• 제목/요약/키워드: post-operation

검색결과 1,158건 처리시간 0.029초

흉부수술 환자에서의 CPK 와 LDH I soenzyme 의 변화 (Comparison of serum isoenzyme levels of CPK and LDH in patients ungergoing thoracic operations)

  • 이영욱
    • Journal of Chest Surgery
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    • 제15권4호
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    • pp.460-466
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    • 1982
  • A analysis of CPK & LDH Isoenzyme was done on the consecutive patients undergoing thoracic operations from July 1982 to October 1982 in the Department of Thoracic and Cardiovascular Surgery, Capital Armed Forces General Hospital. Eighteen patients were analysed by three groups, such as open heart surgery [group A], major thoracic operation [group B] , minor thoracic operation group [group C]. In all patients serial determination of total level and Isoenzyme of CPK, LDH wad done on preoperative operative and up to 8th post-operative day, The results obtained are as follows. 1. The average value of serum CPK before the operation was 61 IU/L. The value of serum CPK was increased following the operation mainly MM portion and reached to the maximal level of 536107 IU/L in A group 1200191 IU/L in B group, 306150 IU/L in C group on the first postoperative day. The enzyme activity was gradually decreased thereafter and returned to the normal range on the 3rd or 4th day after the operation. 2. The average value of serum LDH before the operation was found to be 83 IU/L. The value was increased during the operation and reached to the maximal level of 481108 IU/L in group A, 14827 I U/L in group B, 10035 IU/L in group C on the second day after the operation. The enzyme activity was gradually decreased thereafter and returned to the normal range on the seventh day after the operation. The enzyme activity was dependent to the duration of operation, severity of muscle damage, type of thoracotomy, effect of extracorporeal circulation, state of disease.

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금형연마작업을 위한 5축 CAM 시스템 (A five-axis CAM system for free-surface grinding)

  • 서석환;이민석;김두형
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1993년도 한국자동제어학술회의논문집(국내학술편); Seoul National University, Seoul; 20-22 Oct. 1993
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    • pp.1024-1030
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    • 1993
  • In manufacturing press die with free surface, grinding operation is an important post process for surface finish and dimensional accuracy. With the advancement of NC technology. surface grinding operation is increasingly replaced by the gantry type manipulator. As the mechanics for grinding operation is different from machining operation, conventional CAM system for machining operation is hard to apply. In this. paper, we develop a five-axis CAM system by which an efficient gantry trajectory can be planned and verified. The developed system consists of four conceptual modules; namely CAD, PROCESS. CAM, and ANALYSIS. In the CAD module, the machined surface is represented by CL-data or surface modeler, and process parameters are specified by the PROCESS module. Then, the CAM module generates a series of grinding paths based on the grinding mechanics together with process databases for tool spaces and grinding conditions. The generated paths are verified via ANALYSIS module. Validation via real experiments is left for further study.

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수퍼스칼라 마이크로프로세서용 부동 소수점 연산회로의 설계 (A design of floating-point arithmetic unit for superscalar microprocessor)

  • 최병윤;손승일;이문기
    • 한국통신학회논문지
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    • 제21권5호
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    • pp.1345-1359
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    • 1996
  • This paper presents a floating point arithmetic unit (FPAU) for supescalar microprocessor that executes fifteen operations such as addition, subtraction, data format converting, and compare operation using two pipelined arithmetic paths and new rounding and normalization scheme. By using two pipelined arithmetic paths, each aritchmetic operation can be assigned into appropriate arithmetic path which high speed operation is possible. The proposed normalization an rouding scheme enables the FPAU to execute roundig operation in parallel with normalization and to reduce timing delay of post-normalization. And by predicting leading one position of results using input operands, leading one detection(LOD) operation to normalize results in the conventional arithmetic unit can be eliminated. Because the FPAU can execuate fifteen single-precision or double-precision floating-point arithmetic operations through three-stage pipelined datapath and support IEEE standard 754, it has appropriate structure which can be ingegrated into superscalar microprocessor.

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Launch Site Activities for the Launch of an Earth Observation Satellite

  • 임정흠
    • 천문학회보
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    • 제37권2호
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    • pp.195.1-195.1
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    • 2012
  • Korea Aerospace Research Institute has developed an earth observation satellite whose primary mission objective is to provide high resolution electro optical earth images for Geographical Information Systems (GIS) establishment and the applications for environmental, agriculture and ocean monitoring. It was successfully launched into its mission orbit by using a commercial launch vehicle on 18th of May, 2012. This paper describes a series of launch activity at the launch site including its transportation to the launch site. Before conducting the launch site operation, satellite operation plane was prepared. Combining the satellite operation plan and launch vehicle activities, an integrated launch site operation plan and schedule have been drawn up. After arrival of the spacecraft at the launch site, post-ship check out has been conducted. And then it was fuel loaded and integrated with launch vehicle hardware. After completion of final electrical check out, count down procedure was executed. on 18th of May, it was launched into the space and was separated from the launch vehicle as planned. About 3 months of early operation and calibration/validation, now the satellite is conducting its normal mission.

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갑상선 절제 술 후 기능적 음성장애의 공기역학적 특징과 음성치료 중재 (Aerodynamic Features and Voice Therapy Interventions of Functional Voice Disorder after Thyroidectomy)

  • 이창윤;안수연;장현;정희석;손희영
    • 대한후두음성언어의학회지
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    • 제26권1호
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    • pp.25-33
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    • 2015
  • Background and Objectives:The objective of this study was to investigate the features of post-thyroidectomy subjective voice disorder by Voice Handicap Index (VHI) and Voice Symptom Scale (VOISS) through aerodynamic analysis and to investigate the appropriate voice therapy intervention. Materials and Methods:Twenty post-thyroidectomy patients who had no recurrent laryngeal nerve paralysis through laryngeal stroboscopy were enrolled for this study. Acoustic and aerodynamic evaluations were performed before operation, 2 weeks and 3 months after operation. Subjective voice evaluation was performed by VHI and VOISS. Aerodynamic evaluation was compared and analysed by maximum phonation time(MPT), phonation threshold pressure(PTP), mean air flow rate(MFR), etc. Subjective voice evaluation was surveyed through VHI and VOISS. To evaluate patients' symptoms related to functional voice disorder, scores on physical domain in VHI and VOISS were selected to be compared for each session. Results: The 10 out of 20 participants who complained of voice symptoms had no significant difference with pre-operation in acoustic evaluation, but all showed higher scores on 2 weeks and 3 months after operation compared to pre-operation, in VHI-physical domain and selected questionnaires in VOISS. They reduced MPT and increased PTP value simultaneously. Laryngeal massage and breathing training were simultaneously treated to them, 5 participants resulting in improvement in MPT and PTP compared to pre-treatment. Conclusion:Patients who complained voice change with no organic damage after thyroidectomy were all shown to have reduced MPT and increased PTP in some by aerodynamic evaluations. Reduced MPT may imply some problem in air flow beneath glottis. Increased PTP suggests much more effort in vocalization mechanism than pre-operation. Comparing aerodynamic evaluations in post-thyroidectomy may provide information on behavioral interventions. Additionally, study on laryngeal massage and breathing training simultaneously treated to patients with such voice disorder is needed to be conducted with larger number of participants.

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척추마취 수술환자의 간호요구 (A Study on Needs of the Spinal anesthesia Patients)

  • 남성미;김명희
    • 성인간호학회지
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    • 제12권4호
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    • pp.666-677
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    • 2000
  • The purpose of this study was to identify the needs which were perceived by patients who were received spinal anesthesia for surgery. The subjects consisted of 50 adult patients who were admitted to 2 university hospitals and 2 general hospitals in Pusan city and 1 general hospital in Koje City for surgery under spinal anesthesia. Thirty eight percent of subjects received information about anesthesia before the operation. The instrument for this study was developed by the researcher based on literature and a pretest. Data were collected from December 10, 1999 to February 10, 2000 and were analyzed by content analysis. The results were that there were 533 meaningful statements in the needs of spinal anesthesia patients. The needs of spinal anesthesia patients had 51 items (preoperation (6), induction of anesthesia(5), intraoperation (27), postoperation(13)) and 6 categories (information, emotional welfare, physical welfare, post anesthetic management, control of physical environment, humane treatment). From the results, it can be concluded that: 1. In the pre-operation period, we have to explain anesthesia procedures, adequate position of anesthesia, duration before anesthesia wears off and sensation of paralysis. We have to supply emotional support to relieve anxiety because of anesthesia. 2. In induction of anesthesia, we have to support patient's position for anesthesia, and relieve anxiety so that patients participate in induction of anesthesia well. 3. In intra-operative period, we have to check the level of anesthesia, and keep up a comfortable position for operation and care for physical discomfort such as thirst, nausea, vomiting, dyspnea and to maintain body temperature of the patient. Since the patient is conscious, we have to communicate with the patient to relieve anxiety, maintain privacy, inform the patient of the process of the operation and encourage the surgeon to explain the outcome of the operation. The operating team needs the careful about what they say and to place the instrument well. We have to ventilate the room air and reduce noise. 4. In the post-operative period, we have to explain the purpose and duration of bed rest, complications of anesthesia and care for physical discomfort such as pain, dysuria, headache, backache. Also we have to maintain body temperature of the patient and maintain privacy.

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뇌파신호의 DFA 분석을 이용한 마취심도 측정 (Detrended Fluctuation Analysis of EEG on a Depth of Anestheisa)

  • 예수영;백승완
    • 한국산학기술학회논문지
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    • 제11권7호
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    • pp.2491-2496
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    • 2010
  • EEG 신호에 내포된 상관특성을 알 수 있는 스케일 분석 기법인 DFA를 이용하여 수술 중 마취심도를 분석하고자하였다. 마취과 학회에서 제공하는 신체 분류 등급 1(건강한 환자), 2(경한 전신 질환, 기능 제한 없음) 등급의 환자를 대상으로 하였다. 정신병력이나 신경계 이상이 있는 환자는 제외하였다. 수술 중 마취 환자의 평균 연령은 $48.9{\pm}10.9$ 세이고, 평균체중은 $57.1{\pm}8.2$ kg, 평균 신장은 $158{\pm}6.6$cm 였다. 수술을 위한 마취 약제로는 Sevoflurane를 사용하였고, 수술단계는 수술전, 마취유도, 마취유도 직후, 수술중, 마취제 중지, 수술 후의 6단계로 나누어 분석하였다. DFA의 ��${\alpha}1$, ${\alpha}2$, ${\alpha}3$${\alpha}1$, ${\alpha}3$는 수술전단계, 마취 유도 단계, 마취 유도 단계 직후, 마취제 중지 단계, 수술후 단계를 구별 할 수 있는 파라미터들로 수술 중 마취 심도를 평가 할 수 있는 파라미터로 이용될 수 있음을 확인 하였다.

음성인식프로그램을 이용한 무후두 음성의 말 명료도와 병적 음성의 수술 전후 개선도 측정 (Speech Intelligibility of Alaryngeal Voices and Pre/Post Operative Evaluation of Voice Quality using the Speech Recognition Program(HUVOIS))

  • 김한수;최성희;김재인;임재열;최홍식
    • 대한후두음성언어의학회지
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    • 제15권2호
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    • pp.92-97
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    • 2004
  • Background and Objectives : The purpose of this study was to examine objectively pre and post operative voice quality evaluation and intelligibility of alaryngeal voice using speech recognition program, HUVOIS. Materials and Methods : 2 laryngologists and 1 speech pathologist were evaluated 'G', 'R', 'B' in the GRBAS sclae and speech intelligibility using NTID rating scale from standard paragraph. And also acoustic estimates such as jitter, shimmer, HNR were obtained from Lx Speech Studio. Results : Speech recognition rate was not significantly different between pre and post operation for pathological vocie samples though voice quality(G, B) and acoustic values(Jitter, HNR) were significantly improved after post operation. In Alaryngeal voices, reed type electrolarynx 'Moksori' was the highest both speech intelligibility and speech recognition rate, whereas esophageal speech was the lowest. Coefficient correlation of speech intelligibility and speech recognition rate was found in alaryngeal voices, but not in pathological voices. Conclusion : Current study was not proved speech recognition program, HUVOIS during telephone program was not objective and efficient method for assisting subjective GRBAS scale.

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외상 후 발생한 심한 족관절 첨족 변형의 2단계 수술적 치료방법 - 예비보고 - (Two Staged Surgical Treatment of Post-Traumatic Severe Ankle Equinus Deformity - Preliminary Report -)

  • 김정호;이준영;하상호;유재원;이상홍;나웅채
    • 대한족부족관절학회지
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    • 제15권2호
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    • pp.86-91
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    • 2011
  • Purpose: To evaluate the effectiveness as well as correct the post-traumatic severe ankle equinus deformity by conducting the treatment surgery, which is divided into 2 stages, soft tissue adhesiolysis and ankle arthrodesis. Materials and Methods: We have conducted the methods, which are Z-plasty Achilles tendon lengthening, multiple capsulotomy and tendon lengthening (flexor hallucis longus muscle, flexor digitorum longus, posterior tibialis tendon) for 10 patients who has shown equinus deformity after post-traumatic compartment syndrome due to the injury. The average age of patients was 33.7 year-old; there were 8 men and 2 women, and the follow up period was 13 months (6~31 mon). Outcomes were rated based on American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Visual Analogue Scale (VAS) and patient's satisfaction after operation. Results: The average degree of preoperative equinus deformity was 64 degree (-60~-70), and we've obtained AOFAS anklehindfoot score that was evaluated after 4 months of 2nd operation which was 76.7 score on average. We've also checked the decreased pain score from all of the patients according to the fact that the average VAS before the surgery was 6 (4~8), but it reduced to 3 (1~4). The patient's satisfaction showed generally great satisfactions which was 5 cases were excellent, 2 cases were good, and 3 cases were fair. Conclusion: The two staged surgical treatment of post -traumatic severe ankle equinus deformity, which was conducted of soft tissue adhesiolysis and arthrodesis, could be one of the effective methods to improve patients walking ability.

Mapping of Post-Wildfire Burned Area Using KOMPSAT-3A and Sentinel-2 Imagery: The Case of Sokcho Wildfire, Korea

  • Nur, Arip Syaripudin;Park, Sungjae;Lee, Kwang-Jae;Moon, Jiyoon;Lee, Chang-Wook
    • 대한원격탐사학회지
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    • 제36권6_2호
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    • pp.1551-1565
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    • 2020
  • On April 4, 2019, a forest fire started in Goseong County and lasted for three days, burning the neighboring areas of Sokcho. The strong winds moved the blaze from one region to another region and declared the worst wildfire in South Korea in years. More than 1,880 facilities, including 400 homes, were burnt down. The fire burned a total area of 529 hectares (1,307 acres), which involved 13,000 rescuers and 16,500 military troops to control the fire occurrence. Thousands of people were evacuated, and two people are dead. This study generated post-wildfire maps to provide necessary data for evacuation and mitigation planning to respond to this destructive wildfire, also prevent further damage and restore the area affected by the wildfire. This study used KOMPSAT-3A and Sentinel-2 imagery to map the post-wildfire condition. The SVM showed higher accuracy (overall accuracy 95.29%) compared with ANN (overall accuracy of 94.61%) for the KOMPSAT-3A. Moreover, for Sentinel-2, the SVM attained a higher accuracy (overall accuracy of 91.52%) than the ANN algorithm (overall accuracy 90.11%). In total, four post-wildfire burned area maps were generated; these results can be used to assess the area affected by the Sokcho wildfire and wildfire mitigation planning in the future.