• 제목/요약/키워드: Local repair

검색결과 205건 처리시간 0.02초

승모판막치환술 후 발생한 급성 제1형 좌심실 파열에 대한 심외막적 봉합 - 1예 보고 - (Epicardial Repair of Acute Atrioventricular Groove Disruption Complicating Mitral Valve Replacement - A case report -)

  • 조광리;강재걸;진성훈
    • Journal of Chest Surgery
    • /
    • 제40권12호
    • /
    • pp.855-858
    • /
    • 2007
  • 승모판막 치환술 후 발생하는 좌심실파열은 치명적인 합병증이다. 30년 전 국외에서 승모판막에 대한 수술을 받은 병력이 있는 54세 여자 환자가 심한 승모판막 협착증과 심한 삼첨판막 폐쇄부전을 주소로 내원하여 승모판막 치환술 및 삼첨판막륜 성형술을 시행받았다. 심폐기 이탈 후 수술장 내에서 발생한 대량출혈로 심폐기 재가동 상태에서 평가한 결과 좌심방으로부터 3 cm 후방부위의 방실 골짜기에서 발생한 급성 제I형 좌심실 파열로 진단하고 심외막 접근법으로 테프론 펠트를 이용한 일차 봉합술, 심막첨포를 이용한 밀봉 봉합술 및 피브린 접착제를 적용하여 성공적으로 봉합하였으며 환자는 수술 14일째 합병증 없이 퇴원하였다. 이에 승모판막 치환술 후 발생하는 제I형 좌심실 파열에 대한 문헌고찰과 함께 증례를 보고하고자 한다.

절취부를 갖는 세로보의 피로거동과 보수·보강에 관한 연구(I) -정적거동 및 피로거동의 실험적 고찰- (Study on Fatigue Behavior and Rehabilitation of Stringer with Coped Section(I) -Experimental Study on Static and Fatigue Behavior-)

  • 황윤국;장동일
    • 한국강구조학회 논문집
    • /
    • 제9권3호통권32호
    • /
    • pp.363-375
    • /
    • 1997
  • 절취된 세로보를 갖는 강철도교량의 바닥판에서의 피로거동 및 손상시 보수 보강의 효과를 연구하기 위해 8개 대형시험체에 대한 모형시험을 수행하였다. 실교량을 대상으로 실동응력을 측정하여 기본 응력범위 빈도히스토그램을 작성하고 이에 의한 변동응력의 등가응력범위를 산출하였다. 이 등가응력범위를 기준으로 피로시험의 응력변동범위의 크기를 조정하면서 정적 및 피로시험을 보강전과 보수 보강후로 구분하여 실시하였다. 정적시험에 의하면 재하하중의 크기가 등가실동응력 수준인 시험체의 경우에서 이미 허용응력과 비슷한 응력을 나타내므로서 피로균열의 발생조건을 충족하고 있었다. 손상된 시험체에 대해 다양한 보수 및 보강을 실시하여, 각각의 결과를 비교검토하였다. 그 결과 보수효과는 stop hole을 천공하고 고장력볼트를 체결한 경우에 피로균열성장의 지체효과가 뚜렷하게 나타났다. 한편 보강효과는 휨의 지배를 받는 세로보의 경우 인장측 플랜지의 보강이 효과적이며, 복부의 보강은 보강방법으로 적절하지 않음을 알 수 있었다. 또한 직각절취된 세로보의 피로설계등급은 우리나라 시방서 피로설계규정의 E등급에 해당한다는 것을 확인할 수 있었다.

  • PDF

도시재생사업 추진방식의 차이점과 정책적 개선방안 - 서울시와 국토부 도시재생사업 사례를 중심으로 - (A Study on Major Differences between Urban Regeneration Projects' Execution Methods and Future Policy Improvements Propositions - Centering around a Comparative Analysis of the Seoul Metropolitan City-MOLIT Urban Regeneration Project Execution Cases -)

  • 박성원;함광민
    • 한국환경과학회지
    • /
    • 제31권9호
    • /
    • pp.743-755
    • /
    • 2022
  • This study aims to review the differences in urban regeneration independently implemented by the government (Ministry of Land, Infrastructure, and Transport, MOLIT) and Seoul based on related laws and ordinances, and to draw out the implications of Korean urban regeneration's directions. The results are as follows. First, Seoul has constantly responded to the revision of the Urban Regeneration Act by adjusting and specifying the contents of ordinances, and especially, there have been efforts to enhance regional characteristics suitably for the circumstances of Seoul. Second, in the urban regeneration of Seoul, the budgets including the matching ratio of national and local subsidies shall be changed according to the standards of the MOLIT in changing designating places after the selection of the urban regeneration by the ministry, and this procedure and these implementation methods cause confusion to Seoul and local governments. Third, there were differences in the results of comparing the budgets and support methods of the "Gaggum Housing Project" of Seoul and "New Deal Housing Repair Project" of the MOLIT, which caused conflicts due to the differences in the project implementation and support standards, and the arbitrary interpretation of the guidelines. Although the urban regeneration greatly contributed to the revelation and conservation of regional characteristics, it might be necessary to establish systems that can enhance citizens' awareness and compensate the efficient contents needed for each region in the future.

Biomimetic Electrospun Fibers for Tissue Engineering Applications

  • 신흥수
    • 한국재료학회:학술대회논문집
    • /
    • 한국재료학회 2011년도 추계학술발표대회
    • /
    • pp.2.2-2.2
    • /
    • 2011
  • The central strategy in tissue engineering involves a biomaterial scaffold as a delivery carrier of cells and a depot to deliver bioactive molecules. The ability of scaffolds to control cellular response to direct particular repair and regeneration processes is essential to obtain functional tissue engineering constructs. Therefore, many efforts have been made to understand local interactions of cells with their extracellular matrix (ECM) microenvironment and exploit these interactions for designing an ideal scaffold mimicking the chemical, physiological, and structural features of native ECM. ECM is composed of a number of biomacromolecules including proteins, glycosaminoglycans, and proteoglycans, which are assembled together to form complex 3-dimensional network. Electrospinning is a process to generate highly porous 3-dimensional fibrous structure with nano to micro scaled-diameter, which can closely mimic the structure of ECM. In this presentation, our approaches to develop biomimetic electrospun fibers for modulation of cell function will be discussed.

  • PDF

노후선박의 Condition Assessment Scheme의 개발 (Development of the Condition Assessment Scheme of Aged Ships)

  • 박영일;백점기;이제명;고재용
    • 한국항해항만학회:학술대회논문집
    • /
    • 한국항해항만학회 2004년도 춘계학술대회 논문집
    • /
    • pp.77-82
    • /
    • 2004
  • 노후선박의 구조적 안전성을 확보하기 위해서는 부식이나 피로균열 및 기계적인 손상에 의하여 선체 구조 강도가 어떠한 영향을 받는지 충분히 검토하여 적절한 수리 보수 등 이에 대한 대책을 강구할 필요가 있다. 본 연구에서는 이러한 관점에서 부식, 피로균열, 기계적인 손상과 같은 노후 선박에 발생할 수 있는 여러 가지 손상이 선체강도에 미치는 영향을 이론적, 수치적, 실험적인 방법을 통하여 조사하고, 이를 통하여 선각거더의 소성붕괴강도 저하를 고려한 신뢰성 평가법 및 보수, 수리를 통한 인정수준 이상의 선각강도를 유지하게 하는 지침도 연구하였다.

  • PDF

강박판 및 탄소섬유판으로 전단보강된 철근 콘크리트 보의 거동에 관한 실험적 연구 (An Experimental Study on the Behaviors of RC Beams Strengthened in Shear by Thin Steel Plate and Carbon Fiber Sheet)

  • 최종수;이대형;손창호;정영수
    • 한국콘크리트학회:학술대회논문집
    • /
    • 한국콘크리트학회 1995년도 가을 학술발표회 논문집
    • /
    • pp.219-223
    • /
    • 1995
  • Since the mid of 1970's, the construction of infrastructure has been booming and accelerating to keep up with rapid economic growth. Fast achievement of most construction activities has caused unfavorable effects of civil petitions associated with damages and nuisances due to last hasty works. it is well known that the falling down of Sungsoo bridge and the collapse of Sampoong department and other structures have occurred because of the construction not conforming with the specification, and thereby incurred enormous loss of life and property. Now a days. a periodic inspection and maintenance have been strongly interested on aged RC structures, of repair and reinforcement technique in the country, most repairing and reinforcing works have been performed on the basis of the guidance of few experienced local company in this field.

  • PDF

Thymine Dimer를 포함한 DNA와 $T_4$ Endonuclease V * DNA 복합체의 구조에 관한 연구 (Study on the Structure of DNA Containing a Thymine Dimer and $T_4$ Endonuclense V * DNA Complex)

  • 이봉진;유준석;임형미
    • Biomolecules & Therapeutics
    • /
    • 제2권1호
    • /
    • pp.28-33
    • /
    • 1994
  • In order to obtain insight into the repair mechanism of DNA containing thymine photo-dimer, the conformation of the duplex d(GCGGTTGGCG).d(CGCCAACCGC) with a thymine dimer incorporated has been studied by proton NMR. NOE data show that, although the local environment around the thymine dimer is altered, the gross structural changes are relatively small. T$_4$endonuclease V exhibited a conformational change on complex formation with DNA. This conformational change occurred around histidine 16 which was close to tyrosine 129 located in the aromatic segment (WYKYY) near the C-terminus. It is likely that the interaction between T$_4$endonuclease V and DNA is strong since the complex was not dissociated up to 1.6 M NaCl.

  • PDF

광케이블 유지보수를 위한 수동 B-NT1 모듈 개발 (Development of passive B-NT1 for optical cable maintenance)

  • 함청운;엄진섭
    • 산업기술연구
    • /
    • 제15권
    • /
    • pp.137-146
    • /
    • 1995
  • The reference model for UNI (User Network Interface) of B-ISDN is consisted of three function groups (B-NTI, B-NT2 and B-TE). In this study, we constructed passive B-NT1 module which can be utilized for optical link management and repair, one of main functions of B-NT1. For the convenience of installation and management, this module is only consisted of passive optical devices. And at a local exchange center linked with the module, the broken zone of optic link is able to be monitored without interrupting services. In addition, we performed the power burget analysis for the design of efficient optic link including this module.

  • PDF

방실중격결손증의 외과적 치료 (Surgical Treatment of Atrioventricular Septal Defect)

  • 이광숙
    • Journal of Chest Surgery
    • /
    • 제22권6호
    • /
    • pp.990-995
    • /
    • 1989
  • Since 1984, 24 patients underwent repair of atrioventricular septal defect. Nineteen had a partial defect and 5 had a complete atrioventricular septal defect. There were 9 men and 15 women, ranging in age from 1 to 50 years [mean age, 13.3 years]. Four patients had a Downs syndrome. Additional congenital heart defects were present in 11 patients. One patient had palliative operation prior to total correction. In partial defects, the primum atrial septal defect was closed with Xenomedica patch and the mitral valve was repaired with simple closure of the septal commissure. Central incompetence from annular dilatation was repaired by a local annuloplasty. In complete defect, the septal defects were closed with two patches except one. Operative mortality was 5% in partial defects and 60% in complete defects and low cardiac output was the commonest etiology. In a mean follow-up period of 27.9 months [range, 4 to 63 months] there were no late death and no instances of late-onset complete heart block. One patient required reoperation [MVR] for residual mitral regurgitation. The majority of patients were asymptomatic and mean postop. NYHA functional class was 1.2.

  • PDF

흉부외상에 의한 하행흉부대동맥파열 (수술 치험 1예 보고)

  • 채헌;노준량
    • Journal of Chest Surgery
    • /
    • 제13권1호
    • /
    • pp.72-76
    • /
    • 1980
  • A successful repair of transected descending thoracic aorta was performed in a 44-year-old man. The patient had once been hospitalized in a local clinic for 7 days after a steering wheel injury. Dealing with right Colle`s fracture, he was transferred to this hospital to rule out aortic injury. On admission, a chest PA film and concomitant aortogram revealed an aneurysm of the descending thoracic aorta just distal to the origin of the left subclavian artery measuring 6 cm in diameter and 8 cm in length. He underwent urgent thoracotomy and the injured part of the aorta was replaced with a woven Dacron graft utilizing a Gott`s heparinized aortic shunt. The postoperative course was very smooth except hoarseness and left phrenic nerve palsy due to a blind clamping of the proximal aorta during the operation.

  • PDF