• Title/Summary/Keyword: 단단연결

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Comparison of End-to-side and End-to-end Anastomosis in Circular Stapled Gastroduodenostomy (원형 봉합기를 이용한 위십이지장연결술 시 단측연결과 단단연결의 비교)

  • Seo, Min-Woo;Kim, Yong-Jin;Song, Dan;Kang, Gil-Ho;Cho, Gyu-Seok;Lee, Moon-Soo;Hur, Kyung-Yul;Kim, Jae-Joon
    • Journal of Gastric Cancer
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    • v.9 no.2
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    • pp.57-62
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    • 2009
  • Purpose: The use of automatic circular staplers for gastroduodenostomy after distal gastrectomy is now widely accepted. We compared the clinical outcomes of two different methods. Materials and Methods: Between March 2005 and February 2008, 134 patients with gastric cancer underwent distal gastrectomies. Seventy-six consecutive patients received end-to-side gastroduodenostomies (ES) between March 2005 and September 2006. The remaining 58 consecutive patients received end-to-end gastroduodenostomies (EE) between November 2006 and February 2008. We analyzed the surgical outcomes between the two groups (ES versus EE) on the basis of prospectively collected data. Results: Among the clinical factors, there were no differences between the two groups. The overall complication rates were 19.7% in the ES group and 13.8% in the EE group (P=0.489). With respect to anastomosis-related complications, 2 cases had bleeding and 2 cases had stenoses in the ES group, while 2 cases in the EE group had bleeding. Re-operation was needed in the case of intraluminal bleeding in the ES group. There were no mortalities in our study. Conclusion: The two methods for gastroduodenostomy were safe and technically feasible. Although there was no statistical difference in the overall complications, including anastomosis-related complications, we demonstrated better outcomes with respect to anastomotic stenosis in the EE group.

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Two New Records of Zygometridae and Colobometridae (Echinodermata: Crinoidea: Comantulida) in Korea (연접갯고사리과와 단단한갯고사리과(극피동물문: 바다나리강: 바다나리목)의 2한국미기록종)

  • Won, Jung-Hye;Shin, Sook
    • Animal Systematics, Evolution and Diversity
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    • v.19 no.1
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    • pp.125-131
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    • 2003
  • Taxonomic study for the comatulid crinoids collected from the Korea Strait and Jeju Island was conducted. Two species of comatulids, Captoptometra rubroflava belongs to the family Zygometridae and Gephyrometra versicolor belongs to the family Calometridae, were identified and both of them were turned out to be new to the Korean fauna. The family Zygometridae is newly reported in Korea.

Design of a Partitionable Single-Stage Shuffle-Exchange Network (분할 가능한 단단계(Single-Stage) Shuffle-Exchange 네트워크의 설계)

  • Lee, Jae-Dong
    • Journal of KIISE:Computer Systems and Theory
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    • v.30 no.3_4
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    • pp.130-137
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    • 2003
  • This paper presents the problem of partitioning the Single-Stage Shuffle-Exchange Network(SSEN). An algorithm, named SSEN_to_PSEN, is devised to transform an SSEN into a Partitionable Shuffle-Exchange Network (PSEN). The proposed algorithm presents that the SSEN can be partitioned into independent sub-networks without additional links for N $\leq$ 8. Additional links are needed in order to partition an SSEN, but only when N $\geq$ 16. The running time of the algorithm SSEN_to_PSEN is $\theta$(NlogN). By comparing with a hypercube network, the PSEN is less expensive than a hypercube network even when some additional links are added. By partitioning, a large PSEN in a massively parallel machine can compute various problems for multiple users simultaneously, thereby the processing efficiency of the machine is improved.

Development of Water Purifier using Illite found from Young-dong (영동산 일라이트를 이용한 정수기 개발)

  • 김상순;김서흠;구경완;임무열;나대석;한위생
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2000.11a
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    • pp.429-432
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    • 2000
  • 본 논문의 정수기는 영동산 일라이트를 필터의 주된 재료로 사용하였다. 구조는 여과필터를 교체하여 사용할 수 있도록 된 정수기의 필터 케이스 및 여과 방법에 관한 것으로써, 보다 상세하게는 필터 케이스가 분리, 결합이 간편한 본체와 마개로 구성되어 있다. 이 본체는 1차 여과부와 2차 여과부로 분리되어 물이 1차 여과부의 상부를 통해 인입되어 2차 여과부의 상부로 연결되도록 되어 있어 동일한 크기 내에서 여과구간이 2배로 길어져 여과 효율이 우수한 동시에 물인입구와 물배출구가 동일한 방향에 위치하여 다수 개의 필터 케이스를 연결할 때 필터 케이스의 간격을 좁힐 수 있어 필터 케이스의 설치면적이 좁다. 본체와 마개의 체결방식은 볼트 체결방식으로 되어 있으며, 마개는 플라스틱 재질이어서 본체에 마개를 단단히 체결하면 누수가 방지되도록 되어있다. 즉, 정수기의 필터하우징 성능과 영동산 일라이트가 가지고 있는 기능성을 이용한 필터를 사용함으로써 정수기에서 요구되어지는 정수능력을 가진 정수기를 개발 보고한다.

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Schwannoma of the Esophagus - A case report- (식도의 신경집종 -1예 보고-)

  • 백종현;이장훈;이동협;정태은;김미진;이정철
    • Journal of Chest Surgery
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    • v.37 no.11
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    • pp.963-966
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    • 2004
  • A rare case of schwannoma involving lower thoracic esophagus is presented. A 64-year-old male was seen with slowly progressing dysphagia for 2 years. Large sized submucosal tumor was found by endoscopy and chest CT. On surgery, tumor was very solid and tightly adherent to the adjacent tissue. Esophagectomy and esophagogastrostomy was done.

One-stage Repair of Distal Aortopulmonary Septal Defect, Aortic Origin of Right Pulmonary Artery, Patent Ductus Arteriosus and Hypoplasia of Aortic Isthmus -A case of report- (대동맥 협부 발육부전, 동맥관 개존, 대동맥기시 우폐동맥을 동반한 원위 대동맥폐 동맥 중격결손의 일차 완전 교정술 1례)

  • 이호철;류한영
    • Journal of Chest Surgery
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    • v.29 no.5
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    • pp.554-558
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    • 1996
  • A case of distal aortopulmonary septal defect associated with aortic origin of right pulmonary ar- tery, patent ductus arteriosus and hypoplasia of aortic isthmus in a 50-day-old female infant is presented. Ligation of patent ductus arteriosus, resection and end-to-end anastomosis of hypoplasia of aortic isthmus, implantation of rlght pulmonary artery to main pulmonary artery and autologous peri- cardial patch repair of aortopulmonary septal defect were performed under cardiopulmonary bypass as one-stage approach. Deep hypothermic total circulatory arrest was applied during repair of hypoplasia of aortic isthmus. The p stoperative course was uneventful.

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Development of the Velocity Compounded Impulse Turbine for the 75ton Liquid Rocket Engine Application (75톤급 액체로켓엔진 터보펌프용 속도복식 터빈개발)

  • Jeong, Eunh-Wan;Park, Pyun-Goo;Lee, Hang-Gi;Kim, Jin-Han
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2011.04a
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    • pp.7-11
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    • 2011
  • A velocity-compounded(VC) turbine for the 75ton turbopump was developed as an improved performance backup for the single-rotor baseline turbine. Curvic coupling was adopted for the power transmission between the rotors and shaft. High temperature torsion test and spin test was performed for the curvic coupling design validation. Aerodynamic performance test revealed that VC turbine can generate 20.5% higher specific power than the baseline turbine.

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A Study of the One-Stage Axial Turbine Performance with Various Axial Gap Distances between the Stator and Rotor (정.동익 축방향 간격에 따른 단단 축류터빈의 성능시험에 관한 연구)

  • Kim, Dong-Sik;Cho, Soo-Yong
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.30 no.4
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    • pp.99-105
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    • 2002
  • The performance test of an axial-type turbine is carried out with various axial gap distances between the stator and rotor. The turbine is operated at the low pressure and speed, and the degree of reaction is 0.373 at the mean radius. The axial-type turbine consists of ons-stage and 3-dimensional blades. The chord length of rotor is 28.2mm and mean diameter of turbine is 257.56mm. The power of turbo-blower for input power is 30kW and mass flow rate is $340m^3$/min at 290mmAq static-pressure. The RPM and output power are controlled by a dynamometer connected directly to the turbine shaft. The axial gap distances are changed from a quarter to three times of stator axial chord length, and performance curves are obtained with 9 different axial gaps. The efficiency varies about 8% of its peak value due to the variation of axial gap on the same non-dimensional mass flow rate and RPM, and experimental results show that the optimum axial gap is 1.6-1.9Cx.

Development of Lightweight Auger Planting for Strengthen of Screw Shaft (스크류 축이 보강된 경량식혈기 개발)

  • Kim, J.H.;Kim, K.D.
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2017.04a
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    • pp.62-62
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    • 2017
  • 모터와 스크류를 이용한 경량 식혈기를 처음으로 개발함에 따라 실제 산림의 식재 시험에서 발생될 수 있는 것은 감속기와 스크류의 연결부분의 파괴이다. 이 감속기 축의 파괴는 토양내부의 큰 자갈로 인해 스크류가 낄 경우 식재봉을 좌우로 흔들게 되면 가장 취약한 부분인 스크류와 감속기의 연결부위에 가장 강한 모멘트가 걸리게 된다. 물론 작업자의 부주위가 원인이기도 하지만 감속기(K6G30C. Korea)의 축 지름이 8mm이므로 식재봉을 좌우로 흔들면 굽힘파괴가 일어날 가능성이 높다. 감속기의 축이 파괴가 되지 않게 하는 방법은 재료의 강도가 높은 새로운 감속기를 찾은 일과 기존 감속기의 축을 굽힘응력에 안전하게 대응할 수 있게 설계를 하는 방법이 있다. 본 연구에서는 전자에 대한 조사와 동시에 후자에 대한 설계와 제작을 수행하여 기 제작된 경량식혈기와 비교 분석하였다. 스크류 축의 굽힘응력에 대한 대응 방법으로 감속기 축의 보강방법은 감속기 축에 식재봉으로 부터 굽힘응력이 직접 전달되지 않게 하기 위해 모터 하우징의 하부 위치에 감속기 축을 감싸는 Radial Bearing을 결합하였다. 그리고 스크류의 축은 상단의 지름을 크게 키운 상태로 감속기의 축에 연결하는 방법으로 설계하였다. 이때 식혈봉으로 부터 걸리는 모멘트는 스크류의 상단 지름에 걸리게 되는데 상단부는 모터 하우징의 하단과 단단하게 결합함으로써 감속기 축을 보호하게 되고 또한 감속기 축의 길이에서 Bearing과 스크류 상단부 큰 지름이 각각 반반씩 보호하는 형태로 설계하였다. 이와 같이 감속기의 축을 보강한 경우 종전의 식혈기보다 무게가 무거워지게 된다. 즉, 1차 식혈기 무게는 3.38kgf, 2차 시작기는 3.28kgf, 축 강도가 보강된 3차 시작기는 무게가 3.87kgf로 증가되었다. 따라서 종전보가 약 600g 증가되어 다소 무거운 느낌이 들었다. 여기서 리듐 폴리머 배터리와 가방의 무게 3.23kgf를 부가하면 1차, 2차, 3차 시작기의 무게는 각각 6.61kgf, 6.51kgf, 7.1kgf로 나타났다. 따라서 굽힘응력에 대한 보강의 방안으로 설계된 무게 과다가 현장 시험에서 작업자의 피로도 증가와 작업의 비효율성이 예상되어 포트묘의 현장 식재시에 이에 대한 평가를 수행하여 비교 분석할 예정이다.

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Esophageal Atresia without Tracheoesophageal Fistula - Report of 6 Cases - (기관 식도루가 없는 식도폐쇄증 환자의 치료경험)

  • Kim, Seong-Min;Choi, Seung-Hoon;Kim, Sung-Hoon;Kwon, In-Kyu;Han, Seok-Joo;Oh, Jung-Tak
    • Advances in pediatric surgery
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    • v.11 no.2
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    • pp.157-164
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    • 2005
  • Esophageal atresia without tracheoesophageal fistula accounts for 7-11 % of all types of esophageal atresia and is very difficult to treat. In our hospital from 1990 to 2005, we operated upon 40 patients with esophageal atresia, and 6 had pure atresia. The preoperative characteristics, operative findings and post operative course of the six patients with pure atresia were analysed. Immediate gastrostomy was performed in all 6 patients. One patient had simultaneous cervical esophagostomy. Esophageal reconstruction procedures were transhiatal gastric pull up in 3 patients, esophagocologastrostomy utilizing left colon in 1, and transthoracic esophagoseophagostomy with esophageal bougination in 2. Postoperative complications were pneumonia, anastomosis leakage, and gastroesophageal reflux symptom. Conservative management was effective in all patients. A larger series of cases would be required to demonstrate the most effective treatment for this particular anomalous condition.

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