• Title/Summary/Keyword: fracture patterns

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Dental trauma trends in emergency care: a comparative analysis before, during, and after COVID-19

  • Woo-Jung Yang;Ji-Young Yoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.6
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    • pp.339-346
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    • 2023
  • Objectives: This analysis details the characteristics of dental trauma in South Korea during the coronavirus disease 2019 (COVID-19) (DC) pandemic and compares them in patients before and after COVID-19 (BC and AC, respectively). Materials and Methods: Data were collected from medical records of patients who visited Seoul National University Bundang Hospital's Emergency Dental Care Center during three 12-month periods: BC, DC, and AC (BC from March 1, 2019 to February 29, 2020; DC from March 1, 2020 to February 28, 2021; AC from March 1, 2022 to February 28, 2023). A retrospective review was conducted to investigate patient age, sex, time of visit, cause, and diagnosis. The study included 1,544 patients: 660 BC, 374 DC, and 510 AC. Results: Significant difference in age and sex was not observed among the three periods; 1-9 years of age was the largest group (38.3% in BC, 29.6% in DC, and 27.8% in AC), and the percentage of male patients was greater than of female patients (male proportion as 63.5% in BC, 67.4% in DC, and 64.9% in AC). The number of patients generally peaked at a Saturday night in spring (for BC: May, Saturday, 18:00-19:59; for DC: March, Saturday, 18:00-19:59; for AC: April as the second most (October as the most peaked), Saturday, 20:00-21:59). The primary etiology of the dental trauma was identical in the three periods: falls, followed by sports. The most frequent diagnosis was laceration, followed by tooth avulsion and jaw fracture. Conclusion: Significant differences were not found between the characteristics and patterns of dental trauma in the BC, DC, and AC periods. However, due to the pandemic and social distancing, activities decreased and associated dental trauma-related incidents declined.

Development of High-strength, High-temperature Nb-Si-Ti Alloys through Mechanical Alloying (기계적 합금화를 통한 고강도-고내열 Nb-Si-Ti계 합금 개발에 관한 연구)

  • Jung-Joon Kim;Sang-Min Yoon;Deok-Hyun Han;Jongmin Byun;Young-Kyun Kim
    • Journal of Powder Materials
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    • v.31 no.1
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    • pp.30-36
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    • 2024
  • The aerospace and power generation industries have an increasing demand for high-temperature, high-strength materials. However, conventional materials typically lack sufficient fracture toughness and oxidation resistance at high temperatures. This study aims to enhance the high-temperature properties of Nb-Si-Ti alloys through ball milling. To analyze the effects of milling time, the progression of alloying is evaluated on the basis of XRD patterns and the microstructure of alloy powders. Spark plasma sintering (SPS) is employed to produce compacts, with thermodynamic modeling assisting in predicting phase fractions and sintering temperature ranges. The changes in the microstructure and variation in the mechanical properties due to the adjustment of the sintering temperature provide insights into the influence of Nb solid solution, Nb5Si3, and crystallite size within the compacts. By investigating the changes in the mechanical properties through strengthening mechanisms, such as precipitation strengthening, solid solution strengthening, and crystallite refinement, this study aims to verify the applicability of Nb-Si-Ti alloys in advanced material systems.

Numerical analysis on dynamic response and damage assessment of FRP bars reinforced-UHPC composite beams under impact loading

  • Tao Liu;Qi M. Zhu;Rong Ge;Lin Chen;Seongwon Hong
    • Computers and Concrete
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    • v.34 no.4
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    • pp.409-425
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    • 2024
  • This paper utilizes LS-DYNA software to numerically investigate impact response and damage evaluation of fiber-reinforced polymer (FRP) bars-reinforced ultra-high-performance concrete (UHPC) composite beams (FRP-UHPC beams). Three-dimensional finite element (FE) models are established and calibrated by using literature-based static and impact tests, demonstrating high accuracy in simulating FRP-UHPC beams under impact loading. Parametric analyses explore the effects of impact mass, impactor height, FRP bar type and diameter, and clear span length on dynamic response and damage modes. Two failure modes emerge: tensile failure with bottom longitudinal reinforcement fracture and compression failure with local concrete compression near the impact region. Impact mass or height variation under the same impact energy significantly affects the first peak impact force, but minimally influences peak midspan displacement with a difference of no more than 5% and damage patterns. Increasing static flexural load-carrying capacity enhances FRP-UHPC beam impact resistance, reducing displacement deformation by up to 30%. Despite similar static load-carrying capacities, different FRP bars result in varied impact resistance. The paper proposes a damage assessment index based on impact energy, static load-carrying capacity, and clear span length, correlating well with beam end rotation. Their linearly-fitting coefficient was 1.285, 1.512, and 1.709 for the cases with CFRP, GFRP, and BFRP bars, respectively. This index establishes a foundation for an impact-resistant design method, including a simplified formula for peak midspan displacement assessment.

Relationships between Texture and Physical Properties of Jurassic Unagsan and Cretaceous Sogrisan Granites (쥬라기 운악산 및 백악기 속리산 화강암류의 조직과 물성과의 관계)

  • Yun Hyun-Soo;Park Deok-Won;Hong Sei-Sun;Kim Ju-Yong;Yang Dong-Yoon;Chang Soobum
    • The Journal of Engineering Geology
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    • v.15 no.2 s.42
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    • pp.169-184
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    • 2005
  • Unagsan and Sogrisan granites are widely distributed in the northern Gyeonggi massif and middle Ogcheon belt, respectively, and they show different petrologic characteristics as follows. The former has compact textures and light grey colors, and the latter has spotted miarolitic textures and pink colors. Most of the samples selected for tests are fresh and coarse-grained. And bored core samples were prepared so that they are vertical to the rift plane. The results of modal analysis show that Unagsan granite has significantly higher quartz and plagioclase contents (Qz+Pl) than Sogrisan granite. In contrast, alkali feldspar content (Af) of Sogrisan granite is much higher than that of Unagsan granite. Therefore, it is believed that the light grey colors of Unagsan granite are due to relatively high Qz+Pl, and the pink colors of Sogrisan granite are caused by higher Af. Fractures in Sogrisan granite have strongly perpendicular strike patterns and more dip values close to vertical compared with the fractures in Unagsan granite. Results of the fracture pattern analysis suggest that the Sogrisan granite has better potential to produce dimension stones than the Unagsan granite. However, miarolitic textures often found in the Sogrisan granite may be one of the factors reducing the granite quality. The Unagsan and Sogrisan granites have similar specific gravity values of 2.60 and 2.57, respectively. Absorption ratios and porosity values of Sogrisan granite are higher than those of Unagsan granite, and they shows linearly positive correlations. Compressive and tensile strengths of the Unagsan granite are generally higher than those of Sogrisan granite. These differences and variation trends found in physical properties of Unagsan and Sogrisan granite can be explained by the differences in the textures of Unagsan and Sogrisan granites, namely compact and miarolitic textures respectively. For Unagsan granite, compressive and tensile strengths are negatively correlated with porosity but for Sogrisan granite no specific correlations are found. This is probably due to the irregular dispersion patterns of miarolitic textures formed during the later stages of magmatic processes. Contrary to the trends found in absorption ratios, both granites have similar values of abrasive hardness, which can be explained by higher Qz+Af of the Sogrisan granite than those of the Unagsan granite and that quartz and alkali feldspar have relatively larger hardness values. For Sogrisan granite, compressive strength shows slightly positive correlations with Qz+Af+Pl and negative correlations with biotite and accessory mineral contents (Bt+Ac).

Status and Implications of Hydrogeochemical Characterization of Deep Groundwater for Deep Geological Disposal of High-Level Radioactive Wastes in Developed Countries (고준위 방사성 폐기물 지질처분을 위한 해외 선진국의 심부 지하수 환경 연구동향 분석 및 시사점 도출)

  • Jaehoon Choi;Soonyoung Yu;SunJu Park;Junghoon Park;Seong-Taek Yun
    • Economic and Environmental Geology
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    • v.55 no.6
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    • pp.737-760
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    • 2022
  • For the geological disposal of high-level radioactive wastes (HLW), an understanding of deep subsurface environment is essential through geological, hydrogeological, geochemical, and geotechnical investigations. Although South Korea plans the geological disposal of HLW, only a few studies have been conducted for characterizing the geochemistry of deep subsurface environment. To guide the hydrogeochemical research for selecting suitable repository sites, this study overviewed the status and trends in hydrogeochemical characterization of deep groundwater for the deep geological disposal of HLW in developed countries. As a result of examining the selection process of geological disposal sites in 8 countries including USA, Canada, Finland, Sweden, France, Japan, Germany, and Switzerland, the following geochemical parameters were needed for the geochemical characterization of deep subsurface environment: major and minor elements and isotopes (e.g., 34S and 18O of SO42-, 13C and 14C of DIC, 2H and 18O of water) of both groundwater and pore water (in aquitard), fracture-filling minerals, organic materials, colloids, and oxidation-reduction indicators (e.g., Eh, Fe2+/Fe3+, H2S/SO42-, NH4+/NO3-). A suitable repository was selected based on the integrated interpretation of these geochemical data from deep subsurface. In South Korea, hydrochemical types and evolutionary patterns of deep groundwater were identified using artificial neural networks (e.g., Self-Organizing Map), and the impact of shallow groundwater mixing was evaluated based on multivariate statistics (e.g., M3 modeling). The relationship between fracture-filling minerals and groundwater chemistry also has been investigated through a reaction-path modeling. However, these previous studies in South Korea had been conducted without some important geochemical data including isotopes, oxidationreduction indicators and DOC, mainly due to the lack of available data. Therefore, a detailed geochemical investigation is required over the country to collect these hydrochemical data to select a geological disposal site based on scientific evidence.

Sports Injuries in College Taekwondo Players: Retrospective Analysis of 47 Players (대학 태권도 선수들에서의 스포츠 손상: 47명에 대한 후향적 연구)

  • Jung, Hong-Geun;Park, Hee-Gon;Kim, Jong-Phil;Kim, You-Jin;Kim, Ki-Choul;Kim, Young-In;Lee, Sang-Min
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.1
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    • pp.69-74
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    • 2006
  • Purpose: To perform the retrospective analysis of the sports injuries sustained by the college Taekwondo athletes in the respect of the injury patterns, mechanism of injury and clinical outcome Materials and Methods: This study is based on 47 out of 49 college Takwondo athletes, who had experienced the Takwondo related musculoskeletal injuries severe enough to visit the clinic for medical treatment. The mean age at the time of injury was 18.8 years and 39 were males and 8 females. The Taekwondo career was average 9.6 years and the injuries were sustained at average 6.7 years of their career. The injuries were analyzed by the detailed interview with thorough physical examination. Results: Forty-seven Taekwondo athletes in the study experienced average 1.8 injury/person (total 85 cases) with 26 persons of one time experience(55.3%), 11 persons of 2 times(23.4%),4 persons of 3 times (8.5%),5 persons of 4 times (10.6%) and 1 person of 5 times (2.2%). Injuries occurred during training in 50 cases (58.8%), while during match in 35 cases (41.2%). Injuries occurred during the attack phase of the match are 26 cases (31.7%) while 49 cases (57.6%) during the defense phase. As for the pattern of injury, fracture was the most common with 49 cases (57.6%), followed by ligament injury with 21 cases (24.7%). The upper extremity injuries were 32 cases (37.7%) while the lower extremity injuries were 44 cases (51.8%) Mode of medical treatment were operation in 15cases(17.7%), cast in 21 cases(24.7%), splint in 33 cases (38.8%), physical therapy in 15cases(17.7%) and acupuncture in 1 case(1.1%) Conclusion: Almost all the college Taekwondo athletes (96%) experienced sports injuries severe enough to receive medical treatments with the fracture being the most common injury pattern. The injuries occurred more commonly during the defense phase of the competition.

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Differential Diagnosis of Metastatic Bone Disease and Benign Bone Disease on Spine SPECT in Patients with Low Back Pain (요통 환자의 척추골 SPECT에서 골전이 병변과 양성골질환의 섭취 양상 분석을 통한 감별진단이 가능한가)

  • Lee, Seung-Hun;Choi, Yun-Young;Cho, Suk-Shin
    • The Korean Journal of Nuclear Medicine
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    • v.35 no.6
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    • pp.371-377
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    • 2001
  • Purpose: One or more abnormal vertebrae detected on bone scintigraphy is a common finding in clinical practice, and it could pose a diagnostic dilemma especially in cancer patients. as either metastasis or benign disease may cause scintigraphic abnormality. The purpose of this study was to determine whether additional spine SPECT has a role in differentiating malignant from benign lesions in patients with back pain. Materials and Methods: We reviewed spine SPECT studios obtained over a three-year period in 108 patients. Among them, forty-five patients with abnormal SPECT and clinically followed records were evaluated (20 cancer patients were included). Uptake patterns were classified as follows: 1. Body: diffusely increased uptake, linear increased uptake of end plate, segmental increased uptake, and cold defect, 2. Posterior element: posterior to body (pedicle), posterior to Intervertebral disc space (facet joint), and spinous process. Lesions were correlated with radiological findings and with final diagnosis. Results: Sixty-nine bone lesions were detected on SFECT images, including 18 metastases, 28 degenerative diseases and 21 compression fractures. Cold defect (6) and segmental increased uptake (5) were dominant findings in metastasis; linear increased uptake (12), and facet joint uptake (15) were in degenerative change; and diffuse increased uptake (9), and linear increased uptake (9) were in compression fracture. Conclusion: Cold defect and segmental increased uptake of body were characteristic findings of metastasis, but care should be taken because compression fracture also shows segmental increased uptake in some cases. Degenerative disease was easily diagnosed because of the typical finding of linear increased uptake of end plate and facet joint. Therefore, additional bone SPECT after planar bone scan would be helpful for differentiating metastasis from benign condition in cancer patients.

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Imaging Inner Structure of Bukbawi at Mt. Palgong Provincial Park Using Ground Penetrating Radar (지하투과레이더를 활용한 팔공산 도립공원 북바위 내부구조 연구)

  • Kim, Hyeong-Gi;Baek, Seung-Ho;Kim, Seung-Sep;Lee, Na Young;Kwon, Jang-Soon
    • Economic and Environmental Geology
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    • v.50 no.6
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    • pp.487-495
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    • 2017
  • A granite rock body, called 'Bukbawi', located on a mountaineering trail at Mt. Palgong Provincial Park is popular among the public because it resembles a percussion instrument. If someone hits the specific surface area of this rock body, people can hear drum-like sound. Such phenomenon may be geologically associated with exfoliation process of the granite body or miarolitic cavity developed after gasses escaped during formation of granite. To understand better the inner structure causing drum-like sound, we carried out a non-destructive ground-penetrating radar survey. In this study, as our primary target is very close to the surface, we utilized 1 GHz antennas to produce high-resolution near-surface images. In order to construct 3-D internal images, the measurements were conducted along a pre-defined grid. The processed radargrams revealed that the locations associated with 'drum' sound coincide with strong reflections. In addition, both reflection patterns of fracture and cavity were observed. To further quantify the observed reflections, we simulated GPR scans from a synthetic fracture in a granite body, filled with different materials. The simulated results suggest that both exfoliation process and miarolitic cavity may have contributed to the 'drum' phenomena. Furthermore, the radargrams showed a well-developed cavity signature where two major reflection planes were crossed. Thus, our study is an example of non-destructive geophysical studies that can promote Earth Science in the broader community by examining geological structures attracting the public.

The Trend of Change in Oral and Maxillofacial Injuries of Pediatric Patients in the COVID-19 Pandemic: a Regional Emergency Medical Center and Dental Hospital Study (COVID-19 팬데믹 상황에서 소아 환자의 구강악안면 외상의 변화 추이: 단일 기관 연구)

  • Suebin Choi;Chankue Park;Jonghyun Shin;Taesung Jeong;Eungyung Lee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.3
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    • pp.318-333
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    • 2023
  • The purpose of this study is to analyze changes in dental trauma in children under the age of 12 during the period of Coronavirus Disease 2019 (COVID-19). March 2020, when COVID-19 was officially declared a pandemic by the World Health Organization, was set as the starting point for COVID-19. From March 2018 to February 2020, subjects in the pre-COVID-19 period were classified as the Pre-COVID-19 group, and from March 2020 to March 2022, subjects in the post-COVID-19 period were classified as the COVID-19 group. Information related to trauma was collected through electronic medical records. The number of trauma patients before and after the outbreak of COVID-19 decreased significantly. During the COVID-19 period, there was no significant difference in the male-female ratio or the distribution order of age groups. In the COVID-19 group of permanent teeth, the ratio of trauma caused by personal mobility was higher than trauma caused by sports. In the COVID-19 group of permanent teeth, the ratio of crown fracture with pulp involvement was significantly higher than the ratio of crown fracture without pulp involvement. Changes in trauma patterns caused by COVID-19 were observed more clearly in school-aged children than in preschool children. In a pandemic situation such as COVID-19, it is expected to be used as a good educational basis for knowing that frequent diagnoses can change due to changes in the environment.

EFFECT OF ANCHORAGE SYSTEMS ON LOAD TRANSFER WITH MANDIBULAR IMPLANT OVERDENTURES : A THREE-DIMENSIONAL PHOTOELASTIC STRESS ANALYSIS (하악 임플란트 overdenture에서 anchorage system이 하중전달에 미치는 영향)

  • Kim Jin-Yeol;Jeon Young-Chan;Jeong Chang-Mo
    • The Journal of Korean Academy of Prosthodontics
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    • v.40 no.5
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    • pp.507-524
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    • 2002
  • Load transfer of implant overdenture varies depending on anchorage systems that are the design of the superstructure and substructure and the choice of attachment. Overload by using improper anchorage system not only will cause fracture of the framework or screw but also may cause failure of osseointegration. Choosing anchorage system in making prosthesis, therefore, can be considered to be one of the most important factors that affect long-term success of implant treatment. In this study, in order to determine the effect of anchorage systems on load transfer in mandibular implant overdenture in which 4 implants were placed in the interforaminal region, patterns of stress distribution in implant supporting bone in case of unilateral vertical loading on mandibular left first molar were compared each other according to various types of anchorage system using three-dimensional photoelastic stress analysis. The five photoelastic overdenture models utilizing Hader bar without cantilever using clips(type 1), cantilevered Hader bar using clips(type 2), cantilevered Hader bar with milled surface using clips(type 3), cantilevered milled-bar using swivel-latchs and frictional pins(type 4), and Hader bar using clip and ERA attachments(type 5), and one cantilevered fixed-detachable prosthesis(type 6) model as control were fabricated. The following conclusions were drawn within the limitations of this study, 1. In all experimental models. the highest stress was concentrated on the most distal implant supporting bone on loaded side. 2. Maximum fringe orders on ipsilateral distal implant supporting bone in a ascending order is as follows: type 5, type 1, type 4, type 2 and type 3, and type 6. 3. Regardless of anchorage systems. more or less stresses were generated on the residual ridge under distal extension base of all overdenture models. To summarize the above mentioned results, in case of the patients with unfavorable biomechanical conditions such as not sufficient number of supporting implants, short length of the implant and unfavorable antero-posterior spread. selecting resilient type attachment or minimizing distal cantilever bar is considered to be appropriate methods to prevent overloading on implants by reducing cantilever effect and gaining more support from the distal residual ridge.