• Journal of Trauma and Injury
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• v.28 no.3
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• pp.91-97
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• 2015

Purpose: Occult hip fracture is not evident on radiographs and the diagnosis is often missed or delayed. This study was undertaken in order to identify the clinical characteristics and complications of patients with a delayed diagnosis of an occult hip fracture. Methods: We retrospectively reviewed patients with occult hip fracture who had normal findings on initial radiographs, the diagnosis was made on additional studies between August 2006 and February 2012. Patients who were diagnosed as having occult hip fractures at the first visit were categorized as non-delayed group and those who were not diagnosed at the first visit were categorized as delayed group. Results: Non-delayed group included 43 patients (86%). In the remaining 7 patients (delayed group), the diagnosis was delayed by a mean of 9.6 days (range 3~19 days). Patients who were diagnosed with an occult fracture on the initial visit presented later than those with a delayed diagnosis (41/43 .vs. 3/7, p=0.002). Other clinical features were no difference between the two groups. Patients in the delayed diagnosis group were more likely to have fracture displacement (4/7 .vs. 0/43)15patients in non-delayed group (34.9%) needed operative treatment, whereas all delayed patients (100%) needed operative treatment. Conclusion: A delayed diagnosis of occult hip fractures was associated with increased rate of displacement and operation. In patients suspected of having occult hip fractures, additional studies should be recommended.

• Korean Journal of Metals and Materials
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• v.46 no.12
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• pp.780-787
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• 2008

For the advanced high strength steels (AHSS), high-manganese TWIP (twinning induced plasticity) steels exhibit high tensile strength (800-1000 MPa) and high elongation (50-60%). However, the TWIP steels need to be understood of delayed fracture following the cup drawing test. Among the factors to cause delayed fracture, i.e, martensite transformation, hydrogen embrittlement and residual stress, the effects of martensite transformation (${\gamma}{\rightarrow}{\varepsilon}$ or ${\gamma}{\rightarrow}{\alpha}^{\prime}$) were investigated on the delayed fracture phenomenon. Microstructural phase analysis was conducted for cold rolled (20, 60, 80% reduction ratio) steels and tensile deformed (20, 40, 60% strain) steels. For the Al-added TWIP steels, no martensite phase was found in the cold rolled and tensile deformed specimen. But, the TWIP steels with no Al addition indicated the martensite transformation. The cup drawing specimens showed the martensite transformation irrespective of the Al-addition to the TWIP steel. However, the TWIP steel with no Al exhibited the larger amount of martensite than the case of the TWIP steel with Al addition. For the reason, it was possible to conclude that the Al addition suppressed the martensite transformation in TWIP steels, therefore preventing the delayed fracture effectively. However, it was interesting to note that the mechanism of delayed fracture should be incorporated with hydrogen embrittlement and/or residual stress as well as the martensite transformation.

• Corrosion Science and Technology
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• v.10 no.4
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• pp.131-135
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• 2011

The demands of high-strength steel have been steadily increased to reduce the weight of vehicles. Although the TRIP steel has been the promising candidate material for the purpose, high strength hinders the application due to the susceptibility to hydrogen delayed fracture in the corrosive environment. Moreover, the testing method was not specified in the ISO standards. In this work, the test method to evaluate the susceptibility of hydrogen delayed fracture was studied by slow strain rate testing technique. The four test experimental parameters were studied : strain rate, hydrogen charging time, holding time after hydrogen charging, and holding time after cadmium plating. The steel was fractured by hydrogen in case the strain rate was in the range of $1{\times}10^{-4}{\sim}5{\times}10^{-7}/sec$. It was confirmed that the slow strain rate test is effective method to evaluate the susceptibility to hydrogen delayed fracture. The holding time over 24 hrs after hydrogen charging, nullified the hydrogen effect, that is, the specimen was no more susceptible to hydrogen after 24 hrs even though the specimen was fully hydrogen-charged. Moreover, cadmium electroplating could not prevent from diffusing out the hydrogen from the steel in the experiment. The effective experimental procedures were discussed.

• The Journal of Pediatrics of Korean Medicine
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• v.25 no.1
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• pp.63-71
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• 2011

Objectives: The purpose of this study is to report the clinical effects of oriental medical treatment on delayed healing in femoral shaft fractured child. Methods: We treated the patient with herb medicine named Kamiboatang and Pyritum. Child took Kamiboatang and Pyritum for 2 months, and Kamiboatang for 1 month. After 3 months treatments, we examined the case with radiological findings. Results: The patient's delayed femoral shaft fracture was improved after 3 months oriental medical treatment. Conclusions: This case showed that oriental medical treatment on delayed healing in femoral shaft fractured child was effective. To prove the effectiveness of Kamiboatang and Pyritum, the more clinical study of Oriental medical treatment for this case might be also needed.

• Journal of Veterinary Clinics
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• v.19 no.4
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• pp.405-410
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• 2002

The purpose of this investigation was to examine the effects of osteocalcin (serum bone GLA-protein, BGP) and procollagen carboxy-terminal propeptide (PICP) on new bone formation of canine fracture models. Serum osteocalcin and PICP were measured by standard RIA. The values of osteocalcin and PICP in the non-union and delayed-union fracture models were measured biweekly for 20 weeks in 14 dogs. The unions were radiographed for fracture healing. In non-union fracture group, the activity of BGP was markedly increased at four to eight weeks and decreased at twelve to twenty weeks and the activity of PICP was markedly increased at two to six weeks and slightly decreased at sixteen to twenty weeks. In delayed-union fracture group, the activity of BGP was markedly increased at two to eight weeks after treatment and maintained for the level until twenty weeks and the activity of PICP was markedly increased at two to six weeks after treatment and maintained for the level until twenty weeks. Radiologically, non-union group was not achieved until twenty weeks after fracture, delayed-union group was successfully achieved in eighteen weeks after fracture. These results suggested that the. activities of osteocalcin and PICP are useful parameters for biochemical markers of bone formation in dogs.

• Journal of Trauma and Injury
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• v.28 no.2
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• pp.79-82
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• 2015

Simple rib fracture is one of most common injury after blunt thoracic trauma found in approximately 7% to 40% of cases. Delayed traumatic diaphragmatic injury with massive hemothorax after rib fracture is rare but a potentially life-threatening condition. We present a rare case of a 79-year-old male with delayed diaphragmatic injury with massive hemothorax due to fracture of the lower ribs. Under thoracoscopy, hemothorax was evacuated, diaphragmatic rupture was identified and repaired, and the lower ribs were fixed with metal plate (s). Although simple lower rib fractures may be the only clinical finding, close observation and monitoring are required because of the possibility of diaphragmatic and/or intraabdominal organ injury.

• Journal of Korean Orthopaedic Sports Medicine
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• v.9 no.2
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• pp.114-120
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• 2010

Anterior tibial diaphyseal stress fracture have a propensity for delayed union or nonunion and have risk of complete fracture after minor trauma. So, careful evaluation and optimal management are mandatory to succeed in treatment. It is also important to decide the point of time of return to full activity. We report experience of treatment for complete fracture of the delayed union of anterior tibial diaphyseal stress fracture as an athletic injury.

• Journal of Welding and Joining
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• v.5 no.2
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• pp.53-59
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• 1987

The effect of applied stress, current density and heat-treatment after welding on the time to fracture, fracture behavior was investigated by the method of constant load tensile testing under catholic charging with hydrogen in E.B. welded 250,300 Grade 18% Ni Maraging steel sheet. The main results obtained are as follows: 1. All specimen showed the characteristic delayed failure and the time to fracture showed decreasing tendency with the increase in current density and applied stress. 2. Hydrogen embitterment susceptibility of notched specimen after solution-treatment and aging after welding was more increased than that of aged smooth specimen and as welded specimen. 3. Fracture surface showed a typical intergranular fracture on the border, a dimple pattern in the center of specimen and some quasi-cleavage fracture between the intergranular and the dimple.

• Journal of the Korean institute of surface engineering
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• v.46 no.1
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• pp.42-47
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• 2013

The strain-induced phase transformation from austenite to martensite is responsible for the high strength and ductility of TRIP steels. However high strength steels are susceptible to hydrogen embrittlement. This study aimed to evaluate the effects of hydrogen on the behavior of hydrogen delayed fracture in TRIP steel with hydrogen charging conditions. The electrochemical hydrogen charging was conducted at each specimen with varying current density and charging time. The relationship between hydrogen concentration and mechanical properties of TRIP steel was established by SP test and SEM fractography. The maximum loads and displacements of the TRIP steel in SP test decreased with increasing hydrogen charging time. The results of SEM fractography investigation revealed typical brittle mode of failure. Thus it was concluded that hydrogen delayed fracture in TRIP steel result from the diffusion of hydrogen through the ${\alpha}$' phase.

• Journal of Korean Medicine Rehabilitation
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• v.29 no.4
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• pp.143-149
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• 2019

The purpose of this study is to report the effect in treating a patient with delayed union of 4th toe distal phalanx fracture with a combination of Korean Medicine treatment. We treated the patient with acupuncture, cupping, pharmacopuncture, moxibustion and herbal medicine, from March 3, 2018 to June 25, 2018 (total 33 times). The numeric rating scale (NRS), X-ray were applied as outcome measures. After complex Korean medicine treatment was carried out, delayed union of 4th toe distal phalanx fracture was improved and pain was reduced. This result shows that Korean medicine treatment may be an effective option for delayed union. Further clinical studies are needed to clarify the effect of Korean medicine treatment on delayed union.