• Journal of Chest Surgery
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• 제33권2호
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• pp.139-145
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• 2000

Background: The purpose of this study is to review the clinical course after the correction of noncomplicated ventricular septal defect and to analyze the morbidity and risk factors of postoperative complications and evaluate residual defect during the follow-up period. Material and Method: From September 1994 to June 1998 24 patients(median age 10 months) underwent surgery under the diagnosis of ventricular septal defect. We made a retrospective review of the clinical records including the operation notes critical care unit records echocardiography results and the follow-up records. Result: There was no early mortality nd late mortality. There was no postoperative complete conduction block. Respiratory complication was the most common complication. The body weight age type of ventricular septal defect associated anomalies and operative procedure were not related to the incidence of complications. residual ventricular septal defects aortic valve regurgitation and tricuspid valve regurgitation were insignificant in postoperative hemodynamics, Conclusions: Correction of the noncomplicated ventricular septal defect was done without mortality and complete heart block. Aggressive preoperative medical treatment and early surgical treatment may decrease postoperative complications. Postoperative residual shunt and tricuspid regurgitation were not problematic during the follow-up

• 대한의용생체공학회:의공학회지
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• 제37권4호
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• pp.147-151
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• 2016

Tibial defect, or fracture is very routine musculoskeletal case which brings fully uncomfortable and painful situations to patient. Moreover, it has long hospitalization period because of its risk of non-union. There are many studies using ultrasound, vibration, and laser for bone regeneration to figure out fast bone healing. Among them, Low Level Laser Therapy (LLLT) is already known that it is very easy to treat and may have positive effect for bone regeneration. However, LLLT has uncertain energy dose because of scattering and absorption of laser in tissue. In this study, we used interstitial LLLT to treat tibial defect in animal study. The Interstitial LLLT can overcome some limitations caused by laser scattering or absorption in tissue medium. The results were evaluated using u-CT which can calculate X-ray attenuation coefficient and bone volume of bone defect area. These results showed that interstitial LLLT may affect fast bone healing process in early phase.

• Journal of Korean Neurosurgical Society
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• 제53권5호
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• pp.300-302
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• 2013

Reports of traumatic leptomeningeal cysts (TLMC) are rare in adults. The standard treatment approach is craniectomy with careful exposure of the intact dural edges, followed by duroplasty. However, occasionally, the location of the TLMC makes achieving watertight duroplasty impossible. Herein, we report the case of a 28-year-old male who presented with a soft growing mass on the vertex of his head 16 months after the head trauma. Upon enhanced CT examination, a bony defect involving both the inner and outer table of the cranium was observed close to the sagittal sinus, and a well-defined cystic mass, 5 cm in diameter, was nested within the defect. The risks associated with extension craniotomy were high because the lesion was located superficial to the sagittal sinus, we opted to use fibrinogen-based collagen fleece (TachoCombR$^{(R)}$) to repair the dural defect. Two months after surgery, the patient remained asymptomatic with a good cosmetic result. In cases like ours, when the defect is near the major sinuses and the risk of rupturing the sinus during watertight dural closure is high, fibrinogen-based collagen fleece (TachoCombR$^{(R)}$) is an effective alternative approach to standard dural suture techniques.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2022년도 가을 학술논문 발표대회
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• pp.223-224
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• 2022

The occurrence of defect, one of the major risk elements, gives rise to construction delays and additional costs. Although construction companies generally prefer to use a method of identifying and classifying the causes of defects, a system for predicting the rise of defects becomes important matter to reduce this harmful issue. However, the currently used methods are kinds of reactive systems that are focused on the defects which occurred already, and there are few studies on the occurrence of defects with prediction systems. This paper is about preliminary study on the development of judgemental algorithm that informs us whether additional works related to defect issue are needed or not. Among machine learning techniques, deep neural network was utilized as prediction model which is a major component of algorithm. It is the most suitable model to be applied to the algorithm when there are 8 hidden layers and the average number of nodes in each hidden layer is 70. Ultimately, the algorithm can identify and defects that may arise in later and contribute to minimize defect frequency.

• 대한인간공학회지
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• 제23권3호
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• pp.53-72
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• 2004

Today we are observing a lot of injuries, casualties, and property losses that are mainly caused by the defects of products. In order to derive safety designs, which minimize the possibility of such product liability-related accidents, we need to take into account the user-product interaction as an important part of the danger factor analysis. Existing risk analysis techniques, however, have some limitations in detecting comprehensive danger factors that are peculiarly involved in human errors and the functional defects of products. Researches on danger factor analysis regarding the user-product interaction have been carried out actively in ergonomics. In this paper, we suggest a novel product risk analysis technique, which is more objective and systematic compared to the previous ones, by combining a modified TAFEI (Task Analysis For Error Identification) technique with SASA (Systematic Approach to Accident Scenario Analysis) technique. By applying this technique to the product design practice in industry, corporations will be able to improve the product safety, consequently strengthening the competitiveness.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제40권6호
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• pp.266-271
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• 2014

Objectives: The purpose of this study was to analyze the survival rate of reconstruction plates that were used to correct mandibular discontinuity defects. Materials and Methods: We analyzed clinical and radiological data of 36 patients. Only discontinuous mandibular defect cases were included in the study. Reconstruction plate survival rate was analyzed according to age, gender, location of defect, defect size, and whether the patient underwent a bone graft procedure, coronoidectomy, and/or postoperative radiation therapy (RT). Results: Plate-related complications developed in 8 patients, 7 of which underwent plate removal. No significant differences were found in plate survival rate according to age, gender, location of defect, defect size, or whether a bone graft procedure was performed. However, there were differences in the plate survival rate that depended on whether the patient underwent coronoidectomy or postoperative RT. In the early stages ($9.25{\pm}5.10months$), plate fracture was the most common complication, but in the later stages ($35.75{\pm}17.00months$), screw loosening was the most common complication. Conclusion: It is important to establish the time-related risk of complications such as plate fracture or screw loosening. Coronoidectomy should be considered in most cases to prevent complications. Postoperative RT can affect the survival rate and hazard rate after a reconstruction plate is fitted.

• 정보처리학회논문지D
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• 제16D권1호
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• pp.105-112
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• 2009

위험관리는 점점 더 프로젝트 관리자에게 있어서 중요한 일중의 하나로 되어가고 있다. 그것은 개발될 소프트웨어 품질 혹은 프로젝트 일정에 영향을 미칠 수 있는 위험을 예측하는 것을 포함한다. 위험 분석의 결과가 생길 수 있는 위험의 결과와 함께 프로젝트에 문서화되어야 한다. 효율적인 위험관리는 문제에 쉽게 대처할 수 있게 해주며, 그것이 수용할 수 없는 예산이나 일정 지연이 되지 않도록 해준다. 본 연구에서는 소프트웨어 개발 시, 프로세스 이정표와 노력에 관한 위험요소 분석에 대한 기준을 제시한다. 또한 이를 정량화 하여 전이단계를 제시한다.

• Archives of Reconstructive Microsurgery
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• 제5권1호
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• pp.99-105
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• 1996

The reconstruction of esophageal defect after ablative surgery have more difficult than other digestive tract tumor because the restoration of anatomical and physiologic function is difficult, the risk of tumor invasion into the adjacent tissue is large. The reconstruction of cervical esophus was depended on the degree of resection of the esophagus, various reconstruction method was developed to minimize functional deficiency and deformity of cervical region. Recently, the free jejunal transfer or free radial forearm flap was commonly utilized for esophageal reconstruction due to development of technique of the microvascular anastomosis. After the esophageal reconstruction used by free jejunal transfer was reported by Seidenberg in 1951, jejunum is most commonly used for reconstruction of esophgus. Becaue of, it have been tubed anatomical similarity with muscular layer, relative small risk of complication, possible of oral intake within 10 days after operation, and early rehabilitaion. Authors have been treated esophageal defect with free jejunal transfer in 7 patients after resection of lesion in 6 eshageal cancer and 1 esophageal stricture from December 1994 to January 1996. We were transferred jejunum used by intercostal artery as recipient artery in 3 cases, it was satisfied with results. If intercostal artery was utilized as recipient artery for free jejunal transfer, we believe that any site of intrathoracic or intraabdominal esophageal defect is possible to recontruction.

• Journal of Korean Neurosurgical Society
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• 제56권5호
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• pp.410-418
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• 2014

Objective : The epidural fluid collection (EFC) as a complication of cranioplasty is not well-described in the literature. This study aimed to identify the predictive factors for the development of EFC as a complication of cranioplasty, and its outcomes. Methods : From January 2004 to December 2012, 117 cranioplasty were performed in our institution. One-hundred-and-six of these patients were classified as either having EFC, or not having EFC. The two groups were compared to identify risk factors for EFC. Statistical significance was tested using the t-test and chi-square test, and a logistic regression analysis. Results : Of the 117 patients undergoing cranioplasty, 59 (50.4%) suffered complications, and EFC occurred in 48 of the patients (41.0%). In the t-test and chi-test, risk factors for EFC were size of the skull defect (p=0.003) and postoperative air bubbles in the epidural space (p<0.001). In a logistic regression, the only statistically significant factor associated with development of EFC was the presence of postoperative air bubbles. The EFC disappeared or regressed over time in 30 of the 48 patients (62.5%), as shown by follow-up brain computed tomographic scan, but 17 patients (35.4%) required reoperation. Conclusion : EFC after cranioplasty is predicted by postoperative air bubbles in the epidural space. Most EFC can be treated conservatively. However, reoperation is necessary to resolve about a third of the cases. During cranioplasty, special attention is required when the skull defect is large, since EFC is then more likely.

• 한국정보과학회논문지:소프트웨어및응용
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• 제33권7호
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• pp.605-614
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• 2006

성공적인 소프트웨어 개발은 QCD에 의해 결정되며, 그 중 Quality는 Cost와 Delivery를 결정하는 핵심요소이기도 하다. 그리고 소프트웨어의 규모와 복잡도가 증가함에 따라 quality의 조기 확보의 중요성이 점차 커지고 있다. 이러한 관점에서 개발 후 결함을 찾아내고 수정하는 것보다 결함예방을 위해 더 많은 노력을 기울여야 할 것이다. 결함 예방을 위해서는 peer review, testing과 같은 결함 식별활동과 함께 기존에 발생된 defect 에 대한 분석을 통해 발생 가능한 결함의 주업을 차단하는 활동이 필요하며, 이를 위해 기존의 품질 데이타의 조직화 및 활용이 필요하다. 소프트웨어의 품질 예방을 위한 방법으로 system safety 확보를 위해 사용되고 있는 FMEA를 활용할 수 있다. SW-FMEA(Software Fault Mode Effect Analysis)는 예측을 통해 결함을 예방하는 방법으로, 기존에는 요구사항 분석 및 설계 시 많이 활용되어 왔다 이러한 SW-FMEA는 개발 활동을 통해 측정되는 정보를 활용하여, 분석, 설계, 나아가 peer review나 testing 둥 개발 및 관리 활동에 적용하여 결함예방 (defect prevention) 의 수단으로 활용 할 수 있다. 본 논문에서는 기존에 시스템 분석, 설계에 focusing된 SW-FMEA를 변형하여 product 결합뿐 아니라, 개발과정 중 발생할 수 있는 fault를 줄일 수 있는 결함 예방 model을 제안한다.