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Backflow Flow Analysis of Street Inlet drain using Fluent Model (빗물받이 연결관 역류 흐름 해석을 위한 Fluent 모형 적용)

  • Lee, Min Sung;Kim, Jung Soo;Yoo, In Gi;Yoo, Kyu Min
    • Proceedings of the Korea Water Resources Association Conference
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    • 2022.05a
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    • pp.245-245
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    • 2022
  • 최근 국내 기후변화에 따른 국지성 집중호우로 인한 시간당 강우량의 증가로 도로부 유출량의 증가와 배수관거에서의 내수배제 불량에 따른 도심지 내수침수 피해가 증가함에 따라 이를 해결하기 위한 우수유출저감시설이 설치되고 있다. 그러나 대단위의 지하 저류시설의 지속적인 설치는 과밀화된 도심지에서 설치 지하공간의 구조적인 한계 및 적정 설치 위치의 미확보 등의 다양한 문제가 발생하여 저류시설의 침수저감 효과에 대한 추가적이고 새로운 저류시설에 대한 연구가 필요한 실정이다. 이에 내수 침수 저감 및 배수 능력 향상을 위한 도로 배수시설과 연계된 도로 측구부 저류시스템 구축이 필요하다. 이를 위해 역류 방지 및 노면수 저류 빗물받이에 적용되는 부력식 역류차단장치를 개발하였으며, 역류차단장치의 최적 형상 개발을 위해서 기존 빗물받이 연결관과의 통수능 비교 및 분석이 필요한 실정이다. 따라서 본 연구에서는 기존 빗물받이 연결관 및 연결관 내에 역류차단장치가 적용된 역류차단 빗물받이의 흐름분석을 위해 Fluent 모형을 이용하여 3차원 수치모의를 수행하였다. 수치모의 구성으로는 전체 형상을 40×50cm의 빗물받이 유입부와 50×50cm의 빗물받이로 결정하고 격자는 빗물받이 내부의 복잡한 3차원 흐름을 모의하기 위해 1.2~2mm 크기로 생성하였다. 다상유동 해석을 위해 VOF(Volume of Fluid)방법을 적용하였고, 수치해석 방법으로는 비정상류, 난류 모형으로는 SST k-𝜔모형을 적용하였다. 해석조건으로는 김정수(2021) 등이 제시한 4차선 기준 설계빈도별(5~30년) 빗물받이 유입유량을 산정하여 빗물받이 유입조건으로 선정하였으며, 빗물받이와 연결관에서의 통수능력 분석 조건으로는 빗물받이에 기존 연결관이 부착된 조건과 연결관 내에 역류차단장치가 설치되어 역류차단장치가 개방된 조건에서의 통수능을 비교하였으며, 역류상황을 가정한 연결관에서의 통수능을 비교하기 위하여 역류차단장치의 개폐정도를 15도(통수단면 33%감소) 닫힌 상태 및 30도(통수단면 67% 감소) 닫힌 상태 조건을 대상으로 빗물받이와 연결관에서의 흐름을 모의하였다. 수치모의 결과 역류차단장치의 계폐조건에 상관없이 5년 빈도유입량 조건에서는 완전 배수가 되었으며, 개폐조건 15도에서는 10년 빈도의 유입량에서는 완전 배수가 되었으나 20년 빈도 이상의 유입량 조건에서 빗물받이 유입부로의 역류가 발생하였으며, 개폐조건 30도에서는 5년 빈도 이상 유입량 조건에서 빗물받이 유입부로 역류가 발생하는 것으로 나타났다. 특히, 30년 빈도 이상의 유입량부터는 빗물받이 연결관 내에 역류차단장치 개페조건과 관계없이 빗물받이 유입부로의 역류로 인한 도로 침수가 발생하기 때문에 유휴공간인 도로 측구부를 저류공간으로 활용할 수 있는 도로 측구부 저류시스템의 구축은 필수적이라고 판단되며, 유량 조건에 따른 빗물받이 내부 와 흐름과 유출부에서의 유속 변화 특성을 확인하였다. 그러므로 측구 저류조 개발 형상과 연결한 3차원 흐름의 구현 및 분석에 Fluent 모형의 적용이 가능하다고 판단된다.

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Development of harmful algae collecting system for agricultural material recycling (농업재료 자원화를 위한 유해조류 포집 시스템 개발)

  • Kim, J.H.;Kim, J.M.;Jeong, Y. W.;Kwack, Y.K.;Sim, S.K.
    • Proceedings of the Korea Water Resources Association Conference
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    • 2022.05a
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    • pp.50-50
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    • 2022
  • 한국농어촌공사 산하의 농업용저수지 중 3786개소에 대한 수질조사를 '19년도에 실시한 결과, TOC 기준 4등급 초과 저수지 비율은 약 20%로써, 도심 근교 저수지에서 녹조현상 빈발로 인해 수질, 악취, 미관 등의 환경문제 개선 민원이 다수 발생하고 있다. 현재 녹조 발생 사후관리를 위해 주로 사용되고 있는 대형 조류제거선은 저수심 수변부에서의 적용성에 한계가 있고, Al 기반의 응집제를 사용하여 조류를 수거해서 폐기하고 있는 실정이다. (주)이엔이티는 농어촌연구원, (주)코레드, (주)삼호인넷과 함께 호소나 정체하천의 수변지역에 적용될 수 있는 저에너지형 유해조류 포집시스템 개발과, 수거된 조류부산물을 무독화하여 농업재료로 재활용하는 방안을 연구하고 있다. 저수지나 정체수역의 녹조는 바람, 수면유동 등에 의해 수변에 집적되는 특성이 있어, 인공지능 기술로 녹조현상을 감시하여 조류 밀집구간에 접근할 수 있는 자율이동식 수상이동장치를 개발 중이다. 수상이동장치는 조류포집장치를 탑재하기 위한 부력체, 원격 운전이 가능한 무인항법장치, 수변식생대 및 저수심지역 이동을 고려한 수차방식 추진체, 전체 장치의 전원 공급을 위한 고성능 배터리 등으로 구성하여 상세 도면 설계를 진행하고 있다. 조류포집장치에는 표층에 주로 분포하는 남조류를 선택 흡입하는 포집 부표를 적용하였고, Al계 응집제 사용을 배제한 분리막 실험을 통해 침지형 막분리조 및 가압형 농축조를 설계하였다. 유해조류 포집 및 농축은 수상에서 이동체에 탑재하여 이뤄지고, 육상에서는 자원 회수가 가능하도록 회분식 응집공정으로 구분하였다. 조류 밀집지역에서 수거된 조류의 무독화 및 농업재료 자원화 타당성 평가를 위해 특용 버섯균주를 활용한 시료별 분석항목을 선정하고 실험 매트릭스에 따라 실증실험을 수행하였다. 수거조류를 전처리하여 성분 및 발열량을 분석하고 버섯재배 전후의 마이크로시스틴 독소(LR, RR, LR)를 포함한 성분 분석을 수행하여, 고체연료, 비료 및 사료로 활용방안을 검토하였다. 무인자율이동 조류포집장치는 실증화 규모로 제작하여 기선정된 테스트베드에서 현장적용성 평가를 수행할 예정이다. 본 연구를 통해 개발된 유해조류 포집 시스템은 기존의 녹조제거 방안을 보완하여 정체수역의 생태계 복원 및 친수공간의 환경개선 등에 적용되며, 무독화가 입증된 유해조류의 농업재료 자원화 기술은 고부가 상품 개발 및 환경폐기물 감축에 활용될 것이다.

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A Experimental Study on Nitrous Oxide Formation in Direct Injection Diesel Engine (직접분사식 디젤엔진에서 아산화질소의 생성에 관한 실험적 연구)

  • Yoo, Dong-Hoon
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.21 no.2
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    • pp.188-193
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    • 2015
  • It has been generally recognized that $N_2O$(Nitrous Oxide) emission from marine diesel engines has a close correlation with $SO_2$(Sulfur Dioxide) emission, and diversity of fuel elements using ships affects characteristics of the $N_2O$ emission. According to recent reports, in case of existence of an enough large NO(Nitric Oxide) generated as fuel combustion, effect of the $SO_2$ emission in exhaust gas on the $N_2O$ formation is more vast than effect of the NO. Therefore, $N_2O$ formation due to the $SO_2$ element operates on a important factor in EGR(Exhaust Gas Recirculation) systems for NOx reduction. An aim of this experimental study is to investigate that intake gas of the diesel engine with increasing of $SO_2$ flow rate affects $N_2O$ emission in exhaust gas. A test engine using this experiment was a 4-stroke direct injection diesel engine with maximum output of 12 kW at 2600rpm, and operating condition was set up at a 75% load. A standard $SO_2$ gas with 0.499%($m^3/m^3$) was used for changing of $SO_2$ concentration in intake gas. In conclusion, the diesel fuel included out sulfur elements did mot emit the $SO_2$ emission, and the $SO_2$ emission in exhaust gas according as increment of the $SO_2$ standard gas had almost the same ratio compared with $SO_2$ rate in mixture inlet gas. Furthermore, the $N_2O$ element in exhaust gas was formed as $SO_2$ mixture in intake gas because increment of $SO_2$ flow rate in intake gas increased $N_2O$ emission. Hence, diesel fuels included sulfur compounds were combined into $SO_2$ in combustion, and $N_2O$ in exhaust gas should be generated to react with NO and $SO_2$ which exist in a combustion chamber.

Estimation and Methods Estimating Daily Food Consumption of Agrammus agrammus (노래미, Agrammus agrammus의 일간섭식량 추정법과 추정)

  • KIM Chong-Kwan;KANG Yong-Joo
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.25 no.4
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    • pp.241-250
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    • 1992
  • This study was covered the amount of food consumed per day as well as methods estimating the daily food consumption per fish of Agrammus agrammus in natural population to understand flow of food organisms among trophic levels in bio-community of the coastal waters, Shinsudo, Samchonpo. The estimating formulas were induced from the mathematical models that representing the diurnal fluctuation of the stomach fullness of the fish. The daily food consumption could be estimated by both feeding rates and gastric evacuation rates, but it was more reasonable method that based on gastric evacuation rates than feeding rates. The daily food consumption in wet weight per fish by gastric evacuation rates were 1.9856g/day, 3.4725g/day, 4.4418g/day, 5.8168g/day, and 7.2113g/day in the order of age groups from 0 to 4. The daily rations as percentage of body weight were $9.35\%,\;6.65\%,\;5.76\%,\;4.72\%\;and\;5.31\%$ in the order of ages. The daily food consumption was proportional to the body weight of fish, but the daily food consumption per specific body weight was reciprocal to the body weight. Annual food consumption in wet weight. per fish by gastric evacuation rates were 529.98g from the age of 0.25 to 1.0, 1,269.28g from the age of 1.0 to 2.0, 1,622.76g from the age of 2.0 to 3.0, 2,125.57g from the age of 3.0 to 4.0, 1,316.09g from the age of 4.0 to 4.5 The amount of food consumed per fish during 4.25 years, from the age of 0.25 to 4.5, was 6,863.68g in wet weight. the relationships between the daily food consumption(Dr) by gastric evacuation rates and the total length(L, cm) or the body weight(W, g) were as follows: $$Dr=0.036L^{1.702}$$ $$Dr=0.254W^{0.664}$$

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The Microleakage in Class V Cavity Based on Different Kinds of Several Dentin Adhesive and Composite Resin (5급 와동에서 수종의 상아질 접착제와 복합레진의 종류에 따른 미세누출)

  • Choi, Yoo-Seok;Jeong, Soon-Jeong;Jeong, Moon-Jin;Ahn, Yong-Soon;Park, Seon-Nyeo;Lim, Do-Seon
    • Journal of dental hygiene science
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    • v.13 no.3
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    • pp.330-338
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    • 2013
  • In order to explore microleakage in class V cavity based on different kinds of several dentin adhesive and composite resin, 2 kinds of composite resin was restored and exposed after applying 4 kinds of dentin adhesives. Deposited in methylene blue solution for 4 hours and cut in parallel with tooth longitudinal axis. By observing dye penetration level of enamel and dentin margins of each restored resin following conclusion was obtained. 1. In composite resin Filtek Z350XT Universal (3M/ESPE Dental Products, USA) in enamel margin, Easy Bond (3M/ESPE Dental Products) showed the lowest microleakage and this leakage was represented to be high in the order of Single Bond 2 (3M/ESPE Dental Products), Scotchbond Multi-Purpose (3M/ESPE Dental Products) and Cearfil SE Bond (Kuraray Medical Inc., Japan). In case of Filtek Z350XT Flowable (3M/ESPE Dental Products), Scotchbond Multi-Purpose showed the lowest microleakage and this leakage was represented to be high in the order of Single Bond 2, Clearfil SE Bond and Easy Bond. 2. In case of Filtek Z350XT Universal in dentin margin, Easy Bond showed the lowest microleakage and this leakage was represented to be high in the order of Scotchbond Multi-Purpose, Single Bond 2 and Clearfil SE Bond. In case of Filtek Z350XT Flowable, Scotchbond Multi-Purpose and Single Bond showed the lowest microleakage and this leakage was represented to be high in the order of Clearfil SE Bond and Easy Bond. 3. In all the groups excepting S-U group (Single Bond 2+Filtek Z350XT Universal), enamel margin showed more higher microleakage than that of dentin margin. 4. There was a difference between enamel and dentin margin among each group but it was not significant statistically (p>0.05). When summarizing this result, it is considered that composite resin and dentin adhesive could be applied selectively and particularly in case of applying 1-step self-etching dentin adhesive, this method would be advantageous for manipulation convenience and shortening of operation time.

Tracing the Drift Ice Using the Particle Tracking Method in the Arctic Ocean (북극해에서 입자추적 방법을 이용한 유빙 추적 연구)

  • Park, GwangSeob;Kim, Hyun-Cheol;Lee, Taehee;Son, Young Baek
    • Korean Journal of Remote Sensing
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    • v.34 no.6_2
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    • pp.1299-1310
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    • 2018
  • In this study, we analyzed distribution and movement trends using in-situ observations and particle tracking methods to understand the movement of the drift ice in the Arctic Ocean. The in-situ movement data of the drift ice in the Arctic Ocean used ITP (Ice-Tethered Profiler) provided by NOAA (National Oceanic and Atmospheric Administration) from 2009 to 2018, which was analyzed with the location and speed for each year. Particle tracking simulates the movement of the drift ice using daily current and wind data provided by HYCOM (Hybrid Coordinate Ocean Model) and ECMWF (European Centre for Medium-Range Weather Forecasts, 2009-2017). In order to simulate the movement of the drift ice throughout the Arctic Ocean, ITP data, a field observation data, were used as input to calculate the relationship between the current and wind and follow up the Lagrangian particle tracking. Particle tracking simulations were conducted with two experiments taking into account the effects of current and the combined effects of current and wind, most of which were reproduced in the same way as in-situ observations, given the effects of currents and winds. The movement of the drift ice in the Arctic Ocean was reproduced using a wind-imposed equation, which analyzed the movement of the drift ice in a particular year. In 2010, the Arctic Ocean Index (AOI) was a negative year, with particles clearly moving along the Beaufort Gyre, resulting in relatively large movements in Beaufort Sea. On the other hand, in 2017 AOI was a positive year, with most particles not affected by Gyre, resulting in relatively low speed and distance. Around the pole, the speed of the drift ice is lower in 2017 than 2010. From seasonal characteristics in 2010 and 2017, the movement of the drift ice increase in winter 2010 (0.22 m/s) and decrease to spring 2010 (0.16 m/s). In the case of 2017, the movement is increased in summer (0.22 m/s) and decreased to spring time (0.13 m/s). As a result, the particle tracking method will be appropriate to understand long-term drift ice movement trends by linking them with satellite data in place of limited field observations.

Relationships on Magnitude and Frequency of Freshwater Discharge and Rainfall in the Altered Yeongsan Estuary (영산강 하구의 방류와 강우의 규모 및 빈도 상관성 분석)

  • Rhew, Ho-Sang;Lee, Guan-Hong
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.16 no.4
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    • pp.223-237
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    • 2011
  • The intermittent freshwater discharge has an critical influence upon the biophysical environments and the ecosystems of the Yeongsan Estuary where the estuary dam altered the continuous mixing of saltwater and freshwater. Though freshwater discharge is controlled by human, the extreme events are mainly driven by the heavy rainfall in the river basin, and provide various impacts, depending on its magnitude and frequency. This research aims to evaluate the magnitude and frequency of extreme freshwater discharges, and to establish the magnitude-frequency relationships between basin-wide rainfall and freshwater inflow. Daily discharge and daily basin-averaged rainfall from Jan 1, 1997 to Aug 31, 2010 were used to determine the relations between discharge and rainfall. Consecutive daily discharges were grouped into independent events using well-defined event-separation algorithm. Partial duration series were extracted to obtain the proper probability distribution function for extreme discharges and corresponding rainfall events. Extreme discharge events over the threshold 133,656,000 $m^3$ count up to 46 for 13.7y years, following the Weibull distribution with k=1.4. The 3-day accumulated rain-falls which occurred one day before peak discharges (1day-before-3day -sum rainfall), are determined as a control variable for discharge, because their magnitude is best correlated with that of the extreme discharge events. The minimum value of the corresponding 1day-before-3day-sum rainfall, 50.98mm is initially set to a threshold for the selection of discharge-inducing rainfall cases. The number of 1day-before-3day-sum rainfall groups after selection, however, exceeds that of the extreme discharge events. The canonical discriminant analysis indicates that water level over target level (-1.35 m EL.) can be useful to divide the 1day-before-3day-sum rainfall groups into discharge-induced and non-discharge ones. It also shows that the newly-set threshold, 104mm, can just separate these two cases without errors. The magnitude-frequency relationships between rainfall and discharge are established with the newly-selected lday-before-3day-sum rainfalls: $D=1.111{\times}10^8+1.677{\times}10^6{\overline{r_{3day}}$, (${\overline{r_{3day}}{\geqq}104$, $R^2=0.459$), $T_d=1.326T^{0.683}_{r3}$, $T_d=0.117{\exp}[0.0155{\overline{r_{3day}}]$, where D is the quantity of discharge, ${\overline{r_{3day}}$ the 1day-before-3day-sum rainfall, $T_{r3}$ and $T_d$, are respectively return periods of 1day-before-3day-sum rainfall and freshwater discharge. These relations provide the framework to evaluate the effect of freshwater discharge on estuarine flow structure, water quality, responses of ecosystems from the perspective of magnitude and frequency.

The Early Experience with a Laparoscopy-assisted Pylorus-preserving Gastrectomy: A Comparison with a Laparoscopy-assisted Distal Gastrectomy with Billroth-I Reconstruction (복강경 보조 유문부보존 위절제술의 초기 경험: 복강경 보조 원위부 위절제술 후 Billroth-I 재건술과의 비교)

  • Park, Jong-Ik;Jin, Sung-Ho;Bang, Ho-Yoon;Chae, Gi-Bong;Paik, Nam-Sun;Moon, Nan-Mo;Lee, Jong-Inn
    • Journal of Gastric Cancer
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    • v.8 no.1
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    • pp.20-26
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    • 2008
  • Purpose: Pylorus-preserving gastrectomy (PPG), which retains pyloric ring and gastric function, has been accepted as a function-preserving procedure for early gastric cancer for the prevention of postgastrectomy syndrome. This study was compared laparoscopy-assisted pylorus-preerving gastrectomy (LAPPG) with laparoscopy-assisted distal gastrectomy with Billroth-I reconstruction (LADGB I). Materials and Methods: Between November 2006 and September 2007, 39 patients with early gastric cancer underwent laparoscopy-assisted gastrectomy in the Department of Surgery at Korea Cancer Center Hospital. 9 of these patients underwent LAPPG and 18 underwent LADGBI. When LAPPG was underwent, we preserved the pyloric branch, hepatic branch, and celiac branch of the vagus nerve, the infrapyloric artery, and the right gastric artery and performed D1+$\beta$ lymphadenectomy to the exclusion of suprapyloric lymph node dissection. The distal stomach was resected while retaining a $2.5{\sim}3.0\;cm$ pyloric cuff and maintaining a $3.0{\sim}4.0\;cm$ distal margin for the resection. Results: The mean age for patients who underwent LAPPG and LADGBI were $59.9{\pm}9.4$ year-old and $64.1{\pm}10.0$ year-old, respectively. The sex ratio was 1.3 : 1.0 (male 5, female 4) in the LAPPG group and 2.6 : 1.0 (male 13, female 5) in the LADGBI group. Mean total number of dissected lymph nodes ($28.3{\pm}11.9$ versus $28.1{\pm}8.9$), operation time ($269.0{\pm}34.4$ versus $236.3{\pm}39.6$ minutes), estimated blood loss ($191.1{\pm}85.7$ versus $218.3{\pm}150.6\;ml$), time to first flatus ($3.6{\pm}0.9$ versus $3.5{\pm}0.8$ days), time to start of diet ($5.1{\pm}0.9$ versus $5.1{\pm}1.7$ days), and postoperative hospital stay ($10.1{\pm}4.0$ versus $9.2{\pm}3.0$ days) were not found significant differences (P>0.05). The postoperative complications were 1 patient with gastric stasis and 1 patient with wound seroma in LAPPG group and 1 patient with left lateral segment infarct of liver in the LADGB I group. Conclusion: Patients treated by LAPPG showed a comparable quality of surgical operation compared with those treated by LADGBI. LAPPG has an important role in the surgical management of early gastric cancer in terms of quality of postoperative life. Randomized controlled studies should be undertaken to analyze the optimal survival and long-term outcomes of this operative procedure.

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The Evaluations of Phoria and AC/A Ratio by Watching 3D TV at Near (3D TV 근거리 시청에 따른 사위도와 조절성폭주비 평가)

  • Son, Jeong-Sik;Kim, Dong-Su;Kim, Jung-Ho;Kim, Jae-Do;Hamacher, Alaric;Yu, Dong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.3
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    • pp.319-324
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    • 2015
  • Purpose: This study was designed to evaluate the changes of phoria and calculated AC/A ratio, and their recovery time points by watching 3D television (3D TV). Methods: 50 subjects (male 30, female 20) of 20s to 40s ages who can watch 3D, were measured phoria using a Howell phoria card at 3 m for distance and 40 cm for near. The phoria was evaluated before watching 3D TV and every 10 minutes from starting of watching 3D TV for 30 minutes, and every 5 minutes after finishing of watching 3D TV for 30 minutes again. Results: For the distance phoria during and after watching 3D TV, it was increased to more exophoria $-0.98{\pm}1.37{\Delta}$ (prism diopters) after 10 minutes from starting of 3D TV watching (p=0.063) and increased to more exophoria $-1.00{\pm}1.28{\Delta}$ after 30 minutes (p=0.024), and started to decrease after finishing of watching 3D TV and recovered to the level of before 3D TV watching ($-0.78{\pm}1.11{\Delta}$) after 20 minutes (p=0.32) with comparing to phoria of before watching 3D TV ($-0.80{\pm}1.12{\Delta}$). For the near phoria, it was also increased to more exophoria $-5.71{\pm}4.45{\Delta}$ after 10 minutes from starting of watching 3D TV (p=0.000) and $-6.58{\pm}4.36{\Delta}$ after 30 minutes (p=0.000), and started to decrease after finishing of watching 3D TV and recovered to the level of before watching 3D TV after 20 minutes ($-4.34{\pm}3.67{\Delta}$) (p=0.32) with comparing to the phoria of before watching 3D TV ($-4.36{\pm}3.66{\Delta}$). AC/A ratio was decreased from $4.92{\pm}1.17{\Delta}/D$ for before 3D TV watching to $4.11{\pm}1.50{\Delta}/D$ for after 30 minutes from starting of watching 3D TV (p=0.000), and increased after the end of watching 3D TV and recovered to the level of before 3D TV watching ($4.93{\pm}1.18{\Delta}/D$) after 25 minutes (p=0.598). Conclusions: During watching 3D TV at near, it showed a tendency of convergence insufficiency by decrease of calculated AC/A ratio as result that exophoria at near was higher increased than exophoria at distance. However, the increased exophoria at both near and distance was recovered to the level of base line after 25 minutes from the end of watching 3D TV. Through this study, it seems to need rational proposals of advice for watching 3D TV.

The Early Experience with a Totally Laparoscopic Distal Gastrectomy (전(全)복강경하 원위부 위절제술의 초기 경험)

  • Kim Jin Jo;Song Gyo Young;Chin Hyung Min;Kim Wook;Jeon Hae Myoung;Park Cho Hyun;Park Seung Man;Lim Keun Woo;Park Woo Bae;Kim Seung Nam
    • Journal of Gastric Cancer
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    • v.5 no.1
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    • pp.16-22
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    • 2005
  • Purpose: In Korea, the number of laparoscopy-assisted distal gastrectomies for early gastric cancer patients has been increasing lately. Although minimally invasive surgery is more beneficial, no reported case of a totally laparoscopic distal gastrectomy has been reported because of difficulty with intracorporeal anastomosis. This study attempts, through our experiences, to determine the feasibility of a totally laparoscopic distal gastrectomy using an intracorporeal gastroduodenostomy in treating early gastric carcinoma. Materials and Methods: We investigated surgical results and clinicopatholgic characteristics of eight(8) patients with an early gastric carcinoma who underwent a totally laparoscopic distal gastrectomy at the Department of Surgery, Our Lady of Mercy Hospital, The Catholic University of Korea, between June 2004 and September 2004. The intracorporeal gastroduodenostomy was performed with a delta-shaped ananstomosis by using only laparoscopic linear staplers (Endocutter 45mm; Ethicon Endosurgery, OH, USA). Results: The operative time was $369.4\pm62.5$ minutes (range $275\∼465$ minutes), and the anastomotic time was 45.1\pm14.4$ minutes (range $32\∼70$ minutes). The anastomotic time was shortened as surgical experience was gained. The number of laparoscopic linear staplers for an operation was $7.1\pm0.6$. The number of lymph nodes harvested was $31.9\pm13.1$. There was 1 case of transfusion and no case of conversion to an open procedure. The time to the first flatus was 2.8$\pm$0.5 days, and the time to the first food intake was $4.1\pm0.8$ days. There were no early postoperative complications, and the postoperative hospital stay was $10.0\pm3.9$ days. Conclusion: A totally laparoscopic distal gastrectomy using an intracorporeal gastroduodenostomy with a delta-shaped anastomosis is technically feasible and can maximize the benefit of laparoscopic surgery for early gastric cancer.

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