• Title/Summary/Keyword: 회복변형

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Long-Term Results of Atrial Fibrillation Surgery with Mitral Valvular Disease (승모판막 질환에 동반된 심방세동 수술의 장기 결과)

  • 장병철;맹대현;강정한;조상호
    • Journal of Chest Surgery
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    • v.33 no.11
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    • pp.881-885
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    • 2000
  • 배경: 승모판막 질환에 동반된 심방세동의 경우 그 기간이 길면 승모판막 질환을 수술하여도 동성 율동으로 전환될 가능성이 매우 적다. 본 연구는 승모판막 질환에 동반된 심방세동에 대한 변형 Maze 수술후 장기 결과와 심방세도의 재발에 미치는 요인을 조사 하고자 하였다. 대상 및 방법: 1990년부터 1996년까지 승모판막 질환과 동반된 심방세동으로 외과적 요법을 시행받은 35명의 환자를 대상으로 하였다. 심방세동의 평균 유병기간은 평균 7.7$\pm$4.5년이었고 수술은 승모판막 대치술 34례(재수술 3례)와 승모판막 성형술 1례를 시행하였고 승모판 질환 수술 외에 동반 수술로는 삼첨판륜 성형술 4례, 삼첨판막 대치술 3례 였다. 심 방세동에 대한 수술은 좌측 폐정맥 부위는 격리하지 않는 변형 Maze 수술을 시행하였다. 수술 후 동성 율동으로 회복여부, 심방세동의 재발에 미치는 요인과 장기 결과를 분석하였다. 결과: 수술 직후 2례를 제외한 33례(93.9%)에서 동성율동으로 돌아왔으나 수술 후 퇴원 전에 12례에서 심방세동이 재발되었다. 수술환자중 1례에서 수술 후 3일에 동성 정지에 따른 심정지가 발생하여 소생되었으나 뇌손상으로 수술 후 15일에 사망하였다. 심방세동이 재발된 경우 수술 후 약 2개월에서 6개월 사이에 항부정맥 약물(mquinidine)과 전기적 제세동으로 치료하여 12례중 10례에서 동성 율동으로 돌아온 환자는 항부정맥 약물을 모두 중단하 였으며, 수술 후 3년에서 9년(평균 71.1$\pm$17.5개월) 추적 관찰 중 9례에서 심방세동이 재발되어 장기간 동성 율동이 유지된 환자는 34명중 25명으로 73.5%이었다. 승모판 질환이 있던 환자에서 수술 후 심방세동의 재발에 미치는 요인들을 조사한 결과 수술전 심방세동의 기간(동성율동 유지군 : 재발군=6.3년 : 10.3년, P=0.008)과 수술 전 단순 흉부 X선상 심흉비율(0.58 : 0.72, p=0.009)은 통계학적으로 유의하게 나타났으나 심초음파 검사상 좌심방의 직경(57.2mm : 77.4mm, p=0.106)은 통계학적 유의성이 없었다. 결론: 심방세동이 있는 환자에서 동반 질환 수술시 병행하여 수술한다면 정상 동성 율동으로 회복될 기회를 증가시킬 수 있는 유용한 수술법으로 생각된다. 그러나 수술후 재발률을 감소시키기 위하여 적절한 술기의 변형에 대한 연구와 약물요법의 병행을 고려하여야 할 것으로 사료된다.

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The Suggestion of Nonlinear 4-Parameters Model for Predicting Creep Deformation of Concrete (콘크리트 크리프 변형 예측을 위한 비선형 4-매개변수 모델의 제안)

  • Lee, Chang Soo;Kim, Hyeon Kyeom
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.26 no.1A
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    • pp.45-54
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    • 2006
  • To obtain realistic stress-strain relation in concrete, it is necessary to improve the constitutive model for creep and shrinkage of concrete. This study is made up with predicting model of creep using rheological approach and mathematical development which is solution for phenomenon of concrete creep. Long-term deformation components are combined based on traditional 4-parameters model. Creep deformation is obtained adequately using 4-parameters determined by considering aging effect and microprestress among gels. And coefficient of effective viscosity is able to represent both basic creep and total creep included drying creep. This study attempt to establish mathematical model considering effects of aging, hydration, and variations of pore humidity. It can predict both basic creep and total creep. Values of result between prediction and experiment have greater than correlation factor 99%. Additionally experimental results report bad consentaneity with highway design specification adopting FIB MC 90. Rather than those are similar to FIB MC 90 rev.99.

A Study on the Measurement for the Recovery Stress of Intelligent Composite by Experiment (실험법에 의한 지능성 복합체의 회복응력 측정에 관한 연구)

  • Hawong, Jai-Sug;Lee, Hyo-Jae
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.27 no.4
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    • pp.515-523
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    • 2003
  • Shape memory is physical phenomenon which a platically metal is restored to its original shape by a solid state phase change by heating. TiNi alloy the most effective material in the shape memory alloy(SMA). To study(measure) recovery stress of intelligent composite. Ti50-Ni50 shape memory matrix with prestrain SMA fiber. When SMA fiber of the intelligent composite is heated over austenite starting temperature(As) by electric heating. a recovery stress are generated. The recovery stress of the intelligent composite was measured by strain gage or photoelastic experiment. Measuring method of recovery stress by photoelastic experiment was developed in this research. It was certified that photoelastic experiment was more effective and more precise than strain gage method in the measurement of recovery stress.

Predictive Factors of Renal Scarring in Children with Acute Urinary Tract Infection (급성 요로감염 환아의 신장 반흔 예측요인)

  • Baik, Jun-Hyun;Park, Young-Ha;Hwang, Sung-Su;Jeon, Jung-Su;Kim, Sung-Hoon;Lee, Seong-Yong;Chung, Soo-Kyo
    • The Korean Journal of Nuclear Medicine
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    • v.37 no.4
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    • pp.245-253
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    • 2003
  • Puorpose: The purpose of this study was to evaluate the usefulness of $^{99m}Tc$ DMSA scintigraphy on the dignosis of a renal scar in children with urinary tract infections. Materials and Methods: Eighty three patients were included in this study, who were diagnosed as the urinary tract infection on the basis of symptom, urinalysis and urine culture. $^{99m}Tc$ DMSA scintigraphy and voiding cystoureterography were peformed within 7days before the treatment in all patients. We classified the scintigraphic findings as follow s : 1 ; a large hypoactive upper or lower pole. 2 ; a small hypoactive area. 3 ; single defect resulting in localized deformity of the outlines. 4 ; deformed outlines in a small or normal sized kidney. 5 ; multiple defects. 6 ; diffuse hypoactive kidney without regional impairment. Follow-up scintigraphy was done at least 6 months after the initial study. When the abnormality on the initial scintigraphy was not completely resolved on the follow-up scan, the lesion was defined as containing a scar. Results: One hundred and fifteen renal units of 166 units(69.3%) showed abnormal findings on the DMSA scintigraphy. 65 units(56.5%) was diagnosed as containing renal scars on follow-up scintigraphies. Incidences of renal scar among renal units showing pattern 3, 4 and 5 on the initial scan was 75%, 78% and 78%, respectively. Whereas many of renal units showing 1, 2 and 6 pattern were recovered(65%, 76%, 50%). Sensitivity, specificity and accuracy of pattern-based DMSA scintigraphic findings on the diagnosis of renal scar was 76.9%, 85.1% and 81.9%, respectively. VUR was significantly associated with the renal scar when the initial DMSA shows unrecoverable findings(pattern 3, 4, 5). Odds ratio of the renal scar in a kidney showing unrecoverable initial scintigraphic findings was 19.1. Odds ratio in a kidney with mild or moderate-to-severe VUR was 3.5 and 14.4 respectively. Conclusion: In the urinary tract infection, renal scar was significantly developed in a kidney showing unrecoverable findings on the initial DMSA scan and VUR on voiding cystoureterography.

Evaluation of Field Nonlinear Modulus of Subgrnde Soils Using Repetitive Static Plate Bearing Load Test (반복식 평판재하시험을 이용한 노상토의 현장 변형계수 평가)

  • Kim Dong-Soo;Seo Won-Seok;Kweon Gi-Chul
    • Journal of the Korean Geotechnical Society
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    • v.21 no.6
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    • pp.67-79
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    • 2005
  • The field plate load test has a good potential for determining modulus since it measures both plate pressure and settlement. Conventionally the modulus has been assumed to be a constant secant value defined from the settlement of the plate at a given load intensity. A constant modulus (modulus of subgrade reaction, k), however, may not be a representative value of subgrade soil under working load. Field strain(o. stress)-dependent modulus characteristics of subgrade soils, at relatively low to intermediate strains, are important in the pavement design. In this study, the field strain dependent moduli of subgrade soils were obtained using cyclic plate load test. Testing procedure and data reduction method are proposed. The field crosshole and laboratory resonant column tests were also performed to determine field nonlinear modulus at $0.001\%\;to\;0.1\%$ strains, and the modulus values and nonlinear trends are compared to those obtained by cyclic plate load tests. Both modulus values match relatively well when the different state of stress between two tests was considered, and the applicability of field cyclic plate load test for determining nonlinear modulus values of subgrade soils is verified.

Study on the Computerization of Die Design for Bending Hook (후크 벤딩 금형 설계의 전산화에 관한 연구)

  • 조은정;정호승;정철우;조종래;최일동
    • Journal of Advanced Marine Engineering and Technology
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    • v.26 no.4
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    • pp.450-456
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    • 2002
  • Die desig for manufacturing hooks from steel wires has been depended on empirical procedures based on trial and error method. To design die, at first the curvature and bending angle of hook are computed by using AutoCAD and developed program which is composed of Visual Basic. Then spring back should be considered because the elastic recovery of material is very important in bending process. In this study, bending analysis of elastic-plastic materials is applied to predict curvature of hook and spring back. Therefore, systematic procedure of die design for bending hook is achieved to consider elastic recovery in terms of hook shapes. Experimental results are good agreement with calculated results.

A Study on the Elastic Deformation of Forged Bevel Gears and Die (단조 베벨 기어의 탄성회복과 금형변형에 관한 연구)

  • 김명곤;강우진;조종래;이정환;배원병
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2003.05a
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    • pp.34-37
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    • 2003
  • Cold forging has several advantages as compared with conventional forming by cutting process. In this study, the elastic deformations of straight bevel gear and die induced by cold forging process are investigated to use 3D-Scanner. So we could estimate the total elastic deformation as comparing between forged bevel gears and die. And finite element analysis has been performed to predict the elastic deformation, each of cold forged bevel gear and die. The predicted values are compared with the experimental values and as a result they are well agreed with experimental data.

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베타형 Ti-Nb-Ge 합금의 초탄성 거동에 미치는 집합조직의 영향

  • Kim, Han-Sol;Lee, Hae-Jin;Song, Guk-Hyeon;Kim, Won-Yong
    • Proceedings of the Materials Research Society of Korea Conference
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    • 2012.05a
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    • pp.102.1-102.1
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    • 2012
  • Ti 및 Ti 합금은 치과 및 정형외과 등의 분야에서 생체재료로써 다양한 용도로 적용되고 있으며, 보다 안전하고 우수한 특성의 Ti 합금 개발에 대한 관심이 높아지고 있다. 본 연구에서는 Ti-Nb-Ge 합금의 초탄성 특성에 미치는 집합조직의 영향에 대해 조사하였다. 집합조직 제어를 위해 등속 및 이주속 압연을 적용한 후 $850^{\circ}C$에서 30분~2시간까지 어닐링하였다. 광학현미경과 SEM-EBSD를 이용하여 미세조직 및 집합조직을 분석하고, 순환식 인장시험을 통해 시편의 초탄성 특성을 평가하였다. 등속압연 후 어닐링한 시료의 경우 alpha-fiber 집합조직이 발달하는 한편, 이속압연 후 어닐링한 시료는 {113}// 및 {331}의 집합조직이 발달하는 것으로 나타났다. 마르텐사이트 변태에 의한 변형회복능과 집합조직 성분별 강도의 관계를 비교한 결과, alpha-fiber 집합조직이 발달할수록 변형회복능이 증가하는 것으로 나타났다.

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FRACTAL GEOMETRY를 이용한 직물의 형태 안정성 연구

  • 이재열;강태진;정관수
    • Proceedings of the Korean Fiber Society Conference
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    • 1998.10a
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    • pp.369-372
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    • 1998
  • 직물은 다른 소재들에 비하여 약한 외력에도 매우 쉽게 변형되고, 또한 다시 회복하는 성질을 가지고 있어서 인체에 직접 접촉하는 의복용으로 가장 적합한 유연성 소재로서 인류 역사와 함께 이용되어져왔다. 하지만 사용 중 발생하는 구김이나, 봉제 시에 발생하는 심퍼커 등은 직물이 가진 점탄성에 기인하는 현상으로서, 그 외관상의 가치를 저하시킨다. 따라서 구김이나 심퍼커를 억제하여 직물의 형태적 안정성을 획득하려는 노력들이 계속되어져 왔다. (중략)

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Properties Evaluation of Polyketone for Use as Earthquake-Resistant Structural Compression Material (내진 구조용 압축재로 활용을 위한 폴리케톤의 특성 평가)

  • Lee, Heon-Woo;Noh, Jin-Won;Kim, Young-Chan;Hu, Jong-Wan
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.44 no.2
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    • pp.133-139
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    • 2024
  • The purpose of this study is to propose a new material called polyketone to overcome the limitations of polyurethane, which is currently used as a compression member in the field of earthquake-resistant structures. Although existing polyurethane has excellent elastic properties, it tends to be insufficient to recover the displacement that occurs in the structure. On the other hand, polyketone has excellent strength performance and is attracting attention as an eco-friendly material. In order to evaluate the compression properties of polyketone, which has these advantages, we would like to conduct a comparative experiment with polyurethane that was previously used. The speed dependence of polyketone was identified through simple compression experiments and experimental speed changes under repeated loading conditions, and additional compression behavior was applied to confirm compression behavior characteristics. Polyketone showed compressive strength about 10 times higher than that of polyurethane, and its excellent recovery characteristics were demonstrated by its deformation recovery ability about 14 times higher at relatively small displacements.