• Title/Summary/Keyword: Fracture Performance

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The Effect of Education for Prevention of Osteoporosis Patients with Bone Fracture (골다공증교육이 골절환자의 지식과 생활양식변화 수행에 미치는 영향)

  • 이향련;김숙녕
    • Journal of Korean Academy of Nursing
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    • v.31 no.2
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    • pp.194-205
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    • 2001
  • The purpose of the study was to identify the effect of structured patients education had on prevention of osteoporosis, with fracture and the resulting of life style changes in patients. In this study, a non equivalent control group pre and a post test design was employed. Data were collected through an interview process using questionnaires from April to December of 1999. The subjects, consisting of 59 patients with fractures and over 40 years of age, were diagnosed in K University Hospital. This study tested the patients knowledge at three times. The times were before the program 2 weeks into the program, and 6 months after education program. Life style change related to prevention of osteoporosis was shown twice (before and 6 months after the education program) in the experimental group, and control group went without it. The instruments used for this study were developed by literature review according to a reliability test. Data was analyzed using X2 test and t test to determine similarities between the experimental and control groups. The hypothesis was tested using repeated measures of ANOVA, t-test and Pearson correlation coefficients. The results of the study were summarized as follows: 1. The first hypothesis was accepted: a higher level of knowledge about osteoporosis was found in experimental groups who received education than to the control group during the period (F=19.82, p=.0001). 2. The second hypothesis was accepted: a higher level of life style changes about osteoporosis on experimental group were recorded than as compared to control group (t=3.55, p=.001). 3. The third hypothesis was accepted: the higher the knowledge about osteoporosis the higher the level of performance of life style changes about prevention of osteoporosis (r=.600, p=.0001). In conclusion, structured patient education in patient with fractures improved the level of knowledge about osteoporosis and more likely undergo of life style changes 6 months after the education program. Also reeducation would be needed 6 months after program ends. That is structured patient education in pamphlet form would be very effective in nursing intervention that may to result in life style changes. Therefore further research is needed to reinforce the education material and to generalize the education effect.

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NANO-SIZED COMPOSITE MATERIALS WITH HIGH PERFORMANCE

  • Niihara, N.;Choa, H.Y.;Sekino, T.
    • Proceedings of the Korean Powder Metallurgy Institute Conference
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    • 1996.11a
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    • pp.6-6
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    • 1996
  • Ceramic based nanocomposite, in which nano-sized ceramics and metals were dispersed within matrix grains and/or at grain boundaries, were successfully fabricated in the ceramic/cerarnic and ceramic/metal composite systems such as $Al_2O_3$/SiC, $Al_2O_3$/$Si_3N_4$, MgO/SiC, mullite/SiC, $Si_3N_4/SiC, $Si_3N_4$/B, $Al_2O_3$/W, $Al_2O_3$/Mo, $Al_2O_3$/Ni and $ZrO_2$/Mo systems. In these systems, the ceramiclceramic composites were fabricated from homogeneously mixed powders, powders with thin coatings of the second phases and amorphous precursor composite powders by usual powder metallurgical methods. The ceramiclmetal nanocomposites were prepared by combination of H2 reduction of metal oxides in the early stage of sinterings and usual powder metallurgical processes. The transmission electron microscopic observation for the $Al_2O_3$/SiC nanocomposite indicated that the second phases less than 70nm were mainly located within matrix grains and the larger particles were dispersed at the grain boundaries. The similar observation was also identified for other cerarnic/ceramic and ceramiclmetal nanocornposites. The striking findings in these nanocomposites were that mechanical properties were significantly improved by the nano-sized dispersion from 5 to 10 vol% even at high temperatures. For example, the improvement in hcture strength by 2 to 5 times and in creep resistance by 2 to 4 orders was observed not only for the ceramidceramic nanocomposites but also for the ceramiclmetal nanocomposites with only 5~01%se cond phase. The newly developed silicon nitride/boron nitride nanocomposites, in which nano-sized hexagonal BN particulates with low Young's modulus and fracture strength were dispersed mainly within matrix grains, gave also the strong improvement in fracture strength and thermal shock fracture resistance. In presentation, the process-rnicro/nanostructure-properties relationship will be presented in detail. The special emphasis will be placed on the understanding of the roles of nano-sized dispersions on mechanical properties.

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Identification of Correlation Between Fracture Toughness Parameters of Cryogenic Steel Weld Joints (극저온용 강재 용접부 파괴인성 파라메타의 상관성 규명)

  • An, Gyubaek;Hong, Seunglae;Park, Jeongung;Ro, Chanseung;Han, Ilwook
    • Journal of Welding and Joining
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    • v.35 no.3
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    • pp.82-87
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    • 2017
  • Recent trends in shipbuilding and offshore industries are a huge increase in the ship size and the exploration and production of oil and natural gas in the arctic offshore region. High performance steel plates are required by these industrial trends. Also in IMO(International Maritime Organization) has begun to regulate of fuel of ship to environmental protection, therefore it is little bit difficult to use bunker-C oil to working ship. As the problem of environmental change such as global warming is emerged, the operation of the ship is considered to be involved in the environmental change problem, and the regulation of environmental pollution is gradually strengthened. As these environmental regulations are strengthened demand for LNG fuel ships is rapidly increasing. Currently, cryogenic steels used in LNG tanks include aluminum alloy, SUS 304, and 9%-Ni steel. Those steels are has high cost to construction of large LNG carrier. The new materials were suggested several steel mills to decrease construction cost and easy construction. The new cryogenic steel should be evaluate safety to applied real structure include LNG ship. Therefore, in this study, fracture toughness of weld joints were investigated with cryogenic steel for application of LNG tank.

The Effects of Physical Therapy Intervention with Local Vibration on Physical Function in Patients with Traumatic Patella Fracture: Case Series (외상으로 인한 슬개골 골절을 가진 환자의 국소진동을 동반한 물리치료 중재가 신체기능에 미치는 영향: 사례군 연구)

  • Seung-won, Ahn
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.3
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    • pp.89-99
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    • 2022
  • Background: The purpose of this study was to investigate the effects of physical therapy intervention with local vibration on the physical function of patients with traumatic patella fractures. Methods: This study recruited 6 subjects who had suffered traumatic patella fractures. The study was conducted for an average of 12.8 weeks. Before the treatment (2 weeks post-surgery), they were evaluated using the numeric pain rating scale (NPRS), the Korean-version of the impact of event scale-revised (IES-R-K), pressure pain threshold (PPT), range of motion (ROM) of the knee joint, and the Korean knee injury and osteoarthritis outcome score (K-KOOS) and were reevaluated after 7 and 12 weeks, post-surgery. This study was conducted according to ORIF Patella Fracture Post-Operative Rehabilitation Protocol after applying local vibration. The protocol consists of Phases 1~5 and this study has been applied from phase 2. Results: A comparison of the performance of the participants before and after the intervention showed a decrease in NPRS (9.83±.41→4.83±.98), IES-R-K (68.67±2.73→23.83±2.40), and K-KOOS (Function, Daily living: 70.5±5.96→34.0±3.35, Function, Sports and Recreational activities: 22.83±2.32→10.77±1.37, Quality of Life: 19.33±7.33→7.33±.52) scores. And the ROM (Knee flexion: 30.0±4.47°→128.73±3.6°, Knee extension: -6.83±2.48°→-1.33±1.03°) and PPT (9.67±.52kg/cm2→22.44±2.33kg/cm2) scores increased. Conclusion: These results show that physical intervention with local vibration using a Blackroll® booster and head can help to improve pain, physical function, and psychological status. Also, it was possible to select interventions depending on the patient's condition and the desired goal, using physical intervention with the Blackroll® booster technique.

Evaluation of Moment Transfer Efficiency According to the Connection Length of the Column Flange and the Beam Web of the H-beam Column Connection (H형강 보-기둥 접합부의 보 웨브 단부접합길이에 따른 모멘트전달효율 평가)

  • Hong, Young-Ju;Oh, Sang-Hoon
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.26 no.6
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    • pp.193-203
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    • 2022
  • In this study, in order to compare the seismic performance of steel structure beam-column connection details and non-scallop connection details mainly used in Korea, a full-scale static cyclic loading test and FEM analysis were conducted through the same modeling as the experiment. For quantitative numerical comparison, the strain concentration ratio and moment transfer efficiency used in previous studies were cited. As the welding area of the beam web decreased, the deformation rate of the beam flange increased, and the plastic deformation capacity according to the rotation angle decreased or brittle fracture occurred. Comparing the analysis results with the experimental results, the possibility of brittle fracture tended to increase when the web welding ratio for the total cross-sectional area of H-shaped fell below 60%.

A Study on the Charpy Impact Performance of Structural Steel Considering the Leakage of Cryogenic Liquefied Gas (극저온 액화가스 누출에 의한 선체 구조용 강재의 샤르피 충격성능에 관한 연구)

  • Dong Hyuk Kang;Jeong-Hyeon Kim;Seul-Kee Kim;Tae-Wook Kim;Doo-Hwan Park;Ki-Beom Park;Jae-Myung Lee
    • Journal of the Korean Society of Industry Convergence
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    • v.26 no.2_2
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    • pp.333-340
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    • 2023
  • Environmental regulations are being strengthened worldwide to solve global warming. For this reason, interest in eco-friendly gas fuels such as LNG and hydrogen is continuously increasing. However, when adopting eco-friendly gas fuel, liquefying at a cryogenic temperature is essential to ensure economic feasibility in storage and transportation. Although austenitic stainless steel is typically applied to store cryogenic liquefied gas, structural steel can experience sudden heat shrinkage in the case of leakage in the loading and unloading process of LNG. In severe cases, the phase of the steel may change, so care is required. This study conducted Charpy impact tests on steel material in nine different temperature ranges, from room to cryogenic temperatures, to analyze the effects of cryogenic liquefied gas leaks. As a result of the study, it was not easy to find variations in ductile to brittle transition temperature (DBTT) due to the leakage of cryogenic liquefied gas. Still, the overall impact toughness tended to decrease, and these results were verified through fracture surface analysis. In summary, brittle fracture of the steel plate may occur when a secondary load is applied to steel for hull structural use exposed to a cryogenic environment of -40 ℃ or lower. Therefore, it needs to be considered in the ship design and operating conditions.

Measurements of the Adhesion Energy of CVD-grown Monolayer Graphene on Dielectric Substrates (단일층 CVD 그래핀과 유전체 사이의 접착에너지 측정)

  • Bong Hyun Seo;Yonas Tsegaye Megra;Ji Won Suk
    • Composites Research
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    • v.36 no.5
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    • pp.377-382
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    • 2023
  • To enhance the performance of graphene-based devices, it is of great importance to better understand the interfacial interaction of graphene with its underlying substrates. In this study, the adhesion energy of monolayer graphene placed on dielectric substrates was characterized using mode I fracture tests. Large-area monolayer graphene was synthesized on copper foil using chemical vapor deposition (CVD) with methane and hydrogen. The synthesized graphene was placed on target dielectric substrates using polymer-assisted wet transfer technique. The monolayer graphene placed on a substrate was mechanically delaminated from the dielectric substrate by mode I fracture tests using double cantilever beam configuration. The obtained force-displacement curves were analyzed to estimate the adhesion energies, showing 1.13 ± 0.12 J/m2 for silicon dioxide and 2.90 ± 0.08 J/m2 for silicon nitride. This work provides the quantitative measurement of the interfacial interactions of CVD-grown graphene with dielectric substrates.

Evaluation of High-Viscosity Grouting Injection Perfomance for Reinforcement of Rock Joint in Deep -Depth Tunnels (대심도 터널 암반 절리 보강을 위한 고점도 그라우팅 주입 성능 평가)

  • Inkook Yoon;Junho Moon;Younguk Kim
    • Journal of the Korean GEO-environmental Society
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    • v.25 no.5
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    • pp.15-19
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    • 2024
  • This study aimed to develop high-efficiency grouting techniques under deep-depth conditions by experimentally verifying the applicability of various injection materials. Particle size analysis and injection model experiments were conducted with Ordinary Portland Cement (OPC) and Micro Cement (MC) to evaluate the injection performance of each material. Using Barton's Cubic Network theory, the rock fracture spacing was calculated for domestic deep-depth standards, specifically below 40 meters underground. The analysis of particle size passability under selected conditions showed that MC could pass through the rock fracture gaps, while OPC could not. According to the results of the injection model experiments using experimental devices and area calculation software, OPC failed in injection due to its larger particle size, whereas MC was capable of injection even under high-viscosity conditions. Based on these findings, the study quantitatively and visually derived the applicability of grouting materials under deep-depth conditions, and high-viscosity MC material is expected to be effective for waterproofing enhancement in deep-depth rock fracture surfaces.

Bipolar Hemiarthroplasty in Unstable Intertrochanteric Fractures with an Effective Wiring Technique

  • Jae-Hwi Nho;Gi-Won Seo;Tae Wook Kang;Byung-Woong Jang;Jong-Seok Park;You-Sung Suh
    • Hip & pelvis
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    • v.35 no.2
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    • pp.99-107
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    • 2023
  • Purpose: Bipolar hemiarthroplasty has recently been acknowledged as an effective option for treatment of unstable intertrochanteric fracture. Trochanteric fragment nonunion can cause postoperative weakness of the abductor muscle and dislocation; therefore, reduction and fixation of the fragment is essential. The purpose of this study was to perform an evaluation and analysis of the outcomes of bipolar hemiarthroplasty using a useful wiring technique for management of unstable intertrochanteric fractures. Materials and Methods: A total of 217 patients who underwent bipolar hemiarthroplasty using a cementless stem and a wiring technique for management of unstable intertrochanteric femoral fractures (AO/OTA classification 31-A2) at our hospital from January 2017 to December 2020 were included in this study. Evaluation of clinical outcomes was performed using the Harris hip score (HHS) and the ambulatory capacity reported by patients was classified according to Koval stage at six months postoperatively. Evaluation of radiologic outcomes for subsidence, breakage of wiring, and loosening was also performed using plain radiographs at six months postoperatively. Results: Among 217 patients, five patients died during the follow-up period as a result of problems unrelated to the operation. The mean HHS was 75±12 and the mean Koval category before the injury was 2.5±1.8. A broken wire was detected around the greater trochanter and lesser trochanter in 25 patients (11.5%). The mean distance of stem subsidence was 2.2±1.7 mm. Conclusion: Our wiring fixation technique can be regarded as an effective additional surgical option for fixation of trochanteric fracture fragments during performance of bipolar hemiarthroplasty.

The Impact of Surgical Timing of Hip Fracture on Mortality: Do the Cause and Duration of Delay Matter?

  • Jaiben George;Vijay Sharma;Kamran Farooque;Samarth Mittal;Vivek Trikha;Rajesh Malhotra
    • Hip & pelvis
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    • v.35 no.3
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    • pp.206-215
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    • 2023
  • Purpose: Delay in performance of hip fracture surgery can be caused by medical and/or administrative reasons. Although early surgery is recommended, it is unclear what constitutes a delayed surgery and whether the impact of delayed surgery can differ depending on the reason for the delay. Materials and Methods: A total of 269 consecutive hip fracture patients over 50 years of age who underwent surgery were prospectively enrolled. They were divided into two groups: early and delayed (time from reaching the hospital to surgery less than or more than 48 hours). Patients were also categorized as fit or unfit based on anesthetic fitness. One-year mortality was recorded, and regression analyses were performed to assess the impact of delay on mortality. Results: A total of 153 patients (56.9%) had delayed surgery with a mean time to surgery of 87±70 hours. A total of 115 patients (42.8%) were considered medically fit to undergo surgery. No difference in one-year mortality was observed between patients with early surgery and those with delayed surgery (P=0.854). However, when assessment of the time to surgery was performed in a continuous manner, mortality increased with prolonged time to surgery, particularly in unfit patients, and higher mortality was observed when the delay exceeded six days (fit: P=0.117; unfit: P=0.035). Conclusion: The effect of delay on mortality was predominantly observed in patients who were not considered medically fit, suggesting that surgical delays might have a greater impact on patients with medical reasons for delay.