• Title/Summary/Keyword: Immediate operation

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Effect of Surface Sizing with Cationic Polymer Additives on the Coating Structure and Coated Paper Properties (양성고분자에 의한 표면사이징과 이에 의한 도공층의 구조 및 도공지 물성 변화)

  • Jun, Dae-Gu;Lee, Hak-Lae
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.40 no.1
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    • pp.1-8
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    • 2008
  • It is essential to use base papers having proper surface characteristics in coating operation for improving coated paper quality and coater runnability. To fulfill these purposes, surface sizing of coating base stock with oxidized starch is commonly practiced. Use of cationic starch for surface sizing improves coated paper quality since cationic starch penetrates less into paper structure. The immediate objective of this study was to examine the influence of surface sizing with starch solutions containing cationic polymers on the rheology of coating colors and the effect on physical properties of coated papers. Changes of rheological characteristics of coating colors placed on the plastic substrate surface sized with cationic and anionic starch were determined. Results of rheological test showed that cationic polymer surface sizing agent increased electrostatic interaction with coating colors and increased storage modulus. This new technology of using cationic polymer as surface sizing additive was considered to be advantageous for base papers at low basis weights since it would improve the coverage and optical properties of coated papers.

Case Report: Intraoperative Management Using Inferior Based Rotation Flap of Sternocleidomastoid Muscle for Chyle Fistula (흉쇄유돌근의 회전피판을 이용한 수술 중 발생한 유미루의 치료 1예)

  • Kim, Seo Bin;Lee, Hyoung Shin;Lee, Kang Dae;Kim, Sung Won
    • Korean Journal of Head & Neck Oncology
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    • v.32 no.2
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    • pp.79-83
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    • 2016
  • Chyle fistula is one of the complications of neck dissections. Although immediate surgical repair seems to be the best choice when chyle leakage is observed during the operation, some operators can be embarrassed when chyle leakage is heavy and not controlled during surgery. In this case, chyle leakage was occurred after extensive resection of lymph nodes in left level IV, and was not controlled in any way. The clavicular head of sternocleidomastoid muscle was dissected and inferior-based muscular flap was rotated to cover the suspected region of fistula orifice. Amount of drainage was checked less than 20 ml per day in the following days, and drain tube was taken out on the 3rd postoperative days. We present the technique using the inferior based sternocleidomastoid muscle flap for intraoperative management of chyle leakage not easily controlled.

Simple Aesthetic Correction for Patients with Acute Auriculocephalic Angle

  • Lee, Byung Mi;Kang, Seok Joo;Sun, Hook
    • Archives of Craniofacial Surgery
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    • v.16 no.1
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    • pp.24-28
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    • 2015
  • Background: Acute auriculocephalic angle refers to an ear with helix that is spaced closely to the cranium. An increasing number of patients with acute auriculocephalic angle wish to undergo corrective operation for aesthetic purposes. However, there is a paucity of data regarding acute auriculocephalic angle. This paper proposes a treatment protocol for patients with acute auriculocephalic angle. Methods: We performed a retrospective analysis of patients undergoing acute auriculocephalic angle (4 patients, 6 ears). Patient records were reviewed for demographic data as well as auricular measurements at preoperative, immediate postoperative and final follow-up evaluations. Results: All of the patients were men with a mean age of 36.5 years (range, 23-52 years). The mean follow-up period was 47.5 months (range, 28-60 months). Postoperative auriculocephalic angle was close to the normal auriculocephalic angle ($25^{\circ}-30^{\circ}$) without notable scars. Moreover, the patients had minimal contractions of the skin flaps without any hematoma or relapse. Conclusion: We propose the following three treatment protocols for patients with acute auriculocephalic angle: the posterior auricular muscle should be sufficiently released, the mastoid area should be augmented using implants, the skin should be repositioned with a superior auricular flap.

Sudden Intraoperative Hyperkalemia during Laparoscopic Radical Nephrectomy in a Patient with Underlying Renal Insufficiency

  • Jung, Sung Hoon;Han, Yun-Joung;Shin, Sang Ho;Lee, Hyo Seon;Lee, Ji Young
    • Acute and Critical Care
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    • v.33 no.4
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    • pp.271-275
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    • 2018
  • We experienced a case of severe intraoperative hyperkalemia during laparoscopic radical nephrectomy in a 60-year-old male patient with renal insufficiency, whose hypertension had been managed by preoperative angiotensin II receptor blocker (ARB) and adrenergic beta-antagonist. After renal vessel ligation, his intraoperative potassium concentration suddenly increased to 7.0 mEq/L, but his electrocardiography (ECG) did not show any significant change. While preoperative ARB therapy has been regarded as a contributing factor for further aggravation of underlying renal insufficiency, we assumed that nephrectomy itself and rhabdomyolysis caused by surgical trauma also aggravated the underlying renal dysfunction and resulted in sudden hyperkalemia. Hyperkalemia was managed successfully with calcium gluconate, insulin, furosemide and crystalloid loading during the intraoperative and immediate postoperative periods, and potassium concentration decreased to 5.0 mEq/L at 8 hours after the operation. The patient's hospital course was uncomplicated, but his renal function deteriorated further.

An Efficient Authentication Scheme for Multicast Packet using Recovery Layer (복구 계층을 이용한 멀티캐스트 패킷 인증)

  • 홍기훈;정수환
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.14 no.3
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    • pp.63-73
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    • 2004
  • This paper proposes an efficient authentication scheme for multicast packet using recovery layer to provide source authentication. The problems of the existing schemes are as follows : TESLA requires time synchronization between the sender and the receiver, md hash-based schemes have high communication overheads due to additional hash values and require many buffers and delay for verification on receivers. Our main focus is reducing the buffer size, communication and computation burden of the receiver. The proposed scheme in this paper is highly robust to packet loss using the recovery layer based on XOR operation. It also provides low communication overhead, low verification cost, non-repudiation of the origin, immediate verification and robustness against DoS attack on the receiver.

Method to prevent cheek depression using an island sternocleidomastoid muscle flap with the middle pedicle as a feeding vessel in immediate reconstruction of the facial nerve with the sural nerve following resection of a parotid gland tumor

  • Matsuura, Naoki;Sakuma, Hisashi;Shimono, Ayano
    • Archives of Plastic Surgery
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    • v.48 no.2
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    • pp.213-216
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    • 2021
  • Many surgeons have demonstrated the validity of sternocleidomastoid muscle flaps for the reconstruction of head and neck tumors. We present a case in which we used an island sternocleidomastoid muscle flap to reconstruct a cheek depression after excision of a malignant parotid tumor. A 44-year-old woman presented with a right malignant parotid tumor. We performed total resection of the parotid gland and facial nerve with the sural nerve and reconstructed the facial nerve and cheek depression with an island sternocleidomastoid muscle flap. The sternal head of the right sternocleidomastoid muscle was cut at the cranial and caudal segments to elevate it as an island flap. We used the superior thyroid artery as the sole pedicle for the island muscle flap. At 1 year and 3 months after the operation, the mimic muscles had gradually recovered and progressed without complications such as Frey syndrome, cervical motor dysfunction, or concave deformation of the neck and cheeks.

The Effect of Social Media Content Types on User Reactions: Focused on a Case Study of Kew Gardens

  • Park, Yumin;Shin, Yong-Wook
    • Journal of People, Plants, and Environment
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    • v.24 no.2
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    • pp.209-218
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    • 2021
  • Background and objective: Instagram, an image-based social media, is being used as an important outlet for the communication and place marketing of public spaces. The purpose of this paper was to analyze how types of place-based content affect user reactions (Likes and Comments) on Instagram in order to provide basic data on the operation and utilization of social media by public places such as botanical gardens and arboretums. Methods: A total of 850 posts uploaded to the Instagram account of Kew Gardens from November 6, 2014 to July 3, 2020 were classified using 14 subject codes. Multiple regression analysis was performed to evaluate the user's reaction between the dependent variables ("Likes", "Comments") and the independent variables (14 subject codes). Results: The findings showed that user reactions appear to differ depending on the typology of the content, and "Likes" and "Comments" were presented in independent behavioral reactions. In particular, "close-ups of plants (botanic, macro)," "plant colony (botanic, wide)," "place-specific landscape (building, landscape)," "anniversary" and "information" showed positive impacts on both "Likes" and "Comments"which could lead to electronic word-of-mouth and content sharing. Conclusion: Based on these findings, it can be argued that the typology of a botanical garden's content can be used to determine factors that affect the immediate reactions and enhance engagement with users.

Preliminary Review of On-Site Clamping Repair Technology for Welding Part Leakage of Safety Related Valve in the Nuclear Power Plant (원전용 안전등급 밸브의 용접부 누설 클램핑 현장보수 기술 검토)

  • Ki Hong Kim;Ki Su Kim;Hwan Seok Jung;Moo Kyung Jang
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.19 no.1
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    • pp.52-59
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    • 2023
  • The welding part of the valve needs immediate action when leakage occurs due to cracks or damage. In order to repair leakage of the welding part, the valve must be separated from the pipe or replaced with a new valve. However, it is difficult to remove the valve while operating the power plant. This study presents a method to remove leakage by precisely processing the gap between the clamp and the incision part within 0.1mm while installed in the pipe system. If the external leakage is removed using a clamp on the welding part without removing the valve during operation, the time and cost required for maintenance can be reduced.

Development of Real-Time Active Type Seals (실시간 능동형 타입 격납장치 개발)

  • Jung-ki Shin;Heekyun Baek;Yongju Lee
    • Journal of Radiation Industry
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    • v.18 no.1
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    • pp.9-14
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    • 2024
  • In order to thoroughly verify the denuclearization of the Korean Peninsula, it is urgent to develop technology capabilities to monitor, detect, collect, analyze, interpret, and evaluate nuclear activities using nuclear materials and secure nuclear transparency. The IAEA is actively using seal technology to maximize the efficiency of safety measures, and currently uses metal cap, paper, COBRA, and EOSS as seal devices. Unlike facilities that comply with safety measures requirements, such as domestic nuclear facilities, facilities subject to denuclearization are likely to have various risk environments that make it difficult to apply safety measures, and there is a high possibility that continuity of knowledge (COK) such as damage, malfunction, and power loss will not be maintained. This study aims to develop a real-time active seal device that can be applied in such special situations to enable immediate response in the event of a similar situation. To this end, the main functions of the real-time seal device were derived and applied, and a commercialized seal device and operation software. The real-time seal technology developed through this study can be applied to all nuclear facilities in South Korea, especially used as storage equipment for dry cask storage facilities of heavy water reactor's after fuel, and it is believed that unnecessary radiation exposure by inspectors can be minimized.

STABILITY OF OBWEGESER II METHOD IN MANDIBULAR PROGNATHIC OR ANTERIOR OPEN BITE PATIENTS (하악전돌증 및 개교합 환자에 있어 Obwegeser Ⅱ method의 안정성)

  • Jung, Chang-Wook;Nam, Jeong-Hun;Lee, Sang-Han;Kwon, Tae-Geon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.1
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    • pp.25-33
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    • 2004
  • The purpose of this study was to evaluate the postoperative stability of the severe open bite or mandibular prognathic patients after mandibular set back surgery by Obwegeser II method. There were 19 patients who had been undergone Obwegeser II method. The horizontal and vertical position of the cephalometric points were measured preoperation and immediate postoperation, postoperative 1 month, postoperative 6 months ; were analyzed by linear measurement to evaluate changes in skeletal landmark and the relapse was compared between open bite group and prognathism group. By the operation, horizontal change of B was $6.84{\pm}4.35mm$ and vertical change of B was $6.28{\pm}3.25mm$ in open bite group and horizontal change of B was $14.20{\pm}4.81mm$ and vertical change of B was $1.99{\pm}2.66mm$ in prognathism group, horizontal change of Pog was $3.82{\pm}5.71mm$ and vertical change of Pog was $5.38{\pm}2.11mm$ in open bite group and horizontal change of Pog was $13.24{\pm}5.99mm$ and vertical change of Pog was $1.91{\pm}0.94mm$ in prognathism group. Between immediate postoperation and postoperative 1 month, all skeletal landmarks change was no statistical difference (p>0.05) and there were no statistical difference between open bite group and prognathism group except x-Me landmark (p>0.05). Between postoperative 1 month and 6 months, horizontal change of B was $0.12{\pm}1.35mm$ and vertical change of B was $1.47{\pm}1.48mm$ in open bite group and horizontal change of B was $1.43{\pm}1.35mm$ and vertical change of B was $0.82{\pm}1.99mm$ in prognathism group, horizontal change of Pog was $0.13{\pm}1.40mm$ and vertical change of Pog was $0.88{\pm}1.71mm$ in open bite group and horizontal change of Pog was $1.08{\pm}1.74mm$ and vertical change of Pog was $0.47{\pm}1.57mm$ in prognathism group (p>0.05) and there were no statistical difference between open bite group and prognathism group (p>0.05). Between immediate postoperation and postoperative 6months, horizontal change of B was $0.24{\pm}1.17mm$ and vertical change of B was $1.87{\pm}1.63mm$ in open bite group and horizontal change of B was $1.54{\pm}1.55mm$ and vertical change of B was $1.04{\pm}1.96mm$ in prognathism group, horizontal change of Pog was $0.91{\pm}1.46mm$ and vertical change of Pog was $1.18{\pm}2.05mm$ in open bite group and horizontal change of Pog was $0.96{\pm}1.62mm$ and vertical change of Pog was $1.23{\pm}2.35mm$ in prognathism group (p>0.05) and there were statistical difference between open bite group and prognathism group in x-B, x-Pog, x-Gn, x-Me (p<0.05). Obwegeser II method is considered as one of the best operation when surgical correction of severe open bite or severe mandibular prognathism is needed.