• 제목/요약/키워드: Defect Risk

검색결과 253건 처리시간 0.024초

Herniation after deep circumflex iliac artery flap: two cases of rare complication

  • Kim, Hee-Sung;Kim, Jae-Young;Hur, Hyuk;Nam, Woong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제38권
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    • pp.10.1-10.5
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    • 2016
  • Herniation after harvesting of deep circumflex iliac artery (DCIA) flap is a known but not a common complication. It occurs about 2.8 to 9 % according to the literatures and can proceed to a more severe complication such as bowel obstruction. There are several factors that exacerbate the risk: surgical factors, operator factor, and patient factors. Surgical factors include large anatomical defect and denervation of related muscles. Operator factor stands for unpunctual suture technique. Patient factors represent obesity, diabetes, pulmonary disease, smoking habits, and so on. Thus, herniation might occur regardless of meticulous suture. Herein, we would like to report two cases of herniation after DCIA flap harvesting and repaired by Lichtenstein tension-free hernioplasty with literature review.

건설업에서의 시공FMEA적용 방안 연구 (Approach to Method of Process Failure Mode and Effect Analysis for Construction Industry)

  • 김윤성
    • 한국건설관리학회:학술대회논문집
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    • 한국건설관리학회 2002년도 학술대회지
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    • pp.271-274
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    • 2002
  • 산업체에서 이미 보편화되어 온 FMEA기법의 목적은 발생가능성이 있는 하자형태를 파악하고, 고객에게 미칠 고장 발생 요인을 우선 순위별로 사전에 제거하도록 이행하는 예방조치의 한 수단이다. FMEA는 초기 단계(Design 개념 설정시)에서 작성하는 Design FMEA와 양산되기 전에 시기 적절하게 작성하는 Process FMEA의 두 종류가 있다. (설계기능이 없는 공급자에게는 Process FMEA만 해당) 본 연구에서는 Process FMEA를 건설업의 시공분야에 적용하여 품질향상의 신뢰성을 높이고 Life Cycle Analysis, Risk Analysis 등의 기초자료로 활용이 가능한 기본자료(DATA)를 축적할 수 있는 방안을 연구하였다.

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국소 스테로이드 반복 주사후 발생한 자발적 아킬레스건 파열 -증례 보고- (Spontaneous Achilles Tendon Rupture After Repeated Local Steroid Injention - A Case Report -)

  • 정형진;최정윤
    • 대한족부족관절학회지
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    • 제8권2호
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    • pp.218-220
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    • 2004
  • It is known that steroids increase the risk for tendon ruptures. Despite this local steroids are still used in the treatment of achilles tendinitis. 46-year-old women had occurred achilles tendon rupture after repeated local steroid injection. Intraoperatively, necrotic change were seen at both side of ruptured end. Like this, tendon rupture after repeated steroid injection often result in a large defect, which needed surgical repair. After debridement of ruptured end, tenorrhaphy with single Krackow method and plantaris tendon augmentation was done. The patient showed favorable result with return to range in a degree of activity levels.

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Clinical presentations of critical cardiac defects in the newborn: Decision making and initial management

  • Lee, Jae-Young
    • Clinical and Experimental Pediatrics
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    • 제53권6호
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    • pp.669-679
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    • 2010
  • The risk of mortality and morbidity of patients with congenital heart defects (CHDs) is highest during neonatal period and increases when diagnosis and proper management are delayed. Neonates with critical CHDs may present with severe cyanosis, respiratory distress, shock, or collapse, all of which are also frequent clinical presentations of various respiratory problems or sepsis in the newborn. Early diagnosis and stabilization and timely referral to a tertiary cardiac center are crucial to improve the outcomes in neonates with CHDs. In this review, the clinical presentation of critical and potentially life-threatening CHDs is discussed along with brief case reviews to help understand the hemodynamics of these defects and ensure proper decision-making in critically ill patients.

A Decision Support Methodology for Remediation Planning of Concrete Bridges

  • Rashidi, Maria;Lemass, Brett
    • Journal of Construction Engineering and Project Management
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    • 제1권2호
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    • pp.1-10
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    • 2011
  • Bridges are critical and valuable components in any road and rail transportation network. Therefore bridge remediation has always been a top priority for asset managers and engineers, but identifying the nature of true defect deterioration and associated remediation treatments remains a complex task. Nowadays Decision Support Systems (DSS) are widely used to assist decision makers across an extensive spectrum of unstructured decision environments. The main objective of this research is to develop a requirements-driven methodology for bridge monitoring and maintenance which has the ability to assess the bridge condition and find the best remediation treatments using Simple Multi Attribute Rating Technique (SMART); with the aim of maintaining a bridge within acceptable limits of safety, serviceability and sustainability.

잔여 전두피판을 한 단위로 이용한 전두연부조직 결손의 재건: 증례보고 (A Case of Forehead Reconstruction with Remnant Forehead Flap Unit)

  • 이성준;김인규;설철환;김석원
    • Archives of Plastic Surgery
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    • 제32권6호
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    • pp.757-759
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    • 2005
  • Acquired defects involving exposed bone on the forehead is challenging to reconstruct. Skin expansion provides an ideal thin flap for forehead aesthetic unit, but it takes long time and high cost, and many patients are dissatisfied at their figures. Free flap can provide enough tissue immediately, but it takes long time and has the risk of mismatches of color and texture. This report details our experiences with two patients who had soft tissue defect on their forehead that was covered with remnant forehead flap unit. This method uses one-unit-forehead island flap based on supratrochlear and supraorbital vessel. We obtained satisfactory results in terms of aesthetic and functional consideration.

유전성 대사질환의 착상전 유전진단 (Preimplantation Genetic Diagnosis in Inborn Error Metabolic Disorders)

  • 강인수
    • 대한유전성대사질환학회지
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    • 제5권1호
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    • pp.94-107
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    • 2005
  • Prenatal diagnosis (PND) such as amniocentesis or chorionic villi sampling has been widely used in order to prevent the birth of babies with defects especially in families with single gene disorderor chromosomal abnormalities. Preimplantation genetic diagnosis (PGD) has already become an alternative to traditional PND. Indications for PGD have expanded beyond those practices in PND (chromosomal abnormalities, single gene defects), such as late-onset diseases with genetic predisposition, and HLA typing for stem cell transplantation to affected sibling. After in vitro fertilization, the biopsied blastomere from the embryo is analyzed for single gene defect or chromosomal abnormality. The unaffected embryos are selected for transfer to the uterine cavity. Therefore, PGD has an advantage over PND as it can avoid the risk of pregnancy termination. In this review, PGD will be introduced and application of PGD in inborn error metabolic disorder will be discussed.

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에러 보정 코드를 이용한 비동기용 대용량 메모리 모듈의 성능 향상 (Performance Improvement of Asynchronous Mass Memory Module Using Error Correction Code)

  • 안재현;양오;연준상
    • 반도체디스플레이기술학회지
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    • 제19권3호
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    • pp.112-117
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    • 2020
  • NAND flash memory is a non-volatile memory that retains stored data even without power supply. Internal memory used as a data storage device and solid-state drive (SSD) is used in portable devices such as smartphones and digital cameras. However, NAND flash memory carries the risk of electric shock, which can cause errors during read/write operations, so use error correction codes to ensure reliability. It efficiently recovers bad block information, which is a defect in NAND flash memory. BBT (Bad Block Table) is configured to manage data to increase stability, and as a result of experimenting with the error correction code algorithm, the bit error rate per page unit of 4Mbytes memory was on average 0ppm, and 100ppm without error correction code. Through the error correction code algorithm, data stability and reliability can be improved.

리스크 기반 테스트 케이스/테스트 세트 가치 추정 모델 (Risk-based Test Case/Test Set Value Estimation Model)

  • 권원일;김종구;권호열
    • 산업기술연구
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    • 제32권A호
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    • pp.125-128
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    • 2012
  • In this paper, we proposed a prioritization method of test cases using a value estimation model of test sets, that are key elements for highly effective software testings as well as involve a large cost factor in software developments and maintenances. Based on previous studies, our idea includes introducing some practical factors of the test case prioritization which critically influence the value of a test case: Relative values of test sets before and after the test running, Average value of these two relative values, Severity of the defect, Risks that are covered, Frequency of use, Change related values, Systematic elicitations, etc. Finally we discussed the usefulness and the expected effects of the proposed scheme.

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기관삽관과 관련된 경부 기관의 기관식도루 (Tracheoesophageal Fistula Associated with Endotracheal Intubation)

  • 하정훈
    • 대한기관식도과학회지
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    • 제18권2호
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    • pp.41-44
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    • 2012
  • Acquired tracheoesophageal fistula (TEF) can occur rarely from various causes. Recently, cuff-related tracheal injury after endotracheal intubation with the orotracheal tube and tracheostomy cannula is the most common etiology of nonmalignant TEF. Since cuff-related TEF is usually preventable with proper selection of the cuffed tube and close monitoring of cuff pressure. Although most patients present increased secretions, recurrent pneumonia, or coughing after swallowing, a high index of suspicion is required in patients at risk for developing a TEF. Surgical correction for the defectis required. In most cases, primary closure of the esophageal defect and tracheal resection and end-to-end anastomosis give the best results.

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