• 한국지반공학회논문집
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• 제39권9호
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• pp.35-50
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• 2023

본 논문은 흙막이 가시설의 내진설계 가이드라인을 작성하기 위한 기초 연구로서, 국내외에서 적용되고 있는 내진설계 기준과 등가정적해석을 위한 동적토압 산정 방법에 대해 문헌연구를 수행하였다. 그리고 2차원 유한차분해석 프로그램인 FLAC 2D를 이용하여 Semirigid pressure 방법, Wood 방법, Mononobe-Okabe 방법에 따라 등가정적해석을 수행하고, 벽체의 모멘트와 지보재 축력에 대한 해석 결과를 동해석 결과와 비교하여 등가정적해석의 적용성을 평가하였다. Semirigid 방법은 0.4%H 이하의 수평 변위가 발생하는 Stiff wall의 모멘트를 가장 합리적으로 예측하였다. 지보재의 축력은 구조물과 흙 사이의 동적인 상호작용을 고려할 수 없어 정확하게 예측하는 것이 어려웠으나, 안전측으로 보수적인 설계를 위한 예비검토에 활용할 수 있을 것으로 판단된다.

• Journal of Chest Surgery
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• 제23권5호
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• pp.1021-1026
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• 1990

The patients with tracheal stenosis have become more increasing in recent due to the increased use of tracheostomy and assisted ventilation Anesthetic management during tracheal reconstruction is a concern to the anesthetist and the surgeon, who must share the airway as a operation field and at the same time provide good gas exchange. Multiple technique such as the tube ventilation system or C \ulcornerP bypass method have been recommended to achieve this goals. However, these methods have disadvantages of poor surgical exposure and hemorrhagic complication from using C \ulcornerP bypass The technique for HFJV was first described for bronchoscopy, and it involves positive-pressure breathing with high flow[40 \ulcorner60L/min] of oxygen This flow is directed to a semirigid catheter inserted in the endotracheal tube and the tracheal reconstruction can be done without interruption. From Dec. 1986 to July 1990 we have experienced 6 patients of tracheal stenosis necessitating circumferential resection and end to end anastomosis; 5 patients with tracheal stenosis following cuffed tracheostomy or intubation, a patient with tracheal stenosis due to invasive thyroid cancer. The specific advantages during tracheal reconstruction are unobstructed field during surgical reconstruction and good gas exchange through the procedure.

• Clinical Pain
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• 제19권2호
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• pp.70-79
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• 2020

Objective: We evaluated the efficacy of a newly-developed spinal orthoses (V-LSO) by comparing the stabilizing effect, abdominal pressure, and comfort of 3 different semirigid LSOs (classic LSO, V-LSO, and Cybertech^®) during various body movements. Method: Thirty healthy volunteers (23~47 years, 24 males, 6 females) were selected. A dual inclinometer measured the range of motion (ROM) while the participants performed flexion/extension and lateral flexion of the lumbar spine with 3 LSOs. The LSO's pressure on the abdominal surface was measured using 9 pressure sensors while lying, sitting, standing, flexion/extension, lateral flexion, axial rotation, and lifting a box. Comfort and subjective immobilization were analyzed by a questionnaire. Results: V-LSO had a statistically significant effect on flexion over Cybertech^®. No significant differences were noted during extension and lateral flexion between the 3 LSOs. The abdominal pressure showed no significant differences while supine. While sitting, standing, and lifting a box, the mean abdominal pressure for V-LSO were significantly higher than those for Cybertech^®. During lumbar flexion, the mean abdominal pressures for classic LSO and V-LSO were significantly higher than that of Cybertech^®. For extension, lateral flexion and axial rotation, the abdominal pressure for V-LSO was significantly higher than those of classic LSO and Cybertech^®. In the subjective analysis, V-LSO and Cybertech^® scored best for comfort. Conclusion: The V-LSO and Cybertech^® were more comfortable than the classic LSO, and hence, may have improved compliance with decreased discomfort. V-LSO may be superior to the other LSOs in restricting lumbar movement and increasing intraabdominal pressure.