• Title/Summary/Keyword: conventional procedure

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Chewable pet treats made from mushroom mycelia (버섯 균사체로 제조된 반려동물용 개 껌)

  • Yong-Hyeon Jeong;Ho-Seong Im;Jin-Hee Song;Hui-Won Heo;Hyun-Jae Shin
    • Journal of Mushroom
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    • v.22 no.1
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    • pp.17-21
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    • 2024
  • Mushroom-based vegan meat has thus far been used as a food for humans instead of pets. However, based on its texture and nutritional content, it is considered suitable for processing into pet treats. In the present study, we developed a prototype dog chew with a sweetening coating added to a fungal mycelium mat obtained by culturing the Basidiomycetous fungus Trametes orientalis. The palatable coating applied to the mycelium mat by plasticizing the mat with glycerol improved the taste and aroma of the existing mat, and the dog consumed it without difficulty. Future improvements may include a softening process to reduce the chewiness level and a procedure to reduce the crude fiber content. Mycelium-mat-based dog chews, manufactured using eco-friendly materials and processes that are not harmful to the environment are expected to enter the market as eco-friendly alternatives to conventional pet treats. Controlling their physical properties require further study.

Flexural Behavior of Concrete Beams Reinforced with Lap Spliced FRP Bar (겹이음된 FRP 보강근으로 보강된 콘크리트 보의 휨거동)

  • Oh, Hongseob
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.13 no.1 s.53
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    • pp.186-194
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    • 2009
  • This is a part of the extensive ongoing investigation being carried out by author to develop appropriate design procedure of the concrete member reinforced with FRP rebars instead of conventional steel rebars. This study presents the experimental results of a research programme to assess the structural characteristics of spliced rebar in reinforced concrete members with FRP reinforcement. The test variables are the diameter of FRP rebar and the embedment length. The development length (ld) was calculated according to the ACI 440 for FRP rebars in concrete. A total of 14 concrete beams reinforced with spliced FRP rebars and 4 reference beams reinforced with non-spliced FRP rebars were tested. The effects of bar size (10, 13, 16 and 19 mm) and splice length (from 0.72 to 1.58ld) on the bond strength were empirically evaluated. The test results indicate that a modification factor of 1.3 and 1.6 is relatively sufficient for the bond development length of glass FRP rebars in order to achieve an adequate tension lap splice length.

Safety and efficacy of novel oblique-viewing scope for B2-endoscopic ultrasound-guided hepaticogastrostomy

  • Sho Ishikawa;Kazuo Hara;Nozomi Okuno;Nobumasa Mizuno;Shin Haba;Takamichi Kuwahara;Yasuhiro Kuraishi;Takafumi Yanaidani;Masanori Yamada;Tsukasa Yasuda;Toshitaka Fukui;Teru Kumagi;Yoichi Hiasa
    • Clinical Endoscopy
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    • v.57 no.4
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    • pp.527-533
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    • 2024
  • Background/Aims: Endoscopic ultrasound (EUS)-guided hepaticogastrostomy (EUS-HGS) performed at the intrahepatic bile duct segment 3 (B3) is widely used for biliary drainage. Although performing post-puncture procedures is easier in the intrahepatic bile duct segment 2 (B2) when using a conventional oblique-viewing (OV) EUS scope, this method may cause transesophageal puncture and severe adverse events. We evaluated the safety and efficacy of B2 puncture using a novel OV-EUS scope. Methods: In this single-center retrospective study, we prospectively enrolled and collected data from 45 patients who consecutively underwent EUS-HGS procedures with a novel OV-EUS scope between September 2021 and December 2022 at our cancer center. Results: The technical success rates of B2-EUS-HGS and EUS-HGS were 93.3% (42/45) and 97.8% (44/45), respectively. The early adverse event rate was 8.9% (4/45) with no cases of scope changes or transesophageal punctures. The median procedure time was 13 minutes (range, 5-30). Conclusions: B2-EUS-HGS can be performed safely with the novel EG-740UT (Fujifilm) OV-scope without transesophageal puncture and with a high success rate. B2-EUS-HGS using this novel OV scope may be the preferred strategy for EUS-HGS.

Use of caudal pancreatectomy as a novel adjunct procedure to proximal splenorenal shunt in patients with noncirrhotic portal hypertension: A retrospective cohort study

  • Shahana Gupta;Biju Pottakkat;Raja Kalayarasan;Gnanasekaran Senthil;Pagadala Naga Balaji Nitesh
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.26 no.2
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    • pp.178-183
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    • 2022
  • Backgrounds/Aims: Proximal splenorenal shunt (PSRS) is considered a one-time treatment for noncirrhotic portal hypertension (NCPH) to prevent recurrent upper gastrointestinal (UGI) hemorrhage and long-term complications. Long-term shunt patency is necessary to achieve these. The lie of the shunt is a contributing factor to early shunt thrombosis. We investigated the role of resection of the distal tail of pancreas (caudal pancreatectomy [CP]) in improving the lie of shunt and decreasing shunt thrombosis. Methods: This was a retrospective cohort study of patients with NCPH who underwent PSRS between 2014-2020 in JIPMER, Puducherry, India. CP was performed in patients with a long tail of pancreas, with the tip of pancreatic tail extending up to splenic hilum on preoperative CT. Perioperative parameters and shunt patency rate of patients who underwent PSRS with CP (Group A) were compared with patients undergoing conventional PSRS (Group B). Statistical analysis was performed using the Mann-Whitney U test and χ2 test. Results: Eighty four patients with NCPH underwent PSRS (extrahepatic portal vein obstruction = 39; noncirrhotic portal fibrosis = 45). Blood loss was lower (p = 0.002) and post-shunt fall in portal pressure higher (p = 0.002) in Group A. Shunt thrombosis rate was lower (p = 0.04) while rate of complete variceal regression (p = 0.03) and biochemical pancreatic leak (p = 0.01) were higher in Group A.There was no clinically relevant pancreatic fistula in either group. Conclusions: CP is a safe and useful technique for reducing shunt thrombosis after PSRS in patients with NCPH by improving the lie of shunt.

Safe and time-saving treatment method for acute cerebellar infarction: Navigation-guided burr-hole aspiration - 6-years single center experience

  • Min-Woo Kim;Eun-Sung Park;Dae-Won Kim;Sung-Don Kang
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.25 no.4
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    • pp.403-410
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    • 2023
  • Objective: While patients with medically intractable acute cerebellar infarction typically undergo suboccipital craniectomy and removal of the infarcted tissue, this procedure is associated with long operating times and postoperative complications. This study aimed to investigate the effectiveness of minimally invasive navigation-guided burr hole aspiration surgery for the treatment of acute cerebellar infarction. Methods: Between January 2015 and December 2021, 14 patients with acute cerebellar infarction, who underwent navigation-guided burr hole aspiration surgery, were enrolled in this study. Results: The preoperative mean Glasgow Coma Scale (GCS) score was 12.7, and the postoperative mean GCS score was 14.3. The mean infarction volume was 34.3 cc at admission and 23.5 cc immediately following surgery. Seven days after surgery, the mean infarction volume was 15.6 cc. There were no surgery-related complications during the 6-month follow-up period and no evidence of clinical deterioration. The mean operation time from skin incision to catheter insertion was 28 min, with approximately an additional 13 min for extra-ventricular drainage. The mean Glasgow Outcome Scale score after 6 months was 4.8. Conclusions: Navigation-guided burr hole aspiration surgery is less time-consuming and invasive than conventional craniectomy, and is a safe and effective treatment option for acute cerebellar infarction in selected cases, with no surgery-related complication.

Unilateral approach for bilateral clipping of posterior communicating artery aneurysms in a hybrid operating room: A technical note

  • Juan Luis Gomez-Amador;Pablo David Guerrero-Suarez;Jaime Jesus Martinez-Anda;Jorge Fernando Aragon-Arreola;Andrea Castillo-Matus;Ricardo Marian-Magana;Marcos V Sangrador-Deitos;Alan Hernandez-Hernandez;Ernesto Javier Delgado-Jurado;Ricardo Santiago Villagrana-Sanchez;Abraham Gallegos-Pedraza;Jorge Luis Diaz-Espinoza
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.25 no.4
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    • pp.468-472
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    • 2023
  • Bilateral posterior communicating (pComm) artery aneurysms represent only 2% of mirror intracranial aneurysms. Usually, these are surgically approached through bilateral craniotomies for clipping. We present the case of a 50-year-old female presenting with headache and horizontal diplopia. Neurological examination revealed a left oculomotor palsy, with no other neurological deficits. Imaging studies revealed bilateral aneurysmatic lesions in both internal carotid arteries (ICA). A conventional left pterional approach was planned in order to treat the symptomatic aneurysm, and, if deemed feasible, a contralateral clipping through the same approach. The procedure was performed in a hybrid operating room (HOR), performing an intraoperative digital subtraction angiography (DSA) and roadmapping assistance during dissection and clipping. Transoperatively, a post-fixed optic chiasm was identified, with a wide interoptic space, which allowed us to perform the contralateral clipping through a unilateral approach. This technique for clipping bilateral pComm aneurysms can be performed when the proper anatomical features are met.

MULTISTEP HEAT-TREATMENT EFFECTS ON ELECTROSPUN Nd-Fe-B-O NANOFIBERS

  • EUN JU JEON;NU SI A. EOM;JIMIN LEE;BIN LEE;HYE MI CHO;JI SUN ON;YONG-HO CHOA ;BUM SUNG KIM
    • Archives of Metallurgy and Materials
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    • v.63 no.3
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    • pp.1433-1437
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    • 2018
  • Neodymium-Iron-Boron (Nd-Fe-B) magnets are considered to have the highest energy density, and their applications include electric motors, generators, hard disc drives, and MRI. It is well known that a fiber structure with a high aspect ratio and the large specific surface area has the potential to overcome the limitations, such as inhomogeneous structures and the difficulty in alignment of easy axis, associated with such magnets obtained by conventional methods. In this work, a suitable heat-treatment procedure based on single-step and multistep treatments to synthesize sound electrospun Nd-Fe-B-O nanofibers of Φ572 nm was investigated. The single-step heat-treated (directly heat-treated at 800℃ for 2 h in air) samples disintegrated along with the residual organic compounds, whereas the multistep heat-treated (sequential three-step heat-treated including three steps;: dehydration (250℃ for 30 min in an inert atmosphere), debinding (650℃ for 30 min in air), and calcination (800℃ for 1 h in air)) fibers maintained sound fibrous morphology without any organic impurities. They could maintain such fibrous morphologies during the dehydration and debinding steps because of the relatively low internal pressures of water vapor and polymer, respectively. In addition, the NdFeO3 alloying phase was dominant in the multistep heat-treated fibers due to the removal of barriers to mass transfer in the interparticles.

Automated 3D scoring of fluorescence in situ hybridization (FISH) using a confocal whole slide imaging scanner

  • Ziv Frankenstein;Naohiro Uraoka;Umut Aypar;Ruth Aryeequaye;Mamta Rao;Meera Hameed;Yanming Zhang;Yukako Yagi
    • Applied Microscopy
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    • v.51
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    • pp.4.1-4.12
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    • 2021
  • Fluorescence in situ hybridization (FISH) is a technique to visualize specific DNA/RNA sequences within the cell nuclei and provide the presence, location and structural integrity of genes on chromosomes. A confocal Whole Slide Imaging (WSI) scanner technology has superior depth resolution compared to wide-field fluorescence imaging. Confocal WSI has the ability to perform serial optical sections with specimen imaging, which is critical for 3D tissue reconstruction for volumetric spatial analysis. The standard clinical manual scoring for FISH is labor-intensive, time-consuming and subjective. Application of multi-gene FISH analysis alongside 3D imaging, significantly increase the level of complexity required for an accurate 3D analysis. Therefore, the purpose of this study is to establish automated 3D FISH scoring for z-stack images from confocal WSI scanner. The algorithm and the application we developed, SHIMARIS PAFQ, successfully employs 3D calculations for clear individual cell nuclei segmentation, gene signals detection and distribution of break-apart probes signal patterns, including standard break-apart, and variant patterns due to truncation, and deletion, etc. The analysis was accurate and precise when compared with ground truth clinical manual counting and scoring reported in ten lymphoma and solid tumors cases. The algorithm and the application we developed, SHIMARIS PAFQ, is objective and more efficient than the conventional procedure. It enables the automated counting of more nuclei, precisely detecting additional abnormal signal variations in nuclei patterns and analyzes gigabyte multi-layer stacking imaging data of tissue samples from patients. Currently, we are developing a deep learning algorithm for automated tumor area detection to be integrated with SHIMARIS PAFQ.

The evaluation of custo-made EWHA Breast Device(EBD) (EWHA Breast Device(EBD)의 제작 및 유용성 평가)

  • Byun Young-Sik;Oh Tae-Sung;Park Chong-Yil;Shin Hyun-Kyoh
    • The Journal of Korean Society for Radiation Therapy
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    • v.17 no.1
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    • pp.33-40
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    • 2005
  • Purpose : We recently perform the latest radiotheraphy (3D conformal, IMRT,etc.) with the development of 3D CT planning technology. However, in case patients with breast cancer, it is difficult to acquire the CT image with the limitation of CT hole size and tilting of breast immobilization device. The Ewha Breast Device(EBD) was constructed to improve the problem in the treatment of patients with breast cancer and we are intend to introduce the procedure of the EBD construction in this study and compare the EBD with conventional breast device in the view point of usefulness. Materials and Methods : We have constructed the EBD with acryl, analyze the skull size with CT data, consider the skin folder in SCL field and evaluated the EBD usefulness from the view point of set-up reproducibility, dose distribution, skin reaction in comparison with conventional breast device. Results : In the case of patients set-up error analysis, the EBD is superior to conventional device in portal film repetition($\%$) check (80pt.), equal to that in simulation & CT image coincidence check(5pt.). There is no difference between the two systems in dose distribution and skin reaction in SCL field is better the EBD than conventional device. Conclusions : The construction of the EBD enable us to perform the latest radiotheraphy in breast treatments, relieve the pains in simulation, and reduce, the skin reaction. In the future, we expect that modification of the EBD is useful in treating for patients with breast cancer.

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Thoracoscopic Diaphragmatic Plication Using Three 5 mm Ports (흉강경하 횡경막 주름성형술: 작업창없이 3개의 포트를 이용한 수술법)

  • Kim, Do-Hyung;Kim, Kil-Dong;Hwang, Jung-Joo;Choi, Jin-Ho;Lee, Jun-Wan
    • Journal of Chest Surgery
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    • v.43 no.5
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    • pp.513-517
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    • 2010
  • Background: Diaphragmatic plication through a thoracoscopic approach has been an effective modality to treat diaphragmatic enventration. However, the conventional technique for thoracoscopic plication has some disadvantages. We have developed an improved and simplified technique with utilizing the head up position, $CO_2$ insufflation and figure-of-eight sutures. Material and Method: Between October 2005 and September 2009, 9 patients with diaphragmatic paralysis underwent repair using our modified technique. The mean patient age was $38.5{\pm}53.0$ years (range: 2~76 years). Result: The mean operation time was $46.7{\pm}15.9$ min (range: 30~85 min). None of the patients died due to this procedure, but there was one case of prolonged air leakage, and a case of re-expansion pulmonary edema, which required 3 days of ventilator support after the procedure. The mean hospital stay was $6.22{\pm}2.04$ days (range: 4~11 days). The mean follow-up duration was $27.2{\pm}11.6$ months (range: 2~43 months). All the patients had their symptoms relieved and there was no recurrence of eventration except for one patient who developed more than 2 cm elevation of the diaphragm compared to the immediate post-operation status. Conclusion: With our technique, thoracoscopic diaphragmatic plication was feasible via using only three 5 mm ports and without a working window and the midterm results were favorable. Therefore, we advocate thoracoscopic diaphragmatic plication as a preferred technique to the conventional open plication technique.