• Title/Summary/Keyword: intermittent operation

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Outcome of Operation in Crohn's Disease in Children (소아 크론병의 수술적 치료)

  • Ko, Eun-Young;Park, Kwi-Won;Kim, Hyun-Young;Jung, Sung-Eun;Kim, Woo-Ki;Min, Hae-Sook
    • Advances in pediatric surgery
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    • v.11 no.2
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    • pp.131-140
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    • 2005
  • The purpose of this study is to review the operative management and outcome of operation for Crohn's disease. The medical records of 17 patients who underwent operations for Crohn's disease at Seoul National University Children's Hospital from January of 1988 to June of 2005 were reviewed. The male-to -female ratio was 1.8: 1. The median age at the onset of symptoms and the time of diagnosis was 9 years 6 months and 11 years 6 months respectively. The median time interval from diagnosis to operation was 2 years and 1 month (0 month~8 years). The ileocolic or ileocecal region was the most common site of involvement. The indications for operation were intractable symptoms (8 cases) and obstruction or stricture (7 cases). The median postoperative hospitalized days were 14.4 days (8~35 days). Five patients (29 %) experienced postoperative complications. Symptom free state or symptom relief was observed in 11 cases after surgery and 6 cases had intermittent episodes of remissions and recurrences. In pediatric Crohn's disease patients who present with intractable symptoms despite medical treatment or develop surgical complications, symptom free state or symptom relief can be achieved by minimal resection of the diseased segment.

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Development of a Simple Autonomous Vehicle for Greenhouse Works (온실용 간이 자율주행 작업차의 개발)

  • 이재환;류관희
    • Journal of Biosystems Engineering
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    • v.21 no.4
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    • pp.422-428
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    • 1996
  • This study was conducted to developed to develop a simple battery-powered autonomous vehicle for greenhouse works. A steering method using speed difference of two independent driving motors was adopted. DC motor driving circuit, speed control circuit and controller using one-chip microcomputer were constructed. The inputs of controller are rolling of the vehicle and current speed of driving motors. Using these signals, automatic guidance system along furrow was developed. A computer simulation program by the kenematic analysis was developed to find out optimal control algorithm. The results of this study are as follows. 1. Automatic guidance system along the furrow that adopted two independent driving motors and rolling of vehicle was developed. 2. The results of simulation showed that PID control was adequate to automatic guidance system along furrow. 3. Two commercial 12V battery serially connected were able to drive the vehicle on the soil ground for five hours in continuous operation and for four hours in intermittent operation without recharging the battery. 4. The speed range was 0-0.7m/s and the rolling of vehicle could be controlled within $pm5^{\circ}$ range. 5. From a series of tests, developed vehicle was found to be a useful tool for greenhouse works.

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Right Ventricular Myxoma Obstructing Right Ventricular Outflow Tract (점액종에 의한 우심실 유출로 협착)

  • Song Kwang-Jae;Yun Tae-Jin
    • Journal of Chest Surgery
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    • v.39 no.8 s.265
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    • pp.637-639
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    • 2006
  • Cardiac myxoma is the most common primary tumor of the heart, but right ventricular myxoma causing outflow obstruction is relatively rare. A 15 years old girl developed dyspnea on exertion and intermittent syncope caused by a right ventricular mass obstructing the right ventricle outflow tract. Transthoracic echocardiography revealed $3.6{\times}3.0\;cm$ sized pedunculated subpumonic mass originating from the right ventricular anterior free wall. The patient underwent an emergency operation, consisting of the removal of the mass by wide excision of the tumor base and PTFE (polytetrafluoroethylene) patching of the right ventricular anterior free wall defect. Pathological findings of the mass were compatible with myxoma, and the patient was discharged uneventfully 7 days after the operation.

Implementation of Mission Service Model and Development Tool for Effective Mission Operation in Military Environment (전장공간의 효율적 임무수행을 위한 임무서비스 모델 및 개발도구 구현)

  • Song, Seheon;Byun, Kohun;Lee, Sangil;Park, JaeHyun
    • KIPS Transactions on Software and Data Engineering
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    • v.6 no.6
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    • pp.285-292
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    • 2017
  • There are technological, operational and environmental constraints at tactical edge, which are disconnected operation, intermittent connectivity, and limited bandwidth (DIL), size, weight and power (SWaP) limitations, ad-hoc and mobile network, and so on. To overcome these limitations and constraints, we use service-oriented architecture (SOA) based technologies. In our research, we propose a hierarchical mission service model that supports service-oriented mission planning and execution in order for a commander to operate various SW required for mission in battlefield environment. We will also implement development tools that utilize the workflow technology and semantic capability-based recommendation and apply them to combat mission scenarios to demonstrate effectiveness.

Operation of Battery Energy Storage System for Governor Free and its Effect (주파수추종 운전 적용을 위한 BESS의 운용 방법 및 효과)

  • Cho, Sung-Min;Jang, Byung-Hoon;Yoon, Yong-Bum;Jeon, Woong-Jae;Kim, Chulwoo
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.64 no.1
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    • pp.16-22
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    • 2015
  • As the development of Battery Energy Storage System(BESS) and the increasing of intermittent energy sources like wind power and photovoltaic, the application of BESS in load frequency control is considered as an effective method. To evaluate the effectiveness of BESS application in frequency control, we defined a governor free model of BESS to conduct dynamic simulation. Using the BESS dynamic model, we implemented the power system dynamic model including steam, gas and hydro turbine generators. In this paper we study the control performance of BESS in primary frequency control. The effect of BESS speed regulation rate and response time on governor free operation is investigated. In addition, we compared BESS from steam turbine generator in view point of frequency regulation.

Suprameatal Transvaginal Urethrolysis in Urethral Obstruction Associated with Anti-incontinence Surgery: A Case Report (요실금 수술후 발생한 요도 폐색에서 외요도구 상방 질벽을 통한 요도 박리술: 치험 1례 보고)

  • Yoo, Jin-Wook;Jung, Hee-Chang;Park, Tong-Choon
    • Journal of Yeungnam Medical Science
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    • v.16 no.2
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    • pp.376-379
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    • 1999
  • We report our experience with a case of urethrolysis using a transvaginal suprameatal approach without lateral perforation of the urethropelvic ligament. A 43-year-old woman suffered from voiding difficulties such as hesitancy, frequency, urgency, decreased urinary flow, residual urine sensation after Marshall-Marchetti-Krantz operation concurrent with hysterectomy. The results of multidisciplinary work-ups of urethral obstruction such as history, vaginal examination, voiding cystourethrography, urodynamic study, showed that she had urethral obstruction due to a previous operation. Since clean intermittent catheterization and alpha-blocker therapy did not improve her symptoms, suprameatal transvaginal urethrolysis was performed to resolve the symptoms. Postoperative follow-up for 5 months showed that the patient remained free from voiding difficulty in their life. We believe that suprameatal transvaginal urethrolysis is worth attempting for urethral obstruction associated with anti-incontinence surgery.

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Double-Outlet of Left Ventricle in Corrected Transposition of Great Arteries -One case report- (좌심실 이중유출로를 동반한 교정형 대혈관전위증 -1예보고-)

  • 권중혁
    • Journal of Chest Surgery
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    • v.12 no.2
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    • pp.119-126
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    • 1979
  • This is one case report of the extremely rare congenital cardiac malformation, Double-outlet of left ventricle in corrected transposition of great arteries. 11-year-old boy complained acrocyanosis and exertional dyspnea, the parents noticed cyanosis since birth. Physical examination revealed acrocyanosis, clubbed fingers and toes, G-III pansystolic murmur on 2nd and 3rd ICS, LSB. Right heart catheterization revealed significant $O_2$ jump in ventricular level. Right and left ventriculography showed the both catheters arriving in the same ventricle i.e. anterior chamber, morphological left ventricle was in right and anterior position, simultaneous visualization of aorta and pulmonary artery and aorta locating anterior and right side of pulmonary artery. Echo cardiogram surely disclosed interventricular septum. Conclusively it was clarified that the patient has Double-outlet of left ventricle and corrected transposition of great arteries [S.L.D.]. Operation was performed to correct the anomalies under extracorporeal circulation with intermittent moderate hypothermia. Right-sided ventriculotomy disclosed the following findings. 1. Right-sided ventricle was morphological left ventricle. 2. Left-sided ventricle was morphological right ventricle. 3. Right side atrioventricular valve was bicuspid. 4. Left side atrioventricular valve was tricuspid. 5. Aortic valve was superior, anterior and right side of pulmonary valve. 6. Subpulmonary membranous stenosis. 7. Non-committed ventricular septal defect. We made a tunnel between VSD and aorta with Teflon patch so that arterial blood comes through VSD and the tunnel into aorta. After correction the patient needed assisted circulation for 135 min. to have adequate blood pressure. Postoperatively by any means, adequate blood pressure could not be maintained and expired in the evening of operation day.

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Sequential Surgical Treatment of Hemoptysis Caused by Bilateral Aspergilloma -A case report- (양측 폐상엽 진균구에 의한 객혈의 순차적 수술 치험 1례)

  • Hur, Jin;Goo, Bon-Won
    • Journal of Chest Surgery
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    • v.34 no.7
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    • pp.569-573
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    • 2001
  • We experienced a case of hemoptysis caused by bilateral upper lobe aspergilloma. He was 66 years old and had a history of old unclear pulmonary tuberculosis with irregular medication 20 years ago and intermittent hemoptysis for several years. In x-ray study, there was a bilateral upper lobe aspergilloma with cavity. He received bilateral wedge resection through thoracotomy with some interval to reduce postoperative complications. We selected the priorty of operation through the bronchoscope in the operation room. Both sides had the same pathology of aspergilloma and he was discharged after an uneventful postoperative course.

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Treatment of Patients With Elephantiasis Lymphedema - Case Report - (상피성 임파부종 환자의 치료 -증례보고-)

  • Kim, Seng-Jung
    • Physical Therapy Korea
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    • v.6 no.3
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    • pp.110-120
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    • 1999
  • Lymphedema, regardless of etiology, is essentially incurable but different treatment approaches which serve to contain swelling exist. The objectives of treatment are to reduce swelling, restore shape, educate about the self-maintenance methods, and prevent inflammatory episodes, eg, recurrent cellulitis. The purpose of this report is to provide therapists and other medical staff with a general guideline through the example treatment procedure of two patients with lymphedema admitted to Samsung Medical Center. This study demonstrates the effects of the various treatments used and how they helped to achieve improvement in mobility and reduction in swelling of the lower limbs. The basic conservative treatments were sequential intermittent pneumatic pumps, elevation, and CDP (complex decongestive physiotherapy). The surgical procedures (Homan's operation) were carried out after maximal volume reduction through conservative programs. In these cases, we can see greater than 50% reduction in the lymphedema in those treated by conservative and surgical procedures. This presents a simple, reliable, variable method yielding satisfactory cosmetic and functional results for patients suffering from chronic both-leg lymphedema. Futhermore, I suggest that the outcomes are best when treatment is administered by a multidisciplinary team including a physiotherapist, surgeon, nurse, et al.

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Nephrotomy for Removal of Renal Calculi in Two Dog (개에서 신 절개를 통한 신 결석 제거 2례)

  • 김혜진;장화석;송영성;김성미;김순신;최치봉;김휘율
    • Journal of Veterinary Clinics
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    • v.21 no.1
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    • pp.66-71
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    • 2004
  • 2 Cases of nephrotomy for removal of calculi in dog were referred to veterinary teaching hospital of Konkuk University. In case 1, a 5 year-old, castrated male Yorkshire Terrier dog was referred because of intermittent hematuria, pain in urination for one month. Hematologic and chemical examination showed mild increased BUN and CPK. Radiographic findings revealed radiopaque materials in the urinary bladder, urethra, and left kidney. Retrograde hydropropulsion was performed to move the calculi into the bladder, and cystotomy was done to remove calculi. Nephrotomy was performed to removal of the calculi from the left renal pelvis and calyx. After operation renal function were recovered and preserved. In case 2, a 5 year-old, neutral female Schnauzer dog was referred because of persistant vomiting, anorexia, and celialgia for 20 days. Hematologic and chemical examination showed stress leucogram, moderate azotemia, hypercalcemia, hyperphosphatemia, and increased ALP. Radiographic findings revealed enlargement of the left kidney and radiopaque materials in the both of the kidneys. On excretory urography, left kidney was no pyelogram. On ultrasonography, renal tissue was very thin and distended renal pelvis appeared. Nephrectomy of nonfunctional left kidney and nephrotomy for removal of calculi from the right renal pelvis and calyx were done. One week after operation, renal and hepatic functions were recovered. So, in cases of renal calculi, it is necessary that renal calculi are extracted actively as far as the patient's body condition endurable.