• Journal of Korean Neurosurgical Society
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• 제39권6호
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• pp.438-442
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• 2006

The sylvian aqueduct syndrome is a global rostral midbrain dysfunction induced by a transtentorial pressure gradient through the aquaeductus. Several months after ventriculoperitoneal shunt, a patient with hydrocephalus began experiencing a constellation of midbrain dysfunction symptoms, including bradykinesia, medial longitudinal fasciculus syndrome, third nerve palsy, and mutism. These were indicative of cerebral aqueduct syndrome. In addition, the patient showed posture-dependent underdrainage or overdrainage. All symptoms were resolved after distal catheter elongation and floating cranioplasty. We present a case of reversible parkinsonism, which developed in a patient with shunted hydrocephalus and aqueductal stenosis, and discuss the diagnosis and treatment of the sylvian aqueduct syndrome. We also review the literature to address problems of drainage and potential treatment modalities.

• Journal of Mechanical Science and Technology
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• 제15권7호
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• pp.1061-1071
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• 2001

The present study investigated design parameters of shunt valves and anti-siphon device used to treat patients with hydrocephalus. The shunt valve controls drainage of cerebrospinal fluid (CSF) through passive deflection of a thin and small diaphragm. The anti-siphon device(ASD) is optionally connected to the valve to prevent overdrainage when the patients are in the standing position. The major design parameters influencing pressure-flow characteristics of the shunt valve were analyzed using ANSYS structural program. Experiments were performed on the commercially available valves and showed good agreements with the computer simulation. The results of the study indicated that predeflection of the shunt valve diaphragm is an important design parameter to determine the opening pressure of the valve. The predeflection was found to depend on the diaphragm tip height and could be adjusted by the diaphragm thickness and its elastic modulus. The major design parameters of the ASD were found to be the clearance (gap height) between the thin diaphragm and the flow orifice. Besides the gap height, the opening pressure of the ASD could be adjusted by the diaphragm thickness, its elastic modulus, area ratio of the diaphragm to the flow orifice. Based on the numerical simulation which considered the increased subcutaneous pressure introduced by the tissue capsule pressure on the implanted shunt valve system, optimum design parameters were proposed for the ASD.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권6호
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• pp.592-596
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• 2010

The common local causes of active gingival bleeding are the vessel engorgement and erosion by severe inflammation and injury to hypervascularity lesion. Abnormal gingival bleeding is also associated with systemic bleeding disorders (liver disease, leukemia etc.). There are many conventional methods for gingival bleeding control, such as, direct pressure, packing, electrocoagulation, tight suture and application of hemostatic agents. If the continuous gingival bleeding is not stopped in spite of the all local application methods, the medical consultation should be obtained for systemic condition care and the major feeding arterial embolization. This is a case report of severe gingival bleeding and periodontitis control in a patient with liver cirrhosis and oral metastatic lesion of hepatocellular carcinoma. The bleeding lesion was placed in left buccal mucosa and gingiva of the left mandibular molars. The control methods were dental crown removal, primary endodontic drainage, gingival sulcus drainage and maxillary arterial embolization with medical consultation.

• Archives of Plastic Surgery
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• 제37권3호
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• pp.313-316
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• 2010

Purpose: Tie-over dressing is widely used to secure skin grafting on face, body, or extremities. It can be a rather complicated task and is not easy to make compressive dressing again if performed in a conventional method. So, we hereby introduce an easy reproducible tie over dressing method. Methods: After completing the skin graft, Cut the silastic drainage longitudinally in half and spread to the grafted skin margin. Drainage is fixed by using the stapes or sutures. A fluffy gauze bolus dressing is placed over a furacin impregnated gauze and wrapped around. After suturing the distal margin of silastics with opposite side using the silk thread either 5 - 0 or 3 - 0, knot of suturing, which is pressed down against the dressing while the threads are tightened, is made into center of each sides. Results: It can make dressing again after observing the grafted skin, and it can also make pressure on the grafted area evenly until the grafted skin is taken. Conclusion: This dressing method makes the surgeons and patients comfortable. To surgeons, it provides more rapid and easier way to do dressing, and to patients, it eliminates pain caused by redressing.

• Journal of Korean Neurosurgical Society
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• 제38권4호
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• pp.273-280
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• 2005

Objective : There is no acceptable indication and treatment of choice for infantile and child subdural hygroma and there are only a few reports about that in Korea. So the authors studied the clinical findings of infantile and child patients with subdural hygroma to improve the understanding and to suggest a standard treatment method. Methods : The authors retrospectively evaluated the causes, preoperative symptoms, radiological thicknesses, and postoperative results of 25patients with subdural hygroma who received surgical therapy. Results : There were 16boys and 9girls whose median age was 6months[range $2{\sim}120months$]. The main clinical manifestations were seizures, increased intracranial pressure, macrocrania and alteration of consciousness. Radiological thicknesses of the subdural hygroma varied from 7mm to 42mm and postoperative changes of thickness[y] could be expressed with the factor of month[x]: $y\;=\;-1.32\;{\times}\;+11.8$ in subdural drainage, and $y\;=\;-1.52\;{\times}\;+14.9$ in subduroperitoneal shunts. Of the 25patients, 2 [50%] were successfully treated by aspiration, 13 [59%] by subdural drainage, and 9 [69%] by subduroperitoneal shunt. Conclusion : It is suggested that the diagnosis and treatment of subdural hygroma in infants and children should be carefully addressed because of its high prevalence in children, and especially in infants. It is also suggested that the subdural drainage could be primary initial treatment method because it is simpler than a shunt, and since our data show that there is no statistical difference in postoperative recovery duration between the two operative methods.

• 한국산학기술학회논문지
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• 제14권4호
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• pp.1765-1773
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• 2013

본 연구에서는 단순천공배액술을 시행하고 호전된 환자들과 이차 수술로 단순천공배액술을 실시하거나 경막하복강단락술을 실시한 환자들의 임상적 경과 분석을 통해 뇌경막하수종 치료에 도움이 되고자 한다. 2006년 7월부터 2012년 6월까지 본원에서 뇌경막하수종으로 입원하여 단순천공배액술을 시행받은 16례 전체 환자를 대상으로 분석하였다. 연구결과 아스피린을 복용하고 있는 환자는 모두 이차 수술을 시행하였다(p<0.001). 경막하복강단락술을 시행한 환자 4명 중 2명이 아스피린을 복용하여 통계적으로 유의하였다(p=0.014). 경막하복강단락술을 시행한 그룹과 시행하지 않은 그룹 간의 비교 결과, 4명의 환자는 일차수술 후 GCS의 변화는 없었으나 추적 전산화단층촬영 상 정중선 편위가 심하였고 경막하수종은 증가하거나 변화가 없었으며 두통, 구토, 발열, 호흡곤란 등의 뇌압상승 증상을 보여 단락술을 결정하게 되었다(p=0.006). 아스피린을 복용했던 환자들의 수술적 치료는 주의를 요하며 개두술 과정에서 뇌척수액의 급격한 소실과 뇌압의 지나친 변화를 예방하는 것이 중요하다고 사료된다.

• Geomechanics and Engineering
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• 제10권3호
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• pp.297-314
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• 2016

With the mining depth continuously increasing, gas emission behaviors become more and more complex. Gas emission is an important basis for choosing the method of gas drainage, gas controlling. Thus, the accurate prediction of gas emission is of great significance for coal mine. In this work, based on the sources of gas emission from the heading faces and the fluid-solid coupling process, we established a gas continuous dynamic emission model, numerically simulated and applied it to the engineering. The result was roughly consistent with the actual situation and shows the model is correct. We proposed the measures of reducing the excavation distance and borehole gas drainage based on the model. The measures were applied and the result shows the overproof problem of gas emission disappears. The model considered the influence factors of gas emission wholly, and has a wide applicability, promotional value. The research is of great significance for the controlling of gas disaster, gas drainage and pre-warning coal and gas outbursts based on gas emission anomaly at the heading face.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제36권3호
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• pp.221-227
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• 2010

The most common local cause of active gingival bleeding is the vessel engorgement and erosion by severe inflammation. Abnormal gingival bleeding is also associated with the systemic disturbances. Hemorrhagic disorders in which abnormal gingival bleeding is encountered include the following: vascular abnormalities (vitamin C deficiency or allergy), platelet disorders, hypoprothrombinemia (vitamin K deficiency resulting from liver disease), and other coagulation defects (hemophilia, leukemia). There are many conventional methods for gingival bleeding control, such as, direct pressure, electrocoagulation, direct suture, drainage, application of hemostatic agents and crushing and packing. If the active continuous gingival bleeding is not stopped in spite of the application of all conventional bleeding control methods, the life of patient is threatened owing to upper airway obstruction, syncope, vomiting and hypovolemic shock. Therefore, the rapid and correct hemostatic method is very important in the emergency dental care. This is a case report of active gingival bleeding care via dental crown removal and emergency primary endodontic drainage as a last method in liver cirrhosis patient with advanced periodontitis.

• 한국지진공학회:학술대회논문집
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• 한국지진공학회 2000년도 춘계 학술발표회 논문집 Proceedings of EESK Conference-Spring
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• pp.105-111
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• 2000

If a saturate sand is subjected to ground vibrations it tends to compact and decrease in volume. if drainage is unable to occur the tendency to decrease in volume results in an increase in pore water pressure and if the pore water pressure build up to the point at which it is equal to the overburden pressure the effective stress becomes zero the sand loses its strength completely. This phenomenon is called "Liquefaction" It is associated primarily but not exclusively with saturated cohesion soils. The attention and study on liquefaction have been growing since the earthquake in Niigita Japan in 1964. Many researchers on liquefaction effect have been carried out in many countries under the potential influence of earthquake including Japan. However little research on liquefaction has been reported in Korea because Korea has been considered to be safe from earthquake. The term "liquefaction" is only known among geotechnical engineers,. In this paper overview of liquefaction and the evaluation on the applicability of vibrated crushed-stone pile as a liquefaction prevention method are presented.ethod are presented.

• 한국도로학회논문집
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• 제12권1호
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• pp.1-8
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• 2010

국토의 70% 이상이 산악지인 우리나라 지형적 특성 때문에 도로가 산지을 인접해서 건설되는 것이 불가피하다. 최근 들어 온난화등의 영향으로 태풍이나 집중호우가 빈번히 발생하고 있으며 이로 인한 산지 도로의 산사태, 토석류, 상향짐투수압 등에 의한 인명, 시설물 피해도 극심하게 나타나고 있다. 본 연구에서는 이러한 산지 도로의 피해 중 상향침투수압에 의해 발생하는 포장의 틀림 현상에 대하여 고찰하였다. 산지도로 주변의 다양한 특성을 고려하기 위하여 상향침투수압에 의해 포장파손이 발생한 지역특성에 대하여 사명의 경사각, 산지표면의 보가유무, 산지 경사면 토사층의 두께, 지중 배수관의 설치 유무에 따라 상향침투수압을 산정하였다. 분석결과 상향침투수압은 현재 일반적으로 사용되고 있는 쇄석기층 위의 아스팔트포장 및 표면배수형식조건에서 5~10kPa 범위에서 발생하며, 사면경사각이 커짐에 따라 상향침투수압도 비례하여 커지는 것을 확인하였고, 사면의 표면을 보강 처리하지 않았을 경우의 상향침투수압은 작게 나타났다. 산지 경사면의 토사층의 두께는 지하수위가 산지표면까지 상승한 조건에서는 상향침투수압에 큰 영향은 없었으나, 지하수위가 산지표면까지 상승하는 것은 강우지속시간에 따라서 영향을 받는 점을 고려하면, 지중배수관의 설치는 도로 표층에 가해지는 상향침두수압을 효율적으로 감소시킬 수 있음을 확인하였다. 기층형식에 따른 상향침투수압에 대한 저항성 측면에서는 비 부착성인 쇄석기층보다 부착성인 안정처리기층이 자중이 증가하여 포장의 틀림 현상을 방지하는데 유리하다고 판단되지만 안정처리기층만으로는 상향침투수압에 견딜 수 없으므로 지중배수관 및 사면배수공법을 적용하여 사용하는 것이 바람직하다고 판단된다.