• Journal of the Korean Arthroscopy Society
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• v.10 no.2
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• pp.135-140
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• 2006

Diagnosis and treatment of the unstable shoulder is one of the more difficult problems in orthopaedic surgery. There is confusion between the normal laxity with translation and subluxation of the humeral head relative to the glenoid and an abnormal amount of laxity, leading to pain and dysfunction. Unfortunately, there is no single treatment that applied to all lesions that cause the instability. It is imperative, therefore, that an accurate diagnosis be made, including the directions and degree of shoulder instability as well as any coexisting problems. Anatomical defects must be defined. Common factors that could most readily compromised instability repair are examined. These include techniques for making an accurate diagnosis with identification of the precise anatomical pathology, and the rationale for appropriate surgical treatment with the avoidance of technical complication such as unnecessary hardware or exposures that might lead to residual instability, arthritis, and nerve or vascular injuries. Additional injuries may be prevented by careful rehabilitation postoperatively to restore shoulder stability, flexibility, and endurance prior to an individual's return to stressful sports or work.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.39
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• pp.12.1-12.5
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• 2017

Background: Rehabilitation of normal function and form is essential in cleft lip repair. In 2005, Dr. David M. Fisher introduced an innovative method, named "an anatomical subunit approximation technique" in unilateral cleft lip repair. According to this method, circumferential incision along the columella on cleft side of the medial flap is continued to the planned top of the Cupid's bow in straight manner, which runs parallel to the unaffected philtral ridge. Usually, small inlet incision is needed to lengthen the medial flap. On lateral flap, small triangle just above the cutaneous roll is used to prevent unesthetic shortening of upper lip. This allows better continuity of the Cupid's bow and ideal distribution of tension. Case presentation: As a modification to original method, orbicularis oris muscle overlapping suture is applied to make the elevated philtral ridge. Concomitant primary rhinoplasty also results in good esthetic outcome with symmetric nostrils and correction of alar web. As satisfactory results were obtained in three incomplete and one complete unilateral cleft lip patients, indicating Fisher's method can be useful in cleft lip surgery with functional and esthetic outcome. Conclusions: Clinically applied Fisher's method in unilateral cleft lip patients proved the effectiveness in improving the esthetic results with good symmetry. This method also applied with primary rhinoplasty.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.29 no.1D
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• pp.73-80
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• 2009

To repair the deteriorated concrete structures, the deteriorated parts should be removed by using surface treatment methods and replaced by new construction materials. Hydrodemolition is one of the most effective methods for chipping off the deteriorated concrete and treating the remaining concrete. The water jet can remove the deteriorated concrete without damaging the reinforcement steel and surrounding aggregates. Using the water jet system improves surface texture, which ensures to improve adhesive strength between new and old concretes. In this study, three different concrete slab strengths and two water jet machine sets were investigated. Experimental results showed the relationship between concrete strength and water jet condition and this would enable to provide the information of the domestic water jet system and specification, which would contribute to automatization and efficiency of concrete repairing and rehabilitation works.

• Clinics in Shoulder and Elbow
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• v.24 no.2
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• pp.80-87
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• 2021

Background: Complex regional pain syndrome (CRPS)-related hand lesions are one of the complications following arthroscopic rotator cuff repair (ARCR). This study aimed to investigate the clinical outcomes of patients with CRPS-related hand lesions following ARCR. Methods: Altogether, 103 patients with ARCR were included in this study (mean age, 63.6±8.2 years; 66 males and 37 females; follow-up period, preoperative to 12 months postoperative). Clinical assessment included the Japanese Orthopaedic Association (JOA) score, University of California, Los Angeles (UCLA) score, Constant score, 36-item short form health survey (SF-36) score, and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score from preoperative to 12 months postoperatively. The patients were either assigned to the CRPS group or non-CRPS group depending on CRPS diagnosis until the final follow-up, and clinical outcomes were then compared between the groups. Results: Of 103 patients, 20 (19.4%) had CRPS-related hand lesions that developed entirely within 2 months postoperatively. Both groups showed significant improvement in JOA, UCLA, and Constant scores preoperatively to 12 months postoperatively (p<001). Comparisons between the two groups were not significantly different, except for SF-36 "general health perception" (p<0.05) at 12 months postoperatively. At final follow-up, three patients had residual CRPS-related hand lesions with limited range of motion and finger edema. Conclusions: CRPS-related hand lesions developed in 19.4% of patients following ARCR. Shoulder or upper-limb function improved in most cases at 12 months, with satisfactory SF-36 patient-based evaluation results. Patients with residual CRPS-related hand lesions at the last follow-up require long-term follow-up.

• Journal of the Korea Concrete Institute
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• v.13 no.5
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• pp.430-437
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• 2001

Recently, there have been increased much concerns about repair and rehabilitation works for aged concrete structures. It is in particular known that due to repeated overburden vehicles, there are significantly increasing number of aged concrete bridge slabs, which are strongly needed to construct and rehabilitate by innovative construction method. The objective of this research is to develop the new construction method of concrete slab in bridge superstructure, which can contribute to minimize a traffic congestion during repair and rehabilitation works of aged concrete slab, and can sufficiently assure the quality through the minimization of in-situ works at the site. I-beams with punch holes, which are substituted instead of main reinforcing steels in concrete slabs, can be manufactured in accordance with the specification in the factory, and be preassembled into the panel. After erecting the preassembled panels in the site, concrete will be poured into the slab panel. This research is to investigate mechanical properties of I-beam with punch holes itself, and then to investigate structural properties of assembled I-beam panels through static test, of which result can be utilized for the development of the new constructional method for concrete slab in bridge superstructure.

• Journal of Korean Society of Disaster and Security
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• v.5 no.1
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• pp.43-47
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• 2012

The asset management of infra facilities is a total framework for finally supporting a safe and comfortable service, which includes functions of supporting evaluation of condition and performance of infrastructures, making the decision method of repair or rehabilitation of deteriorated facilities, and lengthening the life cycle of structure through the decision of adequate cost and time of repair or reinforcement. In the range of the asset management, organization, human, the target, and information & data of company are included. Therefore, in this paper, appling the method of asset management analysis to the infra structures, the process of the risk assesment using BRE (Business Risk Exposure) and the basis of consisting ORDM (Optimized Renewal Decision-Making) are expressed.

• Journal of the Korean Society for Railway
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• v.13 no.1
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• pp.71-77
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• 2010

It is increasing annually that the cost for bridge Maintenance Repair & Rehabilitation (MR&R) in developed countries. Based on Intelligent Technology, Bridge Management System (BMS) is developed for optimization of Life Cycle Cost (LCC) and reliability to predict long-term bridge deteriorations. However, such data are very limited amongst all the known bridge agencies, making it difficult to reliably predict future structural performances. To alleviate this problem, an Artificial Neural Network (ANN) based Backward Prediction Model (BPM) for generating missing historical condition ratings has been developed. Its reliability has been verified using existing condition ratings from the Maryland Department of Transportation, USA. The function of the BPM is to establish the correlations between the known condition ratings and such non-bridge factors as climate and traffic volumes, which can then be used to obtain the bridge condition ratings of the missing years. Since the non-bridge factors used in the BPM can influence the variation of the bridge condition ratings, well-selected non-bridge factors are critical for the BPM to function effectively based on the minimized discrepancy rate between the BPM prediction result and existing data (deck; 6.68%, superstructure; 6.61%, substructure; 7.52%). This research is on the generation of usable historical data using Artificial Intelligence techniques to reliably predict future bridge deterioration. The outcomes (Long-term Bridge deterioration Prediction) will help bridge authorities to effectively plan maintenance strategies for obtaining the maximum benefit with limited funds.

• Journal of Korean Society of Water and Wastewater
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• v.29 no.3
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• pp.395-406
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• 2015

This research carried out an analysis on input cost and leakage reduction effect by leakage reduction method, focusing on the project for establishing an optimal water pipe network management system in the Taebaek region, which has been executed annually since 2009. Based on the result, optimal cost-benefit analysis models for water distribution network rehabilitation project were developed using DEA(data envelopment analysis) and multiple regression analysis, which have been widely utilized for efficiency analysis in public and other projects. DEA and multiple regression analysis were carried out by applying 4 analytical methods involving different ratios and costs. The result showed that the models involving the analytical methods 2 and 4 were of low significance (which therefore were excluded), and only the models involving the analytical methods 1 and 3 were suitable. From the result it was judged that the leakage management method to be executed with the highest priority for the improvement of revenue water ratio was installation of pressure reduction valve, followed by replacement of water distribution pipe, replacement of water supply pipe, and then leakage detection and repair; and that the execution of leakage management methods in this order would be most economical. In addition, replacement of water meter was also shown to be necessary in case there were a large number of defective water meters.

• Structural Engineering and Mechanics
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• v.62 no.5
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• pp.567-576
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• 2017

Structural failures are undesirable events that devastate the construction industry resulting in loss of life, injury, huge property loss, and also affect the economy of the region. Roof truss failures occur mainly due to excessive loading, improper fabrication, deterioration, inadequate repair, etc. Although very rare, a roof truss may even fail due to inappropriate location of supports. One such case was reported from the recent failure of a steel roof truss used in an indoor stadium at Kargil in India. Kargil region, being mountainous in nature, receives heavy snowfall and hence the steel roof trusses are designed for heavy snow loads. Due to inappropriate support location, the indoor stadium's steel roof truss had failed under heavy snow load for which it was designed and became an interesting structural engineering problem. The failure observed was primarily in terms of yielding of the bottom chord under the supports, leading to partial collapse of the roof truss. This paper summarizes the results of laboratory tests and analytical studies that focused on the validation of the proposed remedial measure for rehabilitating this distressed steel roof truss. The study presents the evaluation of (i) significant reduction in strength and stiffness of the distressed truss resulting in its failure, (ii) desired recovery in both strength and stiffness of the rectified truss contributed by the proposed remedial measure. Three types of models i.e., ideal truss model, as build truss model and rectified truss model were fabricated and tested under monotonic loading. The structural configuration and support condition varied in all the three models to represent the ideal truss, distressed truss and the rectified truss. To verify the accuracy of the experimental results, an analytical study was carried out and the results of this analytical study are compared with the experimental ones.

• Proceedings of the Korean Geotechical Society Conference
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• 2008.10a
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• pp.569-580
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• 2008

If slope height was more than 20 meters, we conducted an analysis of stereographic projection and limit equilibrium at this slope. We proposed reduction of slope face angle and reinforcement of rock bolt depending on analysis. Blasting design : Standard pattern based on result of local test blasting was made for blasting design. Vibration criterion was set for less than 3.0mm/s because of outworn buildings and inhabitants opinions. Production blasting and Controlled blasting has been done as Construction standard pattern. After Vibration Monitoring has been done, so that we can control of complement. "Bidding Document" and AASHTO 2001 "A Policy on Geometric Design of Highways and Streets" were so for design criteria of earthwork but they were different actual design criteria and left something to be desired in Afghanistan. Therefore, although "Bidding Document" and "AASHTO 2001" were basic design criteria, domestic design criteria was reflected in this design criteria for complement by discussion with supervisor. Drainage design : For stability ratio, ditch of arch block and stonework was designed by rainfall data for the 13 years and discussion with supervisor. Pavement was designed as flexible pavement. Because these days in Afghanistan postwar repair works, especially urgent repairing of roads and newly making of roads, are very highly in progress, I think that Afghanistan is the region about which our construction technical experts should have great concerns.