• Archives of Plastic Surgery
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• 제36권2호
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• pp.211-220
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• 2009

Purpose: Even in a small levator resection for blepharoptosis, 10 ~ 13 mm of $M{\ddot{u}}ller^{\prime}s$ muscle and levator aponeurosis is resected. To solve the problem, $M{\ddot{u}}ller^{\prime}s$ muscle was detached from the superior tarsal border and conjunctiva, and the muscle with overlying levator aponeurosis was advanced on the upper tarsus as a composite flap. The purpose of this study was to evaluate the effectiveness of the $M{\ddot{u}}ller^{\prime}s$ muscle - levator aponeurosis complex advancement technique for the correction of blepharoptosis. Methods: Between 2003 and 2008, 107 patients(183 eyes) underwent the advancement procedure of the $M{\ddot{u}}ller^{\prime}s$ muscle - levator aponeurosis composite flap for blepharoptosis. The advanced composite flap was fixed 3 mm below the superior tarsal border and 2 ~ 3 mm of distal flap stump was left after trimming up to 5 mm. The results of the operations were evaluated. Results: The mean age of the patients was 35.2 years and 83 patients(145 eyes) were followed up for a mean of 16.7 months. 128 eyes (88.3%) showed a normal level of upper eyelid margin (MRD1 4.1 ~ 5.0 mm) or less than 1 mm ptosis (MRD1 3.1 ~ 4.0 mm). 10 eyes(6.9%) showed 1 ~ 2 mm ptosis (MRD1 2.1 ~ 3.0 mm). 7 eyes(4.8%) showed more than 2 mm ptosis which required secondary correction. About 80% of the 183 eyes needed no trimming of the flap stump with 5 ~ 6 mm of composite flap advancement and 20% had about 3 mm of the flap stump trimmed with 8 ~ 9 mm of composite flap advancement(shortening of the levator complex). Conclusion: $M{\ddot{u}}ller^{\prime}s$ muscle - levator aponeurosis complex advancement technique offers several advantages: There is no, or minimal, sacrifice of the normally functioning $M{\ddot{u}}ller^{\prime}s$ muscle; it is more physiological; it is reproducible and it is predictable - with gratifying results for blepharoptosis.

• 한국산림과학회지
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• 제104권2호
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• pp.221-229
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• 2015

본 연구는 강원도 평창군 가리왕산의 낙엽송 인공림을 대상으로 효율적인 임목수확시스템 구축을 위해 타워야더(Koller K301-4)에 의한 전간간벌수확시스템의 생산성 및 비용분석을 실시하였다. 수확시스템은 벌목, 가지정리, 집재, 조재, 집적작업으로 구성하여 요소작업별 비용을 분석하였다. 총 수확비용은 41,707원/$m^3$으로서 벌도작업비용 1,315원/$m^3$(3.2%), 가지정리작업비용 3,127원/$m^3$(7.5%), 집재작업비용 20,083원/$m^3$(48.2%), 조재작업비용 12,143원/$m^3$(29.1%), 집적작업비용 5,039원/$m^3$(12.1%) 등으로 구성되었다. 수확시스템비용 중에서 가장 높은 비중을 차지하는 집재작업에 대하여 평균집재시간 예측모델식을 개발하여, 수확시스템비용에 대한 인자별 영향력 분석을 위해 민감도분석을 실시하였다. 인자별 수확시스템비용에 대한 증감율은 가로집재거리가 약 5.2%, 세로집재거리는 약 3.0%의 증가를 규칙적으로 나타내었다. 집재본수는 많아질수록 수확시스템비용 증감율의 폭은 작아지는 것으로 나타났으며, 집재본수 4~5본에서 감소폭 둔화현상이 발생되었다. 따라서 집재본수인자가 수확시스템비용에 가장 큰 영향을 미치고, 다음으로 세로집재거리인자와 가로집재거리인자의 순으로 영향을 주는 것으로 나타났다.

• 대한족부족관절학회지
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• 제27권2호
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• pp.49-54
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• 2023

Purpose: The present study examined the effectiveness of the preoperative ischemia-modified albumin (IMA) levels in predicting the healing period of amputation wounds in patients with diabetes mellitus following a non-traumatic below-knee amputation (BKA). Materials and Methods: This study enrolled 41 diabetic foot ulcer patients who underwent BKA at the authors' hospital diabetic foot center from April 2016 to April 2022. Among the 41 patients, 29 (70.7%) were male and 12 (29.3%) were female. Their mean age was 64.54±11.38 years (41~81 years). The mean follow-up period was 19.48±5.56 weeks (14~48 weeks) after BKA. The patients were divided into two groups (high IMA group and normal IMA group), which evaluated the healing period, wound dehiscence, and revision operation rate using a Fisher's exact test and Mann-Whitney U test. Three orthopedic surgeons performed stump wound evaluation, and they were evaluated as healing when all sutures were fused without oozing. Results: Thirty patients (73.2%) (group A) showed a high level of IMA (median: 91.2 U/mL), and 11 (26.8%) patients (group B) showed a normal range of IMA (median: 82.7 U/mL). In group A, the median period for wound healing took 1.4 weeks longer, which was significant (p=0.001). No statistical relationship was observed between wound dehiscence, revision operation rate, and IMA value. There was no correlation between the other risk factors (estimated glomerular filtration rate, HbA1c) and the wound healing period. Conclusion: Although there was a limitation in using IMA as the sole factor to predict the healing period of amputation wounds in patients after BKA, this study revealed a significant positive correlation between IMA and the period of stump healing after BKA. Therefore, the preoperative IMA levels may help predict the period of stump healing after BKA.

• Annals of Clinical Neurophysiology
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• 제13권1호
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• pp.68-70
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• 2011

• Journal of Chest Surgery
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• 제25권4호
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• pp.435-437
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• 1992

We experienced one case of immature teratoma at anterior mediastinum. the patient was Syears old female whose complain were cough and chest pain. Chest film showed mass density St the lower half of the Rt chest. Chest CT showed inhomogenous mass which have some calcified area. At the time of operation, 12x10x13cm sized mass have smooth surface and its stump elongated to the thymus. a-FP level, preoperative 22.5ng/ml, was decreased to 9.7ng/ml after operation. Postoperative adjuvant chemotherapy was performed with Vinblastin, Bleomycin and Cisplatin combination. The patient had an uneventful postoperative or postchemotherapy course and was discharged in a good condition.

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2001년도 학술대회
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• pp.123-128
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• 2001

in young, active, strenuous patients $\blacksquare$ stabilization for unstable SLAP lesion $\blacksquare$ tenodesis for ruptured biceps tendon above the groove $\blacksquare$ repair for ruptured biceps tendon below the groove $\blacksquare$ relocation for biceps instability in old, inactive patients $\blacksquare$ no need stabilization for unstable SLAP lesion $\blacksquare$ debride/tenotomy for partial ruptured biceps tendon $\blacksquare$ leave alone/trimming of stump for complete ruptured biceps tendon $\blacksquare$ tenodesis/in-site fixation for biceps instability

• Journal of Chest Surgery
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• 제28권7호
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• pp.717-720
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• 1995

The bronchopleural fistula is the most common and serious complication of postpneumonectomy empyema. We experienced one case of postpneumonectomy empyema with bronchopleural fistula which treated with Abruzzini operation using residual long bronchial stump. Median sternotomy was used with extension about 3cm incision toward cephalic side. We ligated and divided the innominate vein. We did not open the pericardium with extrapericardial approach. Stapler was used to distal bronchial side and additional interupt sutures were used on proximal side.

• 한국환경생태학회지
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• 제19권3호
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• pp.269-278
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• 2005

전라남도 순천시 서 면 청소골 일대에 분포하는 히어 리개체군의 분포특성과 개체군 동태를 조사하였다. 히어리개체군은 계곡부와 인접한산림 가장자리를 따라 대상으로 분포하였으며,북사면,북서사면 및 북동사면에만 분포하는 특이성을 보였다. 교목층이 형성된 삼림내에서 아교목층이나 관목층을 이루고 있으며,종조성에 있어서는 히어리가 분포하지 않는 인접지 역 삼림식생과 별다른 차이는 없었다. $25\;m^2$당 평균개체수와 개체당 평균 맹아지는 각각 6.25주 및 3개로서 다른 지 역 에 비해 낮은 밀도를 나타냈으며, 이 지 역의 히어 리개체군이 쇠퇴해가고 있음을 알 수 있었다.

• 대한전자공학회논문지SD
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• 제39권3호
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• pp.85-97
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• 2002

STUMPS는 스캔 구조를 이용한 자체 테스트로 널리 사용되는 기술이다. 다중 스캔 체인에 STUMPS를 적용할 때 병렬 패턴 생성기로 사용되는 LFSR은 인접한 비트 시퀀스 사이에 높은 correlation이 존재하므로 회로의 고장 검출률을 저하시킨다. 이러한 문제를 해결하기 위해서 하드웨어 오버헤드 증가에도 불구하고 LFSR과 스캔 체인의 입력 사이에 부가적인 조합회로가 놓인다. 본 논문은 다중 스캔 체인을 갖는 순차회로에 대해 회로 자체의 스캔 체인들을 사용하여 유사 무작위 테스트 패턴을 생성하는 효과적인 테스트 패턴생성 방법과 그 구조를 소개한다. 제안된 테스트 패턴 생성 기술은 기존에 패턴 생성기로 사용되는 LFSR과 조합회로의 구성을 사용하지 않으므로 하드웨어 오버헤드를 줄일 수 있으며 충분히 높은 고장 검출률을 얻을 수 있다. 또한 스캔 체인 당 단지 수 개의 XOR 게이트만이 회로 변형을 위해 필요하므로 설계가 매우 간단하다.

• Journal of Forest and Environmental Science
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• 제30권1호
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• pp.107-112
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• 2014

The productivity and cost of clear cutting operations were examined to broaden our knowledge on the harvesting system in a Larix leptolepis stand of Korea. The harvesting system was divided into tree operations which were chainsaw (STIHL MS440) felling, tower yarder (Koller301-4) yarding and harvester (WOODY H50) processing. The average cycle time of felling, yarding and processing were 98 s/cycle, 245 s/cycle and 150 s/cycle. The total stump-to-pile operational productivity was 43.07 $m^3/hr$. The highest production activity was the felling 17.93 $m^3/hr$, followed by the productivity of processing 15.62 $m^3/hr$ and then by the productivity of yarding 9.52 $m^3/hr$. In addition the total stump-to-pile operational cost was 24,086 $won/m^3$. The highest cost activity was the yarding 14,557 $won/m^3$ (60.4% of the total cost), followed by the costs of processing 8,461 $won/m^3$ (35.2%) and then by the costs of felling 1,068 $won/m^3$.