• 제목/요약/키워드: recurrent space

검색결과 125건 처리시간 0.028초

비디오 흉강경하에서 절제없이 봉합에 의한 기포정복술 (Stapling and Suturing of Blebs and Bullae without Excision in Thoracoscopic Surgery)

  • 김은규;최형호;양현웅;이삼윤;최종범
    • Journal of Chest Surgery
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    • 제31권10호
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    • pp.995-998
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    • 1998
  • 비디오 흉강경하에 기포절제 후 가장 많은 합병증은 지속적인 공기 누출이다. 이러한 합병증을줄이기 위한 방법으로, 전액와선상의 제 3늑간에 3.5cm의 소절개를 만들고 이를 통해 병변을 육안으로 확인하고 자동 봉합기를 이용한 고식적인 봉합을 했으며, 기포를 절제하지 않고 봉합사로 기포를 보강 봉합하는 방법을 이용하였다. 본 술식은 기포와 소기포를 가진 기흉 환자들에서 술후 공기의 누출기간이나 그 양을 줄일수 있으며, 동측 기흉의 만기 재발을 최소화할 수 있는 방법으로 여긴다.

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Stresses around an underground opening with sharp corners due to non-symmetrical surface load

  • Karinski, Y.S.;Yankelevsky, D.Z.;Antes, M.Y.
    • Structural Engineering and Mechanics
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    • 제31권6호
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    • pp.679-696
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    • 2009
  • The paper aims at analyzing the stress distribution around an underground opening that is subjected to non-symmetrical surface loading with emphasis on opening shapes with sharp corners and the stress concentrations developed at these locations. The analysis is performed utilizing the BIE method coupled with the Neumann's series. In order to implement this approach, the special recurrent relations for half plane were proven and the modified Shanks transform was incorporated to accelerate the series convergence. To demonstrate the capability of the developed approach, a horseshoe shape opening with sharp corners was investigated and the location and magnitude of the maximum hoop stress was calculated. The dependence of the maximum hoop stress location on the parameters of the surface loading (degree of asymmetry, size of loaded area) and of the opening (the opening height) was studied. It was found that the absolute magnitude of the maximum hoop stress (for all possible surface loading locations) is developed at the roof points when the opening height/width ratio is relatively large or when the pressure loading area is relatively narrow (compared to the roof arch radius), and contrarily, when the opening height/width ratio is relatively small or when the surface pressure is applied to a relatively wide area, the absolute magnitude of the maximum hoop stress is developed at the bottom sharp corner points.

척수 수질내에 재발한 신경장관성 낭종 - 증례보고 - (Recurrent Intramedullary Neurenteric Cyst of the Spine - Case Report -)

  • 이종주;나영신;강신광;노성우;임승철
    • Journal of Korean Neurosurgical Society
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    • 제30권12호
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    • pp.1422-1426
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    • 2001
  • Neurenteric cysts are developmental cysts derived from embryonic endodermal layers. Fewer than 100 have been reported in which there were no associated bone or soft-tissue malformations and only six among those cases showed intramedullary location in the literatures. The authors report a 16-year-old young man with a thoracic intramedullary neurenteric cyst which presented with symptoms of axillary pain and paraparesis. The magnetic resonance imaging showed intramedullary mass extended from level of T3 to T7. There was no associated bone or soft-tissue anomaly. This cyst was partially excised and marupialized into subarachnoid space. The pathological findings were compatible with neurenteric cyst. Nine months later, the cyst recurred and at second operation, cyst wall was removed completely.

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Plasma Outflows along Post-CME Rays

  • Chae, Jongchul;Cho, Kyuhyoun;Kwon, Ryun-Young;Lim, Eun-Kyung
    • 천문학회보
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    • 제42권2호
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    • pp.67.3-68
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    • 2017
  • Bright rays are often observed after coronal mass ejections (CMEs) erupt. These rays are dynamical structures along which plasmas move outward. We investigated the outflows along the post-CME rays observed by the COR2 on board STEREO Behind on 2013 September 21 and 22. We tracked two CMEs, two ray tips, and seven blobs using the NAVE optical flow technique. As a result, we found that the departure times of blobs and ray tips from the optimally chosen starting height of 0.5 $R{\odot}$ coincided with the occurrence times of the corresponding recurrent small flares within 10 minutes. These small flares took place many hours after the major flares. This result supports a magnetic reconnection origin of the outward flows along the post-CME ray and the importance of magnetic islands for understanding the process of magnetic reconnection. The total energy of magnetic reconnection maintaining the outflows for 40 hr is estimated at 1.4' 1030 erg. Further investigations of plasma outflows along post-CME rays will shed much light on the physical properties of magnetic reconnection occurring in the solar corona.

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Prevalence of negative frequency-dependent selection, revealed by incomplete selective sweeps in African populations of Drosophila melanogaster

  • Kim, Yuseob
    • BMB Reports
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    • 제51권1호
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    • pp.1-2
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    • 2018
  • Positive selection on a new beneficial mutation generates a characteristic pattern of DNA sequence polymorphism when it reaches an intermediate allele frequency. On genome sequences of African Drosophila melanogaster, we detected such signatures of selection at 37 candidate loci and identified "sweeping haplotypes (SHs)" that are increasing or have increased rapidly in frequency due to hitchhiking. Based on geographic distribution of SH frequencies, we could infer whether selective sweeps occurred starting from de novo beneficial mutants under simple constant selective pressure. Single SHs were identified at more than half of loci. However, at many other loci, we observed multiple independent SHs, implying soft selective sweeps due to a high beneficial mutation rate or parallel evolution across space. Interestingly, SH frequencies were intermediate across multiple populations at about a quarter of the loci despite relatively low migration rates inferred between African populations. This invokes a certain form of frequency-dependent selection such as heterozygote advantage. At one locus, we observed a complex pattern of multiple independent that was compatible with recurrent frequency-dependent positive selection on new variants. In conclusion, genomic patterns of positive selection are very diverse, with equal contributions of hard and soft sweeps and a surprisingly large proportion of frequency-dependent selection in D. melanogaster populations.

Load-deflection analysis prediction of CFRP strengthened RC slab using RNN

  • Razavi, S.V.;Jumaat, Mohad Zamin;El-Shafie, Ahmed H.;Ronagh, Hamid Reza
    • Advances in concrete construction
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    • 제3권2호
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    • pp.91-102
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    • 2015
  • In this paper, the load-deflection analysis of the Carbon Fiber Reinforced Polymer (CFRP) strengthened Reinforced Concrete (RC) slab using Recurrent Neural Network (RNN) is investigated. Six reinforced concrete slabs having dimension $1800{\times}400{\times}120mm$ with similar steel bar of 2T10 and strengthened using different length and width of CFRP were tested and compared with similar samples without CFRP. The experimental load-deflection results were normalized and then uploaded in MATLAB software. Loading, CFRP length and width were as neurons in input layer and mid-span deflection was as neuron in output layer. The network was generated using feed-forward network and a internal nonlinear condition space model to memorize the input data while training process. From 122 load-deflection data, 111 data utilized for network generation and 11 data for the network testing. The results of model on the testing stage showed that the generated RNN predicted the load-deflection analysis of the slabs in acceptable technique with a correlation of determination of 0.99. The ratio between predicted deflection by RNN and experimental output was in the range of 0.99 to 1.11.

원위 경비 인대 결합 고정 긴장도와 기간이 나사못 제거 후 이개 및 임상 증상에 미치는 영향 (The Impacts of Fixation Tightness and Duration on the Remnant Syndesmotic Widening and Clinical Symptom after Removal of Screws)

  • 배서영;손수인;성민규
    • 대한족부족관절학회지
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    • 제17권4호
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    • pp.264-271
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    • 2013
  • Purpose: We aimed to analyze the effect of fixation tightness of the syndesmotic screw and its indwelling period on the recurrence of the syndesmosis widening after screw removal and the clinical outcomes. Materials and Methods: Forty consecutive patients with acute syndesmotic injury were retrospectively reviewed. The tibiofibular clear space is measured by digitalized measurement tool on serial radiographs. We analyzed the effect of time from trauma to fixation, syndesmotic screw indwelling duration, and fixation methods. Residual symptoms at the last follow up were evaluated. The student t-test, correlation test, and chi-square test were used for statistical analysis. Results: Eighteen ankles (45%) had recurrent syndesmosis widening (greater than 5% compared to the contralateral side). Seven patients had pain and five had limitation of motion in the ankle joint. Fixation tightness had significant effect on reducing the recurrence while the severity of the initial widening, time to fixation, and duration of fixation did not affect the outcome. Conclusion: Tight fixation of syndesmotic screw is essential for achieving final syndesmotic stability and reducing recurrence.

육종성 변화를 동반한 경부의 염증성 근섬유모세포종 1례 (A Case of Malignant Transformation of Inflammatory Myofibroblastic Tumor of the Neck)

  • 김한결;최나연;배현식;박우리;정만기
    • 대한두경부종양학회지
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    • 제32권2호
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    • pp.55-59
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    • 2016
  • Iinflammatory myofibroblastic tumor(IMT) is a benign chronic inflammatory mass composed of proliferative myofibroblasts. It is a space occupying lesion which could potentially covert to malignant tumor. Treatment guideline of the disease has not been established due to its rarity. We demonstrate a 60-year old male who had surgical excision for IMT of the cervical esophagus. During the follow-up period, he revealed recurrent tumor which showed sarcomatous change with distant metastasis. We reported this rare case with review of the literature.

How to Treat Chronic Subdural Hematoma? Past and Now

  • Lee, Kyeong-Seok
    • Journal of Korean Neurosurgical Society
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    • 제62권2호
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    • pp.144-152
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    • 2019
  • Treatment of chronic subdural hematoma (CSDH) is relatively straightforward, however, there is still some debate regarding the best strategy for treatment. The most practical recommendations of up to date were identified by a review of literature. The author reviewed the literature on CSDH management from the past to now to identify the best methods. Till 1970s, craniotomy was the most commonly used method. Burr hole (BH) became the most preferred method from 1980s. In 1977, twist drill (TD) craniostomy was introduced. Closed system drainage after a BH or a TD became the most frequently used surgical method. Although nonsurgical treatment is often successful, trephination has more advantages, such as rapid resolution of the symptoms and short period of hospitalization. Nonsurgical treatment is possible in asymptomatic patients with a small CSDH. For the symptomatic patients with CSDH, trephination is the treatment of choice, either by BH or TD. In gray zone between surgery and medical treatment, shared decision making can be an ideal approach. For the recurrent CSDHs, repeated trephination is still effective for patients with a low risk of recurrence. If the risk of recurrence is high, additional management would be helpful. For the refractory CSDHs, it is necessary to obliterate the subdural space.

철도 이용객 정보제공 효과평가 방법론 연구 - 승강장의 혼잡상황을 고려한 Gate Metering 사례 연구 중심으로 - (Study on Methodology for Effect Evaluation of Information Offering to Rail passengers - Focusing on the Gate Metering Case Study considering congested conditions at a platform -)

  • 이선하;천춘근;정병두;유병영;김은지
    • 한국ITS학회 논문지
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    • 제14권3호
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    • pp.50-62
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    • 2015
  • 최근 지하철 9호선은 2단계 연장구간의 개통으로 최대 240% 혼잡도를 기록하는 등 지옥철로 불리우며 역사 내 상습혼잡에 대한 문제점이 지속적으로 야기되고 있는 실정이다. 역사 내 혼잡은 이용객의 불쾌감 유발과 철도 운영 효율성을 저하시키는 요인이 되고 있다. 본 연구는 이러한 철도역사 내 상습혼잡 해소를 위해 철도 이용객 정보제공의 효과평가 방법론을 정립하고자 하였으며, 효과평가 방법론 중 승강장의 혼잡상황을 고려한 Gate Metering 사례 연구를 진행하였다. Gate Metering을 접목시킨 Micro Simulation 및 Pedestrian Simulation Tool을 선정하여 열차의 혼잡도별 Metering 효과분석을 시행하였으며, 그 결과 Gate Metering 시행 시 혼잡도별 승강장의 서비스 수준 및 보행밀도가 개선되는 것을 확인하였다. 승강장에서 Metering을 실시 할 경우 플랫폼 대기 공간 내 혼잡도 조절 가능성이 있다고 판단한 것 이다. 따라서, 본 연구를 통하여 철도역사 내 이용객 혼잡도 관리를 위한 정보제공 효과평가 지표 수립 및 프로그램을 통한 이용객 정보제공 효과평가 방법론 정립이 가능하다는 것으로 판단되었다.