• Archives of Plastic Surgery
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• v.38 no.1
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• pp.19-26
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• 2011

Purpose: This is the report on the results of 150 consecutive cases of delayed postmastectomy reconstruction with TRAM flap performed by single surgeon. The purpose of this study is to review the merits, demerits and other considerations of this method by analyzing the results. Methods: 150 patients were reviewed retrospectively who had breast reconstruction by a single surgeon from July 2001 to July 2008. Reviewed factors include demographic factors, mastectomy method, adjuvant therapies (such as radiation, chemotherapy) complication rate, simultaneous contralateral breast procedure rate, secondary touch-up procedure rate, and patients' satisfaction. Results: Ovarall TRAM flap complication rate was 22.6%. Among them, donor site complication rate was 36%, simultaneous contralateral breast procedure rate was 44.6%, secondary touch-up procedure rate was 40%. All rates were higher compared to immediate reconstruction with TRAM flap. But the patients' satisfaction was about the same as immediate reconstruction. Conclusion: Delayed postmastectomy reconstruction with TRAM flap can yield satisfactory results despite of relatively high complication rate and concomitant procedure rate when it is performed by a experienced surgeon.

• Proceedings of the KSR Conference
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• 2010.06a
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• pp.762-768
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• 2010

The Bimodal Tram being developed in Korea is a new transit system that provides both benefits of rail and bus systems in terms of accessibility and fixed time schedule. The Bimodal Tram is expected to take an important role of transit system in Korea under the national strategy of transportation system such as 'Low Carbon and Green Growth' for the next generation. This study does define the key indices considered for a decision of introducing the Bimodal Tram system and develop a finalized index, BSI(Bimodal Score for Introduction), showing the level of Bimodal Tram system introduced at a city level. The transport/transit system varies depending on cities with respect to demographic characteristics, travel patterns, financial capabilities, etc. This study will help any cities where transport agencies are trying to introduce the Bimodal Tram as a new transit system.

• Journal of the Korean Society for Railway
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• v.11 no.5
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• pp.441-448
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• 2008

Increasing urban sprawl and climate changes have been causing unexpected high-intensity rainfall events. Thus there are needs to enhance conventional disaster management system for comprehensive actions to secure safety. Therefore long-term and comprehensive flood management plans need to be well established. Recently torrential snowfall are occurring frequently, causing have snow traffic jams on the road. To secure safety and on-time operation of the Bi-modal tram system, well-structured disaster management system capable of analyzing the show pack melt/freezing due to unexpected snowfall are needed. To secure safety of the Bi-modal tram system due to torrential snow-fall, the snow melt simulation capability was investigated. The snow accumulation and snow melt were measured to validate the SWMM snow melt component. It showed that there was a good agreement between measured snow melt data and the simulated ones. Therefore, the Bi-modal tram disaster management system will be able to predict snow melt reasonably well to secure safety of the Bi-modal tram system during the winter. The Bi-modal tram disaster management system can be used to identify top priority area for know removal within the tram route in case of torrential snowfall to secure on-time operation of the tram. Also it can be used for detour route in the tram networks based on the disaster management system prediction.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.39 no.4
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• pp.505-512
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• 2019

This study is a basic study to prepare safety measures for the tram that is being introduced into Korea by reviewing accident analysis and accident compensation system of the tram. Analysis of accident characteristics of the tram was analyzed based on overseas data. Five years after the inauguration of the tram, accidents were halved and stabilized. Deaths accounted for 0.5 % of all casualties, most accidents were minor. Accidents with other mean transportation were high 84.1 %, among them accidents with passenger cars was found to be highest. The frequent points of accidents were analyzed as intersections and tram stop, and measures for pedestrian accidents were found to be important. Those are proposed safety measures through analyzing tram accident characteristics: Monitoring accidents which occur within five years of its inauguration, developing accident database input system, installation of fences for preventing people from jaywalking, operating traffic signal for preventing people from jaywalking through connection of pedestrian signals and tram signals, clamping down on illegal U-turn cars and jaywalking pedestrian, Also, those are proposed accident treatment measures based on general driver receptively and overseas data: property damage liability coverage (PI) of car insurance, comparative negligence when the accident occurs between car and tram.

• Archives of Plastic Surgery
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• v.33 no.5
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• pp.643-647
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• 2006

Purpose: The transverse rectus abdominis myocutaneous(TRAM) flap has become a mainstay of breast reconstruction. The chief disadvantage of the TRAM flap is its potential to create a weakness in the abdominal wall. Nowadays true hernia is less frequent, but bulging that appears at the muscle donor site, or at the contralateral side, or at the epigastric area is still remained as a problem. To prevent this complications, we have used synthetic mesh as well as abdominal muscle plication. Now we report the result of our methods. Methods: We started to use synthetic mesh and muscle plication as supplementary reinforcement for entire abdominal wall, after TRAM flap harvesting, in an attempt to stabilize it and achieve a superior aesthetic result since 2002. We observed complications of TRAM flap donor site, and compared our results (from January, 2002 to January, 2006) with other operator's result (before 2001) at the same hospital in aspect of incidence of abdominal complications. Results: 42 consecutive patients have been performed routine reinforcement with the extended mesh technique and muscle plication from January, 2002 to January, 2006. Mean patient follow up was 25.2 months. No hernia or mesh related infection were encountered and only one patient had a mild abdominal bulging. Nevertheless the our good results, there were no significant statistical differences were observed between two groups. Conclusion: We recommend the using of synthetic mesh and muscle plication for donor site reconstruction after TRAM flap breast reconstruction to improve strength as well as aesthetic quality of the abdominal wall.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.63 no.11
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• pp.1615-1621
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• 2014

A wireless tram which runs without catenary and instead uses batteries installed in the tram has been recently researched actively. This paper presents a new method maximizing absorption of regenerative energy of a wireless tram and extending life cycle of the energy storage device in the wireless tram by applying line-optimized charging and discharging scenario. Energy efficiency and life cycle of energy storage system (ESS) are highly dependent on the characteristic of operating conditions. For example, frequent charge and discharge with high power cause the problems that decrease the battery life cycles. Hybrid energy storage system (HESS) is combination of two ESSs which have complementary characteristics to each other. HESS can provide even better functionality and performance than the battery only ESS due to the synergy effect of two ESSs. This paper also provides a power distribution strategy and driving scenarios which increase the life cycle and energy efficiency of the HESS consisting of a battery and an ultra-capacitor. The developed strategy was tested and verified by a hardware-in-the-loop-simulation (HILS) system which emulates the a wireless tram.

• The KIPS Transactions:PartA
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• v.17A no.1
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• pp.19-26
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• 2010

As standard of living is higher and aging society is coming, it is needed to develop transportation that is easy to use for weak person. To comply with the demands, it is started to make Bi-modal Tram that is on KRRI(Korea Railroad Research Institute)'s hands. This tram has to have good accessibility like bus, be low level from ground like subway, and park accurately so wheel chair's or passenger's foot can't fall into the gap. But Bi-modal Tram have long length, so it need development of All Wheel Steering System. The Bi-modal Tram that have all wheel steering system steer not only the first axle but also the second and third axle from the first axle or articulation angle, and velocity, and so on. At this study, we discuss AWS ECU's development process.

• Archives of Plastic Surgery
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• v.36 no.1
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• pp.75-79
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• 2009

Purpose: The transverse rectus abdominis musculocutaneous(TRAM) flap is the most commonly used autogenous tissue flap for breast reconstruction. Postoperatively, partial flap loss or fat necrosis are relatively common and it may result in a smaller breast volume with marked contour irregularities. These defects are not easy to reconstruct with local tissue rearrangement or with breast implants. The current authors present the results of 2 patients who underwent Latissimus dorsi(LD) flap reconstruction to correct partial flap or fat necrosis that developed after TRAM flap breast reconstruction. Method: Case1: A 50 - year - old woman with left breast cancer visited for breast reconstruction after radical mastectomy. Initially, breast reconstruction with pedicled TRAM was performed. Postoperatively partial flap necrosis was developed. Secondary breast reconstruction using LD flap was done. Case2: A 51 - year - old woman with left breast cancer visited for breast reconstruction after radical mastectomy. Initially, breast reconstruction with pedicled TRAM was performed. Postoperatively fat necrosis was developed. Secondary breast reconstruction using LD flap was done. Results: Secondary breast reconstruction using LD flap survived completely and produce successful reconstruction. There was no significant complication in both patients. Conclusion: LD flap provides sufficient, vascularized skin and soft tissue. The flap can be molded easily to replace deficient tissue in all areas of the breast. These attributes make it an ideal candidate for salvage of the partially failed TRAM flap breast reconstructio.

• Journal of the Korean Society for Railway
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• v.13 no.6
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• pp.595-600
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• 2010

The Bimodal Tram being developed in Korea is a new transit system that provides both benefits of rail and bus systems in terms of accessibility and fixed time schedule. The Bimodal Tram is expected to take an important role of transit system in Korea under the national strategy of transportation system such as 'Low Carbon and Green Growth' for the next generation. This study does define the key indices considered for a decision of introducing the Bimodal Tram system and develop a finalized index, BSI(Bimodal Score for Introduction), showing the level of Bimodal Tram system introduced at a city level. The transport/transit system varies depending on cities with respect to demographic characteristics, travel patterns, financial capabilities, etc. This study will help any cities where transport agencies are trying to introduce the Bimodal Tram as a new transit system.

• Proceedings of the KSR Conference
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• 2011.10a
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• pp.406-411
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• 2011

An active application of tram is being expected in Korea in the near future. For the tram operation in urban area, the embedded rail tracks where rails are completely embedded with pavements is required. When the embedded rail track is constructed on fine-grained subgrade soil, excessive cumulative plastic settlements due to repetitive tram road may occur. In this study, repetitive load tests were carried out to evaluate the accumulative plastic settlements of subgrade soils underneath embedded rail tracks. Two real-scale track specimens of 5 m lengths were constructed considering the maximum cant of a curved line. Repetitive tram loads of three million times were applied to the tracks in 5 Hz frequency. The accumulating patterns of plastic settlements were analyzed. Tram load distributing effects of the concrete slabs were also evaluated using the measured data of earth pressures cells that were installed underneath track. Also the measured settlements were compared with the estimated settlements calculated from an existing experimental equations, and its validity is discussed.