• Archives of Plastic Surgery
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• 제48권5호
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• pp.543-546
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• 2021

Despite the extensive use of lithotomy position in several plastic surgery procedures, most reports regarding the related incidence of complications are presented in the urologic, gynecologic, and anesthesiologic fields. We present the case of a 54-year-old male patient. polytrauma patient who underwent internal iliac artery embolization leading to extensive gluteal necrosis requiring: debridement, abdominoperineal resection and composite anterolateral thigh flap reconstruction with prolonged lithotomy position. The patient presented lower limb ischemia briefly after surgical theater. A computed tomography scan revealed the obstruction of the left superficial femoral artery requiring emergency revascularization. Arterial thrombosis is a potentially devastating complication and plastic surgeons should be aware of the possible dangers when performing surgeries in prolonged lithotomy position. Preoperative detection of patients at high risks for developing complications should be performed in order to implement preventive measures and avoid potentially life-threatening sequelae.

• Archives of Plastic Surgery
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• 제48권4호
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• pp.457-461
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• 2021

Background Pedicled perforator flaps can present postoperative complications similar to those encountered in free flap surgery. Beyond a clinical evaluation, there is still no reliable technical aid for the early prediction of vascular issues. The aim of this study was to assess the support of near-infrared spectroscopy technology as an intraoperative tool to anticipate postsurgical flap ischemia. Methods We prospectively enrolled 13 consecutive patients who were referred to our hospital from March 2017 to July 2018 and required a reconstructive procedure with a pedicled fasciocutaneous perforator flap. We measured flap peripheral capillary oxygen saturation (SpO₂) in each patient with a Somanetics INVOS 5100C Cerebral/Somatic Oximeter (Medtronic), both before and after transposition. Patient demographics, operative data, and complications were then recorded during the following 6 months. We analyzed the data using the Wilcoxon signed-rank test and linear regression. Results The mean flap SpO₂ before and after transposition was 92%±3% and 78%±19%, respectively. The mean change in SpO₂ was 14%±17%, with a range of 0% to 55%. The change in saturation and mean saturation ratio were significantly different between patients with and without postoperative flap necrosis. Conclusions An immediate quantitative analysis of flap peripheral capillary SpO₂ after transposition has never before been described. In our experience, an intraoperative drop in SpO₂ equal to or greater than 15%-20% predicted vascular complications in pedicled perforator flaps. Conversely, flap size and rotation angle were not correlated with the risk of flap necrosis.

• Asian Pacific Journal of Cancer Prevention
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• 제16권16호
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• pp.6923-6928
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• 2015

Background: Early detection of various kinds of cancers nowadays is needed including colorectal cancer due to the highly significant effects in improving cancer treatment. The aim of this study was to evaluate the potential value of adiponectin, visfatin and resistin as early biomarkers for colorectal cancer patients. Materials and Methods: Serum levels of adiponectin, visfatin and resistin were measured by a sandwich-enzyme-linked (ELISA) assay technique in 114 serum samples comprising 34 patients with colorectal cancer (CRC), 27 with colonic polyps (CP), 24 with inflammatory bowel disease (IBD) and 29 healthy controls. The diagnostic accuracy of each serum marker was evaluated using receiver-operating characteristic (ROC) curve analysis. Results: The mean concentration of adiponectin was significantly higher in CRC and CP groups than IBD and control groups (P-value <0.05). Also the mean concentration of serum resistin was significantly elevated in the IBD and control groups compared to CRC and CP groups (P-value = 0.014). However, no significant difference was noted in patients of the CRC and CP groups. On the other hand, the mean concentration of visfatin was significantly elevated in CRC and control groups compared to CP and IBD groups (P-value = 0.03). ROC analysis curves for the studied markers revealed that between CRC and IBD groups serum level of adiponectin had a sensitivity of 76.7% and a specificity of 76% at a cut off value of 3940, +LR being 3.2 and -LR 0.31 with AUC 0.852, while serum level of adiponectin between CP and IBD had a sensitivity of 77.8% and a specificity of 75% at a cut off value of 3300, with +LR=3.11 and -LR = 0.3 with AUC 0.852. On the other hand the serum level of visfatin between CRC and CP groups had a sensitivity of 65.5% and a specificity of 66.7 at a cut off value of 2.4, +LR being 1.67 and -LR 0.52 with AUC 0.698. Also the serum level of resistin had a sensitivity of 62.5% and a specificity of 70.3% at a cut off value of 24500, with +LR=2.1 and -LR = 0.53 with AUC 0.685 between control and other groups. On the other hand by comparing control vs CP groups resistin had a sensitivity of 81.8% and a specificity of 70.8% at a cut off value of 17700, with +LR=2.8 and -LR = 0.26 with AUC 0.763 while visfatin had a sensitivity of 68.2% and a specificity of 70.8% at a cut off value of 2.7, with +LR=2.34 and -LR = 0.0.45 with AUC 0.812. Conclusions: These findings support potential roles of adiponectin, visfatin and resistin in early detection of CRC and discrimination of different groups of CRC, CP or IBD patients from normal healthy individuals.

• 전력전자학회:학술대회논문집
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• 전력전자학회 2001년도 Proceedings ICPE 01 2001 International Conference on Power Electronics
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• pp.475-479
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• 2001

Compensation characteristics or active filters based on voltage detection are investigated. These active filters act equivalently as a passive circuit so that they may not cause practical problems such as stimulation of resonance in the distribution lines. Thus, these active filters can be used as the general-purpose active filters. On the other hand, these active filters may have a possibility of the anti-resonance associated with the line inductance of the distribution lines. In this paper, the relationship between the anti-resonance and the control parameters of the proposed active filters is clarified. Some methods to avoid the problems due to the anti-resonance are investigated. Experimental results are included to confirm the validity of the investigation presented in this paper.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2006년도 추계학술대회논문집
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• pp.392-395
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• 2006

In this paper, Maharanobis distance was used to distinguish defective motors from good motors. Maharanobis distance was calculated from the noise data of good motors and the test motor that were measured in 1/3 octave hand from 25 Hz to 20 kHz frequency range. The suggested method was applied to the detection of defective air-conditioner motors.

• 한국대기환경학회지
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• 제21권2호
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• pp.269-274
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• 2005

In this work, analytical bias arising from the gas chromatographic determination of sulfur compounds was evaluated by the application of direct loop injection method to the GC/PFPD detection of four sulfur compounds including H$_{2}$S, CH$_{3}$SH, DMS, and DMDS. For the proper evaluation of analytical uncertainties involved in GC calibration, we employed two comparative techniques of calibration at fxed concentration injection (CFCI) vs calibration at fixed volume injection (CFVI) method. The results of our study indicate that CFCI method exhibits very poor sensitivity due to the matrix effect with varying injection volumes. On the other hand, as CFVI method overcomes such limitation, it can be used to obtain very accurate quantification of S compounds at their high concentration levels above a few to a few tens ppb.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2009년도 제40회 하계학술대회
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• pp.1978_1979
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• 2009

Heart rate may be a very important parameter in human health. To extract heart rate, the electrocardiogram(ECG) is commonly used. But the ECG acquisition procedure is somewhat complex. On the other hand, the acquisition of pulse wave or photoplethysmogram(PPG) is very easy. However, the peak of PPG is not so sharp as ECG. This study tries to enhance the performance of period detection in PPG signal. The method uses the average slopes around the main peak. The crossing point of the increasing and the decreasing slopes is selected as the peak point of heart rate period. The proposed method showed smoothed heart rate graph and reduced irregularity in heart rate values.

• Smart Structures and Systems
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• 제11권2호
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• pp.185-197
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• 2013

We developed a simultaneous strain measurement and damage detection technique using a pair of surface-mounted piezoelectric transducers and a fiber connecting them. This is a novel sensor configuration of the fiber acoustic wave (FAW) piezoelectric transducer. In this study, lead-zirconate-titanate (PZT) transducers are installed conventionally on a plate's surface, which is a technique used in many structural health monitoring studies. However, our PZTs are also connected with an optical fiber. A FAW and Lamb wave are simultaneously guided in the optical fiber and the structure, respectively. The dependency of the time-of-flight of the FAW on the applied strain is quantified for strain sensing. In our experimental results, the FAW exhibited excellent linear behavior and no hysteresis with respect to the change in strain. On the other hand, the well-known damage detection function of the surface-mounted PZT transducers was still available by monitoring the waveform change in the conventional Lamb wave ultrasonic path.

• Journal of international Conference on Electrical Machines and Systems
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• 제3권3호
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• pp.325-330
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• 2014

Eddy current induction is used in a wide range of electronic devices, for example in detection sensors. Due to the advances in computer hardware and software, the need for 3D computation and system comprehension is a requirement to develop and optimize such devices nowadays. Pure theoretical models are mostly limited to special cases. On the other hand, the classical use of commercial Finite Element (FE) electromagnetic 3D models is not computationally efficient and lacks modeling flexibility or robustness. The proposed approach focuses on: (1) implementing theoretical formulations in 3D (FE) model of a detection device as well as (2) an automatic Volumetric Estimation Method (VEM) developed to selectively model the target finite elements. Due to these two approaches, this model is suitable for parametric studies and optimization of the number, location, shape, and size of PCB receivers in order to get the desired target discrimination information preserving high accuracy with tenfold reduction in computation time compared to commercial FE software.

• 전자공학회논문지S
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• 제35S권1호
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• pp.68-79
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• 1998

In this paper, we propose a model-based FDI(fault detetion and isolation) algorithm to detect and isolate fault in a linear system. The proposed algorithm is gased on an HFC(hydrid fault classifier) which consists of an FCART2(fault classifier by ART2 neural network) and an FCFM(fault classifier by fault models) which operate in parallel to isolate faults. The proposed algorithm is functionally composed of three main parts-parameter estimation, fault detection, and isolation. When a change in the system occurs, the estimated parameters go through a transition zone in which errors between the system output and the stimated output and the estimated output cross a predetermined thrseshold, and in this zone the estimated parameters are tranferred to the FCART2 for fault isolation. On the other hand, once a fault in the system is detected, the FCFM statistically isolates the fault by using the error between ach fault model out put and the system output. From the computer simulation resutls, it is verified that the proposed model-based FDI algorithm can be performed successfully to detect and isolate faults in a position control system of a DC motor.