• 제목/요약/키워드: Secondary correction

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전류원 방식 푸시-풀 공진형 인버터로 구성된 단일단 고역률 형광등용 전자식 안정기 (Electronic Ballast using Current-Fed Push-Pull Resonant Inverter with Single-Stage Power Factor Correction Circuit)

  • 채균;류태하;조규형
    • 전력전자학회논문지
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    • 제5권5호
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    • pp.501-507
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    • 2000
  • 형광등용 전자식 안정기의 개발에 있어서, 최근 선전류 고조파 성분의 제한에 관한 여러 가지 규제를 만족시키기 위해 역률 개선 회로를 부가하는 것이 권장되고 있다. 본 논문에서는 자려식 전류원 방식 푸시-풀 공진형 인버터의 전력 트랜스포머의 2차측과 별도의 한 개의 커패시터를 사용함으로써 역률 개선을 수동소자로만 이용하여 전류원 방식의 공진형 인버터를 채택하는 형광등용 전자식 안정기를 저가격화, 고역률화하는 것을 목적으로 한다.

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심실중격결손의 Pulmonary Banding: 2 치험례 (Pulmonary Artery Banding for Ventricular Septal Defect: Report of 2 Cases)

  • 조범구
    • Journal of Chest Surgery
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    • 제5권1호
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    • pp.29-34
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    • 1972
  • Interventricular Septal Defect is probably the most common congenital cardiac lesion. Despite rapid technical advances and increasing surgical experience the risk of surgical intervention for correction of Ventricular Septal Defect in infants with pulmonary hypertension remains formidable. Since Sirak et al [1959] reported a succesful case of two stage approach to their surgical correction, it has led to a policy of primary palliation,followed by complete correction as a secondary procedure, after age 3 to 4 years. Most surgeon prefer to perform complete correction of Ventricular Septal Defect when body weight exceeds 30 Lbs. and before development of so-called Eisenmengers complex, for the good postoperative results. Authors report 2 cases of Ventricular Septal Defect with pulmonary hupertenslon, who was underwent pulmonary artery banding as a palliative procedure in the Department of Surgery,Severance Hospital Yonsei University. Case 1:4 year old male, initially a complete correction of Ventricular Septal Defect was attempted by the help of mild hypothermia and extracorporeal circulation. During the procedure of a construction of an extracorporeal by- pass, a sudden cardiac arrest developed. After resuscitation of the heart,pulmonary artery banding was performed as a palliation. On the first postoperative day the patient developed generalized tonic convulsion, cyanosis, vomiting and eventually shock. Patient discharged home after a full recovery. Case 2.: 9 month old female, the pulmonary artery constricted with Teflon patch successfully. After the patients first postoperative day several cyanotic spells developed followed by 3 cardiac arrests. This repeated until when she expired with respiratory failure.

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Mastectomy in female-to-male transgender patients: A single-center 24-year retrospective analysis

  • Kuhn, Shafreena;Keval, Seirah;Sader, Robert;Kuenzlen, Lara;Kiehlmann, Marcus;Djedovic, Gabriel;Bozkurt, Ahmet;Rieger, Ulrich Michael
    • Archives of Plastic Surgery
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    • 제46권5호
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    • pp.433-440
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    • 2019
  • Background Mastectomy in male transgender patients is an important (and often the first) step toward physical manhood. At our department, mastectomies in transgender patients have been performed for several decades. Methods Recorded data were collected and analyzed for all male transgender patients undergoing mastectomy over a period of 24 years at our department. Results In total, 268 gender-reassigning mastectomies were performed. Several different mastectomy techniques (areolar incision, n=172; sub-mammary incision, n=96) were used according to patients' habitus and breast features. Corresponding to algorithms presented in the current literature, certain breast qualities were matched with a particular mastectomy technique. Overall, small breasts with marginal ptosis and good skin elasticity allowed small areolar incisions as a method of access for glandular removal. In contrast, large breasts and those with heavy ptosis or poor skin elasticity often required larger incisions for breast amputation. The secondary correction rate (38%) was high for gender reassignment mastectomy, as is also reflected by data in the current literature. Secondary correction frequently involved revision of chest wall recontouring, suggesting inadequate removal of the mammary tissue, as well as scar revision, which may reflect intense traction during wound healing (36%). Secondary corrections were performed more often after using small areolar incision techniques (48%) than after using large sub-mammary incisions (21%). Conclusions Choosing the suitable mastectomy technique for each patient requires careful individual evaluation of breast features such as size, degree of ptosis, and skin elasticity in order to maximize patient satisfaction and minimize secondary revisions.

Long-Term Evaluation of the Lip and Nose in Bilateral Complete Cleft Lip Patients following Lip Adhesion and Secondary Nose Correction

  • Kim, Ryuck Seong;Seo, Hyung Joon;Park, Min Suk;Bae, Yong Chan
    • Archives of Plastic Surgery
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    • 제49권4호
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    • pp.510-516
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    • 2022
  • Background Surgical correction of bilateral cleft lip deformities remains one of the most challenging areas in facial plastic surgery. Many surgical techniques and conservative devices have been offered for the early management of bilateral cleft lip in infants. The purpose of this study was to evaluate the effect of lip adhesion on the lip and nose of patients with bilateral cleft lip. Methods A retrospective review of 13 patients with bilateral cleft lip was performed and compared with age-matched noncleft children. Patients underwent lip adhesion at a mean age of 2.8 months, and cheiloplasty at 6.6 months of age using a modification the Mulliken method. Secondary rhinoplasty was performed at the age of 6 in 13 patients. The surgical results were analyzed using photographic records obtained at the age of 1 and 7 years. Twelve length measurements and one angle measurement were obtained. Results All measurements were not statistically different from those of the noncleft age-matched control group at the age of 1. At 7 years of age, upper lip height and vermilion mucosal height were shorter (p < 0.05) than in the control group. Nasal tip protrusion and the nasolabial angle were greater (p < 0.05) than in the control group. Conclusion Lip adhesion followed by secondary rhinoplasty resulted in an acceptable lip and nasal appearance. Although nasoalveolar molding is now widely used, lip adhesion can be an appropriate alternative if an orthodontist is not available due to geographical or economic constraints.

YBCO의 특성분석에 있어서 불순물효과의 보정 (Correction of lmpurity Effects on the Characterization of YBCO)

  • 하동한;변순예;김용일;한기열;이규원
    • 한국초전도학회:학술대회논문집
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    • 한국초전도학회 1999년도 High Temperature Superconductivity Vol.IX
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    • pp.171-174
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    • 1999
  • We have characterized solid solution Y$_{l-x}Ca_xBa_2Cu_3O_y$ (0${\le}$x${\le}$0.3) materials by measuring the XRD pattern, resistivity and hole concentrations, etc. As Ca concentration increases, T$_c$, is decreased monotonically because the hole concentration on the superconducting plane increases beyond the optimum region in the electronic phase diagram due to the hole transfer from the Cu-O chain to the CuO$_2$ plane. A very small amount of secondary phase have large effects on the analysis of oxygen content and hole concentration etc. The results before the correction of impurity phase are compared with those after the correction.

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2 세 이하 유아기의 개심술 (Open heart surgery in the first two years of life)

  • 성숙환
    • Journal of Chest Surgery
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    • 제15권4호
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    • pp.373-380
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    • 1982
  • Experience with intracardiac surgery in infants indicates that for most anomalies the operation and late mortality after primary total correction is lower than the combined mortality after early palliation and delayed correction. In addition, there are secondary benefits of primary total correction in terms of reversal of retarded physical growth and social development and alleviation of parental anxiety. One hundred and fifteen infants under 2 years of age with congenital cardiac anomalies underwent primary surgical intervention at Seoul National University Hospital from Jan. `78 to Sep. `82. There were 70 patients with VSD, 17 patients with TOF, 10 patients with TGA, 4 patients with ASD, 4 patients with TA, 3 patients with TAPVR, and the remainders are Coronary AV Fistula, partial ECD+COA, SV, DORV, PA, Trilogy+PDA. The overall surgical mortality was 18.3%. In acyanotic group 6 patients died among 76 operated patients, and surgical mortality was 6.6%. But in cyanotic group, the mortality was very high as41.0% [16 patients among 39 patients]. This poor surgical result in cyanotic group was due to Improper pre-, intra- and post-operative care, and we are convincing that these factors soon be improved as experiences accumulated.

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전하펌프 역률개선 회로를 적용한 양방향성 AC-DC Converter 설계 (Design of a Bidirectional AC-DC Converter using Charge Pump Power Factor Correction Circuit)

  • 고석철;임성훈;한병성
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2001년도 춘계학술대회 논문집 전기기기 및 에너지변환시스템부문
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    • pp.227-230
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    • 2001
  • This paper deals with a bidirectional ac-dc converter used in ups system application. We propose a Voltage-Source-Charge-Pump-Power-Factor-Correction(VS-CPPFC) ac-dc converters. First of all, we propose a charge pump power-factor-correction converter. Secondly, we derive and analyse a unity power factor condition. The proposed topology is based on a half-bridge for the primary and a current-fed push pull for the secondary side of a high frequency isolation transformer. The advantage of bidirectional flow of power achieved by using the same power components is that the circuit is simple and efficient. And the galvanically isolated topology is specially attractive in battery charge/discharge circuits in ups system. We design equivalent model for the steady-state circuit and analyse operation waveforms for each mode. We show that the proposed model can be applied to ups system by simulation processes.

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비부 파라핀종의 제거와 동시에 시행한 자가진피지방이식을 이용한 융비술 (Secondary Augmentation Rhinoplasty with Immediate Autogenous Dermofat Graft after Removal of Paraffinoma)

  • 최강영;곽인수;조병채
    • Archives of Plastic Surgery
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    • 제34권6호
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    • pp.785-791
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    • 2007
  • Purpose: Paraffin has been used to augment depressed nasal contour for many years by illegally. Reported complications of nasal paraffinoma were skin thinning, displacement of nasal profile, redness, chronic inflammation and malignant change to skin cancer. The current authors report results of the secondary rhinoplasty after excision of nasal paraffinoma. Methods: Through the open rhinoplasty incision, paraffinoma was removed under direct vision. Saline irrigation and meticulous hemostasis were performed. Simultaneously, the secondary depressed nasal deformity was corrected with autogenous dermofat graft harvested from inferior gluteal fold. The dermofat was fixed to the nasofrontal area with bolster suture, and the interdormal area of the tip. Results: A total of 13 patients underwent secondary augmentation with autogenous dermofat graft after removal of paraffinoma from 2000 to 2004. The mean follow-up period was 15 months. There were no postoperative complications. All patients were satisfied with their surgical results. However, there were 10 to 20 percent resorption of the grafted dermofat. Conclusion: It is suggest that autogenous dermofat be one of good materials for the correction of the secondary deformity after removal of nasal paraffinoma. In addition, autogenous dermofat graft presented easy harvesting and manipulation for transfer, high survival rate by firm fixation to the recipient site and stable surgical results.

Wave Field Near a Vessel in Restricted Waterway

  • Kim, Chang-Je
    • 한국항해항만학회지
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    • 제35권7호
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    • pp.557-562
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    • 2011
  • Shipwaves can have harmful effects on people who are using riverside and cause bank erosion, bank structures destruction in restricted waterways. The wave field near a vessel is consisted of a combination of a primary and secondary wave system in a shallow or restricted waterway. The water level depression(squat) and return current beside the hull are called the primary wave system. The secondary wave system, that is the wave height originates from a local disturbance point such as the bow of the ship. This study aims at investigating the characteristics of the wave field around a vessel in a restricted water in relation to navigation experimentally and theoretically. The return current and squat with a correction factor can be newly evaluated and the almost same high-sized wave heights take place on the whole waterway in a restricted water without regard to the distance from the sailing line.