• Title/Summary/Keyword: cause of defects

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Surgical Treatment of Main Pulmonary Artery Aneurysm with Patent Ductus Arteriosus -A Case Report- (동맥관개존증에 동반된 주폐동맥류의 수술치험 - 수술치험 1례)

  • 김대식;이성주;권오우;김창회;채성수;오성철
    • Journal of Chest Surgery
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    • v.29 no.11
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    • pp.1270-1275
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    • 1996
  • Pulmonary artery aneurysms are extremely rare conditions usually associated with congenital cardiac defects that cause increased pulmonary blood flow and pulmonary hypertension. The prognosis of pulmonary artery aneurysms is fatal due to the potential for rupture of the aneurysm and the underlying severe pulmonary hypertension. A 40-year old woman was admitted to our hospital with headache following traffic accident. On admission a continuous murmur was heard over the 2nd to 3rd intercostal space along left sternal border and a calcified cystic mass at left hilar portion was incidentally discoverd on chest reontgenogram. Cardiac catherization was diagnostic of a left to right shunt at main pulmoanry artery level and pulmonary hypertension. Pulmonary angiogram demonstrated a large aneurysm of main pulmonary artery extending into proximal left pulmonary artery. The pulmonary artery aneurysm associated with patent ductus arteriosus was diagnosed definitively and the patient was underwent resection of pulmonary artery aneurysm, closure of PDA and Dacron prosthetic graft replacement under cardiopulmonary bypass. The postoperative course was uneventful and the patient was discharged without any problem.

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Development of Machining System for Gouging of Nozzle Welded Area (압력용기 노즐 용접부 절삭 가우징 장치 개발)

  • Son, Seong-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.10
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    • pp.2596-2601
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    • 2009
  • Gouging is defined as the removal of weld metal and base metal from the opposite of a partially welded joint to facilitate complete joint penetration. Since the work by current method needs skillful welding and grinding, there is a limit on the increase of operation efficiency. Noise and dust from the weld gouging also deteriorate the work place and cause environmental problems. In this study, the gouging work by cutting method is proposed to overcome the defects from weld gouging such as low productivity, severe noise, dense dust, and so on. The developed cutting gouging system removes material as much as $13,565mm^3/min$, and enlarge the labor productivity as three times compared to that by weld gouging method.

Clinical Management and Short-term Prognosis of Molar-Incisor Malformation Affected Patients: Case Reports (대구치-절치 형태이상 환자의 임상적 치료 및 단기 예후: 증례 보고)

  • Kim, Hyojin;Lim, Sumin;Kim, JinYoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.1
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    • pp.121-130
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    • 2022
  • Molar-incisor malformation (MIM) is a newly reported dental anomaly with molar root deformity and incisor crown defects. MIM-affected teeth may cause severe pain with no apparent tooth caries. Since the affected molars clinically appear normal, radiographs are recommended for accurate diagnosis on the first visit. Since MIM-affected patients are in mixed dentition, timely and appropriate interventions are needed to avoid unnecessary pain and complicated clinical issues. This report was written to describe two patients who had MIM in early mixed dentition and report their 2-year follow-ups.

A Study on Word-of-Mouth of an Electric Automobile using YouTube: A Focus on Statistical Network Analysis (유튜브를 활용한 전기 자동차 결함에 대한 구전 확산 연구: 네트워크 통계분석을 중심으로)

  • EuiBeom Jeong;Keontaek Oh
    • Journal of Korea Society of Industrial Information Systems
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    • v.29 no.1
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    • pp.15-29
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    • 2024
  • With recent advances in information and communication technology, YouTube has become a powerful online space for users to create and share content about their interests and experiences, creating new cultural phenomena. In particular, there needs to be more research on social media in the manufacturing sector because, unlike distribution and retail, there has been relatively little direct contact with consumers. YouTube can positively affect firms' performance by promoting products and brands. On the other hand, it can also cause risks, such as production disruption due to rumors or misinformation. Thus, it is necessary for firms to examine how information about an electric automobile defects spreads on YouTube according to the number of subscribers and views through statistical network analysis.

An Experimental Research for the Optimization of the Gear Grinding Machine's Operating Condition (기어 그라인딩 장비 가공조건 최적화에 대한 실험적 연구)

  • Lee, Hyun-Ku;Kim, Moo-Suck;Hwang, Sun-Yang;Kwon, O-Jun;Kang, Koo-Tae
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2010.05a
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    • pp.65-66
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    • 2010
  • To improve the gear noise quality, gear tooth grinding machine are widely used in automotive industry. While using the gear profile grinding machine to improve the gear tooth quality of the transmission, several defects such as chattering, tooth waves that cause the gear noise occasionally happened. But it is very difficult to solve that problem, because there is no one who knows the setting up the optimal grinding condition appropriately. The abnormal manufacturing conditions which make the gear noise make the engineer to spend a lot of time, effort, and money. Due to demands for solving the serious abnormal gear noise happened in the new FF 6th stage automatic transmission in the mass product stage, the vibration checking process in the worm wheel axis, work rotation and fixed axis of the grinding machine were adapted to find the root causes. As a result, gear profile wave are affected by the work rotation axis's unbalance which is caused by worm wheel feeding speed. And a primary and the secondary grinding feeding speed, cutting oil, work fixed forces are also proved as the important factors. After setting up the grinding condition reported in this paper, it was adapted successfully to the grinding machine to manufacture the new FF 6th speed automatic transmissions' output gear. The gear noise was dramatically disappeared and the process and results will offer good guides to the engineers who manufacture the gear with the grinding machine.

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An Experimental Research for the Optimization of the Gear Grinding Machine's Operating Condition (기어 그라인딩 장비 가공조건 최적화에 대한 실험적 연구)

  • Lee, Hyun-Ku;Kim, Moo-Suk;Kang, Koo-Tae
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.20 no.7
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    • pp.665-671
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    • 2010
  • To improve the gear noise quality, gear tooth grinding machine are widely used in automotive industry. While using the gear profile grinding machine to improve the gear tooth quality of the transmission, several defects such as chattering, tooth waves that cause the gear noise occasionally happened. But it is very difficult to solve that problem, because there is no one who knows the setting up the optimal grinding condition appropriately. The abnormal manufacturing conditions which make the gear noise make the engineer to spend a lot of time, effort, and money. Due to demands for solving the serious abnormal gear noise happened in the automatic transmission in the mass product stage, the vibration checking process in the worm wheel axis, work rotation and fixed axis of the grinding machine were adapted to find the root causes. As a result, gear profile wave are affected by the work rotation axis's unbalance which is caused by worm wheel feeding speed. And a primary and the secondary grinding feeding speed, cutting oil, work fixed forces are also proved as the important factors. After setting up the grinding condition reported in this paper, it was adapted successfully to the grinding machine to manufacture the new automatic transmissions' gear. The gear noise was dramatically disappeared and the process and the results will offer good guides to the engineers who manufacture the gear with the grinding machine.

Low-cost Fiber Bragg Grating Interrogator Design for Unmanned Aircraft (무인 항공기를 위한 저가형 FBG 인터로게이터 설계)

  • Hong, Jae-Beom;Hong, Gyo-Young
    • Journal of Advanced Navigation Technology
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    • v.24 no.6
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    • pp.465-470
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    • 2020
  • Complex materials are widely used in aviation industries where lightweighting is essential because they have lighter properties than metals. However, composite materials can cause defects such as internal void formation, poor adhesive mixing, and non-adhesive parts during the production process, and there is a risk of micro-cracking and interlayer separation due to low energy impact. Therefore, a structural damage test is essential. As a result, structural integrity monitoring using FBG is drawing attention. Compared to conventional electrical sensors, FBG has the advantage of being more corrosion-resistant and multiplexed without being affected by electrical noise. However, interloggers measuring FBG are expensive and have a large disadvantage because they are made on the premise of measuring large structures. In this paper, low-cost interloggers were designed for use in unmanned or small aircraft using optical switche, WDM filter, and LTFs, and compared to conventional high-priced interrogator.

Incidence of Vesicoureteral Reflux and Renal Scar in Asymptomatic Siblings of Patients with Primary Vesicoureteral Reflux (선천성 방광요관역류 환아의 형제자매에서 방광요관역류와 신반흔의 유병률)

  • Yu Je-Yun;Suck Hyo-Chung;Song Jun-Young;Park Moon-Sung;Kim Young-Soo;Pai Ki-Soo
    • Childhood Kidney Diseases
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    • v.7 no.2
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    • pp.181-188
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    • 2003
  • Purpose : Vesicoureteral reflux(VUR) is known to be the main cause of childhood hypertension and renal failure. Knowing its familial occurrence, we determined the incidence of VUR and renal scar in asymptomatic siblings of Korean patients with primary VUR Methods : A total of 50 siblings from 37 index patients were included. Voiding cystourethro-graphy(VCUG) and renal scintigraphy using $^{99m}Tc-DMSA$ were peformed in these siblings from June, 1994 to May, 2001, Index patients were classified into two groups according to the presence of VUR in their siblings, and the clinical factors of the index patients such as age, sex, grade of reflux and renal cortical defect were compared between the groups. Results : Among the 50 siblings, VUR were found in 8(16%) and renal cortical defects were detected in 8(16%) siblings respectively. The incidence of renal cortical defects was 87.5%(7 out of 8) in the VUR(+) siblings. There was a case of VUR(-) cortical defect in one sibling, presumed as a scar from an old VUR. There was no relationship among age, sex, grade of reflux and renal cortical defect of the index patient to the presence of VUR in siblings. Conclusion : This study confirmed a significant incidence of VUR(16%) and renal cortical defects(16%) in the asymptomatic siblings of patients with primary VUR in Korea. It Is resonable to recommend screening studies to the siblings of patients with VUR for the early detection and prevention of probable reflux nephropathy. (J K orean Soc Pediatr Nephrol 2003;7:181-188)

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Clinical Results of Anterolateral Thigh Perforator Flap for Soft Tissue Reconstruction of the Foot and Ankle (족부 및 족관절부 연부조직 재건을 위한 전외측 대퇴 천공지 피판술의 임상결과)

  • Han, Soo-Hong;Hong, In Tae;Lee, Yohan;Jo, Yong-Gil;Kwon, Young Woo
    • Journal of the Korean Orthopaedic Association
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    • v.52 no.1
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    • pp.40-48
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    • 2017
  • Purpose: Soft tissue reconstruction of a defect around the foot and ankle is a particularly challenging procedure due to the anatomical and functional characteristics of this area. Hence, only a limited number of treatment options are available. Moreover, if patients wish to avoid additional scars on the ipsilateral lower leg for cosmetic reasons, even fewer options are available for treatment. The authors used an anterolateral thigh perforator flap for soft tissue defects in this area, when other surgical options were inadequate. The aim of this study was to report the clinical results and the efficacy of this procedure. Materials and Methods: Sixteen cases of soft tissue defects around the foot and ankle were included. Participants included 12 male and 4 female subjects, and the mean age was 34 years. The most common cause of defect was acute trauma, and the average follow-up period was 33 months. Flap survival time, surgical complications, and ambulation status at the final follow-up stage were evaluated. Results: All 16 flaps successfully survived, except for one case with partial flap necrosis that was thought to be due to weight bearing earlier than scheduled. All patients were able to walk independently without any aid at the final follow-up stage. No patients showed other significant surgical complications. Conclusion: The anterolateral thigh perforator flap is a good alternative for soft tissue defects of the foot and ankle, when other options are not applicable. This study also demonstrated that surgery using an anterolateral thigh perforator flap is safe and highly reliable.

Modified Blalock-Taussig Shunt for the Patients with Complex Congenital Heart Defects in Early Infancy (조기 영아기에 시행된 복합 심기형 환자들에서의 변형 Blalock-Taussig 단락술)

  • Lim Hong Gook;Kim Woong-Han;Hwang Seong Wook;Lee Cheul;Kim Chong Whan;Lee Chang-Ha
    • Journal of Chest Surgery
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    • v.38 no.5 s.250
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    • pp.335-348
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    • 2005
  • Background: This retrospective review examines the preoperative condition, postoperative course, mortality and cause of death for the patients who underwent modified Blalock-Taussig shunt for complex congenital heart defects in early infancy. Material and Method: Fifty eight patients underwent modified Blalock-Taussig shunts from January 2000 to November 2003. The mean age at operation was $23.1\pm16.2$ days ($5\~81\;days$), and the mean body weight was $3.4\pm0.7\;kg\;(2.1\~4.3\;kg)$. Indications for surgery were pulmonary atresia with ventricular septal defect in 12 cases, pulmonary atresia with intact ventricular septum in 17, single ventricle (SV) in 18, and hypoplastic left heart syndrome (HLHS) in 11. Total anomalous pulmonary venous return (TAPVR) was associated with SV in 4 cases. Result: There were 11 ($19.0\%$) early, and 5 ($10.6\%$) late deaths. Causes of early death included low cardiac output in 9, arrhythmia in 1, and multiorgan failure in 1. Late deaths resulted from pneumonia in 2, hypoxia in 1, and sepsis in 1. Risk factors influencing mortality were preoperative pulmonary hypertension, metabolic acidosis, use of cardiopulmonary bypass, HLHS and TAPVR. Twenty four patients ($41.4\%$) had hemodynamic instability during the 48 postoperative-hours. Six patients underwent shunt revision for occlusion, and 1 shunt division for pulmonary overflow. Conclusion: Modified Blalock-Taussig shunt for complex congenital heart defects in early infancy had satisfactory results except in high risk groups. Many patients had early postoperative hemodynamic instability, which means that continuous close observation and management are mandatory in this period. Aggressive management may appear warranted based on understanding of hemodynamic changes for high risk groups.