• Archives of Reconstructive Microsurgery
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• v.7 no.1
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• pp.54-61
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• 1998

Free vascularized fibular is the most usuful bony donor of the long bone reconstruction in reconstructive microsurgical field. It has many benifits such as very strong strut tubular bone, very reliable vascular anatomy with large vascular diameter with long pedicle, minimal donor site morbity too. In that situations of the huge long bone defects in distal femur or proximal tibia, the defective bony shape and strength of the transplanted fibular bone is not enough if only one strut of the fibula is transfered. The bony circulation of the fibula has two ways, one from nutrient artery via peroneal artery through nutrient foramen which makes endosteal arterial network inside of the fibula, another way is periosteal network through outside encircling vascular network of the bone which distributed in muscle sleeves of the fibular diaphysis. Authors modified free vascularized fibular bone graft with transverse osteotomy is made from the anterolateral aspect of the fibular shaft just distal to entry of the nutrient artery. This produces two vascularized bone struts that may be folded pararell to each other but that remain connected by the periosteum and muscle cuff surrounding the peroneal artery and veins. The proximal strut is vascularized by both a periosteal and endosteal blood supply, whereas the distal strut is vascularized by a periosteal blood supply alone. This procedure can call "doule barrel" free vascularized fibular graft. We performed 7 cases of doule barrel fashined fibular transplantation on distal femur and proximal tibial large defects. Average bone union time takes 7 months from that procedure. There were no significant bone union time differences between both proximal and distal struts. After solid union of the transfered double barrel fibular graft, there were no stress fracture in our series. We can propose double barrel free vascualized fibular graft is usuful method in that cases with very large bone defect on large long bones especially metaphyseal defects.

• Economic and Environmental Geology
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• v.21 no.3
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• pp.235-255
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• 1988

Talc deposit of pipe-like form occurrs in the lower part of the Hyangsanri Dolomite with a strike of N40 -50 E and a dip of 40 -50 NW which is one formation of the Ogcheon Super Croup. The pipi-like ore body plunge at about $40^{\circ}$ to the west and are parallel to the lineation developed in the area. Structural formulae of tales occurred in this deposit are close to the ieal composition $Mg_6Si_8O_{20}(OH)_4$ showing limited deviation from ideal one. Substitution of Al for Si in tetrahedral site is of little or nothing ranging 0-0.04 and octahedral occupancy is close to six ranging 5.88-5.98 atoms per unit cell. Predominant octahedaral cation is Mg and proportion of divalent cations is generally over 97percent. Calcite -dolomite thermometry is obtained by determining the mol % $MgCO_3$using of EPMA and XRD methods. The peak metamorphic temperature can be estimated at $470{\pm}30^{\circ}C$ in the area whereas carbonates occurred at near talc ore show lower temperature than $400^{\circ}C$ that the calcite solvus limit is not well established. It indicates that the talc deposit was formed at the lower temperature that the metamorphic temperature. Cosequently, the formation of talc by metamorphism is questionable and the alteratin zone developed around the talc ore is very limited. The occurrence of talc ore in the dolomite as well as mineralogy, calcite-dolomite geothermometry, chlorite geothermometry, field and microscopic evidence suggest that siliceous ascending hydrothermal solution along the fracture is responsible for the formation of talc. It was considered that the slight fracturing of dolomite was formed by deformation prior to the mineralization.

• Journal of Korean Neurosurgical Society
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• v.30 no.sup2
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• pp.322-327
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• 2001

Objectives : There are many kinds of method to evaluate neural decompression during operation. They are direct visual and manual inspection, intraoperative ultrasound, endoscope, intraoperative computed tomography and intraoperative myelography. We used intraoperative myelography to evaluate the proper decompression of neural elements during the decompressive surgery. Methods : We injected 10-20cc of nonionic water-soluble contrast materials through direct puncture site of exposed dura during operation or lower lumbar level or lumbar drain inserted preoperatively. 12 patients were included in this study. They were 7 patients of centrally herniated lumbar disc disease, 1 patient of multiple lumbar spinal stenosis, 2 patients of thoracic extradural tumor and 2 cervical fracture & dislocations. Results : 5 of 12 patients showed remained neural compression through intraoperative myelography, so they were operated further through other approach. Myelographic dye is heavier than CSF, so the dependent side of subarachnoid space was visualized only. In one case, CSF leakage through hemovac was detected, but it was treated only bed rest for 5 days after hemovac removal. Conclusion :Intraoperative myelography is an effective method to evaluate neural decompression during spinal surgery. This technique is easy and familiar to us, neurosurgeons.

• Archives of Craniofacial Surgery
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• v.23 no.1
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• pp.23-28
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• 2022

Background: Intermaxillary fixation (IMF) is a technique that allows for the reduction and stabilization of mandibular fractures. Several methods of IMF, such as self-tapping screws or arch bars, have been developed. This study aimed to validate the usefulness of IMF with a self-tapping screw compared to IMF with arch bars with focus on the patients' perspective. Methods: We retrospectively reviewed the medical records of all patients who were treated for mandibular fractures at our hospital between August 2014 and February 2021. A total of 57 patients were enrolled in this study. Thirteen patients were excluded from the analysis: three patients were lost to follow-up, and 10 patients did not undergo IMF. Finally, 44 patients were analyzed, of which 31 belonged to the arch bar group, and 13 belonged to the screw group. Patient discomfort and pain during IMF application and removal were analyzed using a patient self-assessment questionnaire. The surgeon also assessed oral hygiene, IMF stability, and occlusion. Results: We applied IMF to 34 men (77%) and 10 women (23%). The mean age of the patients was 37.3 years. The most common fracture site was the angle (30%), followed by the parasymphysis (25%), the body (23%), the condyle (11%), and the ramus (11%). Patient discomfort and oral hygiene were statistically favorable in the screw group. The IMF application time was statistically shorter in the screw group (p< 0.001). IMF stability was not statistically different between the two groups. The pain score during IMF removal was lower in the screw group (p< 0.001). Conclusion: Compared to arch bars, IMF screws provide more comfort during the IMF period, help maintain favorable oral hygiene, and have a shorter application time. From the patient's perspective, IMF screws are an excellent alternative to conventional arch bars when applicable.

• Journal of the Korean Society of Safety
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• v.37 no.4
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• pp.36-43
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• 2022

Generally, in construction sites, the pipe support installation workers often use support pins of 9~10 mm which are much smaller than the safety standard sizes for work convenience. Although the safety certification standard thickness of the support pins is 11 mm, and the supervisors are often indifferent to this. Hence, products with far lower performance than the pipe support safety certification value of 40,000 N, which is applied in the supporting post-structural review, are used. Accordingly, this acts as a factor causing collapse accidents in the process of pouring concrete at the construction site. Therefore, this study performed compression experiments on new and reused pipe supports to determine how the thickness of the support pins affects the structural compression performance of the pipe support by considering the thickness of the support pins as a critical variable among various factors affecting the pipe support performance. In the course of the study, the compression test of the pipe support (V2, V4) for the new products showed that only 14 (58.3%) of the total 24 samples satisfied the safety certification standard value of 40,000 N, which indicates that more thorough quality control is required in the manufacturing process. Additionally, comparing the thickness of the support pins and their fracture shape shows that the pipes with support length of 4.0 m or longer are much more affected by the buckling of the entire length than the thickness of the support pins. Of the several factors affecting the performance of reused pipe supports, it was found that, similar to the new products, the use of support pins, with thickness of 12 mm rather than 11 mm, can satisfy the safety certification value more appropriately. Therefore, regardless of the state of usage, it could be concluded that it is necessary to use 12 mm products, whose thickness is larger than that of the safety certification standard value of 11 mm, to improve the performance of the pipe supports.

• Journal of Digital Convergence
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• v.21 no.2
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• pp.17-25
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• 2023

The purpose of this study was to analyze the characteristics of elderly motorcycle accidents according to data from elderly inpatients to prepare prevention measures for the elderly against injury in motorcycle accidents. Chi-squared test, independent sample t-test, and canonical correlation analysis were performed on the Korea Disease Control and Prevention Agency's National Hospital Discharge In-depth Injury Survey data from 2015 to 2019, from which the records of 1,384 elderly inpatients hospitalized because of motorcycle accidents were obtained. intracranial injury(S06) was the most common care and treatment characteristic for both age groups. The most frequent injury site was the head and neck, and the most frequent injury type was a fracture. The above findings show that prevention education and policy formulation at the national level are necessary to identify and manage the factors of elderly motorcycle accidents. This study provides basic data for developing measures and policies to prevent and reduce injuries, making it significant for public health causes.

• The Journal of the Korean bone and joint tumor society
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• v.14 no.1
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• pp.17-24
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• 2008

Purpose: Chondroblastoma is a rare benign bone tumor which occurs most frequently at epiphysis of long bones. This study analyzed the difference between patients with chondroblastoma either on their epiphysis or apophysis. Materials and Methods: We reviewed 19 patients with chondroblastoma who visited our hospital from August 1987 to August 2005. The mean follow up period was five years. Fifteen patients were male and 4 patients were female. The mean age of the patients was 17.6 years. The treatment consisted of either curettage alone, curettage with bone graft or curettage with cementation. We retrospectively compared the difference between one chondroblastoma originating from the epiphysis and the other chondroblastoma originating from the apophysis in terms of age predilection, duration of symptoms, size of tumor, status of the physis, presence of pathologic fracture, recurrence rate and accompanying aneurismal bone cyst. Results: Among the 19 patients, 11 patients had chondroblastoma at the epiphysis, and 8 at the apophysis. Distal femur was the most common site for epiphysis lesions while the greater trochanter was the most common site for lesions arising at the apophysis. The mean age was 14.2 years in the epiphysis group and 22.3 years in the apophysis group. Chondroblastoma occurred after closure of the physis in 3 out of 11 cases in the epiphysis group and in all 8 cases in the apophysis group showing a statistical significance between the groups in terms of status of the physis at onset. Size of the lesion was bigger in the apophysis group with statistical significance. Conclusion: Chondroblastoma is known to occur frequently at the epiphysis of long bones, but our study shows that in patients over 20 years old it occurs more frequently at the apophysis which needs to be considered when making the proper diagnosis. There was a significant difference between the two groups in terms of the age of occurrence, status of physis and size of tumor while there was none in terms of the duration of symptoms, presence of pathologic fracture, recurrence rate and presence of accompanying aneurismal bone cyst.

• Geophysics and Geophysical Exploration
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• v.8 no.2
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• pp.145-155
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• 2005

A two-dimensional (2-D) interpretation of MT data has been performed for the purpose of fracture detection for geothermal development. Remote stations have been operated in Kyushu, Japan (480 km apart) as well as in Korea (60 km and 165 km apart in 2002 and 2003 data set, respectively). Apparent resistivity and phase curves calculated by remote processing with the Japan remote data showed enough quality for 2-D inversion for the whole frequency range. Remote reference processing with Korea remote reference data also showed quite good continuity in apparent resistivity and phase curves except some noisy frequency bands; around the power frequency, 60 Hz, and around the dead band $10^{-1}Hz\;Hz\;\~1\;Hz$, where the natural EM signal is known to be very weak. Even though the subsurface showed severe three-dimensional (3-D) characteristics in the survey area so that 2-D inversion by itself could not give enough information for deep geological structures, the 2-D inversion for the 5 survey lines showed several common features. The conductive semi-consolidate mudstone layer is dipping from north to south (about 500 m depth on the south and 200 m on the north most part of the survey area). The boundary between the low (L-2) and high (H-2) resistivity anomalies can be thought as a major fault with strike $N15^{\circ}E$, passing through the sites 206, 112 and 414. The shallow (< 1 km) conductive anomalies (L-4) seem to be fracture zones having strike E-W (at site 105) and $N60^{\circ}W$ (at site 434). And there exists a conductive layer in the western and west-southern part of the survey area in the depth below $2\~3\;km$, for which further investigation is to be needed.

• Tunnel and Underground Space
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• v.34 no.4
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• pp.374-392
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• 2024

In order to successfully select a site for deep geological disposal of high-level radioactive waste, it is important to perform the stepwise approach along with the systematic selection and survey of evaluation parameters of geological environmental characteristics suitable for the domestic geological environment. In this study, we evaluated the characteristics of hydraulic conductivity, which is considered the most important evaluation parameter in the field of hydrogeology, targeting a deep-depth rock aquifer where actual disposal facilities are expected to be located. In particular, for the first time in Korea, we obtained in-situ pressure-flow data by directly conducting hydraulic tests in boreholes at depths ranging from 500 m to 750 m in various rock types distributed in Korea (granite/volcanic rock/gneiss/mudstone). And we derived hydraulic conductivity values by rock types and depth using verified analytical methods. For this purpose, precision hydraulic testing equipment developed in-house through this study was used, and detailed investigation procedures based on standard test methods were applied to field tests. As a result of the analysis, the average hydraulic conductivity value was found to be in the range of 10^-9 m/s in all granite/volcanic rock/gneiss areas. In the mudstone area, an average hydraulic conductivity value of 10^-11 m/s was derived, which was about 100 times (2 orders of magnitude) lower than that of the fractured rock aquifers. Moreover, permeability tended to slightly decrease with depth in fractured rock aquifers (granite and volcanic rock areas) containing many rock fractures. The gneiss area tended to have large local differences in permeability according to the composition of the stratum and the development of fracture zones rather than depth. In mudstone areas with weak fracture development, there was no significant variation in rock permeability according to depth. The hydraulic conductivity results by various rock types and depth presented in this study are expected to be utilized in building a foundational database for the site selection, design, and construction of disposal facilities in Korea.

• Journal of the korean academy of Pediatric Dentistry
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• v.36 no.3
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• pp.427-432
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• 2009

The aim of this study was to compare the shear-peel strength and the fracture site of 5 commercially available orthodontic band cements. One hundred molar bands were cemented to extracted human 3rd molars. The specimens were prepared in accordance with the manufacturer's instructions for each cement. After storage in a humidor at $37^{\circ}C$ for 24 hours, the shear debonding force was assessed for each specimen using an universal testing machine with crosshead speed of 2 mm/minute. Maximal failure stress was converted to mean shear-peel strength, MPa. The predominant site of band failure was recorded visually for all specimens as either at the band/cement or cement/enamel interface. Mean shear-peel strength of Ormco was the highest(2.44${\pm}$0.57), followed by Fuji $Ortho^{TM}$(2.24${\pm}$0.50), $Ketac-Cem^{TM}$(2.10${\pm}$0.57), 3M $Unitek^{TM}$(1.82${\pm}$0.43), $Band-Lok^{TM}$(1.73${\pm}$0.28). There were statistically significant differences between Ormco and $Band-Lok^{TM}$, Ormco and 3M $Unitek^{TM}$, and Fuji $Ortho^{TM}$ and $Band-Lok^{TM}$(p<0.05). The predominant site of bonding failure for bands cemented with the Ormco was at the band/cement interface, whereas bands cemented with Ultra $Band-Lok^{TM}$ failed predominantly at the enamel/cement interface. There was no significant difference among the other cements(Fuji $Ortho^{TM}$, 3M $Unitek^{TM}$, $Ketac-Cem^{TM}$).