• Title/Summary/Keyword: repair rate

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Treatment of Coarctation of the Aorta with Subclavian Flap Aortoplasty in Infants (유아에서 쇄골하동맥피판 대동맥성형술에 의한 대동맥축착의 치료)

  • 공준혁;이응배;조준용;전상훈;장봉현;이종태;김규태
    • Journal of Chest Surgery
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    • v.33 no.8
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    • pp.623-629
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    • 2000
  • Background: There has been controversy over the prevalence of recoarctation in infants treated by subclavian flap aortoplasty(SFA) for coarctation of the aorta. To assess the rate of recurrence of coarctation after SFA, we reviewed the surgical results of SFA in infants with coarctation of the aorta. Material and method: Between 1986 and 1998, a total of 25 patients less than 1 year of age(12 neonates and 13 infants) underwent SFA for aortic coarctation. Age at operation was 3.0$\pm$3.0 months(mean $\pm$ standard deviation); mean weight was 5.0$\pm$1.4kg. Classic SFA was performed in 20 patients, reversed SFA in 2 patients, subclavian artery reimplantation in 2 patients and the combined resection-flap aortoplasty in one. Result: The aortic clamping time ranged from 20 to 88 minutes(mean 35.8 minutes). There were one operative death and two late deaths. There was no case of paraplegia or left arm ischemia in complications. Twenty-one(84%) of 24 hospital survivors were followed for 26.0$\pm$24.0 months. The risk of recoarctation in neonates(33.3%) was a little greater than infants(25.0%) without statistical significance. Conclusion: This study revealed that SFA resulted a relatively high incidence of recarctation in infants. It is desirable to select other methods of surgical treatment(combined resection-flap aortoplasty, extended end-to-end repair etc.) for severe isthmic coarctation or hypoplasia of the distal aortic arch in infants, instead of choosing SFA indiscriminately.

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Surgical Treatment of the Unilateral and Bilateral Cleft Lip Patients Using Mulliken Method: 10 Year Results (뮬리켄법을 이용한 일측성 및 양측성 구순열 환자의 수술: 10년 후의 결과)

  • Kim, Seok-Kwun;Kim, Tae-Heon;Park, Su-Sung;Lee, Keun-Cheol
    • Archives of Craniofacial Surgery
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    • v.13 no.1
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    • pp.11-21
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    • 2012
  • Purpose: Mulliken's method allows for normal nasal and lip growth, which in turn forms a natural shape of the philtrum. Therefore, we used a modified Mulliken's method to correct unilateral and bilateral cleft lip nasal deformities and followed the patients for 10 years. Methods: Ninety-one patients, who had undergone repair of unilateral and bilateral cleft lip and nasal deformity simultaneously using Mulliken's method during the time period from June 1997 to June 2009, were enrolled into this study. To follow-up of the growth of the lips and nose after the operation, the following 5 anthropometric measurements were analyzed: nasal tip protrusion, columellar length, upper lip height, cutaneous lip height, and vermilion mucosa height. Results: Using this method, we obtained a result that there was no significant difference in the development of the lip compared to the normal control group, and that the bilateral cleft lip patients' nasal projection and columellar length was shorter than that in normal persons. Both measures were statistically significant. Conclusion: Mulliken's method is a superb surgical technique, which enables the normal development of the nose and lip, which further allows for the innate philtrum appearance. The author's result does not seem to be meaningful, because the normal rate of nasal growth is slow before adolescence; however, we recommend additional follow-up and accordant treatment, if needed, once the nasal growth is complete.

Characteristic Analysis of Utilization of Security Deposit for Repairing Defects Using Statistical Analysis (통계분석을 이용한 공동주택 하자보수보증금 특성 분석)

  • Seo, Deok-Seok;Lee, Ung-Kyun
    • Journal of the Korea Institute of Building Construction
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    • v.15 no.2
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    • pp.209-215
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    • 2015
  • This study was conducted to analyze the actual utilization rate of the deposit for defect repair of apartment complexes and its influential factors. We analyzed the data on enforced defect deposit cases by using one-sample t-test, Pearson's correlation analysis, and simple linear regression analysis. The difference between the deposit amount specified and the enforcement amount actually disbursed was found to about 0.51%. The change rates for short-term costs amounted approximately to $839KRW/m^2$ and 130,000 KRW/household per year, and those for long-term costs were $647KRW/m^2$ and 123,207 KRW/household per year. The results warrant the need for further research on establishing a deposit amount based on actual statistical data.

User Acceptance of a Light-Emitting Diode Vest for Police Officer

  • Han, Hyunjeong;Park, Huiju;Jeon, Eunkyung
    • Fashion & Textile Research Journal
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    • v.15 no.5
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    • pp.834-840
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    • 2013
  • This study aims to suggest practical considerations for designing protective clothing with increased visibility that will have higher user acceptance by law enforcement officers. Light-emitting diode(LED) patrol vests were visually and structurally assessed, and 125 police officers' responses from surveys about user acceptance of the vest were analyzed. The current LED patrol vest was designed for enhanced safety of police officers by increasing visibility in the dark. However, the user acceptance rate of the LED patrol vest indicates low use of and low satisfaction with the vest despite its enhanced safety features. In particular, differences in materials, design, functionality of the pockets and size of the vest depending on the hours worked, were statistically significant. The police officers' responses suggest areas of improvement in design, materials, ease of movement, size and functionality. Key issues include 'tactile discomfort'; 'impeded vision from the glare of the LED'; 'frequent malfunctions of the LED'; 'impossible repair of the broken LED units'; 'no user feedback'; 'inconvenient to replace batteries'; 'brittle materials' and 'unpleasing look'. To increase user acceptance, designer should incorporate context-awareness, a convenient user interface, a modular design approach, first responders' self-image as public servants in relation to their aesthetic perspectives of their uniforms, and scientific evaluation of the effectiveness of the intended functions of the clothing. Suggested implications for designing the LED patrol vest can be applied to designing other functional/protective clothing for intended end users with special needs.

Analysis for the Economic efficiency of District Heating and Gas Engine Co-generation System comparing with Central Heating System (중앙난방방식을 지역난방.소형열병합난방방식으로 전환시의 경제성 비교 분석)

  • Kim, Kyu-Saeng;Lee, Sang-Hyeok;Hong, Kyung-Pyo;Won, Young-Jae
    • Proceedings of the SAREK Conference
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    • 2007.11a
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    • pp.459-465
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    • 2007
  • This study was conducted to calculate the LCC of a apartment complex with a type of heating system, district heating and cogeneration system. For the purpose of analyzing LCC according to size of apartment complex, 500, 1,500 and 4,000 houses of model apartment selected. This research performs design of heating system and the life cycle cost analysis including an initial cost, energy cost, maintenance and operation cost, replacement cost and renovation cost during the project period(15years). According to the calculated results, 1) Initial cost of cogeneration system with 500, 1500 and 4000 houses is higher than district heating system each of 20%, 13%, 12%. 2) In case of cogeneration system, the payback period by electric generation is 5.21, 4.92 and 4.47 years and saving cost was calculated 29 billion won, 94 billion won and 262 billion won after payback period. 3) Cogeneration system LCC was 1.12, 1.07 and 1.06 times larger than district system with the size of apartment complex. According to the case of this study district heating system is more efficient than cogeneration system in terms of the reduction of LCC. 4) Gas Engine Co-generation System is more efficient than other systems because it can collect progressive part from electric charge progressive stage system. However, the efficiency is decreasing because of raising of fuel bills(LNG) and lowering of power rate for house use. Especially the engine is foreign-made so the cost of maintenance and repair is high and the technical expert is short. 5) District heating is also affected by fuel bills so we should improve energy efficiency through recovering of waste heat(incineration heat, etc.). Also, we should supply district cooling on the pattern of heat using of let the temperature high in winter and low in summer.

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Reconstruction of cheek mucosal defect with a buccal fat pad flap in a squamous cell carcinoma patient: a case report and literature review

  • Hwang, Dae-Seok;Park, Jinyoung;Kim, Uk-Kyu;Park, Hae-Ryoun;Kim, Gyoo-Cheon;Ryu, Mi-Heon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.40
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    • pp.11.1-11.5
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    • 2018
  • Background: Squamous cell carcinoma (SCC) is the most commonly occurring malignant tumor in the oral cavity. In South Korea, it occurs most frequently in the mandible, tongue, maxilla, buccal mucosa, other areas of the oral cavity, and lips. Radial forearm free flap (RFFF) is the most widely used reconstruction method for the buccal mucosal defect. The scar of the forearm donor, however, is highly visible and unsightly, and a secondary surgical site is needed when such technique is applied. For these reasons, buccal fat pad (BFP) flap has been commonly used for closing post-surgical excision sites since the recent decades because of its reliability, ease of harvest, and low complication rate. Case presentation: In the case reported herein, BFP flap was used to reconstruct a cheek mucosal defect after excision. The defect was completely covered by the BFP flap, without any complications. Conclusion: Discussed herein is the usefulness of BFP flap for the repair of the cheek mucosal defect. Also, further studies are needed to determine the possibility of using BFP flap when the defect is deep, and the maximum volume that can be harvested considering the changes in volume with age.

Classification of Foot Types for a Shoes Size System for Women in Their 20~30s according to a Survey of Hand-Made Shoes Companies (수제 신발업계의 실태 조사에 따른 국내 20~30대 여성의 발 형태에 관한 연구)

  • Kim, Son-Hee;Kim, Hye-Soo
    • The Research Journal of the Costume Culture
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    • v.19 no.4
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    • pp.876-887
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    • 2011
  • The purpose of this study was to determine the fundamental foot measurement data that is essential for a shoes size system of women in their 20~30s according to a survey of Korean hand-made shoes companies. This research on the current situation of shoes companies was done by interviewing and surveying employees of these companies. The subjects for this study were 407 women in their 20s~30s who lived in a metropolitan area, and who wanted to enhance their foot health and prevent injury with a proper shoes size system. They were measured with the 3D scan method in use of 6th Size Korea. The result of this study showed that there is considerable dissatisfaction related to women's shoes and the current foot size system using foot length. The Korean hand-made shoes companies assessed here did not use the KS system, but they recognized the necessity of measuring the foot width and circumference, understanding that doing so properly can decrease the return and repair rate. And current target age for shoes bye the hand-made shoes companies was reported to be approximately 5 years. There were significant results according to ANOVA, factor and cluster analyses according to the age range pertaining to the foot length, circumference and height. Each element was significantly correlated with user's satisfaction. There were 5 factors and 3 clusters represented, and foot circumstance and width were as important as foot length with a range of 5 years.

Monitoring the failure mechanisms of a reinforced concrete beam strengthened by textile reinforced cement using acoustic emission and digital image correlation

  • Aggelis, Dimitrios G.;Verbruggen, Svetlana;Tsangouri, Eleni;Tysmans, Tine;Van Hemelrijck, Danny
    • Smart Structures and Systems
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    • v.17 no.1
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    • pp.91-105
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    • 2016
  • One of the most commonly used techniques to strengthen steel reinforced concrete structures is the application of externally bonded patches in the form of carbon fiber reinforced polymers (CFRP) or recently, textile reinforced cements (TRC). These external patches undertake the tensile stress of bending constraining concrete cracking. Development of full-field inspection methodologies for fracture monitoring are important since the reinforcing layers are not transparent, hindering visual observation of the material condition underneath. In the present study acoustic emission (AE) and digital image correlation (DIC) are applied during four-point bending tests of large beams to follow the damage accumulation. AE helps to determine the onset of fracture as well as the different damage mechanisms through the registered shifts in AE rate, location of active sources and change in waveform parameters. The effect of wave propagation distance, which in large components and in-situ can well mask the original information as emitted by the fracture incidents is also discussed. Simultaneously, crucial information is supplied by DIC concerning the moments of stress release of the patches due to debonding, benchmarking the trends monitored by AE. From the point of view of mechanics, conclusions on the reinforcing contribution of the different repair methodologies are also drawn.

The Surgical Treatment of Esophageal Perforation (식도 파열의 수술적 치료)

  • Hwang Jung Joo;Joung Eun Kyu;Lee Doo Yun;Paik Hyo Chae
    • Korean Journal of Bronchoesophagology
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    • v.11 no.1
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    • pp.15-20
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    • 2005
  • Background : It is well-known that esophageal perforation (EP) is difficult in diagnosis and has high mortality rate despite proper management. There are disputes in regarding the reatment in cases of delayed diagnosis although in the early diagnosed cases, operation is recommended without arguments. Methods: From April, 2001 to December, 2004, nine patients who were diagnosed as EP in our hospital were analyzed retrospectively about the causes, the interval between the cause and the treatment, and operation methods. Results: There were 8 male and one female with men age of 49.3 years (range: 25-67 years). The causes of EP included perforations following operations of corvical spine in three cases, spontaneous perforation(Boehaave syndrome) in two cases, foreign bodies in two cases, operation of esophageal diverticulum in one case and blunt trauma bytraffic accident in one case. Mean interval between the first treatments and the causes was 11.6 days (range: 2-30 days). The sites of perforation were upper third of esophagus in three cases, middle third in three cases and lower third in three cases. All except two cervical cases presented as mediastinitis or empyema at the time of diagnosis. Primary repair and irrigation had been performed in 7 cases but five cases out of them required more than two procedures. Conclusions : More than one procedure wasrequired in the treatment of EP because of contaminations and infections which had been spread at the time of initial manifestatios, howeverprimary closure and massive irrigation is the best method in order to preserve esophagus unless the remaining esophagus is extensively damaged.

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A Case of Total Aortic Arch Replacement with Root Plasty with Right Coronary Artery Bypass and Distal Open Stent-graft Insertion in Acute Type I Aortic Dissection (급성대동맥박리중에서 전궁치환술 시 근부성형술 및 우관상동맥우회로술과 하행대동맥 내 스텐트인조혈관삽입 동시 시술 증례)

  • Bang Jung Hee;Woo Jong Su;Kim Si Ho;Choi Pil Jo;Cho Kwang Jo
    • Journal of Chest Surgery
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    • v.38 no.6 s.251
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    • pp.434-437
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    • 2005
  • Since the operative mortality rate of the Acute aortic dissection has been reducing, a more extensive primary repair of the dissected aorta is preferred for acute aortic dissection to reduce the needs of secondary procedures. We performed a total aortic arch replacement with distal stent-grafting in acute type A aortic dissection. The patient was a 50-years old man. He recovered from the operation and was followed up for 7 months. The pseudolumen in the descending aorta was obliterated with the stent.