• Title/Summary/Keyword: One-stage operation

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One-stage Replacement of the Total Thoracic Aorta (전 흉부 대동맥 동시 치환술 -1례 보고-)

  • 김관민;김성철;박표원
    • Journal of Chest Surgery
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    • v.32 no.6
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    • pp.595-598
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    • 1999
  • Some extensive thoracic aortic aneurysms are not amenable to staged repair, such as extremely large distal aortic aneurysms that are unsuitable for an elephant trunk anastomosis, or aneurysms that are accompanied by complications such as ruptured descending thoracic aneurysm. We report here a case of successful replacement of the aorta from the ascending to the descending aorta in one operation. The patient was 65-year-old man who had an aneurysm which involved the entire thoracic aorta and ruptured in the descending aorta. The operation was performed via transverse thoracosternotomy, and under the deep hypothermic circulatory arrest with retrograde cerebral perfusion. The patient recovered uneventfully and was discharged without any neurologic complications.

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Effect of Suction Temperature and Compressor Frequency on Oil Circulation Ratio in a $CO_2$ Refrigeration System ($CO_2$ 냉동시스템에서 압축기의 흡입온도와 운전주파수가 오일 순환량에 미치는 영향)

  • Kim, Kyung-Jae;Lee, Ik-Soo;Kang, Byung-Ha;Kim, Suk-Hyun
    • Proceedings of the SAREK Conference
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    • 2009.06a
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    • pp.893-898
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    • 2009
  • The quantity of discharged oil from a compressor is one of the most important issues for proper operation of refrigeration system. If the oil is increased in the system not only pressure drop is increased in other components, such as evaporator and gas cooler but also heat transfer coefficient in the heat exchangers is decreased. In addition, the lack of oil in the compressor may cause a critical of the system failure. In this study, one stage single rotary compressor is used for measuring oil circulation ratio(OCR). Carbon dioxide and PAG oil are used as refrigerant and lubricant. Using a U-tube densimeter, mixture density is measured. Characteristics of oil circulation ratio have been investigated for $CO_2$ rotary compressor in the range of operation frequency 45 Hz to 63 Hz and the suction temperature range of $0^{\circ}C$ to $15^{\circ}C$. The results obtained indicate that the oil circulation ratio is increased as the suction temperature or compressor operating frequency is increased.

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The External Auricular Reconstruction with Inferior Based Retroauricular Flap Including the Posterior Auricular Artery

  • Choi, Jong Hwan;Ki, Sae Hwi
    • Archives of Reconstructive Microsurgery
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    • v.25 no.1
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    • pp.1-6
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    • 2016
  • Purpose: The external ear is a common area of trauma on the body prone to exposure of ultraviolet light, which can lead to skin cancer. Thus, variable techniques have been developed and used for reconstruction of the external ear. The aim of this study is to review the surgical method, its area of application, as well as advantages and pitfalls of reconstruction of the external ear with inferior based retroauricular flaps. Materials and Methods: Eight patients underwent external ear reconstruction with inferior based retroauricular flap for external ear defects in our institute from September 2012 to June 2015. According to the area of the defect, patients were classified as middle 1/3 (n=4), inferior 1/3 (n=2), superior auroculo-cephalic sulcus (n=1), and external auditory canal (n=1). Results: All of the flaps survived the operation and there was no marginal necrosis. Mean size of the defect was $2.8{\times}1.8cm$ and mean size of the retroauricular flap was $5{\times}2cm$. For insetting of the flap, a subcutaneous tunneling technique was used in 6 cases and rotation without subcutaneous tunneling was used in 2 cases. Transient paresthesia occurred in 3 cases. Two cases recovered within 3 months but one case did not recover until 6 months. Conclusion: The inferior based retroauricular flap is an available technique in external ear reconstruction with one stage operation.

Smart City Governance Logic Model Converging Hub-and-spoke Data Management and Blockchain Technology (허브 앤 스포크형 데이터 관리 및 블록체인 기술 융합 스마트도시 거버넌스 로직모델)

  • Choi, Sung-Jin
    • Journal of KIBIM
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    • v.14 no.1
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    • pp.30-38
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    • 2024
  • This study aims to propose a smart city governance logic model that can accommodate more diverse information service systems by mixing hub-and-spoke and blockchain technologies as a data management model. Specifically, the research focuses on deriving the logic of an operating system that can work across smart city planning based on the two data governance technologies. The first step of the logic is the generation and collection of information, which is first divided into information that requires information protection and information that can be shared with the public, and the information that requires privacy is blockchainized, and the shared information is integrated and aggregated in a data hub. The next step is the processing and use of the information, which can actively use the blockchain technology, but for the information that can be shared other than the protected information, the governance logic is built in parallel with the hub-and-spoke type. Next is the logic of the distribution stage, where the key is to establish a service contact point between service providers and beneficiaries. Also, This study proposes the establishment of a one-to-one data exchange relationship between information providers, information consumers, and information processors. Finally, in order to expand and promote citizen participation opportunities through a reasonable compensation system in the operation of smart cities, we developed virtual currency as a local currency and designed an open operation logic of local virtual currency that can operate in the compensation dimension of information.

Fibula Free Flap for Mandibular Reconstruction using Simulation Surgery in Bisphosphonate related Osteonecrosis of the Jaw

  • Kim, Hong-Joon;Hwang, Jong-Hyun;Ahn, Kang-Min
    • Journal of International Society for Simulation Surgery
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    • v.2 no.1
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    • pp.1-6
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    • 2015
  • Purpose Bisphophonate-related osteonecrosis of the jaw (BRONJ) is an emerging problem. Extensive osteonecrosis of the jaw needs free flap reconstruction. Free fibular flap is the most useful flap for maxilla-mandibular hard and soft tissue reconstruction. The advantages of fibular free flap are simultaneous soft and hard tissue reconstruction and placing implant in reconstructed mandible and maxilla. In this study, four consecutive BRONJ patients who underwent fibula free flap reconstruction using simulation surgery were reviewed. Materials and Methods Four BRONJ patients who underwent free fibula reconstruction between May 2006 and September 2014 were included in this study. Male to female ratio was 1:3 and average age was 67.3 years old (62-70). All patients need mandibular bone reconstruction. Three patients suffered from osteoporosis and one male patient had multiple myeloma. Postoperative flap survival, functional reconstruction, esthetic results, food taking were evaluated. Results Three osseous flaps and one osteocutaneous flap were used. All the fibular flaps were survived and patients were recovered without complications. Oro-cutaneous fistula was resolved after operation. All patients were satisfied with the esthetic results. Patients reported improved solid food intake after operation with partial denture. One fully edentulous patient had semi-fluid diet after operation. Conclusion Treatment of the BRONJ is difficult due to lack of standard protocol. Fibular free flap using simulation surgery is the workhorse flap for mandibular hard and soft tissue reconstruction, especially in stage III BRONJ patient. In this study, functional and esthetic results were successful in all patients. Normal diet was possible with partial dentures.

A Study on Command Generation Methods of Reaction Control System for Upper Stage Attitude Control of Launch Vehicles (발사체 상단 자세제어용 추력기시스템 명령생성방식 연구)

  • Sun, Byung-Chan;Park, Yong-Kyu;Oh, Choong-Suk;Choi, Kyung-Jun;Roh, Woong-Rae
    • Aerospace Engineering and Technology
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    • v.13 no.1
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    • pp.44-54
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    • 2014
  • This paper suggests two kinds of reaction control system command generation methods for upper stage attitude control of launch vehicles. The reaction control system is assumed to consist of two sets of three nozzles. One operation technology is based on mixed attitude error functions, and the other is based on command mixing functions. Both are compared via simulations. The simulation results show that the latter is comparatively preferable in terms of interference among control axes, independency of controller design and analysis among axes, and prediction of flight performance of each control axis.

Performance Analysis of a Turbocharged SI Engine System for UAV (무인기용 터보차저 장착 SI 엔진 시스템 성능해석)

  • Lim, Byeung Jun;Kang, Young Seok;Kang, Seung Woo
    • The KSFM Journal of Fluid Machinery
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    • v.19 no.6
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    • pp.43-49
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    • 2016
  • A performance analysis of a gasoline engine with a 2-stage turbocharger system for unmanned aerial vehicle(UAV) was conducted. One dimensional system analysis was conducted for the requirements of turbochargers and adequate turbochargers were selected from commercially available models for automobiles. Modeling and simulation were performed by Ricardo WAVE. Gasoline engine modeling was based on a 2.4 L 4-cylinder engine specification. The selected turbochargers and intercoolers were added to the engine model and simulated at 40,000 ft altitude condition. The results of the engine model and 2-stage turbocharger system model simulation showed break power 93 kW which is appropriate power required for the engine operation at the ambient conditions of 40,000 ft altitude.

Adaptive Feedforward Rejection of Microactuator Resonance in Hard Disk Drive Dual-stage Actuator Servo (하드디스크 드라이브 마이크로 구동기의 공진 영향 제거를 위한 적응 피드포워드 제어)

  • Oh, Dong-Ho;Lee, Seung-Hi;Baek, Sang-Eun;Na, Hee-Seung
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2000.06a
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    • pp.1596-1600
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    • 2000
  • We propose a novel adaptive feed forward controller (AFC) design method for rejecting the effect of micro actuator resonance in the design of dual-stage actuator servo systems for disk drives. Microactuator's resonance is one of important issues in dual-stage actuator servo, which varies up to ${\pm}10%$ per product and even during operation. We derive an adaptive algorithm for the proposed AFC design, which turns out to be identical to the delayed-x LMS algorithm which is a special form of the filtered-x LMS algorithm. In the algorithm, coefficients of the AFC are adapted by the residuals of constrained structure defined in such a way that the coefficients become time invariant. Contrary to the conventional AFC, it considers the phase delay of closed-loop transfer function at resonance frequency for system stability. We also apply an adaptive algorithm with frequency tracking capability. The frequency tracking algorithm is induced by the orthogonality of AFC coefficients. Computer simulations are carried out to demonstrate effect of the proposed AFCs.

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A Preliminary Study on Measuring of Development Level of Rural Women's Association: Case of Rural Women Leaders Federation (농촌여성조직의 발전수준 진단을 위한 탐색 연구;생활개선회를 중심으로)

  • Kim, Won-Suok;Ko, Soon-Chul;Kang, Han-Jin
    • Journal of Agricultural Extension & Community Development
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    • v.13 no.2
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    • pp.235-249
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    • 2006
  • The objective of this study was to investigate the developmental level of Rural Women Leaders Federation(RWLF) which is one of the major rural women`s association in Korea. The writers designed organization measurement tool based on the reviews on the related studies and gather data from 191 memberships of RWLF through the mail questionnaire and interviews. The major findings were as follows; First, the findings shows us this organization as transition period from identification stage to expanded growth stage in developmental stage of rural women's organizations. Second, this organization focus on share of members decision making and leadership style rather than organization`s vision, strategy or organization level. In other words, this organization focus on human relations aspect rather than internal aspect of organization system. Third, this organization has high level of social evaluation of the organization, even if it has low level of personal compensation or individua's social performance. In conclusion, as long-term view-point, it is needed to help them to promote their self-control of survival ability to improve organization's vision, strategy, differentiation for achieving organizational goals. And it also needed to prepare educational programs to increase Rural Women's leadership capability understanding of organizational characteristics and its operation abilities.

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Experimental Study on Non-Axisymmetric Rectangular Cup using Multi-Stage Deep Drawing Process (직사각 컵 성형을 위한 다단 디프드로잉 공정의 실험적 연구)

  • Ku, T.W.;Park, J.W.;Heo, S.C.;Kang, B.S.
    • Transactions of Materials Processing
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    • v.19 no.4
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    • pp.253-262
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    • 2010
  • For multi-stage deep drawing process including ironing operation and biaxial forming in this study, tool developments are achieved, and the developed tool sets are applied to experimental investigations. In process and tool designs, a contact condition between intermediate blank and lower die is considered as the sequential one. In this study, the material used is cold-rolled thin sheet (SPCE) with the initial thickness of 0.4mm. From the experimental approaches, several failures such as tearing, localized thickening and thinning, are observed. To solve these failures, the contact surface on the lower die is modified. As the experimental results by applying the modified lower die, it is investigated that the failures are not occurred, and the excessive deformation behavior due to the thinning and thickening effects are decreased. Furthermore, the thickness distributions on the major axis and the minor axis of each intermediate blank are investigated to be already satisfied the target (ironing) thickness, respectively. By this systematic approach, it is confirmed that the experimental results show good agreements with the designed and required configuration of each deformed and final products.