• Journal of Acupuncture Research
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• v.36 no.4
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• pp.282-285
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• 2019

Scoliosis is a 3-dimensional spinal deformity defined as lateral curvature of the spine in the coronal plane of more than $10^{\circ}$. This study describes a case of functional scoliosis after hip injury. In this case, the patient fell whilst inline skating (June 2015) causing severe tilting of her spine, and left hip pain. She received outpatient treatment from July 14, 2015 to December 28, 2015. For approximately 5 months, acupuncture therapy was performed to relax the tension in both hips, Chuna therapy, and foot orthosis were applied to reduce the body's imbalance. Based on X-ray images, the Cobb angle had decreased from $14.73^{\circ}$ (pretreatment) to $1.90^{\circ}$ (posttreatment). This case report suggested that Korean medicine treatment could be an effective therapeutic choice for functional scoliosis.

• Journal of Yeungnam Medical Science
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• v.36 no.2
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• pp.92-98
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• 2019

Forefoot disorders are often seen in clinical practice. Forefoot deformity and pain can deteriorate gait function and decrease quality of life. This review presents common forefoot disorders and conservative treatment using an insole or orthosis. Metatarsalgia is a painful foot condition affecting the metatarsal (MT) region of the foot. A MT pad, MT bar, or forefoot cushion can be used to alleviate MT pain. Hallux valgus is a deformity characterized by medial deviation of the first MT and lateral deviation of the hallux. A toe spreader, valgus splint, and bunion shield are commonly applied to patients with hallux valgus. Hallux limitus and hallux rigidus refer to painful limitations of dorsiflexion of the first metatarsophalangeal joint. A kinetic wedge foot orthosis or rocker sole can help relieve symptoms from hallux limitus or rigidus. Hammer, claw, and mallet toes are sagittal plane deformities of the lesser toes. Toe sleeve or padding can be applied over high-pressure areas in the proximal or distal interphalangeal joints or under the MT heads. An MT off-loading insole can also be used to alleviate symptoms following lesser toe deformities. Morton's neuroma is a benign neuroma of an intermetatarsal plantar nerve that leads to a painful condition affecting the MT area. The MT bar, the plantar pad, or a more cushioned insole would be useful. In addition, patients with any of the above various forefoot disorders should avoid tight-fitting or high-heeled shoes. Applying an insole or orthosis and wearing proper shoes can be beneficial for managing forefoot disorders.

• Structural Engineering and Mechanics
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• v.70 no.6
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• pp.737-750
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• 2019

This paper investigates the static and dynamic behaviors of imperfect single walled carbon nanotube (SWCNT) modeled as a beam structure by using energy-equivalent model (EEM), for the first time. Based on EEM Young's modulus and Poisson's ratio for zigzag (n, 0), and armchair (n, n) carbon nanotubes (CNTs) are presented as functions of orientation and force constants. Nonlinear Euler-Bernoulli assumptions are proposed considering mid-plane stretching to exhibit a large deformation and a small strain. To simulate the interaction of CNTs with the surrounding elastic medium, nonlinear elastic foundation with cubic nonlinearity and shearing layer are employed. The equation governed the motion of curved CNTs is a nonlinear integropartial-differential equation. It is derived in terms of only the lateral displacement. The nonlinear integro-differential equation that governs the buckling of CNT is numerically solved using the differential integral quadrature method (DIQM) and Newton's method. The linear vibration problem around the static configurations is discretized using DIQM and then is solved as a linear eigenvalue problem. Numerical results are depicted to illustrate the influence of chirality angle and imperfection amplitude on static response, buckling load and dynamic behaviors of armchair and zigzag CNTs. Both, clamped-clamped (C-C) and simply supported (SS-SS) boundary conditions are examined. This model is helpful especially in mechanical design of NEMS manufactured from CNTs.

• Journal of Yeungnam Medical Science
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• v.38 no.1
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• pp.47-52
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• 2021

Background: Short stature is defined as a height below the 3rd percentile or more than two standard deviations below the mean for a given age, sex, and population. There have been inconsistent results regarding craniofacial morphology in short-statured children. This study aimed to analyze the differences between short-statured children with growth hormone deficiency, idiopathic short-statured children, and normal children. Methods: Thirty-one short-statured children with growth hormone deficiency, 32 idiopathic short-statured children, and 32 healthy children were enrolled in this study. The measurements of their craniofacial structures from lateral cephalograms were evaluated. Results: There were statistically significant differences among the three groups seven variables (anterior cranial base length, posterior cranial base length, total cranial base length, upper posterior facial height, posterior total facial height, mandibular ramus length, and overall mandibular length) in the linear measurement and five variables (saddle angle, gonial angle, mandibular plane angle, position of mandible, and maxilla versus mandible) in the angular measurement. Conclusion: Compared to the control group, many linear and angular measurements of the craniofacial structures were significantly different in the two short-statured groups (p <0.05). Treatment plans by orthodontists should include these craniofacial structure characteristics.

• Structural Engineering and Mechanics
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• v.84 no.1
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• pp.63-76
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• 2022

Major engineering requirements and technological developments in the steel construction industry are discussed to support a new innovative system, namely corrugated web beams, for future structural projections. These new-generation steel beams, fabricated as welded plate girders with corrugated webs, are designed to combine large spans with very low weight. In the present study, the flexural capacity of optimally designed trapezoidal and sinusoidal corrugated web beams was aimed at. For this purpose, the new metaheuristic methods, specifically hunting search and firefly algorithms, were used for the minimum weight design of both beams according to the rules of Eurocode EN 1193 15 and DASt-Ri 015. In addition, the strengthening effects of the corrugation geometry at the web posts on the load capacity of fabricated steel beams were tested in a reaction frame. The experimental tests displayed that the lateral capacity of trapezoidal web beams is more durable under flexural loads compared to sinusoidal web beams. These thin-walled beams were also simulated using a 3-D finite element model with plane strain to validate test results and describe the effectiveness of the ABAQUS software.

• Steel and Composite Structures
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• v.43 no.3
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• pp.341-351
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• 2022

This paper presents an inelastic buckling behavior analysis of rectangular hollow steel tubes with geometrical imperfections under elevated temperatures. The main variables are the temperature loads, slenderness ratios, and exposure conditions at high temperatures. The material and structural properties of steels at different temperatures are based on Eurocode (EN 1993-1-2, 2005). In the elastic buckling analysis, the buckling strength decreases linearly with the exposure conditions, whereas the inelastic buckling analysis shows that the buckling strength decreases in clusters based on the exposure conditions of strong and weak axes. The buckling shape of the rectangular steel column in the elastic buckling mode, which depicts geometrical imperfection, shows a shift in the position at which bending buckling occurs when the lower section of the member is exposed to high temperatures. Furthermore, lateral torsional buckling occurs owing to cross-section deformation when the strong axial plane of the model is exposed to high temperatures. The elastic buckling analysis indicates a conservative value when the model is exposed to a relatively low temperature, whereas the inelastic buckling analysis indicates a conservative value at a certain temperature or higher. The comparative results between the inelastic buckling analysis and Eurocode 3 show that a range exists in which the buckling strength in the design equation result is overestimated at elevated temperatures, and the shapes of the buckling curves are different.

• Journal of the Korean Society for Precision Engineering
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• v.12 no.3
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• pp.42-52
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• 1995

An UBET(Upper Bound Elemental Techniquel) program has been developed to analyze forging load, die-cavity filling and effective strain distribution for flashless non-axisymmetric forging. To analyze the process easily, it is suggested that the deforma- tion is divided into two different parts. Those are axisymmetric part in corner and plane- strain part in lateral. The total power consumption is minimized through combination of two deformation parts by building block method, form which the upper-bound forging load, the flow pattern, the grid pattern, the velocity distribution and the effective strain are deter- mined. To show the merit of flashless forging, the results of flashless and flash-forging processes are compared through theory and experiment. Experiments have been carried out with plasticine billets at room temperature. The theoretical predictions of the forging load and the flow pattern are in good agrement with the experimental results.

• Geomechanics and Engineering
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• v.36 no.3
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• pp.277-293
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• 2024

Shored Mechanically Stabilized Earth (SMSE) walls are types of soil retaining structures that increase soil stability under static and dynamic loads. The damage caused by an earthquake can be determined by evaluating the probabilistic seismic response of SMSE walls. This study aimed to assess the seismic performance of SMSE walls and provide fragility curves for evaluating failure levels. The generated fragility curves can help to improve the seismic performance of these walls through assessing and controlling variables like backfill surface settlement, lateral deformation of facing, and permanent relocation of the wall. A parametric study was performed based on a non-linear elastoplastic constitutive model known as the hardening soil model with small-strain stiffness, HSsmall. The analyses were conducted using PLAXIS 2D, a Finite Element Method (FEM) program, under plane-strain conditions to study the effect of the number of geogrid layers and the axial stiffness of geogrids on the performance of SMSE walls. In this study, three areas of damage (minor, moderate, and severe) were observed and, in all cases, the wall has not completely entered the stage of destruction. For the base model (Model A), at the highest ground acceleration coefficient (1 g), in the moderate damage state, the fragility probability was 76%. These values were 62%, and 54%, respectively, by increasing the number of geogrids (Model B) and increasing the geogrid stiffness (Model C). Meanwhile, the fragility values were 99%, 98%, and 97%, respectively in the case of minor damage. Notably, the probability of complete destruction was zero percent in all models.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.27 no.4
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• pp.350-359
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• 2005

Sagittal split ramus osteotomy(SSRO) has been commonly performed in the mandibular prognathism. The previous studies of the mandibular anatomy for SSRO have mostly been used in dry skull without consideration of age, sex or jaw relationship of patients. This study was performed to evaluate the location of mandibular canal and the anatomy of ramus, such as the location of mandibular lingula and the ramal bone marrow, which were associated with SSRO procedures, in the patients with mandibular prognathism and normal young adults by using computerized tomographs(CT) and 3D images. The young adults at their twenties, who were considered to complete their skeletal growth, and seen in the Department of Orthodontics and Oral and Maxillofacial Surgery in Chonnam National University Hospital between March 2000 and May 2003, were selected. This study was performed in 30 patients (15men, 15women) who were diagnosed as skeletal class I normal relationship, and another 30 patients (15men, 15women) who were diagnosed as skeletal class III relationship upon clinical examination and lateral cephalometric radiographs. The patients were divided into 2 groups : Class I group, the patients who had skeletal class Ⅰ normal relationship(n=30, 15men, 15women), and Class III group, the patients who had skeletal class III relationship(n=30, 15men, 15women). Facial CT was taken in all patients, and pure 3D mandibular model was constructed by V-works version 4.0. The occlusal plane was designed by three points, such as the mesiobuccal cusp of both mandibular 1st molar and the incisal edge of the right mandibular central incisor, and used as a reference plane. Distances between the tip of mandibular lingula and the occlusal plane, the sigmoid notch, the anterior and the posterior borders of ramus were measured. The height of ramal bone marrow from the occlusal plane and the distance between mid-point of mandibular canal and the buccal or lingual cortex of the mandible in the 1st and 2nd molars were measured by V-works version 4.0. Distance(Li-OP) between the occlusal plane and the tip of mandibular lingula of Class III Group was longer than that of Class I Group in men(p<0.01), but there was no significant difference in women between both groups. Distance(Li-SN) between the sigmoid notch and the tip of mandibular ligula of Class III group was longer than that of Class I Group in men(p<0.05), but there was no significant difference in women between both groups. Distance(Li-RA) between the anterior border of ramus and the tip of mandibular lingula of Class III Group was shorter than that of Class I Group in men and women(p<0.01). Distance(Li-RP) between the posterior border of ramus and the tip of mandibular lingula of Class III Group was slightly shorter than that of Class I Group in men(p<0.05), but there was no significant difference in women between both groups. Distance(RA-RP) between the anterior and the posterior borders of ramus of Class III Group was shorter than that of Class I Group in men and women(p<0.01). Longer the distance(SN-AN) between the sigmoid notch and the antegonial notch was, longer the vertical ramal length above occlusal plane, higher the location of mandibular lingula, and shorter the antero-posterior ramal length were observed(p<0.01). Height of ramal bone marrow of Class III Group was higher than that of Class I Group in men and women(p<0.01). Distance between mandibular canal and buccal cortex of Class III Group in 1st and 2nd lower molars was shorter than that of Class I Group in men and women (p<0.05 in 1st lower molar in men, p<0.01 in others). These results indicate that there are some anatomical differences between the normal occlusal patients and the mandibular prognathic patients, such as the anterior-posterior length of ramus, the height of ramal bone marrow, and the location of mandibular canal.

• Progress in Medical Physics
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• v.2 no.2
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• pp.109-120
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• 1991

Total body irradiation is operated to irradicate malignant cells of bone marrow of patients to be treated with bone marrow transplantation. Field size of a linear accelerator or cobalt teletherapy unit with normal geometry for routine technique is too small to cover whole body of a patient. So, any special method to cover patient whole body must be developed. Because such environments as room conditions and machine design are not universal, some characteristic method of TBI for each hospital could be developed. At Seoul National University Hospital, at present, only a cobalt unit is available for TBI because source head of the unit could be tilted. When the head is tilted outward by 90$^{\circ}$, beam direction is horizontal and perpendicular to opposite wall. Then, the distance from cobalt source to the wall was 319 cm. Provided that the distance from the wall to midsagittal plane of a patient is 40cm, nominal field size at the plane(SCD 279cm) is 122cm$\times$122cm but field size by measurement of exposure profile was 130cm$\times$129cm and vertical profile was not symmetric. That field size is large enough to cover total body of a patient when he rests on a couch in a squatting posture. Assuming that average lateral width of patients is 30cm, percent depth dose for SSD 264cm and nominal field size 115.5cm$\times$115.5cm was measured with a plane-parallel chamber in a polystyrene phantom and was linear over depth range 10～20cm. An anthropomorphic phantom of size 25cm wide and 30cm deep. Depth of dose maximum, surface dose and depth of 50% dose were 0.3cm, 82% and 16.9cm, respectively. A dose profile on beam axis for two opposing beams was uniform within 10% for mid-depth dose. Tissue phantom ratio with reference depth 15cm for maximum field size at SCD 279cm was measured in a small polystyrene phantom and was linear over depth range 10～20cm. An anthropomorphic phantom with TLD chips inserted in holes on the largest coronal plane was bilaterally irradiated by 15 minute in each direction by cobalt beam aixs in line with the cross line of the coronal plane and contact surface of sections No. 27 and 28. When doses were normalized with dose at mid-depth on beam axis, doses in head/neck, abdomen and lower lung region were close to reference dose within $\pm$ 10% but doses in upper lung, shoulder and pelvis region were lower than 10% from reference dose. Particulaly, doses in shoulder region were lower than 30%. On this result, the conclusion such that under a geometric condition for TBI with cobalt beam as SNUH radiotherapy departement, compensators for head/neck and lung shielding are not required but boost irradiation to shoulder is required could be induced.