• Title/Summary/Keyword: reverse operation

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Salvage with Reverse Total Shoulder Arthroplasty after the Failure of Proximal Humeral Tumor Treatment (근위 상완골 종양 치료 실패 후 역 견관절 전치환물을 이용한 구제술)

  • Jeon, Dae-Geun;Cho, Wan Hyeong;Kim, Bum Suk;Park, Hwanseong
    • Journal of the Korean Orthopaedic Association
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    • v.53 no.6
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    • pp.505-512
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    • 2018
  • Purpose: Many reconstruction methods have been attempted after an en-bloc resection of the proximal humerus. In particular, the introduction of reverse shoulder arthroplasty (RSA) has made a breakthrough in the functional recovery of the shoulder. Nevertheless, RSA has limitations when the humeral bone stock loss is significant. In addition, it is unclear if RSA is effective in patients showing failure with non-operative treatment of a proximal humeral tumor. Materials and Methods: A reconstruction was performed using an overlapping allograft-RSA composite for 11 patients with a failed proximal humeral construct. Delayed RSA was performed on 6 patients with failed non-operative treatment. The pre- and postoperative Musculoskeletal Tumor Society (MSTS) score and the complications were addressed. Results: Overlapping allograft-RSA composite afforded a stable construct in 11 failed proximal humeral reconstructions and the patient's chief complaints were resolved. The mean time to the union of overlapped allograft-host junction was 5.5 months. Average preoperative MSTS score of 20.3 point increased to 25.7 point, postoperatively. Four of the six patients who had RSA within 4 years from the index operation showed arm elevation of more than $90^{\circ}$ whereas the remaining 5 patients showed some disability. The complications include one case each of dislocation and aseptic infection, which were resolved by changing the polyethylene liner and scar revision, respectively. None of the 6 patients who underwent delayed RSA after the failure of non-operative treatment showed arm elevation more than $90^{\circ}$. Conclusion: An overlapping allograft-RSA composite is a simple and reliable reconstructive modality in patients with massive bone loss. In patients with metastatic cancer necessitating a surgical resection at presentation, early conversion to RSA is recommended to secure functional recovery.

Development of the Tentative Educational Objectives for the Nursing College (대학간호교육목표의 시안개발)

  • Lee Haw-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.1 no.1
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    • pp.32-45
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    • 1995
  • This thesis is a study to develop the tentative objectives and present the professional and courses for the nursing college. The conclusions conducted by the purpose of this study are as follows. First, on the basis of the concepts of the nursing and the view-points of nursing education, the tentative goals for the nursing education are set up as follows. 1. To understand human being's life, dignity and their physical, mental, and social aspects. 2. To understand the basic concepts and the principles of human sciences, social sciences, natural sciences, and medical sciences. To apply their knowledges to nursing practices. 3. To diagnose and assess the problems of individual, family and community in terms of nursing practice. To develop the ability of planning, negotiation, management, and evaluation for the nursing education. 4. To develop appropriate knowlege, attitudes, and skills to promote the clients' health and treat their illness. 5. To accomplish all tasks effectively as a trained and qualified professional nurse through the endless studies. Second, the nursing areas and courses for the nursing college in terms of validity, Importance, continuity, relationship, utility and appropriateness are listed as follows. 1. Fundamental courses of the nursing. (1) General courses communication human development, behavior science, biochemistry, microbiology, pharmacology (2) Medical courses physiology, anatomy, pathology 2. Basic courses in nursing (1) General nursing fundamental nursing, introduction of nursing, nursing history, nursing process, health education, health assessment, philosophy of nursing, nursing psychology (2) Maternal-Child nursing child-health nursing, child-disease nursing, adolescent nursing, obstetric nursing, post-partum nursing, gyneco-pathy nursing (3) Adult nursing adult health nursing, adult disease nursing I(fluid & electrotonic, shock, anoxia disorder), adult disease nursing II(nutrition-excretion disorder, sexual dysfunction), adult disease nursing III(sense-, control-, activity-, sleep disorder), adult disease nursing IV(operation, rehabilitation, emergency), gerontological nursing (4) Psychiatric nursing child-adolescent psychiatric nursing, adult psychiatric nursing, gerontological psychiatric nursing, spiritual nursing (5) Community health nursing community nursing, school nursing, industrial nursing, family nursing, nursing epidemiology 3. Nursing management and research skills (1) Nursing management nursing administration, nursing ethics, laws related to nursing (2) Research skills nursing statistics, nursing research methodology Finally, the principles of the statement of the specific objectives are the followings : 1. To state the specific objectives on the basis of the syllabus of each courses. 2. To match a content with a verb or gerund as the basic form of objectives. 3. To control the level of the objectives according to the rule 'the higher the level of a content, the lower the level of a verb or a gerund'. This rule applies in the reverse, as well. 4. To decide the number of the objectives in each course on the basis of the numbers of the syllabus and the level of its comprehensiveness, 5. To correct, supplement or eliminate the stated objectives by a professional or professional groups in that area.

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A Study on the Biological Treatment of RO Concentrate Using Aerobic Granular Sludge (호기성 그래뉼 슬러지를 이용한 RO 농축수의 생물학적 처리에 관한 연구)

  • Kim, Hyun Gu;Ahn, Dae Hee;Cho, Eun Ha;Kim, Han Yong;Ye, Hyoung Young;Mun, Jung Soo
    • Journal of Korean Society of Environmental Engineers
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    • v.38 no.2
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    • pp.79-86
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    • 2016
  • The purpose of this study is to efficiently improve biological sequencing batch reactor (SBR) system of high-concentrated nitrate nitrogen in reverse osmosis (RO) concentrates by total dissolved solids (TDS) regulation. Since a laboratory-scale SBR system had been operated, we had analyzed specific denitrification rate (SDNR) and specific oxygen uptake rate (SOUR) for microbial activity in according to various injection concentration of TDS. As a result, higher injection concentration of TDS decreased SDNR, and delayed denitrification within denitrification process. Moreover, the higher injection concentration of TDS was, the lower microbial activity was during operation of laboratory-scale SBR system. Therefore, the regulation of TDS injection concentration is necessary to improve efficiency of nitrate nitrogen in the biological SBR system, and treatment of calcium ion ($Ca^{2+}$) is also specifically focused to remove nitrate nitrogen. Moreover, analytical data of SDNR and SOUR can be the effective kinetic design parameters to application of biological treatment of RO concentrate by aerobic granular sludge (AGS).

Implementation of the Automated De-Obfuscation Tool to Restore Working Executable (실행 파일 형태로 복원하기 위한 Themida 자동 역난독화 도구 구현)

  • Kang, You-jin;Park, Moon Chan;Lee, Dong Hoon
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.27 no.4
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    • pp.785-802
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    • 2017
  • As cyber threats using malicious code continue to increase, many security and vaccine companies are putting a lot of effort into analysis and detection of malicious codes. However, obfuscation techniques that make software analysis more difficult are applied to malicious codes, making it difficult to respond quickly to malicious codes. In particular, commercial obfuscation tools can quickly and easily generate new variants of malicious codes so that malicious code analysts can not respond to them. In order for analysts to quickly analyze the actual malicious behavior of the new variants, reverse obfuscation(=de-obfuscation) is needed to disable obfuscation. In this paper, general analysis methodology is proposed to de-obfuscate the software used by a commercial obfuscation tool, Themida. First, We describe operation principle of Themida by analyzing obfuscated executable file using Themida. Next, We extract original code and data information of executable from obfuscated executable using Pintool, DBI(Dynamic Binary Instrumentation) framework, and explain the implementation results of automated analysis tool which can deobfuscate to original executable using the extracted original code and data information. Finally, We evaluate the performance of our automated analysis tool by comparing the original executable with the de-obfuscated executable.

Studies on the Genetic Toxicity of Guh Sung Y.L.S.-95 (목초액 (거성 Y.L.S-95)의 유전독성에 관한 연구)

  • Lee Soo-Yong;Li Guang-Yong;Yin Hu-Quan;Jung Eun-Jung;Kim Youn-Su;Lee Hye-Young;Lee Byung-Hoon
    • Journal of Food Hygiene and Safety
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    • v.21 no.2
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    • pp.107-112
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    • 2006
  • Guh Sung Y.L.S-95 (GS95) is a kind of polyacidic solution, which contains acetic acid as a main component. We investigated in the present study tile genetic toxicity of GS95 according to the standard operation procedure from Korean Institute of Toxicology. In the Salmonella typhimurium reverse mutation assay using TA1535, TA1537, TA98 and TA100, GS95 did not induce mutation up to $5,000{\mu}g/plate$. GS95 did not induce chromosome aberration in Chinese hamster lung fibroblast in the concentration range between 1.25 and 5 mg/mL. In the rodent micronucleus assay, the frequency of micronucleated polychromatic erythrocyte in GS95 treated mice were not increased up to 5,000 mg/kg compared to the vehicle treated mice. Taken all these data together, GS95 was proven to be nongenotoxic in the concentration ranges tested.

The Characteristics of a Fishing Ground at Yeosu Bay - Pound Net Fishing Ground - (여수해만의 어장학적 특성 - 정치망 어장을 중심으로 -)

  • 김동수
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.25 no.2
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    • pp.44-53
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    • 1989
  • In order to grasp the characteristics of a fishing ground at yeosu bay, the fluctuation in condition of the coast and that in catch by pound nets in the coast were investigated respectively. The results obtained are summarized as follows: 1. The water temperature in spring and summer was higher at the coast side than off shore, but in autumn and winter took the reverse. 2. The salinity was higher in spring and winter than in summer and autumn. A lower salinity zone was found at the Dolsan Do coast and higher ones were made off shore. 3. A eddy current was found at the Dolsan Do coast and a thermocline were made at the depth of 30 to 40 m in summer. But in autumn and winter the water became homogeneous. 4. The annual catch by the pound net was highest in 1984 and then decreased gradually. The monthly catch was highest in June and then decreased gradually. 5. The catches seemed to increase with the sea water temperature and salinity, and great catch was shown in 21$^{\circ}C$ to 27$^{\circ}C$ and 33.80% to 34.00%. 6. The component rate of fishes was 28.4% in spanish mackerel, 17.9% in anchovy, 19.5% in horse mackerel, 21.0% in sardine, 7.2% in hairtail, and 1% in common mackerel. 7. The fishes appeared continuously on way of fishing operation were spanish mackerel, hairtail, Yellow talil, crab, etc. An anchovy and sardine were caught mainly from March to July or August, horese mackerel and common mackerel from May to November. but puffer, swell fish, saury and filefish were caught mainly from April to October. 8. The sum of catch was largest in June, at which the wind direction was NE to SSW, the speed below 3.2m/sec, the atmospheric pressure below 1008mb, and precipitation beyond 154mm.

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DISTRIBUTION IN FIBRONECTIN OF THE RABBIT TEMPOROMANDIBULAR JOINT TISSUES FOLLOWING SURGICAL INDUCTION OF ANTERIOR DISK DISPLACEMENT : IMMUNOHISTOCHEMICAL STUDY (악관절원판의 인위적 전방변위술시행후 악관절구성조직에서 Fibronectin의 분포변화)

  • Kim, Uk-Kyu;Chung, In-Kyo;Park, Bong-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.25 no.4
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    • pp.337-349
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    • 1999
  • The extracellular matrix(ECM) is a complex network of different combination of collagens, glycosaminoglycans, laminin, fibronectin, and many other glycoproteins including proteolytic enzymes. The composition and organization of the ECM contributes to the uniques physical or biomechanical properties of a tissue. Fibronectins(FN) are dimeric glycoproteins located on cell surfaces, in the matrix of connective tissue, and in blood. Fibronectins mediate cell attachment to collagen substratum and have been implicated in a variety of important biological processes, including embryogenesis and cell differentiation. The purpose of this study was to determine the effects of surgical induction of anterior disk displacement(ADD) on distribution of fibronectin in the rabbit temporomandibular joint(TMJ) tissues included the articular cartilage, disc, retrodiscal tissue, articular eminence using an immunohistochemical technique. The left TMJ was exposed surgically, and all discal attachments were severed except for the posterior attachment. The disk was then repositioned anteriorly and sutured to the zygomatic arch. The right TMJ served as a shamoperated control. Normal joints were used as a nonoperated control. Fourty-five rabbits were used for experiments in total. For fibronectin immunohistochemical study, eighteen rabbits (one normal group and 5 experimental groups, each group consists of 3 rabbits) were used. The experimental rabbits were sacrified after operation period of 2, 3, 4, 6 and 8 weeks on fibronectin. The obtained results were as follows ; 1. Fibronectin immunoreaction on all TMJ tissues(mandibular condyle, articular disc, retrodiscal tissue, articular eminence) in the normal rabbit was observed. Especially the reverse cell layer and proliferation zone of articular cartilage of condyle show strong positive reaction. 2. Depletion of fibronectin in the all TMJ tissues except hypertrophic zone of articular cartilage occurred at 2 weeks following induction of ADD. 3. The restoration of immunoreaction at 4 weeks was observed and a progressive increasing reaction at 6 weeks, 8 weeks also was found. Our study generally showed degenerative changes in TMJ tissues after ADD although TMJ tissues adapted or degenerated to abnormal loads and stress distribution according to the remodeling capacity of TMJ tissues.

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Case Study of Investment Adequacy Analysis After Implementing Master Plan on Sewerage Rehabilitation (하수도정비기본계획 시행 후의 투자적정성 분석에 관한 사례 연구)

  • Park, Kyoo-Hong;Kang, Byong-Jun;Lym, Byeong-In;Knag, Man-Ok;Park, Joo-Yang;Kim, Sung-Tae;Park, Wan-Kyu
    • Journal of Korean Society of Water and Wastewater
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    • v.29 no.4
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    • pp.503-510
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    • 2015
  • The objective of this study is to analyze the investment adequacy of the projects implemented according to the master plan on sewerage rehabilitation at Seoul. The planned and actually implemented ratio of invested money on sewage treatment plants (STPs) to sewers were compared in two temporal periods. Though the planned ratio of investment on STPs to sewers was 50:50 (in 2009-2020), the actual implemented ratio in 2009-2013 was 34:66. Until 2020, the greater investment ratio on STPs to sewers should be made considering the necessity of coping with stricter legal compliance on advanced treatment, stormwater treatment and so on. The priority of the planned and partially implemented projects among four STPs and at each STP was evaluated. Considering only the performance indicator of reduced load of BOD, T-N, T-P per the capacity of each STP facility, the performance among four STPs was shown as Jung-Rang>Tan-Cheon>Seo-Nam>Nan-Ji. The reverse order of the performance results in the past may be considered for future investment priority, but the efficiency of operation implemented at each STP, deteriorated status of each STP, investment in the past and so forth should also be considered. As for the priority of projects conducted within each STP, projects related to legal compliance (such as advanced tertiary treatment, stormwater treatment, etc.) have highest priority. Odor-related project and inhabitant-friendly facility related projects (such as building park on STPs, etc.) has lower priority than water quality related projects but interactivity with end-users of sewerage should also be important.

Current Research Trends on Surface Modification of Pressure-driven Membranes for Fouling Mitigation (압력 구동 기반 분리막의 막 오염 저감을 위한 표면 개질 방법 최신 연구 동향)

  • Jun, Byung-Moon;Lee, Hyung Kae;Kim, Woo Jeong;Park, Jihun;Kim, Jong Hyeok;Kwon, Young-Nam
    • Membrane Journal
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    • v.28 no.1
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    • pp.1-20
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    • 2018
  • Fresh water is an important resource for humans, and pressure-driven membrane technology has been widely known as an energy-efficient method to obtain water resource. However, membrane fouling phenomenon, which is one of the major issue during operation, deteriorates membrane permeability. These fouling is usually affected by interaction between surface of membrane and various foulants, therefore, modification of membrane's surface is one of the methods to improve fouling-resistance. This review focuses on the method to modify surface of pressure-driven membranes such as microfiltration (MF), ultrafiltration (UF), nanofiltration (NF), and reverse osmosis (RO). Specifically, there are two different surface modification methods: (1) adsorption and coating as the physical modification methods, (2) cross-linker, free radical polymerization (FRP), atom transfer radical polymerization (ATRP), plasma/UV-induced polymerization as the chemical modification methods. This review introduces the physico - chemical surface modification methods reported in recent papers and suggests research directions for membrane separation which can increase membrane fouling resistance.

A Study on Enhancement Method of Hosting Capacity for PV System Based on Primary Feeder Reconfiguration (배전선로 절체에 의한 태양광전원의 수용성 향상방안에 관한 연구)

  • Lee, Myung-Geun;Lee, Hu-Dong;Ferreira, Marito;Park, Ji-Hyun;Tae, Dong-Hyun;Rho, Dae-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.239-249
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    • 2019
  • Recently, the Korean government has implemented a policy to expand renewable energy sources. Large-scale PV systems are being actively interconnected with the distribution system. On the other hand, when a large-scale PV system is installed and operated, the customer voltages could violate the allowable voltage limit due to reverse power flow of the PV system. To overcome these problems, an enhancement method for hosting the capacity of the PV system in a distribution system is being actively conducted. Therefore, to improve the hosting capacity of the PV system, this paper proposes a model of a reconfiguration of the distribution system, which is composed of three sections and three connections based on PSCAD/EMTDC S/W, and proposes an evaluation algorithm for the feeder reconfiguration to maximize an adaption of the PV system. In addition, this paper presents the optimal method of the feeder reconfiguration section to evaluate the maximum capacity of the PV system to keep customer voltages within the allowable voltage limits based on various operation scenarios, such as the capacity of a PV system and section of feeder reconfiguration. From the simulation results based on the PSCAD/EMTDC modeling and evaluation algorithm, it was confirmed that they are a useful and practical tool to enhance hosting the capacity of a PV system in a distribution system.