• 제목/요약/키워드: Total Operation Time

검색결과 1,152건 처리시간 0.035초

중복판막수술에 대한 임상적 연구 (Clinical study of multiple cardiac valve operation)

  • 김승진
    • Journal of Chest Surgery
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    • 제22권6호
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    • pp.1036-1043
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    • 1989
  • Seventy eight patients underwent operation for combined multiple valve disease, with an overall early mortality of 14.1 % from January, 1983 to September, 1988 in the department of thoracic and cardiovascular surgery of Pusan National University Hospital. All of the above cases had combined multiple valve procedures. There were 33 mitral valve replacements and tricuspid annuloplasties, 33 aortic and mitral valve replacements, 5 aortic and mitral valve replacements with tricuspid annuloplasties, 3 aortic valve replacements and mitral annuloplasties, 1 open mitral commissurotomy and tricuspid annuloplasty and, 1 mitral valve replacement and primary closure of tricuspid valve cleft, 1 mitral valve replacement and aortic commissurotomy, 1 mitral, aortic and tricuspid valve replacement were done. 44 were male and 34 were female and the age distribution was from 14 to 57 with mean 38 year old. According to NYHA[New York Heart Association] classification, 49 patients were class I, 19 patients were class Il and 10 were class IV. Average perfusion time was 205.3 minutes. The live patients perfusion time was 178.7 minutes while that of dead ones was 272.0 minutes. Early deaths within 30 days from operation were 11 cases, 6 of which were due to low cardiac output, 3 were acute renal failure and 2 were cardiac rupture. The 65 patients were followed up from 2 to 30 months for a total 20.6 patient years. 1 patient committed suicide because of postoperative depression 1 year after operation. All of the survivors were enjoying their daily life and their NYHA class was superior to the preoperative ones.

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지열시스템의 그라우트 및 수온변화가 미생물에 미치는 영향 실험 (Effects of Grouts and Temperature Change on Microorganisms in Geothermal Heat Pump)

  • 조윤주;이진용;김창균;한지선
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제14권4호
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    • pp.10-14
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    • 2009
  • 본 논문은 지열시스템의 설치 시 사용되는 그라우트와 운영에 따른 수온변동이 유발할 수 있는 미생물학적 영향을 실내실험을 통해 살펴보았다. 시료는 지열히트펌프가 아직 가동되지 않는 관정(한방병원)과 지열 히트펌프가 가동 중인 곳(창업보육센터)에서 채취하였다. 실험에 사용한 그라우트는 볼클레이 벤토나이트로 나트륨(Na)계이며 Real-time PCR을 사용하여 각 시료에서 추출된 총 유전자 DNA 중 세균이 가지고 있는 16S rDNA를 정량함으로써 전체 세균의 양을 평가하였다. 실험 결과 지열히트펌프가 가동 중인 지하수에서 총 세균양이 가장 많았으며 벤토나이트를 주입하면서 세균수가 증가하는 경향을 보였다. 한편 그라우트 및 수온영향을 보다 명확하게 파악하기 위해서는 장기적인 현장모니터링이 요구된다.

Postoperative Complications and Their Risk Factors of Completion Total Gastrectomy for Remnant Gastric Cancer Following an Initial Gastrectomy for Cancer

  • Park, Sin Hye;Eom, Sang Soo;Eom, Bang Wool;Yoon, Hong Man;Kim, Young-Woo;Ryu, Keun Won
    • Journal of Gastric Cancer
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    • 제22권3호
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    • pp.210-219
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    • 2022
  • Purpose: Completion total gastrectomy (CTG) for remnant gastric cancer (RGC) is a technically demanding procedure and associated with increased morbidity. The present study aimed to evaluate postoperative complications and their risk factors following surgery for RGC after initial partial gastrectomy due to gastric cancer excluding peptic ulcer. Materials and Methods: We retrospectively reviewed the data of 107 patients who had previously undergone an initial gastric cancer surgery and subsequently underwent CTG for RGC between March 2002 and December 2020. The postoperative complications were graded using the Clavien-Dindo classification. Logistic regression analyses were used to determine the risk factors for complications. Results: Postoperative complications occurred in 34.6% (37/107) of the patients. Intra-abdominal abscess was the most common complication. The significant risk factors for overall complications were multi-visceral resections, longer operation time, and high estimated blood loss in the univariate analysis. The independent risk factors were multi-visceral resection (odds ratio [OR], 2.832; 95% confidence interval [CI], 1.094-7.333; P=0.032) and longer operation time (OR, 1.005; 95% CI, 1.001-1.011; P=0.036) in the multivariate analysis. Previous reconstruction type, minimally invasive approach, and current stage were not associated with the overall complications. Conclusions: Multi-visceral resection and long operation time were significant risk factors for the occurrence of complications following CTG rather than the RGC stage or surgical approach. When multi-visceral resection is required, a more meticulous surgical procedure is warranted to improve the postoperative complications during CTG for RGC after an initial gastric cancer surgery.

퍼지 논리를 이용한 드럼형 보일러의 자동정지에 관한 연구 (A study on automatic shutdown of drum-type boiler using fuzzy logic)

  • 이한오;이재혁;황동한;변증남
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1992년도 한국자동제어학술회의논문집(국내학술편); KOEX, Seoul; 19-21 Oct. 1992
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    • pp.880-886
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    • 1992
  • There has been continuous effort to achieve total automation of the power plants. But due to complexity, nonlinearities and time-varying properties of the system, no success has been reported if conventional and/or modern control theories are applied. In spite of this, the start-up and shutdown operations are successfully performed by skilled human operators who are able to utilize a great wealth of knowledge and past experiences. In this paper, in order to automate the shutdown operation of power plants, it is proposed that the operation be performed by a more efficient method than the current used, through dividing the total process into several subprocesses, introducing checkpoints, and using fuzzy logic. For this, fuzzy logic controllers and fuzzy decision-makers are designed and the validity is shown by simulation via a set of piecewise continuous shutdown models.

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임무 기반 드론의 최적성능 및 소요량 분석 방법론 연구 (The Study on analysis methodology of optimal performance and quantity for Mission-Based drones)

  • 하영석
    • 인터넷정보학회논문지
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    • 제21권1호
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    • pp.231-236
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    • 2020
  • 본 논문은 드론 운영개념에 따라 체공시간, 총 운영시간, 적정 소요량 등 작전운용성능과 소요량의 과학적 검증이 필요하나, 이를 체계적으로 분석할 수 있는 방법론이 없어 본 연구를 수행하였다. 본 연구는 임무기반한 모의분석을 통한 검증 6단계의 분석 방법론 연구 및 제안을 통해 드론의 운용개념 기반의 최적 ROC와 소요량을 제시할 수 있으며, 그 결과 기술적, 경제적 효과를 제시 하였다.

The Status and Plan of KMTNet Operation

  • Lee, Chung-Uk;Kim, Seung-Lee;Lee, Dong-Joo;Cha, Sang-Mok;Lee, Yongseok;Kim, Dong-Jin;Kim, Yunjong;Park, Hong Soo;Kim, Hyun-Woo;Lim, Jin-Sun
    • 천문학회보
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    • 제44권1호
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    • pp.61.2-61.2
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    • 2019
  • A total of 10,317 hours of the KMTNet telescope time were allocated for the predefined science programs, and 7,765 hours have been used for science exposures in Chile, Australia and South Africa last year. The success rate of science observation has increased from 70.7% to 75.3%, and the system operation rate has also increased from 97.6% to 99.6%. There were many improvements in mechanical parts of the dome structure and telescope system, and newly installed filter driers of the CCD camera increased the stability of the system by preventing contamination of oil in the gas line in advance. In order to prepare for the time domain astronomy and multi messenger astronomy era, a pilot program was designed and is now being tested. It targets for fast follow-up observations of optical transient events, however it runs during twilight times only so it does not interrupt any granted science program. A total of 32 SCI papers were published using the system in 2018 and it is a good indication of the high science performance of KMTNet. The selection process of the next observation programs starting from October 2020 and its timeline will be discussed in this meeting.

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철도수송수요를 고려한 정차역 선정과 열차운행방안 -경부선 서울~조치원구간을 중심으로- (A primary study of Rail Station Selection and Train Operation Management Plan with Transportation Demand)

  • 문대섭;정병현
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2001년도 춘계학술대회 논문집
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    • pp.80-87
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    • 2001
  • The purposes of this primary study are the selection of rail station and train operation management techniques for express-rail operation service at the convectional railway electrification. For these analyses, we used the KNR statistics and KROIS data of rail stations and train users by rail line. Therefore, we chose the important stations for express-rail operation of Kyongbu conventional rail line (esp. Seoul-Jochiwon section) through the rail transportation demand. and then, suggested primary operational management plan thorough the effects analyses of decreasing total travel time and increasing transportation demand by train speed-up. This study has some bounds and limits for proceeding, as it does, we excluded as followings: the conditionals of fate system, headways and train diagram, economic/financial analysis and technological assessment, and other railway technological infrastructures and a certain railcar specification, etc. . We propose to enlarge this study into a feasibility study of express or skip-stop operation service and compatible vehicle system decision considering with the best possible investment rail line, furthermore. in front of Kyongbu (Seoul-Busan) high-speed rail open in 2004, we have to try to progress the efficiencies of railway operation applying various train operation management plan.

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실시간 기상상태를 고려한 가용송전용량 산정 (Assessment of Available Transfer Capability (ATC) considering Real-time Weather Conditions)

  • 김동민;배인수;김진오
    • 전기학회논문지
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    • 제59권3호
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    • pp.485-491
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    • 2010
  • Total Transfer Capability (TTC) should be pre-determined in order to estimate Available Transfer Capability (ATC). Typically, TTC is determined by considering three categories; voltage, stability and thermal limits. Among these, thermal limits are treated mainly in this paper on the evaluation of TTC due to the relatively short transmission line length of Korea Electric Power Corporation (KEPCO) system. This paper presents a new approach to evaluate the TTC using the Dynamic Line Rating (DLR) for the thermal limit. Since the approach includes not only traditional electrical constraints but also real-time environmental constraints, this paper obtains more cost-effective and exact results. A case study using KEPCO system confirms that the proposed method is useful for real-time operation and the planning of the electricity market.

개심술에서 St. Thomas Hospital 심정지액의 심근보호효과에 관한 임상적 연구 (A Clinical Study on the Effects of Myocardial Protection of St. Thomas Hospital Cardioplegic Solution During Open Heart Surgery)

  • 김영학;김근호
    • Journal of Chest Surgery
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    • 제22권2호
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    • pp.225-233
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    • 1989
  • Cardioplegia and myocardial protection were performed under cardiopulmonary bypass during open heart surgery with the use of 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 anomalies and 20 cases for acquired heart diseases. Cardiopulmonary bypass time during the surgery was observed to be average of 87.89*47.55 hours, aortic cross-clamping time [ACCT] 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 ACCT and myocardial protection effects, patients studied were divided into the following 3 groups. I group: ACCT 60 minutes, II group: ACCT 90 minutes, III group: ACCT over 91 minutes [1] SGOT; The positive 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 [4] The myocardial protection method used in the present study was demonstrated to be effective for the myocardial protection in the surgery with ACCT of up to 90 minutes. A few ischemic myocardial injury were observed in the surgery with ACCT over 91 minutes, but no significant cardiac dysfunction was noted. The surgery with ACCT of up to 191 minutes did not appear to give rise any significant interference with postoperative recovery.

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이용자 만족도를 반영한 최적 버스 배차 간격 설정 모형의 개발 (Improvement of Optimal Bus Scheduling Model Reflecting Bus Passenger's Degree of Satisfaction)

  • 배상훈;김탁영;류병용
    • 한국ITS학회 논문지
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    • 제6권3호
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    • pp.12-23
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    • 2007
  • 본 연구의 목적은 현행 버스 배차 간격 설정 시스템의 문제점을 제시하고, 이용자의 만족도와 버스 회사의 운영 효율성을 동시에 높일 수 있도록 이용자 만족도를 반영한 최적의 버스 배차 간격 설정 모형의 개발에 있다. 본 연구에서는 기존의 버스 운영비용, 승객 대기시간 비용 및 승객 통행시간 비용의 합으로 총 교통비용을 최소화하는 기존 모형에 이용자 만족도를 반영하여 최적 버스 배차 간격 설정 모형을 개발하였다. 본 연구는 최적 배차 간격 설정을 위해 선형계획법을 사용하였고, 이를 위해 선형계획법을 기반한 LINGO 프로그램을 사용하였다. 또한 부산의 일반 사례를 총 교통비용을 최소화하는 기존의 모형 및 현행 버스 배차간격 설정 시스템과 개발한 모형에 각각 적용하여 총 교통비용의 차이를 비교하였다.

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