• Journal of Acupuncture Research
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• 제18권6호
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• pp.70-83
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• 2001

Objective : In order to investigate symptoms prevalence related to visual display terminal(VDT) syndrome, and to evaluate the variables affecting the development of the VDT syndrome. Methods : a questionnaire survey was conducted on 127(81 men and 46 women) VDT operators who had been studied in Soongsil University graduated school in Seoul. Result : As a result of analysis with data collected by questionnaire, l. Variables affecting the level of general symptoms were sex, the total time of VDT operation per day, type of typewriting, location of keyboard, illumination, VDT working duration, the time of VDT operation without rest. 2. Variables affecting the level of eye symptoms were sex, the total time of VDT operation per day, type of typewriting, VDT working duration, illumination, method of eye-resting. 3. Variables affecting the level of musculoskeletal symptoms were sex, the total time of VDT operation per day, the time of VDT operation without rest, illumination. Conculsions : In order to protect workers from VDT syndrome, it is urgently required to implement standard management recommendations including restriction of VDT working hours and allowance of more sufficient resting time for VDT workers.

• 대한산업공학회지
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• 제37권2호
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• pp.132-143
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• 2011

This paper deals with a coal supply planning problem for power plants. We propose a mathematical optimization model to make decisions for coal pile sections, movement of reclaimers, and operation time of conveyor belts. The objective of the proposed model is to minimize the total operation time of conveyor belts and total movement time of reclaimers. The algorithm firstly selects a pile section by considering both the location of reclaimers and the stock amount on that pile section. And then the shortest path from the selected pile section has to be put into the operation schedule and check whether the total operation time is satisfied. Then finally the new schedule is updated. To this end, we have tested the proposed algorithm comparing with the general standard optimization package for the simplified problem SCSPP. From the numerous test runs for comparing with the existing coal supply scheduling methods, We see that the proposed model may improve the coal supply operation by reducing significant coal supply costs.

• 산업경영시스템학회지
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• 제23권58호
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• pp.17-27
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• 2000

In FMS where tool movement policy is adopted, a mathematical model has been developed which determines the selection of a tool type for each operation and tool loading-part assignment simultaneouly. The objective is to minimize the total cost of operation including machining time cost, tool cost, tool replacement and loading time cost, and tool change time cost. Due to the complexity of the problem, an approximate solution procedure has been developed utilizing the special structure of the model. Tool selection was determined first to allocate one tool type to each operation considering more than one tool type alternatives for each operation. Tool loading-part assignment was determined to minimize tile total number of tool changes due to part mix based on the tool selection.

• Archives of Plastic Surgery
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• 제45권4호
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• pp.340-344
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• 2018

Background In performing extended latissimus dorsi (ELD) flap procedures, a skin paddle design on the bra line helps reduce visible scarring. This improves the patient's satisfaction with the outcome. However, such a design leads to a longer operation time and increased fatigue of the surgeon due to the narrow operative field. In this study, the authors propose a method that elongates the axillary incision line posteriorly by 1.5 cm from the lateral border of the latissimus dorsi muscle. We examined whether this method could shorten the operation time and compared the incidence of complications between patients who underwent this novel procedure and patients who underwent the traditional procedure. Methods In this study of patients who underwent ELD flap procedures for immediate breast reconstruction, 89 underwent surgery with the elongated axillary incision and 45 underwent surgery without the elongated incision. The total operation time and complications were retrospectively examined based on the patients' medical records, and we examined whether there was any statistically significant difference in the total operation time. Results In the experimental group with the elongated axillary incision, the operation time ranged from 125 to 255 minutes (median, 175 minutes). In contrast, in the control group without the elongated axillary incision, the operation time ranged from 142 and 340 minutes (median, 205 minutes). The operation time was statistically significantly different between the two groups, and no significant complications were observed in the experimental group. Conclusions Elongation of the axillary incision alone may shorten the operation time of the ELD flap procedure without causing additional complications.

• 대한교통학회지
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• 제14권1호
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• pp.69-80
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• 1996

In most cities, travel demand is distributed along long corridors and its destinations tend to concentrate in a central business district. For this kind of many-to-one or one-to-many travel demand pattern, a zonal operation of buses can be an efficient bus operation technique in which a long bus-demand corridor is divided into service zones and each service zone is provided with its own bus route connecting the service zone and single destination separately. This paper develops models of the total transportation costs for a single-zone operation and 2-zonal operation of buses for a long demand corridor with single destination in terms of various cost parameters, demand density, bus operation speeds, and location of the boundary between two service zones. In this study the total transportation cost is assumed to consist of the bus operation cost, passenger waiting cost and passenger travel time cost. It was proved that a zonal operation of buses can be more efficient than a single-zone operation for certain circumstances of the system and an boundary condition between two operation techniques was obtained. Also, several case studies were performed for various values of the cost parameters.

• 한국연소학회:학술대회논문집
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• 한국연소학회 2012년도 제44회 KOSCO SYMPOSIUM 초록집
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• pp.35-36
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• 2012

Part load operation usually covers large periods of the total operation time on the economic ground and electricity demand in small-scale boilers. Performance analysis of part load behavior is very important for the purpose of boiler operation optimization. A simple thermal calculation approach is applied to predict performance of a pilot-scale circulating fluidized bed (CFB) boiler at part load operation. Verification has been carried out by comparing between calculation results an operation data of the boiler.

• 한국경영과학회지
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• 제33권2호
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• pp.75-86
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• 2008

A remarshalling is one of the operational strategies considered importantly at a port container terminal for the fast ship operations and heighten efficiency of slacking yard. The remarshalling rearranges the containers scattered at a yard block in order to reduce the transfer time and the rehandling time of container handling equipments. This Paper deals with the rearrangement problem, which decides to where containers are transported considering time value of each operations. We propose the mixed integer programming model minimizing the weighted total operation cost. This model is a NP-hard problem. Therefore we develope the heuristic algorithm for rearrangement problem to real world adaption. We compare the heuristic algorithm with the optimum model in terms of the computation times and total cost. For the sensitivity analysis of configuration of storage and cost weight, a variety of scenarios are experimented.

• Journal of Gastric Cancer
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• 제11권4호
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• pp.206-211
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• 2011

Purpose: Laparoscopic total gastrectomy (LTG) for gastric cancer is still uncommon because of technical difficulties, especially in esophagojejunostomy (EJ). There are many reports for various laparoscopic procedures of EJ using linear or circular staplers. On the other hands, there has been no report for hand-sewn anastomosis. We report successfully performed intracorporeally hand-sewn EJ after LTG. Materials and Methods: The clinicopathologic data and short-term surgical outcomes of 6 patients who underwent totally laparoscopic total gastrectomy for upper gastric cancer from December 2010 and July 2011 were retrospectively reviewed. Results: The mean age was 66.5 years and mean body mass index (kg/$m^2$) was 24.6. All patients had medical comorbidities. The mean patient ASA score was 2.17. Among the 6 patients, previous abdominal operation was performed for 2 patients and combined operation was performed for 3 patients. The mean blood loss, operation time, and EJ anastomosis time was 130 ml, 379.7 minutes, and 81.5 minutes, respectively. The mean time to first flatus, first oral intake, and postoperative hospital stay was 3.0, 3.0, and 12.5 days, respectively. There was no 30-day mortality case. Postoperative aspiration pneumonia and multiple periventricular lacunar infarctions developed in 1 patient. There were no anastomosis-related complications and other major surgical complications. Conclusions: When the intracorporeal anastomotic technique becomes popular in LTG the intracorporeally hand-sewn EJ may be accepted as one method among the various laparoscopic procedures of EJ.

• 한국임상수의학회지
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• 제18권2호
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• pp.124-132
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• 2001

The purpose of this study is to know whether single layer continuous connell suture is an acceptable alternative to simple interrupted approximating suture for end-to-end intestinal anastomosis in dogs. Fourteen mixed-breed dogs weighing 2 to 5 kg were allotted to group treated with simple interrupted approximating suture (Group I) and group treated with single layer continuous Connell suture (Group II), each of 7 dogs. All dogs in each suture pattern were compared with time for total operation ad suture elapsed for intestines to anastomose, clinical signs, changing of pre-and postoperative luminal size, status of feces, adhesion at anastomotic site for 14 days after operation. Time for total operation and suture time for intestinal anastomosis were none significant between Group I and Group II, although those in Group II was about 3 minutes shorter than those in Group I, respectively. Group I spent average 47.08${\pm}$11.10 minutes on total operation, 20.97${\pm}$5.54 minutes on suture time for intestinal anastomosis and Group II spent average 44.74${\pm}$7.77 minutes, 17.73${\pm}$3.05 minutes, respectively. All dogs were no special differences in vitality, vomiting, appetite between Group I and Group II for 14 days after operation. All dogs, except one dog in Group I, had showed normal vitality and appetite since 6~8 days after operation. Initial return of fecal passage showed in all dogs before 6 days after operation and thereafter most dogs showed normal feces. According to results, it was thought that all dogs with normal vitality and appetite before 8 days had showed good prognosis. There were no changes of intestinal luminal size in 2 dogs performed Group In and one dog performed Group II between at operation and 14 days after operation. Narrowing rate of intestinal lumen in Group I was average 9.3% of the normal diameter, whereas in Group II, 9.5% of normal diameter. In complications after operation, only one dog in Group I showed intestinal intussusception but the others didn't. Length of adhesion was measured between intestinal anastomotic site and omental graft. Length of adhesion in dogs performed Group II was mostly shorter than that of Group I. Adhesion with proximate intestines occurred in five dogs, which consisted of 3 dogs performed Group I and 2 dogs performed Group II. Concurrently, they had a great length of adhesion between anastomotic site and omental graft. There were no great differences between Group I and Group II about speed of operation, clinical signs, complications such as leakage and stricture. And all dogs performed intestinal anastomosis showed good clinical condition and prognosis. In conclusion, Single layer continuous Connell suture can safely perform an intestinal anastomosis and be an alternative of simple interrupted approximating suture in aspect of speed clinically.

• Journal of Chest Surgery
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• 제7권2호
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• pp.189-200
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• 1974

The mitral valve replacement with Beall prosthetic valve was performed on three patients, and double valve replacement. aortic and mitral valve, was performed in this department.1) The preoperative studies about the first case were compatible with mitral steno-insufficency.The diseased mitral valve was replaced with the medium sized Beall prosthetic valve under the cardiopulmonary hypass using hypothermic hemodilution technique. The total perfusion time was eighty minutes. Immediate postoperative course was smooth, but this patient was died of asphyxia due to tracheomalacia complicated after tracheostomy 3 months after operation. Autopsy on this patient revealed that no thrombus and no ball variance could be found, and endothelization on the valve cuff was satisfactory. 2) The preoperative studies on the second case were compatible with mitral insufficiency. The diseased mitral valve was replaced with the medium sized Beall prosthetic valve under the cardiopulmonary bypass using hypothermic hemodilution technigue. The total perfusion time was 123 minutes. This patient was discharged in good condition and follow-up study after 16 months revealed the patient had enjoyed healthy life. 3) The preoperative studies about the third case were compatible with aortic insufficiency and mitral stenoinsufficiency. The diseased valves were replaced with type 2 sutureless Magovern aortic valve and the medium sized Beall mitral prosthesis under cardiopulmonary bypass using hypothermic hemodilution technIque and coronary artery perfusion. The total perfusion time was 155 minutes. This patient was discharged in good condition, but thromboembolism was developed 2 months after discharge. 4) The preoperative studies about the fourth case were compatible with mitral insufficiency. The diseased mitral valve was replaced with the medium sized Beall prosthetic valve. The total perfusion time was 132 minutes. The atrioventricular block developed just after operation but converted to normal sinus rhythmn on the third postperative day. The preoperative NYHA functional classification IV was converted to Class 1 or 11 at the time of discharge and this patient enjoyed healthy life. Attendum; The fifth case, nineteen years old male with mital insufficiency underwent Beall valve replacement and his course was uneventful 2 weeks after operation.