• Journal of Korean Medicine Rehabilitation
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• v.25 no.2
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• pp.135-153
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• 2015

Objectives The purpose of this study was to investigate the characteristics of inpatients who were admitted to Korean medicine hospital due to low back pain. Methods The current study was designed as a retrospective chart review to investigate descriptive characteristics of LBP patients. The clinical records of 601 patients who were hospitalized for treatment of LBP in Cheonan Korean Medicine Hospital, Daejeon University from 1st, January, 2013 to 31th, December, 2013 were analyzed. Results 1. Most frequently given diagnosis was sprain and strain of lumbar (45.93%). 2. Female outnumbered male patients in all disease groups except fracture of lumbar spine. 3. In distribution according to age, sprain and strain of lumbar, HNP of L-spine and lumbago with sciatica were most frequent at 30s, fracture of lumbar spine was most frequent at 50s and spinal stenosis was most frequent at 70s. 4. The most frequently motive for low back pain was traffic accident (35.4%) 5. Patients with no related medical history were 76.95% 6. 0~1week interval between onset and visit to Korean Medicine Hospital was most frequent in all disease groups. 7. 50.85% of patients went through treatment at medical institutions before the admitting to Korean Medicine Hospital. 8. The average admission days of female was higher than male's. And age goes up, average duration of admission was longer. 9. In most (74.59%) of the patients, symptoms were more than improved. 10. Most frequently prescribed examination was X-ray (65.13%). 11. Most frequently prescribed herb medicine was whal-lak-tang (Huoluo-tang). Conclusions In most (74.59%) of the patients, symptoms were more than improved, especially in sprain and strain of lumbar and lumbago with sciatica. But Patients with a local hospital statistic is not be representative of the incidence of the population. In order to obtain more accurate statistics, it is necessary to compare analysis collect statistics from other medical hospitals.

• Journal of Ship and Ocean Technology
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• v.3 no.4
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• pp.35-51
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• 1999

Fatigue strength assessment procedures have been implemented in the ship design rules by many classification societies. However, a large variation tin the details of the different approaches exists in practically all aspects influding load history assessment, stress evaluation and fatigue strength assessment. In order to assess the influences of thesd variations on the prediction of fatigue lives. a comparative study is organized by the ISSC Committee III.2 Fatigue and Fracture. A pad detail on the top of longitudinal hatch coaming of a panamax container vessel is selected for fatigue calculation. The work described in this paper is one set of results of this comparative study in which the ABS dynamics approach is applied. Through this analysis the following conclusions can be drawn. (1) With the original ABS approach, the fatigue life of this pad detail is very low, only 2.398 years. (2) The treatment of the stillwater bending moment in the ABS approach might be a source of conservatism. If the influence of stillwater bending moment is ignored, then the fatigue life for this pad detail is 7.036 years. (3) The difference between the nominal stress approach and the hot spot stress approach for this pad detail is about 26%.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.21 no.7
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• pp.1089-1096
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• 1997

In this paper, Rancho Seco transient which is reported as a typical pressurized thermal shock event is postulated to be occuring in the Kori unit 1 plant, the oldest nuclear power plant in Korea. For the given material properties, transient history such as temperature and pressure, and postulated flaw, the stress distribution is obtained to calculate stress intensities for a wide range of assumed crack sizes. The stress intensities are compared with the fracture toughness, which is determined using the material properties and the distribution of the nil ductility transition temperature, to determine if cracking is expected to occur during the transient. The allowable operating year for the transient is determined and the evaluation results are discussed.

• Journal of Yeungnam Medical Science
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• v.33 no.2
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• pp.142-145
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• 2016

Gastric cancer is the most common cancer in Korean males and can easily spread to distant organs such as the liver, lungs, brain, or bones. However, skin metastasis, particularly of the eye, is rare. Metastatic eyelid cancer is extremely rare; metastases from internal organs have not been reported so far. We recently experienced a patient with metastatic eyelid cancer from adenocarcinoma of the stomach. A 62-year-old female was admitted with a right upper eyelid mass and foreign body sensation. She had a history of stomach cancer of 3 years. She was treated by chemotherapy and radiotherapy for pathologic fracture. After receiving supportive care for 2 years, the mass appeared on her right pupil. Punch-biopsy of the mass was performed and histological examination revealed adenocarcinoma, the same as the initial histological result. We report this case with a review of related literature.

• Geomechanics and Engineering
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• v.15 no.5
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• pp.1047-1059
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• 2018

This paper focuses on the cracking and fragmentation process in rock materials containing a pair of non-parallel flaws, which are through the specimen thickness, under vertical compression. Several numerical experiments are conducted with varying flaw arrangements that affect the initiation and tensile wing cracks, shear crack growth, and crack coalescing behaviors. To obtain realistic numerical results, a parallelized peridynamics formulation coupled with a finite element method, which is able to capture arbitrarily occurring cracks, is employed. From previous studies, crack initiation and propagation of tensile wing cracks, horsetail cracks, and anti-wing cracks are well understood along with the coalescence between two parallel flaws. In this study, the coalescence behaviors, their fragmentation sequences, and the role of an x-shaped shear band in rock material containing two non-parallel flaws are discussed in detail on the basis of simulation results strongly correlated with previous experimental results. Firstly, crack initiation and propagation of tensile wing cracks and shear cracks between non-parallel flaws are investigated in time-history and then sequential coalescing behavior is analyzed. Secondly, under the effect of varying inclination angles of two non-parallel flaws and overlapping ratios between a pair of non-parallel flaws, the cracking patterns including crack coalescence, fragmentation, and x-shaped shear band are investigated. These numerical results, which are in good agreement with reported physical test results, are expected to provide insightful information of the fracture mechanism of rock with non-parallel flaws.

• Clinics in Shoulder and Elbow
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• v.7 no.1
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• pp.14-22
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• 2004

Purpose: To evaluate a usefulness of the simple radiograph in the patients with chronic shoulder pain 50 years and older. Material and method: 1152 patients with chronic shoulder pain and 100 asymptomatic individuals were involved in this study. All patients were 50 years and older. We excluded patients who had a history of fracture or dislocation. Radiographic interpretation was performed on a shoulder AP view, an axillary view and a supraspinatus outlet view. For statistical analysis, a chi-square test was performed. A p value of <0.05 was considered statistically significant. Results: Abnormal radiologic findings were identified in 369(32%) out of 1152 patients with a shoulder pain: greater tuberosity sclerosis, acromial sclerosis, subacromial osteophytes are common abnormal radiologic findings. A rotator cuff tear or impingement syndrome was identified on a final diagnosis in 61(85.2%) out of the 76 patients with radiologic abnormalities in both greater tuberosity and acromion (p<0.05). Abnormal radiologic findings were identified in 18% of the asymptomatic individuals. Conclusion: Simple radiographic analysis is an important primary diagnostic tool in patients (50 years and old) with chronic shoulder pain.

• Journal of Yeungnam Medical Science
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• v.33 no.1
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• pp.48-51
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• 2016

Milk-alkali syndrome (MAS), a triad of hypercalcemia, metabolic alkalosis, and renal failure, is associated with ingestion of large amounts of calcium and absorbable alkali. MAS is the third most common cause of hypercalcemia in hospital, after primary hyperparathyroidism and malignant neoplasm. MAS is not often reported in the Korean literature. We describe MAS secondary to intake of calcium citrate for the treatment of osteoporosis with thoracic spine compression fracture. A 70-year-old man presented to our hospital with a 1-week history of general weakness and lethargy. He was found with acute kidney injury (serum creatinine, 4.6 mg/dL), hypercalcemia (total calcium, 14.8 mg/dL), and alkalosis. Laboratory evaluation excluded both hyperparathyroidism and malignancy. Mental status and serum calcium level was normalized within a week after proper hydration and intravenous administration of furosemide. However, he developed aspiration pneumonia, pseudomembranous colitis, and sepsis with multi-organ failure. Despite intensive treatment including inotropics, mechanical ventilation, and renal replacement therapy, he expired with no signs of renal recovery on the 28th hospital day.

• Journal of the Korean Society for Railway
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• v.10 no.2 s.39
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• pp.167-178
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• 2007

In general, it is known that the concrete ballast track is possible to reduce a cost of maintenance activities cause of maintenance free by restrictive maintenance in application of track ballast structures. However, if deteriorations and fracture mechanism of a material are considered, proper maintenance activities and repairing are continually required. For the problems, we evaluated an economical efficiency of the gravel ballast and the concrete ballast on a proper level of maintenance activities. As the method based on history path is difficult to obtain sufficient reliabilities cause of an absence of real data for maintenance activities, we chose the delphi survey method by professional group, and we obtained the appropriate index and profiles for maintenance activities. As a result, we founded that effects for cost reduction can be expected by preventive maintenance management, and we proposed economical restrictions and life cycle cost for track ballast structures in a life cycle.

• 한국지구물리탐사학회:학술대회논문집
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• 2003.11a
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• pp.272-280
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• 2003

A definite shut-in pressure in hydraulic fracturing techniques is needed for obtaining the correct information on the in-situ stress regimes in rock masses. The relation between the behaviour of hydraulically induced fractures and the condition of remote stress is considered to be major reasons of an ambiguous shut-in pressure in hydraulic fracturing pressure-time history curves. This paper describes the results of a series of numerical analyses carried out using UDEC(Universal Distinct Element Code, Itasca), which is based on the discrete element method, to compare several methods for determining the shut-in pressure during hydraulic fracturing. The fully coupling of hydraulic and mechanical analysis was applied, and the effects of four different discontinuity geometries in numerical modelling have been investigated for this purpose. The effects of different remote stress regimes and different physical properties on hydraulic fracture propagation have been also analyzed. Several methods for obtaining shut-in pressure from the ambiguous shut-in curves have been applied to all the numerical models. The graphical intersection methods, such as (P vs. t) method, (P vs. log(t)) method, (log(P) vs. log(t)) method, give smaller values of the shut-in pressure than the statistical method, (dP/dt vs. P). Care should be taken in selecting a method for shut-in pressure, because there can be existed a stress anomaly around the wellbore and fracturing from the wellbore by a constant flow rate may have a more complicate mechanism.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.8 no.3
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• pp.11-20
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• 1988

A general finite element method is developed to analyze reinforced concrete plates under dead loads and monotonically increasing live loads. This method can be used to trace the load-deformation response and crack propagation through elastic, inelastic and ultimate ranges. The internal concrete and steel stresses can also be determined for any stage of the response history. A layered 8 node isoparametric element taking account of coupling effect between the membrane and the bending action is developed. An incremental tangent stiffness method is used to obtain a numerical solution. Validity of the method is studied by comparing the numerical solutions with other results.