• 한국임상수의학회지
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• 제22권1호
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• pp.60-64
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• 2005

체중 23kg, 나이 6세된 수캐 잡종 사냥개가 왼쪽 주관절에 총상을 입어 전북대학교 수의과대학 동물병원에 내원하였다. 방사선 사진에서 요골 척골 근위부에 복잡골절과 주관절 돌기 후방에 금속성 탄환이 발견되었다. 첫 번째 외과처치는 탄환을 제거하고 bone plate, bone screw, K-wire등을 이용하여 정복 고정하였으나 실패하였다. 두 번째 시도는 주관철 고정술과 13번째 늑골로부터 얻은 자가골을 이용하여 결손부를 충진 하였다. 결과가 만족스럽지 못하여 자가골 재이식과 3번째 수술을 실시하여 주관절의 안정된 고정상태를 유지 할 수 있었다. 60주가 지난 현재 평상시 활동에는 커다란 문제점이 없지만 속보 혹은 뛰는 경우 관절 고정술을 실시한 다리를 들고 세 다리만 사용하는 아쉬움이 있다.

• 한국산학기술학회논문지
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• 제20권6호
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• pp.134-141
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• 2019

본 논문은 회전익 항공기의 수평 안정판의 설계 개선에 관한 연구이다. 회전익 항공기의 수평 안정판은 항공기의 피치, 요 등의 거동을 안정화시키는 역할을 수행한다. 이러한 역할로 인해 수평 안정판은 회전익 항공기의 비행 안전에 영향을 미치는 주요 구성 요소(비행안전품목)로 관리되고 있다. 그러나 국내 회전익 항공기 운용 중, 수평 안정판의 내부 구조에 균열이 발견되어 설계 개선의 필요성이 제기되었다. 본 논문에서는 파면 분석과 구조 해석을 통해 수평 안정판 내부 구조 균열의 근본 원인을 2가지로 분석하였다. 첫 번째는 볼트 체결 시 부가되는 체결 토크이며, 두 번째는 항공기 기동에 따른 Lead-lag 거동이다. 이 2가지 원인을 개선하기 위하여 본 연구가 수행되었으며 그 결과 볼트 체결 방법, 볼트 체결 플랜지 구조 및 두께를 변경하고 복합재 링을 추가로 적용하였다. 설계 개선의 검증을 위해 구조 해석이 수행되었으며 구조강도가 향상된 것을 확인할 수 있다. 또한 내부 구조물 (Rib 1)의 피로해석을 수행하여 요구 사항이 충족되었음을 확인하였다.

• Journal of Chest Surgery
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• 제29권9호
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• pp.1017-1022
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• 1996

늑골골절을 입은 환자들은 심한 흉통으로 괴로워하며 이 통증은 기침, 심호흡과 기도세척을 방해하여 결국 무기폐와 호흡부전등을 초래할 수 있다. 통증의 완화는 환자를 편하게 해주고 효과적인 물리요법으로 객담배출을 용이하게한다. 늑골골절 환자에서 경막외 신경차단의 효과를 측정하기 위하여 20명의 환자를 대상으로 경막외 진통제을 투여한 10명은 실험군, 진통제를 근육주사한 10명은 대조군으로 정하 여 통증호소와 운동장애의 정도, 말초동맥혈 산소분압 및 폐기능(FRC, FEVI)의 변화를 입원직후와 경막외 진통제투여 시작후 12, 24시간 및 3일, 5일 그리고 7일째에 각각측정조사 하였다. 신경차단군에서 통증호소와 운동장애의 정도는 감소하였고 동맥혈 산소치는 약간 증가하였으나 의의가 없었으며 FRC와 FEVI는 유의하게 증가하였다. 경막외 신경차단의 부작용은가벼웠으며 쉽게 치료되었다. 위의결과로 저자들은 늑골골절 환자에서 경막외 신경차단에 의한진통법이 동통완화효과와 폐기능 향상에 괄목할만한 효과을 나타내므로 이의 임상적 이용이 바람직하다고 생각한다.

• Archives of Reconstructive Microsurgery
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• 제2권1호
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• pp.20-28
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• 1993

From 1981 to 1991, twenty one vascularized bone grafts had been performed for the treatment of large bone defects of the extremities, with average follow-up of 65.4 months. Fibulae were used in 15 patients Including two cases of osteocutaneous flap, iliums in 5 including two of osteocutaneous flap, and osteocutneous rib in one. Ten of these patients were treated for segmental defects derived from trauma or infection sequelae of long bones, while eight for locally aggressive benign or malignant bone tumors ; and three for congenital pseudarthrosis of tibia. The location of the lesions were 8 cases in tibia; 7 in humerus ; 3 in forearm bone ; 2 in foot ; and 1 in femur. The length of bone defects were averaged as 10 cm, ranging from 3 to 17.5. In eighteen patients(85.7%), the operation was successful. The duration from operation to bony union was average 5.1 months on successful cases, and three of them needed additional procedures, such as bone graft and electrical stimulation to promote bony union. Local recurrence was found in one case of chondrosarcoma, resulting in AK amputation. Wound infections were noted each one case on donor or recipient site. In five cases, the fracture of grafted bone, which united with cast immobilization in four, occurred average 16.7 months after operation.

• Tuberculosis and Respiratory Diseases
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• 제51권5호
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• pp.462-465
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• 2001

상기도 감염으로 인한 발작성 기침 후 복벽 혈종을 보인 1예를 보고하였다. 복벽 혈종은 수술을 요하는 급성 복증과 감별하여야하는 질환으로, 심한 기침 후 복동이 발생한 경우 반드시 복벽 혈종을 고려하여야하며, 필요한 경우 초음파 검사나 전산화단층촬영을 시행하여 불필요한 수술을 피해야한다.

• 한국임상수의학회지
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• 제24권1호
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• pp.46-50
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• 2007

A 7-year-old female, Jindo dog was referred to the Veterinary Teaching Hospital with mild dyspnea and anorexia due to a gunshot trauma. The dog was wounded in the thoracic region 3 days ago. Plain radiographs showed the left 8th rib fracture, interstitial pattern in the left caudal lung field and pleural effusion. Abdominal radiographs showed the lead bullet. Computed tomographs(CT) showed the size of pulmonary contusion, laceration, lung parenchymal injuries, hemothorax and perforation of abdominal wall. The therapeutic plan was based on abnormalities seen on CT scans but not clearly seen in survey radiographs. Thoracic CT significantly provides even more informations compared with the corresponding radiographs in thoracic gunshot trauma. Although thoracic survey radiographs are useful as a screening tool, CT is highly sensitive in detecting thoracic injuries after thoracic trauma and is superior to routine thoracic survey radiographs in visualizing lung contusion, pneumothorax and hemothorax. Therefore, we recommend CT in the initial diagnostic work-up of patients with thoracic injuries and with suspected chest trauma because early and exact diagnosis of all thoracic injuries along with sufficient therapeutic consequences may reduce complications.

• Journal of Trauma and Injury
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• 제21권2호
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• pp.100-107
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• 2008

Purpose: A traumatic lung cyst (TLC) is a rare complication and is usually detected with a pulmonary contusion. This study attempted to identify the prognostic factors and the clinical characteristics for pulmonary contusion with TLCs. Methods: We retrospectively reviewed the medical records and chest CT findings of 71 TLC patients who visited our hospital from January 2006 to December 2007. Patients were assessed for any clinical characteristics. We evaluated significant differences between the survival and the death groups for patients with a traumatic lung cyst. Results: The male-to-female ratio of patients with TLCs was 54:17, and the mean age of the patients was $37.70{\pm}19.78years$ with 36.6% of the patients being under 30 years fo age. The cause of blunt thoracic trauma was mainly pedestrian traffic accidents (26.8%) and falls (25.4%). Associated conditions included pulmonary contusion in 68 patients (95.7%), hemopneumothorax in 63 patients (88.7%), and rib fracture in 52 patitents (73.2%). There was no consistent relationship between the number of TLCs and the pulmonary contusion score. The overall mortality rate of TLC patients was 26.8%. Death correlated with a need for ventilatory assistance, mean arterial pressure, worst mean arterial pressure in 24 hours, initial pH and base excess, worst pH and base excess in 24 hours, refractory shock, initial GCS score, and pulmonary contusion score. Conclusion: The presence of the aforementioned predictors indicate serious injury, which is the main determinant of the outcome for thoracic injuries with TLCs.

• Imaging Science in Dentistry
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• 제48권4호
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• pp.245-254
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• 2018

Purpose: To assess the effects of object position in the field of view (FOV) and application of a metal artifact reduction (MAR) algorithm on the diagnostic accuracy of cone-beam computed tomography (CBCT) for the detection of vertical root fractures(VRFs). Materials and Methods: Sixty human single-canal premolars received root canal treatment. VRFs were induced in 30 endodontically treated teeth. The teeth were then divided into 4 groups, with 2 groups receiving metal posts and the remaining 2 only having an empty post space. The roots from different groups were mounted in a phantom made of cow rib bone, and CBCT scans were obtained for the 4 different groups. Three observers evaluated the images independently. Results: The highest frequency of correct diagnoses of VRFs was obtained with the object positioned centrally in the FOV, using the MAR algorithm. Peripheral positioning of the object without the MAR algorithm yielded the highest sensitivity for the first observer (66.7%). For the second and third observers, a central position improved sensitivity, with or without the MAR algorithm. In the presence of metal posts, central positioning of the object in the FOV significantly increased the diagnostic sensitivity and accuracy compared to peripheral positioning. Conclusion: Diagnostic accuracy was higher with central positioning than with peripheral positioning, irrespective of whether the MAR algorithm was applied. However, the effect of the MAR algorithm was more significant with central positioning than with peripheral positioning of the object in the FOV. The clinical experience and expertise of the observers may serve as a confounder in this respect.

• Composites Research
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• 제35권2호
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• pp.106-114
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• 2022

탄소섬유 강화 플라스틱(CFRP)은 우수한 비강도 및 비강성으로 인하여 항공산업에서 널리 사용되고 있다. CFRP는 대부분 탄소섬유나 프리프레그를 적층한 구조로 사용되고 있으며, 이러한 구조는 박리가 발생할 수 있다는 치명적인 단점이 있다. 이는 보통 두께방향 섬유의 부재에서 기인한다. 본 연구에서는 탄소섬유가 세 방향으로 직조된 3차원 탄소섬유 프리폼 및 이를 적용한 항공기 날개 단위구조체를 제조하였다. 단위구조체는 항공기 날개의 핵심 요소인 스킨, 스트링거, 리브로 구성되며 수지 이송 성형공정을 이용하여 제조하였다. 압축시험을 통하여 기존의 적층형 구조물과 비교한 결과, 3차원 프리폼은 구조물의 박리예방 뿐만 아니라 강도향상에도 효과적임을 보여 주었으며, 이는 3D 프리폼 구조물이 박리 예방을 필요로 하는 다양한 분야, 특히 항공 분야에서 널리 사용될 수 있음을 의미한다.

• Structural Engineering and Mechanics
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• 제81권6호
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• pp.715-728
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• 2022

A new type of buckling-restrained braces (BRBs) with a longitudinally profiled steel plate working as the core (LPBRB) is proposed and experimentally investigated. Different from conventional BRBs with a constant thickness core, both stiffness and strength of the longitudinally profiled steel core along its longitudinal direction can change through itself variable thickness, thus the construction of LPBRB saves material and reduces the processing cost. Four full-scale component tests were conducted under quasi-static cyclic loading to evaluate the seismic performance of LPBRB. Three stiffening methods were used to improve the fatigue performance of LPBRBs, which were bolt-assembled T-shaped stiffening ribs, partly-welded stiffening ribs and stiffening segment without rib. The experimental results showed LPBRB specimens displayed stable hysteretic behavior and satisfactory seismic property. There was no instability or rupture until the axial ductility ratio achieved 11.0. Failure modes included the out-of-plane buckling of the stiffening part outside the restraining member and core plate fatigue fracture around the longitudinally profiled segment. The effect of the stiffening methods on the fatigue performance is discussed. The critical buckling load of longitudinally profiled segment is derived using Euler theory. The local bulging behavior of the outer steel tube is analyzed with an equivalent beam model. The design recommendations for LPBRB are presented finally.