• Title/Summary/Keyword: Minor Repair

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Clinical Characteristics of Small Bowel Perforation due to Blunt Abdominal Trauma (복부 둔상으로 인한 소장 천공의 임상 양상에 대한 고찰)

  • Bae, Jung-Min
    • Journal of Trauma and Injury
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    • v.24 no.2
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    • pp.125-128
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    • 2011
  • Purpose: Blunt small bowel injury (SBI) is frequently combined other organ injury. So, clinical outcome and characteristics of SBI are influenced by other combined injuries. Thus, we analyzed isolated SBI patients and studied clinical outcome and characteristics. Methods: Between 2005 and 2010, 36 consecutive patients undergoing laparotomy due to isolated SBI were identified in a retrospectively collected. Database. Clinical outcome and characteristics were analyzed. Results: Laparotomy was performed in 36 patients. Primary repair was performed 17 patients. Segmental resection of small bowel was performed 19 patients. Median time gap from trauma to operation was 9 hours. In 24 hours from trauma, operation was performed 31 patients. Post operative death was 5 patients. Mean hospital stay was 18 days and median hospital stay was 12 days. There were significant differences between operation type and minor complication and hospital stay. And there were significant differences between time gap in 24 hours and minor complication. But, there were no significant between time gap and mortality. Conclusion: Although this study had many limitations, some valuable information was produced. When operation above 24 hours was delayed in SBI, minor complications were significantly increased. Segmental resection of small bowel in SBI were significantly increased minor complications and hospital stay. So, preventive measures for surgical site infection was important to reduce wound complication and hospital stay. Further continuous study and multi-center study were should be performed to improve clinical outcome in SBI.

Repair of Unilateral Incomplete Lesser Form Cleft Lip (편측성 불완전 소구순열의 치료)

  • Park, Hye Jeong;Jung, Hwi-Dong;Mulliken, John Butler;Jung, Young-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.3
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    • pp.178-183
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    • 2013
  • Cleft lip arises from congenital underdevelopment with various degrees and patterns. Mulliken named a unilateral incomplete cleft lip with no severe cleft as a lesser-form cleft lip and categorized it into three subgroups. Anatomically categorized subgroups are minor-form, microform, and mini-microform cleft by the extent of vermilion-cutaneous dysjuntion. The vermillion cutaneous notch is more than 3 mm from the regular Cupid's bow peak for minor-form, less than 3 mm for microform, and almost no gap with discontinuity on the vermillion cutaneous border for mini-microform. The treatments are rotational advancement flap for minor-form, double unillimb Z-plasty for microform, and vertical lenticular excision for mini-microform, respectively. This article aims to present the literature review about the incomplete lesser form cleft lip classified by Mulliken and to report our experiences.

Case Study on Certification System of Parts Repair for Commercial Aircraft Engine (상용항공기 엔진부품 수리 인증체계에 관한 사례연구)

  • Chang-Tak Lee
    • Journal of Aerospace System Engineering
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    • v.17 no.4
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    • pp.95-103
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    • 2023
  • Aircraft engine parts repair is a field belonging to the lowest level in the hierarchy of the aircraft industry, and it is marginalized in terms of research, compared to aircraft manufacturing or maintenance that belong to the upper level. On the other hand, in 2019, Korean Air's Powerplant Maintenance Center paid USD $130 million to foreign countries for engine parts repair, making it an industry with great need for localization. To achieve the goal of localizing engine parts repair, a certification system is needed that can perform independent repairs based on the development of repair technology, aligning contractual relationships with engine manufacturers, and free from dependence on engine manufacturers or foreign repair companies. The purpose of this study is to provide a basis for subsequent research to secure an actual certification system by suggesting the need for securing such a certification system.

Analysis of Bus Accident Severity Using K-Means Clustering Model and Ordered Logit Model (K-평균 군집모형 및 순서형 로짓모형을 이용한 버스 사고 심각도 유형 분석 측면부 사고를 중심으로)

  • Lee, Insik;Lee, Hyunmi;Jang, Jeong Ah;Yi, Yongju
    • Journal of Auto-vehicle Safety Association
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    • v.13 no.3
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    • pp.69-77
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    • 2021
  • Although accident data from the National Police Agency and insurance companies do not know the vehicle safety, the damage level information can be obtained from the data managed by the bus credit association or the bus company itself. So the accident severity was analyzed based on the side impact accidents using accident repair cost. K-means clustering analysis separated the cost of accident repair into 'minor', 'moderate', 'severe', and 'very severe'. In addition, the side impact accident severity was analyzed by using an ordered logit model. As a result, it is appeared that the longer the repair period, the greater the impact on the severity of the side impact accident. Also, it is appeared that the higher the number of collision points, the greater the impact on the severity of the side impact accident. In addition, oblique collisions of the angle of impact were derived to affect the severity of the accident less than right angle collisions. Finally, the absence of opponent vehicle and large commercial vehicles involved accidents were shown to have less impact on the side impact accident severity than passenger cars.

Laparoscopic Primary Repair with Omentopexy for Duodenal Ulcer Perforation: A Single Institution Experience of 21 Cases

  • Ma, Chung Hyeun;Kim, Min Gyu
    • Journal of Gastric Cancer
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    • v.12 no.4
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    • pp.237-242
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    • 2012
  • Purpose: Despite the great advances in laparoscopic techniques, most active general surgeons do not apply laparoscopic surgery in the treatment of duodenal ulcer perforation when facing a real-life emergency. Therefore, our study was designed to evaluate the feasibility of laparoscopic surgery in duodenal ulcer perforation, and provide a step-by-step protocol with tips and recommendations for less experienced surgeons. Materials and Methods: Between March, 2011 and May, 2012, 21 patients presenting with duodenal ulcer perforation underwent laparoscopic primary repair with omentopexy. There were no contraindications to perform laparoscopic surgery, and the choice of primary repair was decided according to the size of the perforation. The procedure for laparoscopic primary repair with omentopexy consisted of peritoneal lavage, primary suture, and omentopexy using a knot pusher. Results: During the operation, no conversion to open surgery or intra-operative events occurred. The median operation time was 45.0 minutes (20~80 minutes). Median day of commencement of a soft diet was day 6 (4~17 days). After surgery, the median hospital stay was 8.0 days (5~27 days). Postoperative complications occurred in one patient, which included a minor leakage. This complication was resolved by conservative management. Conclusions: Although our study was carried out on a small number of patients at a single institution, we conclude that laparoscopic primary repair can be an effective surgical method in the treatment of duodenal ulcer perforation. We believe that the detailed explanation of our procedure will help beginners to perform laparoscopic primary repair more easily.

System seismic performance of haunch repaired steel MRFs : dual panel zone modeling and a case study

  • Lee, Cheol-Ho
    • Structural Engineering and Mechanics
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    • v.6 no.2
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    • pp.125-141
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    • 1998
  • Recent test results of steel moment connections repaired with a haunch on the bottom side of the beam have been shown to be a very promising solution to enhancing the seismic performance of steel moment-resisting frames. Yet, little is known about the effects of using such a repair scheme on the global seismic response of structures. When haunches are incorporated in a steel moment frame, the response prediction is complicated by the presence of "dual" panel zones. To investigate the effects of a repair on seismic performance, a case study was conducted for a 13-story steel frame damaged during the 1994 Northridge earthquake. It was assumed that only those locations with reported damage would be repaired with haunches. A new analytical modeling technique for the dual panel zone developed by the author was incorporated in the analysis. Modeling the dual panel zone was among the most significant consideration in the analyses. Both the inelastic static and dynamic analyses did not indicate detrimental side effects resulting from the repair. As a result of the increased strength in dual panel zones, yielding in these locations were eliminated and larger plastic rotation demand occurred in the beams next to the shallow end of the haunches. Nevertheless, the beam plastic rotation demand produced by the Sylmar record of 1994 Northridge earthquake was still limited to 0.017 radians. The repair resulted in a minor increase in earthquake energy input. In the original structure, the panel zones should dissipate about 80% (for the Oxnard record) and 70% (for the Sylmar record) of the absorbed energy, assuming no brittle failure of moment connections. After repair, the energy dissipated in the panel zones and beams were about equal.

A Production and Preventive Maintenance Policy with Two Types of Failures (두 가지 고장형태를 고려한 생산 및 예방보전 정책)

  • 김호균;조형수
    • Journal of Korean Society for Quality Management
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    • v.30 no.3
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    • pp.53-65
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    • 2002
  • This paper studies an economic manufacturing quantity (EMQ) model with two types of failures and planned preventive maintenance of the production facility. One is a type I (major) failure which should be corrected by a failure maintenance and the other is a type H (minor) failure which can be minimally repaired without interrupting the production run. The objective is to determine the lot size and preventive replacement policy minimizing the long-run expected cost per unit time. We consider a control policy with a constant production lot size and preventive maintenance after completing n production runs. It is assumed that both preventive and failure maintenance times are random and the demand arriving during a stock-out period is lost. An expression for the expected cost per unit time is obtained in the general case. A special case is discussed and numerical results are provided.

A Real-world Accident Study on Vehicle Damage Types and Occupant Injury (자동차사고 손상유형과 상해에 관한 실사고 연구)

  • Hong, Seungjun;Park, Wonpil;Ha, Sungyong
    • Transactions of the Korean Society of Automotive Engineers
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    • v.21 no.1
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    • pp.107-112
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    • 2013
  • Base on insurance vehicle collision and bodily injury claim reports, 23,655 cases of vehicle to vehicle accidents occurred in Korea 2010 are investigated in order to understand vehicle damage severities, repair costs and occupant injury types. The results of our statistical analysis reveal that minor damages with small dent or scratches on vehicle body panels which is assumed to imply during very low speed crashes are major portion of accident severities types. The most vulnerable body regions due to the real-world accident are neck. The 86.3% of total injured driver in minor rear damaged vehicles has reported neck pains and they are followed by whole bodies and head but with much lower occurrence rates.

OPPORTUNISTIC AGE REPLACEMENT POLICY

  • Jhang, Jhy-Ping
    • Proceedings of the Korean Society for Quality Management Conference
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    • 1998.11a
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    • pp.269-276
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    • 1998
  • This paper proposes an opportunistic age replacement policy. The system has two types of failures. Type I failures (minor failures) are removed by minimal repairs, whereas type II failures are removed by replacements. Type I and type II failures are age-dependent. A system is replaced at type II failure (catastrophic failure) or at the opportunity after age T, whichever occurs first. The cost of the minimal repair of the system at age z depends on the random part C(z) and the deterministic part c(z). The opportunity arises according to a Poisson process, independent of failures of the component. The expected cost rate is obtained. The optimal $T^{\ast}$ which would minimize the cost rate is discussed. Various special cases are considered. Finally, a numerical example is given.

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Performance Analysis of Auto Body Manufacturing System using ARENA Simulation (ARENA 시뮬레이션을 이용한 차제공장 수행도 분석)

  • Jung, Jae-Ho;Kim, Hyun-Gun;Kim, Hyang-He;Jeon, Tae-Bo
    • Journal of Industrial Technology
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    • v.20 no.A
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    • pp.229-238
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    • 2000
  • Simulation analysis for an auto body manufacturing system has been performed in this study. The major goal is to figure out the condition yielding the production rate, 70 per hour. It is, however, very difficult to maintain this rate due to inherent system factors such as machine failure rates, machine repair rates, number of carriers between manufacturing lines(shops), carrier speed etc. We first carefully examined the system and developed a simulation model using ARENA. We then applied statistical experimental design concepts for performance analysis. Our results indicate that the buffer size of 30 and quick repair of failed robots are required for the desired production rate. Other factors, on the other hand, are seen to have minor effects on the throughput. The approach taken in this study and the results obtained may provide a practical guideline for performance analysis and thus be applied without trepidation for similar cases.

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