• Journal of Chest Surgery
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• 제34권12호
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• pp.937-943
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• 2001

배경 : 본 연구의 목적은 흉골골절에서 심혈관계 동반 손상의 예측인자를 알아내고 응급 심장 초음파검사의 적응증을 제시하고자 하였다. 대상 및 방법 : 1994년 3월부터 5년간 이화여자대학교 부속 목동병원 응급실을 통해 입원한 흉골골절로 입원한 40명의 환자들을 대상으로 후향적 분석을 시행하였다. 예측인자로서는 1) 안전띠 착용의 유무, 2) 동반 손상의 유무, 3) 심혈관계 질환의 병력 유무, 4) 내원시 환자의 RTS(Revised Trauma Score) 4가지를 대상으로 분석하였다. 또한 심혈관계 손상의 동반 유무를 파악하기 위하여 일반적으로 사용하는 심전도와 흉부 단순 촬영 및 심근 효소의 분획을 조사하였으며, 그 결과에서, 흉골골절에서 응급 심장 초음파 검사의 적응증을 추론하였다. 결과 : 흉골골절에서 심혈관계 손상의 동반 유무를 나타내는데 통계적으로 의미가 있다고 나온 인자로는 심혈관계 과거 병력이 있는 경우와 입원시 RTS의 이상을 들 수 있다. 응급 심장 초음파검사의 시행은 예측인자들과 심전도와 흉부 단순 촬영 및 심근 효소의 분획 같은 일반적으로 사용하는 검사 결과에 따라 시행하였다. 흉골골절 환자에서 응급 심장 초음파검사의 적응으로 1) 의미 있는 예측 인자의 변화가 없더라도 두 개 이상의 검사에서 이상소견을 보이던가, 2) 예측인자의 의미있는 변화가 하나 이상 나오는 경우를 들 수 있다. 결론 : 흉골골절 환자에서 심혈관계의 과거 병력과 초기활력 징후가 심혈관 동반 손상 유무를 중요하게 나타날 수 있으며, 필요한 경우, 응급 심장 초음파 검사를 시행하여 조기에 확진을 내리는 것이 중요하다고 생각한다.

• Journal of Trauma and Injury
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• 제27권3호
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• pp.50-56
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• 2014

Purpose: Rollover motor vehicle crashes have a higher injury severity and fatality than other motor vehicle crash types. From a left-quarter turn rollover accident of 25-passenger bus, we intend to assess the injury of the occupant and the injury severities according to the occupants' position. Methods: We carried out the 3 steps investigation of occupants' interview, visiting the repair shop and using the police report. We analyzed injuries sustained by occupants, and compared injury severities considering column, row in occupant's position and passenger interaction Results: The rollover involved 14 passengers in the bus who were all old women except a man driver. The most common injury was in the upper extremity, with six occurrences being a left clavicle fracture. Major injuries including hemothorax and pneumothorax were diagnosed at left side of the occupant. In the comparison of injury severity among driver's column (left side), mid column and passengercolumn, ISS of passenger column was the highest ($9.9{\pm}7.4$, $8.8{\pm}5.5$, and $10.3{\pm}4.0$, respectively, p>0.05). The injury severity of multiple occupants by row was higher than that of single occupant (10.8 vs. 3, p<0.05). Conclusion: An occupant must fasten their seat belt to prevent an injury by passenger interaction in the left-quarter turn rollover accident of a bus.

• 비파괴검사학회지
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• 제32권5호
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• pp.502-508
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• 2012

현재 골다공증 진단을 위하여 임상에서 이용되고 있는 정량적 초음파 기술은 종골(발뒤꿈치뼈)에서 음속(speed of sound; SOS) 및 광대역 초음파 감쇠(normalized broadband ultrasound attenuation; nBUA)와 같은 초음파 변수를 측정한다. 본 연구에서는 소 대퇴골로부터 제작된 20개의 해면질골 샘플을 이용하여 골절 위험도가 높은 대퇴골에서 SOS 및 nBUA의 골밀도에 대한 의존성을 살펴보았다. 대퇴골 해면질골 샘플의 SOS 및 nBUA는 1.0 MHz의 중심주파수를 갖는 한 쌍의 초음파 트랜스듀서와 함께 투과법을 이용하여 측정 하였다. 20개의 해면질골 샘플에서 측정된 SOS 및 nBUA는 골밀도와 각각 r = 0.83 및 0.72라는 높은 Pearson 상관계수 (r)를 갖는 것으로 나타났다. 또한 SOS 및 nBUA를 독립변수로 하고, 골밀도를 종속변수로 하는 다중선형회귀분석으로부터 다중선형회귀모델의 상관계수는 r = 0.85로서 SOS 또는 nBUA 중 하나만을 독립변수로 하는 단순선형회귀모델의 상관계수보다 높게 나타났다. 이와 같이 초음파 변수와 골밀도 사이의 높은 선형적인 상관관계는 대퇴골에서 측정된 초음파 변수가 대퇴골의 골밀도를 예측하기에 충분한 지표라는 것을 의미한다.

• Restorative Dentistry and Endodontics
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• 제23권1호
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• pp.197-212
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• 1998

The purpose of this study was to evaluate the effects of fluoride application on the aspect of shear bond strength of three aesthetic restorative materials to dentin. One light-cured composite resin(Palfique Esterite) and two light-cured glass ionomer cements(Fuji II LC and Compoglass)were used in this study. 120 permanent molars were used for this study. The teeth were extracted due to the origin of periodontal disease. The crowns of all teeth were removed, and the remaining roots were embedded in epoxy resin. The mesial or distal surfaces of roots were ground flat to expose dentin and polished on wet 320-, 400-, and 600 grit SIC papers for a total of 120 prepared flat root dentin surfaces. The prepared samples were divided into six groups. Group 1, 3, and 5 were control groups and group 2, 4, and 6 were experimental groups. Sixty samples for experimental groups were treated with 2% NaF solution for 5 minutes. Group 1 and 2 were bonded with Plafique Esterite, group 3 and 4 were bonded with Fuji II LC, and group 5 and 6 were bonded with Compoglass. After 24 hours water storage at $37{\pm}1^{\circ}C$, all samples were subjected to a shear to fracture with Instron universal testing machine(No.4467) at 1.0 mm/min displacement rate. Dentin surfaces treated with each conditioners before bonding and interfacial layers between dentin and aesthetic restorative materials were observed under Scanning Electron Microscope(Hitachi S-2300) at 20Kvp. The data were evaluated statistically at the 95% confidence level with ANOVA test. The result were as follows; 1. Among the control groups, group 1 showed strongest bond strength and group 3 showed weakest. 2. Among the experimental groups, group 2 showed strongest bond strength and group 6 showed weakest. 3. Statistical analysis of the data showed that pretreatment of dentin with 2% NaF solution significantly decreased the bond strength of three aesthetic restorative materials to dentin(P<0.05). 4. SEM findings of fluoride treated dentin surfaces (2, 4, 6 group) demonstrated dentin surfaces covered with fluoridated reaction products. 5. Except group 4 and 6, resin tags were formed in all groups.

• 대한한방부인과학회지
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• 제25권4호
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• pp.1-11
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• 2012

Objectives: Osteoporosis, which occurs after menopause, is a kind of metabolic bone disorder. It develops when the bone mass begins to decrease radically, and its main symptoms are bone fracture and height-shortening. This thesis aims at what effects the Cuscutae Semen Extract(CSE) has on the prevention of osteoporosis in SD-rat that is caused by ovariectomy. Methods: The 24 female white rats, after removing their ovaries, were divided into the Normals, the Control group, and the CSE administrated group. For the next 8 weeks, distilled water to the normals and the control, and the CSE(45.9 mg/100 g) to the CSE administrated group were given in the mouths of them. After 8 weeks the rats were sacrificed. Weight, albumin, aspartate aminotransferase, alanine aminotransferase, total-cholesterol, triglyceride, phosphorus, calcium, tetraiodothyronine, estradiol, the weight of the femur, the amount of tibia ash, the area of trabecular bone, and the thickness of trabecular bone were measured. Results: The serum analysis shows that the calcium and phosphorous of the CSE administrated group significantly increased compared to that of the control group. Aspartate aminotransferase, alkalinephosphatase, total cholesterol, tetraiodothyronine of CSE group were decreased, but not so significant. Albumin, alanine aminotransferase, triglyceride and estradiol of the group showed the tendency to increase, but the significance wasn't admitted. Regarding the variation of bone, the femur weight and the ash content of tibia, CSE group was more increased than the control group but the significance wasn't admitted. The histological observation shows that the trabecular thickness was more increased than the control group, and trabecular area increased significantly compared to those of the control group. The number of osteoclast and osteoblast area of the CSE groups decreased significantly compared to those of the control group. Conclusions: From the result of the above study, CSE should be effective for the osteoporosis cure and precaution and deeper study through bedside and clinical demonstration is much needed from now on.

• 한국재료학회지
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• 제28권11호
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• pp.663-670
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• 2018

H13 tool steels are widely used as metallic mold materials due to their high hardness and thermal stability. Recently, many studies are undertaken to satisfy the demands for manufacturing the complex shape of the mold using a 3D printing technique. It is reported that the mechanical properties of 3D printed materials are lower than those of commercial forged alloys owing to micropores. In this study, we investigate the effect of microstructures and defects on mechanical properties in the 3D printed H13 tool steels. H13 tool steel is fabricated using a selective laser melting(SLM) process with a scan speed of 200 mm/s and a layer thickness of $25{\mu}m$. Microstructures are observed and porosities are measured by optical and scanning electron microscopy in the X-, Y-, and Z-directions with various the build heights. Tiny keyhole type pores are observed with a porosity of 0.4 %, which shows the lowest porosity in the center region. The measured Vickers hardness is around 550 HV and the yield and tensile strength are 1400 and 1700 MPa, respectively. The tensile properties are predicted using two empirical equations through the measured values of the Vickers hardness. The prediction of tensile strength has high accuracy with the experimental data of the 3D printed H13 tool steel. The effects of porosities and unmelted powders on mechanical properties are also elucidated by the metallic fractography analysis to understand tensile and fracture behavior.

• Geomechanics and Engineering
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• 제24권3호
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• pp.215-226
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• 2021

To study the evolution mechanism of cracks in rocks with multiple defects, rock-like samples with multiple defects, such as strip-shaped through-going cracks and cavity groups, are used, and the crack propagation law and changes in AE (acoustic emission) and strain of cavity groups under different inclination angles are studied. According to the test results, an increase in the cavity group inclination angle can facilitate the initial damage degree of the rock and weaken the crack initiation stress; the initial crack initiation direction is approximately 90°, and the extension angle is approximately 75~90° from the strip-shaped through-going cracks; thus, the relationship between crack development and cavity group initiation strengthens. The specific performance is as follows: when the initiation angle is 30°, the cracks between the cavities in the cavity group develop relatively independently along the parallel direction of the external load; when the angle is 75°, the cracks between the cavities in the cavity group can interpenetrate, and slip can occur along the inclination of the cavity group under the action of the shear mechanism rupture. With the increase in the inclination angle of the cavity group, the AE energy fluctuation frequency at the peak stress increases, and the stress drop is obvious. The larger the cavity group inclination angle is, the more obvious the energy accumulation and the more severe the rock damage; when the cavity group angle is 30° or 75°, the peak strain of the local area below the strip-shaped through-going fracture plane is approximately three times that when the cavity group angle is 45° and 60°, indicating that cracks are easily generated in the local area monitored by the strain gauge at this angle, and the further development of the cracks weakens the strength of the rock, thereby increasing the probability of major engineering quality damage. The research results will have important reference value for hazard prevention in underground engineering projects through rock with natural and artificial defects, including tunnels and air-raid shelters.

• 한국구조물진단유지관리공학회 논문집
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• 제25권5호
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• pp.173-181
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• 2021

철근콘크리트 구조물은 다양한 환경에 노출되어 수분 침투로 인한 철근 부식이 발생하며, 부식으로 인한 구조물의 내구성능 저하 문제가 발생할 수 있다. 따라서 이러한 문제점을 해결하기 위해 철근에 비해 인장강도, 비부식성, 경량화 등 뛰어난 장점을 가진 FRP 보강근에 대한 연구가 활발히 진행되고 있다. FRP 보강근은 철근과 달리 항복 구간이 없으므로 파괴 시까지 선형탄성거동이 나타나고 탄성계수가 낮아 과도한 처짐이 발생할 수 있으므로 한계상태 조건에 대한 적용성 검토가 필요하다. 한계상태에서 FRP 보강 콘크리트 의 휨 설계 시 ACI 440.1R은 FRP 보강근의 재료적 불확실성을 고려하여 환경감소계수와 강도감소계수를 모두 적용하여 휨강도가 크게 낮아진다. 따라서 본 연구에서는 국내·외 다양한 문헌을 조사하여 유효단면이차모멘트 제안식의 처짐 해석 결과와 실험결과를 비교하였으며, ACI 440.1R 및 Fib bulletin 40의 설계휨강도를 분석하였다. 실험 결과에 따른 휨강도는 ACI 440.1R에 비해 Fib bulletin 40의 설계휨강도와 유사한 경향이 확인되었으며, 인장지배단면에서 ACI 440.1R은 설계휨강도를 보수적으로 평가하는 것으로 나타났다.

• 대한두개안면성형외과학회지
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• 제23권4호
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• pp.171-177
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• 2022

Background: The treatment of zygoma complex fractures is of crucial importance in the field of plastic surgery. However, surgical methods to correct zygoma complex fractures, including the number of fixation sites, differ among operators. Although several studies have compared two-point and three-point fixation, no comparative research has yet been conducted on one-point versus two-point fixation using computed tomography scans of surgical results. Therefore, the present study aimed to address this gap in the literature by comparing surgical results between one-point and two-point fixation procedures. Methods: In this study, we randomly selected patients to undergo surgery using one of two surgical methods. We analyzed patients with unilateral zygoma complex fractures unaccompanied by other fractures according to whether they underwent one-point fixation of the zygomaticomaxillary buttress or two-point fixation of the zygomaticomaxillary buttress and the zygomaticofrontal suture. We then made measurements at three points-the zygomaticofrontal suture, inferior orbital wall, and malar height-using 3-month postoperative computed tomography images and performed statistical analyses to compare the results of the two methods. Results: All three measurements (zygomaticofrontal suture, inferior orbital wall, and malar height) showed significant differences (p< 0.05) between one-point and two-point fixation. Highly significant differences were found for the zygomaticofrontal suture and malar height parameters. The difference in the inferior wall measurements was less meaningful, even though it also reached statistical significance. Conclusion: Using three parameters in a statistical analysis of imaging findings, this study demonstrated significant differences in treatment outcomes according to the number of fixations. The results indicate that bone alignment and continuity can be achieved to a greater extent by two-point fixation instead of one-point fixation.

• 자원환경지질
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• 제55권1호
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• pp.1-17
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• 2022

암반의 역학적 및 열적 특성은 고준위방사성폐기물(high-level radioactive waste; HLW) 심지층 처분시스템 내 방사성 물질의 격리 및 이동 지연 능력과 관련된 성능에 영향을 미칠 수 있다. 이 연구는 HLW 처분시설 부지의 암반역학적 및 열적 특성과 관련된 부지설명모델에 필수적인 항목을 고찰하고 스웨덴과 핀란드의 선행 부지설명모델 사례를 통한 기술적 배경을 논의하였다. 스웨덴 SKB (Swedish Nuclear and Fuel Management Company)와 핀란드 Posiva는 암반역학적 및 열적 특성 조사·평가에 필수적인 항목을 제시하고 부지의 안전성 분석과 처분시설의 건설을 위한 암반역학 부지설명모델을 도출하였다. 암반역학 부지설명모델은 처분시설 부지 내 응력 분포와 더불어 신선암, 절리, 절리성 암반에 대한 강도 및 변형특성과 대규모 변형대의 기하학적 구조, 소규모 불연속면의 연결망 구조 및 암석의 열적 특성에 대한 조사·평가 결과를 포함한다. 또한, 암반역학 부지설명모델은 입력변수에 대한 민감도 분석결과와 입력변수의 불확실성에 대한 평가 결과를 제시하여야 한다.