• Title/Summary/Keyword: 전복 강도

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Comparison of an Uncut Roux-en-Y Gastrojejunostomy with a Billroth I Gastroduodenostomy after Totally Laproscopic Distal Gastrectomy (전복강경하 원위부 위절제술 후 Uncut Roux-en-Y 위공장문합술과 B-I 위십이지장문합술의 비교)

  • Kim, Jin-Jo;Kim, Sung-Keun;Jun, Kyong-Hwa;Kang, Han-Chul;Song, Kyo-Young;Chin, Hyung-Min;Kim, Wook;Jeon, Hae-Myung;Park, Cho-Hyun;Park, Seung-Man;Lim, Keun-Woo;Park, Woo-Bae;Kim, Seung-Nam
    • Journal of Gastric Cancer
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    • v.7 no.3
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    • pp.139-145
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    • 2007
  • Purpose: An uncut Roux-en-Y gastrojejunostomy has been known to be effective in preventing bile reflux gastritis in the remnant stomach and the Roux stasis syndrome. Materials and Methods: To evaluate the usefulness of a totally laparoscopic uncut Roux-en-Y gastrojejunostomy (TLuRYGJ) after a distal gastrectomy, we reviewed the medical records of 19 consecutive patients that underwent a TLuRYGJ at our institution, and 11 consecutive patients who underwent a totally laparoscopic Billroth I gastrectomy (TLB-I) during the same period. Results: Postoperative gastrointestinal symptoms related to the postgastrectomy syndrome and the Visick classification at six months after surgery were not different in the two groups; however, there was no case of symptomatic bile reflux gastritis and only one case of delayed gastric empting, for which medication was required, in the TLuRYGJ group. The endoscopic findings of the remnant stomach for bile reflux gastritis at six months after surgery were better in the TLuRYGJ group than in the TLB-I group. Conclusion: A TLuRYGJ was found to be effective in preventing bile reflux gastritis and the Roux stasis syndrome.

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The Results and Prognostic Factors of Postoperative Radiation Therapy in the Early Stages of Endometrial Cancer (초기 자궁내막암의 수술 후 방사선치료의 결과와 예후인자)

  • Lee, Kyung-Ja
    • Radiation Oncology Journal
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    • v.26 no.3
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    • pp.149-159
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    • 2008
  • Purpose: To evaluate the results and prognostic factors for postoperative adjuvant radiation therapy in patients at stages I and II of endometrial cancer. Materials and Methods: Between January 1991 and December 2006, 35 patients with FIGO stages I and II disease, who received adjuvant radiation therapy following surgery for endometrial cancer at Ewha Womans University Hospital, were enrolled in this study. A total of 17 patients received postoperative pelvic external beam radiation therapy; whereas, 12 patients received vaginal brachytherapy alone, and 6 patients received both pelvic radiation therapy and vaginal brachytherapy. Results: The median follow-up period for all patients was 54 months. The 5-yr overall survival and disease-free survival rates for all patients were 91.4% and 81.7%, respectively. The 5-yr overall survival rates for low-risk, intermediate-risk, and high-risk groups were 100%, 100% and 55.6%, respectively. In addition, the 5-yr disease-free survival rates were 100%, 70.0%, and 45.7%, respectively. Although no locoregional relapses were identified, distant metastases were observed in 5 patients (14%). The most common site of distant metastases was the lung, followed by bone, liver, adrenal gland, and peritoneum. A univariate analysis revealed a significant correlation between distant metastases and risk-group (p=0.018), pathology type (p=0.001), and grade (p=0.019). A multivariate analysis also revealed that distant metastases were correlated with pathology type (p=0.009). Papillary, serous and clear cell carcinoma cases demonstrated a poor patient survival rate compared to cases of endometrioid adenocarcinoma or adenosquamous carcinoma. The most common complication of pelvic external beam radiation therapy was enteritis (30%), followed by proctitis, leucopenia, and lymphedema. All these complications were of RTOG grades 1 and 2; no grades 3 and 4 were observed. Conclusion: For the low-risk and intermediate-risk groups (stages 1 and 2) endometrial cancer, pelvic control, and overall survival rate was free of severe toxicity when pelvic radiation therapy or vaginal brachytherapy was performed. In the high-risk group, pelvic control rate was excellent, but the survival rate was poor due to distant metastases, in spite of the pelvic radiation therapy. The combined modality of chemotherapy and radiation therapy is recommended for high-risk groups. For the intermediate-risk group, a prospective randomized study is required to compare the efficacy between whole pelvic radiation therapy and vaginal brachytherapy.

Infection State and Classification of Anisakid Larvae in Salmon (Oncorhynchus keta) which Caught from Taep'o Port, Kang-won-do (강원대 대포항에서 구입한 연어(Oncorhynchus keta)의 Anisakid 유충 감염상)

  • Kim, Ki-Hong;Joo, Kyoung-Hwan;Quan, Fu-Shi;Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.15 no.1
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    • pp.3-8
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    • 1990
  • Seven specimens of salmon(Oncorhynchus keta) purchased directly, in Oct. 10. 1990, in the Taep'o port. Kang-won-do were examined for infection state of anisakid larvae and classification of extracted larvae according to morphological characters. The results were as follows. 1) From seven salmon 202 anisakid larvae were found, and mean infection number of anisakid larvae per individual salmon was 28.86. 2) From total extracted anisakid larvae 198 larvae(98%) were found in muscle. Therefore the distribution of anisakid larvae in intestine was extremely rare compared to in muscle. 3) The percentage of anisakid larvae in II, IV muscle region was 93% and from this we could surmise that most anisakid larvae in salmon did not penetrate to the very distanted muscle from intestine. 4) Three types of anisakid larvae(Anisakis Type I, Contracaecum Type B, Contracaecum Type D) were identified and, among them, Contracaecum Type B was the first recording type in Korea 5) Larvae of Contracaecum it genus were found only in intestine. Therefore it surmised that penetration neture to muscle of Contracaecum larvae was less than that of Anisakis Type I.

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The Improvement method of operation system for the maritime safety network in our country (우리나라의 해상안전통신망 관리 체계 개선방안)

  • 강민수;강민정;신현식;배영철;박연식
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2002.05a
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    • pp.647-652
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    • 2002
  • The main object of Maritime Safety Network is to prevent Marine Accidents in advance and avoid the loss of live and property efficiently. Our country's Marine Safety Network was widely changed with its concerned rules and the operation methods through the complete operation of GMDSS system. Thus, compared with the past, maritime safety equipment and its systems were enforced, but the loss of lives from marine accidents tends to increase against the general expectation. 80 percent of the total marine accidents in Korea is caused by small fishing boats that are capsized immediately from accidents. To minimize the loss of lives they are to require the help of rescue. Lately imported GMDSS communication equipment is operated very fast automatically to issue the rescue and inform the distress, but most general small fishing boats are under 5 ton vessel and excluded from the administration of GMDSS system. In this paper is to propose the proper solution for the efficient improvement of maritime safety network suitable for the our practical circumstance.

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Study on numerical analysis of driftwood generation and behavior by tsunami flow (쓰나미에 의한 유목의 발생과 거동의 수치해석적 연구)

  • Kang, Tae Un;Jang, Chang-Lae
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.66-66
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    • 2021
  • 2011년에 일본 도호쿠 지방 태평양 해역에서 규모 9.0의 지진이 발생하여 거대한 쓰나미가 일본 본토 해안을 침수시켰다. 이로 인해, 정확한 피해규모가 파악되기 어려울 정도로 막대한 인명과 재산피해를 입게 되었다. 센다이지역의 경우 쓰나미로 인해 해안에 위치한 약 3.8 평방킬로미터의 방풍림이 모두 전복되었고 일부는 유목이 되어 쓰나미와 함께 내륙으로 흘러들어가 곳곳에 퇴적되어 농지를 훼손하고 가옥에 피해를 주었다. 따라서, 본 연구는 유목의 발생과 흐름에 따른 거동을 수치적으로 분석하여, 폭우나 쓰나미와 같은 거대흐름과 산지와 방풍림 등에서 발생하는 유목의 발생과 거동과정을 예측하고, 흐름과 유목 거동에 따른 피해지역을 선별할 수 있는 방법을 구축하기 위한 초기단계로서, 이를 위해 유목의 발생과정의 역학적 모델링을 수치모듈에 적용하였고 이를 활용하여 수치모의를 수행하였다. 흐름분석을 위해 쓰인 모형은 홍수범람 모형인 Nays2D Flood 이며 천수방정식을 기본으로 한다. 쓰나미의 흐름은 해안가의 방풍림지역을 상류단 경계조건으로 하여 발생 당시 관측된 수심변화를 본 모형의 상류단 경계조건으로 입력하였다. 상류단 경계조건에서 쓰나미의 유속은 수심에 따른 파속으로 계산하였다. 본 연구에서는 또한 유목의 발생과 흐름거동을 기존에 개발된 입자법 기반의 유목동역학모형을 활용하여 수치적으로 모델링 하였다. 유목은 유연성이 없는 원주형 강체로 가정하였고 초기설정으로는, 방풍림지역에 30만개의 유목이 하상의 수직방향으로 배치되어있는 것으로 가정하였다. 여기서, 본 연구에서는 쓰나미가 발생하면 흐름에 따른 항력으로 인해 수직방향으로 배치된 유목이 부러지며, 흐름과 함께 흘러가는 현상을 모델링하였다. 본 연구는 폭우나 쓰나미와 같은 거대흐름으로 인해 발생할 수 있는 유송잡물과 유목의 거동을 예측분석하는 기초연구자료로 활용될 수 있으며, 더 나아가 유목의 발생과정까지 수치적으로 재현하는 모델링을 수행하였기 추후에, 산지와 하천에서 발생할 수 있는 유송잡물의 발생과 연행 과정을 보다 세부적으로 예측할 수 있는 기초방법론으로 쓰일 수 있을 것으로 판단된다.

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Risk Analysis of Microbiological and Chemical Hazards in Cultured Frozen Abalone Haliotis discus hannai Distributed in Markets (유통중인 양식산 냉동전복(Haliotis discus hannai)의 미생물학적·화학적 위해요소분석 및 안전성 평가)

  • Eun Bi Jeon;Sang-In Kang;Min Soo Heu;Jung-Suck Lee;Shin Young Park
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.57 no.3
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    • pp.203-208
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    • 2024
  • Fifteen cultured frozen abalone Haliotis discus hannai samples were purchased from supermarkets, traditional markets, online markets, and processing factories throughout Korea for the safety assessment of microbiological and chemical hazards. Sanitary-indicative (total viable bacteria, coliforms, and Escherichia coli) and pathogenic (Staphylococcus aureus, Salmonella spp., Listeria monocytogenes, Vibrio parahaemolyticus, Clostridium perfringens, and Enterohemorrhagic E. coli) bacterial contamination levels were assessed quantitatively or qualitatively. Additionally, heavy metal content (lead, cadmium, and total mercury) and radioactivity (134CS+137CS, 131I) were quantitatively assessed. The total viable bacterial count was 4.3×102 CFU/g, while coliform count was 50 CFU/g. E. coli was not detected in any of the samples (count < 10 CFU/g). All six pathogenic bacteria tested negative qualitatively. The average lead, cadmium, and total mercury contamination levels in the cultured frozen abalone were 0.100±0.057, 0.145±0.061, and 0.015±0.001 mg/kg, respectively. Moreover, none of the samples were radioactive. According to the results of this study, cultured frozen abalones distributed in all types of markets were safe from all microbiological and chemical hazards.

A Comparative Analysis of the New Religious Thought Generated by Indigenous Korean Religions from a Subaltern Perspective: Focusing on Choi Je-woo, Kang Il-sun, and Park Jungbin ('서발턴(subaltern)'의 관점에서 본 한국의 자생 신종교 사상 - 수운, 증산, 소태산의 비교를 중심으로 -)

  • Park, Jong-chun
    • Journal of the Daesoon Academy of Sciences
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    • v.37
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    • pp.141-190
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    • 2021
  • In early modern Korea, the founders of three main-stream indigenous new religions, Choi Je-woo (崔濟愚), Kang Il-sun (姜一淳), and Park Jungbin (朴重彬), were all ruined yangban, who could no longer maintain the social dignity of yangban. Prior to their regular religious activities, they earned livings as rural teachers, peasants, merchants, and fortune-tellers. They were marginalized for having declined from upper-class nobles to lower-class people. Due to their subalternal status, they religiously represented the inexpressible aspirations and resentments held by various subalterns. The millennial movements of marginal religions in the late Joseon Dynasty exposed and deviated from the fetters of the established order, but they did not propose a new alternative order to replace it. Unlike these millennial movements, Choi Je-woo, Kang Il-sun, and Park Jungbin all proposed utopian visions of post-subalternal alternative religions that systematically presented and practiced new alternative worldviews characterized by the "Great Opening of the Later World (後天開闢)." The world they longed for was one wherein anti-subalternal social regulation were overthrown, the oppression of various subalterns end, and the established social order was replaced. In this article, I have argued that three main-stream indigenous Korean new religions, Donghak (Eastern Learning), the Jeungsan-inspired religious movements, and Wonbulgyo (Won Buddhism) are utopian alternative religions. I made this argument by analyzing some aspects by which they represented subalterns and offered subalterns a new religio-social status.

An Intertextual Approach to Narcissa Benbow in Sanctuary, Sartoris and "There Was a Queen" (나시서 벤보우에 관한 상호텍스트적 연구)

  • Shin, Young-Hun;Kang, Ji-Hyun
    • The Journal of the Korea Contents Association
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    • v.20 no.2
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    • pp.300-309
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    • 2020
  • Recent studies on William Faulkner's female characters have overcome much of the stereotyped and dichotomous approaches of the past by uncovering their subversive characteristics. Nevertheless, they still present some limitations in regards to analyzing the characters based on individual texts. This paper attempts an inter-textual approach to Narcissa Benbow, the central character of Sanctuary, Sartoris and "There Was a Queen." In Sanctuary, Narcissa, a young widow of a Southern aristocratic family, harshly accuses her brother Horace, a lawyer of taking a murder suspect's wife and her infant child to their old house. She is afraid that their existence could harm the reputation of her family and herself. Eventually, she kicks them out of the house. In contrast, she is described as being friendly and calm in Sartoris. In addition, in "There Was a Queen," Narcissa makes an attempt to get an obscene letter back from an FBI agent in exchange for a sexual favor in order to prevent the letter from being disclosed. This paper takes into account the possibility of seeing these incoherent or even contradictory aspects of her characterization with a consistent view. This confirms that an inter-textual approach is needed to properly understand those round female characters created by Faulkner.

A Study on the Improvement of Passenger Ship Rudder Stock and Tiller Locking Nut Loosening by Analyzing an Investigation Report and the NAS 3350 Test (조타장치 사고 재결서 분석과 NAS 3350 시험을 통한 카페리 여객선 타두재와 틸러 체결 너트 풀림 개선에 관한 연구)

  • Kang, Dae-Kon;Kim, Shin Hyo;Park, Jai-Hak
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.2
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    • pp.253-259
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    • 2018
  • In February 2014, the rudder upper stock and the nut of a passenger ship were released and an accident occurred. That accident occurred because the steering gear of passenger ships that was intended to move many passengers. The accidents due to steering gear was zero according to 2010-2016 statistics. There is no rules prevent loosening of the upper rudder nut in "Ship Safety Act" and "Structural standard of steel ship". Since the accident, the Korea register has been revised to the joining method in Part 5 Chapter 7 of the rules in the classification of steel ships. In the field survey of 12 passenger ships operating on Mokpo and surrounding islands, the welding method was applied in the cases as the fastening method. The fastening type was equipped with two C-type structures. It was structured to be difficult to access. The NAS 3350 test was conducted to investigate ways to prevent homologous accident considering the characteristic of passenger ships that need to lift or unload rides once a year.

Antioxidant and Alcohol Dehydrogenase Activity of Water Extracts From Abalone Containing Medicinal Plants (전복과 천연 식물류 복합물의 항산화 및 알코올대사 효소 활성)

  • Shin, Jung-Hye;Lee, Soo-Jung;Choi, Duk-Ju;Kang, Min-Jung;Sung, Nak-Ju
    • Korean journal of food and cookery science
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    • v.24 no.2
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    • pp.182-187
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    • 2008
  • This study was performed to evaluate the possible production of a functional beverage derived from abalone and with several plants (AP). Five types of AP composites were prepared having different medicinal plant compositions (AP- I : abalone, garlic, jujube, Chinese matrimony fruit, dried orange peel, licorice root, zinger, honey; AP- II: abalone, garlic, black bean, Chinese matrimony fruit, cornus fruit, licorice root, zinger, honey; AP-III : abalone, jujube, arrow root, milk vetch, dried orange peel, licorice root, zinger, honey; AP-N: abalone, black bean, arrow root, milk vetch, cornus fruit, liquorice root, zinger, honey; AP-V : abalone, garlic, Chinese matrimony fruit, milk vetch, licorice root, zinger, honey). In vitro analysis were performed to examine the antioxidant contents and alcohol dehydrogenase activities of the composites. AP- II had the highest total phenol contents ($28.55{\pm}1.56\;mg/l00\;g$), and AP- V the highest level of flavonoids ($47.61{\pm}1.58\;mg/l00\;g$). At $78.89{\pm}0.16%$, AP- V displayed the strongest electron donating ability followed by AP-II($57.99{\pm}0.21%$) and API ($37.66{\pm}0.20%$). Reducing power was also significantly higher in AP- V. The Hydroxyl radical scavenging and SOD-like activities of all composites were less than 15% and 20%, respectively. At 12.5% alcohol concentration, ADH activity ranged from $114.47{\pm}2.18{\sim}121.39{\pm}4.36%$ and ALDH activity ranged from $100.04{\pm}2.90{\sim}129.54{\pm}4.80%$; AP- I , AP- II, and AP- Vin 12.5% of alcoholic concentration. The composites of AP- I , AP- II, and AP- V, all containing garlic and Chinese matrimony fruit, were significantly stronger than AP-III and AP-N. Finally, also at 12.5% alcoholic concentration, the ALDH activity of AP- V was higher than its ADH activity.