• The Journal of the Korean bone and joint tumor society
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• v.14 no.2
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• pp.140-145
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• 2008

After limb salvage operation becomes popular, reconstruction method of epi-metaphyseal osteosarcoma is relatively standardized though it may be operator's matter of preference. Most limb salvage techniques presently used are prosthesis reconstruction and osteoarticular allograft. In the case of prosthesis, it is very stable and shows good postoperative functional score, however, finally, it has a weak point of requirement for removal procedure due to failure. In the long run, allograft reconstruction has a good merit. But, it has a weak point of difficulties in securing the demanded size and shape. Allograft reconstruction should be performed only in the case of safe margin and established indication. In limb salvage operation, intercalary reconstruction is useful method in diaphyseal osteosarcoma, however, in metaphyseal osteosarcoma, the indication is not confirmed. We treated 17 year old osteosarcoma patient with localized in the tibial medial condyle with proximal medial condylectomy and pasteurized bone reconstruction in the conviction of safe surgical margin. We report this case because we guess if this procedure may be applied to premature patients, despite failure hemiarthroplasty can be tried successfully.

• Journal of Chest Surgery
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• v.17 no.4
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• pp.762-774
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• 1984

A clinical analysis was performed on 49 cases of the benign esophageal diseases experienced at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital during 7 year period from 1977 to 1983. Of 49 cases Of the benign esophageal diseases, there were 19 patients of esophageal stricture, 11 of achalasia, 6 of perforation, 3 of bronchoesophageal fistula, 3 of esophageal perforation, 3 of esophageal leiomyoma and one of esophageal foreign body. Twenty three patients were male and 26 were female. Ages ranged from 4 years to 74 years with the average age of 34.7 years. Of 19 patients of esophageal strictures, 7 patients were male and 12 were female and ages ranged from 6 years to 74 years with the average being 33.8 years. Causes of esophageal strictures were corrosive of esophageal strictures were dysphagia, vomiting, general weakness, weight loss and pain that order and developed on several different parts of esophagus. Operations were performed in 18 cases, of whom 7 patients were performed by esophagocologastrostomy, 4 gastrostomy, 4 esophagogastrostomy, 1 esophageal resection and esophagoesophagostomy, 1 esophagotomy and dilatation and 1 scar revision. Five patients had one or two complications; 2 anastomotic leakage, 1 wound infection, 1 localized empyema, 1 bilateral pneumothorax and 1 respiratory failure. One patient expired due to respiratory failure arising from aspiration pneumonia. The average age of achalasia patients was 33.1 years and symptom durations were from 2 months to 10 years with the average of 3.3 years. Main symptoms were dysphagia, vomiting, weight loss, pain and cough in that order. Modified Hellers myotomy was performed in 11 patients with one complication of restenosis. One patient was operated on by using longitudinal incision and transverse sutures with good result. Of 6 patient of esophageal diverticulum, 2 patients were traction diverticulum on the midesophagus, 2 were pulsion diverticulum on the midesophagus and 2 were pulsion diverticulum on the lower esophagus. Diverticulectomy was performed on 2 cases of traction diverticulum and esophagocardiomyotomy with or without diverticulectomy was erformed on 4 cases of pulsion diverticulum with good results. Of 5 patients of congenital bronchoesophageal fistula, the chief complaints were productive cough in 4 patients and hematemesis without respiratory symptoms in one patient. Two patients were operated on by using fistulectomy only and 3 by fistulectomy with pulmonary lobectomy. Of 3 patients of esophageal perforation, causes were foreign body ingestion, esophageal stricture after ECG and corrosive esophagitis. Two patient were operated on by using drainage and gastrostomy with symptomatic improvement but one patient died due to septic shock after thoracotomy. Three patients of esophageal leiomyoma were all male and 2 patients were operated on by using enucleation and one by distal esophagectomy with esophagogastrostomy. In one patient of esophageal foreign body, it was removed by esophagotomy through the right thoracotomy.

• Journal of the Korea Concrete Institute
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• v.22 no.6
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• pp.867-873
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• 2010

This study investigated the corrosion properties of reinforced concrete with the addition of steel fibers. The transport properties of steel fiber-reinforced concrete such as permeable void, absorption by capillary action, water permeability and chloride diffusion were first measured to evaluate the relationship with the corrosion of steel rebar. Test results showed a slight increase on the compressive strength with the addition of steel fibers as well as considerable improvement of penetration resistance to mass transport of harmful materials into concrete. The addition of steel fibers in reinforced concrete accelerated the initiation of steel corrosion contrary to the expected results based on the measured transport properties. The NaCl ponding surface showed the spalling failure due to the corrosion expansion of steel fibers and the cut-surface around the steel rebar showed the localized steel fiber's corrosion. The wet-dry cycling with high chloride ions as well as high temperature seems to induce the increase of salt crystallization on the pores continually and the increased pressure with the steel fiber's corrosion on the pores caused the spalling failure on the exposed surface. The microcracking on the surface therefore accelerated the movement of water, chloride ions and oxygen into the embedded steel rebar. The mechanism affecting corrosion of embedded steel reinforcement with steel fibers in this study are not yet fully understood and require further study comprising of accurate experimental design to isolate the effect of steel fiber's potential mechanism on the corrosion process.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.38C no.7
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• pp.630-642
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• 2013

To transmit vital signal stream of mobile patients remotely, it requires mobility of patient and watcher, sensing function of patient's abnormal symptom and self-organizing service binding of related computing resources. In the existing relative researches, the vital signal stream is transmitted as a centralized approach which exposure the single point of failure itself and incur data traffic to central server although it is localized service. Self-organizing middleware platform based on heterogenous overlay network is a middleware platform which can transmit real-time data from sensor device(including vital signal measure devices) to Smartphone, TV, PC and external system through overlay network applied self-organizing mechanism. It can transmit and save vital signal stream from sensor device autonomically without arbitration of management server and several receiving devices can simultaneously receive and display through interaction of nodes in real-time.

• Journal of the Korea Concrete Institute
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• v.24 no.3
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• pp.333-340
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• 2012

The current study prepared 9 laboratorial concrete mixes and 3 ready-mixed concrete batches to examine the size and shape effects in compression failure of lightweight aggregate concrete (LWC). The concrete mixes were classified into three groups: normal-weight, all-lightweight and sand-lightweight concrete groups. For each concrete mix, the aspect ratio of circular or square specimens was 1.0 and 2.0. The lateral dimension of specimens varied between 50 and 150 mm for each laboratorial concrete mix, whereas it ranged from 50 to 400 mm with an incremental variation of 50 mm for each ready-mixed concrete batch. Test observations revealed that the crack propagation and width of the localized failure zone developed in lightweight concrete specimens were considerably different than those of normal-weight concrete (NWC). In LWC specimens, the cracks mainly passed through the coarse aggregate particles and the crack distribution performance was very poor. As a result, a stronger size effect was developed in LWC than in NWC. Especially, this trend was more notable in specimens with aspect ratio of 2.0 than in specimens with that of 1.0. The prediction model derived by Kim et al. overestimated the size effect of LWC when lateral dimension of specimen is above 150 mm. On the other hand, the modification factors specified in ASTM and CEB-FIP provisions, which are used to compensate for the shape effect of specimen on compressive strength, were still conservative in LWC.

• Radiation Oncology Journal
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• v.20 no.1
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• pp.17-23
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• 2002

Purpose : To clarify the clinical benefit derived from the combined modality therapy (CMT) consisting of chemotherapy (CT) and involved field radiotherapy (RT) for stage I and II angiocentric lymphomas of the head and neck. Materials and Methods : Of 143 patients with angiocentric lymphoma of the head and neck treated at our hospital between 1976 and 1995, 104 patients (RT group) received involved field RT alone with a median dose of 50.4 Gy (range : 20~70 Gy), while 39 patients (CMT group) received a median 3 cycles (range : 1~6 cycles) of CT before involved field RT. The response rate, patterns of failure, complications, and survival data of the RT group were compared with those of the CMT group. Results : Despite a higher response rate, local failure was the most common pattern of failure in patients of both groups. The patterns of failure, including the systemic relapse rate were not influenced by the addition of combination CT. Although both modalities were well tolerated by the majority of patients, aberrant immunologic disorders or medical illnesses, such as a hemophagocytic syndrome, sepsis, intractable hemorrhage, or the evolution of second primary malignancies were more frequently observed in patients of the CMT group. The prognosis of patients in the RT group was relatively poor, with a 5-year overall actuarial survival rate of 38% and disease-free survival rate of 32%, respectively. However, their clinical outcome was not altered by the addition of systemic CT. Achieving complete remission was the most important prognostic factor by univariate and multivariate analyses, but treatment modality was not found to be a prognostic variable influencing survival. Conclusions : Involved field RT alone for angiocentric lymphoma of the head and neck was insufficient to achieve an improved survival rate, but the addition of CT to involved field RT failed to demonstrate any therapeutic advantage over involved field RT alone.

• Tuberculosis and Respiratory Diseases
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• v.44 no.5
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• pp.975-991
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• 1997

Background : Many patients with isoniazid and rifampin-resistant pulmonary tuberculosis have organisms that are also resistant to other first-line drugs. Despite of aggressive retreatment chemotherapy, the results are often unsuccessful, with a failure rate approaching 40%. Recently, there has been a revival of resectional surgery for the treatment of multidrug-resistant pulmonary tuberculosis. Methods : A retrospective analyses of the case records and radiographic findings were done. Between January 1991 and December 1995, 14 human immunodeficiency virus (HIV)-seronegative patients with multidrug-resistant pulmonary tuberculosis were selected for resection to supplement chemotherapy. All patients had organisms resistant to many of the first-line drugs, including both isoniazid and rifampin. Results : Despite of aggressive therapy for median duration of 9.5 months, 12 of the 14 patients (86%) were still sputum smear and/or culture positive at the time of surgery. The disease was generally extensive. Although main lesions of the disease including thick-walled cavities were localized in one lung, lesser amounts of contralateral disease were demonstrated in 10 of 14 (71%). Types of surgery performed were pneumonectomy including extrapleural pneumonectomy in six patients, lobectomy or lobectomy plus in six patients, and segmentectomy in two patients. The resected lung appeared to have poor function ; preoperative perfusion lung scan showed only 4.8% of the total perfusion to the resected portion of the lung. There were no operative deaths. Two patients had major postoperative complications including empyema with bronchopleural fistula and prolonged air leak, respectively. Of the 14 patients, 13 (93%) remained sputum-culture-negative for M. tuberculosis for a median duration of 23 months and one remained continuously sputum smear and culture positive for M. tuberculosis. Conclusion : On the basis of comparison with historical controls, adjunctive resectional surgery appears to play a significant beneficial role in the management of patients with multidrug-resistant pulmonary tuberculosis if the disease is localized and there are adequate reserve in pulmonary function.

• Journal of the korean academy of Pediatric Dentistry
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• v.36 no.1
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• pp.96-101
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• 2009

Regional odontodysplasia(ROD) is relatively rare localized developmental anomaly of tooth formation in which hard tissue is affected. The maxilla is typically affected than the mandible, and especially the maxillary left quadrant is the most commonly involved. Females are affected twice as often as males, and there is no association with race. Its etiology remains undetermined, but local circulatory disorders, somatic mutations, virus infections, local trauma, hyperpyrexia, irradiation, metabolic disturbances, and hereditary transmission are considered as possible etiologic factors. The affected teeth are likely to be small, hypoplastic, brown, and grooved. Eruption failure or delay is frequently seen as well as abscess or fistulae formation in absence of caries. Radiographically, there is a lack of contrast between the enamel and dentin, both of which are less radiopaque than unaffected counterparts. Moreover, enamel and dentin layers are thin, giving the teeth a “ghost-like appearance”. The pulp chambers and canals are large, the roots seem like to be short and indistinct. A 2-year-3-month old boy came to the department of pediatric dentistry, Yonsei University, with the chief complaint of delayed eruption and abnormal tooth shape on the lower left quadrant. He was diagnosed as regional odontodysplasia based on the clinical and radiographic findings.

• Journal of the Korean Society for Nondestructive Testing
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• v.20 no.4
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• pp.276-284
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• 2000

The acoustic emission (AE) behavior of reinforced concrete beams tested under flexural loading was investigated to characterize and identify the source of damage. This research was aimed at identifying the characteristic AE response associated with micro-crack development, localized crack propagation, corrosion, and debonding of the reinforcing steel. Concrete beams were prepared to isolate the damage mechanisms by using plain, notched-plain, reinforced, and corroded-reinforced specimens. The beams were tested using four-point cyclic step-loading. The AE response was analyzed to obtain key parameters such as the time history of AE events, the total number and rate of AE events, and the characteristic features of the waveform. Initial analysis of the AE signal has shown that a clear difference in the AE response is observed depending on the source of the damage. The Felicity ratio exhibited a correlation with the overall damage level, while the number of AE events during unloading can be an effective criterion to estimate the level of corrosion distress in reinforced concrete structures. Consequently, AE measurement characterization appears to provide a promising approach for estimating the level of deterioration in reinforced concrete structure.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.12
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• pp.712-721
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• 2017

Recently, the intensity and frequency of floods has increasing worldwide, and flood disasters have become a big problem. Flood disasters, which account for the largest portion of disasters, are floods accompanied by typhoons and localized heavy rainfall. As a result, they cause damage of levee overtopping, in which the water level of a river rises to the levee crown. Therefore, countermeasures are essential and necessary because of the damage to the facility itself as well as to life and other property. The damage magnitude depends on the collapse of the levee. A levee that is difficult to collapse will reduce the discharge inland significantly. Accordingly, the protection of the inland slope, where the collapse of the levee is initiated, is one of the most important countermeasures In this study, revetments with various porosity and forms were suggested and hydraulic experiments were carried out for each type. The hydraulic experiments showed that the stability of a revetment in an inland slope is strongly correlated with the weight per unit area of the revetment. The relationship between the critical velocity, which is the velocity at the moment of leaving the revetment, and the weight per unit area was derived. Through this study, by applying the nature friendly revetment, which has not yet been applied to Korea, it is expected that life and property damage caused by levee overtopping during flooding can be reduced, and a nature friendly river space can be constructed.