• Journal of Gastric Cancer
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• v.22 no.2
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• pp.135-144
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• 2022

Purpose: This study aimed to compare the surgical and oncological outcomes between totally laparoscopic pylorus-preserving gastrectomy (TLPPG) with intracorporeal anastomosis and laparoscopy-assisted pylorus-preserving gastrectomy (LAPPG) with extracorporeal anastomosis. Materials and Methods: A retrospective analysis was performed in 258 patients with cT1N0 gastric cancer who underwent laparoscopic pylorus-preserving gastrectomy using two different anastomosis methods: TLPPG with intracorporeal anastomosis (n=88) and LAPPG with extracorporeal anastomosis (n=170). The following variables were compared between the two groups to assess the postoperative surgical and oncological outcomes: proximal and distal margins, number of resected lymph nodes (LNs) in total and in LN station 6, operation time, postoperative hospital stay, and postoperative morbidity including delayed gastric emptying (DGE). Results: The average length of the proximal margin was similar between the TLPPG and LAPPG groups (2.35 vs. 2.73 cm, P=0.070). Although the distal margin was significantly shorter in the TLPPG group than in the LAPPG group (3.15 vs. 4.08 cm, P=0.001), no proximal or distal resection margin-positive cases were reported in either group. The average number of resected LN was similar in both groups (36.0 vs. 33.98, P=0.229; LN station 6, 5.72 vs. 5.33, P=0.399). The operation time was shorter in the TLPPG group than in the LAPPG (200.17 vs. 220.80 minutes, P=0.001). No significant differences were observed between the two groups in terms of postoperative hospital stay (9.38 vs. 10.10 days, P=0.426) and surgical complication rate (19.3% vs. 22.9%), including DGE (8.0% vs. 11.8%, P=0.343). Conclusions: The oncological safety and postoperative complications of TLPPG with intracorporeal anastomosis are similar to those of LAPPG with extracorporeal anastomosis.

• Journal of the Korean Society for Railway
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• v.15 no.6
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• pp.609-615
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• 2012

TPS (Train Performance Simulation) based on ATO (Automatic Train Operation) is required for driverless LRT (Light Rail Transit) operation plan instead of typical TPS based on driver operation. In this paper, new TPS model using ATO pattern is proposed and compared with the automatic train operation result in a test line of Seoul Metro Line 6 and in a whole line of Busan-Gimhae LRT. The actual ATO pattern can be very accurately simulated by new TPS model with the introduction of 4 parameters such as commercial braking rate, jerk, station stop profile and grade converted distance. The commercial scheduled time for driverless automatic train operation can be proposed to have "Fast" mode TPS trip time plus 3 seconds/km margin recommended by Korean standard LRT specification in this paper.

• Archives of Plastic Surgery
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• v.33 no.6
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• pp.706-710
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• 2006

Purpose: Keloid is a clinical term characterized by elevation and extension of scar tissue beyond wound margin. Currently, there is no known treatment that shows consistent effect in all patients. Postoperative radiation therapy is known to prevent recurrence of keloid. Methods: We reviewed data of patients who had undergone operation or operation followed by radiation therapy at our institute for the last 12 years. Follow up was possible in 39 patients(21 patients treated only by operation and 18 treated by operation and radiation therapy) We then investigated recurrence in both groups by VAS score. By mail, patients were asked to score their current condition on the bar in 4 aspects(itching, pain, mass lesion(by patients and other persons)). Two criteria were used for defining successful treatment. One is the case which total VAS score was 0, and the other is sum of VAS score of mass lesion was 0 to 5. Results: In the former, recurrence rate is 90.5% in operations-only group but 66.7% in operations plus radiation therapy group(p < 0.05). In the latter, recurrence rate is 66.7% in operation-only group but 22.2% in operations plus radiation therapy group(p < 0.05). Conclusion: These results shows postoperative radiation therapy is effective method in keloid treatment.

• Progress in Superconductivity and Cryogenics
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• v.14 no.2
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• pp.24-27
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• 2012

The superconducting coil system is one of the most important components in Korea Superconducting Tokamak Advanced Research (KSTAR), which has been operated since 2008. $Nb_3Sn$ and NbTi superconductors are being used for cable-in-conduit conductors (CICCs) of the KSTAR toroidal field (TF) and poloidal field (PF) coils. The CICCs are cooled by forced-flow supercritical helium about 4.5 K. The temperature, pressure and mass flow rate of the supercritical helium in the CICCs are interacting with each other during the operation of the coils. The complicate behaviors of the supercritical helium have an effect on the operation and the efficiency of the helium refrigeration system (HRS) by means of, for instance, pressure drop. The hydraulic characteristics of the supercritical helium have been monitored while the TF coils have stably achieved the full current of 35 kA. In other hands, the PF coils have been operated with various pulsed or bipolar mode, so the drastic changes happen in view of hydraulics. The heat load including AC loss on the coils has been analyzed according to the measurement. These activities are important to estimate the temperature margin in various PF operation conditions. In this paper, the latest hydraulic behaviors of PF coils during KSTAR operation are presented.

• Current Optics and Photonics
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• v.3 no.3
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• pp.256-262
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• 2019

Extensive tumor resection accompanied by radiotherapy and chemotherapy is the standard of care for malignant gliomas. However, there is a significant obstacle to the complete resection of the tumor due to the difficulty of distinguishing tumor and normal brain tissue with a conventional surgical microscope. Recently, multiple studies have shown the possibility of fluorescence-guided surgery in malignant gliomas. The most used fluorescence dyes for brain tumor surgery are 5-aminolevulinic acid (5-ALA) and indocyanine green (ICG). In this paper, a new fluorescence guided operation system, which can detect both 5-ALA and ICG fluorescent images simultaneously, is presented. This operation system consists of light emitting diodes (LEDs) which emits 410 nm and 740 nm wavelengths. We have performed experiments on rats in order to verify the operation of the newly developed operation system. Oral administration and imaging were performed to observe the fluorescence of 5-ALA and ICG fluorescence in rats. When LEDs at wavelengths of 410 nm and 740 nm were irradiated on rats, 628 nm wavelength with a violet fluorescence color and 825 nm wavelength with a red fluorescence color were expressed in 5-ALA and ICG fluorescent material, respectively, thus we were able to distinguish the tumor tissues easily. Previously, due to the poor resolution of the conventional surgical microscope and the fact that the color of the vein is similar to that of the tumor, the tumor resection margin was not easy to observe, thus increasing the likelihood for cancer recurrence. However, when the tumor is observed through the fluorescence guided operation system, it is possible to easily distinguish the color with the naked eye and it can be completely removed. Therefore, it is expected that surgical removal of cancerous tumors will be possible and surgical applications and surgical microscopes for cancer tumor removal surgery will be promising in the future.

• Journal of Chest Surgery
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• v.24 no.1
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• pp.15-25
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• 1991

From February 1988 to December 1990, 42 patients underwent so called REV operation for pulmonary stenosis or atresia with or without anomalies of ventriculoarterial connection and truncus arteriosus. The principles of operative technique are mobilization of pulmonary arterial tree beyond the pericardial reflection, transection of pulmonary trunk between the pulmonary ventricle and pulmonary artery, suture of distal pulmonary arterial stump to the upper margin of Pulmonary ventriculotomy site with absorbable suture, and anterior patch with 0.625% glutaraldehyde fixed autologous pericardium with monocusp inside it. Age at operation ranged 3-156months [mean 41.8 month] with twelve of whom infants. Operative indications were pulmonary atresia, with ventricular septal defect[16], and pulmonary stenosis with double outlet right ventricle[8], with ventricular septal defect[16], with double outlet right ventricle[8], with complete transposition of the great arteries[8], with corrected transposition of the great arteries[6], with Fallot`s tetralogy[3], and truncus arteriosus[1]. There were six hospital deaths[14%] and no late death. Twenty-four of 36 survivals were followed up more than 12 months with good clinical results. Postoperative angiocardiogram was performed in fifteen patients. Hemodynamically, two patents had residual pressure gradients along the pulmonary outflow tract, one patient showed severe pulmonary regurgitation; morphologically, there were six significant stenosis of left pulmonary arterial tree, two of whom showed significant pressure gradients. Our present experience with REV operation suggests that this technique make it possible to perform anatomic repair in a wide variety of congenital anomalies of abnormal ventriculoarterial connection associated with pulmonary outflow tract obstruction without using the prosthetic material, even in infants, with relatively low mortality and morbidity.

• The Journal of Society for e-Business Studies
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• v.4 no.1
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• pp.87-101
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• 1999

To operate the automatic devices of manufacturing process more effectively and to solve the needs of the resource sharing, network technology is applied to the control devices located in common manufacturing zone and operated by connecting them. In this paper, functional standard of the network layers are set as physical and data link layer of IEEE 802.2, 802.4, and VMD application layer and ISO-CIM reference model. Then, they are divided as minimized architecture, designed as group objects which perform group management and service objects which organizes and operates the group. For the stability in this network, this paper measures the variation of data packet length and node number and analyzes the variated value of the waiting time for the network operation. For the method of the analysis, non-exhausted service method are selected, and the arrival rates of the each data packet to the nodes that are assumed to form a Poission distribution. Then, queue model is set as M/G/1, and the analysis equation for waiting time is found. For the evalution of the performance, the length of the data packet varies from 10 bytes to 100 bytes in the operation of the group management network, the variation of the wating time is less than 10 msec. Since the waiting time in this case is less than 10 msec, response time is fast enough. Furthermore, to evaluate the real time processing of the group management network, it shows if the number of nodes is less than 40, and the average arrival time is less than 40 packet/sec, it can perform stable operation even taking the overhead such as software delay time, indicated packet service, and transmissin safety margin.

• Nuclear Engineering and Technology
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• v.53 no.12
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• pp.3879-3891
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• 2021

A heat pipe residual heat removal system is proposed to be incorporated into the reactor driven subcritical (RDS) facility, which has been proposed by MIT Nuclear Reactor Laboratory for testing and demonstrating the Fluoride-salt-cooled High-temperature Reactor (FHR). It aims to reduce the risk of the system operation after the shutdown of the facility. One of the main components of the system is an air-cooled heat pipe heat exchanger. The alkali-metal high-temperature heat pipe was designed to meet the operation temperature and residual heat removal requirement of the facility. The heat pipe model developed in the previous work was adopted to simulate the designed heat pipe and assess the heat transport capability. 3D numerical simulation of the subcritical facility active zone was performed by the commercial CFD software STAR CCM + to investigate the operation characteristics of this proposed system. The thermal resistance network of the heat pipe was built and incorporated into the CFD model. The nominal condition, partial loss of air flow accident and partial heat pipe failure accident were simulated and analyzed. The results show that the residual heat removal system can provide sufficient cooling of the subcritical facility with a remarkable safety margin. The heat pipe can work under the recommended operation temperature range and the heat flux is below all thermal limits. The facility peak temperature is also lower than the safety limits.

• Journal of Yeungnam Medical Science
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• v.9 no.2
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• pp.422-426
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• 1992

One case of Congenital Cutis Aplasia is presented. The defect involved includes full-thickness skin defect of scalp and cranium. The patient was treated with debridement of dirty necrosed crust which covered exposed dura mater and with double opposing rotation flap including pericranium for bone regneration. The donor site was covered with skin graft from right thigh. During operation, the superficial temporal arterty was found to be short and weak. And after operation, the margin of flap were congested and finally necrotized. The necrotic wound was treated with conservative management. The vascular impairment is thought to be main course of Congenital Cutis Aplasia. So we conclude that the treatment of choice is conservative management or careful flap surgery for coverage of defect area.

• Journal of Information Display
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• v.11 no.4
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• pp.154-159
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• 2010

Single-sustainer driving is an AC PDP driving scheme to reduce the circuitry by maintaining the sustain electrode at ground level. To date, however, the research on the discharge characteristics in such driving scheme is insufficient. In this study, the panel performance and discharge characteristics of the single-sustainer driving scheme were observed while varying the address electrode condition. In single-sustainer driving, the address electrode is strongly involved in the sustain discharge when the former is maintained at ground level, and the dependence of the luminous efficacy on the sustain voltage is different from that in the conventional driving scheme. The dependence of the luminous efficacy on the sustain voltage appeared similar, however, to that in the conventional driving scheme when the address electrode was floated in single-sustainer driving. In the investigation of the temporal evolution of the sustain discharge using an IICCD camera, it was found that the sustain discharge in single-sustainer driving with a floating address electrode is similar to that in the conventional driving scheme, and the strong plasma formation region was located in the vicinity of the MgO surface, which seems to be related to the lifetime of a PDP with single-sustainer driving. In the investigation of the operation characteristics, the PDP that was operated with a floated address electrode showed a narrower dynamic operation margin, but a longer lifetime was expected.