• Radiation Oncology Journal
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• 제35권1호
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• pp.65-70
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• 2017

Purpose: To evaluate the utility of implanted surgical clips for detecting interfractional errors in the treatment of hepatobiliary and pancreatic cancer with postoperative radiotherapy (PORT). Methods and Materials: Twenty patients had been treated with PORT for locally advanced hepatobiliary or pancreatic cancer, from November 2014 to April 2016. Patients underwent computed tomography simulation and were treated in expiratory breathing phase. During treatment, orthogonal kilovoltage (kV) imaging was taken twice a week, and isocenter shifts were made to match bony anatomy. The difference in position of clips between kV images and digitally reconstructed radiographs was determined. Clips were consist of 3 proximal clips (clip_p, ${\leq}2cm$) and 3 distal clips (clip_d, >2 cm), which were classified according to distance from treatment center. The interfractional displacements of clips were measured in the superior-inferior (SI), anterior-posterior (AP), and right-left (RL) directions. Results: The translocation of clip was well correlated with diaphragm movement in 90.4% (190/210) of all images. The clip position errors greater than 5 mm were observed in 26.0% in SI, 1.8% in AP, and 5.4% in RL directions, respectively. Moreover, the clip position errors greater than 10 mm were observed in 1.9% in SI, 0.2% in AP, and 0.2% in RL directions, despite respiratory control. Conclusion: Quantitative analysis of surgical clip displacement reflect respiratory motion, setup errors and postoperative change of intraabdominal organ position. Furthermore, position of clips is distinguished easily in verification images. The identification of the surgical clip position may lead to a significant improvement in the accuracy of upper abdominal radiation therapy.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2011년도 춘계학술대회 논문집
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• pp.1002-1008
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• 2011

Turnout is a mechanical installation enabling railway trains to be guided from one track to another at a railway junction. there are classified variously according to rail type, sleeper type, fastening system, track type. Construction of concrete track are on the increase recently to secure the safety of track structure as well as to reduce the maintenance cost. SFC fastening system used the plain track a lot and for those reasons, The fast clip turnout demand growing to improving efficiency of the maintenance cost by unification of fastening clip on whole line. in this study is about development of the fastening system for new turnout using fast clip. this fastening system assembled elasticity pad underneath a base plate. its can change stiffness how to adjust contact surface area of elasticity pad Developed fastening system have passed test according to rule of KRS-TR0014-09R (rail fastening system) and Performance Certification by KR.

• Journal of Korean Neurosurgical Society
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• 제55권6호
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• pp.353-356
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• 2014

The Sundt encircling clip was developed to repair defects of the vessel wall. With the advent of microvascular techniques, most parts of the damaged vessel wall during aneurysm surgery can be repaired by primary closure or by the bypass technique. However, these methods are not always successful. Here, we illustrate two cases of surgical clipping with the Sundt encircling clip in the ruptured internal carotid artery trunk aneurysm. The Sundt clip provides prompt control of unexpected tearing of the vessel wall or aneurysm and plays an important role in vascular rescue during aneurysm surgery.

• 한국정보과학회논문지:데이타베이스
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• 제28권4호
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• pp.568-576
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• 2001

대부분의 클러스터링 알고리즘들은 고차원 공간에서 성능이 급격히 저하되는 경향이 있다. 더욱이 고차원 데이타는 상당한 양의 잡음 데이타를 포함하고 있으므로 알고리즘의 추가적인 효과성 문제를 야기한다. 그러므로 고차원 데이타의 구조와 특성을 지원하는 적합한 클러스터링 기법이 개발되어야 한다. 본 논문에서는 선형변환 프로젝션을 이용한 클러스터링 알고리즘 CLIP을 제안한다. CLIP은 고차원 클러스터링의 효율성 및 효과성 문제를 극복하기 위해 개발되었으며, 클러스터 형성에 밀접하게 연관된 부분 공간에서 클러스터를 탐사하는 기법이다. 알고리즘의 주요 사상은 각1차원적 부분공간에서의 클러스터링에 기본을 두고 있지만. 점진적인 프로젝션을 이용하여 고차원 클러스터를 탐사한 뿐만 아니라 연산을 획기적으로 줄인다. CLIP의 성능을 평가하기 위해 합성 데이타를 이용한 일련의 실험을 통하여 효율성 및 효과성을 증명한다

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8339-8343
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• 2016

Background: To determine the outcome and cost saving by placing ultrasound guided surgical clips for tumor localization in patients undergoing neo-adjuvant chemotherapy for breast cancer. Materials and Methods: This retrospective cross sectional analytical study was conducted at the Department of Diagnostic Radiology, Aga Khan University Hospital, Karachi, Pakistan from January to December 2014. A sample of 25 women fulfilling our selection criteria was taken. All patients came to our department for ultrasound guided core biopsy of suspicious breast lesions and clip placement in the index lesion prior to neo-adjuvant chemotherapy. All the selected patients had biopsy proven breast cancer. Results: The mean age was $45{\pm}11.6years$. There were no complications seen after clip placement in terms of clip migration or hemorrhage. The cost of commercially available markers was approximately PKR 9,000 (US$ 90) and that of the surgical clip was PKR 900 (US$ 9). The cost of surgical clips in 25 patients was PKR 22,500 (US$ 225), when compared to the commercially available markers which may have incurred a cost of PKR 225,000 (US$ 2,250). The total cost saving for 25 patients was PKR 202,500 (US$ 2, 025), making it PKR 8100 (US$ 81) per patient. Conclusions: The results of our study show that ultrasound guided surgical clip placement in index lesions prior to neo-adjuvant therapy is a safe and cost effective method to identify tumor bed and response to treatment for further management.

• 한국건축시공학회지
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• 제20권5호
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• pp.459-469
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• 2020

이 연구의 목적은 철근콘크리트 기둥에서 띠철근 상세로 이용되는 갈고리 양단 135° 교차시공에 대해 동등이상의 구조적 성능을 확보하면서, 동시에 시공성을 개선할 목적으로 클립형 연결장치를 이용하여 90° 갈고리 띠철근에 결속하는 방법을 제시하였으며, 제안한 클립형 연결장치에 따른 시공성 평가 및 소요비용을 분석하였다. 분석 결과, 기둥 1개 전체 철근 조립하는 데 작업 시간은 클립형 연결장치 사용시 50%의 작업시간을 단축하는 것으로 나타났으며, 비용분석 결과 클립형 연결장치 1개 사용시 절감효과가 가장 효과적이었고, 표준 갈고리 상세 대비 약 32%의 비용 절감효과가 있는 것으로 분석되었다.

• The Korean Journal of Physiology
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• 제23권1호
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• pp.43-49
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• 1989

Atrial natriuretic peptide (ANP)의 혈압조절에 대한 효과를 구명하기 위하여 2-kidney, 1-clip 흰쥐의 고혈압 발생에 미치는 ANP의 영향을 조사하였다. 실험군은 왼쪽 신동맥에 clip을 끼우고 경정맥내에 지속적으로 ANP를 주입한(atriopeptin III, 500 ng/h) 군으로 하였으며, 대조군은 clip을 끼웠으나 ANP를 주입하지 않은 군으로 하였다. Clip을 끼우기 전과 clip을 끼운 제 4,7,10일에 꼬리동맥으로부터 혈압을 측정한 후 단두하여 혈액을 채취하고 양측 신장을 떼어내어 renin 치를 구하였다. ANP 주입군은 대조군에 비하여 고혈압의 발생이 약화되었고 혈장 renin활성도가 유의하게 낮았으나 신피질 renin함량은 양군간에 유의한 차이가 없었다. 한편 clip을 끼우지 않은 흰쥐에서는 ANP 주입군과 비주입군간에 혈압, 혈장 renin 활성도와 신피질 renin 함량 등이 모두 서로 유의한 차이를 보이지 않았다. 이상의 실험결과는 지속적 ANP 주입이 2-K, 1-C 흰쥐의 고혈압 발생을 방지하지는 못하였으나 약화시켰음을 보여주었으며, ANP는 적어도 부분적으로는 renin-angiotensin계를 길항하므로써 장기적 혈압 조절에 관여하는 것이 시사되었다.

• Journal of Acupuncture Research
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• 제21권4호
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• pp.1-18
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• 2004

Objective : This study was performed to investigate the effects of aqua-acupuncture of Jibaikjihwangtang in two-kidney one clip Goldblatt hypertensive rats and spontaneously hypertensive rats. Methods : we injected aqua-acupuncture solution into Shin-Soo ($BL_{23}$) which corresponds to human acupuncture point in two-kidney one clip Goldblatt hypertensive rats and spontaneously hypertensive rats. Systolic blood pressure, renin activity, aldosterone and atrial natriuretic peptide (ANP) plasma levels were tested. Results : Systolic blood pressure decreased significantly after aqua-acupuncture of jibaikjihwangtang. Acupuncture group in two-kidney one clip Goldblatt hyper-tensive rats had deference with control group. In plasma levels of atrial natriuretic peptide, acupuncture group of spontaneously hypertensive rats increased meaningfully but to two-kidney one clip Goldblatt hypertensive rats it was decreased meaningfully. In Serum Aldosterone density, the acupuncture group of spontaneously hypertensive rats had significant alteration than control group, but the acupuncture group of two-kidney one clip Goldblatt hypertensive rats had decreased alteration than control group. Conclusion : According to these results, after Aqua-Acupuncture of Jibaikjihwangtang blood pressure decreased significantly and data suggest that blood pressure reduction activity connected with renin activity reduction in renal hypertensive rat.

• Asian-Australasian Journal of Animal Sciences
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• 제24권10호
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• pp.1335-1340
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• 2011

Different genetic parameters for weaning weight and wool traits were estimated using restricted maximum likelihood (REML) in Angora rabbits. Total wool yield of first (I), second (II) and third (III) clips were taken as a separate trait under study. The records from more than 2,700 animals were analysed through fitting six animal models with various combinations of direct and maternal effects. A log likelihood ratio test was used to select the most appropriate model for each trait. Direct heritability estimates for the wool traits were found to be moderate to high across different models. Heritability estimates obtained from the best model were 0.24, 0.22, 0.20 and 0.21 for weaning weight, clip I, II and III; respectively. Maternal effects especially due to permanent environment had higher importance at clip I and found to be declining in subsequent clips. The estimates of repeatability of doe effect on wool traits were 0.44, 0.26 and 0.18 for clip I, II and III; respectively. Weaning weight had moderately high genetic correlations with clip I (0.57) and II (0.45), but very low (0.11) with clip III. Results indicated that genetic improvement for wool yield in Angora rabbit is possible through direct selection. Further, weaning weight could be considered as desirable trait for earliest indirect selection for wool yield in view of its high genetic correlation with wool traits.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2001년도 하계학술대회 논문집 C
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• pp.1417-1420
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• 2001

This paper presents the results of materials and mechanical analyses and performance improvement of pull-off fitting used for catenary. The pull-off fitting is supporting the trolley wire which supplies the electricity. However, the pull-off fitting is repeatedly suffered by the mechanical stresses which produce cracks in the swivel clip, resulting in interruption of an electric car. The characteristic analyses of the swivel clip were performed and the improved swivel clip was suggested.