• Coupled systems mechanics
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• v.3 no.4
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• pp.345-365
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• 2014

A significant problem met in engineering practice when designing cable-stayed bridges is the failure of cables. Many different factors can lead to sudden failure of cables, such as corrosion, continuous friction or abrasion, progressive and extended crevice created by fatigue and finally an explosion caused by sabotage or accident, are some of the causes that can lead to the sudden failure of one or more cables. This paper deals with the sudden failure of cables in a special form of cable-stayed bridges with a single line of cables anchored at the central axis of the deck's cross-section. The analysis is carried out by the modal superposition technique where an analytical method developed by the authors in a previous work has been employed.

• Korean Circulation Journal
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• v.52 no.4
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• pp.251-264
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• 2022

Heart failure with preserved ejection fraction (HFpEF) accounts for approximately half of all heart failure (HF) cases. The prevalence of HFpEF is increasing due to an aging population with hypertension, diabetes mellitus, and obesity. HFpEF remains a challenging clinical entity due to a lack of effective treatment options. Traditional HF medications have not been shown to reduce mortality of patients with HFpEF, and an implantable cardioverter-defibrillator is not indicated due to normal ejection fraction. Sudden death is the most common mode of death in patients with HFpEF; however, the underlying mechanisms of sudden death are not fully elucidated. Although ventricular arrhythmias are responsible for the majority of sudden deaths in general, their contribution to sudden deaths in HFpEF patients is likely less significant. The mechanisms of ventricular arrhythmias in HFpEF are 1) reduced conduction velocity due to ventricular hypertrophy, 2) delayed repolarization due to potassium current down-regulation, 3) calcium leakage due to altered excitation-contraction coupling, and 4) increased ventricular fibrosis caused by systemic inflammation. Hypertension and subsequent ventricular hypertrophy reduce the conduction velocity in HFpEF hearts via heterogeneous distribution of connexin 43. Delayed repolarization caused by potassium current down-regulation in HFpEF hearts provides a window for early afterdepolarization to trigger ventricular arrhythmias. Altered excitation-contraction coupling in HFpEF can cause calcium to leak and trigger delayed afterdepolarization. Increased systemic inflammation and subsequent ventricular fibrosis provide substrates for re-entry. Further research is warranted to investigate the detailed mechanisms of ventricular arrhythmias in HFpEF.

• Journal of the Korean GEO-environmental Society
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• v.17 no.5
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• pp.5-16
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• 2016

A rainfall induced slope failure is a common natural hazard in mountainous areas worldwide. Sudden and rapid failures which have a high possibility of occurrence in a steep slope are always the most dangerous due to their suddenness and high velocities. Based on a series of experiments this study aimed to determine a critical angle which could be considered as an approximate threshold for a sudden failure. The experiments were performed using 0.42 mm mean grain size sand in a 200 cm long, 60 cm wide and 50 cm deep rectangular flume. A numerical model was created by integrating a 2D seepage flow model and a 2D slope stability analysis model to predict the failure surface and the time of occurrence. The results showed that, the failure mode for the entire material will be sudden for slopes greater than $67^{\circ}$; in contrast the failure mode becomes retrogressive. There is no clear link between the degree of saturation and the mode of failure. The simulation results in considering matric suction showed good matching with the results obtained from experiment. A subsequent discarding of the matric suction effect in calculating safety factors will result in a deeper predicted failure surface and an incorrect predicted time of occurrence.

• Journal of the Korean neurological association
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• v.36 no.4
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• pp.310-313
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• 2018

The causes of sudden death after medullary infarction involve arrhythmia, central respiratory failure, and dysautonomia. Sudden cardiac arrest in a medullary infarction is uncommon. Most of these cases experienced sudden cardiopulmonary arrest within 2 weeks from stroke onset as the extent of lesion increased. Here, we report two cases of medullary infarction presenting as sudden cardiac arrest. These cases indicate that medullary infarction could be one of the causes of sudden cardiac arrest.

• Journal of Korean Neurosurgical Society
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• v.56 no.6
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• pp.534-536
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• 2014

Due to improvements in emergency resuscitation provided by rescue teams, more trauma victims who could have died due to sudden heart failure at the scene are brought to the hospital following resuscitation. Most of these patients present with major organ injuries and hypovolemic shock at the time of trauma. However, head trauma associated with sudden heart arrest is rare. Here, we report a case of ring fracture with pontomedullary laceration that led to sudden heart arrest.

• Proceedings of the KIPE Conference
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• 2009.11a
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• pp.287-289
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• 2009

This paper deals with a parallel processing uninterruptible power supply (UPS) for sudden voltage fluctuation in computer applications to integrate power quality improvement, load voltage stabilization and UPS. To reduce the complexity, cost and number of power conversions, which results in higher efficiency, only one voltage-controlled voltage source inverter (VCVSI) is used. The system provides sinusoidal voltage at the fundamental value of 220V/60Hz for the load during abnormal utility power conditions or grid failure. Also, the system can be operated to mitigate the harmonic current and voltage demand from nonlinear loads and provide voltage stabilization for loads when sudden voltage fluctuation occur, such as sag and swell. System operation simulation demonstrates that the system protects against outages caused by abnormal utility power conditions and sudden voltage fluctuations and changes.

• Proceedings of the Korean Geotechical Society Conference
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• 2008.03a
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• pp.199-210
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• 2008

Acoustic emission(AE)/Microseimsic(MS) activities are low-energy seismic events associated with a sudden inelastic deformation such as the sudden movement of existing fractures, the generation of new fractures or the propagation of fractures. These events rapidly increase before major failure and happen within a given rock volume and radiate detectable seismic waves. The main difference between AE and MS signals is that the seismic motion frequencies of AE signals are higher than those of MS signals. As the failure of geotechnical structures usually happens as a high velocity and small displacement, it is not easy to determine the precursor and initiation stress level of failure in displacement detection method. To overcome this problem, AE/MS techniques for detection of structure failure and damage have recently adopt in civil engineering. In this study, AE/MS monitoring system, which consist of sensor, data acquisition and operation program, is constructed with domestic technology. To verify and optimize the developed system, we are now carrying out the field application at an underground research laboratory and the developed AE/MS monitoring will be used in detecting of seismic events with various scales.

• Proceedings of the Korean Geotechical Society Conference
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• 2008.10a
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• pp.946-956
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• 2008

Acoustic emission(AE) is low-energy seismic event associated with a sudden inelastic deformation such as the sudden movement of existing fractures, the generation of new fractures or the propagation of fractures. These events rapidly increase before major failure and happen within a given rock volume and radiate detectable seismic waves. Rock slopes are usually large in scale and there are many discontinuities in rock mass. AE waves are strongly attenuated when they propagate through joints. Thus we should resolve the attenuation problem to monitor large volume. In this study, we developed waveguide which is composed of two different materials, cement mortar and stainless steel rod. And several laboratory tests on developed waveguide are performed to obtain generalized AE parameters to predict the failure stage in rock slope. Comparing field data with experimental data in laboratory tests, failure stage of rock slope can be evaluated. To verify and optimize the developed monitoring method, we are now carrying out the field application at a rock slope.

• Structural Engineering and Mechanics
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• v.83 no.4
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• pp.563-576
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• 2022

This study aimed to evaluate the progressive collapse potential of buildings designed using conventional design codes for the merchant occupancy classification and subjected to a sudden column failure. For this purpose, three reinforced concrete buildings having different story numbers were designed according to the seismic design recommendations of TSCB-2019. Later on, the buildings were analyzed using the GSA-2016 and UFC 4-023-03 to observe their progressive collapse responses. Three columns were removed independently in the structures from different locations. Nonlinear dynamic analysis method for the alternate path direct design approach was implemented for the design evaluation. The plasticity of the structural members was simulated by using nonlinear fiber hinges. The moment, axial, and shear force interaction on the hinges was considered by the Modified Compression Field Theory. Moreover, an existing experimental study investigating the progressive collapse behavior of reinforced concrete structures was used to observe the validation of nonlinear fiber hinges and the applied analysis methodology. The study results deduce that a limited local collapse disproportionately more extensive than the initial failure was experienced on the buildings designed according to TSCB-2019. The mercantile structures designed according to current seismic codes require additional direct design considerations to improve their progressive collapse resistance against the risk of a sudden column loss.

• Korean Circulation Journal
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• v.52 no.9
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• pp.659-679
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• 2022

Efforts to improve end-of-life (EOL) care have generally been focused on cancer patients, but high-quality EOL care is also important for patients with other serious medical illnesses including heart failure (HF). Recent HF guidelines offer more clinical considerations for palliative care including EOL care than ever before. Because HF patients can experience rapid, unexpected clinical deterioration or sudden death throughout the disease trajectory, choosing an appropriate time to discuss issues such as advance directives or hospice can be challenging in real clinical situations. Therefore, EOL issues should be discussed early. Conversations are important for understanding patient and family expectations and developing mutually agreed goals of care. In particular, high-quality communication with patient and family through a multidisciplinary team is necessary to define patient-centered goals of care and establish treatment based on goals. Control of symptoms such as dyspnea, pain, anxiety/depression, fatigue, nausea, anorexia, and altered mental status throughout the dying process is an important issue that is often overlooked. When quality-of-life outweighs expanding quantity-of-life, the transition to EOL care should be considered. Advanced care planning including resuscitation (i.e., do-not resuscitate order), device deactivation, site for last days and bereavement support for the family should focus on ensuring a good death and be reviewed regularly. It is essential to ensure that treatment for all HF patients incorporates discussions about the overall goals of care and individual patient preferences at both the EOL and sudden changes in health status. In this review, we focus on EOL care for end-stage HF patients.