• 제목/요약/키워드: Secondary Defects

검색결과 191건 처리시간 0.03초

Junctional Neural Tube Defect

  • Eibach, Sebastian;Pang, Dachling
    • Journal of Korean Neurosurgical Society
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    • 제63권3호
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    • pp.327-337
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    • 2020
  • Junctional neurulation represents the most recent adjunct to the well-known sequential embryological processes of primary and secondary neurulation. While its exact molecular processes, occurring at the end of primary and the beginning of secondary neurulation, are still being actively investigated, its pathological counterpart -junctional neural tube defect (JNTD)- had been described in 2017 based on three patients whose well-formed secondary neural tube, the conus, is widely separated from its corresponding primary neural tube and functionally disconnected from corticospinal control from above. Several other cases conforming to this bizarre neural tube arrangement have since appeared in the literature, reinforcing the validity of this entity. The cardinal clinical, neuroimaging, and electrophysiological features of JNTD, and the hypothesis of its embryogenetic mechanism, form part of this review.

Closure of Myelomeningocele Defects Using a Limberg Flap or Direct Repair

  • Shim, Jung-Hwan;Hwang, Na-Hyun;Yoon, Eul-Sik;Dhong, Eun-Sang;Kim, Deok-Woo;Kim, Sang-Dae
    • Archives of Plastic Surgery
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    • 제43권1호
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    • pp.26-31
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    • 2016
  • Background The global prevalence of myelomeningocele has been reported to be 0.8-1 per 1,000 live births. Early closure of the defect is considered to be the standard of care. Various surgical methods have been reported, such as primary skin closure, local skin flaps, musculocutaneous flaps, and skin grafts. The aim of this study was to describe the clinical characteristics of myelomeningocele defects and present the surgical outcomes of recent cases of myelomeningocele at our institution. Methods Patients who underwent surgical closure of myelomeningocele at our institution from January 2004 to December 2013 were included in this study. A retrospective chart review of their medical records was performed, and comorbidities, defect size, location, surgical procedures, complications, and the final results were analyzed. Results A total of 14 patients underwent surgical closure for myelomeningocele defects. Twelve cases were closed with direct skin repair, while two cases required local skin flaps to cover the skin defects. Three cases of infection occurred, requiring incision and either drainage or removal of allogenic materials. One case of partial flap necrosis occurred, requiring secondary revision using a rotational flap and a full-thickness skin graft. Despite these complications, all wounds eventually healed completely. Conclusions Most myelomeningocele defects can be managed by direct skin repair alone. In cases of large defects, in which direct repair is not possible, local flaps may be used to cover the defect. Complications such as wound dehiscence and partial flap necrosis occurred in this study; however, all such complications were successfully managed with simple ancillary procedures.

How to develop tiered tests: A developmental framework using statistical indexes and four tier types in secondary physics

  • Kim, Min-Kee;Jung, Jin-Sun;Pak, Sung-Jae
    • 한국과학교육학회지
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    • 제29권3호
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    • pp.277-290
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    • 2009
  • In the era of the outcome-based education, multiple-choice test has been widely employed owing to its efficiency that enables educators to evaluate a quantity of students with much objectiveness. However, the prevalent test has not been reconsidered enough to overcome its apparent shortcomings: examiners' effort for developing plausible and faultless distracters defending from every falsification, and students' random guessing on key choices. For alleviating such defects, tiered test as an experimental format of multiple-choice tests has been suggested in science education. Since there has not accumulated much study on the implementation of tiered tests, our research aim is set to construct a framework suggesting statistical indexes for rationally discerning tiered units that develop an effective tiered test. Graded both by our tiered-scoring and by the conventional partial-scoring, the preliminary tiered test in secondary physics attests the improvement in its discrimination and difficulty distribution. The findings reveal that the two indexes discern effective tiered items: discrimination increase (Ct-p) and difficulty decrease (Dp-t). Based on the index information, 4 heterogeneous tier types are recommended in the content of secondary physics: directional manipulation, repeated calculation, diverse explanation, and plural variables.

Use of the pedicled buccal fat pad in the reconstruction of intraoral defects: a report of five cases

  • Youn, Tae-Gyun;Lee, Choong-Sang;Kim, Hye-Sun;Lim, Kyoung-Min;Lee, Seung-June;Kim, Bong-Chul;Nam, Woong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제38권2호
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    • pp.116-120
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    • 2012
  • The buccal fat pad is specialized fat tissue located anterior to the masseter muscle and deep to the buccinator muscle. Possessing a central body and four processes it provides separation allowing gliding motion between muscles, protects the neurovascular bundles from injuries, and maintains facial convexity. Because of its many advantageous functions, the use of the buccal fat pad during oral and maxillofacial procedures is promoted for the reconstruction of defects secondary to tumor resection, and those defects resulting from oroantral fistula caused by dento-alveolar surgery or trauma. We used the pedicled buccal fat pad in the reconstruction of intraoral defects such as oroantral fistula, maxillary posterior bone loss, or defects resulting from tumor resection. Epithelization of the fat tissue began 1 week after the surgery and demonstrated stable healing without complications over a long-term period. Thus, we highly recommend the use of this procedure.

주조공정 설비에 대한 실시간 모니터링을 통한 불량예측에 대한 연구 (A Study on Defect Prediction through Real-time Monitoring of Die-Casting Process Equipment)

  • 박철순;김흥섭
    • 산업경영시스템학회지
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    • 제45권4호
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    • pp.157-166
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    • 2022
  • In the case of a die-casting process, defects that are difficult to confirm by visual inspection, such as shrinkage bubbles, may occur due to an error in maintaining a vacuum state. Since these casting defects are discovered during post-processing operations such as heat treatment or finishing work, they cannot be taken in advance at the casting time, which can cause a large number of defects. In this study, we propose an approach that can predict the occurrence of casting defects by defect type using machine learning technology based on casting parameter data collected from equipment in the die casting process in real time. Die-casting parameter data can basically be collected through the casting equipment controller. In order to perform classification analysis for predicting defects by defect type, labeling of casting parameters must be performed. In this study, first, the defective data set is separated by performing the primary clustering based on the total defect rate obtained during the post-processing. Second, the secondary cluster analysis is performed using the defect rate by type for the separated defect data set, and the labeling task is performed by defect type using the cluster analysis result. Finally, a classification learning model is created by collecting the entire labeled data set, and a real-time monitoring system for defect prediction using LabView and Python was implemented. When a defect is predicted, notification is performed so that the operator can cope with it, such as displaying on the monitoring screen and alarm notification.

반도체소자의 Via hole 결함 측정을 위한 전자컬럼 제어기술 개발 (Development of microcolumn control unit to detect of via-hole defects on wafer)

  • 노영섭;김흥태;김호섭;김대욱;안승준;김영철;진상원;황남우
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2008년도 하계학술대회 논문집 Vol.9
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    • pp.528-529
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    • 2008
  • A new concept based on sample current measurements for detecting of via-hole defects on wafer has been performed by low energy electron beam microcolumn. The microcolumn has been operated at a low voltage of 290 eV with total emission current of 400 nA, and a sample current of 6 nA. The test sample was fabricated with SiO2 layer of 300 nm thickness on a piece of a silicon substrate. Preliminary results of both sample current method and secondary electron method show microcolumn and its control can be useful technology for detecting of via-hole defects on wafer.

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How to Transform a Perforator Propeller Flap into a Keystone Flap in Case of Unsatisfying Perforator Vessel Local Perforator Flap Coverage in Limbs

  • Elena Ciucur;Hadj Boukhenouna;Benjamin Guena;I. Garrido-Stowhas;Christian Herlin;Benoit Chaput
    • Archives of Plastic Surgery
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    • 제50권2호
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    • pp.194-199
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    • 2023
  • Moderate soft-tissue defects need stable coverage, ideally with tissue of similar characteristics and low donor site morbidity. We propose a simple technique for the coverage of moderate skin defects in the limbs. It allows intraoperative transformation of a propeller perforator flap (PPF) into a keystone design perforator flap (KDPF) in cases of unsatisfying perforator vessel or in cases of unpredictable intraoperative events. Between March 2013 and July 2019, nine patients with moderate soft-tissue defects (mean defect size 4.5 × 7.6 cm) in the limbs (two on the upper limbs and seven on the lower limbs) were covered using this technique. We performed four PPFs and five KDPFs. The mean follow-up was 5 months. There was one complication, partial distal tip necrosis in a PPF located in the leg, which healed by secondary intention within 3 weeks. The donor site was closed directly in all cases. No functional impairments were noted regardless of the perforator flap utilized. This technique enables us to employ flexible surgical strategies and allows us to make adjustments based on the patient's vascular anatomy.

원자력발전소 증기발생기 전열관의 결함발생 예방을 위한 전자기 비파괴 검사방법 개발 (Development of an Electromagnetic Nondestructive Testing Method for the Prevention of Defects in Steam Generator Tubes at Nuclear Power Plant)

  • 신영길
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1996년도 하계학술대회 논문집 A
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    • pp.83-85
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    • 1996
  • Major cause of defects in steam generator tubes at nuclear power plant is the accumulation of magnetite and other byproducts of corrosion in the crevice gap between support plates and tubes. Since damaged tubes result in contamination of the secondary coolant by the radioactive primary coolant, they represent a safety hazard. Early detection of magnetite buildup is, therefore, imperative in order to take remedial measures such as chemical flushing. Although the eddy current testing is being used for the inspection of steam generator tubes, the interpretation of resulting signals is generally a difficult task. This paper uses the phase of sensor coil emf as the test signal to find a way of easier signal interpretation. Numerical study using FEM shows that the shape of resulting signal is good for identifying the relative position of the probe to the support plate, and for discreminating the different shapes and degrees of magnetite buildup in the crevice gap region.

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3D CAD 모델을 이용한 이차 전지의 형상 결함 검출 (Geometrical Defect Detection of Secondary Battery Using 3-Dimensional CAD Model)

  • 조영호;류근호;이상열
    • Journal of Information Technology Applications and Management
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    • 제29권6호
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    • pp.135-144
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    • 2022
  • In this study, we transformed 4680 type lithium-ion batteries to 3-dimensional CAD models and present a methodology to detect defects using Radon inverse transformation. Transparency was applied to the model to make it look like a CT image when viewed from the front. One normal and three defect models were created and analyzed. The models were saved as image files while rotating at a certain angle. Then, we used the Radon inverse transformation to reconstruct the original 3D geometry from the image files. Finally, we successfully found defects in the defect models for three cases.

Giant Arachnoid Granulations in Headache Mimicking Migraine with Aura

  • Park, Jung E;Lee, Eun-ja
    • Investigative Magnetic Resonance Imaging
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    • 제21권3호
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    • pp.192-194
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    • 2017
  • Giant arachnoid granulations have been reported to be associated with headaches, which can be acute or chronic in presentation. In some cases, idiopathic intracranial hypertension, previously called pseudotumor cerebri, may occur. The pathophysiology of these enlarged structures seen as filling defects on imaging is not clearly defined, although they are presumed to cause symptoms such as headache via pressure resulting from secondary venous sinus obstruction. We present a unique presentation of secondary headache in a 39-year-old man with no prior history of headaches found to have giant arachnoid granulations, presenting as migraine with aura.