• 제목/요약/키워드: Two stage operation

검색결과 571건 처리시간 0.029초

Acute Subdural Hematoma Associated with Ruptured Intracranial Aneurysm: Diagnosis and Emergent Aneurysm Clipping

  • Kim, Jung-Min;Hur, Jin-Woo;Lee, Jong-Won;Kim, Myoung-Soo
    • Journal of Korean Neurosurgical Society
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    • 제37권5호
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    • pp.375-379
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    • 2005
  • Rarely, rupture of a cerebral aneurysm causes an acute subdural hematoma(SDH) in addition to subarachnoid hemorrhage(SAH). We report clinical and radiological characteristics of five cases, as well as potential pitfalls in the diagnosis and the treatment of this life-threatening condition. The patients ranged in age from 42 to 76 years. The Hunt-Hess grade on admission was grade III in one patient, grade IV in two, and grade V in two. All five patients un-derwent one-stage operation (both SDH evacuation and clipping of the aneurysm). The outcome was good recovery in two patients, persistent vegetative state in two, and death in one. Patients with a good outcome had a better Hunt-Hess grade on admission, with less amount of SDH.

폐암의 외과적 치료 (Surgical Treatment of Lung Cancer)

  • 신현종
    • Journal of Chest Surgery
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    • 제20권3호
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    • pp.473-482
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    • 1987
  • The records of 65 patients with a confirmed diagnosis of primary lung cancer who underwent surgical therapy at the Department of Thoracic and Cardiovascular Surgery of the Keimyung University Hospital were analyzed during the period of 8 years and 4 months, from August, 1978 to December, 1986. The peak incidence was observed in the 5th decade of life and the mean age was 52.9 years old. Male versus female ratio was 8.3:1 Cough was the most frequent presenting symptom, 76.9% then chest discomfort, hemoptysis and dyspnea followed in order. 44.6% of the patient had 2 months of prediagnostic symptomatic period, 72.3% had 5 months, and the mean was 5.7 months. As for preoperative diagnosis, 62 of total 65 patients revealed the mass lesion on simple chest x-ray, and 56 of 65 patients on bronchoscopic biopsy, 10 of 37 patients on sputum cytology and 15 of 15 patients on computerized tomography of the chest were positive. Of the 65 patients, 35 [53.9%] had squamous cell carcinoma, 18 [27.7%] adenocarcinoma, 3 [4.6%] large cell carcinoma, and 3 [4.6%] small cell carcinoma all which was oat cell carcinoma. 83.1% of the total patient was resectable, and 34 underwent pneumonectomy and 20 lobectomy. Of these 65 operations, 29 was radical resection, 25 palliative, and 11 exploratory thoracotomy. As for clinical stagings, 23 patients were in Stage, I, another 23 in Stage II and 19 in Stage III, while 16 was in stage, I, 14 in stage ll and 35 in stage III in postoperative staging evaluation. In correlation of postoperative TNM classification and radical resection, those patients who had lung cancer of stage I [14/16] and stage II [9/13] had more radical resection. As postoperative complications, one patient had massive bleeding, two empyema, one empyema with bronchopulmonary fistula, and one cardiac herniation. Operative mortality rate was 1.5% [1 patient]. Mean duration between 1st operation and discovering recurrence in 18 patients was 12.7 months.

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Conceptual Design Trade Offs between Solid and Liquid Propulsion for Optimal Stage Configuration of Satellite Launch Vehicle

  • Qasim, Zeeshan;Dong, Yunfeng
    • 한국추진공학회:학술대회논문집
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    • 한국추진공학회 2008년 영문 학술대회
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    • pp.283-292
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    • 2008
  • The foremost criterion in the design of a Satellite Launch Vehicle(SLV) is its performance capability to boost the designated payload to the desired mission orbit; it starts from focusing on the SLV configuration to achieve the velocity requirements($}\Delta}V$) for the mission. In this paper we review an analytical approach which is suitable enough for preliminary conceptual design and is used previously to optimize stage configurations for Two Stage to Orbit SLV for Low Earth Orbit(LEO) Missions; we have extended this approach to Three Stage to Orbit SLV and compared different propellant options for the mission. The objective is to minimize the Gross Lift off Weight(GLOW). The primary performance figures of merit were the total inert weight of the SLV and the payload weight that the SLV could lift into LEO, given candidate propulsion systems. The optimization is achieved by configuring the $}\Delta}V$ between stages. A comparison of configurations of single-stage and multi-stage SLVs is made for different propellants. Based upon the optimized stage configurations a comparative performance analysis is made between Liquid and Solid fueled SLV. A 3 degree of freedom trajectory-analysis program is modeled in SIMULINK and used to conduct the performance analysis. Furthermore, a cost analysis is performed on our stage optimized SLVs. The cost estimation relationships(CER) used give us a comparison of development and fabrication costs for the Liquid vs. Solid fueled SLV in man years. The pros and cons of the production, operation ability, performance, responsiveness, logistics, price, shelf life, storage etc of both Solid and Liquid fueled SLVs are discussed. The statistics and data are used from existing or historical(real) SLV stages.

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위암(胃癌)의 동서의학적(東西醫學的) 진치(診治) 개황(槪況) (An Outlook of the Oriental and Western Medical Diagnosis and Treatment on Gastric Cancer)

  • 김병주;문구
    • 대한한의학회지
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    • 제17권2호
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    • pp.100-116
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    • 1996
  • Gastric cancer shows the most high friquency in cancers that occurs in Korea. The western medicine treatment for gastric cancer has radiation and surgery, chemical treatment. While, oriental medicine cures the gastric cancer by herb-drugs, acupunture , moxa and srigma. With just one way of treating gastric cancer can't be effective remedy. Because each medicine has a strength and weakness. Thus, it is effective treatment when two medicine combins and supplement each other. We got the following result about a trend of oriental and westernal combination treatment for gastric cancer through studing records. 1. The western medicine treats gastric cancer patient with surgery first and right after surgery. They need on assembly treatent such as chemical and immune treatment. In oriental medicine, they treats gastric cancer patients with differentiation of symptone and signs and treatment(辨證施治)[for example:incoordination between liver and stomach(肝胃不和), insufficiency of spleen and stomach(脾胃虛弱), stagnation of blood stasis and toxic agent(瘀毒內阻), deficiency of yin by stomach heat(胃熱傷陰), reinforcing both qi and blood(氣血雙虧), stagnation of damp-phlegm(痰濕凝結)] and cure for them by acupuncture and stigma, too. 2. In combination with oriental and western medical treatment principle of gastric cancer by each stage is as follows. First stage and second stage gastric cancer is cured with radical surgery mainly. After operation, the herb of invigoration of the spleen(健脾), coordination of the stomach(和胃), and smoothing the liver and regurating the circulation of qi(疏肝理氣), is used for good gastroenteric condition. The second stage patients can be concidered using in combination with chimical treatment. The third stage gastric cancer is treated with radical surgery or with temporizing surgery. After those surgery, herb-drugs treatment is used jointly. The fourth stage patients who have no extensively metastasis or local contraindication can undergo temporizing and curcuit surgical operation. Herb-drugs and chemical treatments are used together for patients after operating. If he has operating contraindication, he would be treated with herb-drugs and chemical treatment. 3. In case of using in combination with oriental and western medical treatment as follows. As for herb-drugs with chemical treatment, reinforcing both qi and blood(補益氣血), invigorate the spleen and the stomach(健脾和胃), reinforcing liver and kidney(滋補脾腎), clear out the heat and relieve the toxic agent(淸熱解毒), can be used and with radiation treatment, clear out the heat and relieve the toxic agent(淸熱解毒), promoting the production body fluid and moisturizing the vicera(生津潤燥), reinforcing both qi and blood(補益氣血), invigorate the spleen and the stomach (健脾和胃), reinforcing liver and kidney(滋補肝腎) etc, can be used. 4. According to the research of oriental and western medical combination treatment are the 5-year-survival degree with oriental and western medicine combination treatment was for better than that just with oriental or western medical treatment. Especially, it has good effect on the third, fourth stage gastric cancer. That is, the middle and the end of stage gastric cancer. 5. The merits of oriental and western medicine combination treatment are lengthers one's life and diminish the bad effect of chemical treatment and radiation treatment be near completion, prevent from relapsing, maintain the balance in their eveirenment of body and improve immunity.

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A 10-bit Current-steering DAC in 0.35-μm CMOS Process

  • Cui, Zhi-Yuan;Piao, Hua-Lan;Kim, Nam-Soo
    • Transactions on Electrical and Electronic Materials
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    • 제10권2호
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    • pp.44-48
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    • 2009
  • A simulation study of a 10-bit two-stage DAC was done by using a conventional current switch cell. The DAC adopts the segmented architecture in order to reduce the circuit complexity and the die area. The 10-bit CMOS DAC was designed in 2 blocks, a unary cell matrix for 6 MSBs and a binary weighted array for 4 LSBs, for fabrication in a 0.35-${\mu}m$ CMOS process. To cancel the accumulation of errors in each current cell, a symmetrical switching sequence is applied in the unary cell matrix for 6 MSBs. To ensure high-speed operation, a decoding circuit with one stage latch and a cascode current source were developed. Simulations show that the maximum power consumption of the 10-bit DAC is 74 mW with a sampling frequency of 100 MHz.

선천성 식도 폐쇄및 기관식도루 수술치험 3례 (Surgical Repair of Esophageal Atresia with Tracheoesophageal Fistula - Report of Three Cases -)

  • 허강배
    • Journal of Chest Surgery
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    • 제25권9호
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    • pp.891-899
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    • 1992
  • Esophageal atresia with tracheoesophageal fistula may occur as separate, but usually occur in combination. First described by Thomas Gibson in 1696, esophageal atresia was not successfully treated until 1939 when the first two survivors of staged correction were described by Ladd and Leven. In 1941, Haight and Towsley performed the first successful one-stage primary repair. We report three cases of esophageal atresia with tracheoesophageal fistula of which were treated with one-stage surgical repair method. The operation was performed tra-nspleurally through right 4th intercostal space. The fistula in the trachea was closed with interrupted 5-O prolene sutures and esophagoesophageal anastomosis was performed with 3-O prolene single layer sutures in all cases. All patients tolerated the operative procedures and recovered uneventfully. On follow-up study, anastomotic stricture was developed in one patients, so esophageal dilatation was performed for it with the Griintzig balloon catheter and the result was satisfactory. The other patients were well-being without any complication.

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J. Piaget의 아동의 운동과 속력 개념에 관한 고찰 (Study on Piagetian Child's Cenception of Movement and Speed)

  • 김현재
    • 한국과학교육학회지
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    • 제1권1호
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    • pp.1-14
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    • 1978
  • The aims of this research are two-folds; tomake an outline of 15 experiments conducted by J.Piaget and to make an analysis of Piagetian understandiug level on child's conception of Movement and Speed. The finding of this study are as follows; 1) The outline reveals that all of the experiments(15EA.) were constructed logically under the bases of Cognitive Development i.e. Succession order or placing (2EA.), Change of location (4EA.) Qualitative Speed(6EA.), and Quantification of Speed (3EA.) etc. 2) The analysis indicates that the concept on Movement and Speed which children develop go through generally from the stage (1B) of late preoperation to the stage(3A) oarly formal operation.

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고주파 신호처리 시스템을 위한 1.5V CMOS 고주파 연산증폭기 (A 1.5V CMOS High Frequency Operational Amplifier for High Frequency Signal Processing Systems.)

  • 박광민;김은성;김두용
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2003년도 하계종합학술대회 논문집 II
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    • pp.1117-1120
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    • 2003
  • In this paper, a 1.5V CMOS high frequency operational amplifier for high frequency signal processing systems is presented. For obtaining the high gain and the high unity gain frequency with the 1.5V supply voltage, the op-amp is designed with simple two stages which are consisting of the rail-to-rail differential input stage and the class-AB output stage. The designed op-amp operates with the 1.5V supply voltage, and shows well the push-pull class-AB operation. The simulation results show the DC open loop gain of 77dB and the unity gain frequency of 100MHz for the 1㏁ ┃ 10pF load. When the resistive load R$_1$. is varied from 1㏁ to 1 ㏀, the DC open loop gain decreases by only 4dB.

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휠볼트 제작을 위한 공정설계 자동화 시스템 개발 (Development of an Automated Process Planning System for Manufacturing Wheel Bolt)

  • 박성관;박종옥;이준호;정성윤;김문생
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2001년도 춘계학술대회 논문집
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    • pp.983-987
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    • 2001
  • This paper deals with an automated computer-aided process planning system by which designer can determine operation sequences even if they have little experience in process planning of wheel bolt products by a multi-stage former. The approach to the system is based on knowledge-based rules and a process knowledge base consisting of design rules is built. Knowledge for the system is formulated from plasticity theories, empirical results and the empirical knowledge of field experts. Programs for the system have been written in AutoLISP for the AutoCAD using a personal computer and are composed of two main modules. An attempt is made to link programs incorporationg a number of expert design rules to form a useful package. Results obtained using the modules enable the designer and manufacturer of wheel bolt product to be more efficient in this field.

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Overlapped Electromagnetic Coilgun for Low Speed Projectiles

  • Mohamed, Hany M.;Abdalla, Mahmoud A.;Mitkees, Abdelazez;Sabery, Waheed
    • Journal of Magnetics
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    • 제20권3호
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    • pp.322-329
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    • 2015
  • This paper presents a new overlapped coilgun configuration to launch medium weight projectiles. The proposed configuration consists of a two-stage coilgun with overlapped coil covers with spacing between them. The theoretical operation of a multi-stage coilgun is introduced, and a transient simulation was conducted for projectile motion through the launcher by using a commercial transient finite element software, ANSOFT MAXWELL. The excitation circuit design for each coilgun is reported, and the results indicate that the overlapped configuration increased the exit velocity relative to a non-overlapped configuration. Different configurations in terms of the optimum length and switching time were attempted for the proposed structure, and all of these cases exhibited an increase in the exit velocity. The exit velocity tends to increase by 27.2% relative to that of a non-overlapped coilgun of the same length.