• Journal of Gastric Cancer
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• v.21 no.1
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• pp.63-73
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• 2021

Purpose: This study aimed to compare the surgical outcomes of total laparoscopic total gastrectomy without mesentery division (LTG without MD) and conventional total laparoscopic total gastrectomy (CLTG), as well as evaluate the appropriate method for esophagojejunostomy (EJ) reconstruction after total laparoscopic total gastrectomy (TLTG). Materials and Methods: We retrospectively analyzed data from 301 consecutive patients who underwent TLTG for upper or middle third gastric cancer between January 2016 and May 2019. After propensity score matching, 95 patients who underwent LTG without MD and 95 who underwent CLTG were assessed. Data on clinical characteristics and surgical outcomes, including operation time, length of postoperative hospital stay, pathological findings, and postoperative complications were analyzed. Results: The LTG without MD group showed a shorter time to first flatus (3.26±0.80 vs. 3.62±0.81 days, P=0.003) and a shorter time to soft diet (2.80±2.09 vs. 3.52±2.20 days, P=0.002). The total EJ-related complications in the LTG without MD group were comparable to those in the CLTG group (9.47% vs. 3.16%, P=0.083). EJ-related leakage (6.32% vs. 3.16%, P=0.317) and EJ-related stricture (3.16% vs. 1.05%, P=0.317) rates were not significantly different between the LTG without MD and CLTG groups. No significant differences were found between the two groups in terms of other early surgical outcomes such as early complications, late complications, hospital stay, and readmission rate. Conclusions: LTG without MD is a safe surgical treatment for upper or middle third gastric cancer. LTG without MD may be an alternative procedure for EJ anastomosis during TLTG.

• Journal of muscle and joint health
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• v.25 no.2
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• pp.61-74
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• 2018

Purpose: The purpose of this study was to examine the factors affecting changes in Korean Knee Score (KKS) and ranges of motion (ROM) of the knee after the structured exercise programs for the patients with total knee arthroplasty. Methods: This was a retrospective study using electronic medical records from January 2015 to February 2017, and the subject of this study was a total of 124 out of 434 patients underwent total knee replacement operation. They took part in a structured step-by-step exercise program conducted by orthopedic nurses, and then were evaluated for KKS and Knee ROM for 12 weeks after operation. Results: Post-intervention scores increased significantly in the KKS subdomains including pain and symptoms (t=-22.31, p<.001), function (t=-20.68, p<.001), evaluation of floor life (t=-14.18, p<.001), socioemotional function (t=-28.94, p<.001) over time. As for the change in the ROM, knee extension (t=9.23, p<.001) and knee flexion (t=4.04, p<.001) showed a statistically significant changes over time. Conclusion: This study illuminated the factors affecting the changes in pain and symptom, physical function, evaluation of floor life, socioemotional function and range of motion after structured exercise training programs for knee arthritis patients.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.38 no.1
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• pp.21-29
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• 2015

A steady-state controllable M/G/1 queueing model operating under the {T:Min(T,N)} policy is considered where the {T:Min(T,N)} policy is defined as the next busy period will be initiated either after T time units elapsed from the end of the previous busy period if at least one customer arrives at the system during that time period, or after T time units elapsed without a customer' arrival, the time instant when Nth customer arrives at the system or T time units elapsed with at least one customer arrives at the system whichever comes first. After deriving the necessary system characteristics including the expected number of customers in the system, the expected length of busy period and so on, the total expected cost function per unit time for the system operation is constructed to determine the optimal operating policy. To do so, the cost elements associated with such system characteristics including the customers' waiting cost in the system and the server's removal and activating cost are defined. Then, procedures to determine the optimal values of the decision variables included in the operating policy are provided based on minimizing the total expected cost function per unit time to operate the queueing system under considerations.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.37 no.1
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• pp.96-103
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• 2014

A steady-state controllable M/G/1 queueing model operating under the (TN) policy is considered where the (TN) policy is defined as the next busy period will be initiated either after T time units elapsed from the end of the previous busy period if at least one customer arrives at the system during that time period, or the time instant when Nth customer arrives at the system after T time units elapsed without customers' arrivals during that time period. After deriving the necessary system characteristics such as the expected number of customers in the system, the expected length of busy period and so on, the total expected cost function per unit time in the system operation is constructed to determine the optimal operating policy. To do so, the cost elements associated with such system characteristics including the customers' waiting cost in the system and the server's removal and activating cost are defined. Then, the optimal values of the decision variables included in the operating policies are determined by minimizing the total expected cost function per unit time to operate the system under consideration.

• Korean Management Science Review
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• v.34 no.2
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• pp.103-113
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• 2017

The artillery is a key element of the ground forces operation during wartime, and the military engineers support the artillery position development operation to support the smooth operation of the artillery. In establishing the artillery position development operation plan, the commander requires more than his intuition to find the best option reflecting a number of elements of the battlefield situation which changes every minute. Moreover, the number of available equipment is smaller than the number of required position developments, and the effective equipment operation becomes essential element of this issue. This study quantified the capability of the available engineering equipment, organized a number of teams enabling equipment to put out the maximum capacity based on the quantified figures, and formed the model which allocates the team to the developing points to minimize the developing time. The goal programming method was applied to resolve the problem. The developed model was applied to compare the total mission duration following the number of teams, the variable for commander's decision, and the result of this study can be used as the quantitative data for commander's decision making process in establishing the artillery position development support operation through effective equipment management.

• Journal of Chest Surgery
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• v.25 no.8
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• pp.837-843
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• 1992

The most common deformity of the sternum is the depression deformity, variously calid pectus Excavatum, funnel chest, schwusterbrust, trichterburst, thorax en entonnoir. During the period 1983 to 1991 a total of 15 cases of funnel chest were treated surgically at Department of Thoracic Surgery, Hanyang University Hospital. The age at the time of operation ranged from 4 to 26 years 73.3 percent of the patients were under 12 years of age They all had symptoms of feeling Inferiority about chest deformity. The concavity on the funnel chest varied in its Extent, and the severity, which was measured by water volume filled into it, varied from 45ml to 100ml. We have Experienced 15 cases of pectus Exc-avatum with several operative method, i.e., Ravitch operation in 2 cases, Taguchi operation in 3 cases[using by Both IMA], Adkins operation in 5 cases, Modified wada operation [sternal costal cartilage Elevation Technique] in 5 cases. After surgery, follow up vertebral Index showed 44%, preoperatively and 29% postoperatively, average decrement of 15%. We Reported 15 cases of funnel chest and the surgical results of thease cases were satisfactory Except one case of Ravitch operation.

• Advances in pediatric surgery
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• v.6 no.2
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• pp.128-133
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• 2000

Persistent cloaca in a female newborn is one of the most complex and challenging anorectal malformation. The incidence is about 10% of all anorectal anomalies. Treatment of cloacal malformations has evolved during the past 40 years. However, it still remains one of the most difficult operations. In 1997, Pena reported a new procedure called "Total urogenital mobilization". We have repaired 3 cases of cloacal anomaly using "Total urogenital mobilization". The operations were performed between age 15 and 28 months. The length of the common channels was 2.5 - 3.0 cm. Two cases had double vaginas and one of them also had double uterus. The operation time was 4-5 hours and no major complications occurred. Functional and cosmetic results were satisfactory.

• Journal of Korean Society of Environmental Engineers
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• v.35 no.4
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• pp.268-275
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• 2013

To evaluate the effects of submerged aerators installed at Chudong and Muneui areas in Daechung Reservoir on improvement of water quality and reduction of algal bloom, the water quality was monitored at the effected and control areas at the time of operation. The water temperature and concentrations of dissolved oxygen, total phosphorus, and total nitrogen in depth at the effected and control areas were not different each other, indicating the submerged aerators at these areas are not effective for circulation of water body and reduction of nutrients. In warmer season, the concentrations of total phosphorus in deep water, which was probably released from contaminated sediment or inflowed from watershed, was high. To decide the operation of aerators in this season, the concentration of total phosphorus in water should be considered because the dispersed phosphorus by operation of aerators can enhance the algal growth.

• Journal of the Korean Institute of Navigation
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• v.14 no.4
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• pp.1-15
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• 1990

With increasing ship's speed turnround and port time becomes a large percentage of total roundtrip time and this causes to accelerate the introduction of the various kind of modern handling equipment, the standardization of cargoes, and the improvement of the ship. However, it is still a drag on efficient operation of ship. Similarly, the turnround time at the container port is very important as a measure for the decision of the efficiency of port. To decrease operating coasts, the minimization of the time need to cargo handling at the ports of call must be achieved. Thus the optimization of the time need to cargo handling at the ports of call must be achieved. Thus the optimized Container Loading Plan is necessary, especially under the rapid speed of container operations. For the container loading plan, in this thesis, we use the hungarian method and the branch and bound method to get the initial disposition of both maximization of ship's GM and minimization of shift number to the obstructive container in a yard area. We apply the dynamic programming algorithm to get the final disposition for minimizing total turnroudn time and finally we analyzed the results to check whether the initial disposition is proper or not.

• Korean Journal of Head & Neck Oncology
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• v.14 no.1
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• pp.88-93
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• 1998

In order to review the clinicopathologic characteristics of the thyroid cancer associated with benign thyroid disease, we evaluated 47 patients treated between January, 1993 and September, 1997 at the Chonnam National University Hospital. In those period, we had operated a total of 690 thyroidectomy of which 320 were diagnosed as thyroid cancer. Forty three(91.4%)occurred in women and four(8.5%)occurred in men. The mean age at operation was 46.7years(range, 15 to 76 years). Forty three of the 47 cancers(91.4%) were papillary carcinomas while 4(8.5%)were follicular. Twenty four of the 47 patients (51%) were occult thyroid carcinomas measured less than 1 cm in diameter. The concurrent benign disease were nodular goiter(n=17), Hashimoto's thyroiditis(n=16), follicular adenoma(n=10), Graves' disease(n=2) and diffuse hyperplasia(n=2). Thirty one patients were diagnosed by preoperative FNAC and they underwent total thyroidectomy. Three were diagnosed by frozen section examination at the time of operation. Among them, one underwent total thyroidectomy and two underwent subtotal thyroidectomy. Eight cases revealed lymph node metastases and 2 cases extended to surrounding muscles. In conclusion, concurrent thyroid cancers and benign thyroid disease are not uncommon and a regular ultrasonic follow-up with selective aspiration cytologic examination is recommaned to enhance their diagnostic accuracy.