• Journal of Gastric Cancer
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• v.18 no.1
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• pp.37-47
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• 2018

Purpose: The endoscopic management of a fully covered self-expandable metal stent (SEMS) has been suggested for the primary treatment of patients with anastomotic leaks after total gastrectomy. Embedded stents due to tissue ingrowth and migration are the main obstacles in endoscopic stent management. Materials and Methods: The effectiveness and safety of endoscopic management were evaluated for anastomotic leaks when using a benign fully covered SEMS with an anchoring thread and thick silicone covering the membrane to prevent stent embedding and migration. We retrospectively reviewed the data of 14 consecutive patients with gastric cancer and anastomotic leaks after total gastrectomy treated from January 2009 to December 2016. Results: The technical success rate of endoscopic stent replacement was 100%, and the rate of complete leaks closure was 85.7% (n=12). The mean size of leaks was 13.1 mm (range, 3-30 mm). The time interval from operation to stent replacement was 10.7 days (range, 3-35 days) and the interval from stent replacement to extraction was 32.3 days (range, 18-49 days). The complication rate was 14.1%, and included a single jejunal ulcer and delayed stricture at the site of leakage. No embedded stent or migration occurred. Two patients died due to progression of pneumonia and septic shock 2 weeks after stent replacement. Conclusions: A benign fully covered SEMS with an anchoring thread and thick membrane is an effective and safe stent in patients with anastomotic leaks after total gastrectomy. The novelty of this stent is that it provides complete prevention of stent migration and embedding, compared with conventional fully covered SEMS.

• Current Research on Agriculture and Life Sciences
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• v.30 no.1
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• pp.27-33
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• 2012

This study was conducted to provide data necessary for clearing up the way to be able to improve covering and management method of covering material in commercial plastic greenhouse. The photosynthetic photon flux(PPF) in representative 4 different commercial tomato greenhouses was measured and analyzed. The variation trend of daily integral PPF was in agreement with that of the duration of sunshine. Each of daily integral PPF for 4 different experimental greenhouses was quite dissimilar, and was less than the amount of PPF necessary to grow tomato. October to November of beginning of winter was a good season to replace covering material in order to secure more PPF during insufficient winter season in greenhouse. The main inside factors to interrupt PPF incidence were thermal screen, inside covering material, condensation receiver in greenhouse. The single wide span greenhouse covered with PO film was superior to the other experimental greenhouses in the aspect of PPF transmittance.

• Current Research on Agriculture and Life Sciences
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• v.15
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• pp.123-131
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• 1997

The alternation of light transmissivity of covering films used in most greenhouses over years become of concern. Recently, durable films over 0.1mm in thickness which having 3~5 years life time were popularly used in many greenhouses. However, the films have been replaced yearly with new ones because of lowering light transmittance. The replacement caused negative environmental impact as well as cost increasement. This study was conducted to find fundamental data for developing of a cleaning machine for covering films of greenhouses.