• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.3
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• pp.31-41
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• 2016

Damage to structures, such as bridge piers, are increasing rapidly due to the debris moving along rivers at the time of flooding. Therefore, the debris fin, debris deflector and debris sweeper, which are debris reduction systems, were produced in this study and an accumulation experiment was carried out on the experimental channel according to the existence of the reduction system. The debris fin is the reduction system that creates parallel flow on debris accumulated on the bridge to pass through the bridge, which was produced using wood. In addition, the debris deflector was produced using steel pipes and it has the type of detouring the direction of debris. The debris sweeper passes the debris using the magnetic force rotation of a screw-shaped cylindrical structure by water flow and it was produced using acrylic material. The experiment was carried out by analyzing the level of accumulation according to the hardness and dropping method of the debris and comparing the accumulation rate of reduction systems, and the experiment was carried out 5 times. According to the experimental results, there was a difference in the accumulation rate according to the type of reduction system and the shape of debris, and it often depended significantly on the initial shape of debris accumulation. The direct debris reduction effect on the bridge was higher in the order of the debris deflector, debris sweeper and debris fin, but in case of the debris deflector, damage, such as stream turbulence, changes in water level and river bed, and the loss of deflector can occur due to debris accumulated directly on the debris deflector. Therefore, it is necessary to design the debris deflector considering these issues.

• Archives of Plastic Surgery
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• v.38 no.6
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• pp.851-860
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• 2011

Purpose: Reduction by simply assembling bones is recognized as treatment for a zygoma fracture. However, in patients who originally had a protruding zygoma, the fractured parts look like malarplasty after the edema subsides, giving a soft impression which patients notice. Thus, we created symmetry through simultaneous contralateral malar reduction in a unilateral zygoma fracture. Methods: In this study, the patients who had surgery between July, 2008 and December, 2009 with admission were object. In 76 patients with a zygoma fracture, the patients with bilateral zygoma fractures were excluded. Among 48 patients who had a reduction only after a unilateral zygoma fracture, the patients hoping for a reduction of their rough protruding zygoma were analyzed with front cephalometry. The study progressed on 22 patients who had simultaneous contralateral malar reduction in a unilateral zygoma fracture with consent. After fixing the fracture, we did a straight zygoma osteotomy through a 1.5 cm intraoral incision. After that, we created symmetry with a special ruler and fixed the broken zygomatic arch with a screw and plate. We evaluated the facial index and satisfaction with a statistical analysis before and after the surgery. Results: In 22 patients, there was no reoperation except for 1 patient who had a zygoma fracture. None of the patients were treated for infection or hematoma. Two patients complained of paresthesia after the malar reduction operation, but this subsided in 4 months. Most of them were satisfied with the malar reduction, especially the women, and we obtained a better mid facial contour with decreased facial width ($p$ <0.05). Conclusion: Existing zygoma fracture surgery focuses on anatomical reduction. However, we need to have a cosmetic viewpoint in fractures as interests of face contour arise. Thus, contralateral malar reduction got a 4.7 (range 0~5) from patients who had malar reduction surgery in our hospital. Although adjusting to all zygoma fractures has limitations, it can be a new method in zygoma fractures when there are limited indications of protruding zygoma and careful attention is given to patients' high demands.

• Archives of Plastic Surgery
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• v.36 no.3
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• pp.318-321
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• 2009

Purpose: The bony mallet finger injury is generally managed by conservative treatments, but operative treatments are needed especially when the fractures involve above 30% of articular surface or distal phalanx is accompanied by subluxation in the volar side. This is the reason they often result in chronic instability, articular subluxation and unsatisfactory cosmetic. In this report, We describe new method using the hook plate as an operative treatment of Mallet finger deformity. Methods: Among 13 patients with Mallet finger deformity who came from February 2006 to February 2008, six patient were included in surgical indication. Under local anesthesia, H or Y type incision was made at the DIP joint area. After the DIP joint extension, the hook plate was put on the fracture line, and one self tapping screw was used for fixation. 2 hole plate which was one of the holes in 1.5 mm diameter was cut in almost half and bended through approximately $100^{\circ}$. Results: In all six cases which applied the hook plate, complications such as loss of reduction or nail deformity were not seen. In only one patient, hook pate was removed due to inflammatory reaction after surgery. At 2 weeks after operation, active motion of DIP joint was performed. The result was satisfactory not only cosmetically but also functionally. At 6 weeks after operation, the range of motion of DIP joint was average $64^{\circ}$. Conclusion: The purpose of the operative treatment for mallet finger deformity using the hook plate is to provide anatomical reduction with rigid fixation and to prevent contracture at the DIP joint. While other operations take 6 weeks, the operation using the hook plate begins an active motion at 2 weeks after operation. Complication rate was low and the method is rather simple. Thus, the operation using the hook plate is recommended as a good alternative method of the mallet finger deformity treatment.

• 한국방재학회:학술대회논문집
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• 2011.02a
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• pp.101-101
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• 2011

현재 국내에서 시행되고 있는 '4대강 살리기 사업'은 하천에서 발생하는 홍수 및 가뭄재해방지를 위한 다양한 공학적 노력을 시도하고 있다. 특히 안정적인 수위 및 유량확보와 홍수방지를 위한 보(weir)가 4대강 유역에 16개 설치되고 있다. 이러한 보 구간에는 고정보와 가동보가 복합적으로 설치되고 있으며 가동보는 그 형상과 운영방식에 따라 다양한 설계방안이 적용되었다. '4대강 살리기 사업' 중 낙동강 23공구의 강정보 공사 구간에는 원호형태의 측면 형상을 갖는 라이징 섹터게이트(Rising sector gate)가 적용되었다. 라이징 섹터게이트는 구조물의 높이가 낮고 수문의 개폐장치가 수문피어 구조물 내에 설치되어 경관이 우수하며, 구조가 간단하여 비체와 수류의 안정성이 뛰어나기 때문에 4개의 공사구간에 적용되었다. 따라서 본 연구에서는 강정보의 가동보 구간 2문 중 1문을 1/100 축척으로 제작하여 가변경사 개수로에 설치하고, 홍수 빈도별 상류 유량 조건과 하류단 수위조건으로 케이스를 정하여 실험을 수행하였다. 본 실험에서 사용한 개수로 장치는 너비 0.6 m, 높이 0.8 m, 그리고 길이 15.0 m(측정가능 구간, 헤드탱크와 테일게이트 부제외)의 개수로 실험장치이다. 측부는 모두 강화유리로 되어 육안관찰 및 계측 시 용이하게 제작되었으며, 순환식 유량 공급장치를 구축하여 수로의 하부에 설치된 유량탱크로부터 계속적으로 순환하도록 설계되었다. 또한 수로 하단으로부터 상단방향으로 약 33 m 지점에 전동 유압식 Jack screw 2기가 설치되어 경사도를 조절할 수 있도록 제작되었다. 유량조절용 판넬의 제어기판에는 디지털 경사계가 설치되어 있기 때문에 보다 정확한 경사도의 조절이 가능하다. 보 모형의 총연장은 53 cm이며 폭은 45 cm이다. 섹터게이트의 게이트부분은 직경 15 cm로 설계하였다. 문주부분을 포함한 모든 모형은 아크릴로 제작하며 레이저의 주사를 방해하지 않으며 투과율을 최대로 할 수 있도록 고강도의 아크릴을 가장 얇게 하여 중공형태를 채택하였다. 실험조건은 우선 보의 운영방안에 따라 게이트의 4가지 개방도를 설정하였고, 특히 평수위조건에서는 보의 상류부에 퇴적된 퇴적물의 세척을 위한 flushing 운영개방도 포함되어 있다. 홍수시에 대한 유량조건은 2년 빈도에 해당하는 유량을 수문의 비율과 상사법칙에 따라 설정하였으며 하류단 수위조건도 동일한 조건에 대한 값을 채택하여 적용하였다. 유동장의 해석을 위해서는 비접촉식 계측방법인 PIV(Particle Image Velocimetry) 시스템을 채택하여 2차원(x-z 방향) laser sheet를 생성하고 주입된 particle에서 반사된 변위(displacement) 정보를 상호상관(cross-correlation)기법으로 유동장을 계산하였다. 또한 수리모형과 동일한 지형격자를 구축하여 3차원 CFD 프로그램인 FLOW-3D로 계산하여 결과를 비교하였다. 특히 flushing 운영방안에 대한 게이트부의 개방도를 세가지(30, 45, $60^{\circ}$)로 구분하여 모의하였고, 적절한 개방도를 제안하고자 하였다. 실험결과는 우선 4가지 운영방안에 대한 가동보 주변에서의 유속장을 파악하였고, 최대유속의 발생위치의 변화를 확인할 수 있었다. 그리고 이에 따른 보의 바닥에서 최대유속이 발생할 경우, 하상보호공 위치와 거리 등에 대해서 분석하였다. 이를 통해 가동보 운영에 따른 다양한 유속구조를 파악할 수 있게 되며 구조적 안정성 확보를 위한 검증자료로 활용될 수 있을 것으로 예상된다. 향후, 가동보 운영방안 중 수세효과(flushing effect)에 대한 효과분석을 위해 게이트부 상류구간에 적절한 입경과 비중의 퇴적물질을 설치하는 연구와 상류부에서의 유입유사농도 및 시간변화에 따른 퇴적에 관한 연구를 수행할 계획이다.

• Clinics in Shoulder and Elbow
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• v.9 no.2
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• pp.169-175
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• 2006

Purpose: The purpose of this study was to evaluate the usefullness of polarus nailing in the treatment of proximal humerus fractures including 2 part, 3 part and proximal comminuted fractures. Materials and methods: Fifteen cases of proximal humerus fracture treated with Polarus nailing from March, 2002 to March, 2004 were selected. Man was 3 cases, and woman was 11 cases. There were one case of follow up loss due to decease. Average age was 60 years old (range, 23 to 84), and there were 6 cases of 2 part fracture, 3 cases of proximal segmental fracture, 5 cases of 3 part fracture. We analyzed the outcom results between 2 part fracture and 3 part fracture. The average follow up period after the operation was 1.5(range, 1 to 2) years. Range of motion (ROM), pain and functional outcome were evaluated by visual analogue scale(VAS) and american shoulder and elbow surgery (ASES) activity of daily living (ADL) functional scoring system. Results: All cases showed union on radiologic evaluation, with 2.3 months follow up. In 5 cases of 3 part fracture, average union time was 1.9 months regardless of proximal screw loosening in 4 cases. In 2 part fracture union time was 2.2 months (P>0.05). VAS pain score was 1.3, ROM was $160^{\circ}$ in forward flexion, $40^{\circ}$ in external rotation, L3 level in internal rotation, and ASES, ADL functional score was 21 in 2 part fracture. VAS pain score was 1.25, ROM was $160^{\circ}$, $43^{\circ}$ and L1 level, and ASES, ADL functional score was 21 in 3 part fracture. There were no statistically significant difference between two groups (P>0.05) VAS pain score was 1.6, ROM was $170^{\circ}$, $47^{\circ}$ and L3 level, and ASES, ADL functional score was 23 in proximal comminuted fracture. Conclusion: Polarus nailing could be used as an effective modality in certain cases of proximal humeral fracture including 2 part, proximal segmental and in cases of 3 part fractures with large greater tuberosity fragment.

• Journal of Yeungnam Medical Science
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• v.30 no.2
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• pp.116-119
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• 2013

A burnt-out prostate cancer tumor is a very rare clinical entity. The term 'burnt-out' refers to a primary tumor that has spontaneously and nearly completely regressed without treatment. Since metastasis of prostate cancer is usually encountered in the presence of advanced disease, distant metastasis with an undetectable primary tumor is very rare. We report herein a case of a burnt-out prostate cancer tumor that metastasized to the thoracic (T) spine and caused cord compression. A 66-year-old man visited the Emergency Department due to weakness of both legs for the past two days. His blood and urine tests were normal at the time. His spine magnetic resonance imaging (MRI) scans looked like bone metastasis that involved the T-7 vertebral body and a posterior element, and caused spinal cord compression. Other images, including from the brain MRI, neck/chest/abdomino-pelvic computed tomography (CT) scan and 18F-fluorodeoxyglucose (FDG)-positron emission tomography (PET) and endoscopy, revealed no lesions that suggested malignancy. After total corpectomy T-7 and screw fixation/fusion at T5 to T10, the pathology report revealed a metastatic carcinoma that was strongly positive for prostate-specific antigen (PSA). The serum PSA value was 1.5 ng/mL. The transrectal 12-core prostate biopsy and ultrasonography showed no definitive hypoechoic lesion, but one specimen had slight (only 1%) adenocarcinoma with a Gleason score of 6 (3+3). The final diagnosis was burned-out prostate cancer with an initial normal PSA value. Although metastatic disease with an unknown primary origin was confirmed, a more aggressive approach in seeking the primary origin could provide a more specific treatment strategy and greater clinical benefit to patients.

• Journal of Biomedical Engineering Research
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• v.38 no.1
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• pp.9-15
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• 2017

Recently, flexible cages have been introduced in an attempt to absorb and reduce the abnormal load transfer along the anterior parts of the spine. They are designed to be used with the pedicle screw systems to allow some mobility at the index level while containing ROM at the adjacent level. In this study, a finite element (FE) study was performed to assess biomechanical efficacies of the flexible cage when combined with pedicle screws with flexible rods. The post-operated models were constructed by modifying the L4-5 of a previously-validated 3-D FE model of the intact lumbar spine (L2-S1): (1) Type 1, flexible cage only; (2) Type 2, pedicle screws with flexible rods; (3) Type 3, interbody fusion cage plus pedicle screws with rigid rods; (4) Type 4, interbody fusion cage plus Type 2; (5) Type 5, Type 1 plus Type 2. Flexion/extension of 10 Nm with a compressive follower load of 400N was applied. As compared to the Type 3 (62~65%) and Type 4 (59~62%), Type 5 (53~55%) was able to limit the motion at the operated level effectively, despite moderate reduction at the adjacent level. It was also able to shift the load back to the anterior portions of the spine thus relieving excessively high posterior load transfer and to reduce stress on the endplate by absorbing the load with its flexible shape design features. The likelihood of component failure of flexble cage remained less than 30% regardless of loading conditions when combined with pedicle screws with flexible rods. Our study demonstrated that flexible cages when combined with posterior dynamic system may help reduce subsidence of cage and degeneration process at the adjacent levels while effectively providing stability at the operated level.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.7
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• pp.3165-3174
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• 2012

Recently the increasingly common large refrigerator is the side by side(SBS) refrigerator whose freezing chamber and refrigerating chamber are set side by side. But one of the biggest dissatisfaction of customers about SBS refrigerator is that the two doors don't meet the same height when they are closed. It is called door height difference(DHD). The main cause of DHD is the unevenness of floor on which a refrigerator is placed or the cabinet deformation caused by long time use. When the DHD is confirmed, the customer or maintenance personnel use wrench to adjust the support screw to make the refrigerator to reach the horizontal position. But for big refrigerator, it is not only difficult for women and old people who don't have enough force to adjust it, but also inappropriate to require customers to do this job. In order to resolve this problem, this research proposes a new mechanism which can detect the DHD and adjust two doors to the same height automatically. The adjustment would be completed during opening and closing the doors, avoid needing hard operation with wrench by hand.

• Journal of Korean Tunnelling and Underground Space Association
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• v.16 no.2
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• pp.193-201
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• 2014

This paper presents the development of simulation system on EPB shield TBM Hood operation. In recent, EPB shield TBM is widely used in the tunnel construction. Since the hood system of the EPB shield TBM is most important to excavate the tunnel, it is necessary to perform the simulation of hood system to investigate the design and operation parameters prior to tunnel construction. In order to carry out this study, the scaled simulation system was designed and developed. The model tests were performed to verify the developed system. During the simulation, the earth pressures developed in the chamber during tunnelling were measured to evaluate the operation technique. The test results obtained by the developed simulation system show clearly the similar behaviour of TBM hood compared with the field data. It was also found that the ground loss during tunnelling is dependent on the change of earth pressure in chamber. Therefore, the simulation system developed in this study will be very useful to evaluate the operation technique of the TBM hood prior to tunnel construction. In addition, this system will be applied in a various condition of ground to get the operating information.

• Journal of Korean Tunnelling and Underground Space Association
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• v.22 no.1
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• pp.91-105
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• 2020

This study is the basic study for improving the range of influence and potency of mixing bars in the chamber of Shield TBM. Currently, there are many studies on disk cutters, cutter bits and segments in the study of the domestic Shield TBM. However, studies that mix soil and rocks that come from the membrane during the Shield TBM excavation and scatter them with screw conveyors are not as good as those abroad. In this study, the existing Shield TBM Chamber was manufactured as a miniature and the experiment. Inside the chamber, different sizes (4 mm, 6 mm, 8 mm, 10 mm) and colors (black, white, red, and blue) were used to form layers. This experiment was carried out by different shapes and sizes of RPM and mixing bars. In addition, the difference between a miniature model and a reclining one was checked to determine the effect of the direction of gravity on the mixing efficiency. This was done in the same way for all other conditions other than differences in the direction of gravity. Through this experiment, we identified the orientation of the chamber model, the size and shape of the mixing bar inside, and the mixing effect and torque depending on RPM. A comparative review of the mixing effect and torque confirmed that the shape and size of the mixing bar affect the mixing of samples, and that the direction of gravity affects torque.