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Video-Assisted Thoracic Surgery(vats):A Review of 42 Cases (비디오 흉강경을 이용한 흉부수술(VATS) -42례 경험-)

  • 백희종
    • Journal of Chest Surgery
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    • v.27 no.3
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    • pp.221-225
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    • 1994
  • Video-assisted thoracic surgery[VATS] has recently evolved as an alternative to thoracotomy for several thoracic disorders. Between March 1993 and September 1993, 42 patients underwent VATS at Gil General Hospital. They were diagnosed as spontaneous pneumothorax in 34[81.0%], mediastinal mass in 5, congenital lobar emphysema in 1, traumatic hemothorax in 1, and sarcoidosis in 1. For pneumothorax, wedge resection of bullae or blebs was done in 18 patients, wedge resection and limited parietal pleulectomy in 13, and only pleulectomy in 2. And excision for mediastinal mass in 5, hematoma evacuation for chronic hemothorax in 1, biopsies of mediastinal lymph node and lung for confirming sarcoidosis in 1, and lobectomy of left upper lobe for congenital lobar emphysema in the child of 12 years. The period of chest tube drainage and postoperative hospitalization averaged 3.8 days [range, 1 to 11 days] and 5.9 days [range, 2 to 18 days]. Three complications occurred in 3 patients with pneumothorax [7.1%, 2 recurrent pneumothorax and 1 postoperative bleeding], and the conversion to open thoracotomy was done in 1 due to massive air leak. The causes of postoperative air leak were speculated and the techniques for saving expensive Endo-GIA staplers are described in this paper. VATS is safe and offers the benefits of reduced postoperative pain and rapid recovery. Our experience indicates a markedly expanded role for VATS in the diagnosis and treatment of various thoracic diseases.

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Comparison of Outcomes between Open and Laparoscopic Pyloromyotomy (비후성 유문협착증에 대한 유문근 절개술에서 개복 술식과 복강경 술식의 비교)

  • Kim, Su-Mi;Jung, Soo-Min;Seo, Jeong-Meen;Lee, Suk-Koo
    • Advances in pediatric surgery
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    • v.17 no.2
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    • pp.139-144
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    • 2011
  • Hypertrophic pyloric stenosis (HPS) is the most common infantile surgical condition and the standard treatment is open pyloromyotomy. Recently, laparoscopic techniques have rapidly advanced, and the laparoscopic approach has become widely adopted by pediatric surgeons. The aim of this study was to compare the clinical outcomes between open and laparoscopic pyloromyotomy. We retrospectively evaluated outcomes of pyloromyotomy for HPS by the open (OP) and the laparoscopic (LP) method. The procedures were performed at the Samsung Medical Center between September 2001 and March 2009. We analyzed patient age, sex, birth weight, length of hospital stay, postoperative length of stay (LOS), operating time, time to feeding commencement, postoperative vomiting frequency, the time to full feeding without vomiting, and surgical complications. A total of 54 patients were included in the study. There were 26 OP and 28 LP patients. There was no statistically significant difference in age, sex, birth weight, operating time, postoperative emesis. In contrast, postoperative LOS in the LP group was statistically significantly shorter than that in the OP group (2.0 vs. 3.3 days, p=0.0003) and time to full feeding was significantly shorter following LP. (p=0.018) There were no wound complications. Laparoscopic pyloromyotomy significantly reduced postoperative LOS and time to full feeding compared to open pyloromyotomy.

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ILIZAROV FIXATION FOR THE TYPE C TIBIAL PLAFOND FRACTURES (C형 경골천정 골절에 대한 일리자로브 외고정술)

  • Cho, Hyoun-Oh;Kwak, Kyoung-Duck;Cho, Sung-Do;Kim, Byung-Yong;Oh, Jang-Ho
    • Journal of Korean Foot and Ankle Society
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    • v.1 no.1
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    • pp.51-58
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    • 1997
  • The purpose of this study is to evalute the efficacy af the Ilizarov external fixation for the surgical treatment. of the tibial plafond fractures. We reviewed retrospectively fourteen cases of tibial plafond fractures with moderate to severe soft. tissue damage, which were fixed with Ilizarov external fixator. Using the AO Muler classification, there were four Type C1 fractures, six Type C2 and four Type C3. In most, of the cases, the ankles were operated on with other associated fractures within a few days after injury. We reduced the fracture indirectly by soft issue taxis and fixed externally across the ankle joint. using the circular external fixator with tensioned wires and ankle hinge. In cases of inadequate closed reduction, we applied limited open reduction and internal fixation. Range of motion exercise began immediately. Postoperative follow-up averaged fourteen months (ranges, 8-30 months). Overall clinical results rated good or excellent in 7 cases, fair in 4 and poor in 3. There were three cases of pin tract infection which were resolved with short-term antibiotics and local care; one delayed wound closure in a patient. whose fracture was associated with Type III open wound; one wound slough in a patient associated with Type II open wound, which was closed later by skin graft; and one osteoarthritis. From this review, we concluded that cross-ankle circular external fixation with tensioned wires with or without. limited open reduction is a reasonable alternative for the treatment of the tibial plafond fractures with severe soft tissue damage.

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A Performance Test of Mobile Cloud Service for Bayesian Image Fusion (베이지안 영상융합을 적용한 모바일 클라우드 성능실험)

  • Kang, Sanggoo;Lee, Kiwon
    • Korean Journal of Remote Sensing
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    • v.30 no.4
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    • pp.445-454
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    • 2014
  • In recent days, trend technologies for cloud, bigdata, or mobile, as the important marketable keywords or paradigm in Information Communication Technology (ICT), are widely used and interrelated each other in the various types of platforms and web-based services. Especially, the combination of cloud and mobile is recognized as one of a profitable business models, holding benefits of their own. Despite these challenging aspects, there are a few application cases of this model dealing with geo-based data sets or imageries. Among many considering points for geo-based cloud application on mobile, this study focused on a performance test of mobile cloud of Bayesian image fusion algorithm with satellite images. Two kinds of cloud platform of Amazon and OpenStack were built for performance test by CPU time stamp. In fact, the scheme for performance test of mobile cloud is not established yet, so experiment conditions applied in this study are to check time stamp. As the result, it is revealed that performance in two platforms is almost same level. It is implied that open source mobile cloud services based on OpenStack are enough to apply further applications dealing with geo-based data sets.

Open API as a solution for the unification and fragmentation in online social network (온라인 소셜 네트워크의 문제점와 공개 API 를 통한 해결 방안 연구)

  • Kim, Yong-Geun;Byun, Jae-Bum;Yoon, Joon-Sung
    • 한국HCI학회:학술대회논문집
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    • 2008.02b
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    • pp.656-661
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    • 2008
  • There are many sociological methodology for the study on cyber community. Especially for the online social network which is constructed by the notion of the social network, the social network analysis can be a superior methodology for the understanding of the general phenomenon and the solutions for the problematic issues. As pointed by Manuel Castells, the problem of the unification and the fragmentation, which is came after the participation and the openness, is prevailed in cyber community by its characteristics. However, computational properties that exceed the limitation of the time and space can bestow other alternatives. The Open API in the social network services that is more popular in these days is the one of those alternatives. Therefore, the purpose of this study is to investigate the problematic phenomenon of online social network and to search the solutions for those problems with the acceptance of Open API technology.

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Comparison of Nitrogen Removal in Reed Wetlands with and Without Open Water Purifying Effluent from a Treatment Pond (하천수를 정화하는 갈대습지의 개수부에 의한 질소제거 비교)

  • Yang, Hongmo
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.8 no.1
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    • pp.37-44
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    • 2005
  • Nitrate($NO_3-N$) and total nitrogen(TN) removal by a reed wetland with open water(Wetland 1) was compared with that of a reed wetland without open water(Wetland 2) from March to October 2002. The two wetlands were 25mL by 6mW. An open water area, 3mL by 6mW was designed at the middle of Wetland 1. Reeds(Phragmites australis) were transplanted into the wetlands in June 2000. Water of Sinyang Stream flowing into the Kohung Estuarine Lake located in the southern part of Korea was pumped into a primary treatment pond, whose effluent was discharged into the secondary pond. Effluent from the secondary pond was funneled into the wetlands. Inflow into the wetlands averaged about 20.0$m^3$/day and their hydraulic retention time was approximately 1.5 days. Average $NO_3-N$ removal by Wetland 1 was 117.61mg/$m^2{\cdot}day$ and that by Wetland 2 was 106.39mg/$m^2{\cdot}day$. $NO_3-N$ removal efficiency of Wetland 1 and 2 was 37% and 34%, respectively. TN removal by Wetlands 1 and 2 averaged 226.80 and 214.54mg/$m^2{\cdot}day$, respectively. TN abatement efficiency of Wetland 1 was 43% and that of Wetland 2 was 40%. $NO_3-N$ removal efficiency of Wetland 1 was significantly higher(p=0.038) than Wetland 2. TN removal efficiency of Wetland 1 was also significantly higher(p=0.044) than Wetland 2. The wetland with open water was more efficient for removal of $NO_3-N$ and TN than one without.

A Study on characteristics of sediment transfer in Nakdong estuary (낙동강 하구의 퇴적물 이동특성에 관한 연구)

  • Jeon Yong-ho;Lee In-Cheol;Ryu Cheong-Ro
    • Proceedings of the Korea Committee for Ocean Resources and Engineering Conference
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    • 2004.05a
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    • pp.161-166
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    • 2004
  • Research for deposits in Nakdong eatuary that research about Nakdong eatuary's sediment flows out in Nakdong-kang so far had been progressed but research about deposits that is flowed in open sea is insufficient. Observed Nakdong eatuary's characteristic of sediment transfer through observation during the second during Buteo 20 days on February 6, 2004 in this research Resuspension bed load Flux appeared high the first result St.4 point and St.5 point. St.4 branch had much bed load amount that is flowed in the east, and bed load that St.5 branch is flowed in the south appeared much Tendency such as the first showed in the second result, but compare with the first result and St.5 branch had much bed load that is transfer in end. Bed load that is transfer in observation result Nakdong river was less. As this, can know that amount of sediment that is transfer in open sea more than deposits that is transfer in Nakdong river is much Is expected to exert effect that deposits that is transfer in open sea is high in Nakdong estuary's topography change. Specially, observation result is expected that Nakdong estuary's deposition tendency becomes Jinwoodo southern and Shinho southern.

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Changes in Lymphocyte Subsets following Open-Heart Surgery ; A Study for Changes in Lymphocyte Subsets (개심술 환자에서의 면역기능의 변화;T lymphocyte subset의 변화에 대한 고찰)

  • 황재준
    • Journal of Chest Surgery
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    • v.25 no.11
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    • pp.1185-1191
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    • 1992
  • Cell mediated immunity is depressed following surgical procedure and the degree of immunosuppression is directly related to the magintude of the procedure, blood transfusion, and length of operation. So we would expect cardiac operations to be highly immunosuppressive, although little is konwn about their immunosuppressive effect. The nearly complete consumption of complement factors and decreased levels of IgM and IgG resulting in an impaired opsonizing capacity. Additionally, peripheral blood mononuclear cell counts including T-and B-lymphocytes and T-cell subsets are reduced. Depression of cell-mediated immunity following open-heart surgery is potentially detrimental because it could increase the susceptability of patients to viral and bacterial infection. We reviewed 20 patients after cardiac operation to search for changes in peripheral blood lymphocyte subsets. Lymphocyte subsets were measured by flow cytometer and the preoperative values of lymphocyte subsets were compared with those from the first, fourth, and seventh days after operation. After cardiac operation, total mumbers of T lymphocyte was severely depressed on the first postoperative day and returned to the preoperative level by the seventh day after operation. CD3, CD4, and CD8 lymphocytes were decreased on the first postoperative day and returned to the preoperative level by the seventh day also. There was four cases of wound infection and these patients had increased CD4 lympocyte and more decreased CD19 lymphocyte compared with the non-infected group. It is concluded from these data that cell-mediated immunity is significantly depressed for at least one week following open-heart surgery and this result was closely related to the postoperative infection.

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Investigation on the Dielectric, Physical and Chemical Properties of Palm Oil and Coconut Oil under Open Thermal Ageing Condition

  • Mohamad, Nur Aqilah;Azis, Norhafiz;Jasni, Jasronita;Kadir, Mohd Zainal Abidin Ab;Yunus, Robiah;Ishak, Mohd Taufiq;Yaakub, Zaini
    • Journal of Electrical Engineering and Technology
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    • v.11 no.3
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    • pp.690-698
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    • 2016
  • In this paper, a study is carried out to investigate the dielectric, physical and chemical properties of Palm Oil (PO) and Coconut Oil (CO) under open thermal ageing condition. The type of PO used in this study is Refined Bleached and Deodorized Palm Oil (RBDPO) Olein. The ageing experiment was carried out at 85 ℃ and 115 ℃ for 1, 3, 5, 7 and 14 days. Several parameters were measured such as AC breakdown voltage, dielectric dissipation factor, relative permittivity, resistivity, viscosity, moisture and acidity throughout the ageing duration. Based on the study, it is found that there are no significant changes on the AC breakdown voltages and relative permittivities for both RBDPO and CO. At ageing temperature of 115℃, there are clear reduction trends of dielectric dissipation factor for CO and resistivities for most of RBDPO. On the other hand, no clear trends are observed for viscosities, moisture and acidities of RBDPO and CO throughout the ageing duration.

The Crime-reduction Effects of Open-Street CCTV around Elementary Schools (초등학교 주변 방범용CCTV의 범죄감소효과 연구)

  • Lim, Hyung-Jin
    • Korean Security Journal
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    • no.51
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    • pp.199-219
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    • 2017
  • This research examined the degree to which open-street closed-circuit television (CCTV) systems reduced crime in the vicinity of elementary schools. Information including crime dates, locations, and types around nine elementary schools in the city of Chuncheon in South Korea where the cameras had been installed was gathered and assessed. By employing the Poisson regression with "month" as the unit of analysis and controlling for the days in each month, the average monthly temperatures, and crime trends, the research results show that the CCTV installations had an impact on the reduction of total crime and serious crime. However, the same reduction effect was not observed for disorder crime. Therefore, the results of this study suggest that the employing CCTV is an effective way to control overall crime rates, especially serious crime.

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