• Title/Summary/Keyword: Multiple Defect

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Revascularization of Popliteal Artery Injury in Trauma Around Knee Joint (슬관절주위 외상에 의한 슬와동맥 손상의 재혈관화)

  • Han, Soo-Hong;Shin, Dong-Eun;Dan, Jin-Myung;Kim, Chul
    • Archives of Reconstructive Microsurgery
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    • v.17 no.1
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    • pp.7-13
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    • 2008
  • Popliteal artery injury in blunt trauma of knee joint is not common but poses high rate of amputation due to anatomical characteristics or delayed diagnosis and treatment. The aim of the present study is to review the authors' experiences with this condition and identify factors contributing to disability. We reviewed 7 cases of popliteal artery injury in trauma around knee. Injury mechanism, type of vessel damage, associated injuries, mangled extremity severity scores (MESS), ischemic time and additional treatments were analyzed. Tibial fracture, distal femoral fracture and serious soft tissue defect were combined. Mean MESS was 9.9 point and mean time of revascularization was 7.1 hours. Transfemoral amputation was performed in 2 cases due to vascular insufficiency and devastating infection, and 4 patients were able to walk without any support at the last follow up. Age, the severity of soft tissue injury, ischemic time and MESS are thought to be related to prognosis, and young patients with short ischemic time show best results, but authors experienced one exceptional case. We have to consider multiple factors related to the prognosis in popliteal artery injury with fractures around knee, and careful decision is needed regarding to early amputation.

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The Effect of Articulation Modification Program for Production /ㅅ/ of Hearing Disordered Students (조음조절 프로그램에 의한 청각장애학생의 /ㅅ/산출 개선)

  • Son, Jung-Min;Seok, Dong-Il;Park, Sang-Hee
    • Speech Sciences
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    • v.7 no.3
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    • pp.229-247
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    • 2000
  • The purpose of this study is to examine the improvement effect of articulation of the fricative consonant /s/(ㅅ), when applying the Articulation Modification Program (AMP) to hearing disordered students. Three hearing disordered students were selected for this study by the consonant picture and Korean Articulation Sentence tests. They have no defect in their emotion, behavior and sight. This program applied the multiple baseline design across subjects to examine the improvement effect of articulation of fricative consonant /s/(ㅅ). Also I designed th$\sim$s program with an advanced pre-test and post-test in order to research the improvement difference of articulation by articulation position and language unit. It was executed 32 sessions over three months, four sessions a week, one session taking forty minutes. The results according to the study subject are as follow; First, as result of AMP, articulation of all students was developed after applying this program. Second, as result of AMP, articulation in fore-word was one-hundred percent efficiency and articulation in middle-word was 97.7% efficiency by position. Third, as result of AMP, articulation in the word reached 98.7% efficiency, in phrase 97.7% efficiency, in the sentence 97.7% efficiency and in the story was 98.3% efficiency by language unit.

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Stellate Ganglion Block for Treatment of Central Serous Chorioretinopathy (중심성 장액 맥락망막증의 성상신경절 차단요법 1예)

  • Kim, Chang-Sung;Park, Chong-Min;Suh, Jae-Hyun;Kim, Sung-Nyeun
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.324-327
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    • 1995
  • Central serous chorioretinopathy is a relatively benign condition of young to middle-aged men, characterized by serous detachment of central retina as a consequence of focal leakage of fluid from the choriocapillaris through a defect in the retinal pigment epithelium. Approximately 80% of central serous chorioretinopathy undergo spontaneous resolution within 6 months. However 20 to 30% of patients with central serous chorioretinopathy have one or more recurrences and undergo chronic courses. In these cases laser photocoagulation is used to burn the leakage site directly, but there is no evidence that it reduces the chance of permanent loss of visual function and recurrence. We have administered stellate ganglion blocks (SGB) on a 43 year old male patient with central serous chorioretinopathy with multiple recurrences and experienced good results. We therefore recommend SGB as an effective treatment for central serous chorioretinopathy in conjunction with other ophthalmological treatments.

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The Effect of Impulse Surge Current on Degradation in ZnO Varistors

  • 한세원;강형부
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.11 no.9
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    • pp.718-726
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    • 1998
  • J-E 특성 AC 임피더스 분석 그리고 주파수- 전도 특성들을 실험하여 임펄스 전류 서지가 ZnO 바리스터의 열화(degradation)에 미치는 영향을 고찰하였다. ZnO 바리스터 시편에 임펄스 전류(300A/$cm^24, 8/50$\mu s$)를 인가시킨 결과, 입계(grain boundary) 특성을 나타내는 비선형계수 $\alpha$와 E\ulcorner\ulcorner의 값은 크게 감소하였으나, 입자 특성을 나타내는 E_{100A}, E_{300A}$ 값에서는 큰 변화가 없었다. 이러한 열화 현상은 입계의 위치한 부성 전하 밀도, $N_s$의 감소에 한 쇼트키 장벽의 변화에 기인한 것으로 나타났다. 임펄스 서지에 의해 열화된 ZnO 바리스터는 AC 임피더스 분석에서 현저한 non-Debye 특성을 보이며, 이는 병렬 RC 네트워크로 모델링한 Cole-Cole 완화 관계식으로 입계의 열화 특성을 잘 설명할 수 있었다. 주파수-전도도 관계를 검토한 결과 Zno 바리스터는 호핑 전도(hopping conduction),\$sigma(\omega)\varpropto\omega^{\eta}$ 특성을 나타내면, 임펄스 서지가 인가된 이후 n 값이 감소하였다. 이는 임펄스 서지에 의해 입RP 결합 상태(defect states)가 호핑 전도가 발생하기 쉽고 다중(multiple)호핑에 의한 전도 메커니즘을 갖는 것으로 고찰되었다.

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Autonomous vision-based damage chronology for spatiotemporal condition assessment of civil infrastructure using unmanned aerial vehicle

  • Mondal, Tarutal Ghosh;Jahanshahi, Mohammad R.
    • Smart Structures and Systems
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    • v.25 no.6
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    • pp.733-749
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    • 2020
  • This study presents a computer vision-based approach for representing time evolution of structural damages leveraging a database of inspection images. Spatially incoherent but temporally sorted archival images captured by robotic cameras are exploited to represent the damage evolution over a long period of time. An access to a sequence of time-stamped inspection data recording the damage growth dynamics is premised to this end. Identification of a structural defect in the most recent inspection data set triggers an exhaustive search into the images collected during the previous inspections looking for correspondences based on spatial proximity. This is followed by a view synthesis from multiple candidate images resulting in a single reconstruction for each inspection round. Cracks on concrete surface are used as a case study to demonstrate the feasibility of this approach. Once the chronology is established, the damage severity is quantified at various levels of time scale documenting its progression through time. The proposed scheme enables the prediction of damage severity at a future point in time providing a scope for preemptive measures against imminent structural failure. On the whole, it is believed that the present study will immensely benefit the structural inspectors by introducing the time dimension into the autonomous condition assessment pipeline.

New technology Trends on Friction Stir Welding Based on Milling Process in terms of Tools, Machine and Applied Parts (밀링기반 마찰교반접합 신기술동향: 공구, 장비 및 응용부품)

  • Noh, Joong-Suk;Kim, Ju-Ho;Go, Gun-Ho;Kang, Myung-Chang
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.12 no.6
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    • pp.37-44
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    • 2013
  • Friction stir welding (FSW) is a solid state joining technique that has expanded rapidly since its development in 1991 and has numerous applications in a wide variety of industries. This paper introduces the basic principles of friction stir welding (FSW) and presents a survey of the latest technologies and applications in the field. The basic principles that are discussed include the terminology, tool/workpiece processes, FSW merits and process variants. In particular, the process variants including the rotation speed and traveling speed are discussed, which include the defect-free zone in an oxygen free copper and Al alloy, respectively. Multiple aspects of the FSW machine are developed, including a horizontal 2D FSW machine and a hybrid complex FSW machine. The latest applications are introduced, with an emphasis on the recent advances in the aerospace, automotive, and IT display industries. Finally, the direction for future research and potential applications are examined.

Isolation and Functional Examination of the Long Non-Coding RNA Redrum

  • Lee, Yerim;Park, Charny;Lee, Sanghyuk;Lee, Daekee;Kim, Jaesang
    • Molecules and Cells
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    • v.41 no.2
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    • pp.134-139
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    • 2018
  • Here, we report isolation of multiple long non-coding RNAs (lncRNAs) expressed tissue-specifically during murine embryogenesis. One of these, subsequently came to be known as Redrum, is expressed in erythropoietic cells in fetal liver and adult bone marrow. Redrum transcription is also detected during pregnancy in the spleen where extramedullary hematopoiesis takes place. In order to examine the function of Redrum in vivo, we generated a gene-targeted murine model and analyzed its embryonic and adult erythropoiesis. The homozygous mutant embryo showed no apparent deficiency or defect in erythropoiesis. Adult erythropoiesis in bone marrow and in the spleen during pregnancy likewise showed no detectable phenotype as red blood cells matured in normal fashion. The phenotype is in contrast to the reported function of Redrum in vitro, and our observation implies that Redrum plays in vivo an accessory or supplementary role whose loss is compatible with normal erythropoiesis.

Punching of Micro-Hole Array (미세 홀 어레이 펀칭 가공)

  • Son Y. K.;Oh S. I.;Rhim S. H.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2005.09a
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    • pp.193-197
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    • 2005
  • This paper presents a method by which multiple holes of ultra small size can be punched simultaneously. Silicon wafers were used to fabricate punching die. Workpiece used in the present investigation were the rolled pure copper of $3{\mu}m$ in thickness and CP titanium of $1.5{\mu}m$ in thickness. The metal foils were punched with the dies and arrays of circular and rectangular holes were made. The diameter of holes ranges from $2-10{\mu}m$. The process set-up is similar to that of the flexible rubber pad forming or Guerin process. Arrays of holes were punched successfully in one step forming. The punched holes were examined in terms of their dimensions, surface qualities, and potential defect. The effects of the die hole dimension on ultra small size hole formation of the thin foil were discussed. The optimum process condition such as proper die shape and diameter-thickness ratio (d/t) were also discussed. The results in this paper show that the present method can be successfully applied to the fabrication of ultra small size hole array in a one step operation.

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Secondary Adjuvant Operation after Free Flap for Functional and Aesthetic Purposes (유리 피판술 후 기능적, 미용적 목적을 위한 2차 보완수술)

  • Ahn, Hee-Chang;Yang, Eun-Zin;Kim, Chang-Yeon
    • Archives of Reconstructive Microsurgery
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    • v.19 no.2
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    • pp.101-107
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    • 2010
  • Purpose: The free flap has been widely used as one stage reconstructive procedure the skin and soft tissue defect. The secondary adjuvant operations are often needed for better results as functional and aesthetic compartment. Therefore, we focus on the secondary adjuvant surgeries for better outcome after free flaps. Methods: One hundred ninety six consecutive patients underwent free flaps between January, 2002 and February 2009. The cases constituted ninety two male patients and one hundred four female patients. For the patients who got free flap operation, we investigated secondary adjuvant operations what type of procedures was applied according to the reconstructed sites. All clinical data were based on the patient's medical records. Results: Of one hundred ninety six patients in whom free flap was performed, a total of eighty two patients(41.8%) received the secondary adjuvant operation. Because of many patients got multiple secondary adjuvant operations, the number of the secondary adjuvant operation become one hundred fifty five cases. The most common used procedure is a liposuction, and the second one is a lipoinjection. Conclusion: As the secondary adjuvant operation like a liposuction, lipoinjection, etc., satisfaction for operative result was increased in the aspects of function and aesthetics. So the secondary adjuvant operation in free flap surgeries contributed in raising the patient's quality of life.

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Coexistence of Radiation-induced Meningiomas and Shunt Related Pneumocephalus in a Patient with Successfully Treated Medulloblastoma

  • Kim, Young-Hoon;Kim, Chae-Yong
    • Journal of Korean Neurosurgical Society
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    • v.41 no.6
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    • pp.403-407
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    • 2007
  • The authors encountered a case of simultaneous radiation-induced multiple meningiomas and ventriculoperitoneal [VP] shunt-related pneumocephalus. A 35-year-old man, who had undergone surgery for medulloblastoma 21 years previously and subsequently received high dose craniospinal irradiation with adjuvant chemotherapy and later underwent a VP shunt because of hydrocephalus, presented with a severe headache and weakness of both lower extremities. Computed tomography showed an air pocket lesion in the left temporal lobe and a large amount of pneumocephalus with a bony defect of the left tegmen tympani. In addition, a 3 cm sized well enhancing mass was noted in the in the right middle cranial fossa and additional small enhancing nodule in the left frontal pole. He was treated by left temporal craniotomy and repair of the bony and dural defects of the left tegmentum tympanum through extradural and intradural approaches, respectively. Afterwards, he underwent right temporal craniotomy and gross total removal of a rapidly growing right middle fossa mass and a left frontal mass. The histological examination was consistent with atypical meningioma, WHO grade II. In conclusion, physicians have to consider the serious long term complications of high dose radiation therapy and VP shunt placement and need to perform the neuroradiologic follow-up after such treatments for several decades.