• Title/Summary/Keyword: TRAM

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Does Abdominal Quilting Suture Prevent Seroma in TRAM Flap Breast Reconstruction? (횡복직근피판술을 이용한 유방재건술 시 상복부의 누빔 봉합이 장액종을 예방하는가?)

  • Lee, Min-Young;Lee, Taik-Jong
    • Archives of Plastic Surgery
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    • v.38 no.3
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    • pp.241-244
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    • 2011
  • Purpose: Seroma formation is still major complication of abdominal donor site after TRAM flap surgery in spite of various efforts to reduce seroma formation such as closed suction drain. We performed a clinical study, that quilting suture at abdominal donor site can prevent seroma formation. Methods: Between May 2002 and September 2008, we performed 600 breast reconstructions using a unilateral TRAM flap except patients who has smoking history or abdominal scar. We performed 300 breast reconstructions without quilting sutures (A: Experimental group) until January 06, and after then 300 reconstructions with quilting sutures (B: Control group). We compared total drain output (mL), time to drain removal (days), and donor site complications between two groups. Results: There were no statistical difference at BMI (p=0.28) and time to remove suction drain between two group. (A: 8.37, B: 9.69) (p=0.40) But, total drain output was reduced with quilting suture. (A: 432.5, B: 495.2) (p=0.005) And also complication rate was decreased, such as seroma formation, epigastric bulging. (A: 1%, B: 7%) (p=0.005) Conclusion: Quilting suture is a simple and reliable method to reduce seroma formation and abdominal donor site complication.

Design of Navigation Control System for Bi-Modal Tram (바이모달트램의 자동운전시스템 설계)

  • Ryu, Je;Hwang, Byoung-Il;Lee, Sang-Nam;Ryu, Hee-Moon;Byun, Yeun-Sub
    • Proceedings of the KSR Conference
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    • 2008.06a
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    • pp.1060-1066
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    • 2008
  • Bi-modal tram is a new conceptual transit mean for public transportation integrating thoroughfare and railroad vehicle's characteristics together. This paper describes about a software design which will be applied to an automatic driving system, which is called NCS (Navigation Control System), considering such multiplicity of mechanical characteristic. The NCS adopts propulsion, braking, and direction control functions for a tram and utilizes various sensors to fully take control over such functions. In this paper, we defined and analyzed the capabilities of the NCS. Those capabilities are designed with a UML 2.0 based object-oriented modeling technique. Moreover, to ensure the complete operation of such capabilities, a communication protocol (which is capable of controlling sensors, propulsion, brakes, and traveling directions) is designed here. Throughout the paper, firstly, all the NCS related functions are discussed in accordance with the equipments they are belonged to; secondly the UML modeling application techniques for the defined functions and protocols for the communications between equipments are introduced; and lastly a validation process for the design specifications is going to be discussed.

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Analysis of Tram Feeding System according to Train Diagram Change (열차운행 시격 변경에 따른 트램 급전계통 해석)

  • Kim, Dong-Man;Chang, Chin-Young;Kim, Jae-Moon;Kim, Yang-Su
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.64 no.4
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    • pp.634-639
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    • 2015
  • In order to understand phenomenon of the electric railway power feeding system in the construction planning step, analysis of the overall system including electric characteristic of electric railway power feeding system, train running characteristic and power consumption pattern and train operation plan and gradients of railroad and curve radius is required. This paper study the feeder system by analysis of comprehensive system according to train operation plans, line impedance, running characteristic of train, electrical properties of the feeder system. In order to understand phenomenon to the feeder system of tram exactly regarding export of the field railroad preceeding actively recently.

Sensory Restoration in Reconstructed Breast with Free TRAM Flap (횡복직근 유리 피판술로 재건된 가슴에서의 감각 회복에 대한 임상적 고찰)

  • Ahn, Hee-Chang;Sung, Kun-Yong;Choi, Matthew Seung-Suk;Hwang, Won-Joong
    • Archives of Reconstructive Microsurgery
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    • v.14 no.2
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    • pp.125-130
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    • 2005
  • The purpose of this study is to introduce a sensory restoration in reconstructed breast with free TRAM flap to evaluate recovery aspect and recovery quantity. 144 patients underwent breast reconstruction with free TRAM flap by authors and were followed up at the out patient clinique. We discovered that sensory of operated breast was recoverd. We divide the breast into 5 region (upper medial, lower medial, upper lateral, lower lateral, nipple areolar complex) for examining the sensory restoration. Sense of upper medial region & upper lateral region is recovered more quickly than other region. Touch sensation was recovered more quickly than pain sensation, temperature sensation, vibratory sensation. After about 1 year all protective sensation was recovered in all patient. We discovered that severe postop scar and irradiation of breast is related to delayed sensory recovery, age and size of flap is not related to sensory recovery.

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Broadband energy harvester for varied tram vibration frequency using 2-DOF mass-spring-damper system

  • Hamza Umar;Christopher Mullen;Soobum Lee;Jaeyun Lee;Jaehoon Kim
    • Smart Structures and Systems
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    • v.32 no.6
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    • pp.383-391
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    • 2023
  • Energy harvesting in trams may become a prevalent source of passive energy generation due to the high density of vibrational energy, and this may help power structural health monitoring systems for the trams. This paper presents a broadband vibrational energy harvesting device design that utilizes a varied frequency from a tram vehicle using a 2 DOF vibrational system combined with electromagnetic energy conversion. This paper will demonstrate stepwise optimization processes to determine mechanical parameters for frequency tuning to adjust to the trams' operational conditions, and electromagnetic parameters for the whole system design to maximize power output. The initial optimization will determine 5 important design parameters in a 2 DOF vibrational system, namely the masses (m1, m2 (and spring constants (k1, k2, k3). The second step will use these parameters as initial guesses for the second optimization which will maintain the ratios of these parameters and present electrical parameters to maximize the power output from this system. The obtained values indicated a successful demonstration of design optimization as the average power generated increased from 1.475 mW to 17.44 mW (around 12 times).

A Study on the Test Construction Evaluation and Noise and Vibration Characteristics of Wireless Low-Floored Trams Trackway (무가선 저상트램 노면선로의 시험시공 평가와 소음·진동 특성연구)

  • Jeong, Young Do;An, Dong Geun;Jun, Jin Taek;Jeong, Woo Tae;Lee, Su Hyung
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.16 no.6
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    • pp.143-154
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    • 2012
  • The wireless low-floored tram is an innovative transportation system which is environment-friendly and highly energy-efficient. In addition, the system has various advantages such as low construction cost, improvement of urban landscape, revitalization of surrounding commercial area, elevated convenience for passengers, etc. Therefore, more than ten local governments have proposed tram construction projects in Korea. Accordingly, many research and development projects are ongoing funded by government including the developments of tram vehicle, tram trackway, signal system, etc. The embedded rail system are commonly used in order to provide leveled roadway surface in urban area. It is effective to reduce the noise and vibration, caused at the interface between the wheel and track, to minimize the construction period, and to lower the maintenance cost. This paper investigated the design and construction processes for tram trackway and figured out the constructability for the test track with embedded rail system for the first time in Korea. The performance to reduce the noise and vibration were quantitatively measured in the test track with embedded rail system. In addition, the results were compared to the ones for track with conventional rail system.