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Acute postoperative myelopathy caused by spontaneous developed cervical disc herniation: Case report & literature review (수술후 자연발생 경추간판탈출에 의한 척수병증: 증례보고 및 문헌고찰)

  • Lee, Jeong-Woo;Lee, Keun Hyeong;Lee, Ju-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.10
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    • pp.303-308
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    • 2019
  • Non-traumatic acute myelopathy caused by cervical disc herniation is rare. To date, no case has been reported to be caused by extrusion cervical disc herniation, unrelated to patient posture during surgery. Here, we report the case of a 65-year-old male patient with cervical myelopathy who underwent subsequent arthroscopic rotator cuff surgery under general anesthesia; non-cervical spine surgery. Ed. Notes: I am unable to understand the insertion of the highlighted phrase. Please delete if not required, or revise the sentence appropriately. Patient showed acute postoperative tetraplegia in spite of optimal anesthetic management. He showed no limitation of neck movement at pre-operative airway evaluation, and had no history of trauma to the cervical spine. During surgery, there had been no overextension or twisting of the neck, including at the time of anesthetic induction by tracheal intubation. However, cervical disc herniation causing spinal canal cord compression was detected in the postoperative magnetic resonance imaging, which probably resulted in tetraplegia of the patient. Motor and sensory functions were recovered after 21 days of conservative treatment, including steroid pulse intravenous therapy without any surgical intervention. In this report, the disease is described after reviewing other reported cases; furthermore, we also discuss the pathophysiology of the disease. Based on our report, we propose that under general anesthesia, clinicians should pay attention to the possibility of pre-existing cervical disease, even in non-cervical spine surgeries of geriatric patients.

Characteristics of the Angular-dependent Exchange Coupling Bias in Multilayer [Pt/Co]N-IrMn with Toward-in Plane Applied Fields (박막수직방향에서 면방향으로 회전하는 인가자기장에 대한 다층박막 [Pt/Co]N-IrMn의 교환바이어스의 각도의존특성)

  • Kim, S.S.;Yim, H.I.;Rhee, J.R.;Lee, S.S.;Hwang, D.G.
    • Journal of the Korean Magnetics Society
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    • v.18 no.4
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    • pp.142-146
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    • 2008
  • The angular dependence of the exchange bias($H_{ex}$) and coercivity($H_c$) in multilayer $[Pt/Co]_N-IrMn$ with applied measuring field rotated toward in-plane at angle $\theta$ from perpendicular-to-plane, has been measured. Multilayer films consisting of $Si/SiO_2/Ta(50)/Pt(4)/[Pt(15)/Co(t_{Co})]_N/IrMn(50)/Ta(50)(in\;{\AA})$ were prepared by magnetron sputtering under typical base pressure below $2{\times}10^{-8}$ Torr at room temperature. Magnetization measurements were performed on a vibrating sample magnetometer and extraordinary Hall voltage measurement systems after cooling from 550 K under a field of 2 kOe applied along the perpendicular to film direction. The hysteresis loop shifts from the origin not only along the field axis but also along the magnetization axis. $H_{ex}$ and $H_c$ show a $1/cos{\theta}$ and $1/|cos{\theta}|$ dependence on the angle($\theta$) between the applied measuring field and the perpendicular-film direction, respectively. This $1/cos{\theta}$ dependence can be accounted for by considering the angular dependence of strong out-of-plane magnetic anisotropy introduced during the field cooling.

Propagation of tidal wave and resulted tidal asymmetry upward tidal rivers (감조하천에서 조석 전파 및 조석비대칭)

  • Kang, Ju Whan;Cho, Hong-Yeon
    • Journal of Korea Water Resources Association
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    • v.54 no.6
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    • pp.433-442
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    • 2021
  • In order to examine the characteristics of tidal wave from the estuary to upsteam of tidal river, tidal asymmetry was identified based on analysis of the harmonic constants of M2 and M4 tidal constituents in the domestic western coastal regions. As shallow water tide is greatly developed in the estuary, flood dominance in Han River and Keum River, and ebb dominance in Youngsan River are developed. These tidal asymmetries can be reconfirmed by analyzing the tidal current data. Unlike having reciprocating tidal current patterns in Keum and Youngsan estuaries, rotaing tidal current pattern is shown in the Han River estuary due to the complex topography and waterways around Ganghwa Island area. However, when residual current is removed, flood dominance is shown in consistency with the tide data. The tidal asymmetry in the estuary tends to intensify with the growth in shallow water tide as the tidal wave propagates to upstream of tidal river. Energy dissipation, in shallow Han River and Keum River classified as SD estuaries, is very large regarding bottom friction characteristics. On the other hand, the deep Youngsan River, classified as a WD estuary, shows less energy dissipation.

Evaluation of Flexural Ductility of Negative Moment Region of I-Girder with High Strength Steel (고강도 강재 적용 I-거더의 부모멘트부 휨연성 평가)

  • Joo, Hyunsung;Moon, Jiho;Choi, Byung-Ho;Lee, Hak-Eun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.6A
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    • pp.513-523
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    • 2010
  • For continuous I-girder bridges, a large negative bending moment is generated near pier region so that plastic hinge is first formed at this point. Then, the bending moment is redistributed when the I-girder has enough flexural ductility (or rotational capacity). However, for I-girder with high strength steel, it is known that the flexural ductility is considerably decreased by increasing the yield strength of material. Thus, it is necessary to conduct a study for guaranteeing proper flexural ductility of I-girder with high-strength steel. In this study, the evaluation of flexural ductility of negative moment region of I-girder with high strength steel where yield stress of steel is 680 MPa is presented based on the results of finite element analysis and experiment. From the results, it is found that the flexural ductility of the I-girder is significantly reduced due to the increase of elastic deformation and the decrease of plastic deformation ability of the material when the yield strength increases. In this study, the method to improve the flexural ductility of I-girder with high strength steel is proposed by an unequal installation of cross beam and an optimal position of cross beam is also suggested. Finally, the effects of the unequal installation of cross beam on the flexural ductility are discussed based on the experimental results.

Development of a Structural-Analysis Model for Blast-Resistant Design of Plant Facilities Subjected to Vapor-Cloud Explosion (증기운 폭발을 받는 플랜트 시설물의 내폭설계를 위한 구조 해석 모델 개발)

  • Bo-Young Choi;Seung-Hoon Lee;Han-Soo Kim
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.37 no.2
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    • pp.103-110
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    • 2024
  • In this study, a nonlinear dynamic analysis of a frame and single member, which reflect the characteristics of a plant facility, is performed using the commercial MIDAS GEN program and the results are analyzed. The general structural members and material properties of the plant are considered. The Newmark average-acceleration numerical-analysis method is applied to a plastic hinge to study material nonlinearity. The blast load of a vapor-cloud explosion, a representative plant explosion, is calculated, and nonlinear dynamic analysis is conducted on a frame and single member. The observed dynamic behavior is organized according to the ratio of natural period to load duration, maximum displacement, ductility, and rotation angle. The conditions and range under which the frame functions as a single member are analyzed and derived. NSFF with a beam-column stiffness ratio of 0.5 and ductility of 2.0 or more can be simplified and analyzed as FFC, whereas NSPF with a beam-column stiffness ratio of 0.5 and ductility of 1.5 or more can be simplified and analyzed as FPC. The results of this study can serve as guidelines for the blast-resistant design of plant facilities.

The Kinematics Analysis of the Badminton High Clear Motion in Woman Middle School Student (여자중학생 배드민턴 하이클리어 동작의 운동학적 분석)

  • Kim, Chang-Bum;Ryu, Jae-Kwang
    • Korean Journal of Applied Biomechanics
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    • v.12 no.2
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    • pp.91-107
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    • 2002
  • This research got the following conclusion as result that analyzed high clear action kinematically to 4 C girls' junior high school badminton players who are situated in Chungchong-bukdo. 1. Most of the subject didn't rotate their right shoulder and elbow joint at back swing and moved speedy to shuttle cock. And an cooperation action of joint decreases displaying only a good action on both subject`s specification joint part. 2. When the subject S1 and S2 swing slowly and largely the joint of shoulder and elbow and then the speed of right wrist and racket head is fast, the cooperation action of joint is better than other subject. 3. An angle change of right shoulder showed angle that all subjects are great being caused in softness of joint and angular velocity was exposed that load enough Impact force and increase the speed of racket head as angular velocity decreases rapidly in Impact except subject S3. 4. All subjects of right elbow angle change showed similar form and was exposed that subject S2 sees form of impact stage serious bends from back swing and do not use force effectively in angular velocity. 5. Angle of right wrist appeared that the speed of shuttle cock is decelerated because fast bends of wrist is not formed shortly after Impact because all subject do not accomplish big angle shortly after back swing. Angular velocity can assume that the subject S1 and S4 are using and move fast strong snap shot offering angular velocity value of Impact stage sound (-). 6. While size of Impact stage knee angle accomplishes angle that is big both subject, hip joint angles sees small angle and is playing swing that do on upper body and arm without using strong waist force that is composition action with knee and hip joint.

Palaeomagnetism of the Okchon Belt, Korea : Anisotropy of Magnetic Susceptibility (AMS) and Deformation of the Hwanggangri Formation in Chumgju-Suanbo Area (옥천대에 대한 고자기 연구:충주-수안보 일원 황강리층의 변형과 대자율 비등방성(AMS))

  • Son, Moon;Kim, In-Soo;Kang, Hee-Cheol
    • Economic and Environmental Geology
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    • v.34 no.1
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    • pp.133-146
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    • 2001
  • We report the results of structural field observation and measurement of anisotropy of magnetic susceptibility (AMS) of the diamictitic Hwanggangri Formation distributed in Chungju-Suanbo area of the Okchon Belt, Korea. The outcrops of the Hwanggangri Formation show two types of cleavage in general: slaty cleavage (SI) and crenulation cleavage (5z). 5] cleavage is, however, well observable only in the notheastem (NE) part of study area, while overwhelmed by 52 cleavage in the southwestern (5W) part, indicating stronger later deformation in 5W part of the study area. This partitioning of the study area is corroborated by both IRM and AMS parameters: NE part of the study area is characterized by higher IRM intensity, higher bulk magnetic susceptibility, higher AM5 degree, and by oblate shape of magnetic susceptibility ellipsoid. Their values become drastically lowered toward southwest, and reach to a stable minimum in the whole 5W part of the study area. In addition, degree of both metamorphism and deformation tends to increase gradually from northeast toward southwest and also from northwest toward southeast in the study area. Based on the distribution pattern of the principal axes ( $k_1, k_2, k_3$ axes) of magnetic anisotropy ellipsoids revealed in the NE part of the study area, three episodes of deformation ( $D_1, D_2, D_3$ ) are recognized: D_1$ deformation produced $S_2$ cleavage with NE-5W trend, which is caused by a strong NW-SE tlattening of a coaxial pure shear. $D_2$ deformation produced 5z cleavage characterized by a non-coaxial deformation. It was caused by a ductile or semi-ductile thrusting toward NW and concurrent sinistral shearing along $S_2$ cleavage plane. Lastly, $D_3$ deformation produced tlexural folding of all previous structures with a nearly horizontal NE fold axis. Distribution pattern of the principal axes of magnetic anisotropy ellipsoid from the SW part of the study area, on the other hand, does not show any coherency among sites or samples. We interpret that this dispersed pattern of $k_1, k_2, k_3$ axes together with lower anisotropy strength indicates that magnetic fabrics in the SW part have been disturbed either by a superposition of strong deformation/metamorphism or by a kind of reciprocal strain due to an overlapping of $D_1$ and $D_2$ or by both processes.

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Development and Application of Instructional Module for the Conceptual Change of the Earth and Moon's Movement in the Elementary Science Class (초등 과학수업에서 지구와 달의 운동 개념변화를 위한 수업모듈의 개발 및 적용)

  • Son, Junho;Kim, Jonghee
    • Journal of Science Education
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    • v.34 no.1
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    • pp.58-71
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    • 2010
  • The purpose of this study is to categorize preconceived notions by elementary science gifted students about the reason why only one side of the moon is visible and develop an instructional module to correct these notions scientifically. The effectiveness of these modules will then be tested. The participants of this study were 15 (5th and 6th grade students) from Gwangju Metropolitan City and Chonnam Province who passed a gifted student assessment test developed by J university. The student's notions about the reason only one side of the moon is visible were assessed through questionnaires, interviews, and reenactments. Instructional modules to minimize these notions were developed and then improved upon by class reenactments. And then these modules were used to teach a real class with cameras recording the students. Protocols were analyzed using this footage, and emphasis was placed on how the developed class module changed student's misconceptions. The instructional module developed in this study was: student conception assessment writing materials exploration activity stage 1 (moon's orbit) exploration activity stage 2 (moon's rotation) - exploration activity stage 3 (moon's orbit and rotation) - exploration activity stage 4 (verbalizing the moon's orbit and rotation) - exploration activity stage 5 (thinking about moon movement considering earth's rotation - exploration activity stage 6 (relating the earth and moon's movement) and verifying student conception change. An important conclusion of this study was that all 15 students had misconceptions that could be divided into categories A, B, and C. Category A could be separated with more specifics into A-1 and A-2, and C into C-1 and C-2. After the instructional module was utilized, the student categories show positive change in the following stages: Category A at exploration activity stage 1 and 2, Category B at exploration activity stage 3, Category C-1 at exploration activity stage 4 and 5, and Category C-2 at exploration activity stage 6. Category C-1 students immediately changed to Category C-2 after going through a few stages, and their misconceptions were finally corrected after going through exploration activity stage 6. The misconceptions of students in all categories were corrected scientifically after completing stage 6 education. This study proposes that a combined education of reenactments, exploration materials development, and exploration activities by stages will effectively correct misconceptions about the Earth and moon's movement.

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A Statistical Survey of Foreign Bodies in Air and Food Passage (Report V) (식도 및 기도이물의 통계적 고찰(제5보))

  • 김기령;홍원표;이춘근;이정권;박기현;김상기
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1979.05a
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    • pp.6.2-6
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    • 1979
  • Foreing bodies of the esophagus and tracheobronchus are likely to occur whenever a child places an inedible object in the mouth and are common in the older age group particularily in edentulous individuals or preexisting disease. Our department had already reported the statistical survey at first in 1954, successively in 1962, 1963 and 1968, respectively according to the age, sex, variety of foreign bodies, location and duration of the lodgement. Now, we have experienced the new 186 cases during the consecutive 5 year period from January 1973 to December 1977 and reported as a 5th report comparing with previous report. The results were as follows. 1. In the incidence of foreign bodies, coins were the most common and pointed metal, disc, bony fragment were followed in order in the esophagus while the peanut and corn were common in the air passage. 2) 79 cases (56.4%) were males and 61 cases (43.6%) were females in the esophagus, which was not a significant difference to note. But in the air passage, males accounted for 33 cases (71.7%) compared to 13 cases (28.3%) of females. 3) In the aspect of age incidence, child 10 years or under accounted for almost all cases in the esophagus as well as in the air passage. 4) In the location of foreign bodies in the esophagus, the first narrowing was the most common, while in the air passage right bronchus had a high incidence but the difference of incidence between right bronchus and left bronchus was not remarkable. 5) The duration of lodgement was 24 hours or less in more than half of the all cases. 6) In the aspect of kind of coin, 10 won coins accounted for majority of the cases (67.0%) but the incidence of 100 won coins were tend to increase gradually in these years.

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A study on the soil conditioning behaviour according to mixing method in EPB shield TBM chamber (EPB 쉴드 TBM 챔버 내 혼합방법에 따른 배토상태거동에 대한 연구)

  • Kim, Yeon-Deok;Hwang, Beoung-Hyeon;Cho, Sung-Woo;Kim, Sang-Hwan
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.23 no.4
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    • pp.233-252
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    • 2021
  • This paper is a study to improve the efficiency of mixing technology in the shield TBM chamber. Currently, the number of construction cases using the TBM method is increasing in Korea. According to the increasing use of TBM method, research on TBM method such as Disc Cutter, Cutter bit, and Segment also shows an increasing trend. However, there is little research on the mixing efficiency in chamber and chamber. In order to improve the smooth soil treatment and the behavior of the excavated soil, a study was conducted on the change of the mixing efficiency according to the effective mixing bar arrangement in the chamber. In the scale model experiment, the ground was composed using plastic materials of different colors for ease of identification. In addition, the mixing bar arrangement was different and classified into 4 cases, and the particle size distribution was classified into single particle size and multiple particle size, and the experiment was conducted with a total of 8 cases. The rotation speed of the cutter head of all cases was the same as 5 RPM, and the experiment time was also carried out in the same condition, 1 minute and 30 seconds. In order to check the mixing efficiency, samples at the upper, middle (left or right), and lower positions of each case were collected and analyzed. As a result of the scaled-down model experiment, the mixing efficiency of Case 4 and Case 4-1 increased compared to Case 1 and Case 1-1, which are actually used. Accordingly, it is expected that the mixing efficiency can be increased by changing the arrangement of the mixing bar in the chamber, and it is considered to be effective in saving air as the mixing efficiency increases. Therefore, this study is considered to be an important indicator for the use of shield TBM in Korea.