Chang Jin Yoon;Jin Wook Chung;Jae Hyung Park;Soon Hyung Hong;Soon Young Song;Hyung Gehn Lim;Yoon Sin Lee
Korean Journal of Radiology
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v.2
no.3
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pp.145-150
/
2001
Objective: To investigate the effectiveness of the newly designed Niti-S stent in the management of iliac arterial stenoses and occlusions. Materials and Methods: Stenoses (n=25) or occlusions (n=5) in the iliac arteries of 25 patients (30 limbs) were treated. The site of the lesions was the common (n=15) or external (n=11) iliac artery, or both (n=4). Eight limbs were treated for diffuse disease, six for highly eccentric lesion, five for occlusive lesion, and 11 for failed angioplasty. Results: In all patients, technical success was achieved without major complications. One death, not procedure-related, occurred within 30 days. Ankle-brachial indexes improved from 0.63 0.30 to 0.99 0.21, and ischemic symptoms showed improvement in 22 patients (88%). Fontaine classifications before stenting, namely IIa(n=3), IIb(n=16), III(n=2), and IV(n=4) improved to I(n=17), IIa(n=5), and IV(n=3). Follow-up over a 27 (mean, 19.8 8)-month period showed that cumulative patency rates were 95.8% at 1 year and 86.2% at 2 and 3 years. No significant decrease in the mean ankle-brachial index was observed. Conclusion: The Niti-S stent appears to be a safe and effective device for the treatment of iliac stenoses and occlusions. These preliminary results require confirmation with a larger series.
The purpose of this study was to examine the effects of low intensity resistance training speed on body composition, muscle activity and muscle strength in obese middle-aged women. The subjects (n = 12) were randomly assigned to normal resistance training speed group (NSG, n = 6) and slow resistance training speed group (SSG, n = 6). NSG was performed the for 3 sets ${\times}$ 35 times and total 3-s per repetition (eccentric: 1-s, isometric: 1-s, concentric: 1-s), and SSG performed for 3 sets ${\times}$ 15 times and total 7-s per repetition (eccentric: 3-s, isometric: 1-s, concentric: 3-s). Both groups performed the low intensity resistance training at 30% of 1-RM for 105-s per set, rest for 1 min between sets, rest for 3 min between exercises, and 2~3 times per week, for 4 weeks. The body composition, muscle activity and muscle strength were measured before and 4 week after resistance training. WHR at NSG and body fat at SSG were significantly decreased after resistance training compared with before (P<.05). Muscle activity of biceps brachii, vastus medialis and vastus lateralis at both groups were significantly decreased after resistance training compared with before (P<.05, P<.01). Muscle strength of biceps curl and leg extension at both groups were significantly increased after resistance training compared with before (P<.01). However, body composition, muscle activity and muscle strength did not show statistically significant differences between the groups. Our results suggest that body composition, muscle activity and muscle strength should closely related to the performance time of resistance training (development time of muscle contraction), rather than resistance training speed (repetition frequency).
We present a case of recurrent extraventricular neurocytoma with malignant glial differentiation in left temporoparietal area. A 37-year-old man with presentation of generalized seizure had undergone biopsy of brain tumor in left parietal area in 1987, which revealed extraventricular neurocytoma and radiotherapy was followed. Postoperative course was uneventful until eleven years after biopsy, when he became gradually aphasic and right hemiplegic. Brain CT and MRI revealed enlargement of tumor with peritumoral edema and calcifications. He underwent subtotal tumor removal in 1998. Microscopic examination of second biopsy specimen revealed presence of large areas composed of anaplastic glial cells with frequent mitosis, nuclear pleomorphism, large eosinophilic cytoplasm and eccentric nuclei, resembling gemistocytes, which were strongly immunoreactive to glial fibrillary acidic protein(GFAP) but not to synaptophysin(SNP). Also focal areas of neuronal cells were found, which were immunoreactive to SNP but not to GFAP. These histologic findings imply that this recurred tumor was a high grade, mixed tumor with divergent differentiation of neuronal and astrocyte lineage. We report a rare case of extraventricular cerebral neurocytoma with malignant glial differentiation with review of the literature.
In structural design provision, maximum punching shear stress of slabs is prescribed as combined stress in direct shear occurred by gravity load and eccentric shear occurred by unbalanced moment. This means that the effect of unbalanced moment is considered to decide the punching shear stress. However, from the resistance capacity standpoint, the effect of unbalanced moment strength is not considered for deciding punching shear strength. In this paper, a model considering interrelation between unbalanced moment and punching shear was proposed. In the model, the relation between load effect and resistance capacity in unbalanced moment and punching shear was two-dimensionally expressed. Using the interrelation model, a method how unbalanced moment strength should be considered to decide the punching shear strength was proposed. Additionally, effective width enlargement factors for deciding the unbalanced moment strength of flat plates with shear reinforcements were proposed. The interrelation model proposed in this paper is very effective for the prediction of the behavior of slab-column connection because not only punching shear and unbalanced moment strengths but also failure modes of flat plates can be accurately predicted.
Journal of the Korean Recycled Construction Resources Institute
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v.1
no.1
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pp.98-107
/
2005
In other to recycle the waste concrete produced in stiu on the construction and management in highway, the recycled aggregates were experimentally examined in a practical application for anti-freezing layer and lean concrete base course. From the results, the mobile impact crusher and the eccentric-mounted cone and jaw were superior to the others for the graded aggregates. In the case of anti-freezing layer, the recycled one was easily controlled since the dry densities, contrary to natural one, were not largely changed with the moisture contents. It was found that the 7days compressive strengths of lean concrete were above the 10MPa regardless of the crushing types. From the result of testing the bearing capacity of anti-freezing layer, it was found that when the recycled aggregates mixed with natural sand would be within the required gradations, the layer meets the requirements of limitation and the percentage to passing 2-20mm sieve increased by 5~13% because the flimsy mortars on aggregate were re-crushed by vibrated-roller compactor. Although the compressive strength of lean concrete was 71~85% of the natural coarse aggregate, the recycled aggregates are applicable to the lean concrete because they largely exceeded the required strength, 5.8MPa.
A 70-year-old female who was diagnosed as myxoid chondrosarcoma by fine needle aspiration of a pleural mass is described. She presented with left chest discomfort of 4 months' duration and aggravating dyspnea and chest pain for 2 months. Chest X-ray and CT scan revealed a large lobulated low density mass invading chest wall at the left pleural cavity and massive pleural fluid. Fine needle aspiration was done under the impression of mesothelioma or metastatic cancer. The aspirates from the mass were very cellular and composed of isolated or clustered forms of large plump cells. Abundant cytoplasm was blulsh opaque and the margin was rounded in the isolated cells, whereas clustered cells show ill-defined ceil borders and aggregating tendency. The nuclei were eccentric, round to ovoid, and had fine chromatin pattern and multiple small nucleoli. Cellular pleomorphism or mitotic figure was not definite. These findings were consistent with cytologic features of chondrosarcoma. Final diagnosis was confirmed as myxoid chondrosarcoma by mediastinoscopic biopsy and the tumor showed strong positivity for S-100 protein.
Juniperus chinensis var. sargentii Henry is a short and creeping evergreen shrub which reaches about 60 cm in height and only occurs in the northeast Asia and in the top of high mountains over the Korea. The Korea Forest Service protects it strictly by law since J. chinensis var. sargentii is an eccentric plant and possibly may be exterminated soon in Korea. This study was carried out to develop the propagation technique by cutting for conservation of genetic resources of J. chinensis var. sargentii. The rooting responses of branch cuttings, obtained from hard(May) and semi-hard wood shoots (August) to four growth regulators, namely, IAA, IBA, NAA and Rooton(exceptionally powder method) applied at various concentrations(0, 100, 200, 500, 1000 and 2000 $mgL^{-1}$) were examined in mixed soil media. Rooting rate showed significant difference between cutting times, among kinds and among concentrations of growth regulators. The optimum cutting time was April to May in hardwood cutting. The application of IBA 1000 $mgL^{-1}$(rooting rate : 36.4%) was most effective in callus formation and rooting of cutting. Relatively, rooting of cutting of the control taken in May was 30.4%. Root characteristics such as number, length and diameter of root were not significantly affected by kinds and concentrations of growth regulators in hardwood cutting.
Journal of Korean Society of Coastal and Ocean Engineers
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v.22
no.3
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pp.156-162
/
2010
When eccentric or inclined load acts on foundation of the port & harbor structures, partial safety factors of bearing capacity limit state were estimated using reliability analysis. Current Korean technical standards of port and harbor structures recommend to estimate the geotechnical bearing capacity using the simplified Bishop method. In practice, however, simple method of comparing ground reaction resistance with allowable bearing capacity has been mostly used by design engineers. While the simple method gives just one number fixed but somewhat convenient, it could not consider the uncertainty of soil properties depending on site by site. Thus, in this paper, partial safety factors for each design variable were determined so that designers do perform reliability-based level 1 design for bearing capacity limit state. For these, reliability index and their sensitivities were gained throughout the first order reliability method(FORM), and the variability of the random variables was also considered. In order to verify partial safety factors determined here, a comparison with foreign design codes was carried out and were found to be reasonable in practical design.
Journal of the Computational Structural Engineering Institute of Korea
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v.12
no.4
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pp.525-535
/
1999
In this study, a new method of fabricated concrete deck bridge construction is proposed. This paper details the method in which concrete multi-girders and fabricated concrete decks are rested on the upper flange of the girder and the female to female type sheat-key is formed to connect girder and deck. The finite element analysis is performed to verify the accuracy of the structural behaviors of the fabricated concrete deck bridge by comparing with experimental results. The first task performed is the analysis of the equilibrium of the member force occurring between the deck and the girder. After verifying equilibrium of the member force determined by the finite element analysis, this process is applied to the analysis of maximum member force as the position of design load. This task is utilized to determine the safety of each member according to the same scale finite element model. The final process in this study is to compare the deflection of girders used in experiment with that of the same scale finite element model to verify the strength of fabricated cincrete deck bridge. By this comparison, it is shown that the behavior of the fabricated concrete deck bridge is almost same as the finite element analysis. The second task is to analyze the load distribution effect according to the number of diaphragms and the composite effect due to the cinnection of the deck and girder by the finite element analysis. From the results of second task, it is found that the load distribution effect is not related to the number of diaphragms in case of the central loading, but is related to the number of diaphragms for eccentric loading. Analysis of the load distribution indicates that the effective number of diaphragm is three. It is also shown that the maximum deflection is decreased to almost one half due to the composite action of the deck and girder.
Sae Rom Chung;Jung Hwan Baek;Yun Hwa Rho;Young Jun Choi;Tae-Yon Sung;Dong Eun Song;Tae Yong Kim;Jeong Hyun Lee
Korean Journal of Radiology
/
v.23
no.11
/
pp.1102-1111
/
2022
Objective: To evaluate the ultrasonography (US) features for diagnosing metastasis in cervical lymph nodes (LNs) in patients with thyroid cancer and compare the US classification of risk of LN metastasis between European and Korean guidelines. Materials and Methods: From January 2014 to December 2018, US-guided fine-needle aspiration was performed on 836 LNs from 714 patients for the preoperative nodal staging of thyroid cancer. The US features of LNs were retrospectively reviewed for the following features: size, presence of hilum, margin, orientation, cystic change, punctate echogenic foci (PEF), large echogenic foci, eccentric cortical thickening, abnormal vascularity, and cortical hyperechogenicity. A multiple logistic regression analysis was performed to identify the independent US features for the diagnosis of metastatic LNs. The diagnostic performance of independent US features was subsequently evaluated. LNs were categorized according to the Korean Thyroid Imaging Reporting and Data System (K-TIRADS) and European Thyroid Association (ETA) guidelines, and the correlation between the two sets of classifications was assessed. Results: Absence of the hilum, presence of cystic changes, PEF, abnormal vascularity, and cortical hyperechogenicity were independent US features of metastatic LNs. Cystic changes, PEF, abnormal vascularity, and cortical hyperechogenicity showed high specificity (86.8%-99.6%). The absence of the hilum had the highest sensitivity yet low specificity (66.4%). When LNs were classified according to the ETA guidelines and K-TIRADS, they yielded similar categorizations of malignancy risks and were strongly correlated (Spearman coefficient, 0.9766 [95% confidence interval, 0.973-0.979]). According to the ETA guidelines, 9.8% (82/836) of LNs were classified as "not specified." Conclusion: Absence of hilum, cystic changes, PEF, abnormal vascularity, and cortical hyperechogenicity were independent US features suggestive of metastatic LNs in thyroid cancer. Both K-TIRADS and the ETA guidelines provided similar risk stratification for metastatic LNs with a high correlation; however, the ETA guidelines failed to classify 9.8% of LNs into a specific risk stratum. These results may provide a basis for revising LN classification in future guidelines.
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