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Dorsal Track Control (DTC): A Modified Surgical Technique for Atraumatic Handling of the Distal Esophagus in Esophagojejunostomy

  • Lehwald-Tywuschik, Nadja;Steinfurth, Fabian;Kropil, Feride;Krieg, Andreas;Sarikaya, Hulya;Knoefel, Wolfram Trudo;Kruger, Martin;Benhidjeb, Tahar;Beshay, Morris;Esch, Jan Schulte am
    • Journal of Gastric Cancer
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    • v.19 no.4
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    • pp.473-483
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    • 2019
  • Surgical therapy for adenocarcinoma of the esophagogastric junction II requires distal esophagectomy, in which a transhiatal management of the lower esophagus is critical. The 'dorsal track control' (DTC) maneuver presented here facilitates the atraumatic handling of the distal esophagus, in preparation for a circular-stapled esophagojejunostomy. It is based on a ventral semicircular incision in the distal esophagus, with an intact dorsal wall for traction control of the esophagus. The maneuver facilitates the proper placement of the purse-string suture, up to its tying (around the anvil), thus minimizing the manipulation of the remaining esophagus. Furthermore, the dorsally-exposed inner wall surface of the ventrally-opened esophagus serves as a guiding chute that eases anvil insertion into the esophageal lumen. We performed this novel technique in 21 cases, enabling a safe anastomosis up to 10 cm proximal to the Z-line. No anastomotic insufficiency was observed. The DTC technique improves high transhiatal esophagojejunostomy.

The nervous system of Fibricola seoulensis by acetylcholinesterase histochemistry (Acetylcholinesterase 조직화학법으로 관찰한 Fibricola seoulensis 신경계의 분포)

  • 전은우;김창환
    • Parasites, Hosts and Diseases
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    • v.31 no.4
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    • pp.321-330
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    • 1993
  • F. seoulensis were obtained from artificially infected albino rats at 3, 4, 5, 6, 7 days after infection. The worms and metacercariae were washed in physiological saline solution, and fled with 10% neutral formalin. The acetylcholinesterase (AchE) stained by one histochemistry using acetylthiocholine iodide as substrate. Eserine, ism-OMPA and BW284C51 were used as inhibitors of AchE. The nervous system consists of three pairs longitudinal nerve trunks interconnected with excretory plexus in posterior half, and phinmc and oral sucker in anterior half of metacercariae and adults. The longitudinal nerve trunks are interconnected with transverse commissures and numerous circular commissures. Considerable numbers of circular commissures are interconnected with longitudinal nerve trunks tying on the surface of the worms. At each stage of juvenile worms, AchE and nonspecific cholinesterase activites were observed in the oral sucker, ventral sucker, pharynx and nerve system. Isoxymes of AchE in f seoderuts were separated into the two bands, 69 kDa and 132 kDa. The major band was 69 kDa.

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Managing Hybrid Marketing Channels for Fashion Apparel Industry(in Korea) (패션의류시장에 있어서 하이브리드 마케팅 경로 관리 연구)

  • Shon, Sanggi;Kwon, Soongi;Kim, Stephen K.
    • International Area Studies Review
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    • v.12 no.3
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    • pp.89-109
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    • 2008
  • Using hybrid channel affords the benefits of achieving control through the direct channel and achieving flexibility through the indirect channel. However, using a hybrid channel also poses special challenges to a manufacturer, including the problem of managing multiple channel members with disparate goals and priorities. The purpose of this study is to enhance our understanding on the management of hybrid channel. We study marketing channels for fashion apparel to examine governance challenges and solutions of a hybrid channel. We have two objectives to fulfill that purpose. First, we aim to tie two largely separate research streams of salesforce management and marketing channel management together by examining both intrafrim governance and interfirm governance issues under one conceptual framework. Second, we aim to lay a ground work for rigorous further research on this topic by tying two major theoretical approaches of governance together under one conceptual framework. Our predictions were tested with data from the survey of apparel manufacturers and retailers. The analysis results support the predictions moderately.

A Free Agent Algorithm for Min-Cut Problem (최소절단 문제의 자유계약 알고리즘)

  • Lee, Sang-Un
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.19 no.4
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    • pp.27-33
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    • 2019
  • The min-cut problem that decides the maximum flow in a complex network flows from source(s) to sink(t) is known as a hard problem. The augmenting path algorithm divides into single path and decides the bottleneck point(edge), but the min-cut section to be decide additionally. This paper suggests O(n) time complexity heuristic greedy algorithm for the number of vertices n that applies free agent system in a pro-sports field. The free agent method assumes $N_G(S),N_G(T)$vertices among $v{\in}V{\backslash}\{s,t\}$to free agent players, and this players transfer into the team that suggest more annual income. As a result of various networks, this algorithm can be finds all of min-cut sections and min-cut value for whole cases.

Optimal Design of Urban MICROGRID using Economical Analysis Program (경제성분석 프로그램을 이용한 도심형 마이크로그리드 최적 설계)

  • Seung-Duck, Yu;SungWoo, Yim;Youseok, Lim;SungWook, Hwang;JuHak, Lee
    • KEPCO Journal on Electric Power and Energy
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    • v.8 no.2
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    • pp.69-72
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    • 2022
  • This paper actually investigates the load on major large-scale buildings in the downtown area, examines the economic feasibility of installing PV and ESS in a microgrid target building, and evaluates whether an electric vehicle capable of V2G through two buildings is effective as an economical analysis program (HOMER) was analyzed using. It is economical to install a mixture of ESS rather than using the whole PV, and it is shown that if there is an electric vehicle using the V2G function of EV, there is an economic effect to replace the PV. So that Incentives and policies are needed to replace a large area of PV and utilize the existing parking lot to lead EV as a resource of the microgrid. Currently, P2X technology that stores power as ESS or converts it to other energy to control when surplus renewable energy occurs in large-capacity solar power plants and wind farms, etc. This is being applied, and efforts are being made to maintain the stability of the system through the management of surplus power, such as replacing thermal energy through a heat pump. Due to the increase in electric vehicles, which were recognized only as a means of transportation, technologies for using electric vehicles are developing. Accordingly, existing gas stations do not only supply traditional chemical fuels, but electricity, and super stations that also produce electricity have appeared. Super Station is a new concept power plant that can produce and store electricity using solar power, ESS, V2G, and P2G. To take advantage of this, research on an urban microgrid that forms an independent system by tying a large building and several buildings together and supplies power through a super station around the microgrid is in full swing.

Experimental Study of Strength Degradation according to Fixed Knot Method and Outdoor Exposure Environment of Auxiliary Rope for High Altitude Work (추락 방지용 보조로프의 고정 매듭법과 옥외 노출 환경에 따른 강도저하 평가에 관한 연구)

  • Sang Min Song;Tae Sun Kim;Keon Yeob Kim;Song Mi Kim;Oh Heon Kwon;Woo Rim Park
    • Journal of the Korean Society of Safety
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    • v.38 no.3
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    • pp.10-19
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    • 2023
  • Fall accidents account for the highest accident fatality rate in the construction industry. In addition, wearing and using a safety belt is the most realistic and important preventive measure to reduce fall accidents. Safety belts are protective devices worn by individual workers; they prevent workers from falling and allow for time to rescue the workers. However, the legal standards for safety belts only stipulate the materials, specifications, and strength of parts; there is no provision for an auxiliary rope fixing method to fix the safety belts safely. Due to this reason, workers in industrial sites arbitrarily fix and use the auxiliary rope. Currently, the most used method to fix the auxiliary rope is to tie a knot, which significantly lowers the strength of the material compared to the standard strength. Moreover, many construction sites are located outdoors, so the strength of the materials used in the auxiliary rope is inevitably reduced due to various external environmental conditions. Therefore, to solve this problem, this study was conducted to evaluate the strength of the material of the auxiliary rope for fixing the safety belt and the knot-tying method for the auxiliary rope. In this study, the exposure conditions for the effects of temperature and moisture were set to reflect the characteristics of the construction industry. The results of this study are expected to be used for standards establishment and the safe use of the auxiliary rope for safety belts in actual field applications.

Analysis of the Manufacturing Techniques for the KwangDahoe Tying on the Sword in Joseon Dynasty (조선시대 도검 패용 광다회의 제작기법 분석)

  • Baek, Je-Sun;Chung, Kwang-Young
    • Korean Journal of Heritage: History & Science
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    • v.50 no.3
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    • pp.64-87
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    • 2017
  • Dahoe is a traditional braid in Joseon Dynasty. There are many Dahoe artifacts, which can give us a glimpse of the costume, culture, and life of that era. The study of Dahoe is necessary in various fields, but it is difficult because this manufacturing technique has been passed down from hand to hand. Few studies have been done so far. This research examines the manufacturing technique of KwangDahoe which is passed down by Maedeupjang (Decorative Knotting) and is generally used for knotting and/or tying objects. The main characteristic of TieKwangDahoe, made through the same method as WonDahoe, is the square hole in the middle. It was impossibile to remake the original braid because there is no confirmed number of the strand. Especially it is very difficult to do conservation and restoration on serious degradation state of the fiber. Therefore, it is necessary to analyze the non-destructive manufacturing techniques method for Dahoe and assess their applicability. First, we analyzed the artifacts' manufacturing technique based on the database of the Dahoe's manufacturing technique. In order to do that, we undertook schematization, restoration, morphological analyzation of the Dahoe. And then, X-ray CT scans were performed to improve the reliability of the DB. These results of scanning were interpreted based on the manufacturing technique. The selected Tie-KwangDahoe on the sword for the study are artifacts including artistic value and symbolism in Joseon Dynasty. Based on the analysis of the manufacturing technique, we found that both artifacts were made of 20-strand braid of single cross according to the length-scale measure. It was manufactured using 8-strand on left-right side, 12-strand on front-back side by the braiding manufacturing technique method Finally, this research suggests non-destructive analysis method of Dahoe's manufacturing technique is based on the database and the analysis results. I hope this research can be useful in various professional fields of Dahoe in the future. Moreover, I hope this can be of any help in preserving Korean cultural heritage.

An Analysis of the Living Arrangement of Australians for Cross-Cultural Study with Korean Immigrants in Melbourne, Australia (호주인과 호주 교민의 주거문화 비교를 위한 기초 연구(II) - 호주인의 주공간 및 주생활 분석을 중심으로 -)

  • Lee, Young-Shim;Lee, Sang-Hae
    • Journal of the Korean Home Economics Association
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    • v.43 no.9 s.211
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    • pp.143-162
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    • 2005
  • Many ethnic groups have different cultural backgrounds and each culture has developed with its own traditions. The interaction between different cultures is getting more active through acculturation and cultural contact. The purpose of this study was to provide basic data about the domestic living of Australians in order to compare with Korean immigrants in the form of a Cross-Cultural study. For this, usage of domestic space and seating style of 53 Australian households in Melbourne were analyzed. Ethnographic research with questionnaire was used. The results of the research were as follows. 1. The open plan type combining the kitchen, dining and tying areas was the most popular one for Australians and they are very satisfied with that type. 2. The laundry room has been planned traditionally and Australians demand to be able to dry their laundry and do ironing in there additionally. Most of Australians were satisfied with separated toilet and bathroom. h drain hole on the floor of the bathroom was not essential for most Australians. 3. Australians were doing various activities in the living areas and they also enjoy gelling together in the kitchen and dining areas. 4. The seating style of Australians was generally the chair-seating style. However, they sometimes made a bed for guests on the floor and watched TV and treated guests with both chair seating style and floor seating style. 5. Australians were satisfied with using carpet presumably for its warmth.6. Many Australians took off their shoes inside of the house for hygienic reason. Most people organized the shoes in the cabinet of the bedroom. 7. The most popular heating system was ducted heating for Australians and they were very satisfied with it because it was suitable for the weather in Melbourne. 8. The living room was the most important one for Australian families and they thought that it should be decorated well for entertaining guests. It was also considered that brightness of the light was enough for most Australians.

Analysis of Power Requirement of Agricultural Tractor during Baler Operation (베일러 작업 시 트랙터 소요동력 분석)

  • Kim, Yong-Joo;Lee, Dae-Hyun;Chung, Sun-Ok;Park, Seung-Jae;Choi, Chang-Hyun
    • Journal of Biosystems Engineering
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    • v.36 no.4
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    • pp.243-251
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    • 2011
  • Purpose of this study was to analyze power requirement of an agricultural tractor for baler operation. First, a power measurement system was developed and installed in a 75 kW agricultural tractor. Strain-gages with a telemetry system were used to measure torques of transmission and PTO input shafts. An engine tachometer was used to measure rotational speed of transmission and PTO input shafts. The measurement system also included pressure sensors to measure pressure of hydraulic pumps, an I/O interface to acquire the sensor signals, and an embedded system to determine power requirements. Second, field experiments were conducted at two PTO speed levels, and proportion of utilization ratio of rated engine power and power consumption of major parts (transmission input shaft, PTO input shaft, main hydraulic pump, and auxiliary hydraulic pump) were analyzed. Results of usage proportion of engine power for PTO speed level 1 and 2 were 4.1 and 2.2%, 31.5 and 16.3%, 49.6 and 59.7%, 14.4 and 20.8%, and 0.4 and 1.0%, respectively, for ratio of measured engine power to rated engine power of less than 25%, 25 ~ 50%, 50 ~ 75%, 75 ~ 100%, and greater than 100%. The results showed that the usage proportion increased in the range with the ratio of power requirement to rated engine power of over than 50% when the PTO gear was shifted from P1 to P2. Averaged engine power requirement for baling operation, tying and discharging operation, and total operation were 43.3, 37.3, and 42.0 kW and 49.0, 37.0, and 47.4 kW, respectively, for PTO speed level 1 and 2. Paired t-test showed significant difference in power consumption of engine, transmission input shaft, and PTO input shaft for different PTO speed levels. Therefore, the power consumption of engine for baler operation increased when the PTO gear was shifted from P1 to P2. It was indicated that the power requirement of tractor was affected by the PTO rotational speed for baler operation.

The Update of Korean Geoid Model based on Newly Obtained Gravity Data (최신 중력 자료의 획득을 통한 우리나라 지오이드 모델 업데이트)

  • Lee, Ji-Sun;Kwon, Jay-Hyoun;Keum, Young-Min;Moon, Ji-Yeong
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.29 no.1
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    • pp.81-89
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    • 2011
  • The previous land gravity data in Korea showed locally biased irregular distribution. Especially, this problem was more serious in the mountainous area where the data density was significantly low. The same problem appeared in GPS/Levelling data thus the precision of the geoid could not be improved. From 2008, new gravity and GPS/Levelling data has been collected by the unified control point and survey on the benchmark project which were funded by the national geographic information institute. The newly obtained data has much better distribution and precision so that it could be used for update precision of geoid model. In this study, the new precision geoid has been calculated based old and new gravity data and this model showed 5.29cm of precision compared to 927 points of GPS/Levelling data. And the degree of fit and precision of hybrid geoid has been calculated 2.99cm and 3.67cm. The new gravimetric geoid has been updated about 27% over whole country. And it showed 42% of precision update due to collection of new gravity data on the Kangwon/Kyeongsang area which showed quite low distribution. In 2010, about 4,000 points of gravity and 300 points of GPS/Levelling data has been obtained by unified control and survey on benchmark project. We expect that new data will contribute to updating geoid precision and veri tying precision more objectively.