A calcareous rock slope failed during excavation of the slope for construction of a tunnel entrance. The slope is located at the construction site for widening highway in Yeongwol, Korea. Field surveys, laboratory tests, and numerical analyses were performed to determine the reason for the slope failure. The numerical analysis revealed that the safety factor of the slope before construction of the entrance was less than 1, and that this decreased after construction. After construction of the entrance, the sliding zone of the slope increased and slope stability decreased because the shear strain and plastic zone in the slope over the tunnel entrance showed an increase relative to the lower part of the slope. To enhance the stability of the slope for construction of the tunnel entrance, countermeasures such as rock bolts, rock anchors, and FRP (Fiber glass Reinforced Plastic) grouting were adopted in light of the field conditions. Serial field monitoring performed to confirm the reinforcing effects of the adopted countermeasures revealed a small amount of horizontal deformation of the slope soils, most of the elastic deformation that can regain its former value. In addition, the axial forces of the rock bolt and anchor were more strongly affected by slope excavation during construction of the tunnel entrance than by tunnel excavation or the rainy season, and the axial forces tended to converge after excavation of the tunnel. Therefore, we can confirm that the slope is currently safe.
Surgical treatment of aneurysm or dissection involving the ascending aorta and aortic arch still poses one of the most complicated technical and tactical challenges in surgery. The use of total circulatory arrest[TCA] with profound hypothermia in the surgical treatment of aneurysmal dissection involving the ascending aorta and aortic arch has been reported as popular surgical methods. However, the safe period of prolonged circulatory arrest with hypothermia remains controversial and ischemic damage to the central nervous system and uncontrollable perioperative bleeding have been the major problem. We have found profound hypothermic circulatory arrest with retrograde cerebral perfusion via the superior vena cava to achieve cerebral protection. We experiment the aortic anastomosis in 7 adult mongrel dogs, using profound hypothermic circulatory arrest with continuous retrograde cerebral perfusion[RGCP] via superior vena cava. We also studied the extent of cerebral protection using above surgical methods, by gas analysis of retrograde cerebral perfusion blood and returned blood of aortic arch, preoperative, intraoperative and postoperative electroencephalography and microscopic findings of brain tissue. The results were as follows: 1. The cooling time ranged from 15 minutes to 24 minutes[19.71$\pm$ 3.20 minutes] ; Aorta cross clamp time ranged from 70 minutes to 89 minutes[79.86 $\pm$ 7.54 minutes] ; Rewarming time ranged from 35 minutes to 47 minutes[42.86$\pm$ 4.30 minutes] ; The extracorporeal circulation time ranged from 118 minutes to 140 minutes[128.43$\pm$ 8.98 minutes] [Table 2]. 2. The oxygen content in the oxygenated blood after RGCP was 12.66$\pm$ 1.25 ml/dl. At 5 minutes after the initiation of RGCP, the oxygen content of returnedlood was 7.58$\pm$ 0.21 ml/dl, and at 15 minutes 7.35$\pm$ 0.17 ml/dl, at 30 minutes 7.20$\pm$ 0.19 ml/dl, at 60 minutes 6.63$\pm$ 0.14 ml/dl [Table 3]. 3. Intraoperative electroencephalographic finding revealed low amplitude potential during hypothermia, and no electrical impulse throughout the period of circulatory arrest and RGCP. Electrical activity appeared after reperfusion, and the electroencephalographic reading also recovered rapidly as body temperature returned to normal [Fig. 2]. 4. The microscopic finding of brain tissue showed widening of the interfibrillar spaces. But there was no evidence of tissue necrosis or hemorrhage [Fig. 3]. We concluded the retrograde cerebral perfusion during hypothermic circulatory arrest is a simplified technique that may have a excellent brain protection.
Between 1987 and 1995, eleven patients with severe chronic corrosive stenosis of the hypopharynx and esophagus underwent surgical restoration of digestive continuity at Inje University Seoul Palk Hospital. There were 7 male and 4 female patients aged from 21 to 47 years (mean, 34 years). The caustic material was acid in 6 patients and alkali in 5 patients. The esophagus was reconstructed using the right colon In 9 and left colon in 2. The cervical approach and the side of proximal anastomosis depended on the status of the pyriform slnus of the hypopharynx. In the neck, J-formed incision was made along the sternocleidomastoid muscle. The sternohyoid and thyrohyoid muscles were divided transversely to expose the thyroid cartilage. Hypopharyngeal opening for proximal anastomosis was made by reverse triangular formed resection of the thyroid cartilage after elevation of perichondrium. Immediately after operation, dysphagia and aspiration into trachea were common, so training of swallowing was required. Feeding gastrostomy was usually maintained for 3 months until restoration of swallowing function was confirmed . There was graft necrosis in 3 patients, who were treated with jejunal free graft. Revisional procedures for stenosis of cervical anastomosis in B patients consisted of widening of pharyngocecostomy site in 2 and resection of adhesive band in one. Return of normal swallowing assuring normal nutrition was obtained in 10 of 11 cases.
Tetralogy of Falloff is the most common cyanotic congenital cardiac malformation. Between April 1984 and December 1993, we experinced with 39 cases of total correction for the tetralogy of Falloff at the department of Thoracic and Cardiovascular Surgery, Masan Samsung General Hospital. The results were as follows; There were 14 males and 25 females, and their ages ranged from 2 to 36 years, with an average age of 13.33 $\pm$7.40 years. There was type I VSD in 10 cases(25.6%), type II VSD in 19 cases(48.8%) and type 1+ II VSD in 10 cases(25.6%) Types of right ventricular outflow tract obstruction were valvar + infundibular stenosis in 19 cases(48.7%), valvar + infundibular + annular stenosis in 10 cases(25.6%), infundibular stenosis in 9 cases(23.1%)and pure valvar stenosis in 1 case(2.6%). Right ventricular outflow tract patch widening was necessary in 33 cases(84.6%) and a Iransannular patch including 2 cases of Monocusp-bearing outflow patch was used in 10 cases. n 36 hospital survivors, 23 patients were evaluated by 2 dimensional and doppler echocardiography. The most common complication was arrthymia, especially complete right bundle branch block, in 30 cases (76.9%). The operative mortality was 7.7%, and the cause of death was low cardiac output syndrome.
It is well known that the duodenum of mice or rats infected with Fibricoln seoulensis shows atrophy of villi (shortening, blunting, widening, fusion) and hyperplasia of crypts. This study was performed to observe healing process of .these pathological changes after deworming with anthelmintic treatment. Albino rats infected each with.1,000 metacercariae of F. seeulensis were treated with single dose of 10 mg/kg praziquantel on day 15 post·infection. On day 1, 3, 5, 7, 15, 21 and 28 after the treatment, they were sacrificed and their duodenums were histopathologically studied. Control (uninfected) rats showed their normal finger-like projections of duodenal villi and well arranged crypts. In comparison, untreated (infected) contiols revealed severe mucosal changes characteristic of villous atrophy and crypt hyperplasia in their duodenum. The damaged duodenal mucosa was found to restore its normal morphology after praziquantel treatment; until day 3 post-treatment the mucosa was severely atrophied; on day 5 long and slender villi sometimes appeared among the fused and stout ones; after day 15 the villi were in their normalising process. From this experiment, it was shown that the mucosal changes in the duodenum of rats caused by F. seoulensis infection were completely reversible in 21∼28 days after anthelmintic treatment.
The surgical treatment of tetralogy of Fallot [TOF] was initiated by Blalock and Taussig in 1945 with the establishment of the subclavian artery to pulmonary artery anastomosis. In an imaginative and daring effort, in 1954, Lillehei and collaborators [1955] using controlled cross-circulation, carried out the first intracardiac repair of TOF by closing the ventricular septal defect [VSD] and relieving the pulmonary stenosis under direct vision. Nowadays, total correction is the ideal operation for treatment of TOF and is accomplished with extracorporeal circulation. And the results of surgery for TOF have steadily improved over the years, thanks to important contributions of many surgeons. Nevertheless because of its protean physiologic and anatomic presentation, TOF continues to offer challenges to cardiologist and cardiac surgeons. Thirty two cases of TOF have undergone total corrective surgery using extracorporeal circulation in the Department of Thoracic & Cardiovascular Surgery, Pusan Paik Hospital, Inje University, from Oct. 1985 to Feb. 1990. Clinical considerations were applied to these cases and the results were obtained as follows. 1. The heart lung machine used for extracorporeal circulation was SarnsO 7000, 5-head roller pump, and the number and type of oxygenators were 10 of bubble type and 22 of membrane type. The mean bypass time was 148.9 minutes and the mean aortic cross clamp time was 123.8 minutes. The GIK [glucose-insulin-potassium] solution was used as cardioplegic solution for myocardial protection during operation. 2. 20 cases were male and 12 were female, the mean age was 8 years old and the mean body weight was 25Kg. 3. The preoperative symptoms were cyanosis [29 cases], squatting [27 cases] and etc. The mean values of preoperative Hb., Hct., and SaO2 were 16.5 gm /dl, 50.3%, and 78.5%. 4. Combined anomalies were noticed in 16 cases [50%]. Among them 10 cases were PFO and 6 cases were ASD. 5. The degree of aorta overriding were 25% in 5 cases, 25 ~ 50% in 22 cases and above 50% in 5 cases. The dPA/Ao [ratio of diameter of pulmonary artery trunk to ascending aorta] were below 25% in 5 cases, 25 ~ 50% in 10 cases, 50 ~ 70% in 6 cases and above 75% in 11 cases. 6. The types of RVOT [right ventricular outflow tract] stenosis were valvular and infundibular in 14 cases [43.6%], diffuse hypoplastic type in 12 cases [37.5%], infundibular in 5 cases, and valvular and supravalvular in 1 case. 7. One stage radical corrective surgery was applied to the all cases. In widening of the RVOT, 3 types of patches were used: MVOP [monocusp ventricular outflow patch, Polystan BioprosthesesO] in 3 cases, knitted Dacron vessel patches in 2 cases, and double layer with bovine pericardium and woven Dacron prosthesis in 26 cases. 8. Postoperative complications were occurred in 15 cases. Among them, low output syndrome were occurred in 10 cases [31.3%] and 2 of them were expired postoperatively.
The Buddhist Triad Cave in Gunwi (National treasure No. 109) consists of porphyritic biotite granite, and it has been deteriorated into microorganic smears, white films, brown rusts, granular decay, color changes, and joints by the same weathering factors as rain, moisture, temperature variation and microorganic living. Main origin is probably the rain that leaks into the cave along joints in Palgongsan granite, and then its moisture grows many microorganism and is frozen over during winter. The granites around the cave regularly develop two NEE and NWW joint sets that are conjugate to be a joint system. The NEE set extends far away with narrow joint spacings and affects the leakage of the rains, and is divided into 4 joint zones, among which J$_{m}$ and J$_{3}$ immediately affect the leaking water into the cave. An extensional Joint, in northern wall of the cave, was formed by toppling of the block between J$_{m}$and J$_{3}$joint zones from widening the Jm aperture by roots of a big pine tree, and passes through the J$_{m}$joint zone. This bypass allows no circulation of small rain, but a good circulation of heavy rain from influx to the cave for a long pathway. Many Joints and cracks, in the ceiling near the cave entrance, immediately get through the J$_3$ joint zone, and have a good circulation of small rain 10 mm. Both J$_{m}$and J$_{3}$ joint zones are, therefore, chief influxes that cause leakage of the rains.
Restorative procedures can lead to weakening tooth due to reduction and alteration of tooth structure. It is essential to prevent fractures to conserve tooth. The resistance to fracture of the restored tooth may be influenced by many factors, among these are the cavity dimension and the physical properties of the restorative material. The placement of direct composite resin restorations has generally been found to have a strengthening effect on the prepared teeth. It is the purpose of this investigation to study the relationship between the cavity isthmus and the fracture resistance of a tooth in composite resin restorations. In this study, MO cavity was prepared on maxillary first premolar. Three dimensional finite element models were made by serial photographic method and isthmus(1/4, 1/3, 1/2 of intercuspal distance) were varied. Two types of model(B and R model) were developed. B model was assumed perfect bonding between the restoration and cavity wall and R model was left unfilled. A load of 500N was applied vertically at the first node from the lingual slope of the buccal cusp tip. This study analysed the displacement, 1 and 2 direction normal stress and strain with FEM software ABAQUS Version 5.2 and hardware IRIS 4D/310 VGX Work-station. The results were as follows : 1. Displacement of buccal cusp in R model occurred and increased as widening of the cavity, and displacement in B model was little and not influenced by cavity width. 2. There was a significant decrease of stress resulting in increase of fracture resistance in B model when compared with R model. 3. With the increase of the isthmus width, B model showed no change in the stress and strain. In R model, the stress and strain increased both in the area of buccal-pulpal line angle and the buccal side of marginal ridge, therefore the possibility of crack increased. 4. The stress and strain were distributed evenly on the tooth in B model, but in R model, were concentrated on the buccal side of the distal marginal ridge and buccal-pulpal line angle, therefore the possibility of fracture increased.
This thesis aims to reveal the unsatisfactory unfitting factors in the tight collars of adult males' dress shirts for the purpose of improving neck-collar fitness. For this study, nine adult males were chosen as the subjects. When the subjects erected their necks upright, the researcher conducted an experiment, using the direct anthropometrical measuring method and the gypsum method by turns, in order to understand neck shapes by way of right-neck lateral flection, left-neck lateral flection, neck flection, neck extension, right neck rotation, and left neck rotation. And then, the propriety of allowances from body surface alteration was verified by analyses through the measurement of wearing comfortableness and clothing pressure in two sorts of ready-made dress shirts, which had different allowances. The consequences of this study are as follows: 1. In length alteration to movement, a decrease was found in the opposite (and an increase in the identical) directions of right-neck lateral flection, left-neck lateral flection, and neck flection movements. Also, when the subjects shook their heads, an increase was seen by 0.42$\sim$0.63cm in neck girth, 0.31$\sim$1.12cm in 3cm-above-the-neck base girth, and 1.16cm in neck extension of 3cm-above-the-neck base girth. 2. As a result of the drafts of surface measurement, the alteration ratios of dimensions and vertical length dropped in the identical directions of the movement, but grew in the opposite directions. A reverse change was shown in horizontal length. The rough widening gaps for making drafts were 0.7cm in front left and right, and 0.2cm in back left and right of 3cm-above-the-neck base girth. On the whole, the space was about 1.8cm, while there was no significant variation between the upright stationary test and the movement test. 3. There were important differences between the two kinds of ready-made dress shirts (Type A: 1cm allowance in neck girth; Type B: 2cm allowance) in clothing pressure and wearing comfortableness. That is, Type A had higher pressure and more uncomfortable sense of wearing. In other words, as clothing pressure and wearing comfortableness are negatively related to each other, Type A's greater clothing pressure led to worse wearing comfortableness.
The purposes of this study are to review research trends of applied geography field, to retrospect geographical works done by Korean geographers in applied geography, and to prospect the future of applied geography. We are in the period where societal problems such as energy, transportation, pollution, environment, health care, and many others, require careful consideration and need throughout strategies for solution. Most societal problems have some geographical dimensions. Because these problems are geographic in nature, there is an obvious implication that geography as a discipline has something to offer in their solutions. In fact, most geographic problems are best presented and analyzed through the applications of geographic theories, concepts and tools. Applied geography is a branch of general geography. It relies on the scientific methods and uses the principles and methods of pure geography. However applied geography is different in that it analyzes and evaluates real world action and planning and seeks to implement and manipulate environmental and spatial realities. Thus, geographic theories and other social theories that have geographic dimensions are fundamental to applied geography. Applied geography has a short history as theme in Korean geography. During the last two decades. Korea achieved remarkable economic growth. We have also encountered widening regional disparity, housing shortage of larger cities, transportation congestion, environmental pollution and many other problems. Applied geographers have tried to analyze and solve such spatial problems during the last 30 years. The research trend of Korean applied geography can be subdivided into 5 categories: (1) land use analysis and efficient utilization, (2) national physical development and planning. (3) regional development and regional planning, (4) tourism and location-allocation, transportation planning. Still the overconcentration of Seoul metropolitan region and unbalanced regional development are perceived to be the serious spatial problems which may induce more works to solve these problems. In Korea new emphasis has to be given to some professional training and experimental learning, including methodology, field techniques data management, statistical analysis, cartography, GIS, and other tools, as applicable and beneficial to problem solving in real world. The growth of applied geography depends on new insights and purposed solutions of future applied geographers in Korea. Applied geographers will contribute to the creation of future Korean geographies.
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