• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제46권6호
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• pp.428-434
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• 2020

Orbital floor blowout fractures can result in a variety of signs and symptoms depending on the severity of the bone defect. Large defects often result in enophthalmos and restriction of ocular movement; yet the timing of surgery can be delayed up to two weeks with good functional outcomes. In contrast, an orbital trapdoor defect with entrapment of the inferior rectus muscle usually elicits pain with marked restriction of the upward gaze and activation of the oculocardiac reflex without significant dystopia or enophthalmos. When autonomic cardiac derangement is diagnosed along with an orbital floor fracture, it has been suggested that the fracture should be treated immediately. Otherwise, it will result in continued hemodynamic instability and muscular injury and may require a second surgery. This article reports the management of an unusual presentation of a trapdoor blowout orbital floor fracture surgery with oculocardiac response in an adult, with emphasis on its pathophysiology, management, and differential diagnosis.

• Industrial Engineering and Management Systems
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• 제9권3호
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• pp.251-261
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• 2010

This article demonstrated the application of the Fuzzy Data Envelopment Analytical Hierarchy Process (FDEAHP) to evaluate the root causes of critical defect problems occurring in the production of liquid medicine. The methodology of the research began by collecting the defect data by using Check Sheets, and ranking the significant problems by using a Pareto Diagram. Two types of major problems were found to occur, including glass fragments in the medicine and damaged lid threads. The causes of each problem were then analyzed by using Cause and Effect Diagrams. The significant causes were ranked by FDEAHP under three criteria, Severity (S), Occurrence (O) and Detection (D), followed by the framework of the FMEA Technique. Two causes with the highest Final Weight (FW) of each problem were selected to be improved, such as installing auxiliary equipment, using the Poka-Yoke system, setting the scale of the shaft and lathing the bushes of each bottle size. The results demonstrated a reduction in defects from 3.209% to 1.669% and showed that improving a few significant root causes, identified by an experienced decision maker, was sufficient to reduce the defect rate.

• 대한핵의학회:학술대회논문집
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• 대한핵의학회 2001년도 제40차 추계학술대회 및 총회
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• pp.41.2-41.2
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• 2001

• 한국산학기술학회논문지
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• 제21권5호
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• pp.167-178
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• 2020

본 논문에서는 사용검사 전 하자로 분류되는 미시공과 변경시공을 대상으로 하자분류체계를 설정하여 세부적인 사용검사 전 하자발생 패턴과 특징을 도출하는 것을 목적으로 한다. 이를 위하여 본 논문에서는 실제로 하자 분쟁이 발생한 공동주택 사례 133건, 약 3,110건의 사용검사 전 하자항목을 활용하여 분석을 실시하였다. 주요 분석결과를 살펴보면, 첫째, 하자중요도 관점에서 마감공사에서 발생하는 사용검사 전 하자들이 상대적으로 높은 순위를 차지하였다. 둘째, 일반적으로 외벽 균열 등과 같은 하자도 매우 중요한 하자로 인식되고 있으나, 사용검사 전 하자들의 경우, 외벽에는 상대적으로 나타나지 않는 것으로 확인되었다. 셋째, 방수공사의 경우, 기전실이나 주차장 등에서 사용검사 전 하자가 주로 발생하는 것으로 확인되었다. 또한 하자중요도 상위 20위 내에 포함되는 하자에 대한 세부 내역을 확인한 결과, 분쟁 소송 과정에서 다양한 쟁점이 발생할 수 있음에 따라 이해관계자 간 이견을 합리적으로 해결할 수 있는 기준이나 대응책 마련이 필요하다.

• 한국건축시공학회지
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• 제24권2호
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• pp.249-260
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• 2024

최근 공동주택의 주거 비율이 높아짐에 따라 이에 따른 하자분쟁이 증가하고 있는 추세이다. 이러한 하자들 중에서도 마감공사는 발생빈도가 가장 높으며 이를 보수하기 위한 막대한 비용이 발생한다. 그러므로 이러한 문제를 해결하기 위해 하자 발생빈도 및 보수비용을 활용한 하자위험도를 미리 도출하여 하자순위별로 사전에 예방할 수 있는 관리기법의 개발이 필요하다. 따라서 본 연구에서는 공동주택 마감공사의 하자유형별 분석 및 위험성 평가 방법을 도출하는 것을 목적으로 한다. 이를 위해, 최근 준공된 마감공사 하자사례를 조사하여 하자위험 우선순위를 도출하고 하자관리를 위한 위험성 평가방법을 제시하였다. 본 연구의 결과는 공동주택 마감공사의 품질향상을 위한 관리제도 개선의 근거자료로 활용될 것이다.

• 대한핵의학회지
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• 제27권2호
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• pp.218-222
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• 1993

Lung/heart uptake ratio (L/H R) in $^{201}Tl$ myocardial perfusion scan is a reliable marker for long-term prognosis in patients with coronary artery disease. However, the value of L/H R in $^{99m}Tc-MIBI$ myocardial perfusion scan is controversial in determining the prognosis and severity of the coronary artery disease. The purpose of this study was to determine the clinical implications of L/H R in $^{99m}Tc-MIBI$ myocardial perfusion scan. Forty five patients who received $^{99m}Tc-MIBI$ myocardial perfusion scan were divided into control group and coronary artery disease (CAD) group by their clinical findings, EKGs, and $^{99m}Tc-MIBI$ myocardial perfusion scans. Twenty five patients in CAD group were divided into ischemic group and infarct group according to their results from $^{99m}Tc-MIBI$ myocardial perfusion scan. L/H R was calculated on the anterior planar view, 60 minutes after infusion of dipyridamole. Two regions of interest (ROI) were placed on the left lung area 8 pixel above the left ventricle and on the myocardial area which had the highest radioactivity. In the control group, there were no significant differences of L/H R according to sex and age. No significant difference of L/H R was found between the control and CAD group ($0.26{\pm}0.06,\;0.29{\pm}0.05$, p>0.05). In the CAD group, there was also no significant difference of L/H R between the ischemic group and infarct group ($0.29{\pm}0.07,\;0.30{\pm}0.04$, p>0.05). L/H R in CAD group did not show correlations with the defect area of stress polar map (r=0.18, p >0.05) and with the sum of severity weighted extent score or reversibility score which represent severity and extent of myocardial perfusion defect area in stress (r=0.18, p>0.05). We conclude that it is difficult to use L/H R as a marker for severity of CAD in dipyridamole $^{99m}Tc-MIBI$ myocardial perfusion scan.

• 대한핵의학회지
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• 제27권2호
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• pp.195-202
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• 1993

$^{123}Iodine$-metaiodobenzylguanidine (MIBG) which is a norepinephrine analogue, can be used to evaluate the sympathetic innervation of the heart. In this study, cardiac imaging with $^{123}I-MIBG$ was performed in patients with 9 dilated cardiomyopathy, 2 ischemic cardiomyopathy and 1 acute myocardial infarction to evaluate the sympathetic nervous function. $^{123}I-MIBG$ imaging showed multifocal defects (8), diffuse defect (2), near non-visualization (2). The defects of MIBG scans were found to be larger and more severe on 4 hours image than 30 minutes. Heart to lung, heart to mediastinum ratios were decreased at 4 hours than those at 30 minutes. Measured LVEF values were not correlated with the severity of MIBG uptake. $^{99m}Tc-MIBI$ imaging was also performed in all patients to find the relationship with $^{123}I-MIBG$ scan. $^{99m}Tc-MIBI$ scan showed multifocal defects in 9 patients, diffuse defects in 1 patient and no defect in 2 patients. The defects are similar in size, severity and extent, but more larger and severe on $^{123}I-MIBG$ imaging. Therefore, cardiac $^{123}I-MIBG$ imaging is a useful method to evaluate the sympathetic nervous function in cardiomyopathy.

• 대한핵의학회지
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• 제28권2호
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• pp.172-176
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• 1994

심근 SPECT에 의한 심근질환의 심도 및 허혈부위를 평가하는 방법으로 정상인의 극성지도와의 비교에 의한 결손지도 평가방법이 상용화되었으나 본 연구에서는 결손부위의 범위만을 산출할 수 있었던 종래의 방법을 개선할 수 있는 관류회복정도 및 심도성적 산출 방법을 시도하여 보았다. 허혈 및 심도성적의 산출에서 부하 및 휴식기 극성지도의 차이를 3등급으로 분할하여 각 등급에 해당되는 화소의 수를 가중하므로서 관류결손부위의 면적이 반영된 허혈 및 심도성적 산출방법을 제안하고자 하였으며, 등급 및 가중치의 할당은 정상인의 잔상동맥영역별 관류분포를 반영하여 고른 등급 할당방법보다 상관도가 개선된 결과를 얻을 수 있었다.

• 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.

• Smart Structures and Systems
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• 제25권6호
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• pp.733-749
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• 2020

This study presents a computer vision-based approach for representing time evolution of structural damages leveraging a database of inspection images. Spatially incoherent but temporally sorted archival images captured by robotic cameras are exploited to represent the damage evolution over a long period of time. An access to a sequence of time-stamped inspection data recording the damage growth dynamics is premised to this end. Identification of a structural defect in the most recent inspection data set triggers an exhaustive search into the images collected during the previous inspections looking for correspondences based on spatial proximity. This is followed by a view synthesis from multiple candidate images resulting in a single reconstruction for each inspection round. Cracks on concrete surface are used as a case study to demonstrate the feasibility of this approach. Once the chronology is established, the damage severity is quantified at various levels of time scale documenting its progression through time. The proposed scheme enables the prediction of damage severity at a future point in time providing a scope for preemptive measures against imminent structural failure. On the whole, it is believed that the present study will immensely benefit the structural inspectors by introducing the time dimension into the autonomous condition assessment pipeline.