• 제목/요약/키워드: Delayed Failure

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A Case of Kawasaki Disease Associated with Acute Renal Failure and Necrotizing Myositis (급성 신부전과 괴사성 근염을 동반한 가와사끼병 1례)

  • Ahn, So Hyun;Shim, So Yun;Sohn, Sejung;Lee, Seung Joo;Han, Un Seop
    • Clinical and Experimental Pediatrics
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    • v.46 no.2
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    • pp.207-209
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    • 2003
  • Kawasaki disease is an acute febrile vasculitis affecting primarily infants and young children. In addition to the cardiovascular involvement, it may cause inflammatory changes in various organs and body systems : digestive, respiratory, urinary, nervous and musculoskeletal. A case is reported of atypical Kawasaki disease associated with acute renal failure and necrotizing myositis in the right gastrocnemius in a 10-year-old boy. In older children, uncommon age of onset and additional features less commonly associated with Kawasaki disease may contribute to a delayed diagnosis.

Treatment of Ethylene Glycol Poisoning Patient Presented with Mental Change (의식저하로 내원한 에틸렌 글리콜 중독 환자 1례)

  • Min Jin Hong;Lee Jang Young;Min Moon Gi;Chung Sung Pil;Kim Seung Whan;Yoo In Sool
    • Journal of The Korean Society of Clinical Toxicology
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    • v.2 no.2
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    • pp.129-132
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    • 2004
  • Ethylene glycol poisoning can cause profound morbidity and is almost universally fatal if untreated. Central nervous system depression, pulmonary edema, and acute oligulic renal failure with crystalluria are among the most commonly encountered complication of ingestion. Ingestion of ethylene glycol may be an important contributor in patients with metabolic acidosis and subsequent renal failure. The diagnosis of ethylene glycol poisoning is based on nonspecific clinical symptoms and signs and indirect and direct laboratory measurement of ethylene glycol. As a result, diagnosis and treatment sometimes can be delayed. We describe 52-year-old man who visited to emergency department with mental change of unknown origin. The patient has high anion gap metabolic acidosis and renal failure due to ingestion of antifreeze that contained ethylene glycol. We used hemodialysis for elimination technique. The patient was discharged with minimal complication.

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Repeated failure of implants at the same site: a retrospective clinical study

  • Kang, Dong-Woo;Kim, So-Hyun;Choi, Yong-Hoon;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.27.1-27.9
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    • 2019
  • Background: Implants are becoming the first choice of rehabilitation for tooth loss. Even though they have a high success rate, failures still occur for many reasons. The objective of this study is to analyze the reasons for recurring failure at the same site and the results of re-implantation. Methods: Thirteen patients (11 males and 2 females, mean age 60 ± 9.9 years) who experienced implant surgery failure at the same site (same tooth extraction area) two or more times in the Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, between 2004 and 2017 were selected. The medical records on a type, sites, diameter, and length of implants; time and estimated cause of failure; and radiographs were reviewed. Data were collected and analyzed retrospectively, and the current statuses were evaluated. Results: A total of 14 implants experienced failure in the same site more than two times. Twelve implants were placed in the maxilla, while 2 implants were placed in the mandible. The maxillary molar area was the most common site of failure (57.1%), followed by the mandibular molar, anterior maxilla, and premolar areas (14.3% each). The first failure occurred most commonly after prosthetic treatment (35.7%) with an average period of failure of 3.8 months after loading. Ten cases were treated as immediate re-implantation, while the other 4 were delayed reimplantation after an average of 3.9 months. The second failure occurred most commonly after prosthetic treatment (42.9%), with an average of 31 months after loading; during the healing period (42.9%); and during the ongoing prosthetic period (14.3%). In 3 cases (21.4%), the treatment plan was altered to an implant bridge, while the other 11 cases underwent another implant placement procedure (78.6%). Finally, a total of 9 implants (64.3%) survived, with an average functioning period of 60 months. Conclusions: Implants can fail repeatedly at the same site due to overloading, infection, and other unspecified reasons. The age and sex of the patient and the location of implant placement seem to be associated with recurring failure. Type of implant, bone augmentation, and bone materials used are less relevant.

Analysis of Acoustic Emission Signals during Long-Term Strength Tests of Brittle Materials (취성재료의 장기 강도시험 중 미소파괴음 신호 분석)

  • Cheon, Dae-Sung;Jung, Yong-Bok
    • Tunnel and Underground Space
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    • v.27 no.3
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    • pp.121-131
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    • 2017
  • We studied the time-dependent behaviors of rock and concrete materials by conducting the static and dynamic long-term strength tests. In particular, acoustic emission(AE) signals generated while the tests were analyzed and used for the long-term stability evaluation. In the static subcritical crack growth test, the long-term behavior and AE characteristics of Mode I and Mode II were investigated. In the dynamic long-term strength test, the fatigue limit and characteristics of generation of AE were analyzed through cyclic four points bending test. The graph of the cumulative AE hits versus time showed a shape similar to that of the creep curve with the first, second and third stages. The possibility for evaluating the static and dynamic long-term stability of rock and concrete is presented from the log - log relationship between the slope of the secondary stage of cumulative AE hits curve and the delayed failure time.

An Experimental Study to Prevent Debonding Failure of RC Beams Strengthened by AFRP Sheet (아라미드섬유쉬트로 휨 보강된 RC보의 부착파괴 방지에 관한 실험적 연구)

  • Choi, Ki-Sun;You, Young-Chan;Kim, Keung-Hwan
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.11 no.5
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    • pp.144-152
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    • 2007
  • This study investigated the failure mechanism of RC beams strengthened with AFRP sheets. Total 5 half-scale RC beams were constructed and tested to estimate the effectiveness of various methods to prevent the debonding failure of AFRP sheets. From the experimental results, it was found that increasing bonded length or end U-wrappings does not prevent debonding failure. On the other hand, the beams with center U-wrappings and shear-keys reached the ultimate state with their sufficient performance. The center U-wrappings tended to control debonding of the longitudinal AFRP sheets because the growth of the longitudinal cracks along the edges of the composites was delayed. In case of shear-keys, it was sufficient to eliminate debonding and the beams failed by AFRP sheets rupture due to the sufficient bond mechanism.

Extubation Time by Birth Weight and the Predictors for Success/Failure at the First Extubation in Extremely Low Birth Weight Infants (초극소저출생체중아에서 출생체중별 발관시기 및 첫 발관 시의 성공/실패 예측인자)

  • Choi, Chang Won;Park, Sung Eun;Jeon, Ga Won;Yoo, Eun Jung;Hwang, Jong Hee;Chang, Yun Sil;Park, Won Soon
    • Clinical and Experimental Pediatrics
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    • v.48 no.5
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    • pp.488-494
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    • 2005
  • Purpose : To outline the aspects of extubation by birth weight and find the predictors for success/failure at the first extubation in extremely low birth weight infants. Methods : One hundred thirteen extremely low birth weight infants(<1,000 g) who were admitted to NICU at Samsung Seoul Hospital between Jan. 2000 and Jun. 2004 were enrolled. Clinical characteristics that are thought to be related with extubation success or failure were compared with the success and the failure of the first extubation. Results : As the birth weight decreased, extubation success day was significantly delayed : $16{\pm}3day(d)$ in 900-999 g; $20{\pm}3d$ in 800-899 g; $35{\pm}4d$ in 700-799 g; $37{\pm}9d$ in 600-699 g; $49{\pm}12d$ in ${\leq}599g$. 25 out of 113 infants(22%) failed the first extubation. Preterm premature rupture of membrane was associated with extubation success, and air leak was associated with extubation failure, with a borderline significance. Postnatal and corrected age and body weight at the first extubation, nutritional status, and ventilator settings were not associated with extubation success or failure. Extubation success day was significantly delayed, and the incidence of late-onset sepsis and mortality was significant higher in the failure of the first extubation. Conclusion : We could not find significant predictors for success/failure at the first extubation. The failure of the first extubation had an increased risk of late-onset sepsis and death. Further studies are needed to find the predictors for extubation success/failure.

Delayed Block Replication Scheme of Hadoop Distributed File System for Flexible Management of Distributed Nodes (하둡 분산 파일시스템에서의 유연한 노드 관리를 위한 지연된 블록 복제 기법)

  • Ryu, Woo-Seok
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.2
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    • pp.367-374
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    • 2017
  • This paper discusses management problems of Hadoop distributed node, which is a platform for big data processing, and proposes a novel technique for enabling flexible node management of Hadoop Distributed File System. Hadoop cannot configure Hadoop cluster dynamically because it judges temporarily unavailable nodes as a failure. Delayed block replication scheme proposed in this paper delays the removal of unavailable node as much as possible so as to be easily rejoined. Experimental results show that the proposed scheme increases flexibility of node management with little impact on distributed processing performance when the cluster size changes.

Effect of an Increased Wall Thickness on Delayed Hydride Cracking in Zr-2.5Nb Pressure Tube (Zr-2.5Nb 중수로 압력관의 수소지연파괴에 미치는 압력관 두께의 영향)

  • Jeong, Yong-Hwan;Kim, Young-Suk
    • Nuclear Engineering and Technology
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    • v.27 no.2
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    • pp.226-233
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    • 1995
  • The wall thickness of a pressure tube is increased in order to reduce the probability of failure in a pressure tube of CANDU type reactor. It is presented here that the variation of wall thickness changes stress, hydrogen concentration and delayed hydride cracking in Zr-2.5Nb pressure tube. When the wall thickness is increased from 4.2 mm to 5.2 mm, the stress exerted on the tube and the deuterium taken up during operation are reduced by 19%. Further, the calculated allowable depth of the surface flaw over which delayed hydride cracking(DHC) is susceptible increases by 50%. DHC initiation is controlled by the stress and by the hydrogen concentration in the pressure tube. The results are therefore very significant in such a respect that increased wall thickness may reduce DHC initiation. Ac the wall thickness increases the hydrostatic tension will increase. Its impact on the acceleration of the crack growth rate of DHC deserves further studies.

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Microstructural Effects on Hydrogen Delayed Fracture of 600MPa and 800MPa grade Deposited Weld Metal (600MPa급과 800MPa급 전용착금속의 미세조직에 따른 수소지연파괴 거동)

  • Kang, Hee Jae;Lee, Tae Woo;Yoon, Byung Hyun;Park, Seo Jeong;Chang, Woong Seong;Cho, Kyung Mox;Kang, Namhyun
    • Korean Journal of Metals and Materials
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    • v.50 no.1
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    • pp.52-58
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    • 2012
  • Hydrogen-delayed fracture (HDF) was analyzed from the deposited weld metals of 600-MPa and 800-MPa flux-cored arc (FCA) welding wires, and then from the diffusible hydrogen behavior of the weld zone. Two types of deposited weld metal, that is, rutile weld metal and alkali weld metal, were used for each strength level. Constant loading test (CLT) and thermal desorption spectrometry (TDS) analysis were conducted on the hydrogen pre-charged specimens electrochemically for 72 h. The effects of microstructures such as acicular ferrite, grain-boundary ferrite, and low-temperature-transformation phase on the time-to-failure and amount of diffusible hydrogen were analyzed. The fracture time for hydrogen-purged specimens in the constant loading tests decreased as the grain size of acicular ferrite decreased. The major trapping site for diffusible hydrogen was the grain boundary, as determined by calculating the activation energies for hydrogen detrapping. As the strength was increased and alkali weld metal was used, the resistance to HDF decreased.

Theoretical models of threshold stress intensity factor and critical hydride length for delayed hydride cracking considering thermal stresses

  • Zhang, Jingyu;Zhu, Jiacheng;Ding, Shurong;Chen, Liang;Li, Wenjie;Pang, Hua
    • Nuclear Engineering and Technology
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    • v.50 no.7
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    • pp.1138-1147
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    • 2018
  • Delayed hydride cracking (DHC) is an important failure mechanism for Zircaloy tubes in the demanding environment of nuclear reactors. The threshold stress intensity factor, $K_{IH}$, and critical hydride length, $l_C$, are important parameters to evaluate DHC. Theoretical models of them are developed for Zircaloy tubes undergoing non-homogenous temperature loading, with new stress distributions ahead of the crack tip and thermal stresses involved. A new stress distribution in the plastic zone ahead of the crack tip is proposed according to the fracture mechanics theory of second-order estimate of plastic zone size. The developed models with fewer fitting parameters are validated with the experimental results for $K_{IH}$ and $l_C$. The research results for radial cracking cases indicate that a better agreement for $K_{IH}$ can be achieved; the negative axial thermal stresses can lessen $K_{IH}$ and enlarge the critical hydride length, so its effect should be considered in the safety evaluation and constraint design for fuel rods; the critical hydride length $l_C$ changes slightly in a certain range of stress intensity factors, which interprets the phenomenon that the DHC velocity varies slowly in the steady crack growth stage. Besides, the sensitivity analysis of model parameters demonstrates that an increase in yield strength of zircaloy will result in a decrease in the critical hydride length $l_C$, and $K_{IH}$ will firstly decrease and then have a trend to increase with the yield strength of Zircaloy; higher fracture strength of hydrided zircaloy will lead to very high values of threshold stress intensity factor and critical hydride length at higher temperatures, which might be the main mechanism of crack arrest for some Zircaloy materials.