• Title/Summary/Keyword: Open Approach

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Laparoscopic Retroperitoneal Nephroureterectomy is a Safe and Adherent Modality for Obese Patients with Upper Urinary Tract Urothelial Carcinoma

  • Matsumoto, Kazumasa;Hirayama, Takahiro;Kobayashi, Kentaro;Hirano, Syuhei;Nishi, Morihiro;Ishii, Daisuke;Tabata, Ken-ichi;Fujita, Tetsuo;Iwamura, Masatugu
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.8
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    • pp.3223-3227
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    • 2015
  • Objective: We evaluated the association of body mass index (BMI) with perioperative outcomes in patients who underwent laparoscopic or open radical nephroureterectomy. Materials and Methods: This retrospective single-center study included 113 patients who had been diagnosed with upper urinary tract cancer from January 1998 to June 2013 and were treated with laparoscopic nephroureterectomy (Lap group, n=60) or open nephroureterectomy (Open group, n=53). Laparoscopic nephroureterectomy was performed via a retroperitoneal approach following an open partial cystectomy. The two surgical groups were stratified into a normal-BMI group (<25) and a high-BMI group ($BMI{\geq}25$). The high-BMI group included 27 patients: 13 in the Lap group and 14 in the Open group. Results: Estimated blood loss (EBL) in the Lap group was much lower than that in the Open group irrespective of BMI (p<0.01). Operative time was significantly prolonged in normal-BMI patients in the Lap group compared to those in the Open group (p=0.03), but there was no difference in operative time between the Open and Lap groups among the high-BMI patients. Multivariate logistic regression analysis of the data for all the cohorts revealed that the open procedure was a significant risk factor for high EBL (p<0.0001, hazard ratio 8.02). Normal BMI was an independent predictor for low EBL (p=0.01, hazard ratio 0.25). There was no significant risk factor for operative time in multivariate analysis. There were no differences in blood transfusion rates or adverse event rates between the two surgical groups. Conclusions: Laparoscopic radical nephroureterectomy via a retroperitoneal approach can be safely performed with significantly reduced EBL even in obese patients with upper urinary tract cancer.

Wing Technique: A Novel Approach for the Detection of Stator Winding Inter-Turn Short Circuit and Open Circuit Faults in Three Phase Induction Motors

  • Ballal, Makarand Sudhakar;Ballal, Deepali Makarand;Suryawanshi, Hiralal M.;Mishra, Mahesh Kumar
    • Journal of Power Electronics
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    • v.12 no.1
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    • pp.208-214
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    • 2012
  • This paper presents a novel approach based on the loci of instantaneous symmetrical components called "Wing Shape" which requires the measurement of three input stator currents and voltages to diagnose interturn insulation faults in three phase induction motors operating under different loading conditions. In this methodology, the effect of unbalanced supply conditions, constructional imbalances and measurement errors are also investigated. The sizes of the wings determine the loading on the motor and the travel of the wings while their areas determine the degree of severity of the faults. This approach is also applied to detect open circuit faults or single phasing conditions in induction motors. In order to validate this method, experimental results are presented for a 5 hp squirrel cage induction motor. The proposed technique helps improve the reliability, efficiency, and safety of the motor system and industrial plant. It also allows maintenance to be performed in a more efficient manner, since the course of action can be determined based on the type and severity of the fault.

CLINICAL EVALUATIONS OF INTRAORAL APPROACH ON THE MANDIBULAR ANGLE FRACTURES (하악 우각부 골절의 구내접근법에 대한 임상적 평가)

  • Bang, Man-Hyeok;Lee, Dong-Keun;Min, Seung-Ki;Chang, Dong-Ho;Jin, Kuk-Beom;Park, Kyeong-Ok
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.1
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    • pp.63-71
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    • 1994
  • Recently, we have used internal fixation with titanium miniplate which introduced by Champy in 1976 in facial bone fractures. In cases of mandibular fractures, particulary mandibular angle fractures, we usually underwent the open reduction extraorally. But extraoral approaches may leave scars and put the facial nerve at greater risk. So, we had undergone the intraoral approaches in 31 patients of mandibular angle fractures (male : 29, female : 2). These patients visited in Wonkwang university hospital from October 1991 to June 1993. We got easy operation time as average 20 minutes than extraoral approach. And reduced the postoperative nerve injury(14.2%), but postoperative infection is 6.1% nearly as same as extraoral approach. TMJ problems after intraoral open reduction was similar to extraoral approaches.

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Effectiveness of Dual-Maneuver Using K-Wire and Dingman Elevator for the Reduction of Unstable Zygomatic Arch Fracture

  • Yoon, Hyungwoo;Kim, Jiye;Chung, Seum;Chung, Yoon-Kyu
    • Archives of Craniofacial Surgery
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    • v.15 no.2
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    • pp.59-62
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    • 2014
  • Background: The zygoma is the most prominent portion of the face. Almost all simple zygomatic arch fractures are treated in a closed fashion with a Dingman elevator. However, the open approach should be considered for unstable zygomatic arch fractures. The coronal approach for a zygomatic arch fracture has complications. In this study, we introduce our method to reduce a special type of unstable zygomatic fracture. Methods: We retrospectively reviewed zygomatic arch view and facial bone computed tomography scans of 424 patients who visited the Wonju Severance Christian Hospital from 2007 to 2010 with zygomaticomaxillary fractures, among whom 15 patients met the inclusion criteria. Results: We used a Dingman elevator and K-wire simultaneously to manage this type of zygomatic arch fracture. Simple medial rotation force usually collapses the posterior fractured segment, and the fracture becomes unstable. Thus, the posterior fracture segment must be concurrently elevated with a Dingman elevator through Keen's approach with rotation force applied through the K-wire. All fractures were reduced without any instability using this method. Conclusion: We were able to reduce unstable and difficult zygomatic arch fractures without an open incision or any external fixation device.

Modified high-submandibular appraoch for open reduction and internal fixation of condylar fracture: case series report

  • Lee, Sung-Jae;Chun, Young-Joon;Lee, Seung-Jun;Jun, Sang-Ho;Song, In-Seok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.5
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    • pp.267-276
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    • 2022
  • Objectives: Recently a modified high-submandibular approach (HSMA) has been introduced for treatment of condylar fracture. This approach involves an incision line close to the mandibular angle and transmasseteric transection, leading to a low incidence of facial palsy and allowing good visualization of the condyle area, especially the condylar neck and subcondyle positions. This study reports several cases managed with this modified HSMA technique for treating condylar fractures. Materials and Methods: Six cases of condylar fractures treated with modified HSMA technique were reviewed. Results: Three unilateral subcondylar fracture, 1 bilateral subcondylar fracture, 1 unilateral condylar neck fracture, 1 unlateral simultaneous condylar neck and subcondylar fracture cases were reviewed. All the cases were successfully treated without any major complication. Conclusion: Reduction, fixation, and osteosynthesis of condylar fractures via the modified HSMA technique enabled effective and stable treatment outcomes. Therefore, the described approach can be used especially for subcondylar and condylar neck fractures with minimal complications.

Differences across countries in the impact of developers' collaboration characteristics on performance : Focused on weak tie theory (국가별 오픈소스 소프트웨어 개발자의 네트워크 특성이 개방형 협업 성과에 미치는 영향 : 약한 연결 이론을 중심으로)

  • Lee, Saerom;Baek, Hyunmi;Lee, Uijun
    • The Journal of Information Systems
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    • v.29 no.2
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    • pp.149-171
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    • 2020
  • Purpose With the advent of the 4th Industrial Revolution, related technologies such as IoT, big data, and artificial intelligence technologies are developing through not only specific companies but also a number of unspecified developers called open collaboration. For this reason, it is important to understand the nature of the collaboration that leads to successful open collaboration. Design/methodology/approach We focused the relationship between the collaboration characteristics and collaboration performance of developers who participating in open source software development, which is a representative open collaboration. Specifically, we create the country-specific network and draw the individual developers characteristics from the network such as collaboration scope and collaboration intensity. We compare and analyze the characteristics of developers across countries and explore whether there are differences between indicators. We develop a Web crawler for GitHub, a representative OSSD development site, and collected data of developers who located at China, Japan, Korea, the United States, and Canada. Findings China showed the characteristics of cooperation suitable for the form of weak tie theory, and consistent results were not drawn from other countries. This study confirmed the necessity of exploratory research on collaboration characteristics by country considering that there are differences in open collaboration characteristics or software development environments by country.

Evaluation of Geo-based Image Fusion on Mobile Cloud Environment using Histogram Similarity Analysis

  • Lee, Kiwon;Kang, Sanggoo
    • Korean Journal of Remote Sensing
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    • v.31 no.1
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    • pp.1-9
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    • 2015
  • Mobility and cloud platform have become the dominant paradigm to develop web services dealing with huge and diverse digital contents for scientific solution or engineering application. These two trends are technically combined into mobile cloud computing environment taking beneficial points from each. The intention of this study is to design and implement a mobile cloud application for remotely sensed image fusion for the further practical geo-based mobile services. In this implementation, the system architecture consists of two parts: mobile web client and cloud application server. Mobile web client is for user interface regarding image fusion application processing and image visualization and for mobile web service of data listing and browsing. Cloud application server works on OpenStack, open source cloud platform. In this part, three server instances are generated as web server instance, tiling server instance, and fusion server instance. With metadata browsing of the processing data, image fusion by Bayesian approach is performed using functions within Orfeo Toolbox (OTB), open source remote sensing library. In addition, similarity of fused images with respect to input image set is estimated by histogram distance metrics. This result can be used as the reference criterion for user parameter choice on Bayesian image fusion. It is thought that the implementation strategy for mobile cloud application based on full open sources provides good points for a mobile service supporting specific remote sensing functions, besides image fusion schemes, by user demands to expand remote sensing application fields.

Solutions for the Location-Based Services

  • Kim, K.H.;Hong, S.G.;Park, J.H.;Lee, J.H.
    • Proceedings of the KSRS Conference
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    • 2003.11a
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    • pp.651-653
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    • 2003
  • As a result of the project 'Development of core technology for open LBS', we developed several solutions such as personal navigation system, mobile game, and emergency system. In this paper, we explain the approach and architecture of these solutions and consider their meaning on spatial information bases and expectation in the future computing environments. The final goal of this suggested solution is to test the efficiency of our open LBS system and verify the applicability and usability in real application environments. Our approaches will be headed to the future ubiquitous computing environments.

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Study on The Free Convection in a Heated Vertical Open Tube (수직관내에서의 자연대류에 관한 연구)

  • ;;Kim, Hee Dong
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.1 no.3
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    • pp.146-155
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    • 1977
  • The free convection in a vertical tube open at both ends and heated at the heated at the wall is studied by analytical approach and checked by experiment. The flow is assumed to be both stable and laminar. The incompressible boundary layer equations fot the system were solved by a finite difference method for conditions of constant wall temperature and conctant wall heat flux. Temperature profiles of the flow in the tube were measured by thermocouples and are compared with the calculated profiles. Agreement of the analytical and experimental results was good.

Late Cardiac Tamponade after Open-Heart Surgery-Continuous supericardial drainage using pigtail catheter under the echocardiographic study (a nonoperative approach)- (개심술후 발생한 지연성 심장탐폰의 비외과적 치료- 심에코검사하에 pigtail 카테타를 이용한 심낭삼출액의 지속적인 배액법-)

  • 최종범
    • Journal of Chest Surgery
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    • v.21 no.2
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    • pp.366-372
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    • 1988
  • Cardiac tamponade occurring after open heart surgery is a rare, but fatal complication necessitating urgent drainage, though postoperative pericardial effusion is common. Two-dimensional echocardiographic study provides excellent postoperative visualization of pericardial effusion. Catheter insertion guided by two-dimensional echocardiography has been used to accomplish nonoperative drainage of symptomatic postoperative pericardial effusion in 4 cases. This technique offers simplicity, safety, and cost effectiveness.

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