• Title/Summary/Keyword: Secondary Operations

Search Result 182, Processing Time 0.025 seconds

Spinal Hydatid Cyst Disease : Challenging Surgery - an Institutional Experience

  • Caglar, Yusuf Sukru;Ozgural, Onur;Zaimoglu, Murat;Kilinc, Cemil;Eroglu, Umit;Dogan, Ihsan;Kahilogullari, Gokmen
    • Journal of Korean Neurosurgical Society
    • /
    • v.62 no.2
    • /
    • pp.209-216
    • /
    • 2019
  • Objective : Hydatid cyst disease is caused by the parasite Echinococcus granulosus. It is rarely seen in the vertebral system, occurring at a rate of 0.2-1%. The aim of this study is to present 12 spinal hydatid cyst cases, and propose a new type of drainage of the cyst. Methods : Twelve cases of spinal hydatid cysts, surgical operations, multiple operations, chronic recurrences, and spinal hydatic cyst excision methods are discussed in the context of the literature. Patients are operated between 2005 and 2016. All the patients are kept under routine follow up. Patient demographic data and clinicopathologic characteristics are examined. Results : Six male and six female patients with a median age of 38.6 at the time of surgery were included in the study. Spinal cyst hydatid infection sites were one odontoid, one cervical, five thoracic, two lumbar, and three sacral. In all cases, surgery was performed, with the aim of total excision of the cyst, decompression of the spinal cord, and if necessary, stabilization of the spinal column. Mean follow up was 61.3 months (10-156). All the patients were prescribed Albendazole. Three patients had secondary hydatid cyst infection (one lung and two hepatic). Conclusion : The two-way drainage catheter placed inside a cyst provides post-operative chlorhexidine washing inside the cavity. Although a spinal hydatid cyst is a benign pathology and seen rarely, it is extremely difficult to achieve a real cure for patients with this disease. Treatment modalities should be aggressive and include total excision of cyst without rupture, decompression of spinal cord, flushing of the area with scolicidal drugs, and ensuring spinal stabilization. After the operation the patients should be kept under routine follow up. Radiological and clinical examinations are useful in spotting a recurrence.

An Analysis of the Effects of Large-scale Retailer Operation Regulations on Agriculture and Fisheries (대형 유통업체 영업 규제가 농수산업에 미치는 영향 분석)

  • Kim, Dong-Hwan;Ryu, Sang-Mo
    • Journal of Distribution Science
    • /
    • v.12 no.2
    • /
    • pp.73-79
    • /
    • 2014
  • Purpose - The Korean government has revised the distribution industry development law to regulate large-scale retailer operations to protecting medium- and small-scale retailers and traditional markets. According to the revised law, large-scale retailers must follow regulations on operating hours and compulsory store closures two days per month. Based on the revised distribution industry development law, most local governments regulate operation hours and they have adopted compulsory closure programs for large-scale retail stores. However, it is argued that fresh food producers suffer from a decrease in sales based on the compulsory closure of stores operated by large-scale retailers. Large-scale retailers reduce their fresh food orders from agricultural and fishery producers because of the compulsory store closures. Fresh food producers also suffer from a decrease in prices because reduced orders lead to a decrease in auction prices based on the availability of excess goods in wholesale markets. This paper investigates the effects of operation regulations for large-scale retailers on agricultural producers by surveying agricultural and fishery producer organizations. Research design, data, methodology - A survey was conducted on 117 producer organizations of fruits and vegetables, cereals, fisheries, and livestock products from September 10 to October 4, 2012. Survey items are annual sales, shares of sales accounted for by large-scale retailers, reduction of orders and prices from large-scale retailers, methods to deal with the sales reduction, unfair trade practices of large-scale retailers, opinion of the large-scale retailer regulations, and so on. The average sales of the sampled producer organizations are 13.7 billion won and the average share of sales accounted for by large-scale retailers is 35.4%. Results - Survey results show that the sample producer organizations' sales decreased 10.1% because of the compulsory closures of stores operated by large-scale retailers. It is estimated that the total sales of producer organizations decreased 371.2 billion won because of the regulations on the operation of large-scale retailers. In addition to the direct effect of a sales decrease due to order reduction, agricultural and fishery producer organizations suffered from the secondary effect of price reduction in wholesale markets. When orders from large-scale retailers decreased, most agricultural and fishery producer organizations shipped redundant products to wholesale markets, decreasing auction prices. It was estimated that the price received decreased 21.9% when sold in other marketing channels. As producer organization sales decreased, it was reported that the labor force employed by producer organizations also decreased by 15.1%. Therefore, we can conclude that the regulations for large-scale retailer operations resulted in negative impacts on agricultural producers. Conclusions - Although the sales reduction due to the regulations for large-scale retailer operations are not great, the cumulative effects due to the continued compulsory closure of stores operated by large-scale retailers could be great. This paper suggests governmental programs that could help agricultural producer organizations to find new and effective marketing channels such as direct marketing, farmers' markets, exports, Internet shopping, and so on.

Comparative study on cleaning effects of air scouring and unidirectional flushing considering water flow direction of water pipes (상수도관의 물 흐름 방향을 고려한 공기주입 세척 및 단방향 플러싱 공법의 세척 효과 비교 연구)

  • Seo, Jeewon;Lee, Gyusang;Kim, Kibum;Hyung, Jinseok;Kim, Taehyeon;Koo, Jayong
    • Journal of Korean Society of Water and Wastewater
    • /
    • v.33 no.5
    • /
    • pp.353-366
    • /
    • 2019
  • This research proposes an optimal flushing operation technique in an effort to prevent secondary water pollutions and accidents in aged pipes, and to improve the cleaning effect of unidirectional flushing. Water flow directions were analyzed using EPANET 2.0, while flushing and air scouring experiments in forward and reverse directions were performed in the field. In 42 experiments, average residual chlorine concentration and turbidity were improved after cleaning compared to before cleaning. It was found that even when the same cleaning method was used, further improvement of cleaning effect was possible by applying air injection and reverse direction cleaning techniques. By means of one-way ANOVA(Analysis of variance), it was also possible to statistically verify the need of actively utilizing air injection and reverse direction cleaning. Based on correlation between turbidity and TSS, the total amount of suspended solids removal was estimated for 874 flushing operations and 194 air scouring operations. The result showed that air scouring used more discharge water than flushing by an average of $4.9m^3$ yet with larger amounts of suspended solids removal by an average of 145.9 g. The result of analysis on turbidity values from 887 flushing operations showed low cleaning effect of unidirectional flushing for the pipes with diameters over 300 mm. In addition, the turbidity values measured during cleaning showed an increasing tendency as pipe age increased. The methodology and results of this research are expected to contribute to the efficient maintenance and improvement of water quality in water distribution networks. Follow-up research involving the measurement of water quality at regular time intervals during cleaning would allow a more accurate comparison of discharge water quality characteristics and cleaning effects between different cleaning methods. To this end, it is considered necessary to develop a standardized manual that can be used in the field and to provide relevant trainings.

Post Operative Patient's Knowledge and Attitude about Pain-Management (외과계 수술환자의 수술 후 통증관리에 대한 지식과 태도)

  • Seo, Young-Seung;Kang, Young-Sook;Cho, Gyoo-Yeong
    • The Korean Journal of Health Service Management
    • /
    • v.6 no.3
    • /
    • pp.209-218
    • /
    • 2012
  • The purpose of this study was to provide the effective pain management care for post operative patients through understanding patient's knowledge and attitude about pain-management. The data was collected by distributing structured questionnaires to 200 inpatients in 2 secondary hospitals located in Ulsan, beginning June 28, 2010 to August 11, 2010, and analyzed by t-test, ANOVA, Pearson correlation coefficient. The level of Knowledge about pain management postperations was $6.44{\pm}2.03$. The level of attitude about pain management postperations was $6.92{\pm}1.78$. The significant differences were founded within the inpatient's knowledge about pain management according to the inpatient's demographic data:Age(F=5.55, p=.01), Marital status(t=-2.17, p=.03). The significant differences were founded within the inpatient's attitude about pain management according to the inpatient's demographic data:Job(F=3.45, p=.03). Developing educational material and guidebooks is needed to form more positive about pain-control after operations. This study researched only inpatient's knowledge and attitude about pain-management, but researching nurses, doctors, inpatients and family member's knowledge and attitude should be included in following studies.

A Study on the Runner and Gate Consequence of Manufacture Double Shot Molding using CAE (CAE 를 이용한 이중사출 제품의 러너 및 게이트 영향에 대한 연구)

  • Kim, O.R.;Cha, B.S.;Lee, S.Y.;Kim, Y.G.;Woo, C.K.
    • Transactions of Materials Processing
    • /
    • v.18 no.2
    • /
    • pp.160-165
    • /
    • 2009
  • A Study on Effects of the Runner and the Gate of double shot injection molded Parts using CAE Double shot injection molding can inject two different materials or two different colors in the same mold in a injection molding process. Double shot injection molded parts can be characterized that the base part maintains strength and specified part can inject soft-material. It can reduce the production cost by single automatic operations. In this paper, we designed double shot injection mold for automobile emote control To inject secondary part, this part is used as an insert after external appearance of product is injected. CAE analysis was progressed gate location and runner size as variables. The analysis result is reflected in mold design process. As a result, it could solve problems which are generated in the conventional mold. Additionally, cost can be downed by reducing runner weight. As well as it could omit painting process because the surface of finished product is improved through new mold.

Long-term follow-up of early cleft maxillary distraction

  • Park, Young-Wook;Kwon, Kwang-Jun;Kim, Min-Keun
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.38
    • /
    • pp.20.1-20.6
    • /
    • 2016
  • Background: Most of cleft lip and palate patients have the esthetic and functional problems of midfacial deficiencies due to innate developmental tendency and scar tissues from repeated operations. In these cases, maxillary protraction is required for the harmonious facial esthetics and functional occlusion. Case presentation: A 7-year old boy had been diagnosed as severe maxillary constriction due to unilateral complete cleft lip and palate. The author tried to correct the secondary deformity by early distraction osteogenesis with the aim of avoiding marked psychological impact from peers of elementary school. From 1999 to 2006, repeated treatments, which consisted of Le Fort I osteotomy and face mask distraction, and complementary maxillary protraction using miniplates were performed including orthodontics. But, final facial profile was not satisfactory, which needs compromising surgery. Conclusions: The result of this study suggests that if early distraction treatment is performed before facial skeletal growth is completed, an orthognathic surgery or additional distraction may be needed later. Maxillofacial plastic and reconstructive surgeons should notify this point when they plan early distraction treatment for cleft maxillary deformity.

Case Study of Hazardous Air Pollutant Concentrations in Residential Areas nearby Small and Medium scale Shipbuilding Companies (중소규모 조선소 인근 주거지역의 유해대기오염물질 농도에 대한 사례연구)

  • Chung, Jae-Woo;Lee, Myoung-Eun
    • Journal of Environmental Science International
    • /
    • v.18 no.5
    • /
    • pp.517-525
    • /
    • 2009
  • We measured ambient concentrations of hazardous air pollutants such as volatile organic compounds (VOCs) and aldehydes in residential areas nearby small and medium scale shipbuilding companies. The VOC concentrations were higher during the normal operation periods than vacation at which almost all operations were shutdown. Concentrations of VOCs was higher, as the sampling site was nearer from shipbuilding companies. The major components of VOCs were m,p-xylene, ethylbenzene, o-xylene, toluene, and 1,3,5-trimethylbenzene which had been found as major VOC compounds emitted from painting processes of shipbuilding in the previous studies. The major components of aldehydes analyzed were benzaldehyde, acrolein, formaldehyde, and acetaldehyde. The concentration of aldehydes was highest at the furthest sampling point from shipbuilding companies because the formation of aldehyde compounds could be occurred by the secondary chemical reactions of VOCs. The results of this study shows a proper counterplan need to be established for the reduction of hazardous air pollutants emitted from small and medium scale shipping companies.

Analysis of dynamics characteristics of water injection pump through the 2D finite element (2D 유한요소 해석을 통한 Water injection pump의 동특성 분석)

  • LEE, JONG-MYEONG;KIM, YONG-HWI;KIM, JUN-HO;CHOI, HYEON-CHEOL;CHOI, BYEONG KEUN
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
    • /
    • 2014.04a
    • /
    • pp.408-414
    • /
    • 2014
  • After drilling operations at the offshore plant to production to crude oil to high pressure. After that time the low pressured of pipe inside when the secondary produce so oil recovery is reduced. At that time injection sea water at the pipe inside through water injection pump that the device Increase recovery so to be research and development at many industry. So developing 3-stage water injection pump at the domestic company. A variety of mathematical analysis during the detailed design analysis was not made through the dynamics characteristic. In this paper, a 2D finite element analysis is performed through the dynamics of the present study was the validation of the model.

  • PDF

Moderate Effect of JIT and Workforce Management on Infra and Process Factor in Quality Management Practices (품질경영 실행방식 요인과 성과 간 관계에 대한 JIT와 인력관리의 조절 효과)

  • Park, Jeong-Soo;Chang, Deok-Shin;Kim, Soo-Wook
    • Korean Management Science Review
    • /
    • v.27 no.3
    • /
    • pp.99-115
    • /
    • 2010
  • We classified quality management practices of manufacturing companies into 'Infra' factor and 'Process' factor which were introduced based on existing literatures and previous studies related to quality management. It was our first objective to confirm its conformance in Korean manufacturing industry, and to examine the two factors effect positively on production performance. Moreover, we tried to examine whether JIT and workforce management have an moderate effect on 'Infra and Process factors-performance' relationship, using moderate regression. As the result of empirical study on nationwide manufacturing companies, we had the results that the classification between Infra factor and Process factor in quality management practices was valid in Korean manufacturing companies, and that the two factors gave performances positive effect. Moreover, our secondary analysis showed that JIT had an positive moderate effect on the Infra factor while workforce management on the Process factor. With these results, we have an interpretation that manufacturing companies which aim to enhance short term performances have to concentrate their effort and investment on Process factor and, on the other hand, ones which aims to improve long term performances on Infra factor.

An Efficient Image Encryption Scheme Based on Quintuple Encryption Using Gumowski-Mira and Tent Maps

  • Hanchinamani, Gururaj;Kulkarni, Linganagouda
    • International Journal of Contents
    • /
    • v.11 no.4
    • /
    • pp.56-69
    • /
    • 2015
  • This paper proposes an efficient image encryption scheme based on quintuple encryption using two chaotic maps. The encryption process is realized with quintuple encryption by calling the encrypt(E) and decrypt(D) functions five times with five different keys in the form EDEEE. The decryption process is accomplished in the reverse direction by invoking the encrypt and decrypt functions in the form DDDED. The keys for the quintuple encryption/decryption processes are generated by using a Tent map. The chaotic values for the encrypt/decrypt operations are generated by using a Gumowski-Mira map. The encrypt function E is composed of three stages: permutation, pixel value rotation and diffusion. The permutation stage scrambles all the rows and columns to chaotically generated positions. This stage reduces the correlation radically among the neighboring pixels. The pixel value rotation stage circularly rotates all the pixels either left or right, and the amount of rotation is based on chaotic values. The last stage performs the diffusion four times by scanning the image in four different directions: Horizontally, Vertically, Principal diagonally and Secondary diagonally. Each of the four diffusion steps performs the diffusion in two directions (forward and backward) with two previously diffused pixels and two chaotic values. This stage ensures the resistance against the differential attacks. The security and performance of the proposed method is investigated thoroughly by using key space, statistical, differential, entropy and performance analysis. The experimental results confirm that the proposed scheme is computationally fast with security intact.