• Title, Summary, Keyword: completion

Search Result 2,992, Processing Time 0.037 seconds

Clinical Analysis of Completion Thyroidectomy (완료적 갑상선 전 절제술의 임상분석)

  • Lee Sang-Su;Kim Jung-Gyu
    • Korean Journal of Head & Neck Oncology
    • /
    • v.14 no.1
    • /
    • pp.94-98
    • /
    • 1998
  • Background: Completion thyroidectomy can most accurately be described as reexploration of the neck to remove the contralateral thyroid lobe. This procedure has commonly been performed when the histopatholoic condition of the ipsilateral thyroid lobe reveals papillary or follicular carcinoma of the thyroid. Because of a definitely increased risk of complications with completion thyroidectomy, avoiding its routine use is important. But this operation is safe procedure with minimal morbidity by coinsidering interval, surgical approach, surgeon's experience. The purpose of this review is to define the indication, and the safety of completion thyroidectomy. Materials & Methods: Recent 2 years(1995. 1 to 1996. 12), we have performed 161 thyroid operations. Fourteen of these patients were treated by completion thyroidectomy. The patients ranged in age from 21 to 66 years. We have routinely used ultrasound guided needle biopsy and intraoperative frozen section. Result: The completion thyroidectomized specimen contained papillary carcinoma in 12 (86%), follicular carcinoma in 1(7%) and follicular adenoma(no residual tumor) in 1(7%). The complication of completion thyroicetomy was absent, although case number was a few. The indication of completion thyroidectomy in our study was defined recurrence in 9 and staging in 5. The site of recurrence consists of residual thyroid in 7 and residual thyroid added cervical lymph node in 2. The staging consists of incomplete thyroidectomy 3, questionable frozen biopsy 1, and huge follicular carcinoma. Conclusion: The incidence of completion thyroidectomy appear to be increasing by application of ultrasonogram in follow-up of thyroidectomized patients, especially, for the improving of well differentiated thyroid carcinoma. Experience suggests that the morbidity of completion thyroidectomy is low, so we recommend completion thyroidectomy as an efficient and safe method of surgical treatment.

  • PDF

A Completion of Semi-simple MV-algebra

  • 박평우
    • Journal for History of Mathematics
    • /
    • v.13 no.1
    • /
    • pp.125-136
    • /
    • 2000
  • The notion of MV-algebra was introduced by C.C. Chang in 1958 to provide an algebraic proof of the completeness of Lukasiewicz axioms for infinite valued logic. These algebras appear in the literature under different names: Bricks, Wajsberg algebra, CN-algebra, bounded commutative BCK-algebras, etc. The purpose of this paper is to give a topological lattice completion of semisimple MV-algebras. To this end, we characterize the complete atomic center MV-algebras and semisimple algebras as subalgebras of a cube. Then we define the $\delta$-completion of semisimple MV-algebra and construct the $\delta$-completion. We also study some important properties and extension properties of $\delta$-completion.

  • PDF

COMPLETION RATE OF THE MEDICAL RECORDING: PROBLEMS AND MEASURES FOR IMPROVEMENT (의무기록정리율의 문제점과 개선책)

  • Kim, Sae Chul;Kim, Min Soon
    • Quality Improvement in Health Care
    • /
    • v.1 no.1
    • /
    • pp.110-118
    • /
    • 1994
  • As the first step to improve the medical recording for the hospitalized patients, we tried to identify problems of completion rate of the medical recording and made the completion rate of the medical recording within due date known to the public in the hospital and commended the best Department and resident officially. The results were as follows: 1. The average number of the medical recordings per a recorder by years of residency(average number to quorum) was 293.3(398.8) in 1st year, 82.5(68.1) in 2nd year, 21.2(8.3) in 3rd year, and 20.5(1.9) in 4th year-residents. There was only 2 residents who prepared the medical recordings more than the average of 125.6 recordings per a resident. 2. Among 13 Departments, the medical recording was wholly put in charge of the 1st year-resident in 6 Departments. The duty was shared with the 2nd year-resident in 5 Departments and the 3rd year-resident in 1 and the 4th year-resident in Only 1 Department. 3. The more the cases requiring the medical recording, the lower the completion rate(80% less than 100 recordings, 70% in 100-299, 60% in 300-399 and 33.3% in more than 400). 4. There was no difference in the completion rate of the medical recording before(1991) and after(1993) a public nitice(1992). However, 4 Departments showed improvement of 21-45% in the completion rate, and no case was found where billing for medical assurance was postponed due to delayed completion of the medical recording. 5. The completion rate was relatively low(72-78%) from January to March. The main reasons were shortage of men power due to preparation of board examination, attendance to military duty, and lack of training in the medical recording for the new 1st year-residents. 6. The official commendation of the best Department and resident by letters did not improve the completion rate of the medical recording. In conclusion, The main reason of the low completion rate of the medical recording was the fact that the 1st year-residents were almost exclusively responsible for the medical recording. Hence, it is mandotory that this practice gets staffs' attention to improve the completion rate. Public notice of the completion rate of the medical recording shows prompt improvement of the completion rate. Prize money rather than commendation by a letter for the best Department would also be more effective to improve the quality of medical recording.

  • PDF

A Survey on Changes in Quality of Life of Patients who Received Radiation Therapy after Surgery for Breast Cancer (유방암 수술후 방사선 치료를 받는 환자의 삶의 질 변화에 관한 연구)

  • 김매자
    • Journal of Korean Academy of Nursing
    • /
    • v.24 no.4
    • /
    • pp.652-665
    • /
    • 1994
  • This study was done to investigate the changes in the quality of life(QOL) of patients who received radiation therapy after surgery for breast cancer. For this purpose, 35 patients were interviewed using a questionnaire. They were followed over 8 month period from the beginning of radiation therapy. Changes in the QOL, side effect of the RT(radiation therapy), depression were measured. The results can be summarized as follows : 1. The mean score of the side effect of RT increased significantly over the period of RT. When the RT was completed, the QOL score was the low-est, and the depression score was the highest, but the changes of these scores were not statistically significant. 2. When the 6-week RT was finished, the QOL was significantly correlated with QOL of the beginning of RT, depression at RT completion and age. At three months after the completion of RT, the QOL was significantly correlated with QOL of the beginning of RT, depression and side effect of RT at three months after the completion of RT. At six months after the completion of RT, the QOL was significantly negatively correlated with age. 3. In the stepwise multiple regression analysis, the major influencing variables on the QOL were various according to the time lapse after the RT. The QOL at the completion of RT was predicted by the QOL at the beginning of RT, depression at the completion of RT and age. The QOL at three months after the completion of RT was predicted by the QOL at the beginning of RT and side effect of RT and depression at three months after the completion of RT. The QOL at six months after the completion of RT was predicted by age. This study suggests that continuous nursing care be required for improving the QOL of breast cancer patients not only during the RT period but also for a long term after the completion of RT.

  • PDF

Completion Thyroidectomy for Differentiated Thyroid Carcinoma (분화성 갑상선암의 완결 감상선 절제술)

  • Kim Myung-Kwan;Lee Yun-Bok;Chin Hyung-Min;Chun Chung-Soo;Suh Young-Jin;Kim Jun-Gi;Park Woo-Bae
    • Korean Journal of Head & Neck Oncology
    • /
    • v.13 no.1
    • /
    • pp.35-39
    • /
    • 1997
  • Background: Completion thyroidectomy is defined as the surgical removal of the remnant thyroid tissue following procedures less than total or near-total thyroidectomy. Although some authors advocate subtotal thyroidectomy with lower complication rates, total or completion thyroidectomy have been defended by others because of the improved survival and lower morbidity that is comparable with subtotal thyroidectomy. Objectives: The purpose of this paper is to review the necessity and safety of completion thyroidectomy for differentiated thyroid carcinoma(DTC). Materials & Methods: During the past 10 years(1986 to 1996) , authors have performed 211 total thyroidectomy. Ten of these patients were treated by completion thyroidectomy for DTC. Initial operation of 7 patients had been performed at St. Vincents Hospital and 3 patients at other hospital. The medical records of patients undergoing completion thyroidectomy were retrospectively reviewed. Results: The completion thyroidectomy specimen contained residual tumor cells in 8 of the 8 patients with papillary carcinoma and none of the two patients with follicular carcinoma. Complications of completion thyroidectomy were transient hypoparathyroidism in two patients and transient unilateral recurrent laryngeal nerve palsy in one patient. But permanent complications were not noticed. Conclusion: We recommend completion thyroidectomy as an efficient and safe method of surgical treatment with a low complication rate for DTC.

  • PDF

Evaluation of Horizontal Position Accuracy in Forest Road Completion Drawing (임도 준공도면의 수평위치 정확도 평가에 관한 연구)

  • Kim, Myeong-Jun;Kweon, Hyeong-Keun;Choi, Yeon-Ho;Yeom, In-Hwan;Lee, Joon-Woo
    • Korean Journal of Agricultural Science
    • /
    • v.37 no.3
    • /
    • pp.471-479
    • /
    • 2010
  • Forest roads of 16,424km have been constructed as infrastructure for efficient management of forest. The demand of forest road have been also increased steadily with SOC conception for forest management and wood production. But, accuracy verification by completion drawing of forest road needed aspects extration of geographic information to sound like forest road construction and completion drawing. However, verification for completion drawing has not ascertained. This study carried out the evaluation for position accuracy about constructed forest road in Chungcheongnam-do for evaluating horizontal position accuracy of completion drawing of forest road. In result, first of distance of completion drawing and real route designed completion drawing longer than the real route as Gongju 83m, Seosan 66m, Nonsan 27m and Dangjin 19m, respectively. Second, RMSE by point-correspondence was 11m~14.7m, buffering analysis appeared difference of 18~24m. Finally, index of shape was the similar completion and real route through 6.5~7.4 and data information of forest road corresponds to be perfect. For such reasons, the existing completion drawings have a problem that it cannot use graphic information for drawing digital map according to the regulation, and there is an urgent need for improvement to solve this problem in the process of design and construction.

Managing Flow Transfers in Enterprise Datacenter Networks with Flow Chasing

  • Ren, Cheng;Wang, Sheng
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • v.10 no.4
    • /
    • pp.1519-1534
    • /
    • 2016
  • In this paper, we study how to optimize the data shuffle phase by leveraging the flow relationship in datacenter networks (DCNs). In most of the clustering computer frameworks, the completion of a transfer (a group of flows that can enable a computation stage to start or complete) is determined by the flow completing last, so that limiting the rate of other flows (not the last one) appropriately can save bandwidth without impacting the performance of any transfer. Furthermore, for the flows enter network late, more bandwidth can be assigned to them to accelerate the completion of the entire transfer. Based on these characteristics, we propose the flow chasing algorithm (FCA) to optimize the completion of the entire transfer. We implement FCA on a real testbed. By evaluation, we find that FCA can not only reduce the completion time of data transfer by 6.24% on average, but also accelerate the completion of data shuffle phase and entire job.

COMPLETION OF HANKEL PARTIAL CONTRACTIONS OF NON-EXTREMAL TYPE

  • KIM, IN HYOUN;YOO, SEONGUK;YOON, JASANG
    • Journal of the Korean Mathematical Society
    • /
    • v.52 no.5
    • /
    • pp.1003-1021
    • /
    • 2015
  • A matrix completion problem has been exploited amply because of its abundant applications and the analysis of contractions enables us to have insight into structure and space of operators. In this article, we focus on a specific completion problem related to Hankel partial contractions. We provide concrete necessary and sufficient conditions for the existence of completion of Hankel partial contractions for both extremal and non-extremal types with lower dimensional matrices. Moreover, we give a negative answer for the conjecture presented in [8]. For our results, we use several tools such as the Nested Determinants Test (or Choleski's Algorithm), the Moore-Penrose inverse, the Schur product techniques, and a congruence of two positive semi-definite matrices; all these suggest an algorithmic approach to solve the contractive completion problem for general Hankel matrices of size $n{\times}n$ in both types.

KRULL DIMENSION OF A COMPLETION

  • Hwnag, Chul-Ju
    • The Pure and Applied Mathematics
    • /
    • v.11 no.1
    • /
    • pp.23-27
    • /
    • 2004
  • We calculate dim $\hat{A}$ which is a completion of a Noetherian ring A with respect to I-adic topology. We do not use localization but power series techniques.

  • PDF