• Title/Summary/Keyword: Operation procedure

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Learning Curve of Percutaneous Endoscopic Lumbar Discectomy Based on the Period (Early vs. Late) and Technique (in-and-out vs. in-and-out-and-in) : A Retrospective Comparative Study

  • Ahn, Sang-Soak;Kim, Sang-Hyeon;Kim, Dong-Won
    • Journal of Korean Neurosurgical Society
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    • v.58 no.6
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    • pp.539-546
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    • 2015
  • Objective : To report the learning curve of percutaneous endoscopic lumbar discectomy (PELD) for a surgeon who had not been previously exposed to this procedure based on the period and detailed technique with a retrospective matched comparative design. Methods : Of 213 patients with lumbar disc herniation encountered during the reference period, 35 patients who were followed up for 1 year after PELD were enrolled in this study. The patients were categorized by the period and technique of operation : group A, the first 15 cases, who underwent by the 'in-and-out' technique; group B, the next 20 cases, who underwent by the 'in-and-out-and-in' technique. The operation time, failure rate, blood loss, complication rate, re-herniation rate, the Visual Analogue Scale (VAS) for back and leg were checked. The alteration of dural sac cross-sectional area (DSCSA) between the preoperative and the postoperative MRI was checked. Results : Operative time was rapidly reduced in the early phase, and then tapered to a steady state for the 35 cases receiving the PELD. After surgery, VAS scores for the back and leg were decreased significantly in both groups. Complications occurred in 2 patients in group A and 2 patients in group B. Between the two groups, there were significant differences in operative time, improvement of leg VAS, and expansion of DSCSA. Conclusion : PELD learning curve seems to be acceptable with sufficient preparation. However, because of their high tendency to delayed operation time, operation failure, and re-herniation, caution should be exercised at the early phase of the procedure.

Modified Scarf Osteotomy for Hallux Valgus with Lesser Metatarsalgia (소족지 중족골통을 동반한 무지 외반증에서의 변형 스카프 절골술)

  • Chung, Jin-Wha;Jung, Hyun-Woo;Chu, In-Tak
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.2
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    • pp.134-139
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    • 2008
  • Purpose: The purpose of this study was to evaluate the radiological and clinical results of modified scarf osteotomy for hallux valgus with lesser metatarsalgia. Materials and Methods: Total 19 patients (24 feet) were reviewed by medical records and radiographs. All patients were female and the mean age at the time of operation was 46.4 years. The mean follow-up time was 14.8 months. We modified original scarf osteotomy by adding the procedure of closing wedge osteotomy at the medial side of distal fragment for achieving of the supination of the first metatarsal head. Additionally, Akin osteotomy of the first proximal phalanx was done in 16 patients (20 feet) and no lesser metatarsal operation was done. First-second intermetatarsal, hallux valgus and distal metatarsal articular angles were analyzed radiologically before and after the operation. And 3-dimensional CT was used to evaluate the supination of the first metatarsal head. Clinical results were assessed by American Orthopaedic Foot and Ankle Society (AOFAS) score and persistence of lesser metatarsalgia. Results: First-second intermetatarsal and hallux valgus angles were reduced from the mean pre-operative values of $14.2^{\circ}$ and $32.5^{\circ}$ to $8^{\circ}$ and $12.5^{\circ}$, respectively, 12 months after the operation. And the supination of the first metatarsal head was confirmed by 3-dimensional CT. The mean AOFAS score improved from 41.4 points pre-operatively to 87.2 points at follow-up. Lesser metatarsalgia still remained in 2 patients (2 feet). Conclusion: Modified scarf osteotomy would be an effective surgical procedure, especially, for achieving downward displacement and supination of the first metatarsal head in hallux valgus with lesser metatarsalgia.

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A Design and Implementation of Educational Mobile Robot System including Remote Control Function (원격 제어 기능을 포함한 교육용 모바일 로봇 시스템의 설계 및 구현)

  • Chung, Joong-Soo;Jung, Kwang-Wook
    • Journal of the Korea Society of Computer and Information
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    • v.20 no.4
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    • pp.33-40
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    • 2015
  • This paper presents the design and implementation of the educational remote controlled robot system including remote sensing in the embedded environment. The design of sensing information processing, software design and template design mechanism for the programming practice are introduced. LPC1769 using Cortex-M3 core as CPU, LPCXPRESSO as debugging environment, C language as firmware development language and FreeRTOS as OS are used in development environment. The control command is received via RF communication by the server and the robot system which is operated by driving the various sensors. The educational procedure is from robot demo operation program as hands-on practice and then compiling, loading of the basic robot operation program, already supplied. Thereafter the verification is checked by using the basic robot operation to allow demo operation such as hands-on-training procedure. The original protocol is designed via RF communication between server and robot system, and the satisfied performance result is presented by analyzing the robot sensing data processing.

A statistical procedure of analyzing container ship operation data for finding fuel consumption patterns (연료 소비 패턴 발견을 위한 컨테이너선 운항데이터 분석의 통계적 절차)

  • Kim, Kyung-Jun;Lee, Su-Dong;Jun, Chi-Hyuck;Park, Kae-Myoung;Byeon, Sang-Su
    • The Korean Journal of Applied Statistics
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    • v.30 no.5
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    • pp.633-645
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    • 2017
  • This study proposes a statistical procedure for analyzing container ship operation data that can help determine fuel consumption patterns. We first investigate the features that affect fuel consumption and develop the prediction model to find current fuel consumption. The ship data can be divided into two-type data. One set of operation data includes sea route, voyage information, longitudinal water speed, longitudinal ground speed, and wind, the other includes machinery data such as engine power, rpm, fuel consumption, temperature, and pressure. In this study, we separate the effects of external force on ships according to Beaufort Scale and apply a partial least squares regression to develop a prediction model.

Visualization and Analysis of Remote Operation involved in Advanced Conditioning Process

  • Yoon, Ji-Sup;Kim, Sung-Hyun;Song, Tai-Gil
    • Proceedings of the Korean Radioactive Waste Society Conference
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    • 2004.02a
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    • pp.205-219
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    • 2004
  • The remote operation of the Advanced Spent Fuel Conditioning Process (ACP) is analyzed by using the 3D graphic simulation tools. The ACP equipment operates in intense radiation fields as well as in a high temperature. Thus, the equipment should be designed in consideration of the remote handling and maintenance. As well as suitable remote handling and maintenance technology needs to be developed along with the design of the process concepts. To develop such remote operation technology, we developed the graphic simulator which provides the capability of verifying the remote operability of the ACP without fabrication of the process equipment. In other words, by applying virtual reality to the remote maintenance operation, a remote operation task can be simulated in the graphic simulator, not in the real environment. The graphic simulator will substantially reduce the cost of the development of the remote handling and maintenance procedure as well as the process equipment, while at the same time developing a remote maintenance concept that is more reliable, easier to implement, and easier to understand.

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(r, Q) Policy for Operation of a Multipurpose Facility (단일 범용설비 운영을 위한 (r, Q) 정책)

  • ;Oh, Geun-Tae
    • Journal of the Korean Operations Research and Management Science Society
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    • v.17 no.3
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    • pp.27-46
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    • 1992
  • This paper considers an (r, Q) policy for operation of a multipurpose facility. It is assumed that whenever the inventory level falls below r, the model starts to produce the fixed amount of Q. The facility can be utilized for extra production during idle periods, that is, when the inventory level is still greater than r right after a main production operation is terminated or an extra production operation is finished. But, whenever the facility is in operation for an extra production, the operation can not be terminated for the main production even though the inventory level falls below r. In the model, the demand for the product is assumed to arrive according to a compound Poisson process and the processing time required to produce a product is assumed to follow an arbitary distribution. Similarly, the orders for the extra production is assumed to accur in a Poisson process are the extra production processing time is assumed to follow an arbitrary distribution. It is further assumed that unsatisfied demands are backordered and the expected comulative amount of demands is less than that of production during each production period. Under a cost structure which includes a setup/ production cost, a linear holding cost, a linear backorder cost, a linear extra production lost sale cost, and a linear extra production profit, an expression for the expected cost per unit time for a given (r, Q) policy is obtained, and using a convex property of the cost function, a procedure to find the optimal (r, Q) policy is presented.

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A Study about the Transfer Crane Operation Rules consider with Space Resource and Multi Job (공간자원 및 다작업원칙을 고려한 트랜스퍼 크레인 운영규칙에 관한 연구)

  • Kim, Woo-Sun;Choi, Yong-Suk
    • Journal of Navigation and Port Research
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    • v.28 no.8
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    • pp.721-726
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    • 2004
  • This study was performed to analyze the operation system of transfer crane to improve the reality of yard operation rules in container terminal and present the applicable method of operation rules to apply the operation priority. And we derived the procedure to estimate the maximum number of waiting truck based on the waiting of truck and the occupancy of driving lane in yard, and analyzed the constraint state of space. To solve the space constraint, we provided a multi-job principle to define the space resource and described the solution and sequence diagram for the principle.

Feasibility of Long Term Feed and Bleed Operation For Total Loss of Feedwater Event

  • Kwon, Young-Min;Song, Jin-Ho
    • Nuclear Engineering and Technology
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    • v.28 no.3
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    • pp.257-264
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    • 1996
  • The conventional Equipment Environment Qualification (EEQ) envelope is developed based on the containment responses during the design basis events. The Safety Depressurization System (SDS) design without In-containment Refueling Water Storage Tank (IRWST) adopted in the Ulchin 3&4 challenges the conventional EEQ envelope during long term Feed and Bleed (F&B) operation due to the direct discharge of high mass and energy into the containment. Therefore, it is necessary to confirm that the containment pressure and temperature history during the long term F&B operation does not violate the conventional EEQ envelope. However, this subject has never been quantitatively assessed before. To investigate the success path of long term F&B operation this paper analyzes the thermal hydraulic response of the containment and Reactor Coolant System (RCS) until the completion of depressurization and cooldown of RCS into Shutdown Cooling System (SCS) entry condition. It is found that the SCS entry condition can be reached within 6 hours without violating the EEQ curve by proper operation of SDS valves, High Pressure Safety Injection (HPSI) pumps and active Containment Heat Removal System (CHRS). The suggested strategy not only demonstrates the feasibility of long term F&B operation but also can be utilized in the preparation of Emergency Procedure Guidelines (EPGs)

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Operation Room Fire: Caution for Using Electrocautery after Rinsing Operation Field at the End of the Surgery with Alcohol-Based Cleansing Solutions (수술방 화재: 수술 종료 시 알코올 함유 피부 소독액을 이용한 수술부위 세척 이후 전기소작기 사용 주의)

  • Song, Jong Keun;Shin, Hyojeong;Lee, Jun Yong
    • Journal of the Korean Burn Society
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    • v.22 no.2
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    • pp.34-37
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    • 2019
  • Fires in operating rooms rarely occur. However, this type of disaster can complicate almost any surgical procedure. Fuel, heat and oxygen are related with fire outbreak. When ignition sources such as alcohol-based surgical preparation solutions are present, the risk of an operating room fire increases, and burns are more severe in such conditions. Many manufacturers recommend waiting at least three minutes after application to allow complete drying for reduce fire risk. There are a few studies regarding flame burns in the operation room, although most of these studies are related to preoperative skin preparation. However, alcohol containing solutions can be used occasionally for cleansing of the operation field after the surgery, therefore, the surgical team should pay attention to surgical fires, even if they have completed the operation successfully. We present our case of a post-operative flame burn and introduce some precautions that will reduce the risk of alcohol burns.