• Journal of Chest Surgery
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• v.23 no.3
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• pp.572-576
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• 1990

A complete transection of left main bronchus was repaired by end to end anastomosis 5 months after the chest trauma in the Yeungnam University Hospital. The patient was a 36 years old male who had been injured bluntly by a heavy package on the left chest. The initial symptoms and signs were dyspnea, chest pain and subcutaneous emphysema on the left neck, but on admission at our hospital his chief complaint was only mild left chest discomfort. The preoperative chest X-ray findings 5 months after the trauma revealed total collapse of the left lung, deviation of trachea to the left, elevation of left diaphragm, abrupt discontinuation in the course of an air-filled left main bronchus and bronchoscopy showed that the left main bronchus was completely occluded, without any signs of inflammation, approximately 4 cm from the carina. The operation was performed through standard posterolateral thoracotomy incision at the fifth intercostal space. There was not any suppuration within the transected lung but plenty of white mucus which was removed by forceful suction. The transected bronchial edges were debrided and anastomosed primarily by end to end with interrupted nonabsorbable sutures. The suture line was reinforced with a pleural flap. The postoperative course was uneventful and pulmonary function following operation improved progressively and proved the delayed repair to have a reasonable decision.

• Coupled systems mechanics
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• v.8 no.3
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• pp.273-287
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• 2019

Elastoplastic analysis of an annular disc, being fully constrained on its outer rim and interacting with a purely elastic inclusion perfectly bonded with its inner rim, is conducted to study its plastic deformation and residual stress under thermal cycles. The system is termed the composite disc. Quasi-static plane-strain deformation is assumed, and the von Mises yield criterion with or without the Ludwik hardening rule is adopted in our finite element calculations. Effects of multiple material properties simultaneously being temperature dependent on the plastic behavior of the composite disc are considered. Residual stress is analyzed from a complete loading and unloading cycle. Results are discussed for various inclusion radii. It is found that when temperature dependent material properties are considered, the maximum residual stress may be greater than the maximum stress inside the disc at the temperature-loaded state due to lower temperature having larger yield stress. Temperature independent material properties overestimate stresses inside materials, as well as the elastic irreversible temperature and plastic collapse temperature.

• Earthquakes and Structures
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• v.20 no.1
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• pp.97-107
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• 2021

A comprehensive study on seismic performance of wood frame building in hilly regions is presented. Specifically, seismic fragility assessment of a typical wood frame building at various locations of the northeast region of India are demonstrated. A three-dimensional simplified model of the wood frame building is developed with due consideration to nonlinear behaviour of shear walls under lateral loads. In doing so, a trilinear model having improved capability to capture the force-deformation behaviour of shear walls including the strength degradation at higher deformations is proposed. The improved capability of the proposed model to capture the force-deformation behaviour of shear wall is validated by comparing with the existing experimental results. The structural demand values are obtained from nonlinear time history analysis (NLTHA) of the three-dimensional wood frame model considering the effect of uncertainty due to record to record variation of ground motions and structural parameters as well. The ground motion bins necessary for NLTHA are prepared based on the identified hazard level from probabilistic seismic hazard analysis of the considered locations. The maximum likelihood estimates of the lognormal fragility parameters are obtained from the observed failure cases and the seismic fragilities corresponding to different locations are estimated accordingly. The results of the numerical study show that the wood frame constructions commonly found in the region are likely to suffer minor cracking or damage in the shear walls under the earthquake occurrence corresponding to the estimated seismic hazard level; however, poses negligible risk against complete collapse of such structures.

• International conference on construction engineering and project management
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• 2009.05a
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• pp.218-223
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• 2009

During the process of excavation for substructures of buildings, precise and constant measurements of retaining wall displacement is crucial for construction to be complete and safe. Currently an inclinometer is used to measure displacement around the perimeter of an excavation site. The existing inclinometer system requires an instrument to be placed inside pre-bored holes for each measurement with an typical interval of two weeks. This makes it difficult to obtain continuous displacement data, especially during a critical time such as rainy season in summer. Also, the existing inclinometer is placed at certain distance away from the retaining wall system itself. Thus, exact measurement of retaining wall movement is compromised because of the distance between the retaining wall and the inclinometer. This paper presents the development of wireless inclinometer system for the displacement measurement of retaining walls by being attached directly to the retaining wall. The result of the application of the developed systems are provided with advanced ubiquitous sensor network (USN) system features. The USN technique incorporated into the system enables users to monitor movement data from wherever possible and convenient such as construction manager's office on site or any other places connected through internet. The research work presented in this paper will provide a basis to save construction time and cost by preventing safe-related unexpected delay of construction due to the failure or collapse of retaining walls.

• Tuberculosis and Respiratory Diseases
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• v.86 no.4
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• pp.245-250
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• 2023

The healing process of tracheobronchial tuberculosis (TB) results in tracheobronchial fibrosis causing airway stenosis in 11% to 42% of patients. In Korea, where pulmonary TB is still prevalent, post-TB tracheobronchial stenosis (PTTS) is one of the main causes of benign airway stenosis causing progressive dyspnea, hypoxemia, and often life-threatening respiratory insufficiency. The development of rigid bronchoscopy replaced surgical management 30 years ago, and nowadays PTTS is mainly managed by bronchoscopic intervention in Korea. Similar to pulmonary TB, tracheobronchial TB is treated with combination of anti-TB medications. The indication of rigid bronchoscopy is more than American Thoracic Society (ATS) grade 3 dyspnea in PTTS patients. First, the narrowed airway is dilated by multiple techniques including ballooning, laser resection, and bougienation under general anesthesia. Then, most of the patients need silicone stenting to maintain the patency of dilated airway; 1.5 to 2 years after indwelling, the stent could be removed, this has shown a 70% success rate. Acute complications without mortality develop in less than 10% of patients. Subgroup analysis showed successful removal of the stent was significantly associated with male sex, young age, good baseline lung function and absence of complete one lobe collapse. In conclusion, rigid bronchoscopy could be applied to PTTS patients with acceptable efficacy and tolerable safety.

• The Journal of Korean Academy of Prosthodontics
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• v.60 no.4
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• pp.420-430
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• 2022

Open bite is accompanied by decrease in tooth contact and overbite, and causes collapse of occlusal plane, mastication difficulties, speech disorders, changes in appearance, and lower occlusal force than normal. Open bite caused by temporomandibular joint disorder in adults with complete occlusion must be corrected after removal or stabilization of the causative factors. Orthodontic treatment, occlusal adjustment, prosthetic treatment, and surgical treatment can be the option of occlusal correction. This report describes about estimating the cause of occlusion change in two patients who developed an open bite due to mandibular displacement in adults with complete occlusion and different treatment approaches accordingly. In one patient, satisfactory result was obtained in functional and esthetic aspects through occlusal adjustment after stabilization of the temporomandibular joint.

• Journal of Animal Science and Technology
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• v.59 no.3
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• pp.5.1-5.10
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• 2017

Background: Bovine respiratory disease (BRD) is one of the leading causes of economic losses in the beef and dairy industry. Reliable antemortem tools for diagnosing BRD would improve the efficacy of treatment and reduce costs. Here we examined whether the relatively simple technique of thoracoscopy can support BRD diagnosis under field conditions. We also compared various equipment set-ups in order to optimize the safety and efficacy of the procedure. A total of 24 thoracoscopic procedures were performed in 17 calves diagnosed with BRD and in 2 healthy control calves. Rigid and flexible endoscopes and industrial videoscopes were tested using various insertion approaches. The suitability of the technique was assessed in terms of duration, volume of air extracted, visualization score, and image quality. Safety was assessed in terms of rectal temperature, body weight, breaths/min, presence of fibrinogen, pain score, recovery time, intraoperative complications and risk of laceration or threatening collapse. Results: Insertion of a flexible endoscope via a right, dorso-caudal approach at the $5^{th}$ intercostal space allowed complete examination of the right lung in 15 min, as well as identification of main lung lesions and adherences in calves with BRD, without compromising calf welfare. While the dorso-caudal approach was optimal, it was associated with substantial discomfort when rigid endoscopes were used, minimal complications or mortality due to thoracoscopy were observed up to 28 days after the procedure. Videoscopes were as safe and easy to use as endoscopes, but endoscopes provided better image quality. Conclusion: This study provides the first field evidence that thoracoscopy can be safe to explore BRD-diseased calves. These results justify a larger study to rigorously assess the diagnostic performance of the technique.

• Proceedings of the Korean Institute Of Construction Engineering and Management
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• autumn
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• pp.262-265
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• 2003

We can agree that Quality Control in manufacturing industry have been improved successfully, but in construction industry, for example Sungsoo-Bridge broken out, Sampung Department store collapse, subway construction site explosion. and etc, it is difficult to be done. Because in manufacturing industry, they complete each other. If quality is not good. products aren't sold out. to sell more products they have to improve their products quality by themselves. However in construction industry they don't effort to improve quality if they get an order. Because if they get an order only completing their product is their job. There are engineering side, culturing side, and educational side to improve product quality. In this thesis I investigated evaluation system in construction industry. I am going to propose evaluation system by which they have effort to improve the quality even in construction industry.

• Archives of Reconstructive Microsurgery
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• v.2 no.1
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• pp.13-19
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• 1993

Although the etiology of $Kienb\"{o}ck's$ disease is clearly related to avascular changes in the lunate, but the actual cause leading to this vascular impairment has remained elusive. Therefore, a great many different surgical procedures have been proposed for the correction of the multiple factors leading to lunate collapse or for the treatment of the lunatomalacia. The treatment modalities includes lunate excision, intercarpal arthrodesis, lunate implant resection arthroplasty, joint levelling operation(e.g ulnar lengthening & radial shortening), pronater quadratus pedicle graft and vascular loop graft. In the period from Jan. 1981 to Dec. 1992, we performed operative treatment in 19 cases of $Kienb\"{o}ck's$ disease. Among them, 6 cases were treated with vascular loop graft. We analysed all patients who were treated with vascular loop graft after followed up of 4 year 6 months, on an average(range from 1 year to 8 year 10 months). The results analysed are as follows, 1. All cases were stage III according to Lichtman's classification. 2. Ulnar variance was -1.5(range$-2{\sim}0$), on an average. 3. The average age of patients were 37.7years old(range 31-41). 4. Postoperatively, there were considerable restoration of range of motion and complete relief of pain in all cases, but continued decrease of grip power in one case. 5. Decreased sclerosis, loss of fragmentation and new bone formation were appeared in the last follow up film, in all cases. The vascular loop graft considered as a useful method for the treatment of the $Kienb\"{o}ck's$ disease.

• The Journal of the Korea Contents Association
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• v.16 no.10
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• pp.701-710
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• 2016

Perspective of director Bong Joon-ho shown in his movies up to now had been limited to domestic issues but that in the was shifted to the world, mankind, and future of humans. Images exhibited in his movies had the same meanings of many stories in the Bible and myths. The study looks into his philosophical world through the Christian view of the world and the Oriental circulation thinking; the story of the was expressed in before the glacial period, the 17 year glacial period spent in a train, and after the glacial period; structure of the story was composed of allegory as prior to Israelites' Escape from Egypt, desert life for 40 years, and entrance to Canaan. The end in the Bible does not mean complete collapse but it contains aspiration for new heaven and new earth to open a new era, to make a new promise with the God and to live a permanent life. This study intends to interpret the developed in a quite different meaning of imagination of humans' future from the previous one by the director Bong Joon-ho and to make another different explanation underlying in the image projected on the surface layer by the director.