• Journal of Gastric Cancer
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• v.7 no.2
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• pp.97-101
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• 2007

We report our experience with a case of performing laparoscopy-assisted total gastrectomy along with pancreas-preserving splenectomy for treating early gastric cancer. laparoscopy-assisted total gastrectomy was planned for a 62-year-old male patient with a double early gastric cancer located in the upper and lower third of the stomach. Five trocars were placed and we used a harmonic scalpel to dissect the greater curvature. Enlarged splenic hilar lymph node was encountered and they were proved to be metastasis by frozen section biopsy. We then performed total gastrectomy with pancreas-preserving splenectomy for the purpose of completely dissecting the lymph nodes along the splenic artery and splenic hilum. We created a 4 cm sized longitudinal mini-laparotomy below the xiphoid process to remove the specimen, and anastomosis was done via the Roux-en-Y method. The patient was discharged on the 9th postoperative days after an uneventful recovery. Our experience shows that laparoscopy-assisted total gastrectomy with pancreas-preserving splenectomy is a relatively safe procedure for treating upper third early gastric cancer with metastatic splenic hilar lymph nodes.

• Journal of Biomedical Engineering Research
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• v.25 no.1
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• pp.71-76
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• 2004

In order to investigate the Post-operative changes in scoliotic spine according to selection of fusion level a mathematical finite element model of King-Moe type II scoliotics spine system was developed. By utilizing this finite element scoliosis model surgical correction simulation procedures of pedicle fixation and derotation were simulated. In consequence of the calculation by changing the fusion Levels, postoperative changes like Cobb angle, apical vertebrae axial rotation (AVAR), thoracic kyphosis, and rib hump were Qualitatively analyzed. In the analysis of operative kinematics, the decrease or Cobb angle was most prominent in distraction than in deroation. Applying the rod derotation only was not effective in decrease of Cobb angle but just caused increase of At AR and rib hump. From the operative simulation, co-action or distraction and translation during rod insertion has major impact on Cobb angle decrease and maintenance of kyphosis. With rod rotation, Cobb angle decrease was obtained, but combined increase of AVAR and rib hump was simulation observed as well. The case of most extended instrumentation range with 60o rod rotation produced double decrease of Cobb angle, but the increase of rib hump and AYAR occurred corresponding1y. The optimum selection of fusion level was proved as one level less than inflection position of the thoracic spine curvature.

• Journal of the Korea institute for structural maintenance and inspection
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• v.26 no.3
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• pp.103-110
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• 2022

The purpose of this study is to experimentally evaluate the stiffness and strength reduction according to the reinforcing bar details of the vertically divided reinforced concrete shear walls. To confirm the effect of reducing strength and stiffness according to vertical division, four real-scale specimens were fabricated and repeated lateral loading tests were performed. As a result of the experiment, it was confirmed that the strength and stiffness were decreased according to the vertical division. In particular, as the stiffness reduction rate is greater than the strength reduction rate, it is expected that safety against extreme strength can be secured when the load is redistributed according to vertical division. As a result of checking the crack pattern, a diagonal crack occurred in the wall subjected to compression control among the divided walls. It was confirmed that two neutral axes occurred after division, and the reversed strain distribution appeared in the upper part, showing the double curvature pattern. In future studies, it is necessary to evaluate the stiffness reduction rate considering the effective height of the wall, to evaluate additional variables such as wall aspect ratio, and to conduct analytical studies on various walls using finite element analysis.

• Journal of the Korea institute for structural maintenance and inspection
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• v.27 no.4
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• pp.1-10
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• 2023

In the seismic design of structures, seismic forces are calculated based on structural models and analysis. In order to accurately address the dynamic characteristics of the actual structure in the structural model, calibration based on actual measurements is required. In this study, a 4-story frame test specimen was manufactured to simulate frame building, accelerometers were attached at each floor, and 1-axis shaking table test was performed. The natural period of the specimen was similar to that of the actual 4 story frame building, and the columns were designed to behave with double-curvature having the infinite stiffness of the horizontal members. To investigate the effects seismic waves characteristics, historical and artificial excitations with various frequencies and acceleration magnitudes were applied. The natural frequencies, damping ratios, and mode shapes were obtained using frequency response functions obtained from dynamic response signals, and the mode vector deviations according to the input seismic waves were verified using the Mode assurance criterion (MAC). In addition, the damping ratios obtained from the vibration tests were applied to the structural model, and the method with refined dynamic characteristics was validated by comparing the analysis results with the experimental data.