• Title/Summary/Keyword: post-operation

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Analysis of Case Studies on Experimental Research of Gas Generation in Foreign Countries for Low- and Intermediate-level Radioactive Waste Disposal (중.저준위 방사성폐기물 처분을 위한 국외 기체발생 실증실험시설 운영사례 분석)

  • Park, Jin-Beak;Lee, Sun-Joung;Kim, Suk-Hoon;Kim, Ju-Youl
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.8 no.3
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    • pp.229-238
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    • 2010
  • In order to acquire a realistic forecast for the lifetime and post-closure period of the LILW (Low- and Intermediate-Level Radioactive Waste) repository and to establish the overall management plan associated gas issues. it is essential to carry out the long-term experimental research in a similar condition to actual disposal environment. Regarding this, as a part of the following-up actions on a construction and operation license for the first stage of the LILW repository at Gyeongju city, a large-scale in-situ experiment is being planned. For securing basic data on the experiment, the experimental researches related to gas generation previously performed in foreign countries are reviewed in detail. Consequently, it is judged that data on the gas generation experiment in Finland could be practically applied as the benchmark for our large-scale in-situ experiment because the same disposal concept as the Korean repository is adopted and the experiment is performed in a scale large enough to allow the use of regular waste packages.

Stable Standby-mode Implementation of Multi-output Power Supply using a New Load Current Estimation Technique with Linear Regulator (다중 출력 전원공급장치의 안정적 대기전력 구현을 위한 새로운 방식의 부하전류 측정기법 구현)

  • Lee, Jong-Hyun;Jung, An-Yeol;Kim, Dong-Joon;Park, Joung-Hu;Jeon, Hee-Jong
    • The Transactions of the Korean Institute of Power Electronics
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    • v.16 no.1
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    • pp.88-95
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    • 2011
  • In this paper, a new standby-mode control method for multiple output switching-mode power-supply is suggested, which uses the control signal of the feedback compensator of the inner loop in the linear voltage regulator located at the transformer secondary side, as the load current information. Conventional method has a problem that standby mode occurs depending only on the load condition of the main controller output, which makes the other secondary side output very inaccurate by burst mode operation. The proposed method detects all the load current information and operates in burst mode only when the all of them are light load condition. Minimum of the additional components are required for the implementation of the proposed method because the load information is obtained from the existing feedback circuit of the post-stage linear regulator. In this paper, the operating principles of the proposed standby-mode circuit are presented with an numerical analysis, and are verified by 25W hardware prototype implementation.

Effects of Sensorimotor Training Volume on Recovery of Knee Joint Stability in Patients following Anterior Cruciate Ligament Reconstruction

  • Shim, Jae-Kwang;Choi, Ho-Suk
    • The Journal of Korean Physical Therapy
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    • v.28 no.1
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    • pp.27-32
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    • 2016
  • Purpose: The purpose of this study is to examine the effects of sensorimotor training on knee joint stability after anterior cruciate ligament reconstruction. Methods: The subjects were sixteen 16 adults who received anterior cruciate reconstruction by arthroscopy, and underwent sensorimotor training for which was to have them maintenanceain of a standing position with a step Balance ball on the affected side over 30 degrees knee flexion with 100% weight bearing for 15-20 seconds. Before the genuine experiment commenced, the Lysholm scale was had been used to assess functional disorders on the affected knee joint. KT-2000 Arthrometer measurement equipment was used to measure anterior displacement of tibia against to femur before and after the sensorimotor training. Results: There was significant relaxation on the affected side in tibia anterior displacement of the affected and sound sides on in supine position before the sensorimotor training. There was little significant difference in tibia anterior displacement of the affected knee joints on in the supine position before and after the sensorimotor training. The results also showed that there was a reduction in the difference of tibia anterior displacement of the affected knee joints on in the standing position. These results suggest that the effects of sensorimotor training on knee joint stability after anterior cruciate ligament reconstruction is to induce the change of tibia anterior displacement against femur and the variation of muscles activation. Conclusion: The sensorimotor training may contribute to the improvement of joint functional stability in people who are in post-operation state and with orthopedic musculoskelectal injuries.

Results of Revascularization in Ischemic Lower Extremities (하지동맥 폐쇄질환의 외과적 고찰)

  • 이두연
    • Journal of Chest Surgery
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    • v.19 no.1
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    • pp.58-67
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    • 1986
  • Aggressive revascularization of the ischemic lower extremities in atherosclerotic, occlusive diseases or acute embolic arterial occlusion due to cardiac valvular disease by thromboembolectomy or an arterial bypass operation has been advocated by some authors. We have performed 68 first time vascular operations, including thromboembolectomies on RR patients with ischemic lower extremities, within an 11-year-and-6-month period, from January 1974 to June 1984. We have reviewed and analyzed our vascular operative procedures and post operative results. The patients upon whom thromboembolectomies were performed were 42 males and 13 females ranging from 5 to 72 years of age. The major arterial occlusive sites were common iliac artery in 20 cases, femoral artery in 21 cases, popliteal artery in 8 cases, common iliac artery and femoral artery in 4 cases, and femoral artery and popliteal artery in 3 cases. The underlying causes of arterial occlusive disease were atherosclerosis obliterans in 34 cases; Buerger`s disease in 3 cases; emboli due to cardiac valvular disease in 13 cases; and vascular trauma in 4 cases, including cardiac catheterization in I of those cases. Arterial bypass operations with autogenous or artificial vascular prosthesis were done in 31 cases. Amputations were done on 2 patients carrying out any more vascular operative procedures would have been of no benefit to them. Our bypass operations for ischemic lower extremities were classified as follows: those done between the abdominal aorta and the femoral artery in 17 cases, including those done between the aorta and the bifemoral arteries with a Y graft in four of those cases and long ones done from the axillary to the femoral artery in 4 cases. Five patients died in the hospital following vascular surgery for ischemic lower extremities, the causes of death were not directly related to the vascular reconstructive operative procedures. The leading causes of death were respiratory failure due to metastatic lung carcinoma: renal failure due to complications from atherosclerosis obliterans; sepsis from open, contaminated fractures of the tibia and fibula; and myocardial failures due to open heart surgery in one case and reconstructive surgery of the ascending aorta in another.

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Radiotherapy Result of Brain Stem Tumors (뇌간 종양의 방사선 치료 성적)

  • Kim, Il-Han;Yang, Mi-Gyoung;Park, Charn-Il
    • Radiation Oncology Journal
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    • v.7 no.2
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    • pp.189-196
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    • 1989
  • Twenty five patients with tumors of the brain stem were treated with radiotherapy between 1979 and 1987. Histological diagnosis could be obtained in 6 cases, and other 19 patients were diagnosed by neurologic findings and CT or MRI. Eighteen patients were treated by radical radiotherapy and 6 patients received both operation and radiotherapy, while 1 patient received chemotherapy after radiotherapy. Total dose ranged from 50 Gy to 55 Gy. By an clinical scoring scale at 2 months after radiotherapy, no complete response was obtained, but 16 cases achieved partial response, 2 cases were stable, and 4 cases were deteriorated. The overall survival rate at 3 years was $36\%$ Age, performance status at diagnosis, degree of cranial nerve involvement, CT pattern of post-contrast enhancement, and clinical responese by scoring scale were correlated with survival.

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Changes in Quality of Care for Cesarean Section after Implementation of Diagnosis-Related Groups/Prospective Payment System (DRG 지불제도 도입 후 제왕절개술에서의 의료의 질 변화)

  • Kwon, Young-Hun;Hong, Du-Ho;Kim, Chang-Yup;Kim, Yong-Ik;Shin, Young-Soo;Yim, Jun
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.4
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    • pp.347-353
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    • 2001
  • Objectives : To determine the impacts of Diagnosis-Related Groups/Prospective Payment System (DRG/PPS) on the quality of care in cases of Cesarean section and to describe the policy implications for the early stabilization of DRG/PPS in Korea. Methods : Data was collected from the medical records of 380 patients who had undergone Cesarean sections in 40 hospitals participating in the DRG/PPS Demonstration Program since 1999. Cesarean sections were peformed in 122 patients of the FFS(Fee-For-Service) group and 258 patients of the DRG/PPS group. Measurements of quality used included essential tests of pre- and post-operation, and the PPI(Physician Performance Index) score. The PPI was developed by two obstetricians. Results : Univariate analysis demonstrated significant differences in PPI scores according to the payment systems. With respect to the mean of PPI scores, a higher score was found in the DRG/PPS group than in the FFS group. However, the adjusted effect did not show significant differences between the FFS group and the DRG/PPS group. Conclusion : This study suggested that the problem of poor quality may not be related to the implementation of DRG/PPS in Cesarean section. However, this study did not consider the validity and reliability of the process measurement, and it did not exclude the possibility of data emission in medical records.

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Minimally Invasive Posterior Lumbar Interbody Fusion with Threaded Fusion Cage(TFC) (Threaded Fusion Cage(TFC)를 이용한 최소 침습적 요추체 후방융합술)

  • Kim, Hyeok Joon;Cho, Ki Hong;Shin, Yong Sam;Yoon, Soo Han;Cho, Kyung Gi
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.247-253
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    • 2001
  • Objective : In general, to perform posterior lumbar interbody fusion(PLIF), it has been used more invasive procedure than simple discectomy. However we try to perform PLIF with TFC with smaller invasion almost same as in simple discectomy. This study is about its procedure and clinical results. Materials and Methods : The authors retrospectively analyzed 43 cases of minimally invasive PLIF with TFC from July 1998 to May 2000. Operative procedure, operative complication, change of disc height, blood loss, ambulation time, hospitalization period, clinical success rate, and bony fusion rate were analyzed. Results : 40 patients were capable to walk on the 2nd day of the post-operation. The average hospitalization period is 5.6 days. The average blood loss was 0.19L/level with no transfusion or wound drainage. The height of disc changed from 8.84mm to 13.54mm. Clinical success rate is 95% when evaluated by the Prolo's scale. The complication was delayed wound infection(2) and transient paresthesis(1). The bony fusion was shown in 17 patients (94.4%) out of 18 patients who passed one year. Conclusion : As a result of minimally invasive PLIF, pain was decreased and early ambulation and short hospitalization was possible. Complication was similar or lower than other studies, and the bony fusion rate and clinical success rate were also similar during follow-up.

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Reconstruction of Long Term Neglected, Complicated Scalp and Calvarial Defects with Subdural Abscess Using Latissimus Dorsi Myocutaneous Free Flap: A Case Report (장기간 방치된 경막하 농양을 동반한 복합 두피 및 두개골 결손 환자에서 광배근 유리 근피부피판을 이용한 치험례)

  • Noh, Yongjoon;Lee, Sang Hyung;Jeong, Eui Cheol;Park, Ji Ung
    • Archives of Craniofacial Surgery
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    • v.12 no.2
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    • pp.107-110
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    • 2011
  • Purpose: There have been few case reports regarding treatment plans for long-term, neglected scalp defects and calvarial defects with subdural abscess. The purpose of this case report is to present our experience with a free latissimus dorsi musculocutaneous flap for scalp and calvarial defects and to discuss flap options in comparison with a literature review. Methods: A 60-year-old man who fell down from a four-story-height that resulted in a craniotomy in 1979; he visited our outpatient clinic for a chronic, purulent scalp and calvarial defects with unidentified artificial bone. The artificial bone was removed by a neurosurgeon and reconstructed with a free latissimus dorsi musculocutaneous flap. The deep temporal artery was used as a recipient artery. The postoperative flap status was excellent until the 6th day post-operation when the patient experienced a seizure, and an arterial insufficiency occurred at the flap probably due to an arterial spasm. Emergency exploration with arterial re-anastomosis was performed and the flap status was stabilized. Results: Complete wound healing was achieved after 3 weeks without infectious and systemic postoperative complications. During the 6 month follow-up period, there were no complications. Conclusion: We suggest the latissimus dorsi myocutaneous free flap as a good treatment option for a chronic, purulent, complicated scalp with calvarial defect, as a well as treatment for an acute traumatic defect.

A Study on the Green Camp operation and improvement plan for the healing of army division-level maladjusted soldier (육군 사단급 복무 부적응 병사 치유를 위한 그린캠프 운영 개선방안)

  • Park, Ki-Yeon;Namgoong, Seung-pil;Park, Sang-Hyuk
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.4
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    • pp.61-65
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    • 2019
  • This study analyzed the post-training satisfaction level and changes in their thinking of 202 maladjusted soldiers who participated in Green Camp from 2017 to 2018 through survey, and the operational status of Green Camp to 350 military officials. In addition, general matters of military official, matters concerning soldiers entering the Green Camp, matters concerning the use of the Green Camp, and matters related to the consultation of soldiers in their relevant units were analyzed through technical statistics. On March 17, 2019, the Department of Defense identified 6,118 98.4% of the 6,214 maladjusted soldiers with active duty failed to complete military service and discharged, among them, 66% or 4,014 reportedly experienced maladjustment. Therefore, it is necessary to earlier identify soldiers who are discharged due to maladjustment, to apply various methods such as education and career guide by civil expert, to conduct timely education through civil professional hospital so that they can complete their military service normally.

A Exploratory Study on the Introduction Plan of an Open Platform for Health and Welfare Human Resource Education of the Digital Convergence (디지털 융합시대의 보건복지 인력 대상 직무교육 오픈 플랫폼 도입방안에 관한 탐색적 연구)

  • Choi, Young-Soon;Noh, Kyoo-Sung
    • Journal of the Korea Convergence Society
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    • v.12 no.9
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    • pp.169-178
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    • 2021
  • It is the post-corona era that we will soon face. It is time to achieve the original purpose of job training for health and welfare personnel operated by the Korea Human Resource Development Institute for Health and Welfare and to innovate change to maintain educational consistency. This study reviewed literatures to find alternatives for efficient and effective curriculum operation by integrating contents of health and welfare job education. Through this, we decided to check the possibility of building an open platform and suggest it as a sufficient alternative. It is expected that the establishment of the open platform for job education in the health and welfare sector will enable the education accessibility and the management of the learning management system of the subjects. Above all, it will contribute to the duplication of the education experts and the efficiency of the budget.