• Journal of Technologic Dentistry
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• v.40 no.1
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• pp.9-15
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• 2018

Purpose: The purpose of this study is to investigate the effect of lithium disilicate glass ceramic polishing on the strength of the final prosthesis. Methods: Fourteen lithium disilicate glass ceramic specimens were prepared. These were randomly divided into two groups of seven(LPG: low polishing group, HPG: high polishing group). In LPG, SiC paper was sequentially polished using 300, 600, 800, 1000 grit, and the specifications of the test piece were adjusted. HPG was sequentially polished using 300, 600, 800, 1000, 1200, 1500, and 2000 grit. Two groups of specimens are executed 3- point bending test. Using the statistical program SPSS 22.0, the average values of the strengths of the two groups were compared in the Mann-Whiteney test. The significance level was set at 0.05. Results: The mean strength value of HPG was measured at $307.14{\pm}23.28MPa$ significantly higher than LPG(p<0.001). Conclusion : The final polishing of the prosthesis is aesthetically important but has proven to play an important role in the flexural strength, early fracture, and prolongation of the prosthesis.

• Journal of the Korean Society for Nondestructive Testing
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• v.23 no.3
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• pp.246-253
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• 2003

The initiation and growth of short fatigue cracks in the simulated aircraft structure with a series of rivet holes was detected by acoustic emission (AE). The location and the size of short tracks were determined by AE source location techniques and the measurement with traveling microscope. AE events increased intermittently with the initiation and growth of short cracks to form a stepwise increment curve of cumulative AE events. For the precise determination of AE source locations, a region-of-interest (ROI) was set around the rivet holes based on the plastic zone size in fracture mechanics. Since the signal-to-noise ratio (SNR) was very low at this early stage of fatigue cracks, the accuracy of source location was also enhanced by the wavelet transform do-noising. In practice, the majority of AE signals detected within the ROI appeared to be noise from various origins. The results showed that the effort of structural geometry and SNR should be closely taken into consideration for the accurate evaluation of fatigue damage in the structure.

• Structural Engineering and Mechanics
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• v.60 no.6
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• pp.1063-1077
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• 2016

Components manufactured from composite materials are frequently subjected to superimposed mechanical and thermal loadings during their operating service. Both types of loadings may cause fracture and failure of composite structures. When composite cross-ply laminates of type [$0_m/90_n]_s$ are subjected to uni-axial tensile loading, different types of damage are set-up and developed such as matrix cracking: transverse and longitudinal cracks, delamination between disoriented layers and broken fibers. The development of these modes of damage can be detrimental for the stiffness of the laminates. From the experimental point of view, transverse cracking is known as the first mode of damage. In this regard, the objective of the present paper is to investigate the effect of transverse cracking in cross-ply laminate under thermo-mechanical degradation. A Finite Element (FE) simulation of damage evolution in composite crossply laminates of type [$0_m/90_n]_s$ subjected to uni-axial tensile loading is carried out. The effect of transverse cracking on the cross-ply laminate strength under thermo-mechanical degradation is investigated numerically. The results obtained by prediction of the numerical model developed in this investigation demonstrate the influence of the transverse cracking on the bearing capacity and resistance to damage as well as its effects on the variation of the mechanical properties such as Young's modulus, Poisson's ratio and coefficient of thermal expansion. The results obtained are in good agreement with those predicted by the Shear-lag analytical model as well as with the obtained experimental results available in the literature.

• Clinics in Shoulder and Elbow
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• v.21 no.4
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• pp.179-185
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• 2018

Background: We analyzed the angle between the glenoid anterior surface and glenoid axis, the range of the glenoid apex and the location of the glenoid apex for assistance during shoulder surgery. Methods: Sixty-two patients underwent a computed tomography of the shoulder with a proximal humerus fracture. In the range of the glenoid apex, the ratios of the distribution of triangles with a Constant anterior and posterior area of the glenoid were measured. The location of glenoid apex was confirmed as the percentage of the position with respect to the upper part of the glenoid with the center of the part, analyzed the angle between the glenoid anterior surface and glenoid axis was measured. Results: The angle between the glenoid anterior surface and glenoid axis was $19.80^{\circ}{\pm}3.88^{\circ}$. The location of the glenoid apex is $60.36%{\pm}9.31%$, with the upper end of the glenoid as the reference. The range of the glenoid apex was $21.16%{\pm}4.98%$. When the height of the glenoid becomes smaller, the range of the glenoid apex tends to become larger (p=0.001) and the range of the glenoid apex becomes wider (p=0.001) as the glenoid width narrows. Conclusions: We believe the anatomical measurements of the glenoid will be helpful for a more accurate insertion in glenoid component. It is thought that more accurate insertion is possible if we can set other anatomical measurements using computed tomography imaging of the glenoid which can develop into the study of other anatomical measurements.

• Journal of Trauma and Injury
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• v.35 no.3
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• pp.173-180
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• 2022

Purpose: The use of surgical stabilization of rib fractures (SSRF) has steadily increased over the past decade. Recent literature suggests that a larger population may benefit from SSRF, and that the geriatric population-as the highest-risk population-may receive the greatest improvement from these interventions. We sought to determine the overall utilization of SSRF in the United States. Methods: The National Trauma Database was analyzed between 2016 and 2017. The inclusion criteria were all patients ≥65 years old with rib fractures. We further stratified these patients according to age (65-79 vs. ≥80 years old), the presence of coding for flail chest, three or more rib fractures, and intervention (surgical vs. nonoperative management). The main outcomes were surgical interventions, mortality, pneumonia, length of stay, intensive care unit length of stay, ventilator use, and tracheostomy. Results: Overall, 93,638 patients were identified. SSRF was performed in 992 patients. Patients who underwent SSRF had improved mortality in the 65 to 79 age group, regardless of the number of ribs fractured. We identified 92,637 patients in the age group of 65 to 79 years old who did not undergo SSRF. This represents an additional 20,000 patients annually who may benefit from SSRF. Conclusions: By conservative standards and the well-established Eastern Association for the Surgery of Trauma clinical practice guidelines, SSRF is underutilized. Our data suggest that SSRF may be very beneficial for the geriatric population, specifically those aged 65 to 79 years with any rib fractures. We hypothesize that roughly 20,000 additional cases will meet the inclusion criteria for SSRF each year. It is therefore imperative that we train acute care surgeons in this skill set.

• Journal of The Korean Society of Integrative Medicine
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• v.10 no.3
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• pp.247-256
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• 2022

Purpose : The purpose of this study was to investigate the effects of Kaltenborn-Evjenth (KE) joint mobilization of the distal radioulnar joints (RUJ) and proximal RUJ in distal radius fractures (DRFs) on range of motion (ROM), grip strength (GS), and patient-written wrist evaluation (PRWE) in each group once, thrice, or fivefold. Methods : Forty-two subjects participated in this study. We divided the subjects with DRFs into groups applying KE concepts RUJ mobilization once, thrice, and fivefold. The patients' ROM and GS were measured using a joint goniometer and dynamometer, respectively. Pain and function were also assessed using a PRWE. In the statistical analysis, all data were tested for normality using the Shapiro-Wilk test, and paired t-tests were performed for within-group before-and-after comparisons of each intervention. One-way analysis of variance was used for between-group comparisons of differences. All statistical significance levels were set at α=.05. Results : There were significant differences in the ROM in all three groups before and after the intervention (p<.05), but there were no significant differences between the groups. There were significant differences in the GS in the three groups before and after the intervention (p<.05), but there were no significant differences between the groups. In the pain part of the PRWE, all three groups had significant differences before and after intervention (p<.05), but there was no significant difference between the groups. In the functional part of the PRWE, there were significant differences in the three groups before and after intervention (p<.05), but no significant difference occurred between the groups. Conclusion : Based on the aforementioned results, there were no significant between-group differences in ROM, GS, and PRWE (pain and function) after the application of the K-E joint mobilization to DRFs once, thrice, and fivefold. Nevertheless, there were significant within-group differences in all the above.

• Structural Engineering and Mechanics
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• v.84 no.5
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• pp.633-649
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• 2022

In this study, the effect of circle tunnel on the force distribution around underground rectangular gallery was investigated using theoretical approach, experimental test and Particle flow code simulation (PFC). Gypsum model with dimension of 1500×1500 mm was built. Tensile strength of material was 1 MPa. Dimension of central gallery was 100 mm×200 mm and diameter of adjacent tunnel in its right side was 20 mm, 40 mm and 60 mm. Horizontal distance between tunnel wall and gallery edge were 25, 50, 75, 100 and 125 mm. using beam theory, the effect of tunnel diameter and distance between tunnel and gallery on the induced force around gallery was analyzed. In the laboratory test, the rate of loading displacement was set to 0.05 millimeter per minute. Also sensitivity analysis has been done. Using PFC2D, interaction between tunnel and gallery was simulated and its results were compared with experimental and theoretical analysis. The results show that the tensile force concentration has maximum value in center of the rectangular space. The tensile force concentration at the right side of the axisymmetric line of gallery has more than its value in the left side of the galleries axisymmetric line. The tensile force concentration was decreased by increasing the distance between tunnel and rectangular space. In whole of the configurations, the angles of micro cracks fluctuated between 75 and 105 degrees, which mean that the variations of tunnel situation have not any influence on the fracture angle.

• Health Policy and Management
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• v.3 no.1
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• pp.53-83
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• 1993

A small number of high cost patients usually spend a larger proportion of scarce health resources. Korea is no exception. Under the national health insurance, 12% of the insured persons have consumed approximately half of the national health insurance expenditures. Therefore, it is necessary to identify the characteristics of the high cost patient group, if we would like to reduce them. This study has defined high cost patients as those who have spent one and half million won and over per 6 months. The study reveals that high cost users are those who have a longer length of stays(LOS), 40days of LOS in the 6 months, have multiple admissions, 2 to 3 admissions per 6 months and are the elderly patients. They have spent 814.126won per on the average, and commonly suffered from malignant neoplasms, circulatory diseases, fracture, diabetes mellitus, etc. Unlike the case of western developed countries, early readmissions are not the major causes of high cost spending in Korea. Undoubtedly, a lengthy admission is the main cause of large spending. Health policies should vigorously be explored to respond appropriately. There are evidences that hospital beds are often misused. As the Korean health care system is lacking in a mechanism of patient evaluation under the fee-for-service remuneration system, an idea of progressive patient care needs to be tested. The Goverment should set up health policy to diversify the role of long-term care facilities and encourage people to establish them. Further studies are needed to identify factors influencing large medical bills necessary for formulating the health policy on cost containment.

• Restorative Dentistry and Endodontics
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• v.48 no.1
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• pp.4.1-4.10
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• 2023

Objectives: This study aimed to compare the torsional and cyclic fatigue resistance of ProGlider (PG), WaveOne Gold Glider (WGG), and TruNatomy Glider (TNG). Materials and Methods: A total of 15 instruments of each glide path system (n = 15) were used for each test. A custom-made device simulating an angle of 90° and a radius of 5 millimeters was used to assess cyclic fatigue resistance, with calculation of number of cycles to failure. Torsional fatigue resistance was assessed by maximum torque and angle of rotation. Fractured instruments were examined by scanning electron microscopy (SEM). Data were analyzed with Shapiro-Wilk and Kruskal-Wallis tests, and the significance level was set at 5%. Results: The WGG group showed greater cyclic fatigue resistance than the PG and TNG groups (p < 0.05). In the torsional fatigue test, the TNG group showed a higher angle of rotation, followed by the PG and WGG groups (p < 0.05). The TNG group was superior to the PG group in torsional resistance (p < 0.05). SEM analysis revealed ductile morphology, typical of the 2 fracture modes: cyclic fatigue and torsional fatigue. Conclusions: Reciprocating WGG instruments showed greater cyclic fatigue resistance, while TNG instruments were better in torsional fatigue resistance. The significance of these findings lies in the identification of the instruments' clinical applicability to guide the choice of the most appropriate instrument and enable the clinician to provide a more predictable glide path preparation.

• Steel and Composite Structures
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• v.47 no.6
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• pp.709-728
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• 2023

Experimental and analytical studies were conducted to clarify the influencing mechanisms of the longitudinal reinforcement on performance of axially loaded Reinforced Concrete-Filled Steel Tube (R-CFST) short columns. The longitudinal reinforcement ratio was set as parameter, and 10 R-CFST specimens with five different ratios and three Concrete-Filled Steel Tube (CFST) specimens for comparison were prepared and tested. Based on the test results, the failure modes, load transfer responses, peak load, stiffness, yield to strength ratio, ductility, fracture toughness, composite efficiency and stress state of steel tube were theoretically analyzed. To further examine, analytical investigations were then performed, material model for concrete core was proposed and verified against the test, and thereafter 36 model specimens with four different wall-thickness of steel tube, coupling with nine reinforcement ratios, were simulated. Finally, considering the experimental and analytical results, the prediction equations for ultimate load bearing capacity of R-CFSTs were modified from the equations of CFSTs given in codes, and a new equation which embeds the effect of reinforcement was proposed, and equations were validated against experimental data. The results indicate that longitudinal reinforcement significantly impacts the behavior of R-CFST as steel tube does; the proposed analytical model is effective and reasonable; proper ratios of longitudinal reinforcement enable the R-CFSTs obtain better balance between the performance and the construction cost, and the range for the proper ratios is recommended between 1.0% and 3.0%, regardless of wall-thickness of steel tube; the proposed equation is recommended for more accurate and stable prediction of the strength of R-CFSTs.