• 구강회복응용과학지
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• 제23권4호
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• pp.269-281
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• 2007

Fluoric acid etching is an essential procedure in cementation of reinforced ceramics to tooth surface. But there have been few studies about the changes of surface structure and flexural strength of IPS $Empress^{(R)}$ 2 ceramic according to the etching time. The objectives of this study were to examine the surface structure changes and the difference in biaxial flexural strength of IPS $Empress^{(R)}$ 2 ceramic according to various etching times. Sixty one disk-shaped specimens of IPS $Empress^{(R)}$ 2 ceramic($14mm{\times}1.2mm$) were fabricated for the biaxial flexural strength test and SEM analysis according to the manufacturer's recommendations. Sixty specimens were divided into 6 groups(n=10) according to the time of HF acid etching(0, 20, 180 and 300s)and silane/resin cement application. Each disk was loaded using a piston-on-3 ball biaxial configuration in a universal testing machine. The failure loads(N) were recorded, and the biaxial flexural strength for each disk was calculated. A one-way analysis of variance and independent t-test on transformed fracture strength data were used to determine significant differences between groups. The groups of no cementation showed a trend toward progressive weakening with increasing the etching time. However, this was not statistically significant at p=0.05 level. The groups of resin cementation exhibited no apparent trend in their mean strength values. SEM photomicrographs showed very different results of etching. Within the conditions of this study, alteration of surface topography by acid etching does not have a deleterious effect on the biaxial flexural strength of IPS $Empress^{(R)}$ 2 ceramic.

• 한국전산구조공학회논문집
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• 제25권3호
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• pp.219-226
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• 2012

기둥은 건물에서 하중을 지지하는 중요한 구성요소이므로 기둥의 손상 또는 파괴는 건물의 연쇄붕괴의 원인이 된다. 특히 폭발하중에 의한 기둥의 거동평가는 연쇄붕괴 방지에 있어 중요한 요소이다. 본 논문에서는 축하중을 받고 있는 기둥이 폭발하중을 받을 때의 거동과 폭발 저항성능을 평가하였다. 이를 위해 동일단면적과 비슷한 철근비를 가지는 기둥에서 주 철근의 개수를 달리하여 각 변수에 따른 폭발하중에 대한 폭발 저항성능을 평가하였다. 또한, 동일한 성능을 지니는 기둥에서 단면비를 달리하여 기둥의 폭발 저항성능을 비교하였다. 해석결과, 폭발 직후 충격량에 대한 수직 변형률은 철근의 개수 및 단면비에 영향을 받지 않는 것으로 나타났다. 그러나 수평변형의 경우 폭발압력을 받는 면의 철근 개수가 증가함에 따라 기둥의 저항성능이 증가하는 것으로 나타났다. 또한, 기둥 단면의 단면 2차모멘트가 클수록 폭발하중에 대한 저항 성능 및 복원력이 더 큰 것을 확인하였다.

• Journal of Acupuncture Research
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• 제21권6호
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• pp.127-149
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• 2004

Objective : Ossification of ligaments within spinal canal, i.e., OPLL and OLF, is uncommon clinical entity as a cause of the progressive compression myelopathy or radiculopathy. More and more cases being reported in the field of occidental medicine, but very few cases have been reported in the field of oriental medicine. The purpose of this study is to report on oriental medical approaches to OPLL and OLF. Methods : Subjects of this study are 3 cases of OPLL and 3 cases of OLF who visited Won-kwang oriental medical hospital(Dept. of acupuncture and Moxibustion) from May, 2002 to October, 2003. These patients undergo oriental medical treatment such as acupuncture, cupping, Bee-Venom therapy and herbal medication and so on. We made a comparison JOA scores between before treatment and after treatment and we evaluated results of treatment. Results : The results of treatment in these six cases are as follows ; One case was evaluated 'Excellent', one case was evaluated 'Good', two cases were evaluated 'Fair' and two cases were evaluated 'Failure'. One of these cases had a surgical operation after discharge from this hospital. Conclusions : After oriental medical care for these cases, there are some improvements such as decrease of pains, relief of myelopathy etc. But, it had little effect on some cases, therefore we considered that more special study to find various and effective methods of oriental medical treatment for these diseases should be made.

• 한국지반환경공학회 논문집
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• 제11권11호
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• pp.47-54
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• 2010

최근 쓰레기 매립장에 보강 및 보호 목적으로 토목섬유가 널리 사용되고 있다. 최근 연구결과, 토목섬유-흙 접촉면에서는 진행성 파괴가 발생할 수 있는데 이는 토목섬유-흙 접촉면에서 함수비, 연직응력, 화학적 요소의 영향 등 고유물성에 기인한다. 본 연구에서는 침출수 내의 산성 및 염기성과 같은 성분의 영향이 진동하중 상태에서 토목섬유-흙 접촉면의 전단강도 감소에 미치는 영향을 실내 시험을 통하여 분석하였다. 다기능 접촉면 시험기를 새로 구축하고 서로 다른 pH 조건에서 수침시킨 토목섬유와 흙시료를 이용하여 진동 직접전단시험을 수행하여 접촉면 전단두께와 화학적 요소에 의한 접촉면의 전단강도 감소를 확인하였다. 또한 접촉면 전단강도 감소를 정량적으로 표현하기 위하여 교란상태개념에 기초하여 동하중 하의 화학적 인자들에 의한 토목섬유-흙 접촉면의 정규화 교란도 함수를 파악하고 전단강도 감소 특성을 확인하였다.

• Childhood Kidney Diseases
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• 제24권2호
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• pp.91-97
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• 2020

Purpose: Alport syndrome (AS) is one of the most common inherited renal diseases caused due to mutations of genes encoding specific proteins of the type IV collagen family, and its major clinical manifestations include progressive renal failure, sensorineural deafness, and ocular abnormalities. We investigated the clinical characteristics and long-term prognosis of AS in Korean pediatric and adult populations. Methods: We conducted a retrospective review of medical records of 33 children and adults who had been diagnosed or treated with AS from 1985 to 2019. Results: The mean age of the 33 patients diagnosed with AS was 16.2±13.6 years, and the male-to-female ratio was 2:1. At the first visit, recurrent gross hematuria was the most common initial symptom. In 10 of 33 patients (30.3%), sensorineural hearing loss (SNHL) was diagnosed, but none had ophthalmic problems. Moreover, 11 of 33 patients (33.3%) had advanced to end-stage renal disease (ESRD), and a significant difference was observed in the age of the patients who progressed to ESRD based on the presence or absence of SNHL (P=0.035). Conclusion: SNHL in AS can be an important prognostic factor for long-term deterioration of renal function. Further investigation is required to confirm the clinical course and the genetic characteristics of AS in Korea through prospective national cohort studies.

• Journal of Korean Medical Science
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• 제33권51호
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• pp.324.1-324.6
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• 2018

Oxysterol $7{\alpha}$-hydroxylase deficiency is a very rare liver disease categorized as inborn errors of bile acid synthesis, caused by CYP7B1 mutations. As it may cause rapid progression to end-stage liver disease even in early infancy, a high index of suspicion is required to prevent fatal outcomes. We describe the case of a 3-month-old boy with progressive cholestatic hepatitis and severe hepatic fibrosis. After excluding other etiologies for his early liver failure, we found that he had profuse urinary excretion of $3{\beta}$-monohydroxy-${\Delta}^5$-bile acid derivatives by gas chromatography/mass spectrometry analysis with dried urine spots on filter paper. He was confirmed to have a compound heterozygous mutation (p.Arg388Ter and p.Tyr469IlefsX5) of the CYP7B1 gene. After undergoing liver transplantation (LT) from his mother at 4 months of age, his deteriorated liver function completely normalized, and he had normal growth and development until the current follow-up at 33 months of age. We report the first Korean case of oxysterol $7{\alpha}$-hydroxylase deficiency in the youngest infant reported to undergo successful living donor LT to date.

• Genes and Genomics
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• 제40권12호
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• pp.1269-1277
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• 2018

Bcl2-associated athanogene 3 (BAG3) mutations have been reported to cause the myofibrillar myopathy (MFM) which shows progressive limb muscle weakness, respiratory failure, and cardiomyopathy. Myopathy patients with BAG3 mutation are very rare. We described a patient showing atypical phenotypes. We aimed to find the genetic cause of Korean patients with sensory motor polyneuropathy, myopathy and rigid spine. We performed whole exome sequencing (WES) with 423 patients with sensory motor polyneuropathy. We found BAG3 mutation in one patient with neuropathy, myopathy and rigid spine syndrome, and performed electrophysiological study, whole body MRI and muscle biopsy on the patient. A de novo heterozygous p.Pro209Leu (c.626C>T) mutation in BAG3 was identified in a female myopathy. She first noticed a gait disturbance and spinal rigidity at the age of 11, and serum creatine kinase levels were elevated ninefolds than normal. She showed an axonal sensory-motor polyneuropathy like Charcot-Marie-Tooth disease (CMT), myopathy, rigid spine and respiratory dysfunction; however, she did not show any cardiomyopathy, which is a common symptom in BAG3 mutation. Lower limb MRI and whole spine MRI showed bilateral symmetric fatty atrophy of muscles at the lower limb and paraspinal muscles. When we track traceable MRI 1 year later, the muscle damage progressed slowly. As far as our knowledge, this is the first Korean patient with BAG3 mutation. We described a BAG3 mutation patient with atypical phenotype of CMT and myopathy, and those are expected to broaden the clinical spectrum of the disease and help to diagnose it.

• 대한임상독성학회지
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• 제16권2호
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• pp.157-160
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• 2018

Chronic silica nephropathy has been associated with tubulointerstitial disease, immune-mediated multisystem disease, chronic kidney disease, and end-stage renal disease. On the other hand, acute intentional exposure is extremely rare. The authors' experienced a 44-year-old man who took rapid cement hardener (sodium silicate) in a suicide attempt whilst in a drunken state. He visited the emergency department approximately 1 hour after ingestion. Information on the material was obtained after 3 L gastric lavage. The patient complained of a sore throat, epigastric pain, and swollen to blood tinged vomitus. Proton pump inhibitors, hemostats, steroid, and fluids were administered. Nine hours after ingestion, he was administered 200 mL hematochezia. Immediately after, a gas-troenterologist performed an endoscopic procedure that revealed diffuse hyperemic mucosa with a color change and variable sized ulceration in the esophagus, whole stomach, and duodenal $2^{nd}$ portion. Approximately 35 hours later, persistent oligouria and progressive worsening of the renal function parameters (BUN/Cr from 12.2/1.2 to 67.5/6.6 mg/dL) occurred requiring hemodialysis. The patient underwent 8 sessions of hemodialysis for 1 month and the BUN/Cr level increased to 143.2/11.2 mg/dL and decreased to 7.6/1.5 mg/dL. He was discharged safely from the hospital. Follow up endoscopy revealed a severe esophageal stricture and he underwent endoscopic bougie dilatation. Acute cement hardener (sodium silicate) intoxication can cause renal failure and strong caustic mucosal injury. Therefore, it is important to consider early hemodialysis and treatment to prevent gastrointestinal injury and remote esophageal stricture.

• Steel and Composite Structures
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• 제41권5호
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• pp.663-679
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• 2021

To elucidate the differences in the collapse behavior between a single-story beam-column assembly and multi-story frame, two 1/3-scale two-bay composite frames, including a single-story composite beam-column assembly and a three-story composite sub-frame, were designed and quasi-statically tested. The load-displacement responses, failure modes, and internal force development of the two frames were analyzed and compared in detail. Furthermore, the resistance mechanisms of the two specimens were explored, and the respective contributions of different load-resisting mechanisms to the total resistances were quantitatively separated to gain deeper insights. The experimental tests indicated that Vierendeel action was present in the two-dimensional multi-story frames, which led to an uneven internal force distribution among the three stories. The collapse resistance of TSDWA-3S in the flexural stage was not significantly increased by the structural redundancy provided by the additional story, as compared to that of TSDWA-1S. Although the development of the load response was similar in the two specimens at flexural stage, the collapse mechanisms of the multi-story composite frame were much more complicated than those of the single-story beam-column assembly, and the combined action between stories was critical in determining the internal force redistribution and rebalancing of the remaining structure.

• 한국지반공학회논문집
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• 제26권4호
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• pp.59-68
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• 2010

파이핑은 제체 내부 침식의 한 형태로서 토립자의 진행성 유출에 기인하며 균열이 발생한 댐 뿐만 아니라 용해성 재료로 인하여 수년 동안 만족스런 거동을 보인 댐들에서도 발생한다. 파이핑 현상은 필댐의 붕괴 원인의 약 50%를 차지하고 있으며 필댐 관리의 주요항목이나, 이에 대한 체계적인 평가에는 다소 어려움이 있다. 이에 본 연구에서는 파이핑 현상에 대한 비파괴 탐지를 위한 전기비저항 탐사기법의 적용성을 파악하기 위해 대청댐 비상여수로 건설을 위해 해체되는 부댐에 파이핑 모사시험과 전기비저항 모니터링을 수행하였다. 제체에 수평공을 천공하여 인공적인 유로를 만들고 저수지 물을 유입시켜 실규모 파이핑 현상을 모사하였으며, 파이핑 현상 모사 시험전과 시험 중 측정한 전기비저항값을 비교한 결과 파이핑 발생 시 측정한 전기비저항값이 조금 더 큰 변화를 보임으로써 전기비저항 모니터링 탐사는 실제 담수되어 있는 제체의 파이핑 현상을 효과적으로 탐지할 수 있을 것으로 판단된다.