• Archives of Plastic Surgery
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• v.32 no.4
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• pp.461-466
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• 2005

Despite the major advances in the microvascular surgery with success rates of up to 98%, failure and vascular complications still remain even in the experienced hands. Failure of blood to flow across an anastomosis is usually caused by three factors: (1) Technical errors; (2) Undetected damage more proximally or via vasospasm; or (3) A clot or a thrombus. The success of a microvascular surgery depends on the severity of the vascular injury and, proper debridement of an injured vessel, and the failure rate of microvascular anastomosis in cases of trauma is higher as the thrombogenic possibility is increased by the endothelial damage. From January to November in 2003, 460 patients were underwent microvascular surgery(270 replantations and 190 free flap transfers) and re-operations were performed in 15 cases. Cases were reviewed by clinical and operative records. In these cases, causes of post-operative circulation insufficiency were identified as 9 vascular spasms and 6 thromboses at the previous anastomotic site. The average of re-operative success rate was 73%(60% in replantations and 100% in free flaps). In conclusion, through precise postoperative monitoring and assessment, immediate surgical re-exploration could be performed when a vascular complication is suspicious, the success rate of microvascular surgery would be increased more.

• Journal of Korean Foot and Ankle Society
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• v.18 no.4
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• pp.195-201
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• 2014

Purpose: The purpose of this study is to develop guidelines for clinical trial of the total ankle replacement system for premarket approval. Materials and Methods: We selected and analyzed nine peer-reviewed articles whose quality had been proven in a previous phase. Two investigators extracted parameters for guideline criteria, including number of cases, patient age, follow-up period, failure rate, radiographic osteolysis rate, residual pain rate, and percentage of satisfaction. In addition, the inclusion and exclusion criteria were analyzed and developed. Results: Eight level IV studies and one level II study were included. The average number of cases was 159 cases and the mean patient age was 63.5 years. The mean follow-up period was 4.2 years, ranging from two to nine. The average failure rate of total ankle replacement in mid- to long-term follow-up was approximately 13% (2%~32.3%). The rate of osteolysis was approximately 18%. Residual pain was common (21.4%~46%), but overall patient satisfaction was approximately 85.6% (67.5%~97%). Conclusion: The results could be used as criteria for designing the clinical studies, such as number of cases, patient age (over 60 years), and follow-up period (minimum two years). The clinical scoring system and 36-item short form health survey (SF-36) was the most commonly used method for clinical evaluation for total ankle arthroplasty. In addition, the overall results, including failure rate, osteolysis rate, and patient satisfaction, could be used as a parameter of guidelines for premarket approval.

• Journal of The Korean Society of Clinical Toxicology
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• v.6 no.2
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• pp.110-116
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• 2008

Purpose: Acute toxic hepatitis is a common cause of acute liver failure (ALF). We investigated the causes, clinical manifestation, and outcomes of ALF patients who underwent liver transplantation due to acute toxic hepatitis caused by herbal medicines and preparations. Methods: Between January 1992 and May 2008, we retrospectively reviewed the medical records of 24 patients who were transplanted due to acute toxic hepatitis caused by herbal medicines and preparations. We applied the RUCAM score to patients with acute toxic hepatitis and assessed the relationship between herbal preparations and liver injury. We studied the patients' medication history, liver function tests, and clinical outcomes. Results: The type of liver injury was divided into three groups: hepatocellular type, 14 patients (58.3%); cholestatic type, 4 patients (16.7%); and mixed type, 6 patients (25%). Polygonum multiflorum Thunberg (3 cases) was the most common cause of acute toxic hepatitis, followed by Acanthopanax senticosus (2 cases), pumpkin juice (2 cases), Dictamnus dasycarpus Turcz (2 cases), Hovenia dulcis (1 case), Phellinus linteus (1 case), and Artemisia capillaries (1 case). One year survival after liver transplantation was 76%. Conclusion: We identified the herbal preparations leading to acute liver failure. Many patients consider herbal remedies to be completely free of unwanted side effects. However, we found that many herbal products have biological activities that can lead to severe hepatotoxicity.

• Tribology and Lubricants
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• v.21 no.5
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• pp.227-235
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• 2005

This paper presents a tribological study on the failure cases of automatic transmission components in a passenger car. The automatic transmission system is composed of torque converter, clutch, brake, planetary gear, and valve body controlling oil pressure of an automatic transmission fluid. The most largest influence components in an automatic transmission are a torque converter and clutch plate in which are influenced by a wear and torque converting energy loss. The failure case study of an automatic transmission indicates that the tribological design and maintenance technologies should be considered as a key design concept. This means that the failure and power energy loss come from the friction, wear and a oil leakage of an automatic transmission, which is related to the oil seal and O-ring seal failures.

• Proceedings of the Korean Geotechical Society Conference
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• 1991.10a
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• pp.75-86
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• 1991

In this paper the failure of Carsington Dam was discussed based on the informations reported in the first edition of Korean Geotechnical Society News. The causes of dam failure and its influences were evaluated based on the results of the slope stability analysis. The effects of the shear strain pre-existing in the yellow clay disclosed by the post-failure site investigation and the progressive nature of the dam failure were preponderantly evaluated. Stability analysis was performed based on the proposed values of strength parameters characterizing possible field ground conditions at failure. The calculated safety factors were evaluated for different cases of strength parameters in order to find the most probable field ground condition at the dam failue.

• Journal of Acupuncture Research
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• v.26 no.2
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• pp.207-212
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• 2009

Objectives : The purpose of this report is to report the effect of acupotomy for patients with congestive heart failure. Methods: We treated 1 patient who has dyspnea due to congestive heart failure with acupotomy. To check the effect and satisfaction of acupotomy we used New York Heart Association class(NYHA class), Modified Borg Scalw Dyspnea Index(Borg Index), Baseline Dyspnea Index(BDI), Five-point Likert scale. Results : After 1 month of treatment, the patient felt much better in breathing, and had better score in NYHA class, Borg Index, BDI. Conclusions : This report demonstrates that acupotomy therapy has useful effect on congestive heart failure, but the more cases and researches are needed.

• International Journal of Reliability and Applications
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• v.16 no.2
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• pp.99-111
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• 2015

In this paper, we study the reliability analysis of a repairable system with two types of failure in which switching failures and reboot delay are considered. Let units in this system be cold standby, and failure rate and repair rate of [type1, type2] components be exponentially distributed. The expressions of reliability characteristics - such as the system reliability and the mean time to system failure MTTF - are derived. We use several cases to graphically analyze the effect of various system parameters on the system reliability and MTTF. We also perform a sensitivity analysis of the reliability characteristics with changes in specific values of the system's parameters.

• Proceedings of the Korean Geotechical Society Conference
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• 2000.11a
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• pp.511-518
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• 2000

Characteristics of joint orientation, length, spacing and their distribution are very important factors for slope stability, Especially, the effect of joint spacing is an essential factor of slope stability. This study is to analyze the effect of joint spacing in cases of sliding and toppling, which is a typical failure mode. Joint spacing can divided into vertical spacing(spacing) and horizontal spacing(gap). And then, the spacing/length ratio of joint directly affect rock slope failure. When the ratio is below 0.05, the possibility of failure is rapidly increased. In case of toppling, the possibility of failure depends on the ratio of spacing to height of slope ratio slope. As the ratio decreases, the possibility of toppling failure increased. The critical ratio of spacing to height of slope is determined by the dip angle of the slope and the orientation of joint sets.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.27 no.2
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• pp.93-101
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• 2004

This paper is intended to assess a dynamic system reliability. Bayesian networks, however, have difficulties in their application for assessing the system reliability especially when the system consists of dependent components and the probability of failure of each component varies over time. Hence, we suggest a method for resolving the difficulties by considering a hoist system composed of two wires. Firstly, we explain the method of calculating the failure probability of the system components. Secondly, we show how to calculate the failure probability of the system for two cases that failure probability of each wire is constant and varying in time, respectively. finally, based on the calculated failure probability of the system, we infer the probability that two interesting events occur.

• Proceedings of the Korean Geotechical Society Conference
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• 1988.06c
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• pp.71-123
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• 1988

The aim of this paper is to examine the end bearing capacity of a pile in cohesionless soils. The ode of failure of soil due to pile installation is assumed from experimental observation of actual soil deformation. A new solution is proposed complying with the assumed mode of failure by employing the theory of cavity expansion. The effect of curvature of failure envelope is studied in relation to tile proposed solution. The influence of a curved failure envelope becomes larger with increasing degree of curvature and the level of confining stress. This effect in some cases or reduce the end bearing capacity by tore the 80 percent compared with that given by a straight failure envelope. For practical application of tile proposed solution, the method of determining the average volume change in the plastic zone is re-evaluated. The proposed solution is confirmed by comparing the theoretical values with experimental results obtained from model pile tests in a calibration chamber. The comparison shows that the proposed solution provides a reasonable prediction of end bearing capacity for both weak and strong grained soils.