• Title/Summary/Keyword: one-stage procedure

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Surgical Repair of Interruption of the Aortic Arch[Type A] -A Report of 5 Cases- (대동맥 결손증 (Type A) 의 외과적 치험)

  • 조범구
    • Journal of Chest Surgery
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    • v.21 no.4
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    • pp.665-671
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    • 1988
  • Between 1981 and 1987, five patients with an interruption of the aortic arch were operated upon. All had a ventricular septal defect and a patent ductus arteriosus as associated anomalies. A two-stage procedure was employed in these cases, the initial procedure being repair of the interrupted arch, ligation of the patent ductus arteriosus, banding of the main pulmonary artery and a lung biopsy which was followed, 5 to 49 months later, by the repair of the ventricular septal defect. Four patients completed the two-stage procedure with one postoperative mortality. The remaining patient is yet to complete the second stage procedure.

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Short-Term Outcomes of Transanal One-Stage Pull-Through Procedure for Hirschsprung's Disease (Hirschsprung 병에서 Transanal One-Stage Pull-Through 술식의 단기 성적)

  • Son, Gyung-Mo;Kim, Hae-Young
    • Advances in pediatric surgery
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    • v.7 no.2
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    • pp.130-136
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    • 2001
  • The aim of this study was to evaluate the short-term outcomes of the trans anal one-stage pull-through procedure(TOP) in Hirschsprung's disease. Eight patients aged 3 weeks to 8 months with Hirschsprung's disease underwent this procedure. A rectal mucosectomy was performed from just proximal to dentate line to the level of peritoneal reflexion, where muscle layer was incised circumferentially. Rectosigmoid was mobilized out through the anus, and full-thickness frozen biopsy was taken for confirmation of ganglionic cells. After the rectal muscular cuff was divided longitudinally in the posterior aspect, aganglionic bowel was removed and ganglionic colon was anastomozed to the anus. The mean operating time was 161 minutes, and the mean hospital stay after operation was 3.8 days. Five patients had three to four bowel movement per day without other therapy at mean postoperative 39.2 days. Although long-term follow-up will be required, the TOP might be the new alternative surgical procedure for Hirschsprung's disease.

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The Selection of Alternatives for the FMS Investment Using a MCDM (다기준의사결정 모형을 이용한 FMS 투자대안의 선택에 관한 연구)

  • 김영식;정상윤;배영주
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.16 no.27
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    • pp.113-119
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    • 1993
  • The purpose of this study is to develop a analytic procedure of the alternatives for the FMS that consist of high-priced facilities. A procedure to analysis the alternatives are as follows. Stage one is procedure to appraise investment alternatives of FMS and devide factors into strategic, analytic, economic viewpoint and draw upon decision making matrix through normalization Stage two is appraise to normalized alternatives using TOPSIS model among multiple attributes decision making models.

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A STUDY ON THE BONE FORMATION OF OPEN TYPE AND CLOSED TYPE IMPLANTS (개방형과 폐쇄형 임플랜트 매식후 주위골 형성에 관한 실험적 연구)

  • Kim Jeong-Ho;Yang Jae-Ho;Chung Hun-Young;Lee Sun-Hyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.4
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    • pp.573-592
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    • 1994
  • A two-stage procedure is ideal for getting a successful osseointegration. But if a one-stage procedure can achieve a similar osseointegration, the one-stage procedure has several advantages. The purpose of this study was to observe the initial bone formation and bone remodeling of open type (nonsubmerged) and closed type (submerged) titanium implants. Eight ITI hollow-screws and eight Branemark fixtures were divided into two groups (submerged and nonsubmerged) and were installed on the lower jaws of four mongrel dogs. The animals were sacrificed three months later and bone sections with implants were processed for light microscopic and fluorescent microscopic observation. The results were as follows : 1 There was no significant difference in bone-to-implant contact between submerged and nonsubmerged implants. 2. Smooth surface titanium implants showed more bone-to-implant contact than that of titanium plasma coated implants histologically. 3. Under fluorescent microscopy, the active bone remodeling and new bone formation were observed in the interface zone. 4. Under fluorescent microscopy, submerged and nonsubmerged implants had no difference in bone remodeling pattern, and intramembranous bone formation was more prominent. 5. The connective tissue fibers orienting perpendicularly toward implant surface were oberved in the neck of implants.

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An approximate procedure for throughput of 3-stage flow line considering quality inspection (품질을 고려한 3-stage flow line의 수율 근사계산)

  • Lee, Jong-Seung;Ji, Yong-Hoon
    • Journal of Industrial Technology
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    • v.16
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    • pp.207-216
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    • 1996
  • This paper develops an algorithm for throughput of a 3-stage flow line with job inspection stations, limited buffer capacity, and exponential processing times. Each stage consists of a single workstation, and an infinite number of jobs always waits in front of the first workstation. Blocking may occur when a processed job is waiting at one workstation for another workstation to become available. Numerical example results provide insights into the problems related to quality inspection and measure of performance of flow lines.

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Short-term Results of Surgical Treatment in Esophageal Carcinoma (식도암의 외괴적 조기관찰 성적)

  • 오봉석
    • Journal of Chest Surgery
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    • v.25 no.4
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    • pp.398-405
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    • 1992
  • Twenty nine adult patients underwent surgical esohpagectomy and one, bypass procedure for documented carcinoma of esophagus and cadiac portion of stomach at Chonnam National University Hospital from Jan 1986 to April 1991. There were several kinds of esophagectomies including through transhiatal, left thoracotomy only, laparotomy and thoracotomy, and laparotomy and right thoracotomy and cervical incision. Twenty five and squamous cell carcinoma and 5, adenocarcinoma. The tumor locations were the upper third in 3, middle third in 12, lower third in 10 and cardiac portion of stomach in 5. After operation, 8[27%] patients were classified in Stage IIa, 6[20%] patients in Stage IIb, 15 patients[50%] in Stage III and one patient in Stage IV. Major postoperative complications included anastomotic narrowing in 3, limited suture line leak in 2, wound infection in 2, hoarseness in 2, pseudomembraneous enterocolitis in 1 and herpes zoster in 1. There was no death within 30 days of operation. Ten months survival was 100% for patients with Stage lIa, 67% for patients with Stage IIb, 50% for patients with Stage III. Furthermore, 20 months survival was 75% in IIIa, 33% in IIb, and 40% in III. But there were no significant differences in survivals among the stage. The actuarial survival is 58% at one year and 41% at two years, The periods of average survival is 589 days after operation.

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Surgical Treatment of Congenital Brachymetatarsia According to the Number of Affected Rays (이환된 열 수에 따른 선천성 중족골 단축증의 수술적 치료)

  • Chung, Moon-Sang;Baek, Goo-Hyun;Gong, Hyun-Sik;Oh, Joo-Han;Lee, Young-Ho;Yoon, Pil-Whan;Kim, Ji-Hyeung
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.1
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    • pp.24-30
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    • 2006
  • Purpose: To present our treatment protocol and surgical outcome for patients with congenital brachymetatarsia in which treatment was decided according to the number of affected rays. Materials and Methods: Sixty-nine metatarsals in 44 patients with single or multiple congenital brachymetatarsia were included in the study. When a single ray was affected in a foot, we performed a one-stage lengthening using an intercalary autogenous iliac bone graft. We overcame excessively short rays by the double level lengthening at the metatarsal and proximal phalanx as one stage. When multiple rays were affected in one foot, we performed a one-stage combined shortening and lengthening procedure without an iliac bone graft. Results: All patients were satisfied with the cosmetic and functional results. The average length gain by one-stage lengthening in 56 metatarsals of 38 patients was 14 (6-21) mm. Six patients with a combined shortening and lengthening procedure regained a nearly normal parabola of the involved foot. Neurovascular complication was not identified. Conclusion: Satisfactory results were achieved for the treatment of patients with congenital brachymetatarsia, by individualizing the surgical options according to the number of affected rays and general foot appearance.

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Design Strategies for Multi-Stage Axial Turbines (다단 축류터빈 공력설계 및 공력성능 향상기법)

  • Kang, Young-Seok;Rhee, DongHo;Cha, BongJun;Yang, SooSeok
    • The KSFM Journal of Fluid Machinery
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    • v.17 no.5
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    • pp.78-82
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    • 2014
  • This paper describes a brief aerodynamic design procedure of multi-stage axial turbine. The design procedure was established including one dimensional scratch design, through flow analysis with empirical correlations, two dimensional airfoil design and three dimensional airfoil stacking. Detailed aerodynamic performance assessment was done with full three dimensional CFD method at the design and off design conditions to construct turbine performance map. With the present method, aerodynamic design procedure of 1st and 2nd stages of high pressure turbine for 10,000lbf class turbofan engine was introduced.

Data Segmentation for a Better Prediction of Quality in a Multi-stage Process

  • Kim, Eung-Gu;Lee, Hye-Seon;Jun, Chi-Hyuek
    • Journal of the Korean Data and Information Science Society
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    • v.19 no.2
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    • pp.609-620
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    • 2008
  • There may be several parallel equipments having the same function in a multi-stage manufacturing process, which affect the product quality differently and have significant differences in defect rate. The product quality may depend on what equipments it has been processed as well as what process variable values it has. Applying one model ignoring the presence of different equipments may distort the prediction of defect rate and the identification of important quality variables affecting the defect rate. We propose a procedure for data segmentation when constructing models for predicting the defect rate or for identifying major process variables influencing product quality. The proposed procedure is based on the principal component analysis and the analysis of variance, which demonstrates a better performance in predicting defect rate through a case study with a PDP manufacturing process.

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Anterior and Posterior Stabilization by One Stage Posterolateral Approach in the Unstable Fracture of Thoracolumbar and Lumbar Spine

  • Lee, Young-Min;Cho, Yang-Woon;Kim, Joon-Soo;Kim, Kyu-Hong;Lee, In-Chang;Bae, Sang-Do
    • Journal of Korean Neurosurgical Society
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    • v.40 no.1
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    • pp.22-27
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    • 2006
  • Objective : The purpose of this study is to investigate the clinical results of anterior and posterior stabilization by one stage posterolateral approach for the unstable fracture of thoracolumbar and lumbar spine. Methods : By posterolateral approach with curved skin incision, unilateral facet and pedicle were removed. Through this route, corpectomy was performed, and then this space was replaced with mesh cage filled up with autologous bone graft. Both side pedicle screw fixation was followed to upper and lower levels. Results : Six of seven patients of this study showed neurological improvement. The other one patient showed no neurological change. One patient had postoperative infection, another patient had postoperative kyphosis. The other patient had epidural hematoma on operation site after surgery. And all patinets on this study made to have spinal stability except one patient happened postoperative kyphosis. Conclusion : In the unstable fracture of thoracolumbar and lumbar spine, one stage anterior and posterior stabilization and fusion by posterolateral approach seems to be an effective procedure, if we have more care and supplementation.