• Archives of Plastic Surgery
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• v.39 no.6
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• pp.643-648
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• 2012

Background Aggressive treatment of sternoclavicular joint (SCJ) infection involves systemic antibiotics, surgical drainage and resection if indicated. The purpose of this paper is to describe a classification of post resectional SCJ defects and highlight our reconstructive algorithm. Defects were classified into A, where closure was possible often with the aid of topical negative pressure dressing; B, where parts of the manubrium, calvicular head, and first rib were excised; and C, where both clavicular, first ribs and most of the manubrium were resected. Methods Twelve patients (age range, 42 to 72 years) over the last 8 years underwent reconstruction after SCJ infection. There was 1 case of a type A defect, 10 type B defects, and 1 type C defect. Reconstruction was performed using the pectoralis major flap in 6 cases (50%), the latissimus dorsi flap in 4 cases (33%), secondary closure in 1 case and; the latissimus and the rectus flap in 1 case. Results All wounds healed uneventfully with no flap failure. Nine patients had good shoulder motion. Three patients with extensive clavicular resection had restricted shoulder abduction and were unable to abduct their arm past $90^{\circ}$. Internal and external rotation were not affected. Conclusions We highlight our reconstructive algorithm which is summarised as follows: for an isolated type B SCJ defect we recommend the ipsilateral pectoralis major muscle for closure. For a type C bilateral defect, we suggest the latissimum dorsi flap. In cases of extensive infection where the thoracoacromial and internal mammary vessels are thrombosed, the pectoralis major and rectus abdominus cannot be used; and the latissimus dorsi flap is chosen.

• Journal of Chest Surgery
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• v.19 no.4
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• pp.618-626
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• 1986

Univentricular heart is a rare congenital cardiac anomaly in which the atrial chambers are connected to only one ventricular chamber and it consists of a diverse group of cardiac malformation characterized by both AV valves or a common AV valve opening into the same ventricle, or the presence of only a solitary AV valve. In spite of recent development in cardiac surgery, corrective operations for univentricular heart still have high mortality and complication rate. Twenty eight patients underwent corrective operation for univentricular heart at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital from February 1979 to July 1986. Of the 28 patients, 7 patients were operated on by ventricular septation and 21 patients by modified Fontan operation. Of the 28 patients, 19 patients were male and 9 patients female and ages ranged from 5 months to 18 years old with the average age of 7.3 years. There were 2 mortalities in 7 patients operated on by septation with the mortality rate of 28.6% and 5 complications, 3 complete AV block, 1 low cardiac output and 1 arrhythmia. All survived patients are being followed up without specific problem till now. There were 10 mortalities in 21 patients operated on by modified Fontan operation with the mortality rate of 47.6% and 10 complications, 2 low cardiac output, 2 respiratory failure necessitating tracheostomy, 2 persistent cyanosis, 2 arrhythmia, 1 missing of left AV valve in situs inversus patient due to misdiagnosis and one rupture of closed right AV valve. Incremental risk factors for operative mortality are young age less than 5 years old, anomalous pulmonary and systemic venous drainage and atrial septation procedure. In 11 survived patients, 9 patients show good follow-up results but one patient complains of persistent cyanosis and another one patient is suffered from CHF. In our series, results of corrective operation for univentricular heart shows continuing improvement but still high mortality and complication rate. So there must be continuing improvement in surgical result by selection of patient, by adequate decision making for timing and method of operation and by improving operative methods.

• Magazine of the Korean Society of Agricultural Engineers
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• v.30 no.1
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• pp.38-49
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• 1988

This paper presented as follows results of laboratory model tests with various shaped footings on soil bed reinforced with the strips on the base of behaviour of soil structure according to the loads and triaxial test results reinforced with geotextiles. Their parameters studied were the effects on the bearing capacity of a footing of the first layer of reinforcement, horizontal and vertical spacing of layers, number of layers, tensile strength of reinforcement and iclination load to the vertical 1.Depending on the strip arrangement, ultimate bearing capacity values could be more improved than urreinforced soil and the failure of soil was that the soil structure was transfered from the macrospace to microspase and its arrangement, from edge to edge to face to face. 2.The reinforcement was produced the reinforcing effects due to controlling the value of factor of one and permeable reinforcement was never a barrier of drainage condition. 3.Strength ratio was decreased as a linear shape according to increment of saturation degree of soil used even though at the lower strength ratio, the value of M-factor was rot influenced on the strength ratio but impermeable reinforcement decreased the strength of bearing capacity. 4.Ultimate bearing capacity under the plane-strain condition was appeared a little larger than triaxial or the other theoretical formulars and the circular footing more effective. 5.The maximum reinforcing effects were obtained at U I B=o.5, B / B=3 and N=3, when over that limit only acting as a anchor, and same strength of fabric appeared larger reinforcing effects compared to the thinner one. 6.As the LDR increased, more and more BCR occurred and there was appeared a block action below Z / B=O.5, but over the value, decrement of BCR was shown linear relation, and no effects above one. 7.The coefficient of the inclination was shown of minimum at the three layers of fabrics, but the value of H / B related to the ultimate load was decreased as increment of inclination degree, even though over the value of 4.5 there wasn't expected to the reinforcing effects As a consequence of the effects on load inclination, the degree of inclination of 15 per cent was decreased the bearing capacity of 70 per cent but irnproved the effects of 45 per cent through the insertion of geotextile.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.4
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• pp.2006-2012
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• 2013

This case study deal with the investigation of various causes and analyses concerning the cases of the collapse of reinforced segmental retaining walls installed for newly constructing a peripheral road within the campus of ${\bigcirc}{\bigcirc}$ University located in Gyeonggi-do. As results of stability analyses and reviewing of design documents concerning collapsed reinforced segmental retaining walls, such a collapse appeared because of problems related to construction including poor-compacted backfill, the omission of the investigation on the bearing capacity, the length and space in the installation of reinforced materials, and drainage systems. Also, problems during diverse types of designing were confirmed involving the stability analysis of the entire slope stability to be considered during designing and failure in application of the proposed methods of FHWA or NCMA which are generally used for two-tier reinforced segmental retaining walls. In addition, based on these details of the stability assessment, the study proposed reinforcement solutions and construction methods for stabilizing reinforced segmental retaining walls to be reconstructed in the future.

• Tunnel and Underground Space
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• v.23 no.2
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• pp.99-109
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• 2013

The slopes of open-pit mine are typically designed without considering the reinforcement and support method due to the economical efficiency. However, the long-term stability of final pit slope is needed in some case, therefore the appropriate measures that can improve the stability are required. In this study, the field survey and laboratory test were carried out in S limestone mine. The stability assessment of final pit slope was performed through the stereographic projection method, SMR, and numerical analysis. And countermeasures for stabilization were proposed. The results of analysis show that full scale of slope failure is not expected but the failures of bench slope scale are likely to occur. In oder to increase the stability of bench slope, we suggested the remedial methods as follows: excavating the final pit slope by pre-splitting blasting, placing the wide berm in the intermediate bench slope and installing the horizontal drainage hole in the place of local ground water runoff.

• Geomechanics and Engineering
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• v.5 no.6
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• pp.575-594
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• 2013

Organic soils exhibit problematic properties such as high compressibility and low shear strength; these properties may cause differential settlement or failure in structures built on such soils. Organic soil removal or stabilization are the most important methods to overcome geotechnical problems related to peat soils' engineering characteristics. This paper presents soil mechanical intervention for stabilization of peat with sand columns and focuses on a comparison between the mechanical characteristics of undisturbed peat and peat stabilized with 20%, 30% and 40% of sand on the laboratory scale. Cylindrical columns were extruded in different diameters through a nearly undisturbed peat sample in the laboratory and filled with sand. By adding sand columns to peat, higher permeability, higher shear strength and a faster consolidation was achieved. The sample with 70% peat and 30% sand displayed the most reliable compressibility properties. This can be attributed to proper drainage provided by sand columns for peat in this specific percentage. It was observed that the granular texture of sand also increased the friction angle of peat. The addition of 30% sand led to the highest shear strength among all mixtures considered. The peat samples with 40% sand were sampled with two and three sand columns and tested in direct shear and consolidation tests to evaluate the influence of the number and geometry of sand columns. Samples with three sand columns showed higher compressibility and shear strength. Following the results of this laboratory study it appears that the introduction of sand columns could be suitable for geotechnical peat stabilization in the field scale.

• Archives of Plastic Surgery
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• v.47 no.1
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• pp.3-8
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• 2020

Genital lymphedema (GL) is an uncommon and disabling disease that manifests as enlargement of the genital region resulting from the disturbance of lymphatic drainage. Although conservative treatment such as decompression is typically the first-line approach, surgical intervention has been shown to be effective in certain cases. This study aimed to systematically review studies evaluating available surgical alternatives for the treatment of male GL. A systematic search strategy using keyword and subject headings was applied to PubMed, Scopus, EMBASE, and Cochrane Library in May 2019. Studies investigating various surgical techniques to treat penile and scrotal lymphedema were included. The potential risk of bias of included trials was evaluated using the methodological index for non-randomized studies (MINORS). In total, 13 studies met the inclusion criteria, nine of which were determined to be high-quality. The average MINORS score was 12.45 for studies involving excision and 14 for studies involving lymphovenous anastomosis (LVA). The most common reason for a low score was a failure to describe the inclusion criteria. Recurrence of lymphedema during follow-up was reported in four studies involving excision and in no studies involving LVA. In general, the quality of the included literature was considered to be fair. Although surgical intervention might not always prevent the recurrence of lymphedema, all of the studies reported improved quality of life after the procedure. This study could be used as the basis for evidence-based guidelines to be applied in clinical practice for managing male GL.

• Journal of The Geomorphological Association of Korea
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• v.15 no.2
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• pp.25-35
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• 2008

Typhoon Ewiniar and Bilis followed by heavy rainfall in July 2006 triggered massive slope failures and debris flows along the Osaek valley within Seoraksan National Park. Since national road 44 is constructed along the fault-line, the susceptibility of hazard in the area is very high. Debris flows in Osaekcheon are mobilized from landslides near the ridgelines and peaks when heavy rainfall elevates pore pressure and adds weight to the hillslopes, causing failure. Stream flows falling onto the existing colluvium or channel-margin deposits also trigger debris flows. Steep slopes constructed along the road and thin regolith in the slope is the main reason for the landslide in the upper stream. In middle reaches of stream, under-fit drainage utilities and narrow bridges cause the overflow, this then triggers debris flow. Overflowing and erosion in the channel margin deposits is main reasons for the debris flow. The intensities and frequencies of heavy rainfall are certain to increase, so early warning and management system for the landslide-related hazard is urgently needed.

• Journal of the Korean Society of Mineral and Energy Resources Engineers
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• v.55 no.6
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• pp.546-552
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• 2018

Although there are differences in the history of mining development by country, geographical conditions, and economic status, there are various problems such as water pollution caused by acid mine drainage from past mine development, soil and water pollution caused by mine tailing, and landslides caused by slope failure. Thus, human life is threatened by ground subsidence caused by collapses. Some countries have technology and legal systems that are different from those of others. In countries where mine reclamation is underway, or has to begin, there is a need for institutional arrangements and technical support. Countries trying to start mine reclamation require help from the international community. Technically and institutionally advanced nations need to recover from mine reclamation through cooperation with countries that are beginning to undertake reclamation.

• Journal of the Korean GEO-environmental Society
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• v.20 no.12
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• pp.49-55
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• 2019

Slope failure analysis entails proper understanding of various factors as well as the characteristics of ground conditions, which are difficult to achieve due to technological limits. Despite a number of past studies to clarify possible factors triggering slope failures, the impact of rainfall characteristics and infiltration rate, which are the key to estimation of slope stability in wet condition, on slope failures still remains unclear. This study has estimated permeability against various unit weights of soil based on constant head permeability tests using Jumunjin standard silica sand. One dimensional infiltration tests were conducted to estimate the infiltration capacity and the amount of infiltration taking into account the permeability and rainfall intensity. The applicability of existing empirical equations for the estimation of infiltration to granular soils was verified on the basis of the test results.