• The Journal of Advanced Prosthodontics
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• 제8권5호
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• pp.411-416
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• 2016

Patients who underwent resection of maxilla due to benign or malignant tumor, or accident will have defect in palatal area. They get retention, support and stability from remaining tissues which are hardly optimal. The advantage of swing-lock attachment design is having multiple contacts on labial and lingual side of the abutment teeth by retentive strut and palatal bracing component. Because the force is distributed equally to abutment teeth, abutment teeth of poor prognosis can be benefited from it. It is also more advantageous to cover soft tissue defects which are hard to reach with conventional prosthesis. A 56-year-old female patient who had undergone a maxillectomy due to malignant melanoma complaining of loose and unstable surgical obturator. Surveyed crowns were placed on #12, 26, and 27. Teeth #11, 21, 22, and 23 had lingual rest seat and #24 had mesial rest seat to improve stability and support of the obturator. This clinical report presents the prosthetic management of a patient treated with obturator on the maxilla using swing-lock attachment to the remaining teeth.

• 대한기계학회논문집A
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• 제26권9호
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• pp.1746-1752
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• 2002

Fatigue fracture in machine components is produced by surface micro-crack from stress concentration area such as notch and material defect. It is difficult to predict the remaining fatigue lift of mechanical components because the surface micro-crack on critical area initiates and grows with statistical distribution. Plane bending fatigue tests were carried out on the plain specimen of Al 2024-T3 and the initiation and growth behavior of surface micro cracks were observed. The statistical distribution of surface length of multiple micro cracks and their maximum length were investigated. The maximum surface crack length distributions were analyzed on the basis of the statistics of extremes in order to examine the prediction of remaining life.

• Journal of Magnetics
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• 제20권3호
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• pp.312-316
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• 2015

Unlike conventional Eddy Current Test (ECT), Pulsed Eddy Current (PEC) uses a multiple-frequency current pulse through the excitation coil. In the present study, the detection of subsurface cracks using a specially designed probe that allows the detection of a deeper crack with a relatively small current density has been attempted using the PEC technique. The tested sample is a piece of 304 stainless steel (SS304) with a thickness of 30mm. Small electrical discharge machining (EDM) notches were put in the test sample at different depths from the surface to simulate the subsurface cracks in a pipe. The designed PEC probe consists of an excitation coil and a Hall sensor and can detect a subsurface crack as narrow and shallow as 0.2 mm wide and 2 mm deep. The maximum distance between the probe and the defect is 28 mm. The peak amplitude of the detected pulse is used to evaluate the cracks under the sample surface. In time domain analysis, the greater the crack depth the greater the peak amplitude of the detected pulse. The experimental results indicated that the proposed system has the potential to detect the subsurface cracks in stainless steel plates.

• International Journal of Korean Welding Society
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• 제1권2호
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• pp.36-44
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• 2001

To get the appropriate welding process variables, mathematical modeling in conjunction with many experiments is necessary to predict the magnitude of weld bead shape. Even though the experimental results are reliable, it has a difficulty in accurately predicting welding process variables for the desired weld bead shape because of nonlinear and complex characteristics of welding processes. The welding condition determined for the desired weld bead shape may cause the weld defect if the welding current/voltage/speed combination is improperly selected. In this study, the $2^{n-1}$ fractional factorial design method and correlation parameter were used to investigate the effect of the welding process variables on the fillet joint shape, and the multiple non-linear regression analysis was used for modeling the gas metal arc welding(GMAW）parameters of the fillet joint. Finally, a fuzzy rule-based method and a neural network method were proposed so that the complexity and non-linearity of arc welding phenomena could be effectively overcome. The performance of the proposed neuro-fuzzy system was evaluated through various experiments. The experimental results showed that the proposed neuro-fuzzy system could effectively check the welding conditions as to whether or not weld defects would occur, and also adjust the welding conditions to avoid these weld defects.

• Journal of Chest Surgery
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• 제31권2호
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• pp.190-193
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• 1998

본 강북삼성병원 흉부외과에서는 병적골절이 동반된 원발성 흉골결핵을 치험 하였다. 22세된 여자환자가 특별한 외상이없이 발생한 흉골부위의 통증 및 골절로 입원 하였다. 입원당시 시행한 흉부단순촬영 및 전산화단층촬영상 흉골의 괴사소견과 연부조직의 부종이 관찰되었다. 세침세포검사상 냉농양을 동반한 결핵성 골수염으로 진단되어 술전 항결핵 치료후 수술을 시행하였다. 수술시 흉골중앙부위의 골괴사 및 다발성 누공을 확인하였으며, 골괴사 부위를 제거한후 환자의 장골능을 골이식 하였다. 병리조직학적 결과는 결핵성 골수염의 소견 및 치즈양괴사를 보였다. 술후 경과는 양호 하였으며, 2개월동안의 추적검사상 흉골의 불안정은 관찰되지 않았다.

• Journal of Chest Surgery
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• 제35권11호
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• pp.822-825
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• 2002

승모판막의 인공판막 재치환술 후 발생하는 판막주위 누출은 드물지만 심각한 합병증이다. 판막주위 누출은 생존률의 증가나 증상호전을 위하여 적극적인 수술적 치료가 필요하다. 그러나 누출부의 단순한 봉합이나 첨포를 이용한 폐쇄는 판륜의 주위조직이 약화된 경우나 결손이 광범위한 경우에는 효과적이지 않다. 이에 저자들은 다크론 판 (Dacron sheet)으로 봉합륜(sewing ring)을 확장한 인공 기계 판막을 이용하여 판륜에 판막을 고정함과 동시에 다크론 판을 좌심방벽에 봉합하여 판막의 고정과 더불어 혈액의 누출을 방지하는 삼차 승모판막 재치환술을 시행하였다. 3례 모두 수술 후 특별한 문제없이 추적 관찰 중이다.

• 대한두개안면성형외과학회지
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• 제18권2호
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• pp.117-121
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• 2017

Typical transcranial approaches are insufficient for adequate visualization and resection of skull base tumors. Different approaches with multiple modifications have been attempted. Here, we describe a new approach for a lesion that is central and hard to treat by conventional craniotomy and successful reconstruction with calvarial bone graft and titanium mesh plate. A 69-year-old female patient presented with recurrent meningioma. The tumor had invaded the frontal lobe, right supraorbital rim, and ethmoidal bone. We performed a modified anterior craniofacial approach that fully exposed the tumor and invaded bone. In consideration of the patient's age and cosmetic result, the tumor and invaded bone was resected and the defect area was reconstructed with titanium mesh and calvarial bone graft. At 6 months postoperative the patient had no complications and was satisfied with the esthetic result. We report this case to demonstrate the successful approach and reconstruction using this technique.

• Journal of Korean Neurosurgical Society
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• 제51권4호
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• pp.240-243
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• 2012

Dural tears can occur during spinal surgery and may lead to cerebrospinal fluid (CSF) leakage which is rarely involved in remote cerebellar hemorrhage. Only a few of cases of simultaneous cerebral and cerebellar hemorrhage have been reported in the English literature. We experienced a case of multiple remote cerebral and cerebellar hemorrhages in a 63-year-old man who exhibited no significant neurologic deficits after spinal surgery. Magnetic resonance imaging (MRI) performed 4 days after the surgery showed a large amount of CSF leakage in the lumbosacral space. The patient underwent the second surgery for primary repair of the dural defect, but complained of headache after dural repair surgery. Brain MRI taken 6 days after the dural repair surgery revealed multifocal remote intracerebral and cerebellar hemorrhages in the right temporal lobe and both cerebellar hemispheres. We recommend diagnostic imaging to secure early identification and treatment of this complication in order to prevent serious neurologic deficits.

• 비파괴검사학회지
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• 제15권1호
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• pp.310-317
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• 1995

원자력 발전소의 주요 계통 재료로 사용되는 오스테나이트계 스텐레스강에 대한 초음파탐상은 초음파 에너지가 전파될 경우 재질 자체가 갖는 여러 문제점으로 인하여 결함 위치나 크기 측정에 많은 문제점을 야기한다. 본 연구에서는 이러한 문제점을 이해하기 위하여 여러가지 경우를 가정하여 선 추적(ray tracing) 기법을 사용한 컴퓨터 모의(simulation)를 실시하였다. 우선 종파를 사용하여 모재에 초음파가 입사하여 진행할 시 어느정도의 휘어짐이 발생하는지를 계산하였으며 재질 특성상 용접부와 모재가 큰 차이를 보이지 않는 경우와 원자로 노즐 부위와 같이 서로 다른 금속으로 용접된 경우에 결함이 존재한 경우를 가정하여 계산하였다.

• Archives of Reconstructive Microsurgery
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• 제17권1호
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• pp.7-13
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• 2008

Popliteal artery injury in blunt trauma of knee joint is not common but poses high rate of amputation due to anatomical characteristics or delayed diagnosis and treatment. The aim of the present study is to review the authors' experiences with this condition and identify factors contributing to disability. We reviewed 7 cases of popliteal artery injury in trauma around knee. Injury mechanism, type of vessel damage, associated injuries, mangled extremity severity scores (MESS), ischemic time and additional treatments were analyzed. Tibial fracture, distal femoral fracture and serious soft tissue defect were combined. Mean MESS was 9.9 point and mean time of revascularization was 7.1 hours. Transfemoral amputation was performed in 2 cases due to vascular insufficiency and devastating infection, and 4 patients were able to walk without any support at the last follow up. Age, the severity of soft tissue injury, ischemic time and MESS are thought to be related to prognosis, and young patients with short ischemic time show best results, but authors experienced one exceptional case. We have to consider multiple factors related to the prognosis in popliteal artery injury with fractures around knee, and careful decision is needed regarding to early amputation.