• Title/Summary/Keyword: David operation

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Changes of Clinical Practice in Gastrointestinal Perforation with the Increasing Use of Computed Tomography

  • Park, Ji-Min;Yoon, Young-Hoon;Horeczko, Timothy;Kaji, Amy Hideko;Lewis, Roger J
    • Journal of Trauma and Injury
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    • v.30 no.2
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    • pp.25-32
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    • 2017
  • Purpose: The use of computed tomography (CT) to evaluate acute abdominal complaints has increased over the past two decades. We investigated how the clinical practice of patients with intestinal perforation has changed with the increasing use of abdominal CT in the emergency department (ED). Methods: We compared ED arrival to CT time, ED arrival to surgical consultation time, and ED arrival to operation time according to the method of diagnosis from 2003-2004 and 2013-2014. Results: In patients with gastrointestinal perforation, time from ED arrival to CT was shorter ($111.4{\pm}66.2min$ vs. $199.0{\pm}97.5min$, p=0.001) but time to surgical consultation was longer ($135.1{\pm}78.8$ vs. $77.9{\pm}123.7$, p=0.006) in 2013-2014 than in 2003-2004. There was no statistically significant difference in time to operation for perforation confirmed either by plain film or CT between the two time periods. There was no statistically significant difference in length of hospital or ICU stay or mortality between the two groups. Conclusion: With the increasing use of abdominal CT in ED, ED arrival to CT time has decreased and ED arrival to surgical consultation time has increased in gastrointestinal perforation. These changes of clinical performance do not delay ED arrival to operation time or adversely influence patient outcome.

Valve-Sparing Neo-Aortic Root Replacement for Neo-Aortic Root Dilatation 20 Years after Arterial Switch Operation for Transposition of the Great Arteries: A Case Report

  • Sangjun Lee;Chan Hyeong Kim;Jae Hong Lee;Jae Gun Kwak
    • Journal of Chest Surgery
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    • v.56 no.6
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    • pp.445-448
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    • 2023
  • A 25-year-old man returned to Seoul National University Children's Hospital with mild dyspnea on exertion. He had undergone an arterial switch operation at 1 month after birth to correct a complete transposition of the great arteries and a ventricular septal defect. When the patient was 15 years old, dilatation of the neo-aortic sinus and annulus was first identified; since then, it had gradually increased. Given the young age of the patient and the degree of aortic regurgitation (AR), which was mild to moderate, we opted to perform a valve-sparing neo-aortic root replacement with aortic valve repair. Postoperative echocardiography showed successful reductions in the sizes of the aortic sinus and annulus, with only mild AR remaining.

Practical Implementation and Stability Analysis of ALOHA-Q for Wireless Sensor Networks

  • Kosunalp, Selahattin;Mitchell, Paul Daniel;Grace, David;Clarke, Tim
    • ETRI Journal
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    • v.38 no.5
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    • pp.911-921
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    • 2016
  • This paper presents the description, practical implementation, and stability analysis of a recently proposed, energy-efficient, medium access control protocol for wireless sensor networks, ALOHA-Q, which employs a reinforcement-learning framework as an intelligent transmission strategy. The channel performance is evaluated through a simulation and experiments conducted using a real-world test-bed. The stability of the system against possible changes in the environment and changing channel conditions is studied with a discussion on the resilience level of the system. A Markov model is derived to represent the system behavior and estimate the time in which the system loses its operation. A novel scheme is also proposed to protect the lifetime of the system when the environment and channel conditions do not sufficiently maintain the system operation.

ON THE DEVELOPMENT OF A DISTILLATION PROCESS FOR THE ELECTROMETALLURGICAL TREATMENT OF IRRADIATED SPENT NUCLEAR FUEL

  • Westphal, Brian R.;Marsden, Kenneth C.;Price, John C.;Laug, David V.
    • Nuclear Engineering and Technology
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    • v.40 no.3
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    • pp.163-174
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    • 2008
  • As part of the spent fuel treatment program at the Idaho National Laboratory, a vacuum distillation process is being employed for the recovery of actinide products following an electrorefining process. Separation of the actinide products from a molten salt electrolyte and cadmium is achieved by a batch operation called cathode processing. A cathode processor has been designed and developed to efficiently remove the process chemicals and consolidate the actinide products for further processing. This paper describes the fundamentals of cathode processing, the evolution of the equipment design, the operation and efficiency of the equipment, and recent developments at the cathode processor. In addition, challenges encountered during the processing of irradiated spent nuclear fuel in the cathode processor will be discussed.

A Wire-overhead-free Reset Propagation Scheme for Millimeter-scale Sensor Systems

  • Lee, Inhee;Bang, Suyoung;Kim, Yejoong;Kim, Gyouho;Sylvester, Dennis;Blaauw, David;Lee, Yoonmyung
    • JSTS:Journal of Semiconductor Technology and Science
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    • v.17 no.4
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    • pp.524-533
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    • 2017
  • This paper presents a novel reset scheme for mm-scale sensing systems with stringent volume and area constraints. In such systems, multi-layer structure is required to maximize the silicon area per volume and minimize the system size. The multi-layer structure requires wirebonding connections for power delivery and communication among layers, but the area overhead for wirebonding pads can be significant. The proposed reset scheme exploits already existing power wires and thus does not require additional wires for system-wide reset operation. To implement the proposed reset scheme, a power management unit is designed to impose reset condition, and a reset detector is designed to interpret the reset condition indicated by the power wires. The reset detector uses a coupling capacitor for the initial power-up and a feedback path to hold the developed supply voltage. The prototype reset detector is fabricated in a $180-{\mu}m$ CMOS process, and the measurement results with the prototype mm-scale system confirmed robust reset operation over a wide range of temperatures and voltages.

A Basic Study on the Development of Network Security Equipment to Support MASS Operation in Digital Maritime-Communication System Environment (디지털 해상통신시스템 환경에서 자율운항선박 운용 지원을 위한 네트워크 보안장비 개발 기초연구)

  • Yunja Yoo;Sang-Won Park;Jin-Hyuk Jung;David Kwak
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2021.11a
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    • pp.72-73
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    • 2021
  • As discussions of the International Maritime Organization for the introduction of the Marine Autonomous Surface Ship (MASS) began in earnest, discussions were conducted to prioritize cybersecurity (Cyber Risk Management) when developing a system to support MASS operation at the 27th ENAV Committee Working Group (WG2). Korea launched a technology development project for autonomous ships in 2020, and has been promoting detailed tasks for cybersecurity technology development since 2021. MASS operation in a digital maritime communication system environment requires network security of various digital equipment that was not considered in the existing maritime communication environment. This study introduces the basic concept of network security equipment to support MASS operation in the detailed task of cybersecurity technology development, and defines the network security equipment interface for MASS ship application in the basic stage.

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Mine Operation Management System for a Large Opencast Mine

  • Kumar, L. Ajay;Renaldy, T. Amrith;Raj, D. Edwin David;Vinoth, S.
    • Proceedings of the Korean Society for Rock Mechanics Conference
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    • 2008.10a
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    • pp.101-114
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    • 2008
  • An efficient mine management system demand constant attention of mine managers on the key performance indicators like production targets, equipment status, condition of haul roads, safety etc.. There is a wealth of information generated during day to day working of the mine. The success of a mining enterprise is a function of reliability of accumulated information and decision making on the basis of such information. In the present paper a computerized mine operations management system developed for a large opencast mine making use of the potential benefits of geographical information systems, real time kinematic global positioning systems and a communication network to improve the overall efficiency of the mine is presented.

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Maneuvering Experiments in Ice on a Single Screw Tanker (빙 해역에서 유조선의 조종 모형시험에 대한 연구)

  • Kim, Hyun-Soo;Molyneux, David
    • Journal of the Society of Naval Architects of Korea
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    • v.45 no.5
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    • pp.495-501
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    • 2008
  • Samsung Heavy Industries (SHI) and NRC's Institute for Ocean Technology (IOT) collaborated on a project to predict the performance of a new design for a Suezmax size tanker that had acceptable open water performance but was also capable of operating in ice. The resulting hull form was a single screw, single rudder design with a bulbous bow, modified for operation in ice. An important design consideration is the ability of the ship to maneuver in different ice conditions. This paper presents the results of maneuvering experiments in pack ice and level ice, using a free running model.

6.6 kW On-Vehicle Charger with a Hybrid Si IGBTs and SiC SBDs Based Booster Power Module

  • Han, Timothy Junghee;Preston, Jared;Ouwerkerk, David
    • Journal of Power Electronics
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    • v.13 no.4
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    • pp.584-591
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    • 2013
  • In this paper, a hybrid booster power module with Si IGBT and Silicon Carbide (SiC) Schottky Barrier Diode (SBDs) is presented. The switching characteristics of the hybrid booster module are compared with commercial Silicon IGBT/Si PIN diode based modules. We applied the booster power module into a non-isolated on board vehicle charger with a simple buck-booster topology. The performances of the on-vehicle charger are analyzed and measured with different power modules. The test data is measured in the same system, at the same points of operation, using the conventional Si and hybrid Si/SiC power modules. The measured power conversion efficiency of the proposed on-vehicle charger is 96.4 % with the SiC SBD based hybrid booster module. The conversion efficiency gain of 1.4 % is realizable by replacing the Si-based booster module with the Si IGBT/SiC SBD hybrid boost module in the 6.6 kW on-vehicle chargers.