• Journal of Chest Surgery
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• v.31 no.1
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• pp.46-51
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• 1998

Treatment of esophageal perforation when diagnosed late remains controversial. Ten consecutive patients since 1990 were treated late(later than 24 hours) for esophageal perforation with primary repair. Four perforations were iatrogenic, 3 were spontaneous, 2 were foreign body aspiraton and 1 was trauma. The interval from perforation to operation was 116 hours in mean and 48 hours in median value. The principles of repair included (1) a local esophagomyotomy proximal and distal to the tear to expose the mucosal defect and intact mucosa beyond, (2) debridement of the mucosal defect and closure, (3) reapproximation of the muscle, and (4) adequate drainage. The repair was buttressed with parietal pleura or pericardial fat in 9 patients. Associated distal obstruction was treated with dilation and esophagomyotomy intraoperatively. There was one mortality and cause of death was massive gastric bleeding due to gastric ulcer on 33rd day after operation. Five patients had leak at the site of repair and these cases were treated completely with conservative treatment except a mortality case. In conclusion, in the absence of malignant or irreversible distal obstruction, meticulous repair of perforated esophagus and adequate drainage are preferred approach, regardless of the duration from the injury to the operation.

• Journal of Korean Foot and Ankle Society
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• v.8 no.2
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• pp.218-220
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• 2004

It is known that steroids increase the risk for tendon ruptures. Despite this local steroids are still used in the treatment of achilles tendinitis. 46-year-old women had occurred achilles tendon rupture after repeated local steroid injection. Intraoperatively, necrotic change were seen at both side of ruptured end. Like this, tendon rupture after repeated steroid injection often result in a large defect, which needed surgical repair. After debridement of ruptured end, tenorrhaphy with single Krackow method and plantaris tendon augmentation was done. The patient showed favorable result with return to range in a degree of activity levels.

• 한국도로학회:학술대회논문집
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• 2009.11a
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• pp.413-416
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• 2009

• Journal of IKEEE
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• v.11 no.4
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• pp.178-186
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• 2007

Recently, The importance of Ubiquitous network that can be supported useful information to MANET mobile device user through wired internet network in anywhere, anytime is growing rapidly. This proposed algorithm is the research on the algorithm, minimizing network overhead by preventing unnecessary network overhead previously and adapting Local repair mechanism to efficient data transmission when route error happens in network, in GMAHN environment.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.32 no.12
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• pp.1132-1139
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• 2008

The aim of this study is to apply shape optimization technique for the repair of aging airframe components, which may extend fatigue life substantially. Free-form optimum shapes of a cracked part to be reworked or replaced are investigated with the objective to minimize the peak local stress concentration or fatigue-damage. Iterative non-gradient method, which is based on an analogy with biological growth, is employed by incorporating the robust optimization method to take account of the stochastic nature of the loading conditions. Numerical examples of optimal hole shape in a flat plate are presented to validate the proposed method. The method is then applied to determine the reworked or replacement shape for the repair of a cracked rib in the rear assembly wing body of aircraft.

• Journal of the Korean Arthroscopy Society
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• v.13 no.3
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• pp.212-219
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• 2009

Medially retracted large-sized rotator cuff tears includes large-sized tears, massive tears and irreparable tears. Generally arthroscopic repair or open repair of rotator cuff tears is used in reparable tears. However, arthroscopic repair requires long period practice and endurance. In irreparable tears, arthroscopic debridement, partial repair, latissimus dorsi transfer and retrograde arthroplasty can be the option. Arthoscopic debridement gives temporal relief who experienced improvement in pain and increase in range of motion after subacromial local anesthetic injection. Also arthroscopic partial repair gives good results in irreparable cases, especially in suprascapular nerve traction neurapraxia. Tendon transfer can be used in mild to moderate muscle weakness in shoulder abduction for long term treatment. Pectoralis major transfer can be used in anterosupeior tears and latissimus dorsi transfer can be used in posterosuperior tears. Reverse shoulder prosthesis is used in extreamly weakened shoulder pseudoparalysis. The authors discussed the method of arthroscopic repair in irreparable tears. The debridement, partial repair, and tendon transfer could be used in medially retracted large-sized rotator cuff tears.

• Steel and Composite Structures
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• v.11 no.2
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• pp.93-114
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• 2011

Flange and web local buckling in beam plastic hinge regions of steel moment frames can prevent beam-column connections from achieving adequate plastic rotations under earthquake-induced forces. This threat is especially valid for existing steel moment frame buildings with beams that lack adequate flange/web slenderness ratios. As the use of fiber reinforced polymers (FRP) have increased in strengthening and repair of steel members in recent years, using FRPs in stabilizing local instabilities have also attracted attention. Previous computational studies have shown that longitudinally oriented glass FRP (GFRP) strips may serve to moderately brace beam flanges against the occurrence of local buckling during plastic hinging. An experimental study was conducted at Izmir Institute of Technology investigating the effects of GFRP reinforcement on local buckling behavior of existing steel I-beams with flange slenderness ratios (FSR) exceeding the slenderness limits set forth in current seismic design specifications and modified by a bottom flange triangular welded haunch. Four European HE400AA steel beams with a depth/width ratio of 1.26 and FSR of 11.4 were cyclically loaded up to 4% rotation in a cantilever beam test set-up. Both bare beams and beams with GFRP sheets were tested in order to investigate the contribution of GFRP sheets in mitigating local flange buckling. Different configurations of GFRP sheets were considered. The tests have shown that GFRP reinforcement can moderately mitigate inelastic flange local buckling.

• Journal of Korean Society of Disaster and Security
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• v.16 no.2
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• pp.75-83
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• 2023

In general, bridges are facilities installed for the purpose of easily passing through sections such as valleys and rivers. Railway bridges that run through downtown areas are damaged due to external factors such as earthquakes and collisions with passing vehicles, resulting in serious human casualties. This can cause serious human and properties damage, such as functional paralysis in downtown areas. Depending on the degree of damage, repair work such as partial repair or full replacement is in progress for the bridge where the collision occurred. When damage or deformation occurs due to collision, the repair method is determined according to the degree of deformation and the degree to which the load capacity of the bridge is affected by the deformation. In this study, a numerical analysis review was performed on the repair work for the local deformation caused by the collision of a vehicle on an old railway bridge installed and in operation in an urban area. To this end, a structural safety review of the bridge for local deformations caused by vehicle collisions was conducted. In this paper, a repair method for the accident bridge was presented based on the analysis results.

• Clinics in Shoulder and Elbow
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• v.25 no.2
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• pp.112-120
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• 2022

Background: The prognostic factors for patients with full-thickness rotator cuff tears (RCTs) include tear size, muscle atrophy and fatty infiltration. However, the influence of early coexisting degenerative changes on RCT outcomes is unappreciated. The purpose of this study was to calculate the impact that pre-existing partial glenohumeral cartilaginous changes have on patients undergoing arthroscopic RCT repair. Methods: A study of 54 patients undergoing arthroscopic RCT repair was undertaken. The presence of co-existing patches of glenohumeral degenerative cartilaginous changes and RCT size was recorded at surgery. Pre- and postoperative outcomes were assessed using traditional (Oxford Shoulder Score [OSS], 5-level EuroQol-5D [EQ-5D-5L] questionnaire and EuroQol visual analog scale [EQ-VAS]) and patient-centric re-formatted prisms. Outcomes were assessed as an entire dataset, and sub-group analysis was performed according to the grade of co-existing arthritis and tear size. Results: Significant improvements (p<0.05) in clinical outcomes were recognized when assessed using either the traditional or reformatted prisms (average % improvements in OSS, EQ-5D-5L and EQ-VAS were 47%, 33% and 43%, respectively; average improvements in pain, function, and psychological well-being were 48%, 33% and, 29%, respectively). Positive gain was noted in all sub-groups of arthritic grading and tear size. Conclusions: Good clinical outcomes can be achieved following RCT repair even in the presence of local partial degenerative cartilage changes and advancing tear size. These benefits are patient-centered but require RCT repairability.

• Journal of the Korean Institute of Educational Facilities
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• v.13 no.3
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• pp.37-47
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• 2006

The conservation or practical use of a lot of closed schools which occurred from 1982 all over the country by governmental policy has been becoming important concerns to local resident and community with economical and administrative interest. A lot of examples, sold or rented to public institutions or a person, which have been using by welfare facilities for inhabitants, facilities for education, youth, company, culture and art, and other use, could be found. It could be said that the process of user's participation of these examples is very high, that is, a lot of examples of our surrounding is applied with ecological concept have participated by most users and local residents directly to architectural repair and renewal process, and practical use. In this background, I choose total five examples more than one by Chungbuk, Chungnam, Jeonbuk, Jeonnam district to investigate examples of closed schools applied ecological architectural concept and I researched reconfiguration of site, change of exterior or interior material, application of ecological system, and role as local community.