• 대한기계학회논문집A
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• 제38권8호
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• pp.905-910
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• 2014

본 논문에서 연구한 스틸그레이팅이란 배수로 덮개로 오수 또는 우수의 경사진 유입로를 형성하여 견고성을 증가시키고, 배수를 원활히 하며, 배수관로 내부의 악취 확산을 방지할 수 있는 배수로 덮개를 말한다. 근래에 생활수준 향상 등으로 인해 도시의 악취 문제가 대두되고 있다. 하지만 기존 제품들은 잦은 고장 등으로 인해 악취 저감 기능을 상실하고 이로 인한 행정력과 예산 낭비를 초래하고 있다. 또한 악취 저감 스틸그레이팅 수요 증가에 따라 예산 절감의 필요성이 대두되고 있다. 따라서 본 연구에서는 다구찌 기법과 솔리드웍스를 이용하여 강성적 측면과 배수 성능적 측면에서 스틸그레이팅의 설계 파라미터를 동시적으로 최적화시키고자 하였다.

• Journal of Chest Surgery
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• 제1권1호
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• pp.19-24
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• 1968

A clinical investigation was reported on 17 cases of spontaneous pneumothorax requiring surgical mana-gement. Males outnumbered females 15:2. Determination of the etiology in this series showed that the majority were pulmonary tuberculosis and paragonimiasis. Several others had pneumonia, lung abscess, cyst and blebs. It is of particular interest that the acute inflammation of respiratory system was younger age group, pulmonary tuberculosis & paragonimiasis were between 2 nd and 3 rd decades, and lung abscess, cyst, blebs were above 4 th decade. Pulmonary tuberculosis was far advanced bilateral and active. The ratio of right to left side was 13:6 and both side involved in 2 cases. In about half cases of patients, above 50%-collapsed lung associated with mediastinal shifting developed. The complications were pleural effusion and bronchopleural fistula. The former was 13 cases [76.4%] in which 3 cases combined with mixed infection, and latter was 5 cases. As the management, 11 cases were subjected to intercostal or rib resection drainage with continuous suc-tion. Among 11 drainage cases, 8 cases were successful in acute stage and 3 cases failed in chronic stage. This faiure was due to interference with re-expansion of collapsed lung for peel formation and broncho-pleural fistula. The open thoractomy was applied in 9 cases, among which primary operation were 5 cases and drainage failure were 4 cases. Among 11 cases subjected to the open thoracotomy, wedged resection was performed in 3 cases including paragonimiatic cyst, and pneumonectomy in 1 case-tuberculosis, and decortication only was performed in 2 cases in paragonimiasis. Decortication & lung resection was carried out in 2 patients among which ruptured lung abscess 1 case and ruptured multiple blebs 1 case. There was no case of death but prognosis of the tuberculosis may be poor because of far advanced bilateral and active pulmonary tuberculosis.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제31권6호
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• pp.544-549
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• 2009

Failure to use effective methods of reduction, fixation and immobilization may lead to osteomyelitis with the exposed necrotic bone, as the overzealous use of transosseous wires & plates that devascularizes bone segments in the compound comminuted fractures of mandible. Once osteomyelitis secondary to fractures has become established, intermaxillary fixation should be instituted as early as possible. Fixation enhances patient comfort and hinders ingress of microorganisms and debris by movement of bone fragments. Teeth and foreign materials that are in the line of fracture should be removed and initial debridement performed at the earliest possible time. Grossly necrotic bone should be excised as early as possible ; no attempt should be made to create soft tissue flaps to achieve closure over exposed bone. The key to treatment of chronic osteomyelitis of the mandible is adequate and prolonged soft tissue drainage. If good soft tissue drainage is provided over a long period, sequestration of infected bone followed by regeneration or fibrous tissue replacement will occur so that appearance and function are not seriously altered. Localization and sequestration of infected mandible are far better performed by natural mechanism of homeostasis than by cutting across involved bone with a cosmetic or functional defect. As natural host defenses and conservative therapy begin to be effective, the process may become chronic, inflammation regresses, granulation tissue is formed, and new blood vessels cause lysis of bone, thus separating fragments of necrotic bone(sequestra) from viable bone. The sequestra may be isolated by a bed of granulation tissue, encased in a sheath of new bone(involucrum), and removed easily with pincettes. This is a case report of the long-term conservative drainage care in osteomyelitis associated with mandibular fractures.

• Journal of Chest Surgery
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• 제45권3호
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• pp.171-176
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• 2012

Background: Deep neck infections (DNI) can originate from infection in the potential spaces and fascial planes of the neck. DNI can be managed without surgery, but there are cases that need surgical treatment, especially in the case of mediastinal involvement. The aim of this study is to identify clinical features of DNI and analyze the predisposing factors for mediastinal extension. Materials and Methods: We reviewed medical records of 56 patients suffering from DNI who underwent cervical drainage only (CD group) and those who underwent cervical drainage combined with mediastinal drainage for descending necrotizing mediastinitis (MD group) from August 2003 to May 2009 and compared the clinical features of each group and the predisposing factors for mediastinal extension. Results: Forty-four out of the 56 patients underwent cervical drainage only (79%) and 12 patients needed both cervical and mediastinal drainage (21%). There were no differences between the two groups in gender (p=0.28), but the MD group was older than the CD group (CD group, $44.2{\pm}23.2$ years; MD group, $55.6{\pm}12.1$ years; p=0.03). The MD group had a higher rate of co-morbidity than the CD group (p=0.04). The CD group involved more than two spaces in 14 cases (32%) and retropharyngeal involvement in 12 cases (27%). The MD group involved more than two spaces in 11 cases (92%) and retropharyngeal involvement in 12 cases (100%). Organism identification took place in 28 cases (64%) of the CD group and 3 cases of (25%) the MD group (p=0.02). The mean hospital stay of the CD group was $21.5{\pm}15.9$ days and that of the MD group was $41.4{\pm}29.4$ days (p=0.04). Conclusion: The predisposing factors of mediastinal extension in DNI were older age, involvement of two or more spaces, especially including the retropharyngeal space, and more comorbidities. The MD group had a longer hospital stay, higher mortality, and more failure to identify causative organisms of causative organisms than the CD group.

• 한국지반공학회지:지반
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• 제6권3호
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• pp.65-76
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• 1990

압축성 모래의 3차원 전단강도 특성을 밝히기 위하여 육면체 시료로 성형하여 세 주응력을 각기 독립 적으로 조절하여 일련의 압밀배수 및 압밀비배수시험을 실시하였다. 그 결과 중간주응력은 파괴강도에 큰 영향을 미치고 있으며 파괴규준은 유효응력 해석을 할 경우 중간주덕력의 영향을 받고있다. 측정된 유효내부마찰각은 중간주응력의 상대적 크기를 나타내는 계수 b(=(o2-o3)/(o1-o3)값이 0인 삼축압축상태에서 최소치가 되고 점진적으로 b값의 증가와 더불어 담가하며 배수, 비배수시험 결과를 동-정팔면체면에 투영하여 얻은 응력으로 조정된 유효내부마찰각은 같은 b값에서 서로 일치하고 있다. 비배수시험에 있어서 전응력으로 해석한 결과는 Tresca의 파괴규준과 잘 일치하고 있다. 정팔면체면에 유효응력으로 표시된 파양면은 배수, 비배수시험결과가 같은 값을 가지고 Lade의 파양규준에 근접함을 보여준다.

• Investigative and Clinical Urology
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• 제59권6호
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• pp.371-375
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• 2018

Purpose: To compare patients with sepsis due to obstructive urolithiasis (Sep-OU) and underwent drainage by percutaneous nephrostomy (PCN) or a double-J (DJ)-ureteral stent and to identify predictive risk factors of DJ stent failure in these patients. Materials and Methods: We reviewed our records from January 2013 to July 2018 and identified 286 adult patients with Sep-OU out of which 36 had bilateral involvement, thus total 322 renal units were studied. Urologic residents in training carried out both ureteral stenting and PCN tube placement. Demographic data and stone characteristics were recorded along with Charlson comorbidity index. For predicting risk factors of DJ stent failure, those variables that had a p-value <0.1 in univariate analysis were combined in a multinomial regression analysis model. Results: The patients with PCN placement were significantly older than those with DJ stent placement (p=0.001) and also had significant number of units with multiple calculi (p=0.018). PCN was also placed more frequently in those patients with a upper ureteric calculi (p<0.05). On multinomial regression analysis multiple calculi (p=0.014; odds ratio [OR], 4.878; 95% confidence interval [CI], 1.377-17.276) and larger calculi size (p=0.040; OR, 0.974; 95% CI, 0.950-0.999) were the significant predictors of DJ stent failure. Conclusions: In patients with sepsis from obstructive urolithiasis due to larger and multiple calculi a PCN placement might be better suited although this data requires further prospective randomized studies to be extrapolated.

• Geomechanics and Engineering
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• 제8권4호
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• pp.511-521
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• 2015

It is a common failure type that high-filled embankment slope sideslips. The deformation mechanism and factors influencing the sideslip of embankment slope is the key to reduce the probability of this kind of engineering disaster. Taking Liujiawan high-filled embankment slope as an example, the deformation and failure characteristics of embankment slope and sheet-pile wall are studied, and the factors influencing instability are analyzed, then the correlation of deformation rate of the anti-slide plies and each factor is calculated with multivariate linear regression analysis. The result shows that: (1) The length of anchoring segment is not long enough, and displacement direction of embankment and retaining structure are perpendicular to the trend of the highway; (2) The length of the cantilever segment is so large that the active earth pressures behind the piles are very large. Additionally, the surface drainage is not smooth, which leads to form a potential sliding zone between bottom of the backfill and the primary surface; (3) The thickness of the backfill and the length of the anti-slide pile cantilever segment have positive correlation with the deformation whereas the thickness of anti-slide pile through mudstone has a negative correlation with the deformation. On the other hand the surface water is a little disadvantage on the embankment stability.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2010년도 춘계 학술발표회
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• pp.1315-1323
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• 2010

This paper deals with a case study on a unique slope failure in a liner system of a municipal solid waste containment facility during construction because the sliding interface is not the geomembrane/compacted low permeability soil liner (LPSL) but a soil/soil interface within the LPSL. From the case study, it is concluded that compaction of the LPSL should ensure that each lift is kneaded into the lower lift so a weak interface is not created in the LPSL, and the LPSL moisture content should be controlled so it does not exceed the specified value, .e.g., 3% - 4% wet of optimum, because it can lead to a weak interface in the LPSL. In addition, drainage materials should be placed over the geomembrane from the slope toe to the top to reduce the shear stresses applied to the weakest interface, and equipment should not move laterally across the slope if it is unsupported but along the slope while placing the cover soil from bottom to top.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2008년도 추계 학술발표회
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• pp.966-973
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• 2008

In recent, the collapses of cut-slope is gradually increased due to the heavy rains accompanied by typhoon. Specially, many cut-slope failures and landslides was happened to Goheung, Yeosu, Suncheon region, Jeonranamdo in the middle of September 2007. The slope of investigation is width 20 m, height 22 m, and the circular failure was occurred. The parent rocks of the slope are pyroclastic rock, namely andesite, andesitic tuff et al. and the weathering grade is completely weathered to residual soils owing to rapid weathering process and has the existence of fault zone and mafic dyke. Also, lots of extension cracks are presented and the hydrologic condition is very deteriorated. As a result of the limit equilibrium analysis, the safety factor is 1.09(in dry season) and 0.64(in wet season). For the stabilization of the cut-slope, we decided to use the retaining wall, anchors and drainage apparatus.

• Archives of Plastic Surgery
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• 제47권1호
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• pp.97-101
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• 2020

Although the success rate of deep inferior epigastric perforator (DIEP) flaps has increased, late flap failures still occur and have a low salvage rate. The present article describes a case of salvage of a case of late flap failure using the pedicle vein as a vein graft source. A 50-yearold woman underwent a bilateral DIEP free flap procedure. On postoperative day 6, she experienced flap compromise and underwent emergency flap revision. In the flap revision, flap venous drainage and the superficial inferior epigastric vein were completely obstructed. A Fogarty catheter was used to remove a thrombus from the completely obstructed pedicle vein, and this pedicle vein was used as a graft source and was ligated in retrograde fashion to the flap vein stump. After injection of urokinase into the arterial branch, venous flow to the flap was restored. At a 6-month follow-up visit in the outpatient clinic, only partial fat necrosis at the flap was noted. By dissecting various perforators in the initial operation, decisions regarding immediate revision can be made with more confidence. Additionally, the combined procedures performed in this case may be helpful even for practitioners treating cases of late flap compromise.