• Journal of Chest Surgery
• /
• v.14 no.2
• /
• pp.140-143
• /
• 1981

Thymolipoma is extremely uncommon benign mediastinal tumor consisting of fatty and thymic tissue. Only 50 verified cases have been reported in the world literatures. This one case is the first reported example of surgically treated thymolipoma associated with spontaneous pneumothorax. A thirty-two year old male patient had been in good health until two days prior to admission, when he noted sudden dyspnea associated with an aching pain over the left precordium. The dyspnea and chest pain had become progressively worse. The physical examination revealed that left hemithorax was tympanic sound on percussion and absence of breathing sound on auscultation and point of maximal impulse was located on the 4th intercostal space at the left sternal border. Emergency closed thoracostomy was performed under the impression of tension type spontaneous pneumothorax of the left lung. After closed thoracostomy, point of maximal impulse was not changed inspire of full expansion of the left lung and chest X-ray was strongly suggested pericardial effusion or cardiomegaly which couldn`t account for by clinical course and hemodynamic evidence. EKG, echocardiogram, bronchofiberoscophy, bronchogram and diagnostic thoracentesis was performed. On Dec. 8, 1980, operation was performed under the impression of mediastinal tumor in the anterior mediastinum. At left posterolateral thoractomy, a large fatty mass, measuring 35 x 27 x 13 Cm in dimension and weighing 3350 gm, was resected and multiple bullae on the apicoposterior segment of the left upper lobe was resected and continuously sutured. The pathologic diagnosis of the fatty mass was thymolipoma. The postoperative course was uneventful and discharged in good general conditions.

• Journal of Chest Surgery
• /
• v.14 no.2
• /
• pp.135-139
• /
• 1981

Thymolipoma is extremely uncommon benign mediastinal tumor consisting of fatty and thymic tissue. Only 50 verified cases have been reported in the world literatures. This one case is the first reported example of surgically treated thymolipoma associated with spontaneous pneumothorax. A thirty-two year old male patient had been in good health until two days prior to admission, when he noted sudden dyspnea associated with an aching pain over the left precordium. The dyspnea and chest pain had become progressively worse. The physical examination revealed that left hemithorax was tympanic sound on percussion and absence of breathing sound on auscultation and point of maximal impulse was located on the 4th intercostal space at the left sternal border. Emergency closed thoracostomy was performed under the impression of tension type spontaneous pneumothorax of the left lung. After closed thoracostomy, point of maximal impulse was not changed inspire of full expansion of the left lung and chest X-ray was strongly suggested pericardial effusion or cardiomegaly which couldn`t account for by clinical course and hemodynamic evidence. EKG, echocardiogram, bronchofiberoscophy, bronchogram and diagnostic thoracentesis was performed. On Dec. 8, 1980, operation was performed under the impression of mediastinal tumor in the anterior mediastinum. At left posterolateral thoractomy, a large fatty mass, measuring 35 x 27 x 13 Cm in dimension and weighing 3350 gm, was resected and multiple bullae on the apicoposterior segment of the left upper lobe was resected and continuously sutured. The pathologic diagnosis of the fatty mass was thymolipoma. The postoperative course was uneventful and discharged in good general conditions.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.16 no.1
• /
• pp.50-56
• /
• 2010

Purpose : To evaluate effects of joint mobilization on the range of motion of chronic low back pain patients. Methods : The subjects were consisted of sixty patients who had non specific chronic low back pain(10 females. 10 males; mean aged 36.5). All subjects received modalities treatment with therapeutic massage for 10minutes and joint mobilization or manipulation for 10minutes per day and three times a week during 4 weeks period. The Multilevel Roland-Morris Disability Questionnaire(MR-MDQ) was used to measure functional disability level. Visual Analogue Scale(VAS) was used to measure subjective pain level. Remodified Schober test(RST) was used to measure forward flexion range of motion of lumbar segment. Finger-to-Floor test(F-T-FT) was used to measure forward flexion range of motion of full spine of low back pain patients. All measurements of each patients were measured at pre-treatment and 4 week post-treatment. Results : The MR-MDQ, VAS, RCT and F-T-FT were significantly different within-subjects(p<.05), Conclusion : The manual therapy included therapeutic massage and joint mobilization found that improved chronic low back pain patients. Further studies are needed to including more subjects on long-term outcomes.

• Journal of the Korean Institute of Landscape Architecture
• /
• v.25 no.2
• /
• pp.73-81
• /
• 1997

The main purpose of this study was to develop a new method for evaluation of stream naturalness in order to appraise and prescribe for streams effectively in the process of ecological restoration of stream corridors. The results are as follows : 1) For this purpose six factors were selected on considering the spatial axes of stream corridor variation and total 20 descriptors about the physical structure were selected. 2) The calculation of S.N.I. for each segment was consisted of three steps, such as calculation of S.N.I.s of the individual descriptors, averaging all the descriptors's for each factor, and finally averaging the factors's for the Total S.N.I. 3) The evaluation unit was decided to be 100m size. The score system ranging 1~5 was adopted. Weighting parameters of factors were unified with each other. 4) A GIS model was adopted for classification, calculation, querying, analysing, and presenting S.N.I. information. And the format of S.N.I. maps including statistical graphs and other spatial watershed information was designed for the GIS odel. The naturalness of stream corridor was was investigated by the naturalness of habitat, and assessed by the descriptors focused on physical structure, therefore the S.N.I. can manifest prescriptions for restoration of the stream corridor. On the other hand because some evaluation factors such as water quality, water volume, fauna, flora, functions of stream exosystem has been excluded, S.N.I. could have some limits on representing the full aspects of stream naturalness. This evaluation method is hypothetical one, so it would be investigated through iterative applicatons.

• Journal of Veterinary Clinics
• /
• v.33 no.2
• /
• pp.124-128
• /
• 2016

A 7-year-old intact female Maltese dog presented with a history of bite wounds. Physical examination revealed labored breathing, four puncture wounds with subcutaneous emphysema of the thorax, and paradoxical respiratory movement of the right thoracic wall. On radiography, a segmental fracture of the right 7th rib and a single fracture of the 8th rib were evident on the dorsal thorax. An inward displacement of the fractured segment and contusion of the right caudal lung lobe were identified with computed tomography. A diagnosis of pseudo-flail chest was made. Exploratory thoracotomy revealed a full-thickness muscular defect, a marked discoloration of the right caudal lung lobe, a segmental fracture of the right 7th rib, and a single fracture of the right 8th rib. Necrotic tissues were removed using surgical debridement. The fractured 7th and 8th ribs were corrected using a single interfragmentary wiring technique. The thoracic wall was reconstructed using the latissimus dorsi muscle flap. Additional thoracic stabilization using a thermoplastic splint was applied to correct paradoxical respiratory movement. The external splint was removed 4 weeks postoperatively. There was no evidence of respiratory abnormalities 18 months postoperatively.

• Steel and Composite Structures
• /
• v.39 no.4
• /
• pp.353-366
• /
• 2021

Cored moment resisting stub column (CMSC) was previously developed by the features of adopting a core segment which remains mostly elastic and reduced column section (RCS) details around the ends to from a stable hysteretic behavior with large post-yield stiffness and considerable ductility. Several full-scale CMSC components with various length proportions of the RCSs with respect to overall lengths have been experimentally investigated through both far-field and near-fault cyclic loadings followed by fatigue tests. Test results verified that the proposed CMSC provided very ductile hysteretic responses with no strength degradation even beyond the occurrence of the local buckling at the side-segments. The effect of RCS lengths on the seismic performance of the CMSC was verified to relate with the levels of the deformation concentration at the member ends, the local buckling behavior and overall ductility. Estimation equations were established to notionally calculate the first-yield and ultimate strengths of the CMSC and validated by the measured responses. A numerical model of the CMSC was developed to accurately capture the hysteretic performance of the specimens, and was adopted to clarify the effect of the surrounding frame and to perform a parametric study to develop the estimation of the elastic stiffness.

• Journal of Korea Foundry Society
• /
• v.43 no.2
• /
• pp.55-63
• /
• 2023

Due to the importance of the surface on the final slab quality, it is essential to maintain a smooth segment roll surface that is in touch with the thin solid shell during solidification. In this paper, the surface of the used continuous casting guide roll was analyzed to realize the mechanism of its surface deterioration. Surface analysis has revealed severe corrosion at two distinct areas leading to deep roughness occurring on the guide roll. Firstly, the severe corrosion follows prior austenite grain boundary due to exposure with acidic environment. Also, in heat affected zone (HAZ) where two cladding beads overlap, more severe corrosion takes place. The overheat input results in local ferritization without full melting which increases retained δ-ferrite content almost 10 times higher than surrounding area. Corrosion was observed to happen at the δ-γ interface where Cr depletion takes place.

• Wind and Structures
• /
• v.34 no.3
• /
• pp.313-319
• /
• 2022

The resiliency of electricity transmission and distribution lines towards natural and man-made hazards is critical to the operation of cities and businesses. The extension of these lines throughout the country increases their risk of extreme loading conditions. This paper investigates a unique extreme loading condition of a 100-year old distribution line segment that passes across a river and got entangled with a boom of a ship. The study adopts the Applied Elements Method (AEM) for simulating 54 cases of the highly deformable structural behaviour of the tower. The most significant effects on the tower's structural integrity were found to occur when applying the load with components in all three of the cartesian directions (i.e., X, Y and Z) with the full capacities of the four cables. The studied extreme loading condition was determined to be within the tower's structural capacity, attributed to the shear failure of the anchor bolts, which acted as a sacrificing element that fails to protect the transfer of tensioning load to the supporting tower.

• Computers and Concrete
• /
• v.33 no.5
• /
• pp.545-557
• /
• 2024

A real-case incident occurred where a 9-meter-high segment of a pre-fabricated concrete separation wall unexpectedly collapsed. This collapse was triggered by improperly depositing excavated soil against the wall's back, a condition for which the wall segments were not designed to withstand lateral earth pressure, leading to a flexural failure. The event's analysis, integrating technical data and observational insights, revealed that internal forces at the time of failure significantly exceeded the wall's capacity per standard design. The Lattice Discrete Particle Model (LDPM) further replicates the collapse mechanism. Our approach involved defining various parameter sets to replicate the concrete's mechanical response, consistent with the tested compressive strength. Subsequent stages included calibrating these parameters across different scales and conducting full-scale simulations. These simulations carried out with various parameter sets, were thoroughly analyzed to identify the most representative failure mechanism. We developed an equation from this analysis that quickly correlates the parameters to the wall's load-carry capacity, aligned with the simulation. Additionally, our study examined the wall's post-peak behavior, extending up to the point of collapse. This aspect of the analysis was essential for preventing failure, providing crucial time for intervention, and potentially averting a disaster. However, the reinforced concrete residual state is far from being fully understood. While it's impractical for engineers to depend on the residual state of structural elements during the design phase, comprehending this state is essential for effective response and mitigation strategies after initial failure occurs.

• The Journal of Korean Academy of Prosthodontics
• /
• v.53 no.1
• /
• pp.51-57
• /
• 2015

When an implant-supported maxillary full-arch fixed prosthesis is planned for patients with the horizontal and vertical bone resorption induced by periodontal disease, it is necessary to consider the masticatory function, esthetics and phonetics when placing implants. For this reason, thorough clinical and radiological diagnosis is necessary. Extensive bone and soft tissue grafting may be required as well. Since there is no clear guideline for proper number of implants, segment or splinting of substructure and method of retaining prosthesis, these should be considered during diagnostic process. This clinical report describes a patient who has experienced several tooth extractions and periodontal treatment due to severe periodontitis on maxilla and mandible. With bone and soft tissue graft before dental implant placement, the patient have satisfactory result in esthetic and functional aspect with the implant-supported maxillary full-arch fixed prosthesis opposing mandibular natural dentition.