• Journal of the Korea Concrete Institute
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• v.16 no.6 s.84
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• pp.867-873
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• 2004

It has been known that debonding failures between CFS(Carbon Fiber Sheet) and concrete in the strengthened RC beams are initiated by the peeling of the sheets in the region of combined large moment and shear forces, being accompanied by the large shear deformation after flexural cracks. These shear deformation effects are seldom occurred in small-scale model tests, but debondings due to the large shear deformation effects are often observed in a full-scale model tests. The premature debonding failure of CFS, therefore, must be avoided to confirm the design strength of full-scale RC beam in strengthening designs. The reinforcing details, so- called 'U-Shape fiber wrap at mid-span' which wrapped the RC flexural members around the webs and tension face at critical section with CFS additionally, were proposed in this study to prevent the debonding of CFS. Other reinforcing detail, so called 'U-Shape fiber wrap at beam end' were included in this tests and comparisons were made between them.

• Clinical and Experimental Pediatrics
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• v.60 no.3
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• pp.64-69
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• 2017

Purpose: The goal of nutritional support for very-low-birth-weight (VLBW) infants from birth to term is to match the in utero growth rates; however, this is rarely achieved. Methods: We evaluated postdischarge growth patterns and growth failure in 81 Korean VLBW infants through a retrospective study. Weight and height were measured and calculated based on age percentile distribution every 3 months until age 24 months. Growth failure was defined as weight and height below the 10th percentile at 24 months. For the subgroup analysis, small-for-gestational age (SGA) and extremely low birth weight (ELBW) infants were evaluated. The growth patterns based on the Korean, World Health Organization (WHO), or Centers for Disease Control and Prevention (CDC) standard were serially compared over time. Results: At postconception age (PCA) 40 weeks, 47 (58%) and 45 infants (55%) showed growth failure in terms of weight and height, respectively. At PCA 24 months, 20 infants (24%) showed growth failure for weight and 14 (18%) for height. Growth failure rates were higher for the SGA infants than for the appropriate-weight-for-gestational age infants at PCA 24 months (P=0.045 for weight and P=0.038 for height). Growth failure rates were higher for the ELBW infants than for the non-ELBW infants at PCA 24 months (P<0.001 for weight and P=0.003 for height). Significant differences were found among the WHO, CDC, and Korean standards (P<0.001). Conclusion: Advancements in neonatal care have improved the catch-up growth of VLBW infants, but this is insufficient. Careful observation and aggressive interventions, especially in SGA and ELBW infants, are needed.

• Steel and Composite Structures
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• v.12 no.4
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• pp.291-302
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• 2012

Frequently, steel silos are supported by discrete supports or columns to permit easy access beneath the barrel. In such cases, large loads are transferred to the limited number of supports, causing locally high axial compressive stress concentrations in the shell wall above the supports. If not dealt with properly, these increased stresses will lead to premature failure of the silo due to local instability in the regions above the supports. Local stiffening near the supports is a way to improve the buckling resistance, as material is added in the region of elevated stresses, levelling these out to values found in uniformly supported silos. The aim of a study on the properties of local stiffening will then be to increase the failure load, governed by an interaction of plastic collapse and elastic instability, to that of a discrete supported silo. However, during the course of such a study it was found that, although the failure remains local, the cylinder height is also a parameter that influences the failure mechanism, a fact that is not properly taken into account in current design practice and codes. This paper describes the mechanism behind the effect of the cylinder height on the failure load, which is related to pre-buckling deformations of the shell structure. All results and conclusions are based on geometrically and materially non-linear finite element analyses.

• Journal of Chest Surgery
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• v.24 no.6
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• pp.541-546
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• 1991

The Ionescu-Shiley bovine pericardial xenograft valve was the most common cardiac substitute valve at Seoul National University Hospital. Since the follow-up extended for longer than 10 years, a total of and consecutive 107 patients with double mitral and aortic valve replacement using this valve from May 1979 to June 1984 were studied for the long-term clinical results. Their ages were 34.0$\pm$11.9 years at surgery, and eight patients died within 30 days of surgery with operative mortality rate of 7.5%. Ninety-nine early survivors were followed up for a total of 488.1 patient-years[Mean$\pm$SD, 4.9$\pm$2.7 years], and nine died with the linearlized late mortality rate of 1.84% /patient-year[pt-yr]. They experienced major complications: thromboembolism, 0.615% /pt-yr bleeding, 0.205% /pt-yr; endocarditis, l. 639%/pt-yr; overall valve failure, 6.146% /pt-yr; and primary tissue failure, 1.639%/ pt-yr. The actuarial survival rates were 91.4$\pm$2.9% and 89.6$\pm$3.4% at postoperative 5 and 10 years, and the probability of freedom from thromboembolism was 95.8$\pm$2.5% at 10 years. The primary tissue failure began to occur from postoperative 6 years and the probabilities of freedom from structural valve failure were 80.2$\pm$7.9% and 62.3$\pm$12.7% at 8 and 10 years after surgery respectively. Although there was increasing number of patients with valve tissue failure after 6 years, the evidence of expected premature and accelerated valve degeneration among young population was not clear on the age-related analysis. And, no definite cumulative patient groups beyond the various age limits could be suggested for or against the use of this valve.

• Journal of Chest Surgery
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• v.46 no.3
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• pp.178-184
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• 2013

Background: Treatment for patent ductus arteriosus (PDA) in premature infants can consist of medical or surgical approaches. The appropriate therapeutic regimen remains contentious. This study evaluated the role of surgery in improving the survival of premature neonates weighing less than 1,500 g with PDA. Materials and Methods: From January 2008 to June 2011, 68 patients weighing less than 1,500 g with PDA were enrolled. The patients were divided into three groups: a group managed only by medical treatment (group I), a group requiring surgery after medical treatment (group II), and a group requiring primary surgical treatment (group III). Results: The rate of conversion to surgical methods due to failed medical treatment was 67.6% (25/37) in the patients with large PDA (${\geq}2$ mm in diameter). The number of patients who could be managed with medical treatment was nine which was only 20.5% (9/44) of the patients with large PDA. There was no surgery-related mortality. Group III displayed a statistically significantly low rate of development of bronchopulmonary dysplasia (BPD) (p=0.008). The mechanical ventilation time was significantly longer in group II (p=0.002). Conclusion: Medical treatment has a high failure rate in infants weighing less than 1,500 g with PDA exceeding 2.0 mm. Surgical closure following medical treatment requires a longer mechanical ventilation time and increases the incidence of BPD. Primary surgical closure of PDA exceeding 2.0 mm in the infants weighing less than 1,500 g should be considered to reduce mortality and long-term morbidity events including BPD.

• Journal of the Korea Concrete Institute
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• v.16 no.2 s.80
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• pp.213-220
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• 2004

This paper deals with an enhanced structural capacity of reinforced concrete bridge deck strengthened with carbon fiber rod (CFR) which is subjected to monotonic and cyclic loads. Strengthening variables considered in this test were evenly and unevenly strengthening type. To evaluate strengthening capacity for these two strengthening types, load-carrying capacity and crack and failure pattern from the failure test were analyzed and fatigue response were examined. According to the test results, all the strengthened specimens showed punching shear failure as a result of premature failure of bonding interface between mortar and concrete. In the case of strengthening capacity, it was observed that the strengthened specimens was more effective in strength, stiffness and fatigue endurance limit than the unstrengthened specimen. In addition, the unevenly strengthening method (CR-UE) was more effective than the evenly strengthening method (CR-E).

• Tribology and Lubricants
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• v.25 no.5
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• pp.324-329
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• 2009

In this study a complex design fitness analysis of journal bearings is carried out for the LPLi rotary-vane fuel pump application, as an external and horizontal installation, in LPG vehicles. Bearings considered in the analyses are plain and 3-axial groove journal bearings. Upon reflecting the fact that the primary failure mode of bearings in the application is a premature friction and wear failure of bearing metal due to a very low viscosity of liquid fuel LPG as a bearing lubricant, the performance factors of bearings used in an evaluation process of design fitness are a load carrying capacity and vibration suppression ability relative to a rated speed. At this time the design variables of bearings are a radial clearance and length. Results show that, in terms of both of the load carrying capacity and vibration suppression ability, the plain journal bearings are superior to the 3-axial groove journal bearings and among the plain bearings the smaller the bearing clearance (5>10>$15\;{\mu}m$) is and the longer the bearing length (6<8<10<12<14 mm) is, the better the bearing performance is.

• Journal of the Korea Concrete Institute
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• v.17 no.5 s.89
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• pp.835-842
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• 2005

This paper presents an experimental investigation of bond-strengthening hooks as a new method to increase bond strength along flexural reinforcing bars in reinforced concrete (RC) beams and columns. The RC members, which consisted of 1,300 MPa-class spirals as shear reinforcement, often suffered from bond splitting failure. The proposed method attempts to increase confining stiffness around the flexural bars by placing U-shaped hooks and to prevent premature bond splitting failure. Twelve specimens with varied amounts and sizes of the hooks were prepared to verify the strengthening effectiveness under monotonic and cyclic loading conditions. The test result indicated that the hooks increased the bond strength along the flexural bars although the strengthening effectiveness was limited by effective reinforcement ratio $P_{be}$. This limit is determined by size of stress-transmitting zones of concrete around anchors of the hooks. Anchors of the hooks are recommended to be longer than twelve times the hook diameter and inserted deeper than a quarter of the member depth (D/4). Proposed design equations provide modest estimates of the shear strengths.

• Clinical and Experimental Pediatrics
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• v.48 no.6
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• pp.660-664
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• 2005

Infantile hemangioendothelioma(IHE) of the liver is the most common vascular tumor in infants before the age of 6 months. It is a histologically benign tumor with potentially life-threatening complications. The clinical manifestations are variable, ranging from asymptomatic forms to intractable high-output heart failure. In addition, abdominal mass, intraperitoneal hemorrhage due to rupture of mass, respiratory distress, hematologic abnormalities and jaundice can occur. Diagnostic work-up is through doppler ultrasound sonography, computed tomography scan, magnetic resonance imaging and angiography. Treatment consists of medical treatment, interventional therapy, surgical resection and liver transplantation. We experienced symptomatic IHE in a premature neonate who presented with high output heart failure and respiratory distress. Initial medical treatment and steroid therapy failed to improve his condition. Coil embolization of left hepatic artery resulted in improvement of respiratory symptoms. However, a left lobectomy was performed because the mass size was not decreased with development of collateral vessels. The infant was well, after a successful discharge from the hospital.

• Structural Engineering and Mechanics
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• v.64 no.1
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• pp.135-143
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• 2017

To upgrade shear performance of reinforced concrete (RC) beams, and particularly of the segments under negative moment within continuous T-section beams, a series of original schemes has been proposed using carbon fibre-reinforced polymer (CFRP) U-shaped strips for shear-strengthening. The current work focuses on one of them, in which CFRP U-strips are wound around steel bars against the top of the flange of a T-beam and then spliced on its bottom face in addition to being bonded onto its sides. The test results showed that the proposed scheme successfully provided reliable anchorage for U-strips and prevented premature onset of shear failure due to FRP debonding. The governing shear mode of failure changed from peeling of CFRP to its fracture or crushing of concrete. The strengthened specimens displayed an average increase of about 60% in shear capacity over the unstrengthened control one. The specimen with a relatively high ratio and uniform distribution of CFRP reinforcement had a maximum increase of nearly 75% in strength as well as significantly improved ductility. The formulas by various codes or guidelines exhibited different accuracy in estimating FRP contribution to shear resistance of the segments that are subjected to negative moment and strengthened with well-anchored FRP U-strips within continuous T-beams. Further investigation is necessary to find a suitable approach to predicting load-carrying capacity of continuous beams shear strengthened in this way.