• 제목/요약/키워드: Two stage operation

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pN2 이상인 조기위암 환자의 수술 전과 수술 중의 평가 (What is the Prognosis for Early Gastric Cancer with pN Stage 2 or 3 at the Time of Pre-operation and Operation)

  • 김찬영;이세열;양두현
    • Journal of Gastric Cancer
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    • 제6권2호
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    • pp.114-119
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    • 2006
  • 목적: pN2 이상의 조기 위암환자들은 수술 전, 중에 병기 진행의 예측이 가능하였는지 아니면 전혀 예측하지 못한 채 낮은 병기를 기대하다가 병리조직검사의 결과를 보고서야 알게 되는지를 알고자 하였다. 대상과 방법: 1990년부터 2003년까지 본 연구기관에서 위암으로 위 절제술을 받은 1,430명 중 조기위암 환자는 552명(38.6%)이었고 이들 중 pN2, pN3 환자 8명을 대상으로 수술 전의 임상적 병기 예측과 수술 중의 수술자가 예측한 병기 예측을 병리조직검사의 결과와 비교하고 환자의 경과를 알아보았다. 결과: pN2와 pN3인 조기위암 환자들은 모든 연령층에 분포하였고 남자가 7명으로 여자보다 많았다. 수술 전 전산화단층촬영의 평가에서 T1의 평가는 25% (2/8)로 대체로 과평가되었고 N2 이상 평가는 50% (4/8)이었다. cTNM병기 Ia의 예측환자는 한 명으로 나머지 환자는 진행된 병기로 예측하였다. 수술 중의 T1의 평가는 57.1%(4/7), N2 이상 평가는 66.7% (4/6)이었고 sTNM병기 Ia로 평가한 환자는 2명으로 나머지 환자들은 진행된 병기의 예측이 가능하였다. 5년 이상 장기생존 환자는 단 1명이었고 이들 8명의 중앙 생존기간은 15개월$(95%\;Cl:\;0{\sim}35.5)$이었다. 결론: pN2 이상의 조기위암 환자들은 수술 전이나 중에 진행된 병기로 예측이 어느 정도 가능하였다. 그러나 전혀 예측할 수 없었던 환자도 있어서 보다 정확히 예측할 수 있는 방법의 연구가 필요하겠다.

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다요소를 고려한 AGV 배송규칙에 관한 연구 (A study on Multi-Attribute AGV Dispatching Rules)

  • 이찬기
    • 한국시뮬레이션학회:학술대회논문집
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    • 한국시뮬레이션학회 1999년도 춘계학술대회 논문집
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    • pp.184-188
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    • 1999
  • The performance of an AGV varies with the applied AGV dispatching rule in the operation of AGVS. This study proposes a multi-attribute AGV dispatching rule. The suggested dispatching rule considers the output queue of a workstation, distance between an idle AGV and a workstation to be served, the input queue of the destination and the remaining job process of a part. This study suggests two types of and the remaining job process of a part. This study suggests two types of multi-attribute dispatching rules. One is an one-stage rule which selects the part to be served considering four attributes simultaneously. The other is a two-stage rule by which a workstation is selected and a part is chosen from the selected workstation. The simulation runs were executed under different experimental conditions to obtain preliminary statistics on the several performance measures.

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노인과 청장년의 족근관절 골절에 대한 임상적 비교 (Clinical Comparison of Ankle Fractures Between the Young and the Elderly)

  • 이기행;문찬웅;김윤수;김형민;정상룡
    • 대한족부족관절학회지
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    • 제9권1호
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    • pp.105-109
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    • 2005
  • Purpose: We compared the clinical features of the ankle fractures treated by operation between the elderly and the young, and reviewed the principles of treatment of the ankle fractures in the elderly. Materials and Methods: We reviewed 49 cases of the ankle fractures, which were treated by open reduction from August 1991 to July 2002. Patients aged more than 60 were designated as the elderly, and patients aged between 15 and 33 were designated as the young. The average follow-up period was 13.2 months. Using the Lauge-Hansen classification, We defined stage I or II fractures as low stage and stage III or IV fractures as high stage fractures. Results: There were 15 cases of high stage fractures (78.9%) in the elderly and 11 cases (36.7%) in the young. High stage fracture rate was significantly higher in the elderly (P=0.004). Hospital day, period between primary injury and operation, and union time were significantly longer in the elderly (P<0.001). However, there was no statistical difference in immobilization time between the two groups. The results of treatment were satisfactory clinically and radiologically by the Meyer's criteria in both groups. Conclusion: In the elderly, high stage fractures were more common and longer hospitalization and union time were needed than the young. However, the result of surgical treatment was satisfactory.

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Design and Prediction of Three Dimensional Flows in a Low Speed Highly Loaded Axial Flow Fan

  • Liu, Xuejiao;Chen, Liu;Dai, Ren;Yang, Ailing
    • International Journal of Fluid Machinery and Systems
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    • 제6권2호
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    • pp.94-104
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    • 2013
  • This paper describes the design to increase the blade loading factor of a low speed axial flow fan from normal 0.42 to highly loaded 0.55. A three-dimensional viscous solver is used to model the flows in the highly-loaded and normal loaded stages over its operation range. At the design point operation the static pressure rise can be increased by 20 percent with a deficit of efficiency by 0.3 percent. In the highly loaded fan stage, the rotor hub flow stalls, and separation vortex extends over the rotor hub region. The backflow, which occurs along the stator hub-suction surface, changes the exit flow from the prescribed axial direction. Results in this paper confirm that the limitation of the two dimensional diffusion does not affect primarily on the fan's performance. Highly loaded fan may have actually better performance than its two dimensional design. Three dimensional designing approaches may lead to better highly loaded fan with controlled rotor hub stall.

서브마이크론 입자 측정용 저압 임팩터의 설계 및 성능평가 (Design and Performance Evaluation of a Low Pressure Impactor for Sampling Submicron Aerosols)

  • 지준호;조명훈;배귀남;황정호
    • 대한기계학회논문집B
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    • 제28권3호
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    • pp.349-358
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    • 2004
  • A low pressure impactor is an impaction device to separate airborne particles into aerodynamic size classes at low pressure condition. We designed a two-stage low-pressure impactor to classify submicron sized environmental aerosols. Performance evaluation was carried out for stages 1 and 2 by using an electrical method. Monodisperse liquid dioctyl sebacate (DOS) particles were generated using evaporation-condensation process followed by electrostatic classification using a DMA (differential mobility analyzer). The test particles were in the range of 0.08∼0.8$\mu\textrm{m}$. For the evaluation of the impactor we used two electrometers; one was connected to the impaction plate of the impactor and the other was to the Faraday cage used as a backup filter. The effect of polydispersity of test aerosols on the performance was investigated. The results showed that the experimental 50-% cutoff diameters at each impactor's operation pressure were 0.53 and 0.187$\mu\textrm{m}$ for stages 1 and stage 2, respectively. The effects of operation pressure on the cutoff diameter and the steepness of collection efficiency curves were also investigated.

Robust Two-Phase Clock Oxide TFT Shift Register over Threshold Voltage Variation and Clock Coupling Noises

  • Nam, Hyoungsik;Song, Eunji
    • ETRI Journal
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    • 제36권2호
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    • pp.321-324
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    • 2014
  • This letter describes a two-phase clock oxide thin-film transistor shift register that executes a robust operation over a wide threshold voltage range and clock coupling noises. The proposed circuit employs an additional Q generation block to avoid the clock coupling noise effects. A SMART-SPICE simulation shows that the stable shift register operation is established for the clock coupling noises and the threshold voltage variation from -4 V to 5 V at a line time of $5{\mu}s$. The magnitude of coupling noises on the Q(15) node and Qb(15) node of the 15th stage is respectively -12.6 dB and -26.1 dB at 100 kHz in the proposed circuit, compared to 6.8 dB and 10.9 dB in a conventional one. In addition, the estimated power consumption is 1.74 mW for the proposed 16-stage shift registers at $V_{TH}=-1.56V$, compared to 11.5 mW for the conventional circuits.

태양광 마이크로 인버터를 위한 탭인덕터 부스트 및 강압형 컨버터 캐스케이드 타입 저가형 고효율 전력변환기 (Low-Cost High-Efficiency Two-Stage Cascaded Converter of Step-Down Buck and Tapped-Inductor Boost for Photovoltaic Micro-Inverters)

  • 장종호;신종현;박종후
    • 전력전자학회논문지
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    • 제19권2호
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    • pp.157-163
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    • 2014
  • This paper proposes a two-stage step-down buck and a tapped-inductor boost cascaded converter for high efficiency photovoltaic micro-inverter applications. The proposed inverter is a new structure to inject a rectified sinusoidal current into a low-frequency switching inverter for single-phase grid with unity power factor. To build a rectified-waveform of the output current. the converter employs both of a high efficiency step-up and a step-down converter in cascade. In step-down mode, tapped inductor(TI) boost converter stops and the buck converter operates alone. In boost mode, the TI converter operates with the halt of buck operation. The converter provides a rectified current to low frequency inverter, then the inverter converts the current into a unity power-factor sinusoidal waveform. By applying a TI, the converter can decrease the turn-on ratios of the main switch in TI boost converter even with an extreme step-up operation. The performance validation of the proposed design is confirmed by an experimental results of a 120W hardware prototype.

발가락 거대지 환자에게 7년에 걸쳐 시행한 단계적 수술: 증례 보고 (Two-Stage Operation Over a Period of 7 Years for a Patient with Macrodactyly: A Case Report)

  • 권용욱;서영채;전가원;이효영
    • 대한족부족관절학회지
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    • 제27권1호
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    • pp.24-29
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    • 2023
  • Macrodactyly of the toe is a rare congenital anomaly characterized by the overgrowth of a digit/digits in the foot and is one of the most difficult conditions to treat. Since the condition alters functionality and appearance, the treatment goal is to restore function and cosmetically enhance the appearance. Various surgical techniques are used for toe macrodactyly, including amputation, debulking, and epiphysiodesis. Herein, we present a case of a six-year-old patient with a second toe macrodactyly who was successfully treated with a two-stage operation over a seven-year period. We initially performed an ostectomy of the middle phalanx with a fusion of the proximal and distal phalanges and then performed a soft tissue debulking procedure.

A review of anaerobic digestion systems for biodegradable waste: Configurations, operating parameters, and current trends

  • Van, Dinh Pham;Fujiwara, Takeshi;Tho, Bach Leu;Toan, Pham Phu Song;Minh, Giang Hoang
    • Environmental Engineering Research
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    • 제25권1호
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    • pp.1-17
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    • 2020
  • With benefits to the human health, environment, economy, and energy, anaerobic digestion (AD) systems have attracted remarkable attention within the scientific community. Anaerobic digestion system is created from (bio)reactors to perform a series of bi-metabolism steps including hydrolysis/acidogenesis, acetogenesis, and methanogenesis. By considering the physical separation of the digestion steps above, AD systems can be classified into single-stage (all digestion steps in one reactor) and multi-stage (digestion steps in various reactors). Operation of the AD systems does not only depend on the type of digestion system but also relies on the interaction among growth factors (temperature, pH, and nutrients), the type of reactor, and operating parameters (retention time, organic loading rate). However, these interactions were often reviewed inadequately for the single-stage digestion systems. Therefore, this paper aims to provide a comprehensive review of both single-stage and multi-stage systems as well as the influence of the growth factors, operating conditions, and the type of reactor on them. From those points, the advantages, disadvantages, and application range of each system are well understood.

Power Conditioning for a Small-Scale PV System with Charge-Balancing Integrated Micro-Inverter

  • Manoharan, Mohana Sundar;Ahmed, Ashraf;Seo, Jung-Won;Park, Joung-Hu
    • Journal of Power Electronics
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    • 제15권5호
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    • pp.1318-1328
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    • 2015
  • The photovoltaic (PV) power conditioning system for small-scale applications has gained significant interest in the past few decades. However, the standalone mode of operation has been rarely approached. This paper presents a two-stage multi-level micro-inverter topology that considers the different operation modes. A multi-output flyback converter provides both the DC-Link voltage balancing for the multi-level inverter side and maximum power point tracking control in grid connection mode in the PV stage. A modified H-bridge multi-level inverter topology is included for the AC output stage. The multi-level inverter lowers the total harmonic distortion and overall ratings of the power semiconductor switches. The proposed micro-inverter topology can help to decrease the size and cost of the PV system. Transient analysis and controller design of this micro-inverter have been proposed for stand-alone and grid-connected modes. Finally, the system performance was verified using a 120 W hardware prototype.