• Title/Summary/Keyword: minimal repair

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Recursive compensation algorithm application to the optimal edge selection

  • Chung, C.H.;Lee, K.S.
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1992년도 한국자동제어학술회의논문집(국제학술편); KOEX, Seoul; 19-21 Oct. 1992
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    • pp.79-84
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    • 1992
  • Path planning is an important task for optimal motion of a robot in structured or unstructured environment. The goal of this paper is to plan the optimal collision-free path in 3D, when a robot is navigated to pick up some tools or to repair some parts from various locations. To accomplish the goal, the Path Coordinator is proposed to have the capabilities of an obstacle avoidance strategy and a traveling salesman problem strategy (TSP). The obstacle avoidance strategy is to plan the shortest collision-free path between each pair of n locations in 2D or in 3D. The TSP strategy is to compute a minimal system cost of a tour that is defined as a closed path navigating each location exactly once. The TSP strategy can be implemented by the Hopfield Network. The obstacle avoidance strategy in 2D can be implemented by the VGraph Algorithm. However, the VGraph Algorithm is not useful in 3D, because it can't compute the global optimality in 3D. Thus, the Path Coordinator is used to solve this problem, having the capabilities of selecting the optimal edges by the modified Genetic Algorithm and computing the optimal nodes along the optimal edges by the Recursive Compensation Algorithm.

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Isolated Common Hepatic Duct Injury after Blunt Abdominal Trauma

  • Park, Yun Chul;Jo, Young Goun;Kang, Wu Seong;Park, Eun Kyu;Kim, Hee Jun;Kim, Jung Chul
    • Journal of Trauma and Injury
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    • 제30권4호
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    • pp.231-234
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    • 2017
  • Extrahepatic bile duct injury is commonly associated with hepatic, duodenal, or pancreatic injuries, and isolated extrahepatic bile duct injury is rare. We report a patient who presented with an isolated extrahepatic bile duct injury after blunt trauma. A 50-year-old man was referred to our hospital after having suffered a fall down injury. His laboratory findings showed hyperbiliribinemia with elevated aspartate aminotransferase and alanine aminotransferase level. Initial abdominal computed tomography (CT) showed a mild degree of hemoperitoneum without evidence of abdominal solid organ injury. On the 3rd day of hospitalization, the patient complained of dyspnea and severe abdominal discomfort. Follow-up abdominal CT showed no significant interval change. Owing to the patient's condition, Emergency laparotomy revealed a large amount of bile-containing fluid collection and about 1 cm in size laceration on the left lateral side of the common hepatic duct. Primary repair of the injured bile duct with T-tube insertion was performed On postoperative day (POD) 30, endoscopic retrograde cholangiopancreatography showed minimal bile leakage and endoscopic sphincteroplasty and endoscopic retrograde biliary drainage were performed. On POD 61, the T-tube was removed and the patient was discharged.

Furlow 구개성형술을 시행한 구개열에서 언어발달과 적절한 수술시기 (Speech Outcome and Timing of Furlow Palatoplasty in Cleft Palate)

  • 진웅식;김석화;이성주
    • Archives of Plastic Surgery
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    • 제33권1호
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    • pp.67-74
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    • 2006
  • Palatoplasty using Furlow's double-opposing Z-plasty has been performed from June, 1995 to September, 1999 at Seoul National University Children's Hospital. The goal of this study is to determine the optimal timing of repair and cleft severity affecting velopharyngeal function. This is the retrospective study of patients operated by the second author. The mean age of patients was 10.53 months. The patients could be divided into three groups-isolated cleft palate(n=70), unilateral cleft lip and palate(n=88), and bilateral cleft lip and palate(n=42). To evaluate the velopharyngeal function, we used two parameters, speech evaluation and cineofluorography using DSR(digital subtraction radiography). Also, to determine the relevance between cleft severity and speech development, we measured the distance between maxillary tuberosities and cleft margins. Among 200 patients, about 96% had no or minimal hypernasality and 87% had no or mild nasal emission. The cleft width and length of soft palate seemed not to be related with the speech development. Palatoplasty at the age under 12 months resulted in less 'nasal emission' and better 'articulation' of the parameters that were assessed at the age of 7 years. It can be concluded Furlow palatoplasty shows satisfactory results and also it seems that it is better to perform the operation before the age of 12 months.

축구 선수에서의 발목 및 발의 통증 (Foot and ankle pain in soccer players)

  • 이경태;양기원;김재영;차승도;김응수
    • 대한정형외과스포츠의학회지
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    • 제3권1호
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    • pp.36-41
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    • 2004
  • The purpose of this study is to describe the common injuries in soccer players in terms of the orthopaedic operative treatment. We classified foot pain to in forefoot , midfoot, plantar aspect and mentioned the cause, incidence and treatment methods. Ankle pain was classified to anterior, lateral, medial and posterir aspect of the ankle. In all injuries in soccer players, conservative treatment is primary treatment method and we treated operatively in no respond case inspite of the physical therapy and rehabilitation program for sufficient period. The anatomical repair was preferred and minimal invasive surgery was recommended if possible and then focus of treatment is to early return to previous full activities through the rehabilitation program for sufficient period. As a conclusion, it is necessory to understand the mechanism and cause of the common injuries in soccer players and to select the proper treatment method to the degree of the injuries.

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구강 및 구인두종양수술시 구순-하악골이단 접근법의 이용에 관한 임상적 연구 (A CLINICAL STUDY ON THE APPLICATION OF LABIO-MANDIBULOTOMY APPROACH FOR ORAL AND OROPHARYNGEAL TUMORS)

  • 표성운
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제21권2호
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    • pp.225-230
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    • 1999
  • The labiomandibulotomy approch to the oral cavity and oropharygeal region was first described by Roux in 1836 and become popular for oral and oropharyngeal tumors in cases where there are no clinical and radiological signs of mandible invasion. Anterior labiomandibulotomy and swing procedure provides excellent access and facilitate a mandibular resection and subsequent repair. In last two years, 8 cases of oral and oropharyngeal tumors were treated by this approach at the Dept. of Oral & Maxillofacial Surgery, Holy Family Hospital, Catholic University of Korea. And we analyzed postoperative complications as well as functional evaluations, and the results were as follows; In 4 cases, marginal mandibulectomy were combined with labiomandibulotomy and in case of malignancies, neck dissection was performed simultaneously. In almost case, plate and miniscrew fixation was used for osteotomy sites. Histologic evaluation of the resection margins of the specimens revealed tumor free in all cases. The postoperative complications were occured in 3 cases, one case of nonunion, one case of orocutaneous fistula, and one case of wound dehisence. Occlusal stability, jaw movement and swallowing function were acceptable postoperatively in 3 months. From above results, we concluded that, this approach not only provides wide exposure, permitting radical removal of benign and malignant lesions but also preserves function with minimal complications.

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중고제품의 보증과 보전정책에 대한 최근 연구 동향 (The Current Issues on Warranty & Maintenance Policy of the Second-Hand Products)

  • 임재학
    • 한국신뢰성학회지:신뢰성응용연구
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    • 제17권2호
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    • pp.159-167
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    • 2017
  • Purpose: The purpose of this research is to study research trend in the field of warranty and maintenance policy of second-hand products. Methods: To this end, we consider research articles, which deal with warranty and maintenance of the second-hand products, published on journals during the past 20 years and classify them by taxonomy scheme proposed by Shafiee and Chukova (2013). The taxonomy scheme consists of three maintenance models in warranty for second-hand product. In each models, we analyze proposed maintenance and warranty policies with respect to types of upgrade models, types of preventive maintenances, decision variables and decision criteria model. Results: We obtain the scheme of maintenance and warranty of the second-hand products and define cost related to warranty and maintenance of the second-hand item. Also, we summarize the characteristics of maintenance and warranty policies in each classified model. Conclusion: There have been several research reviews on maintenance and warranty polity of new products. This research surveys researches of authors during the past 20 years and classifies, summarizes and compares proposed maintenance and warranty policies of the second-hand products. This research provides useful information to researchers who are interested in maintenance and warranty of the second-hand products.

Experiencing cardiac arrest during surgical exploration in hemodynamically stable patients with multiple stab wounds, including lower extremity in Korea: a case report

  • Jung Rae Cho;Dae Sung Ma
    • Journal of Trauma and Injury
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    • 제37권2호
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    • pp.166-169
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    • 2024
  • Stab wounds, particularly those affecting multiple body regions, present considerable challenges in trauma care. This report describes a case of sustained self-inflicted stab injuries to the abdomen and thighs of a 23-year-old male patient. Although the patient's vital signs were stable and bleeding was minimal from thigh wounds without overt signs of vascular injury, the patient experienced a sudden, profound hemorrhage from the right thigh, leading to cardiac arrest. Successful resuscitation was followed by surgical repair of a right superficial femoral arterial injury accompanying a resuscitative endovascular balloon of the aorta. Subsequent lower extremity computed tomography angiography revealed no additional vascular abnormalities. The patient was discharged in stable condition on the 12th postoperative day. This case underscores the unpredictability of stab wound trajectories and the potential for hidden vascular injuries, even in the absence of immediate life-threatening signs. It also emphasizes the critical role of advanced imaging modalities, such as computed tomography angiography, in identifying concealed injuries, and the importance of strategic intraoperative techniques, including resuscitative endovascular balloon occlusion of the aorta, in achieving favorable patient outcomes.

온칩 마이크로컨트롤러를 사용하는 낸드 플래시 메모리의 제조 후 어레이 동작 수정 (Post-manufacturing Array Operation Repair for NAND Flash Memories with On-Chip Microcontrollers)

  • 김건우;조용호
    • 전기전자학회논문지
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    • 제28권3호
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    • pp.365-368
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    • 2024
  • 본 논문에서는 온칩 마이크로컨트롤러(MCU)와 명령어(instruction) ROM을 사용하는 NAND 플래시 메모리에서 제조 이후 잘못된 셀(cell) 어레이 구동 명령어들을 수정하는 방법을 제안한다. 이 방법은 작은 패치(patch) 명령어 RAM을 사용하며, MCU는 재구성 가능한 프로그램 카운터(PC) 대체 메커니즘을 통해 패치 명령어들을 가져와 수행한다. 패치 명령어들과 PC 대체를 위한 데이터는 특정 낸드 셀 영역에 저장되고, 전원이 켜질 때 전기적 퓨즈(fuse) 정보와 함께 로드된다. 제안하는 방법은 소수의 명령어 패치만 지원하기 때문에 면적 증가는 무시할 수 있을 만큼 매우 작다.

대형 및 광범위 회전근 개 파열의 개방적 봉합술 후 임상적 결과와 회전근 개 연속성(integrity)의 상관 관계 (Correlation of Clinical Outcome and Cuff Integrity after Open Repair in Large and Massive Rotator Cuff Tears)

  • 노행기;왕준호;김동휘;박종웅;김재균;박정호
    • Clinics in Shoulder and Elbow
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    • 제10권1호
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    • pp.65-72
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    • 2007
  • 목적: 대형 및 광범위 회전근 개 파열 환자에서 개방적 봉합술 후 초음파를 이용하여 임상적 결과와 회전근 개 연속성(integrity)의 연관성을 알아보고자 하였다. 대상 및 방법: 2001년 11월부터 2005년 4월까지 3 cm 이상의 회전근 개 파열로 개방적 봉합술을 시행한 후 최소 12개월 이상 추시 관찰이 가능했던 16명 17예를 대상으로 하였다. 6예가 대형 파열, 11예가 광범위 파열이었다. 대상 환자는 남자가 6예, 여자가 11예였고, 수술시 평균 나이는 52세 ($33{\sim}72$세)였다. 결과의 판정은 UCLA 견관절 점수와 시각적 아날로그 점수(visual analogue scale, VAS)을 이용하였으며, 술 후 회전근 개의 연속성을 평가하기 위해 숙련된 근골격계 방사선과 의사가 최소 술 후 12개월째에 견관절 초음파를 시행하였다. 결과: 17예중 4예에서 재파열이 관찰되었으며, 재파열의 여부와 관계없이 14예에서 UCLA 점수가 29점(양호)이상을 보였다. UCLA 점수는 술 전 평균 15.1에서 술 후 31.2점으로 호전되었다. 전례에서 기능 점수의 향상과 통증의 감소를 보였으며, 5예에서는 전혀 통증이 없었다. 1예를 제외한 16예에서 90도 이상의 견관절의 전방 거상이 가능하였다. 결론: 최소 12개월 추시 관찰 소견상에서 대형 및 광범위 회전근 개 파열의 개방적 봉합술은 재파열률이 낮았으며, 전례에서 재파열 여부와 상관없이 UCLA 점수의 향상, 동통 감소 및 견관절 운동 범위의 증가를 보였다. 한편 재파열 여부와 견관절 기능 점수 사이에 통계적으로 유의한 연관성은 없었다.

다탄두 공격에 대한 군 활주로 방호성능 평가 (A Study on the Military Runway Protection Performance for the Multiple Warheads Attack)

  • 황인재;한재덕;유승한;김성곤
    • 대한토목학회논문집
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    • 제40권5호
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    • pp.521-526
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    • 2020
  • 활주로 및 유도로 등의 비행장 포장체는 고정익 항공기의 원활한 이착륙을 위해 반드시 필요한 시설물로 군에서도 전·평시 항공작전의 수행을 위해서 가장 중요한 시설물이라 할 수 있다. 따라서 전시에 이러한 시설의 피해를 줄이고 최단시간에 복구하는 것이 필요하다. 최근의 공격양상은 대형 폭발구를 조성하기 위한 고폭탄을 사용하기 보다는 적의 비행장을 효과적으로 공격하고자 정확도와 관계없는 다탄두 무기체계를 사용하는 것으로 변화되고 있다. 따라서 본 연구에서는 다탄두 무기체계에 적용된 탄두의 제원과 구성을 통해 현재 군에 설치된 활주로 및 유도로 등에 접촉하여 폭발이 이루어졌을 때 포장체의 방호성능 및 피해양상을 확인해 보았으며, 다탄두 무기체계는 광범위한 피해를 줄 수 있지만 각각의 탄두의 파괴력은 그리 크지 않으므로 이러한 공격 대한 최소한의 방호를 위해서 필요한 비행장 포장체의 설계 방안을 제시하고자 한다.