• Title/Summary/Keyword: CLIP

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Surgical Closure of Patent Ductus Arteriosus in Premature Infant -A report of two cases - (미숙아에서 동맥관 개존증 수술 2례)

  • 김삼현;서필원
    • Journal of Chest Surgery
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    • v.29 no.7
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    • pp.777-779
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    • 1996
  • Recently we operated on two cases of PDA in premature infant. In both cases, indomethacin therapy had failed to close the PDA. The extremely small baby(body weight 540gm) died 28hrs postoperatively by unexpe ted intrathoracic bleeding probably due to coagulopathy related to septic condition and thrombocytopenia. The clinical course of the second case(body weight 1395gm) was complicated by ileal perforation sec- ondary to necrotizing enterocolitis. The baby underwent segmental resection of ileum with ileostomy on the 8th hospital day. On the 34th hospital day surgical closure of the PDA was done and the ile'ostomy was repaired simultaneously. Ventilator weaning was possible on the postoperative 6th day. The baby discharged on the postoperative 33th day with the body weight of 2050gm.

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Effect of Specimen Thickness on Fatigue Crack Growth (피로균열진전에 미치는 시편 두께의 영향)

  • 김재훈;김영균;윤인수
    • Journal of the Korean Society of Safety
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    • v.13 no.4
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    • pp.79-86
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    • 1998
  • The effect of specimen thickness on fatigue crack growth behavior has been carried out by compact tension specimens of thickness of 3mm, 10mm and 25mm for maraging steel and Al 7075-T6. The closure points were determined during the test by means of a clip-gage situated at the notch mouth. Specimen thickness have no apparent influence on the fatigue crack growth rate of maraging steel, but the crack growth rate of 25mm thickness specimen for Al 7075-T6 is faster than that of 3 and 10mm specimens. The difference of crack growth rates can be successfully explained by considering the different stress state of plane strain and plain stress due to the variation of specimen thickness. Also the crack opening ratio of 25mm specimen is greater than those of 3 and 10mm specimens. When a side groove is introduced in a 10mm specimen, the crack growth rate is approximately similar to that of 25mm specimen. The effective thickness expression of $B_e=B_o-(B_o-B_N)^2B_o$ is the most appropriate to evaluate the crack growth rate of side-grooved specimen. Fatigue crack growth rates can be well described by $\Delta K_{eff}$ of the crack closure points in regardless of all thickness and side-grooved specimens.

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A Study on Evaluation of Crack Opening Point in High Strength Aluminum Alloy(I) (고강도 알미늄 합금재에 있어서 크랙열림점 평가에 관한 연구(I))

  • 최병기
    • Journal of the korean Society of Automotive Engineers
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    • v.15 no.1
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    • pp.100-106
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    • 1993
  • This paper aims to synthesize the research on fatigue fracture mechanisms of high strength aluminum alloys which are widely used in motorcars or airplanes to prevent accidents. To measure the data of crack opening ratio, the same materials and method are used for evaluating the fatigue crack propagation rate as an effective stress intensity factor. But, many researchers have brought different results. An exact crack opening ratio was, therefore, proposed for getting a more accurate fatigue crack propagation rate. The main conclusions obtained are as follows. (1) As a result of the fatigue test, the value of the crack opening ratio is the same regardless of the stress ratio. (2) The value of crack opening ratio is different according to the measuring point. After measuring the crack propagation rate by using an effective stress intensity factor, the crack opening ratio value measured at the crack mouth by a clip gage, or measured rear of the specimen by a strain gage is more accurate than that by any other measuring test.

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Experiences of Patients with Coronavirus in the COVID-19 Pandemic Era in Indonesia

  • Aungsuroch, Yupin;Juanamasta, I Gede;Gunawan, Joko
    • Asian Journal for Public Opinion Research
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    • v.8 no.3
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    • pp.377-392
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    • 2020
  • COVID-19 is considered the worst pandemic of the beginning of the 21st century. Among the ASEAN countries, Indonesia has the second highest number of active cases and is ranked 23th in the world in active cases as of August 14, 2020. The number of people becoming infected in Indonesia continues to grow along with fear and panic conditions that have negative impacts on Indonesian society. Therefore, efforts to deal with the conditions should be made. This study aims to explore the experience of patients with COVID-19 experiences during the treatment process. This study used literature and video clip analysis of 14 cases. Data were analyzed using content analysis. The results were presented in the following five themes (i) experience of receiving a diagnosis (I am shocked, how could I get infected?, suggestive thinking between dead or alive, and uncertainty of the test result), (ii) boredom during isolation, (iii) being stigmatized and discriminated against, (iv) self-reflection with God, and (v) social support from family members and healthcare workers. This study serves as an input to increase the chances of the recovery of the patients with COVID-19.

Spontaneous Dissecting Aneurysm of the Anterior Cerebral Artery

  • Kim, Myoung-Soo;Lee, Chae-Heuck;Lee, Seung-Joon;Rhee, Jong-Joo
    • Journal of Korean Neurosurgical Society
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    • v.40 no.3
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    • pp.189-192
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    • 2006
  • Spontaneous dissection of the anterior cerebral artery is an unusual cause of subarachnoid hemorrhage. We present a case of a dissecting aneurysm of the anterior cerebral artery presenting with subarachnoid hemorrhage. A 51-year-old woman presented to our hospital with severe headache. Neurological examination demonstrated neck stiffness, decreased visual acuity of the left eye, and left ankle weakness. Computed tomographic scans showed subarachnoid hemorrhage. The initial cerebral angiogram demonstrated a slightly narrowed caliber and mild poststenotic dilation of the right A1 segment. A second cerebral angiogram 14 days later revealed no change in the focal narrowing of the proximal A1 segment but marked progression of the dilatation of the distal A1 segment. Right pterional craniotomy was performed. A sausage-like dilation of the right A1 segment was found with no definite mural hematoma. This abnormal right A1 segment was wrapped with a Sundt clip. A postoperative computed tomographic scan revealed Infarction of the right head of the caudate nucleus and the anterior limb of the right internal capsule. If a dissecting aneurysm is suspected, serial angiographic studies should be performed because of the possibility of dynamic changes over a short period.

Ruptured Total Intrameatal Anterior Inferior Cerebellar Artery Aneurysm

  • Kim, Hyung Cheol;Chang, In Bok;Lee, Ho Kook;Song, Joon Ho
    • Journal of Korean Neurosurgical Society
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    • v.58 no.2
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    • pp.141-143
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    • 2015
  • Among the distal anterior inferior cerebellar artery (AICA) aneurysms, a unique aneurysm at the meatal loop inside the internal auditory meatus is extremely rare. The authors report a case of surgically treated total intrameatal AICA aneurysm. A 62-year-old female patient presenting with sudden bursting headache and neck pain was transferred to our department. Computed tomography and digital subtraction angiography showed subarachnoid hemorrhage at the basal, prepontine cistern and an aneurysm of the distal anterior inferior cerebellar artery inside the internal auditory meatus. Surgery was performed by retrosigmoid craniotomy with unroofing of the internal auditory meatus. The aneurysm was identified between the seventh and eighth cranial nerve in the meatus and was removed from the canal and clipped with a small straight Sugita clip. After operation the patient experienced transient facial paresis and tinnitus but improved during follow up.

Recanalization of Completely Thrombosed Non-Giant Saccular Aneurysm Mimicking as De Novo Aneurysm

  • Choi, Yong-Su;Kim, Dae-Won;Jang, Sung-Jo;Kang, Sung-Don
    • Journal of Korean Neurosurgical Society
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    • v.48 no.4
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    • pp.354-356
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    • 2010
  • Partial thrombosis of giant aneurysms is not uncommon however, complete angiographic occlusion occurs less frequently. In the case of non-giant aneurysms, complete thrombosis and recanalization has been rarely reported. A 31-year-old man presented to the emergency department with sudden bursting headache. Brain computed tomography (CT) revealed diffuse subarachnoid hemorrhage on the left side. Both CT angiography (CTA) and digital subtraction angiography showed suspicion of small left anterior choroidal artery aneurysm. We performed surgical exploration. In the operation field, anterior choroidal artery aneurysm of $2{\times}2\;mm$ with broad neck and friable appearance was observed. Because we could not clip without sacrificing the anterior choroidal artery, we performed wrapping only. Follow up CTA after 7 months demonstrated 4 mm right internal carotid artery bifurcation aneurysm. The patient underwent aneurismal neck clipping. During the operation, $9{\times}13\;mm$ sized thrombosed aneurysm was detected and completely clipped. We initially thought this aneurysm to be a de novo aneurysm however, it was an aneurysm that had recanalized from a completely thrombosed aneurysm. This case report provides an insight into the potential for complete thrombosis and recanalization of non-giant aneurysms.

A Method to Measure Damage Areas on Railway Accidents by the HAZMATs types using GIS Spatial Analysis (GIS 공간 분석기법을 활용한 위험물질별 철도사고 피해규모 자동추출방안에 관한 연구)

  • Park, Min-Kyu;Kim, Si-Gon;Lee, Won-Tae
    • Journal of the Korea Safety Management & Science
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    • v.12 no.1
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    • pp.35-42
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    • 2010
  • Due to the industrialization and urbanization, the transport of hazardous materials increases, which rises possibilities in occurring prospective accidents in terms of hazardous material transport as well. This study applied the model developed from the previous research to analyze the scale of damage areas from the accidents related to hazardous material accidents, as well as suggested a method to measure automatically the scale of accident including casualties and environmental damage based on the guideline which suggests the quantities of hazardous materials exposed from an accident and was defined in the study of standardization for hazardous material classification. A buffering analysis technique of Geographic Information System (GIS) was applied for that. To apply the model which evaluates the scale of population and exposure to environment on each link, rail network, zones, rail accident data, rail freight trips, and locations of rivers etc were complied as a database for GIS analysis. In conclusion, a method to measure damage areas by the types of hazardous materials was introduced using a Clip and a Special Join technique for overlay analysis.

A study on convergence interactive video system utilizing Launch Pad - Focusing on Step Sequencer (런치패드를 활용한 융복합 영상시스템 연구 - 스텝시켄서(Step Squencer)를 중심으로)

  • Oh, Seung-Hwan
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.445-454
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    • 2017
  • Recently, playing musical instruments in the application or website which is a sort of playing has been catching on for ordinary people even though they don't know how to play musical instruments. It appears that such playing has randomness which is quite natural. Thus, 'Random operation method' which induces the observing audience and changes them to manage actively is developed and suggested for the image system in this paper by utilizing Launch Pad, based on theoretical background and case analysis. Step Sequencer was developed in two ways: the image system is realized with Step Sequencer by connecting external program or made as clips to arrange them for each key on Launch Pad and implement, which is keyboard launch type.

The influence of saliva pH value on the retention and durability of bar-clip attachments

  • Silva, Antonio Sergio;Aroso, Carlos;Ustrell, Raul;Braga, Ana Cristina;Mendes, Jose Manuel;Escuin, Tomas
    • The Journal of Advanced Prosthodontics
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    • v.7 no.1
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    • pp.32-38
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    • 2015
  • PURPOSE. The aim of this study was to compare the durability and retention of 4 types of attachments placed over computer aided design/computer aided manufacturing (CAD/CAM) titanium bars when subjected to different pH conditions. MATERIALS AND METHODS. Four commercially available attachments were investigated: Hader Yellow, Hader Red, Ackerman Gold and Ackerman Stainless Steel. These attachments and Ackerman CAD/CAM titanium bars were placed in 2 vessels containing different artificial saliva solutions (pH 7/pH 4) at $37^{\circ}C$ for one month to simulate corrosion conditions, and they were then subjected to mechanical testing (5400 cycles of insertion and removal). RESULTS. The results revealed that there were significant differences in the average values of insertion/removal force due to the pH (F (1, 24)=9.207, P<.05) and the type of attachment (F (3, 24)=11.742, P<.05). CONCLUSION. More acidic pH values were found to have a negative influence on the retention capacity of the attachments.