• Archives of Plastic Surgery
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• v.37 no.1
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• pp.95-98
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• 2010

Purpose: One of the most common cause of upper extremity lymphedema is breast cancer surgery. We experienced the nerve entrapment syndrome which was associated with postmastectomy lymphedema. To the best of our knowledge, this is the first case report of lymphedema induced nerve entrapment syndrome on upper extremity in Korea. Methods: A 54-year-old woman presented with a tingling sensation on her right hand, which had been present for 1 year. On her history, she had a postmastectomy lymphedema on her right upper extremity for 20 years. Initial electromyography (EMG) showed that the ampulitude of the median, ulnar, and dorsal ulnar cutaneous nerve were decreased, and conduction block was also seen in median nerve across the wrist. In needle EMG, incomplete interference patterns were observed in the muscles innervated by median and ulnar nerves. In conclusion, electrophysiologic study and clinical findings suggested right median and ulnar neuropathy below the elbow. Therefore, we performed surgical procedures, which were release of carpal tunnel, Guyon's canal, and cubital tunnel. Results: The postoperative course was uneventful until the first two years. The tingling sensation and claw hand deformity were improved, however, the motor function decreased progressively. In 7 years after the operation, patient could not flex her wrist and thumb sufficiently. EMG which was performed recently showed that ulnar motor response was of low ampulitude. Moreover, median, ulnar, dorsal ulnar cutaneous, lateral antecubital cutaneous and median antebrachial cutaneous sensory response were unobtainable. Abnormal spontaneous activities were observed in upper arm muscles. In conclusion, multiple neuropathies were eventually developed at above elbow level. Conclusion: On treating nerve entrapments associated with lymphedema, medical professionals should be fully aware of the possibility of unpredictable results after the surgery, because of the pathophysiologic traits of chronic lymphedema.

• Proceeding of KASS Symposium
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• 2006.05a
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• pp.91-101
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• 2006

We have conducted the study about the shelter effect against the wind by using the wind fence with various porosities and the measured distance from the wind fence, in three different types of it ; (Circle wind fence, Vertical wind fence, Horizontal wind fence) The shelter effect and turbulence characteristics of the selected wind barrier is throughly investigated by wind tunnel test. flow characteristics of velocities and turbulences behind wind fence were measured using hot-wire anemometer. we characterize the turbulence behind the wind fence by varying the porosity of 0 %, 20 %, 40%, and 60%, and the distances from the wind fence from 1 H to 9 H with maintaining the uniform flow velocity of 6 m/s. In addition, we investigated the overall characterization of the wind fence by measuring total of twenty eight points on the wind fence, which forms the lattice structure on it with seven points in lateral direction and four points in vertical direction. The results of analysis from the circle wind fence indicate that the degree of the turbulence is lowered and the velocity of the wind is decreased when the porosity of 40 % are used at the distance from 3 H to 9 H. On the other hand, the vertical, horizontal wind fence with the porosity of 20% is more advantageous at the distance of 2 H to 9 H. For the effectiveness of the wind fence depending on the position, the center part is the greatest and it decreases at the edges with 10 % to 30 % less than that of at the center.

• Geomechanics and Engineering
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• v.19 no.3
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• pp.201-215
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• 2019

A new approach of analyzing the displacements and stress of the surrounding rock for shallow tunnels excavated under non-axisymmetric displacement boundary conditions on a vertical surface is investigated in this study. In the proposed approach, by using a virtual image technique, the shear stress of the vertical ground surface is revised to be zero, and elastic solutions of the surrounding rock are obtained before stress revision. To revise the vertical normal stress and shear stress of horizontal ground surface generated by the combined action of the actual and image sinks, the harmonic functions and corresponding stress function solutions were adopted. Based on the Boussinesq's solutions and integral method, the horizontal normal stress of the vertical ground surface is revised to be zero. Based on the linear superposition principle, the final solution of the displacements and stress were proposed by superimposing the solutions obtained by the virtual image technique and the stress revision on the horizontal and vertical ground surfaces. Furthermore, the ground settlements and lateral displacements of the horizontal and vertical ground surfaces are derived by the proposed approach. The proposed approach was well verified by comparing with the numerical method. The discussion based on the proposed approach in the manuscript shows that smaller horizontal ground settlements will be induced by lower tunnel buried depths and smaller limb distances. The proposed approach for the displacement and stress of the surrounding rocks can provide some practical information about the surrounding rock stability analysis of shallow tunnels excavated under non-axisymmetric displacement boundary conditions on a vertical surface.

• Journal of the Korean Geotechnical Society
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• v.18 no.4
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• pp.285-294
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• 2002

Embankment Piles, which is subjected to damage due to lateral movement of soft ground, can be classified into pile slab, cap beam pile, and isolated cap pile according to the installation pattern of pile cap. In the cap beam pile and the isolated cap pile method, the soil arch is developed by the different stiffness between pile and soil, and most embankment loads are transferred into embankment piles through soil arch. In these two methods, the difference of soil arch is that the soil arch of the cap beam pile method develops like the arch from of tunnel between cap beams and the soil arch of the isolated cap pile method develops like dome between isolated caps. Therefore, theoretical analysis methods on soil arching effect of the cap beam pile and the isolated cap pile method were respectively proposed according to their own arch form considering the limiting equilibrium of stresses in a crown of soil arch. And a series of model tests were performed both to investigate the load transfer by soil arching in fills above embankment piles and to verify the reliability of the theoretical analysis.

• Journal of Korean Foot and Ankle Society
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• v.13 no.2
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• pp.138-141
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• 2009

Purpose: Regardless of potential and actual complications, the sesamoidectomy either tibial side or fibular side or both, had been used as a surgical option for various pathologic conditions. The objective of this cadaveric study was to identify the changes of range of motion of great toe after sesamoidectomy. Material and Methods: Eight fresh cadaver legs were used. The angular changes of the hallucal articulations were measured by traction of the flexor hallucis longus tendon at the proximal border of fibro-osseous tarsal tunnel and by traction of the extensor hallucis longus tendon at the superior border of inferior extensor retinaculum. The measurement started at neutral position and proceeded to the maximum for respective tendons. After sesamoidectomy either partial or total, same procedures were repeated and the angular changes were measured. Results: In flexion of great toe, there were significant metatarsophalangeal angular differences at 1 cm traction in total sesamoidectomy and lateral sesamoidectomy. In extension of great toe, there were significant metatarsophalangeal angular differences at more than 2 cm traction in total sesamoidectomy. In other measurements, there were no significant angular changes of the hallucal articulations. Conclusion: The sesamoidectomy resulted in change of motion of great toe. Statistical analysis showed that the significant increases in the initial flexion and maximal extension occurred with total sesamoidectomy and the significant increase in the initial flexion occurred with lateral sesamoidectomy.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.35 no.5
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• pp.517-523
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• 2011

Anterior cruciate ligament (ACL) injuries are treatedwith surgical reconstruction. Although ACL consists of two functional bundles, only the anteromedial bundle is surgically reconstructed, and the effect of the reconstruction of the posterolateral bundle is unknown. The purpose of this study is to investigate the role of the posterolateral bundle and the effect of double-bundle reconstruction during single-leg landing. A 3D dynamic knee with various ACL reconstructed models was created using MRI, and single-leg landing motion was simulated using in-vivo human experimental data. The results showed that the lateral shift of the tibial insertion of the anteromedial bundle and the posterolateral bundle of the ACL constrain the tibial internal rotation more efficiently than a single anteromedial bundle can. In addition, double-bundle ACL reconstruction is less sensitive to inaccuracies in the tibial tunnel placement.

• Wind and Structures
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• v.22 no.2
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• pp.211-234
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• 2016

Super long-span bridges provide people with great convenience, but they also bring traffic safety problems caused by strong wind owing to their high decks. In this paper, the large eddy simulation together with dynamic mesh technology in computational fluid dynamics (CFD) is used to explore the mechanism of a moving vehicle's transient aerodynamic force in crosswind, the regularity and mechanism of the vehicle's aerodynamic forces when it passes through a bridge tower's wake zone in crosswind. By comparing the calculated results and those from wind tunnel tests, the reliability of the methods used in the paper is verified on a moving vehicle's aerodynamic forces in a bridge tower's wake region. A vehicle's aerodynamic force coefficient decreases sharply when it enters into the wake region, and reaches its minimum on the leeward of the bridge tower where exists a backflow region. When a vehicle moves on the outermost lane on the windward direction and just passes through the backflow region, it will suffer from negative lateral aerodynamic force and yaw moment in the bridge tower's wake zone. And the vehicle's passing ruins the original vortex structure there, resulting in that the lateral wind on the right side of the bridge tower does not change its direction but directly impact on the vehicle's windward. So when the vehicle leaves from the backflow region, it will suffer stronger aerodynamic than that borne by the vehicle when it just enters into the region. Other cases of vehicle moving on different lane and different directions were also discussed thoroughly. The results show that the vehicle's pneumatic safety performance is evidently better than that of a vehicle on the outermost lane on the windward.

• Tunnel and Underground Space
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• v.23 no.3
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• pp.192-202
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• 2013

The domestic demand of natural gas has increased continuously due to the sudden rise of oil price and regulations on greenhouse gas to global warming. In order to improve the supply security of natural gas market in Korea, the agreement on supply of pipeline natural gas (PNG) in Russia was signed between Gazprom and Korea Gas Corporation in 2008. If the supply plan of Russian natural gas is realized, underground storage facilities would be required in order to balance supply and demand of natural gas because the gas demand is concentrated in the winter. This study investigated the safety of the storage facility in quantitative way considering several design parameters such as gas pressure, depth of the storage cavern, rock condition and in-situ horizontal stress ratio. Two dimensional stress analyses were conducted using axi- symmetry condition to examine the behavior of cavern depending upon suggested design parameters. Results showed that the factor of safety, defined as the ratio of 'shear strength'/'shear stress', was largely affected by the depth, rock class and gas pressure but was insensitive to the coefficient of lateral pressure(Ko).

• Tunnel and Underground Space
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• v.32 no.3
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• pp.219-230
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• 2022

The Geo-Reservoir Experimental Analogue Technology (GREAT) cell was designed to recreate the thermal-hydro-mechanical conditions of deep subsurface in the laboratory. This apparatus can generate a polyaxial stress field using lateral loading elements, which rotate around the longitudinal axis of a sample and is capable of performing a fluid flow test for samples containing fractures. In the present study, numerical simulations were carried out for triaxial compression tests using the GREAT cell and the mechanical behavior of samples under different conditions of lateral loading was investigated. We simulated an actual case, in which triaxial compression tests were conducted for a polymer sample without fractures, and compared the results between the numerical analysis and experiment. The surface strain (circumferential strain) of the sample was analyzed for equal and non-equal horizontal confining pressures. The results of the comparison showed a good consistency. Additionally, for synthetic cases with a fracture, we investigated the effect of the friction and type of fracture surface on the deformation behavior.

• Tunnel and Underground Space
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• v.33 no.2
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• pp.83-94
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• 2023

Unlike the conventional triaxial test cells for cylindrical specimens, which impose uniform lateral confining pressures, the GREAT (Geo-Reservoir Experimental Analogue Technology) cell can exert differential radial stresses using eight independently-controlled pairs of lateral loading elements and thereby generate horizontal stress fields with various magnitudes and orientations. In the preceding companion paper, GREAT cell tests were numerically simulated under different mechanical loading conditions and the validity of the numerical model was investigated by comparing experimental and numerical results for circumferential strain. In the present study, we simulated GREAT cell tests for an artificial sample containing a fracture under both mechanical loading and fluid flow conditions. The numerical simulation was carried out by varying the mechanical properties of the fracture surface, which were unknown. The numerical responses (circumferential strains) of the sample were compared with experimental data and a good match was found between the numerical and experimental results under certain mechanical conditions of the fracture surface. Additionally, the effect of fluid flow conditions on the mechanical behavior of the sample was investigated and discussed.