• 제목/요약/키워드: Concurrent operation

검색결과 129건 처리시간 0.029초

자궁경부암의 수술후 방사선치료 결과 (Therapeutic Results of Postoperative Radiation Therapy for Uterine Cervical Cancer)

  • 최두호;홍성언
    • Radiation Oncology Journal
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    • 제12권3호
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    • pp.369-376
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    • 1994
  • This is a retrospective analysis of 64 patients who was treated with postoperative radiation therapy after radical hysterectomy and bilateral pelvic lymphadenectomy (53 patients) or total abdominal hysterectomy(11 patients) for uterine cervix cancer between May 1980 and September 1991 at the Department of Radiation Oncology, Kyung Hee University Hospital. Most patients were FIGO IB (31 Patients) and IIA (25 patients), and median period of follow-up was 5.1 years. Of these patients,24 received adjuvant whole pelvis irradiation of 6000 cGy and 40 received 5000-5500 cGy whole pelvis irradiation and/or intracavitary radiation (7 Patients). The actuarial overall and relapse free 5 year survival rate were $71.0\%$, $68.3\%$ respectively. The survival rates by stage were $79.1\%$ in stage I, and $61.2\%$ in stage II. Treatment failure was noted in 18 of 64 patients ($28.1\%$), Iocoregional failure in 8 ($12.5\%$), distant metastasis in 8 ($12.5\%$), paraaortic node metastasis in 1 and one patient and concurrent locoregional and distant metastasis. The univariate analysis of prognostic factors affecting to overall survival rate represented lymph node status, the number and site of metastatic lymph node, parametrial invasion, the thichness of cervical wall invasion, and size of cancer mass. Histology, vessel invasion, endometrial extension, hemoglobin level. resection margin status, age, radiation dose were not significant prognostic factors. Complication relating to operation and postoperative radiation were variable according to radiation therapy method: 6000 cGy RT group 8/24($33.3\%$), 5000-5500 cGy+ICR 3/7 ($42.9\%$), 5000-5500 cGy external RT only group 3/33 ($9.1\%$). In conclusion, the results suggest that postoperative radiotherapy is necessary in high risk patients for locoregional control and improving survival rate, and higher dose does not improve results but only increases complication.

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내장형 전류 감지회로를 이용한 타이밍 오류 검출기 설계 (Design of a Timing Error Detector Using Built-In current Sensor)

  • 강장희;정한철;곽철호;김정범
    • 전기전자학회논문지
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    • 제8권1호
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    • pp.12-21
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    • 2004
  • 오류제어는 많은 전자 시스템의 주요한 관심사이다. 시스템 동작에 영향을 미치는 대부분의 고장은 회로에서 발생하는 타이밍 위반의 결과로 나타나는 비정상적인 신호지연으로 인한 것이며, 이는 주로 과도고장에 의해 발생한다. 본 논문에서는 CMOS 회로의 동작 중에 타이밍 오류를 검출하는 회로를 설계하였다. 타이밍 오류 검출기는 클럭에 의해 제어되는 시스템의 준비시간 및 대기시간의 위반에 대한 오류를 검출할 수 있다. 설계한 회로는 데이터의 입력이 클럭 천이지점에서 변화할 때 과도전류를 측정하여 오류 검출기의 전류 감지회로에서 발생시킨 기준전류와 비교함으로써 오류의 발생 여부를 확인 할 수 있다. 이러한 방법은 클럭에 의해 동작하는 시스템의 준비시간 및 대기시간의 위반에 따른 오류를 효과적으로 검출할 수 있음을 보여준다. 이 회로는 2.5V 공급전압의 $0.25{\mu}m$ CMOS 기술을 이용하여 구현하였으며, HSPICE로 시뮬레이션하여 정당성 및 효율성을 검증하였다.

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치주질환 치료 후 구취 감소에 대한 연구 (The Study of Malodor Reduction after Periodontal Treatment)

  • 이재명;임성빈;정진형;홍기석
    • Journal of Periodontal and Implant Science
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    • 제34권2호
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    • pp.449-459
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    • 2004
  • Bacterial byproducts and volatile sulfur compounds(VSC) have been found to be the leading intra-oral agents, specifically, the byproducts of gram negative anaerobic bacteria have been implicated as primary factors of halitosis in patients presenting with periodontal disease. The objective of this study was to determine the correlation between periodontal treatment and the subsequent reduction in the level of halitosis. Forty-three subjects presenting with periodontal disease were examined before periodontal treatment, one week after treatment, one month after treatment, and finally, two months after treatment, using a portable sulfide monitoring $Halimeter^{(R)}$ to measure the VSC concentrations at the prescribed intervals. The results of the study were as follows: 1. Significant decreases in the mean VSC concentration were observed at the one week, one month, and two month post-op intervals relative to the pre-op measurement. (p<0.05) 2. Significant decreases in the mean VSC concentration were observed in subjects after completion of flap operations. Significant decreases in the mean VSC concentration were observed at the one and two month post-flap operation measurement relative to the VSC concentration at one week (p<0.05), but no significant differences between the one month and two month VSC concentrations were found. (p<0.05) 3. Significant decreases in the mean VSC concentration were observed in subjects after completion of subgingival curettage (p<0,05). Significant decreases were found between the one week and one month measurements and between the one month and two month measurements, but significant differences were not observed between the one week and two month measurements. (p<0.05) The results of this study show significant decreases in VSC concentration in test subjects after periodontal treatment. It can be inferred from the results above, that periodontal disease is a significant contributing factor of halitosis, and that treatment of periodontal disease can been an effective means of reducing VSC concentration in patients presenting with halitosis concurrent with periodontal disease.

Usefulness of indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture associated with orbital blowout fracture

  • Kim, Tae Ho;Kang, Seok Joo;Jeon, Seong Pin;Yun, Ji Young;Sun, Hook
    • 대한두개안면성형외과학회지
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    • 제19권2호
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    • pp.102-107
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    • 2018
  • Background: Nasal fracture and orbital blowout fracture often occur concurrently in cases of midface blunt trauma. Generally, these multiple fractures treatment is surgery, and typically, the nasal bone and orbit are operated on separately. However, we have found that utilizing a transconjunctival approach in patients with concurrent nasal bone fracture and orbital blowout fracture is a useful method. Methods: The participants in the present study included 33 patients who visited the Plastic Surgery outpatient department between March 2014 and March 2017 and underwent surgery for nasal fracture and orbital blowout fracture. We assessed patients' and doctors' satisfaction with surgical outcomes after indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture with associated orbital blowout fracture. Results: According to the satisfaction scores, both patients and doctors were satisfied with transconjunctival approach. Conclusion: We presented here that our method enables simultaneous operation of nasal fracture accompanied by orbital blowout fracture, rather than treating the two fractures separately, and it allows precise reduction of the nasal fracture by direct visualization of the fracture site without any additional incisions or difficult surgical techniques. Also, by preventing the use of excessive force during reduction, this method can minimize damage to the nasal mucosa, thereby reducing the incidence of nasal bleeding.

발파 굴착에 의한 주방식 지하구조물의 굴착공기 분석 연구 (A preliminary study on the excavation sequence of a room-and-pillar underground structure by the drill-and-blast method)

  • 이철호;현영환;송준호;장수호
    • 한국터널지하공간학회 논문집
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    • 제17권6호
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    • pp.605-614
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    • 2015
  • 주방식 지하구조물은 여러 개의 암주의 룸으로 구성된 격자 형태의 구조물로 굴착순서에 따라 주방식 지하구조물의 시공성과 경제성이 좌우될 수 있다. 본 연구에서는 주방식 지하구조물의 굴착공정에서 중요하게 다뤄질 수 있는 발파굴착 공정을 장비 운영과 현행 발파 규정 및 건설공사 표준품셈에 근거하여 검토하였다. 굴착공법으로는 점보드릴을 이용한 발파공법을 가정하였으며, 기존연구에서 제시한 가로 세로 순차시공방식으로 검토하였다. 주방식 지하구조의 계획부지 크기에 따라 굴착공기와 장비운영 등을 고려하여 전체 굴착공정을 예상할 수 있었으며 막장운영 계획에 따라 운영가능한 장비수를 고려하여 전체 굴착공기를 예상할 수 있었다.

심한 상하악 치열궁 부조화 환자의 수술적 해결: 증례보고 (Surgical and Orthognathic Treatment of Skeletal Class III Featuring Severe Transversal and Sagittal Discrepancy: A Case Report)

  • 유경선;이백수;김여갑;권용대;최병준;오주영
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제35권2호
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    • pp.124-129
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    • 2013
  • Multiple segment osteotomy orthognathic surgery serves to combine the total or segmental maxillary and mandibular correction of the dentofacial deformities with concurrent procedures to provide immediate repositioning to the dento-osseous elements. In addition, splitting the palate may often be necessary to correct a functionally poor relationship of the maxilla to the mandible or the facial skeleton by realigning the maxillary arch. In this case, the discrepancy in a bimaxillary horizontal relationship and the space between the 2nd premolar and 2nd molar was retained after lengthy preoperative orthodontic treatment. However, we could correct these dento-osseous discrepancies immediately by performing midpalatal expansion, anterior segmental osteotomy and symphyseal osteotomy with bimaxillary osteotomies. If the blood supply to each segment segments was maintained and primary closure of the operation site was feasible, multiple segment osteotomy was considered as a very effective technique for treating dentofacial deformities in vertical, transverse, and sagittal dimensions with differential repositioning of all segments.

Efficiency Evaluation of Nozawa-Style Black Light Trap for Control of Anopheline Mosquitoes

  • Lee, Hee-Il;Seo, Bo-Youl;Shin, E-Hyun;Burkett, Douglas A.;Lee, Jong-Koo;Shin, Young-Hack
    • Parasites, Hosts and Diseases
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    • 제47권2호
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    • pp.159-165
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    • 2009
  • House-residual spraying and insecticide-treated bed nets have achieved some success in controlling anthropophilic and endophagic vectors. However, these methods have relatively low efficacy in Korea because Anopheles sinensis, the primary malaria vector, is highly zoophilic and exophilic. So, we focused our vector control efforts within livestock enclosures using ultraviolet black light traps as a mechanical control measure. We found that black light traps captured significantly more mosquitoes at 2 and 2.5 m above the ground (P<0.05). We also evaluated the effectiveness of trap spacing within the livestock enclosure. In general, traps spaced between 4 and 7m apart captured mosquitoes more efficiently than those spaced closer together (P>0.05). Based on these findings, we concluded that each black light trap in the livestock enclosures killed 7,586 female mosquitoes per trap per night during the peak mosquito season (July-August). In May-August 2003, additional concurrent field trials were conducted in Ganghwa county. We got 74.9% reduction (P<0.05) of An. sinensis in human dwellings and 61.5% reduction (P>0.05) in the livestock enclosures. The black light trap operation in the livestock enclosures proved to be an effective control method and should be incorporated into existing control strategies in developed countries.

반월상연골 화살을 이용한 반월상연골 봉합술 (Meniscal Repair with Meniscal Arrows)

  • 김정만;오인수
    • 대한정형외과스포츠의학회지
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    • 제1권2호
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    • pp.124-130
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    • 2002
  • 목적:반월상연골변연부파열을반월상연골화살로고정하였으며그치료결과를분석하였다 .대상및방법: 반월상연골변연부파열25예로서내측이18예, 외측이6예, 양측이1예였다. 전예후방1/2 부위의파열이었으며, 각각의예마다화살을1개내지6개를삽입하였다. 전방십자인대동반파열이 14예( 56.0$\%$ )였다. 추시기간은평균3.4년이었다. 결과는이학적검사와수술후1 $\~$ 5년사이에1 $\~$ 2회시행한자기공명영상소견으로판정하였다. 결과:전예에서반월상연골파열의치유를얻었으나, 2예에서화살삽입선을따라종파열이발생하였고, 2예에서화살의피하이동으로동통을호소하였으며제거후쾌유되었다. 결론:화살이파열의치유에는효과적이었다. 다만나란히가깝게화살을많이삽입하면삽입구선을따라종파열이발생할가능성이있으며, 화살의피하이동도주의를요한다.

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지표유속법 기반 제주 산지형 하천 Kalesto 유량 정확도 향상 기법 (Enhancement Technique of Discharge Measurement Accuracy Using Kalesto Based on Index Velocity Method in Mountain Stream, Jeju Island)

  • 김동수;양성기;김수정;이준호
    • 한국환경과학회지
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    • 제24권4호
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    • pp.371-381
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    • 2015
  • In the mountain streams in Jeju Island, strong turbulence and roughness usually made it nearly impossible to utilize most of intrusive instrumentation for streamflow discharge measurements. Instead, a non-intrusive fixed electro-magnetic wave surface velocimetry (fixed EWSV: Kalesto) became alternatively popular in many representative streams to measure stream discharge seamlessly. Currently, Kalesto has shown noteworthy performance with little loss in flood discharge measurements and also has successfully provided discharge for every minute. However, Kalesto has been operated to regard its measured one-point velocity as the representative mean velocity for the given cross-section. Therefore, it could be highly possible to potentially encompass discharge measurements errors. In this study, we analyzed the difference between such Kalesto discharge measurements and other alternative concurrent discharge measurements such as Acoustic Doppler Current Profiler (ADCP) and mobile EWSV which were able to measure velocity in multi-points in the cross-section. Consequently, Kalesto discharge deviated from ADCP discharge in amount of 48% for relatively low flow, and more than 20% difference for high flow compared with mobile EWSV discharge measurements. These results indicated that the one-point velocity measured by Kalesto should be used as a cross-sectional mean velocity, rather it should be accounted for as an index-velocity in conjunction with directly measured cross-sectional mean velocity by using more reliable instrumentations. After inducing Kalesto Discharge Correction Coefficient (KDCC) that actually means relationship between index velocity and cross-sectional mean velocity, the corrected discharge from Kalesto was significantly improved. Therefore, we found that index velocity method should be applied to obtain better accuracy of discharge measurement in case of Kalesto operation.

The Digital Mock-Up Information System for New Car Development

  • Min, Sung-Ki;Lee, Chul-Woo
    • 한국전자거래학회:학술대회논문집
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    • 한국전자거래학회 1999년도 학술대회지 vol.1
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    • pp.277-299
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    • 1999
  • Since Chrysler Motor Co. had experienced the digital development system in the beginning of 1990's, most of leading automobile companies are trying to apply a digital information system for their own business process reengineering based upon concurrent engineering system from product planning phase. This is called as virtual DMU(Digital Mock-Up) system instead of the traditional PMU(Physical Mock-Up) system. By using the virtual prototype, all of the design requirements and system specifications can be checked, changed and optimized more quickly and more efficiently. This paper consists of five chapters for the DMU information system. In the 1$^{st}$ chapter, the principle of digital design system is suggested by using four basic modules such as product design module, process design module, manufacturing system design module and central control module. The basic scheme of DMU is introduced with the benefits of application in the chapter 2. In the chapter 3, a digital design process of new car development is explained with the detailed DMU design and design review processes. In the chapter 4, the practical DMU manufacturing techniques and applications are introduced as CAD/CAM analyses, DPA(Digital Pre-Assembly)reviews for development, production, operation and maintenance phases, digital tolerance analyses and digital factory analyses for assembling line simulation, automated robot welding processes, production jig & fixtures and painting process simulation. Finally, the activities of digital design support; CAS-styling, CAE-engineering and CAT-testing are summarized for design optimization in the chapter 5. As today's automobile manufactures and related business organizations are struggling to compete in the global marketplace, they are concentrating on efficient use of DMU information system to reduce the new car development cost, to have shorten the delivery schedule and to improve product design quality. To meet the demand of those automobile industries on digital information systems, the CALS(Computer aided Acquisition and Logistics Support) and EC(Electronic Commerce)initiative has been focused as a dominant philosophy in defense & commercial industries, specially automobile industries.s.

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