• 제목/요약/키워드: Fracture Site

검색결과 528건 처리시간 0.03초

반사 탄성파를 이용한 터널막장 전방 파쇄대의 3차원적 예측 (3D analysis of fracture zones ahead of tunnel face using seismic reflection)

  • 이인모;최상순;김시탁;김창기;전제성
    • 한국터널지하공간학회 논문집
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    • 제4권4호
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    • pp.301-317
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    • 2002
  • 최근 지반물리탐사기술은 자원조사분야에서뿐 만 아니라 토목공학분야에서도 활용빈도가 증대되고 있는 실정이다. 이러한 기술을 토목기술자들이 활용하는 경우 물리탐사기법의 기본원리와 기술적 한계를 이해하는 것은 매우 중요하다. 본 논문에서는 타원체의 성질을 이용한 3차원 구조보정기법을 이용해 터널내 탄성파탐사(TSP)로부터 터널막장 전방에 위치한 파쇄대의 기하형상 즉, 터널축과 파쇄대간의 사이각 및 경사 등을 파악하는 기법에 관하여 기술하였다. 또한, TSP 시험을 모사하는 수치해석을 최적으로 수행하기 위하여 매개변수분석을 수행하였다. 즉, 수치해석의 안정성과 정확성을 도모하는 최적의 요소크기, 해석시간간격 및 발파진원의 동적특성 등에 대하여 연구하였다. 터널과 파쇄대를 포함한 임의의 지반을 모델화하여 수행한 예제해석으로부터 터널막장 전방에 위치한 파쇄대의 3차원적 기하형상을 타원체의 성질을 이용한 3차원구조보정기법에 의하여 적절한 예측할 수 있음을 확인하였다.

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CaO-SiO2-B2O3계 결정화 유리의 제조와 in-vitro법을 이용한 생체활성 평가 (Preparation of CaO-SiO2-B2O3 Glass-ceramics and Evaluation of Bioactivity Using in-vitro Test)

  • 류현승;서준혁;김환;홍국선;김득중;이재협;이동호;장봉순;이춘기
    • 한국세라믹학회지
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    • 제39권5호
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    • pp.490-497
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    • 2002
  • $CaO-SiO_2-B_2O_3$계의 결정화유리의 소결 특성 및 기계적 특성, 생체활성을 알아보았다. 이 조성의 결정화유리는 750-830${\circ}$ 사이에서 소결 되었으며 치밀한 미세구조를 보였다. 이 결정화 유리는 단사정계 월라스토나이트(monoclinic wollastonite), 칼슘보레이트(Calcium borate, $CaB_2O_4$) 결정상과 보로실리케이트(borosilicate) 유리 기지상(matrix)의 3상으로 구성되었다. 기계적 강도는 지금까지 알려진 다른 생체활성 세라믹스보다 우수하였으며 특히 압축강도(2813 MPa), 파괴인성($3.12 MPa{\cdot}m^{1/2}$)이 높았다. 생체활성은 결정화유리 중 calcium borate와 보로실리케이트 유리의 양에 의존하였는데, 용해도가 높은 calcium borate는 의사체액(SBF)의 칼슘이온의 과포화도를 상승시키고 borosilicate 유리는 탄산아파타이트 핵생성에 필요한Si-OH기를 형성시켜 탄산아파타이트 층이 빨리 생성되기 때문으로 판단된다. 따라서 $CaB_2O_4$와 borosilicate 유리가 많을수록 결정화유리의 생체활성이 뛰어난 것으로 생각된다.

만성 요통 통증 완화에 대한 미세전류 테이프의 안전성 및 유효성 평가 (Efficacy and Safety of Micro Current Tape on Chronic Low Back Pain: One Group Pre-Post Test Design, Multi Center Pilot Study)

  • 박현건;김종연;이운섭;이신지;정원석;김호준;이종수
    • 한방재활의학과학회지
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    • 제23권4호
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    • pp.185-194
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    • 2013
  • Objectives The aim of this study was to evaluate the efficacy and safety of micro current taping therapy (MTT) on patients with chronic low back pain (CLBP). Methods We included 50 participants who met the inclusion criteria and 5 participants dropped out during the sessions due to the following reasons: 3 participants were personal reasons, 1 participant was taking medication, 1 participant was fore arm fracture. We attached "I" shaped 40 cm, 2 tapes along the erector muscles of the spine starting from both iliac crest and another "I" shaped 30 cm, 1 tape on the painful site horizontally. This procedure was done 8 times and participants visited a total of 9 times including a final visit for evaluation. We measured visual analog scale (VAS), range of motion (ROM) and schober's test on every visit. Participants completed a questionnaire of oswestry disability index (ODI) and Beck's depression inventory (BDI) on the first and last visits. Results In VAS for pain intensity and bothersomeness, there were significant decreases after 1st, 6th treatments. In range of extension, there was significant increase after 3rd treatment at first. In range of flexion, there was significant increase after 2nd treatment at first. In range of left flexion, there was significant increase after 4th treatment at first. In range of right flexion, there was significant increase after 3rd treatment at first. in schober's test, there was significant increase after 2nd treatment at first. In VAS, ROM, schober's test, BDI, ODI, there were significant improvement after all treatments had done. Conclusions There was a significant effect of MTT on CLBP. And there was no adverse effect.

전위성 경골 과간 융기부 골절의 슬개골 하단을 통한 삽관 나사못 고정술 (Transpatellar Cannulated Screw Fixation of Displaced Tibial Intercondylar Eminence Fractures)

  • 나경욱;정병현;서진수;석승엽;박규원;채동주
    • 대한관절경학회지
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    • 제6권1호
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    • pp.25-30
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    • 2002
  • 목적 : 전위된 경골 과간 융기부 골절시 슬개골 하단을 통한 삽관 나사못 고정술의 효용성을 분석하고자 한다. 대상 및 방법 : 1998년 12월부터 2001년 5월까지 성인에서 전위된 경골 과간 융기부 골절을 관절경의 도움 하에 슬개골 하단을 통한 삽관 나사못 고정술을 시행하고 1년 이상 추시가 가능하였던 10예를 대상으로 임상적 및 방사선적 결과를 분석하였다. 결과 : 모든 예에서 골유합을 얻었으며 방사선적 골유합은 평균 9.2주였다 최종 추시시 전방 전위는 전방 stress 방사선상 평균 1.8 mm를 보였으며 KT-2000 arthrometer에서는 평균 1.1 mm였다. 신전 제한은 평균 4.1도를 보였다. 기능적 결과는 우수가 7예, 양호가 3예로 모두에서 만족할만한 결과를 보였다. 결론 : 성인에서 전위된 경골 과간 융기부 골절시 관절경적 수술 방법인 슬개골 하단을 통한 삽관 나사못 고정술은 슬개골 하단의 비관절면을 통하여 삽관 나사못을 고정함으로서 정확한 정복과 견고한 고정을 얻을 수 있었으며, 술 후 조기에 능동적 관절 운동을 허용할 수 있어 간편하면서도 유용한 수술방법이라 사료된다.

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Our Experience with Surgically Treated Epidural Hematomas in Children

  • Jung, Sang-Won;Kim, Dong-Won
    • Journal of Korean Neurosurgical Society
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    • 제51권4호
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    • pp.215-218
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    • 2012
  • Objective: Traumatic epidural hematomas (EDHs) in children are a relatively unusual occurrence. The cause and outcome vary depending on period and reg ion of study. The aims of this analysis were to review the cause and outcome of pediatric EDHs nowadays and to discuss outcome-related variables in a large consecutive series of surgically treated EDH in children. Methods: This is a retrospective review of 29 patients with surgically treated EDHs between Jan 2000 and February 2010. Patients' medical records, computed tomographic (Cl) scans, and, if performed, magnetic resonance imaging (MRI) were reviewed to define variables associated with outcome. Variables included in the analysis were age, associated severe intracranial injury, abnormal pupillary response, hematoma thickness, severity of head injury (Glasgow Coma Scale score), parenchymal brain injury, and diffuse axonal injury. Results: The mean (SO) age of the patients was 109 months (0-185 months). Most of the injuries with EDHs occurred in traffic accident (14 cases, 48.2%) and followed by slip down in 6 cases and falls in 6 cases. There were one birth injury and one unknown cause. EDHs in traffic accidents occurred in pedestrians hit by a motor vehicle, 9 cases; motorbike and car accidents, 5 cases and bicycle accidents, 1 case. The locations of hematoma were almost same in both sides (left side in 15 cases). Temporal lobe is the most common site of hematomas (13 cases, 44%). The mean size of the EDHs was 18 mm (range, 5-40 mm). Heterogeneous hematomas in CT scans were 20 cases (67%). Two patients were referred with unilateral or bilateral dilated pupil(s). There was enlargement of EDH in 5 patients (17%). All of them were heterogeneous hematomas in CT scans. Except for 4 patients, all EDHs were associated with skull fracture(s) (87%). There was no case of patient with major organ injury. CT or MRI revealed brain contusion in 5 patients, and diffuse axonal injury in one patient The mortality was zero, and the outcomes were excellent in 26 and good in 2 patients. None of the tested variables were found to have a prognostic relevance. Conclusion: Regardless of the EDH size, the clinical status of the patients, the abnormal pupillary findings, or the cause of injury, the outcome and prognosis of the patients with EDH were excellent.

동결 동종골의 구조적 삽입을 이용한 거골하 신연 유합술 (Subtalar Distraction Arthrodesis Using Frozen Allobone Graft by Interpositional Structural)

  • 최장석;곽지훈;전성수;박홍기
    • 대한족부족관절학회지
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    • 제15권4호
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    • pp.201-206
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    • 2011
  • Purpose: Subtalar distraction arthrodesis is useful treatment option for restore hindfoot alignment. but, using structural autograft have high risk of donor site morbidity. Recently, by replacing the structural allograft has been reported satisfactory clinical results. Therefore, the authors reviewed the results of subtalar distraction arthrodesis using a structural allograft, retrospectively. Materials and Methods: From January 2008 to May 2010, 12 patients (12 feets; 9 male, 3 female) underwent subtalar distraction arthrodesis using frozen structural allograft. 9 cases were calcaneal malunion, 2 were nonunion or malunion after subtalar arthrodesis, 1 was other cause. Mean age was 38.9 (12~66) years old and follow up period was 16.5 (12~36) months. Surgical was performed with posterolateral approach and tricortical allobone block of frozen femoral neck was used. Analysis was done with retorspective manner to evaluate preoperative, postoperative, and final follow up radiologic measurement and AOFAS ankle-hindfoot scale. Results: There was statistically significant increase (p<0.05) of ankle-hindfoot scale from preoperative 27.5 points to postoperative 72.5 points, talocalcaneal height by 6.62 mm, calcaneal pitch angle by 5.73 degrees, lateral talocalcaneal angle by 6.38 degrees and significant decrease (p<0.05) of tali-1st metatarsal angle by 5.23 degrees. 11 feet (91.7%) acquired bony union and it takes average 5.1 months. Final post-operative result revealed talocalcaneal height changed by 2.57 mm, calcaneal pitch anble, lateral talocalcaneal angle, talar-1st metatarsal angle were changed by 2.63 degrees, 1.62 degrees, 1.18 degrees, respectively (p<0.05). 3 cases of partial osteonecrosis of posterior facet of calcaneus were observed in operation field, 4 cases of complication were developed (1 case of nonunion, 1 collapse of allobone graft, 1 screw loosening, 1 superficial skin necrosis). Conclusion: Subtalar distraction arthrodesis using frozen structural allobone graft is useful alternative treatment method of arthrodesis with structural autobone graft.

다발성 외상환자에서 혈관계 접근을 통해 치료한 쇄골하동맥 손상 2례 (Treatment of Subclavian Artery Injury in Multiple Trauma Patients by Using an Endovascular Approach: Two Cases)

  • 조자윤;정희경;김형기;임경훈;박진영;허승
    • Journal of Trauma and Injury
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    • 제26권3호
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    • pp.243-247
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    • 2013
  • Introduction: Surgical treatment of subclavian artery (SA) injury is challenging because approaching the lesion directly and clamping the proximal artery is difficult. This can be overcome by using an endovascular technique. Case 1: A 37-year-old male was drawn into the concrete mixer truck. He had a right SA injury with multiple traumatic injuries: an open fracture of the right leg with posterior tibial artery (PTA) injury, a right hemothorax, and fractures of the clavicle, scapula, ribs, cervical spine and nasal bone. The injury severity score (ISS) was 27. Computed tomography (CT) showed a 30-mm-length thrombotic occlusion in the right SA, which was 15 mm distal to the vertebral artery (VA). A self-expandable stent($8mm{\times}40mm$ in size) was deployed through the right femoral artery while preserving VA flow, and the radial pulse was palpable after deployment. Other operations were performed sequentially. He had a viable right arm during a 13-month follow-up period. Case 2: A 25-year-old male was admitted to our hospital due to a motorcycle accident. The ISS was 34 because of a hemothorax and open fractures of the mandible and the left hand. Intraoperative angiography was done through a right femoral artery puncture. Contrast extravasation of the SA was detected just outside the left rib cage. After balloon catheter had been inflated just proximal to the bleeding site, direct surgical exploration was performed through infraclavicular skin incision. The transected SA was identified, and an interposition graft was performed using a saphenous vein graft. Other operations were performed sequentially. He had a viable left arm during a 15-month follow-up period. Conclusion: The challenge of repairing an SA injury can be overcome by using an endovascular approach.

교통사고에 의한 소아 족부 압궤손상에 대한 치료결과 (The Results of Treatment for Motor Vehicle-related Crushing Injuries of Foot in Children)

  • 한수봉;김홍균
    • Archives of Reconstructive Microsurgery
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    • 제16권2호
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    • pp.113-118
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    • 2007
  • Purpose: The purpose of this work was to describe the results of treatment for motor vehiclerelated crushing injuries among children and adolescents under sixteen years in Korea. Materials and Methods: A retrospective analysis was conducted of data from children who were under sixteen year and injured foot by motor vehicles. Cases were documented 1) age at the time of injury, 2) injured site, 3) the area of accident, 4) the kind of vehicle, 5) associated injuries, 6) methods of treatment for soft tissue reconstruction and 7) complications. The relationships between the area of accident and associated injuries, and the kind of vehicle and associated injuries were analyzed using Chi-square test and Fisher exact test. Results: There were 97 children who were 15 year and younger. The mean age was 7.4 years, and 65% were boys. The left foot was more dominant side of injury (57%). Seasonal variation was seen with the number of injuries peaking during the summer (43%, p<0.05). Among the vehicles, 78.3% were the large vehicles (bus, truck or van). The where of accident was more frequent at an alley or less than two lanes of traffic. But, the relationships between the place of accident and associated injury or the kind of vehicles and associated injury were not statistically significant. The associated injury were fracture or dislocation (23 cases, 35.9%), injury of tendon (21 cases, 32.8%). There were amputation or disarticulation of foot in 8 cases (8.2%) and post-traumatic deformities such as flatfoot, hindfoot varus or valus deformities by tendon injury in 7 cases (7.2%). Conclusion: More than 50% of crushing or degloving injuries of child's foot by traffic accidents happened in boys between 5 to 9 years old. The associated injury was unrelated with size of vehicles or accident place at the time of accident. But, even though foot injury happened in an alley or one lane by small vehicles, child who hurt feet by car need thorough investigation about associated injury. If a surgeon keep in mind and treat child to associated injury necessarily, can minimize complication. Microsurgical reconstruction for soft tissue defect was prior to other methods.

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저온 및 고전류밀도 조건에서 전기도금된 구리 박막 간의 열-압착 직접 접합 (Thermal Compression of Copper-to-Copper Direct Bonding by Copper films Electrodeposited at Low Temperature and High Current Density)

  • 이채린;이진현;박기문;유봉영
    • 한국표면공학회:학술대회논문집
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    • 한국표면공학회 2018년도 춘계학술대회 논문집
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    • pp.102-102
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    • 2018
  • Electronic industry had required the finer size and the higher performance of the device. Therefore, 3-D die stacking technology such as TSV (through silicon via) and micro-bump had been used. Moreover, by the development of the 3-D die stacking technology, 3-D structure such as chip to chip (c2c) and chip to wafer (c2w) had become practicable. These technologies led to the appearance of HBM (high bandwidth memory). HBM was type of the memory, which is composed of several stacked layers of the memory chips. Each memory chips were connected by TSV and micro-bump. Thus, HBM had lower RC delay and higher performance of data processing than the conventional memory. Moreover, due to the development of the IT industry such as, AI (artificial intelligence), IOT (internet of things), and VR (virtual reality), the lower pitch size and the higher density were required to micro-electronics. Particularly, to obtain the fine pitch, some of the method such as copper pillar, nickel diffusion barrier, and tin-silver or tin-silver-copper based bump had been utillized. TCB (thermal compression bonding) and reflow process (thermal aging) were conventional method to bond between tin-silver or tin-silver-copper caps in the temperature range of 200 to 300 degrees. However, because of tin overflow which caused by higher operating temperature than melting point of Tin ($232^{\circ}C$), there would be the danger of bump bridge failure in fine-pitch bonding. Furthermore, regulating the phase of IMC (intermetallic compound) which was located between nickel diffusion barrier and bump, had a lot of problems. For example, an excess of kirkendall void which provides site of brittle fracture occurs at IMC layer after reflow process. The essential solution to reduce the difficulty of bump bonding process is copper to copper direct bonding below $300^{\circ}C$. In this study, in order to improve the problem of bump bonding process, copper to copper direct bonding was performed below $300^{\circ}C$. The driving force of bonding was the self-annealing properties of electrodeposited Cu with high defect density. The self-annealing property originated in high defect density and non-equilibrium grain boundaries at the triple junction. The electrodeposited Cu at high current density and low bath temperature was fabricated by electroplating on copper deposited silicon wafer. The copper-copper bonding experiments was conducted using thermal pressing machine. The condition of investigation such as thermal parameter and pressure parameter were varied to acquire proper bonded specimens. The bonded interface was characterized by SEM (scanning electron microscope) and OM (optical microscope). The density of grain boundary and defects were examined by TEM (transmission electron microscopy).

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침상 코크스의 피치 코팅에 따른 리튬 이차전지 탄소계 음극소재의 전기화학적 특성 (Electrochemical Properties of Needle Coke through a Simple Carbon Coating Process for Lithium Ion Battery)

  • 황진웅;이종대;임지선
    • 공업화학
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    • 제31권5호
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    • pp.514-519
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    • 2020
  • 흑연 소재는 높은 구조적 안정성 및 낮은 가격으로 리튬 이차전지 음극소재로 이용되고 있다. 또한, 탄소 소재의 낮은 속도 특성을 개선하려는 탄소 코팅 연구가 활발히 진행되고 있다. 탄소 코팅은 화학적 반응을 이용하는 CVD 코팅, 용매를 사용하는 습식 코팅, 기계적 충돌에 의한 건식 코팅으로 나뉜다. 본 논문에서는 습식 코팅 공정에서 사용 용매에 따라 탄소 전구체(피치)의 일부만 사용될 수 있는 문제와 용매 제거에 의한 환경 문제를 해결하고자 건식 공정인 고속 분쇄/코팅 공정을 이용하여 리튬 이차전지 음극용 탄소 소재를 제조하였다. 침상 코크스와 피치의 무게비는 8 : 2 wt.%으로 하고, 고속 분쇄/코팅 공정을 이용하여 침상 코크스의 분쇄와 피치의 코팅을 통한 구상화를 진행하였을 때, 침상 코크스의 모서리 면이 피치로 코팅되는 것을 확인하였다. 이 소재를 2400 ℃ 고온 열처리를 진행한 결과 피치 코팅되지 않은 소재와 비교하여 초기용량과 효율은 큰 차이를 보이지 않았으나, 10C/0.1C 속도 특성에서 41.8%의 성능이 향상되었다. 고속 분쇄/코팅 공정을 통해 제조된 소재는 고속 방전용 리튬 이차전지 음극 소재에 사용될 수 있을 것으로 생각된다.