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Efficacy of the pocket-creation method with a traction device in endoscopic submucosal dissection for residual or recurrent colorectal lesions

  • Daisuke Ide;Tomohiko Richard Ohya;Mitsuaki Ishioka;Yuri Enomoto;Eisuke Nakao;Yuki Mitsuyoshi;Junki Tokura;Keigo Suzuki;Seiichi Yakabi;Chihiro Yasue;Akiko Chino;Masahiro Igarashi;Akio Nakashima;Masayuki Saruta;Shoichi Saito;Junko Fujisaki
    • Clinical Endoscopy
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    • v.55 no.5
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    • pp.655-664
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    • 2022
  • Background/Aims: Endoscopic submucosal dissection (ESD) for residual or recurrent colorectal lesions after incomplete resection is challenging because of severe fibrosis. This study aimed to compare the efficacy of the pocket-creation method (PCM) with a traction device (TD) with that of conventional ESD for residual or recurrent colorectal lesions. Methods: We retrospectively studied 72 patients with residual or recurrent colorectal lesions resected using ESD. Overall, 31 and 41 lesions were resected using PCM with TD and conventional ESD methods, respectively. We compared patient background and treatment outcomes between the PCM with TD and conventional ESD groups, respectively. The primary endpoints were en bloc resection and R0 resection rates. The secondary endpoints were the dissection speed and incidence of adverse events. Results: En bloc resection was feasible in all cases with PCM with TD, but failed in 22% of cases of conventional ESD. The R0 resection rates for PCM with TD and conventional ESD were 97% and 66%, respectively. Dissection was significantly faster in the PCM with TD group (13.0 vs. 7.9 mm2/min). Perforation and postoperative bleeding were observed in one patient in each group. Conclusions: PCM with TD is an effective method for treating residual or recurrent colorectal lesions after incomplete resection.

Evaluation of Wear Characteristics of Low-alloy Steel Brake Discs for High Energy Capacity (고에너지용 저합금강 제동디스크의 마모 특성 평가)

  • Dong-gyu Lee;Kyung-il Kim;Gue-Serb Cho;Kyung-taek Kim
    • Journal of Advanced Navigation Technology
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    • v.28 no.4
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    • pp.532-537
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    • 2024
  • In this study, wear characteristics and microstructure changes due to changes in alloy composition of Ni-Cr-Mo-V and Ni-Cr-Mo low-alloy steels used in brake discs for transportation system such as aircraft and high-speed trains. As a result of the hardness test, the hardness of C-Mo-V steel was the highest at 39.4±0.9HRc, and the hardness of Ni-Cr-Mo steel was the lowest at 32.4±0.6HRc. The friction coefficient tended to decrease as the vertical load increased. At a vertical load of 1 N, the friction coefficient of Ni-Cr-Mo steel was the highest at 0.842, and at a vertical load of 5 N, Mn-Cr-V steel was the highest at 0.696. Ni-Cr-Mo showed the largest wear scar width, depth, and wear amount, with a width of 711 ㎛, a depth of 8.24 ㎛, and a wear amount of 11 mg under a vertical load of 1 N, and a width of 1,017 ㎛, a depth of 19.17 ㎛, and a wear amount of 17 mg under a vertical load of 5 N. As a result of wear mechanism analysis, ploughing, delamination, and adhesion in all specimens, with plastic deformation being more prominently observed in Ni-Cr-Mo.

Sensitivity analysis of grid size for bubble flow field analysis using image analysis methods (영상분석기법 기반 기포유동장 해석을 위한 격자의 민감도 분석)

  • Kim, Sung Jung;Jang, Chang-Lae
    • Journal of Korea Water Resources Association
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    • v.57 no.8
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    • pp.549-559
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    • 2024
  • This study aims to investigate the feasibility of using image analysis methods to examine the flow characteristics of air bubbles discharged underwater. A bubble screen was created using multiple nozzles in a laboratory flume filled with stagnant water. The flow characteristics of the bubbles were analyzed, and the suitability of the analysis method was evaluated. Several parameters, such as projection area ratio and depth ratio, were defined to conduct laboratory experiments and analyze the flow characteristics of the bubbles. Correlation and regression analyses were performed to assess the relationships between various variables. Specifically, the correlation between the bubble's projection area and its rising speed across eight water depth ratios was examined. The results indicated that as the depth ratio increased, the bubble size exhibited a linear increase with a strong correlation as it rose to the water surface due to pressure effects. Regarding the sensitivity of different grid sizes in the ten analysis grids when applying image analysis methods, it was observed that the sensitivity to grid size based on the projection area ratio (0.09~0.96) was not significant. These findings suggest that image analysis techniques can be effectively utilized to observe the flow characteristics of bubbles.

Pebble flow in the HTR-PM reactor core by GPU-DEM simulation: Effect of friction

  • Zuoyi Zhang;Quan Zou;Nan Gui;Bing Xia;Zhiyong Liu;Xingtuan Yang
    • Nuclear Engineering and Technology
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    • v.56 no.9
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    • pp.3835-3850
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    • 2024
  • The high-temperature gas-cooled reactor (HTGR) with spherical fuel elements contains complex pebble flow. The flow behavior of pebbles is influenced by various factors, such as pebble density, friction coefficient, wall structure, and discharge port size. Using a GPU-DEM numerical model, the effects of the friction coefficient on the cyclic loading and unloading of pebbles in the full-scale HTR-PM are studied. Numerical simulations with up to 420,000 spherical pebbles are conducted. Four sets of friction coefficient values are determined for comparative analysis based on experimental measurements. Discharging speed, residence time, stress, porosity, and velocity distribution are quantitatively analyzed. In addition, a comparison with the CT-PFD experiment is carried out to validate the numerical model. The results show that near-wall retention phenomena are observed in the reactor core only when using large friction coefficients. However, using friction coefficient values closer to the measured experimental values, the pebble bed in HTR-PM exhibited good flow characteristics. Furthermore, the friction coefficient also influences the porosity and velocity distribution of the pebble bed, with lower friction coefficients resulting in lower overall stress in the bed. The discharge outlet's influence varies with different friction coefficient values. In summary, this study demonstrates that the value of the friction coefficient has a complex influence on the pebble flow in HTR-PM, which provides important insights for future numerical and experimental studies in this field.

Evapotranspiration of Soybean-Barley Cropping as a Function of Evaporation and Available Soil Water in the Root Zone (콩 보리 작부체계하(作付體系下)에서 대기증발요구(大氣蒸發要求) 및 토양수분(土壤水分)의 함수(函數)로서의 증발산량(蒸發散量))

  • Im, Jeong-Nam;Jung, Yeong-Sang;Ryu, Kwan-Shig;Yoo, Sun-Ho
    • Korean Journal of Soil Science and Fertilizer
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    • v.15 no.4
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    • pp.213-220
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    • 1982
  • Soil water changes in lysimeters with four different soils and two different available soil depths were monitored during the growing seasons of the soybean-barley cropping from 1977 to 1980 in Suweon to evaluate evapotranspiration (ET) as a function of available soil water and evaporative demand of the atmosphere. ET was calculated with soil water profile and water balance. Soil water content was measured with a neutron moisture depth gauage and The evaporative demand of the atmosphere was estimated with a class A pan evaporation. Rainfall. solar radiation, and wind speed were observed to examine heat and water balances. The average ET of soybeans ranged from 1.6 mm/day at seedling to 6.5 mm/day at flowering, and that of barley ranged from 0.5 mm/day at the regrowth stage to 4.6 mm/day at heading; however, a large variability was observed. The ratio of ET to pan evaporation ($ET/E_o$) ranged from 0.5 to 1.1 for soybeans and 0.4 to 1.2 for barley. The soil evaporation factor ($K_e$) of the $ET/E_o$ component decreased as the soil water depleted and the canopy developed. The crop transpiration factor ($K_t$), another component of $ET/E_o$, also was a function of time and the soil water. $K_t$ was constant when the available soil water fraction (f) in the root zone was greater than a threshold value, and $K_e$ was decreased linearly when f was lower than this threshold. The threshold was 0.7 for the moderate evaporative demand days, 0.4 to 0.5 for the low evaporative demand days, and 0.9 to 0.96 for the high evaporative demand days. Conclusively, the ET can be estimated from the evaporative demand of the atmosphere, $E_o$, $K_e$ and $K_t$, and the available soil water content in the root zone.

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In Vitro Evaluation of Shear Bond Strengths of Zirconia Cerami with Various Types of Cement after Thermocycling on Bovine Dentin Surface (지르코니아 표면 처리와 시멘트 종류에 따른 치면과의 전단 결합 강도 비교 연구)

  • Cho, Soo-Hyun;Cho, In-Ho;Lee, Jong-Hyuk;Nam, Ki-Young;Kim, Jong-Bae;Hwang, Sang-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.3
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    • pp.249-257
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    • 2007
  • State of problem : The use of zirconium oxide all-ceramic material provides several advantages, including a high flexural strength(>1000MPa) and desirable optical properties, such as shading adaptation to the basic shades and a reduction in the layer thickness. Along with the strength of the materials, the cementation technique is also important to the clinical success of a restoration. Nevertheless, little information is available on the effect of different surface treatments on the bonding of zirconium high-crystalline ceramics and resin luting agents. Purpose : The aim of this study was to test the effects of surface treatments of zirconium on shear bond strengths between bovine teeth and a zirconia ceramic and evaluate differences among cements Material and methods : 54 sound bovine teeth extracted within a 1 months, were used. They were frozen in distilled water. These were rinsed by tap water to confirm that no granulation tissues have left. These were kept refrigerated at $4^{\circ}C$ until tested. Each tooth was placed horizontally at a plastic cylinder (diameter 20mm), and embedded in epoxy resin. Teeth were sectioned with diamond burs to expose dentin and grinded with #600 silicon carbide paper. To make sure there was no enamel left, each was observed under an optical microscope. 54 prefabricated zirconium oxide ceramic copings(Lava, 3M ESPE, USA) were assigned into 3 groups ; control, airborne-abraded with $110{\mu}m$ $Al_2O_3$ and scratched with diamond burs at 4 directions. They were cemented with a seating force of 10 ㎏ per tooth, using resin luting cement(Panavia $F^{(R)}$), resin cement(Superbond $C&B^{(R)}$), and resin modified GI cement(Rely X $Luting^{(R)}$). Those were thermocycled at $5^{\circ}C$ and $55^{\circ}C$ for 5000 cycles with a 30 second dwell time, and then shear bond strength was determined in a universal test machine(Model 4200, Instron Co., Canton, USA). The crosshead speed was 1 mm/min. The result was analyzed with one-way analysis of variance(ANOVA) and the Tukey test at a significance level of P<0.05. Results : Superbond $C&B^{(R)}$ at scratching with diamond burs showed the highest shear bond strength than others (p<.05). For Panavia $F^{(R)}$, groups of scratching and sandblasting showed significantly higher shear bond strength than control group(p<.05). For Rely X $Luting^{(R)}$, only between scratching & control group, significantly different shear bond strength was observed(p<.05). Conclusion : Within the limitation of this study, Superbond $C&B^{(R)}$ showed clinically acceptable shear bond between bovine teeth & zirconia ceramics regardless of surface treatments. For the surface treatment, scratching increased shear bond strength. Increase of shear bond strength by sandblasting with $110{\mu}m$ $Al_2O_3$ was not statistically different.

STUDY ON THE SHEAR BOND STRENGTH OF ALL-IN-ONE DENTIN BONDING SYSTEM (우치에 대한 All-in-one 상아질 결합제의 전단결합강도 비교 연구)

  • Park, Hyung-Joo;Yoo, Seung-Hoon;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.4
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    • pp.661-672
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    • 2006
  • This study was performed to compare the shear bond strength of AQ Bond $Plus^{TM}$ with AQ $Bond^{TM}$ and Single $Bond^{TM}$. Also by observing the fractured interface under scanning electro-microscope, the fracture pattern and the quality of hybrid layer were analyzed. The possibility of clinical application of all-in-one system which has an advantage to reduce chair time for children with difficult behavior pattern was evaluated, The results obtained are as follows ; 1. There was no significant difference between AQ $Bond^{TM}$ and AQ Bond $Plus^{TM}$ in shear bond strength and Single Bond showed the highest bond strength with statistical significant difference (p<0.05). 2. Adhesive fracture pattern was mainly observed in both enamel/dentin in AQ $Bond^{TM}$ and AQ Bond $Plus^{TM}$ group while Single Bond group showed equal numbers for cohesive and adhesive pattern. 3. Under scanning electro-microscope, resin tags observed in AQ $Bond^{TM}$ and AQ Bond $Plus^{TM}$ were very weak and tangled while strong and thick tags were shown with many lateral branches in Single Bond. Careful case selection and accurate clinical application is recommended when using AQ $Bond^{TM}$ and AQ Bond $Plus^{TM}$considering the result showing its weaker strength than Single $Bond^{TM}$.

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The Cross-sectional Mass Flux Observation at Yeomha Channel, Gyeonggi Bay at Spring Tide During Dry and Flood Season (단면 관측을 통한 경기만 염하수로의 대조기 평수시와 홍수시 유출입량 변화특성 조사)

  • Lee, Dong-Hwan;Yoon, Byung-Il;Kim, Jong-Wook;Gu, Bon-Ho;Woo, Seung-Buhm
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.24 no.1
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    • pp.16-25
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    • 2012
  • To calculate the total mass flux that change in dry and flood season in the Yeomha Channel of Gyeonggi Bay, the 13 hour bottom tracking observation was performed from the southern extremity. The value of the total mass flux(Lagrange flux) was calculated as the sum of the Eulerian flux value and stroke drift value and the tidal residual flow was harmonically analyzed through the least-squares method. Moreover, the average during the tidal cycle is essential to calculate the mass flux and the tidal residual flow and there is the need to equate the grid of repeatedly observed data. Nevertheless, due to the great differences in the studied region, the number of vertical grid tends to change according to time and since the horizontal grid differs according to the transport speed of the ship as a characteristic of the bottom tracking observation, differences occur in the horizontal and vertical grid for each hour. Hence, the present study has vertically and horizontally normalized(sigma coordinate) to equate the grid per each hour. When compared to the z-level coordinate system, the Sigma coordinate system was evaluated to have no irrationalities in data analysis with 5% of error. As a result of the analysis, the tidal residual flow displayed the flow pattern of sagging in the both ends in the main waterway direction of dry season. During flood season, it was confirmed that the tidal residual flow was vertical 2-layer flow. As a result of the total mass flux, the ebb properties of 359 cm/s and 261 cm/s were observed during dry and flood season, respectively. The total mass flux was moving the intertidal region between Youngjong-do and Ganghwa-do.

MEASUREMENT OF ADHESION OF ROOT CANAL SEALER TO DENTINE AND GUTTA-PERCHA (상아질과 Gutta-Percha에 대한 근관충전용 Sealer의 결합강도의 측정)

  • Her, Mi-Ja;Yu, Mi-Kyung;Lee, Se-Joon;Lee, Kwang-Won
    • Restorative Dentistry and Endodontics
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    • v.28 no.1
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    • pp.89-99
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    • 2003
  • The purpose of this study was to investigate the bonding of resin- based root canal sealer, AH26 when the sealer was applied as a thin layer between dentine and gutta-percha surface. In this study forty non-caries extracted human molars and resin-based root canal sealer(AH 26, DeTrey/Dentsply, Germany) were used. Disks of gutta-percha, 6mm in diameter.6mm thick (Diadent/Dentsply, Korea) for thermoplastic obturation were used and dentin surfaces were treated with 2% NaOCl(Group 1) or 2%NaOCl+17% EDTA(Group 3). Disks of gutta-Percha, 6mm in diameter.6mm thick (Diadent/Dentsply, Korea) for conventional obturation were used and dentin surface were treated with 2% NaOCl(Group 2) or 2%NaOCl+17% EDTA(Group 4). Enamel was removed by a horizontal section 1mm below the deepest portion of the central occlusal groove by using a watercooled low speed diamond saw. A second horizontal section was done around cementoenamel junction. Exposed dentin surface was cut to approximately $8{\times}8{\;}mm$ rectangular shape and was ground against 320, 400, 600 grade silicon carbide abrasive paper serially. After grinding, the dentine surface were soaked in a solution of 2% NaOCl for 30 minutes and twenty of specimens were treated with 17% EDTA solution for 1 minute. The treated specimens were washed and dried, Root canal sealer, AH26 was prepared according to the manufacture's instructions The Gutta-percha and dentin surface were coated with a thin layer of the freshly mixed seal or. The specimens were left overnight at room temperature. After their initial set, they were transferred to an incubator at $37$^{\circ}C$ for 72 h. After 72 hours, resin blocks were made. The resin block was serially sectioned vertically into stick of $1{\cdot}1mm$. Twenty sticks were prepared from each group. After that, tensile bond strength f3r each stick was measured with Microtensile Tester Failure patterns of the specimens at the interface between gutta-percha and dentin were observed under the SEM(x1000) and Stereomicroscope (LEICA M42O, Meyer Inst., TX U.S.A) at 1.25 x25 magnification. The results were statistically analysed by using a One-way ANOVA and Tukey's test. The results were as follows; 1. Tensile bond strengths($mean{\pm}SD$) were expressed with ascending order as follows: Group 1, $3.09{\pm}$ 1.05Mpa : Group 2, $6.23{\pm}1.16MPa$ : Group 3, $7.12{\pm}1.07MPa$ : Group 4, $10.32{\pm}2.06MPa$. 2. Tensile bond strengths of the group 2 and 4 used disks of gutta-percha for conventional obturation were significantly higher than that of the group 1 and 3 used fir thermoplastic obturation. (p < 0.05). 3. Tensile bond strengths of the group 3 and 4 treated with 2% NaOC1+17% EDTA were significantly higher than that of the group 1 and 2 treated with 2% NaOCl. (p < 0.05). 4. In analysis of failure patterns at the interface between sealer and gutta-percha, there were observed 49 (61%)cases of adhesive failure patterns and 31 (39%) cases of mixed failures patterns.

EFFECT OF THERMAL CYCLING AND AGING ON THE TENSILE STRENGTH OF GLASS-IONOMER RESTORATIVE MATERIALS (Thermal cycling과 시효처리가 Glass-Ionomer 수복재의 인장강도에 미치는 영향)

  • Baik, Byeong-Ju;Kim, Mun-Hyeon;Lee, Seung-Young;Lee, Seung-Ik;Kim, Jae-Gon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.4
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    • pp.677-687
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    • 1999
  • This study was performed to evaluate the effect of aging and thermal cycling on the tensile strength of six commercially available glass-ionomer materials: two chemically set glass-ionomer materials(Fuji II, Fuji IX), two resin-modified glass-ionomer materials(Fuji II LC, Vitremer), and two polyacid-modified composite resins(Compoglass, Dyract). Rectangular tension test specimens were fabricated in a teflon mold giving 5mm in gauge length and 2mm in thickness. All samples were divided into 3 groups. Group 1 was immersed in a $37^{\circ}C$ distilled water for 1 hour. Group 2 was immersed in a $37^{\circ}C$ distilled water for 30 days. Group 3 was subjected to 10,000 thermal cycles between $5^{\circ}C$ and $55^{\circ}C$, and the immersion time in each bath was 15 seconds per cycle. Tensile testing was carried out at a cross-head speed of 0.5mm/min and fracture surfaces were examined with scanning electron microscope. The results obtained were summarized as follows; 1. The polyacid-modified composite resins were stronger than the resin-modified glass-ionomer materials, which were much stronger than the conventional glass-ionomer materials. 2. Tensile strengths were slightly increased after aging treatments for 30days. 3. Tensile strengths of conventional glass ionomers were significantly increased after thermal cycling treatment(p<0.01). 4. The highest tensile strength value of 45.4MPa was observed in the Dyract group and the lowest value of 13.3MPa was observed in the Fuji II LC group after the thermal cycling test, and the strengths of polyacid-modified composite groups were significantly higher than those of other groups. 5. The highest characteristic strength value of 48.6MPa was obtained in the Dyract group, however the highest Weibull modulus value of 8.9MPa was obtained in the Compoglass group after thermal cycling test.

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