• 제목/요약/키워드: Operation Period

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개심술후 후두부에 발생한 국소탈모증 -1례 보고- (Occipital Alopecia Following Open Heart Surgery -One case report-)

  • 김찬용
    • Journal of Chest Surgery
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    • 제12권3호
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    • pp.259-262
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    • 1979
  • Alopecia is a minor complication following open heart surgery, but it is a cosmetic and psychotic problem to the patient. Especially the extensive long period of operation, prolonged mechanical ventilation and no change of patient head position during operative and recovery period may serve the localized scalp pressure effect, which causes postoperative alopecia. So, for prevention of the postoperative alopecia, adequate blood flow and pressure must be maintained with alternative change of head position during operative and recovery period. The author experienced one case of occipital alopecia following open heart surgery and reports with literature.

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상시미동 측정을 통한 벽식아파트 건물의 고유주기 (Estimation of Natural Period by Microtremor Measurement in Shearwall Apartments.)

  • 강호근
    • 한국지진공학회:학술대회논문집
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    • 한국지진공학회 1999년도 추계 학술발표회 논문집 Proceedings of EESK Conference-Fall
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    • pp.375-382
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    • 1999
  • The fundamental vibration period of a shearwall apartments cannot estimate accurately by means of empirical formulas specified in present codes, The objective of this paper is to estimate the period of a shearwall apartments by microtremor measurement. A micretremor is the continuous small oscillation of the ground cause by traffic and operation machinery. Microtremors are extensively studied primarily in Japan to estimate conveniently subsurface structures of soil deposits and building vibrations. It is obtained the results that the fundamental periods estimated by microtremor measurement are shorter than those values by dynamic analysis of building.

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인지발달에 근거를 둔 수학학습 유형 탐색

  • 박성태
    • 한국수학교육학회지시리즈A:수학교육
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    • 제34권1호
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    • pp.17-63
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    • 1995
  • The exploration of Mathematics-learningmodel on the basis of Cognitive development The purpose of this paper is to sequenctialize Mathematics-learning contents, and to explore teaching-learning model for mathematics, with on the basis of the theory of cognitive development and the period of condservation formation for children. The Specific topics are as follows: (1) Systemizing those theories of cognitive development which are related to Mathematics - learning for children. (2) Organizing a sequence of Mathematics - learning, on the basis of experimental research for the period of conservation formation for children. (3) Comparing the effects of 4 types of teaching - learning model, on the basis of inference activity and operational learning principle. $\circled1$ Induction-operation(IO) $\circled2$ Induction-explanation(IE) $\circled3$ Deduction-operation(DO) $\circled4$ Deduction-explanation(DE) The results of the subjects are as follows: (1) Cognitive development theory and Mathe-matics education. $\circled1$ Congnitive development can be achieved by constant space and Mathematics know-ledge is obtained by the interaction of experience and reason. $\circled2$ The stages of congnitive development for children form a hierarchical system, its function has a continuity and acts orderly. Therefore we need to apply cognitive development for children to teach mathematics systematically and orderly. (2) Sequence of mathematical concepts. $\circled1$ The learning effect of mathematical concepts occurs when this coincides with the period of conservation formation for children. $\circled2$ Mathematics Curriculum of Elementary Schools in Korea matches with the experimental research about the period of Piaget's conservation formation. (3) Exploration of a teaching-learning model for mathematics. $\circled1$ Mathematics learning is to be centered on learning by experience such as observation, operation, experiment and actual measurement. $\circled2$ Mathematical learning has better results in from inductional inference rather than deductional inference, and from operational inference rather than explanatory inference.

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선천성 심장기형 환자에서 조기술후 심실 전부하 용적과 심박출량의 상호 관계 및 혈역학적 변화 분석 (Analysis of Relation between Ventricular Preload and Cardiac Output and Hemodynamic in the Early Postoperative Period of Congenital Heart Surgery)

  • 박승일;김응중;김용진
    • Journal of Chest Surgery
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    • 제23권1호
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    • pp.22-32
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    • 1990
  • Postoperative cardiac performance of cyanotic congenital heart disease is somewhat different from that of other cardiac diseases. For the evaluation of postoperative cardiac performance in the cyanotic congenital heart disease we measured cardiac output by thermodilution technique at 1, 4, 8, 12, 16, 20, 24, 36, 48 postoperative hours in 14 patients operated from Feb. 1989 to Nov. 1989 in The Department of Thoracic and Cardiovascular Surgery, Seoul National University Children`s Hospital. At the same time, we checked left atrial pressure [LAP], central venous pressure [CUP], and mixed venous oxygen saturation [SvO2] to detect correlation between them. Immediate postoperative cardiac index was 3.585 $\pm$ 0.945 L/min/m2, and it decreased maximally to 3.322$\pm$1.007 L/min/m2 at postoperative 16 hours. After then it increased and stabilized from 36 hours after operation, and its value was 4.426$\pm$1.358 L/min/m2. There were no correlations between cardiac index and left atrial pressure or central venous pressure. Between mixed venous oxygen saturation and cardiac index, there was no correlation in the early postoperative period but after postoperative 16 hours, there was significant correlation between them and correlation coefficients were 0.573 [16hrs], 0.743 [20hrs], 0.436 [24hrs], 0.560 [36hrs], 0.636 [48hrs], respectively. From these results, we concluded that in the corrective surgery of cyanotic congenital heart disease, cardiac performance was depressed in the early postoperative period. It improved from postoperative 16 hours, and stabilized from 36 hours after operation. During early postoperative period, mixed venous oxygen saturation should not be used as a predictor of cardiac performance but it could be used as a predictor of cardiac performance from 16 hours after operation.

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Time Course of Symptom Disappearance after Microvascular Decompression for Hemifacial Spasm

  • Oh, Eun-Tak;Kim, Eun-Young;Hyun, Dong-Keun;Yoon, Seung-Hwan;Park, Hyeon-Seon;Park, Hyung-Chun
    • Journal of Korean Neurosurgical Society
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    • 제44권4호
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    • pp.245-248
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    • 2008
  • Objective : This study is to investigate time course of symptom disappearance in patients whose spasm relieved completely after microvascular decompression (MVD). Methods : Of 115 patients with hemifacial spasm (HFS) who underwent MVD from April 2003 to December 2006, 89 patients who had no facial paralysis after operation and showed no spasm at last follow-up more than 1.5 years after operation were selected. Symptom disappearance with time after MVD was classified into type 1 (symptom disappearance right after operation), type 2 (delayed symptom disappearance) and type 3 (unusual symptom disappearance). Type 2 was classified into type 2a (with postoperative silent period) and type 2b (without silent period). Results : Type 1, type 2a, type 2b and type 3 were 38.2%, 48.37%, 124% and 1.1%, respectively. Delayed disappearance group (type 2) was 60.7%. Post-operative symptom duration in all cases ranged from 0 to 900 days, average was 74.6 days and median was 14 days. In case of type 2, average post-operative symptom duration was 115.1 days and median was 42 days. Five and 3 patients required more than 1 year and 2 years, respectively, until complete disappearance of spasm. In type 2a, postoperative silent period ranged from 1 to 10 days, with an average of 24 days. Conclusion : Surgeons should be aware that delayed symptom disappearance after MVD for HFS is more common than it has been reported, silent period can be as long as 10 days and time course of symptom disappearance is various as well as unpredictable.

위험도제약(危險度制約) 선형계획법(線形計劃法)에 위한 홍수기(洪水期) 저수지운영(貯水池運營) (Reservoir Management in Flood Period with Chance Constrained LP)

  • 이길성;강부식
    • 대한토목학회논문집
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    • 제12권3호
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    • pp.139-151
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    • 1992
  • 유입량의 분포에 따른 가변(可變) 제한수위(制限水位)아래서 홍수기(洪水期) 저수지 이수운영(利水運營)모형을 수립하였다. 사용된 최적화모형은 방류량(放流量)의 기대방류량(期待放流量)으로부터의 편차를 최소화하는 모형과 홍수조절용량을 최소화하는 위험도제약(危險度制約) 선형계획법(線形計劃法)(CCLP)모형(模型)의 2가지 부모형(副模型)으로 구성되어 있다. 확정론적 등가식을 만들기위해 유입량의 분포는 2모수(母數) 대수정규분포(對數正規分布)를 가정하였으며 모수(母數)는 최우추정법(最尤推定法)에 의하여 구하였다. 모형은 소양강(昭陽江)댐과 충주(忠州)댐의 홍수기 운계운영(運繫運營)에 적용되었다. 그 결과 소양(昭陽)이 충주(忠州)보다 상대적으로 큰 규모의 홍수사상에 대하여 설계되었음을 알 수 있었다. 가변제한수위(可變制限水位)를 이용한 운영은 일률제한수위(一律制限水位)의 운영보다 효율적인 것으로 나타나는데 이는 충주(忠州)에서 더욱 두드러졌다, 유입홍수량이 큰 시구간의 방류형태는 홍수량의 규모를 줄이는 조절효과와 지체효과를 보이며, 갈수시에는 상대적으로 실제보다 많은 방류를 하는 형태를 보인다.

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시뮬레이션에 희한 부산컨테이너 터미널 운영의 체계적인 분석 (A Systematic Analysis on the Operation of Busan Container Terminal by Computer Simulation)

  • 김현;이철영
    • 한국항만학회지
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    • 제2권1호
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    • pp.29-73
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    • 1988
  • Since the middle of 1950's when sea transportation service by container ship was established, containerization has been rapidly spread over the world with realization of intermodalism, and becomes an index of economy growth of a country. Our country has established Pusan Container Terminal at Pusan harbour in 1978 in step with worldwide trend of containerization, and is constructing New Container Terminal at Pusan outharbour which will be completed in 1990. This paper aims to make a quantitative analysis of the Pusan Container Terminal system through the computer simulation, especially focusing on its subsystems such as ship stevedoring system, storage system and transfer system. First, the capacity of various subsystems are evaluated and it is checked whether the current operation is being performed effectively through the computer simulation. Secondly, the suggestion is presented to improve the operation by considering the throughput that Pusan Container Terminal will have to accept until 1990, when New Container Terminal will be completed. The results are as follows ; 1) As the inefficiency is due to the imbalance between various subsystems at Pusan Container Terminal on the basis of about 1.2 million TEU of container traffic, transfer equipment level must be up to 33% for transfer crane, and free period must be reduced into 4/5 days for export/import. 2) On the basis of about 1.4 million TEU of container traffic, transfer equipment level must be up to $12\%$ for gantry crane, $11\%$ for straddle carrier and $66\%$ for transfer crane, and free period must be reduced into 3/4 days for export/import. 3) On the basis of about 1.7 million TEU of container traffic, transfer equipment level must be up to $25\%$ for gantry crane, $28\%$ for straddle carrier and $100\%$ for transfer crane, and free period must be reduced into 3/4 days for export/import. 4) On the basis of about 2 million TEU of container traffic, transfer equipment level must be up to $25\%$ for gantry crane, $30\%$ for straddle carrier and $110\%$ for transfer crane, and free period must be reduced into 2/3 days for export/import, and it is necessary to enlarge storage yard.

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치료 원칙 변화에 따른 신생아 Bochdalek 탈장의 예후 (Prognosis of Bochdalek Hernia in Neonate after Change in Management Principle)

  • 서진영;남소현;김대연;김성철;김애란;김기수;피수영;김인구
    • Advances in pediatric surgery
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    • 제12권2호
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    • pp.192-201
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    • 2006
  • 1989년 3월부터 2005년 5월까지 울산대학교 의과대학 서울아산병원 소아외과에서 치료받은 신생아 Bochdalek 탈장 67예를 대상으로 하였다. 1989년 3월부터 1999년 말까지 조기수술, 과호흡, 수술시 흉관의 삽입을 시행한 I기(33예)와, 2000년 1월부터 2005년 5월까지 지연 수술, 최소한의 호흡 요법과 고빈도 환기 요법, 일산화질소 흡입 요법을 병행하고, 수술시 흉관의 삽입을 제한한 II기(34예)로 나누어 생존율을 비교하였다. I기의 경우 33예 중 20예가 생존하여 60.6 %, II기의 경우 34예 중 25예가 생존하여 73.5 %의 신생아기 생존율을 보였으나 통계학적 유의성은 없었다. 하지만 II기에서 생존율이 향상된 경향을 보임으로, II기에 불필요한 수술은 피할 수 있었던 것으로 생각되며, 나쁜 예후 인자를 갖는 예에서 치료 원칙의 변화가 의미 있는 역할을 했을 것으로 생각된다. 지연수술, 호흡요법, 일산화질소 흡입요법 각각의 영향에 대한 조사를 할 수 없었던 것은 이번 연구의 한계이다. 그러나 수술 전에 충분하게 제반 상태가 안정된 후에 시행하는 지연 수술이 바람직하다고 생각되며, 수술시 흉관 삽입은 피하는 것이 좋겠다. 수술 전후의 고빈도 환기 요법과 에 대해서는 좀 더 연구가 필요할 것으로 보인다.

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관개저수지의 최적수문조작과 침수구역 예측 (Optimal Gate Operation and Forecasting of Innundation Area in the Irrigation Reservoir)

  • 문종필;엄민용;김태철
    • 한국농공학회:학술대회논문집
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    • 한국농공학회 1999년도 Proceedings of the 1999 Annual Conference The Korean Society of Agricutural Engineers
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    • pp.486-492
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    • 1999
  • One of the purpose of the reservoir operation is minimizing theinnudation area in the downstream reaches during flood period.l To execute the gate operation properly , it requires lots of real-time data such as rainfall, reservoir level, and water level in the downstrea. Gate operation model was developed with the flood discharge obtained from real-time flood forecasting model and the criterion prepared from the past history of gate operation. Water level in the downstream would be increased by the releasing discharge from the spillway and the area of paddy land flooded in a certain detph and time would be estimated usnig GIS map. Gate operation model was applied to the Yedang reservoir, and the flooded area, depth and time in the paddy land was estimaged.

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