• 대한기계학회논문집
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• 제10권1호
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• pp.25-33
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• 1986

본 연구에서는 선단요소 해법의 방법을 토대로 소형컴퓨터를 위한 비선형 유한요소의 개발을 시도한 것이다. 주로 참조한 선단요소 해법의 프로그램은 Hinton과 Owen이 작성한 프로그램이며 원판메모리를 최대로 활용하여, 활동변수를 최소화 시키므로써, 실제 소형컴퓨터인 HP-3000II(512KB) 컴퓨터에서 총 자유도가 1000정도 되는 유한요소까지는, 해석이 가능하도록 만들어지게 되었다. 이와같이 완성된 프로그램의 응용성과 신뢰성을 검토해 보기 위해서 표준 CT 시편의 유한요소 를 작성하여(124 element, 428 node, 941 freedom) 크랙선단에 형성되는 소성역의 형상과 소성변형 크기를 수치적으로 추적하여 본 결과, 실험결과와 매우 잘 일치함을 볼 수 있어서 프로그램의 신뢰성을 확인 할 수 있었다. 이때 실험은 SUS-304스테인 레스강단의 소성역을 형성시킨다음, 재결정 방법에 의해 소성역의 형상과 크기를 가시 화 및 정량화 하여서 계산결과와 비교 하였다.

• 한국지구과학회지
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• 제25권1호
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• pp.22-31
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• 2004

Laboratory experiments were conducted in order to find effects of the intermediate principal stress of ${\sigma}_{2}$ on rock fractures and faults. Polyaxial tests were carried out under the most generalized compressive stress conditions, in which different magnitudes of the least and intermediate principal stresses ${\sigma}_{3}$ and ${\sigma}_{2}$ were maintained constant, and the maximum stress ${\sigma}_{1}$, was increased to failure. Two crystalline rocks (Westerly granite and KTB amphibolite) exhibited similar mechanical behavior, much of which is neglected in conventional triaxial compression tests in which ${\sigma}_{2}$ = ${\sigma}_{3}$. Compressive rock failure took the form of a main shear fracture, or fault, steeply dipping in ${\sigma}_{3}$ direction with its strike aligned with ${\sigma}_{2}$ direction. Rock strength rose significantly with the magnitude of ${\sigma}_{2}$, suggesting that the commonly used Mohr-type failure criteria, which ignore the ${\sigma}_{2}$ effect, predict only the lower limit of rock strength for a given ${\sigma}_{3}$ level. The true triaxial failure criterion for each of the crystalline rocks can be expressed as the octahedral shear stress at failure as a function of the mean normal stress acting on the fault plane. It is found that the onset of dilatancy increases considerably for higher ${\sigma}_{2}$. Thus, ${\sigma}_{2}$ extends the elastic range for a given ${\sigma}_{3}$ and, hence, retards the onset of the failure process. SEM inspection of the micromechanics leading to specimen failure showed a multitude of stress-induced microcracks localized on both sides of the through-going fault. Microcracks gradually align themselves with the ${\sigma}_{1}$-${\sigma}_{2}$ plane as the magnitude of ${\sigma}_{2}$ is raised.

• Journal of Trauma and Injury
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• 제28권2호
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• pp.55-59
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• 2015

Purpose: To compare clinical and radiographic outcomes of between two and three Kirschner wire(K-wire) intramedullary fixation for fractures in the neck of the metacarpal bone. Methods: A single institutional retrospective review identified 28 cases of metacarpal fractures between March 2010 and August 2014. Each of the cases met the inclusion criteria for closed, extra-articular fractures of the neck of the metacarpal bone. The patient groups were divided by the number of K-wire. Outcomes were compared for range of motion of the metacarpophalangeal joint, radiographic parameters, and period until union. Results: The fractures were treated with either 2 Kirschner wire fixation (n=10) or 3 Kirschner wire fixation (n=18). The active range of motion of metacarpophalangeal joint and radiographic result showed no statistically significant difference between the two groups. The mean union period was 5.9 weeks. However, four cases suffered distal head perforation in 2 K-wire fixation group and one case in 3 K-wire fixation group. Conclusion: Multiple retrograde intramedullary Kirschner wire fixation is a good treatment of choice for fractures in the neck of the metacarpal bone. To prevent metacarpal head perforation, it is preferred to use three K-wires than two K-wires.

• Journal of Audiology & Otology
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• 제23권2호
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• pp.96-102
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• 2019

Background and Objectives: Temporal bone fracture (TBF) is a common occurrence in cases of head trauma. Although the incidence of temporal bone concussion (TBC) has increased in cases of head trauma, it has not been extensively studied. We assessed the characteristics of TBF and TBC in patients with head trauma. Subjects and Methods: We conducted a retrospective review of 432 patients with head injury who visited our hospital between January 2011 and April 2016. Of these patients, 211 who met the inclusion criteria were included in the study. Their clinical characteristics, causes of injury, and hearing function were analyzed. Results: Among the 211 patients, 157 had TBFs and 54 had TBCs. Ear symptoms were more common among patients with TBF than among those with TBC. Car accidents were the most common cause of both TBF and TBC, but assault and sports injuries were more common among patients with TBC than among those with TBF. The occurrence of facial palsy in both cases of TBF and TBC. Hearing loss was observed among 35 patients with TBF and 11 patients with TBC. However, patients with TBF showed conductive hearing loss with an air-bone gap. Hearing function of these patients with TBF recovered with a reduced air-bone gap, but the patients with TBC showed little recovery. Conclusions: Emergency physicians should focus more on temporal bone injury in patients with head trauma. Therefore, an early complete diagnostic battery, which includes high-resolution computed tomography, audiometric tests, neurologic examination, and vestibular tests, be performed in patients with head trauma.

• 대한청각학회지
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• 제23권2호
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• pp.96-102
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• 2019

Background and Objectives: Temporal bone fracture (TBF) is a common occurrence in cases of head trauma. Although the incidence of temporal bone concussion (TBC) has increased in cases of head trauma, it has not been extensively studied. We assessed the characteristics of TBF and TBC in patients with head trauma. Subjects and Methods: We conducted a retrospective review of 432 patients with head injury who visited our hospital between January 2011 and April 2016. Of these patients, 211 who met the inclusion criteria were included in the study. Their clinical characteristics, causes of injury, and hearing function were analyzed. Results: Among the 211 patients, 157 had TBFs and 54 had TBCs. Ear symptoms were more common among patients with TBF than among those with TBC. Car accidents were the most common cause of both TBF and TBC, but assault and sports injuries were more common among patients with TBC than among those with TBF. The occurrence of facial palsy in both cases of TBF and TBC. Hearing loss was observed among 35 patients with TBF and 11 patients with TBC. However, patients with TBF showed conductive hearing loss with an air-bone gap. Hearing function of these patients with TBF recovered with a reduced air-bone gap, but the patients with TBC showed little recovery. Conclusions: Emergency physicians should focus more on temporal bone injury in patients with head trauma. Therefore, an early complete diagnostic battery, which includes high-resolution computed tomography, audiometric tests, neurologic examination, and vestibular tests, be performed in patients with head trauma.

• 대한토목학회논문집
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• 제26권3A호
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• pp.447-455
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• 2006

순수변위 비선형 4절점 쉘요소의 정식화를 제안하여 철근 콘크리트, 강재및 복합재료등 범용 목적의 구조물의 해석에 적합하도록 하였다. 기하강성의 정식은 2차 운동역학적 관계를 이용하여 쉘이 중립면에서 정의되었고 이러한 기하강성은 면내응력, 휨 모멘트와 수직 전단력의 형태로 구성되어 두꺼운 판 및 쉘의 해석에 효과적이다. 가정된 자연 변형률 방법을 사용하여 전단잠김 문제를 제거한 복합 쉘 요소는 얇은 판및 쉘의 경우에도 정확한 해를 구할 수 있다. 콘크리트 경우 소성이론 및 탄소성 파괴역학에 근거한 비탄성 해석이 가능하며 강재경우 폰미스의 항복이론과 이바노브의 항복이론을 이용한 소성해석이 가능하다. 복합 재료의 수직전단 강성 행렬은 평형방정식으로부터 유도하여 구성하였다. 본 연구에서 제안한 쉘 요소는 해석 예제들이 참고문헌과 잘 일치하여 정확성이 입증되었으며 범용목적의 박판구조 해석에 적합한 것으로 사료 되었다.

• Journal of Chest Surgery
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• 제57권2호
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• pp.120-125
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• 2024

Background: This study aimed to assess the outcomes of patients with complex rib fractures undergoing operative or nonoperative management at our major trauma center. Methods: A retrospective review of all patients who were considered for surgical stabilization of rib fractures (SSRF) at a single major trauma center from May 2016 to September 2022 was performed. Results: In total, 352 patients with complex rib fractures were identified. Thirty-seven patients (11%) fulfilled the criteria for surgical management and underwent SSRF. The SSRF group had a significantly higher proportion of patients with flail chest (32 [86%] vs. 94 [27%], p<0.001) or Injury Severity Score (ISS) >15 (37 [100%] vs. 129 [41%], p<0.001). No significant differences were seen between groups for 1-year mortality. Patients who underwent SSRF within 72 hours were 6 times less likely to develop pneumonia than those in whom SSRF was delayed for over 72 hours (2 [18%] vs. 15 [58%]; odds ratio, 0.163; 95% confidence interval, 0.029-0.909; p=0.036). Prompt SSRF showed non-significant associations with shorter intensive care unit length of stay (6 days vs. 10 days, p=0.140) and duration of mechanical ventilation (5 days vs. 8 days, p=0.177). SSRF was associated with a longer hospital length of stay compared to nonoperative patients with flail chest and/or ISS >15 (19 days vs. 13 days, p=0.012), whilst SSRF within 72 hours was not. Conclusion: Surgical fixation of complex rib fractures improves outcomes in selected patient groups. Delayed surgical fixation was associated with increased rates of pneumonia and a longer hospital length of stay.

• 한방재활의학과학회지
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• 제34권1호
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• pp.97-108
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• 2024

Objectives The purpose of this study was to investigate the effectiveness and safety of herbal medicine treatment for Colles fractures through a systematic review and to provide evidence for applying herbal medicine treatment. Methods We searched for papers published from January 1, 2018 to October 18, 2023, in PubMed and China National Knowledge Infrastructure based on the keyword 'Colles fracture', 'Chinese traditional medicine', 'Chinese medicine', 'herbal medicine', 'drugs, chinese herbal', 'kampo', 'decoction', 'capsule', 'powder'. Results A total of 51 studies were searched at first research. Then the studies were screening according to the criteria, and 13 studies were finally selected. The oriental medical intervention analyzed in this study was an orally administered herbal medicine. Conclusions Studies have shown that herbal medicine has a significant effect on Colles fractures. However, all studies were assessed as having a high risk of bias. In the future, further well-designed studies are needed to demonstrate the effectiveness of herbal medicine for Colles fractures and reduce the risk of bias.

• 한국철도학회논문집
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• 제11권3호
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• pp.326-333
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• 2008

본 논문은 누적통과톤수에 의한 레일교체기준 개정을 위한 기초 데이터를 제시하는데 목적이 있다. 본 연구에서는 국외의 누적통과톤수에 의한 레일교체기준의 산정근거를 조사하였으며, 일본에서 조사된 레일용접부 결합유형 및 원인과 국내 철도운영기관인 서울메트로의 궤도유지관리이력을 조사하여 실제 레일절손과 누적통과톤수의 상관관계를 분석하였다. 또한, 누적통과톤수 기준치에 도래한 노후레일 용접부를 현장에서 발췌하여 레일용접부 휨시험을 수행하였다. 그 결과, 누적통과톤수와 레일절손간의 상관관계는 뚜렷하지 않았으며 레일용접부의 시공불량에 의한 절손사례가 많은 것으로 분석되었다. 또한, 노후레일휨시험 결과 신규레일용접부에 비해 파괴강도가 $17{\sim}18%$만이 저하된 것으로 나타나 레안교체기준에 도래한 노후레일은 사용성 측면에서 충분한 내구성 및 내하력을 확보하고 있는 것으로 분석되었다.

• Journal of Trauma and Injury
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• 제21권1호
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• pp.15-21
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• 2008

Purpose: National Emergency X-Radiography Utilization Study (NEXUS) criteria and the Canadian Cervical Spine rule (CCR) are commonly used in cervical trauma patients to determine whether a plain cervical X-ray should be performed. However, plain cervical X-rays are so inaccurate that cervical spine computed tomography (CT) is often considered as a screening test. We studied the usefulness of the NEXUS criteria and the CCR for determining the need for a CT evaluation in the emergency department (ED). Methods: This prospective observational study was conducted from January 2007 to March 2008. Plain X-ray and CT scans of the cervical spine were performed on blunt trauma patients with neck pain. The relevancy of CT was examined using the NEXUS criteria and the CCR. Sensitivity, specificity, positive predicted value, and negative predicted value analyses were performed to diagnose the cervical spine injury. Results: During the study period, 284 patients were enrolled in this study. The sensitivity, specificity, positive predicted value, and negative predicted value of the NEXUS criteria were 87.5%, 1.1%, 5.0%, and 60.0% respectively, while those of the CCR were 87.5%, 8.2%, 5.3%, and 91.6%. There were two missed fracture cases when the NEXUS criteria and the CCR were applied independently, however, no cases were missed when both were applied. Conclusion: This study suggests the NEXUS and the CCR in combination can be used as a guide to CT evaluation for cervical spine injury in the ED.