• 제목/요약/키워드: Secondary Defects

검색결과 192건 처리시간 0.031초

일측성 신장 무형성을 동반한 제 1형 비타민 D 의존성 구룻병 1례 (A Case of Type I Vitamin D-dependent Rickets with Unilateral Aplasia of Kidney)

  • 임동희;정지인;임형은;은백린;유기환;홍영숙;이주원
    • Childhood Kidney Diseases
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    • 제12권1호
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    • pp.111-115
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    • 2008
  • 저자들은 특별한 가족력이 없으면서 저칼슘혈증, 저인산혈증, 경련, 혈청 알칼리성 인산분해효소의 증가, 1,25-$(OH)_2$ 비타민 D3 농도의 감소, 혈청 부갑상선 호르몬 농도의 증가 및 방사선 소견상 전형적인 구룻병 병소의 소견을 보인 제 1형 비타민 의존성 구룻병 환아에서 일측성 신장 무형성증이 동반되어 있었던 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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하악 제 1대구치 맹출 장애의 빈도와 치료 (Prevalence and treatment of mandibular first molar eruption disturbances)

  • 손우성;송효경;김성식
    • 대한치과의사협회지
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    • 제55권5호
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    • pp.328-338
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    • 2017
  • Introduction: The aim of the current study was to describe the prevalence and treatment of mandibular first molar eruption disturbances. Methods: A total of 38 mandibular first molars(M1mn) from 36 patients(17 males and 19 females; aged 9 years 2 months?35 years 10 months) were identified from the 13,391 patients that received orthodontic treatment from 1983?2012. The subjects were classified into 3 categories based on panoramic radiographic examination: impaction due to ectopic position of the tooth germ relative to the contra-side same tooth(Group 1), impaction due to obstruction of the eruption path with cyst or calcium mass (Group 2), and primary and secondary retention due to defects in the follicle or periodontal ligament(PDL; Group 3). The treatment outcomes were evaluated into four categories: no treatment(A), orthodontic traction(B), autotransplantation(C), and extraction due to orthodontic traction failure(D). Results: The prevalence rate of M1mn eruption disturbances in this sample was 0.27%. In Groups 1 and 2, most of the impacted M1mn were erupted successfully by orthodontic traction. In Group 3, most of the retained M1mn were failed to erupt and recommended for extraction. Conclusions: Treatment prognosis was favorable on Group 1 & 2 than Group 3. After removing an element of the cause in case of Group 1 & 2, orthodontic traction or periodic observation will be recommended.

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소아 환자에서 조직확장기 사용의 유용성 (Usefulness of using Tissue Expander in Pediatric Patient)

  • 이준우;박철규;박종림;김용규
    • Archives of Plastic Surgery
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    • 제37권6호
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    • pp.763-768
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    • 2010
  • Purpose: Reconstruction of soft tissue defect using tissue expander can provide better flap which is more similar to surrounding tissue in color, skin texture and hair compared to other methods. Many pediatric patients need reconstruction of soft tissue defect because of giant congenital nevi, congenital or acquired malformations and burn scars. Reconstruction using tissue expander is adequate to minimize dysmorphism in these patients. We intended to assess outcomes of using tissue expander in pediatric patients by retrospective study. Methods: Total cases were 168 of pediatric patients who received soft tissue reconstruction using tissue expander by the same surgeon from February, 1982 to May, 2009. All patients who received soft tissue reconstruction were under 10 years old. Mean age was 4.3 years old, the youngest 13 months, the oldest 8 years. Eightynine cases were male and 79 cases were female. Most common cause was giant hairy nevi (67 cases, 39.9%), secondary cause was burn scar/scar contracture (61 cases, 36.3%). Trunk (38 cases, 22.6%) was most common anatomical location. Results: Soft tissue defects were successfully covered using tissue expander in 149 cases (88.7%) without major complications. There was infection on 8 cases (4.7%) and we treated by adequate antibiotics in these cases. There were tissue expander folding or valve displacement on 5 cases (3%). Conclusion: Usage of tissue expander is useful on pediatric patients because tissue expansion is rapid on children and there are less secondary contractures on operation site than full thickness skin graft. Because of psychological stress due to tissue expander, operation should be performed before school age.

Cu2ZnSn(S,Se)4(CZTSSe) 흡수층의 급속 열처리 공정 온도 미세 조절을 통한 특성 향상 (Improvement in Performance of Cu2ZnSn(S,Se)4 Absorber Layer with Fine Temperature Control in Rapid Thermal Annealing System)

  • 김동명;장준성;비제이 가라데;김진혁
    • 한국재료학회지
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    • 제31권11호
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    • pp.619-625
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    • 2021
  • Cu2ZnSn(S,Se)4 (CZTSSe) based thin-film solar cells have attracted growing attention because of their earth-abundant and non-toxic elements. However, because of their large open-circuit voltage (Voc)-deficit, CZTSSe solar cells exhibit poor device performance compared to well-established Cu(In,Ga)(S,Se)2 (CIGS) and CdTe based solar cells. One of the main causes of this large Voc-deficit is poor absorber properties for example, high band tailing properties, defects, secondary phases, carrier recombination, etc. In particular, the fabrication of absorbers using physical methods results in poor surface morphology, such as pin-holes and voids. To overcome this problem and form large and homogeneous CZTSSe grains, CZTSSe based absorber layers are prepared by a sputtering technique with different RTA conditions. The temperature is varied from 510 ℃ to 540 ℃ during the rapid thermal annealing (RTA) process. Further, CZTSSe thin films are examined with X-ray diffraction, X-ray fluorescence, Raman spectroscopy, IPCE, Energy dispersive spectroscopy and Scanning electron microscopy techniques. The present work shows that Cu-based secondary phase formation can be suppressed in the CZTSSe absorber layer at an optimum RTA condition.

Fractographic 분석을 통한 HEROShaper 니켈티타늄 전동 파일의 피로파절에 미치는 표면결함의 역할 (The Effect of Surface Defects on the Cyclic Fatigue Fracture of HEROShaper Ni-Ti rotary files in a Dynamic Model: A Fractographic Analysis)

  • 이정규;김의성;강명희;금기연
    • Restorative Dentistry and Endodontics
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    • 제32권2호
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    • pp.130-137
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    • 2007
  • 본 연구의 목적은 니켈티타늄 전동파일의 피로파절에 있어서 표면 결함의 역할을 규명하고자 fatigue tester에서 반복적 인 fatigue force를 부여한 후 파절된 단면을 주사전자현미 경으로 관찰하여 파절 역학을 규명하는 것이다. 총 45개의 #30/.04 taper와 21 mm의 HEROShaper 니켈-티타늄 전동파일을 15개씩 3개의 군으로 분류하였다. 제 1군은 결함이 없는 새 HEROShaper파일, 제 2군은 제조과정에서 metal rollover나 machining marks와 같은 표면결함을 갖는 HEROShaper파일, 제 3군은 임상에서 4- 6개의 구치부 근관의 확대에 사용한 HEROShaper 파일을 사용하였다. 모든 파일들은 회전속도(300 rpm)와 pecking distance (3 mm)가 일정하게 맞춘 fatigue tester에서 파절될 때까지 시간을 측정한 후 통계분석을 통해 각 군간의 유의성을 분석하였고, 파절 단면의 farctographic analysis를 통해 파절역학을 규명하고자 하였다 실험결과 평균 파절시간에 있어서 group 1과 2, group 1과 3사이에는 통계학적으로 유의할 만한 차이가 있었으나 (p<0.05), group 2와 3사이에는 통계학적인 차이가 없었다. Fractographic analysis 결과 대부분의 파절면에서 microvoid와 dimple 소견을 갖는 ductile fracture양상이 관찰되었다. 또한 brittle fracture가 일어난 파절면에서는 파절선 전방에 수 많은 striation들이 관찰되었고 transgranular 및 intergranular cleavage 소견도 보였다. 표면결함이 있는 제 2, 3 군의 파절단면에서는 모든 시편에서 표면결함이 관찰되었다. 이와 같은 결과로 미루어 보아 표면결함이 반복 피로파절에서 미세균열의 기시점으로 중요한 역할을 하며 fractography분석법은 Ni-Ti 파일의 파절역학을 규명하는데 유용함을 알 수 있었다.

역혈행 후골간 도상피판을 이용한 전기아크손상으로 인한 손목부 결손의 재건 (The Reverse Posterior Interosseous Island Flap for the Reconstruction of Soft Tissue Defects in the Wrist Injured by Electrical Arc)

  • 서정석;이종욱;고장휴;서동국;최재구;정철훈;오석준;장영철
    • Archives of Plastic Surgery
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    • 제34권5호
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    • pp.580-586
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    • 2007
  • Purpose: High tension electrical injuries result in major tissue(eg. bones, tendons, vessels and nerves) destruction. Therefore, the management of mutilating wrist caused by electrical injuries still represents a challenge. There are various approaches to this problem including local and regional flaps as well as pedicled distant flaps and microsurgical free tissue transfer. Although it has not gained wide acceptance, because of the technically demanding dissection of the pedicle, posterior interosseous flap is now well accepted for the reconstruction of hand and wrist in hand surgery. The principal advantages of this flap are minimal donor site morbidity, minimal vascular compromise, one stage operation. This flap also offers the advantages of ideal color match and composition. In this report, we describe our experience with the reverse posterior interosseous island flap for reconstruction of mutilating wrist with main vessel injuries. Methods: From October, 2004 to June, 2006, we treated 11 patients with soft tissue defects and main vessel injuries on the wrist that were covered with reverse posterior interosseous island flap. Results: These 11 patients were all male. The ages ranged from 27 to 67 years(mean age 41.75) and the follow-up period varied from 4 to 19 months. Complete healing of the reverse posterior interosseous island flaps were observed in 11 patients(12 flaps). The majority of these flaps showed a certain degree of venous congestion, which in a flap was treated with medical leech. 1 flap has partial necrosis owing to sustained venous congestion, requiring secondary skin graft. flap size varied from $3.5{\times}8cm$ to $10{\times}12cm$(mean size $6.4{\times}8.9m$). The donor site defect was closed directly in 5 flaps, and by skin graft in 7 flaps. Conclusion: We found that the reverse posterior interosseous island flap is reliable and very useful for reconstruction of mutilating wrist and we recommend it as first choice in coverage of soft tissue defects in the wrist with electrical arc injuries.

1MeV 인 이온 주입시 RTA에 의한 미세결함 특성과 latch-up 면역에 관한 구조 연구 (A Study on the Micro-defects Characteristics and Latch-up Immune Structure by RTA in 1MeV P Ion Implantation)

  • 노병규;윤석범
    • 전기전자학회논문지
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    • 제2권1호
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    • pp.101-107
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    • 1998
  • 인(Phosphorus)을 1MeV로 이온 주입한 후 RTA를 실시하여 미세결함의 특성을 조사하고, 면저항, SRP, SIMS, XTEM 분석과 CMOS 구조에서 래치업 특성을 모의 실험하였다. 도즈량이 증가할수록 면저항은 낮아지고, Rp값은 도즈량이 $1{\times}10^{13}/cm^2,\;5{\times}10^{13}/cm^2,\;1{\times}10^{14}/cm^2$일때 각각 $1.15{\mu}m,\;1.15{\mu},\;1.10{\mu}m$로 나타났다. SIMS 측정결과는 열처리 시간이 길수록 농도의 최대치가 표면으로부터 깊어지고, 농도 또한 낮아짐을 확인하였다. XTEM 분석 결과는 열처리 전에는 결함측정이 불가능했으나, 측정되지 많은 미세결함이 열처리 후 이차결함으로 성장한 것으로 조사되었다. 모의 실험은 buried layer와 connecting layer 구조를 사용하였으며, buried layer보다 connecting layer가 래치업 특성이 우수함을 확인하였다. Connecting layer의 도즈량이 $1{\times}10^{14}/cm^2$이고 이온주입 에너지가 500KeV일 때 trigger current는 $0.6mA/{\mu}m$이상이었고, trigger voltage는 약 6V로 나타났다. Connecting layer의 이온주입 에너지가 낮을수록 래치업 저감효과가 더욱 우수함을 알 수 있었다.

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구강내 결손부에 적용된 연조직 재건술식들에 대한 임상적 고찰 (CLINICAL REVIEW OF SOFT TISSUE RECONSTRUCTIVE METHODS ON INTRAORAL DEFECTS)

  • 김욱규;이승환;황대석;김용덕;신상훈;김종렬;정인교
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제29권6호
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    • pp.527-537
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    • 2007
  • To evaluate criteria, indications, and prognosis of the various reconstructive methods on the patients with intraoral soft tissue defect who had been treated at Dept. of Oral and Maxillofacial Surgery, Pusan National University Hospital from 2003 to 2005, we have reviewed the clinical data of the patients and analysed. The results were as follows: 1. Tongue flaps have been mainly applied on anterior portion of palate and maxilla. The survival rate was high percent, but the cooperation of patient was inevitable for the success. 2. Palatal mucosa rotational flaps were available on relative large defect on palate, oroantral fistula site. The side effect was a scaring band from secondary healing on denuded donor palate site. Sometimes the band came to be a hinderance to swallowing, phonation. 3. Forearm free flap was a workhorse flap for everywhere in intraoral defects. We had used the flap on cheek, floor of mouth, tongue without any significant complications. But the application of the flap was required for long operation time, which was disadvantageous to the old, weak patients. 4. Cervical platysmal flap could be easily applicable for buccal cheek, floor of mouth after excision of the cancer lesion. The design of the flap could be made simultaneously on neck dissection, but the danger of cancer remnants on the flap always might be remained. 5. Buccal fat pad pedicled flap must have been a primary flap for repair of oroantral fistula especially on posterior maxilla. The flap survival will be expected if the considerations for above reconstructive methods on site, size, condition of defects primarily could be made.

열처리에 따른 이온 주입시 발생하는 2차결함의 거동 (Behavior of secondary defects by high energy Implantation along Thermal Process)

  • 김석구;곽계달;윤상현;박철현
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1999년도 하계학술대회 논문집 D
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    • pp.1827-1829
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    • 1999
  • 반도체 소자가 고집적화 되고 미세화 될수록 좁은 면적에 여러 기능을 가진 우물을 형성시켜야하나 기존의 우물로는 고온 장시간 열처리로 인하여 측면 확산이 깊게 되고, 불순물 농도 분포는 표면으로부터 농도가 점차 낮아진다. 따라서 기존 우물의 불순물 분포로는 기생 트랜지스터에 의한 렛치-엎과 알파 입자에 의한 SER의 감소를 위하여 필요한 벌크에서의 고농도 분포를 유지하기가 곤란하다. 이러한 문제는 차세대 반도체 개발을 위해서는 반드시 해결해야 할 것이며 이것을 해결할 수 있는 공정으로는 고 에너지 이온 주입과 저온, 단시간 열처리이다. 고 에너지 이온 주입 시의 불순물 분포를 어떻게 제어할 것인가에 대한 것과 여기서 부수적으로 나타나는 격자 손상과 그 회복 및 잔류결함의 성질을 어떻게 알고 이를 게터링 등에 이용할 것이냐에 대한 것이다. 실리콘 기판 내로 가속된 이온은 실리콘 격자와 충돌하면서 많은 1차 결함이 생기고. 이들은 후속 열처리 과정에서 활성화되면서 대부분은 실리콘 격자의 위치에 들어가 활성화되고. 그 나머지는 실리콘내의 격자간 산소, 격자간 실리콘. 격자 빈자리와 상호 작용을 하여 2차 결함을 형성한다. 에피택셜 웨이퍼와 p-type웨이퍼에 비소 이온을 고에너지로 주입후 2단계 열처리에 의한 농도분포변화와 핵생성과 결함성장에 관해 실험하였고, 핵생성온도는 $600^{\circ}C$이하이고, 성장에 필요한 온도는 $700^{\circ}C$이상이다.

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Successful Repair of Critical Tricuspid Regurgitation Secondary to a Ruptured Papillary Muscle in a Neonate

  • Min, Jooncheol;Kim, Eung Re;Yang, Chan Kyu;Kim, Woong-Han;Jang, Woo Sung;Cho, Sungkyu
    • Journal of Chest Surgery
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    • 제47권4호
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    • pp.398-401
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    • 2014
  • Severe tricuspid regurgitation resulting from a flail leaflet is a rare cause of neonatal cyanosis. We report a neonate with profound cyanosis and severe tricuspid regurgitation caused by a rupture of the papillary muscle supporting the anterior leaflet, without other structural heart defects. Ductal patency could not be established. The repair of the tricuspid valve was performed after initial stabilization by using extracorporeal membrane oxygenation.