• 제목/요약/키워드: Defect Position

검색결과 241건 처리시간 0.023초

경추 손상 후 뇌척수액 유출에 대한 관리 (Management of Cerebrospinal Fluid Leak after Traumatic Cervical Spinal Cord Injury)

  • 이수언;정천기;장태안;김치헌
    • Journal of Trauma and Injury
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    • 제26권3호
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    • pp.151-156
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    • 2013
  • Purpose: Traumatic cervical SCI is frequently accompanied by dural tear and the resulting cerebrospinal fluid (CSF) leak after surgery can be troublesome and delay rehabilitation with increasing morbidity. This study evaluated the incidence of intraoperative CSF leaks in patients with traumatic cervical spinal cord injury (SCI) who underwent anterior cervical surgery and described the reliable management of CSF leaks during the perioperative period. Methods: A retrospective study of medical records and radiological images was done on patients with CSF leaks after cervical spine trauma. Results: Seven patients(13.2%) were identified with CSF leaks during the intraoperative period. All patients were severely injured and showed structural abnormalities on the initial magnetic resonance image (MRI) of the cervical spine. Intraoperatively, no primary repair of dural tear was attempted because of a wide, rough defect size. Therefore, fibrin glue was applied to the operated site in all cases. Although a wound drainage was inserted, it was stopped within the first 24 hours after the operation. No lumbar drainage was performed. Postoperatively, the patients should kept their heads in an elevated position and early ambulation and rehabilitation were encouraged. None of the patients developed complications related to CSF leaks during admission. Conclusion: The incidence of CSF leaks after surgery for cervical spinal trauma is relatively higher than that of cervical spinal stenosis. Therefore, one should expect the possibility of a dural tear and have a simple and effective management protocol for CSF leaks in trauma cases established.

마이크로-소프트 포트란을 이용한 복합 산화물 결정의 분자 궤도함수 계산 (Crystal Molecular Orbital Calculation of the Lanthanum Nickel Oxide by Means of the Micro-Soft Fortran)

  • 구현주;이광순;안운선
    • 대한화학회지
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    • 제39권9호
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    • pp.685-691
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    • 1995
  • 결정 분자 궤도함수[EHTB]를 계산할 수 있는 VAX 컴퓨터용 EHMACC와 EHPC 프로그램을, 마이크로-소프트 포트란을 이용하는 PC로 계산할 수 있도록 변환하였다. 이 프로그램을 이용하여 perovskit 구조의 $LaNiO_3$ 단위세포와 ($2{\times}2{\times}1$)으로 확장된 구조에 대한 띠 구조를 계산한 결과, ${\Gamma}{\rightarrow}H,\;H{\rightarrow}N$$N{\rightarrow}{\Gamma}$ 방향(2차원)에서는 bend gap이 0.35eV인 반도체의 성질을 나타내고, ${\Gamma}{\rightarrow}P$$P{\rightarrow}N$ 방향(3차원)에서는 금속성의 성질을 나타내었다. 또 이들 결정에 관한 DOS와 COOP를 고찰한바, $LaNiO_3$에서 산소원자의 DOS는 니켈원자의 결함보다는 산소원자의 위치에 영향을 받아 서로 다른 종류의 산소원자로 존재할수 있음을 알았다.

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구순열 환자의 이차 구순 성형술 (CORRECTION OF SECONDARY LIP DEFORMITIES IN CLEFT PATIENTS)

  • 김종렬;변준호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제21권4호
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    • pp.401-406
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    • 1999
  • 편측성 혹은 양측성 구순구개열환자에서 일차 구순 성형술후 나타나는 이차 구순 기형은 세심한 관찰을 통한 문제점에 대한 정확한 인식을 통해 상순, 홍순부, 피부와 근육등의 적절한 교정술로 심미성, 기능적 회복을 이룰 수 있다. 저자들은 이차 구순 기형으로 나타난 구륜근의 부정유합, 휘파람 변형과 부족한 입술등에 대해 적절한 성형술로 심미적, 기능적으로 양호한 결과를 얻었기에 보고하는 바이다.

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심미적 영역에서 즉시 임플란트 식립 및 임시 수복을 통한 단일치의 수복에 대한 증례 보고 (Immediate implant placement and provisionalization of single implant in the esthetic region : Cases report)

  • 이성배;박유선;김병헌;이보아;최성호;김영택
    • 대한치과의사협회지
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    • 제58권2호
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    • pp.83-92
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    • 2020
  • In the anterior maxillary area, dental implants for tooth replacement are challenging due to the need to satisfy high esthetic level as well as functionality. Immediate implant placement and provisionalization can dramatically reduce the edentulous period, and then fulfill patient's demand for esthetics. The aim of present case report is to demonstrate two cases that successfully restored single tooth with immediate implant placement and provisionalization in the anterior maxillary area. A 47 years old female was scheduled to replace her maxillary right central incisor due to crown-root fracture by trauma. Another 54-year-old female was planned to place dental implant following tooth extraction of maxillary right lateral incisor owing to continuous pus discharge despite repetitive treatments including apicoectomy. In these two cases, surgical and prosthetic procedures progressed in a similar way. After minimal flap elevation, atraumatic tooth extraction was performed. Implant was placed in proper 3-dimensional position and angulation with primary stability. Bone graft or guided bone regeneration for peri-implant bone defect was conducted simultaneously. Provisionalization without occlusal loading was carried out at the same day. Each definitive crown was delivered at 7 and 5 months after the surgery. Two cases have been followed uneventfully for 2 to 5 years of loading time. In conclusion, Immediate implant placement and provisionalization could lead to esthetic outcome for single tooth replacement with dental implant under proper case selection.

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선반입 LRU-OBL 버퍼 기법을 적용한 자바 카드 프로그램 적재 및 실행 속도 개선에 관한 연구 (A Study of the Improvement of Execution Speed and Loading of Java Card Program by applying prefetching LRU-OBL Buffer Technique)

  • 오세원;최원호;정민수
    • 한국멀티미디어학회논문지
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    • 제10권9호
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    • pp.1197-1208
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    • 2007
  • 오늘날 대부분의 스마트카드는 자바카드 플랫폼을 채택한 자바카트가 표준안으로 자리매김 하고 있다. 자바카드 기술은 이식성, 플랫폼 독립성, 높은 보안성 기능을 스마트카드에 제공한다. 그러나 자바카드는 일반 스마트카드에 비해 자바 언어 상의 특성으로 인해 실행속도 저하의 단점을 갖고 있다. 실행속도에 영향을 끼치는 요소는 자바 카드가 데이터를 저장하는 방식과 자바카드 설치기가 애플릿을 설치하는 방식 때문이다. 본 논문에서는 자바카드 프로그램의 적재와 실행의 속도를 개선시키기 위한 방안으로 자바카드에서 EEPROM에 데이터에 대한 저장, 갱신, 삭제하는 과정들을 처리 속도가 빠른 RAM을 이용하여 자바카드의 속도를 개선할 수 있다. 이를 위해 자바카드에서 RAM을 활용한 방법으로 자바카드 환경에 맞는 선반입 LRU-OBL 버퍼 캐쉬 기법을 제시한다. 자바카드에서 생성되는 모든 데이터들을 데이터 특성에 따라 버퍼 캐쉬에서 관리함으로써 EEPROM에 대한 기록 횟수를 최대한 줄여 자바카드의 프로그램 적재 및 실행속도를 향상시킨다.

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진동 특성을 이용한 접합된 차량 구조의 BSR(Buzz, Squeak, Rattle) 소음 강건성 관측에 대한 실험연구 (Experimental study to investigate the structural integrity of welded vehicle structure for BSR (Buzz, Squeak, Rattle) noise by vibration measurement)

  • 곽윤상;이종호;박준홍
    • 한국음향학회지
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    • 제38권3호
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    • pp.334-339
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    • 2019
  • 차량 점용접 부위에서 BSR(Buzz, Squeak, Rattle) 소음 발생 가능성을 국부 진동을 사용하여 비파괴적으로 추정하는 진동기반 계측법을 제시한다. 용접부에 부착된 구조물에 의한 점용점 부위의 국부적인 진동을 유발하고 진동전달 특성을 파악한다. 관측된 진동 특성으로부터 국부 구조의 굽힘강성값을 도출하였다. 강성값의 변화로부터 점용접의 상태 강건성을 파악하였다. 제시되는 방법의 검증을 위해 부분적으로 용접품질이 변화된 시편을 제작하였다. 제작된 시편에서 계측된 진동 특성을 분석하였다. 용접 강건성에 의해 변화하는 특정 주파수 대역을 파악하였다. 구조별, 위치별 계측을 통해 제시된 방법으로 분별이 가능한지 검증하였다. 국부 진동 평가방법은 구조물의 용접 강건성을 생산 현장에서 파악하게 하는 평가방법으로써 BSR발생 가능성을 저감하기위한 생산 품질 확보에 사용될 수 있다.

PECVD 방법으로 증착한 SiOx(x<2) 박막의 광학적 특성 규명 (Optical Properties of Silicon Oxide (SiOx, x<2) Thin Films Deposited by PECVD Technique)

  • 김영일;박병열;김은겸;한문섭;석중현;박경완
    • 대한금속재료학회지
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    • 제49권9호
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    • pp.732-738
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    • 2011
  • Silicon oxide thin films were deposited by using a plasma-enhanced chemical-vapor deposition technique to investigate the light emission properties. The photoluminescence characteristics were divided into two categories along the relative ratio of the flow rates of $SiH_4$ and $N_2O$ source gases, which show light emission in the broad/visible range and a light emission peak at 380 nm. We attribute the broad/visible light emission and the light emission peak to the quantum confinement effect of nanocrystalline silicon and the Si=O defects, respectively. Changes in the photoluminescence spectra were observed after the post-annealing processes. The photoluminescence spectra of the broad light emission in the visible range shifted to the long wavelength and were saturated above an annealing temperature of $900^{\circ}C$ or after 1 hour annealing at $970^{\circ}C$. However, the position of the light emission peak at 380 nm did not change at all after the post-annealing processes. The light emission intensities at 380 nm initially increased, and decreased at annealing temperatures above $700^{\circ}C$ or after 1 hour annealing at $700^{\circ}C$. The photoluminescence behaviors after the annealing processes can be explained bythe size change of the nanocrystalline silicon and the density change of Si=O defect in the films, respectively. These results support the possibility of using a silicon-based light source for Si-optoelectronic integrated circuits and/or display devices.

Numerical simulation of localization of a sub-assembly with failed fuel pins in the prototype fast breeder reactor

  • Abhitab Bachchan;Puspendu Hazra;Nimala Sundaram;Subhadip Kirtan;Nakul Chaudhary;A. Riyas;K. Devan
    • Nuclear Engineering and Technology
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    • 제55권10호
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    • pp.3648-3658
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    • 2023
  • The early localization of a fuel subassembly with a failed (wet rupture) fuel pin is very important in reactors to limit the associated radiological and operational consequences. This requires a fast and reliable system for failure detection and their localization in the core. In the Prototype Fast Breeder Reactor, the system specially designed for this purpose is Failed Fuel Location Modules (FFLM) housed in the control plug region. It identifies a failed sub-assembly by detecting the presence of delayed neutrons in the sodium from a failed sub-assembly. During the commissioning phase of PFBR, it is mandatory to demonstrate the FFLM effectiveness. The paper highlights the engineering and physics design aspects of FFLM and the integrated simulation towards its function demonstration with a source assembly containing a perforated metallic fuel pin. This test pin mimics a MOX pin of 1 cm2 of geometrical defect area. At 10% power and 20% sodium flow rate, the counts rate in the BCCs of FFLM system range from 75 cps to 145 cps depending upon the position of DN source assembly. The model developed for the counts simulation is applicable to both metal and MOX pins with proper values of k-factor and escape coefficient.

Computer Vision-Based Measurement Method for Wire Harness Defect Classification

  • Yun Jung Hong;Geon Lee;Jiyoung Woo
    • 한국컴퓨터정보학회논문지
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    • 제29권1호
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    • pp.77-84
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    • 2024
  • 본 논문에서는 컴퓨터 비전을 사용하여 6가지 측정값(눌린 단자의 길이, 단자 끝의 치수(폭), 눌린부분(와이어 부분, 코어 부분)의 폭)을 계산하여 와이어 하네스의 결함을 정확하고 빠르게 탐지할 것을 제안한다. 두 가지 유형의 데이터에서 Harris 코너 검출을 활용하여 물체의 위치를 탐지하고 측정 영역별 특징과 배경과 물체 사이의 음영 차이를 활용하여 각 샘플의 기울기를 반영하는 측정값을 추출하기 위한 기준점을 생성한다. 이후 유클리드 거리 방법과 보정 계수를 사용하여 예측값을 계산하는 방법을 통해 와이어의 위치 변화에 관계 없이 측정값을 예측할 수 있다. 각 측정 유형별로 99.1%, 98.7%, 92.6%, 92.5%, 99.9%, 99.7% 정확도를 달성하였으며, 모든 측정값에서 평균 97%의 정확도로 우수한 결과를 얻었다. 해당 검사 방법은 기존 검사 방법인 육안 검사의 문제점을 보완하고, 작은 양의 데이터만을 이용하여 우수한 결과를 도출 가능하다. 또한 이미지 처리만 이용하기 때문에 딥러닝 방법보다 더 적은 데이터와 비용으로 적용 가능할 것으로 기대된다.

유리 견갑 피판 이식술 (Scapular Free Flap)

  • 정덕환;한정수;임창무
    • Archives of Reconstructive Microsurgery
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    • 제5권1호
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    • pp.24-34
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    • 1996
  • There are many kinds of free flaps for management of extensive soft tissue defect of extremities in orthopaedic field. Free vascularized scapular flap is one of the most useful and relatively easy to application. This flap has been utilize clinically from early eighties by many microsurgical pioneers. Authors performed 102 cases of this flap from 1984 to 1995. We have to consider about the surgical anatomy of the flap, technique of the donor harvesting procedures, vascular varieties and anatomical abnormalities and success rate and the weak points of the procedure. This flap nourished by cutaneous branches from circumflex scapular vessels emerges from the lateral aspect of the subscapular artery 2.5-5cm from its lateral origin passing through the triangular space(bounded by subscapularis, teres minor, teres major, long head of triceps). The terminal cutaneous branch runs posteriorly around the lateral border of the scapular and divided into two major branches, those transeverse horizontally and obliquely to the fascial plane of overlying skin of the scapular body. We can utilize these arteries for scapular and parascapular flap. The vascular pedicle ranged from 5 to 10 cm long depends on the dissection, usually two venae comitantes accompanied circumflex scapular artery and its major branches. The diameter of the circumflex scapular artery is more than 1mm in adult, rare vascular variation. Surgical techniques : The scapular flap can be dissected conveniently with prone or lateral decubitus position, prone position is more easier in my experience. There are two kinds of surgical approaches, most of the surgeon prefer elevation of the flap from its outer border towards its base which known easier and quicker, but I prefer elevation of the flap from its outer border because of the lowering the possibilities of damage to vasculature in the flap itself which runs just underneath the subcutaneous tissue of the flap and provide more quicker elevation of the flap with blunt finger dissection after secure pedicle dissection and confirmed the course from the base of the pedicle. There are minimal donor site morbidity with direct skin closure if the flap size is not so larger than 10cm width. This flap has versatility in the design of the flap shape and size, if we need more longer and larger one, we can use parascapular flap or both. Even more, the flap can be used with latissimus dorsi musculocutaneous flap and serratus anterior flap which have common vascular pedicle from subscapular artery, some instance can combined with osteocutaneous flap if we include the lateral border of the scapular bone or parts of the ribs with serratus anterior. The most important shortcoming of the scapular free flap is non sensating, there are no reasonable sensory nerves to the flap to anastomose with recipient site nerve. Results : Among our 102 cases, overall success rate was 89%, most of the causes of the failure was recipient site vascular problems such as damaged recipient arterial conditions, and there were two cases of vascular anomalies in our series. Patients ages from 3 years old to 62 years old. Six cases of combined flap with latissimus dorsi, 4 cases of osteocutaneous flap for bone reconstruction, 62 parascapular flap was performed - we prefer parascapular flap to scapular. Statistical analysis of the size of the flap has less meaningful because of the flap has great versatility in size. In the length of the pedicle depends on the recipient site condition, we can adjust the pedicle length. The longest vascular pedicle was 14 cm in length from the axillary artery to the enter point cutaneous tissue. In conclusion, scapular free flap is one of the most useful modalities to manage the large intractable soft tissue defect. It has almost constant vascular pedicle with rare anatomical variation, easy to dissect great versatility in size and shape, low donor morbidity, thin and hairless skin.

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