• Title/Summary/Keyword: Prolongation Of Operation

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QT-interval prolongation due to medication found in the preoperative evaluation

  • Seto, Mika;Koga, Sayo;Kita, Ryosuke;Kikuta, Toshihiro
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.4
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    • pp.323-327
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    • 2017
  • QT prolongation is an electrocardiographic change that can lead to lethal arrhythmia. Acquired QT prolongation is known to be caused by drugs and electrolyte abnormalities. We report three cases in which the prolonged QT interval was improved at the time of operation by briefly discontinuing the drugs suspected to have caused the QT prolongation observed on preoperative electrocardiography. The QTc of cases 1, 2, and 3 improved from 518 to 429 ms, 463 to 441 ms, and 473 to 443 ms on discontinuing the use of a gastrointestinal prokinetic agent, a proton pump inhibitor, and a molecular targeted drug, respectively. These cases were considered to have drug-induced QT prolongation. We reaffirmed that even drugs administered for conditions unrelated to cardiac diseases can have adverse side effect of QT prolongation. In conclusion, our cases indicate that dental surgeons should be aware of the dangerous and even potentially lethal side effects of QT prolongation. For safe oral and maxillofacial surgery, cooperation with medical departments in various fields is important.

PROLONGATION OF THE BOR-60 REACTOR OPERATION

  • IZHUTOV, ALEXEY L.;KRASHENINNIKOV, YURI M.;ZHEMKOV, IGOR Y.;VARIVTSEV, ARTEM V.;NABOISHCHIKOV, YURI V.;NEUSTROEV, VICTOR S.;SHAMARDIN, VALENTIN K.
    • Nuclear Engineering and Technology
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    • v.47 no.3
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    • pp.253-259
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    • 2015
  • The fast neutron reactor BOR-60 is one of the key experimental facilities worldwide to perform large-scale tests of fuel, absorbing, and structural materials for advanced reactors. The BOR-60 reactor was put into operation in December 1969, and by the end of 2014 it had been operating on power for ~265,000 hours. BOR-60 still demonstrates potential capabilities to extend the lifetime of sodium-cooled fast reactors. The BOR-60 lifetime should have expired at the end of 2014. Over the past few years, a great scope of work has been performed to justify the possibility of extending its lifetime. The work included inspection of the equipment conditions, calculations and experimental research on operating parameters and the conditions of nonremovable components, investigation of the structural material samples after their long-term operation under irradiation, etc. Based on the results of the work performed, the residual lifetime was evaluated and the reactor operator made a decision to extend the lifetime period of the BOR-60 reactor. After considering both a set of documents about the reactor conditions and the positive decision of independent experts, the Regulatory Authority of the Russian Federation extended the BOR-60 operating license up to 2020.

The Estimation Analysis Method of the Annual Operation Cost of Korean High-rise Condominiums

  • Ko, Eun Hyung;Choi, Jun Young
    • Architectural research
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    • v.7 no.1
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    • pp.11-18
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    • 2005
  • In today's building industry the emphasis has been geared more towards construction, thus building maintenance and life cycle have been neglected until now. A direct result of this neglect is the rapid aging of building, which leads to more cost-effective decision making methods for the prolongation of building life span. The following study is conducted in the area of Daegu and Seoul in order to develop the estimation analysis method of the annual operation cost of the Korean high-rise condominiums for the cost-effective decision making support through mathematical and statistical analyses including the present value and standardized measurement corrections. Based on the assumption that the life expectancy of the high rise condominium is 50 years, initial cost is ₩421,212/$m^2$, and a total sum of yearly operation cost during life expectancy is ₩2,154,499//$m^2$), yearly accumulated operation cost is shown as below: $AOC=0.7097t^4-38.803t^3+806.95t^2+11045t-496.52$ ($R^2=0.98$) (Here, AOC = Accumulated Operation Cost, t = given years)

Nuss Operation with Simultaneous Intracardiac Repair -A case report- (선천성 심기형에 동반된 누두흉에서 동시에 시행안 심기형 교정 및 Nuss 수술 -1예 보고-)

  • 허재학;장지민;김욱성;장우익;정철현
    • Journal of Chest Surgery
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    • v.37 no.6
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    • pp.536-538
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    • 2004
  • There are still some controversies regarding one stage repair of pectus deformity with congenital heart disease due to probable complications after extensive resection of deformed cartilages. We performed Nuss operation with simul-taneous intracardiac repair in 8 year old patient with pectus excavatum and partial atrioventricular septal defect. The result of operation was satisfactory without prolongation of operation time, bleeding or instability of chest wall.

EXTENSION OF OPERATIONAL LIFE-TIME OF WWER-440/213 TYPE UNITS AT PAKS NUCLEAR POWER PLANT

  • Katona, Tamas Janos;Ratkai, Sandor
    • Nuclear Engineering and Technology
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    • v.40 no.4
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    • pp.269-276
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    • 2008
  • Operational license of WWER-440/213 units at Paks NPP, Hungary is limited to the design lifetime of 30 years. Prolongation by additional 20 years of the operational lifetime is feasible. Moreover, enhancement of the reactor thermal power by 8% will increase both the net power output and the competitiveness of the plant. Paks NPP is a pioneer considering the power up-rate and preparation of long-term operation of WWER-440/213 design. Systematic preparatory work for long-term operation of Paks NPP has been started in 2000. A regulatory framework and a comprehensive engineering practice have been developed. According to the authors view, creation of a gapless engineering system via consequent application of best practices, and feed-back of experiences together with proper consideration of WWER-440/V213 features are the decisive elements of ensuring the safety of long-term operation. That systematic engineering approach is in the focus of recent paper. Key elements of justification and measures for ensuring the safety of long-term operation of Paks NPP WWER-440/213 units are identified and discussed. These are the assessment of plant condition and review of adequacy of ageing management programmes, also the review, validation and reconstitution of time limited ageing analyses as core tasks of licence renewal.

A Study on Heat Transfer of an Induction Motor with Cooling Channels under Transient Operation Condition (냉각채널을 지닌 유도전동기의 비정상상태 운전시 열전달)

  • Lee, Jeong-Ho;Park, Sung-Hoon;Kauh, S.-Ken
    • Proceedings of the KSME Conference
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    • 2000.04b
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    • pp.205-212
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    • 2000
  • Induction motors. having axial cooling channels in stator and rotor are designed for better cooling performance. Traction motors are one of those examples. And, thermal analysis gain more attention with the Increased demand of the motors, for reliable operation and life prolongation. was Induced to effective thermal conductivity through modeling. Through. fundamental comparison experiment, heat source experiment and transient state experiment, the induction motor using inverter was examined to produce heat source with frequency level and traced to thermal variation at starting and stopping. And thermal analysis using thermal network was compared with a transient state experiment.

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A Clinical Review of the 100 Cases of Pneumonectomy (일측폐 전적출술 100례에 대한 임상적 고찰: 특히 합병증의 원인에 대하여)

  • 김진식;김의윤;손재현
    • Journal of Chest Surgery
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    • v.3 no.1
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    • pp.3-12
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    • 1970
  • During the last 10 years of period, one hundred patients with various pulmonary diseases were pneumonectomized upon at the Department of Chest Surgery of Pusan University Hospital. This paper is concerned with the clnical results of these patients along with the serious postoperative complications such as postoperative intrapleural infection and hemorrhage. The results were obtained as follows. 1.Left pneumonectomy was done in sixty-six of 100 patients [66 %] and the right one was done in the rest thirty-four[34 %]. The ratio between left and right was nearly 2:1. 2.Of all oostoperative complications, the intrapleural infection was most common, and these were 53 % in empyema thoracis and 12.7 % in pulmonary tuberculosis respectively. 3.More postoperative complications could be seen after right pneumonectomy than the left one. 4.It was thought that the postoperative intrapleural infection was closely correlated with the methods of pleural dissection at pneumonectomy,postoperatlve tube drainage, time of operation, massive hemorrhage during operation, prolongation of bleeding time, and dysfunction of the liver. 5.The repeated thoracenteses with infusion of neomycin into the infected thoracic cavity and intravenous administrations of the high units of penicillin were effective in treatment of the postoperative intrapleural infection, however, the refractory cases have to be cured by thoracoplasty with open window. 6.Immediate secondary open thoracotomy appears to be the method of choice in life saving who developed massive intrathoracic hemorrhage after pneumonectomy. 7.The mortality rate was 10 % in our cases and the main causes of death were postoperative respiratory insufficiency, pulmonary edema, hemorrhage and sudden cardiac arrest.

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A Study on the Estimation of the Optimum Lifetime of Elevator Components for Elevator Accident Prevention (엘리베이터 사고예방을 위한 승강기 부품의 최적 수명 추정에 관한 연구)

  • Kim, Han-jin;Hwang, Min-soo;Choi, Og-man;Lee, An-ki;Kim, Jae-chul
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.66 no.8
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    • pp.1278-1284
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    • 2017
  • As of December 2016, there are 608,828 elevators in operation in Korea and 179,790 elevators in more than 15 years. 30.4% of all elevator are aging. Improved maintenance of the elevator and proactive replacement of the parts of the elevator can extend the lifetime of the elevator and ensure safety. An unclean environment reduces the lifetime of elevator parts. If you do not clean the environment and prevent preventive parts replacement, eventually shortening the lifetime of the parts connected to the failed part or causing more damage will result in greater economic loss. Also, the risk of elevator safety accidents due to failures of elevator parts will be increased accordingly. The study of optimum replacement time of elevator parts will contribute to prevention of safety accident of elevator and prolongation of lifetime of elevator through preventive replacement of elevator parts.

Clinical Assessment of Intracranial Mesenchymal Tumors with Relevant to Non-meningothelial Tumors (두개강내 원발성 간엽성 종양에 대한 임상 고찰)

  • Yi, Hyeong Joong;Kim, Choong Hyun;Bak, Koang Hum;Kim, Young Soo;Kim, Jae Min;Ko, Yong;Oh, Suck Jun;Kim, Kwang Myung
    • Journal of Korean Neurosurgical Society
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    • v.29 no.1
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    • pp.44-50
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    • 2000
  • Objective : A few anecdotal cases of mesenchyme-derived tumors which grow into a cranial cavity have been reported that disclosed a dismal prognosis, due to their critical location, aggressive biological behavior, and high rate of surgical morbidity. The aim of this study is to search clinical factors related to these tumors. Methods : Eight patients who underwent surgical removal of intracranial mesenchymal tumors between January 1993 and December 1997 were studied retrospectively. The tumors included are three chordomas, two chondrosarcomas, two rhabdomyosarcomas, and one hemangiopericytoma. Authors compared clinical features, treatment, and results of our cases with reported cases. The mean follow-up period was 20.5 months. Results : All cases showed nonspecific, location-related clinical findings and arose from sphenopetroclival region. Single stage operation was performed in 4 cases, and skull base approaches in 3 cases. Adjuvant therapies were done in 2 cases. Recurrence was seen in 3 cases(37.5%), and 3 patients died. Interdisciplinary approach with otologic surgeon was done in 2 cases. Conclusion : Recent advancement of refined tactics has made these tumors amenable and provides prolongation of progression-free survival. These are modified skull base approaches, multi-modality treatment options, and inter-disciplinary team approaches. Good results may be expected for these mesenchymal tumors by aggressive resection and adjuvant therapies according to their biological nature.

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Anterior Interbody Grafting and Instrumentation for Advanced Spondylodiscitis

  • Lim, Jae-Kwan;Kim, Sung-Min;Jo, Dae-Jean;Lee, Tae-One
    • Journal of Korean Neurosurgical Society
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    • v.43 no.1
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    • pp.5-10
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    • 2008
  • Objective : To evaluate the surgical outcomes of ventral interbody grafting and anterior or posterior spinal instrumentation for the treatment of advanced spondylodiscitis with patients who had failed medical management. Methods : A total of 28 patients were evaluated for associated medical illness, detected pathogen, level of involved spine, and perioperative complications. Radiological evaluation including the rate of bony union, segmental Cobb angle, graft- and instrumentation-related complications, and clinical outcomes by mean Frankel scale and VAS score were performed. Results : There are 14 pyogenic spondylodiscitis, 6 postoperative spondylodiscitis, and 8 tuberculous spondylodiscitis. There were 21 males and 7 females. Mean age was 51 years, with a range from 18 to 77. Mean follow-up period was 10.9 months. Associated medical illnesses were 6 diabetes, 3 pulmonary tuberculosis, and 4 chronic liver diseases. Staphylococcus was the most common pathogen isolated (25%), and Mycobacterium tuberculosis was found in 18% of the patients. Operative approaches, either anterior or posterior spinal instrumentation, were done simultaneously or delayed after anterior aggressive debridement, neural decompression, and structural interbody bone grafting. All patients with neurological deficits improved after operation, except only one who died from aggravation as military tuberculosis. Mean Frankel scale was changed from $3.78{\pm}0.78$ preoperatively to $4.78{\pm}0.35$ at final follow up and mean VAS score was improved from $7.43{\pm}0.54$ to $2.07{\pm}1.12$. Solid bone fusion was obtained in all patients except only one patient who died. There was no need for prolongation of duration of antibiotics and no evidence of secondary infection owing to spinal instrumentations. Conclusion : According to these results, debridement and anterior column reconstruction with ventral interbody grafting and instrumentation is effective and safe in patients who had failed medical management and neurological deficits in advanced spondylodiscitis.