• Journal of Trauma and Injury
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• v.26 no.3
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• pp.111-124
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• 2013

Purpose: We should prepare proper medical service for disaster control as South Korea is not free from terrorism and war, as we experienced through the two naval battles of the Yeonpyeong, one in 1999 and the other in 2002, the sinking of Cheonan in 2010, and the attack against the border island of Yeonpyeong in 2010. Moreover, North Korea's increasingly bellicose rhetoric and mounting military threats against the world demand instant action to address the issue. The aim of this article is to describe our experience with three patients with combat-related gunshot and explosive injuries to their extremities and to establish useful methods for the management of patients with combat-related injuries. Methods: Three personnel who had been injured by gunshot or explosion during either the second naval battle of the Yeonpyeong in 2002 or the attack against the border island of Yeonpyeong in 2010 were included in our retrospective analysis. There were one case of gunshot injury and two cases of explosive injuries to the extremities, and the injured regions were the left hand, the right foot, and the right humerus. In one case, the patient had accompanying abdominal injuries, and his vital signs were unstable. He recovered after early initial management and appropriate emergency surgery. Results: All patients underwent emergent surgical debridement and temporary fixation surgery in the same military hospital immediately after their evacuations from the combat area. After that, continuous administration of antibiotics and wound care were performed, and definite reconstructions were carried out in a delayed manner. In the two cases in which flap operations for soft tissue coverage were required, one operation was performed 5 weeks after the injury, and the other operation was performed 7 weeks after the injury. Definite procedures for osteosynthesis were performed at 3 months in all cases. Complete union and adequate functional recovery were achieved in all cases. Conclusion: The patient should be stabilized and any life-threatening injuries must first be evaluated and treated with damage control surgery. Staged treatment and strict adherence to traditional principles for open fractures are recommended for combat-related gunshot and explosive injuries to the extremities.

• Journal of Korean Orthopaedic Sports Medicine
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• v.3 no.2
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• pp.134-140
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• 2004

Purpose: The reconstructive surgery of the anterior oblique ligament has been recommended for patients with unstable carpometacarpal joints. We reviewed retrospectively the functional results of two patients who had been treated by6 using a harvested portion of the tendon of flexor carpi radialis as a substitute for the anterior oblique ligament. Materials and Methods: In two patients with a instability of the trapeziometacarpal joint because of a rupture of the anterior oblique ligament, reconstruction was carried out using a slip of the tendon of flexor carpi radialis and the patients had been followed up for two years. Results: The results after a follow-up of two years that both of them had significant relief from pain and symptoms. The mean grip strength recovered to 90$\%$ of the controlateral side. patients felt that they had subjective improvement and would have undergone the operation again. Conclusion: Increased awareness of this lesion can lead to an early and clear diagnosis, so that the patient may be advised adequately.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.8
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• pp.133-138
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• 2019

This study evaluated the tensile properties of SAPH440, a hot-rolled steel for automotive structural applications, based on GMAW lap welding, the welding current, the welding voltage, and the feed rate. Tensile tests were performed according to the joint parameters of the GMAW process, for which specimens were fabricated according to KS B ISO 9018 by lap welding. The bead appearance was observed in each condition, and the weldability was evaluated by the tensile test. Higher the welding current resulted in a deeper weld, but the tensile strength was not significantly different from when the parameter was fixed due to the fracture of the base material. When the current was higher than the voltage, as in the case of a welding current of 200 A and welding voltage of 17 V, a large amount of spatter is generated, the welding is unstable, and the welded part breaks. Higher the voltage resulted in the bead not causing defects in general, and it also affected the weldability. If the current and voltage were too low, the welding was not performed normally, and the tensile strength could not be measured. However, as the current increased, the increase of the voltage and the feed rate did not affect the tensile strength.

• Clinics in Shoulder and Elbow
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• v.16 no.1
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• pp.17-26
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• 2013

Purpose: A comparison of the radiographic and the clinical outcomes between two different surgical approaches-Deltoid splitting and Delto-pectoral interval-on the proximal humerus fractures treated by locking compressive plate (LCP), is done. Materials and Methods: Medical records and pre- and postoperative radiographs were reviewed retrospectively for 75 adult patients who underwent surgical fixations with locking compressive plates from May 2005 to December 2011. Patients were divided into two groups according to the surgical methods. Differences in the neck-shaft angle between immediate postoperative period and final follow-up were compared between the two groups. Differences in constant score and Korean shoulder score (KSS) between affected arms and contralateral arms at final follow-up were also compared. Results: The differences in the neck-shaft angle between immediate postoperative period and at final follow-up was 12.04 degrees on average in Deltoid splitting approach and 10.20 degrees in Delto-pectoral interval approach, which was not statistically significant. Differences in constant score/KSS between the affected arm and the contralateral arm were 13.78/22.74 points in deltoid-splitting approach on average and 19.41/31.13 points in Delto-pectoral interval approach, showing that deltoid-splitting approach is significantly superior. Conclusion: Deltoid-splitting approach showed better functional outcomes in the fracture reduction and internal fixation using LCP for the treatment of unstable proximal humerus fractures.

• Composites Research
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• v.15 no.4
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• pp.23-31
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• 2002

The two dimensional size effect of specimen gauge section ($length{\;}{\times}{\;}width$) was investigated on the compressive behavior of a T300/924 $\textrm{[}45/-45/0/90\textrm{]}_{3s}$, carbon fiber-epoxy laminate. A modified ICSTM compression test fixture was used together with an anti-buckling device to test 3mm thick specimens with a $30mm{\;}{\times}{\;}30mm,{\;}50mm{\;}{\times}{\;}50mm,{\;}70mm{\;}{\times}{\;}70mm{\;}and{\;}90mm{\;}{\times}{\;}90mm$ gauge length by width section. In all cases failure was sudden and occurred mainly within the gauge length. Post failure examination suggests that $0^{\circ}$ fiber microbuckling is the critical damage mechanism that causes final failure. This is the matrix dominated failure mode and its triggering depends very much on initial fiber waviness. It is suggested that manufacturing process and quality may play a significant role in determining the compressive strength. When the anti-buckling device was used on specimens, it was showed that the compressive strength with the device was slightly greater than that without the device due to surface friction between the specimen and the device by pretoque in bolts of the device. In the analysis result on influence of the anti-buckling device using the finite element method, it was found that the compressive strength with the anti-buckling device by loaded bolts was about 7% higher than actual compressive strength. Additionally, compressive tests on specimen with an open hole were performed. The local stress concentration arising from the hole dominates the strength of the laminate rather than the stresses in the bulk of the material. It is observed that the remote failure stress decreases with increasing hole size and specimen width but is generally well above the value one might predict from the elastic stress concentration factor. This suggests that the material is not ideally brittle and some stress relief occurs around the hole. X-ray radiography reveals that damage in the form of fiber microbuckling and delamination initiates at the edge of the hole at approximately 80% of the failure load and extends stably under increasing load before becoming unstable at a critical length of 2-3mm (depends on specimen geometry). This damage growth and failure are analysed by a linear cohesive zone model. Using the independently measured laminate parameters of unnotched compressive strength and in-plane fracture toughness the model predicts successfully the notched strength as a function of hole size and width.

• Journal of Conservation Science
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• v.33 no.6
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• pp.399-416
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• 2017

The 'Wat Phou and Associated Ancient Settlements within the Champasak Cultural Landscape' of Laos was designated as a UNESCO World Cultural Heritage in 2001. The uppermost structure of the Sanctuary in Wat Phou has been destroyed and being variably damaged, maintenance is required through scientific and systematic diagnosis. The Sanctuary of Wat Phou was constructed mainly using sandstones and bricks. There are physical damages including fracture, break out, exfoliation and interval as well as biological damages by lichen, mosses and weeds. According to the ultrasonic velocity measurement and property evaluation of the sandstones of the Sanctuary in Wat Phou, weathering index of the eastern side sandstones is 0.10 to 0.74 (mean 0.36), showing MW grade. Southern and northern side sandstones have relatively higher properties with average weathering indices of 0.30 and 0.32. The results of slope analysis of the Sanctuary, indicated that the 4th spot in the southern side has the largest slope of $5^{\circ}W$, seemingly due to the unstable ground around the Sanctuary. Based on the relative level measurement and past drawings, the Sanctuary is verified to have been located on ground with a certain slope rather than flatland. The ground of the southern side is inclined $1.51^{\circ}$ more than that of the northern side, which will affect the structural stability of the temple. The interval width of the selected southern spot is the largest with an average width of 159.5 mm, and the largest width is 328.3 mm at the top, since the width increases above rather than below, seemingly due to the unequal subsidence of the ground. Constant maintenance for conservation is required for the structural stability of the Sanctuary in Wat Phou, which was partly collapsed and has also suffered physical damage.