• Title/Summary/Keyword: Anchoring

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Novel Endoscopic Stent for Anastomotic Leaks after Total Gastrectomy Using an Anchoring Thread and Fully Covering Thick Membrane: Prevention of Embedding and Migration

  • Jung, Gum Mo;Lee, Seung Hyun;Myung, Dae Seong;Lee, Wan Sik;Joo, Young Eun;Jung, Mi Ran;Ryu, Seong Yeob;Park, Young Kyu;Cho, Sung Bum
    • Journal of Gastric Cancer
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    • v.18 no.1
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    • pp.37-47
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    • 2018
  • Purpose: The endoscopic management of a fully covered self-expandable metal stent (SEMS) has been suggested for the primary treatment of patients with anastomotic leaks after total gastrectomy. Embedded stents due to tissue ingrowth and migration are the main obstacles in endoscopic stent management. Materials and Methods: The effectiveness and safety of endoscopic management were evaluated for anastomotic leaks when using a benign fully covered SEMS with an anchoring thread and thick silicone covering the membrane to prevent stent embedding and migration. We retrospectively reviewed the data of 14 consecutive patients with gastric cancer and anastomotic leaks after total gastrectomy treated from January 2009 to December 2016. Results: The technical success rate of endoscopic stent replacement was 100%, and the rate of complete leaks closure was 85.7% (n=12). The mean size of leaks was 13.1 mm (range, 3-30 mm). The time interval from operation to stent replacement was 10.7 days (range, 3-35 days) and the interval from stent replacement to extraction was 32.3 days (range, 18-49 days). The complication rate was 14.1%, and included a single jejunal ulcer and delayed stricture at the site of leakage. No embedded stent or migration occurred. Two patients died due to progression of pneumonia and septic shock 2 weeks after stent replacement. Conclusions: A benign fully covered SEMS with an anchoring thread and thick membrane is an effective and safe stent in patients with anastomotic leaks after total gastrectomy. The novelty of this stent is that it provides complete prevention of stent migration and embedding, compared with conventional fully covered SEMS.

Overcoming the Discourse of Foreignness: A Study on Class Positionality and Dual Identity of Korean Housemaids and Korean-Chinese Domestic Workers (외국인 담론 극복하기: 식모와 조선족 입주 가사노동자의 계급적 위치성과 이중적 정체성에 관한 연구)

  • Park, Soyoung
    • Journal of the Korean Geographical Society
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    • v.50 no.2
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    • pp.185-201
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    • 2015
  • This paper suggests how Korean housemaids, called Sikmo, and Korean-Chinese migrant domestic workers have similar class positions and therefore form a dual identity in their interactions with female employers. rough spoken stories of the experiences of 27 females from Seoul, including Korean-Chinese domestic workers, Korean housemaids, and their employers, this research effectively overcomes the dichotomous discourse of natives versus foreigners. Instead it suggests the new interpretation that it is not foreignness but class inferiority of the domestic workers that plays a key role in establishing relationships with employers. Korean housemaids and Korean-Chinese domestic workers, both groups of whom are migrant workers, have developed coping strategies to enhance their labor value by spatially relocating themselves from their home society to a new society. They possess a similar labor status in women's history, being of low income, low education, and rural births. Consequently, these women experience 'translocal anchoring,' meaning their identities are intertwined with that of their home societies, and employers perceive them based on the characteristics of these places. The Korean employers perceive that the domestic workers' morality and intellectuality are inferior based on their class differences. This stigmatizing process leads employers to regard domestic workers as ambivalent people, not only threatening outsiders but also objects of pity, needing love and protection of their employers. The employers educate them culturally, teaching them skills to survive in the urban environment. These skills include cooking and language, in addition to advice on long-term plans to blend into society.

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Effect of Cognitive-Bias (Anchoring Bias) to N. Korea on Reunification Perception (북한에 대한 인지편향(기준점편향) 이 통일인식에 미치는 영향)

  • Han, Seung Jo;Bae, Young Min
    • Convergence Security Journal
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    • v.21 no.1
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    • pp.201-208
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    • 2021
  • The purpose of this study is to investigate reunification perception among groups with different cognitive bias(anchoring bias) through empirical studies. This study assumes that cognitive bias occurs according to the content of N. Korea provided in school education, and that the cognitive bias formed in youth creates a difference in perception of N. Korea and reunification. For empirical study, a survey of reunification awareness conducted by the Institute for Peace an Unification Studies-Seoul National University was used, and the two groups are divided into A-group that chose "anti-communism or security" and B-group that did "reunification interests, multi-culturalism and understanding North Korea" according to N. Korea content which was encountered in school education during adolescence. A-group recognized N. Korea as a hostile target even after becoming an adult, while B-group regarded N. Korea as a one of dialogue and cooperation. This analysis illustrates the existence of cognitive bias between the two groups because of N. Korea content which was given in school education. A-group had a lower percentage than B-group in terms of the benefits of reunification to S. Korea and the need for more dialogue and compromise with N. Korea. However, there was no difference between two groups in terms of acceptance of N. Korean defectors. This research result could be a reference to the direction of school education policies relating to reunification in that early school education affects reunification awareness and perception related with N. Korea even in adulthood.

A Study on Unauthorized Anchoring of Foreign-flag Vessels in Internal Waters and Territorial Sea (외국선박의 내수 및 영해 무단정박에 관한 연구)

  • Lim, Chae-Hyun;Lee, Chang-Hee;Jeong, Dae-Deuk
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.2
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    • pp.280-289
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    • 2022
  • Internal Waters refer to the waters located at the landward side of a baseline and is completely under the sovereignty of a coastal state. However, the right of innocent passage of foreign-flag vessels is recognized in internal waters that are newly incorporated by establishing a straight baseline. Korea has a massive Internal Waters on its south-western coast where the straight baseline is adopted and has a wide Internal Waters that allows innocent passage. A foreign-flag vessel navigating the internal waters must be properly managed according to the interest of the coastal states such as the fishing·safety·security·environment around the Korean coast. Additionally, Territorial Sea comes under the sovereignty of a coastal state and it is a very important sea area for managing the interests of the coastal states. However, several collision accidents involving illegally anchored or drifted foreign-flag vessels have been occurring recently in the Korean Internal Waters and Territorial Sea, and such accidents are a threat to its interests. Thus, this paper analyzes the cases of collision of foreign-flag vessels that anchored or drifted without authorization, and examines domestic·international laws on the passage of foreign-flag vessel through Internal Waters and Territorial Waters. Finally, this paper suggests that unauthorized anchoring of foreign-flag vessels in Korean Internal Waters and Territorial Water violates the requirements for innocent passage and this violation is punishable according to related Acts; a desirable improvement plan for the legal system of passage through Internal Waters and Territorial Waters.

Effects of Cognitive Heuristics on the Decisions of Actual Judges and Mock Jury Groups for Simulated Trial Issues (가상적인 재판 쟁점에서의 현역판사의 판단과 모의배심의 집단판단에 대한 인지적 방략의 효과)

  • Kwang B. Park;Sang Joon Kim;Mi Young Han
    • Korean Journal of Culture and Social Issue
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    • v.11 no.1
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    • pp.59-84
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    • 2005
  • Three studies were conducted to examine the degree to which three common heuristics, anchoring heuristic, framing effect and representative-ness heuristic, influence the decision-making precesses of actual judges and 5-persons mock juries. With scenarios regarding various issues that are commonly raised in actual criminal and civil trials, study 1 examined the 158 actual judges' decisions. In study 2, the decisions of 80 mock jury groups that consisted of college students were examined with similar scenarios. And individual decisions were examined in study 3 to compare with the group decisions in study 2. The decision processes of the actual judges and the mock jury groups alike were found to be influenced by "anchors". But the biases by the anchoring heuristic were more pronounced in the group decisions than in the decisions of the actual judges. With respect to framing effect, the actual judges were found to be resistant, while a small effect was found in the decisions of mock jury groups. Representative-ness biases weren't found in the decisions of both the actual judges and mock juries. The implications of the results for judicial systems were discussed.

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A Experimental Study on the Flexural Characteristics (GFRP로 보강된 RC보의 휨특성에 관한 실험적 연구)

  • 심종성;김규선;이석무;김경민
    • Proceedings of the Korea Concrete Institute Conference
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    • 1998.04b
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    • pp.559-565
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    • 1998
  • Flexural tests on 2.4m long reinforced concrete beams with epoxy-bonded GFRP plates are reported in these tests. The selected experimental variables are strengthening plate length, plate thickness, plate width and the method of anchoring the plate ends. The effects of these variables in overall behavior are discussed. The results generally indicate that the flexural strength of strengthened beams is increased. The ductile behavior of tested beams in inversely proportional to the plate thickness, plate width. The use of an U-jacket plate provided a proper anchorage system and improved the ductility of beams.

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Bond Characteristics of Structural Synthetic Fibers (구조용 합성섬유 표면형상에 따른 부착특성)

  • 원종필;임동휘;박찬기;한일영;김방래
    • Proceedings of the Korea Concrete Institute Conference
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    • 2001.11a
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    • pp.335-340
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    • 2001
  • Recently in abroad, structural synthetic fiber developed, has been studied extensively as a substitute for steel fiber due to its properties such as corrosion-resistance, low density, good pumping, and in-place safety, etc. In this study, we conducted pull-out test, for seven different geometries of structural synthetic fibers and obtained optimum geometry for structural synthetic fiber which fully utilizes matrix anchoring without revealing fiber fracturing. According to pull-out test results, it was found that crimped type structural synthetic fiber give significant improvement in the interface toughness(roll-out enemy) and pull-out load.

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A Study on the Lubrication Characteristics of Liquid Crystals (액정의 윤활특성에 관한 연구)

  • 임윤철;민지홍
    • Tribology and Lubricants
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    • v.8 no.1
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    • pp.30-37
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    • 1992
  • The displacement and pressure field of liquid crystals are analyzed numerically and compared with classical Reynolds theory. A plane slider bearing is employed as a simple example considering elasticity, permeability and splay effect which are the inherent characteristics of layered liquid crystals. Due to the geometric constraint of thin wedge and the strong anchoring behavior of the liquid crystals dislocations are inevitable. A finite element method is used to solve five coupled nonlinear equations. The load characteristics based on the pressure distribution along the gap shows that the liquid crystals can carry large load compared to the conventional lubricants.

Evaluation of LCD device parameters and rubbed surface of Polyimide by means of renormalized spectroscopic ellipsometry

  • Kimura, Munehiro;Hasegawa, G.;Sakamoto, H.;Akahane, T.
    • 한국정보디스플레이학회:학술대회논문집
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    • 2006.08a
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    • pp.1715-1718
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    • 2006
  • Evaluating method of the device parameters of liquid crystal display (LCD) by means of the renormalized transmission spectroscopic ellipsometry is demonstrated. Dielectric and elastic constant, threshold voltage, pretilt angle, cell gap and Anchoring strength coefficients can be evaluated from the measurement of ellipsometric parameters measured by the symmetrically oblique incidence transmission ellipsometry (SOITE). Furthermore, rapid evaluating method for rubbed polyimide film is also demonstrated.

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