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A Case Report of Traumatic Tracheoesophageal Fistula (외상성 기관식도루 -수술체험 1례-)

  • 최승호
    • Journal of Chest Surgery
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    • v.27 no.10
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    • pp.888-892
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    • 1994
  • Acquired, traumatic tracheoesophageal fistula [TEF] is rare and difficult problem to manage. This 55 years old man met with a roller accident of a tractor. During accident, he received a penetrating injury on the left upper sternal border. At local clinic, he received closed thoracotomy drainage [CTD]for relief of pneumothorax[left]. Three days after CTD, he complained abdominal pain and hematemesis. The endoscopy revealed large ulcer at the stomach, so he received subtotal gastrectomy. On 10th day post subtotal gastrectomy, he developed aspiration and coughing from a TEF. The esophagogram showed large TEF at the mid-trachea level. So he transfered to our hospital for operation. This patient was operated on for late TEF three weeks after injury. We have used absorble 4-0 Vicryl sutures to repair trachea. We repair all esophageal injuries with two layers of nonabsorbable silk suture. Where suture line on the esophagus, the strap muscle was interposed for reinforcement. And for feeding, the feeding jejunostomy was performed. Postoperatively the osteomyelitis of the manubrium site was developed, so on the 30th postoperative day, an ostectomy of manubrium, both clavicle and fight 1st, 2nd ribs, and the pectoralis major musculo-cutaneous flap coverage were performed.

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Problems and Revision of D-terms in Incoterms 2000 (Incoterms 2000 D-terms의 문제점(問題點)과 개정방안(改正方案))

  • Oh, Se-Chang
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.15
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    • pp.33-57
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    • 2001
  • Although the parties did not expressly incorporate Incoterms into their contracts, Incoterms which have reflected a generally authorized principles and custom might be a part of sale contract. As indication of Introduction in Incoterms 2000, although the D-terms are different in nature from the C-terms, since the seller according to the D-terms is responsible for the arrival of the goods at the agreed place or point of destination at the border or within the country of import. Therefore, according to importance of Incoterms, although Incoterms 2000 have been revised in line with the most current commercial practice, because mentioned problems in this paper can be raised, they must be revised through Introduction, Rules or Guide Book of Incoterms.

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A neural network extracting the induced stimuli for the perception of subjective contours (주관적 윤각 인식을 위한 유도 자극 추출 신경망)

  • 정은화;홍경호;김욱현
    • Journal of the Korean Institute of Telematics and Electronics C
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    • v.34C no.3
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    • pp.37-47
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    • 1997
  • Human observers perceive a contour where no line or edge is given (subject contour), such as the border between gratings of thin lines offset by half a cycle. Subjective contours occur in a wide variety of circumstances in nature. A common factor in all such figures in the perception of a surface(contour) occuluding part of a background, i.e. subject contours are always accompanied by subject surfaces. Some examples about these kinds of figures are given by kanizsa trangle or square. Ph;ysiological observations are reported in which the perceptual phenomenon that some simple examples of subject contours are perceived as images (gigures; contours) through physiological experiments was investgated. In this paper, we proposed a neural network extracting the induce dstimuli for the perception of subject contours based on the visual mechnism. This visual mechnism is proposed by hubel & wiesel's paper.

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The Study of Logistics Process Standardization (물류 프로세스 표준화 연구)

  • Park, Sun Ho;Park, Soo Min
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.7 no.1
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    • pp.173-183
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    • 2011
  • Global logistics including Korea had developed at various fields through the developed IT technology. In addition, in changing into Internet based digital economy times, economic and logistics activities became extending into worldwide over the cross-border. Logistics activity performed by off-line rapidly changed in real environment. But, unfortunately business process modeling about the whole logistics was not happened, even though process modeling had done by transport stages or logistics entities. Therefore, it is difficult to grasp the whole logistics. Additional cost and time was requested due to no association between logistics entities and invisibility. So, this paper has to be process modeling for logistics industry domain. For objective modeling, work area shall be divided and it extracts general work process per each area. And then it defines subprocess of general work process. Cargo tracking in logistics industry domain means to grasp the status and present states at transportation or storage stage. This paper defines business process and data model for electronic processed work area using the UN/CEFACT standard modeling methodology.

Automatic Detection of Left Ventricular Contour from 2-D Echocardiograms using Fuzzy Hough Transform (퍼지 Hough 변환에 의한 2-D 심초음파도에서의 좌심실 윤곽 자동검출)

  • ;K.P
    • Journal of Biomedical Engineering Research
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    • v.13 no.2
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    • pp.115-124
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    • 1992
  • An algorithm has been proposed for the automatic detection of optimal epiand endocardial left ventricular borders from 2-D short axis echocardiogram which is degraded by noise and echo drop out. For the implementation of the algorithm, we modified Ballard's Generalized Hough Transform which can be applicable only for deterministic object border, and newly proposed Fuzzy Hough Transform method. The algorithm presented here allows detection of object whose exact shapes are unknown. The algorithm only requires an approximate model of target object based on anatomical data. To detect the approximate epicardial contour of left ventricle, Fuzzy Hough Transform was applied to the echocardiogram. The optimal epicardial contour was founded by using graph searching method which contains cost function analysis process. Using this optimal epicardial contour and average thickness imformation of left ventricular wall, the approximate endocardial line was founded, and graph searching method was also used to detect optimal endocardial contour.

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A Study on The Relationship with Nature in the Layout and Plan of Contemporary Suburban House (전원주택 배치와 평면에서의 자연 연계성에 관한 고찰)

  • Choi, Jong-Chul
    • Journal of the Korean Institute of Rural Architecture
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    • v.8 no.2
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    • pp.54-61
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    • 2006
  • Contemporary Suburban House is a kind of 'Urban House in nature' that urban middle class peoples elect voluntarily to raise life quality and make their own identity. Therefore, 'The Relationship with Nature' is an essential item in the design of Suburban House. But in the site plan of Suburban House, 'The Nature' as outdoor space is only the rest of the indoor space. The outdoor space is hold in common visually but not actually. 'The Nature' is not a labour ground as the case in rural society but a background of village. The plan of Suburban House is based on the urban apartment plan. So in plan, 'The Nature' is also an object for contemplation as the case in urban house. The outline of the plan as a border line between indoor space and outdoor space is controlled uniformally and 'The Nature' is linked only visually in the direction the resident wants to see.

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A STUDY ON POROSITY FORMATION IN COMPOSITE RESIN FILLING MATERIALS (복합(復合)레진충전물내(充塡物內)의 기포형성(氣泡形成)에 관(關)한 연구(硏究))

  • Kim, Yung-Hai
    • Restorative Dentistry and Endodontics
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    • v.7 no.1
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    • pp.71-75
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    • 1981
  • Five different labelled composite resin, Hypol (Korea), Glass-Ionomer (Japan), Simulate (U.S.A.), Durafil (U.S.A.) and Microfil (U.S.A.) were collected to employ for this experimental study. The purpose of the study is to determine the effect of finger pressure technic and traditional filling by means of plastic instruments on porosity formation in composite materials. Each material with pressure and non-pressure cases were carefully examined under electron microscope. Following were the results obtained through the study. 1. Pressured cases showed smaller number of porosity and the size of porosity was significantly smaller than non-pressured cases in each mateial. 2. Glass-Ionomer with pressure cases were seen as tube-like appearance because of pressured small porosities communicate in a certain direction. 3. Durafil cases both pressured and non pressured, appeared the least porosity formation. among the materiats. 4. Border line between the outmost periphery of the porosity and matrix of the resin in both pressured or non-pressured eases were found characteristically clear in Mierofil cases.

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The Identification of drilling chatter on the machining accuracy (Drill가공의 형상정도에 의한 Chatter발생 규명)

  • Park, Jong-Kweon;Seong, Hwal-Gyeong
    • Journal of the Korean Society for Precision Engineering
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    • v.12 no.5
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    • pp.18-24
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    • 1995
  • Drilling chatter is regenerative type self-excited vibration and can be predicted by the measurments of the dynamic compliance between tool and workpiece based on structural dynamics and cutting dynamics. This paper describes the theoretical prediction about drilling chatter and the mechanism of the formation of multi-coner shape in holes by drilling chatter. By the experiments and theoretical study, it is found that the odd number of multi-coner shape is always generated by drilling chatter.

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Mospholops Mosphogicel Chauge on the Derelopmest of Duitus Oeferers of Meat Trppe Cockerds (육닭 정관의 발육에 따른 형태학적 변화)

  • 한방근;김우권;이재홍
    • Korean Journal of Animal Reproduction
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    • v.8 no.1
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    • pp.46-55
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    • 1984
  • The purpose of the experiment was to clarify morphologically normal growth pattern of the ductus deference in accordance with the sex maturity of meat-type cockerels. 1. Diameter of lumens in u, pp.r, mid and lower parts of ductus deferens, the most conspicuous enlargement of lumen was observed in the lower part. Heights of epithelial layers of ductus deferens showed abrupt growth at 12 weeks of age with subsequent gradual growth in all the part of u, pp.r, mid and lower, and heights of those at 30 weeks were a, pp.oximately 4 times as large in the u, pp.r and mid parts and 5 times as large in the lower part in contrast to those at 4 weeks of age. Thickness of muscular layer of ductus showed gradual growth in contrast with the diameter of lumen and height of epithelial layer, showing 1.3 times as large in the u, pp.r part, 1.6 times in the mid part and 1.9 times in the lower part at 30 weeks of age in contrast to the thickness at 4 weeks of age. 2. Within 10 weeks after hatching, lining cells of ductus deferens were mainly composed of round cells and columnar cells in simple columnar epithelium. During 10th to 20th week, the lining cells were mainly composed of high columnar cells and round cells in pseudostratified epithelium. From 22nd week, the lining cells were composed of pseudostratified columnar cells. Whereas round cells disa, pp.ared gradually. Enlargement of lumen and pooling of sperms in ductus deferens coincided with the maturation of seminiferous tubules. 3. In simple correlation between the values of testis weight and the values from various measurements in the ductus deferens, there was significant correlation coefficient with each other. 4. In the India ink absorption test, India ink granules were not absorbed on the epithelium of the ductus deferens, but the granules reactive to acid phosphatase a, pp.ared in a line on the free border of each parts of the ductus deferens. The granules reactive to alkaline phosphatase were noted on the luminal border of ductus deferens mainly, but weak reaction showed than acid phophatase were a, pp.ared. The granules reactive to PAS were a, pp.ared mostly near on the free border of hte epithelial cells of ductus deferens. 5. Number of sperm, Indes of sperm vitality and MRT in the different parts of ductus deferens were tended to be somewhat dominant in the mid and lower parts than in u, pp.r part, even though not significant in the statistical analysis. Ratio of sperm abnormality was tended to be relatively high in the u, pp.r part too, and in the sperm of abnormality blunted head was less in number significantly in the mid and lower part than in the u, pp.r part.

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A Case Study of the Utilization of Cultural Property in Border Areas led by Local Residents - Focusing on the Horogoru Tong-il Balagi Festival in Wondang-ri, Jangnam-myeon, Yeoncheon-gun - (지역 주민주도를 통한 접경지역 문화유산 활용사례에 관한 연구 - 연천군 장남면 원당리 호로고루 통일바라기 축제를 중심으로 -)

  • LEE Sejin;PARK Kyujin;CHOI Jongtaik;LEE Donghae;KANG Sangsik
    • Korean Journal of Heritage: History & Science
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    • v.56 no.4
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    • pp.270-286
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    • 2023
  • This article is about the conservation and use cases of Horogoru, a Goguryeo site located in Wondang-ri, Jangnam-myeon, Yeoncheon-gun in Gyoenggi Province. After Horogoru was excavated, it was decided to build a park around it as a way to prevent damage, and also to plant sunflowers to symbolize the sun. Naming the park 'Tong-il Balagi Park', which refers to the wish for unification, local residents and other related organizations jointly opened the site. Afterwards, they looked for ways to utilize the location and park, and chose to hold the 'Tong-il Balagi Festival'. The festival is an event held under the leadership of local residents, which has the effect of promoting both conservation and cultural property, as well as generating economic benefits. In other words, the Yeoncheon-gun, Jangnam-myeon Tong-il Balagi Festival can be said to be an exemplary example of successfully overcoming various disadvantages associated with the border area near the ceasefire line through local residents' own utilization of cultural property.