• 제목/요약/키워드: Formal operation

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Transaxillary Capsulorrhaphy with Reimplantation to Correct Bottoming-Out Deformity in Breast Mycobacterial Periprosthetic Infection: A Case Report with Literature Review

  • Tsung-Chun Huang;Jian-Jr Lee;Kuo-Hui Yang;Chia-Huei Chou;Yu-Chen Chang
    • Archives of Plastic Surgery
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    • 제50권6호
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    • pp.557-562
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    • 2023
  • Augmentation mammoplasty is one of the most popular cosmetic surgeries, but there is a high reoperation rate (29.7%) commonly due to capsular contracture, implant malpositioning, infection, and unsatisfactory size. Although infection only accounts for 2% of cases, its management is very challenging, especially with nontuberculous mycobacteria (NTM) infection. Breast prosthetic NTM infection is a rare but is a disastrous condition with an incidence of approximately 0.013%. Immediate salvage reimplantation is usually not suggested, and most studies recommend a gap of 3 to 6 months after combination antibiotics therapy before reimplantation. However, delayed reimplantation often leads to great psychological stress and struggle between the doctor and patient. We present the case report of successful reimplantation in treating prosthetic NTM infections in a 28-year-old female. We discuss a novel technique "transaxillary capsulorrhaphy" to correct the bottoming-out deformity. One year after the combination of antibiotics and surgery, the follow-up computed tomography scan showed complete remission of NTM without recurrence. We discuss the surgical technique in detail. The 1-year follow-up assessment (photos and dynamic video) revealed good cosmesis and reliable correction using the new technique. This report is the first formal description and discussion of one-stage reimplantation following NTM infections. Transaxillary capsulorrhaphy allows for a successful salvage operation when an implant is displaced. This approach provides highly favorable result in eastern women undergoing revision augmentation mammoplasty. This study reflects level of evidence V, considering opinions of respected authorities based on clinical experience, descriptive studies, or reports of expert committees.

Non Duplicated Extract Method of Heterogeneous Data Sources for Efficient Spatial Data Load in Spatial Data Warehouse (공간 데이터웨어하우스에서 효율적인 공간 데이터 적재를 위한 이기종 데이터 소스의 비중복 추출기법)

  • Lee, Dong-Wook;Baek, Sung-Ha;Kim, Gyoung-Bae;Bae, Hae-Young
    • Journal of Korea Spatial Information System Society
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    • 제11권2호
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    • pp.143-150
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    • 2009
  • Spatial data warehouses are a system managing manufactured data through ETL step with extracted spatial data from spatial DBMS or various data sources. In load period, duplicated spatial data in the same subject are not useful in extracted spatial data dislike aspatial data and waste the storage space by the feature of spatial data. Also, in case of extracting source data on heterogeneous system, as those have different spatial type and schema, the spatial extract method is required for them. Processing a step matching address about extracted spatial data using a standard Geocoding DB, the exiting methods load formal data set. However, the methods cause the comparison operation of extracted data with Geocoding DB, and according to integrate spatial data by subject it has problems which do not consider duplicated data among heterogeneous spatial DBMS. This paper proposes efficient extracting method to integrate update query extracted from heterogeneous source systems in data warehouse constructer. The method eliminates unnecessary extracting operation cost to choose related update queries like insertion or deletion on queries generated from loading to current point. Also, we eliminate and integrate extracted spatial data using update query in source spatial DBMS. The proposed method can reduce wasting storage space caused by duplicate storage and support rapidly analyzing spatial data by loading integrated data per loading point.

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A STUDY ABOUT THE CHILDREN'S COMCEPTION OF MOVEMENT AND SPEED (아동의 운동과 속력개념형성에 관한 연구)

  • Kim, Yun-Sig;Yun, Hee-Gon;Yun, Hyoung-Deok;Yun, Kyeong-Hi;Kim, Dong-Yeon;Hong, Myoung-Jin
    • Journal of The Korean Association For Science Education
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    • 제2권1호
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    • pp.31-51
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    • 1980
  • In order to research into the devel of the concept of movement and speed in our own way and compare with the Piaget's method, and then find out the formative period of such development, we have put the 192 primary school children as the model and obtained the following results. 1. As their grade upyards, all the experimental subjects showed the gradual progress generally regardless of sex or regions, while only the relative speed showed irregular progress. 2. There was no experimental subject which showed any remarkable sexual characteristics. But in the relative movement, the lower grade boys and higher grade girls made progress. In the subjects of circulation movement, intuition of speed, relative speed and speed of simultaneous movement, the boys marked better progress, whilst the girls were advanced a little in the speed of continuous movement with, different distance and time. 3. There was no conspicuous difference between the urban and rural areas, except a slight tendency that the urban children made better progress in the change of progressing direction, native continuous procedure of periodical movement, travelling road, and the speed of continuous movement with different distance and time whereas the rural children were more advanced in the relative movement, relative speed and intuition of speed. But it should be 'taken into consideration that the rural regions in our case were relatively developed in comparison with the traditional rural communities, which may explain about little regional difference. 4. Comparing our research results with the Piaget's theory, we have reached below results. Our research reports that the formative period of the conception of the problems of diverse progressing direction and a native continuous procedure of periodical movement was simultaneous, at the Piagetian level(at the fourth grade) which coincides with Piagetian theory. The travelling road should be made up a little lower at 2A/2B according' to Piagetian Level, whereas it was formed at the 4th grade as shown in our previous research. Intuition of speed should belong to the prior stage to concrete operation, but our research shows it was formed late at the 4th grade. Composition of displacement was made at the 6th grade, and it was almost equal to the first stage of formal operation(3A). But in the subjects of relative movement relative speed, the speed of continuous movement with different distance and time, relation and preservation of invariable speed, and accelerated motion, even 6th grade children marked a poor record. Summed up, the procedure conception as a basic movement conception coincides with the Piagetion level. But as for speed intuition, relative speed and speed fixation, it was Jar behind Piagetian level. Therefore it is required that we have to concentrate on the systematic training in these parts on the spot.

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A Study on the Relations between Gi-gong and Taekwondo (태권도(跆拳道)에 대한 기공학적(氣功學的) 접근(接近))

  • Lee, Myeong-Chan;Sa, Hie-Su
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • 제14권1호
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    • pp.55-61
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    • 2008
  • The Taekwondo is the martial arts where possibility thousand Ul of history and the ancestor is put in with specific martial arts of our nation. Also it practiced with the self defense martial arts which rules over the body and a mind and it came, the country from crisis of imminent danger won a victory with the good state affair alcoholic beverage and it was come. The ancestors condition anger the Taekwondo where the soul is put in were born again with martial arts of the world and they became and the world-wide conference was adopted with the Olympic formal item which becomes the historian of of course sports and became the martial arts in the world-wide center. In like this features martial arts even from each country condition anger and the sports raises the phase of the country is racing with of course martial arts. Specially from China it makes the right shoe which is a Chinese martial arts with condition item and sports anger the features of the martial arts origination to do and there is a possibility of seeing the features which in the succession nose sleeping martial arts perforation defends it concentrates. The martial arts perforation character is letting in religion and philosophy thought of the Orient. Confucianism and Buddhism, it puts in the teaching of friendship thoughts and heaven and earth positive and negative principles, five lines and eight divination signs. Features of like this perforation our ancestors the positive and negative principles where the philosophy of the Orient is put in, there is a possibility of searching from life and the Taekwondo which it does with at five events together. With history of the ancestor it breathes together and all Taekwondo operation every one by one it puts in the thought of our ancestors as well. The some branch it tried to listen to the representative example which the feather holds hereupon in basic operation, the Taoist garment, the belt and width tax of Taekwondo. The flesh which is healthy in the spirit which is healthy holds the feather. Taekwondo Oh! as the true feelings one martial art which accomplishes the artificial flower of the dynamic thing and the static thing at end with the perforation essentially it is deep it will be able to confirm repeatedly fire tube characteristic.

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An Analysis on the Elementary Students' Problem Solving about Equal Sharing Problem and Fraction Order (균등 분배 문제와 분수의 크기 비교에 대한 초등학생들의 문제해결 분석)

  • Lee, Daehyun
    • Journal of the Korean School Mathematics Society
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    • 제21권4호
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    • pp.303-326
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    • 2018
  • Fraction has difficulties in learning because of the diversity of meanings, the ways of presenting contents and teaching methods in elementary school mathematics. Therefore, the various strategies of teaching of fraction concept is proposed as an alternative. The problem of equal sharing problem is that children can experience the concept of fractions naturally in the context of everyday distribution. Even before learning formal fractions, children can solve them in various ways based on their own experiences. The purpose of this study is to investigate the degree of problem solving and problem solving strategies for children in 2nd, 4th, and 6th grades in elementary school. As a result of the research, the percentage of correct answers increased as the grade increased, but the grade levels showed a difference depending on the numbers given to the problems. Also, there were differences in the problem solving strategies according to the grade levels. Also, according to the numbers presented in the problem, the percentage of correct answers was high in items that were easy to divide, and the percentage of correct answers was low in items that were difficult to divide. When children solved the problems, they were affected by the strategies they could use immediately according to the number presented in the problem, and their learning experiences were also affected.

A Study on the Introduction of Performance Certification System of Inspection and Diagnostic Equipment for Infrastructure (시설물 진단장비의 성능인증제 도입에 관한 연구)

  • Hong, Sung-Ho;Kim, Jung-Gon;Cho, Jae-Young;Kim, Do-Hyoung;Kim, Jung-Yeol;Kim, Young-Min
    • Journal of the Society of Disaster Information
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    • 제18권1호
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    • pp.104-115
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    • 2022
  • Purpose: Infrastructure inspection and its diagnostics technique have been rapidly developing recently. Therefore, it is important to secure the reliability of diagnostic equipment, and this paper deals with inspection of diagnostic equipment, introduction to a certification system and development plans for infrastructure. Method: Several certification systems are established and introduction plans are reviewed through experts by synthesizing the contents of certification research for existing infrastructure diagnosis equipment. In addition, the revision of the law for introduction of the system is reviewed, detailed operation regulations are prepared and phased development plans are reviewed, which are based on the operation scenario. Result: Inspection and certification plans were constructed through four routes in order to consider infrastructure inspection and diagnostic equipment in use, and new diagnostic equipment using state-of-the-art technology. Furthermore, market confusion depending on the introduction of a new certification system is minimized and reliability is secured by transforming a simple inspection system in the short term into a formal certification system in the long term. The law amendments according to the introduction of the system were reviewed and detailed operation regulations were developed. Also, phased development plans, which are based on the long-term development scenario including manpower, infrastructure and specifications, were presented. Conclusion: It is important to secure reliability through the distribution and certification of diagnostic equipment using 4th industrial technology to strengthen the safety management of infrastructure at the national level since the infrastructure is various in type and increasingly large in size. It is also essential to train human resources who can use new technology with inspection and diagnosis system in order to enhance the safety management of all infrastructures. Moreover, it is necessary to introduce a regular inspection system for infrastructure that combines loT technology in the long-term point of view and to promote the introduction by giving active incentives to institutions that actively accept it.

A Study on Present Status of Preferences in the Choice of Patterns in Clothing (의복문양(衣服紋樣)의 기호도에 관한 실태(實態) 연구(硏究) - 한복(韓服)을 중심(中心)으로 -)

  • Kim, Eun-Ju
    • Journal of the Korean Society of Costume
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    • 제6권
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    • pp.65-87
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    • 1982
  • 1. Purpose: The purpose is to apply and adapt ancient textile pattern to practical life, and to contribute to the promotion of the creative development of modernization and Koreanization of textile pattern by the survey of the extent of taste for the textile pattern existent in Korean costume among costumes. 2. Hypothesis: Textile pattern is in most classical one expressed in fact, but nowadays abstract or geometric one is more exist. Consumers are in most part in forties, and so the taste cannot be ignored. Therefore aesthetic consciousness found Korean costume is more important rather than excessively bold or mordern one. 3. Method and Process: (1) This research is analysed 386 one through college student and parents of a primary or high school. (2) Taste of the pattern is comparisoned and analyzed as age. education, pocket money of the student or an income of a month in home through computer. And the analysis of the statistics research is operation through the Chi-Square Goodness of-Fit-Test. 4. Conclusion: (1) The Korean costume put on mostly party or formal dress, therefore it should be researched as an outdoor dress with traditional costume. (2) The most one is concerned in textile pattern, it's taste is different from color, constitution. Textile industry is developed not only weave pattern, gold-coverning pattern but embroidry pattern, dye pattern, therefore the various side of pattern design should be researched. (3) In Side of form, plant pattern is not only most various but highest in popularity. According to approach nowadays, all of the pattern becomes composition or geometric one with abstract tendency and so from these day pattern is necessary combinationed, researched with our people emotion. (4) The color of textile pattern is choiced individual taste. Through investige, research in various side of the modern taste and our costume, we take growing interest in the color, composition of textile, and should dressed with beauty and grace. (5) In side of size, textile pattern is choiced to individual face and body shape through research on form, color, size of these pattern, we should endeavor to dress well. (6) In side of application, most people is concerned in not only interior ornament but the costume is high. Costume research by some people of the outside and symbol with interior through the pattern analysis is not only very important but also is due to people culture.

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A Design of Framework for Thin-Client by using X Protocol based Application (X 프로토콜 기반의 애플리케이션을 통한 씬-클라이언트 프레임워크 설계)

  • Song, Min-Gyu
    • Journal of Digital Contents Society
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    • 제10권4호
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    • pp.509-520
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    • 2009
  • The advancement of network & application technology causes a major change for the use of IT(Information Technology) equipment, including computer and mobile system. In the process from beginning with main frame in the 1960s and 70's, through the server-client paradigm in the 1980s and toward the development of network computer since 90's, computer systems are now evolutioning from isolated physical system to complementary network based virtual system[1][2]. In network based computer system, application and data required for operation are stored at not client as local system, but at server[1]. User can use application & data on a server as if those are on a local client, and a client is now toward a developing thin and network friendly system. In this paper, we discuss possible ways for the efficient implementation of thin-client. For the use of remote application & data as if in local environment, we make use of X protocol. Unlike formal simple Client - Server paradigm, we design a Proxy for middle-tier server for the improvement of QoS and session persistence. X server, Xvfb(X virtual frame buffer) are implemented on thin client and Server, respectively and we applied XSMP(X Session Management Protocol) to our framework for session management. In the end, beyond simple transfer of server display, we suggest thin client framework for the transfter of remote server application over internet.

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An Analysis of the Status of OER(Open Educational Resources) Usage in Asia (아시아지역의 공개교육자원 활용현황 분석)

  • Lee, Eunjung;Kim, Yong
    • Journal of Internet Computing and Services
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    • 제13권6호
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    • pp.41-53
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    • 2012
  • Open educational resources(OER) enable the spread of mutual information exchange and provide advantages to both their users and institutions, such as reducing costs, improving content quality, and establishing relationships. The recent research on OER was about their connection to formal education, copyright trends, and corporate e-learning. There have been very few studies, however, on the utilization of OER and on the problems related to their practical use. Thus, this study was conducted for the purposes of analyzing the status of OER usage in education-related institutions and of providing suggestions for institution operation based on the analysis results, to promote the use of OER. A survey was conducted among more than 200 institutions in Asia, and the survey results showed that 'images and visual materials' are the most commonly used materials in Asia, and that the factors barring OER usage in the said region are 'lack of awareness', 'lack of skills', 'the absence of a reward system', and poor cooperation in participation. To promote OER usage, each institution should provide training courses about awareness, utilization skills, and copyrights. There is also a need to provide support for the establishment of reward systems and environments for OER usage. Finally, more active participation is required for inter-agency cooperation in OER sharing.

Analysis of the Ability to Infer the Effects of Variables and Variable-Controlling Strategy in Middle School Students who experienced 'Thinking Science' Activities ('생각하는 과학' 활동을 경험한 중학생들의 변인 통제 전략과 변인의 효과를 추론하는 능력에 대한 분석)

  • Lee, Sang-Kwon;Paek, Myeong-Hwa;Ree, Jong-Baik;Choi, Byung-Soon;Park, Jong-Yoon
    • Journal of The Korean Association For Science Education
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    • 제31권4호
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    • pp.587-599
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    • 2011
  • The purpose of this study was to analyze variable-controlling strategy (below vcs) and the ability to infer the effect of variables in Middle school students who experienced 'Thinking Science' activities in a CASE program. For this study, 71 9th grade students experienced in CASE program for 2 years were selected as the experimental group and 72 students were selected as the control group. All students were tested with Science Reasoning TaskVII. The five types of variable-controlling strategy were extracted from students' response. According to the result of this study, the students experienced in CASE program was more successful in the variable-controlling strategy of length, quality, and shape than the control group. The types of reasoning ability of the variable effect intuitively were categorized as possibility of reasoning, impossibility of reasoning, and impossibility of reversible thinking. It has shown that the reasoning ability of the experimental group was higher than that of the control group in the length and thickness variable effect. The results of this study implied that the variable controlling activities in CASE program could be effective for learning variable controlling, and eventually, for the development of reasoning ability of the variable controlling effect. In the ability to infer the effects of variables to get difficult Intuitively, both groups were similar to the rate of cognitive level reached to the formal operation in generalization, and the student of experimental group was 1.5 times faster than the control group.