• Archives of Plastic Surgery
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• v.34 no.4
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• pp.436-440
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• 2007

Purpose: TRAM flap surgery has settled down as a common method for breast reconstruction after mastectomy. We investigated how TRAM flap surgery influences on the patients' physical movement capability by observing their capability of sit-ups as well as exercises they usually enjoy. Methods: A total of consecutive 375 patients were investigated who had breast reconstruction with unilateral pedicled TRAM flap surgery at Asan Medical Center from July 2001 to August 2005. The patients were asked to sit up right before the surgery and do it again 6 months later and 1 year later. 221 patients were followed up 6 month after the surgery. And 132 patients were followed up 1 year after the surgery. In addition, 155 patients who used to exercise before the surgery were also asked to show us the change in their physical movement capability one year after their surgery. Results: 139 patients showed decrease in the counted number of sit-ups, 48 increase, and 34 showed no change between 6 months in the first group of 221 patients. Among the second group of 132 patients, 64 showed decrease, 39 increase, and 29 no change a year later. There was a statistical significant decrease in the number of sit-ups between pre-operation and six months later and between pre-operation and one year later. According to the research on the exercise that 155 patients participated, 3 of them showed improvement in athletic ability, 7 showed decrease, while the rest, 145 patients, showed no change at all. Conclusion: Considering no difference in usual exercise ability, some patients' increase in the number of sit-ups and the effect of anticancer treatment, we found that the loss of abdominal wall function on this research is not too serious to exclude TRAM flap surgery in the field of breast reconstruction

• Archives of Plastic Surgery
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• v.38 no.4
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• pp.531-534
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• 2011

Purpose: The rectus abdominis myocutaneous flap is currently the most commonly used donor site of immediate and delayed breast reconstruction surgery, for its versatility and ease of handling, as well as sufficient blood supply. Despite many advantages of rectus abdominis flap, morbidity of donor site is considered as inevitable shortcoming. The authors recently faced a devastating complication, small bowel obstruction that led to strangulation, after delayed breast reconstruction with free transverses rectus abdominis myocutaneous (TRAM) flap. And we would like to report it, because abdominal pain after TRAM flap is a common symptom and can be overlooked easily. Methods: A 56-year-old female patient who had history of receiving total abdominal hysterectomy 20 years ago underwent delayed breast reconstruction with TRAM flap transfer. She complained abdominal discomfort and pain from third postoperative day, postoperative small bowel obstruction that arose from strangulated bowel and prompt emergency operation was done. Results: After resection of the strangulated bowel and reanastomosis, quickly her symptoms were relieved, and there were no further problems during her hospital stay. 7 days after her emergency operation she was discharged. Conclusion: In patients with previous abdominal surgical history, prolonged ileus can lead to bowel strangulation, so surgeons should always consider the possibility, and must be aware of abdominal symptoms in patients who receive free TRAM flap operations.

• Journal of the Korean Society for Railway
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• v.19 no.4
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• pp.427-435
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• 2016

This study considers the design of a 130kW-class IPMSM for propulsion of a Tram-Train. This Tram-Train has a wide range of speed variation. For this reason, this study suggested IPMSM, which has wide speed variation as a motor for propulsion of the Tram-Train, a basic model suitable for the required traction force was designed. IPMSM has different electromagnetic and structural characteristics depending on the shapes of its rotor. Therefore, the suggested model was additionally designed, and by dividing a permanent magnet was changed so as th have a shape with an added bridge. Finally, by analyzing the load characteristics with finite element analysis of the basic and suggested models and by comparing electromagnetic and structural characteristics, a model has been derived that satisfies IPMSM for the propulsion of the Tram-Train.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.39 no.4
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• pp.551-559
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• 2019

Since 2000, many local governments have been trying to introduce trams because of the government's failure to adopt environment-friendly policies and light rail. However, there is no service evaluation system that can maintain and enhance tram users' convenience, safety, and comfort during operation. In addition, the tram characteristics are not reflected in the application of the evaluation system of "management and service evaluation for public transportation operators" which is being implemented to railway operators or bus transportation operators. The purpose of this study is to develop the evaluation criteria of operating service according to tram operation model. First, we reviewed cases related to the evaluation of operating services in roads, buses, railways, and airways. And the evaluation criteria and the evaluation items are presented. This study is expected to help to secure and improve operational service in the operation phase of the tram that will be introduced in the future.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.33 no.1
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• pp.273-286
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• 2013

Recently, due to problems with subway and bus operations, a need has emerged for a solution such as the introduction of an Advanced Transit System. In several municipalities, systems have been introduced using light rail as AGT urban aesthetics construction. There is high inhibition and civil cases are delayed by more environmentally friendly and accessible remedies. For the purpose of this study, Changwon city would be transformed to have an environmentally friendly transportation system such as a tram with an overview. Features, advantages, and disadvantages are analyzed, and systems are established the existing public transport routes by transfer system. Changwon city's tram plan is first step in open in year 2018, and second step with the opening goal of the year 2021, and the total line length of 33.9 km, the station will be built in the 38 locations. and also in 2011 a feasibility study, evaluated a low economic as B/C to 0.88, but it evaluated the high value of the policy analysis as AHP to 0.502. However, introduction of a tram project that should precede the as following condition. The first step in Changwon city's tram plan would be as follows : The introduction of the tram system would demand traffic management along with a restructuring of the bus system, and the tram system would be selected for domestic realities. Secondly, the introduction of trams would comprehend the advanced traffic composition in accordance with the consensus of the citizenship, and a legal system should be established for the introduction of the trams.

• Journal of Korean Society of Transportation
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• v.33 no.1
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• pp.70-80
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• 2015

In recent years, tram has been the focus of a new mode of public transportation that can solve traffic jams and decrease public transit usage and environmental problem. This research is in the works to develop a tram signal controller and signal control strategies, and aim to resolve the problem of what could happen if a tram system was installed in general road. We developed the hierarchical signal control strategies to obtain a minimum tram bandwidth and to minimize vehicle delay, in order to perform a priority control to include passive and active signal priority control strategies. The strategies was produced for S/W and H/W, it is based in standard traffic signal controller. We conducted a micro simulation test to evaluate the hierarchical signal control strategies, which showed that the developed optimization model is effective to prevent a tram's stop in intersection, to reduce a tram's travel time and vehicle's delay.

• 한국ITS학회:학술대회논문집
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• 2008.11a
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• pp.311-316
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• 2008

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2008.11a
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• pp.699-700
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• 2008

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2008.11a
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• pp.681-682
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• 2008

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2010.05a
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• pp.1473-1474
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• 2010