• Journal of Chest Surgery
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• v.13 no.1
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• pp.60-65
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• 1980

We have experienced 2 cases of the hunshot wound sof the chest involving cardiac injuries at department of the thoracic surgery, Capital Armed Forces General Hospital during I year from April I 1979 to Jan. 1980. In one case of two patients , he was a 22 years old man who was transported to this emergency room 4 hour 10 minutes after having gunshot wound of the left chest by helicopter. Physical examination showed small inlet in left 3rd ICS and left parasternal border, large outlet in left 8th ICS and left scapular line, no breath sound on left side and distant heart sound. chest roentgenography demonstrated marked pleural effusion in left side and mediastinum shifted to right. As soon as chest X-ray was taken, the bleeding through penetrating wound became profuse and cardiac arrest ensued. Closed chest cardiac massage was started and vigorous transfusion continued, but no effective cardiac activity could not be obtained. The patient was pronounced dead due to exsanguinating hemorrhage from wuwpected cardiac wounds. In this critically injured patient with evidence of intrathoracic hemorrhage and suspected cardiac penetration, only emergency thoracic exploration and immediate surgical control of bleeding points might offer the maximum possibility of survival. The other case was a 23 years old man who was transferred to the emergency room 4 hours 50 minutes after having kmultiple communicated fractures of sternum and linear fracture of right mandible by a missile. Examination revealed about 30% skin loss of the anterior chest wall, weak pulse of 96 beats/min., distant heart sound and decreased breath sounds bilaterally. finding on the chest X-ray films showed multiple sternal fractures, marked pericardial effusion indicating hemopericardium. So, the patient was moved immediately to the operation room where, after endotracheal tube inserted, a median sternotomy was performced. A hemorrhagic congestion of the right upper lobe and marked bulging pericardium were disclosed. The pericardium was opened anterior to right phrenic nerve and exsanguinating hemorrhage ensued from the 0.5cm lacerated wound in the auricle of right atrium. The rupture site of right atrium was occluded with non-crushing vascular clamps and then was over sewn with interrupted sutures. It was thought to be highly possible that he was alive long enough to have cardiorrhaphy because of cardiac tamponade, which prevented exsanguinating hemorrhage. He was taken closed reduction for linear fracture of right mandible 2 weeks after repair of ruptured right auricle in dental clinic. This patient's post-operative course was not eventful.

• Land and Housing Review
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• v.5 no.4
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• pp.235-246
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• 2014

In the late 1980s, 5 new towns such as Bundang, Ilsan, Pyeongchon, Sanborn, Jungdong were constructed to solve housing problems and to disperse functions concentrated within Seoul. As the city got matured, it began to appear the initial signs of urban problems such as aging of high rise-density apartment sites, traffic congestion, lack of parking spaces and aging of infrastructure. Therefore, in order to cope with urban problems, it is very important to apprehend the process of urban growth, its change and the feature of physical/human elements. So, the purpose of this thesis is to analyze the changes in housing and population characteristics for past 20 years by use of Census data from 1995 to 2010. First, the new town's goal of population and housing plan at the time of construction was analyzed how it was achieved, and it is close to the performance of the goal. And the trend of changes in the population and household characteristics was analyzed by every five year's data. As the result of analysis, it shows socio-demographic changes such as aged and elderly population growth, rapid increase in one generation's household and single person household, highly educated city, monthly rent household's increase and charter household's reduction. Results of this analysis can be utilized to aforethought management of new towns. But it is required more sustained and systematic urban monitoring and data analysis because the one-off analysis of the city's characteristics alone is difficult enough to grasp them.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.37 no.5
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• pp.845-853
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• 2017

The main reason for urban traffic problems is the increasing in the use of private cars. In order to solve this problem, strong traffic demand management policies such as the collection of congestion tolls and the crackdown on freight vehicles are emerging. Now, however, it is necessary to seek ways for users to make changes in traffic behavior through direct communication between public agencies and passenger car users. As a technique to make this possible, mobility management, which aims to use rational passenger cars by inducing behavior change through individual consciousness change, has recently been proved to be effective in overseas. Therefore, this study concluded that the introduction of MM, which emphasizes individual voluntary behavior change, is necessary at present. In order to investigate the ways of inducing voluntary changes in traffic behavior of passenger car users, a questionnaire survey was conducted on traffic experts and the priorities of voluntary traffic behavior change measures were calculated using AHP. As a result of the analysis, it was shown that "to actively appeal to change the traffic behavior by using the mass media" was the top priority. The next priority were in order of company education for the change of traffic behavior, education for the school, and small-scale workshops.

• Journal of Chest Surgery
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• v.40 no.8
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• pp.569-573
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• 2007

A 3 month old female baby, who had been diagnosed with right atrial isomerism associated with total anomalous pulmonary venous return (TAPVR), a functional single ventricle and major aortopulmonary collateral arteries (MAPCA), underwent left MAPCA unifocalization and left Blalock-Taussig shunt (3.5 mm) at 3 months of age. The post-operative course was complicated by pulmonary venous congestion, and the drainage site of the TAPVR was found to be stenotic on echocardiography. We performed sutureless repair of the TAPVR along with unifocalization of the right MAPCA. She was put on an extracorporeal membrane oxygenator for 8 days after the 2nd operation, and she was able to come off the oxygenator with the placement of a central shunt (3 mm). She developed tracheal stenosis, which was presumably due to longstanding endotracheal intubation, and she then underwent tracheostomy. She was discharged to home on day 104 after the 1st operation, and she has been followed up for 2 months in a good clinical condition.

• Journal of the Korean association of regional geographers
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• v.2 no.2
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• pp.159-171
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• 1996

The aim of this study is which factors affect the commercial land values and how they act upon them through distribution of commercial land values by multiple regression analysis in Gwangju city. The major findings of this study are as follows: (1) The changes of commercial land values distribution in $1989{\sim}1996$, We see that the commercial area of higher land values extends following the main arterial road. This is related to urbanization in urban fringe while the decline of commercial land values occurs in city center with long history of commercial region. This is due to unsuitableness in rapid changes of commercial environment because of fragmented lots, old buildings. traffic congestion etc. (2) The regions where commercial land values greatly rose are the west in constructed the new planning city center of Sangmu-dong. and the south west in which is related to the extension of high density apartment and the location of big discount stores. (3) Through the changes in commercial land values distribution map. and road map, topographical map, we know that commercial land values is related to various factors; namely, distance from CBD, convenient traffic, reputation of commercial district, condition of a road, size of supplementary, a degree of commercial land use etc. (4) From the above related factor, six variables are extracted by operational definition. That is the spatial distance from the city center, the walking distance to a stopping place, the road width, the amount of bus traffic, the amount of pedestrian, the number of the shop. (5) Data of seven variables are collected on the highest values point of each Dong. We applicate multiple regression analysis with commercial land values as a dependent variable, extracted six variables as independent variables. (6) As a result of multiple regression on the determinants of commercial land values, the variables which is greatly related to commercial land values are the amount of pedestrain, the spatial distance from city center. We identify that two variables explain variance of the commercial land values by 65%. (7) In order to make clear about not explained 35%. we carry out analysis of residual. In consequence, we see small estimate in downtown area and large estimate in urban fringe. This feature is due to simple core structure of Gwangju city and limits of this regression model.

• Journal of fish pathology
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• v.18 no.1
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• pp.29-37
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• 2005

This study investigated external symptoms, behavior characteristics and the distribution pattern of the scuticociliates in the skin, gill and blood vessel of the tiger puffer, Takifugu rubripes, infected with scuticociliates among tiger puffer cultured. The fish infected with scuticociliates did not show any external symptoms, such as change in body color or swimming behavior, in the early infection stage. However, they showed congestion, erosion, and ulcer on the skin and fin at advanced stages. They showed a turning movement, mainly stayed on the bottom, and swam with their mouths open at the surface of water. Some fish showed a sudden swimming movement of zigzag type. The scuticociliates were ovoid in shape and $20\times40{\mu}m$ in size. The scuticociliates had a contractile vesicle and a caudal cilium that ranged 10-12 ${\mu}m$, and reproduced by binary fission. Therefore the scuticociliates were identified as ciliated, belonging to class Hymenostomatia, order Scuticociliatida in morphogenetic character. The gills infiltrated with scuticociliates showed clubbed gill filament due to hypertrophy of gill lamella. Within the blood vessels, scuticociliates were observed one to ten individuals, depending on diameter of the blood vessels. Some of the scuticociliates were observed to have ingested erythrocytes.

• Archives of Reconstructive Microsurgery
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• v.18 no.1
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• pp.23-26
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• 2009

Purpose: Artificial dura maters are commonly used in cranioplasty, but sometimes they can result in serious postoperative infection. Once complications such as epidural abscess or chronic draining ulcer arise, they are very difficult to treat. In this case, reclosure of dura defect using artificial dura mater may give rise to recurrence of infection. We experienced a case of intractable epidural abscess caused by use of artificial dura. To avoid repeated infection, we decided to use autologous tissue for the coverage of dura and soft tissue defect. Therefore, autologous tensor fascia lata graft and anterolateral thigh free flap were harvested at the same donor site incision to cover composite defect on the scalp and dura mater. Methods: A 13 year old male patient, who underwent the decompression cranioplasty and duroplasty, suffered from the intractable infection lesion. Twice, the epidural abscess was removed, both times the infection recurred. And eventually dura mater was exposed through the infected open wound. Nine months after dura exposed, infected aritificial dura mater was removed and extensive debridement was performed. Through a surgical incision on donor thigh, first, tensor fascia lata graft was harvested in process of the anterolateral thigh flap elevation. After the fascia lata graft was fixed over the dural defect, the anterolateral thigh flap was used to fill the dead space as well as the scalp defect. Results: Postoperatively, no recurrent infection and cerebrospinal fluid leakage are observed for a year. After the surgery, on the first and second day, venous congestion of the flap was observed, this problem was solved by thrombectomy and vein reanastomosis. And partial necrosis of flap occurred, but completely healed as conservative treatment for two weeks. Conclusion: Using the autologous tensor fascia lata graft and anterolateral thigh flap, we could obtain satisfactory results as treatment for the intractable infection lesion after duroplasty. Autologous tensor fascia lata in conjunction with anterolateral thigh flap is useful method for covering composite defect of scalp and dura mater.

• Journal of the Korea institute for structural maintenance and inspection
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• v.15 no.2
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• pp.161-169
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• 2011

Two-way slabs reinforced with high-performance steels, which have several practical advantages of a reduction of congestion in heavily reinforced members, savings in the cost of labor and repair, the higher corrosion resistance, and a reduction of construction time, were constructed and tested. The influences of the flexural reinforcement ratio, concentrating the reinforcement in the immediate column region, and using steel fiber-reinforced concrete (SFRC) in the slab on the punching shear resistance and post-cracking stiffness were investigated, and compared with the punching shear test results of the slabs reinforced with conventional steels and GFRP bars. In addition, the strain distribution of flexural reinforcements and crack control were investigated, and the effective width calculating method for the average flexural reinforcement ratio was estimated. The use of high-performance steel reinforcement increased the punching shear strength of slabs, and decreased the amount of flexural reinforcements. The concentrating the top mat of flexural reinforcement increased the post-cracking stiffness, and showed better strain distribution and crack control. In addition, the use of SFRC showed beneficial effects on the punching shear strength and crack control. It was suggest that the effective width should be changed to larger than 2 times the slab thickness from the column faces.

• Journal of the Korea institute for structural maintenance and inspection
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• v.22 no.5
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• pp.82-90
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• 2018

The nuclear structures are composed of large diameter bars over No.36. If the hooked bars are used for anchorage of large diameter bars, too long length of the tail extension of the hook plus bend create congestion and make an element difficult to construct. To address those problems, headed bars were developed. Provisions of ACI 318-08 specify the development length of headed bars and ignore the effect of transverse reinforcement based on the background researches. However, if headed bars are used at the cut-off or lap splice, longitudinal reinforcements, which are deformed in flexural members, induce tensile stress in cover concrete and increase the tensile force in the transverse reinforcement. The object of this research is to evaluate the effects of transverse reinforcement on the anchorage capacity of headed bar so anchorage test with variable of transverse rebar spacing was conducted. Specimens, which can consider the behavior at the cut-off, were tested. Test results show that failure of specimen without transverse reinforcement was sudden and brittle with concrete cover lifted and developed stress of headed bars was less than half of yield strength of headed bars. On the other hand, in the specimen with transverse reinforcement, transverse rebar directly resist the load of free-end so capacity of specimens highly increased.

• Journal of the Korean Geographical Society
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• v.31 no.2
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• pp.329-345
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• 1996

The purposes of this study are to review research trends of applied geography field, to retrospect geographical works done by Korean geographers in applied geography, and to prospect the future of applied geography. We are in the period where societal problems such as energy, transportation, pollution, environment, health care, and many others, require careful consideration and need throughout strategies for solution. Most societal problems have some geographical dimensions. Because these problems are geographic in nature, there is an obvious implication that geography as a discipline has something to offer in their solutions. In fact, most geographic problems are best presented and analyzed through the applications of geographic theories, concepts and tools. Applied geography is a branch of general geography. It relies on the scientific methods and uses the principles and methods of pure geography. However applied geography is different in that it analyzes and evaluates real world action and planning and seeks to implement and manipulate environmental and spatial realities. Thus, geographic theories and other social theories that have geographic dimensions are fundamental to applied geography. Applied geography has a short history as theme in Korean geography. During the last two decades. Korea achieved remarkable economic growth. We have also encountered widening regional disparity, housing shortage of larger cities, transportation congestion, environmental pollution and many other problems. Applied geographers have tried to analyze and solve such spatial problems during the last 30 years. The research trend of Korean applied geography can be subdivided into 5 categories: (1) land use analysis and efficient utilization, (2) national physical development and planning. (3) regional development and regional planning, (4) tourism and location-allocation, transportation planning. Still the overconcentration of Seoul metropolitan region and unbalanced regional development are perceived to be the serious spatial problems which may induce more works to solve these problems. In Korea new emphasis has to be given to some professional training and experimental learning, including methodology, field techniques data management, statistical analysis, cartography, GIS, and other tools, as applicable and beneficial to problem solving in real world. The growth of applied geography depends on new insights and purposed solutions of future applied geographers in Korea. Applied geographers will contribute to the creation of future Korean geographies.