• Proceedings of the Korean Geotechical Society Conference
• /
• 1985.06a
• /
• pp.94-108
• /
• 1985

• Journal of the Korean Society of Physical Medicine
• /
• v.6 no.4
• /
• pp.437-445
• /
• 2011

Purpose : The purpose of this study was to analysis on diaphragm thickness and lung function of stroke patients by walking ability. Methods : We recruited thirty-five adults after stroke(20 male, 15 female) for our study. The subjects were divided into two groups; independent walking group(11 male, 9 female) and non-independent walking group(9 male, 6 female). Assessment of diaphragm thickness was performed using ultrasound in B-mode with a 7.5 MHz linea probe. During the experiment, the subject was seated in the chair. All subjects performed maximal expiratory flow maneuvers using a spirometer in order to determine the forced expiratory volume in 1 second ($FEV_1$), forced vital capacity(FVC), peak expiratory flow(PEF) and $FEV_1$/FVC. Chest expansion was measured with a tape-measure placed circumferentially around the chest wall at the xiphoid process. The collected data analyzed by independent t-test. Results : The diaphragm thickness were significant differences between the independent walking and nonindependent walking group. Values of forced vital capacity, forced expiratory volume at one second, peak expiratory flow in pulmonary function tests were significant differences between the independent walking and non-independent walking group. However, chest expansion were not significant differences in both of the group. Conclusion : This study showed that walking ability of stroke patients have influenced on diaphragm thickness and pulmonary function.

• Journal of Chest Surgery
• /
• v.55 no.2
• /
• pp.171-173
• /
• 2022

A 65-year-old man underwent right trisectionectomy of the liver and reconstruction of the chest wall and diaphragm with a 2-mm Gore-Tex membrane due to recurrent hepatocellular carcinoma. After 3 years, the Gore-Tex membrane in the diaphragm migrated to the abdominal cavity and perforated the colon. We report a rare complication of a Gore-Tex membrane after diaphragm repair.

• Journal of the Korean Society for Aeronautical & Space Sciences
• /
• v.42 no.5
• /
• pp.383-389
• /
• 2014

POD analysis has been done to investigate the internal flow characteristics using LES calculation results of hybrid rocket combustion chamber. The special emphasis was put on the change in the mode energy distribution caused by the installation of diaphragm compared to the baseline case. Also the comparison was made to investigate the effect of wall blowing on the changes in the mode energy between the regions near and far from the diaphragm. For baseline case, POD results clearly distinguish the primary mode containing most of flow energy from the rest of flow modes (2-9 mode) depicting small scale modes. Also, the increase in the energy of flow modes 2-5 is responsible for the formation of relatively large scale structures due to diaphragm. In addition, the comparison of mode energy distributions of flow fields with diaphragm shows similar patterns in both wall blowing and no blowing case. This implies that the local increase in regression rate just after the diaphragm is directly associated with the increase in energy distributions of 2-5 modes.

• Journal of Chest Surgery
• /
• v.49 no.5
• /
• pp.366-373
• /
• 2016

Background: The aim of the study was to test the hypothesis that in patients with chronic complex sternum dehiscence, the use of muscle flap repair minimizes the occurrence of paradoxical motion of the chest wall (CWPM) when compared to sternal rewiring, eventually leading to better respiratory function and clinical outcomes during follow-up. Methods: In a propensity score matching analysis, out of 94 patients who underwent sternal reconstruction, 20 patients were selected: 10 patients underwent sternal reconstruction with bilateral pectoralis muscle flaps (group 1) and 10 underwent sternal rewiring (group 2). Eligibility criteria included the presence of hemisternum diastases associated with multiple (${\geq}$3) bone fractures and radiologic evidence of synchronous chest wall motion (CWSM). We compared radiologically assessed (volumetric computed tomography) ventilatory mechanic indices such as single lung and global vital capacity (VC), diaphragm excursion, synchronous and paradoxical chest wall motion. Results: Follow-up was 100% complete (mean $85{\pm}24months$). CWPM was inversely correlated with single lung VC (Spearman R=-0.72, p=0.0003), global VC (R=-0.51, p=0.02) and diaphragm excursion (R=-0.80, p=0.0003), whereas it proved directly correlated with dyspnea grade (Spearman R=0.51, p=0.02) and pain (R=0.59, p=0.005). Mean CWPM and single lung VC were both better in group 1, whereas there was no difference in CWSM, diaphragm excursion and global VC. Conclusion: Our study suggests that in patients with complex chronic sternal dehiscence, pectoralis muscle flap reconstruction guarantees lower CWPM and greater single-lung VC when compared with sternal rewiring and it is associated with better clinical outcomes with less pain and dyspnea.

• Journal of the Korea institute for structural maintenance and inspection
• /
• v.13 no.6 s.58
• /
• pp.148-155
• /
• 2009

A remarkable discrepancy of lateral deformation of shear wall structures for seismic loads due to a rigid diaphragm assumption without floor slab modelling asks a study how much effective the slab stiffness ratio is to the lateral behaviour. Typical shear wall type 15 stories structure is selected to analysis using MIDAS-ADS2008 commercial softwares modelling three types; 1) rigid diaphragm (RD model) 2) considered out-of plane slab flexural stiffness (DB model), and 3) considered in and out of plane slab flexural stiffness (SRC model). Based on National Code of KBC2005, the Equivalent Static and Response Spectrum seismic analysis are undertaken to compare each responses of the three models. The differences of lateral responses due to the three slab stiffness ratios applied on the models are compared and discussed.

• Journal of Chest Surgery
• /
• v.44 no.1
• /
• pp.86-88
• /
• 2011

Bronchogenic cysts are developmental foregut anomalies usually located within the mediastinum or lung parenchyma. An isolated bronchogenic cyst of the diaphragm is very rare. Our case was a 56-year-old female patient who presented with pleuritic chest pain in her right chest. Chest and abdominal computed tomography revealed a large lobulated cystic mass that was accompanied with pleural effusion in the right lower hemithorax. The tumor showed focally calcified areas in the wall and abutted against the diaphragm. We performed complete excision of the cyst including a portion of the diaphragm attached to it. The pathological diagnosis was established as the bronchogenic cyst originating from the diaphragm. We report this case with a review of the literature.

• Proceedings of the Korean Geotechical Society Conference
• /
• 1991.10a
• /
• pp.312-331
• /
• 1991

Top-down Method of basement construction technique has been applied for building of the deep basement car park the close proximity of priceless historic buildings in LONDON. Numerical analysis for the prediction of ground movement of the surrounding buildings was performed in order to compare the field data at the various stages of excavation and support. The predicted results from the elasto-plastic analytical method were compared with the observed data and the agreement is very satisfactory. It may be concluded that the system of diaphragm wall supported by the permanent base slabs (Top-Down Method) was proved to be the most effective technique in terms of reducing any critical damage to the surrounding buildings.

• Journal of the Korean Geotechnical Society
• /
• v.17 no.4
• /
• pp.93-105
• /
• 2001

해성토층(풍화토 및 모래질 충적토가 암반 위에 쌓인) 위에 준설매립된 수도권 해안매립지역에서 원형의 대심도 굴착공사로 인하여 발생하는 지중연속벽의 수평변위에 대한 현장계측을 중심으로 연구를 수행하였다. 현장측정으로는 지중연속벽의 8방향에서 벽체수평변위와 철근응력, 토압, 간극수압 등이 측정되었고, 정확한 측정결과를 얻기 위하여 합리적인 해석 및 보정방법이 연구되었다. 현장측정결과 굴착시공단계에 따라서 벽체수평변위가 증가하였으며, 일정깊이에 존재하는 점토층을 굴착함으로써 간극수압의 급격한 변화가 측정되었다. 한편, 굴착전후의 구속압감소에 따른 지반물성치의 변화를 정리하였다. 굴착전후의 탄성계수는 일정깊이까지 상당한 정도로 감소됨을 알 수 있었고 굴착전후 여러 가지 시험방법에 따른 탄성계수의 차이들을 비교하였다.

• Journal of Chest Surgery
• /
• v.3 no.2
• /
• pp.113-120
• /
• 1970

Since the turn of the century there has been a constant search for a satisfactory method of controlling a large intrathoracic space following lobectomy. Primarily these methods consist of thoracoplasty, plombage, and phrenic nerve paralysis which are not completely satisfactory for they may result in loss of chest wall motility or diaphragmatic function. Incising the diaphragm at its periphery and resuturing to the chest wall at a level several rib spaces higher is an effective method of reducing intrathoracic space with minimal interference with pulmonary function. It is of particular value when the anticipated space problem is in the lower part of the thoracic cavity. Five cases are presented in which the diaphragm was peripherally detached and advanced to higher levels. Two cases were following lower lobectomy and three cases were following decortication for chronic empyema in which expansion was not good enough to adequately fill the space. Results in these cases were satisfactory.