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Comparison of Laparoscopy-Assisted and Totally Laparoscopic Distal Gastrectomy: The Short-Term Outcome at a Low Volume Center

  • Choi, Byung Seo;Oh, Heung-Kwon;Park, Sei Hyeog;Park, Jong-Min
    • Journal of Gastric Cancer
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    • v.13 no.1
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    • pp.44-50
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    • 2013
  • Purpose: Laparoscopic gastrectomy has been adopted for the treatment of gastric cancer, and despite the technical difficulties, totally laparoscopic distal gastrectomy has been considered less invasive than laparoscopy-assisted distal gastrectomy. Although there have been many reports regarding the feasibility and safety of totally laparoscopic distal gastrectomy at large volume centers, few reports have been conducted at low-volume centers. The purpose of this study is to try to assess the feasibility and safety of totally laparoscopic distal gastrectomy at a low volume center through the analysis of short-term outcomes of totally laparoscopic distal gastrectomy compared with laparoscopy-assisted distal gastrectomy. Materials and Methods: The clinical data and short-term surgical outcomes of 35 patients who had undergone laparoscopy-assisted distal gastrectomy between April 2007 and March 2010, and 37 patients who underwent totally laparoscopic distal gastrectomy between April 2010 and August 2012 were retrospectively reviewed. Results: There was no significant difference in the demographic and clinical data. However the reconstruction method and extent of lymphadenectomy showed statistically significant differences. Operation time and estimated blood loss did not show significant differences. Surgical and medical complications did not show significant differences but postoperative courses including time-to-first oral intake and postoperative hospital stay were significantly increased. Conclusions: Our study shows that totally laparoscopic distal gastrectomy is technically feasible at a low volume center. Therefore, totally laparoscopic distal gastrectomy can be considered as one of the surgical treatment for early gastric cancer. However the possibility that totally laparoscopic distal gastrectomy may have less benefit should also be considered.

Experimental Cutting Performance Evaluation of LGP using Vibration Assisted High Speed Shaping (도광판의 고속 진동절삭 특성에 관한 연구)

  • Kang, DongBae;Ahn, JungHwan;Son, SeongMin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.1871-1878
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    • 2014
  • PMMA (Polymethyle-methacrylate) optical components have recently been increasingly used as one of the important part of the high precision equipments. This research presents comparatively the surface preparation of light incident plane, LIP (Light Incident Plane) of LGP (Light Guide Panel) by end milling, high speed shaping, and vibration assisted high speed shaping. From several experiments, the results show that the surface quality was improved in high speed shaping and the vibration assisted HSS show not only decreasing waviness and breakage also raising the straightness property. For applying high speed shaping and vibration assisted HSS, an additional tool post was developed and experimentally used.

Effects of laser-assisted hatching and exposure time to vitrification solution on mouse embryo development

  • Kim, Hye Jin;Park, Sung Baek;Yang, Jung Bo;Choi, Young Bae;Lee, Ki Hwan
    • Clinical and Experimental Reproductive Medicine
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    • v.44 no.4
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    • pp.193-200
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    • 2017
  • Objective: This study was conducted to investigate the efficacy of laser-assisted hatching (LAH) and various vitrification times for embryonic development and blastocyst cell numbers. Methods: First, 2-cell and 8-cell embryos were collected by flushing out the oviducts. In the control groups, they were vitrified for 8 or 10 minutes without LAH. The LAH groups underwent quarter laser zona thinning-assisted hatching before vitrification (4, 6, and 8 minutes or 4, 7, and 10 minutes, respectively). After incubation, double-immunofluorescence staining was performed. Results: The hatched blastocyst rate 72 hours after the 2-cell embryos were thawed was significantly higher in the 2LAH-ES8 group (33.3%) than in the other groups (p< 0.05). In the control-8 group ($22.1{\pm}4.6$), the cell number of the inner cell mass was higher than in the LAH groups (p< 0.05). The number of trophectoderm cells was higher in the 2LAH-ES6 group ($92.8{\pm}8.9$) than in the others (p< 0.05). The hatched blastocyst rate 48 hours after the 8-cell embryos were thawed was higher in the 8LAH-ES4 group (45.5%) than in the other groups, but not significantly. The inner cell mass cell number was highest in the 8LAH-ES7 group ($19.5{\pm}5.1$, p< 0.05). The number of trophectoderm cells was higher in the 8LAH-ES10 group ($73.2{\pm}12.1$) than in the other groups, but without statistical significance. Conclusion: When LAH was performed, 2-cell embryos with large blastomeres had a lower hatched blastocyst rate when the exposure to vitrification solution was shorter. Conversely, 8-cell embryos with small blastomere had a higher hatched blastocyst rate when the exposure to vitrification solution was shorter.

Microwave Assisted Extraction of Physiologically Active Materials from Agaricus blazei Fruiting Bodies (Agaricus blazei 자실체로부터 마이크로웨이브를 이용한 생리활성물질 추출공정)

  • 최정우;류동열;홍억기;권명상;한진수;이원홍
    • KSBB Journal
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    • v.15 no.3
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    • pp.307-312
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    • 2000
  • Physiologically active material ${\beta}$-glucan extracted from mushroom has an antitumor effect. Agaricus blazei murill(A blazel) fruiting bodies were reported to contain large amounts of ${\beta}$-glucan. The purpose of this study was to maximize ${\beta}$-glucn extraction from A. blazei by microwave assisted extraction method. Optimal extraction conditions were obtained under various extraction time and applied power which was examined as 200, 500 and 650 watt. The structure and concentrations of the raffinates were analyzed by nuclear magnetic resonance spectroscopy(NMR) and infrared spectroscopy(IR) It was proved that the extraction yield of microwave assisted extraction method was higher than that of conventional solvent extraction method. It was also observed that microwave assisted extraction method requires less amounts of solvents and extraction time compared to the conventional solvent extraction method.

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Development and evaluation of oral health education program using computer assisted instruction for elementary school children (초등학생 구강보건교육을 위한 컴퓨터 기반 교육 프로그램 개발 및 효과 평가)

  • Mun, Won-Suk;Hwang, Tae-Yoon;Lee, Kyeong-Soo
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.3
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    • pp.417-424
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    • 2014
  • Objectives : The purpose of the study is to develop and to evaluate the oral health education program using computer assisted instruction(CAI) for the elementary school students. This study was carried out from November, 2012 to February, 2013. Methods : The subjects were 188 elementary school students of the first, second, and third grades in Buk-gu, Busan. The education was provided as computer assisted instruction and conventional classroom education. Three trained dental hygienists recorded three times of knowledge of oral health, oral health attitude, oral health behaviors and the plaque control index(O'Leary index). Results : CAI group showed high score of oral health knowledge of 6.74 points, 8.62 points and 8.38 points(p<0.01). In oral health attitude, the scores were 7.40 points, 8.01 points, and 7.99 points(p<0.05). In oral health behavior, the scores were 5.47 points, 6.14 points, and 5.61 points(p<0.05). The plaque control index was 22.59 points, 19.69 points, and 21.44 points(p<0.01). Conclusions : CAI education program of this study showed the effective education for the elementary school students. So the CAI education program can be useful and disseminated to the community project.

Investigation of the TiCrN Coating Deposited by Inductively Coupled Plasma Assisted DC Magnetron Sputtering. (Inductively Coupled Plasma Assisted D.C. Magnetron Sputtering법으로 제작된 TiCrN 코팅층의 특성 분석)

  • Cha, B.C.;Kim, J.H.;Lee, B.S.;Kim, S.K.;Kim, D.W.;Kim, D.;You, Y.Z.
    • Journal of the Korean Society for Heat Treatment
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    • v.22 no.5
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    • pp.267-274
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    • 2009
  • Titanium Chromium Nitrided (TiCrN) coatings were deposited on stainless steel 316 L and Si (100) wafer by inductively coupled plasma assisted D.C. magnetron sputtering at the various sputtering power on Cr target and $N_2/Ar$ gas ratio. Increasing the sputtering power of Cr target, XRD patterns were changed from TiCrN to nitride $Cr_2Ti$. The maximum hardness was $Hk_{3g}$ 3900 at $0.3\;N_2/Ar$ gas ratio. The thickness of the TiCrN films increased as the Cr target power increased, and it showed over $Hk_{5g}3100$ hardness at 100 W, 150 W. TiCrN films were deposited by the ICP assisted DC magnetron sputtering shown good wear resistance as the $N_2/Ar$ gas ratio was 0.1, 0.3.

Arthroscopic Treatment in Multidirectional Instability of the Shoulder Joint (다방향성 불안정 견관절의 관절경을 이용한 치료)

  • Rhee Kwang-Jin;Byun Ki-Yong;Kwon Soon-Tae;Kim Sang-Bum
    • Clinics in Shoulder and Elbow
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    • v.1 no.1
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    • pp.40-45
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    • 1998
  • Multidirectional instability of the shoulder joint is an unusual entity which is not yet well understood. Traditionally recommended treatment is non-operative, but recently arthroscopic treatment has been performed. This is a retrospective review of 20 patients who had multidirectional instability, who had been treated with arthroscopic capsular shift(7 cases), and arthroscopic treatment using Ho:YAG laser(l3 cases) at Department of Orthopaedic Surgery, Chungnam National University Hospital from July, 1988to February, 1997. Results of this study were as follows: 1. In five patients who were treated with arthroscopic anterior capsular shift only, all cases had redislocation of the shoulder joint. But there was no redislocation in two patients who were treated with arthroscopic anterior and posterior capsular shift. 2. ln three patients who were treated with laser-assisted capsular shift only, all cases had redislocation of the shoulder joint. But there was only one redislocation in ten patients treated with laser-assisted capsular shrinkage and capsular plication. Ho: Y AG laser has been found to be a safe and efficacious adjunct to many arthroscopic shoulder procedures. We had satisfactory results by combining a transglenoid capsular shift with laser-assisted capsular shrinkage. Arthroscopic laser-assisted capsular shrinkage and capsular plication is a one of recommendable treatment options in multidirectional instability of the shoulder joint.

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Application and evaluation of boron nitride-assisted liquid silicon infiltration for preparing Cf/SiC composites

  • Kim, Jin-Hoon;Jeong, Eui-Gyung;Kim, Se-Young;Lee, Young-Seak
    • Carbon letters
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    • v.12 no.2
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    • pp.116-119
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    • 2011
  • C/SiC composites were prepared by boron nitride (BN)-assisted liquid silicon infiltration (LSI), and their anti-oxidation and mechanical properties were investigated. The microstructures, bulk densities, and porosities of the C/SiC composites demonstrated that the infiltration of liquid silicon into the composites improved them, because the layered-structure BN worked as a lubricant. Increasing the amount of BN improved the anti-oxidation of the prepared C/SiC composites. This synergistic effect was induced by the assistance of BN in the LSI. More thermally stable SiC was formed in the composite, and fewer pores were formed in the composite, which reduced inward oxygen diffusion. The mechanical strength of the composite increased up to the addition of 3% BN and decreased thereafter due to increased brittleness from the presence of more SiC in the composite. Based on the anti-oxidation and mechanical properties of the prepared composites, we concluded that improved anti-oxidation of C/SiC composites can be achieved through BN-assisted LSI, although there may be some degradation of the mechanical properties. The desired anti-oxidation and mechanical properties of the composite can be achieved by optimizing the BN-assisted LSI conditions.