• Title/Summary/Keyword: Secondary Operations

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Analysis of 120 Pectoralis Major Flaps for Head and Neck Reconstruction

  • You, Young Sun;Chung, Chul Hoon;Chang, Yong Joon;Kim, Kuyl Hee;Jung, Sung Won;Rho, Young Soo
    • Archives of Plastic Surgery
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    • v.39 no.5
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    • pp.522-527
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    • 2012
  • Background A pectoralis major flap is one of the standard tools for the reconstruction of defects of the head and neck. Despite the technical advancement in free tissue transfer in head and neck reconstruction, the benefits of a pectoralis major flap should not be overlooked. The purpose of this study is to evaluate our 17 years of experience in reconstructing defects of the head and neck region using the pectoralis major flap. Methods We retrospectively reviewed the medical records of 112 patients (120 cases) who underwent pectoralis major flap operations for head and neck reconstruction during a period ranging from 1994 to 2010. Results In our series, no total necrosis of the flap occurred. Of the total cases, 30.8% presented with flap-related complications. Major complications occurred in 20% of all of the cases but were then all successfully treated. The male sex was correlated with the occurrence of overall complications (P=0.020) and major complications (P=0.007). Preoperative albumin levels of <3.8 g/dL were correlated with the formation of fistula (P=0.030). Defects of the hypopharynx were correlated with the occurrence of major complications (P=0.019) and the formation of fistula (P=0.012). Secondary reconstructions were correlated with the occurrence of overall complications (P=0.013) and the formation of fistula (P=0.030). Conclusions A pectoralis major flap is still considered to be a safe, versatile one-stage reconstruction procedure in the management of the defects of head and neck and the protection of the carotid artery.

Upper Limb Ischemia: Clinical Experiences of Acute and Chronic Upper Limb Ischemia in a Single Center

  • Bae, Miju;Chung, Sung Woon;Lee, Chung Won;Choi, Jinseok;Song, Seunghwan;Kim, Sang-pil
    • Journal of Chest Surgery
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    • v.48 no.4
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    • pp.246-251
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    • 2015
  • Background: Upper limb ischemia is less common than lower limb ischemia, and relatively few cases have been reported. This paper reviews the epidemiology, etiology, and clinical characteristics of upper limb ischemia and analyzes the factors affecting functional sequelae after treatment. Methods: The records of 35 patients with acute and chronic upper limb ischemia who underwent treatment from January 2007 to December 2012 were retrospectively reviewed. Results: The median age was 55.03 years, and the number of male patients was 24 (68.6%). The most common etiology was embolism of cardiac origin, followed by thrombosis with secondary trauma, and the brachial artery was the most common location for a lesion causing obstruction. Computed tomography angiography was the first-line diagnostic tool in our center. Twenty-eight operations were performed, and conservative therapy was implemented in seven cases. Five deaths (14.3%) occurred during follow-up. Twenty patients (57.1%) complained of functional sequelae after treatment. Functional sequelae were found to be more likely in patients with a longer duration of symptoms (odds ratio, 1.251; p=0.046) and higher lactate dehydrogenase (LDH) levels (odds ratio, 1.001; p=0.031). Conclusion: An increased duration of symptoms and higher initial serum LDH levels were associated with the more frequent occurrence of functional sequelae. The prognosis of upper limb ischemia is associated with prompt and proper treatment and can also be predicted by initial serum LDH levels.

Modeling and Simulation of Secondary Battery-Fuel Cell Propulsion System for Underwater Vessel to Estimate the Operation Time (수중함용 2차전지-연료전지 추진체계의 성능 예측을 위한 M&S 연구)

  • Ji, Hyunjin;Cho, Sungbaek;Bae, Joongmyeon
    • Journal of the Korea Institute of Military Science and Technology
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    • v.17 no.5
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    • pp.694-702
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    • 2014
  • One of the most important devices in an underwater vessel is a propulsion system. It should be a quiet and efficient system for stealthy operations in the large mission area. Hence lead-acid battery system has been used to supply the energy to electric motor. Recent technological developments and improvements, such as polymer electrolyte membrane(PEM) fuel cell and lithium polymer battery and have created the potential to improve overall power and propulsion performance. An underwater vessel always starts their mission with a limited energy and is not easy to refuel. Therefore design of energy elements, such as fuel cell and battery, and their load distribution are important to increase the maximum operating time of underwater vessel. In this paper, the lead-acid battery/PEM fuel cell and lithium polymer battery/PEM fuel cell were suggested as propulsion system and their performances were analyzed by modeling and simulation using Matlab/Simulink. Each model concentrated on representing the characteristics of energy element depending on demand current. As a result the effect of load distribution between battery and fuel cell was evaluated and the operation time of each propulsion system was able to be estimated exactly.

Hybrid Main Memory based Buffer Cache Scheme by Using Characteristics of Mobile Applications (모바일 애플리케이션의 특성을 이용한 하이브리드 메모리 기반 버퍼 캐시 정책)

  • Oh, Chansoo;Kang, Dong Hyun;Lee, Minho;Eom, Young Ik
    • Journal of KIISE
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    • v.42 no.11
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    • pp.1314-1321
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    • 2015
  • Mobile devices employ buffer cache mechanisms, just as in computer systems such as desktops or servers, to mitigate the performance gap between main memory and secondary storage. However, DRAM has a problem in that it accelerates battery consumption by performing refresh operations periodically to maintain the stored data. In this paper, we propose a novel buffer cache scheme to increase the battery lifecycle in mobile devices based on a hybrid main memory architecture consisting of DRAM and non-volatile PCM. We also suggest a new buffer cache policy that allocates buffers based on process states to optimize the performance and endurance of PCM. In particular, our algorithm allocates each page to the appropriate position corresponding to the state of the application that owns the page, and tries to ensure a rapid response of foreground applications even with a small amount of DRAM memory. The experimental results indicate that the proposed scheme reduces the elapsed time of foreground applications by 58% on average and power consumption by 23% on average without negatively impacting the performance of background applications.

Connector for Dynamic Composition of Aspects Based on AOSD (AOSD기반에서 Aspect의 동적결합을 위한 Connector)

  • Kim Tae-Woong;Kim Tae-Gong
    • The KIPS Transactions:PartD
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    • v.13D no.2 s.105
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    • pp.251-258
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    • 2006
  • Aspect-Oriented Software Development is new software development method. It has many advantages related to software performance, maintenance and repair. Also it offers modularization method to a existing programming language for secondary function such as security and fault tolerance. But the present problem is that we have to use new aspect-oriented programming language. Further more when we apply Aspect to legacy system, we have to recompile the source code in order to build software system based on AOSD. In this paper, we propose and design Connector that can be composed with Aspect in legacy system dynamically. To elaborate this work, we use the information of operations about Core and Aspect, and the information of pointcut described with XML. We validate that the proposed Connector has features such as no need of new compiler, no recompilation and no modification of legacy system through case study.

Quality Management on the 4th Industrial Revolution (4차 산업혁명시대의 품질경영)

  • Chong, Hye Ran;Hong, Sung Hoon;Lee, Min Koo;Kwon, Hyuck Moo
    • Journal of Korean Society for Quality Management
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    • v.45 no.4
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    • pp.629-648
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    • 2017
  • Purpose: The world faces a great turning point fundamentally rebuilding the future, and human lives, by embracing the 4th industrial revolution era. This paper aims to seek new and various business models in the 4th industrial revolution era, and to examine the evolution of quality management in the changing of the industrial ecosystem. Methods: This paper examines the various strategies of approaching the 4th industrial revolution in Germany, the USA, Japan, China, and Korea. This paper also draws detailed items by classifying the six major items of Malcolm Baldridge into large, medium, and small scale classifications, researches items from the technical perspective by applied fields, and the four major factor perspectives of quality management, as well as analyzes the relevant items in a multidimensional method. After a questionnaire survey targeting 200 quality experts was conducted, the important quality management factors were selected by applying the Analytic Hierarchy Process (AHP) method. Results: The importance of the general criteria was analyzed in the order of customers, MAKM (measurement, analysis, and knowledge management), workforce, strategy, operations, and leadership. As for the importance analysis results of the secondary subcriteria, the following items are highly analyzed: senior leadership, searching business model's innovation opportunity, customer satisfaction improvement, big data utilization, systematic management of workforce, and, planning and design quality. Conclusion: In the era of the Internet of everything, when complexity increases, this study presented a quality management direction suitable for new business methods challenging existing orders by drawing on quality management priorities.

5th Graders' Logical Development through Learning Division with Decimals (5학년 아동의 소수 나눗셈 원리 이해에 관한 연구)

  • Lee, Jong-Euk
    • School Mathematics
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    • v.9 no.1
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    • pp.99-117
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    • 2007
  • In this paper it is discussed how children develop their logical reasoning beyond difficulties in the process of making sense of division with decimals in the classroom setting. When we consider the gap between mathematics at elementary and secondary levels, and given the logical nature of mathematics at the latter levels, it can be seen as important that the aspects of children's logical development in the upper grades in elementary school should be clarified. This study focuses on the teaching and learning of division with decimals in a 5th grade classroom, because it is well known to be difficult for children to understand the meaning of division with decimals. It is suggested that children begin to conceive division as the relationship between the equivalent expressions at the hypothetical-deductive level detached from the concrete one, and that children's explanation based on a reversibility of reciprocity are effective in overcoming the difficulties related to division with decimals. It enables children to conceive multiplication and division as a system of operations.

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Analyses of the Effect of System Environment on Filebench Benchmark (시스템 환경이 Filebench 벤치마크에 미치는 영향 분석)

  • Song, Yongju;Kim, Junghoon;Kang, Dong Hyun;Lee, Minho;Eom, Young Ik
    • Journal of KIISE
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    • v.43 no.4
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    • pp.411-418
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    • 2016
  • In recent times, NAND flash memory has become widely used as secondary storage for computing devices. Accordingly, to take advantage of NAND flash memory, new file systems have been actively studied and proposed. The performance of these file systems is generally measured with benchmark tools. However, since benchmark tools are executed by software simulation methods, many researchers get non-uniform benchmark results depending on the system environments. In this paper, we use Filebench, one of the most popular and representative benchmark tools, to analyze benchmark results and study the reasons why the benchmark result variations occur. Our experimental results show the differences in benchmark results depending on the system environments. In addition, this study substantiates the fact that system performance is affected mainly by background I/O requests and fsync operations.

Intelligent and Responsive Window Opening-Closing Operation Process for Carbon Dioxide(CO2) Management of Secondary School Classroom (중등학교 교실의 이산화탄소(CO2) 관리를 위한 지능형 창호개폐 작동 프로세스)

  • Choi, Yoon-Young;Lee, Hyun-Soo
    • Journal of the Korean Institute of Educational Facilities
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    • v.25 no.4
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    • pp.19-30
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    • 2018
  • The school classroom is a common living place where students spend 7 to 14 hours a day to prepare for their careers. Therefore, if the ventilation of the classroom is not properly performed, it may lead to the deterioration of learning ability due to the unclear air. The concentration of carbon dioxide in the classroom is reported to be high, and the increase in carbon dioxide concentration has a negative effect on the learner's academic performance. In this context, the purpose of this study is to propose a methodology for intelligent and responsive window opening-closing operation process that can reduce the concentration of $CO_2$ in the classroom in order to build a support space that can create an effective teaching-learning environment for adolescents. The specific objectives are as follows. First of all, we define the concept of window opening-closing operation. Secondly, twe develop the operation process of window opening-closing. Thirdly, we develop an algorithm for real-time window opening and closing (process) (Window Opening-Closing Operation Process). Finally, we verify the intelligent responsive window opening-closing operation process through developing examples of window opening-closing operation process using the parametric design program. This study is a preliminary study to develop algorithms necessary for window opening-closing operation. Based on the first-order algorithm, We simulated window opening-closing operations according to a hypothetical scenario. As a result, This study can show that the window is open and close depending on the $CO_2$ concentration, but the $CO_2$ concentration in the room is higher than outdoors. Consequentially, we suggest that it is necessary to develop an algorithm to supplement these results because window is often not working when the temperature difference between indoor and outdoor in winter is large.

Implementation and Measurement of Spectrum Sensing for Cognitive Radio Networks Based on LoRa and GNU Radio

  • Tendeng, Rene;Lee, YoungDoo;Koo, Insoo
    • International journal of advanced smart convergence
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    • v.7 no.3
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    • pp.23-36
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    • 2018
  • In wireless communication, efficient spectrum usage is an issue that has been an attractive research area for many technologies. Recently new technologies innovations allow compact radios to transmit with power efficient communication over very long distances. For example, Low-Power Wide Area Networks (LPWANs) are an attractive emerging platform to connect the Internet-of-Things (IoT). Especially, LoRa is one of LPWAN technologies and considered as an infrastructure solution for IoT. End-devices use LoRa protocol across a single wireless hop to communicate to gateway(s) connected to the internet which acts as a bridge and relays message between these LoRa end-devices to a central network server. The use of the (ISM) spectrum sharing for such long-range networking motivates us to implement spectrum sensing testbed for cognitive radio network based on LoRa and GNU radio. In cognitive radio (CR), secondary users (SUs) are able to sense and use this information to opportunistically access the licensed spectrum band in absence of the primary users (PUs). In general, PUs have not been very receptive of the idea of opportunistic spectrum sharing. That is, CR will harmfully interfere with operations of PUs. Subsequently, there is a need for experimenting with different techniques in a real system. In this paper, we implemented spectrum sensing for cognitive radio networks based on LoRa and GNU Radio, and further analyzed corresponding performances of the implemented systems. The implementation is done using Microchip LoRa evolution kits, USRPs, and GNU radio.