• Journal of Chest Surgery
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• v.29 no.6
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• pp.614-620
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• 1996

The method of treatment in lung cancer patients with invasion to parietal pleura, diaphragm, peri- cardium or vertebra is controversial, and resection of these invasion together with pneumonectomy is called "complex pneumonectomy" From March 1990 to February 1994 we performed 18 cases of "complex pneumonectomy". Seven patients had resection of chest wall, 10 patients had pericardial re- section, and one patient had resection of diaphragm Right pneumonectomy was done in 8 cases and left pneumonectomy was done in 10 cases. The age of patients were from 40 to 70 years(mean 58 years) with male to female ratio of 17 to 1. The chief complaints of the patients on admission were cough (13), dyspnea on exertion (11), chest pain (10), weight loss (9), general fatigue (9), and sputum production (4 . Postoperative pathology were 13 squamous cell carcinoma, 3 adenocarcinoma, and one case each of adenosquamous carcinoma and small cell carcinoma. The postoperative pathologic stages were 2 T3NO MO, 4 TIWIMO, 6 T3N2MO, 5 T4N2MO, and 1 TIWIMO. There was one operative mortality(5.5%). Excluding one follow up loss, 14 patients expired during the follow-up and the mean survival was 9.07 $\pm$ 4.82 months. One patient with stage TINOMO who had chest wall resection is alive at 35 months follow-up and a patient with T3N2MO who had diaphragm resection is alive at 36 months follow-up. Therefore, selection of patients for "complex pneumonec- tomy" is very important, and a long term survival is possible.ong term survival is possible.

• The Journal of Engineering Geology
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• v.22 no.1
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• pp.39-48
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• 2012

The behaviors of a diaphragm wall and a contiguous pile wall such as CIP(Case-in-place pile) and SCW(Soil-cement wall), applied to the top-down construction method, were analyzed using the SUNEX program, which is widely used to design earth retaining walls. Four types of earth pressures, as described by Rankine (1857), Terzaghi and Peck (1967), Tchbotarioff (1973), and Hong and Yun (1995a), were applied to the analysis program to predict the lateral displacement of walls. The results show that the displacements of an earth retaining walls vary with the applied earth pressure. The predicted lateral displacement based on Hong & Yun's (1995a) earth pressure is similar to the measured displacement. Therefore, the actual lateral displacement of an earth retaining wall, as applied to top-down construction method, can be accurately predicted by using an analysis program considering Hong and Yun's (1995a) earth pressure.

• Tuberculosis and Respiratory Diseases
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• v.41 no.5
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• pp.494-503
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• 1994

Background: Fibrostenosis of large airway due to tuberculosis is one of the most perplexing clinical problems not only because it can lead to respiratory failure but also because of difficulty in the management. No one technique, such as balloon dilatation or insertion of self expandable metallic stent, has proved totally satisfactory in the management of fibrostenosis. We evaluated the effect of laser therapy in patient with severe fibrostenosis due to tuberculosis. Method: We classified the fibrostenosis to three types by bronchoscopic finding - the diaphragm type: stenosed by fibrous diaphragm, sparing the tracheobronchial wall, the collapse type: stenosed by collapse of the wall due to destruction of the cartilage, and the combined type: stenosed by nonspecific inflammatory scar tissue within internal lumen with collapse of the wall. We have treated 10 patients complaining dyspnea due to with severe fibrostenosis of the diaphargm or the combined type using a neodymiumyttrium aluminum garnet(Nd-Y AG) laser through a flexible bronchoscopy. Results: Eight of the 10 cases improved after laser therapy and maintained during a follow up period of average 31.9 months. All of the cases undergoing laser therapy showed no serious complication to need the therapy. Conclusion: The results of our present study indicate that the Nd-YAG laser therapy is an effective and safe method for the management of selective tuberculous fibrostenosis.

• Earthquakes and Structures
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• v.9 no.4
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• pp.789-830
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• 2015

The recent re-assessment of the seismic hazard in Europe led for many regions of low to moderate seismicity to an increase in the seismic demand. As a consequence, several modern unreinforced masonry (URM) buildings, constructed with reinforced concrete (RC) slabs that provide an efficient rigid diaphragm action, no longer satisfy the seismic design check and have been retrofitted by adding or replacing URM walls with RC walls. Of late, also several new construction projects have been conceived directly as buildings with both RC and URM walls. Despite the widespread use of such construction technique, very little is known about the seismic behaviour of mixed RC-URM wall structures and codes do not provide adequate support to designers. The aim of the paper is therefore to propose a displacement-based design methodology for the design of mixed RC-URM edifices and the retrofit of URM buildings by replacing or adding selected URM walls with RC ones. The article describes also two tools developed for estimating important quantities relevant for the displacement-based design of structures with both RC and URM walls. The tools are (i) a mechanical model based on the shear-flexure interaction between URM and RC walls and (ii) an elastic model for estimating the contribution of the RC slabs to the overturning moment capacity of the system. In the last part of the article the proposed design method is verified through nonlinear dynamic analyses of several case studies. These results show that the proposed design approach has the ability of controlling the displacement profile of the designed structures, avoiding concentration of deformations in one single storey, a typical feature of URM wall structures.

• Proceedings of the Korean Geotechical Society Conference
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• 2005.03a
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• pp.1455-1460
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• 2005

This paper presents the results of an experimental study on the ground deformation by trench excavation for Diaphragm Wall construction. The model tests are performed to investigate the back ground deformation by lowering of slurry level in trench after excavating. Through these, the deformation characteristic of the back ground due to stress release of excavated space was investigated. This study considered relative density of soil mass and the distance between trench and surcharge. An experiment was performed in order to observe the failure pattern of a slurry-supported trench excavated in sandy ground. From model tests, in order to predict reasonably the deformation behavior of the adjacent ground due to the underground excavation, it is significantly recommended that the ground settlement by trench excavation should be considered.

• Steel and Composite Structures
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• v.1 no.3
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• pp.329-340
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• 2001

Cyclic response of "shear" connections between steel outrigger beams and reinforced concrete core walls is presented in this paper. The connections investigated in this paper consisted of a shear tab welded onto a plate that was connected to the core walls through multiple headed studs. The experimental data from six specimens point to a capacity larger than the design value. However, the mode of failure was through pullout of the embedded plate, or fracture of the weld between the studs and plate. Such brittle modes of failure need to be avoided through proper design. A capacity design method based on dissipating the input energy through yielding and fracture of the shear tab was developed. This approach requires a good understanding of the expected capacity of headed studs under combined gravity shear and cyclic axial load (tension and compression). A model was developed and verified against test results from six specimens. A specimen designed based on the proposed design methodology performed very well, and the connection did not fail until shear tab fractured after extensive yielding. The proposed design method is recommended for design of outrigger beam-wall connections.

• Nuclear Medicine and Molecular Imaging
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• v.40 no.4
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• pp.233-236
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• 2006

A 67-year-old man with a history of chronic obstructive pulmonary disease (COPD) underwent F-18 fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) for staging of gastric cancer. The projection images of F-18 FDG PET/CT showed intensely increased F-18 FDG uptake in the anterior neck, chest wall, and upper abdomen. We suspected distant metastases of cervical lymph nodes, ribs, and peritoneum in gastric canter. However, the transaxial images of F-18 FDG PET/CT showed abnormal F-18 FDG uptake in scalene muscles of anterior neck, intercostal muscles of chest wall, and diaphragm of upper abdomen. Patients with COPD use respiratory muscles extensively on the resting condition. These excessive physiologic use of respiratory muscles causes increased F-18 FDG uptake as a result of increased glucose metabolism. The F-18 FDG uptake in respiratory muscles of gastric cancer patient with COPD mimicked distant metastases in cervical lymph nodes, ribs, and peritoneum.

• Journal of the Korean Geotechnical Society
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• v.38 no.11
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• pp.119-135
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• 2022

This paper used dynamic centrifuge tests to examine the seismic response for a deep temporary retaining wall with four input motions of 100, 1,000, and 2,400 years of return periods. The centrifuge model was designed based on an actual deep excavation design with a 50 m maximum excavation depth. The model backfill was prepared with dry silica sand at a relative density of 55%, and the retaining wall was modeled as a 24.8 m height diaphragm wall supported by struts. Acceleration response was amplified at the backfill surface, top of the wall, and near bedrock. However, in the middle of the model, input motion was de-amplified. The member forces of the wall and strut induced by the seismic load, which excited, were compared with the member force at rest condition. The wall's maximum negative and positive moments were increased to 36% and 10% compared to the maximum moment at rest. The maximum axial force increases to 70% of the at rest axial force on the bottom strut. The equivalent static analysis using Mononobe-Okabe (M-O) and Seed-Whitman (S-W) seismic earth pressures were compared to the centrifuge results. Considering the bending moment, the analysis results with the M-O theory underestimates but that with the S-W theory overestimates.

• Journal of Chest Surgery
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• v.49 no.6
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• pp.481-484
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• 2016

A 53-year-old man arrived at the trauma center with a steel bar penetrating from the epigastrium to the right scapula. He was hypotensive and hypoxic, and immediate resuscitation and basic evaluation were performed. An emergency operation was performed due to an unstable hemodynamic state. Multiple injuries were confirmed in the right lower lobe, posterior chest wall, diaphragm, and liver lateral segment. Right lower lobectomy and liver lateral sectionectomy were performed following removal of the bar. The patient recovered without additional hemorrhage after the surgery, and was transferred to a rehabilitation institution with periodic follow-up.

• Proceedings of the Korean Geotechical Society Conference
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• 2002.10a
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• pp.435-442
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• 2002

Fluid Confirmation Tests(FCT) on 1500 ground Anchors install in weathered rock were carried out to investigate upper and lower limit of elastic elongation, frictional resistant of fixed anchor body, mobilized angle between anchor body and soil. All the measured data were analysed and compared with theoretical equations. The frictional angles of diaphragm wall and anchorage system in weathered rock showed nonlinear curve between upper and lower limit of standard elongation. The FCT results indicated that the frictional resistant angles increased with higher values of surcharge load. The quality assurance on the fixed anchor location was investigated by means of measuring elastic elongation during the FCT, and comparing these with theoretical design length, the quality of anchors in this particular site found to be above average standard. The results of this research works with provide valuable guide line on quality assurance of anchors system as well as resonable prediction of friction resistance between the fixed anchor body and the weathered rock.