• Journal of Chest Surgery
• /
• v.32 no.4
• /
• pp.399-403
• /
• 1999

Background: Funnel chest is one of the most common anomaly of chest wall, which is manifested by depression of sternum and costal cartilage. Popular operative methods were Ravitch operation and Wada operation. Material and Method: From 1983 to 1996, 21 cases of funnel chest were corrected surgically in the department of thoracic surgery, National Medical Center. Investigated age and sex distribution, combined anomaly,clinical symptom, degree of correction and complication, postoperative satisfaction. We used 2 different surgical methods, one was Wada & its variants(17 cases), the other was Ravitch and it variants(4 cases). Most of operative indications were cosmetic problems. Result: The pre-operative Welch index was 4.188, but this index decreased to 3.46 after the operations.(p=0.046) The degree of correction was higher in Wada & it variant operation than the modified Ravitch operation.(p=0.54) Their results were satisfactory in 20 patients, while unsatisfactory in 1 patient because of a k-wire fracture. There was no recurrence of chest wall depression or postoperative death during the OPD follow up period. Conclusion: We recommend Wada operation in symmetric and small degree of depressive chest wall deformity in preand post school age.

• Proceedings of the KSME Conference
• /
• 2007.05b
• /
• pp.2797-2802
• /
• 2007

It has been confirmed that implementation of the no-slip boundary conditions for the lattice-Boltzmann method play an important role in the overall accuracy of the numerical solutions as well as the stability of the solution procedure. We in this paper propose a new algorithm, i.e. the method of the dynamic boundary condition for no-slip boundary condition. The distribution functions on the wall along each of the links across the physical boundary are assumed to be composed of equilibrium and nonequilibrium parts which inherit the idea of Guo's extrapolation method. In the proposed algorithm, we apply a dynamic equation to reflect the computational slip velocity error occurred on the actual wall boundary to the correction; the calculated slip velocity error dynamically corrects the fictitious velocity on the wall nodes which are subsequently employed to the computation of equilibrium distribution functions on the wall nodes. Along with the dynamic selfcorrecting process, the calculation efficiently approaches the steady state. Numerical results show that the dynamic boundary method is featured with high accuracy and simplicity.

• KCI Concrete Journal
• /
• v.12 no.2
• /
• pp.73-84
• /
• 2000

A new form of construction utilizing structural steel as the boundary elements in ductile flexural concrete walls is proposed to solve the bar congestion problems in such a heavily reinforced region, while maintaining the ductility and energy absorption capacity comparable to their traditional form. Two wall specimens containing rectangular hollow structural sections (HSS) and channels at their ends respectively, and one companion standard reinforced concrete wall specimen with concentrated end reinforcement were constructed and tested under reversed cyclic loading to evaluate the construction process as well as the structural performance. Initially, all three specimens were chosen and detailed with some caution to have approximately the same flexural capacity without change of the original shape and dimension of a rectangular cross section correction. Analysis and comparison of test results indicated that the reversed cyclic responses of three walls showed similar hysteretic properties, but in those with steel boundaries, local buckling of the corresponding steel webs and flanges following significant yielding was a dominant factor to determine the hysteretic response. The monotonic and cyclic responses predicted based on a sectional approach was also presented and found to be in good agreement with measured results. Design recommendations considering local instability of the structural steel elements and the interaction between steel chords and a concrete web member in such a composite wall are presented.

• Water Engineering Research
• /
• v.2 no.3
• /
• pp.179-185
• /
• 2001

The time consuming and expensive nature of experimental research on scouring processes caused by flowing water makes it attractive to develop numerical tools for the predication of the interaction of the fluid flow and the movable bed. In this paper the numerical simulation of scour by a wall jet is presented. The flow is assumed to be two-dimensional, and the alluvium is cohesionless. The solution process, repeated at each time step, involves simulation of a turbulent wall jet flow, solution of the convection-diffusion of sand concentration, and prediction of the bed deformation. For simulation of the jet flow, the governing equations for momentum, mass balance and turbulent parameters are solved by the finite volume method. The SIMPLE scheme with momentum interpolation is used for pressure correction. The convection-diffusion equation is solved for sediment concentration. A boundary condition for concentration at the bed, which takes into account the effect of bed-load, is implemented. The time rate of deposition and scour at the bed is obtained by solving the continuity equation for sediment. The shape and position of the scour hole and deposition of the bed material downstream of the hole appear realistic.

• Archives of Craniofacial Surgery
• /
• v.21 no.6
• /
• pp.345-350
• /
• 2020

Background: This study evaluated the efficacy of the endoscopic medial orbital wall repair by comparing it with the conventional transcaruncular method. This surgical approach differs from the established endoscopic technique in that we push the mesh inside the orbit rather than placing it over the defect. Methods: We retrospectively reviewed 40 patients with isolated medial orbital blowout fractures who underwent medial orbital wall reconstruction. Twenty-six patients underwent endoscopic repair, and 14 patients underwent external repair. All patients had preoperative computed tomography scans taken to determine the defect size. Pre- and postoperative exophthalmometry, operation time, the existence of diplopia, and pain were evaluated and compared between the two methods. We present a case showing our procedure. Results: The operation time was significantly shorter in the endoscopic group (44.7 minutes vs. 73.9 minutes, p= 0.035). The preoperative defect size, enophthalmos correction rate, and pain did not significantly differ between the two groups. All patients with preoperative diplopia, eyeball movement limitation, or enophthalmos had their symptoms resolved, except for one patient who had preexisting strabismus. Conclusion: This study demonstrates that endoscopic medial orbital wall repair is not inferior to the transcaruncular method. The endoscopic approach seems to reduce the operation time, probably because the dissection process is shorter, and no wound repair is needed. Compared to the previous endoscopic method, our method is not complicated, and is more physiological. Larger scale studies should be performed for validation.

• Archives of Craniofacial Surgery
• /
• v.10 no.2
• /
• pp.81-85
• /
• 2009

Purpose: The inferior orbital wall is the most vulnerable to injury and inadequate reconstruction of inferior orbital fracture result in postoperative complications include enophthalmos, ocular dystopia and diplopia. Although the anatomical reconstruction of the inferior orbital wall is necessary to prevent these complications, the complexity of inferior orbital wall makes it difficult. We fabricated and remodeled the titanium micro-mesh plate for the anatomical reconstruction of inferior orbital wall. Methods: Twenty-nine patients with inferior orbital wall blow-out fracture were operated and twelve of them presented large extensive fracture. We intraoperatively fabricated and remodeled the Titanium-micro mesh to angulated lazy S shape similar to contralateral uninjured orbit. The preoperative and postoperative facial CT scan verified the 3-dimensional and anatomical reconstruction of the fractures. The mean follow-up was 19.7 months and postoperative complications was evaluated. Results: All cases showed the exact anatomical reconstruction, but there were minor complications in two cases. one patient had postoperative diplopia until 3months after surgery and the other patient had persistent enophthalmos (2 mm), but no further surgical correction was required. Conclusion: The comprehensive understanding of orbital convexity is the most important factor for anatomical reconstruction of inferior orbital fracture. We could prevent postoperative complications after inferior orbital wall reconstruction by intraoperative fabrication and anatomical remodeling of Titanium micro-mesh.

• Transactions of the Korean Society of Mechanical Engineers A
• /
• v.36 no.12
• /
• pp.1521-1528
• /
• 2012

The present paper provides the elastic stress intensity factors (SIFs) and the crack opening displacements (CODs) of a thick-walled pipe with a slanted axial through-wall crack. For estimating these elastic fracture mechanics parameters, systematic three-dimensional elastic finite element (FE) analyses were performed by considering geometric variables, i.e., thickness of pipe, reference crack length, and crack length ratio, affecting the SIFs and CODs. As for loading condition, the internal pressure was considered. Based on the FE results, the SIFs and CODs of slanted axial through-wall cracks in a thickwalled pipe along the crack front and the wall thickness were calculated. In particular, to calculate the SIFs of a thick-walled pipe with a slanted axial through-wall crack from those of a thick-walled pipe with an idealized axial through-wall crack, a slant correction factor representing the effect of the slant crack on the SIFs was proposed.

• Wind and Structures
• /
• v.12 no.6
• /
• pp.541-551
• /
• 2009

This paper explains how to correctly measure the drag coefficient of a circular cylinder in wind tunnels with large blockage ratios and for the sub-critical to the super-critical flow regimes. When dealing with large blockage ratios, the drag has to be corrected for wall constraints. Different formulations for correcting blockage effect are compared for each flow regime based on drag measurements of smooth circular cylinders performed in a wind tunnel for three different blockage ratios. None of the correction model known in the literature is valid for all the flow regimes. To optimize the correction and reduce the scatter of the results, different correction models should be combined depending on the flow regime. In the sub-critical regime, the best results are obtained using Allen and Vincenti's formula or Maskell's theory with ${\varepsilon}$=0.96. In the super-critical regime, one should prefer using Glauert's formula with G=0.6 or the model of Modi and El-Sherbiny. The change in the formulations appears at the flow transition with a variation of the wake pattern when passing from sub-critical to super-critical flow regimes. This parameter being not considered in the known blockage corrections, these theories are not valid for all the flow regimes.

• The Journal of Engineering Geology
• /
• v.18 no.2
• /
• pp.137-144
• /
• 2008

The stand-off errors due to the different separations between the sonde and the borehole wall were measured and analyzed in 4 physical borehole models located in Kangwon National University having different densities with cylindrical and half cylindrical PVC and/or acrylic casings. The analysis of the stand-off error data based on the "spine and ribs" technique suggests a well defined rib line for each model irrespectively of the types and thicknesses of the casing, and that the gradients of the ribs are proportional to the densities of the models. By using these characteristics successful density correction could be made for the plastic casings in NX sized boreholes.

• Journal of Chest Surgery
• /
• v.22 no.4
• /
• pp.655-660
• /
• 1989

The unroofed coronary sinus syndrome is a spectrum of cardiac anomalies in which part or all the common wall between the coronary sinus and the left atrium is absent. This defect is part of a developmental complex which includes absence of the coronary sinus and termination of a persistent left superior vena cava in the left atrium. Recognition of this complex is important so that interruption or diversion of the left superior vena cava may be done to prevent subsequent central nervous system complications. Surgical correction uses an intraatrial baffle to divert flow from the left superior vena cava to right atrium and to close the atrial septal defect. This report describes a 7 years old female patient in whom the left superior vena cava was identified preoperatively and the complex [unroofed coronary sinus syndrome, common atrium, mitral valve cleft] recognized at the time of operation. Surgical correction, following repair of cleft mitral valve, utilized a Dacron patch baffle to route the left caval blood to the right atrium and included closure of the atrial septal defect