• Journal of the Society of Naval Architects of Korea
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• v.34 no.3
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• pp.53-60
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• 1997

Generally, a safety estimation based on the buckling strength is carried out to evaluate the strength of plate members in the design process of ship hull structures and more accurate and efficient tool for the buckling strength estimation of enormous plate members of ship structure is naturally demended for saving design process. While, in the reason that the design codes of classification societies do not consider the various effects or include some effects roughly, considerate safe side results are suggested occasionally. In this study, advanced buckling strength estimation system prepared various classification buckling evaluation codes and new evaluation code considering the effects of in-plane tension, plate boundary condition, lateral load & residual stress is developed using the window management system of engineering workstation. Additionally maximum deflection estimation formula is equipped for the increase of fabrication reliability of thin plate ship structure. From this evaluation system, more reliable buckling safety of plate panel will be guaranteed in the ship hull design stage. In order to expand the use of this system pc version system will be developed sooner or later.

• Journal of Chest Surgery
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• v.30 no.8
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• pp.809-814
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• 1997

Continuous epidural pain block with a local anesthetic agents is a commonly employed technique for pain relief after thoracotomy. In this study, we evaluated the effectiveness of the continuous epidural pain block in 19 patients undergoing elective lateral or posterolatrral thoracotomy with control group(n=19) from November 1994 to July 1995, Epidural lidocaine and morphine mixtures were injected via an epidural catheter as a bolus after operation, and then bupivacaine and morphine mixtures were injected continuously following 5 or 6 days. The pain score, upper arm elevation(ROM score), and respiratory rate were significantly changed(P<0.05) from 30min after injection. The CO2 tension of arterial blood was decreased significantly(P<0.05) from 2hr after injection. The postoperative hospital days were decreased significantly(P<0.05). Side effects of the epidural pain block were urinary retention(n= 10), urticaria(n=2) and a case of headache. There was no postoperative lung atelectasis. We conclude that the continuous epidural pain block is good for prevention of the postoperative lung complication and early recovery after thoracotomy.

• Journal of the Korea institute for structural maintenance and inspection
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• v.20 no.5
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• pp.26-34
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• 2016

The failure modes of steel column-base plate connection arranged on the basis of AISC Design Guide-#1 and -#10 are base plate tension and compression side flexural yielding, yielding, pull-out and shear failure of anchor rod, concrete crushing in concrete footing and steel column yielding. The bending moment capacity and failure mode in this connection are predicted using limit-state function and we compare these results and test result. In the case that thickness of base plate is relatively thick, bending moment capacity and failure mode in steel column-base plate connection accurately predicted. But in the case that thickness of base plate is relatively thin and axial force do not exist, prediction of failure mode in this connection is somewhat inaccurate.

• Journal of the korean academy of Pediatric Dentistry
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• v.26 no.4
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• pp.589-594
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• 1999

There are some problems in inhalation sedation of non-cooperative pediatric patients. Usually the pediatric patients reject the nasal hood and there's no cooperation for administration of nitrous oxide gas. In mouth breathing patient, other technics of sedation such as intravenous or oral sedation or general anesthesia were recommended. Common causes of mouth breathing are common cold, allergic rhinitis, sinus problem, anatomical disorder, and habitual mouth-breathing. However in some patient not indicated the general anesthesia and high failure rate in oral and intravenous sedation. Administration of $N_2O-O_2$ with suction catheter was applied in full mouth breathing patient. Clinically effective sedation were occurred during procedure about 45 to 55 minutes. There's no any side effects by $N_2O-O_2$ inhalation sedation. The patients awoke at the end of the procedure and received 100% oxygen for 2-3 minutes. There's still some problems in use of the suction catheter such as air pollution of operation theater and elevate arterial carbon dioxide tension.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.39
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• pp.12.1-12.5
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• 2017

Background: Rehabilitation of normal function and form is essential in cleft lip repair. In 2005, Dr. David M. Fisher introduced an innovative method, named "an anatomical subunit approximation technique" in unilateral cleft lip repair. According to this method, circumferential incision along the columella on cleft side of the medial flap is continued to the planned top of the Cupid's bow in straight manner, which runs parallel to the unaffected philtral ridge. Usually, small inlet incision is needed to lengthen the medial flap. On lateral flap, small triangle just above the cutaneous roll is used to prevent unesthetic shortening of upper lip. This allows better continuity of the Cupid's bow and ideal distribution of tension. Case presentation: As a modification to original method, orbicularis oris muscle overlapping suture is applied to make the elevated philtral ridge. Concomitant primary rhinoplasty also results in good esthetic outcome with symmetric nostrils and correction of alar web. As satisfactory results were obtained in three incomplete and one complete unilateral cleft lip patients, indicating Fisher's method can be useful in cleft lip surgery with functional and esthetic outcome. Conclusions: Clinically applied Fisher's method in unilateral cleft lip patients proved the effectiveness in improving the esthetic results with good symmetry. This method also applied with primary rhinoplasty.

• Journal of Families and Better Life
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• v.22 no.1
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• pp.11-25
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• 2004

This study was conducted to explore the impacts of involvement in the Vietnam War on the self-esteem of the veterans in their later lives. In this study, 14 Korean male Vietnam War veterans from 55 to 63 years old were asked about the impacts of their war experiences on their self-esteem. From the analysis of the in-depth interviews the following conclusions were drawn: First, the veterans perceived that their self-esteem improved with both internal and external impacts of their activities in Vietnam. The internal aspects that improved the veterans' self-esteem were recalling their positive memories of Vietnam War, such as being on duty at a war front for the sake of our country, doing volunteer work for the villagers, and becoming a masculine heroic figure in the family legend. The external aspects were positive attitudes and responses toward their war activities from their family, friends, and neighbors. Second, they also felt persistently frustrated with their recurring memories of involvement in killing human beings, experiences of negative family and social responses, and the side effects of herbicidal cyanide they suffer. In this article, the following suggestions were made. First, standardized images and good-will episodes of the Vietnam War need to be provided by the government, in order to improve public images on the veterans. Second, intensive adjustment programs for the families of older veterans in special needs should be developed in collaboration with various veterans' societies and family counseling institutions, so that the spouses and children can be relieved from tension-laden contacts with the veterans and prevent violent incidents.

• Journal of Korean Society of Steel Construction
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• v.19 no.2
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• pp.191-199
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• 2007

This paper presents a closing method for a cable-stayed bridge erected by the free cantilever method to produce the initial equilibrium configuration at the final construction stage. To realize the initial equilibrium condition in cable-stayed bridge by the cantilever method, compatibility conditions for vertical displacements, rotational angles, and axial displacements at the closing section of both side girders should be satisfied. In this paper, it was shown that it can be accomplished by using some applicable loads during construction such as the pull-up force of the derrick crane, some cable tension forces, and jacking force at the pylon. The proposed method was applied to a construction stage analysis of a sample bridge to demonstrate its validity, and it was acknowledged that the tower was considerably affected by the compatibility condition for axial displacement in the closing step.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.20 no.5
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• pp.103-110
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• 2021

The mounting performance of the GFRP(Glass fiber Reinforced Plastic) beam and the mechanical mounting of the steel bracket was studied to be mounted as a GFRP impact beam on the side door of the passenger car. Moreover, an open-hole tensile test was performed to evaluate breakage tendency based on GFRP stacking conditions. Furthermore, the tightening strength of rivets and bolts was compared using the single lap-shear tension test for the GFRP stacking pattern. Additionally, the GFRP beam and bracket mounting features were designed; moreover, the prototype and bracket were assembled. Additionally, the bracket mounting bending test and the door assembly static bending test were performed to verify the stability of the bracket mounting. In the bracket fastening bending test, no breakage occurred in the connection part between the GFRP beam and the bracket, and it showed 67% (24.4 kN) improved performance compared to steel. In the static bending test of the door assembly, the initial average reaction force increased by 25% compared to the steel, and the performance of all FMVSS-214 regulations was satisfied. The replacement of GFRP impact beams resulted in a 30% weight reduction

• PNF and Movement
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• v.18 no.3
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• pp.403-414
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• 2020

Purpose: This study examined how performing chin tuck exercises in supine, sitting, and standing positions affects changes in the muscle activity of the neck and shoulder. Methods: Seventeen men and three women with forward head posture participated in the study. The subjects performed the chin tuck exercise using a pressure biofeedback unit. After determining the ideal order for performing the chin tuck exercise in supine, sitting, and standing positions through randomized controlled trials, muscle activity was measured in the dominant-side sternocleidomastoid, scalenus anterior, upper trapezius, and levator scapulae. Muscle activity was measured three times in each muscle for each position, and the average of the three measurements was used for analysis. Results: In this study, the chin tuck exercise performed in a supine position reduced muscle activity of the sternocleidomastoid, scalenus anterior, upper trapezius, and levator scapulae significantly more than performing the exercise in either sitting or standing positions (p < 0.05). No significant difference in muscle activity was observed when the exercise was performed in a sitting position versus a standing position (p < 0.05). Conclusion: Performing a chin tuck exercise in a supine position is more effective for stabilizing the neck and shoulder than performing it in a sitting or standing position, as it reduces excessive tension and fatigue in the neck and shoulder.

• Archives of Plastic Surgery
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• v.50 no.3
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• pp.279-287
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• 2023

Background Hypothenar free flaps (HTFFs) have been widely used for reconstructing palmar defects. Although previous anatomical and clinical studies of HTFF have been conducted, this technique still has some limitations. In this study, we describe some tips for large flap design that allows for easy harvesting of HTFFs with minimal donor site morbidity. Methods A total of 14 HTFF for hand defect reconstruction were recorded. The oblique flap was designed in the proximal HT area following relaxed skin tension line along the axis between fourth web space and 10 mm ulnar side of pisiform. A flap pedicle includes one or two perforators with ulnar digital artery and HT branch of basilic vein. In addition, innervated HTFF can be harvested with a branch of ulnar digital nerve. Electronic medical records were reviewed to obtain data on patients' information, operative details, and follow-up period. In addition, surgical outcome score was obtained from the patient, up to 10 points, at the last follow-up. Results Mean harvest time was 46 minutes, and two perforators were included in 10 cases. The mean flap area was 10.84 cm². There were no problems such as donor site depression, scar contracture, keloids, wound dehiscence, numbness or neuroma pain at donor sites, and hypersensitivity or cold intolerance at flap site, either functionally or aesthetically. Conclusion Palmar defect reconstruction is challenging for hand surgeons. However, large HTFF can be harvested without complications using the oblique axis HTFF technique. We believe our surgical tips increase utility of HTFF for palmar defect reconstruction.