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Use of the Stomach as an Esophageal Substitute after Total Pharyngolaryngoesophagectomy for Treating Cervical Esophageal Cancer or Hypopharyngeal Cancer (경부식도암 및 하부인두암에서 근치적 전후두인두식도절제술 후 위를 이용한 재건술의 의의)

  • Lee, Sang-Hyuk;Lee, Sang-Hoon;Yoon, Ho-Young;Kim, Choong-Bai
    • Journal of Gastric Cancer
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    • v.7 no.4
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    • pp.200-205
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    • 2007
  • Purpose: The aim of this study was to analyze the post operative outcome of reconstruction with using the stomach after performing total pharyngolaryngoesophagectomy in patients with hypopharyngeal cancer or cervical esophageal cancer. Materials and Methods: We conducted a retrospective chart review of 23 patients who underwent gastric pull up for esophageal substitution at the Department of Surgery, Yonsei University College of Medicine, between January 1991 and December 2006. All the patients had transhiatal esophagectomy performed without thoracotomy. Results: There were seventeen males and six females with a median age of 58.1 years (range: 40-70 years). 19 cases were hypopharyngeal cancer, 13 cases had cancer in the pyriform sinus, 15 cases had cancer in the postcricoid area and one case had cancer in the glottic area. The rest were cervical esophageal cancers. The pathologic result was squamous cell carcinoma in all cases. The median total follow-up period was 33 months (range: 1-62 months) and there were two (8.6%) postoperative deaths: one was due to carotid rupture and the other was due to hepatic failure with liver metastasis. The complications were leakage in 1 patient (4.4%), pneumothorax in 1 patient (4.4%) and pneumonia in 1 patient (4.4%). Conclusion: The use of stomach for esophageal reconstruction has many benefits for treating hypopharyngeal cancer or cervical esophageal cancer, So, we made sure there was a sufficient length for the anastomosis after pharyngolaryngoesophagectomy and a rich blood supply from the stomach. There was a low incidence of the leakage at the anastomotic site, along with a low incidence of stenosis and bleeding.

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Study on Cases of Priority Traffic Signal System for Emergency Vehicles: Based on a City's Pilot Operation Cases in Chungcheongbukdo Province (긴급차량 우선교통신호시스템 사례에 관한 연구: 충청북도 내 일개도시 시범운영 사례를 중심으로)

  • Kim, Jin-Hyeon;Lee, Hyo-Ju
    • Fire Science and Engineering
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    • v.34 no.1
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    • pp.121-126
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    • 2020
  • The aim of this study is to suggest ways to capitalize on the golden period for timely response to fire and emergency victims. To implement a system to effectively capitalize on the golden period, there is a need for policy measures as well as legal and social consensus. Precedent research has relentlessly mentioned the need for and feasibility of the priority traffic system for emergency vehicles. To this end, the present study involved an analysis of pilot cases of the priority traffic signal system for emergency vehicles introduced in a city during 26 days, from April 3 to 28, 2017. Out of 58 cases registered with the local 1-1-9 fire house, the number of cases that took advantage of the priority traffic system stood at 16 in response to fire and 11 to first-aid operations. Owing to the system, on average, the response time reduced by 3 min and 50 s in case of fire and by 3 min and 30 s for first aid. There were four complaints registered owing to traffic congestion, and the number of car accidents declined to one from six over the same period in the previous year. Based on these findings, it is safe to say that the priority traffic signal system would be effective for emergency vehicles to capitalize on the golden period if issues identified during the pilot run are resolved.

A study on the improved headway calculating method in the metropolitan railway system (광역철도 운행시격 산정방법의 문제점 및 개선방안에 관한 연구)

  • Park, Chul-Ho;Kim, Byoung-Seop;No, Sun-Hwa;Jang, Seong Yong
    • Proceedings of the KSR Conference
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    • 2010.06a
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    • pp.921-932
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    • 2010
  • Metropolitan railway headway is calculated and decided by external conditions such as appropriate level of service and competitiveness rather than passenger demand for the peak time which is based on transport passenger capability of train. On contrast of inter-city urban railways, train time intervals of sub-urban metropolitan railway were fixed more than 20 mins in the peak time which results in low level of convenience. Big gap of headway brings a vicious circle of deteriorating competitiveness and decreasing the number of customers. Also this time gap of train interval results in stagnation of passenger demand, and makes it difficult to reduce headway. This thesis is a basic research to identify headway problems and their solutions of metropolitan railway. This thesis suggests passenger demand and the calculated standard for setting the headway, and reviews the level of passenger crowdedness, the numbers of coach for each train and time-competitiveness. At the last, thesis suggests the need for making headway by means of train services throughout benefit & cost analysis. And it also recommends the improved calculating method of setting up headway considering the different train headway standards by regional situation, flexibility in the number of coaches for a train, government policy to activate railway business and the need for setting up the standard for train service level.

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The Development of Traffic Queue Length Estimation Algorithm Using the Occupancy Rates (점유율을 이용한 대기행렬길이 추정 알고리즘 개발)

  • Kang Jihoon;Oh Young-Tae;Kang Jeung-Sik
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.4 no.2 s.7
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    • pp.13-22
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    • 2005
  • The purpose of this research is how to estimate the traffic queue length in the signal intersection accurately. The current traffic queue length algorithm in COSMOS has been using the congestion diagram which comes from the speed of an average separated vehicle - using average vehicle length and the occupancy time from loop detectors. So some errors were occurred by the speed estimation method using average vehicle lengths. And Operators had been difficult to optimize some variables for measuring the traffic queue length estimation algorithm in COSMOS. Therefore the traffic queue length estimation algorithm on the basis of the relation between distances and occupancy rates from loop detectors was developed in this thesis. This thesis had the advantage of using occupancy rates which came out from loop detectors easily and no need to optimize some variables for the established algorithm in COSMOS. And the results of testing this algorithm in some sites which had installed COSMOS system showed better results than COSMOS system's results. But it was noted that further studies which carry it out in various sites and under various cases are necessary for applying to actual intersections.

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Preparation and Characterization of PVdF Microporous Membranes with PEG Additive for Rechargeble Battery (Poly(ethylene glycol)를 첨가한 이차전지용 poly(vinylidene fluoride) 미세다공성 분리막의 제조와 물성)

  • Nam, Sang-Yong;Jeong, Mi-Ae;Yu, Dae-Hyun;Koh, Mi-Jin;Rhim, Ji-Won;Byun, Hong-Sik;Seo, Myung-Su
    • Membrane Journal
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    • v.18 no.1
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    • pp.84-93
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    • 2008
  • Poly(vinylidene fluoride) has received much attention in the last several years for the lithium secondary batteries. In this study, to enhance the porosity, PVdF was prepared by phase inversion method using as an additive, PEG (poly(ethylene glycol)), with N,N-dimethylformamid as a solvent. The pores are generated during the solvent and non-solvent exchange process in the coagulation bath filled with non-solvent (distilled water). The surface and cross-section of the membranes were observed with a scanning electron microscopy (SEM). The mechanical property of the membrane was determined by using an universal testing machine (UTM) and thermal property was verified by heat shrinkage. Uniformed sponge structure of PVdF-PEG membrane for the lithium secondary batteries was prepared with 10 wt% of PEG concentration in the PVdF-PEG solution. Porosity, elongation and tensile strengh of the membrane were 87%, 75.45%, and 275. 27 MPa respectively.

Effect of the Forest Road on Suspended Sediment Yield in the Small Forest Watershed (산지(山地) 소유역(小流域)에 개설(開設)된 임도(林道)가 부유사(浮遊砂) 유출(流出)에 미치는 영향(影響))

  • Oh, Jae-Man;Inoue, Shoji;Ezaki, Tsugio;Chun, Kun-Woo
    • Journal of Korean Society of Forest Science
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    • v.88 no.4
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    • pp.477-484
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    • 1999
  • This study was conducted to investigate the effect of forest road on the suspended sediment yield into a stream in the small forest watershed. The samples of suspended sediment yield were collected at surveying points A and B in mountains watersheds unaffected by forest road, and at surveying point C affected by forest road. When hourly change of suspended sediment concentration was investigated, it showed the highest increase along the forest road, and the peak of suspended sediment concentration due to the watershed characteristics of each surveying point occurred before or at the same time with, the peak of discharge. This may be due to the time lag in which stagnated unstable suspended sediment moved strongly upon rainfall. Although suspended sediment load varied depending upon rainfall factors and surveying period, suspended sediment load per unit watershed flowed out 4.1 times more at the point C than at the point A and B. The suspended sediment load on 18~19 September, 1998, strongly affected by rainfall factors, was 4.179g/sec/㏊ at the point C, and 0.343g/sec/㏊ and 0.147g/sec/㏊ at the point A and B, respectively. This load was 12 times higher at the point C than at the point A and 28 times higher than at the point B.

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지화학적 방법을 이용한 울릉분지 코어퇴적물의 층서와 퇴적환경 연구

  • 박명호;김지훈;류병재;이성숙;한상근
    • 한국석유지질학회:학술대회논문집
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    • 2005.09a
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    • pp.94-100
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    • 2005
  • 동해 울릉분지 북서부해역에서 채취한 코어퇴적물을 이용하여 울릉분지의 제4기 후기 층서와 퇴적환경을 연구하였다. 이를 위하여 테프라층서, 탄소연대측정, 퇴적상, 퇴적물의 암질, 퇴적물과 공극수의 원소성분 등을 분석하였다. 퇴적상을 기준으로 코어퇴적물은 Unit 1, Unit II 및 Unit III으로 나누어지며, Unit의 경계부근에서는 주로 화산력으로 구성된 2매의 향암질 또는 조면암질 테프라층과 주로 화산재로 구성된 1매의 유문암질 테프라층이 협재되어 나타난다. 이들 테프라층에는 울릉도에서 기원한 울릉-오키층(Unit I/II 경계, 약 8.1 cal. kyr BC)과 울릉-야마토층(약 30.7 cal. kyr BC), 일본에서 기원한 아이라-탄자와층(Unit I/II경계, 약 22.8 cal. kyr BC)이 있다. Unit II의 중간부근에서 발견되는 DLM(Dark Laminated Mud) 층에는 망간보다는 철이 상대적으로 풍부하고, 철은 주로 구상집적체의 황화철로 발견되는데, 이들 광물은 정체환경 동안 물의 순환이 약화된 시기에 무산소환경에서 형성되었다. 퇴적물 내 유기물은 해양성 기원으로, 열적 성숙단계가 대부분 미성숙단계에 놓여 있다. Termination I 전에 급격하게 총유기탄소 (TOC)의 함량이 증가함을 보여주는데, 이는 빙기에서 간빙기로 변하는 시기에 해수면 변동과 관련이 있는 것으로 보인다. 공극수와 공기층 가스의 분석에 의하면, 황산염($SO_4^{2-}$) 농도는 매몰심도와 함께 증가하고, 반대로 공기층 가스의 주성분인 메탄($CH_4$)의 농도는 감소한다. 이는 미생물학적인 활동과 관련된 황산염 환원작용이 코어 상부에서 일어났으며, 점차 메탄생성단계 (methanogenesis)로 전이가 일어났음을 의미한다.측해본 결과 침몰선체의 강도는 초기강도에 비해 약 2/5정도 감소하였음을 알 수 있었다.할 수 있었다. 이 연구 사례를 통하여 3차원 GPR 탐사 또한 국부적인 이상대의 규명뿐만 아니라 광역적인 고고학 조사에도 다른 물리탐사와 마찬가지로 쉽게 활용될 수 있다는 결론을 얻을 수 있었다. 3차원 GPR 탐사가 향후 국내의 문화재 조사에 표준화된 탐사과정 중의 하나로써 적극 활용되길 기대한다.larity가 높은 oil에서는 약 $70 {\~} 90\%$의 phenoxyethanol이 유상에 존재하였다. 또한, 미생물에 대한 항균력도 phenoxyethanol이 수상에 많이 존재할수록 증가하는 경향을 나타내었다. 따라서, 제형 내 oil tomposition을 변화시킴으로써 phenoxyethanol의 사용량을 줄일 수 있을 뿐만 아니라, 피부 투과를 감소시켜 보다 피부 자극이 적은 저자극 방부시스템 개발이 가능하리라 보여 진다. 첨가하여 제조한 curd yoghurt는 저장성과 관능적인 면에서 우수한 상품적 가치가 인정되는 새로운 기능성 신제품의 개발에 기여할 수 있을 것으로 사료되었다. 여자의 경우 0.8이상이 되어서 심혈관계 질환의 위험 범위에 속하는 수준이었다. 삼두근의 두겹 두께는 남녀 각각 $20.2\pm8.58cm,\;22.2\pm4.40mm$으로 남녀간에 유의한 차이는 없었다. 조사대상자의 식습관 상태는 전체 대상자의 $84.4\%$가 대부분이 하루 세끼 식사를 규칙적으로 하고 있었으며 식사속도는 허겁지겁 빨리 섭취하는 경우가 남자는 $31.0\%$, 여자는 $21.4\%$로 나타났고 이들을 제외한 나머지 사람들은 보통 속도 혹은 충분한 시간을 가지고 식사를 하였다. 평소 식사량은 조금 적게

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24hr Whole-Body Retension of $^{99m}Tc-Methylene$ Diphosphonate and Osteocalcin in patients with Hyperthyroidism (갑상선기능항진증에서 $^{99m}Tc-MDP$ 24시간 정체율과 Osteocalcin)

  • Yeoum, Kwang-Seop;Lee, Jin-Oh;Kang, Tae-Woong;Hong, Sung-Woon;Lim, Sang-Moo
    • The Korean Journal of Nuclear Medicine
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    • v.24 no.2
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    • pp.222-228
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    • 1990
  • The development of histomorphometric and histodynamic investigations has permitted the description of a specific and complex osteopathy in hyperthyroidism. The increased bone turnover rate in hyperthyroid patients may be accompanied by a considerable bone loss. These features are associated with both inclosed osteoclastic bone resorption and increased osteoblastric bone formation, with an accelerated calcification rate. Conventional biochemical markers of bone metabolism, i.e. serum calcium and alkaline phosphatase and urinary hydroxyproline and calcium are normal in most patients with hyperthyroidism. However, the correlation between serum BGP and serum concentration of thyroid hormon suggests that serum BGP may be a sensitive marker of increased bone formation due to the hypersecretion of thyroid hormones. Any increase in bone turnover, whether focal or diffuse, will result in an increase in $^{99m}Tc-methylenediphosphonate$ uptake (MDP). The measurement of this uptake in hyperthyroid patients by bone provides a sensitive and objective means of quantifying skeletal metabolism. Using a standard shadow-shield whole-body monitor and radioimmunoassay kit, we have measured whole-body retention of $^{99m}Tc-MDP$ up to 24hr and concentration of serum Osteocalcin in 20 patients with hyperthyroidism and in 42 normals. The results were as follows; 1) The average of serum Osteocalcin level in 42 patients with normals was $9.90{\pm}4.87(ng/ml)$ and in 20 patients with hyperthyroidism was $19.54{\pm}5.7(ng/ml)$. Both the averages of serum Osteocalcin and 24hr $^{99m}Tc-MDP$ uptakes in hyperthyroid patients were higher than those in normals. 2) $^{99m}Tc-MDP$ uptakes in skeletal system increased in proportion to normal ageing after 40 yrs old in 42 patients with normals. The average of $^{99m}Tc-MDP$ uptakes in hyperthyroid patients were higher than those in normals without related ageing. 3) A significant relationships between the $^{99m}Tc-MDP$ uptakes and serum Osteocalcin level were peformed (r=0.55, $y=17.58+6.7\times$). From the above results we concluded that the measurement of serum Osteocalcin and 24hr $^{99m}Tc-MDP$ uptakes can be used for evaluation of bone turnover as a specific marker in hyperthyroid patients.

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The Effect Analysis of Smart City Planning on Urban Dynamics Using System Dynamics Method - Focused on Anyang-city, Korea (시스템 다이내믹스를 이용한 스마트도시계획이 도시동태성에 미치는 영향 분석 - 안양시를 중심으로)

  • Yi, Mi Sook;Yeo, Kwan Hyun;Kim, Chang Hoon
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.38 no.1
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    • pp.57-67
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    • 2020
  • Recently, smart cities are attracting attention as a solution for a plethora of urban problems, including transportation, environment, safety, and energy. However, despite a substantial body of research dealt with the concept, trends, policy, and legal institutions of smart cities, few researchers have examined how the smart city services influence the cities from the dynamic perspective that considers the entire cycle of a city, including its growth, stagnation, and decline. Thus, it is vital to understand how the city changes with time from the view that a city is a system of sub-elements-population, industry, transportation, environment, housing, and land-closely interacting together. Within this context, this study explores how the urban dynamics of Anyang-city develop for the long term using the System Dynamics method and analyzes the effect of smart city project investment on the dynamics of Anyang-city. According to the result, Anyang-city is a "mature and stable" type, and its population is expected to decrease slowly by 2040. Specifically, the Anyang-city population will be reduced to 553,000 by 2030. It was analyzed that the number will decrease to 543,000 by 2040. It was also found that the investment in smart city projects in Anyang, based on the Plan for Anyang Smart City, would have the following effects: easing population decline, increasing number of businesses, improving urban safety index, and increasing average driving speed. The population will grow by 4,000 and the number of businesses will increase by 761 than before budget investment. The result of this paper is expected to contribute to identifying and predicting the effect of smart city policies from a long-term perspective.

Design and Implementation of Response type of Flickering Green Signal System using Beacon Message (비콘메세지를 이용한 반응형 녹색점멸 신호시스템 설계 및 구현)

  • An, Hyo-In;Mun, Hyung-Jin;Kim, Chang-Geun
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.241-247
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    • 2016
  • As a domestic traffic control signal system, either the system with which a traffic signal turns into green at regular intervals or the system with which an amber or a red signal flickers on local roads without heavy traffic at midnight has been utilized. However, when the former system is used for roads with light traffic at midnight, delays and congestion can be incurred. Besides, in case of the latter signal system, the risk of vehicle crash is high. This study proposes a response type of flickering green signal system that rearranges signal system after analyzing beacon messages including sensor data. The proposed system, on a trunk road or a branch road at midnight, makes the signal keep flickering in green; When a vehicle enters the range of RSE, the transfer coverage, it transmits beacon messages regularly and Agent System analyzes the messages and alters the signal. It is a system by which vehicles move following the altered signal system, which will not only ensure smooth flow but also prevent vehicles from crashing on a road with light traffic. As a result of a simulation, traffic throughput and the average waiting time displayed 10 to 30 percent better improvement than existing signal systems, in terms of performance.