• 제목/요약/키워드: four operation

검색결과 2,239건 처리시간 0.03초

대동맥질환에 대한 외과적 고찰 (Surgical Observations of Diseases of the Aorta)

  • 노준량
    • Journal of Chest Surgery
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    • 제9권2호
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    • pp.251-264
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    • 1976
  • Forty three patients with disease of the aorta were admitted in this department during the period from beginning of 1956 to the end of 1976. They consisted of eighteen cases of aortic aneurysms, eight cases of Takayasu's arteritis, eight Leriche syndromes, six dissecting aneurysms, two aortic coarctations and one case of vascular ring. Of eighteen aortic aneurysms, twelve were operated resulting in eight survivors. Three of four mortalities were in shock preoperatively because of aneurysmal rupture. Among six dissecting aortic aneurysms, four were type III and two were type I according to DeBakey's classification. For the purpose of relief of acute arterial insufficiency in the lower extremities, a re-entry operation grafting a Y-shaped dacron vessel between abdominal aorta and common iliac arteries was performed. The patient regained consciousness soon after the operation and was well until postoperative second day, when severe convulsion developed abruptly and died. And in a chronic case of type III dissecting aneurysm, a dacron graft bypass shunt between ascending aorta and lower descending thoracic aorta with resection of the aneurysm was performed, but acute severe aortic insufficiency developed soon after the operation and fell into intractable heart failure resulting in death. The cause of the aortic insufficiency seems to be retrograde dissection from the proximal anastomosis site in the ascending aorta. Three cases were treated medically with Wheat's regimen. Two of them survived with relief of symptoms. Eight patients of Takayasu's arteritis were all females and aged between twenty and forty-four averaging twenty nine. Bypass graft operation between aortic arch and carotid arteries using Y-shaped nylon prostheses were performed in three patients resulting in death in two cases postoperatively due to severe cerebral arterial insufficiency during the procedure. All the patients with Leriche syndrome were males and over forty. In two cases, bypass graft with Y-shaped dacron vessel between terminal aorta and common iliac or femoral arteries were performed with good result. Thromboembolectomy or thromboendarterectomy was employed in three patients, of whom one was aggravated in sexual problem postoperatively. One out of two aortic coarctations and a vascular ring were treated surgically with excellent results.

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감염성 심내막염의 외과적 치료 (Surgical Treatment of Native Valve Endocarditis)

  • 김애중;김민호;김공수
    • Journal of Chest Surgery
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    • 제28권9호
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    • pp.822-828
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    • 1995
  • This paper reports 15 native valve endocarditis cases had surgical operation in the past 10 years at the department of Cardiovascular and Thoracic Surgery, Chonbuk National University Hospital. In this study, 10 cases out of 15 were in class I or II by the New York Heart Association functional classification. None of the cases had a history of taking addictive drugs. Five cases were congenital heart disease, three cases were rheumatic heart disease and two cases were degenerative heart disease. Thus 10 cases had the underlying disease. All cases had antibiotics treatment for 3 to 6 weeks before operation. In the culture test, only four cases were positive in the blood culture and one case was positive in the excised valve culture. Organisms on blood and valve culture were Streptococcus epidermis, Streptococcus viridans, Staphylococcus aureus and Staphylococcus epidermidis. In the 10 cases without ventricular septal defect, the aortic valve was involved in four, mitral in four, both in two and involved valves in the 5 cases with ventricular septal defect were tricuspid in three, pulmonic in two. Eight cases had operation because they showed moderate congestive heart failure due to valvular insufficiency and vegetation with or without embolism. Seven cases had operation because they showed persistent or progressive congestive heart failure and/or uncontrolled infection. Five cases with ventricular septal defect underwent the closure of ventricular septal defect, vegetectomy and leaflet excision of the affected valves without valve replacement. In the cases without ventricular septal defect, the affected valves were replaced with St. Jude mechanical prosthesis. Postoperative complications were recurrent endocarditis in two, embolism in one, allergic vasculitis in two, spleen rupture in one and postpericardiotomy syndrome in one. At the first postoperative day, one case died of cerebral embolism. At the 11th postoperative month, one case died of recurrent endocarditis and paravalvular leakage in spite of a couple of aortic valve replacement. In the survived cases[13 cases in this study , all cases but one became class I or II by the New York Heart Association functional classification.

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NIST P-521 타원곡선을 지원하는 고성능 ECC 프로세서 (A High-Performance ECC Processor Supporting NIST P-521 Elliptic Curve)

  • 양현준;신경욱
    • 한국정보통신학회논문지
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    • 제26권4호
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    • pp.548-555
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    • 2022
  • 본 논문은 타원곡선 디지털 서명 알고리듬 (Elliptic Curve Digital Signature Algorithm; ECDSA)의 핵심 연산으로 사용되는 타원곡선 암호 (Elliptic Curve Cryptography; ECC)의 하드웨어 구현에 대해 기술한다. 설계된 ECC 프로세서는 NIST P-521 곡선 상의 8가지 연산 모드 (점 연산 4가지, 모듈러 연산 4가지)를 지원한다. 점 스칼라 곱셈 (PSM)에 필요한 연산량을 최소화하기 위해 5가지 PSM 알고리듬과 4가지 좌표계에 따른 연산 복잡도 분석을 토대로 radix-4 Booth 인코딩과 수정된 자코비안 좌표계를 적용하여 설계하였다. 모듈러 곱셈은 수정형 3-Way Toom-Cook 정수 곱셈과 수정형 고속 축약 알고리듬을 적용하여 구현되었다. 설계된 ECC 프로세서는 xczu7ev FPGA 디바이스에 구현하여 하드웨어 동작을 검증하였다. 101,921개의 LUT와 18,357개의 플립플롭 그리고 101개의 DSP 블록이 사용되었고, 최대 동작주파수 45 MHz에서 초당 약 370번의 PSM 연산이 가능한 것으로 평가되었다.

2상2중 쵸퍼방식에 의한 직류타여자전동기의 4상한동작 (Four Quadrant Operations of DC Separately-Excited Motor by the Two Phase Chopper System with Combined Output)

  • 정연택;한경희;김용주;이승환;방이석
    • 대한전기학회논문지
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    • 제39권4호
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    • pp.349-356
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    • 1990
  • In order to control DC motors for electric cars by chopper system, four quadrant operations - forward powering, forward regenerative braking, reverse powering, reverse regenerative braking - are needed. For the four quadrant operations, the separately - excited DC motors are used in this study. The conversion of each quadrant operation has been obtained by 1) adopting the two phase chopper system with combined output for the armature control, and 2) the single phase chopper system for the field control.

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4-노즐 플렙퍼 밸브 특성에 대한 해석적 고찰 (An Analytical Investigation of the Characteristics of Four-Nozzle Flapper Valve)

  • 이재천
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2001년도 춘계학술대회 논문집
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    • pp.161-166
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    • 2001
  • The static characteristics of four-nozzle flapper valves are investigated with both constant flow and constant supply pressure. The ranges, in which linearization of these characteristics would be valid, are discussed. Linearized dynamic model is also derived. Numerical simulations of nonlinear dynamic model are carried out by HyPneu to make an assessment of the effect of input step size in both cases of no-load and blocked-load operation.

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Multiwavelength Erbium-doped Fiber Ring Laser with Adjustable Line Power using Variable Attenuators and DWDM

  • Lee, Hojoon
    • 한국광학회지
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    • 제25권3호
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    • pp.146-149
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    • 2014
  • The homogeneous line broadening in EDF leads to unstable lasing and strong mode competition. In this paper a multiwavelength fiber ring laser that overcomes these effects by using variable attenuators between the DWDM and $1{\times}N$ coupler, has been proposed. Fiber ring lasers with four and eight wavelength outputs are implemented, and we show that the output powers can be adjusted with stable operation. The EDF ring laser has one four-wavelength output and four of single wavelengths, with OSNR of 50 and 60 dB respectively.

DGPS와 퍼지제어를 이용한 스피드스프레이어의 자율주행(II) - 실제주행 - (Autonomous SpeedSprayer Using DGPS and Fuzzy Control (II) - Real Operation -)

  • 이재훈;조성인;이정엽
    • Journal of Biosystems Engineering
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    • 제23권1호
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    • pp.75-82
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    • 1998
  • Autonomous speedsprayer operation was conducted using a fuzzy controller combined with a DGPS. The signal of DGPS receiver and signals of four ultrasonic sensors were processed in real time. The speedsprayer was steered with two levers controlled by two hydraulic cylinders. The fuzzy controller has two inputs; direction of running obtained from the DGPS receiver and distance from trees measured by ultrasonic sensors. The operation times of the hydraulic cylinders were inferred as outputs of the fuzzy controller. Field test results showed that the speedsprayer could be autonomously operated by the developed fuzzy controller including turning operation in the end of the tree row. The ultrasonic sensors contributed a little to performance of the autonomous operation, but the speedsprayer could avoid trees or obstacles in emergent situations with them.

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Time Complexity Measurement on CUDA-based GPU Parallel Architecture of Morphology Operation

  • Izmantoko, Yonny S.;Choi, Heung-Kook
    • 한국멀티미디어학회논문지
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    • 제16권4호
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    • pp.444-452
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    • 2013
  • Operation time of a function or procedure is a thing that always needs to be optimized. Parallelizing the operation is the general method to reduce the operation time of the function. One of the most powerful parallelizing methods is using GPU. In image processing field, one of the most commonly used operations is morphology operation. Three types of morphology operations kernel, na$\ddot{i}$ve, global and shared, are presented in this paper. All kernels are made using CUDA and work parallel on GPU. Four morphology operations (erosion, dilation, opening, and closing) using square structuring element are tested on MRI images with different size to measure the speedup of the GPU implementation over CPU implementation. The results show that the speedup of dilation is similar for all kernels. However, on erosion, opening, and closing, shared kernel works faster than other kernels.

횡복직근피판술을 이용한 즉시 유방재건과 동시 혹은 후에 시행한 복강 내 수술 (Concomitant or Delayed Intra-abdominal Operation in Immediate Breast Reconstruction with TRAM Flap)

  • 김규남;이택종
    • Archives of Plastic Surgery
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    • 제37권1호
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    • pp.22-25
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    • 2010
  • Purpose: As patients who take immediate breast reconstructions with TRAM flap have increased, concomitant or delayed other elective intra-abdominal operations in these patients also have increased. There are few reports of concomitant or delayed intra-abdominal operation in TRAM flap patients. We report our experiences and outcomes of these operations which is safe and feasible. Methods: We reviewed the charts and postoperative follow-up results of 11 patients among 471 consecutive patients who took immediate breast reconstruction with TRAM flap from December of 2002 to September of 2006. Four patients took concomitant intra-abdominal operation and 7 patients took delayed intra-abdominal operation between 1 to 52 months after TRAM flap Results: There were no significant postoperative abdominal and systemic complications. One patient who took concomitant intra-abdominal operation presented partial skin necrosis of abdomen, but recovered completely with conservative treatments. Two patients took transfusion in peri-operative periods. Conclusion: Concomitant or delayed intra-abdominal operation in immediate breast reconstruction with TRAM flap could be performed safely and feasibly when it is necessary. Furthermore, it could be helpful to patients and surgeons.