• Title/Summary/Keyword: 손상원인

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Clinical Study of Vascular Injuries (혈관 손상의 임상적 고찰)

  • Chung, Sung-Woon;Kim, Young-Kyu
    • Journal of Chest Surgery
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    • v.40 no.7 s.276
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    • pp.480-484
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    • 2007
  • Background: Major vascular injuries can jeopardize a patient's life or imperil limb survival. We performed this study to establish an optimal management plan for vascular injuries. Material and Method: We retrospectively reviewed 26 cases of vascular injury that were treated at Pusan National University Hospital from May, 1999 to September, 2004. The age and sex distribution, the locations and causes of vascular injury, the diagnostic tools, the degree of injuries, clinical manifestations, the treatment modality and complications were reviewed. Result: The mean age was 39.5 years (range: $12{\sim}86$) and the male to female ratio was 22 : 4. The injuries were in 6 descending thoracic aortas, 4 femoral arteries, 4 popliteal veins and so on. The causes of injury were iatrogenic in 8 cases, traffic accident in 7, stab injury in 6 and industrial accident in 5. The most commonly used diagnostic tools were CT and angiography. The degrees of arterial injury were pseudoaneurysm in 10 cases, partial severance in 5, complete severance in 3 and thrombosis in 3. The degrees of venous injury were partial severance in 6 cases, complete severance in 2 and arteriovenous fistula in 2. The clinical manifestations were absence of pulse in 8 cases, coldness in 7, chest pain in 6, swelling in 5, bleeding in 5 and so on. The most frequently used type of revascularization was graft interposition in 11 cases. Two arteriovenous fistulae were repaired by endovascular procedure. There was one case of mortality due to multi-organ failure after hemorrhagic shock, There were three major amputations, and two of them were due to delayed diagnosis and treatment. Conclusion: A system for the early diagnosis and treatment is essential for improving limb salvage and patient mortality. As a consequence of the widespread application of endovascular procedures, the incidence of iatrogenic injuries has recently increased. Educating physicians is important for the prevention of iatrogenic injury. Easy communication and cooperation for earlier involvement of a vascular surgeon is also an important factor.

The Study for Fracture in the First Stage Blade of Aircraft Engine (항공기엔진용 1단계 터빈블레이드에 대한 파손 연구)

  • Yoon, Youngwoung;Park, Hyoungkyu;Kim, Jeong
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.46 no.10
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    • pp.806-813
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    • 2018
  • The fracture of a turbine blade of aerospace engine is presented. Although there are a lot of causes and failure modes in blades, the main failure modes are two ways that fracture and fatigue. Degradation of blade material affects most failure modes. Total propagation of failure in this study specifies failure of fracture type. Some section appears fatigue mode. Especially since this study describes analysis of failure for blade in high temperature, it can be a case in point. Analysed blade is Ni super alloy. Investigations of blade are visual inspection, material, microstructure, high temperature stress rupture creep test, analysis and fracture surface, etc. The root cause for fracture was stress rupture due to abnormal thermal environment. Thermal property of Ni super alloy is excellent but if each chemical composition of alloys are different due to change mechanical properties, selection of material is very important.

Development of Gas Generator for Liquid Rocket Engine to prevent of damage for LOx post (가스 발생기 분사기 LOx post 손상 방지를 위한 분사기 개발)

  • Song Ju-Young;Kim Jong-Gyu;Moon Il-Yoon;Han Yeoung-Min;Choi Hwan-Seok
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2005.11a
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    • pp.353-357
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    • 2005
  • LOx post damage occurs from the development process of the full-scale gas generator which is necessary to 30 tonf class engine development was described. The cause and analysis for damage was described. The combustion test result of 4 injector, the full-scale gas generator and redesigned injector was described. Combustion instability, purge, the low momentum of LOx spray, small recess number, the low flow of LOx, and the high spray angle is main reason the possibility of knowing. The redesign for the injector in the direction of increase of recess number, increase of LOx and fuel spray angle, decrease of gap interval between the LOx post outer wall and fuel screen and increase of LOx post wall thick became accomplished.

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A Case of Acute Lung Injury Complicated by Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma (간세포암의 간동맥 화학색전술 후 발생한 급성 폐손상 1예)

  • Cho, Se-Haeng;Kim, Joo-Hang;Kim, Byung-Soo;Jang, Joon
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.5
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    • pp.781-786
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    • 1995
  • Transcatheter arterial chemoembolization(TACE) was performed in a 61 year old male patient with hepatocellular carcinoma with 10 cc of Lipiodol and 50 mg of doxorubicin. Three days later, he complained of dyspnea and dry cough. The arterial blood gas study revealed moderate hypoxemia and hypocarbia. The chest PA showed acute pulmonary edema with bilateral pleural effusion. To rule out the possibilities of acute respiratory failure caused by infection, pulmonary embolism or congestive heart failure, we performed several laboratory studies. The blood and sputum culture studies revealed negative results for bacterial growth. The echocardiogram was normal. The abdominal CT scan and MR imaging revealed no thrombus or mass lesion in the inferior vena cava. So we concluded pulmonary oil embolism induced by lipiodol as the cause of acute lung injury. Four weeks later, clinical symptoms and chest x-ray were markedly improved with conservative care. We report a case of acute lung injury after TACE with lipiodol and doxorubicin, with review of literatures.

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An Approach to Risk Assessment of City Gas Pipeline (도시가스 배관의 위험평가 방법론 제시)

  • Park Kyo-Shik;Lee Jin-Han;Jo Young-Do;Park Jin-Hee
    • Journal of the Korean Institute of Gas
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    • v.7 no.1 s.18
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    • pp.33-40
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    • 2003
  • In this work, a novel approach was introduced to assess cost of loss resulting from risk as well as to help deciding inspection period through quantifying risk. In order to quantifying risk of city gas pipeline, frequency and consequence analysis were required. The main causes of city gas accident were analyzed to be digging, external corrosion, ground movement, and equipment failure. Tools to evaluate frequency of each cause was also suggested. Among city gas accidents, fire damage is the dominant one and mainly discussed; fatality, burning injury, and damage to building were estimated using the consequence model suggested. By combining frequency and consequence analysis, evaluating cost of risk management together with calculating example. This work could be applicable for city gas companies to plan how to manage risk most effectively.

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Analysis of Application Cases and Evaluation of Effectiveness on Portable Dynamic Cone Penetration Test (DCPT) to Identify the Deterioration Cause of Damaged Reinforced Earth Walls (보강토옹벽의 피해원인 규명을 위한 휴대형 동적콘관입시험(DCPT) 적용사례 분석 및 효용성 평가)

  • Lee, Kwang-Wu;Cho, Sam-Deok
    • Journal of the Korean Geosynthetics Society
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    • v.19 no.4
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    • pp.95-109
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    • 2020
  • In this study, a total of six site cases were reviewed to assess the site applicability of portable dynamic cone penetration test (DCPT) by identifying the cause of damage to the damaged reinforced earth wall using portable dynamic cone penetration test. An improved dynamic concrete penetration tester was used at the site to enable ground surveys of more than 6 meters. The test results were compared with the results of the standard penetration test (SPT) and the correlation was analyzed. Through the analysis of various field application cases, it was found that portable dynamic cone penetration test was very convenient to apply at the site of the damaged reinforced earth wall, and DCPT could play a major role in identifying the cause of damage and verifying stability of the retaining wall by continuously identifying the ground strength. In addition, it was found that the results of the dynamic cone penetration test and the standard penetration test showed a correlation of N≒(1/3~2/3)·Nd in sandy soil.

Review of Myositis Ossificans (골화성 근염에 대한 고찰)

  • Bae Sung-Soo;Park Rae-Joon;Han Dong-Uk
    • The Journal of Korean Physical Therapy
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    • v.12 no.2
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    • pp.255-265
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    • 2000
  • The term 'myositis ossificans' encompasses four categories of clinicopathological disorders. The first, myositis ossificans progressive(fibrodysplasia ossificans progressive), is a rare genetic disease characterized by progressive heterotopic ossification involving skeletal muscle, tendon, ligaments, and fascia, with congenital malformation of the great toes, and usually microdactyly, monophalangism, and mal formed proximal phalanges. with valgus deformity of metatarsophalangeal joint. The ossification begins shortly after birth and may contribute to the patient's death. The second, heterotopic ossificans, can occur in patients with neuromuscular and chronic diseases such as paraplegia, poliomyelitis, polymyositis, bum, tetanus, and infection. But the lesions in these cases often lack the typical histologic features of myositis ossificans. The third, myositis ossificans traumatica, is the most common; it develops in response to soft tissue trauma such as a single severe injury, minor repetitive injures, fracture, joint dislocation, stab wound, or surgical incision. The forth, nontraumatic myositis ossificans, also designated :pseudomalignant osseous tumors of extraskeletal soft tissues' and 'psedomalignant myositis ossificans', occurs in persons repeated small mechanical injures or nonmechanical soft tissue injuries due to local ischemia, inflammation. or other factors cannot be ruled out in such cases.

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Damage Diagnosis of Drill Bit while Drilling using Wavelet Transform Analysis (웨이블릿 변환 분석을 이용한 천공 중 드릴 비트의 손상 진단)

  • Jang, Hyongdoo
    • Explosives and Blasting
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    • v.38 no.1
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    • pp.14-22
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    • 2020
  • Bit damage is one of the primary causes of decreasing drilling efficacy. Nevertheless the management of bit ware and failure are often left for field engineers' experience. Thus it is imperative to establish a proper system to predict and manage the bit damage during the rock drilling process. In this study, the drilling sound signal has been recorded and analyzed using wavelet transform analysis to identify the exact moment of bit failure. Through the analysis wavelet time-frequency spectrums have been constructed and an abnormal point has been identified with 0.9 of wavelet transform value at the 652.8s on a frequency band around 500Hz. Furthermore it is also observed that the penetration rate of the damaged bit has been decreased to 23mm/s which is 9mm/sec lower than the average of undamaged bit. The study verifies that wavelet transform analysis can be used to build a system to diagnose the bit damage while drilling.

Role of Active Oxygens on DNA Damage by Low Molecular Carbonyl Compounds Derived from Maillard Reaction (Maillard 반응에서 유래되는 저분자 Carbonyl 화합물의 DNA손상작용에 대한 활성산소종의 역할)

  • 김선봉;박성준;강진훈;변한석;박영호
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.19 no.6
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    • pp.565-570
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    • 1990
  • The role of the active oxygens on plasmid DNA damage by carbonyl compounds derived from Maillard reaction was investigated. Plasmid DNA extracted from E. coli Hb1O1 was reacted with carbonyl compounds, such as glyoxal, methyl glyoxal, dihydroxyacetone, diacetyl, glyceraldehyde, glycolaldehyde and furfural with and without the active oxygen scavengers at 37$^{\circ}C$ for 6 hours, and then the degree of damage was determined by using 1 % agarose gel electro-phoresis. All of the carbonyl compounds except furfural caused to damage of DNA. Among these, glyoxal, methyl glyoxal and dihydroxyacetone markedly induced the damage of DNA. On the other hand, the DNA damage by the carbonyl compounds was greatly inhibited by catalase, superoxide dismutase and $\alpha$-tocopherol it is considered that the damage of DNA is due to active oxygens, such as singlet oxygen, hydrogen peroxide and superoxide anion generated during the autoxidation of carbonyl compounds.

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A study on failure diagnosis examples of Large oil filled transformer using dissolved gas analysis (유중가스분석법을 이용한 대용량 변압기 고장진단 사례 고찰)

  • Park, Jin-Yeub;Park, In-Kyoo;Chin, Soo-Hwan
    • Proceedings of the KIEE Conference
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    • 2009.07a
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    • pp.740_741
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    • 2009
  • 발전소에 설치된 대용량 변압기의 고장사례에 절연유 온도에 따른 가스발생 형태, 가연성가스 성분비를 이용한 Rogers Ratio 법, 발생가스별 고장형태 및 원인분석 방법을 적용하여 고장원인을 진단하고 실제 확인된 고장원인을 고찰하였다. 사례 1은 저압측 탭권선이 과열로 손상된 사례로 온도에 따른 가스발생 형태 및 발생 가스별 고장 형태를 이용한 진단결과는 $300^{\circ}C$이상에서 과열이 된 것으로 진단되어 거의 일치하나 Rogers Ratio 법을 적용하면 $150^{\circ}C$ 정도에서 저온과열된 것으로 진단되어 약간의 차이를 보였다. 사례 2는 변압기 철심의 Burr 발생, 철심간 단락으로 인한 과열 및 아크가 발생된 고장으로 가스발생 패턴이 절연유 온도에 따른 가스발생 형태 및 사례 1과는 차이가 있고 특히, 내부 아크에 의해 발생되는 아세틸렌($C_2H_2$)은 계속 증가하는 반면 "Hot Metal Gas"중의 하나인 에탄($C_2H_6$)은 미량으로 특이한 가스발생형태를 보였다. Rogers Ratio 법과 발생가스별 고장 형태 및 원인분석법에 의한 진단결과는 일치하였다.

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