• Title/Summary/Keyword: 손상성

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Surgical Treatment of Traumatic Rupture of Thoracic Aorta (외상성 흉부대동맥 파열 수술)

  • Hahm, Shee-Young;Choo, Suk-Jung;Song, Hyun;Lee, Jae-Won;Song, Meong-Gun
    • Journal of Chest Surgery
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    • v.37 no.9
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    • pp.774-780
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    • 2004
  • Although traumatic thoracic aortic rupture is potentially a fatal condition requiring surgical attention, the presence of concomitant injury involving other parts of the body may greatly increase the risk of cardio-pulmonary bypass. We report our experience of treating associated injuries prior to the thoracic aortic rupture in these patients. Material and Method: From 1997 to 2003, the medical records of 24 traumatic aortic rupture patients were retrospectively reviewed and checked for the presence of associated injury, surgical method, postoperative course, and complications. Surgical technique comprised thoracotomy with proximal anastomosis under deep hypothermic circulatory arrest followed by side arm perfusion to reestablish cerebral circulation. CSF drainage was performed to prevent lower extremity paraplegia. Result: Major concomitant injuries (n=83) were noted in all of the reviewed patients, Of these, there were 49 thoracic injuries, 18 musculoskeletal injuries, and 13 abdominal injuries, Operations for associated injuries (n=16) were performed in 12 patients on mean 7.6$\pm$12.6 days following the injury. The diagnosis of aortic rupture at the time of injury was detected in only 18 patients. Delayed surgery of the thoracic aorta was performed on average 695$\pm$1350 days after injury and there were no deaths or progression of rupture in any of these patients during the observation period. There were no operative deaths and no major postoperative complications. Conclusion: Treating concomitant major injuries prior to the aortic injury in traumatic aortic rupture may reduce surgical mortality and morbidity.

치근 흡수에 대하여

  • 이승종
    • Proceedings of the KACD Conference
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    • 2003.05a
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    • pp.291-291
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    • 2003
  • 손상에 의한 치근 흡수는 표면 흡수(surface resorption), 염증성 흡수(inflammatory resorption) 및 대치성 치근 흡수(replacement resorption)가 있는데 치근 흡수의 정도는 탈구와 재식 사이의 시간, 치주 인대의 손상 정도, 탈구된 치아의 보관 조건 및 치아 발육 정도 등에 영향을 받는다.(중략)

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Comparison of the Injury Mechanism, Pattern and Initial Management Approach for Orthopedic Injuries According to the Injury Severity in Moderate-to-Severe Injured Patients (중등도 이상의 손상 환자에서 손상 중증도에 따른 정형외과적 손상에 대한 수상기전, 손상유형, 초기 치료적 접근의 비교)

  • Lee, Eui-Sup;Sohn, Hoon-Sang;Kim, Younghwan;Shon, Min Soo
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.383-396
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    • 2020
  • Purpose: This study compared the injury mechanism, site, type, initial management approach of orthopedic injury, and outcomes according to the injury severity in moderate-to-severe injured patients. Materials and Methods: During 57-month, excluding the period when the authors' emergency/trauma center was not operating, from 2014 to 2019, a retrospective study was conducted on 778 patients with orthopedic injuries among patients with an Injury Severity Score (ISS)>9 scored. The patients were classified into moderate-injured group (group-1, 679) and severe-injured group (group-2, 99) according to the injury severity based on the ISS and physiologic parameters. The injury mechanism and non-orthopedic injury were evaluated. Orthopedic injuries were assessed according to the injury pattern and the number of anatomical regions and bone sites involved. The management approach for the orthopedic injuries in two groups was compared. Outcomes (hospital stay, systemic complications, and in-hospital mortality) were evaluated, and the risk factors for mortality were analyzed. Results: In group-2, the incidence of younger males, high-energy mechanisms, and accompanying injuries was significantly higher than in group-1. The number of anatomical regions and bone sites involved increased in group-2. The involvement of the pelvis, spine, and upper extremity was significantly higher in group-2, whereas group-1 was involved mainly by the lower extremities. Depending on the patient's condition, definitive or staged management for orthopedic injuries may be used. Group-1 was treated mainly with definite fixation after the physiological stabilization process, and group-2 was treated with staged management using temporary external fixation. The hospital stay was significantly longer in group-2. The overall systematic complications and in-hospital mortality was approximately 4.9% and 4.5%. A higher injury severity was associated with higher in-hospital mortality (2.9%, 15.2%; p<0.0001). Increasing age and high ISS are independent risk factors for mortality. Conclusion: A higher severity of injury was associated with a higher incidence of high-energy mechanism, younger, male, accompanying injuries, and the frequency and severity of orthopedic injuries. Severe polytrauma patients were treated mainly with a staged approach, such as external fixation. The hospital stay, systematic complications, and in-hospital mortality were significantly higher in severe-injured patients. Age and ISS are strong predictors of in-hospital mortality in polytrauma.

Building Damage Functions Using Limited Available Data for Volcanic Ash Loss Estimation (가용자료가 제한된 경우 화산재 피해 예측을 위한 손상함수 구축)

  • Yu, Soonyoung;Yoon, Seong-Min;Jiang, Zhuhua;Choi, Miran
    • Journal of the Korean earth science society
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    • v.34 no.6
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    • pp.524-535
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    • 2013
  • Catastrophe risk models require the damage functions of each vulnerable item in inventory to estimate volcanic ash losses. The damage functions are used to represent the relation between damage factors and damage and also widely used in engineering and natural hazard studies to calculate the vulnerability. In most cases, damage functions are constructed as fragility or vulnerability curves, and researchers are confused by the similarities between them particularly when they perform interdisciplinary research. Thus, we aim to explain the similarities and differences between fragility and vulnerability curves and their relationship by providing case studies to construct them. In addition, we suggest a simple method to construct the damage functions between damage ratio and volcanic ash thickness using limited damage data. This study comes from the fact that damage functions are generally constructed using damage data. However, there is no available volcanic ash damage data in Korea, and not even enough volcanic disaster data to construct damage functions in the world, compared to other hazards. Using the method suggested in the study and the limited damage data from Japan and New Zealand, we construct Weibull-type functions or linear functions dependent of available data to calculate volcanic ash loss estimation, which we think need to be corrected to make it more suitable for inventory characteristics and environmental conditions in Korea.

Assessment of Composite Cylinder Flaw for Compressed Natural Gas Vehicles (압축천연가스자동차용 복합재료용기의 외피손상결함 평가)

  • Kim, Young-Seob;Kim, Lae-Hyun;Yang, Dong-Ju
    • Proceedings of the Korea Society for Energy Engineering kosee Conference
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    • 2010.04a
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    • pp.43-43
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    • 2010
  • 국내에 천연가스버스가 보급된 이래 5차례의 용기파열 사고가 발생하였는데 그중 2005년 8월 전주 덕진충전소에서 발생한 용기파열사고는 CNG용기의 라이너를 감싸고 있는 복합재료가 손상되어 발생한 사고로 보고되었다. 복합재료용기의 외피손상이 원인이 되어 발생한 사고사례는 해외에서 약 13건이 보고되었다. CNG용기 외피손상은 용기룰 고정하는 스트랩과 밀접한 관련이 있다. 용기고정이 불완전하면 슬립이 발생하고 이는 복합재의 손상으로 이어진다. 본 연구에서는 ISO 19078, CGA C6.4 등 국제코드의 규정을 고려하여 국내에서 제조된 Type 2, 3, 4 용기와 외국에서 생산된 Type 3 용기를 대상으로 결함깊이, 길이, 넓이에 따른 복합재료 결함 내구성시험을 수행하여 CNG용기의 내구성능을 평가하였고, 시험과 동일한 조건으로 복합재료 손상결함 조건을 컴퓨터로 전산모사하여 시험결과의 타당성과 유효성을 비교 검증하였다. 실험결과, Type 2 용기의 경우, 11,250회의 최소반복가압 회수를 충족하였으나 외피손상부와 반복가압에 따른 실제누출부위가 일치하지 않아 실험조건을 달리한 추가실험이 요구되었다. Type 3 용기의 경우에는 복합재 결함부위와 누수부위가 일치된 시험용기의 수는 67%정도로, 복합재료 용기의 수명을 저하시키는 원인으로 라이너와 외피손상이 서로 밀접한 관련이 있음을 확인하였다. Type 4 용기는 국제기준에서 요구하는 반복횟수를 만족하였고, 손상깊이 0.75mm와 1.25mm에서 반복가압회수가 60,000회 이상이 되어도 누설이 발생되지 않았다. 이는 라이너의 재질이 폴리머로서 균일한데다 탄소섬유 복합재료층 위에 유리섬유 복합재료 층이 1.5mm 정도 추가로 적층되어 있어서 3등급의 손상결함(결함깊이 1.25mm)에서도 구조 층이 전혀 손상되지 않은 것으로 판단되며, 이는 Type 2 용기의 강재라이너나 Type 3의 알루미늄 라이너와 비교하여 Type 4 용기의 폴리에틸렌 라이너의 물성이 반복성능이 탁월함을 확인할 수 있었다.

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Reconstruction of Partially Damaged face for Improving a Face Recognition Rate (얼굴 인식률 향상을 위한 손상된 얼굴 영역의 복원)

  • 최재영;황승호;김낙빈
    • Journal of Korea Multimedia Society
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    • v.7 no.3
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    • pp.308-318
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    • 2004
  • A subject to recognize the damaged facial image is becoming an important issue in commercialization of automatic face recognition. The method to recognize a face on a damaged image is divided into two types. The one is to recognize remainders after removing the damaged information and the other is to recognize a total face after recovering the damaged information. On this paper, we present the reconstruction method by analyzing the main materials after extracting the damaged region through Kohonen network. The suggested algorithm in this paper estimates feature vectors of the damaged region using eigen-faces in PCA and then reconstructs the damaged image. This allows also the reconstruction under the untrained images. Through testing the artificial images where the eye and the mouth which have many effects to face recognition are damaged, the recognition rate of the proposed results showed similar results with the method which used Kohonen network, and improved about 11.8% more than symmetrical property method. Also, in case of the untrained image, our results improved about 14% more than that of the Kohonen method and about 7% more than that of the symmetrical property method.

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A Clinical Observation on Children with Corrosive Esophagitis (소아 부식성 식도염의 임상적 고찰)

  • Choi, Dong-Hyeon;Cho, Moon-Gi;Ju, Hyo-Geun;Kim, Byung-Ju;Ma, Jae-Sook
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.3 no.1
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    • pp.1-8
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    • 2000
  • Purpose: This study was undertaken to evaluate the clinical features and complication such as esophageal stricture in children with corrosive esophagitis. Methods: We retrospectively reviewed medical records of 31 children who accidentally ingested corrosive materials and visited to emergency room of Chonnam National University Hospital from Jan. 1992 to Dec. 1999. Twenty-one children were examined by upper gastrointestinal (UGI) endoscopy to evaluate location and severity of caustic injury. Results: 1) Among 31 patients, there were 20 males and 11 females and the ratio of male to female was 2:1. Average age at diagnosis was 2.3 years (12 months to 9.8 years). Twenty-seven (87.1%) patients were accidentally ingested vinegar. 2) Initial presenting symptoms were dysphagia (54.8%), vomiting (48.3%), chemical burn on lips and skin (45.2%), excessive salivation (45.2%), coughing and respiratory grunting (32.3%) and aspiration pneumonia (9.8%). 3) UGI endoscopic examination showed caustic injury in 17 children: grade I in 8, grade II in 7 and grade III in 2. The region of caustic injury was proximal esophagus in 5, distal esophagus in 3, entire esophagus in 9 and stomach in 6. 4) Corrosive esophageal strictures developed in 6 children (19.4%) and gastric outlet stricture in 1 (3.2%). All of them showed grade II or III caustic injury on endoscopic examination. Conclusion: The development of esophageal stricture was related to the severity of the caustic injury. Early UGI endoscopic examination in caustic ingestion seems to be useful for prediction of development of caustic stricture.

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A Study on Simple Calculation Method of Survival Time for Damaged Naval Ship Due to the Explosion (폭발에 의해 손상된 함정의 생존시간 간이계산법 연구)

  • Kim, Jae-Hyun;Park, Myung-Kyu
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.10 no.4
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    • pp.211-217
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    • 2007
  • Due to advanced new weapons and changes in the combat environment, survivability improvement methods for naval ship design have continuously evolved. Surface naval ships are easily detected by the enemy and, moreover, there are many attack weapons that may be used against surface naval ships. Therefore, it is important for modem naval ships, especially combat naval ships, to ensure survivability. In order to design a naval ship considering survivability, the designers are required to establish reasonable attack scenarios. An explosion may induce local damage as well as global collapse of the ship. Therefore, possible damage conditions should be realistically estimated at the design stage. In this study, an ALE technique was used to simulate the explosion analysis, and the survival capability of damaged naval ships was investigated. Especially, the author have establish the simple method of estimation of survival time for damaged naval ships.

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Evaluation and Combination of Correlation Coefficient for Response Variable of Seismic Fragility Curve (지진취약도 곡선의 응답변수에 대한 상관계수 평가 및 변수별 조합)

  • Kim, Si Young;Kim, Jung Han
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.33 no.6
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    • pp.401-409
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    • 2020
  • Seismic fragility assessments include a procedure to combine the random variables of response and capacity to produce the relationship between failure probability and seismic intensity. The evaluation of the failure probability of simultaneous multiple failures of two or more components assumes that the failure probability of each component is independent of those of the others. However, a correlation is expected to exist because several random factors have the same cause. The multiple-failure probability can differ depending on this correlation and may be unconservative without considering the seismic correlation. Therefore, a practical methodology for fragility assessment should be evaluated using the seismic correlation and correlation coefficient for each random variable. In this study, several random variables were selected for numerical evaluation of the correlation coefficient. The correlation coefficient was then compared with each variable and the combined variables. The correlation coefficient using simplified and complex models were also compared to determine and analyze the differences between each of the approaches.