• Journal of Korean Neurosurgical Society
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• 제39권3호
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• pp.183-187
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• 2006

Objective : Hemifacial spasm has characteristic and specific electrophysiological finding, lateral spread response[LSR]. We study the correlation between change of lateral spread response during microvascular decompression[MVD] and clinical outcome after MVD. Methods : Sixty two patients with hemifacial spasm who were treated with microvascular decompression from March 2000 to February 2003 were included in this study. The monitoring of intraoperative facial electromyography[EMG] and brain stem auditory evoked potential were performed. Results : In 28 [44.7%] patients, there was persistence of lateral spread response after vascular decompression in root exit zone of facial nerve. Among these 28 patients, 9 had mild hemifacial spasm at discharge. Three out of 34 patients who had intraoperative disappearance of lateral spread response after MVD had mild hemifacial spasm. But Both groups, disappearance of LSR [Group I], and persistence [Group II] had only 2 patients with mild hemifacial spasm, and 5 patients at 3 months, respectively. Conclusion : Although intraoperative EMG monitoring is very useful in assessing the efficacy of MVD, the clinical outcome of MVD in patient with hemifacial spasm does not always correlate with EMG finding. The prognostic value of intraoperative LSR monitoring in the long-term results is questionable.

• 한국지진공학회:학술대회논문집
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• 한국지진공학회 2000년도 추계 학술발표회 논문집 Proceedings of EESK Conference-Fall 2000
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• pp.184-191
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• 2000

In this research, a numerical model is developed for analysis of buried pipelines considering longitudinal permanent ground deformation(PGD) due to liquefaction induced lateral spreading. Buried pipelines and surrounding soil are medeled as continuous pipelines using the beam elements and a series of elasto-plastic springs uniformly distributed along the pipelines, respectively. Idealized various PGD patte군 based on the observation of PGD are used as a loading configuration and the length of the lateral spread zone is considered as a loading parameter. Numerical results are verified with other research results and efficient applicability of developed procedure is shown. Analyses are performed by varying different parameters such as PGD pattern, pipe diameter and pipe thickness. Results show that response of buried pipelines are more affected by pipe thickness than pipe diameter. Finally, the critical length of the lateral spread zone and the critical magnitude of PGD which cause yielding, local buckling or tension failure are proposed for the steel pipe which are normally used in Korea.

• Journal of Korean Neurosurgical Society
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• 제52권4호
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• pp.372-376
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• 2012

Objective : The purpose of this large prospective study is to assess the association between the disappearance of the lateral spread response (LSR) before and after microvascular decompression (MVD) and clinical long term results over two years following hemifacial spasm (HFS) treatment. Methods : Continuous intra-operative monitoring during MVD was performed in 244 consecutive patients with HFS. Patients with persistent LSR after decompression (n=22, 9.0%), without LSR from the start of the surgery (n=4, 1.7%), and with re-operation (n=15, 6.1%) and follow-up loss (n=4, 1.7%) were excluded. For the statistical analysis, patients were categorized into two groups according to the disappearance of their LSR before or after MVD. Results : Intra-operatively, the LSR was checked during facial electromyogram monitoring in 199 (81.5%) of the 244 patients. The mean follow-up duration was $40.9{\pm}6.9$ months (range 25-51 months) in all the patients. Among them, the LSR disappeared after the decompression (Group A) in 128 (64.3%) patients; but in the remaining 71 (35.6%) patients, the LSR disappeared before the decompression (Group B). In the post-operative follow-up visits over more than one year, there were significant differences between the clinical outcomes of the two groups (p<0.05). Conclusion : It was observed that the long-term clinical outcomes of the intra-operative LSR disappearance before and after MVD were correlated. Thus, this factor may be considered a prognostic factor of HFS after MVD.

• Earthquakes and Structures
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• 제14권6호
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• pp.525-535
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• 2018

This study presents a new beam-column model comprising material nonlinearity and joint flexibility to predict the nonlinear response of reinforced concrete structures. The nonlinear behavior of connections has an outstanding role on the nonlinear response of reinforced concrete structures. In presented research, the joint flexibility is considered applying a rotational spring at each end of the member. To derive the moment-rotation behavior of beam-column connections, the relative rotations produced by the relative slip of flexural reinforcement in the joint and the flexural cracking of the beam end are taken into consideration. Furthermore, the considered spread plasticity model, unlike the previous models that have been developed based on the linear moment distribution subjected to lateral loads includes both lateral and gravity load effects, simultaneously. To confirm the accuracy of the proposed methodology, a simply-supported test beam and three reinforced concrete frames are considered. Pushover and nonlinear dynamic analysis of three numerical examples are performed. In these examples the nonlinear behavior of connections and the material nonlinearity using the proposed methodology and also linear flexibility model with different number of elements for each member and fiber based distributed plasticity model with different number of integration points are simulated. Comparing the results of the proposed methodology with those of the aforementioned models describes that suggested model that only uses one element for each member can appropriately estimate the nonlinear behavior of reinforced concrete structures.

• Earthquakes and Structures
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• 제15권2호
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• pp.113-122
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• 2018

This study presents a new beam-column model comprising material nonlinearity and joint flexibility to predict the nonlinear response of reinforced concrete structures. The nonlinear behavior of connections has an outstanding role on the nonlinear response of reinforced concrete structures. In presented research, the joint flexibility is considered applying a rotational spring at each end of the member. To derive the moment-rotation behavior of beam-column connections, the relative rotations produced by the relative slip of flexural reinforcement in the joint and the flexural cracking of the beam end are taken into consideration. Furthermore, the considered spread plasticity model, unlike the previous models that have been developed based on the linear moment distribution subjected to lateral loads includes both lateral and gravity load effects, simultaneously. To confirm the accuracy of the proposed methodology, a simply-supported test beam and three reinforced concrete frames are considered. Pushover and nonlinear dynamic analysis of three numerical examples are performed. In these examples the nonlinear behavior of connections and the material nonlinearity using the proposed methodology and also linear flexibility model with different number of elements for each member and fiber based distributed plasticity model with different number of integration points are simulated. Comparing the results of the proposed methodology with those of the aforementioned models describes that suggested model that only uses one element for each member can appropriately estimate the nonlinear behavior of reinforced concrete structures.

• 대한임상검사과학회지
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• 제48권3호
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• pp.262-268
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• 2016

편측성 안면경련(hemifacial spasm)은 불수의적으로 안면의 근육에서 발작적인 경련이 일측성으로 반복해서 발생하는 질환이다. 한 근육의 수축으로 인해 동시적으로 여러 근육이 동시에 수축되는 동시 수축성(synkinesia)이 특징이다. 발병원인은 제 7뇌신경인 안면신경이 혈관에 의해 압박을 받아서 나타나게 된다. 본 연구는 편측성 안면경련 환자의 미세혈관 감압 수술을 받은 환자를 대상으로 수술 중 진행되는 신경계 감시검사 방법들에 대해 다루었다. 청각유발전위 검사에서는 수술용 뇌 견인기의 사용시 주의 사항과 검사시기에 대해 언급하였다. 안면신경의 근전도검사에서는 잡파의 혼입과 신경손상 시 근전도 파형의 감별에 대해, 측면전파 반응 검사에서는 마취의 유지의 중요성에 대해 그리고 체성감각 유발전위검사에서는 환자를 좀더 자세하게 검사할 수 있도록 새로운 방법을 제안하였다. 위에 언급한 내용들을 토대로 검사한다면 수술 중 신경계 감시 검사를 원활하게 할 수 있으리라 생각된다.

• Journal of Korean Neurosurgical Society
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• 제62권4호
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• pp.367-375
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• 2019

Hemifacial spasm (HFS) is due to the vascular compression of the facial nerve at its root exit zone (REZ). Microvascular decompression (MVD) of the facial nerve near the REZ is an effective treatment for HFS. In MVD for HFS, intraoperative neurophysiological monitoring (INM) has two purposes. The first purpose is to prevent injury to neural structures such as the vestibulocochlear nerve and facial nerve during MVD surgery, which is possible through INM of brainstem auditory evoked potential and facial nerve electromyography (EMG). The second purpose is the unique feature of MVD for HFS, which is to assess and optimize the effectiveness of the vascular decompression. The purpose is achieved mainly through monitoring of abnormal facial nerve EMG that is called as lateral spread response (LSR) and is also partially possible through Z-L response, facial F-wave, and facial motor evoked potentials. Based on the information regarding INM mentioned above, MVD for HFS can be considered as a more safe and effective treatment.

• 한국지진공학회논문집
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• 제6권2호
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• pp.51-61
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• 2002

본 연구에서는 액상화-종방향 영구지반변형에 대한 지중매설관로의 거동특성을 해석하기 위하여 수치해석 알고리즘을 개발하였다. 기존의 연구결과가 간략한 해석식의 제안을 중심으로 진행되어 왔으며 영구지반변형의 형상과 폭에 따라 해석방법이 달라지는 단점을 가지고 있었던 것을 고려한다면, 개발된 수치해석 기법은 다양한 영구지반변형의 형상과 폭을 단일한 알고리즘 내에서 처리할 수 있다는 특징을 가지고 있다. 이를 위해 본 연구에서는 연속관 형태의 지중매설관로와 주변지반을 보요소와 등가지반강성으로 표현되는 탄-소성 지반 스프링을 이용하여 모형화하였으며, 지진발생시 실측된 지반변형에 기초하여 영구지반변형의 형상을 5가지의 대표적인 형태로 이상화하여 고려하였다. 국내 계기지진피해사례의 부족으로 인하여 영구지반변형의 크기와 지반변형의 폭은 기존의 연구결과를 참조하여 설정하였으며, 국내에서 사용되는 일반적인 강관을 대상으로 지반변형의 형상과 크기 및 폭, 매설관로의 관경, 관두께 등을 변화시켜 가면서 다양한 수치해석을 수행하였다. 수치해석 결과, 종방향 영구지반변형에 대한 매설관로의 거동에 미치는 주요 인자들의 영향정도를 평가할 수 있었다.

• 한국지진공학회논문집
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• 제10권2호
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• pp.11-19
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• 2006

본 연구에서는 4층, 10층, 30층 스태거드 트러스 시스템 (STS)의 비탄성 정적해석에 의한 하중-변위 관계와 비탄성거동을 분석하고, 그 결과를 바탕으로 STS의 내진성능을 평가하였다. 또한 동일한 규모의 모멘트골조 및 가새골조의 거동과 비교함으로써 STS의 횡력 저항 능력을 파악하였다. 해석결과에 따르면, STS는 일반적으로 적용되는 구조시스템에 비하여 비교적 만족할 만한 내진성능을 보유하는 것으로 나타났다. 그러나 중층 이상의 STS에 있어서는 상대적으로 강성이 작은 비렌딜 패널 상.하현재에 소성변형이 발생한 후 인접한 수직 가새가 항복함으로써, 다른 층으로 소성변형이 전이되지 못하여 약층의 형성에 의한 취성적인 거동을 보인다. 그러므로 스태거드 트러스 시스템의 연성능력을 확보하기 위해서는 비렌딜 패널의 수직 가새를 보강하여 비렌딜 패널 상하현재에 발생한 소성변형을 다른 층의 비렌틸 패널로 유도하는 것이 필요하다.

• 한국지반공학회논문집
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• 제34권8호
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• pp.37-49
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• 2018

지진에 의해 액상화 현상이 발생하면 지반의 침하 혹은 측방유동으로 지중 및 상부 구조물의 손상을 유발하기 때문에 이를 사전에 예측 대비하는 것이 매우 중요하다. 2017년 11월 15일에 발생한 $M_L=5.4$의 포항지진은 국내지진 관측이래 액상화 피해사례가 처음으로 접수되었으며 연구자들이 이에 대한 분석을 수행 중이다. 2018년 춘계 한국지진공학회에서 발표된 포항지역의 액상화 위험지도의 경우 지반조사 결과만을 활용하여 LPI(Liquefaction Potential Index)를 계산하고 대상지역의 피해를 추정하였다. 이때 보고된 결과에 따르면 포항지역이 전반적으로 액상화에 취약하며 상대적으로 위험해 보이는 지역은 실제 피해가 발생했던 지역과 유사하였다. 하지만 액상화 위험도는 실제 발생한 피해보다 과대 예측하였기에 액상화 피해수준 범위에 문제점이 제기되었다. 따라서 본 연구에서는 액상화 현상이 관측된 구간에서 1차원 지반응답해석을 수행하여 액상화 발생가능성을 분석하였다. 그 결과 지반분류에 따른 평가로부터 얻어진 LPI는 액상화 위험지도를 작성 시에 과대예측 할 수 있는 것으로 나타났다.