• Clinics in Shoulder and Elbow
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• 제12권1호
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• pp.44-52
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• 2009

목적: 상완골 근위부 골절에서 잠김 압박 금속판을 이용하여 치료한 후 그 임상적 및 방사선학적 결과를 알아 보고자 하였다. 대상 및 방법: 2005년 2월부터 2007년 9월까지 상완골 근위부 골절로 잠김 압박 금속판을 이용하여 치료받은 20명의 환자를 대상으로 하였다. 평균 연령은 60.6세였고, 평균 추시 기간은 22.3개월이었다. 임상적 결과는 Constant score 및 DASH score를 이용하여 평가하였고, 방사선학적 평가는 경간각을 이용한 Pavolainen의 방법과 상완 골두의 높이를 측정하여 평가하였다. 결과: 최종 추시 시 Constant score는 평균 75.3점이었고, 15예에서 양호 이상의 점수를 보였고, DASH score 평균 16.4점이었다. 경간각은 평균 $137.1^{\circ}$였으며 19예에서 양호 이상의 결과를 보였다. 전 예에서 골유합을 얻을 수 있었으며, 지연성 유합 및 부정 유합이 각 1예에서 관찰되었고 1예에서 나사못에 의한 자극을 보였다. 결론: 불안정성 상완골 근위부 골절에서 잠김 금속판을 이용한 내고정술은 임상적 및 방사선학적으로 양호한 결과를 보여 주었고, 적은 합병증을 나타내었으며 만족스런 정복과 안정적인 초기 고정력을 얻을 수 있어 조기에 관절 운동이 가능하였다. 잠김 압박 금속판을 이용한 내고정술은 불안정성 상완골 근위부 골절의 치료에 좋은 방법이라고 생각된다.

• Korean Journal of Radiology
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• 제23권3호
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• pp.343-354
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• 2022

Objective: To develop and evaluate a deep learning-based artificial intelligence (AI) model for detecting skull fractures on plain radiographs in children. Materials and Methods: This retrospective multi-center study consisted of a development dataset acquired from two hospitals (n = 149 and 264) and an external test set (n = 95) from a third hospital. Datasets included children with head trauma who underwent both skull radiography and cranial computed tomography (CT). The development dataset was split into training, tuning, and internal test sets in a ratio of 7:1:2. The reference standard for skull fracture was cranial CT. Two radiology residents, a pediatric radiologist, and two emergency physicians participated in a two-session observer study on an external test set with and without AI assistance. We obtained the area under the receiver operating characteristic curve (AUROC), sensitivity, and specificity along with their 95% confidence intervals (CIs). Results: The AI model showed an AUROC of 0.922 (95% CI, 0.842-0.969) in the internal test set and 0.870 (95% CI, 0.785-0.930) in the external test set. The model had a sensitivity of 81.1% (95% CI, 64.8%-92.0%) and specificity of 91.3% (95% CI, 79.2%-97.6%) for the internal test set and 78.9% (95% CI, 54.4%-93.9%) and 88.2% (95% CI, 78.7%-94.4%), respectively, for the external test set. With the model's assistance, significant AUROC improvement was observed in radiology residents (pooled results) and emergency physicians (pooled results) with the difference from reading without AI assistance of 0.094 (95% CI, 0.020-0.168; p = 0.012) and 0.069 (95% CI, 0.002-0.136; p = 0.043), respectively, but not in the pediatric radiologist with the difference of 0.008 (95% CI, -0.074-0.090; p = 0.850). Conclusion: A deep learning-based AI model improved the performance of inexperienced radiologists and emergency physicians in diagnosing pediatric skull fractures on plain radiographs.

• 한국산학기술학회논문지
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• 제21권11호
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• pp.843-850
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• 2020

본 연구의 목적은 국내 위험물 운송용 탱크화차의 충돌안전설계 가이드라인 제안을 위해 해외 충돌안전 기준에 따른 국내 위험물 운송화차에 대하여 비선형 충돌해석을 하여 위험성을 평가하고, 구조적 취약부를 분석하는데 있다. 유럽의 EN 12663-2에서 규정하는 화차의 완충시험 및 북미 49CFR179에서 규정하는 탱크 펑크시험기준을 분석하였으며, 상용 유한요소 해석 솔버인 LS-DYNA를 이용하여 각각 기준에 따른 비선형 유한요소모델을 모델링하였다. EN 규격의 완충시험 해석결과 충돌속도 6 km/h 이하에서는 소성변형이 발생하지 않을 것으로 예측하였지만, 8 km/h 이상의 충돌속도에서 중앙연결기를 통한 하중 전달으로 차체의 센터실 후방 및 탱크 중앙 지지부에서 소성변형을 확인하였다. 북미 법규의 탱크 펑크시험 해석결과 국내 탱크화차는 두부 충돌모드에서 충돌차량의 운동에너지를 4 % 이상 흡수시 두부의 코너부에서 탱크 외벽의 파괴가 발생하였으며, 측면 충돌모드에서 운동에너지 30 % 이상 흡수시에 충격체가 접촉하는 탱크 외벽의 파괴가 발생하여 내부 적재물의 누출을 예상하였다. 국내 유류 운송용 탱크화차의 해외 충돌안전 기준의 만족을 위해서는 차체 구조보강 설계 및 탱크 방호설계 수준을 향상시킬 필요가 있다.

• 대한치과교정학회지
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• 제18권1호
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• pp.189-207
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• 1988

In almost all biologic systems, mechanically induced electric charge separation is a fundamental phenomenon. Since the hypothesis was established that the generation of electric potentials in bone by mechanical stress including muscular force might control the activity in bone by mechanical stress including muscular force might control the activity of osseous cells and their biopolymeric byproduct, the concept of electrically mediate growth mechanism, which involves biological growth and bone remodeling by any means, in living systems has been applied clinically and experimentally to orthopedic fracture repair, the regulation of orthodontic tooth movement, epiphyseal cartilage regeneration, etc. On the other hand, recent numerous research data available show apparently that the mandibular condyle has the characteristics of growth center as well as growth site. In addition, there exists a considerable difference of opinion as to the role of external pterygoid muscle in condylar growth. In view of these evidences, this. experiment was performed to investigate the effect of the galavic current on the growth of the mandible and condyle for elucidating the nature of condylar growth. The bimetallic device was composed of silver and platinum electrode connected with resistor (3.9 Mohm), which was expected to produce galvanic current of 23.6 nA according to the galvanic principle. The 25 Sprague-Dawley rats were divided into two group, 2 week group comprising 8 animals exposed to satanic current for 2 weeks and 3 control animals not exposed for 2 weeks, 4 week group comprising 10 animals in experimental group and 4 animals in control group applied for 4 weeks respectively. The experimental rats were subjected to application of the galvanic current invasively to codylar head surface and the control groups with sham electrode. On the basis of anatomic and histologic data from the mandibular condyle of experimental and control group, the following results were obtained. 1. After 2 weeks, there was no increase of mandibular size in experimental group over that of the control group. 2. After 4 weeks, the size of the condylar head was larger in experimental group than that of the control. 3. In 2 week group, the thickness of the mitotic compartment and hypertrophic chondroblastic layer was increased in experimental group. 4. In 4 week group, the number and the size of the hypertrophic chondroblasts were increased significantly on experimental group over that of the control group. 5. The application of the satanic current caused an increase in chondrocytic hypertrophy and intercellular matrix in both groups.

• 한국구조물진단유지관리공학회 논문집
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• 제23권1호
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• pp.71-77
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• 2019

지지력이 큰 하부지반에 구조물의 하중을 전달하기 위한 방안으로 말뚝기초가 대부분 적용되고 있다. 이 연구에서는 접합부에 보강되는 철근량에 따라 반복하중 하에서 프리캐스트공법과 철근 및 속채움 콘크리트로 말뚝머리부를 보강한 철근콘크리트 말뚝(HPC)과 기초 접합부 거동을 실험을 통해 평가하였다. 철근량에 변화에 따라 제작된 두 종류의 접합부 실험체의 균열패턴과 파괴거동은 유사한 수준으로 평가되었다. 철근량 1.77배 증가에 기인하여 BS-H25 실험체는 BS-H19 실험체에 비해 최고하중은 약 1.47배 증가하였지만 연성비는 정가력시 76%, 부가력시 70% 수준을 나타내었다. 강성감소는 접합부 철근 항복 이후 BS-H19 실험체와 BS-H25 실험체는 정가력시 초기강성의 약 66% ~ 71% 수준으로 부가력시 54% ~ 57% 수준으로 감소되었고 BS-H25 실험체가 평균 13% 높은 강성값을 나타내었다. 극한하중 상태에서의 BS-H19와 BS-H25 실험체의 누적 에너지 소산량은 사용하중 상태에 비해 약 5.5배 및 6.6배 큰 값으로 측정되었다.

• Computers and Concrete
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• 제21권2호
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• pp.189-197
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• 2018

A discrete element approach is used to investigate the effects of confining stress on the shear behaviour of joint's bridge area. A punch-through shear test is used to model the concrete cracks under different shear and confining stresses. Assuming a plane strain condition, special rectangular models are prepared with dimension of $75mm{\times}100mm$. Within the specimen model and near its four corners, four equally spaced vertical notches of the same depths are provided so that the central portion of the model remains intact. The lengths of notches are 35 mm. and these models are sequentially subjected to different confining pressures ranging from 2.5 to 15 MPa. The axial load is applied to the punch through the central portion of the model. This testing and models show that the failure process is mostly governed by the confining pressure. The shear strengths of the specimens are related to the fracture pattern and failure mechanism of the discontinuities. The shear behaviour of discontinuities is related to the number of induced shear bands which are increased by increasing the confining pressure while the cracks propagation lengths are decreased. The failure stress and the crack initiation stress both are increased due to confining pressure increase. As a whole, the mechanisms of brittle shear failure changes to that of the progressive failure by increasing the confining pressure.

• Journal of Trauma and Injury
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• 제28권3호
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• pp.190-194
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• 2015

Blunt cerebrovascular injury is defined as a vertebral or carotid arterial structural wall injury resulting from nonpenetrating trauma. Complete traumatic internal carotid artery occlusion is very rare condition accounting for 0.08~0.4 0f all trauma patients and believed to be associated with the greatest risk of ischemic stroke reported in 50~90% in a few small series. A 55-year-male was admitted with drowsy mentality and severe headache after a fall down accident. Brain computed tomography showed a subdural hematoma at the both frontal area with a fracture of the occipital skull bone. Two days after admission, he suddenly complained with a right side hemiparesis of motor grade 2. Brain magnetic resonance diffusion demonstrated multiple high flow signal changes from the left frontal and parietal lesion. Computed tomographic angiogram (CTA) revealed absence of the left ICA flow. Trans femoral cerebral angiography (TFCA) showed complete occlusion of the left internal carotid artery (ICA) at ophthalmic segment in the left ICA angiogram and flows on the left whole hemispheric lesions through the anterior communicating artery in the right ICA angiogram. We decided to conduct close observations as a treatment for the patient because of acute subdural hematoma and sufficient contralateral cerebral flow by perfusion SPECT scan. Two weeks after the accident, he was treated with heparin anticoagulation within INR 2~4 ranges. He recovered as the motor grade 4 without another neurologic deficit after 3 months.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2004년도 추계학술대회 논문집
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• pp.1172-1175
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• 2004

At present, CHS(Compression Hip Screw) is one of the best prosthesis for the intertrochanteric fracture. There is nothing to evaluate the CHS itself with the finite element analysis and mechanical tests. They have same ways of the experimental test of the ASTM standards. The purpose of this study is to evaluate the existing CHS and the new CHS which have transformational design factors with finite element analysis and mechanical tests. The mechanical tests are divided into compression tests and fatigue test for evaluating the failure load, strength and fatigue life. This finite element method is same as the experimental test of the ASTM standards. Under 300N of compression load at the lag screw head. There are less differences between Group (5H, basic type) and Group which has 8 screw holes. However, there are lots of big differences between Group and Group which is reinforced about thickness of the neck range. Moreover, the comparison of Group and Group shows similar tendency of the comparison of Group and Group . The Group is reinforced the neck range from Group. After the experimental tests and the finite element analysis, the most effective design factor of the compression hip screws is the reinforcement of the thickness, even though, there are lots of design factors. Moreover, to unite the lag screw with the plate and to analyze by static analysis, the result of this method can be used with experimental test or instead of it.

• 한국재료학회:학술대회논문집
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• 한국재료학회 2003년도 춘계학술발표강연 및 논문개요집
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• pp.222-222
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• 2003

나노크기 금속입자가 분산된 세라믹 나노복합재료는 향상된 기계적 특성과 함께 독특한 전기적, 자기적 특성을 보여주어 새로운 기능성 재료로의 응용가능성을 갖고 있다. 그러나 소결 중의 반응이나 입자성장 등으로 형성된 반응상 또는 조대한 입자상이 세라믹 기지의 입계 등에 존재한다면, 나노크기 금속상 분산에 의한 기계적 특성의 향상과 독특한 기능성 부여라는 장점들이 없어지게 된다. 따라서 요구되는 특성을 구현할 수 있는 금속분산 나노복합재료의 제조를 위해서는 미세조직 제어를 위한 최적의 제조공정 확립과 미세조직과 특성 등의 관계에 대한 연구가 요구된다. 본 연구에서는 기지상으로 A1$_2$O$_3$를, 분산상으로는 저융점 금속이며 일반적인 A1$_2$O$_3$의 가압소결시에 (약 140$0^{\circ}C$) 액상으로 존재하는 금속 Cu를 선택하여 조성이 5 vol% Cu가 되도록 복합재료를 제조하였다. $Al_2$O$_3$와 CuO 원료분말들은 습식 및 건식 볼 밀링을 통하여 균일한 분말혼합체로 제조되었다. 혼합분말은 열간가압소결기 내에 장입한 후 35$0^{\circ}C$에서 30분 동안 H$_2$가스를 흘려주며 CuO를 Cu로 환원 처리하였다. 계속해서 H$_2$분위기를 유지하며 승온한 후, 각각 1000-145$0^{\circ}C$에서 분위기를 Ar 으로 치환하였다. 소결은 145$0^{\circ}C$에서 30 ㎫의 압력으로 1시간동안 행하였다 소결한 시편들은 직사각형 형태로 가공하였으며 표면은 0.5$\mu\textrm{m}$의 다이아몬드 입자로 연마하였다. XRD, SEM 및 TEM을 이용하여 상분석 및 미세조직관찰을 행하였다. 파괴강도는 3중점 굽힘 법으로 (3-point bending test) 측정하였다. 이때 시편 하부의 지지 점간의 거리는 30mm, cross-head 속도는 0.5 mm/min으로 하였고 5개의 시편을 측정하여 평균값을 구하였다.

• Journal of Korean Neurosurgical Society
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• 제29권1호
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• pp.108-112
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• 2000

Objective : Many authors suggest that patients with traumatic subarachnoid hemorrhage(tSAH) visible on first CT after heve injury had a significantly worse prognosis than patients who do not. The aim of this study is to identify patients with tSAH who present with a bad prognosis by reviewing their clinicoradiological features and plan appropriate treatments. Patients and Methods : We reviewed and analysed the factors that influenced discharge outcomes in 172 patients with tSAH for a 3-year period. The outcome was divided into good(good recovery and moderate disability of glasgow outcome scale) and good(severe disability, vegetative state and death). Results : A regression analysis of statistical significant factors(p<0.05) among the clinical and CT features ranked them by descending order of contribution to Glasgow Outcome Scale(GOS) scores at the time of discharge from acute hospitalization as follows 1) clinical : admission Glasgow Coma Scale(GCS), hypotension, CT grade, abnormal APTT, skull fracture, hyperglycemia(>160mg/dl), hypoxia, operation, 2) CT : basal cistern effacement(BCE), mass lesion, cortical sulcal effacement(CSE), midline shift. Conclusion : We have also experienced that the CT grading scale proposed by Green et al is a simple and useful prognostic factor. The authors believe that the patients with high CT grade need adjuvant therapies as of well surgery but it seems mandatory to consider early identification and correction of hypotension, hyperglycemia, and hypoxia in emergency setting.