• Journal of Korean Neurosurgical Society
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• v.50 no.2
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• pp.99-102
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• 2011

Objective : The purpose of this retrospective study was to evaluate the outcome of gamma knife radiosurgery (GKRS) and/or whole brain radiation therapy (WBRT) for the treatment of small cell lung carcinoma (SCLC) metastasis to the brain. Methods : From 2000 to 2010, 50 patients underwent GKRS for metastatic brain lesions originating from SCLC. Among these patients, 11 received prophylactic cranial irradiation (PCI) before the development of metastatic lesions (PCI group), and GKRS was performed as an initial treatment for newly diagnosed lesions in 12 patients who had not received PCI (primary GKRS group). In addition, GKRS was performed as a salvage treatment for progressive lesions after WBRT in 27 patients (salvage GKRS group). The medical records and imaging data of all patients were retrospectively analyzed. Results : The overall survival of the 50 patients was 20.8 months (range 1-53) after the diagnosis of primary tumor and 12.0 months (range 1-47) after the development of cerebral metastasis. Median survival after GKRS was 4.8 months (range 1-15) in the PCI group, 4.6 months (range 0-18) in the primary GKRS group, and 7.6 months (range 0-33) in the salvage GKRS group. Further treatment for progressive lesions after GKRS was necessary in 15 patients, after a mean interval of 3.8 months. Causes of death were systemic organ failure in 15 patients, deterioration of neurological state in 13 patients, and unknown or combined causes in 16 patients. The local control rate of the lesions treated with GKRS was 76.4% (decreased in 13 patients and stable in 16 patients at the final imaging follow-up (mean 5.60 months). Conclusion : GKRS is an effective local treatment for brain metastasis from SCLC both as an initial treatment for newly diagnosed lesions after PCI and as a salvage treatment for recurrent or progressive lesions. However, the survival benefit is not significant because most patients die of systemic multi-organ failure with a short life expectancy.

• Geomechanics and Engineering
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• v.20 no.5
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• pp.399-410
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• 2020

Cavities often develop behind the vault during the construction of double-arch tunnels, generally in the form of various defects. The study evaluates the impact of cavities behind the vault on the mechanical and failure behaviors of double-arch tunnels. Cavities of the same sizes are introduced at the vault and the shoulder close to the central wall of double-arch tunnels. Physical model tests are performed to investigate the liner stress variation, the earth pressure distribution and the process of progressive failure. Results reveal that the presence of cavities behind the liner causes the re-distribution of the earth pressure and induces stress concentration near the boundaries of cavities, which results in the bending moments in the liner inside the cavity to reverse sign from compression to tension. The liner near the invert becomes the weak region and stress concentration points are created in the outer fiber of the liner at the bottom of the sidewall and central wall. It is suggested that grouting into the foundation soils and backfilling injection should be carried out to ensure the tunnel safety. Changes in the location of cavities significantly impact the failure pattern of the liner close to the vault, e.g., cracks appear in the outer fiber of the liner inside the cavity when a cavity is located at the shoulder close to the central wall, which is different from the case that the cavity locates at the vault, whereas changes in the location of cavities have a little influence on the liner at the bottom of the double-arch tunnels.

• Journal of Acupuncture Research
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• v.31 no.3
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• pp.67-73
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• 2014

Objectives : Amyotrophic lateral sclerosis(ALS) is a progressive neurodegenerative disorder characterized by a selective death of motor neuron, leading to respiratory insufficiency. The purpose of this study was to assess the long term respiratory management of ALS patient with respiratory failure. Methods : One ALS patient applying a non-invasive BIPAP ventilator as well as Korean medical treatment such as acupuncture, pharmacopuncture and herbal medicine was measured on $SpO_2$, $EtCO_2$, Vte(expiratorytidalvolume) for 2 years 7 months. Results : The $SpO_2$, $EtCO_2$ of ALS patient were maintained in the normal range for 2 years 7 months. The Vte of ALS patient also wasn't worse in this study. Conclusions : In this study, the long term respiration management, combined administration of Korean medical treatment and non-invasive BIPAP ventilator, could be effective in ALS patient with respiratory failure.

• Geomechanics and Engineering
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• v.19 no.2
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• pp.167-178
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• 2019

Open-pit (OP) and underground (UG) mining are usually used to exploit shallow and deep ore deposits, respectively. When mine deposit starts from shallow subsurface and extends to a great depth, sequential use of OP and UG mining is an efficient and economical way to maintain mining productivity. However, a transition from OP to UG mining could induce significant rock movements that cause the slope instability of the open pit. Based on Yanqianshan Iron Mine, which was in the transition from OP to UG mining, a large-scale two-dimensional (2D) model test was built according to the similar theory. Thereafter, the UG mining was carried out to mimic the process of transition from OP to UG mining to disclose the triggered rock movement as well as to assess the associated slope instability. By jointly using three-dimensional (3D) laser scanning, distributed fiber optics, and digital photogrammetry measurement, the deformations, movements and strains of the rock slope during mining were monitored. The obtained data showed that the transition from OP to UG mining led to significant slope movements and deformations that can trigger catastrophic slope failure. The progressive movement of the slope could be divided into three stages: onset of micro-fracture, propagation of tensile cracks, and the overturning and/or sliding of slopes. The failure mode depended on the orientation of structural joints of the rock mass as well as the formation of tension cracks. This study also proved that these non-contact monitoring technologies were valid methods to acquire the interior strain and external deformation with high precision.

• Steel and Composite Structures
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• v.29 no.6
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• pp.785-802
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• 2018

In this paper, two different computational methods, called Rayleigh-Ritz and collocation are developed to estimate the ultimate strength of composite plates. Progressive damage behavior of moderately thick composite laminated plates is studied under in-plane compressive load and uniform lateral pressure. The formulations of both methods are based on the concept of the principle of minimum potential energy. First order shear deformation theory and the assumption of large deflections are used to develop the equilibrium equations of laminated plates. Therefore, Newton-Raphson technique will be used to solve the obtained system of nonlinear algebraic equations. In Rayleigh-Ritz method, two degradation models called complete and region degradation models are used to estimate the degradation zone around the failure location. In the second method, a new energy based collocation technique is introduced in which the domain of the plate is discretized into the Legendre-Gauss-Lobatto points. In this new method, in addition to the two previous models, the new model named node degradation model will also be used in which the material properties of the area just around the failed node are reduced. To predict the failure location, Hashin failure criteria have been used and the corresponding material properties of the failed zone are reduced instantaneously. Approximation of the displacement fields is performed by suitable harmonic functions in the Rayleigh-Ritz method and by Legendre basis functions (LBFs) in the second method. Finally, the results will be calculated and discussions will be conducted on the methods.

• Composites Research
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• v.21 no.6
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• pp.23-30
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• 2008

In this paper, the effect of the natural aging on the strength distribution and structural service life of a Filament Wound (FW) composite pressure vessel was studied. The fiber failure strain, which is varied significantly, was considered as the design random variable and the strength analysis was carried out by probabilistic numerical approach. The progressive failure analysis technique and the First Order Reliability Method (FORM) were embedded in this numerical model. As the calculation results, the probability of failure was obtained for each aging time steps and it is found that the strength degradation in FW composite pressure vessel, due to the natural aging, appears within 10 year-aging-time. As an example of the life prediction under natural aging using arbitrary laminated model, the service lifetime of 13 years was predicted based on the probability of failure of 2.5% and the design pressure of 3,250 psi.

• Childhood Kidney Diseases
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• v.1 no.2
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• pp.189-194
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• 1997

Oligomeganephronia is a rare congenital form of bilateral renal hypoplasia histologically characterized by reduction in number and hypertrophy of nephrons. Clinically, this condition is presented in early infancy with vomiting, polyuria, polydipsia and dehydration. The problems are readily corrected, but slowly progressive renal failure follows accompanied by failure to thrive, short stature, and renal osteodystrophy. We experienced three cases of oligomeganephronia. Case 1. : A 3 2/12 years old female child was incidentally diagnosed as renal failure at age of 2 months when she was hospitalized due to pneumonia. She had open renal biopsy and was diagnosed as bilateral dysplastic kidney. On OPD follow-up, she progressed to end-stage renal failure (BUN/Cr 114/4.6 mg/dl) and had renal transplantation. The specimen was shrunk remarkably and light microscopy showed oligomeganephronia. Case 2. : A 14 8/12 years old female child with proteinuria was detected in an annual urine screening program for school children, she was diagnosed as renal failure (BUN/Cr 33.9/4.1 mg/dl), and had $5{\times}4{\times}3\;cm$ sized mass on abdominal CT scan. She had renal biopsy, and the specimen showed oligomeganephronia. She had hemodialysis for six months, and renal transplantation along with bilateral nephrectomy was performed. Case 3. : A 14 8/12 years old male child was diagnosed having chronic nephritis and chronic renal failure at 3 years old, progressed to end-stage renal failure (BUN/Cr 87/9.6 mg/dl) on OPD follow-up, and had a rephrectomy and renal transplantation. The biopsy specimen showed oligomeganephronic hypoplasia, secondary focal segmental glomerolosclerosis, and chronic interstitial nephritis. We report 3 cases of oligomeganephronia that progressed to end-stage renal failure and had successful renal transplantation with a brief review of related literatures.

• Journal of the Korea Concrete Institute
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• v.24 no.3
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• pp.259-266
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• 2012

A general earthquake resistant design philosophy of ductile frame buildings allows beams to form plastic hinges adjacent to beam-column connections. In order to carry out this design philosophy, the ultimate bond or shear strength of the beam should be greater than the flexural yielding force and should not degrade before reaching its required ductility. The behavior of RC members dominated by bond or shear action reveals a dramatic reduction of energy dissipation in the hysteretic response due to the severe pinching effects. In this study, a method was proposed to predict the deformability of reinforced concrete members with short-span-to-depth-ratios, which would result in bond failure after flexural yielding. Repeated or cyclic loading produces a progressive deterioration of bond that may lead to failure at lower cyclic bond stress levels. Accumulation of bond damage is caused by the propagation of micro-cracks and progressive crushing of concrete in front of the lugs. The proposed method takes into account bond deterioration due to the degradation of concrete in the post yield range. In order to verify bond deformability of the proposed method, the predicted results were compared with the experimental results of RC members reported in the technical literature. Comparisons between the observed and calculated bond deformability of the tested RC members showed reasonably good agreement.

• Journal of Chest Surgery
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• v.37 no.12
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• pp.1015-1018
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• 2004

Lymphangioleiomyomatosis (LAM) is a rare disease in women in childbearing age leading to progressive respiratory failure. LAM is characterized by an abnormal harmartomatous proliferation of smooth muscle cells surrounding the blood vessels, lymphatics and airways in the lung. This proliferation leads to airway obstruction, cystic alveolar change and lymphatic obstruction. Patients present with dyspnea, pneumothorax, cough, chest pain, hemoptysis, and chylous effusion. Although lung transplantation is the only therapeutic modality in end-stage LAM with respiratory failure, there has not been any report of successful treatment in Korea. We report one case of successful left single lung transplantation in a 40 year old woman suffering from end-stage LAM.

• Composites Research
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• v.13 no.1
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• pp.25-32
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• 2000

In this paper, postbuckling behavior of laminated composite-stringer stiffened-curved panels loaded in local compression is analyzed using the finite element program developed. Postbuckling Analysis is performed in dividing the panel behavior into three basic parts. The eight node degenerated shell element is used in modelling both panel and stiffeners, and the updated Lagrangian description method based on the 2nd Piola-Kirchhoff stress tensor and the Green strain tensor is used for the nonlinear finite element formulation. The progressive failure analysis is adopted in order to grasp the failure characteristics. The postbuckling experiment of the laminated composite-stiffened-curved panel had been done to verify the finite element analysis. The buckling load and the postbuckling ultimate load are compared in parametric study.