The occurrence of hiatal hernia after total gastrectomy with Roux-en-Y reconstruction is rare. We report the case of a 76-year-old man who presented with dyspnea, vomiting, and fever around 8 days after total gastrectomy with Roux-en-Y reconstruction. Abdominal computed tomography revealed a hiatal hernia containing part of the small intestine in the left thoracic cavity. Emergent reduction and repair of the hiatal hernia were performed later. Operative findings revealed that the Roux limb was incarcerated in the left pleural cavity. Esophagojejunostomy leakage, perforation of the small intestine with transient ischemic change, and pyothorax were also found. Thus, feeding jejunostomy, thoracoscopic decortication, and diversion T-tube esophagostomy were performed. Considering that the main cause of hiatal hernia is blunt dissection with division of the phrenoesophageal membrane, approximating the crus with 1 or 2 figure-8 sutures, according to the size of the defect, to prevent the incidence of hiatal hernia after total gastrectomy may be performed.
Journal of the Korea Society of Computer and Information
/
v.24
no.3
/
pp.135-141
/
2019
The purpose of this study was to analyze the direct measurement data of 20-25 years male university students of 7th Size Korea data and to characterize and to type the body shape of lower body. It was to provide basic data for male university students' pants pattern production. The lower body part consisted of the 'horizontal factor' of the lower body composed of circumference, thickness, width, and 'vertical factor' of the lower body composed of the length and height. This was consistent with the analysis of the body shape factor of the lower half of male adolescents. The lower body shape was classified into four types. Type 1 was thick and relatively long in the lower body and was named 'thick long leg'. Type 2 was named 'short bird legs' because the lower body was thin and relatively short. Type 3 was relatively thin and long, so the lower body was named 'long crane leg'. In Type 4, the lower body was relatively thick and short, which means 'short pillar leg'. In the case of 20-25 year-old male university students, they have different body shapes depending on the girth and length of the lower half of their body as they have reached adulthood. Therefore, it would be necessary to provide a sales system that allows the repair of the length of the pants to be facilitated, and the length of the pants to be repaired when the pants are selected according to the circumference. Future studies will need to classify the body shape according to angle and flatness.
Kim, Kyu-Saeng;Lee, Sang-Hyeok;Hong, Kyung-Pyo;Won, Young-Jae
Proceedings of the SAREK Conference
/
2007.11a
/
pp.459-465
/
2007
This study was conducted to calculate the LCC of a apartment complex with a type of heating system, district heating and cogeneration system. For the purpose of analyzing LCC according to size of apartment complex, 500, 1,500 and 4,000 houses of model apartment selected. This research performs design of heating system and the life cycle cost analysis including an initial cost, energy cost, maintenance and operation cost, replacement cost and renovation cost during the project period(15years). According to the calculated results, 1) Initial cost of cogeneration system with 500, 1500 and 4000 houses is higher than district heating system each of 20%, 13%, 12%. 2) In case of cogeneration system, the payback period by electric generation is 5.21, 4.92 and 4.47 years and saving cost was calculated 29 billion won, 94 billion won and 262 billion won after payback period. 3) Cogeneration system LCC was 1.12, 1.07 and 1.06 times larger than district system with the size of apartment complex. According to the case of this study district heating system is more efficient than cogeneration system in terms of the reduction of LCC. 4) Gas Engine Co-generation System is more efficient than other systems because it can collect progressive part from electric charge progressive stage system. However, the efficiency is decreasing because of raising of fuel bills(LNG) and lowering of power rate for house use. Especially the engine is foreign-made so the cost of maintenance and repair is high and the technical expert is short. 5) District heating is also affected by fuel bills so we should improve energy efficiency through recovering of waste heat(incineration heat, etc.). Also, we should supply district cooling on the pattern of heat using of let the temperature high in winter and low in summer.
The purpose of this study was to provide basic data for maintenance and repair of the forest road surfaces using the light drop weight test (LDWT), density test, and grain size analysis at four sites in Yeongyang-gun Mt. (2011y, 2014y, 2016y, and 2017y). In terms of the density test results, the opening density in 2011 was the highest at $2.0694g/cm^3$, and the opening density in 2017 was the lowest at $1.7443g/cm^3$. The grain size analysis showed that the proportion of large aggregates was highest at the opening in 2017, and the proportion of large aggregates decreased with the delay of opening date. From the LDWT results, $E_{vd}$ (the dynamic deformation coefficient) of the 2011y forest road was $35.7MN/m^2$, 2014y was $30.5MN/m^2$, 2016y was $28.6MN/m^2$, and 2017y was $23.5MN/m^2$. The $E_{vd}$ value for the oldest forests opened with the 2011y forest road was the highest, the average $E_{vd}$ value of the center portion was $21.45MN/m^2$, the average $E_{vd}$ value of the wheel portion of the banking part was $31.31MN/m^2$, and the average $E_{vd}$ value of the wheel portion of the cut part was $36.71MN/m^2$.
A comparison study is made between the dynamic properties of an argillaceous siltstone and its grouting-reinforced body. The purpose is to investigate how grout injection can help repair broken soft rocks. A slightly weathered argillaceous siltstone is selected, and part of the siltstone is mechanically crushed and cemented with Portland cement to simulate the grouting-reinforced body. Core specimens with the size of $50mm{\times}38mm$ are prepared from the original rock and the grouting-reinforced body. Impact tests on these samples are then carried out using a Split Hopkinson Pressure Bar (SHPB) apparatus. Failure patterns are analyzed and geotechnical parameters of the specimens are estimated. Based on the experimental results, for the grouting-reinforced body, its shock resistance is poorer than that of the original rock, and most cracks happen in the cementation boundaries between the cement mortar and the original rock particles. It was observed that the grouting-reinforced body ends up with more fragmented residues, most of them have larger fractal dimensions, and its dynamic strength is generally lower. The mass ratio of broken rocks to cement has a significant effect on its dynamic properties and there is an optimal ratio that the maximum dynamic peak strength can be achieved. The dynamic strain-softening behavior of the grouting-reinforced body is more significant compared with that of the original rock. Both the time dependent damage model and the modified overstress damage model are equally applicable to the original rock, but the former performs much better compared with the latter for the grouting-reinforced body. In addition, it was also shown that water content and impact velocity both have significant effect on dynamic properties of the original rock and its grouting-reinforced body. Higher water content leads to more small broken rock pieces, larger fractal dimensions, lower dynamic peak strength and smaller elastic modulus. However, the water content plays a minor role in fractal dimensions when the impact velocity is beyond a certain value. Higher impact loading rate leads to higher degree of fragmentation and larger fractal dimensions both in argillaceous siltstone and its grouting-reinforced body. These results provide a sound basis for the quantitative evaluation on how cement grouting can contribute to the repair of broken soft rocks.
The Hanok church is an important cultural heritage that can be considered from a religious point of view of life in the modern age in Korea. We will investigate the bounadaries of the Hanok church built in modern age and the characteristics of Hanok architectural. To do so, we have conducted field trips, interviews, and repair reports of the Gimje Geumsan Church in the Jeollabuk province. The Geumsan Church is present, and the architectural characteristics can be confirmed in detail. In addition, Yugwang School, which was responsible for the education function, was able to guess the location and size through the data. As a result, the boundaries of Geumsan Church is the present fence, the west side has the building, and the east side has the playground. The Geumsan Church's flat form was divided into male and female according to the space configuration of ㄱ-shaped reflecting Confucian thought of the time. And it seems that the Yugwang school was located in the entrance part of the modern church with a two-frame scale, which is suitable for lecture.
This paper summarises the results of an experimental study to investigate the flexural behaviour of reinforced concrete beams strengthened using carbon-fibre reinforced polymer (CFRP) laminate in four-point bending. The experimental parameters included are the reinforcing bar ratio ${\rho}_s$ and preload level. Four bar ratios were selected (${\rho}_s=0.13$ to 0.86%), representing the section of two longitudinal tensile reinforcements, with diameters of 8, 14, 16, and 20 mm in order to reveal the effect of bar ratio on failure load and failure mode. Eight beams that could be considered "full-scale" in size, measuring 200 mm in width, 400 mm in total height and 2300 mm in length, were tested. Three beams were selected with different bar ratios (${\rho}_1$, ${\rho}_2$, ${\rho}_3$), and considered as control specimens (without ), while three other beams identical to the control beams with the same CFRP laminates ratio and a seventh beam with ${\rho}_{min}$ (the lowest bar ratio) were also used. In the second part of the study, two beams with the bar ratio ${\rho}_2$ were preloaded at two levels, 50 and 100% of their ultimate loads, and then repaired. This experimental investigation was consolidated using an analytical model. The experimental and analytical results indicate that the flexional capacity and stiffness of strengthened and repaired beams using CFRP laminate were increased compared to those of control beams, and the behaviour of repaired beams was nearly similar to the undamaged and strengthened beams; unlike the ductility of strengthened beams, which was greatly reduced compared to the control.
Journal of the Korea institute for structural maintenance and inspection
/
v.17
no.5
/
pp.40-48
/
2013
Eco deck plate system is a construction method that deconstruction of galvanized steel sheets is possible by integrating steel-wire-integrated girders and the galvanized steel sheets with bolts. Therefore, compared with previous steel-wire-integrated deck plates which were joined by welding, the system is acknowledged as the construction method possible management and repair. This study conducted an experimental research by manufacturing total 24 full size specimens in a same condition for 12-shape specimens by two parts to evaluate structural behaviors of the eco deck plates. In the results after the test, permissible deflection for the construction load action was shown to be values under design values and satisfactory. The processing of lattice steel wires was presented to be structurally advantageous in being manufactured by cutting downward. Also, in case of a specimen that D13 as a steel wire was used, destruction occurred at the welding part of the bottom steel wire and the lattice steel wire, so improvement measures for the welding in factory manufacture are necessary.
Kim, Jong Wook;Kim, Jang-Ho Jay;Kim, Tae-Kyun;Lee, Tae Hee;Yang, Dal Hun
International journal of steel structures
/
v.18
no.4
/
pp.1336-1349
/
2018
Generally, a precast prestressed concrete (PSC) beam is used as girders for short-to-medium span (less than 30 m) bridges due to the advantages of simple design and construction, reduction of construction budget, maintenance convenience. In order to increase the span length beyond 50 m of precast PSC girder, PSC hollow box girder with unbonded prestressed H-type steel beam placed at the compressive region is proposed. The unbonded compressive prestressing in the H-type steel beams in the girder is made to recover plastic deflection of PSC girder when the pre-stressing is released. Also, the H-steel beams allow minimization of depth-to-length ratio of the girder by reducing the compressive region of the cross-section, thereby reducing the weight of the girder. A quasi-static 3-point bending test with 4 different loading steps is performed to verify safety and plastic deflection recovery of the girder. The experimental results showed that the maximum applied load exceeded the maximum design load and most of the plastic deflection was recovered when the compressive prestressing of H-type steel beams is released. Also using prestressed H-type steel as compression reinforcements in the upper part of cross section, repair and restoration difficulty and cost of PSC girders should be significantly reduced. The study result and analysis are discussed in detail in the paper.
Bony defects may be found as a result of congenital anomalies, traumatic injury, automobile collisions and industrial accidents in the maxillofacial area. Such conditions are often associated with severs functional and esthetic problem. Various surgical procedure has been utilized in attempts to repair and reconstruct bony defects. Bone is a complex, living, constantly changing tissue. The architecture and composition of cancellous and cortical bone allow the skeleton to perform its essential mechanical functions. Periosteum covers the external surface of bone and consists of two layers : an outer fibrous layer and an inner more cellular and vascular layer. The inner osteogenic layer or cambium layer can form new bone while the outer layer firms part of the insertions of tendons, ligaments and muscles. This study was under taken to evaluate bone healing process on partial defect of calvarial bone with or without periosteum in rat. We made calvarial defects of different size(4mm, 6mm, 8mm) with periosteum or without periosteum in rat to study the effect of defect size on healing process. Control and experimental groups sacrified at 1, 2, 4, 6, 8 weeks, postoperatively. We examed the specimens by gloss findings, light microscophy, and fluorescent microscophy. The results were as follows. 1. Gloss findings: Control groups are larger bony defects than experimental groups after 2 weeks, and than control groups advanced healing of defected bone but experimental groups are lesser after 4, 6 weeks. After 8 weeks, bone defect has not been identified in control and experimental groups. 2. Light microscope: All defects of control groups are larger bony defects than experimental groups after 2 weeks. And than control groups show smaller defect after 4 weeks. After 8 weeks, the control group reveal pin-point sized, hardly identifiable defect space and the experimental group reveal small, but definite defect space. 3. Fluorescent microscope : Each week, new bone formation of control group is very similar to the experimental group. In this study, Osteogenesis of calvarial bone defects with periosteum or without periosteum was examined for 8 weeks in rats. The replaced periosteum had batter new bone formation than the removed periosteum.
본 웹사이트에 게시된 이메일 주소가 전자우편 수집 프로그램이나
그 밖의 기술적 장치를 이용하여 무단으로 수집되는 것을 거부하며,
이를 위반시 정보통신망법에 의해 형사 처벌됨을 유념하시기 바랍니다.
[게시일 2004년 10월 1일]
이용약관
제 1 장 총칙
제 1 조 (목적)
이 이용약관은 KoreaScience 홈페이지(이하 “당 사이트”)에서 제공하는 인터넷 서비스(이하 '서비스')의 가입조건 및 이용에 관한 제반 사항과 기타 필요한 사항을 구체적으로 규정함을 목적으로 합니다.
제 2 조 (용어의 정의)
① "이용자"라 함은 당 사이트에 접속하여 이 약관에 따라 당 사이트가 제공하는 서비스를 받는 회원 및 비회원을
말합니다.
② "회원"이라 함은 서비스를 이용하기 위하여 당 사이트에 개인정보를 제공하여 아이디(ID)와 비밀번호를 부여
받은 자를 말합니다.
③ "회원 아이디(ID)"라 함은 회원의 식별 및 서비스 이용을 위하여 자신이 선정한 문자 및 숫자의 조합을
말합니다.
④ "비밀번호(패스워드)"라 함은 회원이 자신의 비밀보호를 위하여 선정한 문자 및 숫자의 조합을 말합니다.
제 3 조 (이용약관의 효력 및 변경)
① 이 약관은 당 사이트에 게시하거나 기타의 방법으로 회원에게 공지함으로써 효력이 발생합니다.
② 당 사이트는 이 약관을 개정할 경우에 적용일자 및 개정사유를 명시하여 현행 약관과 함께 당 사이트의
초기화면에 그 적용일자 7일 이전부터 적용일자 전일까지 공지합니다. 다만, 회원에게 불리하게 약관내용을
변경하는 경우에는 최소한 30일 이상의 사전 유예기간을 두고 공지합니다. 이 경우 당 사이트는 개정 전
내용과 개정 후 내용을 명확하게 비교하여 이용자가 알기 쉽도록 표시합니다.
제 4 조(약관 외 준칙)
① 이 약관은 당 사이트가 제공하는 서비스에 관한 이용안내와 함께 적용됩니다.
② 이 약관에 명시되지 아니한 사항은 관계법령의 규정이 적용됩니다.
제 2 장 이용계약의 체결
제 5 조 (이용계약의 성립 등)
① 이용계약은 이용고객이 당 사이트가 정한 약관에 「동의합니다」를 선택하고, 당 사이트가 정한
온라인신청양식을 작성하여 서비스 이용을 신청한 후, 당 사이트가 이를 승낙함으로써 성립합니다.
② 제1항의 승낙은 당 사이트가 제공하는 과학기술정보검색, 맞춤정보, 서지정보 등 다른 서비스의 이용승낙을
포함합니다.
제 6 조 (회원가입)
서비스를 이용하고자 하는 고객은 당 사이트에서 정한 회원가입양식에 개인정보를 기재하여 가입을 하여야 합니다.
제 7 조 (개인정보의 보호 및 사용)
당 사이트는 관계법령이 정하는 바에 따라 회원 등록정보를 포함한 회원의 개인정보를 보호하기 위해 노력합니다. 회원 개인정보의 보호 및 사용에 대해서는 관련법령 및 당 사이트의 개인정보 보호정책이 적용됩니다.
제 8 조 (이용 신청의 승낙과 제한)
① 당 사이트는 제6조의 규정에 의한 이용신청고객에 대하여 서비스 이용을 승낙합니다.
② 당 사이트는 아래사항에 해당하는 경우에 대해서 승낙하지 아니 합니다.
- 이용계약 신청서의 내용을 허위로 기재한 경우
- 기타 규정한 제반사항을 위반하며 신청하는 경우
제 9 조 (회원 ID 부여 및 변경 등)
① 당 사이트는 이용고객에 대하여 약관에 정하는 바에 따라 자신이 선정한 회원 ID를 부여합니다.
② 회원 ID는 원칙적으로 변경이 불가하며 부득이한 사유로 인하여 변경 하고자 하는 경우에는 해당 ID를
해지하고 재가입해야 합니다.
③ 기타 회원 개인정보 관리 및 변경 등에 관한 사항은 서비스별 안내에 정하는 바에 의합니다.
제 3 장 계약 당사자의 의무
제 10 조 (KISTI의 의무)
① 당 사이트는 이용고객이 희망한 서비스 제공 개시일에 특별한 사정이 없는 한 서비스를 이용할 수 있도록
하여야 합니다.
② 당 사이트는 개인정보 보호를 위해 보안시스템을 구축하며 개인정보 보호정책을 공시하고 준수합니다.
③ 당 사이트는 회원으로부터 제기되는 의견이나 불만이 정당하다고 객관적으로 인정될 경우에는 적절한 절차를
거쳐 즉시 처리하여야 합니다. 다만, 즉시 처리가 곤란한 경우는 회원에게 그 사유와 처리일정을 통보하여야
합니다.
제 11 조 (회원의 의무)
① 이용자는 회원가입 신청 또는 회원정보 변경 시 실명으로 모든 사항을 사실에 근거하여 작성하여야 하며,
허위 또는 타인의 정보를 등록할 경우 일체의 권리를 주장할 수 없습니다.
② 당 사이트가 관계법령 및 개인정보 보호정책에 의거하여 그 책임을 지는 경우를 제외하고 회원에게 부여된
ID의 비밀번호 관리소홀, 부정사용에 의하여 발생하는 모든 결과에 대한 책임은 회원에게 있습니다.
③ 회원은 당 사이트 및 제 3자의 지적 재산권을 침해해서는 안 됩니다.
제 4 장 서비스의 이용
제 12 조 (서비스 이용 시간)
① 서비스 이용은 당 사이트의 업무상 또는 기술상 특별한 지장이 없는 한 연중무휴, 1일 24시간 운영을
원칙으로 합니다. 단, 당 사이트는 시스템 정기점검, 증설 및 교체를 위해 당 사이트가 정한 날이나 시간에
서비스를 일시 중단할 수 있으며, 예정되어 있는 작업으로 인한 서비스 일시중단은 당 사이트 홈페이지를
통해 사전에 공지합니다.
② 당 사이트는 서비스를 특정범위로 분할하여 각 범위별로 이용가능시간을 별도로 지정할 수 있습니다. 다만
이 경우 그 내용을 공지합니다.
제 13 조 (홈페이지 저작권)
① NDSL에서 제공하는 모든 저작물의 저작권은 원저작자에게 있으며, KISTI는 복제/배포/전송권을 확보하고
있습니다.
② NDSL에서 제공하는 콘텐츠를 상업적 및 기타 영리목적으로 복제/배포/전송할 경우 사전에 KISTI의 허락을
받아야 합니다.
③ NDSL에서 제공하는 콘텐츠를 보도, 비평, 교육, 연구 등을 위하여 정당한 범위 안에서 공정한 관행에
합치되게 인용할 수 있습니다.
④ NDSL에서 제공하는 콘텐츠를 무단 복제, 전송, 배포 기타 저작권법에 위반되는 방법으로 이용할 경우
저작권법 제136조에 따라 5년 이하의 징역 또는 5천만 원 이하의 벌금에 처해질 수 있습니다.
제 14 조 (유료서비스)
① 당 사이트 및 협력기관이 정한 유료서비스(원문복사 등)는 별도로 정해진 바에 따르며, 변경사항은 시행 전에
당 사이트 홈페이지를 통하여 회원에게 공지합니다.
② 유료서비스를 이용하려는 회원은 정해진 요금체계에 따라 요금을 납부해야 합니다.
제 5 장 계약 해지 및 이용 제한
제 15 조 (계약 해지)
회원이 이용계약을 해지하고자 하는 때에는 [가입해지] 메뉴를 이용해 직접 해지해야 합니다.
제 16 조 (서비스 이용제한)
① 당 사이트는 회원이 서비스 이용내용에 있어서 본 약관 제 11조 내용을 위반하거나, 다음 각 호에 해당하는
경우 서비스 이용을 제한할 수 있습니다.
- 2년 이상 서비스를 이용한 적이 없는 경우
- 기타 정상적인 서비스 운영에 방해가 될 경우
② 상기 이용제한 규정에 따라 서비스를 이용하는 회원에게 서비스 이용에 대하여 별도 공지 없이 서비스 이용의
일시정지, 이용계약 해지 할 수 있습니다.
제 17 조 (전자우편주소 수집 금지)
회원은 전자우편주소 추출기 등을 이용하여 전자우편주소를 수집 또는 제3자에게 제공할 수 없습니다.
제 6 장 손해배상 및 기타사항
제 18 조 (손해배상)
당 사이트는 무료로 제공되는 서비스와 관련하여 회원에게 어떠한 손해가 발생하더라도 당 사이트가 고의 또는 과실로 인한 손해발생을 제외하고는 이에 대하여 책임을 부담하지 아니합니다.
제 19 조 (관할 법원)
서비스 이용으로 발생한 분쟁에 대해 소송이 제기되는 경우 민사 소송법상의 관할 법원에 제기합니다.
[부 칙]
1. (시행일) 이 약관은 2016년 9월 5일부터 적용되며, 종전 약관은 본 약관으로 대체되며, 개정된 약관의 적용일 이전 가입자도 개정된 약관의 적용을 받습니다.