• Archives of Plastic Surgery
• /
• 제32권3호
• /
• pp.385-388
• /
• 2005

In cleft lip and/or palate patients with the complex congenital heart diseases, surgical repair of the cleft lip and/or palate has been postponed after the open heart surgery because the heart problem of the patient might cause more complications associated with anesthesia and surgery. There has been little report about experiences in the surgical management of these patients and optimal time of surgical intervention. Authors are introducing the experiences of performing corrective surgery of cleft lip and/or palate in the patients with congenital heart diseases before and after the open heart surgery. We managed five patients from May 1992 to March 2004. Two patients were male and the rest were female. One of them had cleft lip alone and others had cleft lip and palate. Two of them underwent delayed cleft lip and/or palate surgery after open heart surgery, and the rest had immediate intervention for cleft lip and/or palate. There was no complication during the operation and postoperative period. There would be no need to delay the corrective surgery of the cleft lip and/or palate after the open heart surgery, if solid medical team approach was available with the pediatric cardiologist and the anesthesiologist.

• Journal of Computing Science and Engineering
• /
• 제2권4호
• /
• pp.394-411
• /
• 2008

The data in automation and control systems can be achieved not only from different field devices but also from different OPC (OLE for Process Control) servers. However, current OPC clients can only read and decode the simple data from OPC servers. They will have some problems to acquire structured data and exchange the structured data. In addition to the large network control systems, the OPC clients can read, write, and subscribe to thousands of data points from/to OPC servers. Due to that, the most important factor for building a high performance and scalable industrial control system is the ability to transfer the process data between server and client in the most efficient and fastest way. In order to solve these problems, we propose a means to implement the OPC DA (Data Access) server supporting the OPC complex data, so that the OPC DA clients are able to read and decode any type of data from OPC servers. We also propose a method for caching the process data in large industrial control systems to overcome the limitation of performance of the pure OPC DA system. The performance analysis and discussion indicate that the proposed system has an acceptable performance and is feasible in order for applying to real-time industrial systems today.

• Archives of Plastic Surgery
• /
• 제36권6호
• /
• pp.784-787
• /
• 2009

Purpose: Reduction mammaplasty is one of the most commonly performed operations in plastic surgery. Although secondary surgery is occasionally required for minor aesthetic problems or for treatment of the complications of the primary surgery, there are no clear operative guidelines of management. We report here two cases of secondary reduction mammaplasty using differrent pedicle from the initial ones. Methods: One case of secondary reduction mammaplasty were performed using medial pedicle after central (19 years) pedicle reduction mammaplasty because of subsequent breast ptosis and asymmetry. The other case were performed using medial pedicle after superior (4 years) pedicle reduction mammaplasty with contralateral immediate breast reconstruction with TRAM flap because of subsequent breast ptosis and asymmetry. Care was taken to include sufficient width of pedicle and adequate soft tissue attachment beneath the nipple - areolar complex. Results: There was no significant complication such as nipple - areolar necrosis or fat necrosis. The results were well maintained throughout the follow - up period. Conclusion: Medial pedicle reduction mammaplasty can be safely performed after central or superior pedicle reduction mammaplasty when sufficient width of pedicle and adequate soft tissue attachment beneath the nipple - areolar complex are maintained.

• Nuclear Engineering and Technology
• /
• 제55권9호
• /
• pp.3277-3290
• /
• 2023

Nuclear power plant (NPP) operations with multiple objectives and devices are still performed manually by operators despite the potential for human error. These operations could be automated to reduce the burden on operators; however, classical approaches may not be suitable for these multi-objective tasks. An alternative approach is deep reinforcement learning (DRL), which has been successful in automating various complex tasks and has been applied in automation of certain operations in NPPs. But despite the recent progress, previous studies using DRL for NPP operations have limitations to handle complex multi-objective operations with multiple devices efficiently. This study proposes a novel DRL-based approach that addresses these limitations by employing a continuous action space and straightforward binary rewards supported by the adoption of a soft actor-critic and hindsight experience replay. The feasibility of the proposed approach was evaluated for controlling the pressure and volume of the reactor coolant while heating the coolant during NPP startup. The results show that the proposed approach can train the agent with a proper strategy for effectively achieving multiple objectives through the control of multiple devices. Moreover, hands-on testing results demonstrate that the trained agent is capable of handling untrained objectives, such as cooldown, with substantial success.

• 가정과삶의질연구
• /
• 제28권6호
• /
• pp.35-46
• /
• 2010

The purpose of the study was to identify the potential buyers' consciousness of single-family housing to provide useful data to help future single-family housing supplies in Ulsan. The study selected residents in Ulsan, who were over twenty and had an interest in living in a single-family housing. A survey was conducted from September 11, 2008 to September 25, 2008. The sample consisted of 364 persons who are currently live in Ulsan metropolitan area. The results are as following. About two thirds of the sample had the desire to live in a single-family housing. Moving into a single-family housing had financial preparation as the greatest issue. When moving into a single-family housing, the convenience of the residential district was the greatest consideration, whether or not it is a green environment, pollution level, etc. The potential buyers valued environment-friendly features and also had a very strong desire to own their own house. Many of them wanted to design and build their own single-family housing within a budget of 100-200 million KRW. In terms of the location, there was a higher preference for the riverside or lakeside rural areas outside the city. In terms of size, the preference was less than $330m^2$, which includes $99-132m^2$ for residential. When considering a single-family housing the direction was the most important feature, along with eco-friendly and safer materials and equipments. When building the single-family housing the potential buyers considered the community spaces first with a preference for having three bedrooms and two bathrooms. For the exterior, they wanted a unique shape of roof and there were high preferences for brown and beige colors. In terms of housing complexes, the potential buyers preferred individual unit types over complexes. If they preferred housing complexes, they wanted the cluster form complex with about 10-30 units. The complex also required a park-like setting with a guard system, which shows that convenience and safety were the most important features. In terms of complex management, they considered environmental management as the most important feature. The potential buyers were willing to pay belw 200,000 KRW, which showed their desire to minimize financial burdens.

• Journal of Korean Neurosurgical Society
• /
• 제48권2호
• /
• pp.177-180
• /
• 2010

Giant serpentine aneurysms are rare and have distinct angiographic findings. The rarity, large size, complex anatomy and hemodynamic characteristics of giant serpentine aneurysms make treatment difficult. We report a case of a giant serpentine aneurysm of the right middle cerebral artery (MCA) that presented as headache. Treatment involved a superficial temporal artery (STA)-MCA bypass followed by aneurysm resection. The patient was discharged without neurological deficits, and early and late follow-up angiography disclosed successful removal of the aneurysm and a patent bypass graft. We conclude that STA-MCA bypass and aneurysm excision is a successful treatment method for a giant serpentine aneurysm.

• Journal of Korean Neurosurgical Society
• /
• 제42권6호
• /
• pp.495-498
• /
• 2007

Fractures of lumbo-sacral junction involving bilateral sacral wings are rare. Posterior lumbo-sacral fixation does not always provide with sufficient stability in such cases. Various augmentation techniques including divergent sacral ala screws, S2 pedicle screws and Galveston rods have been reported to improve lumbo-sacral stabilization. Galveston technique using iliac bones would be the best surgical approach especially in patients with bilateral comminuted sacral fractures. However, original Galveston surgery is technically demanding and bending rods into the appropriate alignment is time consuming. We present a patient with unstable lumbo-sacral junction fractures and comminuted U-shaped sacral fractures treated by lumbo-sacro-pelvic fixation using iliac screws and discuss about the advantages of the iliac screws over the rod system of Galveston technique.

• 전력전자학회:학술대회논문집
• /
• 전력전자학회 2005년도 전력전자학술대회 논문집
• /
• pp.621-623
• /
• 2005

OPC has made it to improve the development of control and monitoring software. But it is difficult to understand COM/DCOM model that is a base technology of OPC and complex communication setting between OPC Server and OPC Client. Therefore, in this paper, we design and implement ActiveX based components that are enable to solve these problems. Implemented components provide a method for simple communication between OPC Server and OPC Client and a GUI environment for easy and fast setting of communication information. Also, they provide the architecture for efficient management of OPC Server's data. By using implemented component, easy development and efficient maintenance of OPC Client can be supported.

• Environmental Sciences Bulletin of The Korean Environmental Sciences Society
• /
• 제2권1호
• /
• pp.1-8
• /
• 1998

Biomass of non-living brown seaweed Sargassum fluitans pretreated by different methods is capable of taking up more than $10\%$ (11 meq/g) of its dry weight in aluminum at a pH of 4.5. It is indicated that the biomass sequestered the aluminum in the form of polynuclear aluminum species. The fraction of $Al(OH)_3$ Precipitated in the aluminum nitrate solution without biomass at pH 4.5 increased as the Al concentration increased. Aluminum-alginate complex precipitated in the solution as alginate was partially released from the biomass. External colloidal precipitate occurring in native and protonated S. fluitans biomass sorption systems caused a significant difference in Al sorption isotherms determined by standard and desorption methods, respectively, Sodium ions added for pH adjustment were not sorbed at all in the presence of aluminum ions.

• Tuberculosis and Respiratory Diseases
• /
• 제60권2호
• /
• pp.142-150
• /
• 2006

Pulmonary arterial hypertension (PAH) is often difficult to diagnose and challenging to treat. Untreated, it is characterized by a progressive increase in pulmonary vascular resistance leading to right ventricular failure and death. The past decade has seen remarkable improvements in therapy, driven largely by the conduct of randomized controlled trials. Still, the selection of most appropriate therapy is complex, and requires familiarity with the disease process, evidence from treatment trials, complicated drug delivery systems, dosing regimens, side effects, and complications. We tried to provide evidence-based treatment recommendations for physicians involved in the care of these complex patients. Due to the complexity of the diagnostic evaluation required, and the treatment options available, it is strongly recommended that consideration be given to referral of patients with PAH to a specialized center.