• 제목/요약/키워드: 금식

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고령위암 환자에서 술 후 처치 및 영양지원

  • 김인호
    • 대한위암학회:학술대회논문집
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    • 대한위암학회 2002년도 제13회 춘계학술대회
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    • pp.53-60
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    • 2002
  • 1. 병원에 입원하는 환자들 중 상당수에서 어느정도의 영양실조가 있는 것으로 보고되므로 수술하기 위해 입원하는 환자에서 영양과 관계있는 측면에서 병력청취 및 이학적 검사상 약 6개월간 평소체중의 $10\%$ 이상 감소, 혈장단백(알부민, 트란스페린 등) 저하, 총임파 구수감소 등이 있으면 철저한 영양평가를 시행하여 중등도 이상의 위험군에서는 술 전 약 $7\~10$일간 영양지원을 하는 것이 약 $10\%$의 술 후 합병증을 줄이는 것으로 보고되나 이는 수술의 스트레스 정도, 술 후 영양 섭취 지연의 기간 및 정도 및 수술의 응급여부에의 해 결 정한다. 2. 영양지원이 결정되면 그 경로는 경장이 좋으며 그것이 안될 때 정맥영양을 시행한다. 3. 술 전 영양지원을 받지않은 중등도 이상의 영양실조 환자에서 술 후 조기 영양지원에 대한 연구에서는 TPN군에서 대조군보다 오히려 약 $10\%$의 합병증 발생률이 높다. 4. 영양실조가 없는 환자에서도 술 후 약 7일 이상의 금식이 예상되면 TPN을 시행하는 것이 좋다.

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원료불출기의 역기구학 : 여유자유도와 구속조건을 이용한 닫힌 형태의 해 (Inverse Kinematics of a Serial Manipulator : Redundancy and a Closed-rom Solution by Exploting Geomertiric Constraints)

  • 홍금식;김영민;최진태;신기태;염영일
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 1996년도 춘계학술대회 논문집
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    • pp.661-665
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    • 1996
  • An inverse kinemetics problem of a reclaimer which digs and transports ironstones or coals in the raw yard is investigated. Because of the special features of the reclaimer of which scooping buckets are attached around the rotating drum at the end of boom, kinematic redundancy occurs in determining the joint varialbes For a given reclaiming point in space the forward kinematics yields 3 equations, however the number of involved variables in the equations are four. A plane equation approximating the surface near a reclaiming point is obtained by considering 8 adjacent points surrounding the reclaiming point. One extra equation to overcome redunduncyis further obtained from the condition that the normal vector at a reclaiming point is perpendicular to the plane. An approximate solution for a simplified problem is first discussed, Numerical solution for the oritinal nonlinear porblem with a constraint equation is also investigated. Finally a closed form solution which is not exact but sufficiently close enough is proposed by exploiting geometric constraint.

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터보과급기가 부착된 디젤엔진의 모듈화된 시뮬레이션 모델 (A Modular Simulation Model for Turbocharged Diesel Engines)

  • 강동헌;홍금식;이교일
    • 제어로봇시스템학회논문지
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    • 제4권5호
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    • pp.680-688
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    • 1998
  • A modular programming approach for simulation/control of turbocharged diesel engines is investigated. The MATLAB/SIMULINK, which provides easy construction of various control modules and handy retrieval of objects, is adopted as a programming environment. The mathematical models for diesel engines are utilized from the literature. The object-oriented modules, which represent mechanical parts or theoretical algorithms for engines, are easily transferable to other application programs in the same environment. The simulation model is applied to a 4 strokes diesel engine. Details of the block diagrams of example modules are demonstrated. Finally, a PI controller and a sliding mode controller are applied to the simulator constructed for a typical turbocharged diesel engine.

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기동하는 표적의 추적을 위한 연합형 가변차원 입력추정필터 (Federated Variable Dimension Kalman Filters with Input Estimation for Maneuvering Target Tracking)

  • 황보승욱;홍금식;최성린;최재원
    • 제어로봇시스템학회논문지
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    • 제5권6호
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    • pp.764-776
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    • 1999
  • In this paper, a tracking algorithm for a maneuvering single target in the presence of multiple data from multiple sensors is investigated. Allowing individual sensors to function by themselves, the estimates from individual sensors on the same target are fused for the purpose of improving the state estimate. The filtering method adopted in the local sensors is the variable dimensional filter with input estimatio technique, which consists of a constant velocity model and a constant acceleration model. A posteriori probability for the maneuvering hypothesis is newly derived. It is shown that the relation function of the a posteriori probability is a function of only the covariance of the fused estimates. Simulation results are provided.

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노면추정을 통한 반능동 현가시스템의 LQG 제어 (LQC Control for Semi-Active Suspension Systems with Road-Adaptation)

  • 손현철;홍경태;홍금식
    • 제어로봇시스템학회논문지
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    • 제9권9호
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    • pp.669-678
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    • 2003
  • A road-adaptive LQG control for the semi-active Macpherson strut suspension system of hydraulic type is investigated. A new control-oriented model, which incorporates the rotational motion of the unsprung mass, is used for control system design. First, based on the extended least squares estimation algorithm, a LQG controller adapting to the estimated road characteristics is designed. With computer simulations, the performance of the proposed LQC-controlled semi-active suspension is compared with that of a non-adaptive one. The results show better control performance of the proposed system over the compared one.

화물과 트롤리가 만드는 로프각이 화물의 진자운동에 미치는 영향: 적합조건과 분기조건 (The Effect of Fleet-Angle on Sway Motions of a Cargo: Compatibility and Bifurcation Conditions)

  • 신장용;고성희;홍경태;홍금식
    • 한국해양공학회지
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    • 제19권2호
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    • pp.60-66
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    • 2005
  • This paper investigates the relationship between the fleet-angle of the hoisting rope and the swaying and pitching angles of a cargo in container cranes. It is found that for a given disturbance, when the fleet-angle is large, the sway Angle becomes smaller, but the pitching angle becomes larger. Therefore, for a quick suppression of a sway motion, it is desirable to have a large fleet-angle. The compatibility and bifurcation conditions, regarding instability, are characterized.

가솔린 엔진/자동변속기 시스템의 객체지향형 모델 (An Object-Oriented Model for Gasoline Engine and Automatic Transmission Systems)

  • 양경진;홍금식;이교일
    • 제어로봇시스템학회논문지
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    • 제4권4호
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    • pp.534-542
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    • 1998
  • In this paper a simulation model for the powertrain control of gasoline engines with automatic transmission is presented. A modular programming approach has been pursued and the MATLAB/SIMULINK has been utilized as the programming environment. The engine/transmission system is analyzed in the object-oriented fashion whereby easy transferal of the modules, which represent physical parts or analysis subsystems, is guaranteed. Some mathematical models are adopted from the literature to compare the simulation results with the model and the experimental results in the literature. It is expected that the whole program or individual module constructed in this paper are useful for the automotive engineers in designing a new engine/transmission system and/or in modifying parts of existing systems.

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PC에 기반을 둔 개방형 로봇제어시스템 : PC-ORC (A PC-Based Open Robot Control System : PC-ORC)

  • 김점구;최경현;홍금식
    • 제어로봇시스템학회논문지
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    • 제6권5호
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    • pp.415-425
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    • 2000
  • An open architecture manufacturing strategy intends to integrate manufacturing components on a single platform so that a particular component can be easily added and/or replaced. Therefore, the control scheme based upon the open architecture concept is hardware-independent. In this paper, a modular and object oriented approach for a PC-based open robot control system is investigated. A standard reference model for robot systems, which consists of three modules; hardware module, operating system module, and application software module, is first proposed. Then, a PC-based Open Robot Controller(PC-ORC), which can reconfigure robot control systems in various production environments, is developed. The PC-ORC is built upon the object-oriented method, and allows an easy implementation and modification of various modules. The PC-ORC consists of basic softwares, application objects, and additional hardware device on the PC Platform. The application objects are: sequencer, computation unit, servo control, ancillary equipment, external sensor control, and so on. In order to demonstrate the applicability of the PC-ORC, the proposed PC-ORC configuration is applied to an industrial SCARA robot system.

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하모닉 발진을 이용한 5.8GHz 대역 주파수 합성기 (5.8GHz Band Frequency Synthesizer using Harmonic Oscillator)

  • 최종원;이문규;신금식;손형식
    • 한국전자파학회:학술대회논문집
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    • 한국전자파학회 2003년도 종합학술발표회 논문집 Vol.13 No.1
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    • pp.304-308
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    • 2003
  • A low cost solution employing harmonic oscillation to the frequency synthesizer at 5.8 GHz is proposed. The proposed frequency synthesizer is composed of 2.9GHz PLL chip, 2.9GHz oscillator, and 5.8GHz buffer amplifier. The measured data shows a frequency tuning range of 290MHz, ranging from 5.65 to 5.94GHz, about 0.5dBm of output power, and a phase noise of -107.67 dBc/Hz at the 100kHz offset frequency. All spurious signals including fundamental oscillation power (2.9GHz) are suppressed at least 15dBc than the desired second harmonic signal.

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멀티형 공조시스템의 증발기 과열도에 관한 실험적 연구 및 냉매유량 제어 (Experimental Study of the Superheat and Control of the Refrigerant Flow-Rate in the Evaporator of a Multi-type Air-Conditioning System)

  • 김태섭;홍금식;손현철
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2000년도 제15차 학술회의논문집
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    • pp.221-221
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    • 2000
  • The heat exchange part in a modern multi-type air-conditioning system employs multiple-pass heat exchangers. The heat-transfer performance of an each pass in such an exchanger depends strongly on the length of the two-phase region and the mass flow of the refrigerant. The total length and diameters of the pipes, the exit conditions, and the arrangement of each pass as well as the geometrical shape of the distributor at the branching sections are considered to be major factors affecting the heat-transfer performance. The refrigerant commonly used in these systems is HCFC-22. The two objectives of this paper are to investigate the characteristics of the refrigerant flow rate and the superheat in the evaporator of a multi-type air-conditioning system for a single or simultaneous operating conditions and to control the superheat and the refrigerant flow rate of the evaporator.

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