• Title/Summary/Keyword: 그물막

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Omental Infarction Following Laparoscopy-assisted Gastrectomy (LAG) for Gastric Cancer (위암 환자의 복강경 위절제술 후 발생한 그물막 경색의 임상적 의의)

  • Kim, Min-Chan;Jung, Ghap-Joon;Oh, Jong-Young
    • Journal of Gastric Cancer
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    • v.10 no.1
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    • pp.13-18
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    • 2010
  • Purpose: Omental infarction (OI) following laparoscopy-assisted gastrectomy (LAG) for gastric cancer could become more common in the future because the indications for LAG are expected to expand. The aim of this study was to determine the clinical characteristics of OI following LAG. Materials and Methods: Three hundred ninety patients who underwent LAG for T1 or T2 gastric cancer from April 2003 to November 2007 were enrolled. OI was diagnosed by two radiologists using the patients' abdominal 16 row-detector CT scans. The clinicopathologic characteristics were retrospectively evaluated in the omental infarction (OI) group and the non-omental infarction (non-OI) group using the gastric cancer database of Dong-A University Medical Center and the medical record. Results: Nine omental infarctions (2.3%) of 390 LAGs were diagnosed. All the OIs could be discriminated from omental metastasis on the initial or follow up CT images. The location of the omental infarctions was on the epigastrium in 3 patients and in the left upper quadrant in 3 patients. The mean size of the OIs was 4.1 cm. Most patients with OI had no signs or symptoms. The body mass index of the OI group was higher than that of the non-OI group (P=0230), and OI was more common in patients who underwent total gastrectomy than in the patients who underwent subtotal gastrectomy (P=0.0011). Conclusion: Laparoscopy-assisted gastrectomy (LAG) with partial omentectomy for gastric cancer can be a cause of secondary OI. Omental infarction after LAG has different clinical characteristics and CT findings that those of other omental infarctions or postoperative omental metastases. Further multicenter study will be needed to evaluate in detail the clinical features of omental infarction after LAG.

Flow Resistance of Model Cage Net (모형 우리 그물의 유수저항)

  • KIM Tae-Ho;KIM Dae-An;RYU Cheong-Ro;KIM Jae-O;JEONG Eui-Cheol
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.33 no.6
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    • pp.514-519
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    • 2000
  • In order to develop the method for the calculation of flow resistance acting on cage net, the relation between the velocity reduction factor and $S_n/S$, the ratio of total area of netting projected to the perpendicular to the water flow $S_n$ to wall area of netting S, was derived based on the numerical and experimental analysis of the wake flow through a netting twine simplified by a cylinder and a netting panel. The velocity was reduced in accordance with the velocity reduction factor when the flow passed the netting panel upstream of a cage net. The proposed method for the calculation of fluid force acting on a square cage net was based upon the assumption that it could be divided into four side panels and one bottom panel. It was proved that the force could be calculated by the sum of the drag forces acting on the individual netting panels.

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Analysis on Response Characteristics of a Flexible Net Sheet in Waves (파랑중 유연한 그물망의 응답특성 해석)

  • Cho, Il-Hyoung
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.24 no.2
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    • pp.89-96
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    • 2012
  • Based on the hydroelastic theory and the matched eigenfunction expansion method(MEEM), the dynamic behavior of the porous flexible net sheet and wave forces have been investigated in monochromatic waves. The net sheet is installed vertically with the submergence depth. Top end of a net sheet is fixed and its lower end is attached by a clump weight. It is assumed that the initial tension is sufficiently large so that the effects of dynamictension variation can be neglected. The boundary condition on the porous flexible net sheet is derived based on Darcy's fine-pore model and body boundary condition. The developed analytic model can be extended to the impermeable/permeable vertical plate and the impermeable flexible membrane. The analytical model was used to study the influence of design parameters(wave characteristics, porosity, submergence depth, initial tension) on the response characteristics and wave load of the net sheet.

Studies on Strength of Netting (2) The Knot Strength of Knotted Notting with Meshes Opened (그물감의 강도에 관한 연구(2) 주름을 준 매듭 그물감의 매듭의 강도)

  • KIM Dai An
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.9 no.1
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    • pp.13-18
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    • 1976
  • 1) The variation of the reef knot strength $T_r$ and the trawler knot strength $T_\varrho$ with the angle $\varphi$ between the adjacent bars are given by $$T_r=T_{ro}-k_{r\varphi}$$ and $$T_\varrho=T_{{\varrho}o}+k_{\varrho\varphi}$$ where $T_{ro}$ and $T_{{\varrho}o}$ are values of $T_r$ and $T_\varrho$ at $\varphi=0^{\circ}$ respectively, and $k_r$ and $k_\varrho$ constants decided by the fibre materials of netting twines ($\varphi\;is\;0^{\circ}$ when the knot is pulled lengthwise). 2) The variation of the reef knot strength $T_r'$ and the trawler knot strength $T_\varrho'$ with the angle $\varphi'$ between any one bar and the plane made by the other three bars may be expressed by $$T_r'=T_{ro}{'}\varrho^{-c\varphi'}$$ and $$T_\varrho'=T_{{\varrho}o}{'}\varrho^{-c\varphi'}$$ where $T_{ro}{'}$ and $T_{\varrho}o{'}$ are values of $T_r{'}$ and $T_\varrho{'}$ at $\varphi'=0^{\circ}\;{(\varphi=45^{\circ})}$ respectively, and o is the coefficient of attenuation. 3) Knot strength of knotted netting may be expressed by the expression derived in the preyious paper, disregarding its shape and the direction of tensile loads acting on it.

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Flow Resistance of Plane Nettings for Net Cages (우리 그물용 평면 그물감의 유수저항)

  • KIM Tae-Ho;KIM Dae-An;RYU Cheong-Ro
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.34 no.3
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    • pp.254-259
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    • 2001
  • In order to make clear the resistance of plane nettings u,sed widely in constructing net cages, the resistance R taken by $R=kSU^2$, where S was the wall area of nettings, U the flow velocity, and k the resistance coefficient, was measured in a circulating water channel by using nylon Raschel nettings and PE trawler-knotted nettings coated with anti-fouling paint or not and then the properties of coefficient k were investigated. The mesh size L and the angle $\phi$ between two adjacent bars was given by the function of Reynolds number ${\lambda}U/v$ in the region of ${\lambda}U/v<180$, i. e., $$k=350(\frac{\lambda U}{v})^{-0.25}$$.where $\lambda$ was the representative size of nettings expressed as $$\lambda=\frac{{\pi}d^2}{2L\;sin\;2{\phi}}$$On the other hand, the coefficient k was almost fixed between 92 and 102 ($kg{\cdot}s^2/m^4$) in the region of ${\lambda}U/v{\geq}180$ and varied according to the ratio $S_n/S$ of the total area $S_n$ of nettings projected to the plane perpendicular to the water flow to the wall area S of nettings, i.e., it was given by $$k=98.6(\frac{S_n}{S})^{1.19}$$ regardless of the coating of paint.

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A Fat Density Mass in the Mediastinum (지방음영을 보인 종격동내 종괴)

  • Heo, Su Beom;Roh, Eun Suk;Kim, Dae Sung;Kim, Eui Hiung;Kang, Ji Ho;Lee, Sang Haak;Moon, Hwa Sik;Song, Jeong Sup;Park, Sung Hak;Park, Chan Beom;Lee, Bae Young;Kim, Hyeon Sook
    • Tuberculosis and Respiratory Diseases
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    • v.58 no.2
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    • pp.188-192
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    • 2005
  • A 47-year-old female was admitted for an evaluation of a left mediastinal mass. The chest X-ray performed 16 months ago was normal, but the chest X-ray upon admission showed a large mass adjacent to the anterior aspect of the left hemidiaphragm. The CT scan demonstrated a large mass with a fat density in the left lower hemithorax. A focal diaphragmatic defect behind the xiphoid process was suspected. A thoracoscopic examination revealed omental herniation through the diaphragmatic defect. Therefore, a left thoracotomy was performed and the defect was repaired. We believe that a differential diagnosis should be needed to include a diaphragmatic omental hernia when a fat density mass is observed in the mediastinum.

Advanced Gastric Cancer That Was Curatively Resected 78 Months after Being Diagnosed: Report of a Case (진단 후 78개월 뒤에 근치적으로 절제된 진행위암 1예)

  • Son, Hae-Jung;Yoo, Moon-Won;Kong, Seong-Ho;Ahn, Hye-Seong;Lee, In-Kyu;Kim, Woo-Ho;Lee, Hyuk-Joon;Yang, Han-Kwang
    • Journal of Gastric Cancer
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    • v.10 no.1
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    • pp.40-44
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    • 2010
  • The natural history of gastric cancer is unclear. We report here on a rare case of advanced gastric cancer for which we performed curative gastrectomy 78 months after the diagnosis. A 74-year-old woman with epigastric pain underwent esophagogastroscopy in January, 2000 and she was diagnosed with advanced gastric cancer. Suspicious omental cake was noted on CT. After refusing all kinds of treatment, she underwent a follow up CT scan on September, 2002, which no longer suggested omental cake. She once again refused treatment, but she visited the hospital in June, 2006 due to severe epigastric pain and a decreased oral intake. Abdominal CT showed no distant metastasis, and so radical subtotal gastrectomy with regional lymph node dissection was performed in July, 2006 and the TNM stage was T2bN1M0 (stage II).

Fundamental Studies on the Net-Shape of the Drag Net-II On the Section Shape of the Simplified Model of the Bag Net in Four-Point Suspension (저예망의 어구형상에 관한 기초적 연구-II 단순화모형에 의한 4폭짜리 자루그물의 단면형상)

  • Lee, Ju-Hee
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.20 no.2
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    • pp.65-71
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    • 1984
  • As a primary step in studying the relationship between the arrangement of netting and the section shape of the bag net in the four-seam trawling net, a series of experiments were performed with the simplified model of the bag net made of vinyl film. This model was suspended horizontally in circularly flowing water, with two pairs of suspending threads to four points of symetry at the border of the bag mouth in place of both wing nets. And then, the area distribution of each panel in the bag net was arranged by the portion of the length of the side panel, q to that of the lower or upper panel, p at the border of bag mouth. In the experiments, the section shape of the bag mouth photographed and the tensions on both pairs of suspending threads were measured with two loadcells in circularly flowing water. From the results that the section shape of the bag mouth in circularly flowing water is controlled by the area distribution of panels in the bag net, the author estimated an experimental equation. h/w=k sub(1) e super(k) 2 super(q/p)+C, where h is the central height of the bag mouth, and w is the lateral width of that.

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Ileal epithelioid leiomyosarcoma with omental and peritoneal seeding (그물막과 복막파종을 동반한 회장의 상피양 평활근육종)

  • Kim, Chung-Hyoun;Kim, Sun-Young;Jung, Chang-Kil;Choi, Jung-Pil;Seo, Keum-Soo;Lee, Jun-Ho;Choi, Jae-Hyung
    • Journal of Yeungnam Medical Science
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    • v.34 no.1
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    • pp.132-136
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    • 2017
  • Leiomyosarcoma (LMS) of the small intestine is a rare tumor, accounting for about 1% of all malignant mesenchymal lesions in the gastrointestinal tract. Since small bowel tumors are initially asymptomatic and nonspecific, delayed diagnosis and treatment are common. We found that a 44-year-old male patient who came in for lower abdominal pain had partial obstruction in the small bowel. Multiple ascites and ileal tumors involving peritoneal seeding were observed from his abdominal computed tomography. He was diagnosed as epithelioid LMS involving peritoneal transition after surgical resection, and the outpatient department has planned for a conservative therapy with observation. To the best of our knowledge, ileal epithelioid LMS accompanying a huge omental mass, with a size of 18 cm in dimension, and peritoneal seeding has not yet been reported in Korea. We report this rare case with literature review.