• 제목/요약/키워드: internal operator

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Carved Merocel®을 이용한 비골골절의 고정 (Fixation of Nasal Bone Fracture with Carved Merocel®)

  • 공정식;정재아;강소라;김양우;전영우
    • 대한두개안면성형외과학회지
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    • 제12권2호
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    • pp.93-96
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    • 2011
  • Purpose: In most cases of nasal bone fracture, closed reduction with internal or external splint fixation approach is selected. However, because of indiscriminate insertion of the internal splint without considering of anatomical difference or deformity, insufficient fixation happens frequently that need additional fixation. Therefore, we suggest a new method for providing adequate support in reduced nasal bone by carving $Merocel^{(R)}$ that is fixed for the anatomical structure. Method: Closed reduction and internal fixation with carved $Merocel^{(R)}$ was performed in 15 nasal bone fracture patients from March, 2010 to July, 2010. Each patient was evaluated by physical examination, facial photographic check, simple X-ray, and computerized tomography. On the first day post-operation, location of packing and amount of reduction were checked by follow up X-ray and computerized tomography. In addition, patients' symptoms were evaluated. During the 3-month post-op follow up at out-patient clinic, operator, 2 doctors in training and one assistant performed the objective evaluations by physical examination on nasal dorsal hump, nasal deviation, nasal depression, nasal breath difficulty, and nasal airway obstruction. A survey of subjective patients' satisfaction in 4-stages was also performed. Results: The results of follow-up computerized tomography of the 15 patients revealed that 11 patients had good reduced state. Three patients with combined maxillary frontal process fracture had over reductions. A survey performed on the first day post-operation showed that 14 of 15 patients answered that their current symptoms were more than tolerable. At the 3-month follow-up physical exam, one case had a dorsal hump. However, there were no nasal deviations, nasal depressions, nasal breath difficulties, or nasal airway obstructions. Twelve of the 15 patients answered more than moderate on the 3-month survey. Conclusion: Intranasal packing after carving the $Merocel^{(R)}$ considering anatomical structure is a new effective method to promote proper-reduction, maintain stability, and minimize patients' symptoms by addition of a simple procedure.

An English Tough-construction Resolution: A Minimalist Account

  • Hong, Sung-Shim
    • 한국언어정보학회지:언어와정보
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    • 제13권1호
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    • pp.127-143
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    • 2009
  • Tough-construction is, undoubtedly, one of the most puzzling syntactic problems in the history of transformational grammar. Various approaches have been proposed including Deletion approaches (Akmajian, 1972; Lasnik and Fiengo, 1974) and movement approaches. Among the movement approaches, Chomsky (1977; 1981) argues for movement of null Operator, and Hornstein (2001) argues for a two-step movement equipped with Sideward movement. Most recently, Schueler (2004) and Hartman (2009) each have also argued for a kind of movement approach. With the development of the Minimalist syntax (Chomsky, 1995; Chomsky, 2000; Chomsky, 2001), tough-construction, an age old problem in the description of grammar, turns into another round toward to a more satisfactory answer. By examining the most recent competing analyses of tough-constructions, this paper defends and extends Schueler's (2004) analysis, rather than Hartman's (2009) two step movement approach. Furthermore, this paper proposes that tough-subject originates from the intermediate CP internal Spec-TopicP position rather than from the iterated CP layer (Authier, 1992). This approach has more descriptive power than it was originally argued for in Schueler (2004) and is a step closer toward Minimalism insofar as the conception of government is no longer utilized.

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초소형 연소기내 화염전파의 수치모사 (Numerical Simulation of Flame Propagation in a Micro Combustor)

  • 최권형;이대훈;권세진
    • 대한기계학회논문집B
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    • 제27권6호
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    • pp.685-692
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    • 2003
  • A numerical simulation of flame propagation in a micro combustor was carried out. Combustor has a sub -millimeter depth cylindrical internal volume and axisymmetric one-dimensional was used to simplify the geometry. Semi-empirical heat transfer model was used to account for the heat loss to the walls during the flame propagation. A detailed chemical kinetics model of $H_2/Air$ with 10 species and 16 reaction steps was used to calculate the combustion. An operator-splitting PISO scheme that is non-iterative, time-dependent, and implicit was used to solve the system of transport equations. The computation was validated for adiabatic flame propagation and showed good agreement with existing results of adiabatic flame propagation. A full simulation including the heat loss model was carried out and results were compared with measurements made at corresponding test conditions. The heat loss that adds its significance at smaller value of combust or height obviously affected the flame propagation speed as final temperature of the burnt gas inside the combustor. Also, the distribution of gas properties such as temperature and species concentration showed wide variation inside the combustor, which affected the evaluation of total work available of the gases.

데이터마이닝 기법을 이용한 주상변압기 고장유형 분석 및 복구 예측모델 구축에 관한 연구 (Fault Pattern Analysis and Restoration Prediction Model Construction of Pole Transformer Using Data Mining Technique)

  • 황우현;김자희;장완성;홍정식;한득수
    • 전기학회논문지
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    • 제57권9호
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    • pp.1507-1515
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    • 2008
  • It is essential for electric power companies to have a quick restoration system of the faulted pole transformers which occupy most of transformers to supply stable electricity. However, it takes too much time to restore it when a transformer is out of order suddenly because we now count on operator in investigating causes of failure and making decision of recovery methods. This paper presents the concept of 'Fault pattern analysis and Restoration prediction model using Data mining techniques’, which is based on accumulated fault record of pole transformers in the past. For this, it also suggests external and internal causes of fault which influence the fault pattern of pole transformers. It is expected that we can reduce not only defects in manufacturing procedure by upgrading quality but also the time of predicting fault patterns and recovering when faults occur by using the result.

A Novel Digital Over Current Relay with Variable Time-Current Characteristics for Protective Coordination

  • Park, M. S.;P. S. Cho;Lee, S. J.;S. H. Hyun;Kim, K. H.
    • KIEE International Transactions on Power Engineering
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    • 제2A권3호
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    • pp.83-88
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    • 2002
  • An over current relay(OCR), one of the most frequently used protective devices, has time-current characteristics (TCC) to control its trip time according to the current level. It is because an appropriate operating time interval is necessary for coordination with other protective devices. A set of TCC curves of an OCR is, in general, given by the supplier from which a curve is selected by the operator. Therefore, in many cases, it is impossible to consider the operation condition of the given power system exactly. A novel concept of an OCR is suggested in this paper. The proposed OCR has an internal correction module so that it may produce the most adequate TCC curve according to the given protective information for coordination with other devices. With the generated TCC curve, a variety of operation and coordination conditions can be taken into consideration in an effective manner. The suggested OCR is applied to a simple test power system to show very promising results from a coordination point of view.

복합재료적층판의 진동해석을 위한 유한요소모델 I. 변분원리의 유도 (Finite Element Analysis for Vibration of Laminated Plate Using a Consistent Discrete Theory Part I : Variational Principles)

  • 홍순조
    • 전산구조공학
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    • 제7권4호
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    • pp.85-101
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    • 1994
  • 적층판의 동적거동에 대한 유한요소해석모델개발을 목적으로 전단변형을 적합하게 고려한 적층판이론에 대한 변분원리를 유도하였다. 유도방법은 Sandhu 등에 의해 개발된 다변수 경계치문제의 변분원리이론을 따랐으며, 지배방정식의 미분연산자 매트릭스를 self-adjoint로 만들기 위하여 convolution을 이중선형사상으로 사용하였다. 유도된 적층판의 범함수에는 경계조건, 초기조건뿐만 아니라 유한요소해석모델에서 생길 수 있는 요소간 불연속조건도 포함시킬 수 있다. 상태변수의 적합함수공간을 확장하거나 특정조건을 적용하므로서 다양한 형태의 범함수를 유도할 수 있으며, 이를 통해 다양한 유한요소해석모델의 개발이 가능함을 논하였다.

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The Impact of the Characteristics of Economic Cooperation on Customer Value and Enterprise Performance in Korean Electronic Industry: Focus on the Economic Cooperation Between China and South Korea

  • Li, Zhou-Yang;Liu, Zi-Yang
    • 한국컴퓨터정보학회논문지
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    • 제24권6호
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    • pp.45-55
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    • 2019
  • The purposes of this paper is to draw a conclusion on the impact of the characteristics of economic cooperation between china and south korea on customer value and enterprise performance in the korean electronics industry. In this paper, product reliability and product innovation are especially used as analytical factors, and this paper used a survey of 293 internal employees working in the electronics industry for analyze, and structural equation model(SEM) was used to analyze the data. The results of the research analysis are summarized as follows. First, it was found that the characteristic of economic cooperation in the research model has a significant effect on the product reliability. Second, it was found that the characteristics of economic cooperation have a significant effect on the products innovation. Third, the products reliability has a significant impact on customer value, while the products innovation has not affected customer value. Finally, it was found that the customer value of the korean electronics industry also has a significant impact on the Enterprise performance. As a good development alternative to this research, there is the ultimate goal of hoping that corporate managers will help to create new good values. To this end, we hope it will be helpful as we have made necessary suggestions to establish the desired direction of the Korean electronics industry operator.

위 수술 전후의 내시경 시술: 재건법에 따른 접근, 수술의 관점 (Endoscopy after Gastric Surgery: For Each Reconstruction Method, Operator's Point of View)

  • 주일석;조현진;최수인
    • Journal of Digestive Cancer Research
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    • 제11권2호
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    • pp.66-76
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    • 2023
  • Endoscopy is an important noninvasive procedure for patients with gastrointestinal problems. However, surgical techniques are shifting to laparoscopic surgery, and changes in endoscopic findings after laparoscopic surgery differ from those after previous surgical methods. Postoperative endoscopic findings differ from normal anatomical structures, and findings reportedly vary depending on the type of surgical technique. Therefore, we aimed to summarize the surgical and endoscopic findings for each surgical method from the surgeon's point of view. The causes of gastric emptying delay, bleeding, afferent loop syndrome, or anastomosis leakage occurring after gastric cancer surgery can be identified via upper gastrointestinal endoscopy that is relatively less invasive than the surgical method. Regarding postoperative anastomosis leakage, endoscopy can directly evaluate the degree of leakage at the anastomosis site more accurately than computed tomography and enable immediate intervention. As endoscopy is less invasive than the surgical method, patients can be evaluated and treated more safely. However, coordination between the surgeon and the endoscopist is necessary to perform the procedures effectively. Therefore, reviewing the changes in surgical and endoscopic findings is important.

Evaluation of Albumin Creatinine Ratio as an Early Urinary Biomarker for Chronic Kidney Disease in Dogs

  • Hyun-Min Kang;Heyong-Seok Kim;Min-Hee Kang;Jong-Won Kim;Dong-Jae Kang;Woong-Bin Ro;Doo-Won Song;Ga-Won Lee;Hee-Myung Park;Hwi-Yool Kim
    • 한국임상수의학회지
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    • 제40권6호
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    • pp.399-407
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    • 2023
  • Chronic kidney disease (CKD) occurs in more than 15% of the dogs over 10 years of age and causes irreversible renal function deterioration. Therefore, it is important to diagnose CKD early and treat the disease properly. The purpose of this study aimed to to evaluate the clinical utility of urine albumin/creatinine ratio (ACR) using POC (point-of-care) device as an early detection urinary biomarker in CKD dogs and to confirm the correlation between ACR and other known CKD biomarkers. Urine and serum samples were obtained from 50 healthy dogs and 50 dogs with CKD. Serum blood urea nitrogen (BUN), creatinine, and symmetric dimethylarginine (SDMA) concentrations, and urine protein creatinine ratio (UPC) were measured. Urine specific gravity (USG) was evaluated using refractometer, and ACR was measured using an i-SENS A1Care analyzer. The ACR values of dogs with CKD were significantly different from those of healthy dogs (p < 0.001), as with other renal biomarkers. ACR showed significant differences between healthy dogs and dogs with CKD at every IRIS stage (p < 0.005), whereas no significant differences were observed between dogs with CKD IRIS stage I and healthy dogs with UPC. There are significant positive correlation between ACR and BUN (r = 0.611, p < 0.001), creatinine (r = 0.788, p < 0.001), SDMA (r = 0.747, p < 0.001), and UPC (r = 0.784, p < 0.001), and significant negative correlation between ACR and USG (r = -0.700, p < 0.001). In receiver operator characteristic curve analysis, the area under the curve (AUC) was 0.982 (95% CI 0.963-1.000, p < 0.001), with an optimal cut-off value of 64.20 mg/g (94% sensitivity and 94% specificity). Thus, ACR is a useful urinary biomarker for the early diagnosis of proteinuria in CKD and combined use of ACR and other renal biomarkers may be helpful for early diagnosis and prevention of CKD in dogs.

Development and Validation of a Model Using Radiomics Features from an Apparent Diffusion Coefficient Map to Diagnose Local Tumor Recurrence in Patients Treated for Head and Neck Squamous Cell Carcinoma

  • Minjae Kim;Jeong Hyun Lee;Leehi Joo;Boryeong Jeong;Seonok Kim;Sungwon Ham;Jihye Yun;NamKug Kim;Sae Rom Chung;Young Jun Choi;Jung Hwan Baek;Ji Ye Lee;Ji-hoon Kim
    • Korean Journal of Radiology
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    • 제23권11호
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    • pp.1078-1088
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    • 2022
  • Objective: To develop and validate a model using radiomics features from apparent diffusion coefficient (ADC) map to diagnose local tumor recurrence in head and neck squamous cell carcinoma (HNSCC). Materials and Methods: This retrospective study included 285 patients (mean age ± standard deviation, 62 ± 12 years; 220 male, 77.2%), including 215 for training (n = 161) and internal validation (n = 54) and 70 others for external validation, with newly developed contrast-enhancing lesions at the primary cancer site on the surveillance MRI following definitive treatment of HNSCC between January 2014 and October 2019. Of the 215 and 70 patients, 127 and 34, respectively, had local tumor recurrence. Radiomics models using radiomics scores were created separately for T2-weighted imaging (T2WI), contrast-enhanced T1-weighted imaging (CE-T1WI), and ADC maps using non-zero coefficients from the least absolute shrinkage and selection operator in the training set. Receiver operating characteristic (ROC) analysis was used to evaluate the diagnostic performance of each radiomics score and known clinical parameter (age, sex, and clinical stage) in the internal and external validation sets. Results: Five radiomics features from T2WI, six from CE-T1WI, and nine from ADC maps were selected and used to develop the respective radiomics models. The area under ROC curve (AUROC) of ADC radiomics score was 0.76 (95% confidence interval [CI], 0.62-0.89) and 0.77 (95% CI, 0.65-0.88) in the internal and external validation sets, respectively. These were significantly higher than the AUROC values of T2WI (0.53 [95% CI, 0.40-0.67], p = 0.006), CE-T1WI (0.53 [95% CI, 0.40-0.67], p = 0.012), and clinical parameters (0.53 [95% CI, 0.39-0.67], p = 0.021) in the external validation set. Conclusion: The radiomics model using ADC maps exhibited higher diagnostic performance than those of the radiomics models using T2WI or CE-T1WI and clinical parameters in the diagnosis of local tumor recurrence in HNSCC following definitive treatment.