• Title/Summary/Keyword: Re-operation

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Emergent Exploration after Free Tissue Transfer in Head and Neck Cancer (두경부 악성종양 환자에서 유리조직이식 후 시행한 혈류장애 구제술)

  • Chang, Yong-Joon;Chung, Chul-Hoon;Lee, Jong-Wook;Joe, Woo-Sung;Kim, Jin-Hwan;Rho, Young-Soo
    • Archives of Reconstructive Microsurgery
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    • v.17 no.1
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    • pp.19-27
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    • 2008
  • Purpose: Microvascular reconstructive surgery has become an integral part of the treatment of head and neck cancer patients. This review of 121 free flaps for head and neck cancer patients performed over the last 11 years was done to evaluate circulatory crisis, salvage, and secondary reconstruction and to investigate which factors may contribute to these rates. Method: Nine emergent explorations among 121 head and neck reconstruction with free flaps were reviewed to analyze detection of vascular crisis, the time interval from detection of circulatory crisis to exploration, operation procedures and results, and secondary reconstructions. Emergent exploration was done with our protocol. Result: Nine free flaps exhibited signs of vascular problems between 1 day and 6 days postoperatively. The emergent exploration rate of this series was 7.4% (9/121). The salvage rate was 55.6% (5/9), giving an overall flap viability of 96.7% (117/121). In our study, preoperative radiation therapy, positive smoking history, alcohol consumption history, combined disease such as diabetes mellitus and hypertension, recipient vessels and types of vascular anastomosis were not related to the causes of circulatory crisis. The mean time interval between the onset of clinical recognition of impaired flap perfusion and re-exploration of the salvaged 5 flaps was 3.2 hours, that of failed 4 flaps was 11.25 hours. Conclusion: Despite high overall success rate, relatively low salvage rate may be attributed to late detection of circulatory crisis and in long time interval between detection and exploration. We conclude that early detection of circulatory crisis and expeditious re-exploration are a matter of great importance for the success of salvage operation.

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Forehead Augmentation with a Methyl Methacrylate Onlay Implant Using an Injection-Molding Technique

  • Park, Dong Kwon;Song, Ingook;Lee, Jin Hyo;You, Young June
    • Archives of Plastic Surgery
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    • v.40 no.5
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    • pp.597-602
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    • 2013
  • Background The forehead, which occupies about one third of the face, is one of the major determinants of a feminine or masculine look. Various methods have been used for the augmentation of the forehead using autologous fat grafts or alloplastic materials. Methylmethacrylate (MMA) is the most appropriate material for augmentation of the forehead, and we have used an injection-molding technique with MMA to achieve satisfactory results. Methods Under local anesthesia with intravenous (IV) sedation, an incision was made on the scalp and a meticulous and delicate subperiosteal dissection was then performed. MMA monomers and polymers were mixed, the dough was injected into the space created, and manual molding was performed along with direct inspection. This surgery was indicated for patients who wanted to correct an unattractive appearance by forehead augmentation. Every patient in this study visited our clinics 3 months after surgery to evaluate the results. We judged the postoperative results in terms of re-operation rates caused by the dissatisfaction of the patients and complications. Results During a 13-year period, 516 patients underwent forehead augmentation with MMA. With the injection-molding technique, the inner surface of the MMA implant is positioned close to the underlying frontal bone, which minimizes the gap between the implant and bone. The borders of the implant should be tapered sufficiently until no longer palpable or visible. Only 28 patients (5.4%) underwent a re-operation due to an undesirable postoperative appearance. Conclusions The injection-molding technique using MMA is a simple, safe, and ideal method for the augmentation of the forehead.

The Underwater Noise of Fishing Gears in Operation (망어구의 수중소음에 관한 연구)

  • 윤갑동
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.16 no.1
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    • pp.1-15
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    • 1980
  • An underwater recording system was designed to measure the sound spectra of the underwater noises produced by fishing gears in operation. Recorded were noi~es from three types of fishing gears: an anchovy set net, three anchovy boat seine net and a stern trawlnet. Acoustic analysis were made using a heterodyne analyzer, a digital frequency analyzer and a level recorder. The no;'e produced by the anchovy set net was found in the high frequency region of the onset of ambient noise spectrum with a slope of - 6 dB/octave. Here the ambient noise spectrum is higher, though similar in shape, than Knudsen spectrum, and is attributed to the breaking action of the coastal wave. Measured noise spectra during the fishing operations of the anchovy boat seine nets are attributed to the background noise of the sea in the presence of the fishing vessels. The frequency distribution of the noise was 20~5, 000 Hz in the case of two steel anchovy boat seiners, and 20-3,000 Hz in the case of the wooden anchovy boat seiner. The predominant frequency range was 250~350 Hz and maximum sound pressure level was 122 dB (re $1\muPa$) in the case of the steel boat and ] 17 dB in the case of the wooden boat. The noises produced by the trawl fishing gears are remarkably higher than the background noi~e in the presence of the fishing vessel. The frequency distribution of the noi~e was 20-6,300 Hz. The predominant frequency range was 100~200 Hz and maximum sound pressure level was 137 dB ( re $1\muPa$) . The noise spectra were not so much different from that caused by vibrations of the towing cable and the structure of the ground rope of the trawl net towed in an experimental tank.

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Real Time Scheduling for Multiple Yard Cranes in an Automated Container Terminal (자동화 컨테이너 터미널의 복수 장치장 크레인을 위한 실시간 작업 계획 수립)

  • Park, Tae-Jin;Choe, Ri;Ryu, Kwang-Ryel
    • Journal of Navigation and Port Research
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    • v.31 no.10
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    • pp.869-877
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    • 2007
  • This paper proposes a realtime scheduling method using local search algorithm for non-crossable yard cranes in automated container terminal. To take into consideration the dynamic property of yard crane operation and satisfy the real time constraint, the proposed method repeatedly builds crane schedule for the jobs in a fixed length look-ahead horizon whenever a new job is requested In addition, the proposed method enables the co-operation between yard cranes through prior re-handling and re-positioning in order to resolve the workload imbalance problem between the two cranes, which is one of the primary causes that lower the performance of yard cranes. Simulation-based experiments have shown that the proposed method outperforms the heuristic based methods, and the cooperation scheme contributes a lot to the performance improvement.

Evaluation of Visual Performance for Implanted Aspheric Multifocal Intraocular Lens in the Cataract Patients (백내장 환자에서 비구면 다초점 인공수정체 삽입 후 시기능 평가)

  • Kim, Jae-Yoon;Lee, Koon-Ja
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.3
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    • pp.347-356
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    • 2013
  • Purpose: To evaluate the visual acuity and visual performance after implantation of a aspheric multifocal (ReSTOR$^{(R)}$ SN6AD3) intraocular lens (IOL). Methods: Nineteen cataract patients (30 eyes) implanted with an aspheric multifocal IOL (ReSTOR$^{(R)}$ SN6AD3) either unilaterally or bilaterally were participated. Visual acuity (VA) and objective optical performance were evaluated at the time of preoperation, 1 week, 1 month, and 3 month after operation. At 3 month of post-operation, objective visual performance were measured and compared with the 38 eyes of 20 age-matched normal control. Distance VA was measured by using the ETDRS LCD chart and intermediate and near visual acuity were measured using Jaeger chart. Objective visual performance was assessed preoperatively and 1 week, 1 month and 3 month postoperatively using a double-pass system (Optical Quality Analysis System) with a 4-mm pupil diameter, the OSI (objective scatter index), MTF (modulation transfer function) cut off and strehl ratio. At 3 month of post-operation, visual acuity and visual performance compared with age matched normal control. Results: The uncorrected distance VA, OSI, MTF cut off and strehl ratio were significantly improved (p<0.05) until 1 month postoperatively. Visual performance of MTF cut off and strehl ratio after 3 month of operation were significantly improved compared to the normal control (p=0.063, p=0.103 respectively), however, OSI was higher than normal control. Patients implanted with aspheric multifocal IOL were satisfied with distance and near VA however, were unsatisfied with intermediate VA and reported glare and halos. Conclusions: The visual performance reaches to a stable condition in 1 month of implantation of aspheric multifocal IOL and improved to the level of age-mated normal patients. Also patients were satisfied with their quality of vision, however, intermediate VA, glare and halos were reported as complications.

Clinical Results of Arthroscopic Treatment for Infection after Total Knee Arthroplasty (슬관절 전치환술 후 발생한 감염에 시행한 관절경적 치료의 임상 결과)

  • Kim, Kyung Tae;Lee, Song;Kim, Jee Hyoung;Kim, Dae Geun;Shin, Won Shik
    • Journal of the Korean Arthroscopy Society
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    • v.17 no.1
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    • pp.38-43
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    • 2013
  • Purpose: To evaluate the efficiency of arthroscopic treatment for infected total knee arthroplasty (TKA), and to investigate the factors affecting the outcomes. Materials and Methods: We analyzed 17 cases which underwent arthroscopic treatment to treat infection after TKA. After confirming infection by hematologic examination and analysis of joint fluid, we performed arthroscopic debridement, synovectomy and irrigation with normal saline mixed with antibiotics. Through routine examination after operation, we checked failure of treatment or recurrence of infection. If there is no recurrence until 2 years after the operation, we considered it as a success of treatment. Results: Of the 17 cases taken arthroscopic treatment, 13 cases were treated successfully with primary arthroscopic treatment only, but 4 cases had to undergo re-operation because of persistence or recurrence of infection. Analyzing the factors affecting the results, we found that symptom duration of the re-operation group is longer than the treated group after arthroscopy (p<0.05). Conclusion: Arthroscopic treatment can be effective when we performed appropriate selection of patients, careful and extensive arthroscopic irrigation and debridement, and suitable use of antibiotics. However, we have to do early arthroscopic surgery as soon as possible when infection after TKA is suspected.

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Development of a Garlic Peeling System Using High-Pressure Water Jets (IV) - Structure and performance of a full-scale system in operation - (습식 마늘박피 시스템 개발 (IV) - 상업용 시스템의 구조와 성능 -)

  • Bae Y. H.;Yang K. W.;Baik S. K.;Kim J.;Chang Y. C.;Lee S. H.
    • Journal of Biosystems Engineering
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    • v.30 no.1 s.108
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    • pp.25-31
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    • 2005
  • There are more than three hundred garlic peeling facilities in Korea and most of them use pressurized air for skin peeling operation. One of the major problems of using air for the peeling operation is the occurrence of excessive bruises on the flesh of peeled garlic which causes easy microbial contamination and shortening of the shelf lift. To reduce the occurrence of bruises during the peeling operation, a new type of garlic peeling system was developed which use pressurized water. In this system, high pressure water jets were used to separate garlic bulbs and to peel the skin of garlic cloves. Six commercial systems of this type had been developed and installed at several locations in Korea. The design and performance of the latest system according to three pressure levels were described in this paper. Peeling efficiency of the system was as high as $64.7\%$ in one cycle of peeling operation by three chambers installed in series. Incorporation of a sorting system based on machine vision and re-circulation of unpeeled and partially-peeled garlic enhanced peeling efficiency by additional $30\%$, resulting in total peeling efficiency of the final products of approximately $95\%$. Peeling capacity of the system was over 400 kg per hour.

KSLV 추진기관 종합시험설비 피해 사고 예측 모델 해석

  • Lee, Jung-Ho;Kang, Sun-Il;Yu, Byung-Il;Kim, Yong-Wook;Cho, Sang-Yeon;Oh, Seung-Hyub
    • Aerospace Engineering and Technology
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    • v.4 no.2
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    • pp.163-170
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    • 2005
  • According to the KSLV program of KARI, it is planed to develop various launch vehicle and satellite 10 years hereafter. Large-scale test facilities, such as ReTF and PTA-II, are needed to fulfill this launch vehicle/satellite development project. The authors intend to arrange and describe various indexes that are needed in test facility design, construction and operation process. This technical paper is describing model analysis of damage prediction of accident in KSLV Integrated Propulsion System Test Facility based on propellant storage quantity and layout. In addition, the result can be used to produce safer design of test facility.

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Biofilter를 이용한 폐가스중의 styrene 제거

  • Gang, Yeom-Seok;Hwang, Jae-Ung;Jang, Seok-Jin;Park, Seong-Hun
    • 한국생물공학회:학술대회논문집
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    • 2000.04a
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    • pp.394-397
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    • 2000
  • Lab-scale biofilter was evaluated for the removal of styrene from a waste gas stream. Compost and polyurethane form were used as packing material (50 : 50) and activated sludge from a wastewater treatment plant was innoculated initially. Nitrogen limitation was observed during the biofilter operation and nitrogen source should be properly supplemented. When ammonium sulfate is used as N-source. 200mg carbon was removed for each mg of nitrogen. The effects of the volumetric styrene loading on the styrene elimination capacity (EC) and the removal efficiency (RE) was also tested. The results showed $EC_{max}$ was 4.8kg $C/m^3{\cdot}day$ and above RE 95% was achieved at EBRT 1min.

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Rapid Prototyping from Reverse Engineered Geometric Data (리버스 엔지니어링으로 생성된 데이터를 이용한 쾌속 조형 기술 연구)

  • Woo, Hyuck-Je;Lee, Kwan-Heng
    • Journal of the Korean Society for Precision Engineering
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    • v.16 no.1 s.94
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    • pp.95-107
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    • 1999
  • The design models of a new product in general are created using clay models or wooden mock-ups. The reverse engineering(RE) technology enables us to quickly create the CAD model of the new product by capturing the surface of the model using laser digitizers or coordinate measuring machines. Rapid prototyping (RP) is another technology that can reduce the product development time by fabricating the physical prototype of a part using a layered manufacturing technique. In reverse engineering process, however, the digitizer generates an enormous amount of point data, and it is time consuming and also inefficient to create surfaces out of these data. In addition, the surfacing operation takes a great deal of time and skill and becomes a bottleneck. In rapid prototyping, a faceted model called STL file has been the industry standard for providing the CAD input to RP machines. It approximates the CAD model of a part using many planar triangular patches and has drawbacks. A novel procedure that overcomes these problems and integrates RE with RP is proposed. Algorithms that drastically reduce the point clouds data have been developed. These methods will facilitate the use of reverse engineered geometric data for rapid prototyping, and thereby will contribute in reducing the product development time.

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