• 제목/요약/키워드: Fracture reduction

검색결과 1,050건 처리시간 0.027초

레일 파단시 장대레일 개구부에서의 궤도-차량 동적상호작용 (Dynamic Interaction of Track and Train System on Open Gap by Rail Breaks)

  • 강윤석;강영종;양신추
    • 대한토목학회논문집
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    • 제28권6D호
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    • pp.895-904
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    • 2008
  • 장대레일은 동절기에 중위온도 이하로 떨어져 레일의 인장파단에 의해 개구부가 발생할 수 있다. 레일 파단을 미리 감지 못하는 경우에 개구부에서 동적하중에 의해서 차륜과 레일의 파손이 발생할 수 있으며, 열차주행 안전성이 감소될 수 있다. 본 연구에서는 개구부에서의 궤도와 차량의 동적거동 분석을 위해 레일 파단시 개구부에서의 궤도와 차량의 상호작용을 고려한 동적해석모델을 제안하였다. 궤도와 차량의 선형시스템은 비선형 헤르찌안 접촉 스프링에 의해 연성되었으며 전체 궤도-차량 시스템 운동방정식을 정식화하였다. 그리고 개구부에서의 상호작용 현상을 고려하여 궤도 불균일부의 함수를 정의하고 개구부에서의 전후방 레일 사이의 개구량을 고려하였다. 비선형 방정식을 풀기위해 동적해석은 $Newmark-{\beta}$ 방법에 의해 수행되었다. 그리고 차량속도, 개구량, 레일지지강성에 따른 매개변수에 대한 궤도-차량의 동적상호작용해석을 수행하였고 변수에 대한 영향을 분석하였다.

고탄성 응력흡수층의 반사균열 저항특성 연구 (Behavior of High-elastic Stress Absorbing Interlayer for Reflective Cracking Resistance)

  • 박태순;이요섭
    • 대한토목학회논문집
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    • 제26권3D호
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    • pp.445-451
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    • 2006
  • 본 연구는 노후 콘크리트 포장의 아스팔트 덧씌우기에서 발생하는 반사균열을 억제하기 위한 방안으로 노후 콘크리트와 아스팔트 표층 사이에 응력을 흡수할 수 있는 중간층 혼합물을 개발하기 위하여 수행되었다. 고탄성 응력흡수층은 휨 변형과 수평변형으로 인하여 발생하는 균열응력을 흡수 또는 분산 시킬 수 있는 탄성과 유연성, 균일성 및 불투수성이 요구된다. 본 연구로부터 국외제품을 모델로 국산 바인더를 개발 하였으며 이를 사용하여 제작된 혼합물 시편은 시방규격에 만족하였다. 기존 덧씌우기 공법과 비교한 시험으로부터 고탄성 응력흡수 중간층이 설치된 경우 설치되지 않은 경우에 비하여 전단파괴수명과 수평변위저항도는 약 4배가 증가되었으며 표층재료의 선정에 따라 전단파괴수명은 5배, 수평변위저항도는 9배가 증가되어 고탄성 응력흡수 중간층이 반사균열 억제에 우수한 것으로 본 연구에 나타났다.

Seismic behavior of circular-in-square concrete-filled high-strength double skin steel tubular stub columns with out-of-code B/t ratios

  • Jian-Tao Wang;Yue Wei;Juan Wang;Yu-Wei Li;Qing Sun
    • Steel and Composite Structures
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    • 제49권4호
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    • pp.441-456
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    • 2023
  • Aiming at the development trend of light weight and high strength of engineering structures, this paper experimentally investigated the seismic performance of circular-in-square high-strength concrete-filled double skin steel tubular (HCFDST) stub columns with out-of-code width-to-thickness (B/t) ratios. Typical failure mode of HCFDST stub columns appeared with the infill material crushing, steel fracture and local buckling of outer tubes as well as the inner buckling of inner tubes. Subsequently, the detailed analysis on hysteretic curves, skeleton curves and ductility, energy dissipation, stiffness degradation and lateral force reduction was conducted to reflect the influences of hollow ratios, axial compression ratios and infill types, e.g., increasing hollow ratio from 0.54 to 0.68 and 0.82 made a slight effect on bearing capacity compared to the ductility coefficients; the higher axial compression ratio (e.g., 0.3 versus 0.1) significantly reduced the average bearing capacity and ductility; the HCFDST column SCFST-6 filled with concrete obviously displayed the larger initial secant stiffness with a percentage 34.20% than the column SCFST-2 using engineered cementitious composite (ECC); increasing hollow ratios, axial compression ratios could accelerate the drop speed of stiffness degradation. The out-of-code HCFDST stub columns with reasonable design could behave favorable hysteretic performance. A theoretical model considering the tensile strength effect of ECC was thereafter established and verified to predict the moment-resisting capacity of HCFDST columns using ECC. The reported research on circular-in-square HCFDST stub columns can provide significant references to the structural application and design.

노인성 전신질환 입원환자에서 치성감염 관리에 관한 임상적 연구 (A CLINICAL STUDY ON THE CARE OF ODONTOGENIC INFECTIONS IN THE ADMISSION PATIENTS WITH AGE-RELELATED GERIATRIC DISEASES)

  • 유재하;최병호;한상권;정원균;노희진;장선옥;김종배;남기영;정재형;김병욱
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제30권5호
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    • pp.414-421
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    • 2004
  • This is a reprospective study on the care of odontogenic infections in admission patients with geriatric diseases. The study was based on a series of 480 patients at Dong San Medical Center, Wonju Christian Hospital and Il San Health Insurance Hospital, From Jan. 1, 2000, to Dec. 31, 2002. The Obtained results were as follows: 1. The systemic malignant tumor was the most frequent cause of the geriatric diseases with odontogenic infectious diseases, and refractory lung disease, systemic heart disease, type II diabetes mellitus, cerebrovascular disease, bone & joint disease, senile psychologic disease were next in order of frequency. 2. Male prediction(57.5%) was existed in the odontogenic infectious patients with geriatric diseases. But, there were female prediction in senile psychologic disease, systemic heart disease and cerebrovascular disease. 3. The most common age group of the odontogenic infectious patient with geriatric disease was the sixty decade(47.9%), followed by the seventy & eighty decade in order. 4. In the contents of chief complaints on the odontogenic infectious patients with geriatric disease, peak incidence was occurred as toothache(52.7%), followed by extraction wish, tooth mobility, oral bleeding, oral ulcer, fracture of restoration, gingival swelling in order. 5. In the diagnosis group of odontogenic infectious diseases, periodontitis, pulpitis & periapical abscess were more common. 6. In the treatment group of odontogenic infectious diseases, the most frequent incidence(34.2%) was showed in primary endodontic treatment (pulp extirpation, occlusal reduction and canal opening drainage) and followed by scaling, incision & drainage, only drugs, pulp capping, restoration in order.

Bisphosphonates for Osteoporosis in Nonmetastatic Prostate Cancer Patients Receiving Androgen-deprivation Therapy: A Systematic Review and Meta-analysis

  • Ding, Hui;Yang, Li;Du, Wan;Teng, Yang;Fu, Sheng-Jun;Tao, Yan;Lu, Jian-Zhong;Wang, Zhi-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.3337-3343
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    • 2013
  • This systematic review was conducted to assess the efficacy and safety of bisphosphonates for prevention and treatment of osteopenia or osteoporosis in men with non-metastatic prostate cancer receiving androgendeprivation therapy. We searched for randomised controlled trials (RCTs) of bisphosphonates compared with placebo from Pubmed, Embase, the Cochrane Library, and ISI - Science Citation Index. Meta-analyses of prespecified outcomes (bone mineral density, fractures, and adverse events) were performed using Review Manager. Ten RCTs with a total patient population of 1,017 were identified. There was generally more improvement in bone mineral density of the lumbar spine for patients who received bisphosphonate treatment than placebo or other medical treatment at 12 months (WMD 6.02,95%CI 5.39 to 6.65). Similar effects were also observed for total hip, trochanter or femoral neck bone mineral density. However, there was no significant reduction in fractures. Fever and gastrointestinal symptoms were the most common adverse events (10.4% vs. 1.2%; 0.10% vs. 0.03%). Currently, our meta-analysis suggested that oral and intravenous bisphosphonates caused a rapid increase in spine and hip or femoral BMD in non-metastatic prostate cancer patients receiving androgen-deprivation therapy. Fever and gastrointestinal symptoms were common with the use of bisphosphonates. These short-term trials (maximum of 12 months) did not show fracture reduction. In future, more efficient performance of higher quality, more rigorous, large sample, long-term randomised controlled trials (>12 months) are needed where outcomes are detailed.

Rutin Improves Bone Histomorphometric Values by Reduction of Osteoclastic Activity in Osteoporosis Mouse Model Induced by Bilateral Ovariectomy

  • Lee, Hye-Hwa;Jang, Jae-Won;Lee, Jung-Kil;Park, Choon-Keun
    • Journal of Korean Neurosurgical Society
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    • 제63권4호
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    • pp.433-443
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    • 2020
  • Objective : Osteoporosis is a disease of unbalanced bone metabolism that results in low bone mineral density with increased bone fragility and propensity for fractures. The increased rate of bone fracture due to osteoporosis places a significant burden on public health care expenditures. Therefore, numerous studies have been designed and performed to identify the drugs or health foods that can improve the bone quality or quantity. This study was designed to evaluate and analyze the therapeutic effects of rutin on histomorphometric values of the spine and femur in an osteoporotic mouse model induced by bilateral ovariectomy. Methods : Thirty female ICR mice (8 weeks old) underwent either a sham operation (only abdominal incision, sham group, n=10) or bilateral ovariectomy (n=20). The ovariectomized (OVX) animals were randomly divided into two groups : untreated OVX group (OVX-C, n=10), or rutin-administered group (OVX-R, n=10). The OVX-C group received weight-adjusted doses of saline vehicle and the OVX-R group received 50 mg/kg of rutin intraperitoneally, starting 1 day after surgery. At 4 and 8 weeks after surgery, serum estrogen, osteocalcin, alkaline phosphatase (ALP), and the telopeptide fragment of type I collagen C-terminus (CTX-1) were analyzed. Interleukin (IL)-1β, IL-6, IL-10, and tumor necrosis factor (TNF)-α were also analyzed. Bone histomorphometric parameters of the 4th lumbar vertebra and femur were determined by micro-computed tomography. Results : In OVX-C group, ALP, osteocalcin, CTX-1, IL-1β, IL-6, and TNF-α levels were significantly increased at 4 and 8 weeks compared to sham operation group. Rutin administration after OVX statistically significantly reduced ALP, CTX-1, IL-1β, IL-6, and TNF-α levels at 4 and 8 weeks. Rutin administration also improves bone histomorphometric parameters including trabecular bone volume fraction, trabecular thickness, and trabecular number. Trabecular separation was also decreased in OVX-R group compared to OVX-C group. Conclusion : The present study demonstrated that rutin has therapeutic effects on improving bone histomorphometric values in an OVX mouse model. The improvement in histomorphometric values may be associated with the reduction of osteoclastic activity via inhibition of IL-1β, IL-6, and TNF-α. In future studies, the mechanism for the effect of rutin on osteoporosis should be demonstrated more clearly to use rutin in human osteoporosis.

악간고정과 교합 상이 호흡기능에 미치는 영향에 관한 실험적 연구 (AN EXPERIMENTAL STUDY OF EFFECT OF INTERMAXILLARY FIXATION AND OCCUSAL SPLINT ON PULMONARY FUNCTION)

  • 이중규;김경욱;이재훈
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제28권3호
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    • pp.175-181
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    • 2002
  • Intermaxillary fixation and occusal splint are routine procedure for maxillofacial fracture and orthognathic surgery. When these methods could obstruct oral airway the patients who kept intermaxillary fixation and occusal splint in their mouth, are very difficult to breath after surgery. Nasal bleeding and pharyngeal edema due to nasotracheal intubation, residual effect of muscle relaxants, and anesthetic agent could be contributing factor of airway obstruction. In this study, pulmonary function test was evaluated before and after intermaxillary fixation, and intermaxillary fixation with occusal splint in 22 volunteers. The results were as follows 1. FVC, %FVC, $FEV_1$, $FEV_1%$, PEF, $PEF_{50}$, MVV without intermaxillary fixtion were 4.45L, 88%, 4.03L, 90.9%, 10.26L/s, 5.53L/s, and 136.14L/min, and with intermaxillary fixation were 3.51L, 68.67%, 3.06L, 69.39L, 6.52L/s, 3.94L/s, and 69.39L/min. The results with intermaxillary fixation and occusal splint were 2.15L, 42.41%, 1.71L, 38.81%, 2.83L/s, 1.74L/s, and 37.14L/min. 2. Compared with before and after intermaxillary fixation, all values of pulmonary function test were decreased and after intermaxillary fixation and intermaixillary fixation with occulasal splint, the results were decreased. 3. MVV and PEF were decreased significantly with interaxillary fixtion and occusal splint, and FVC was less decreased. It meant that intermaxillary fixation and occluasal splint induced reduction of respiratory flow significantly, but less reduction of respiratory volume. 4. Intermaxillary fixation and occulsal splint induced increase of airway resistance, decrease of expiratory volume and air flow. So severe respiratory difficulty could be seen to all volunteers who kept intermaxillary fixtion and occusal splint. 5. In classification of respiratory difficulty, intermaxillary fixation with occulsal splint induced complex respiratory difficulty more than intermaxillary fixation only did. From the above results, doctors who care patients kept intermaxillary fixation and occusal splint should be aware of respiratory depression caused by these treatment.

섬유 종류에 따른 시멘트복합체의 고속 비상체 충격에 대한 배면파괴저감 및 균열특성 평가 (Evaluation on Rear Fracture Reduction and Crack Properties of Cement Composites with High-Velocity Projectile Impact by Fiber Types)

  • 한상휴;김규용;김홍섭;김정현;남정수
    • 콘크리트학회논문집
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    • 제27권2호
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    • pp.157-167
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    • 2015
  • 고속 비상체에 의한 충격을 받는 시멘트 복합체는 표면관입, 배면박리 및 관통 등 국부적인 파괴거동을 보이며, 섬유혼입에 의한 휨인성의 향상으로 인해 배면파괴를 억제할 수 있다. 이에 섬유보강 시멘트 복합체의 내충격 성능에 관한 연구가 진행되고 있으며, 다양한 종류의 섬유보강재가 개발되고 있다. 섬유보강재의 종류에 따라 섬유와 매트릭스의 부착성능, 비표면적, 혼입개체수 등이 다르기 때문에 섬유보강 시멘트 복합체의 역학특성 및 고속 충격에 의한 내충격 성능의 향상에 미치는 효과에 대하여 검토할 필요가 있다. 본 연구에서는 성상 및 물성이 다른 강섬유(Steel fiber), 폴리아미드(Polyamide), 나일론(Nylon) 및 폴리에틸렌(Polyethylene)섬유를 혼입하여 섬유 종류에 따른 휨인성의 향상과 고속 비상체 충돌에 대한 파괴저감효과에 대하여 평가하였다. 그 결과, 혼입섬유의 가교작용에 의한 응력의 재분배 및 균열발생의 억제로 인해 휨인성이 향상되었으며, 고속충격에 의한 배면파괴를 억제할 수 있었다. 또한, 동일 충격에너지에서의 배면파괴한계두께를 감소시킬 수 있어 방호시설물에 적용할 경우 부재두께의 저감이 가능할 것으로 판단된다. 한편, 강섬유보강 시멘트복합체의 경우 배면박리가 발생하였으나, 섬유와 매트릭스의 부착에 의한 일부 파편의 박리가 억제되었으며, 합성섬유보강 시멘트복합체는 섬유의 혼입개체수가 많아, 고속충격에 의한 충격파의 상쇄작용 및 에너지 분산에 의한 미세균열이 발생해 배면파괴억제효과가 큰 것으로 판단된다.

상악골 전두돌기 골절 및 사골 수직판 골절을 동반한 비골 골절에서 K 강선을 이용한 내고정 (Using a Kirschner wire as an internal splint at nasal fractures accompanied fracture of frontal process of maxilla or perpendicular plate of ethmoid)

  • 노경환;윤을식;윤병민;동은상
    • Archives of Plastic Surgery
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    • 제36권5호
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    • pp.623-628
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    • 2009
  • Purpose: In cases where nasal fractures involve frontal process of maxilla or perpendicular plate of ethmoid, 4 - 5 days of nasal packing may not provide sufficient support for avoiding displacement after packing removal. Therefore a single Kirschner - wire(K - wire) is used as an internal splint when nasal fractures involve the above two areas. Methods: Thirty five patients during the last 3 practical years were treated with a K -wire pinning according to the anatomic locations of nasal fractures. We performed a retrospective study using 13 nasal fractures out of total 35 patients. Among 13 cases, 10 patients involved frontal process of maxilla, and 3 patients were diagnosed as bilateral nasal side wall fractures accompanied with fractures of perpendicular plate of ethmoid. One patient of the last three cases had been augmented with dorsal silicone implant long before the trauma. We analyzed the anteroposterior displacement of key stone area and the width between both lateral walls by comparing immediate postoperative radiographs with 2 month follow - ups. To reduce the errors, the same measurements were taken by two different inspectors, and the mean of each inspector's measurements was compared. Patient satisfaction was analyzed using a questionnaire regarding the esthetic and functional outcomes. Results: Ten patients underwent a longitudinal K - wire fixation in submucoperiosteal plane underneath the frontal process of maxilla. And three patients underwent a transverse K - wire fixation from the one side of lateral wall to the perpendicular plate of ethmoid and to the other side of lateral wall. The mean postoperative anteroposterior displacement of the key stone area measured by two inspectors were 1.84% and 3.06%; mean narrowing of bony pyramid were 1.33% and 1.48%, respectively. Subjective satisfaction scores regarding the esthetic appearance and the maintenance of nasal shape compared with immediate post - operative state with the long term ones were not different (p>0.05). Conclusion: K - wire pinning after closed reduction is a reliable and useful method for the treatment of nasal fractures involving frontal process of maxilla or perpendicular plate of ethmoid. This is because it achieves longer intranasal support after reduction. This method also leaves conspicuous external scar, and minimal soft - tissue injury.

FRP 보강근비에 따른 FRP 보강 콘크리트 슬래브의 파괴거동 분석 (Analysis of Failure Behavior of FRP Rebar Reinforced Concrete Slab based on FRP Reinforced Ratio)

  • 장낙섭;김영환;오홍섭
    • 한국구조물진단유지관리공학회 논문집
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    • 제25권5호
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    • pp.173-181
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    • 2021
  • 철근콘크리트 구조물은 다양한 환경에 노출되어 수분 침투로 인한 철근 부식이 발생하며, 부식으로 인한 구조물의 내구성능 저하 문제가 발생할 수 있다. 따라서 이러한 문제점을 해결하기 위해 철근에 비해 인장강도, 비부식성, 경량화 등 뛰어난 장점을 가진 FRP 보강근에 대한 연구가 활발히 진행되고 있다. FRP 보강근은 철근과 달리 항복 구간이 없으므로 파괴 시까지 선형탄성거동이 나타나고 탄성계수가 낮아 과도한 처짐이 발생할 수 있으므로 한계상태 조건에 대한 적용성 검토가 필요하다. 한계상태에서 FRP 보강 콘크리트 의 휨 설계 시 ACI 440.1R은 FRP 보강근의 재료적 불확실성을 고려하여 환경감소계수와 강도감소계수를 모두 적용하여 휨강도가 크게 낮아진다. 따라서 본 연구에서는 국내·외 다양한 문헌을 조사하여 유효단면이차모멘트 제안식의 처짐 해석 결과와 실험결과를 비교하였으며, ACI 440.1R 및 Fib bulletin 40의 설계휨강도를 분석하였다. 실험 결과에 따른 휨강도는 ACI 440.1R에 비해 Fib bulletin 40의 설계휨강도와 유사한 경향이 확인되었으며, 인장지배단면에서 ACI 440.1R은 설계휨강도를 보수적으로 평가하는 것으로 나타났다.