some patients demonstrated complications such as paraplegia (22.0%), pathologic fracture (48.8%), and scoliosis (9.8%). The pathological fracture most frequently affected the spine (75.0%) followed by the femur (20.0%) and tibia (5.0%). However, 19.5% of patients didn't develop any complication or symptom. In this study, we showed that bone CE is not uncommon in Serbian population. As reported in the literature, therapy of bone CE is controversial and its results are poor. In order to improve the therapy outcome, early diagnosis, before symptoms and complications occur, can be contributive.

• Journal of Trauma and Injury
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• v.33 no.1
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• pp.18-22
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• 2020

Purpose: Damage control laparotomy has contributed to improved survival rates for severe abdominal injuries. A large part of severe abdominal injury occurs with a concomitant pelvic bone fracture. The safety and effectiveness of internal fixation of pelvic bone fracture(s) has not been established. The aim of the present study was to evaluate infection risk in the pelvic surgical site in patients who underwent emergent abdominal surgery. Methods: This single-center retrospective observational study was based on data collected from a prospectively maintained registry between January 2015 and June 2019. Patients who underwent laparotomy and pelvic internal fixation were included. Individuals <18 and ≥80 years of age, those with no microbiological investigations, and those who underwent one-stage abdominal surgery were excluded. Comprehensive statistical comparative analysis was not performed due to the small number of enrolled patients. Results: A total of six patients met the inclusion criteria, and the most common injury mechanism was anterior-posterior compression (67%). The average duration of open abdomen was 98 hours (range, 44-98), and the time interval between abdominal closure and pelvic surgery was 98 hours. One patient (16.7%) died due to multi-organ dysfunction syndrome. Micro-organisms were identified in the abdominal surgical site in five patients (83%), with no micro-organisms in pelvic surgical sites. There was no unplanned implant removal. Conclusions: Internal fixation of pelvic bone fracture(s) could be performed in the state of open abdomen, and the advantages of early fixation may countervail the risks for cross contamination.

• 한국가스학회:학술대회논문집
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• 1997.09a
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• pp.45-52
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• 1997

The objective of this study is, with concept of fitness-for-purpose, to evaluate the fracture toughness in X-grooved weld HAZ(heat-affected zone) of QLT(quenching, lamellarizing and tempering)-processed $9\%$ Ni steel, qualitatively and quantitatively, and analyze the relation with the change of microstructure. In general, CTOD test is widely used to determine the fracture toughness of steel weldments. But several problem of accuracy has been brought up. Therefore, in this study, modified CTOD test was used for X-grooved weld HAZ for $9\%$ Ni steel. Additionally, microstructure of HAZ is observed and analyzed by OM, SEM and XRD. From the resulty, HAZ toughness of QLT-$9\%$ Ni steel decreased as the evaluated region approaches the fusion line. The decreased toughness was partly caused by reduction of the retained austenite content, resulted from decreased nucleation site of the retained austenite content, resulted from decreased nucleasion site for reverse transformation due to the increasing fraction of coarse grained region. On the other hand, unexpectedly, the increasing fraction of ductile weld did not increase the HAZ toughness. Therefore, in this X-grooved weld HAZ, the primary factor affecting fracture toughness was the fraction of coarse grained region, i.e., the weakest region.