• 제목/요약/키워드: Partial Field

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Clinicopathologic Analysis of Remnant Gastric Cancer after Distal Partial Gastrectomy: Experience of Single Center during 15 Years

  • Choi, Seung-Hui;Kim, Tae-Gyun;Kim, June-Young;Hur, Hoon;Han, Sang-Uk;Cho, Yong-Kwan;Kim, Myung-Wook
    • Journal of Gastric Cancer
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    • 제10권2호
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    • pp.63-68
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    • 2010
  • Purpose: Remnant gastric cancer (RGC) are generally detected at advanced stages or infiltration of adjacent organs. We retrospectively reviewed the surgical outcomes and clinicopathologic results of remnant gastric cancers that have operated during fourteen years in one institution of Korea. Materials and Methods: 34 patients who were diagnosed with RGC at Ajou University Hospital from April 1995 to October 2009 were enrolled. We analyzed the features of previous operation, and according to these results, surgical outcomes and clinicopathologic results for RGC were analyzed. Results: Of 34 patients, 20 patients had previously undergone distal gastrectomy for malignant disease, and 14 patients for benign disease. The period between previous operation and surgery for RGC in the patients underwent operation for malignant disease was shorter than that in benign patients (P<0.001). In surgical field, 31 patients (91.0%) were resected and curative resection was possible in 23 patients (67.6%). When 31 patients who underwent resection for RGC were divided into previous malignant and benign disease, there was no significantly different in terms of surgical outcomes and pathologic findings between two groups. Meanwhile, the patients who recently (after 2005) underwent surgery for RGC showed less advanced stage compared with the patients who underwent surgery before 2004. Conclusions: Resection was possible in the higher proportion (91.0%) of patients diagnosed with RGC compared with previous reports. The cause of previous operation did not effect on the surgical outcomes for surgery of RGC. Recent trend of RGC is to increase the proportion of early stage gastric cancer. Therefore, surgeons should consider curatively surgical resection for RGC the regardless of pattern of previous operation.

코일 위치에 따른 측방 동맥류 내부 혈류 유동의 변화 (The Change of Flow Characteristics in Lateral Aneurysm Models for Different Coil Locations)

  • 이계한;송계웅;변홍식
    • 대한의용생체공학회:의공학회지
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    • 제23권5호
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    • pp.375-383
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    • 2002
  • 코일을 이용한 동맥류 색전술은 동맥류 내부에 코일을 삽입하여 혈류 유동의 정체를 유도하여 혈전을 형성시키므로 동맥류를 폐색하는 방법이다. 코일을 이용하여 동맥류를 부분 폐색할 경우 동맥류의 폐색 위치에 따라 동맥류 내부의 유동 특성이 변하며, 이는 동맥류 내부의 현전 형성에 영향을 미칠 수 있다. 본 연구에서는 내경 동맥에서 발생한 측방 동맥류에 코일로 인한 부분 폐색이 발생할 경우, 부분 폐색 위치 및 내경 동맥의 곡률 반경의 변화에 따른 동맥류 내부 혈류 유동의 변화를 생체외 모델 실험을 이용하여 측정하여, 효율적인 동맥류 폐색 위치를 제시하고자한다. 내경동맥에서 발생한 측방 동맥류 내부에 코일을 동맥류 천정 근위부, 천정 원위부, 목 근위부 및 목 원위부에 각각 삽입하여 폐색 위치가 다른 모델을 제작하여, 입자영상속도계를 이용하여 속도장을 측정하였다. 동맥류 주머니의 원위부 폐색은 근위부 폐색에 비해 동맥류 내부고의 유입되는 유동이 적었으므로 동맥류 원위부 폐색이 혈전의 형성 및 동맥류 색전에 효율적임을 나타냈다. 동맥류 목 원위부 폐색은 천정 원위부 폐색에 비해 동맥류 내부로 혈류 유입을 효율적으로 차단하였으므로, 목 원위부 폐색이 동맥류 색전에 가장 효율적인 위치임을 알 수 있었다.

GPS/RTS data fusion to overcome signal deficiencies in certain bridge dynamic monitoring projects

  • Moschas, Fanis;Psimoulis, Panos A.;Stiros, Stathis C.
    • Smart Structures and Systems
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    • 제12권3_4호
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    • pp.251-269
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    • 2013
  • Measurement of deflections of certain bridges is usually hampered by corruption of the GPS signal by multipath associated with passing vehicles, resulting to unrealistically large apparent displacements. Field data from the Gorgopotamos train bridge in Greece and systematic experiments revealed that such bias is due to superimposition of two major effects, (i) changes in the geometry of satellites because of partial masking of certain satellites by the passing vehicles (this effect can be faced with solutions excluding satellites that get temporarily blocked by passing vehicles) and (ii) dynamic multipath caused from reflection of satellite signals on the passing trains, a high frequency multipath effect, different from the static multipath. Dynamic multipath seems to have rather irregular amplitude, depending on the geometry of measured satellites, but a typical pattern, mainly consisting of a baseline offset, wide base peaks correlating with the sequence of main reflective surfaces of the vehicles passing next to the antenna. In cases of limited corruption of GPS signal by dynamic multipath, corresponding to scale distortion of the short-period component of the GPS waveforms, we propose an algorithm which permits to reconstruct the waveform of bridge deflections using a weak fusion of GPS and RTS data, based on the complementary characteristics of the two instruments. By application of the proposed algorithm we managed to extract semi-static and dynamic displacements and oscillation frequencies of a historical railway bridge under train loading by using noisy GPS and RTS recordings. The combination of GPS and RTS is possible because these two sensors can be fully collocated and have complementary characteristics, with RTS and GPS focusing on the long- and short-period characteristics of the displacement, respectively.

위상 배열 고출력증폭기용 고밀도 고전압 전원공급기 하드웨어 구성 및 FPGA를 이용한 고속 독립 제어방식 (Hardware configuration of High-Density HVPS and High Speed independent Control method Using FPGA for Phased Array Transmitters)

  • 강춘호;이성욱;이홍학;이창훈;변기식
    • 한국정보통신학회논문지
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    • 제19권11호
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    • pp.2758-2764
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    • 2015
  • 위상배열 고출력증폭기용 고전압전원공급기(HVPS)는 다출력 소용량 진행파관(TWT)을 구동하는데 반드시 독립운용 특성을 가져야만 한다. TWT 독립운용 특성은 어느 하나의 TWT가 고장이 발생한 경우에도 부분 송신기능을 유지함으로써 관련 임무를 중단 없이 수행하는 매우 중요한 요소로 알려져 있다. 본 논문에서는 소용량 TWT들을 독립 운용하기 위한 FE 변조부를 포함한 고밀도 HVPS 하드웨어 구성 및 FPGA를 이용한 고속 독립 제어방식에 관해 기술하였다. 또한, 위상배열 고출력증폭기 운용 중 발생 가능한 고장을 모의하여 안정적으로 고장이 발생한 TWT가 독립 제어되는 시험결과를 기술하였다.

Whole Brain Radiation-Induced Cognitive Impairment: Pathophysiological Mechanisms and Therapeutic Targets

  • Lee, Yong-Woo;Cho, Hyung-Joon;Lee, Won-Hee;Sonntag, William E.
    • Biomolecules & Therapeutics
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    • 제20권4호
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    • pp.357-370
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    • 2012
  • Radiation therapy, the most commonly used for the treatment of brain tumors, has been shown to be of major significance in tumor control and survival rate of brain tumor patients. About 200,000 patients with brain tumor are treated with either partial large field or whole brain radiation every year in the United States. The use of radiation therapy for treatment of brain tumors, however, may lead to devastating functional deficits in brain several months to years after treatment. In particular, whole brain radiation therapy results in a significant reduction in learning and memory in brain tumor patients as long-term consequences of treatment. Although a number of in vitro and in vivo studies have demonstrated the pathogenesis of radiation-mediated brain injury, the cellular and molecular mechanisms by which radiation induces damage to normal tissue in brain remain largely unknown. Therefore, this review focuses on the pathophysiological mechanisms of whole brain radiation-induced cognitive impairment and the identification of novel therapeutic targets. Specifically, we review the current knowledge about the effects of whole brain radiation on pro-oxidative and pro-inflammatory pathways, matrix metalloproteinases (MMPs)/tissue inhibitors of metalloproteinases (TIMPs) system and extracellular matrix (ECM), and physiological angiogenesis in brain. These studies may provide a foundation for defining a new cellular and molecular basis related to the etiology of cognitive impairment that occurs among patients in response to whole brain radiation therapy. It may also lead to new opportunities for therapeutic interventions for brain tumor patients who are undergoing whole brain radiation therapy.

부정류의 IMPLICIT 수치해석 (An Implicit Method to Analysis Unsteady Flow)

  • 이종태
    • 수산해양기술연구
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    • 제17권2호
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    • pp.71-76
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    • 1981
  • 일차원 부정류 해석의 수치해석모형을 만들기 위하여 Preissmann형의 Implicit법을 Saint venant식에 도입하였으며 모형의 안정성과 정도에 관하여 검토하였고 수치실험을 실시하였다. 1. 보조관계식을 도입함으로써 Double Sweep알골이즘을 사용할 수 있었다. 2. 계산결과의 안정성과 정도에 큰 영향을 주는 인자는 $\Delta$t/$\Delta$x 및 $\theta$인 바 $\Delta$t/$\Delta$x은 1보다 너무 크거나 작은 경우를 피해야 하며 0.6<$\theta$<1.0일 때 무조건 안정이다. 3. 마찰계수와 $\theta$치를 적절히 조절하여 실제흐름에서의 에너지 소멸과 같은 효과를 얻게 됨으로써 이 모형은 일차원 부정류흐름의 해석에 있어 매우 유용함을 확인할 수 있었다. 4. 앞으로 실측자료에 의한 보정과 더불어 지류와 합류가 있는 하천 수계에 대한 System해석모형 또는 해안에서의 장파에 대한 일차원 해석모형 등의 개발에 응용될 수 있다.

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삼차신경통에 대한 미세혈관감압술의 효과 (The Efficacy of Microvascular Decompression for Trigeminal Neuralgia)

  • 김성훈;최창화
    • Journal of Korean Neurosurgical Society
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    • 제37권5호
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    • pp.357-363
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    • 2005
  • Objective: The microvascular decompression(MVD) for trigeminal neuralgia(TN) is known as an effective surgical technique. But the failed MVD cases have been reported in long term follow-up studies. This study is to evaluate the efficacy of MVD through our operative techniques, offending vessels in operative field, failed cases with the review of the literatures. Methods: We analyzed total 63 cases of TN which underwent MVD from 1955 to 2003 according to characters of pain, operative findings, operative results related to causative vessel compression and operative method, progonotic factor. Statistical analysis was performed using paired t-test with SPSS Ver 11.0. Results: In TN, the most common offending vessel was superior cerebellar artery(45.0%). In compression group of nerve root by offending vessel, the cure rate was 91.7%. However, the cure rate of the contact group was 64.7% and the cure rate of the negative group was 37.5%. There was no statistical significance between the degree of compression by vessel and the operative result(p=0.076). In 51 cases with MVD only, the cure rate was 84.3% and in 3 cases with PSR only, 42.8% and in 2 cases with PSR(partial sensory rhizotomy) with MVD, 50.0%. TN recurred in 7 cases within the follow-up period and reoperations(PSR) were added in 2 cases of them. Conclusion: This study shows that MVD provided a high rate of success with a minor risk of complications, which has been regarded as the most safe and effective procedure for trigeminal neuralgia. Additional MVD in recurred TN by severe adhesion of teflon showed poor outcome. But, revisional operation(PSR) in recurred TN showed relatively good outcome. PSR should be considered for treatment of recurrent TN after MVD.

Behavior of fully- connected and partially-connected multi-story steel plate shear wall structures

  • Azarafrooza, A.;Shekastehband, B.
    • Structural Engineering and Mechanics
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    • 제76권3호
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    • pp.311-324
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    • 2020
  • Until now, a comparative study on fully and partially-connected steel shear walls leading to enhancing strength and stiffness reduction of partially-connected steel plate shear wall structures has not been reported. In this paper a number of 4-story and 8-story steel plate shear walls, are considered with three different connection details of infill plate to surrounding frame. The specimens are modeled using nonlinear finite element method verified excellently with the experimental results and analyzed under monotonic loading. A comparison between initial stiffness and shear strength of models as well as percentage of shear force by model boundary frame and infill plate are performed. Moreover, a comparison between energy dissipation, ductility factor and distribution of Von-Mises stresses of models are presented. According to the results, the initial stiffness, shear resistance, energy dissipation and ductility of the models with beam-only connected infill plates (SSW-BO) is found to be about 53%, 12%, 15% and 48% on average smaller than those of models with fully-connected infill plates (SPSW), respectively. However, performance characteristics of semi-supported steel shear walls (SSSW) containing secondary columns by simultaneously decreasing boundary frame strength and increasing thickness of infill plates are comparable to those of SPSWs. Results show that by using secondary columns as well as increasing thickness of infill plates, the stress demands on boundary frame decreases substantially by as much as 35%. A significant increase in infill plate share on shear capacity by as much as 95% and 72% progress for the 4-story SSW-BO and 8-story SSSW8, respectively, as compared with non-strengthened counterparts. A similar trend is achieved by strengthening secondary columns of 4-story SSSW leading to an increase of 50% in shear force contribution of infill plate.

종합병원 간호사의 간호관리자 리더십 유형 인식과 근거기반실무 적용의도와의 관계: 혁신행동의 매개효과 (Mediating Effect of Innovative Behavior on the Relationship between Awareness of Nursing Manager's Leadership type in General Hospital Nurses and Future Use of Evidence-based Practice)

  • 조향순;김윤희;김효연
    • 한국융합학회논문지
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    • 제10권11호
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    • pp.511-521
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    • 2019
  • 본 연구는 간호관리자의 리더십과 종합병원 간호사의 근거기반실무 적용의도와의 관계에서 혁신행동의 매개효과를 확인하기 위해 시행되었다. 본 연구대상으로 500병상 이상 종합병원에 근무하는 간호사 183명을 임의 표집하였다. 간호관리자의 변혁적 리더십은 간호사의 혁신행동, 근거기반실무 적용의도와 유의한 양의 상관관계가 있었다. 간호관리자의 변혁적 리더십과 간호사의 근거기반실무 적용의도간의 관계에서 혁신행동이 부분매개효과가 있었다. 간호사의 근거기반실무 적용의도를 높이기 위해서 조직차원에서 간호 관리자의 변혁적 리더십을 개발하고 향상시켜 간호사의 혁신행동에 긍정적인 영향이 연결될 수 있도록 다양한 제도와 교육프로그램을 개발할 필요가 있다.

파이로 시동기의 압력변화와 터빈 블레이드 회전수 변화에 따른 충동형 터빈 블레이드 입구의 가스온도 분포 해석 (Numerical Study of Turbine Blade Surface Gas Temperature with Various RPM and Pyro Starter Pressure)

  • 이인철;변용우;구자예;이상도;김귀순;문인상;이수용
    • 한국추진공학회:학술대회논문집
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    • 한국추진공학회 2008년도 제31회 추계학술대회논문집
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    • pp.94-97
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    • 2008
  • 부분 흡입형 터빈의 표면 가스온도 분포 해석은 유동장 내부가 3차원의 매우 복잡한 유동장을 구성하기 때문에 실제 해석상 많은 시간이 소요된다. 파이로 시동기는 입사각 $18^{\circ}$로 설치되어 있으며, 105개의 충동형 터빈 블레이드로 구성되어 있다. 다양한 파이로 시동기 압력 변화에 대하여 터빈 블레이드의 표면 가스온도 분포 해석이 이루어 졌으며, Round형의 터빈 블레이드는 1423K의 온도와 7.2MPa의 압력 조건에서 16000rpm까지 회전하게 된다. 파이로 시동기의 압력과 터빈 블레이드의 회전수가 증가함에 따라 터빈 블레이드의 표면 가스 온도는 하강하게 되며, 파이로 시동기 압력이 5.75MPa 이고 회전수가 12100rpm의 보다 증가함에 따라 터빈 블레이드로 입구의 유동장에는 균일한 표면 가스 온도가 유입되는 것을 확인 할 수 있었다.

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