• Journal of Veterinary Clinics
• /
• v.26 no.4
• /
• pp.359-361
• /
• 2009

A sexually intact female Alaskan Malamute, 5-year-old weighing 25.2 kg presented to the Hangang Animal Hospital, following hit-by-car. On initial presentation, the dog had severe salivation and the right canine tooth luxation. Radiographs revealed fractures of the right rostral hemimandible with the right canine tooth luxation and symphyseal separation. Surgical repair of fractures was performed by use of an interdental wiring technique and external fixation technique that included pins, an acrylic connecting bar, and polymethyl methacrylate bone cement. Post-operative radiographs revealed that bridging callus was well formed over cortices of the fracture area. Pins and an acrylic connecting bar were removed 7 weeks post-operatively. The dog exhibited evidence of normal mastication.

• Transactions of the Korean Society of Pressure Vessels and Piping
• /
• v.10 no.1
• /
• pp.15-19
• /
• 2014

A Failure or degradation of reactor upper head penetration is a recurring problem due to long term operation at nuclear power plants. And a flaw in the reactor upper head penetration has caused unplanned plant shutdown for repair as well as high economic impact on the plants. Consequently, a detection of flaws is of the utmost importance. Prior to the replacement of reactor upper head penetration, some utilities have repaired the flaws of reactor upper head penetration generated by overlay weld. Until now, only the base metal in reactor upper head penetration has been inspected according to 10 CFR 50.55a and ASME code case N-729-1. Accordingly, it is difficult to detect manufacturing defects and repair defects in overlay weld. This paper presents a case study on the application of Time of Flight Diffraction technique for reactor head penetration mockup with artificial flaws in overlay weld. This study offers a way to understand the flaws detected in reactor upper head penetration overlay weld.

• Earthquakes and Structures
• /
• v.14 no.5
• /
• pp.379-388
• /
• 2018

This study aims to identify the effect of both longitudinal reinforcement details and damage level on making a decision of repairing pre-damaged bridge columns using basalt fiber reinforced polymer (BFRP) jackets. Two RC bridge columns with improper details of the longitudinal and/or transverse reinforcement were tested under the effect of a constant axial load and increasing lateral cyclic loading. Test results showed that the lap-splice column exhibited an inferior performance where it showed rapid degradation of strength before achieving the theoretical strength and its deformation capacity was limited; however, quick restoration is possible through a suitable rehabilitation technique. On the other hand, expensive repair or even complete replacement could be the decision for the column with the confinement failure mode. After that, a rehabilitation technique using external BFRP jacket was adopted. Performance-based design details guaranteeing the enhancement in the inelastic performance of both damaged columns were addressed and defined. Test results of the repaired columns confirmed that both reparability and the required repairing time of damage structures are dependent on the reinforcement details at the plastic hinge zone. Furthermore, lap-splice of longitudinal reinforcement could be applied as a key design-tool controlling reparability and restorability of RC structures after massive actions.

• International Journal of Reliability and Applications
• /
• v.1 no.1
• /
• pp.27-38
• /
• 2000

In a recent paper Iskandar ＆ Sandoh (1999) studied an opportunity-based age replacement policy for a system which has a warranty period (0,S]. When the system fails at age x $\leq$ S a minimal repair is performed. If an opportunity occurs to the system at age x, S $\leq$ x $\leq$ T, we take the opportunity with probability p to preventively replace the system, while we conduct a corrective .replacement when its fails in (S,T). Finally, if its age reaches T, we perform a preventive replacement, Under this policy the design variable is T. For the case when opportunities occur according to a homogeneous Poisson process, the long-run average cost of this policy was formulated and studied analytically by Iskandar & Sandoh (1999). The same problem is here analysed by using a graphical technique based on scaled TTT-transforms. This technique gives, among other things, excellent possibilities for different types of sensitivity analysis. We also extend the discussion to the situation when we have to estimate T based on times to failure.

• Journal of Korean Foot and Ankle Society
• /
• v.7 no.1
• /
• pp.78-82
• /
• 2003

Purpose: The purpose of the study is to evaluate the clinical outcomes of acute achilles tendon rupture patients treated by early mobilization after operative repair. Materials and Methods: In this retrospective study, 12 patients of acute Achilles tendon rupture were surgically treated from May 2001 to November 2002, with follow-up period of at least 6 months. There were 10 men and 2 women, and mean age was 35.9 year. The repair method was single Krackow suture technique. Two to three weeks after the operation, early ROM with removable ankle-foot orthosis(AFO) was started. We used Amer-Lindholm scale for the clinical evaluation and analyzed patient's satisfaction and subjective strength deficit. Results: We had 11 excellent results(92%), and 1 good results(8%). One-leg heel raising was possible in all patients. All the patients returned to the preinjury occupations and 7 patients(58%) reached the preoperative level of sports activities. There was no significant difference in ankle ROM and ankle plantar flexion isokinetic strength compared to contralateral side. There was, no reruptures. Conclusion: Early mobilization proved to be a well tolerated, safe, and effective means for the compliant patient.

• Proceedings of the Korean Geotechical Society Conference
• /
• 2009.03a
• /
• pp.874-882
• /
• 2009

Continuous monitoring of dam performance is essential to earth and rockfill dams safety because it has to be guaranteed for safety during construction period of course and from initial impounding to a long term maintenance period of dam. Among the 31 dams managed by Kwater at present, the proportion of dams being over 20 years after completion of construction is 42% and it is estimated that the loss rate of monitoring devices will be increase as times. Monitoring devices would be impossible to repair since those are mostly installed in the dam body and foundation. If repairing of monitoring devices is possible, the expenditure will be expensive. Therefore reasonable decision making for abandonment, repair and alternation for loss of monitoring devices would be needed through the establishment of key instrument for earth and rockfill dam safety. In this study the process of monitoring for safety were modeled by failure modes of dams, adverse conditions related to failure mode, indicators of adverse condition and monitoring devices The relationship between failure mode and monitoring devices were systematically analyzed and established and evaluation technique for qualifying the importance of monitoring devices were presented.

• Advances in pediatric surgery
• /
• v.20 no.2
• /
• pp.23-27
• /
• 2014

Purpose: Laparoscopic hernia repair in children is still controversial. The aim of this study was to report our long-term results of the laparoscopic hernia technique, which is based on the same surgical principles as conventional open herniotomy. Methods: Five hundred fourteen pediatric patients with inguinal hernia were included in this study under informed consent. All patients underwent a laparoscopic technique of sac transection and intracorporeal ligation. The asymptomatic contralateral inguinal ring was routinely explored and repaired if a patient had patent processus vaginalis on the contralateral side. Patients were prospectively followed for 5 years. Those who were lost to follow-up were excluded from the study. Perioperative complications and recurrences were evaluated. Results: The mean follow-up period was 29 months. Mean operation time was 27.5 minutes. Forty one percent of the patients had contralateral patent processus vaginalis. Only one hernia recurred (0.19%). We had one case of contralateral metachronous hernia (0.21%) during follow-up period. Conclusion: The long-term follow-up results of our study revealed that laparoscopic hernia sac transection and ligation can be a safe and effective alternative for conventional herniorraphy.

• Archives of Craniofacial Surgery
• /
• v.12 no.2
• /
• pp.75-80
• /
• 2011

Deformities related with cleft lip are not only limited to the cleft site but also extended to all around the nasolabial region. Facial development is composed of several complex processes as the formation, migration, coalescence and interaction of separate fields. When there is a cleft event, it means there are general problems of those processes. As a result facial elements should have displacement, deformation and functional hypotrophy. These also affect the mucocutaneous structures, which result in the typical deformities of cleft lip. Traditional surgical methods are not sufficient of the correction of functional impairments in the cleft lip. Accordingly, there are relatively high possibilities of occurring secondary deformities. The Delaire's method focuses on repair of functional impairment of the cleft. Consequently, it can maintain the initial good surgical result and avoid the unnecessary incision scar. And this method can minimize secondary nasal deformities which can reduce the risk of additional nasal correction. Therefore authors introduce this advantageous the Delaire technique cheliolplasty which it can be widely used for the cleft lip correction in Korea.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.32 no.2
• /
• pp.117-128
• /
• 2006

Free flap transplantation with microvascular anastomosis has been successfully performed by development of surgical technique, materials and postoperative monitoring equipments of flap. But success rate of microvascular anastomosis is influenced by various factors, and failure rate is about 5-10%. The most influential factor for success rate is surgical technique and other factors that influence failure of microvascular anastomosis are ischemic time of free flap, thrombus formation of anastomosis region and vascular spasm. Many studies has been published in microvascular anastomosis with histologic effect for irrigating solution. But local irrigation solution has been used clinically in microvascular anastomosis, the comparison with each solution, microhistological study for endothelial cell repair and vascular patency has not been reported. The heparin which is anti-thrombotic agent, and urokinase which is fibrinolytic agent are used for this study. Vascular patency and thrombus formation in experimental micro-arterial anastomosis, and endothelial repair were observed with histologic analysis, scanning electron microscopy, transmission electron microscopic examination. The results were obtained as follows: 1. In vascular patency test in 30 minute and 7 days after micro-arterial anastomosis, equal effects of good vascular patency were obtained in group of local irrigation with heparin and urokinase. 2. In thrombus formation in 7 days after micro-arterial anastomosis, equal effects of minimal thrombus formation were obtained in group of local irrigation with heparin and urokinase. 3. In toluidin blue staining in 7 days after micro-arterial anastomosis, local destruction of endothelial cell and inner elastic lamina were seen and endothelial repair was not seen. 4. In scanning electron microscope examination in 7 days after micro-arterial anastomosis, endothelial cell was not seen in peripheral to suture materials, thrombus associated fibrin network was observed. 5. In transmission electron microscope examination in 7 days after micro-arterial anastomosis, inflammatory cell was seen within smooth muscle cells in site of endothelial cell destruction, smooth muscle cell around suture material were arranged irregularly, some collagenous change were seen. From the results obtained in this study, same results of good vascular patency and anti-thrombotic effect of heparin and urokinase were obtained as a local irrigation solution, and repair of endothelial cell was not seen in 7 days after micro-arterial anastomosis.

• Clinics in Shoulder and Elbow
• /
• v.5 no.2
• /
• pp.88-97
• /
• 2002

The purpose of this study was to compare the outcomes between arthroscopir repair and mini-open repair of medium and large rotator cuff tears in which arthroscopic repair was technically unsuccessful. We evaluated 76 patients of full-thickness rotator cuff tears, among them 42 patients had all-arthroscopic and 34 patients had mini-open salvage repairs. Patients who had acromioclavicular arthritis, subscapularis tear, or instability were excluded. There were 39 males and 37 females with mean age of 56 years (range,42 to 75 years). At a mean follow-up of 39 months (range, 24 to 64 months), the results of both groups were compared with regard to the UCLA and ASES shoulder rating scale s. Shoulder scores improved in all ratings in both groups (p > 0.05). Overall, sixty-six patients showed excellent or gr)of and ten patients showed fair or poor scores by the UCLA scale. Seventy-two patients satisfactorily returned to prior activity. Four showed unsatisfactory return. The range of motion, strength, and patient's satisfaction were improved postoperatively. There were no difference in shoulder scores, pain, and activity return between the arthroscopic and mini-open salvage groups (p > 0.05). However, Patients with larger size tear showed lower shoulder scores and less predictive recovery of the strength and function (p < 0.05). Postoperative pain was not different with respect to the size of the tear (p : 0.251). Arthroscopic repair of medium and large full-thickness rotator cuff tears had iln equal outcome to technically unsuccessful arthroscopic repairs, which were salvaged by conversion to a mini- open repair technique. Surgical outcome depended on the size of the tear, rather than the method of repair.