• Title/Summary/Keyword: Operation margin

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Postoperative Radiation Therapy in Non-Small-Cell Lung Cancer (비소세포성 폐암의 수술후 방사선 치료)

  • Park, Charn-Il;Kim, Jong-Hoon;Kim, Joo-Hyun
    • Radiation Oncology Journal
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    • v.6 no.2
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    • pp.195-201
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    • 1988
  • Sixty patients with proven lung cancer were retrospectively studied to determine whether postoperative radiation therapy improves survival. Patterns of treatment failure and 5 year survival were assessed according to extent of tumor spread, histology, type of operation, positive resection margin and radiation dose. Of the 60 patients, excluding S patients who received incomplete treatment or poor pulmonary function,55 patients received postoperative radiation therapy following curative resection. The overall survival at 5 years was $39\%$. The hilar and mediastinal lymph node involvement had an influence on survival. The authors recommend that patients with resection. lung cancer involving the hilar and mediastinal lymph nodes may require postoperative radiotherapy to reduce the local recurrence and improve survival.

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A Study on the Tension of a Purseline in the Process of Catch of the Purse Seine Fishing Methods-I -Model Experiment on the Tension of a Purseline by Net Shapes- (선망어법의 어획과정에 있어서 죔줄의 장력-I -망형별 죔줄의 장력에 관한 모형실험-)

  • 박정식
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.35 no.1
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    • pp.1-10
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    • 1999
  • The north-west sea area of Cheju Island is where originate two layer current in the summer season. The case of the fishing operations in this sea area is almost impossible for normal expansion of the net gear for shooting net, and is happened to be frequent occasions for rise of tension suddenly in purseline by changes of the net shapes in the operation. Therefore, the safety of the operations is often obstructed by the above mentioned. In connection with the above, model experiments on the purse seine in the circulating water tank was carried out in comparison and analysis on the changes of tension in the pruseline by deformation of purse seine in the sea area of two layer current. THe results obtained are as follows;In the case of the required time for pursing of 20 minutes in the no current set, the increasing curve for tension of purseline can be expressed as:Y=0.0004x3+0.0098x2+0.3000x(r=0.9989)where Y is tension(metric tons) of a purseline, x is required time(minutes) for pursing. And, the maximum value of tension in this time was an increase of 31.3 percent at 15 minutes, and was a decrease of 30.3 percent at 30 minutes than that of 20 minutes.When the bottom margin of net is held on the position in velocity of 0.5 knot at three-eighths of net in the bottom current to the net height, the maximum tension of the required time for pursing of 30 minutes in tight set and loose set were decrease of 29.5 percent and 28.7 percent respectively than that of 20 minutes.The work load during the required time for pursing of 20 minutes were calculated 5.79×106 kgf·m in no current set, 7.89×106 kgf·m in tight set and 5.15×106 kgf·m in loose set, therefore it was an increase of 22.3 percent in tight set, and was a decrease of 11.1 percent in loose set than that of the no current set. Where tight set and loose set is a range of the bottom current with velocity of 0.5 knot at three-eighths of net to the net height.

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A Clinical Evaluation of Repeated Splanchic Nerve Block (내장신경 반복차단예에 대한 임상적 연구)

  • Sung, Nak-Soon;Yoon, Duck-Mi;Oh, Hung-Kun
    • The Korean Journal of Pain
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    • v.3 no.2
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    • pp.108-118
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    • 1990
  • Splanchnic nerve block (SNB) is performed to relieve intractable upper abdominal pain caused by carcinoma of the upper G-I tract. Not all patients achieve satisfactory pain relief; therefore, a second or third nerve block trial may need to be performed. In this study, an attempt was made to analyze the possible factors which might affect the result of repeated SNB in 42 the patients among 264 patients who received SNB at Severance Hospital during the period from January 1985 to December 1989. The results are as follows: 1) Among the 42 patients, including 30 males and 12 females, the fifties and forties were the major age groups. 2) Among the underlying diseases, stomach cancer was the most common (18 cases) and pancreatic cancer was next (14 cases). 3) The main locations of pain were the upper abdomen, epigastrium and entire abdomen in decreasing order. 4) Among the thirty-nine cases of first SNB combined with ascites, 13 cases received a repeat block, 81.0% of whom had had metastatic lesion. 5) There were 54.2% who had had single or combined treatment, operation, chemotherapy or radiotherapy before SNB. 6) Twently seven cases (64.3%) had received opioid medication for pain control. 7) In the 75% alcohol group, 11.7% of patients required a second block, and in the pure and 50% alcohol group, 9.6% of patients required a second block within two weeks of the first block. Three cases in both of these repeated block groups required a third block; representing 3.9%, of the 75% alcohol group and 1.6% of the pure and 50% alcohol group. 8) The volume of alcohol used was more than 16 ml bilaterally in both cases. 9) The points of the inserted needle were positioned in the upper and anterolateral part of the $L_1$ vertebra on both sides on the anteroposterior roentgenogram. The contrast media was spread upward along the anterior margin of the vertebral body and posteriorly in repeat block. The frequency of repeat block was higher in cases with ascites or metastasis. The instance of repeat block within 2 weeks of the first block was lower in the pure and 50% alcohol group than in the 75% alcohol group. Thus, alcohol concentration and patient status may be considered factors which influence the result of repeated SNB. We suggest early application of SNB in upper abdominal cancer patients.

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Development of Joint-Based Motion Prediction Model for Home Co-Robot Using SVM (SVM을 이용한 가정용 협력 로봇의 조인트 위치 기반 실행동작 예측 모델 개발)

  • Yoo, Sungyeob;Yoo, Dong-Yeon;Park, Ye-Seul;Lee, Jung-Won
    • KIPS Transactions on Software and Data Engineering
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    • v.8 no.12
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    • pp.491-498
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    • 2019
  • Digital twin is a technology that virtualizes physical objects of the real world on a computer. It is used by collecting sensor data through IoT, and using the collected data to connect physical objects and virtual objects in both directions. It has an advantage of minimizing risk by tuning an operation of virtual model through simulation and responding to varying environment by exploiting experiments in advance. Recently, artificial intelligence and machine learning technologies have been attracting attention, so that tendency to virtualize a behavior of physical objects, observe virtual models, and apply various scenarios is increasing. In particular, recognition of each robot's motion is needed to build digital twin for co-robot which is a heart of industry 4.0 factory automation. Compared with modeling based research for recognizing motion of co-robot, there are few attempts to predict motion based on sensor data. Therefore, in this paper, an experimental environment for collecting current and inertia data in co-robot to detect the motion of the robot is built, and a motion prediction model based on the collected sensor data is proposed. The proposed method classifies the co-robot's motion commands into 9 types based on joint position and uses current and inertial sensor values to predict them by accumulated learning. The data used for accumulating learning is the sensor values that are collected when the co-robot operates with margin in input parameters of the motion commands. Through this, the model is constructed to predict not only the nine movements along the same path but also the movements along the similar path. As a result of learning using SVM, the accuracy, precision, and recall factors of the model were evaluated as 97% on average.

Unplanned Excision of Soft Tissue Sarcoma: Patient Profile and Treatment Outcomes (연부 조직 육종에 대한 무계획적 절제술: 환자의 임상적 특징 및 치료 결과)

  • Lee, Jae Hoo;Cho, Yong Jin;Kim, Seung Hyun;Shin, Kyoo Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.18 no.2
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    • pp.72-77
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    • 2012
  • Purpose: Unplanned excision of a soft tissue sarcoma is defined as the operation performed for gross removal of a soft tissue sarcoma without regard for preoperative imaging or the necessity to removal a margin of normal tissue covering the cancer. We report our experience of treating primary soft tissue sarcoma after an unplanned excision. Materials and Methods: We retrospectively reviewed 31 patients referred to our hospital after unplanned excision at other hospitals for treatment of a STS. The clinical information was reviewed with a focus on the patient's age, gender, tumor location, tumor size, tumor depth, presumptive diagnoses at the previous surgery, refer hospital, definitive diagnosis, interval between the initial and additional surgery and local recurrence. Results: There were 19 males and 12 females with a median age of 48 years (range, 17-75 years) at the time of referral. Seventeen patients (54.8%) had tumors in their lower limb, 6 (19.4%) had tumors in their upper limb, and 8 (25.8%) had tumors in their trunk. Tumor depth could be determined for 8 patients (25.8%), with superficial and 22 deep tumors (71%). The medial interval between unplanned excision to re-excision ranged from 2 weeks to 1 year (median, 5 weeks). Local recurrence was detected in 2 patients. All patients were alive without metastasis at last follow up. Conclusion: Even in upper class general hospital, many unplanned excision had been performed, which is considered to be avoided. When the relatively huge mass located in deeper layer it requires enough preoperative imaging studies and biopsy.

Analysis of Clinocopathologic Difference between Type II and Type III Cancers in Siewert Classification for Adenocarcinomas of the Cardia (Siewert 분류에 의한 협의의 분문부 위암(type II)과 분문하 위암(type III)의 검토)

  • Kim Hyoung-Ju;Kwon Sung Joon
    • Journal of Gastric Cancer
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    • v.4 no.3
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    • pp.143-148
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    • 2004
  • Purpose: To determine the clinical value of the Siewert classification for gastic-cancer patients in Korea, we evaluated and compared the clinicopathologic factors of type II and type III cancer. Materials and Methods: The medical records of 89 consecutive patients who had undergone surgery for an adenocarcinoma of the gastroesophageal junction (GEJ) at the Department of Surgery, Hanyang University Hospital, between Jun. 1992 and Dec. 2003 were reviewed retrospectively. Results: There were one patient with type I, 12 pateints with type II and 77 patients with type III. During the same period, 1,341 patients underwent surgery for a gastric carcinoma, so proportion of GEJ cancer being $6.6\%$. The median followup duration was 31 months (range: $2\∼135$ months), and the follow-up rate was $100\%$. Between type II and type III cancers, there were no significant differences in the clinicopathologic variables including age, sex, gross appearance, histologic type, depth of invasion, and pathologic stage. The longest diameter of the tumor was larger in type III ($6.1\pm2.1$ cm) than in type II ($3.9\pm1.1$ cm)(P=0.001). A total gastrectomy with Roux-en-Y esophagojejunostomy was done most frequently, while jejunal interposition was done in 3 cases of type II and 2 cases of type III. More than a D2 lymphadenectomy was done all cases. The numbers of dissected lymph nodes and metastatic lymph nodes in type II were 43.8 and 5.8 respectively, while they were 49.8 and 8.1 in type III, but the difference between the two groups were not statistically significant. The mean length of the proximal resection margin was $15\pm5$ mm in type II and $21\pm13$ mm in type III, but this difference was not statistically significanct. The time to recurrence after operation was 19.3 months in type II and 16.9 months in type III. The five-year survival rates of type II and III were $68.8\%\;and\;52.7\%$ respectively, but difference was not significant. Conclusion: There were no significant differences in the clinicopathologic variables, including survival rate, between type II and type III cancers in Korean patients According to these findings, it appears to be reasonable to classify type III cancer as a cardia cancer in a broad sense.

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Design of Digital PLL with Asymmetry Compensator in High Speed DVD Systems (고속 DVD 시스템에서 비대칭 신호 보정기와 결합한 Digital PLL 설계)

  • 김판수;고석준;최형진;이정현
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.26 no.12A
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    • pp.2000-2011
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    • 2001
  • In this Paper, we convert conventional low speed(1x, 6x) DVD systems designed by analog PLL(Phase Locked Loop) into digital PLL to operate at high speed systems flexibly, and present optimal DPLL model in high speed(20x) DVD systems. Especially, we focused on the design of DPLL that can overcome channel effects such as bulk delay, sampling clock frequency offset and asymmetry phenomenon in high speed DVD systems. First, the modified Early-Late timing error detector as digital timing recovery scheme is proposed. And the four-sampled compensation algorithm using zero crossing point as asymmetry compensator is designed to achieve high speed operation and strong reliability. We show that the proposed timing recovery algorithm provides enhanced performances in jitter valiance and SNR margin by 4 times and 3dB respectively. Also, the new four-sampled zero crossing asymmetry compensation algorithm provides 34% improvement of jitter performance, 50% reduction of compensation time and 2.0dB gain of SNR compared with other algorithms. Finally, the proposed systems combined with asymmetry compensator and DPLL are shown to provide improved performance of about 0.4dB, 2dB over the existing schemes by BER evaluation.

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Recycling Total Joint Autotransplantation in Osteosarcoma around the Knee Joint (슬관절 주위 골육종에서 체외 방사선 조사를 이용한 재활용 전 자가 관절 이식술)

  • Chung, So-Hak;Cho, Yool;Kim, Jae-Do
    • The Journal of the Korean bone and joint tumor society
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    • v.13 no.1
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    • pp.31-36
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    • 2007
  • Purpose: Recycling extracorporeal irradiated autograft is used as one of the reconstruction methods after limb salvage with malignant bone tumor. However, there were some problems such as joint instability, progressive arthritis, insufficient joint resection margin were found after intraarticular recycling autograft. Thus, we carried out a research in order to investigate the results of recycling total joint autotransplantation after extracorporeal irradiation that could resolve the problems. Materials and Methods: There were five cases of patients who were diagnosed as osteosarcom around the knee joint and underwent same operation from June 1997 to Feb 2006. All patients had been evaluated from 93 to 105 months (mean 100 months) and their mean age was 21.6. Results: The roentgenographic union of junctional sites began at 15.6 months (9~40 months) postoperatively. As regards to the orthopaedic functional results, we used the criteria of Ennecking et al. Overall mean functional result was 71.6%. Complication such as epiphyseal collapse (three cases) and joint instability (five cases) were noted respectively. In all the cases, tumor prosthesis was used to replace the knee joint. Conclusion: Because recycling total joint autotransplantation after extracorporeal irradiation does not prevent joint instability and progressive arthritis, tumor prosthesis is recommended in young adult.

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Development of Acid Resistance Velocity Sensor for Analyzing Acidic Fluid Flow Characteristics (산성 용액 내 유속 측정을 위한 내산성 센서 개발)

  • Choi, Gyujin;Yoon, Jinwon;Yu, Sangseok
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.40 no.10
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    • pp.629-636
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    • 2016
  • This study presents the development of an acid resistance velocity sensor that is used for measuring velocity inside a copper sulfate plating bath. First, researchers investigated the acid resistance coating to confirm the suitability of the anti-acid sensor in a very corrosive environment. Then, researchers applied signal processing methods to reduce noise and amplify the signal. Next, researchers applied a pressure-resistive sensor with an operation amplifier (Op Amp) and low-pass filter with high impedance to match the output voltage of a commercial flowmeter. Lastly, this study compared three low-pass filters (Bessel, Butterworth and Chebyshev) to select the appropriate signal process circuit. The results show 0.0128, 0.0023, and 5.06% of the mean square error, respectively. The Butterworth filter yielded more precise results when compared to a commercial flowmeter. The acid resistive sensor is capable of measuring velocities ranging from 2 to 6 m/s with a 2.7% margin of error.

Structure & Installation Engineering for Offshore Jack-up Rigs

  • Park, Joo-Shin;Ha, Yeong-Su;Jang, Ki-Bok;Radha, Radha
    • Bulletin of the Society of Naval Architects of Korea
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    • v.54 no.4
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    • pp.39-46
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    • 2017
  • Jack-up drilling rigs are widely used in offshore oil and gas exploration industry. It is originally designed for use in the shallow waters less than 60m of water depth; there is growing demand for their use in deeper water depth over 150m and harsher environmental conditions. In this study, global in-place analysis of jack-up rig leg for North-sea oil well is performed through numerical analysis. Firstly, environmental conditions and seabed characteristics at the North-sea are collected and investigated measurements from survey report. Based on these data, design specifications are established and the overall basic design is performed. Dynamic characteristics of the jack-up rig for North-sea are considered in the global in-place analysis both leg and hull and the basic stability against overturning moment is also analyzed. The structural integrity of the jack-up rig leg/hull is verified through the code checks and the adequate safety margin is observed. The uncertainty in jack-up behaviour is greatly influenced by the uncertainties in the soil characteristics that determine the resistance of the foundation to the forces imposed by the jack-up structure. Among the risks above mentioned, the punch-through during pre-loading is the most frequently encountered foundation problem for jack-up rigs. The objective of this paper is to clarify the detailed structure and installation engineering matters for prove the structural safety of jack-up rigs during operation. With this intention the following items are addressed; - Characteristics of structural behavior considering soil effect against environmental loads - Modes of failure and related pre-loading procedure and parameters - Typical results of structural engineering and verification by actual measurement.

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