• Archives of Plastic Surgery
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• v.49 no.3
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• pp.369-372
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• 2022

Reduction mammaplasty is the gold standard treatment for gigantomastia. We report one female patient with juvenile gigantomastia associated with severe pulmonary hypertension where her pulmonary pressure decreased significantly after the surgery, improving her quality of life. A 22-year-old female patient with gigantomastia since 10 years old, tricuspid regurgitation, and pulmonary thromboembolism antecedent was admitted to the emergency department. Her oxygen saturation was 89%. Acute heart failure management was initiated. An echocardiogram reported left ventricle ejection fraction (LVEF) of 70% with severe right heart dilation, contractile dysfunction, and arterial pulmonary pressure (PASP) of 110 mm Hg. A multidisciplinary team considered gigantomastia could generate a restrictive pattern, so a Thorek reduction mammoplasty with Wise pattern was performed. Presurgical measurements were: sternal notch to nipple-areola complex, right 59 cm, left 56 cm. Three days after surgery, the patient could breathe without oxygen support. In the outpatient follow-up, patient referred reduction of her respiratory symptoms and marked improvement in her quality of life. Six months after surgery, a control echocardiogram showed a LVEF of 62% and PASP of 85 mm Hg. Pulmonary hypertension may be present in patients with gigantomastia. Reduction mammoplasty may be a feasible alternative to improve the cardiac signs and symptoms in patients with medical refractory management.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.26 no.5
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• pp.896-903
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• 2002

The susceptibility of SCC for the weldment and PWHT specimens of HT-60 steel was evaluated using a slow strain rate method under applied potential by means of the potentiostat in synthetic seawater. In case of the parent, anodic polarization voltage was inappropriate in elongating the time to failure(TTF). -0.8V corresponding to cathodic protection range is most effective in improving the SCC resistance against corrosive environment. In case of the weldment, the values of reduction of area(ROA) and TTF at -0.68V corresponding to cathodic polarization value were 45.2% and 715,809sec which were the largest and longest life among other applied potentials. Those were vise versa at -1.1V. In case of the PWHT specimens, TTF and ROA at -0.68V was longest and largest like the weldment. Besides, PWHT is effective in prolonging the time to failure of the welded off-shore structure due to softening of effect. Regardless of the weldment and PWHT specimen, as corrosion rate gets higher, TTF becomes shorter and deformation behaviour for the weldment and PWHT specimen at -1.1V was shown to be irregular. Finally, it was found that specimens showed brittle fracture at -1.1V, but more ductile fracture accompanying the micro-cracks at applied potential of -0.68V.

• Journal of the Korean Geotechnical Society
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• v.19 no.4
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• pp.33-41
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• 2003

The large planar failure has occurred in a rock cut slope of highway construction site in Boeun. This area is considered to be unstable since the discontinuity, whose orientation is similar to the orientation of the failure plane, is observed in many areas. Therefore, several analysis techniques such as SMR, stereographic analysis, limit equilibrium, numerical analysis, which are commonly used in rock slope stability analysis, are adopted in this area. In order to analyze the stress redistribution and nonlinear displacement caused by cut, which are not able to be obtained in limit equilibrium method, DEM and shear strength reduction technique were used in this study. Then the factors of safety evaluated by shear strength reduction technique and limit equilibrium were compared. In addition, the factor of safety under fully saturated slope condition was calculated and subsequently, the effect of the reinforcement was evaluated.

• Journal of the Korean Geosynthetics Society
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• v.17 no.2
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• pp.9-18
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• 2018

In this study, a field model experiment was performed to analyze the bahavior of slope during failure. It was analyzed through x-MR control chart method with inverse displacement and K-value. As a result, the portent was confirmed at 4 minutes before slope failure in Case 1. The change of the control limit line according to moving range was analyzed and it was effective to apply K = 3. Use of the inverse displacement and x-MR control chart method will be useful for the prediction of abnormal behavior through quick and objective judgment. Prediction of slope failure using control chart method can be used as basic data of slope measurement management standard, and it can contribute in reduction of life and property damage caused by slope disaster.

• The Korea Journal of Herbology
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• v.20 no.3
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• pp.43-49
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• 2005

Objectives : The present study was carried out to determine if Glycyrrhizae Radix extract exerts beneficial effect against the ischemia-induced acute renal failure in rabbits. Glycyrrhizae Radix was known to reinforce the function of the spleen and replenish Qi, remove heat and counteract toxicity, dispel phlegm and relieve cough, alleviate spasmodic pain, and to moderate drug actions. It's indications are weakness of the spleen and the stomach marked by lassitude and weakness; cardiac palpitation and shortness of breath; cough with much phlegm: spasmodic pain in the epigastrium, abdomen and limbs: carbuncles and sores. It is often used for reducing the toxic or drastic actions of other drugs. Methods : Antioxidative effect of 3% concentration of Glycyrrhizae Radix extract was measured. Rabbits were treated with Glycyrrhizae Radix extract via i.v., followed by renal ischemia/reperfusion, and the changes of urine volume, serum creatinine levels, glomerular filtration rate(GFR), fractional Na+ excretion$(FE\;Na^+)\;and\;K^+\;excretion(FE\;K^+)$ in ischemia/reperfusion induced acute renal failure were measured. Results : Renal ischemia/reperfusion caused increase of serum creatinine level, which was accompanied by a reduction in glomerular filtration rate(GFR). The fractional excretion of $Na^+\;and\;K^+$ increased in ischemia-induced animals, which was partially prevented by Glycyrrhizae Radix extract treatment. Conclusions : These results indicate that lipid peroxidation plays a critical role in ischemia-induced acute renal failure. Glycyrrhizae Radix extract exerts the protective effect against acute renal failure induced by renal ischemia/reperfusion, and its effect may be attributed to an antioxidant action.

• Korean Journal of Construction Engineering and Management
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• v.19 no.3
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• pp.33-42
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• 2018

In the aftermath of an earthquake, seismic-damaged infrastructure systems loss estimation is the first step for the disaster response. However, lifeline systems' ability to supply service can be volatile by external factors such as disturbances of nearby facilities, and not by own physical issue. Thus, this research develops the bayesian model for probabilistic inference on common-cause and cascading failure of seismic-damaged lifeline systems. In addition, the authors present network robustness estimation metrics in the context of failure propagation. In order to quantify the functional loss and observe the effect of the mitigation plan, power and water supply system in Daegu-Gyeongbuk in South Korea is selected as case network. The simulation results show that reduction of cascading failure probability allows withstanding the external disruptions from a perspective of the robustness improvement. This research enhances the comprehensive understanding of how a single failure propagates to whole lifeline system performance and affected region after an earthquake.

• Journal of the Korean Geotechnical Society
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• v.25 no.10
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• pp.5-15
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• 2009

This paper presents the results of full-scale uplift load tests performed on 24 passive anchors grouted to various lengths at Okchun and Changnyong site. Rock anchors were installed over a wide range of rock types and qualities with a fixed anchored depth of 1~6 m. The majority of installations used D51 mm high grade steel rebar to induce rock failure prior to rod failure. However, a few installations included the use of D32 mm rebar at relatively deeper anchored depth so as to induce rod failure. In many tests, rock failure was reached and the ultimate loads were recorded along with observations of the shape and extent of the failure surface. In addition to field tests, laboratory pullout tests were conducted to determine bond strength and bond stress-shear slip relation at the tendon/grout interface when a corrosion protection sheath is installed in the cement-based grout. The test results show that the ultimate tendon-grout bond strength is measured from 18~25% of unconfined compressive strength of grout. One of the important results from these tests is that the measured strains along the corrosion protection sheath were so small that practically the reduction of bond strength by the presence of sheath would be negligible.

• Proceedings of the Korean Geotechical Society Conference
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• 2004.03b
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• pp.783-790
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• 2004

In this study, a newly modified soil nailing technology named as the PSN(pretensioned soil nailing) system, is developed to reduce both facing displacements and ground surface settlements in top-down excavation process as well as to increase the global stability. Up to now, the PSN system has been investigated mainly focusing on an establishment of the design procedure. In the present study, the analytical procedure and design technique are proposed to evaluate maximum pretension force and stability of the PSN system. Also proposed arc techniques to determine the required thickness of a shotcrete facing and to estimate probability of a failure against the punching shear. Based on the proposed procedure and technique, effects of the radius of a influence circle and dilatancy angle on the thickness of a shotcrete facing, bonded length and safety factors arc analyzed. In addition, effects of the reduction of deformations expected by pretensioning of the soil nails are examined in detail throughout an illustrative example and $FLAC^{2D}$ program analysis. And a numerical approach is further made to determine a postulated failure surface as well as a minimum safety factor of the proposed PSN system using the shear strength reduction technique with the $FLAC^{2D}$ program. Global minimum safety factors and local safety factors at various excavation stages computed in case of the PSN system arc analyzed throughout comparisons with the results expected in case of the general soil nailing system. The efficiency of the PSN system is also dealt with by analyzing the wall-facing deformations and the adjacent ground surface settlements.

• Journal of Aerospace System Engineering
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• v.12 no.2
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• pp.66-75
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• 2018

In this paper, a lightweight design of the spar cap of 2MW wind turbine blade was carried out using the ply reduction ratio (PRR) and CFRP with a trade-off study. The spar cap is one of the most critical factor in determining the mechanical performance of the blade. Tsai-Wu and Puck fracture theory were used to determine the fracture. As a result, the CFRP composite material could be lighter in terms of weight by about 30% than GFRP composite material under the same conditions. Based on the analytical results, we derive the optimal value of the laminate thickness of the composite material and present the structural performance improvement and the lightweight design result.

• Clinics in Shoulder and Elbow
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• v.27 no.1
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• pp.32-38
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• 2024

Background: Open reduction and internal fixation (ORIF) with a locking plate is a popular surgical treatment for proximal humeral fractures (PHF). This study aimed to assess the occurrence of complications in elderly patients with PHF treated surgically using ORIF with a locking plate and to investigate the potential differences between patients treated by shoulder surgeons and non-shoulder surgeons. Methods: A retrospective study was conducted using a single-center database to identify patients aged ≥70 years who underwent ORIF for PHF between January 1, 2011, and December 31, 2021. Data on the Neer classification, follow-up, occurrence of avascular necrosis of the humeral head, implant failure, and revision surgery were also collected. Statistical analyses were performed to calculate the overall frequency of complications according to the Neer classification. Results: The rates of implant failure, avascular osteonecrosis, and revision surgery were 15.7%, 4.8%, and 15.7%, respectively. Complications were more common in patients with Neer three- and four-part fractures. Although the difference between surgeries performed by shoulder surgeons and non-shoulder surgeons did not reach statistical significance, the rate of complications and the need for revision surgery were nearly two-fold higher in the latter group. Conclusions: PHF are highly prevalent in the elderly population. However, the ORIF surgical approach, as demonstrated in this study, is associated with a considerable rate of complications. Surgeries performed by non-shoulder surgeons had a higher rate of complications and a more frequent need for revision surgery. Future studies comparing surgical treatments and their respective complication rates are crucial to determine the optimal therapeutic options. Level of evidence: III.