• 한국수정란이식학회지
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• 제32권1호
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• pp.33-38
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• 2017

A 10-day-old, Holstein calf with facial mass of 10 cm in diameter at the forehead region referred to Veterinary Medical Teaching Hospital in Chungnam National University. The mass was soft and fluctuating swelling. It had normal skin and hair hanging forward from frontal region and was thought to contain cerebrospinal fluid. On the skull radiography, cauliflower like-irregular marginated, soft tissue opacity mass was identified craniodorsal to the frontal bone. The mass appeared as a cyst filled with anechoic fluid on ultrasonography. Soft tissue structures considered brain tissues were observed in the deep area of the mass. On the computed tomography, a large skull defect of left side frontal bone was found, and heterogeneous materials were exposed through the defect but exposure of cerebral meninges and brain tissue were not confirmative. On magnetic resonance imaging, herniated left brain parenchyma showed heterogenous T2 and T1 hyperinsensity. In the intracranium, T2 hyperinstense and T1 hypointense fluid was identified on the left side, instead of left cerebral parenchyma. Also leftward shift of right hemisphere and midline structure, including thalamus and midbrain, were observed. The definitive diagnosis was confirmed as a meningoencephalocele based on computed tomography and magnetic resonance imaging. The calf was euthanized and necropsy was performed. On necropsy, both hemisphere were developed unequally with different size. One side hemisphere was grown in the outside through 10 cm hole on the median plane.

• 한국지반공학회논문집
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• 제39권6호
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• pp.21-30
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• 2023

현장타설말뚝의 연암 근입부의 단위주면마찰력을 산정하는 방법 중 암반 벽면거칠기에 의한 산정 방법이 있다. 현장타설말뚝의 굴착 시공 시 암반 굴착공에 거칠기 장치를 설치하고 벽면 거칠기 모양을 측정하고 그 결과를 이용하여 주면마찰력을 산정하는 것이다. 본 연구에서는 암반벽면의 거칠기를 직접 측정한 결과와 하중전이 시험결과를 비교분석하여 거칠기시험에 의한 단위주면마찰력을 말뚝의 발생 변위에 대응하는 단위 주면마찰력으로 변환할 수 있도록 저감계수 R_f = -0.14n + 1.48(여기서, n은 하중전이시험에서 도출된 발생변위 δ를 말뚝직경 D로 나눈 변위비)을 제안하였다.

• Archives of Reconstructive Microsurgery
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• 제18권2호
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• pp.62-66
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• 2009

Purpose: Despite the free tissue transfer using microsurgical technique being the current trend of soft tissue reconstruction of the hand, the pedicled groin flap has the advantage to provide coverage for the mangled hand without necessitating the use of a damaged arterial system and also providing the benefit of saving the arterial system for later free tissue transfer. This report presents the author's experience using pedicled groin flap in four cases of mangled hands with massive bone and soft tissue defects requiring later thumb reconstruction with the free wrap around flap. Materials and methods: The patients' age ranged from 30 to 51 years; three patients were male and one was female. The causes of mangled hand included two machinery crush injuries, one laboratory explosion and one motor vehicle accident. While evaluating the post-operative results, factors like flap survival, complications, stability in opposition, pinch power and 2 point discrimination were taken into account. Results: All massive soft tissue defects of the hands were completely covered with pedicled groin flap successfully. The reconstructed thumb using free wrap around flap did not have any limitation in opposition. There was no occurrence of post-operative infection and all the flaps survived completely. The average pinch power was 70% of the contralateral intact thumb and average 2 point discrimination was 10 mm. Conclusion: The pedicled groin flap for the reconstruction of the massive soft tissue defects of the hand with subsequent reconstruction of the thumb with a wrap around flap is a very useful procedure. The combined use of pedicled groin flap and wrap around flap allows adequate coverage of sizable soft tissue defects and functional thumb opposition in cases of reconstruction of the mangled hands.

• Archives of Reconstructive Microsurgery
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• 제6권1호
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• pp.87-95
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• 1997

Traumatic injury to the hand often leads to soft tissue defects with exposed tendons, bones, or joints. Though many new flap have been introduced, the choice of flap that would be best for the patient depends on such factors as the site, size, and degree of wounds. Additionally the selected surgical method should be yielded cosmetic and functional superiority by the one-staged reconstruction. In our experience, small to medium sized soft tissue defect with bone and tendon exposure of hand can be resurfaced with an arterialized venous free flap from the volar aspect of distal forearm. Wide and deep defects of the hand can be covered with a sensory cutaneous free flap such as the medial plantar free flap, dorsalis pedis free flap, and radial forearm free flap. Specialized flap such as wrap-around flap, toe-to-finger transfer, onychocutaneous free flap can be used for the recontruction of defect on the thumb and finger. Based on the above considerations and our clinical experience of 60 free flap cases of the hand, the various methods for the proper repair of soft tissue defects of the hand are described. And we obtained satisfactory functional and cosmetic results with 95% success rate of free flap.

• 대한토목학회논문집
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• 제36권3호
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• pp.545-550
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• 2016

본 연구에서는 말뚝기초의 실내모형시험을 통해 연약지반상의 경량포장체용 기초로서의 적합성을 분석 및 평가를 목적으로 하고 있다. 안전성 평가를 위해 실내모형시험용 경량포장체용 말뚝기초모형을 실제 포장체 사이즈의 1/30으로 축소한 모형을 이용하여 시험을 실시하였다. 지반 조건은 연약지반을 모사하여 모델링하였고, 말뚝은 마찰군말뚝으로 실험하였다. 제한된 실험으로부터 측정된 모형포장체의 침하량은 Case A는 0.86 mm, Case B는 0.70 mm, Case C는 0.50 mm로 측정되었다. 측정된 말뚝기초 모형의 실험값을 실제 크기로 환산하였을 때의 최대침하량과 부등침하량은 각각 25.8 mm와 10.8 mm로 도로교 설계기준에 의거하여 최대부등변위량인 50 mm와 부등변위량 20 mm를 넘지 않는 것으로 보이며 침하량을 기준으로 안전성을 평가 할 경우 안전한 것으로 판정되었다.

• Geomechanics and Engineering
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• 제6권2호
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• pp.173-194
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• 2014

Laboratory and field data showed that deep mixed (DM) columns accelerated the rate of consolidation of the soft foundations. Most analyses of consolidation of DM column-improved foundations so far have been based on the elastic theory. In reality, the DM columns may yield due to the stress concentration from the soft soil and its limited strength. The influence of column yielding on the degree of consolidation of the soft foundation improved by DM columns has not been well investigated. A three-dimensional mechanically and hydraulically-coupled numerical method was adopted in this study to investigate the degree of consolidation of the DM column foundation considering column yielding. A unit cell model was used, in which the soil was modeled as a linearly elastic material. For a comparison purpose, the DM column was modeled as an elastic or elastic-plastic material. This study examined the aspects of stress transfer, settlement, and degree of consolidation of the foundations without or with the consideration of the yielding of the DM column. A parametric study was conducted to investigate the influence of the column yielding on the stress concentration ratio, settlement, and average degree of consolidation of the DM column foundation. The stress concentration ratio increased and then decreased to reach a constant value with the increase of the column modulus and time. A simplified method was proposed to calculate the maximum stress concentration ratios under undrained and drained conditions considering the column yielding. The simplified method based on a composite foundation concept could conservatively estimate the consolidation settlement. An increase of the column modulus, area replacement ratio, and/or column permeability increased the rate of consolidation.

• The Journal of the Acoustical Society of Korea
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• 제21권1E호
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• pp.12-17
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• 2002

Two improvements are discussed in measurement of the complex Young's modulus of the acoustic materials by using the transfer function method. It is found that the accelerometer misalignment might result in the severe measurement error, particularly in high frequency range. The supporting structure is modified to attach the upper and lower accelerometers along the vertical axis. Secondly, the method fur solving the equation associated with wave model is described. The solution of the lumped mass-spring model is chosen as the starting value for low frequency range, while in the mid and high frequency, the solution to the previous frequency step is used as the initial values. Measurements are done for hard and soft rubber specimens. It is shown that the erroneous peaks in the transfer function, due to the measurement error, cause highly incorrect Young's modulus and loss factors.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2008년도 춘계 학술발표회 초청강연 및 논문집
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• pp.1100-1105
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• 2008

In most drilled shafts construction sites, it is common, depending on the site condition, to use either water or slurry as fluids for maintaining stability of the holes, however, there are yet no design manuals by hole stability fluids. In this paper, in order to evaluate load transfer characteristics of the drilled shafts by hole stability fluids, two test piles are constructed over the soft ground of the lower Busan Bay based on the Bi-directional Pile Load Test. The test results showed that no ultimate states has found under the condition of applied loads with fresh water and slurry as hole fluids for drilled shafts. Then, the load transfer behavior were estimated with the data measured in fields and the effect of hole stability fluids were compared. All these results are presented in the paper.

• Archives of Reconstructive Microsurgery
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• 제23권1호
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• pp.1-7
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• 2014

Purpose: Recent studies have reported on application of fibrin glue composed of fibrinogen and thrombin to nerve anastomosis, which can be another candidate for vessel anastomosis. However, no research regarding the risk and effectiveness of thrombin in microvascular free tissue transfer has been reported. Therefore, the aim of study is to determine the risk and effectiveness of thrombin on microvascular free tissue transfer through clinical cases. Materials and Methods: Twenty-five patients underwent free flap reconstruction for soft tissue defect or bone exposure in our institute from March 2011 to February 2014. In the group using thrombin, dissolved powder thrombin (5,000 IU/amp) was mixed with 10 mL normal saline. Saline mixed with thrombin was applied on the flap, recipient, and around vessel anastomosis. In the control group, free flap was performed using the same method, except using thrombin. We analyzed the results between the two groups. Results: All flaps survived. The group using thrombin included 14 patients and the control group included 11 patients. Hematoma was found in two cases, respectively, in each group. The group using thrombin showed lower incidence of hematoma than the control group. No difference in survival rate of the flap was observed between the thrombin group and the control group. Conclusion: Results of this study showed that use of saline mixed with thrombin in free tissue transfer may be safe and effective for prevention of hematoma formation in the recipient site.

• Archives of Reconstructive Microsurgery
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• 제24권2호
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• pp.41-49
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• 2015

Free or pedicled vascularized fibular grafts (VFG) are useful for the reconstruction of large skeletal defects, particularly in cases of scarred or avascular beds, or in patients with combined bone and soft tissue defects. Compared to non-VFG, VEG, which contains living osteocytes and osteoblasts, maintains its own viability and serves as good osteoconductive and osteoinductive graft. Due to its many structural and biological advantages, the free fibular osteo- or osteocutaneous graft is considered the most suitable autograft for the reconstruction of long bone defects in the injured extremity. The traditional indication of VFG is the long bone and soft tissue defect, which cannot be reconstructed using a conventional operative method. Recently, the indications have been widely expanded not only for defects of midtibia, humerus, forearm, distal femur, and proximal tibia, but also for the arthrodesis of shoulder and knee joints. Because of its potential to allow further bone growth, free fibular epiphyseal transfer can be used for the hip or for distal radius defects caused by the radical resection of a tumor. The basic anatomy and surgical techniques for harvesting the VFG are well known; however, the condition of the recipient site is different in each case. Therefore, careful preoperative surgical planning should be customized in every patient. In this review, recently expanded surgical indications of VFG and surgical tips based on the author's experiences in the issues of fixation method, one or two staged reconstruction, size mismatching, overcoming the stress fracture, and arthrodesis of shoulder and knee joint using VFG are discussed with the review of literature.