• 제목/요약/키워드: Large vessels

검색결과 520건 처리시간 0.031초

과급 횡복직근피판술(Supercharged TRAM)을 이용한 유방재건술 (Supercharged Technique in TRAM flap Breast Reconstruction)

  • 양정덕;송재민;이상윤;정호윤;조병채;박호용;정진향
    • Archives of Plastic Surgery
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    • 제37권5호
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    • pp.577-582
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    • 2010
  • Purpose: When reconstruction for patients who have the large contralateral breast or a following large defect after mastectomy is required, conventional pedicled TRAM flap shows the unpredictable occurrence of fat necrosis and skin flap loss in a relatively high percentage due to insufficient blood supply. In an effort to obtain more stable TRAM flap blood circulation, we have performed a supercharged technique using deep inferior epigastric perforators (DIEP) with conventional pedicled TRAM flap. Methods: From September of 2006 to December of 2008, Fourteen supercharged TRAM flap were performed for breast reconstruction after modified radical mastectomy. The contralateral DIEP was anastomosed to the internal mammary vessels in contralateral pedicled TRAM flap or thoracodorsal vessels in ipsilateral pedicled TRAM flap. Nutrient vessels were selected by Multi-Detector Computed tomography (MD-CT) modalities. For the nutrient vessel, we used deep inferior epigastric vessels (DIEV) of the ipsilateral side in 8 patients, DIEV of the contralateral side in 6 patients. In addition, for the recipient vessel, we used thoracodorsal vessels in 8 patients, internal mammary vessels in 5 patients, intercostals artery perforators in 1 patient. Results: The mean age was 46.8 years and the average follow-up interval was 14 months. There were 11 immediate and 3 delayed breast reconstructions. Fat necrosis incidence rate in supercharged TRAM group was lower than in conventional TRAM flap group. There were no differences of the incidences of abdominal hernia in both groups. Conclusion: The supercharged TRAM flap produces an improvement in vascularity that permits use of all four zones of the flap. The breast reconstruction with supercharged technique is reliable and valuable methods which provide sufficient soft tissue from abdomen without significant complications.

Absorbed Dose from Large Balloon Filled with Liquid Ho-166

  • Joh, Chul-Woo;Park, Chan H.;Lee, Myoung-Hoon;Yoon, Seok-Nam;Kim, Mi-Hwa;Jang, Ji-Sun;Park, Kyung-Bae
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.328-330
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    • 2002
  • Large balloon angio catheter is used for Percutaneous Transluminal Angioplsty(TPA) of the iliac, femoral and renal arteries as well as after Transjugular Intrahepatic portosystemic shunt(TIPS). The use of angioplasty balloon filled with liquid form of radioisotope reduces the rate of restenosis after PTA. The purpose of this study was to evaluate the absorbed dose to the target vessels from various sized large balloon filled with liquid form of Ho-166-DTPA. Four balloons of balloon dilatation catheters evaluated were 5, 6, 8 and 10 mm in diameter. GafChromic film was used for the estimation of the absorbed dose near the surface of the balloon catheters. Absorbed dose rates are plotted in units of Gy/min/GBq/ml as a function of radial distance in mm from the surface of balloon. The absorbed dose rate was 1.1, 1.6, 2.2 and 2.3 Gy/min/GBq/ml at a balloon surface, 0.3, 0.4, 0.5 and 0.6 Gy/min/GBq/ml at 1 mm depth for various balloon diameter 5, 6, 8 and 10 mm in diameter respectively. The study was conducted to estimate the absorbed doses to the vessels from various sized large balloons filled with liquid form of Ho-166-DTPA for clinical trial of radiation therapy after the PTA. The absorbed dose distribution of Ho-166 appeared to be nearly ideal for vascular irradiation since beta range is very short avoiding unnecessary radiation to surrounding normal tissues.

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유한요소법을 이용한 클로즈드 초크의 구조검증 및 표준화에 대한 연구 (Strength Analysis and Standardization for Closed Chocks by Using the Finite Elements Method)

  • 정재욱;이병훈
    • 대한조선학회논문집
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    • 제49권2호
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    • pp.132-145
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    • 2012
  • Mooring fittings mean various devices and fittings to safely fasten vessels to quays, jetties and sea-floating buoys, etc. They include mooing winches, capstans, chocks, fairleads, guide rollers, bollards, and bitts. Not only the seats and reinforced parts for the installation of fittings but also ropes and chains for mooring and chain stoppers can be also considered. Because of damages to mooring fittings during mooring directly related to large-scale accidents such as the drifting of vessels, mooring fittings with strength appropriate for the physical features of the vessels must be installed. The reinforcement of the vessels on which the mooring fittings are installed must be designed to withstand the loads transferred from the fittings as well. Also mooring fittings with efficient strength should be required because damaged ships lead to sea pollution such as oil or fuel oil spillage. This study has been performed by the Finite Element Method for two aspects of closed chocks which are divided into structure-supporting shapes and working load. In the case of structure-supporting shapes, they have been performed in the field of sheet and bulwark. As for working load, it has been analyzed according to working load direction such as chock's side and below. At first, strength analysis for unique closed chocks has been carried out by using the Finite Element Method, they are applied for the situation when vessels pass by the panama canal. And then the experiment has been done to verify the analyzed date obtained by FEM. The experimental results were found to be similar to the numerical results with up to 16% difference. On the basis of the results obtained, standardization has been carried out by the Finite Element Method for various sizes of closed chocks.

내유방혈관 관통지에 대한 해부학적 연구 (The anatomical study of internal mammary perforators)

  • 임성윤;송현석;배남석;박명철
    • Archives of Plastic Surgery
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    • 제36권1호
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    • pp.24-28
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    • 2009
  • Purpose: As a recipient vessel, internal mammary vessels have many advantages for microvascular reconstruction of the breast. But the approach is time consuming and results in large morbidities. However, the perforating branches of the internal mammary vessels can be used to minimize such demerits. The purpose of this cadaver study is to clarify the location and diameter of the perforating branches of internal mammary vessels and to prove they are safe and reliable recipient vessels. Methods: We studied 11 formalin - fixed cadavers and dissected their anterior chests bilaterally. The chests were exposed using midline presternal incisions. We dissected and found all perforators at subfascial planes under loupe magnification. The number, external diameter, and the distance from the midline were measured. Result: The mean external diameter of the arterial perforators was 1.32 mm and the mean external diameter of the venous perforators was 1.48 mm. The largest arterial and venous perforators were most frequently found in the second intercostal space. The mean distance from the midline to the perforator was evaluated; the artery averaged 1.95 cm and the vein averaged 2.08 cm. Conclusion: This study will be helpful when using the internal mammary perforating vessels as a recipient vessel during breast reconstruction.

합성곱 오토인코더를 이용한 이상거동 선박 식별 (Detection of Abnormal Vessel Trajectories with Convolutional Autoencoder)

  • 손준형;장준건;최봉완;김경택
    • 산업경영시스템학회지
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    • 제43권4호
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    • pp.190-197
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    • 2020
  • Recently there was an incident that military radars, coastal CCTVs and other surveillance equipment captured a small rubber boat smuggling a group of illegal immigrants into South Korea, but guards on duty failed to notice it until after they reached the shore and fled. After that, the detection of such vessels before it reach to the Korean shore has emerged as an important issue to be solved. In the fields of marine navigation, Automatic Identification System (AIS) is widely equipped in vessels, and the vessels incessantly transmits its position information. In this paper, we propose a method of automatically identifying abnormally behaving vessels with AIS using convolutional autoencoder (CAE). Vessel anomaly detection can be referred to as the process of detecting its trajectory that significantly deviated from the majority of the trajectories. In this method, the normal vessel trajectory is gridded as an image, and CAE are trained with images from historical normal vessel trajectories to reconstruct the input image. Features of normal trajectories are captured into weights in CAE. As a result, images of the trajectories of abnormal behaving vessels are poorly reconstructed and end up with large reconstruction errors. We show how correctly the model detects simulated abnormal trajectories shifted a few pixel from normal trajectories. Since the proposed model identifies abnormally behaving ships using actual AIS data, it is expected to contribute to the strengthening of security level when it is applied to various maritime surveillance systems.

도장 폐기물의 자연발화에 관한 연구 (A Study on Spontaneous Ignition of Painting Waste)

  • 최재욱;목연수;옥곤;사공성호
    • 한국안전학회지
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    • 제14권2호
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    • pp.90-96
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    • 1999
  • The characteristics of spontaneous ignition of painting waste was investigated at constant ambient temperature in oven. As the results of experiments, the spontaneous ignition temperature decreased as the sample vessel became large, and the spontaneous ignition temperature of the sample in small, intermediate and large vessels was $165.5^{\circ}C$, $144.5^{\circ}C$ and $134.5^{\circ}C$ respectively. The apparent activation energy calculated by the Frank-Kamentskii's thermal ignition theory was 34.73 kcal/mol.

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대형 크루즈 선박의 승객거주구역 공간계획에 관한 연구 (A Study on Space Planning of Passenger Accommodation Area in Large Cruise Ship)

  • 이한석;박명규;한창용
    • 한국실내디자인학회논문집
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    • 제23호
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    • pp.9-16
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    • 2000
  • year in Europe and Asia. Therefore the introduction of new ships continues at a great rate. There is a definite trend toward either large ships or smaller, more luxurious vessels in cruise industry. The day to design and build the large cruise vessel is coming to Korean shipyards, sooner or later. The most important thing to design large cruise vessel is to have a correct comprehension about the feature of cruise vessel, especially of the passenger accommodation area in cruise vessel. This paper is on the spatial features of the passenger accommodation area in cruise vessel. General arrangement drawings, deck plans and technical data of the newest large cruise ships are analysed to understand the spatial features and induce the direction of space planning of passenger accommodation area for the large cruise ship of tomorrow.

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근해저인망류어업에 있어서 업종별 경합관계 형성에 관한 사적고찰 (A Historical Consideration on the Evolution of Competition in Offshore Fisheries)

  • 김병호
    • 수산경영론집
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    • 제35권1호
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    • pp.23-56
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    • 2004
  • The offshore trawl fishery is seeking its survival way to overcome current management conditions in red, resulted from the bilateral agreement with China and Japan. However, this movement magnifies conflicts between fisheries on the contrary and it is thought to be impossible to get over current situations. For all that, this study is aimed at investigating how this current situations have occurred. The management freedom as response to the change in fishing conditions of a certain fishery, in case of Korea, is affected by institutional regulations. The example of this is controls on fishing gears, fishing vessels, and fishing grounds. The most exposure of this control is a segmentation of institutional fisheries. The initial segmentation of the offshore trawl fishery in Korea was occurred in the period of Japan's colonization when the degree of use of fishing grounds was limited geographically. At that time, fisheries were divided by fishing areas, but it did not divide the fishery itself. The large - sized fishing vessels were developed politically to be more competative to Japanese fishing vessels since 1950s. During this time, the trawl fishery was merged into current Eastern trawl fishery and South - Western trawl fishery. It was also inevitable to divide into the pair trawl and single trawl fishery as a result of the physical mergency between Western trawl and Southern trawl fishery. In order to develop the trawl fishery, new licenses were issued on the shrimp trawl fishery, through which it was expected to boost the trawl fishery. As opposed, the shrimp trawl fishery was changed into the mid - sized trawl fishery, targeting on the eastern fishing areas and the large - sized trawl fishery was developed since the late of 1970s with the development of filefish processing industry. The large trawl fishery that led in development of offshore trawl fishery since the late of 1950s was started to divide into a pair trawl and single trawl according to the fishing method and capital power. It finally became an institutionally independent fishery in 1980s, respectively. Looking into these historical process, the segmentation of the trawl fishery is thought as a result of the lack of long - term perspective and as a production of trial and error resulted by unprepared policy. As a result, these segmentation of fisheries roles as critical obstacles in harmonization of fisheries and in overcoming of current situations. Therefore, the review of this institutional segmentation of the offshore trawl fishery should be taken for an optimal redistribution of fishing grounds suits with business and fishing technology. For this, the fishery must be divided into large capitalized fishery and small - mid fishery with consideration of capital, fishing method, and the condition of use of fishing grounds. In addition to this, by limiting outline of fishing ground that the large fishery can harvest, it must allow for the small - mid fishery to catch with its own boundary. Furthermore, by launching buyback programs on the trawl, eastern trawl, pair trawl, it can provide broader fishing grounds where the fishery can harvest with management freedom.

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수지접합술의 생존율과 문합혈관수의 상관관계 (Correlation Between the Number of Anastomosed Vessels and Survival Rate in Digit Replantation)

  • 이병일;김우경
    • Archives of Reconstructive Microsurgery
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    • 제8권1호
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    • pp.44-49
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    • 1999
  • From January 1990 to December 1998, 449 consecutive single-digital replantations were reviewed retrospectively in order to determine the essential number of vascular anastomoses for successful finger replantation. The correlations between the number of anastomosed vessels and survival rate were examined according to the amputated digital levels and all of the correlated results were compared with each other statistically. In zone I, The survival rate of the digits with a repaired vein was higher than that of digits treated with external bleeding method. In zone II, the equal number(s) between the arterial and venous repair was an important factor in successful replantation. And the repaired arteries more than repaired veins in number led to venous congestion and resulted in a failure of replantation, which was maybe due to the large amount of arterial input relative to small volume of amputated stump with small sized vein. In zone III, the equal number(s) between the arterial and venous repair was also an important factor in successful replantation. But unlike in zone II, venous congestion was scarcely happened if the venous drainage was sufficient with a repaired large vein alone. In zone IV, two or more arteries and veins were required for successful replantation. In conclusion, it is desirable that the repair of vessels as many as possible to increase the possibility of a good result. But digital amputations and their condition for replantation were variable, therefore, the numbers in vascular repair should to be modified and straightforward as the case may be.

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해수용액에서 선박용 Al-Mg-Si 합금의 전기화학적 실험에 의한 방식전위 결정 (The Protection Potential Decision by Electrochemical Experiment of Al-Mg-Si Alloy for Ship in Seawater)

  • 정상옥;박재철;한민수;김성종
    • Corrosion Science and Technology
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    • 제9권1호
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    • pp.48-55
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    • 2010
  • The many vessels are built with FRP(Fiber-Reinforced Plastic) material for small boats and medium vessels. However, FRP is impossible to be used for recyclable material owing to environmental problems and causes large proportion of collision accidents because radar reflection wave is so weak that large vessels could not detect FRP ships during the sailing. Hence, Al alloy comes into the spotlight to solve these kinds of problems as a new-material for next generation instead of FRP. Al alloy ships are getting widely introduced for fish and leisure boats to save fuel consumption due to lightweight. In this study, it was selected 6061-T6 Al alloy which are mainly used for Al-ships and carried out various electrochemical experiment such as potential, anodic/cathodic polarization, Tafel analysis, potentiostatic experiment and surface morphologies observation after potentiostatic experiment for 1200 sec by using the SEM equipment to evaluate optimum corrosion protection potential in sea water. It is concluded that the optimum corrosion protection potential range is -1.4 V ~ -0.7 V(Ag/AgCl) for 6061-T6 Al alloy, in the case of application of ICCP(Impressed current cathodic protection), which was shown the lowest current density at the electrochemical experiment and good specimen surface morphologies after potentiostatic experiment for Al-Mg-Si(6061-T6) Al alloy in seawater environment.