• Journal of the Korea Institute of Building Construction
• /
• v.10 no.5
• /
• pp.129-135
• /
• 2010

The purpose of this research is to secure fundamental data on the application of fibre as a fire resistance method for more than 60 MPa high-strength concrete through an examination of mechanical properties and fire resistance performance. The results are as follows: 1) When there are less than 0.5~1.0kg/$m^3$ contents of PP and NY fibre for 60MPa and less high strength concrete, 1.0kg/$m^3$ contents of PP and NY fibre for less than 80MPa high strength concrete and 1.5kg/$m^3$ contents of NY fibre for more than 80MPa high strength concrete, the effect of fibre contents on workability and strength development is not significant. 2) Based on the result of a 3-hour fire resistance test for mock-up column, it is necessary to secure 50 mm of covering depth for the regulation of fire resistance performance of high strength concrete to the standards of The Ministry of Land, Transport and Maritime Affairs. 3) It is necessary to secure more than 400mm of column size for stable fire resistance performance.

• Land and Housing Review
• /
• v.3 no.3
• /
• pp.287-297
• /
• 2012

To develop 80MPa-high strength concrete with ternary cement used in OPC, blast-furnance slag, and fly ash, mixing ratio of blast-furnace slag and fly ash was evaluated in material characteristics before and after hardening of the high strength concrete. According to the evaluated results of material characteristics before and after hardening of the high strength concrete, the flowability and long-term compressive strength increase up to 30% mixing ratio of blast-furnace slag and fly ash. Also, it is superior to characteristics of length change and neutralization due to the use of mineral admixture when compared in test sample mixed with OPC. The evaluated results show that material characteristics of the high strength concrete was the most outstanding performance at blast-furnace slag of 25% and fly ash of 15%. The result of this study will be useful for the development of high strength concrete as a substitute of costly silica fume in the near future.

• Korean Journal of Clinical Pharmacy
• /
• v.32 no.1
• /
• pp.27-36
• /
• 2022

Background: Medication-related problems (MRPs) frequently occur during the discharge period. Elderly patients, particularly, are at high risk for these problems due to polypharmacy and the use of potentially inappropriate medications. The purpose of this study was to build and implement collaboration between general hospital and community pharmacies to address MRPs among high-risk elderly patients before/after discharge. Methods: This retrospective study was conducted between June and December of 2020. The inclusion criteria were patients with aged ≥65 years; residents of Jeonju; discharged from Jeonbuk National University hospital; either on medication of exceeding 10 medications (or high-risk medications) after hospitalization through the emergency room, or having severe illness. Patients received medication reconciliation and counselling by hospital pharmacists before discharge and home-visit pharmaceutical care as follow-up by community pharmacists after discharge. Results: Twenty-two patients agreed to home-visit pharmaceutical services. Fifteen and 11 patients completed the first and second home-visit pharmaceutical care service, respectively. Forty-two MRPs were identified in 15 patients. The types of high-frequency MRPs were incorrect administration of drug, adverse drug reactions, medication non-compliance, drug-drug interactions, lifestyle modifications, and expired medication disposal. After consultation with the pharmacist, 34 out of 42 MRPs were resolved. Conclusions: Transitional care for high-risk elderly patients before and after discharge was successfully built and implemented through a collaboration between general hospital and community pharmacies. This study suggests that home-visit pharmaceutical services may have positive effects on the safe use of drugs during the transition period; however, additional research is needed to expand on these findings.

• Journal of Chest Surgery
• /
• v.46 no.6
• /
• pp.433-438
• /
• 2013

Background: Surgical repair of post-infarct ventricular septal defect (VSD) is considered one of the most challenging procedures having high surgical mortality. This study aimed to evaluate the outcomes of the surgical repair of post-infarct VSD. Methods: From May 1991 to July 2012, 34 patients (mean age, $67.1{\pm}7.9$ years) underwent surgical repair of post-infarct VSD. A retrospective review of clinical and surgical data was performed. Results: VSD repair involved the infarct exclusion technique using a patch in all patients. For coronary revascularization, 12 patients (35.3%) underwent concomitant coronary artery bypass graft, 3 patients (8.8%) underwent preoperative percutaneous coronary intervention, and 9 patients (26.5%) underwent both of these procedures. The early mortality rate was 20.6%. Six patients (17.6%) required reoperation due to residual shunt or newly developed VSD. During follow-up (median, 4.8 years; range, 0 to 18.4 years), late death occurred in nine patients. Overall, the 5-year and 10-year survival rates were $54.4%{\pm}8.8%$ and $44.3%{\pm}8.9%$, respectively. According to a Cox regression analysis, preoperative cardiogenic shock (p=0.069) and prolonged cardiopulmonary bypass time (p=0.008) were independent predictors of mortality. Conclusion: The early surgical outcome of post-infarct VSD was acceptable considering the high-risk nature of the disease. The long-term outcome, however, was still dismal, necessitating comprehensive optimal management through close follow-up.

• Clinics in Shoulder and Elbow
• /
• v.21 no.3
• /
• pp.120-126
• /
• 2018

Background: Treatment of distal humerus fractures in osteoporotic elderly patients is often challenging. For non-reconstructible fractures with open reduction and internal fixation, total elbow arthroplasty (TEA) is an acceptable alternative. However, the relatively high complication rates and lifelong activity restrictions make TEA less ideal for elderly or low-demand patients. Efforts to identify or develop alternate procedures that benefit relatively young, high-demand patients have resulted in increased interest in hemiarthroplasty. This systematic review reports the clinical outcomes of hemiarthroplasty for distal humeral fractures. Methods: We systematically reviewed the databases of PubMed, Ovid MEDLINE, and Cochrane Library. All English-language studies published before June 2017 were considered for possible inclusion. Search terms included 'distal humerus fracture' and 'hemiarthroplasty'. Studies reporting outcomes (and a minimum of 1 year clinical follow-up) in human subjects after hemiarthroplasty (Latitude system) for distal humeral fractures were assessed for inclusion. Patient demographics, clinical and radiographic outcomes, and complications were recorded, and homogenous outcome measures were analyzed. Results: Nine studies with a total of 115 patients met the inclusion criteria. Among the included studies, the weighted mean follow-up time was 35.4 months. Furthermore, the weighted mean of the postoperative range of motion ($107.6^{\circ}$ flexion-extension, $157.5^{\circ}$ for pronation-supination) and functional outcomes (Mayo elbow performance scores: 85.8, Disabilities of the Arm, Shoulder and Hand score: 19.6) were within the acceptable range. Conclusions: Our study indicates that hemiarthroplasty is a viable option for comminuted distal humerus fracture. Satisfactory functional outcomes were observed in most patients.

• Atmosphere
• /
• v.20 no.3
• /
• pp.273-286
• /
• 2010

The northeast part of China(hereafter Manchuria) is one of Asian dust source regions along with Gobi, Inner Mongolia and Loess Plateau. In this study, a geographical survey over the area was carried out to determine its soil characteristics in June 2009. It revealed that some parts of the area, especially near Keerchin desert, consist of alkali clay soil mixed up with sand. Manchuria, where is a vast cornfield, can be a potential source region of Asian dust from fall to following spring after harvesting. The frequency of Asian dust over the region from 1996 to 2009 was examined using 3-hourly GTS SYNOP data and it showed that the occurrence of Asian dust over the region is high in the springtime. It was also revealed that snow cover is the key parameter affecting on the frequency through the analysis of NCEP reanalysis data. To scrutinize the path and structure of Asian dust from Manchuria, the event on 3~4 April 2008 and 25 January 2010 were intensively investigated with regard to features of synoptic weather patterns, satellite imagery, airstream, naked eye-observations, concentrations of PM10, 2.5 and 1.0. For this case, the Asian dust from the area reached to Korea less than a day. However, the duration time of the dust in Korea was short (< 7 hours). The average of hourly PM10 reached up to $340{\mu}g/m^{3}$ at Baengnyeondo during the period. The high PM2.5 and PM1.0 concentrations were also observed at several sites in Korea, indicating that air pollutants could be transported along with the dust.

• Archives of Reconstructive Microsurgery
• /
• v.10 no.2
• /
• pp.75-80
• /
• 2001

Purpose : We have evaluated the morbidity of donor site after transfer of free fibular osseous and osteocutaneous flap to defect site of bone and soft tissue due to chronic osteomyelitis of long tubular bone, open fracture with bony defect, bone or soft tissue tumor and congenital anomaly. Materials and methods : The 54 cases of 79 cases to be carried out from May, 1982 to May, 2001 which could be followed up were reviewed. There were forty nine in male and five in female. The mean age was 35(4 to 66)years old and mean follow up period is 21.3 month(12 to 72). We have retrospectively analyzed the various postoperative complications such as compartment syndrome, donor site infection, skin defect, hypesthesia, hammer toes, ankle instability and activity of daily living by help of questionnaire, telephone, physical examination, follow up x-ray study and chart. Results : In the total 54 cases the medication period for pain control after operation were classified into three groups under 2 weeks(49 cases), from 2 weeks to 6 weeks(3 cases) and over 6 weeks(2 cases). The postoperative morbidity were occurred in total 12 cases(compartment syndrome: 0, infection : 2, skin defect: 1, hypesthesia: 5, hammer toe: 2 ankle pain: 2 discomfort in activity of daily living: 0), and also the morbidity rates of donor site were 23.5% in osseous flap and 21.6% in osteocutaneous flap were occurred. There was no statistical significonce in morbidity between osseous and osteocutaneous free fibular flap transfer(P>0.05). Discussion : In general the morbidity of free fibular flap transfer was relatively high but it did not have any effect on daily activity of living. We think that the meticulous operation technique, detailed wound care and early range of motion exercise will reduce the morbidity of donor site of flap.

• Journal of Korean Society of Industrial and Systems Engineering
• /
• v.41 no.3
• /
• pp.108-114
• /
• 2018

One of the most performed action in daily life is standing up from sitting position. As the population of the world is aging at the high rates, people may face problems with reduced muscle strength as well as psychological changes. This can lead elderly people having difficulties with standing up from chair. Now, with the aging trend worldwide, products are being developed that can support the lives of the elderly. This study examines the distribution of hip pressure in relation to the seating positions of the standing assistance seats under development to prevent standing up accidents in older adults. The currently developing standing assistant chair designed to tilt to a maximum angle of 25 degrees. At over $25^{\circ}$, design considers that older people are at risk of thrown back out of that force and that the forces exerted on their arms and legs can be a significant burden to older people. By considering danger of higher than $25^{\circ}$ for older people which is experimented in the basis of static capturing approach in previous papers, it is experimented people with age group of 20~60 on $0^{\circ}$ to $25^{\circ}$ tilting angle on the basis of dynamic capturing method in order to pick convenient angle of inclination. Moreover, tried to find the optimum angle by comparing the hip pressure distribution when seated at the edge of the seat and at the center of the seat with the pressure distribution sensor.

• Journal of Yeungnam Medical Science
• /
• v.35 no.2
• /
• pp.171-178
• /
• 2018

Background: To evaluate mid-term oncological and functional outcomes in patients with prostate cancer treated by robot-assisted laparoscopic radical prostatectomy (RALP) at our institution. Methods: We retrospectively reviewed the medical records of 128 patients with prostate cancer who underwent RALP at our institution between February 2008 and April 2010. All patients enrolled in this study were followed up for at least 5 years. We analyzed biochemical recurrence (BCR)-free survival using a Kaplan-Meier survival curve analysis and predictive factors for BCR using multivariate Cox regression analysis. Continence recovery rate, defined as no use of urinary pads, was also evaluated. Results: Based on the D'Amico risk classification, there were 30 low-risk patients (23.4%), 47 intermediaterisk patients (38.8%), and 51 high-risk patients (39.8%), preoperatively. Based on pathological findings, 50.0% of patients (64/128) showed non-organ confined disease (${\geq}T3a$) and 26.6% (34/128) had high grade disease (Gleason score ${\geq}8$). During a median follow-up period of 71 months (range, 66-78 months), the frequency of BCR was 33.6% (43/128) and the median BCR-free survival was 65.9 (0.4-88.0) months. Multivariate Cox regression analysis revealed that high grade disease (Gleason score ${\geq}8$) was an independent predictor for BCR (hazard ratio=4.180, 95% confidence interval=1.02-17.12, p=0.047). In addition, a majority of patients remained continent following the RALP procedure, without the need for additional intervention for post-prostatectomy incontinence. Conclusion: Our study demonstrated acceptable outcomes following an initial RALP procedure, despite 50% of the patients investigated demonstrating high-risk features associated with non-organ confined disease.

• Korean Journal of Applied Biomechanics
• /
• v.12 no.1
• /
• pp.89-114
• /
• 2002

The purpose of this study was to analyze impact absorption function of midsole in cushioned marathon shoes. The foot is made up of a complex interaction of bones, ligaments, and muscles. These structures help the foot alternate between being a mobile, flexible adaptor and a stable rigid lever. The foot is broken down into two functional parts, the forefoot and the rearfoot. Cushioned marathon shoes for high arches have generous cushioning for efficient and high-mileage runners. Cushioned marathon shoes are made for feet that have high arches or no excessive motion and don't roll inward or roll outward. This condition is known as underpronation. Especially, Cushioned marathon shoes are designed to reduce shock and generally have the softest (or most cushioned) midsoles and the least medial support. They are usually built on a semicurved or curved last to encourage foot motion, which is helpful for underpronators (who have rigid, immobile feet). Cushioning marathon shoes recommended for the high-arched runner, whose foot may roll outward (supinate) rather than the natural slight inward roll, or whose feet may be relatively rigid. Cushioning shoes emphasize flexibility and usually are built on a curved or semicurved last to encourage a normal motion of the foot. Cushioning shoes usually offer no medial (inner foot) support. Cushioned marathon shoes have the single-density midsole, which is stable and relatively firm for a cushioned shoe, stays the same. But the forefoot is more rounded, and the rearfoot now includes a new and supportive rearfoot cradle. A foam midsole, perhaps with layers of different densities, to provide cushioning and shock absorption. EVA (ethylene vinyl acetate) and PU (polyurethane), the materials from which these foams usually are made. EVA is slightly softer than PU. EVA and PU may be layered together in a shoe, or a shoe may have more than one density of EVA.