• Journal of Chest Surgery
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• 제20권2호
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• pp.230-240
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• 1987

Cardioplegia and myocardial protection were performed under cardiopulmonary bypass during open-heart surgery with the use of cold St. Thomas Hospital cardioplegic solution [4=C] for the coronary artery perfusion and normal saline solution [4- C] for the topical cardiac cooling. To maintain the state of myocardial protection, coronary artery reperfusion was carried out using St. Thomas Hospital cardioplegic solution at the interval of 30 minutes. A total number of patients studied were 57 cases, including 37 cases of correction for congenital cardiac anomalies and 20 cases for acquired heart valvular diseases. Cardiopulmonary bypass time during the surgery was observed to be average of 87.89*47.55 hours, aortic cross-clamping time to be average of 76.68~44.27 hours raging from 30 to 191 minutes. In order to evaluate the effects of myocardial protection in the surgery, serum enzyme levels were determined. To observe the relationship between aortic cross-clamping time and myocardial protection effects, patients studied were divided into the following 3 groups. I group: aortic cross-clamping time, 60 minutes, II group: aortic cross-clamping time, 90 minutes, III group: aortic cross-clamping time, over 91 minutes. 1. Changes in serum enzyme levels in postoperative period. [1] SCOT; The postoperative value [increased over 200 units] for ischemic myocardial injury during operation was observed in 11 cases [19.3% of the total] of the total patients studied, of which 4 cases [13.3%] in I group, 1 case [10.0%] in II group, and 6 cases [35.3%] in III group. [2] LDH; The positive value [increased over 900 units] for ischemic myocardial injury during operation was observed in 9 cases [15.7% of the total] of the total patients studied, of which 2 cases [6.6%] in I group, 1 case [10.0%] in II group, and 6 cases [35.3%] in III group. [3] CPK; The positive value [increased over 800 units] for ischemic myocardial injury during operation was observed in 10 cases [17. 5% of the total] of the total patients studied, including 4 cases [13. 3%] in I group, 1 case [10.0%] in II group, and 5 cases [29.4%] in III group. 2. The myocardial protection method used in the present study was demonstrated to be effective for the myocardial protection in the surgery with aortic cross-clamping time of up to 90 minutes. A few ischemic myocardial injury were observed in the surgery with aortic cross-clamping time over 91 minutes, but no significant cardiac dysfunction was noted. The surgery with aortic cross-clamping time of up to 191 minutes did not appear to give rise any significant interference with postoperative recovery.

• 한국임상수의학회지
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• 제21권4호
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• pp.343-348
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• 2004

This study was carried out to investigate the difference between sutured anastomosis and stapler anastomosis (open lumina technique) of jejunum in dogs. Fifteen mongrel-breed female dogs weighting 4 to 6 kgs were allocated to three groups; sutured end-to-end anastomosis (Group I), sutured side-to-side anastomosis (Group II) and stapler anastomosis (Group III), five dogs per each group. All dogs in different anastomosis pattern were compared with time for total operation and suture elapsed for intestines to anastomose, clinical signs, status of feces, complications for 14 days after operation. The total operation time and suture time needed for intestinal anastomosis were significantly(p<0.05) shorter in Group III than Group I and II. All dogs showed no significant difference in vitality, appetite, vomiting between groups for 14 days after operation. All dogs, except one dog in Group II, showed normal vitality and appetite since 7-8 days after operation. Initial return of fecal passage showed in all dogs 8 days after operation and thereafter normal feces were observed in most of the dogs. According to results, all dogs with normal vitality and appetite for 8 days showed good prognosis. In complications after operation, only one dog in Group II showed dehiscence of anastomotic site. There was significant(p<0.05) differences between groups in speed of operation. And all dogs, except one dog in Group II, showed good clinical condition and prognosis. In conclusion, the stapler anastomosis is considered to be more reliable, faster, and precision method compared to the sutured anastomosis for intestinal anastomosis in dogs.

• Journal of Korean Neurosurgical Society
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• 제29권2호
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• pp.203-209
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• 2000

Objective : The authors retrospectively analysed the factors affecting the favorable outcomes in the treatment of the Failed Back Surgery Syndrome(FBSS) or six years. Method : From March 1991 to December 1996, seventy-five patients were diagnosed as FBSS and its incidence was 3.4% of admitted patients with back pain in our department. We analysed the demographic data, etiologies, clinical menifestations, outcomes according to methods of operation, numbers of previous surgery, and time intervals between initial operation and final operation. Result : The most common etiology and previous surgical method of FBSS were insufficient surgery(54.7%) and partial laminectomy(53.3%). Patients were managed as followings ; Total laminectomy and spinal fusion with instrument in 41 cases(54.7%), total laminectomy without fusion in 23 cases(30.7%), and only partial laminectomy in 11 cases(14.7%). The overall treatment outcome was satisfactory in 48 cases(64%). Satisfactory results were observed in those patients who were treated by spinal fusion after complete laminectomy(34 cases), who had underwent only one operation previously(45 cases), and when the time interval between the initial operation and reoperation is shorter than 12 months(43 cases). Conclusion : The treatment outcome in FBSS was favorable in cases of the complete total laminectomy and spinal fusion with instrument, only one previous back surgery, and short time interval between initial and final operations.

• Journal of Gastric Cancer
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• 제1권4호
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• pp.210-214
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• 2001

Purpose: The aim of this study was to evaluate the shortterm outcome of a jejunal interposition, by comparing it with a conventional Roux-en-Y gastrojejunostomy, after a total gastrectomy. Materials and Methods: For 28 patients (20 men and 8 women) with a gastric adenocarcinoma, who underwent an isoperistaltic simple jejunal interposition, weight, hemoglobin, hematocrit, serum protein and albumin, and cholesterol levels were checked before the operation and at 1 year and 2 years after the surgery. Also, endoscopy was performed to confirm reflux esophagitis. In this study, the data were collected between January 1993 and July 1999 at Chungnam National University Hospital, and the results were compared with those of the Roux-en-Y procedure. Results: The body weights at 1 year and 2 years after the surgery had returned to $86.0\%$ and $87.6\%$ of the recent original body weight in the jejunal interposition (JI) group and to $90.8\%,\;87.0\%$, respectively in the Roux-en-Y (RY) group. The levels of hemoglobin (g/dl) were 13.3, 12.5, and 11.9 in the JI group, and 13.8, 12.6, and 12.1 in the RY group at the time of the operation and at 1 year, and 2 years after the surgery, respectively. The total serum protein (g/dl) levels were 7.1, 7.2, and 7.5 in the JI group and 7.1, 7.0, and 7.2 in the RY gropu at the time of the operation and at 1 year and 2 years after the surgery, respectively. The serum albumin (g/dl) levels were 4.2, 4.1, and 4.2 in the JI group and 4.2, 4.2, and 4.2 in the RY group at the time of the operation and at 1 year, and 2 years after the surgery, respectively. The total serum cholesterol (mg/dl) levels were 186.5, 174, and 164 in the JI group and 213.7, 171.1, and 141.0 in the RY group at the time of the operation and at 1 year and 2 years after the surgery, respectively. The endoscopic finding showed that reflux esophagitis occurred in $7.1\%$ of the patients in the JI group and in $3.5\%$ in the RY group. Conclusion: We think that from the view point of quality of life, a jejunal interposition, as well as a Roux-en-Y procedure, is a useful reconstruction methods for a total gastrectomy.

• 임상간호연구
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• 제16권3호
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• pp.63-71
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• 2010

Purpose: This study was conducted to evaluate the incidence and risk factors for surgical glove perforation during operation. Methods: During the month of december 2008, a total of 1,400 pairs of surgical gloves used in major operations was collected in a tertiary hospital. All gloves were examined immediately after operation using the standardized water-leak method to detect any perforation. Incidence of the glove perforation was counted according to the type of operation, operation time, the number of involved personnel, perforation sites, and the manufacturing companies. Results: Out of 2,800 gloves examined, 312 perforations were detected comprising 11.1% of samples. In terms of the type of operation, the perforation incidence varied from 5% to 20%, and the perforation rates in CS (20%) and NS (18%) (p<.001) were significantly higher than those in other departments. The 1st assistant or scrub nurse got glove perforation more frequently than the 2nd assistant or operator (p<.001). Longer operation time was associated with higher incidence of perforation evidently (p<.001). In terms of the sites, the thumb and index finger were more frequently perforated than other sites (4.1% and 3.4% respectively) without any differences between left and right side. Conclusion: Risk factors for glove perforation including the department of operation, operation time, participating personnel, and location of perforation should be taken into account to improve surgical safety.

• 대한산업공학회지
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• 제30권4호
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• pp.346-354
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• 2004

Most industrial logistic systems have focused on carrying products from manufacturers or distribution centers to customers. In recent years, they are faced with the problem of integrating reverse flows into their transportation systems. In this paper, we address the vehicle routing problems with mixed delivery and pick-up(VRPMDP). Mixed operation of delivery and pick-up during a vehicle tour requires rearrangement of the goods on board. The VRPMDP considers the reshuffling time of goods at customers, hard time windows, and split operation of delivery and pick-up. We construct a mixed integer mathematical model and propose a new genetic algorithm named GAMP for VRPMDP. Computational experiments on various types of test problems are performed to evaluate GAMP against the modified Dethloff's algorithm. The results show that GAMP reduces the total vehicle operation time by 5.9% on average, but takes about six times longer computation time.

• 대한원격탐사학회:학술대회논문집
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• 대한원격탐사학회 2004년도 Proceedings of ISRS 2004
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• pp.703-706
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• 2004

Tropospheric parameters, in the form of Total Zenith Delay (TZD) corrections, were estimated with the current GPS network of Korea. We estimated the TZD using the Korea Astronomy Observatory GPS Network of nine permanent stations. About four years of data were processed to get the continuous time series of the TZD. The longest time series is obtained from the site DAEJ, which has been in operation for about 10 years. We analyzed the seasonal and annual signals in the TZD estimates at DAEJ and spatial correlations among eight sites.

• Journal of Biosystems Engineering
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• 제24권4호
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• pp.301-308
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• 1999

Path planning for field operation of agricultural machinery is an indispensible part for precision farming or autonomous field operation. In this study, two algorithms (I, II) of generating a time-based shortest operation path were suggested to plan an optimal operation of an agricultural tractor-implement in a rectangular shaped field. The algorithms were based on modification of a minimum spanning tree algorithm, and applied for tractor-implement operations. the generated path was consisted of round operation and returning operation sections. The number of round operation was determined from the condition that a tractor can turn smoothly at headlands. The performance of the algorithms was evaluated by the calculation number for path generation and the total path length generated. Their stability was affected by the number of returning operation, but the algorithm II was considered to be more stable. In addition, the performances of the developed algorithms were compared with those of the conventional field operations at selected field sizes and shapes. The results showed that the algorithms could reduce field operation time greatly. For a 100m$\times$40m field, the reduced path length was 78m. The study also included an user interface program for implementing the algorithms and generating GPS coordinates that could be used in GIS softwares for precision farming.

• 한국의류산업학회지
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• 제16권6호
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• pp.979-986
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• 2014

This study establishes basic data for operations management by organizing processes and measuring time in the mini line for female jackets to improve productivity, ensure competitiveness, and maintain operator competency and the line process flow balance between apparel manufacturing companies. The results of this study are as follows. Sewing operations are divided into preparation functions, arrangement, partial tasks, and assembly that consist of 84 processes. The results from time measurement indicate that 3238.41seconds (sec) were required to produce a single jacket and that the average time required for operators was 231.32 sec. A control limit was established to increase the reliability of the measured value for net time. After outside values were removed, the operation time was measured to be 3176.35 sec. This accounted for 98.08% of the total operation time, with net time decreasing by 62.06. Skill and effort level coefficients were applied to measure the operator performance, the total real time was calculated to be 3415. The requirement for preparation and arrangement operations were 1233.35 sec, and 2182.22 sec for partial tasks and assembly operations. Process separation and organization were performed after the bottleneck operation was selected to identify the maximum line balance. Consequently, process efficiency of preparation and arrangement operations increased from 79.19% to 93.00%, and the partial tasks and assembly operations increased from 62.36% to 90.93%.

• Journal of Gastric Cancer
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• 제15권3호
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• pp.159-166
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• 2015

Purpose: Laparoscopic total gastrectomy (LTG) is more complicated than laparoscopic distal gastrectomy, especially during a surgeon's initial experience with the technique. In this study, we evaluated the short-term outcomes of and learning curve for LTG during the initial cases of a single surgeon compared with those of open total gastrectomy (OTG). Materials and Methods: Between 2009 and 2013, 134 OTG and 74 LTG procedures were performed by a single surgeon who was experienced with OTG but new to performing LTG. Clinical characteristics, operative parameters, and short-term postoperative outcomes were compared between groups. Results: Advanced gastric cancer and D2 lymph node dissection were more common in the OTG than LTG group. Although the operation time was significantly longer for LTG than for OTG ($175.7{\pm}43.1$ minutes vs. $217.5{\pm}63.4$ minutes), LTG seems to be slightly superior or similar to OTG in terms of postoperative recovery measures. The operation time moving average of 15 cases in the LTG group decreased gradually, and the curve flattened at 54 cases. The postoperative complication rate was similar for the two groups (11.9% vs. 13.5%). No anastomotic or stump leaks occurred. Conclusions: Although LTG is technically difficult and operation time is longer for surgeons experienced in open surgery, it can be performed safely, even during a surgeon's early experience with the technique. Considering the benefits of minimally invasive surgery, LTG is recommended for early gastric cancer.