• Title/Summary/Keyword: Combined procedures

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Clinical Experience in Marginal Rotation (안검연외전술의 임상경험)

  • Chung, Wha-Sun;Kim, Chae-Ju;Cha, Soon-Cheol
    • Journal of Yeungnam Medical Science
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    • v.9 no.1
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    • pp.23-28
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    • 1992
  • Fifty-four marginal rotation procedures for cicatrical entropion and marginal entropion were performed in twenty-eight patients(8 males, 20 females). The age ranged from 4 to 74 years old(mean 51.1 years old). After the follow up periods of 6 to 48 months, excellent correction of the eyelid margin and good cosmetic appearance were noticed in most cases, but nine cases combined with severe trichiasis showed recurred trichiasis requiring reoperation.

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The Need for QA/QC in the Measurements of Airborne Pollutants - Conduction of and Directions towards an Interlaboratory Comparison Test in 1998 by the Measurement and Analysis Division of KOSAE (대기오염측정에 대한 정도관리의 필요성 - 1998년도 한국대기환경학회 측정분석분과회의 실험실간 비교분석사업 시행과 전개방향)

  • 김기현;이강웅;김조천;서영화;이종해;허귀석
    • Journal of Korean Society for Atmospheric Environment
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    • v.15 no.1
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    • pp.63-69
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    • 1999
  • To offer a general guideline for the quantitative analysis of airborne pollutants, we designed and conducted a comprehensive QA/QC test using two different strategic approaches, namely (1) field-based comparative measurement and (2) laboratory-based comparative analysis. The former task was performed to make meaningful comparison of combined errors occurring from both sampling and analytical techniques in the measurements of such components as: (1) criteria pollutants, (2) volatile organic compounds (VOCs), and (3) particulate matters with the associated metals and ions. The latter task was also conducted to compare various types of bias arising mainly from the laboratory analytical procedures of (1) gaseous standards of VOCs and (2) of aqueous standards of metals and ions. The concentration data derived from each of these two different types of major tasks were evaluated per chemical species categorized as above. While the very details of these studies are to be reported on an individual basis according to the above classification of the project, this paper is presented to provide an overview of the whole project - its aim and direction.

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Prospective Multicenter Surveillance Study of Surgical Site Infection after Spinal Surgery in Korea : A Preliminary Study

  • Jeong, Tae Seok;Yee, Gi Taek
    • Journal of Korean Neurosurgical Society
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    • v.61 no.5
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    • pp.608-617
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    • 2018
  • Objective : This study aimed to investigate the rates, types, and risk factors of surgical site infection (SSI) following spinal surgery using data from a Korean SSI surveillance system that included diagnoses made by surgeons. Methods : This was a prospective observational study of patients who underwent spinal surgeries at 42 hospitals in South Korea from January 2017 to December 2017. The procedures included spinal fusion, laminectomy, discectomy, and corpectomy. Univariate and multivariate logistic regression analyses were performed. Results : Of the 3080 cases included, 30 showed infection, and the overall SSI rate was 1.0% (an incidence of 1.2% in spinal fusion and 0.6% in laminectomy). Deep incisional infections were the most common type of SSIs (46.7%). Gram-positive bacteria caused 80% of the infections, and coagulase-negative staphylococci, including Staphylococcus epidermidis, accounted for 58% of the gram-positive bacteria. A longer preoperative hospital stay was significantly associated with the incidence of SSI after both spinal fusion and laminectomy (p=0.013, p<0.001). A combined operation also was associated with SSI after laminectomy (p=0.032). Conclusion : An SSI surveillance system is important for the accurate analysis of SSI. The incidence of SSI after spinal surgery assessed by a national surveillance system was 1.0%. Additional data collection will be needed in future studies to analyze SSI in spinal surgery.

Flap reconstruction of soft tissue defect after resecting a huge hemangioma of the nose

  • Lim, Joonho;Oh, Jeongseok;Eun, Seokchan
    • Archives of Craniofacial Surgery
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    • v.21 no.1
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    • pp.69-72
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    • 2020
  • Hemangioma is a benign vascular tumor that grows by endothelial cell hyperplasia. It occurs most frequently in the head and neck region. Nose reconstruction is tricky because of its unique three-dimensional structure and different tissue components. We report a case of successful reconstruction of near-total nose defect using the paramedian forehead flap combined with a nasolabial flap, immediately after excision of nasal hemangioma. A 49-year-old male patient was presented with a huge mass at the nose. Preoperative magnetic resonance imaging showed prominent vascular channels extending to the forehead and cheek. Complete resection of the mass was performed, which resulted in an eccentric defect. The right paramedian forehead flap and the left nasolabial flap were designed and transferred to the defect. Flap division was performed 1 month later. The patient is satisfied with the overall appearance and did not develop any functional deficit.

Concurrent Robot-Assisted Distal Gastrectomy and Partial Nephrectomy for Synchronous Early Gastric Cancer and Renal Cell Carcinoma: An Initial Experience

  • Kim, Jieun;Kim, Su Mi;Seo, Jeong Eun;Choi, Min Gew;Lee, Jun Ho;Sohn, Tae Sung;Kim, Sung;Bae, Jae Moon;Seo, Seong Il
    • Journal of Gastric Cancer
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    • v.14 no.3
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    • pp.211-214
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    • 2014
  • We report our experience of a concurrent robot assisted distal gastrectomy and partial nephrectomy for synchronous early gastric cancer and renal cell carcinoma. A 55-year-old female patient was diagnosed with early gastric cancer on screening endoscopy. Abdominal computed tomography showed an incidental right renal cell carcinoma. Robot assisted distal gastrectomy was performed, followed by partial nephrectomy. The final pathological examination showed signet ring cell carcinoma within the lamina propria and renal cell carcinoma with negative resection margins. The patient showed no evidence of recurrence at 6-months. A robot-assisted combined operation could be a treatment option for early stages of synchronous malignancies.

Ultimate Load and Load Distribution of Ground Anchor in Waste Landfill (쓰레기 매립층에서 그라운드 앵커의 극한하중 및 하중분포)

  • Kim, Sung-Kyu;Cho, Kyu-Wan;Kim, Woong-Kyu
    • Proceedings of the Korean Geotechical Society Conference
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    • 2005.03a
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    • pp.1434-1441
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    • 2005
  • For anchored system applications, each ground anchor is tested after installation and prior to being put into service to loads that exceed the design. This load testing methodology, combined with specific acceptance criteria, is used to verify that the ground anchor can carry the design load without excessive deformations and that the assumed load transfer mechanisms have been properly developed behind the assumed critical failure surface. After acceptance, the ground anchor is stressed to a specified load and the load is locked-off. The two types of load tests conducted during the research program included performance test and creep test which were carried out in accordance with testing procedures by AASHTO(AASHTO 1990) and FHWA(Weatherby 1998) at Samsung-Dong 00 Site. Form the measurements, ultimate load and creep rate of anchors are proposed for straight shaft pressured grouted anchors in waste landfill. The load distribution on the grout was obtained from the measured strain data at each fraction of the ultimate load during the load tests.

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Clinical Features of the Midgut Volvulus in Children (소아 중장 염전의 임상 양상)

  • Kim, Hyun-Ah;Choi, Kum-Ja
    • Advances in pediatric surgery
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    • v.10 no.2
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    • pp.112-116
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    • 2004
  • Midgut volvulus secondary to intestinal malrotation usually presents within the first month of life. Diagnostic delay may result in midgut infarction and mortality. In this retrospective study, we review seventeen cases of midgut volvulus to assess the importance of early recognition for midgut volvulus in pediatric patients of any age.. These patients were diagnosed as having a midgut volvulus by operation at Ewha Womans University Hospital. Eleven patients (64.7 %) were less than 1 month of age, and fifteen were boys (88.2 %). The mean gestational age was 38.3 weeks and the birth weight was 3.1 kg. Eight patients (47.1 %) had one or more combined anomalies such as heart malformation, brain ischemia, Down's syndrome or duodenal atresia. Vomiting was the most common symptom. Only thirteen patients underwent preoperative diagnostic procedures; 13 abdominal sonography demonstrated the whirlpool sign in 8 patients, upper gastrointestinal tract roentgenography showed a cork-screw pattern in 7 patients, and barium enema or small bowel series demonstrated positive findings in 7 patients. A Ladd's procedure was was formed on all patients.. There was no mortality or severe morbidity such as short bowel syndrome. Midgut volvulus should be included in the differential diagnosis in any infant or child who presents with the symptoms of acute abdomen, especially with vomiting.

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Seismic Qualification of the Air Cleaning Units for Nuclear Power Plant Ulchin 5&6 (울진 원자력발전소 5,6 호기용 공기정화기에 대한 내진검증)

  • Kim, Jin-Young;Rhee, Hui-Nam;Lee, Joon-Keun
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.26 no.7
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    • pp.1376-1383
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    • 2002
  • Seismic qualification of the Air Cleaning Units for nuclear power plant Ulchin 5&6 has been performed with the guideline of ASME Section III and IEEE 344 code. By using the structural and geometrical similarity analysis, the three models to be analyzed are condensed into a single model and, at the same time, the excitation forces and other operating loads for each model are encompassed with respect to different loading conditions. As the fundamental frequencies of the structure are found to be less than 33Hz, which is the upper frequency limit of the seismic load, response spectrum analysis using ANSYS is performed in order to combine the modal stresses within the frequency limit. In order to confirm the structural and electric stability of the major components, modal analysis theory is adopted to derive the required response spectrum at the component locations. As the all combined stresses obtained from the above procedures are less than allowable stresses and no mechanical or electrical failures are found from the seismic testing, the authors confirm the safety of the nuclear equipments Air Cleaning Units studied in this paper.

The trend of Korean Medicine utilization in 2008-2013 (비급여를 포함한 한의 외래의료이용의 최근(2008-2013) 변화추이)

  • Kim, Dongsu;Lim, Byungmook
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.1
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    • pp.57-66
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    • 2017
  • Objectives : This study aimed to analyze the structure and the trend of utilization and expenditure for Korean Medicine (KM) in Korea. Methods : Data were drawn from the 2008-2013 annual Korea Health Panel (Version 1.2.2), a national representative sample. We combined the data of household members with the data of outpatient KM service use. The volume of KM use was estimated based on the frequency of use and co-payment. Results : The KM utilization rate slightly increased in recent years, and it is presumed to be resulted from the increase of elderly population. Most KM outpatient visits were being concentrated in treating musculoskeletal diseases, and the procedures used frequently were acupuncture, moxibustion, cupping, and physical therapy. The imbalance of KM use between lower income group and higher income group was deepening. Conclusions : To expand restricted disease areas KM covered, the more herbal prescriptions should be insured and the insured form of herbal medicines need to be diversified.

Failure Probability Assessment of an API 5L X52 Gas Pipeline with a Wall-thinned Section

  • Lee Sang-Min;Yun Kang-Ok;Chang Yoon-Suk;Choi Jae-Boong;Kim Young-Jin
    • International Journal of Precision Engineering and Manufacturing
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    • v.7 no.3
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    • pp.24-29
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    • 2006
  • Pressurized gas pipelines are subject to harmful effects from both the surrounding environment and the materials passing through them. Reliable assessment procedures, including fracture mechanics analyses, are required to maintain their integrity. Currently, integrity assessments are performed using conventional deterministic approaches, even though there are many uncertainties to hinder rational evaluations. Therefore, in this study, a probabilistic approach was considered for gas pipeline evaluations. The objectives were to estimate the failure probability of a corroded pipeline in the gas and oil industries and to propose limited operating conditions for different types of loadings. To achieve these objectives, a probabilistic assessment program was developed using a reliability index and simulation techniques, and applied to evaluate the failure probabilities of a corroded API-5L-X52 gas pipeline subjected to internal pressures, bending moments, and combined loadings. The results demonstrated the potential of the probabilistic integrity assessment program.