• Title/Summary/Keyword: check defect

Search Result 107, Processing Time 0.022 seconds

Surgical Repair of Single Ventricle (Type III C solitus) (단심실 -III C Solitus 형의 수술치험-)

  • naf
    • Journal of Chest Surgery
    • /
    • v.12 no.3
    • /
    • pp.281-288
    • /
    • 1979
  • For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

  • PDF

Surgical Repair for Ebstein's Anomaly (Ebstein 기형의 수술 -2례 보고-)

  • naf
    • Journal of Chest Surgery
    • /
    • v.12 no.3
    • /
    • pp.289-296
    • /
    • 1979
  • For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

  • PDF

MANAGEMENT OF IMPACTED TEETH BY AUTOTRANSPLANTATION IN CHILDREN (소아에서 자가치아이식에의한 매복치의 처치)

  • Ryu, Hyun-Seop;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.27 no.4
    • /
    • pp.564-572
    • /
    • 2000
  • We decided among extraction, orthodontic traction and autotransplantation such as direction and position of unerupted tooth, degree of developing root apex, eruption space, being of supernumerary tooth or odontoma or cyst when tooth impacted. Autotransplantation is considered when orthodontic traction is unrealistic or when tooth movement can absorb root of neighbor tooth. The prognosis for successful autotransplantation is dependent on a number of factors such as root development, surgical technique, patient's age, endodontic treatment, time and type of splinting, preservation of periodontal ligament and storage medium. Especially when severe osseous defect is being, bone graft considered for reducing of mobility and for assisting recovery. In all cases, chief complaint is unerupted tooth and various causing factors were supernumerary, odontoma, ectopia and so on. Before autotransplantation, space regaining was done if needed and demineralized freezed dried bone and autogenous bone graft was done when there is severe osseous defect by extraction of supernumerary tooth or odontoma. Splinting was removed after 2-3weeks At 3-4weeks after autotransplantation, endodontic treatment was decided. At follow up check, normal recovery was done and there was no inflammatory or replacement root resorption in periapical radiograph.

  • PDF

Optimal Water-cooling Tube Design for both Defect Free Process Operation and Energy Minimization in Czochralski Process (무결정결함영역을 유지하면서 에너지를 절감하는 초크랄스키 실리콘 단결정 성장로 수냉관 최적 설계)

  • Chae, Kang Ho;Cho, Na Yeong;Cho, Min Je;Jung, Hyeon Jun;Jung, Jae Hak;Sung, Su Whan;Yook, Young Jin
    • Current Photovoltaic Research
    • /
    • v.6 no.2
    • /
    • pp.49-55
    • /
    • 2018
  • Recently solar cell industry needs the optimal design of Czochralski process for low cost high quality silicon mono crystalline ingot. Because market needs both high efficient solar cell and similar cost with multi-crystalline Si ingot. For cost reduction in Czochralski process, first of all energy reduction should be completed because Czochralski process is high energy consumption process. For this purpose we studied optimal water-cooling tube design and simultaneously we also check the quality of ingot with Von mises stress and V(pull speed of ingot)/G(temperature gradient to the crystallization) values. At this research we used $CG-Sim^{(R)}$ S/W package and finally we got improved water-cooling tube design than normally used process in present industry. The optimal water-cooling tube length should be 200mm. The result will be adopted at real industry.

Case Study of Six Sigma Method to Develop Embedded Software in Mobile Phones (모바일 폰 임베디드 소프트웨어 개발을 위한 식스 시그마 방법의 활용에 대한 사례 연구)

  • Ko, Seoung-Gon
    • The Korean Journal of Applied Statistics
    • /
    • v.28 no.6
    • /
    • pp.1257-1273
    • /
    • 2015
  • The development process of Embedded Software (SW) is gathering interest due to the increased importance of SW in mobile products. According to tough competition and the growing size of the Embedded SW, there is a demand for a new effective way to improve the SW development process, based on customer and market quality aspects, rather than focusing on defect removals in individual SW modules. We review 103 SW improvement projects from the area of mobile phones in order to check the effectiveness of Six Sigma which is the standard for the process improvement statistical tools and methods.

Application of Time-Frequency Analysis as a Tool for Noise Quality Control of DC Motor Systems (DC 모터계의 소음 품질관리를 위한 시간-주파수 분석의 적용)

  • 임상규;최창환
    • Journal of KSNVE
    • /
    • v.9 no.4
    • /
    • pp.841-848
    • /
    • 1999
  • In the quality assurance check process of DC motor systems, even though the overall sound pressure level is acceptable, there is an incident that subjective evaluation leads to failure in product quality due to annoying noise. This kind of problem may be originated from the manufacturing or assembly process. In this paper, the transient spectral analysis, or the time-frequency analysis is applied to the noise quality problem. For the case study, the cause of annoying noise in the wind shield wiper motor is experimentally analyzed in detail. It is concluded that the defect in the shaft causes the impact noise which is not detectable by steady spectral analysis. Also demonstrated is how the time-frequency analysis is effectively applied to the annoying noise identification of the rotor-gear system.

  • PDF

Determination of plastic hinge properties for static nonlinear analysis of FRP-strengthened circular columns in bridges

  • Amiri, Gholamreza Ghodrati;Jahromi, Azadeh Jaberi;Mohebi, Benyamin
    • Computers and Concrete
    • /
    • v.10 no.5
    • /
    • pp.435-455
    • /
    • 2012
  • In the recent years, rehabilitation of structures, strengthening and increasing the ductility of them under seismic loads have become so vital that many studies has been carried out on the retrofit of steel and concrete members so far. Bridge piers are very important members concerning rehabilitation, in which the plastic hinging zone is very vulnerable. Pier is usually confined by special stirrups predicted in the design procedure; moreover, fiber-reinforced polymers (FRP) jackets are used after construction to confine the pier. FRP wrapping of the piers is one of the most effective ways of increasing moment and ductility capacity of them, which has a growing application due to its relative advantages. In many earthquake-resistant bridges, reinforced concrete columns have a major defect which could be retrofitted in different ways like using FRP. After rehabilitation, it is important to check the strengthening adequacy by dynamic nonlinear analysis and precise modeling of material properties. If the plastic hinge properties are simplified for the strengthened members, as the simplified properties which FEMA 356 proposes for non-strengthened members, static nonlinear analysis could be performed more easily. Current paper involves this matter and it is intended to determine the plastic hinge properties for static nonlinear analysis of the FRP-strengthened circular columns.

Flexural Behavior of iFLASH System with No Blast Metal Cleaned Steel Plates (비표면처리 강판을 사용한 iFLASH 시스템의 휨성능 평가)

  • Kim, Yong-Yeal;Ryu, Jaeho;Yoon, Sung-Won;Ju, Young K.
    • Journal of the Korean Society for Advanced Composite Structures
    • /
    • v.6 no.4
    • /
    • pp.30-37
    • /
    • 2015
  • iFLASH System is new structural floor system which consists of sandwich panels filled with nano-composite. The nano-composite has low specific gravity and high bonding strength with steel plates. The bonding strength is one of important factors for structural performance of iFLASH System and it can further be improved by surface preparation such as blast metal cleaning. However, using none blast steel plates is recommended since surface preparation generates additional fabrication time and cost. In this study, a bonding strength test and bending experiment were conducted to check feasibility of applying none blast steel plates to iFLASH System. Moreover, stress in bonding plane between steel plates and nano-composite was analytically evaluated by finite element method. Consequently, flexural capacity of the specimen was 11% higher than theoretically calibrated value and its flexural behavior was structurally efficient without defect of bonding.

Experimental Study on Wear Behavior of Material Pairs under Normal and Sliding Mixed Loading Conditions (무윤활 수직-수평 복합하중 조건에서 재료조합에 따른 마모특성 변화에 관한 실험적 연구)

  • Choi, Sung-Woo;Min, June-Kee;Jeong, Il-Wook;Park, Sang-Hu
    • Journal of the Korean Society for Precision Engineering
    • /
    • v.26 no.11
    • /
    • pp.131-137
    • /
    • 2009
  • A pair of connectors for transferring torque is widely used in various types of a mechanical system. By the repetition of mechanical contact between a pair of connector, wear occurs easily. This kind of defect sometimes can cause a serious problem of health in case of the connector is used in a refrigerator. In this work, the material combination of connectors was experimentally studied to reduce the amount of wear; for the combination of connectors, various types of engineering materials including polyacetal, polycabonate, stainless steel (STS-304), NiP coated STS-304, and STS-310 were evaluated to check each wear behavior. Also an effective method of wear test was suggested for precise controlling of wear conditions such as contact area, contact force, and relative motion speed. From the test results, it was found out that a pair of polyacetal to STS-304 and STS-310 showed the lowest specific wear rates among other pairs.

Neuro-Fuzzy System for Predicting Optimal Weld Parameters of Horizontal Fillet welds

  • Moon, H.S.;Na, S.J.
    • International Journal of Korean Welding Society
    • /
    • v.1 no.2
    • /
    • pp.36-44
    • /
    • 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.

  • PDF