• Title/Summary/Keyword: Lateral spread response

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Efficacy of Intraoperative Facial Electromyographic Monitoring in Patients with Hemifacial Spasm

  • Park, Hae-Kwan;Jang, Kyung-Sool;Lee, Kyung-Jin;Rha, Hyung-Kyun;Joo, Won-Il;Kim, Moon-Chan
    • Journal of Korean Neurosurgical Society
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    • v.39 no.3
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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.

Response Analysis of Buried Pipelines Considering Longitudinal Permanent Ground Deformation (종방향 영구지반변형에 의한 매설관로의 거동 특성 해석)

  • 김태욱
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 2000.10a
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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.

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Efficacy of the Disappearance of Lateral Spread Response before and after Microvascular Decompression for Predicting the Long-Term Results of Hemifacial Spasm Over Two Years

  • Kang, Min-Cheol;Choi, Yu-Seok;Choi, Hak-Ki;Lee, Sang-Hoon;Ghang, Chang-Gu;Kim, Chang-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.52 no.4
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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.

Evaluating the accuracy of a new nonlinear reinforced concrete beam-column element comprising joint flexibility

  • Izadpanah, Mehdi;Habibi, AliReza
    • Earthquakes and Structures
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    • v.14 no.6
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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.

Nonlinear analysis of damaged RC beams strengthened with glass fiber reinforced polymer plate under symmetric loads

  • Abderezak, Rabahi;Daouadji, Tahar Hassaine;Rabia, Benferhat;Belkacem, Adim
    • Earthquakes and Structures
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    • v.15 no.2
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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.

Suggestions for the Effective Intraoperative Neurophysiological Monitoring in Microvascular Decompression Surgery of Hemifacial Spasm (편측성 안면경련 환자의 미세혈관 감압수술에서 효과적인 수술 중 신경계 감시검사를 위한 제안)

  • Lim, Sung-Hyuk
    • Korean Journal of Clinical Laboratory Science
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    • v.48 no.3
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    • pp.262-268
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    • 2016
  • Hemifacial spasm is a disease caused by involuntary facial muscles with repeated unilateral convulsive spasms. It involves contraction of multiple muscles at the same time (synkinesia). The pathogenesis appears to be the pressure on the vessel by the facial nerve. This study included hemifacial spasm patients, who received microvascular decompression surgery. Brainstem auditory evoked potential and the examination time were carefully noted when using brain surgical retractor. The facial nerve electromyography tests for the identification of artifacts and EMG waveform when the facial nerve damage, about the importance of the maintenance of anesthesia in the lateral spread response and in a somatosensory evoked potential propose a new method. Based on the above test, it will be more effective.

Intraoperative Neurophysiological Monitoring during Microvascular Decompression Surgery for Hemifacial Spasm

  • Park, Sang-Ku;Joo, Byung-Euk;Park, Kwan
    • Journal of Korean Neurosurgical Society
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    • v.62 no.4
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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.

Response Analysis of Buried Pipeline Subjected to Longitudinal Permanent Ground Deformation (종방향 영구지반변형에 대한 지중 매설관로의 거동특성 해석)

  • 김문겸;임윤묵;김태욱;박종헌
    • Journal of the Earthquake Engineering Society of Korea
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    • v.6 no.2
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    • pp.51-61
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    • 2002
  • In this research, a numerical algorithm is developed for the response analysis of burined pipelines considering longitudinal permanent ground deformation(PGD) due to liquefaction induced lateral spreading. Buried pipelines and surrounding soil are modeled as continuous pipelines using the beam elements and a series of elasto-plastic springs represented for equivalent soil stiffness, respectively. Idealized various PGD patterns based on the observation of PGD are used as a loading configuration and the length of the lateral spread zone is considered as 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. Through these procedures, relative influences of various parameters on the response of buried pipeline subject to longitudinal PGD are investigated.

Seismic Improvement of Staggered Truss Systems using Buckling Restrained Braces (비좌굴 가새를 이용한 스태거드 트러스 시스템의 내진성능향상)

  • Kim, Jin-Koo;Lee, Joon-Ho
    • Journal of the Earthquake Engineering Society of Korea
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    • v.10 no.2 s.48
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    • pp.11-19
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    • 2006
  • In this paper the seismic performances of 4, 10, and 30-story staggered truss systems (STS) were evaluated by observing the force-displacement relationship up io failure. The results were compared with the seismic performance of conventional moment resisting frames and braced frames. According to the analysis results, the STS showed relatively satisfactory lateral load resisting capability. However, in the mid- to high-rise STS, plastic hinges formed first at the chords were transferred to vertical members of the vierendeel panels, which formed a week link and subsequently leaded to brittle collapse of the structure. Therefore to enhance the ductility of STS it would be necessary to reinforce the vertical bracing members of the virendeel panels so that the plastic hinges, once toned in cord members of a virendeel panel, spread out to virendeel panels of neighboring stories.

Investigation of Pohang Earthquake Liquefaction Using 1D Effective-Stress Site Response Analysis (1차원 유효응력개념의 지반응답해석을 통한 포항지진의 액상화 현상 규명)

  • Ahn, Jae-Kwang;Baek, Woo-Hyun;Choi, Jae-Soon;Kwak, Dong Youp
    • Journal of the Korean Geotechnical Society
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    • v.34 no.8
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    • pp.37-49
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    • 2018
  • Since the observation of ground motions in South Korea, liquefaction manifestation was the first to be observed in Pohang earthquake in 2017 with $M_L$ 5.4. Because liquefaction causes ground settlement and lateral spread damaging in-ground or super structures, various researchers have been analyzing the Pohang liquefaction case history to better understand and predict liquefaction consequence and to prevent future disasters. In prior research at the 2018 EESK conference, a map of Liquefaction Potential Index (LPI), indicating the severity of liquefaction, in Pohang was created and compared with damage observations. The LPI correlated well with the observations, but the severity categorized by LPI range was significantly higher than the actual observations in most regions. The prior LPI map was created evaluating ground motions using the simplified approach. In this research, we perform the effective site response analyses with porewater pressure generation model for the detailed evaluation of liquefaction on the liquefied sites in Pohang. We found that the simplified approach for LPI evaluation can overestimate the severity.