• 제목/요약/키워드: minimal operation

검색결과 340건 처리시간 0.029초

Endoscopic Spinal Surgery for Herniated Lumbar Discs

  • Shim, Young-Bo;Lee, Nok-Young;Huh, Seung-Ho;Ha, Sang-Soo;Yoon, Kang-Joan
    • Journal of Korean Neurosurgical Society
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    • 제41권4호
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    • pp.241-245
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    • 2007
  • Objective : So called "minimally invasive procedures" have evolved from chemonucleolysis, automated percutaneous discectomy, arthroscopic microdiscectomy that are mainly working within the confines of intradiscal space to transforaminal endoscopic technique to remove herniated epidural disc materials directly. The purpose of this study is to assess the result of endoscopic spinal surgery and favorable indication in the thoracolumbar spine. Methods : The records of 71 patients, 73 endoscopic procedures, were retrospectively analysed. Yeung Endoscopic Spine Surgery system with 7 mm working sleeve and $25^{\circ}$ viewing angle was used. The mean follow up period was 6 months [range, 3-9]. Results : Operated levels were from T12-L1 disc down to L5-L6 of S1 disc. Of 71 cases, 2 patients underwent transforaminal endoscopic surgery twice due to recurrence after initial operation. MacNab's criteria was used to assess the outcome. Favorable outcome, excellent of good, was seen in 78% [57 procedures] of the patients. Among 11 fair outcomes, only 1 procedure was followed by secondary open procedure, laminectomy with discectomy. Two of 5 poor outcomes were operated again by same procedure which resulted in fair outcomes. One patient with aggravated cauda equina syndrome remained poor and a lumbar fusion procedure was performed in other patient with poor outcome. There were 2 postoperative discitis that were treated with conservative care in one and anterior lumbar interbody fusion in the other. Conclusion : Evolving technology of mechanical, visual instrument enables minimal invasive procedure possible and effective. The transforaminal endoscopic spinal surgery can reach as high as T12-L1 disc level. The rate of favorable outcome is mid-range among reported endoscopic lumbar surgery series. Authors believe that the outcome will be better as cases accumulate and will be able to reach the fate of standard open microsurgery.

재조합 효모 세포내에서의 간염백신 생산 (The Production of HBsAg in the Recombinant Yeast Cells)

  • Park, Cha-Yong;Lee, Hei-Chan
    • 한국미생물·생명공학회지
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    • 제14권6호
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    • pp.455-460
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    • 1986
  • 간염 보균자의 혈액으로부터 Dane 입자를 분리하였다. Dane 입자의 핵으로부터 분리해낸 DNA는 $\alpha$-($^{32}$P) dNTP 존재하의 DNA 폴리머레이즈 반응 후 액체 씬틸레이션 카운터와 한천 전기영동 및 가이거 뮐러 카운터에 의하여 간염의 DNA임이 확인되었다. 간염 바이러스에 의한 감염을 막기 위한 백신으로서의 B형 간염 바이러스 표면항원을 생산하기 위하여 산성포스파테이즈 프로모터를 갖는 재조합 프라스미드를 함유하는 효모균주를 사용하였다. 재조합 프라스미드는 pHBV 130 및 pAM 82로부터 제작되었으며 대장균에 변환되어진 후 효모균주에 전달되었다. 간염 표면항원은 조절된 무기 인산 농도하에서 버크홀더 최소배지에서의 저해 해제로 생산되었다. 간염 표면항원의 생산 속도도 조사하였다. 전체 간염 표면항원 활성은 인산이 없는 배지에 옮겨진 뒤 3시간 내지 6시간에서 급격히 증가하였으며 9시간째에 최대에 도달하였다. 인산이 없는 배지에 옮기는 것은 고농도 인산 배지에서의 세포 배양을 6시간동안 수행한 뒤에 하는 것이 최적의 결과를 나타내었다.

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다분절 퇴행성 경추질환에서의 전방 금속판 사용 유무에 따른 환자의 예후분석 (Outcome Analysis of the Patients with and without Anterior Plating in Multi-Level Degenerative Cervical Diseases)

  • 김상우;김성민;신동익;조용준;심영보;최선길
    • Journal of Korean Neurosurgical Society
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    • 제30권12호
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    • pp.1369-1374
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    • 2001
  • Objectives : The rates of pseudarthrosis for two- and three level fusion have been reported to be 17-63 and 50% without anterior cervical plating. The purpose of this study is to assess the effects of anterior cervical plating in the treatment of multilevel degenerative cervical disease such mostly the additional risks associated with hardware implants and its benefits, fusion rate and radiographic results, and clinical outcomes. Methods : Forty-seven patients who underwent operations between 1993 and 1997 were retrospectively reviewed. The technique for operation was same for both groups(Smith Robinson with autologous iliac bone graft). Group I consisted of 35 consecutive patients treated with anterior cervical decompression and fusion with anterior cervical plate fixation. Group II consisted of 12 consecutive patients treated without plate fixation. We compared clinical outcomes by Prolo score, radiographic results in the rate of fusion, cervical lordosis by Gore angle, disc height by Farfan method, and surgical complications between two groups. Results : The favorable clinical outcomes(excellent and good) by Prolo score were observed with the use of anterior cervical plate fixation(89% vs 75%). The successful fusion rate of multilevel cervical fusion was as seen with anterior cervical plate fixation(97% vs 75%). The overall graft complication rate in multilevel fusions was decreased, with anterior cervical plate fixation, and the hardware related complications were relatively minimal without serious consequences. Conclusion : Anterior cervical plate fixation in the treatment of multilevel cervical disorders is an effective stabilizing method which provides increased bony fusion rate, decreased graft complications, maintained cervical lordosis, early mobilization of the these patients without serious hardware related complications.

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지중배전선로 무정전 공법의 최적화를 위한 장비 개발 (Development of outage-free installation method and equipments for underground power distribution system)

  • 유근양;주종민;이용순;김영민;강내국
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2005년도 추계학술대회 논문집 전력기술부문
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    • pp.122-124
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    • 2005
  • Underground distribution system is a trend due to the successive development of metropolitan area and satellite cities and the environment of the commercial and residential areas. The high quality of electricity, which is related with the minimal outage duration time due to the maintenance work for the underground distribution line, is mandatory. Hence, the construction method and tools for the outage-free maintenance construction have been required for underground distribution system. So far, all the efforts for outage-free maintenance for the underground distribution have been limited only to the survey for foreign countries situation and the theoretical provision; thus, It is required to develop the various construction method and the application tools. Differently from the aerial line, the construction of the underground cable is complicated and the insulation distance between conductor and shield should be maintained in loadmaking/breaking operation, though the apparatus connected with cable is a deadfront type. Also since the apparatus is installed above ground, by-pass of faulted area at busy area needs a variety of high technologies. Therefore, in this these, the authors introduce the development status of the loadbreak connectors, connection facilities, outage-free maintenance system for secondary side, a secondary auxiliary bushing and additional tools so that there can be more progress on this field.

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Design and Implementation of Modified Current Source Based Hybrid DC - DC Converters for Electric Vehicle Applications

  • Selvaganapathi, S.;Senthilkumar, A.
    • Transactions on Electrical and Electronic Materials
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    • 제17권2호
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    • pp.57-68
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    • 2016
  • In this study, we present the modern hybrid system based power generation for electric vehicle applications. We describe the hybrid structure of modified current source based DC - DC converters used to extract the maximum power from Photovoltaic (PV) and Fuel Cell system. Due to reduced dc-link capacitor requirement and higher reliability, the current source inverters (CSI) better compared to the voltage source based inverter. The novel control strategy includes Distributed Maximum Power Point Tracking (DMPPT) for photovoltaic (PV) and fuel cell power generation system. The proposed DC - DC converters have been analyzed in both buck and boost mode of operation under duty cycle 0.5>d, 0.5<d<1 and 0.5<d for capable electric vehicle applications. The proposed topology benefits include one common DC-AC inverter that interposes the generated power to supply the charge for the sharing of load in a system of hybrid supply with photovoltaic panels and fuel cell PEM. An improved control of Direct Torque and Flux Control (DTFC) based induction motor fed by current source converters for electric vehicle.In order to achieve better performance in terms of speed, power and miles per gallon for the expert, to accepting high regenerative braking current as well as persistent high dynamics driving performance is required. A simulation model for the hybrid power generation system based electric vehicle has been developed by using MATLAB/Simulink. The Direct Torque and Flux Control (DTFC) is planned using Xilinx ISE software tool in addition to a Modelsim 6.3 software tool that is used for simulation purposes. The FPGA based pulse generation is used to control the induction motor for electric vehicle applications. FPGA has been implemented, in order to verify the minimal error between the simulation results of MATLAB/Simulink and experimental results.

광촉매 반응과 침지형 정밀여과를 이용한 자연산 유기물의 제거 (Use of a Combined Photocatalysis/Microfiltration System for Natural Organic Matter Removal)

  • 추광호;박경원;김문현
    • 멤브레인
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    • 제14권2호
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    • pp.149-156
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    • 2004
  • 본 연구에서는 광촉매 반응과 막분리 기술을 접목시킨 혼성 고도 정수처리 공정에서 소독 부산물의 전구체로 알려진 자연산 유기물을 효과적으로 제거하고자 하였고 다양한 운전 조건에서 시스템의 성능을 비교 평가하였다. 자연산 유기물은 흡입여과 방식의 분리막과 TiO$_2$ 광촉매를 이용하여 광분해하였을 때 광촉매 투입량의 증가에 따라 반응속도가 증가하였지만 과량의 촉매 주입시에는 반응 속도 향상에 오히려 부정적으로 작용하였다. 자연산 유기물을 보다 효과적으로 제거하기 위해 산화철 주입, TiO$_2$ 표면처리, 분리막 표면코팅을 시도하여 제거특성 및 운전에 따른 막여과 특성을 평가하였다. 산화철 주입은 초기에 흡착작용으로 인해 제거율 증가를 보였으나 반응이 진행됨에 따라 산화철 입자에 의한 광산란으로 광분해 효율이 오히려 감소되었다. 산화철 입자에 의한 광산란을 제어하고자 TiO$_2$ 표면을 광처리와 열처리 방법을 이용해 철을 직접 부착시킨 경우 긍정적인 효과를 얻지 못했다. 그러나 산화철로 막표면을 코팅하여 광산란 효과를 배제시킨 경우에는 향상된 결과를 보였다 막투과 플럭스 15 L/$m^2$-h에서 정밀여과를 수행하였을 때 TiO$_2$나 산화철에 의한 막오염은 거의 일어나지 않았고 안정된 막투과도를 나타내었다.

Full thickness skin grafts from the groin: donor site morbidity and graft survival rate from 50 cases

  • Kim, Somi;Chung, Seung-Won;Cha, In-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제39권1호
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    • pp.21-26
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    • 2013
  • Objectives: Full thickness skin grafts (FTSG) offer several advantages; they are esthetically superb, have less postoperative shrinkage, and offer minimal postoperative pain and scar formation at the donor site. As a donor site of FTSG, the groin offers a relatively large area of skin with high elasticity. The aim of this study was to evaluate FTSG from the groin for reconstruction in oral and maxillofacial surgery. Materials and Methods: In a retrospective study, 50 patients (27 males, 23 females) who received FTSG from the groin were evaluated for their operation records, clinical photography, and medical records. Results: The width of skin from the groin was distributed from 2-8 cm (mean: 5.1 cm) at the donor site, while the long axis length was distributed from 3-13 cm (mean: 7.4 cm). A high number of patients, 47 patients (94%) out of 50, showed good healing at the donor site. Wound impairment was seen in 3 patients (6%), minor wound dehiscence in 2 patients, and severe wound dehiscence in 1 patient. In the recipient site, delayed healing was observed in 2 patients (4%). Conclusion: FTSG from the groin to repair soft tissue defects in reconstruction surgery is a good method due to the relatively big size of the graft, decreasing morbidity at the donor site, and higher graft survival rates.

프로그레시브 전단 공정에서 박판 핀 비틀림 최소화를 위한 스프링 배치 최적화 (Optimization of Spring Layout for Minimizing Twist of Sheet Metal Pins in Progressive Shearing)

  • 송호권;심정길;금영탁
    • 소성∙가공
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    • 제23권8호
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    • pp.501-506
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    • 2014
  • Progressive shearing with blanking dies is commonly employed to produce large quantities of tiny sheet metal electronic parts. Sheet metal pins, which are narrow and long, that are sheared with a progressive die set are often twisted. The twist in the sheet metal pins, which usually occurs in the final shearing operation, generally decreases with increasing blank holding force. The blank holding forces in all shearing operations are not the same because of different shearing positions and areas. In the current study, the optimal layout of the springs in a progressive die set to minimize the twist of the sheet metal pin is proposed. In order to find the holding force acting on the tiny narrow blanks produced with the proposed springs during the shearing process, the equivalent area method is used in the structural analysis. The shearing of the sheet-metal pin was simulated to compute the twist angle associated with the blank holding force. The constraint condition satisfying the pre-set blank holding force from the previous shearing operations was imposed. A design of experiments (DOE) was numerically implemented by analyzing the progressive die structure and by simulating the shearing process. From the meta-model created from the experimental results and by using a quadratic response surface method (PQRSM), the optimal layout of the springs was determined. The twist of sheet metal pin associated with the optimal layout of the springs found in the current study was compared with that of an existing progressive die to obtain a minimal amount of twist.

Kirschner wire를 사용한 과두하 골절의 구강내 접근법 (INTRAORAL OPEN REDUCTION OF MANDIBULAR SUBCONDYLAR FRACTURES USING KIRSCHNER WIRE)

  • 김성일;김승룡;백진아;고승오;신효근
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제23권3호
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    • pp.270-276
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    • 2001
  • The treatment of mandibular subcondylar fractures is a matter of controversy. The majority of mandibular subcondylar fracture are treated by closed reduction, but the displaced or dislocated mandibular subcondylar fractures may be treated by open reduction. The characteristics of open reduction are the anatomical reduction, the functional restoration, the rapid function, the maintenance of vertical ramus dimension, the better appearance and the less resultant TMJ problem etc. When an open reduction is considered, the wire, miniplate, lag screw and Kirschner wire are available with internal fixation. Of these, Kirschner wire is a simple method relatively and correct positioning of the wire achieves rigid fixation. But many open reduction methods for mandibular subcondylar fractures require extraoral approach. The extraoral approach has some problems, the facial scar and the risk of facial nerve injury. On the other hand, the intraoral approach eliminates the potency of the facial scar and the facial nerve injury, but is difficult to access the operation site. Since the intraoral approach was first described by Silverman (1925), the intraoral approach to the mandibular condyle has been developed with modifications. The purpose of this article is to describe the intraoral technique with the Kirschner wire on mandibular subcondylar fractures. Conclusion : The intraoral reduction with Kirschner wire on mandubular subcondylar fractures avoids the facial scar and facial nerve injury and is simple method to the extraoral approach. And it has minimal morbidity and better esthetics.

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RBAC 데이터베이스의 무결성을 위한 일관성 특성과 관리도구 동작 (Operations of Administration Tool and Consistency Properties for RBAC Database Integrity)

  • 오석균;김성열
    • 한국산업정보학회논문지
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    • 제5권4호
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    • pp.16-21
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    • 2000
  • Role-Based Access Control(RBAC)은 처리과정 오류를 줄이는 것처럼 접근통제 정책의 관리단가를 낮춰준다. RBAC 개념에서 가장 중요한 요소가 관리도구이다. RBAC 보안시스템을 위한 관리도구는 RBAC 데이터베이스에 저장되어 있는 사용자역할과 역할-역할 관계의 무결성을 유지하여야 한다. 따라서, 데이터베이스의 무결성을 정의하는 집합, 함수, 특성들이 요구된다. 본 논문은 Linux 서버 시스템 환경에서 RBAC 기술을 이용한 보안 시스템을 설계할 때 사용자-역할과 역할-역할 관계에 관한 데이터베이스의 무결성에 관하여 정의하고, 이들 관계를 관리하기 위한 동작에 대한 형식 명세를 제안한다. 제안된 형식 명세는 관계 집합처럼 정의된 RBAC 데이터베이스를 위해 일관성 요구를 유지한다. 또한, 동작의 형식 명세화를 함으로써 RBAC 관리도구의 구현을 쉽게 이끌어 내고, 더 효율적인 관리도구를 구현하기 위한 최소 집합을 유도하기 위함이다.

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