• Journal of Korean Neurosurgical Society
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• 제38권5호
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• pp.399-402
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• 2005

Direct anterior approach for lesions located anterior to the thecal sac is definitely superior to lateral or posterior approach in many respects. However, various anatomical obstacles and technical difficulties often hinder direct anterior approach. Thanks to ripe experience of retroperitoneal approach to the lumbar spine for anterior lumbar interbody fusion and total disc replacement, the authors could perform lumbar corpectomy and reconstruction by using midline retroperitoneal approach recently. During this approach, we repaired anterior longitudinal ligament also to reduce the risk of graft extrusion and to prevent erosion of vascular wall due to direct contact between metallic hardware, which was used for reconstruction of vertebral body, and major vessels.

• International Journal of Concrete Structures and Materials
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• 제7권2호
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• pp.135-153
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• 2013

This study investigates the direct displacement based design (DDBD) approach for different types of reinforced concrete structural systems including single moment-resisting, dual wall-frame and dual steel-braced systems. In this methodology, the displacement profile is calculated and the equivalent single degree of freedom system is then modeled considering the damping characteristics of each member. Having calculated the effective period and secant stiffness of the structure, the base shear is obtained, based on which the design process can be carried out. For each system three frames are designed using DDBD approach. The frames are then analyzed using nonlinear time-history analysis with 7 earthquake accelerograms and the damage index is investigated through lateral drift profile of the models. Results of the analyses and comparison of the nonlinear time-history analysis results indicate efficiency of the DDBD approach for different reinforced concrete structural systems.

• Journal of Korean Neurosurgical Society
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• 제30권10호
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• pp.1187-1192
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• 2001

Objective : The lateral extracavitary approach(LECA) to the thoracolumbar spine is known as one of procedure which allows not only direct vision of pathologic lesion, but also ventral decompression, and dorsal fixation of the spine through the same incision. However, some drawbacks of LECA, including the technically- demanding, time-consuming, unfamiliar surgical anatomy and excessive blood loss, make surgeons to hesitate to use this approach. This study is to provide the surgical anatomy of LECA using cadavers, for detailed informations when LECA is considered for the surgery. Methods : We performed the 10 cadaveric studies, 7 male and 3 female, and careful dissection was carried out on right side of thoracolumbar region, except one for thoracic region. The photographs with micro-lens were taken to depict the close-up findings and for demonstrating detailed anatomy. Results : The photographs and hand-drawings demonstrated the relationships among the musculature, segmental vessels and nerve roots seen during each dissection plane. The lateral branches of dorsal rami of spinal nerve and the transverse process were confirmed to be the most important landmark of this approach. Conclusion : We concluded that detailed anatomical findings for LECA through this step-by-step dissection would be useful during operative intervention to reduce the intraoperative complications in LECA.

• Structural Engineering and Mechanics
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• 제73권6호
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• pp.699-714
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• 2020

Force based design (FBD) approach is prevalent in most of the national seismic design codes world over. Direct displacement based design (DDBD) and energy based design (EBD) approaches are relatively new methods of seismic design which claims to be more rational and predictive than the FBD. These three design approaches are conceptually distinct and imparts different strength, stiffness and ductility property to structural members for same plan configuration. In present study behavioural assessment of frame of six storey RC building designed using FBD, DDBD and EBD approaches has been performed. Lateral storey forces distribution, reinforcement design and results of nonlinear performance using static and dynamic methods have been compared. For the three approaches, considerable difference in lateral storey forces distribution and reinforcement design has been observed. Nonlinear pushover analysis and time history analysis results show that in FBD frame plastic deformation is concentrated in the lower storey, in EBD frame large plastic deformation is concentrated in the middle storeys though the inelastic hinges are well distributed over the height and, in DDBD frame plastic deformation is approximately uniform over the height. Overall the six storey frame designed using DDBD approach seems to be more rational than the other two methods.

• 대한족부족관절학회지
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• 제13권1호
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• pp.60-67
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• 2009

Purpose: This study was designed to investigate the usefulness of extensile lateral approach for accurate reduction and rigid internal fixation in comminuted intraarticular fractures of calcaneus. Materials and Methods: From October 2002 to May 2007, we managed 55 patients (62 cases) with open reduction and internal fixation using extensile lateral approach. Among these, 38 patients (43 cases) who underwent preoperative and postoperative CT scan were enrolled. All patients were evaluated over 24 months after surgery. Bohler angle and Gissane angle on plain X-ray, displacement and step-off of articular surface of calcaneus on CT scan were measured and we compared the difference between preoperative and postoperative value of them. Clinical results were assessed by using AOFAS Ankle-Hindfoot Scale. Results: The average Bohler angle was restored from $6.8^{\circ}$ to $23.5^{\circ}$ and Gissane angle was improved from $116.4^{\circ}$ to $113.5^{\circ}$ after operation. The average distance of displacement was restored from 4.2 mm to 1.4 mm and step-off of articular surface was recovered from 5.1 mm to 1.3 mm. Clinical results were excellent in 17 cases, good in 18 cases, fair in 3 cases, and poor in 5 cases. 10 cases developed postoperative complications such as skin necrosis, heel pain, limitation of motion of ankle and subtalar arthritis. Conclusion: The extensile lateral approach is valuable for the comminuted intraarticular fractures of calcaneus that enables accurate anatomical reduction and rigid internal fixation by providing direct exposure of subtalar joint.

• 한국강구조학회 논문집
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• 제25권5호
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• pp.487-495
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• 2013

국내 현실을 고려한 직접해석법 적용 방안의 제안을 위한 기초 연구로 국내의 강구조물 제작 및 설치시 적용되는 초기변형 허용값을 반영한 직접해석법 적용의 타당성을 해석적으로 평가하였다. 해석의 주요 변수로는 골조의 규모, 축력비, 축력분포, 가상하중 크기, 가상하중 가력 위치, 최소수평하중 개념 적용 여부 등을 적용하였다. 수치해석적 연구 결과 국내 초기변형 허용값인 L/700의 적용은 타당한 것으로 나타났으며, 이를 위한 방안으로 초기변형 허용값 L/700에 근거한 가상하중을 B2계수의 결과가 1.5 이하이고 수평하중이 존재하는 경우에라도 수평하중과 가상하중간에 최소수평하중 개념을 이용하여 층수평하중 형태로 가력하는 방법을 제안하였다.

• Journal of Trauma and Injury
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• 제18권1호
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• pp.64-69
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• 2005

Purpose: We report the radiologic and the clinical results for surgical treatment of calcaneal fractures involving the subtalar joint. Methods: We evaluated the findings of radiographs and computed tomographs of 39 patients (40 cases) with intra-articular calcaneal fractures. The fractures were treated with open reduction via an extended lateral approach and internal fixation using a plate. We assessed the radiologic results, such as the $B{\ddot{o}}hler$ angle, the Gissane angle, and the height/width ratio. We assessed the clinical results based on the critieria of Salama et al. Results: According to the Essex-Lopresti classification, 9 cases were classified as tongue type and 31 cases as joint depression type. According to the Sanders classification, 10 cases were classified as type IIA, 4 cases as IIB, 16 cases as IIIAB, 4 cases as IIIAC, and 6 cases as type IV. The mean preoperative $B{\ddot{o}}hler$ angle was 7.7, the mean postoperative $B{\ddot{o}}hler$ angle was 21.1, and the mean last follow-up $B{\ddot{o}}hler$ angle was 16.8. Clinical results classified as 10 excellent, 13 good, 11 fair, and 6 poor. Conclusion: In the treatment of intra-articular fractures of the calcaneus, open reduction via an extended lateral approach seems to be a useful method in that it can provide direct exposure of the subtalar joint with little morbidity.

• 한국지진공학회논문집
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• 제22권5호
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• pp.299-309
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• 2018

Now that problems with force-based seismic design have been clearly identified, design is inclined toward displacement-based methods. One such widely used method is Direct-Displacement-Based Design (DDBD). Yet, one of the shortcomings of DDBD is considering higher-mode amplification of story shear, moments, and displacements using equations obtained from limited parametric studies of regular planar frames. In this paper, a different approach to account for higher-mode effects is proposed. This approach determines the lateral secant stiffness of the building frames that fulfill the allowable inter-story drift without exceeding the desired story displacements. Using the stiffness, an elastic response spectrum analysis is carried out to determine elastic higher-mode force effects. These force effects are then combined with DDBD-obtained first-mode force effects using the appropriate modal superposition method so that design can be performed. The proposed design procedure is verified using Nonlinear Time History Analysis (NTHA) of twelve planar frames in four categories accounting for mass and stiffness irregularity along the height. In general, the NTHA response outputs compared well with the allowable limits of the performance objective. Thus, it fulfills the aim of minimizing the use of NTHA for planar frame buildings, thereby saving computational resources and effort.

• Restorative Dentistry and Endodontics
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• 제37권3호
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• pp.165-169
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• 2012

Closure of interdental spaces using proximal build-ups with resin composite is considered to be practical and conservative. However, a comprehensive approach combining two or more treatment modalities may be needed to improve esthetics. This case report describes the management of a patient with multiple diastemas, a peg-shaped lateral incisor and midline deviation in the maxillary anterior area. Direct resin bonding along with orthodontic movement of teeth allows space closure and midline correction, consequently, creating a better esthetic result.

• International Journal of Automotive Technology
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• 제7권7호
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• pp.803-812
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• 2006

In order to reduce the negative effects of dynamic coupling among vehicle subsystems and improve the handling performance of vehicle under severe driving conditions, a vehicle chassis control integration approach based on a main-loop and servo-loop structure is proposed. In the main-loop, in order to achieve satisfactory longitudinal, lateral and yaw response, a sliding mode controller is used to calculate the desired longitudinal, lateral forces and yaw moment of the vehicle; and in the servo-loop, a nonlinear optimizing method is adopted to compute the optimal control inputs, i.e. wheel control torques and active steering angles, and thus distributes the forces and moment to four tire/road contact patches. Simulation results indicate that significant improvement in vehicle handling and stability can be expected from the proposed chassis control integration.