• Title/Summary/Keyword: Lateral mass

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Clinical Experience of Management of Lower Leg Pain due to Chloroma of Lumbosacral Bone in Chronic Myelogenous Leukemia (만성골수성 백혈병 환자에서 발생한 요천추부 Chloroma로 인한 좌하지통증의 치료경험 1예 보고)

  • Sung, Choon-Ho;Chung, Woon-Hyok
    • The Korean Journal of Pain
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    • v.2 no.1
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    • pp.61-65
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    • 1989
  • Chloroma is a localized myeloblastic tumor which may develop during the course of myelogenous leukemia or as a presenting sign of the disease. A 47-year-old female diagnosed as chronic myelogenous leukemia in her hematologic remission period complained of left lower leg pain. The lumbar-spine series showed multiple osteolytic changes in the left lateral border of the lumbar spine. An inhomogenous soft tissue mass involving left lateral aspects of lumbar vertebrae was identified by CT-scanning. At the first pain attack, lumbar epidural steroid and local anesthetic injection could abolish her pain and the patient could go a few days without pain. The following radiation therapy could also improve the symptom and retain the pain free interval. One month later, a second pain attack occurred and lumbar and caudal epidural steroid and local anesthetic injections could result only in an incidental relief of pain. Radiation and chemotherapy were started but failed to relieve pain. A neurolytic block was considered but the patient's general condition was aggravated and even verbal communication with her became impossible.

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Leiomyosarcoma of the Face

  • Ko, Young-Il;Lim, Jin-Soo;Han, Ki-Taik;Kim, Min-Cheol
    • Archives of Craniofacial Surgery
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    • v.15 no.1
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    • pp.36-39
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    • 2014
  • Leiomyosarcoma is a rare form of soft tissue neoplasm, with only 1% to 5% occurring in the head and neck region. Current recommended treatment suggests surgical excision with a wide lateral margin, but no definite guidelines regarding excisional margin have been established yet. Recently, complete excision with a narrow surgical margin has been recommended, and the authors present a case of cutaneous leiomyosarcoma on the face that was successfully managed by complete removal with a narrow excisional margin. A 74-year-old woman presented with a 3 cm sized, rapidly growing cutaneous mass on her right preauricular area. Preoperative biopsy of the skin lesion suggested a cutaneous leiomyosarcoma. The authors performed complete surgical excision with a 1 cm lateral margin, and the resulting skin defect was repaired with bilateral V-Y advancement local flaps. Histopathology and immunohistochemistry evaluation confirmed a moderately differentiated cutaneous leiomyosarcoma, with negative margin involvement. The patient refused of any additional treatment, but showed no locoregional recurrence during the 1.5 years of postoperative follow-up period. With a regular postoperative follow-up, cutaneous leiomyosarcomas may be successfully treated with a narrow surgical margin.

X-ray Diffraction Patterns of Activated Carbons Prepared under Various Conditions

  • Girgis, Badie S.;Temerk, Yassin M.;Gadelrab, Mostafa M.;Abdullah, Ibrahim D.
    • Carbon letters
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    • v.8 no.2
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    • pp.95-100
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    • 2007
  • A series of activated carbons (ACs) were derived from sugarcane bagasse under two activation schemes: steam-pyrolysis at $600-800^{\circ}C$ and chemical activation with $H_3PO_4$ at $500^{\circ}C$. Some carbons were treated at 400, $600^{\circ}C$, or for 1-3 h, and/or in flowing air during pyrolysis of acid-impregnated mass. XRD profiles displayed two broad diffuse bands centered around $2{\theta}=23$ and $43^{\circ}$, currently associated with diffraction from the 002 and 100/101 set of planes in graphite, respectively. These correspond to the interlayer spacing, Lc, and microcrystallite lateral dimensions, La, of the turbostratic (fully disordered) graphene layers. Steam pyrolysis-activated carbons exhibit only the two mentioned broad bands with enhancement in number of layers, with temperature, and small decrease in microcrystallite diameter, La. XRD patterns of $H_3PO_4$-ACs display more developed and separated peaks in the early region with maxima at $2{\theta}=23$, 26 and $29^{\circ}$, possibly ascribed to fragmented microcrystallites (or partially organized structures). Diffraction within the $2{\theta}=43^{\circ}$ is still broad although depressed and diffuse, suggesting that the intragraphitic layers are less developed. Varying the conditions of chemical activation inflicts insignificant structural alterations. Circulating air during pyrolysis leads to enhancement of the basic graphitic structure with destruction and degradation in the lateral dimensions.

Free Vibration Analysis of a 3-dimensional Cable-Stayed Bridge with the Unsymmetric Girder Cross-section (비대칭단면 주형을 갖는 3차원 사장교의 고유진동해석)

  • Kim, Chul Young;Chang, Sung Pil
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.11 no.2
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    • pp.15-26
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    • 1991
  • The lateral forces such as the earthquake and wind my cause the torsion to be coupled with the lateral bending in the gider, the cross-section of wich has only one axis of symmetry. This induces additional stresses especially in cables arranged in double-planes. Since this effect cannot be considered by using the conventional frame elements, the stiffness and the mass matrices of the geometrically nonlinear thin-walled frame element are developed in this study to model the girder. The equivalent modulus of elasticity proposed by Ernst is used for the cable elements. Verification of the present theory is made through a numerical example. Then, the free vibration of a three dimensional cable-stayed bridge is analyzed to study the coupled flexural-torsional behavior.

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Ankle Arthrodesis for Severe Arthritis Induced by Diffuse-Type Pigmented Villonodular Synovitis: A Case Report (미만성 색소 융모 결절성 활액막염에 의해 발생한 고도의 발목 관절염에 대한 관절 유합술: 증례 보고)

  • Kim, Young Kyu;Suh, Jin Soo;Choi, Jun Young
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.4
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    • pp.173-176
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    • 2018
  • Pigmented villonodular synovitis (PVNS) is a proliferative disease that affects the synovial joint, tendon and bursa. PVNS can form a nodular structure in any joint, but it most commonly affects the knee joint and is rare in the foot and ankle joint. PVNS is divided into two types. Localized-type PVNS exhibits focal involvement with a nodular mass, while diffuse-type PVNS involves the entire synovium. Synovitis of the affected joint can also destroy cartilage and bone. Diffuse type accounts for 75% of PVNS and has a reported recurrence rate of 12.2% to 46%; aggressive synovectomy is recommended as the most effective treatment. In localized-type PVNS, only arthroscopic partial synovectomy is effective with a lower recurrence rate. We report a patient with severe ankle joint arthritis induced by diffusetype PVNS. The patient was treated by lateral malleolar ostectomy and ankle arthrodesis with a plate and screws via a lateral approach.

Effect of Transverse Steel on Shear Performance for RC Bridge Columns (철근콘크리트 원형 교각의 전단성능에 대한 횡방향철근의 영향)

  • Ko, Seong Hyun
    • Journal of the Earthquake Engineering Society of Korea
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    • v.25 no.5
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    • pp.191-199
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    • 2021
  • In seismic design, hollow section concrete columns offer advantages by reducing the weight and seismic mass compared to concrete section RC bridge columns. However, the flexure-shear behavior and spirals strain of hollow section concrete columns are not well-understood. Octagonal RC bridge columns of a small-scale model were tested under cyclic lateral load with constant axial load. The volumetric ratio of the transverse spiral hoop of all specimens is 0.00206. The test results showed that the structural performance of the hollow specimen, such as the initial crack pattern, initial stiffness, and diagonal crack pattern, was comparable to that of the solid specimen. However, the lateral strength and ultimate displacement of the hollow specimen noticeably decreased after the drift ratio of 3%. The columns showed flexure-shear failure at the final stage. Analytical and experimental investigations are presented in this study to understand a correlation confinement steel ratio with neutral axis and a correlation between the strain of spirals and the shear resistance capacity of steel in hollow and solid section concrete columns. Furthermore, shear strength components (Vc, V, Vp) and concrete stress were investigated.

A Clinicopathologic Analysis of Neck Masses (경부 종괴의 임상 및 병리학적 고찰)

  • Km Jeong-Ho;Oh Sang-Hoon;Kim Sang-Hyo
    • Korean Journal of Head & Neck Oncology
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    • v.13 no.1
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    • pp.51-57
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    • 1997
  • A mass appearing in the anterior or lateral side of neck often can be a diagnostic challenge. Differential diagnosis of the neck mass covers a broad spectrum of diseases and the proper evaluation and management of a neck mass requires an impressive amount of anatomic and pathologic information. Because improper diagnosis and management may convert a potentially curable malignant metastasis into incurable disease, a differential diagnosis must be considered in all patients who present with a neck mass. Authors reviewed 2,148 cases of neck mass who were diagnosed by surgical resection, biopsy or aspiration during the period between October 1982 to December 1993, excluding those with thyroid and parathyroid disease. The evaluated characteristics were age, sex, site of lesion, and pathologic diagnosis. The results were as follows: Of 2,148 cases of neck mass, the overall ratio of benign to malignant tumor was 3 : 1. In 1,603 cases of benign mass lesion, the most common disease was lymphadenitis(non-specific and tuberculosis) showing 53% incidence, the second was salivary gland tumor(13%), and the third was congenital lesion(12%). The minor problems such as lipoma and sebaceous cyst were 21 %. In the age distribution of benign lesion, tuberculous lymphadenitis showed peak incidence in second decade, non-specific lymphadenitis was main disease of childhood, salivary gland tumor was peak in fourth decade, and most of congenital lesions were diagnosed at the age below 15. In 545 malignant tumors, the most common lesion was metastatic cancer to cervical lymph nodes yielding 71 % incidence(head and neck primary 52%, infraclavicular primary 42%, unknown primary 5%), the second common disease was lymphoma(19%), and the third was salivary gland cancer(9%). In the age incidence of malignant tumor, 60% of them developed in the fifth and sixth decade, head and neck primary was more common in the fifth decade than sixth, however lymphoma showed higher incidence in sixth decade. In the analysis of mass location according to lymph node level grouping(I - V), lymphadenitis developed mostly in level V nodes, the next common occurring site was level IV in tuberculous lymphadenitis and level II in non-specific lymphadenitis. The majority of metastatic cancers were found in level IV and III, and common occurring site of lymphoma was in level II and IV. Pathologic diagnosis of neck masses were made by fine needle aspiration cytology 80 cases, incisional biopsy 533 cases, excisional surgery 1,399 cases, and neck dissection 116 cases. For the proper management of neck mass, a proper diagnostic modality should be selected from imaging techniques, cytology, biopsy or neck dissection, with the consideration of patient's age, history and clinical findings. The scapel biopsy could be used freely in the inflammatory disease or inoperable metastatic cancer, but it should be reserved in the curable metastatic cancer or clinically possible malignancy.

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Influence of Initial Seedling Size and Root Pruning Intensity on Growth of Transplanting Seedling of Quercus acutissma

  • Na, Sung-Joon;Lee, Do-Hyung;Kim, In-Sik
    • Korean Journal of Plant Resources
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    • v.26 no.6
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    • pp.709-717
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    • 2013
  • The objective of this study was to examine the effect of root pruning intensity in combination with different initial seedling size on the growth of transplanting seedlings of Quercus acutissima. One-year-old seedlings were divided into three groups depending on their height, i.e. small (< 15 cm), medium (25-35 cm) and large size (35 cm <). Root of seedlings was pruned by three intensity such as, leaving 5 cm (severe), 10 cm (medium) and 15 cm (light) of taproot from the root-collar. After one year, we investigated survival rate, height and root-collar diameter (RCD) increment and final shoot dry weight. Also we measured characteristics of newly developed lateral roots such as number, total length, dry weight and diameter. Severe root pruning showed the lowest survival rate in all seedling size. Height increment, RCD increment and shoot dry weight were decreased with increasing intensity of root pruning. Seedlings of medium and light root pruning showed similar above-ground growth and dry weight of lateral roots. More large seedlings showed good survival rate, height increment and final shoot dry mass in all root pruning intensity. Therefore, one-year-old seedlings of Q. acutissima should be pruned taproot by 10 cm and transplanted to obtain excellent performance and increase the efficiency of transplanting work. Based on the findings of this study, it is important that applying to different root pruning intensity depending on initial seedling size for producing 2-year-old seedlings with excellent growth and high quality.

Numerical Analysis on Behavior of Cantilever Retaining Walls (캔틸레버 옹벽의 거동에 대한 수치해석적 연구)

  • Jang, In-Seong;Jeong, Chung-Gi;Kim, Myeong-Mo
    • Geotechnical Engineering
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    • v.12 no.4
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    • pp.75-86
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    • 1996
  • Current methods to estimate the earth pressure for retaining wall analysis are based on Rankine or Coulomb approaches, in which the soil mass behind wall is assumed to reach to failure state with sufficient lateral movements. Some of recent research works carried out by field measurements reveal that the active earth. pressures by Ranking or Coulomb method are underestimated. It means that the lateral movements of wall and soil would not be mobilized enough to reach the failure state. In this study, the finite element method with Drucker -Prager model for soil is employed to investigate the behavior of concrete cantile,tier retaining wall, together with the influence of inclined backfill. The results indicate that the earth pressures on the retaining wall are strongly related to the mobilized lateral movements of wall and soil and that Ranking and Coulomb methods underestimate the resultant earth pressures and the increasing effect on earth pressure by inclined backfill. Based on this study, a simplified method to determine to earth pressures on cantilever retaining wall with horizontal backfill is proposed.

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Study on the Prediction of Lateral and Yawing Behaviors of a Leading Vehicle in a Train Collision (철도차량 충돌 시 선두차량의 횡 및 요잉 거동 예측 연구)

  • Kim, Jun Woo;Jeong, Eui Cheol;Koo, Jeong Seo
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.41 no.2
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    • pp.95-101
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    • 2017
  • In this study, we derived theoretical equations for the zigzag movement of a leading vehicle, which is the most frequent behavior in train accidents, by using a simplified spring-mass model for the rolling stock. In order to solve the equations of motion, we applied the Runge-Kutta method, which is the typical numerical analysis method used for differential equations. Furthermore, the lateral displacement of the wheel-set at the wheel-rail interface was estimated using kinetic energy. In order to verify the derived equations, we compared the theoretical and simulated results under various collision conditions. The maximum relative deviations of the lateral displacements were 0.8 [%] ~ 4.7 [%] in light collisions and 0.6 [%] ~ 5.1 [%] under derailment conditions. When an accident is simulated, these theoretical equations can be used to predict the overall behavior and obtain the offset of the body-to-body link as the initial perturbation.