• Title/Summary/Keyword: failure causes

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The Use of 5% Lidocaine for Prolonged Analgesia in Neuropathic Pain Patients (신경병증성 통증 환자에서 지속적 진통을 위한 5% 리도카인의 사용)

  • Park, Sung-Wook;Kim, Dong-Ok;Kim, Keon-Sik;Choi, Young-Kyu;Kwon, Moo-Il;Shin, Kwang-Il;Lee, Doo-Ik
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.3 no.1 s.4
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    • pp.6-9
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    • 2003
  • Background: The use of neurolytic agents to control neuropathic pain has been described from the last century Phenol and ethyl alcohol have been widely used as neurolytic agents, however, their neurolytic effect is variable in efficacy and duration of action, and infrequently accompanied with grave complications. It has been found that 5% lidocaine causes irreversible conduction blockade in animal studies. The goal of this study was to evaluate the neurolytic effect of 5%o lidocaine on various neuropathic pain syndromes for prolonged analgesia. Methods: Twenty-five patients with a diagnosis of neuropathic pain including trigeminal neuralgia (n = 7), postherpetic neuralgia (n = 10), and postsurgical neuralgia (n = 8) were selected after failure of routine therapeutic regimens. After performing a diagnostic nerve block with 1% lidocaine and 5% lidocaine was injected. The patients were followed for 6 months. Visual analog scale (VAS) scores and side effects were recorded for each patients. Results: A significant decrease in pain scores after neurolytic blockade with 5% lidocaine was seen in all of three pain groups. All the patients reported immediate and prolonged pain relief lasting from 4 weeks to 6 months. None of patients exhibited any appreciable side effects or complications. Conclusions: We suggest that 5% lidocaine may be used safely and effectively for the purpose of prolonged analgesia in selected patients with intractable neuropathic pain syndromes.

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Logical Analysis for Parameters of Radioactive waste Policy using System Dynamics Technique (시스템 다이내믹스 모델링을 통한 중.저준위방사성폐기물시설 부지선정 영향 인자 분석)

  • Lee, Y.J.;Cho, S.K.
    • Journal of Energy Engineering
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    • v.17 no.2
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    • pp.77-87
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    • 2008
  • Decision-making of the site for the medium and low-level radioactive-waste disposal facilities in 2005 can be estimated as a success. But the limits exposed during the process still remain as problems to be solved. Analyzing the causes of success and failure of the policy and their correlation was expected to provide an effective guideline on future policies. The analysis shows that the transparency of policy makers, the level of community supports and the public relations are decisive factors. System dynamics, a synthetic analyzing tool, is used as a methodology for policy analysis. The result of the system dynamics analysis shows that public confidence is to be the key role to for and against logics when transparency of stakeholder, subsidy and public information are set as adjustable parameters. Public confidence takes a role of leverage that can convert tendency of conclusion by the opinion which influenced by selected parameters.

Development of electric safety control system for incapable operation of ELB and MCB using the low voltage distribution line (저압 배전선로의 누전 및 배선용 차단기의 오동작 방지를 위한 전기안전 제어장치 개발)

  • Kwak, Dong-Kurl;Shin, Mi-Young;Jung, Do-Young;Kim, Hyo-Jin;Baek, Seong-Hyun;Choi, Byung-Seub
    • Proceedings of the KIEE Conference
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    • 2007.07a
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    • pp.371-372
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    • 2007
  • The major causes of electrical fire are classified to short circuit fault, overload fault, electric leakage and electric contact failure. The occurrence factor of the fire is electric arc or spark accompanied with electrical faults. Residual Current Protective Device (RCD), that is Earth Leakage Circuit Breaker(ELB) and Molded_case Circuit Breaker (MCB), of high sensitivity type used at low voltage wiring cuts off earth leakage and overload, but the RCD can't cut off electric arc or spark to be a major factor of electrical fire. As the RCDs which are applied low voltage distribution panel are prescribed to rated breaking time about 30[ms] (KS C 4613), the RCDs can't perceive to the periodic electric arc or spark of more short wavelength level. To be improved on such problem, this research development is proposed to a auxiliary control apparatus for RCD trip on electric arc or spark due to electrical fire. Some experimental results of the proposed apparatus is confirmed to the validity of the analytical results.

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A Numerical Study on Safety Evaluation of Prefabricated Sewage-Pipe Plastic Foundation Based on Pipe Diameters and Buried Soil Depths (하수관거 직경과 심도를 고려한 하수관거 플라스틱 받침기초의 안전성 평가를 위한 해석연구)

  • Park, Rae-Jin;Park, Jong-Sup
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.6
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    • pp.4322-4327
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    • 2015
  • Improper backfill materials and compaction controls under pipelines have become one of the major causes of failure in many sewage pipeline systems. A study on backfill materials and compaction controls has been considered for a long time. However, structural supporters under the pipe were recently concerned because of pipeline repair and maintenance. This paper presents a prefabricated plastic foundation for supporting a sewage pipe system and increasing the performance function of the pipes. Several analytical models for the plastic foundations were investigated using finite-element program, ABAQUS, for checking safety. Comparing with the results of analyses, some of economic design sections based on the sizes of pipe diameters, 600mm, 700 and 600mm, were evaluated. These results could be applied to a pipeline system with a prefabricated plastic foundation with respect to pipe diameters and buried depths.

A Study on the Safety of Lifting Cable for Construction of Coastal Structures (항만건설을 위한 케이슨 들고리의 안전성에 관한 연구)

  • Kwak, Kae Hwan;Jang, Ki Woong;Kim, Jong Hyo
    • Journal of Korean Society of Steel Construction
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    • v.10 no.1 s.34
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    • pp.85-99
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    • 1998
  • This paper describes an experimental study to examine collapse causes of the lifting cable due to brittle failure of an fitting anchor under the lifting works. Also, in this study an collapse mechanism that was obtained from stress analysis was compared with an actual collapse procedure. Fractographical analysis as well as chemical component test, tension test and Charpy V-Notch impact test for the fractured steel members were carried out. And then, its results were compared with that of normal steel members. Circumferential surface flaws were developed at internal facets of the fitting anchor before tensile stress occurred. Hence, a higher stress than nominal stress was occurred at flaws by stress concentration at the crack tip. Also, stress intensity factor of members increased by crack size of the potential flaws. Because the stress intensity factor at the crack tip was greater than critical values(fracture toughness), brittle fracture occurred under the lifting works. It is judged that the main collapse of the lifting cable is due to brittle fracture of the fitting anchor.

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A Study on the Structural Characteristics and Shape of Outfitting Equipment Support in a 300K DWT Crude Oil Tanker

  • Jeong, Kwang-Woon;Chung, Han-Shik;Jeong, Hyo-Min;Ji, Myoung-Kuk;Kim, Jeong-Tae
    • Journal of Power System Engineering
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    • v.18 no.6
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    • pp.180-185
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    • 2014
  • Due to the larger and high-speed vessels recently constructed, output and speed of the engines for propulsion or power generation is increasing. These high-power and high-speed engine of the ship is becoming as a major contributor causing excessive noise and vibration. Other fittings as well as equipment installed on board, it makes equipment failure or other defect by resonance. This causes a lot of M/H(Man Hour) for repairs and the reliability of the company is invading even be negative because the clients give much comment. Thus, it's being studied for any fittings installed on board to maintain the safe operation and to prevent any problem during the performance in any operating conditions. In this study, it was investigated to solve these problems for the supports of the various fittings for easy installation-related support that each type of intensity and shape and manufacturing method using structural analysis program(DNV Nauticus Hull 3D Beam). Namely, it would be applied to the very large crude carriers in consideration of mechanics of materials of the support equipment by providing the fact that dynamics analysis of the structural characteristics of the equipment and the support of the production installation is easy and productivity can be high standards for geometry and thereby to simplify the analysis task to design changes at the same time and to minimize the reinforcement for the supports.

Biodistribution and PET imaging of [18F]FMISO in mousecolon cancer xenografted mice

  • Seelam, Sudhakara Reddy;Lee, Ji Youn;Kim, Young Joo;Lee, Yun-Sang;Jeong, Jae Min
    • Journal of Radiopharmaceuticals and Molecular Probes
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    • v.1 no.2
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    • pp.137-144
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    • 2015
  • Hypoxia is an important adverse prognostic factor for tumor progression and is a major cause of failure of radiation therapy. In case of short-term hypoxia, the metabolism can recover to normal, but if hypoxia persists, it causes irreversible cell damage and finally leads to death. So a hypoxia marker would be very useful in oncology. In particular, 2-nitroimidazole can be reduced to form a reactive chemical species, which can bind irreversibly to cell components in the absence of sufficient oxygen, thus, the development of radiolabeled nitroimidazole derivatives for the imaging of hypoxia remains an active field of research to improve cancer therapy result. 2-nitroimidazole based hypoxia marker, [$^{18}F$]FMISO holds promise for the evaluation of tumor hypoxia by Positron emission tomography (PET), at both global and local levels. In the present study, [$^{18}F$]FMISO was synthesized using an automatic synthesis module with high radiochemical purity (>99%) in 60 min. Immunohistochemical analysis using pimonidazole confirmed the presence of hypoxia in xenografted CT-26 tumor tissue. A biodistribution study in CT-26 xenografted mice showed that the increased tumor-to-muscle ratio and tumor-to-blood ratios from 10 to 120 min post-injection. In the PET study, [$^{18}F$]FMISO also showed increased tumor-to-muscle ratios from 10 to 120 min post-injection. In conclusion, this study demonstrates the feasibility and utility of [$^{18}F$]FMISO for imaging hypoxiain mouse colon cancer model using small animal PET.

Repair of Coarctation (including tubular hypoplasia) in Infancy and Children (영아 및 소아 연령에서의 대동맥 교약증의 교정 수술)

  • 한재진
    • Journal of Chest Surgery
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    • v.23 no.3
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    • pp.474-481
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    • 1990
  • We have experienced 44 cases of coarctation of aorta in the age of infancy and children from April 1986 to September 1989 at Seoul National University Children`s hospital. Patients were thirty males and fourteen females, and their age ranged from one month to ten years[mean 23.84 $\pm$33.06 months] with thirty-two infant cases. In the infantile age, congestive heart failure was the most common chief complaint[18/32], and above that age, frequent upper respiratory infection was most common[8/12]. We experienced thirteen cases of isolated COA, twenty-two cases of COA with VSD, eight cases of COA with VSD, eight cases of COA with intracardiac complex anomalies and one case of COA with atrial septal defect. The associated intracardiac complex anomalies were three Taussig-Bing type double outlet right ventricle, one single ventricle, one transposition of great arteries, one atrioventricular septal defect, one hypoplastic aortic arch with left heart hypoplasia, and one Tetralogy of Fallot. Operative techniques of COA were twenty-three subclavian flap arterioplasty, 12 resection and end to end anastomosis, eight onlay patch angioplasty, and I direct angioplasty after resection of web. Among the cases with other cardiac anomalies, staged operation was done in twenty-nine patients, and single stage total correction was performed only in three patients. There were seven operative mortality[15.9%], all being in infantile age group, and among fourteen cases associated with large VSD[Qp/Qs>2.0, mean pulmonary arterial pressure>50mmHg], four patients were died, but there was no mortality in patients with small VSD. With above results, we are intended to discuss about the interval between staged operation, the fate of VSD after coarctoplasty in case of COA with VSD, causes of death, complications etc.

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Aortoplasty with Using Gore-Tex Conduit in Dissecting Aneurysms of Descending Thoracic Aorta - Two Cases Report - (GoreTex$^{\circledR}$ 인조혈관을 이용한 해리성 하행 흉부대동맥류 성형술 - 수술치험 2례 -)

  • 정진용
    • Journal of Chest Surgery
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    • v.22 no.5
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    • pp.816-822
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    • 1989
  • Aneurysms of the descending thoracic aorta can be caused by various etiologies. So, its abrupt rupture leads life-threatening state, it must be operated as soon as possible. Surgical treatment of the descending thoracic aortic aneurysm requires temporary cross-clamping of major artery. The obligatory occlusion of the descending thoracic aorta during management causes proximal arterial hypertension and distal arterial hypotension. The former may leads to left ventricular failure, or cerebrovascular accident, whereas the latter may leads to spinal cord ischemia or renal injury. Some have recommended insertion of temporary shunt around the occluded descending aorta to prevent above problems. Still others would favor expeditious operation employing simple aortic occlusion during the repair of the descending aorta. Recently we had experienced two cases of dissecting aneurysms of descending thoracic aorta which performed aortoplasty with Gore-Tex conduit under simple aortic occlusion. The one was 34-year-old female patient with traumatic dissecting aortic aneurysm [5 em X 5 cm] on the descending thoracic aorta distal to the origin of the left subclavian artery and the other was 58-year-old female patient with atherosclerotic dissecting descending thoracic aortic aneurysm [6 cmX7 cm] and diffuse abdominal aortic aneurysms [3X5 cm]. Both patients performed standard left posterolateral thoracotomy. After the aneurysmal sac was mobilized, occluding vascular clamps were placed on the transverse aorta proximal to the origin of the left subclavian artery, and on the distal descending aorta without adjuvant bypass procedures for 31 and 32 minutes, respectively, and the aneurysmal sac was repaired with 18 mm ringed Gore-Tex conduit graft. Both patients postoperative courses were uneventful.

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Quantifying the Burden of cardiovascular Disease Attributable to Total Suspended Particulate and Sulfur Dioxide Using Years Lived with Disability (장애에 따른 상실생존년수를 활용한 대기중 총먼지와 아황산가스가 심혈관계질환에 미치는 영향 측정)

  • Ha, Beom-Man;Kang, Jong-Won;Kwon, Ho-Jang;Yoon, Seok-Jun
    • Journal of Preventive Medicine and Public Health
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    • v.35 no.2
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    • pp.92-98
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    • 2002
  • Objective : To estimate the burden of cardiovascular disease attributable to the total suspended particulates (TSP) and sulfur dioxide ($SO_2$) in Korea using the YLD (years lived with disability) measurement. Methods : Congestive heart failure(CHF) and myocardial infarction (MI) were chosen as the main cardiovascular diseases whose causes are attributable to the TSP and $SO_2$ levels. In order to calculate the YLD (years lived with a disability), the following parameters in the formula were estimated. : the incidence rate, the case fatality rate, The expected duration of a disability and the average age of onset were estimated. The expected duration of a disability and the average age of onset were calculated using the DISMOD method, as developed by the GBD researchers. The burden of cardiovascular disease due to TSP and $SO_2$ was estimated using the number of years that the patient lived with a disability. Results : The VLD of the CHF due to the TSP and $SO_2$ was attributed to the TSP (94.4 person-year) and $SO_2$ levels (35.0 person-year). The YLD of the ME due to the TSP and $SO_2$ was attributed to the TSP (148.4 person-year) and $SO_2$ levels(27.6 person-year). Conclusion : The YLD method employed in this study was appropriate for quantifying the burden of cardiovascular disease. Therefore, it would provide a rational basis for planning a national health policy regarding the disease burden of the risk factors in Korea.