• 제목/요약/키워드: One-stage operation

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폐결핵에 대한 골막외 파라핀 충전술 (Extraperiosteal Paraffine Plombage Thoracoplasty for Pulmonary Tuberculosis)

  • 최명길;이종철
    • Tuberculosis and Respiratory Diseases
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    • 제39권1호
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    • pp.73-78
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    • 1992
  • 중증 공동성 폐결핵환자에 대해 파라핀을 사용한 골막외 충전술을 1973년부터 시행한 후 관찰된 1,003명에 대한 결과 및 그 수술방법을 살펴보았다. Plomb의 감염유출을 일으킨 예는 78명 이고 모두 plomb 제거후에는 별다른 이상이 나타나질 않았다. EPPT로서 3cm 이하의 공동을 가진 결핵환자는 90%, 5cm 이상의 거대공동 환자는 40%에서 치유되었으니 EPPT가 우리나라의 결핵 문제 해결에 도움이 될 것임을 확신하는 바이다.

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미디어 콘텐츠에 나타난 게임성 전이 분석 연구 :크리스 크로포드의 모델을 중심으로 (A Study on the Analysis of Gameness Transition in Media Contents :Focused on Chris Crawford's model)

  • 김은정
    • 한국게임학회 논문지
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    • 제19권6호
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    • pp.37-48
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    • 2019
  • 게임 산업의 성장과 게임 미디어의 대중화로 인해 "게임 같은(game-like)" 미디어 콘텐츠들이 하나둘씩 등장하고 있다. 본 논문은 게임의 트랜스미디어 현상의 하나인 게임성 전이를 통해 성공하는 콘텐츠의 심급에 자리한 게임성과 그 원리, 작동방식을 밝히고 현대 미디어와 문화 안에 자리한 게임의 역할과 의의를 밝히는 것을 목적으로 한다. 이를 위해 본고는 게임성 전이의 현황을 조사하고 크리스 크로포드의 창의적 표현 분류 모델을 활용해 게임적 구조와 작동 원리를 분석하였다. 그 결과 게임성 전이의 단계별 유형을 공간탐험형, 스테이지형, 추리경 쟁형, 상호경쟁형으로 추출할 수 있었다.

Cost-Effective Model for Energy Saving in Super-Tall Building

  • Song, Kwonsik;Park, Moonseo;Lee, Hyun-Soo;Kim, Sooyoung;Shin, Jinho
    • Journal of Construction Engineering and Project Management
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    • 제3권3호
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    • pp.17-22
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    • 2013
  • In many urban cities, super-tall buildings have been being constructed around New York and Chicago as the center since 1930 to improve the efficiency of land use and respond to new residential type. In terms of energy consumption, super-tall buildings are classified as a top energy consumption building. Also, as time passed, the degradation of energy performance occurs in super-tall buildings like general things so that these cannot show the initial performance planned in the design phase. Accordingly, building owners need to make a plan to apply energy saving measures to existing building during the operation phase. In order to select energy saving measures, calculus-based methods and enumerative schemes have been typically used. However, these methods are time-consuming and previous studies which used these methods have problems with not considering the initial construction cost. Consequently, this study proposes a model for selecting an optimal combination of energy saving measures which derives maximum energy saving within allowable cost using genetic algorithms. As a contribution of this research, it would be expected that a model is utilized as one of the decision-making tools during the planning stage for energy saving.

넓은 유리 광 배 근피부 판을 이용한 하지 재건술 (Reconstruction of the Lower Extremities with the Large Latissimus Dorsi Myocutaneous Free Flap)

  • 이준모;허달영
    • Archives of Reconstructive Microsurgery
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    • 제9권1호
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    • pp.80-87
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    • 2000
  • Acute high speed accidents that results in full thickness skin defect and exposure of tendon, nerve, vessel and periosteum over denuded bone demands soft tissue coverage. Exposed bone often ensues chronic infection and requires free flap transplantation which surely covers defects in one stage operation and enhances transport of oxygen-rich blood and converts a non-osteogenic or partially osteogenic site into a highly osteogenic site, but exposed bone which had performed free flap transplantation sometimes necroses and needs secondary bone procedure. Scar contracture limits joint motion should be excised and covered with normal soft tissue to restore normal range of motion. Authors have performed the large latissimus dorsi myocutaneous free flap in 8 cases of extensive soft tissue defect and exposed bone lesion in the leg and 1 case of the flap was failed. The secondary ilizarov bone procedure was performed in 3 of 8 cases. 2 cases of large burn scar contracture and 1 case of posttraumatic scar contracture in lower extremity were restored with the large latissimus dorsi myocutaneous free flap. Authors concluded that large latissimus dorsi myocutaneous free flap is the most acceptable microvascular procedure in large soft tissue defect combined with exposed periosteum and bone requiring secondary bone procedure and in large burn scar contracture limiting knee joint motion.

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A better facial contour accomplished by parotid duct preserving superficial parotidectomy

  • Park, Jun Ho;Choi, Chang Yong;Wee, Syeo Young;Lee, Young Man
    • 대한두개안면성형외과학회지
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    • 제19권1호
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    • pp.75-78
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    • 2018
  • Depression of facial contour after parotidectomy is still challenging to many of surgeons. A 68-year-old man presented with a 4-month history of a painless swelling in both parotid area. The mass was multiple and fixed at the parotid region. We conducted a parotid duct preserving bilateral superficial parotidectomy by one-stage operation to remove the multiple tumors. A lazy S incision was made in both preauricular area and the peripheral branches of the facial nerve were identified using surgical landmark. After dissecting the branches of the facial nerve and parotid duct, main parotid duct was preserved but only small fine ductules from the superficial lobe were ligated. Parotid gland was excised from its anterior aspect with about 1 cm of normal parotid tissue margin. The patient was followed up for 6 years to evaluate postoperative parotid gland function and the computed tomography (CT) was taken. Patient was satisfied with no significant complication such as sunken changes in facial contour, facial nerve function. As far as we know, it is the first study to compare long-term soft tissue contours of soft tissue of duct preserving superficial parotidectomy with duct sacrificing superficial parotidectomy by means of CT findings.

Magnetic refrigerator for hydrogen liquefaction

  • Numazawa, T.;Kamiya, K.;Utaki, T.;Matsumoto, K.
    • 한국초전도ㆍ저온공학회논문지
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    • 제15권2호
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    • pp.1-8
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    • 2013
  • This paper reviews the development status of magnetic refrigeration system for hydrogen liquefaction. There is no doubt that hydrogen is one of most important energy sources in the near future. In particular, liquid hydrogen can be utilized for infrastructure construction consisting of storage and transportation. Liquid hydrogen is in cryogenic temperatures and therefore high efficient liquefaction method must be studied. Magnetic refrigeration which uses the magneto-caloric effect has potential to realize not only the higher liquefaction efficiency > 50 %, but also to be environmentally friendly and cost effective. Our hydrogen magnetic refrigeration system consists of Carnot cycle for liquefaction stage and AMR (active magnetic regenerator) cycle for precooling stages. For the Carnot cycle, we develop the high efficient system > 80 % liquefaction efficiency by using the heat pipe. For the AMR cycle, we studied two kinds of displacer systems, which transferred the working fluid. We confirmed the AMR effect with the cooling temperature span of 12 K for 1.8 T of the magnetic field and 6 second of the cycle. By using the simulation, we estimate the total efficiency of the hydrogen liquefaction plant for 10 kg/day. A FOM of 0.47 is obtained in the magnetic refrigeration system operation temperature between 20 K and 77 K including LN2 work input.

조선 소조립 용접로봇토치 변경에 따른 디지털 생산 기반 생산성 향상방안 평가 (Digital Manufacturing Based Productivity Evaluation According to the Change of Welding Robot Torches in Subassembly Lines of a Shipyard)

  • 이광국;강현진;김세환;박주용;신종계
    • 한국CDE학회논문집
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    • 제10권3호
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    • pp.210-216
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    • 2005
  • Digital manufacturing could be very effective in shipbuilding in order to estimate the process time, to improve the operation efficiency, and to prevent bottleneck processes in advance. The subassembly process having done research consists of piece arrangement, tack welding, robot welding, manual welding and so on. The robot welding of them was the focus of the simulation. The analysis and modeling were carried out by using UML (Unified Modeling Language) as well as $IDEF\phi$ (Integration DEFinition). The characteristics of the process resources were analyzed using the shipyard data, and the layout of the subassembly line was designed with the resources. Using the constructed resource and process model, the productivity and efficiency of changed robot welding stage were investigated. It was simulated how much the variations in the resource performance have influence on improvement of productivity. One of the important outputs in this simulation was the cycle time during a certain period's work. The cycle time prediction was also undertaken for the different torch and the different piece arrangement. The proposed model was established three-dimensionally in a digital environment so that interferences among objects and space allocations for the resources could be easily investigated.

A Real-Time Integrated Hierarchical Temporal Memory Network for the Real-Time Continuous Multi-Interval Prediction of Data Streams

  • Kang, Hyun-Syug
    • Journal of Information Processing Systems
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    • 제11권1호
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    • pp.39-56
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    • 2015
  • Continuous multi-interval prediction (CMIP) is used to continuously predict the trend of a data stream based on various intervals simultaneously. The continuous integrated hierarchical temporal memory (CIHTM) network performs well in CMIP. However, it is not suitable for CMIP in real-time mode, especially when the number of prediction intervals is increased. In this paper, we propose a real-time integrated hierarchical temporal memory (RIHTM) network by introducing a new type of node, which is called a Zeta1FirstSpecializedQueueNode (ZFSQNode), for the real-time continuous multi-interval prediction (RCMIP) of data streams. The ZFSQNode is constructed by using a specialized circular queue (sQUEUE) together with the modules of original hierarchical temporal memory (HTM) nodes. By using a simple structure and the easy operation characteristics of the sQUEUE, entire prediction operations are integrated in the ZFSQNode. In particular, we employed only one ZFSQNode in each level of the RIHTM network during the prediction stage to generate different intervals of prediction results. The RIHTM network efficiently reduces the response time. Our performance evaluation showed that the RIHTM was satisfied to continuously predict the trend of data streams with multi-intervals in the real-time mode.

전폐절제술후 발생한 농흉의 치료 (Management of post-pneumonectomy empyema)

  • 이석재
    • Journal of Chest Surgery
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    • 제26권11호
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    • pp.845-850
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    • 1993
  • Post-Pneumonectomy Empyema[PPE] is a relatively uncommon but serious complication. And the management of it remains a disturbing and controversial area in the field of general thoracic surgery. Many methods have described and have had varying degrees of success. For the purpose of providing the guideline for management of post-pneumonectomy empyema, we reviewed our experiences of treatment of PPE from January 1985. to December 1992. There were 17 cases, which consist 7.9% of all pneumonectomy cases for that period. There were 13 male and 4 female patients with mean age of 47.1$\pm$ 16.2 yrs old. Both chest has the same incidence. The most common disease for prior pneumonectomy was tuberculosis, but the PPE was the most frequently occurred in empyema. The duration between pneumonectomy and PPE was 44.7 $\pm$81.1 months, where 58.8% of patients occurred within 1 month. Fever was the most frequent complaint and wound dischrge was detected in less than half of patients. There were 2 in-hospital mortalities.Mostly, in 13 cases, we did Eloesser operation. Five of them could finish second Clagett procedure, but one had recurrence. Four bronchopleural fistular patients underwent 3 single stage muscle flap closure and 1 direct closure with modified Clagett procedure. None had recurrence. Mean follow-up duration is 30.9\ulcorner22.3 months. There was 1 late death which was not related to PPE but to Malignancy recurrence.

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대동맥궁 단절을 동반한 Taussig-Bing 기형에서 새로운 일차적 완전 교정술 - 1례 보고 - (A New Method of One Stage Correction of Taussig-Bing Anomaly with Interrupted Aortic Arch -1 case report-)

  • 정종필;서동만
    • Journal of Chest Surgery
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    • 제30권1호
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    • pp.83-87
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    • 1997
  • Tausslg-Bing 기형은 드물게 대동맥궁 중단과 병발되며, 이 경우 양대혈관의 크기 가 현저히 달라 대동맥 전환술을 시행함에 어려움이 있다. 생후 20일 된 환아가 상기 진단으로 내원하여, 다장기부전에 대한 3주간의 집중관리 후 수술을 받았다. 수술은 심실중격 결손의 복원, 대동맥 전환술 및 광범위한 대동맥궁형성술로 이루어졌으며, 대혈관들의 크기 차이는 상행 및 하행 대동맥의 절편을 이용하여 원위신대동맥(distal neoaorta)를 형성하므로써 극복하였다. 환아는 큰 문제 없이 회복하였으며, 수술후 시행한 심도자상의 결과도 양호한 상태로 16개월간 추적 관찰중이다.

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