• Title/Summary/Keyword: Compressive Brace

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Treatment of Pectus Carinatum with a Compressive Brace (압박 교정기를 이용한 새가슴의 치료)

  • Son, Jin-Sung;Jeon, Cheol-Woo;Lee, Seong-Jin;Lee, Chol-Sae;Lee, Kihl-Rho;Lee, Seock-Yeol
    • Journal of Chest Surgery
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    • v.40 no.5 s.274
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    • pp.369-375
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    • 2007
  • Background: Patients suffering with pectus carinatum complain of cosmetic problems when they stand and this in spite of wearing cloths. The standard surgical treatment of pectus carinatum is resection of the deformed cartilages, but the wide operative scar, post-operative pain and complications related with such an operation can occur. Therefore, we have peformed compressive brace therapy as a non-operative treatment for pectus carinatum and we observed the effects and the efficiency of this treatment. Material and Method: From January, 2001 to December, 2006, 109 patients wore the compressive brace for all day. The degree of satisfaction was evaluated after $6\sim9$ months of wearing the compressive brace. The degree of satisfaction was evaluated by a score of from $1\sim4$. A score of 1 was assigned when the status was worse, 2 when it was the same, 3 when there was partial improvement and 4 when remarkable improvement was observed. The degree of satisfaction was assessed subjectively by the parent if the patient was a child younger than middle school age, and the patients older than middle school age assessed the score themselves. Result: The mean score of the overall degree of satisfaction was $3.93{\pm}0.33$. Recurrence of pectus carinatum after removal of compressive brace occurred in 6 patients (5.5%) of the total 109 patients. But 4 patients of the total 6 recurred patients stopped wearing of compressive brace against our advice. The 6 recurred patients were re-corrected by re-wearing the compressive brace within 3 months after they originally removed the compressive brace. The complications were discomfort with initially wearing the compressive brace, which occurred in all patients, skin rash due to the compressive brace for 76 patients (69.7%) and skin discolorization with excessive compression for f6 patients (5.5%). The skin rash and discolorization returned to normal within a few months after removal of the compressive brace. Conclusion: This study demonstrated that non-surgical treatment with using the compressive brace for patients with pectus carinatum was effective, and especially for children and teenagers. Non-surgical treatment with using a compressive brace would be helpful for the patients suffering with pectus carinatum and who dislike surgical operations because of their fear about general anesthesia and operation-related complications. Yet long-term follow up is necessary to accurately evaluate the effectiveness of this compressive brace and the recurrences after removal of the compressive brace.

Brace Compression for Treatment of Pectus Carinatum

  • Jung, Joonho;Chung, Sang Ho;Cho, Jin Kyoung;Park, Soo-Jin;Choi, Ho;Lee, Sungsoo
    • Journal of Chest Surgery
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    • v.45 no.6
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    • pp.396-400
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    • 2012
  • Background: Surgery has been the classical treatment of pectus carinatum (PC), though compressive orthotic braces have shown successful results in recent years. We propose a non-operative approach using a lightweight, patient-controlled dynamic chest-bracing device. Materials and Methods: Eighteen patients with PC were treated between July 2008 and June 2009. The treatment involved fitting of the brace, which was worn for at least 20 hours per day for 6 months. Their degree of satisfaction (1, no correction; 4, remarkable correction) was measured at 12 months after the initiation of the treatment. Results: Thirteen (72.2%) patients completed the treatment (mean time, $4.9{\pm}1.4$ months). In patients who completed the treatment, the mean overall satisfaction score was $3.73{\pm}0.39$. The mean satisfaction score was 4, and there was no recurrence of pectus carinatum in patients who underwent the treatment for at least 6 months. Minimal recurrence of pectus carinatum after removal of the compressive brace occurred in 5 (38.5%) patients who stopped wearing the compressive brace at 4 months. Conclusion: Compressive bracing results in a significant improvement in PC appearance in patients with an immature skeleton. However, patient compliance and diligent follow-up appear to be paramount for the success of this method of treatment. We currently offer this approach as a first-line treatment for PC.

Structural Behavior of Steel Brace Strengthened with Non-welded Buckling Restraint Casing (무용접 좌굴방지재로 보강한 철골 가새의 구조거동)

  • Kim, Sun Hee;Moon, Ji Young;Choi, Sung Mo
    • Journal of Korean Society of Steel Construction
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    • v.27 no.2
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    • pp.207-217
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    • 2015
  • A concentrically braced steel frame is a very efficient structural system because it requires relatively smaller amount of materials to resist lateral forces. However, primarily developed as a structural system to resist wind loads based on an assumption that the structure behaves elastically, a concentrically braced frame possibly experiences the deterioration in energy dissipation after brace buckling and the brittle failure of braces and connections when earthquake loads cause inelastic behavior. Consequently, plastic deformation is concentrated in the floor where brace buckling occurs first, which can lead to the rupture of the structure. This study suggests reinforcing H-shaped braces with non-welded cold-formed stiffeners to restrain flexure and buckling and resist tensile force and compressive force equally.

Dynamic Instability of Diagonally Braced Steel Frames under Seismic Excitation (대각선 철골 중심가새골조의 지질동하에서의 동적불안정 거동)

  • 김정재;이철호
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2004.10a
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    • pp.288-295
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    • 2004
  • Concentrically braced steel frames are considered as being quite pone to soft-story response due to the degradation in brace compressive resistance after buckling under severe ground motions. When combined with the system P-Delta effects, collapse of the concentrically brsced frames by dynamic instability becomes highly probable. In this stidy, a new, relatively simple dynamic instability coefficient was proposed for diagonally braced steel flames by explicitly considering the strength degradation of the brace after buckling. Nonlinear dynamic analysis results showed that the dynamic instability coefficient proposed in this study predicted collapse limit state more consistently than the conventional one which ignores the strength degradation of the brace.

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Experimental Structural Performance Evaluation of Precast-Buckling Restrained Brace Reinforced With Engineering Plastics (공업용 플라스틱으로 보강된 비좌굴가새의 실험적 구조성능평가)

  • Kim, Yu-Seong;Kim, Gee-Chul;Kang, Joo-Won;Lee, Joon-Ho
    • Journal of Korean Association for Spatial Structures
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    • v.20 no.3
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    • pp.43-52
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    • 2020
  • In this study, the Buckling restrained braces reinforced with engineering plastics that can compensate for the disadvantages in the manufacturing process of the existing buckling restrained brace. The proposed PC-BRB was fabricated to evaluate the reinforcement effect by carrying out a structural performance test and a full-scale two-layer frame test through cyclic loading test. As a result of PC-BRB's incremental and cyclic loading test, stable hysteresis behavior was achieved within the target displacement, and the compressive strength adjustment coefficient satisfied the recommendation. As a result of the real frame experiment, the strength of the reinforced specimen increased compared to the unreinforced specimen, and the ductility and energy dissipation increased.

Deformation Capacity of Inverted V-Type Brace Strengthened by Built-up Non-welded Buckling Restraint Element (조립형 무용접 좌굴방지재로 보강된 역V형 가새의 변형성능)

  • Kim, Sun Hee;Moon, Ji Young;Choi, Sung Mo
    • Journal of Korean Society of Steel Construction
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    • v.27 no.3
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    • pp.261-271
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    • 2015
  • Steel concentrically braced frame is an efficient system that can acquire resistance against the lateral force of buildings with the least amount of quantity. In this study is intended to proceed on the research of schemes for reinforcement by supplementing previously installed H-formed brace with non-welded cold-formed plastic stiffening materials restricting the flexure and buckling and acquire a consistent strength on the tensile and compressive force. As for the measures of supplementing previously-installed inverted V-formed braced frame, stiffening materials in the previous studies were converted to weak-axial supplementing materials to suggest a specific scheme evaluating the structural function through an experiment of members, interpretation of members, and frame-focused experiment. Reinforced brace satisfied the requirement to be prevent AISC brace from being ruptured due to imbalanced strength in the beam.

Compressive Behavior of H-section Brace Strengthened by Non-welded Cold-Formed Element (무용접 냉간성형 조립재로 보강한 H형강 가새의 압축거동)

  • Kim, Sun Hee;Kim, Do Bum;Choi, Sung Mo
    • Journal of Korean Society of Steel Construction
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    • v.27 no.2
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    • pp.169-180
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    • 2015
  • Recently, Seismic performance of the building built in the past is required to review, because the code for seismic design have been reinforced. In 2009, if the revised latest criteria of seismic design is applied, the majority the steel structure of the low-rise concentrically braced system is short of the seismic performance. Also, when the steel braces are subject to compressive load, which causes unstable behavior of the structure. In order to verify the compressive behavior of the reinforced braces, structural performance test was conducted with variables of slenderness ratio and the amount of reinforcement. Therefore, this study suggests restraining the bending buckling of slender H-shaped braces to resist compressive force. In order to verify the compressive behavior of the reinforced braces, structural performance test was conducted with variables of slenderness ratio and the amount of reinforcement.

Dynamic Instability Behavior of Diagonally Braced Steel Frames under Seismic Excitation (지진하중을 받는 대각선 철골 중심가새골조의 동적 불안정 거동)

  • Lee, Cheol-Ho;Kim, Jung-Jae
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 2005.03a
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    • pp.129-136
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    • 2005
  • Concentrically braced steel frames are considered as being quite prone to soft-story response due to the degradation in brace compressive resistance after buckling under severe ground motions. When combined with the system P-Delta effects, collapse of the concentrically braced frames by dynamic instability becomes a highly probable. In this study, a new, relatively simple dynamic instability coefficient was proposed for diagonally braced steel frames by considering the strength degradation of the brace after buckling. Nonlinear dynamic analysis was conducted to check the robustness of the proposed index based on simulated ground motions. The analysis results showed that the dynamic instability index proposed predicts the collapse potential more consistently than the conventional one. Dynamic instability was triggered when the index value was close to 0.7.

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Structural Performance of Connection element composed of High Performance Fiber Reinforced Cementitious composites and Steel Bars in Brace (브레이스에서 고인성시멘트 복합체와 강봉으로 구성된 접합요소의 구조성능)

  • Lee Young Oh;Yang Il Seung;Han Byung Chan;Park Wan Shin;Yun Hyun Do;Moon Youn Joon
    • Proceedings of the Korea Concrete Institute Conference
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    • 2005.05a
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    • pp.231-234
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    • 2005
  • Steel braced frames retrofit method has been broadly used due to their effectiveness in both light weight and construction periods. However, steel braced frames retrofit method has difficulties in application on the inner frames of buildings to be retrofitted consequently, there have been demands for the braced frames retrofit method that can be broadly and easily applicable to both inner and outer frames of the buildings. The objective of this study is to develop and evaluate the seismic retrofit method applicable to the inner frame also by dividing the reinforcing frames into three unit. From the cyclic test of specimens, the test results dearly showed that steel brace using HPFRCCs and steel bars ensure the better cyclic compressive performance than the normal braced members.

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Structural Performance Test according to Initial shape design of PF-BRB (조립식 좌굴방지가새형 이력댐퍼의 초기형상설계에 따른 구조성능실험)

  • Kim, Yu-Seong;Lee, Joon-Ho
    • Journal of Korean Association for Spatial Structures
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    • v.23 no.4
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    • pp.71-79
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    • 2023
  • In this study, a prefabricated buckling brace (PF-BRB) was proposed, and a test specimen was manufactured based on the design formula for the initial shape and structural performance tests were performed. As a result of the experiment, all standard performance requirements presented by KDS 41 17 00 and MOE 2021 were satisfied before and after replacement of the reinforcement module, and no fracture of the joint module occurred. As a result of the incremental load test, the physical properties showed a significant difference in the stiffness ratio after yielding under the compressive load of the envelope according to the experimental results. It is judged necessary to further analyze the physical properties according to the experimental results through finite element analysis in the future.