• Journal of the Korea Institute of Building Construction
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• v.23 no.4
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• pp.381-392
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• 2023

This research scrutinizes the mechanical characteristics of ultra-high strength concrete using oxide graphene nanoplatelet(GO) and hollow glass powder(HGP). The investigation covered various mechanical attributes, including workability, compression strength, tensile strength, water resistance, and the internal microstructure of standard concrete. Our findings reveal that workability experiences a significant improvement with the incorporation of a minimal amount of HGP, and an increase was also observed in tensile strength and water resistance. It was confirmed that cGO(C company GO) and HGP demonstrated commendable dispersion and the pore volume exhibited a reduction of more than 20%. The potential of cGO and HGP to substitute silica fume(SF) was also explored. Consequently, it was found that both workability and mechanical properties were enhanced in the absence of SF when cGO and HGP were used. This finding implies that the utilization of these novel materials could potentially modify conventional methods of concrete manufacturing.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.29 no.6A
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• pp.577-585
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• 2009

A 9-node degenerated shell finite element(FE), which has been developed for assessment of ultimate pressure capacity and nonlinear analysis for nuclear containment building is described in this paper. Reissner-Midnlin(RM) assumptions are adopted to develop the shell FE so that transverse shear deformation effects is considered. Material model for concrete prior to cracking is constructed based on the equivalent stress-equivalent strain relationship. Tension stiffening model, shear transfer mechanism and compressive strength reduction model are used to model the material behavior of concrete after cracking. Niwa and Aoyagi-Yamada failure criteria have been adapted to find initial cracking point in compression-tension and tension-tension region, respectively. Finally, the performance of the developed program is tested and demonstrated with several examples. From the numerical tests, the present results show a good agreement with experimental data or other numerical results.

• Korean Journal of Radiology
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• v.25 no.3
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• pp.301-313
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• 2024

Objective: The current body of evidence lacks clarity regarding the comparative efficacy and safety of radiofrequency ablation (RFA) and microwave ablation (MWA) as minimally invasive treatments for benign thyroid nodules. The primary objective of this study is to clarify these concerns. Materials and Methods: A comprehensive search was conducted using the Cochrane Library, Scopus, Europe PMC, and Medline databases until October 10th, 2023, using a combination of relevant keywords. This study incorporated literature that compared RFA and MWA for benign thyroid nodules. The primary outcome was the volume reduction ratio (VRR) from baseline to follow-up. Secondary outcomes were symptom score, cosmetic score, ablation time, major complications rate, hemorrhage, hoarseness, skin burn, cough, and sympathetic nerve injury. We used Risk of Bias in Non-randomized Studies - of Interventions (ROBINS-I) tool to assess the risk of bias in the included studies. We employed random effects models to analyze the standardized mean difference (SMD) and odds ratio for the presentation of outcomes. Results: Nine studies with 2707 nodules were included. The results of our meta-analysis indicated similar efficacy between RFA and MWA in terms of VRR during the 1 (SMD 0.06; 95% confidence interval [CI]: -0.13 to 0.26; P = 0.52) and 3 (SMD 0.11; 95% CI: -0.03 to 0.25; P = 0.12) months of follow-up. VRR was significantly higher in RFA than in MWA at the 6 (SMD 0.25; 95% CI: 0.06-0.43; P = 0.008) and 12 month of follow-up (SMD 0.38; 95% CI: 0.17 to 0.59; P < 0.001). There were no significant differences between RFA and MWA in symptom scores, cosmetic scores, or the incidence of complications, including hemorrhage, hoarseness, skin burn, cough, and sympathetic nerve injury. Conclusion: RFA showed a higher VRR than MWA at 6 and 12-month follow-ups, with a comparable safety profile.

• Clinics in Shoulder and Elbow
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• v.27 no.1
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• pp.3-10
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• 2024

Background: Gunshot-related fractures near the elbow are challenging, and available data to guide the practitioner are lacking. This report analyzes injury patterns and treatment strategies in a case series from a high-volume urban trauma center. Methods: All periarticular gunshot fractures near the elbow treated at a level 1 trauma center from 2014 to 2018 were retrospectively reviewed. Fracture location, patient demographics, concomitant injuries, treatment modalities, and complications were analyzed. Results: Twenty-four patients were identified. All patients received prophylactic antibiotics upon admission and underwent urgent surgical debridement. Open reduction and internal fixation (ORIF) was performed with initial debridement in 22 of 24 patients. Seven patients sustained distal humerus fractures, 10 patients sustained isolated proximal ulna or proximal radius fractures, and seven had combined fracture patterns. Eleven patients presented with nerve palsy, and two had transected nerves. Two patients had vascular injury requiring repair. One patient required a temporary elbow-spanning external fixator and underwent staged debridement followed by ORIF. One patient with a grade IIIC fracture developed a deep infection that precluded ORIF. One patient required revision ORIF due to fracture displacement. Conclusions: This investigation reports on management of ballistic fractures near the elbow at a busy urban level I trauma center. Our management centered on rapid debridement, early definitive fixation, and intravenous antibiotic administration. We report on associated neurovascular injury, bone loss, and other challenges in this patient population. Level of evidence: IV.

• The Journal of the Acoustical Society of Korea
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• v.43 no.1
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• pp.49-59
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• 2024

Recently, the electric vehicle market is gradually growing due to strengthened environmental regulations and high oil prices. also, in internal combustion engine vehicles, the sensitivity of Buzz, Squeak, Rattle (BSR) noise is increasing as engine Noise, Vibration, and Harshness (NVH)-related noise is reduced and technology for shielding noise coming from outside is developed. In this study, the stick-slip noise that occurs in Panoramic Curved Display (PCD) of automobile was analyzed for the correlation between the surface energy of polymer plastic and the polar component. For polar polymer materials, Acrylonitrile Butadiene Styrene (ABS) and PolyCarbonate-Acrylonitrile Butadiene Styrene (PC-ABS), compound materials were fabricated and evaluated. As a result, when the polar component of the polymer plastic was 3.86 mN/m or higher, stick-slip motion occurred, and as the absolute transition slope increased in the friction behavior over time, the possibility of stick-slip noise increased and the value of the friction coefficient The greater the difference, the greater the strength of the stick-slip noise.

• Hip & pelvis
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• v.36 no.1
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• pp.37-46
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• 2024

Purpose: The prognosis of total hip replacement (THR) after open reduction and internal fixation (ORIF) versus THR following non-operative treatment of acetabular fractures is unclear. Few studies have been conducted in this regard. Therefore, the purpose of the current study was to perform an assessment and compare the functional outcomes for study subjects in the ORIF and non-ORIF groups during the follow-up period compared to baseline. Materials and Methods: This longitudinal comparative study, which included 40 patients who underwent THR for either posttraumatic arthritis after fixation of an acetabular fracture or arthritis following conservative management of a fracture, was conducted for 60 months. Twenty-four patients had undergone ORIF, and 16 patients had undergone nonoperative/conservative management for acetabular fractures. Following THR, the patients were followed up for monitoring of functional outcomes for the Harris hip score (HHS) and comparison between the ORIF and non-ORIF groups was performed. Results: The HHS showed significant improvement in both ORIF and non-ORIF groups. At the end of the mean follow-up period, no significant variation in scores was observed between the groups, i.e., ORIF group (91.61±6.64) compared to non-ORIF group (85.74±11.56). A significantly higher number of re-interventions were required for medial wall fractures and combined fractures compared to posterior fractures (P <0.05). Conclusion: THR resulted in improved functional outcome during follow-up in both the groups; however, the ORIF group was observed to have better functional outcome. Re-intervention was not required for any of the posterior fractures at the end of the mean follow-up period.

• Hip & pelvis
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• v.34 no.2
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• pp.69-78
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• 2022

Fragility fractures of the pelvis (FFP) and fragility fractures of the sacrum (FFS), which are emerging in the geriatric population, exhibit characteristics that differ from those of pelvic ring disruptions occurring in the younger population. Treatment of FFP/FFS by a multidisciplinary team can be helpful in reducing morbidity and mortality with the goal of reducing pain, regaining early mobility, and restoring independence for activities of daily living. Conservative treatment, including bed rest, pain therapy, and mobilization as tolerated, is indicated for treatment of FFP type I and type II as loss of stability is limited with these fractures. Operative treatment is indicated for FFP type II when conservative treatment has failed and for FFP type III and type IV, which are displaced fractures associated with intense pain and increased instability. Minimally invasive stabilization techniques, such as percutaneous fixation, are favored over open reduction internal fixation. There is little evidence regarding outcomes of patients with FFP/FFS and more literature is needed for determination of optimal management. The aim of this article is to provide a concise review of the current literature and a discussion of the latest recommendations for orthopedic treatment and management of FFP/FFS.

• Clinical Endoscopy
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• v.55 no.4
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• pp.558-563
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• 2022

Background/Aims: Bispectral index (BIS) monitors process and display electroencephalographic data are used to assess the depth of anesthesia. This study retrospectively evaluated the usefulness of BIS monitoring during endoscopic ultrasonography (EUS). Methods: This study included 725 consecutive patients who underwent EUS under sedation with propofol. BIS monitoring was used in 364 patients and was not used in 361. The following parameters were evaluated: (1) median dose of propofol; (2) respiratory and circulatory depression; (3) occurrence of body movements; (4) awakening score >8 at the time; and (5) awakening score 2 hours after leaving the endoscopy room. Results: The BIS group received a significantly lower median dose of propofol than the non-BIS group (159.2 mg vs. 167.5 mg; p=0.015) in all age groups. For patients aged ≥75 years, the reduction in heart rate was significantly lower in the BIS group than in the non-BIS group (1.2% vs. 9.1%; p=0.023). Moreover, the occurrence of body movements was markedly lower in the BIS group than in the non-BIS group (8.5% vs. 39.4%; p<0.001). Conclusions: During EUS examination, BIS monitoring is useful for maintaining a constant depth of anesthesia, especially in patients 75 years of age or older.

• Archives of Craniofacial Surgery
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• v.25 no.4
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• pp.171-178
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• 2024

Background: We developed a novel interlocking three-dimensional (3D) miniplate design with an adjustable configuration. As this device is new, surgeons must become familiar with its application. This study evaluated the usability and learning curves associated with the novel interlocking 3D miniplate for mandibular fracture fixation. Methods: The study participants, nine plastic surgeons, were asked to apply an interlocking 3D miniplate and a standard miniplate to polyurethane mandible models. The participants had completed the Basic Craniomaxillofacial Osteosynthesis course during residency and had operated on craniomaxillofacial fractures within the past 5 years. They were instructed to place the interlocking 3D miniplate three times and the standard miniplate once. We assessed the time required for implant placement, the comfort level of the surgeons, and the biomechanical stability of the plates. Biomechanical testing was conducted by subjecting the mandible to forces ranging from 10 to 90 N and the displacement was measured. Results: The results indicate increasing comfort with each attempt at placing the interlocking 3D miniplate, with a significant difference between the first and third attempts. Additionally, a reduction in application time was noted with repeated attempts, suggesting improved efficiency. Biomechanical tests showed comparable stability between the tested plates. Conclusion: Multiple attempts at applying the interlocking 3D miniplate resulted in increased comfort and reduced application time. These findings indicate that, despite its novelty, the interlocking 3D miniplate is relatively straightforward to apply and has a short learning curve. However, surgeons must have specific qualifications to ensure proper training and minimize errors during placement.

• Geomechanics and Engineering
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• v.38 no.3
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• pp.319-334
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• 2024

The current theories on the interaction between surrounding rock and support in deep-buried tunnels do not consider the form of pre-reinforcement support or the flexibility of primary support, leading to a discrepancy between theoretical solutions and practical applications. To address this gap, a comprehensive mechanical model of the tunnel with pre-reinforced rock was established in this study. The equations for internal stress, displacement, and the radius of the plastic zone in the surrounding rock were derived. By understanding the interaction mechanism between flexible support and surrounding rock, the three-dimensional construction analysis solution of the tunnel could be corrected. The validity of the proposed model was verified through numerical simulations. The results indicate that the reduction of pre-deformation significantly influences the final support pressure. The pre-reinforcement support zone primarily inhibits pre-deformation, thereby reducing the support pressure. The support pressure mainly affects the accelerated and uniform movement stage of the surrounding rock. The generation of support pressure is linked to the deformation of the surrounding rock during the accelerated movement stage. Furthermore, the strength of the pre-reinforcement zone of the surrounding rock and the strength of the shotcrete have opposite effects on the support pressure. The parameters of the pre-reinforcement zones and support materials can be optimized to achieve a balance between surrounding rock deformation, support pressure, cost, and safety. Overall, this study provides valuable insights for predicting the deformation of surrounding rock and support pressure during the dynamic construction of deep-buried weak rock tunnels. These findings can guide engineers in improving the construction process, ensuring better safety and cost-effectiveness.