• 제목/요약/키워드: soft transfer

검색결과 292건 처리시간 0.02초

인지이론에 기초한 객체지향 개발 표기법들의 정보전달 효율 제공 관한 연구 (A Study onImproving the Transferring Efficiency of Information in the Object-oriented Development Notation Methodologies Based on Cognitive Theory)

  • 김원영;김치수
    • 한국정보처리학회논문지
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    • 제6권1호
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    • pp.83-89
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    • 1999
  • OMG에 공인된 객체지향 개발방법에는 Booch, Coad/Yourdon 방법등 많은 공인 방법론들이 객체지향 소프트웨어 개발에 사용되고 있으며, 각각의 방법론마다 상이한 기호를 사용하여 분석 설계과정을 표현하고 있다. 이들 표기방법론 사이에는 개발 정보 전달상의 차이가 존재하고 이러한 차이들은 객체지향 개발 정보의 전달에 장애로 작용하여 정보 전달상에 오류를 발생할 수 있다. 본 연구의 목표는 객체지향 분석, 설계에 사용되는 기존의 도식적 표기법들이 지닌 정보전달 능력을 인지과학에 기초하여 경험적으로 검증하고 각각의 표기법에 사용된 기호들을 시각적으로 강화하여 객체지향 인지부담을 최소화하고 정보전달상의 장애를 파악, 제거하여 설계정보 전달의 효율을 증진시켜 오류발생의 가능성을 감소시키는 방안을 제시하고자 한다.

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Staged reconstruction of a chronically infected large skull defect using free tissue transfer and a patient-specific polyetheretherketone implant

  • Moon, Seung Jin;Jeon, Hong Bae;Kim, Eui Hyun;Lew, Dae Hyun;Kim, Yong Oock;Hong, Jong Won
    • 대한두개안면성형외과학회지
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    • 제21권5호
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    • pp.309-314
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    • 2020
  • Reconstructions of extensive composite scalp and cranial defects are challenging due to high incidence of postoperative infection and reconstruction failure. In such cases, cranial reconstruction and vascularized soft tissue coverage are required. However, optimal reconstruction timing and material for cranioplasty are not yet determined. Herein, we present a large skull defect with a chronically infected wound that was not improved by repeated debridement and antibiotic treatment for 3 months. It was successfully treated with anterolateral thigh (ALT) free flap transfer for wound salvage and delayed cranioplasty with a patient-specific polyetheretherketone implant. To reduce infection risk, we performed the cranioplasty 1 year after the infection had resolved. In the meantime, depression of ALT flap at the skull defect site was observed, and the midline shift to the contralateral side was reported in a brain computed tomography (CT) scan, but no evidence of neurologic deterioration was found. After the surgery, sufficient cerebral expansion without noticeable dead-space was confirmed in a follow-up CT scan, and there was no complication over the 1-year follow-up period.

포가티 카테터를 이용한 유리조직 전이술 시 수술 중 혈전 및 연축의 치료 (Treatment of Intraoperative Thrombosis and Spasm in Free Tissue Transfers Using the Fogarty Catheter)

  • 이승렬;윤영묵;오상하
    • Archives of Plastic Surgery
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    • 제35권2호
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    • pp.159-164
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    • 2008
  • Purpose: Microvascular free tissue transfer has become a reliable technique for the reconstruction of complex wounds. Occasionally, unexpected intraoperative thrombosis and/or spasm of recipient artery might be annoying problems even for the technically competent microvascular surgeons. If such problems are not treated properly, they will inevitably cause to flap failure. Methods: From January 2006 to February 2007, soft tissue reconstructions by free tissue transfers were performed on 21 patients having complex defects in the lower extremity. Although segmental revision and various pharmacologic agents were repeatedly applied, arterial occlusions were not managed in 6 cases. For removal of thrombi and release of spasm, Fogarty No. 2 or No. 3 catheters were inserted into the lumen to the proximal recipient artery. Its balloon was then inflated after passing through a resistant area. Next, the catheter was gently withdrawn backward. Results: After the Fogarty catheter was inserted two or three times, the pulsatile arterial flow was restored. When the catheter was inserted into the lumen, a feeling of resistance existed in a 5-10cm more proximal portion that could not be easily accessed from the vascular end. After the reestablishment of blood flow, successful anastomoses were achieved and immediate rethrombosis or spasm did not occur. No long-term sequelae associated with balloon trauma to the arterial wall were observed. Conclusion: The use of the Fogarty catheter can be an effective method in treating pedicle thrombosis and spasm. This is a very simple and rapid technique that offers microvascular surgeons another option to increase the success rate of microvascular anastomosis in free tissue transfers.

Potential Endocrine Disrupting Effects of Phthalates in In Vitro and In Vivo Models

  • Nguyen, Tien-Thanh;Jung, Eui-Man;Yang, Hyun;Hyun, Sang-Hwan;Choi, Kyung-Chul;Jeung, Eui-Bae
    • 한국수정란이식학회지
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    • 제25권4호
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    • pp.207-213
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    • 2010
  • Thousands of new chemicals have been introduced to environment during last decades. Many of them and common consumer products have been shown to be the endocrine disrupting chemicals. One such chemical group is the phthalates, used in soft poly vinyl chloride (PVC) material and in a huge number of consumer products. The prevalence of these modem chemicals have a remarkable increase. Approximately 3.5 million tons of the main phthalate, di-(2-ethylhexyl) phthalate (DEHP), are produced annually worldwide and indeed, DEHP is considered a ubiquitous environmental contaminant. It has been demonstrated that high doses of phthalate can adversely affect adult and developing animals. In this review, we critically discuss the conclusions of recently original research papers and provide an overview of studies on reproductive disrupting effects of phthalates. In addition, we review the reproductive toxicity data of phthalates in some in vitro research and in both male and female reproductive systems in experimental and domestic animals. Finally, we point out some critical issues that should be addressed in order to clarify the implication of phthalates for human reproduction.

양단정착형 쏘일네일링의 인발특성 (Pullout Characteristics of End Fixed Nails)

  • 이봉직;김조순;이종규
    • 한국지반환경공학회 논문집
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    • 제8권4호
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    • pp.5-11
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    • 2007
  • 양단정착형 네일의 인발력을 평가하기 위하여 여러 조건에 대한 현장실험을 실시하였다. 현장인발시험은 연암, 풍화암 및 토사지반를 대상으로 인발력, 변위 및 그라우트와 네일의 마찰력 등을 측정하였으며, 이의 결과를 동일 조건에서 실시된 일반네일의 시험결과와 비교하였다. 시험결과 한계인발력은 양단정착형네일이 일반네일에 비하여 토사지반에서는 2배 이상, 풍화암에서는 약 1.6배 큰 것으로 분석되었으며, 단위길이당 주면마찰력도 양단정착형네일이 일반네일에 비하여 약 1.8~3배정도 증대되는 효과가 있는 것으로 분석되었다. 또한, 네일종류에 따른 하중전이특성 분석결과 양단정착형네일의 경우에는 변위는 작고, 네일 전 길이에 걸쳐 하중을 균등하게 부담함을 알 수 있다.

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초음파를 이용한 광학창 오염방지 모듈 개발 (The Development of the Contamination Prevention Module of an Optical Window Using Ultrasonic Waves)

  • 이창희;전기문;신재수;윤주영;조승현;강상우
    • 한국진공학회지
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    • 제22권4호
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    • pp.175-180
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    • 2013
  • 본 연구에서는 반도체 소자 생산 공정 중 발생하는 오염입자에 의해 실시간 오염입자 측정장치인 In-Situ Particle Monitor(ISPM)의 광학창의 오염을 방지하기 위한 모듈 개발에 관한 연구이다. 개발한 광학창 오염방지 모듈은 실시간으로 측정하는 ISPM 내 광학창 표면에 오염입자가 흡착되는 것을 방지하기 위한 장치로 적합한 초음파 모듈 개발이 성공적 연구의 핵심내용이다. 또한 그 효과를 극대화하기 위한 구조적인 최적화도 필요하지만 초음파 힘의 표면 전달효율 향상 기술도 개발이 필요한 핵심 기술이다. 개발된 광학창 오염방지 모듈이 장착된 ISPM은 양산용 증착공정 장비(BPSG 증착장비) 배기구에 설치되었으며, 공정조건 별 오염방지 모듈의 성능과 더불어 ISPM 측정 효율도 함께 검증하였다.

역행성 동맥 혈류를 이용한 원위 유리피판술의 실험적 연구 (Experimental Study on Distally Based Free Flap Using Retrograde Arterial Flow)

  • 이민구;민경원
    • Archives of Reconstructive Microsurgery
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    • 제7권1호
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    • pp.15-19
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    • 1998
  • Microsurgical free-tissue transfer has allowed surgeons to salvage injured limbs but choosing appropriate healthy recipient vessels has proved to be a difficult problem. Retrograde flow flaps are established in island flaps. Retrograde flow anastomosis could prevent the possible kinking and twisting of the arterial anastomosis. By not interrupting the proximal blood flow to the fracture or soft tissue defect site, the compromise of fracture or wound healing might be prevented. We wished to estabilish an animal model in rat for a retrograde arterial flow based free flap. Nembutal-anesthetized male rats; weighing 250 to 300 gm, were used. The femoral artery and common carotid artery were exposed and divided. The systemic and retrograde arterial pressure were quantified by utilizing a parallel tubing system connected with peripheral arterial line. In this study, the retrograde flow was not pulsatile and the retrograde arterial pressure was 64-65mmHg, with a mean arterial pressure of 106-109mmHg. An epigastiic skin flap, measuring $3{\times}3cm$, was raised with its vascular pedicle. The epigastric free flap was transfered in the same rat from femoral vessels to carotid vessels in end to end fashion. We anastomosed the donor arteries to the distal parts of the divided recipient arteries and the donor veins to the proximal parts of the recipient veins. Twelve experiments were performed and the transplantations succeeded in 75 percent of them. In the remaining 25 percent, the experiments failed due to thrombosis at the site of anastpmosis, or other causes. This animal model represents an excellent example of retrograde arterial flow free flap transfer that is reliable.

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고압 전기감전시 발생한 수근관절 주위의 진구성 연부조직 결손에 대한 유리 피판술 (Free Flaps for Old High Tension Electrical Burns Around the Wrist)

  • 김형민;정창훈;이기행;고영석
    • Archives of Reconstructive Microsurgery
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    • 제7권1호
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    • pp.68-72
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    • 1998
  • With the advent of microvascular free-tissue transfer, this single stage resurfacing method for large scar and soft tissue defects around the wrist in the patients of electrical burn has distinctive advantage over the conventional multistage pedicle-flap transfer. Between 1992 and 1996, we treated 9 cases of 8 patients who had large scar around the wrist due to old electrical burn with free flaps as a preparation of staged tendon graft. Mean age was 30.3 years and average scar area was $6{\times}11cm$. The length of time the injury and free flaps was 9 months on an average. Prior to the free flap, we performed the angiography to all patients in order to evaluate the circulation of the forearm and hand and to choose the recipient vessel. In all cases, proximal ulnar arteries in the forearm remained intact and all radial arteries remained intact in 8 of 9 cases on angiogram. The interosseous arteries were well visualized in all cases. We used the ulnar arteries as a recipient artery. The types of flaps used were f scapular cutaneous flaps, 2 dorsalis pedis flaps and a radial forearm flap. Flap survial was 100 percents with satisfactory functional and cosmetic results. Free flaps using ulnar artery as a recipient artery is one of the useful reconstruction methods for the resurfacing of large scar around the wrist in the patients of old electrical burn.

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적하작업을 위한 공 컨테이너 기대 재취급 횟수 추정 (Estimating the Expected Number of Re-handles for Empty Containers during Loading Operation)

  • 이훈;김갑환
    • 한국항해항만학회지
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    • 제43권3호
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    • pp.197-208
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    • 2019
  • 공 컨테이너 장치장의 사양, 취급 장비, 운영방법이 공 컨테이너 적하 시 발생할 수 있는 재취급 기대횟수에 미치는 영향을 연구하였다. 다수 선사의 다양한 유형의 공 컨테이너를 서로 분리된 공간에 저장한다면 저장 공간을 충분히 활용할 수 없고, 저장 공간의 활용도를 높이기 위해 여러 선사의 공 컨테이너를 혼적하여 함께 저장한다면 적하작업 중에 추가로 재취급이 발생할 수 있다. 한 베이에서 적하작업을 위하여 공 컨테이너를 인출하는 시점에 기대되는 재취급 횟수를 계산하기 위해 필요한 여러 가지 수식을 유도하였다. 트랜스퍼 크레인과 탑 핸들러를 취급 장비로 간주하여 다양한 인출 전략을 검토하였다. 장치장의 다양한 설계 및 운영 매개 변수가 재취급 횟수에 미치는 효과를 확인할 목적으로 수치실험을 수행하였다.

Laser Resurfacing after Facial Free Flap Reconstruction

  • Kim, Beom-Jun;Lee, Yun-Whan;You, Hi-Jin;Hwang, Na-Hyun;Kim, Deok-Woo
    • Medical Lasers
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    • 제8권1호
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    • pp.7-12
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    • 2019
  • Background and Objectives Skin and soft tissue defects can be treated according to a range of strategies, such as local flap, skin graft, biological dressing, or free flap. On the other hand, free tissue transfer usually leaves a distinct scar with an inconsistency of color or hypertrophy. This problem is highlighted if the defect is located on the face, which could have devastating effects on a patient's psychosocial health. Materials and Methods The authors used an erbium : yttrium-aluminum-garnet (Er:YAG) laser to resurface the free flap skin and match the color with the surrounding facial skin. This study evaluated the effectiveness of laser skin resurfacing on the harmonious color matching of transferred flap. Patients who had undergone laser resurfacing on facial flap skin between January 2014 and December 2018 were reviewed retrospectively. An ablative 2,940-nm fractional Er:YAG laser treatment was delivered to the entire flap skin at 21 J/cm2 with the treatment end-point of pinpoint bleeding. Several months later, the clinical photographs were analyzed. The L*a*b* color co-ordinates of both the flap and surrounding normal skin were measured using Adobe Photoshop. The L*a*b* color difference (ΔE) for the scar and normal surrounding skin were calculated using the following equation: ${\Delta}E=\sqrt{({\Delta}L)^2+({\Delta}a)^2+({\Delta}b)^2}$ Results All five patients were satisfied with the more natural appearance of the flaps. The ΔE values decreased significantly from the pre-treatment mean value of 19.64 to the post-treatment mean value of 11.39 (Wilcoxon signed-rank test, p = 0.043). Conclusion Ablative laser resurfacing can improve the aesthetic outcome of free tissue transfer on the face.