• 제목/요약/키워드: Multiple Defect

검색결과 264건 처리시간 0.025초

Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury

  • Kim, Hohyun;Kim, Jae Hun;Kim, Gil Hwan;Sun, Hyun-Woo;Park, Chan Ik;Park, Sung Jin;Lee, Chan Kyu;Kim, Suk
    • Journal of Trauma and Injury
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    • 제33권2호
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    • pp.128-133
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    • 2020
  • Traumatic abdominal wall hernias (TAWHs) are uncommon and the incidence of this, which is rarely encountered in clinical practice, has been estimated at 1%. Furthermore, blunt transection of the entire abdominal wall musculature caused by seatbelt is a very rare complication. We report a case of adult with a complete disruption of the entire anterolateral abdominal wall muscle following the seatbelt injury. A 32-year-old male was wearing a seat belt in a high speed motor vehicle collision. Abdominal computed tomography (CT) scan revealed the complete disruption of bilateral abdominal wall musculatures including TAWH without visceral injury. However, injuries of small bowel and sigmoid colon were observed in the intra-operative field. The patient underwent the repair by primary closure of the defect with absorbable monofilament sutures. This case suggests that especially in TAWH patients, even if a CT scan is normal, clinicians should keep the possibility of bowel injury in mind, and choose a treatment based on the clinical findings.

Delamination and concrete quality assessment of concrete bridge decks using a fully autonomous RABIT platform

  • Gucunski, Nenad;Kee, Seong-Hoon;La, Hung;Basily, Basily;Maher, Ali
    • Structural Monitoring and Maintenance
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    • 제2권1호
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    • pp.19-34
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    • 2015
  • One of the main causes of a limited use of nondestructive evaluation (NDE) technologies in bridge deck assessment is the speed of data collection and analysis. The paper describes development and implementation of the RABIT (Robotics Assisted Bridge Inspection Tool) for data collection using multiple NDE technologies. The system is designed to characterize three most common deterioration types in concrete bridge decks: rebar corrosion, delamination, and concrete degradation. It implements four NDE technologies: electrical resistivity (ER), impact echo (IE), ground-penetrating radar (GPR), and ultrasonic surface waves (USW) method. The technologies are used in a complementary way to enhance the interpretation. In addition, the system utilizes advanced vision to complement traditional visual inspection. Finally, the RABIT collects data at a significantly higher speed than it is done using traditional NDE equipment. The robotic system is complemented by an advanced data interpretation. The associated platform for the enhanced interpretation of condition assessment in concrete bridge decks utilizes data integration, fusion, and deterioration and defect visualization. This paper concentrates on the validation and field implementation of two NDE technologies. The first one is IE used in the delamination detection and characterization, while the second one is the USW method used in the assessment of concrete quality. The validation of performance of the two methods was conducted on a 9 m long and 3.6 m wide fabricated bridge structure with numerous artificial defects embedded in the deck.

상완골 간부 골절과 동반된 진단이 지연된 근피신경 손상 - 증례 보고 - (Delayed Diagnosis of Muculocutaneous Nerve Injury Associated with a Humerus Shaft Fracture - A Case Report -)

  • 노영학;김성완;정문상;백구현;오주한;이영호;공현식
    • Archives of Reconstructive Microsurgery
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    • 제19권1호
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    • pp.50-55
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    • 2010
  • Injury of the musculocutanous nerve can be associated with a proximal humeral fracture or shoulder dislocation, and injury of the brachial plexus. However, injury of this nerve associated with a humeral shaft fracture has rarely been reported. Diagnosis of the musculocutaneous nerve injury is difficult because its sensory loss is ill-defined, and examination of elbow flexion is difficult when it is associated with fractures. We report an unusual case of musculocutaneous nerve injury in a 27 years old woman who had multiple injuries including a humerus shaft fracture, an ipsilateral radius shaft fracture, and an associated radial nerve laceration. Diagnosis of the musculocutaneous nerve injury was delayed because combined fractures of the humerus and radius prevented proper examination of the elbow motion and nerve grafting of the radial nerve delayed early elbow motion exercise. Delayed exploration of the musculocutaneous nerve 6 months after trauma showed complete rupture of the nerve at its entry into the coracobrachialis muscle and the defect was successfully managed by sural nerve graft.

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Nondestructive sensing technologies for food safety

  • Kim, M.S.;Chao, K.;Chan, D.E.;Jun, W.;Lee, K.;Kang, S.;Yang, C.C.;Lefcourt, A.M.
    • 한국환경농학회:학술대회논문집
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    • 한국환경농학회 2009년도 정기총회 및 국제심포지엄
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    • pp.119-126
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    • 2009
  • In recent years, research at the Environmental Microbial and Food Safety Laboratory (EMFSL), Agricultural Research Service (ARS) has focused on the development of novel image-based sensing technologies to address agro-food safety concerns, and transformation of these novel technologies into practical instrumentation for industrial implementations. The line-scan-based hyperspectral imaging techniques have often served as a research tool to develop rapid multispectral methods based on only a few spectral bands for rapid online applications. We developed a newer line-scan hyperspectral imaging platform for high-speed inspection on high-throughput processing lines, capable of simultaneous multiple inspection algorithms for different agro-food safety problems such as poultry carcass inspection for wholesomeness and apple inspection for fecal contamination and defect detection. In addition, portable imaging devices were developed for in situ identification of contamination sites and for use by agrofood producer and processor operations for cleaning and sanitation inspection of food processing surfaces. The aim of this presentation is to illustrate recent advances in the above agro.food safety sensing technologies.

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중안면부 복합조직결손부의 재건을 위한 다양한 유리피판술의 선택 (Reconstruction of Midfacial Defect Using Various Free Flap)

  • 조재현;이원재;유대현;나동균;탁관철
    • Archives of Plastic Surgery
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    • 제33권3호
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    • pp.283-288
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    • 2006
  • Various vascularized free flaps have been used for midfacial reconstruction after ablative head and neck cancer surgery. The most common donor sites for free flap include latissimus dorsi, rectus abdominis, and radial forearm. Between 1994 and 2004, 14 patients underwent free flap operation after head and neck cancer ablation, and were reviewed retrospectively. Among 14 free flaps, 8 were latissimus dorsi myocutaneous flaps, 3 rectus abdominis myocutaneous flaps and 3 radial forearm flaps, respectively. The overall survival rate of the flap was 100%. Complications were wound dehiscence(5 cases) and ptosis(1 case). We designed multiple dimensionally folded free flap for midfacial reconstruction. For 3-dimensional flap needs, we used latissimus dorsi myocutaneous flap. 2-Dimensional flap was latissimus dorsi or rectus abdominis myocutaneous flap and 1-dimensional flap was radial forearm flap. In this study we produced an algorithm for midfacial reconstruction. Large volume with many skin paddle defects were best reconstructed with latissimus dorsi myocutaneous flap or rectus abdominis myocutaneous flap. Radial forearm flap was used for reconstruction of small volume and little skin paddle defects.

브리지 망에서 지원능력을 고려한 스패닝 트리 생성 알고리듬의 성능 분석 (Performance of Capability Aware Spanning Tree Algorithm for Bridged Networks)

  • 구도정;윤종호;임재명
    • 한국통신학회논문지
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    • 제31권5B호
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    • pp.421-429
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    • 2006
  • 본 논문에서는 기존의 이더넷 브리지와 새로운 동기식 이더넷 포트가 장착된 브리지가 함께 구성된 망에서 각 브리지의 지원능력 별로 다중 트리를 구성하는 알고리듬을 소개하고 성능을 분석하였다. 기존 IEEE 802.1D 규격의 스패닝트리 알고리듬은 브리지의 지원능력을 고려하지 않고 단순히 브리지 식별자를 바탕으로 루트브리지를 선출하여 이를 중심으로 트리를 구성한다. 이는 기존의 이더넷 브리지와 동기식 이더넷 브리지가 함께 구성된 망에서 동기식 이더넷 브리지가 루트브리지로 선출될 경우, 한 수퍼 프레임 내에서 비동기 프레임 전송 구간의 길이가 최소 25%로 규정되어 있는 동기식 이더넷 브리지의 특성상, 비동기 트래픽에 대한 대역 제한으로 인해루트 브리지에서의 큰 지연이 발생한다. 본 논문에서는 단순히 브리지 식별자로 단일 트리를 형성하는 기존 스패닝 트리 알고리듬과는 달리, 브리지의 지원 능력 별로 구분되는 2 개의 트리를구성하도록 하여 각 트래픽별 별개의 전송 경로를 제공함으로써 이와 같은 문제를해결하는 CAST 알고리듬을 제안하고 성능을 분석하였다. 모의실험 결과, 제안된CAST 알고리듬의 경우, 높은 트래픽 부하와 경유 브리지 수가 많을수록, 비동기 트래픽의 종단간지연시간이 짧아짐을 확인하였다.

Functional Abnormalities of HERG Mutations in Long QT Syndrome 2 (LQT2)

  • Hiraoka, Masayasu
    • The Korean Journal of Physiology and Pharmacology
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    • 제5권5호
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    • pp.367-371
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    • 2001
  • The chromosome 7-linked long QT syndrome (LQT2) is caused by mutations in the human ether-a- go-go-related gene (HERG) that encodes the rapidly activating delayed rectifier $K^+$ current, $I_{Kr},$ in cardiac myocytes. Different types of mutations have been identified in various locations of HERG channel. One of the mechanisms for the loss of normal channel function is due to membrane trafficking of channel protein. The decreased channel function in some deletion mutants appears to be due to loss of coupling with wild type HERG to form the functional channel as the tetramer. Most of missense mutants with few exceptions could interact with wild type HERG to form functional tetramer and caused dominant negative suppression with co-injection with wild type HERG showing variable effects on current amplitude, voltage dependence, and kinetics of activation and inactivation. Two missense mutants at pore regions of HERG found in Japanese LQT2 (A614V and V630L) showed accentuated inward rectification due to a negative shift in steady-state inactivation and fast inactivation. One mutation in S4 region (R534C) produced a negative shift in current activation, indicating the S4 serving as the voltage sensor and accelerated deactivation. The C-terminus mutation, S818L, could not express the current by mutant alone and did not show dominant negative suppression with co-injection of equal amount of wild type cRNA. Co-injection of excess amount of mutant with wild type produced dominant negative suppression with a shift in voltage dependent activation. Therefore, multiple mechanisms are involved in different mutations and functional abnormality in LQT2. Further characterization with the interactions between various mutants in HERG and the regulatory subunits of the channels (MiRP1 and minK) is to be clarified.

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Decreased Expression of Phospholipase C-$\beta$2 in Human Platelets with Impaired Function

  • Lee, Sang-Bong;A. Koneti Rao;Lee, Kweon-Haeng;Xu Yang;Bae, Yun-Soo
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1996년도 제4회 추계심포지움
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    • pp.75-84
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    • 1996
  • Platelets from a patient with a mild inherited bleeding disorder and abnormal platelet aggregation and secretion show reduced generation of inositol 1,4,5-trisphosphate (IP$_3$), mobilization of intracellular Ca$\^$2+/, and phosphorylation of pleckstrin in response to several G protein mediated agonists, suggesting a possible defect at the level of phospholipase C (PLC) activation. A procedure was developed that allows quantitation of platelet PLC isozymes. After fractionation of platelet extracts by high-performance liquid chromatography, seven, out often known PLC isoforms were detected by immunoblot analysis. The amount of these isoforms in normal platelets decreased in the order PLC-${\gamma}$2 > PLC-${\beta}$2 > PLC-${\beta}$3 > PLC-${\beta}$l > PLC-${\gamma}$ > PLC-$\delta$1 > PLC-${\beta}$4. Compared with normal platelets, platelets from the patient contained approximately one-third the amount of PLC-${\beta}$2, whereas PLC-${\beta}$4 was increased threefold. These results suggest that the impaired platelet function in the patient in response to multiple G protein mediated agonists is attributable to a deficiency of PLC-${\beta}$2. They document for the first time a specific PLC isozyme deficiency in human platelets and provide an unique opportunity to understand the role of different PLC isozymes in normal platelet function.

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서술 및 면담 평가를 통한 수학학습부진아의 인지적.정의적 특성 분석 (Analyses on the Cognitive and Affective Characteristics of the Mathematically Underachievers by Descriptive tests and Interviews)

  • 남미선;박만구
    • 한국수학교육학회지시리즈E:수학교육논문집
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    • 제22권2호
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    • pp.229-252
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    • 2008
  • The purpose of this research was to make fair assessment methods which took into account characteristics of mathematically underachievers. The researchers devised an descriptive tests and interviews and applied them to the mathematics underachievers who could not reveal their achievements in the traditional assessment and then analyzed their cognitive and affective characteristics in the alternative assessments. After selecting three students by the normal assessment made of simple subjective and multiple choice questions, the cognitive and affective characteristics found in the general assessment were reflected to the descriptive tests and interviews. The descriptive tests and interviews are comprised of descriptive narrations and informal interview questions. After the assessment, the teacher and students gave feedbacks one another. All the assessment activities were recorded by a camcorder to analyze cognitive and affective characteristics of the children. Throughout the research, the following conclusions were made. The mathematics underachievers showed the characteristics which didn't appeared in the normal assessment. They showed normal abilities of problem solving and communication In the cognitive area. Also they brought in positive result in most parts in the affective area. However, the student B displayed considerable ability of mathematical thinking that is over the average level of mathematical underachievers. This implies that we can definite the mathematical underachievers differently when we use the detailed and relief assessment method instead of the traditional assessment. On the other hand, one student tended to depend on the teacher and another student overheard what the others talk during the study. This defect should be complemented by the further studies about assessment method for the mathematical underachievers. Also appropriate assessment methods should be made for applying to the various mathematical underachievers. Many studies have been concentrated on the learning for mathematical underachievers but there is little concern about the assessment for the mathematical underachievers. However it is the fundamental way to reduce the number of mathematics underachievers that we construct consistent learning methods and assessments for the mathematical underachievers.

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메치실린 내성 황색포도상구균 세균성 심내막염에 의한 패혈성 폐색전증 1예 (A Case of Septic Pulmonary Embolism Associated with MRSA Infective Endocarditis)

  • 이기종;김나영;김자선;윤한결;오미정;김도훈;조상균;류한영;배영아;김대봉;신미경;진재용
    • Tuberculosis and Respiratory Diseases
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    • 제69권2호
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    • pp.124-128
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    • 2010
  • Septic pulmonary embolism is the process in which an infected thrombus becomes detached from its site of origin and lodges in a pulmonary artery, and is usually associated with infective endocarditis, especially right-sided, or infection-associated with indwelling catheters, peripheral septic thrombophlebitis, and periodontal diseases, etc. Here, we report a case of septic pulmonary embolism associated with tricuspid valve infective endocarditis. A 23-year-old female was admitted to our hospital, due to fever, sore throat, and myalgia. In her past medical history, she had undergone a surgical operation for closure of a ventricular septal defect, but was informed that the operation resulted in an incomplete closure. The initial chest radiograph demonstrated multiple rounded, parenchymal nodules in various sizes; several nodules had central lucency suggesting cavitations. Echocardiography demonstrated a large vegetation attached to the septal tricuspid valve leaflet, extending from right ventricular inflow tract to outflow tract. Computed tomography of thorax revealed bilateral peripheral nodules and wedge-shaped consolidation at various sizes, mostly accompanied by cavitations.