• Title/Summary/Keyword: Post size

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Extragastric Metastasis of Early Gastric Cancer After Endoscopic Submucosal Dissection With Lymphovascular Invasion and Negative Resected Margins

  • Lee, Han Myung;Kwak, Yoonjin;Chung, Hyunsoo;Kim, Sang Gyun;Cho, Soo-Jeong
    • Journal of Gastric Cancer
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    • v.22 no.4
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    • pp.339-347
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    • 2022
  • Purpose: Lymphovascular invasion is a criterion for non-curative resection in patients who have undergone endoscopic submucosal dissection (ESD) for early gastric cancer (EGC). We aimed to determine the rate of extragastric metastasis (EGM) and identify the predictors of EGM in patients with negative resection margins (R0 resection) and lymphovascular invasion in post-ESD pathology. Materials and Methods: A total of 2,983 patients underwent ESD for EGC. Among them, 110 had a pathology of R0 resection and positive lymphovascular invasion. Patients underwent additional gastrectomy (n=63) or further follow-up without gastrectomy (n=47). Results: The 110 patients were assigned to one of the 3 groups according to ESD indications based on post-ESD pathology. The first group satisfied the absolute indication for ESD (n=18), the second group satisfied the expanded indications for ESD (n=34), and the last group satisfied the beyond indication (n=58). The number of occurrences of EGM in each group was 1 (5.6%), 3 (8.8%), and 3 (5.2%), respectively. The logistic regression analysis adjusted for age, sex, tumor size, and indication for ESD, showed that larger tumor size was associated with EGM (odds ratio, 1.76; 95% confidence interval, 1.00-3.10; P=0.048). In contrast, ESD indication criteria did not affect EGM (P=0.349). Conclusions: Tumor size was the only predictive indicator for EGM in patients who underwent R0 resection and lymphovascular invasion on post-ESD pathology. Even patients with pathology corresponding to the absolute indication criteria of ESD had lymphovascular invasion, which means that they require additional gastrectomy due to the risk of EGM.

Proposal of A Transaction Structure to Improve Compatibility of Blockchain regarding Post-Quantum Digital Signatures (블록체인의 양자 내성 전자서명 호환성을 증대하기 위한 트랜잭션 구조 제안)

  • Kim, Mee Yeon;Lee, Jun Yeong;Yoon, Kisoon;Youm, Heung Youl
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.30 no.1
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    • pp.87-100
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    • 2020
  • Researches on Post-quantum blockchain, which is a synthesis of blockchain and post-quantum cryptography[1], are relatively unrevealed areas but have needs to be studied with the regard to the quantum computers. However there could be several fundamental problems, e.g. unsustainably large size of public key and signature, or too lengthy time for sign and verification, if any post-quantum cryptography is adopted to the existing blockchain to implement post-quantum blockchain. Thus, a new method was proposed in this paper that produces fixed length of references for massive signatures and corresponding public keys to enable relatively lightweight transactions. This paper proposed the mechanism that included a new transaction structure and protocols, and demonstrated a post-quantum blockchain that the proposed mechanism was adopted. Through this research, it could enhance compatibility of blockchain regarding post-quantum digital signature, possibly reducing weights of the whole blockchain.

Cut out effect on nonlinear post-buckling behavior of FG-CNTRC micro plate subjected to magnetic field via FSDT

  • Jamali, M.;Shojaee, T.;Mohammadi, B.;Kolahchi, R.
    • Advances in nano research
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    • v.7 no.6
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    • pp.405-417
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    • 2019
  • This research is devoted to study post-buckling analysis of functionally graded carbon nanotubes reinforced composite (FG-CNTRC) micro plate with cut out subjected to magnetic field and resting on elastic medium. The basic formulation of plate is based on first order shear deformation theory (FSDT) and the material properties of FG-CNTRCs are presumed to be changed through the thickness direction, and are assumed based on rule of mixture; moreover, nonlocal Eringen's theory is applied to consider the size-dependent effect. It is considered that the system is embedded in elastic medium and subjected to longitudinal magnetic field. Energy approach, domain decomposition and Rayleigh-Ritz methods in conjunction with Newton-Raphson iterative technique are employed to trace the post-buckling paths of FG-CNTRC micro cut out plate. The influence of some important parameters such as small scale effect, cut out dimension, different types of FG distributions of CNTs, volume fraction of CNTs, aspect ratio of plate, magnitude of magnetic field, elastic medium and biaxial load on the post-buckling behavior of system are calculated. With respect to results, it is concluded that the aspect ratio and length of square cut out have negative effect on post-buckling response of micro composite plate. Furthermore, existence of CNTs in system causes improvement in the post-buckling behavior of plate and different distributions of CNTs in plate have diverse response. Meanwhile, nonlocal parameter and biaxial compression load on the plate has negative effect on post-buckling response. In addition, imposing magnetic field increases the post-buckling load of the microstructure.

Percutaneous femoral access: Stuck guide wire, decannulation difficulty due to unravelling and knotting

  • Bhanu Pratap Singh Chauhan;Binita Dholakia;Ashfaque Khan;Chirag Hirani;Satheesh Kumar;Dibya Jyoti Mahakul;Abhishek Katyal;Wajid Nazir;Daljit Singh
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.26 no.2
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    • pp.223-226
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    • 2024
  • Percutaneous techniques for femoral arterial access are increasingly being performed due to advances in endovascular cerebral procedures, as they provide a less morbid and minimally invasive approach than open procedures. Common complications associated with this peripheral puncture include hematoma, bleeding, pseudoaneurysm, arteriovenous fistula, retroperitoneal bleeding, inadvertent venous puncture, dissection, etc. The retrograde femoral access is currently the most frequently used arterial access as it is technically straightforward, allows for the use of larger size sheaths and catheters, allows repeated attempts, etc. Although being technically less challenging, grave complications can occur due to hardware failure. Here, we present a case of unruptured posterior inferior cerebellar artery (PICA) aneurysm, who underwent uneventful diagnostic cerebral digital substraction angiography (DSA) via right femoral artery route on first attempt, but on second attempt for therapeutic intervention, landed up with stuck guide wire and faced decannulation difficulty due to unravelling of guide wire and multiple knot formation, which was finally removed after multiple attempts at pulling and improvised manoeuvres. Such cannulation and decannulation difficulties have been reported multiple times for central venous access, but extremely rarely for femoral routes, making this case a rarity and worth reporting.

Effects of post-annealing and seeding layers on electrical properties of PLT thin films by MOCVD using ultrasonic spraying (후열처리 및 seeding 층이 초음파분무 MOCVD법에 의한 PLT 박막 제조 시 전기적 특성에 미치는 영향)

  • 이진홍;김기현;박병옥
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.12 no.5
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    • pp.247-252
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    • 2002
  • $(Pb_{1-x}La_x)TiO_3$ (x = 0.1) thin films were prepared on ITO-coated glass substrates by metal organic chemical vapor deposition using ultrasonic spraying. Effects of the post-annealing and the seeding layer on crystallization, microstructures and electrical properties of thin films were investigated. Dielectric constants of films increased due to the modification of crystallization and the changing of a surface morphology by applying the post-annealing. In addition, as the application of PT seed- ing layer offered nucleation sites to PLT thin films, electrical properties of films were enhanced by the increase of crys-tallinity and grain size. The dielectric constant of the films post-heated for 60 min and with a seeding layer was 213 at 1 kHz.

Design of Circular Polarization Antenna for Small Device (작은 디바이스를 위한 원형편파안테나 설계)

  • Kim, Seung-Woo;Kang, Chun-Ho
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.49 no.3
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    • pp.47-52
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    • 2012
  • This paper is in regard to design and experiment about the radar's circular polarization antenna operating in the Ku band. By using the Post to manufacture the circular polarization antenna using the linear antenna, it could reduce the structural size of an antenna. 3 Posts were used in order to broaden the Axial ration Bandwidth of the circular polarization antenna. The distance and length between Posts and Post were appropriately selected for the axial ratio optimization and applied in the design. It was verified that the designed antenna has the impedence bandwidth of 12.7%, axial ratio performance less than 2dB and gain of 7.8dBi.

Post-focus compression is not automatically transferred from Korean to L2 English

  • Liu, Jun;Xu, Yi;Lee, Yong-cheol
    • Phonetics and Speech Sciences
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    • v.11 no.2
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    • pp.15-21
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    • 2019
  • Korean and English are both known to show on-focus pitch range expansion and post-focus pitch range compression (PFC). But it is not clear if this prosodic similarity would make it easy for Korean speakers to learn English focus prosody. In the present study, we conducted a production experiment using phone number strings to examine whether Korean learners of English produce a native-like focus prosody. Korean learners of English were classified into three groups (advanced, intermediate and low) according to their English proficiency and were compared to native speakers. Results show that intermediate and low groups of speakers did not increase duration, intensity, and pitch in the focus positions, nor did they compress those cues in the post-focus positions. Advanced speakers noticeably increased the acoustic cues in the focus positions to a similar extent as native speakers. However, their performance in post-focus positions was quite far from that of native speakers in terms of pitch and excursion size. These results thus demonstrate a lack of positive transfer of focus prosody from Korean to English in L2 learning, and learners may have to relearn it from scratch, which is consistent with a previous finding. More importantly, the results provide further support for the view proposed in other works that acoustic properties of PFC were not easily transferred from one language to another.

Impact Performance of Bridge Rail Composed of Composite Post and Tubular Thrie Beam (튜브형 트라이빔과 합성 지주를 사용한 교랑난간의 충격거동)

  • Ko, Man-Gi;Kim, Kee-Dong
    • Journal of Korean Society of Steel Construction
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    • v.13 no.3
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    • pp.313-325
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    • 2001
  • Tubular bridge rail was developed to restrain and redirect a 14ton van-type truck. The developed bridge rail permits better visibility than concrete safety-shape bridge rail, and it has better structural adequacy than the existing steel and aluminum bridge rails in Korea. The new bridge rail consists of a tubular thrie beam(TTB) rail and a steel guard rail, which are connected to composite posts. The TTB shape provides both better containment of diverse bumper heights and more tight fit between the ends of bridge rail and roadside guardrails than the existing bridge rail sections currently used in Korea. Making composite post by filling concrete inside the steel pipe of the same size as are used for the roadside guardrail post was found to be more efficient in increasing the stiffness and ultimate strength than simply increasing the size of the steel pipe. The system was crash-tested for the impact condition of 14ton-80km/h-$15^{\circ}$, and it satisfied all evaluation criteria set forth in NCHRP Report 350 for a Test Level 4 safety appurtenance. Acceptable performances were obtained in computer simulations for the impact condition of S2.

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Socio-economic Factors Influencing Tumor Presentation and Treatment Options in Chinese Breast Cancer Patients

  • Wang, Ke;Li, Xiao;Zhou, Can;Ren, Yu;Wang, Xian-Bing;He, Jian-Jun
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.267-274
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    • 2013
  • The impact of income and education level on the clinical and pathologic characteristics, implementation of clinical breast examination (CBE), and treatment patterns of a small population of Chinese female breast cancer patients was studeied in order to provide a theoretical basis and statistical reference for further nationwide research. We included 484 pathologically confirmed female primary breast cancer inpatients of the First Affiliated Hospital of Medical College of Xi'an Jiaotong University from February 2003 to January 2004. All cases were reviewed and relevant information was collected using a designed case report form (CRF). Chisquare tests, rank-sum tests, and Fisher's exact tests were used in the analysis. Our analysis showed that: (1) women in different occupation groups had significant differences in tumor size, pre-operative mammography, surgical options, post-operative estrogen receptor (ER), progestin receptor (PR) and human epidermal growth factor receptor 2 (Her2) status, and post-operative radiotherapy and chemotherapy (P < 0.05); and (2) women with different education levels had statistically significant differences in tumor size, post-operative ER, PR and Her2 status, and post-operative chemotherapy, radiotherapy, and endocrine therapy (P < 0.05). In Xi'an, China, women in low-income occupations or with low education levels are more likely to have advanced tumor stages at presentation, lower implementation rate of clinical breast examination, and less treatment.

Mechanical Characteristic Test of Architectural ETFE Film Membrane (크기최적화 이후에 나타나는 공간구조물의 후 좌굴 거동 변화에 대한 연구)

  • Lee, Sang-Jin;Jung, Ji-Myoung
    • Journal of Korean Association for Spatial Structures
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    • v.9 no.3
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    • pp.75-82
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    • 2009
  • This paper investigates the variation of post-buckling behaviours of spatial structures after sizing optimization with linear assumptions. The mathematical programming technique is used to produce the optimum member size of spatial structures against external load. Total weight of structure is considered as the objective function to be minimized and the displacement occurred at loading point and member stresses of structures are used as the constraint functions. The finite difference method is used to calculate the design sensitivity of objective function with respect to design variables. The post-buckling analysis carried out by using the geometrically nonlinear finite element analysis code ISADO-GN. It is found to be that there is a huge difference between the post buckling behaviours of the initial and optimized structures. Therefore, the stability of optimized spatial structures with linear assumption should be throughly checked by appropriate nonlinear analysis techniques. Finally, the present numerical results are provided as benchmark test suite for future study of large spatial structures.

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