• Title/Summary/Keyword: fractures

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Two Cases of Fractured and Embolized Implanted Central Venous Chemoports in Lung Cancer (폐암환자에서 발생한 피하매몰 중심정맥포트 골절 및 색전증 2예)

  • Ju, Jin Yung;Cho, Jae Yeong;Lim, Jung Hwan;Cho, Gye Jung;Chae, Dong Ryeol;Oh, In Jae;Kim, Kyu Sik;Kim, Yu Il;Lim, Sung Chul;Kim, Young Chul;Song, Sang Yoon;Na, Kook Ju;Kim, Yun Hyun;Kim, Jae Kyu
    • Tuberculosis and Respiratory Diseases
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    • v.63 no.5
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    • pp.449-453
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    • 2007
  • Totally implanted central venous access devices for chemotherapy (chemoport) are being used increasingly in lung cancer patients. Vascular catheters are associated with various complications including infection, thrombosis as well as spontaneous fractures and embolization of the catheter, which is known as 'pinch-off syndrome'. 'Pinch-off syndrome' refers to the compression of a subclavian central venous catheter between the clavicle and first rib resulting in an intermittent or permanent obstruction, which can lead to tears, transection, or embolization. We report two cases of fractured and embolized implanted subclavian venous catheters in which the fragments were removed percutaneously. A 62-year-old man presented with back pain with a duration of a few weeks. The chest radiograph revealed complete transsection and embolization of the catheter into the right atrium. In addition, a 47-year-old woman with a chemoport had a grade 3 pinch-off sign in a chest radiograph demonstrating complete transsection and embolization of the catheter into the pulmonary artery. Both cases were managed by retrieving the embolized distal fragment percutaneously and removing the proximal section of the catheter.

Modeling the Effect of Water, Excavation Sequence and Reinforcement on the Response of Tunnels

  • Kim, Yong-Il
    • Journal of the Korean Geotechnical Society
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    • v.15 no.3
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    • pp.161-176
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    • 1999
  • A powerful numerical method that can be used for modeling rock-structure interaction is the Discontinuous Deformation Analysis (D D A) method developed by Shi in 1988. In this method, rock masses are treated as systems of finite and deformable blocks. Large rock mass deformations and block movements are allowed. Although various extensions of the D D A method have been proposed in the literature, the method is not capable of modeling water-block interaction, sequential loading or unloading and rock reinforcement; three features that are needed when modeling surface or underground excavation in fractured rock. This paper presents three new extensions to the D D A method. The extensions consist of hydro-mechanical coupling between rock blocks and steady water flow in fractures, sequential loading or unloading, and rock reinforcement by rockbolts, shotcrete or concrete lining. Examples of application of the D D A method with the new extensions are presented. Simulations of the underground excavation of the \ulcornerUnju Tunnel\ulcorner in Korea were carried out to evaluate the influence of fracture flow, excavation sequence and reinforcement on the tunnel stability. The results of the present study indicate that fracture flow and improper selection of excavation sequence could have a destabilizing effect on the tunnel stability. On the other hand, reinforcement by rockbolts and shotcrete can stabilize the tunnel. It is found that, in general, the D D A program with the three new extensions can now be used as a practical tool in the design of underground structures. In particular, phases of construction (excavation, reinforcement) can now be simulated more realistically.

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Slope Failure Along the Weathered And Mobilized Foliation Plane : Studies for Causes of the Failure and the Supporting Methodologies (풍화된 엽리면을 따라 붕괴된 대절토 사면의 붕괴요인 분석과 보강방안에 대한 연구)

  • Hwang, Sang-Gi;Kim, Young-Muk;Ji, In-Taeg;Jeon, Byoung-Choo
    • Proceedings of the Korean Geotechical Society Conference
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    • 2009.09a
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    • pp.775-784
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    • 2009
  • Weathered foliation could act as a critical failure plane because this type of plane tend to have low roughness and long extensions. A big constructed slope at $\bigcirc\bigcirc$ road construction site was failed due to the block movement along a fault zone which is parallel to foliation. Tectonic activity reactivated a fault zone parallel to foliation, and the fault clay within the shear zone metamorphosed retrogressively to chrolite. The failed block moved when the block weigh lost the balancing with the resisting force of the retrogressively metamorphosed chrolite. Evaluating the three dimensional distribution of the foliation was critical for establishing a plan for the stabilization of the slope. For this purpose, 10 boreholes were drilled as a lattice distribution, and the BIPS analyses are performed at each boreholes. The fractures measured in the boreholes are projected into 15 cross sections and their distributions are analysed, using Fracjection software. The projection analyse show that the strike of the foliation gets dipper towards left side of the slope. This geometry indicates that there are more failure block geometry at left side of the slope. Potential failure planes are searched using the projection method, and these information are provided for further support design.

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Relationship of box counting of fractured rock mass with Hoek-Brown parameters using particle flow simulation

  • Ning, Jianguo;Liu, Xuesheng;Tan, Yunliang;Wang, Jun;Tian, Chenglin
    • Geomechanics and Engineering
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    • v.9 no.5
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    • pp.619-629
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    • 2015
  • Influenced by various mining activities, fractures in rock masses have different densities, set numbers and lengths, which induce different mechanical properties and failure modes of rock masses. Therefore, precisely expressing the failure criterion of the fractured rock influenced by coal mining is significant for the support design, safety assessment and disaster prevention of underground mining engineering subjected to multiple mining activities. By adopting PFC2D particle flow simulation software, this study investigated the propagation and fractal evolution laws of the micro cracks occurring in two typical kinds of rocks under uniaxial compressive condition. Furthermore, it calculated compressive strengths of the rocks with different confining pressures and box-counting dimensions. Moreover, the quantitative relation between the box-counting dimension of the rocks and the empirical parameters m and s in Hoek-Brown strength criterion was established. Results showed that with the increase of the strain, the box-counting dimension of the rocks first increased slowly at the beginning and then exhibited an exponential increase approximately. In the case of small strains of same value, the box-counting dimensions of hard rocks were smaller than those of weak rocks, while the former increased rapidly and were larger than the latter under large strain. The results also presented that there was a negative correlation between the parameters m and s in Hoek-Brown strength criterion and the box-counting dimension of the rocks suffering from variable mining activities. In other words, as the box-counting dimensions increased, the parameters m and s decreased linearly, and their relationship could be described using first order polynomial function.

Development of Efficient Monitoring Algorithm at EGS Site by Using Microseismic Data (미소진동 자료를 이용한 EGS 사이트에서의 효율적인 모니터링 알고리듬 개발)

  • Lee, Sangmin;Byun, Joongmoo
    • Geophysics and Geophysical Exploration
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    • v.19 no.3
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    • pp.111-120
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    • 2016
  • In order to enhance the connectivity of fracture network as fluid path in enhanced/engineered geothermal system (EGS), the exact locating of hydraulic fractured zone is very important. Hydraulic fractures can be tracked by locating of microseismic events which are occurred during hydraulic fracture stimulation at each stage. However, since the subsurface velocity is changed due to hydraulic fracturing at each stage, in order to find out the exact location of microseismic events, we have to consider the velocity change due to hydraulic fracturing at previous stage when we perform the mapping of microseimic events at the next stage. In this study, we have modified 3D locating algorithm of microseismic data which was developed by Kim et al. (2015) and have developed 3D velocity update algorithm using occurred microseismic data. Eikonal equation which can efficiently calculate traveltime for complex velocity model at anywhere without shadow zone is used as forward engine in our inversion. Computational cost is dramatically reduced by using Fresnel volume approach to construct Jacobian matrix in velocity inversion. Through the numerical test which simulates the geothermal survey geometry, we demonstrated that the initial velocity model was updated by using microseismic data. In addition, we confirmed that relocation results of microseismic events by using updated velocity model became closer to true locations.

Seismic Anisotropy Physical Modeling with Vertical Transversely Isotropic Media (VTI 매질의 탄성파 이방성 축소모형실험)

  • Ha, Young-Soo;Shin, Sung-Ryul
    • Geophysics and Geophysical Exploration
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    • v.13 no.4
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    • pp.307-314
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    • 2010
  • Although conventional seismic data processing is based on the assumption that the media are isotropic, the subsurface is often anisotropy in shale formation or carbonate with cracks and fractures. This paper presents the anisotropic parameter and seismic modeling in transversely isotropic media with a vertical symmetry axis using seismic physical modeling. The experiment was successfully carried out with VTI media, laminated bakelite material, using contact transducer of p and s-wave transmission. The variation of velocities with angle of incidence was clearly shown in anisotropic material. Comparing these velocities with the calculated phase velocities, the (P) and (S)-wave velocity observed in anisotropic material was a very good agreement with the calculated values. Anisotropic parameter ${\varepsilon}$, ${\delta}$, ${\gamma}$ was estimated by using Lame's constant calculated from the observed velocity. For the purpose of testing (S)-wave polarization, a birefringence experiment was carried out. The higher velocity was associated with the polarization parallel to the fracture, and the lower velocity was associated with the polarization perpendicular to the fracture.

Interpretation of Geophysical Well Logs from Deep Geothermal Borehole in Pohang (포항 심부 지열 시추공에 대한 물리검층 자료해석)

  • Hwang, Se-Ho;Park, In-Hwa;Song, Yoon-Ho
    • Geophysics and Geophysical Exploration
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    • v.10 no.4
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    • pp.332-344
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    • 2007
  • Various geophysical well logs have been made along the four deep wells in Pohang, Gyeongbuk. The primary focus of geophysical well loggings was to improve understanding the subsurface geologic structure, to evaluate in situ physical properties, and to estimate aquifer production zones using fluid temperature and conductivity gradient logs. Especially natural gamma logs interpreted with core logs of borehole BH-1 were useful to discriminate the lithology and to determine the lithologic sequences and boundaries consisting of semi-consolidated Tertiary sediments and intrusive rocks such as basic dyke and Cretaceous sediments. Cross-plot of physical properties inferred from geophysical well logs were used to identify rock types such as Cretaceous sandstone and mudstone, Tertiary sediments, rhyolite, and basic dyke. The temperature log indicated $82.51^{\circ}C$ at the depth of 1,981.3 meters in borehole BH-4. However, considering the temperature of borehole BH-2 measured under stable condition, we expect the temperature at the depth in borehole BH-4, if it is measured in stable condition, to be about 5 or $6^{\circ}C$ higher. Several permeable fractures also have been identified from temperature and conductivity gradient logs, and cutting logs.

THE CARE OF DELAYED MALUNION AFTER MAXILLARY FRACTURE BY DIFFERENT METHODS:REPORT OF THREE CASES (치료법을 달리한 상악골절후 부정유합 2예)

  • Yoo, Jae-Ha;Lee, Won-Yoo;Rew, Soo-Jang
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.117-127
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    • 1991
  • When open reduction of maxilla fractures is postponed due to concurrent life-threatening injuries, delayed union may result with malunion or nonunion. If delayed malunion is occurred, significant facial deformity may result, including a dished-out face, irregular retromaxillism with Angle's class III malocclusion, open anterior bite, nasal collapse, telecanthus and malar flattening. The treatment planning for this problem includes cephalometric evaluation anterior and lateral tomograms, dental casts, orthodontic planning, dental planning and use of impression tray to rupture the fibrous tissue casts, orthodontic planning, dental planning and use of impression tray to rupture the fibrous tissue attachment at the fracture site. In this paper, one case presented a 58-year-old female patient with maxilla retrusion after comminuted fracture, who was treated with orthodontic methods of maxillary protraction headgear and Plaster headcap, whereas the other two cases were about male patients who were treated principally with surgically open reduction or Le Fort I-controlled transverse osteotomy with iliac bone graft.

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AN ANALYSIS OF FAILURE MODE OF TEETH RESTORED WITH FIBER-REINFORCED POSTS UNDER THE CONDITION OF BONY RESORPTION (치주지지가 감소된 상태에서 섬유강화형 포스트로 수복한 치아의 실패양상 분석)

  • Lee Byung-Woo;Yi Yang-Jin;Cho Lee-Ra;Park Chan-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.2
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    • pp.232-242
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    • 2003
  • Statement of problem : Fiber-reinforced posts have lower modulus of elasticity than titanium post or cast post-core. With this similar elasticity to that of dentin, fiber-reinforced posts have been known to have a tendency to reduce the risk of root fracture. However, there were few studies on the teeth restored with fiber-reinforced posts under the condition of reduced periodontal support. Purpose : The purpose of this study was to evaluate the fracture strength and failure mode of endodontically treated teeth restored with fiber-reinforced posts and titanium posts under the condition of reduced periodontal support. Material and method : Extracted human maxillary incisor roots were divided into 3 groups (group 1 carbon fiber post, group 2 : glass fiber post, and group 3 : titanium alloy post). After coronectomy and endodontic treatment, teeth were restored with each post systems and resin core according to the manufacturer's recommendation. Then, teeth with simulated periodontal ligament were embedded in the acrylic resin blocks at the level of 4 mm below the cemento-enamel junction. Each specimen was exposed to $10^5$ load cycles with average 30 N force in $36.5^{\circ}C$ water using a computer-controlled chewing simulator. Loads were applied at $45^{\circ}$ angle to the long axis of the teeth. After cyclic loading, teeth were subjected a compressive load until failure at a crosshead speed of 0.5 mm/min. Fracture strength (N) and failure mode were examined. The fracture strength was analyzed with one-way ANOVA and the Scheffe adjustment at the 95% significance level. Results and conclusion : The results were as follows. 1. There was no statistically significant difference in the mean fracture strength among the groups (P<.05). 2. Carbon fiber post and glass fiber post group showed less root fracture tendency than control group. 3. All specimens with root fractures showed fracture lines above the level of acrylic resin block, except for only one specimen in group 3.

TYPE II DENTINOGENESIS IMPERFECTA : CASE REPORT (Type II 상아질형성부전증의 임상 증례)

  • Kim, Chi-Hyun;Lee, Jae-Ho;Choi, Byung-Jai;Lee, Chong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.654-660
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    • 2001
  • Dentinogenesis imperfecta is an example of an inheritable dentinal defect originating during the histodifferentiation stage of tooth development, with involvement of the primary and permanent teeth. Shields, Bixler and El-Kafrawy proposed three types of Dentinogenesis imperfecta : Type I, II, III. Witkop reported a prevalence of 1 in 8000 with the trait, and no significant difference between male and female. Affected teeth have red-brown discoloration often with distinctive wearness of occlusal surface of posterior teeth and incisal surface of anterior teeth. Once enamel seperated from underlying defective dentin, the dentin demonstrates significantly acclerated attrision. Radiographically, the teeth have thin roots, bulbous crown, cervical constriction, and obliteration of the root canals and pulp chambers. In primary dentition periapical lesions or multiple root fractures are often observed. In successive generations the phenotypes of discoloration and wearness of teeth occurred, and one of the patient's subships, 10 year-old sister, showed general discoloration of her teeth and mild wearness. In this case, a 4 year-old male reported to the Yonsei University Pedodontics clinic, with a chief complaint of discolored teeth. The teeth showed generally yellowish-brown discoloration and moderate wearness. In radiographic features, obliteration of pulp, bulbous crown, and short roots were observed. It was diagnosed as Dentinogenesis imperfecta. The posterior teeth were restored with Stainless Steel Crown, and defective incisors including left upper primary central incisor which was extracted due to a root fracture with Open-faced Stainless Steel crown.

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