• Title/Summary/Keyword: defect-correction method

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Cor Triatriatum A Case Report (삼중방심 치험 1례)

  • No, Jung-Gi;Lee, Gil-No
    • Journal of Chest Surgery
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    • v.18 no.1
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    • pp.13-18
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    • 1985
  • Cortriatriatum is rare congenital heart disease characterized by the presence of a fibromuscular diaphragm that subdivides the left atrium into a proximal or "accessory" and a distal or "true" left atrial chamber. A 15 year old girl with cortriatriatum underwent surgical correction at the department of Thoracic and Cardiovascular Surgery, Soonchunhyang College in November, 1984. This case was preoperatively diagnosed as a single atrium with functional tricuspid regurgitation But on operation, we found that there were transverse septum in the left atrium through large ASD, low chamber receives the pulmonary veins, and the upper chamber gives rise to the left atrial appendage and leads to the mitral valve. And the anomalous membrane has no fenestrations. We excised completely the anomalous septum, reconstructed atrial septal defect with dacron patch and performed the tricuspid annuloplasty with DeVega method. Postoperative course was uneventful during follow up, during follow up.

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STEP OSTEOTOMY TECHNIQUE THROUGH INTRAORAL APPROACH FOR MANDIBULAR DISTRACTION (Callus distraction method를 이용한 하악골 신장술;계단골절단술식의 적용)

  • Kim, Myung-Jin;Yun, Pill-Young;Shin, Dong-Joon;Kim, Soo-Kyung;Kim, Jong-Won;Kim, Kyoo-Sik
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.2
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    • pp.254-261
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    • 2000
  • Since callus distraction technique was applied clinically for the correction of dentofacial deformity to the patients with hemifacial dysplasia by McCarthy in 1992, many surgeons have tried to apply this method to the maxillofacial region. But this technique has some drawbacks. One of the disadvantages of this technique is extensive scar formation in the facial area, which is a sequelae of extraoral approach for supraperiosteal dissection of the periosteum overlying the mandible. Recently, we have made an effort to perform this technique through intraoral approaches to prevent scar formation on the submandibular area and modified the design of the osteotomy, that is step osteotomy technique, to increase the raw bone surface on both osteotomized segments. The rationale for the application of this step osteotomy technique is to increase the amount of regenerated bone and the length of distraction, to avoid damage of inferior alveolar neurovascular bundle, and to increase initial stability of the splitted segments. Step osteotomy procedure can be done with fine micro-osteotomy saw through subperiosteal tunneling. Extraoral pins should be inserted before making the osteotomy. Since 1994 we have applied this technique at 8 sites In 5 patients with mandibular deficiencies: 2 cases of hemifacial microsomia, 1 case of developmental facial asymmetry and 2 cases of mandibular bony defect. Mandibular elongation have been achieved from 12 to 20mm in length. 1 out of 8 site, we experienced non-union in the case of mandibular body defect. Some skeletal relapse and growth retardation phenomenon have been observed in some cases with the longest follow-up of 48 months.

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A Clinical Study on the Surgical Treatment of Double Chambered Right Ventricle Associated with Ventricular Septal Defect (VSD 를 합병한 DCRV 의 외과적 수술에 대한 임상적 고찰)

  • Son, Dong-Seop;Kim, Geun-Ho
    • Journal of Chest Surgery
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    • v.18 no.2
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    • pp.241-249
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    • 1985
  • Twenty-one patients with Double Chambered Right Ventricle [DCRV] associated with Ventricular Septal Defect [VSD] were treated by open heart surgery under cardiopulmonary bypass with moderate hypothermia in the Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital between June 1982 and October 1984. The following results were obtained 1. The symptoms and physical signs, specific for DCRV, could not be identified. 2. The radiologic findings on simple chest X-ray, specific for DCRV, could not be identified. 3. Electrocardiographic findings, specific for DCRV, could not be identified. 4. Cardiac catheterization was found to be the most important diagnostic method, revealing pressure gradient between proximal chamber and distal chamber in the right ventricle. The average pressure gradient between two chambers showed 48.1523.29 mmHg[varying from 15mmHg to 94mmHg]. 5. Cardiac angiography was found to visualize the anomalous muscle bundles in right ventricle [in 17 cases, 81%] but the evidence of pressure gradient between two chambers within right ventricle is considered necessary for the diagnosis of DCRV. 6. Via surgical observation, anatomical and pathologic findings of the anomalous muscle bundles, associated DCRV were identified. 7. As the direct pressure was measured on the operating table before and after surgery, the average pressure gradient across the muscle bundles showed 40.5219.75mmHg [varying from 16 to 89mmHg] preoperatively and 8.909.72mmHg [varying from 0 to 32mmHg] postoperatively, indicating significant surgical correction of the obstruction present. 8. The presence of anomalous muscle bundles, dividing the right ventricle into two separated chambers, and the presence of the pressure gradient over 15mmHg are considered necessary for the diagnosis of DCRV.

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A Study on Measuring the Temperature and Revising the Result When Measuring the Temperature of NPP Pipes Using Infrared Thermography (적외선 열화상 기술을 이용한 원자력 배관의 온도측정과 보정에 관한 연구)

  • Kim, Kyeong-Suk;Jung, Hyun-Chul;Pack, Chan-Joo;Kim, Dong-Soo;Jung, Duk-Woon;Chang, Ho-Sub
    • Journal of the Korean Society for Nondestructive Testing
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    • v.29 no.5
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    • pp.421-426
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    • 2009
  • The emissivity is different because the emitted angle changes according to the position of the infrared thermography camera and object. Because of this, the temperature distribution expressed when measuring the temperature by using the infrared thermography system is not the accuracy temperature. Although the real surface temperature is constant, the temperature measured by using infrared thermography camera have error in accordance with the value of emissivity. In this paper, the temperatures of the round cylindrical object and the flat square object that heated to the equal temperature were measured by infrared thermography camera. The emissivity calibration formula and correction table are made with the affect of the view angle and emission angle form the surface temperature value. The error of measured temperature values are corrected by using the emissivity calibration formula and correction table, and apply to defect detection of the nuclear power plant pipe. From the calibration method, reliability surface temperature values were obtained.

Early and Late Surgical Result of Post MI-VSD (심근경색 후 발생한 심실중격결손증의 수술 후 조기 및 장기 결과)

  • 임상현;곽영태;유경종;최성실;홍유선;장병철;강면식
    • Journal of Chest Surgery
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    • v.35 no.12
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    • pp.871-875
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    • 2002
  • Despite early aggressive treatment, post myocardial infarction(MI) ventricular septal defect(VSD) revealed high surgical mortality. We reviewed the 10-year experiences of surgically treated post-MI VSD in Yonsei University. Material and Method: From Jan. 1991 to May 2001, 17 patients underwent surgical repair of post-MI VSD. Ages ranged between 47 and 77 years(mean age=63.2$\pm$9.1). There were 10 males and 7 females. VSD was located at anterior in 16 patients and at posterior in one. IABP was inserted preoperatively in 12 patients due to cardiogenic shock. Mean interval from MI to occurrence of VSD was 5.6 days. Among patients undergoing early surgical correction(n=13), mean interval from occurrence of VSD to operation was 2.5 days. In 11 patients, concomitant CABG was performed during repair of VSD. Result: Four patients died within 30 days after the operation(30 day mortality=23.5%). Among 12 patients with preoperative cardiogenic shock, 4 patients died within 30 days(30-day mortality=33.3%). During mean follow up period of 52 months, one patient died of unknown cause and 10-year survival of discharged patients was 66.7%. All follow-up patients were in NYHA functional class I or II when their last OPD visit. Conclusion: In the treatment of post-MI VSD, aggressive medical treatment with early surgical correction seems to be very important in terms early and long-term survival of patients.

Outcome of neonatal palliative procedure for pulmonary atresia with ventricular septal defect or tetralogy of Fallot with severe pulmonary stenosis: experience in a single tertiary center

  • Jo, Tae Kyoung;Suh, Hyo Rim;Choi, Bo Geum;Kwon, Jung Eun;Jung, Hanna;Lee, Young Ok;Cho, Joon Yong;Kim, Yeo Hyang
    • Clinical and Experimental Pediatrics
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    • v.61 no.7
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    • pp.210-216
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    • 2018
  • Purpose: The present study aimed to evaluate progression and prognosis according to the palliation method used in neonates and early infants aged 3 months or younger who were diagnosed with pulmonary atresia with ventricular septal defect (PA VSD) or tetralogy of Fallot (TOF) with severe pulmonary stenosis (PS) in a single tertiary hospital over a period of 12 years. Methods: Twenty with PA VSD and 9 with TOF and severe PS needed initial palliation. Reintervention after initial palliation, complete repair, and progress were reviewed retrospectively. Results: Among 29 patients, 14 patients underwent right ventricle to pulmonary artery (RV-PA) connection, 11 palliative BT shunt, 2 central shunt, and 2 ductal stent insertion. Median age at the initial palliation was 13 days (1-98 days). Additional procedure for pulmonary blood flow was required in 5 patients; 4 additional BT shunt operations and 1 RV-PA connection. There were 2 early deaths among patients with RV-PA connection, one from RV failure and the other from severe infection. Finally, 25 patients (86%) had a complete repair. Median age of total correction was 12 months (range, 2-31 months). At last follow-up, 2 patients had required reintervention after total correction; 1 conduit replacement and 1 right ventricular outflow tract (RVOT) patch enlargements. Conclusion: For initial palliation of patients with PA VSD or TOF with severe PS, not only shunt operation but also RV-PA connection approach can provide an acceptable outcome. To select the most proper surgical strategy, we recommend thorough evaluation of cardiac anomalies such as RVOT and PA morphologies and consideration of the patient's condition.

Fabrication and Processing Method of Ophthalmic Hydrogel Tinted Lens Containing Indium Tin Oxide-Composited Materials

  • Lee, Min-Jae;Lee, Kyung-Mun;Sung, A-Young
    • Korean Journal of Materials Research
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    • v.28 no.12
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    • pp.685-690
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    • 2018
  • In this study, a multifunctional ophthalmic lens material with an electromagnetic shielding effect, high oxygen permeability, and high water content is tested, and its applicability is evaluated. Metal oxide nanoparticles are applied to the ophthalmic lens material for vision correction to shield harmful electromagnetic waves; the pyridine group is used to improve the antibacterial effect; and silicone substituted with urethane and acrylate is employed to increase the oxygen permeability and water content. In addition, multifunctional tinted ophthalmic lens materials are studied using lens materials with an excellent antibacterial effect (2,6-difluoropyridine, 2-fluoro-4-pyridinecarboxylic acid) and functional (UV protection, high wettability) lens materials (2,4-dihydroxy benzophenone, 2-hydroxy-4-(methacryloyloxy)benzophenone). To solve problems such as air bubbles generated during the polymerization process for the manufacturing and turbidity of the lens surface, polymerization conditions in which the defect rate is minimized are determined. The results show that the polymerization temperature and time are most appropriate when they are $110^{\circ}C$ and 40 minutes, respectively. The optimum injection amount of the polymerization solution is 350 ms. The turbid phenomenon that appears in lens processing is improved by 10 to 95 % according to the test time and conditions.

A Study on the Calculation of the Area through the Three Dimensional Terrain Model (3차원 지형모델을 이용한 면적산출에 관한 연구)

  • 강인준;장용구;김상석;김윤수
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.20 no.2
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    • pp.111-118
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    • 2002
  • These days, surveying instruments are developing rapidly and the precision is improving continuously. The building of three dimensional terrains of high precision are possible and the calculation of the areas or the volumes have high precision due to the development of the technique of the spatial information system using computer. But actually, in construction site they calculate two-dimensional area using the traditional method, plate table surveying, planimeter, and then get three-dimensional area through multiplying two-dimensional area by the slope correction factor. In this study, we show the defect and inefficiency of the calculation of area by the traditional methods and survey the area with Electric Distance Measurement and GPS instrument. With this data, we made the three dimensional terrain model and calculated two-dimensional area, three-dimensional area. After that, we compared areas that calculated by algorithm of triangulated irregular network and analysis of grid method with standard area that calculated by the traditional method. Finally, this paper suggested more effective and precious method in calculating three-dimensional area.

Computer Vision-Based Measurement Method for Wire Harness Defect Classification

  • Yun Jung Hong;Geon Lee;Jiyoung Woo
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.1
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    • pp.77-84
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    • 2024
  • In this paper, we propose a method for accurately and rapidly detecting defects in wire harnesses by utilizing computer vision to calculate six crucial measurement values: the length of crimped terminals, the dimensions (width) of terminal ends, and the width of crimped sections (wire and core portions). We employ Harris corner detection to locate object positions from two types of data. Additionally, we generate reference points for extracting measurement values by utilizing features specific to each measurement area and exploiting the contrast in shading between the background and objects, thus reflecting the slope of each sample. Subsequently, we introduce a method using the Euclidean distance and correction coefficients to predict values, allowing for the prediction of measurements regardless of changes in the wire's position. We achieve high accuracy for each measurement type, 99.1%, 98.7%, 92.6%, 92.5%, 99.9%, and 99.7%, achieving outstanding overall average accuracy of 97% across all measurements. This inspection method not only addresses the limitations of conventional visual inspections but also yields excellent results with a small amount of data. Moreover, relying solely on image processing, it is expected to be more cost-effective and applicable with less data compared to deep learning methods.

Long-term Results of Surgical Correction for Partial Atrioventricular Septal Defects -Seventeen-year Experience - (부분방실중격결손증에 대한 외과적 교정의 장기 결과)

  • 이정렬;박천수;임홍국;김용진;노준량;배은정;노정일;윤용수
    • Journal of Chest Surgery
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    • v.36 no.12
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    • pp.911-920
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    • 2003
  • In this study, we analyzed the long-term surgical outcome of partial atrioventricular septal defects during the past 17 years at Seoul National University Hospital. Material and Method: A retrospective analysis on mortality, survival, and reoperation and their risk factors was done in 93 patients who underwent surgical correction of partial atrioventricular septal defects between April 1986 and December 2002. 32 patients were male and 61 were female with a median age of 68 months (3∼818 months) and a mean follow-up period of 108 months (1∼200 months). Result: There were 4 operative deaths (4.3%) and one mortality during the follow-up period. 3, 5, 10, and 15 year actuarial survival rates were 95.7%, 94.3%, 94,3%, and 94.3%, respectively. After the surgical correction, left atrioventricular valve Incompetence was improved in 61patients (67.7%), remained same as the preoperative status in 14 patients (15.1%), and was aggravated in 12 patients (12.9%). Reoperation was performed in 8 patients (9.0%) after a mean interval of 38.6 months (3∼136 months). Freedom from reoperation rates at 3, 5, 10, and 15 years after surgical correction were 94.0%, 91.4%, 91.4%, and 88,2%, respectively Reasons for reoperation were 7 left atrioventricular valve incompetence, 2 left ventricular outflow tract obstruction, a residual atrial septal defect, a left atrioventricular valve stenosis, and a right ventricular failure. Left ventricular outflow tract obstruction was the only statistically significant factor. In ten patients, significant arrhythmia was developed and three of them were supraventricular arrhythmia. Complete atrioventricular block occurred in 7 patients and permanent pacemakers were implanted in six of them. Conclusion: Surgical corrections of partial atrioventricular septal defects were performed with low operative mortality. Since left atrioventricular valve incompetence was the most common cause of reoperation and left ventricular outflow tract obstruction was the only risk factor for reoperation, a precise estimation of the left atrioventricular valve morphology and the structure of left ventricular outflow tract are needed. Although left ventricular outflow tract obstruction rarely developed, reoperation was frequently required and resection of subaortic tissue could be peformed but the possibility of recurrence was high, so modified Konno operation could be performed with satisfactory results. Complete atrioventricular block developed frequently in early periods, but was overcome with a precise anatomical understanding of conduction system and experience.