• 제목/요약/키워드: Return Function

검색결과 390건 처리시간 0.035초

조기 위암의 최신 치료 방법 : 복강경 원위부 위절제술, Hand-Assisted 복강경 원위부 위절제술과 소개복 원위부 위절제술의 비교 (Modern Treatment of Early Gastric Cancer: Comparison between Laparoscope Assisted vs Hand-Assisted Laparoscopic Distal Gastrectomy vs Open Distal Gastrectomy)

  • 윤기영;;이상호
    • Journal of Gastric Cancer
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    • 제4권2호
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    • pp.75-81
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    • 2004
  • Recently detection of early gastric cancer (EGC) has been increasing and the treatment strategies for gastric cancer have been changing. The purpose of this study was to compare clinical outcomes between laparoscopically assisted (LADG) and hand-assisted laparoscopic gastrectomy (HALDG) and open distal gastrectomy for early gastric cancer. This review is directed toward providing gastric surgeons with recent advances in the treatment of EGC. We investigated the English language literature for the past 12 years through computer searches which focused on : 1) Patient demographics, 2) Operation time, 3) Intra-operative blood loss, 4) Depth of invasion, 5) CBC, 6)Weight loss, 7) Analgesic requirement, 8)Time NPO, 9) Length of hospital stay, 10) Tumor stage, 11) Lymph node (LN) dissection, 12) Position of LN resected, 13) Complications. Improved operative techniques and surgical instrumentation have facilitated the development of minimally invasive gastric cancer surgery. The short-term benefits of laparoscopic gastrectomy included less surgical trauma, less pain, rapid return of gastrointestinal function, and shorter hospital stay, with no change in operative outcome. Laparoscopic gastrectomy was better accepted by the patients as a good procedure and promptly brought the patients back to their previous lifestyle and activities of daily living. But the advantages of HALDG for gastric cancer, extended lymph node dissection and intracorporeal anastomosis are feasible and easier with the presence of the internal hand. The hand-assisted laparoscopic (HALDG) method reported the best results in lymph node dissection.This method is an alternative to total laparoscopic radical gastrectomy. LADG and HALDG, when compared with conventional open gastrectomy, have several advantages. When performed by a skilled surgeon, LADG and HALDG are safe and useful techniques for patients with early-stage gastric cancer. Their appropriateness for gastric cancer surgery require further study.

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건축물의 리모델링 가치분석을 위한 평가방법 - 경제성 평가와 사용자 요구분석을 중심으로 - (Evaluation Method for Value Analysis in the Remodelling of Apartment Building - Focused on Economical Efficiency and User Demand -)

  • 정동환;소광호;김천학;김의식;양극영
    • 한국건축시공학회지
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    • 제2권4호
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    • pp.123-129
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    • 2002
  • This research is aiming to specify the requirement of the investment such as initial cost, running cost earning rate to make effective investment considering the purpose of remodeling and economical value of store building enough to meet the initial purpose of remodeling. The review of earning rate for economical evaluation was performed by the on-site auditing on the structure and function of the building and applying the assessment simulation program, which is to find the possible business model to identify the requirement of building owner through case study. After the research, the following results are obtained. First, it is important that many aspects should be carefully analysis and the best method should be selected as characteristics of remodeling can tie defer each other in their implementations. Second, though the remodeling of exist buildings to promote the functions has been applied. no suitable assessment tool has bee developed for deriding the level of remodeling in the view of economical efficiency so far. Third, the economical benefit was evaluated by analysing annual earning rate which is applied by investment items and recovery period for the investment. More specific data base should be established to apply the suggested economic accession in business enough to forecast the future circumstances. More researches should be promoted on this area continuously as well as the integrated economic evaluation of remodeling on existing building.

편파 변환 기능을 갖는 마이크로스트립 안테나 (Microstrip Antenna with Switchable Polarization)

  • 정동근;하천수
    • 한국전자파학회논문지
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    • 제16권4호
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    • pp.397-401
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    • 2005
  • 본 논문에서는 복잡한 무선통신 환경에서 편파 다이버시티를 사용하기 위하여 편파 변환 기능을 갖는 개구결합 마이크로스트립 안테나를 제안하였다. 제안된 안테나는 다층기관의 배면에 급전을 위한 마이크로스트립 선로를 가졌으며, 그 위의 접지면에는 $\lambda{g}/4$ 간격으로 2개의 슬롯이 위층의 방형 방사 패치의 변과 평행하게 놓여져 있다. 마이크로스트립 급전선로의 종단에 연결한 핀 다이오드를 개방과 단락으로 변환함에 따라 하나의 슬롯이 선택되어 패치에 급전하도록 함으로써 편과를 수평이나 수직으로 변환하는 구조로 하였다. 제작된 안테나의 공진주파수는 수평, 수직편파에서 파자 $2.41\;\cal{GHz},\;2.40\;\cal{GHz}$로 나타났고 편파 분리도는 $19\;\cal{dB},\;23\;\cal{dB}$극 보였으며 $-10\;\cal{dB}$ 반사 손실 대역폭은 각각 $95\;\cal{MHz},\;100\;\cal{MHz}$이었고 이득은 $6\;\cal{dBi}$로 나타났다.

심혈관 시스템의 압수용체에 의한 심박동 제어의 수학적 모델링 및 시뮬레이션 (Mathematical Modeling and Simulation on the Control of Heart rate by Baroreceptor Control System in the Cardiovascular System)

  • 최병철;이승진;엄상희;남기곤;이영우;전계록
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1996년도 추계학술대회
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    • pp.80-85
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    • 1996
  • The various function of the cardiovascular system(CVS) and the dynamic characteristics on each part of human body can be acquired in the electric analog circuit model. According to the performed outcome by other researchers, viscos resistance, flow inertia, and vascular compliance in the CVS are analogous to resister, inductor, and capacitor in electric circuit, so the CVS models were represented by the electric circuit models. these approaches were to propose the suitable models interest part of body and to simulate the various characteristics on the CVS. In this paper, the electric circuit model considering the characteristics of morphologic structure is represented, the parameter values of model is sotted up, and the dynamic characteristics of the the CVS is simulated using VisSim, one of the simulation tools. The observed simulation results are similar to the cardiovascular functions of nomal adults who have no heart failure. Besides, the simulation is operated to observe the pathophysiological abnomal symptoms(for example, bleeding within a certain period). The controller by baroreceptor, which is one of controllers to control the CVS, is appended in the model. and the dynamic response characteristics and the procedure to return normal state is observed in simulation when the bleeding last within a certain period.

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BLDC 모터-실린더 구동, 홀센서 피드백 방식의 2축 태양광 추적장치 개발 (Development of 2-Axis Solar Tracker with BLDC Motor-Cylinder Actuator and Hall Sensor Feedback)

  • 노태정;이승현;박민용
    • 한국산학기술학회논문지
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    • 제11권7호
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    • pp.2334-2340
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    • 2010
  • Michalsky의 방위각, 고도각, 일출/일몰시각에 대한 태양위치 계산은 국립천문대의 태양위치 정보와 비교했을 때, 최대 각각 $1.5^{\circ}$, $0.88^{\circ}$, 2분 이내의 오차로서 비교적 정확하였다. 현재 시각과 설치위치(경도, 위도)에 대하여 BLDC 모터-실린더를 구동하여 홀센서 위치 피드백으로 Michalsky의 계산식의 태양의 고도각과 방위각을 제어하는 양축 태양광 추적장치를 개발하였다. BLDC 모터의 사용으로 유지보수가 우수하며, 홀센서로 위치피드백으로 모터의 정밀한 위치결정제어가 가능하며, 또한 원점복귀기능으로 누적 오차를 최소화한다.

Outcome of Surgical Management for Tethered Spinal Cord

  • Lee, Jeong-Ho;Park, Seong-Hyun;Sung, Joo-Kyung;Hwang, Sung-Kyoo
    • Journal of Korean Neurosurgical Society
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    • 제39권4호
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    • pp.281-285
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    • 2006
  • Objective : The tethered cord syndrome results in progressive neurological deficits. Although it may remain controversial, many physicians recommend definitive surgery to untether the cord as soon as this condition is identified. We retrospectively evaluate the pre-operative and post-operative course of 38 tethered cord patients with spinal dysraphism in an attempt to learn the natural history of the disease and to determine the effectiveness of the surgical treatment. Methods : The medical records, operation notes and radiographs were evaluated. The follow up period ranged from 4 months to 12 years with a mean follow-up of 28.6 months. Twenty-seven patients were younger than 15 years of age. Results : At presentation, 26 of the patients were asymptomatic. In three of 11 adult symptomatic patients, their neurological deficits worsened after trauma or exercise. Improvement of motor strength was documented in two out of 5 patients. Five of nine patients with bladder symptoms improved, however, none had a complete return of their bladder function. Conclusion : Childhood patients were less symptomatic than the adult patients. Adult patients showed progression of their symptoms that were not improved even after the operation in most of the cases. Asymptomatic tethered spinal cord can be symptomatic as time passes by and even at an old age. Future research should be focused on the operative methods to prevent the delayed deterioration after surgery, rather than on the usefulness of preventive surgery in asymptomatic patients.

Wind-excited stochastic vibration of long-span bridge considering wind field parameters during typhoon landfall

  • Ge, Yaojun;Zhao, Lin
    • Wind and Structures
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    • 제19권4호
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    • pp.421-441
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    • 2014
  • With the assistance of typhoon field data at aerial elevation level observed by meteorological satellites and wind velocity and direction records nearby the ground gathered in Guangzhou Weather Station between 1985 and 2001, some key wind field parameters under typhoon climate in Guangzhou region were calibrated based on Monte-Carlo stochastic algorithm and Meng's typhoon numerical model. By using Peak Over Threshold method (POT) and Generalized Pareto Distribution (GPD), Wind field characteristics during typhoons for various return periods in several typical engineering fields were predicted, showing that some distribution rules in relation to gradient height of atmosphere boundary layer, power-law component of wind profile, gust factor and extreme wind velocity at 1-3s time interval are obviously different from corresponding items in Chinese wind load Codes. In order to evaluate the influence of typhoon field parameters on long-span flexible bridges, 1:100 reduced-scale wind field of type B terrain was reillustrated under typhoon and normal conditions utilizing passive turbulence generators in TJ-3 wind tunnel, and wind-induced performance tests of aero-elastic model of long-span Guangzhou Xinguang arch bridge were carried out as well. Furthermore, aerodynamic admittance function about lattice cross section in mid-span arch lib under the condition of higher turbulence intensity of typhoon field was identified via using high-frequency force-measured balance. Based on identified aerodynamic admittance expressions, Wind-induced stochastic vibration of Xinguang arch bridge under typhoon and normal climates was calculated and compared, considering structural geometrical non-linearity, stochastic wind attack angle effects, etc. Thus, the aerodynamic response characteristics under typhoon and normal conditions can be illustrated and checked, which are of satisfactory response results for different oncoming wind velocities with resemblance to those wind tunnel testing data under the two types of climate modes.

대게 산란·서식장 조성사업의 경제성 평가: 울진·영덕군의 사례를 중심으로 (Economic Valuation of the Creation Project of Snow Crab Spawning and Habitat Ground)

  • 강석규
    • 수산경영론집
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    • 제51권4호
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    • pp.19-45
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    • 2020
  • This study is to evaluate economic effect of the creation project of snow crab, Chionoecetes opilio, spawning and habitat ground in Uljin and Youngdeok county. The main results of this study are summarized as follows: first, 14,400 million won was invested in the creation project cost of Chionoecetes opilio spawning and habitat ground of Uljin and Youngdeok County from 2015 to 2020. Second, the creation project of Chionoecetes opilio spawning and habitat ground directly provides fishing benefits, festival benefits, research and development benefits and employment benefits. Third, on the basis of above benefits, the creation project of Chionoecetes opilio spawning and habitat ground has net present value of 29,900.53 million won, internal rate of return 16.9%, and benefit-cost of 2.91 under a 4.5% social discount rate. Also, the creation project creates 195 jobs. This indicates that the creation project of Chionoecetes opilio spawning and habitat ground not only contributes to the increase in the income of coastal fishery and fishing villages but also to the job making. The result of this study provides useful information to policy makers or project managers as it shows that the project to create spawning and habitat ground should be carried out in consideration of the resource and biological characteristics of individual fish and that economic assessment logic should also be developed based on this. Also, it proves that the project to create a snow crab spawning and habitat ground is a national and local infrastructure project that increases the actual fishing income in the region. At the same time, it maintains the reproducibility function of most fish species, along with enhancing the people's benefits such as fishing village tourism and marine product consumption. Moreover, it provides useful information on budgeting for the continuous development of snow crab spawning and habitat ground in the mid to long-term.

선물의 제스처: 미국 내 기업의 사회적 책임에 대한 담론-중심적 논의 (The Gesture of the Gift: A Discourse-Centered Approach to Corporate Social Responsibility)

  • 고경난
    • 비교문화연구
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    • 제30권
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    • pp.31-51
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    • 2013
  • In this paper, I approach corporate social responsibility as a discourse metadiscursively shaping the social relationship between corporations and society. Using a discourse-centered approach to culture, I examine how early discussions (involving legal disputes) on the rights of corporations to give evolved into a public sphere discussion as to how corporations can be viewed and redefined as social actors with capabilities to perform socially meaning actions, which here is "responsibility." I discuss how corporate social responsibility currently operates as a metadiscourse of corporate personhood, ethics, and corporate citizenship. Then, using insights from Mauss, I analyze how corporate social responsibility might be comparable to a Maussian gift exchange. Corporate social responsibility actions that are performed, indeed, are gift exchanges in that they involve the ideology of the free gift and the implicit expectation of a return to the giver. In the meantime, I argue, that in the case of corporate social responsibility, it is not the act of giving gifts (e.g., grants) that can lead to social alliances but rather the talk of gift giving, a departure from the ceremonial gift exchanges observed by Mauss. That is, here, the talk of giving shapes social alliances, thus displacing this function from the act of giving itself. The PR strategies deploy talk of the gift as a metapragmatic strategy, inviting various forms of role alignment on the part of diverse, potential and actual, participants, in a framework of corporate-sponsored gift exchange in which potential recipients compete, again at the level of metapragmatic description, to become the chosen gift recipient.

4차 산업혁명시대 엔지니어링 기술자 등급체계의 개선전략 탐구 (A Study on the Improvement of Engineer Rating System in the Age of 4th Industrial Revolution)

  • 윤상필;김법연;최정민;윤기찬;김미량;권헌영
    • 한국IT서비스학회지
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    • 제17권4호
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    • pp.53-74
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    • 2018
  • This study theoretically examines the essence of the competencies, qualifications and grades newly required in the era of the 4th industrial revolution, points out that the engineer rating system does not reflect the new talent and practical capability, and conducts theoretical and empirical analyzes on improvement of the rating system. The current rating system need to be improved because it is not possible for graduates and experience workers to upgrade. Also, it is reasonable that the current highest grade of engineer, the Professional Engineer, which is a sort of qualification, is not a grade but a function of calculating the grade. Based on this theoretical background, empirical analysis of the question investigation and focus group interview shows that the rating system should be improved to four grades or return to the previous system in 2013. And if it is reduced to four grade, it should go in the way that the professional engineer and the qualified engineer combined. In the industry, the future skills of engineers are as follows : qualification, ability to use emerging technology, problem solving, understanding and utilization of major, and data management, etc. These can be summarized as qualification, education (degree) and career. In particular, the engineering industry considers qualifications, degrees, and career experience, and career experience as the most important elements of the rating system. In this regard, it is necessary to introduce a method that accurately reflects the career experience in the improvement of the engineer rating system.