• Journal of Gastric Cancer
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• v.9 no.4
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• pp.269-274
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• 2009

Purpose: There have been reported that preoperative chemotherapy for treating noncurative gastric cancer could increase the R0 resection rate by downstaging the gastric cancer. Yet there have been only rare reports about the effect of preoperative chemotherapy on performing surgery for noncurative gastric cancer. Our study was designed to analyze our experiences with these effects. Materials and Methods: We retrospectively analyzed 46 patients who had undergone gastrectomy after chemotherapy between December 2001 and January 2009. The patients' preoperative condition, the operative findings and the postoperative clinical coursed were analyzed. Results: Preoperative chemotherapy was performed for a mean of 4.4 cycles. Four patients showed a level of ANC below 1,500 (${\mu}/L$) and above a 10 percentile weight loss, respectively. For an operation, we found fibrosis or fixation between the tumor and the adjacent organs in 29 patients, and 4 of the 13 patients who underwent resection with another organ were documented to have invasion by tumor. Forty one patients underwent curative resection. Ten patients developed postoperative complications. There was no mortality at postoperative 60 days. Conclusion: We assumed that preoperative chemotherapy had little effect on the patient preoperatively, and it had some effect on down-staging pathologically. Preoperative chemotherapy didn't increase the postoperative complication rate.

• Journal of Chest Surgery
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• v.37 no.9
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• pp.793-795
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• 2004

Modified Norwood procedure with maintaining cardiac beat was done in a 30-day-old neonate. Procedure was done with regional perfusion of innominate and coronary artery. Postoperative course was uneventful. Second-stage operation (bi-directional cavopulmonary shunt) was done 4 months later. The diameter of ascending aorta was more than 5 mm, Norwood procedure can be done in beating hearts.

• The Journal of Korean Academy of Prosthodontics
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• v.36 no.5
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• pp.748-757
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• 1998

The stability and retention of mandibular complete denture have been a continuing problem for dentists and patients. Magnets have been investigated or used in clinical dentistry as retentive aids. The obvious advantages are that these attachments do not need spacial equipments or require frequent adjustment of replacement with use, and they likely transmit less lateral forces to the abutment. This articles discusses the scientific background and clinical application of high potency magnetic alloys in overdenture

• Proceedings of the Korean Information Science Society Conference
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• 2004.04a
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• pp.913-915
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• 2004

시술 중 제공되는 2D영상은 실시간으로 환자와 시술도구의 상태정보를 제공해주지만 환부의 입체적ㆍ해부학적 파악이 어렵다. 따라서 긴 촬영시간으로 시술 전 획득되는 3D영상과 시술 중 얻어지는 2D영상간 정합영상은 영상 유도술에 있어서 유용한 정보를 제공한다. 이를 위해 본 논문에서는 볼륨영상으로부터 혈관모델을 추출하고 이를 평면으로 투영하였다. 두 2D영상에서 정차대상이 되는 혈관골격을 추출한 후 혈관의 분기특성을 고려 한 초기정합을 수행하였다. 크기와 초기 위치를 맞춘 혈관골격을 골격간 거리가 최소가 되도록 반복적으로 혈관을 기하변환시키고 최종 변환된 혈관골격을 시술 중 제공되는 2D영상에 겹쳐 가시화 하였다. 이로써 시술시간 경감과 시술성공률 향상을 유도할 수 있는 시술경로맵을 제시하고자 하였다.

• Proceedings of the Korea Information Processing Society Conference
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• 2016.04a
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• pp.458-460
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• 2016

전 세계적으로 스마트 폰이 보편화되면서 스마트 폰을 잘 활용하기 위한 많은 애플리케이션들이 등장하였다. 특히나 건강관리에 관한 애플리케이션이 많이 나오고 있다. 현대 사회는 자기 몸 상태, 심근경색 등의 허혈성 심질환, 선천성 심질환, 심근증, 심장판막질환 등 심장의 변화, 고도의 스트레스, 카페인, 술, 흡연, 불충분한 수면등 환경의 변화 등이 부정맥을 유발할 수 있는 원인이 많기 때문에 부정맥에 걸리는 사람이 늘어나고 있다. 따라서 부정맥을 예방하기 위해 부정맥을 찾는 애플리케이션이 필요하다. 본 논문에서는 심박을 통한 부정맥을 찾는 방법을 제안하고 구현하였다.

• Journal of Chest Surgery
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• v.38 no.9 s.254
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• pp.633-636
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• 2005

Sixteen-day-old baby with severe Ebstein anomaly underwent emergency operation to relieve progressive hypoxia and congestive heart failure. Operative findings showed huge right atrium and atrialized right ventricle (aRV) with very small functional RV by distal displacemcent of tricuspid valve mechanism. We elected to perform modified Starness operation because biventricular repair was deemed unattainable. After pulmonary and tricuspid valves were primarily closed, aRV was obliterated with multiple sutures from RV apex to the base. Then a PTFE (Gore-Tex, USA) vascular graft was interposed between innominate artery and main pulmonary artery for systemic to pulmonary shunt. The patient was discharged uneventfully, and received bi-directional cavopulmonary shunt 6 months later.

• Journal of Chest Surgery
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• v.32 no.1
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• pp.27-31
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• 1999

Background: In spite of the development of chemotherapy, prognosis of metastatic lung cancer was poor. On the other hand, surgical intervention has proven itself to bring out superior results, therefore more operations are being praticed based on this superiority against chemotherapy and other modalities on metastatic lung cancer. Material and Method : We analyzed the surgical cases performed from 1983 to 1997 on 17 cases and estimated 5 year survival rate using Kaplan-Meier method. Result: Average age was 42.8, ratio between male and female was 10:7. We had 8 single lobe resections,3 pneumonectomies,1 wedge resection,2 bilobectomy and 3 cases of lobar resection with wedge resection. 5 deaths have occured and among the 5, 3 patients were caused by recurrence of ca. The remaining 12 patients are being followed up in OPD basis among these, 3 recurrence were observed and 9 are still free of cancer. The average survival time was 40.5 months and 5 year survival rate obtained through the Kaplan-Meier method was 60.4%. Conclusion: Even though we are a bit short of cases, we recommend that a thoracic surgeon approach this disease through a surgical method as possibly as he could.

• Journal of Appropriate Technology
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• v.5 no.2
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• pp.97-105
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• 2019

Most of the BoP (Base of the Pyramid) do not have the economic power to eat balanced nutrients. Therefore, the solution is to add essential nutrients to the food you eat. This method can improve nutrition without putting an economic burden on the BoP classes. The aim of the paper is to apply the strategic management process for analysing BoP solutions in nutrition improvement sector. This allows identification of critical aspects in developing BoP solutions. This includes reaching sustainability related objectives. Two cases (Ajinomoto, Grameen Danone) covering both products and services have been researched, allowing a contribution towards the applicability of strategic management in respective situations. In this study, we analyzed the case through the "Appropriate Technology 2.0" framework of Polak and Warwick (2014). In addition, we introduced the strategy of BoP business. Based on the results of this analysis, we analyzed the success factors of appropriate technology business in the emerging markets through the 4A model.

• Proceedings of the KSAR Conference
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• 2001.03a
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• pp.10-10
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• 2001

본 연구는 정자의 기능검사와 체외수정을 실시하여 수정능력과 수태율의 예측을 위한 이들간의 상관관계를 알아보기 위하여 AI 중인 8두의 종모돈을 가지고 시도되었다. 정자의 기능검사로서 첨체상태는 spermac stain을 이용하여 관찰하였고 정자원형질막의 온전성(integrity) 검사로는 hypo-osmotic test(HOST)를 실시하였다. 그리고 정자의 첨체효소인 acrosin activity를 측정하였다. 체외수정율은 체외성숙 난포란과 실시하였다. 8마리 종모돈의 첨체형태의 정상비율은 처리전 64.7-81.9%, 처리후 21.8~48.1%로 개체간의 유의성이 있었다. Acrosin activity는 처리전 3.70-4.57 mIU/$10^{6}$ 정자, 처리후 3.23~5.53 mIU/$10^{6}$ 정자였으며 처리전 개체에서만 유의성이 있었다. HOST는 처리전 26.5~54.5%, 처리후 20.2~50.0%로서 처리전후간의 차이는 없었지만 개체간의 유의차는 있었다. 체외수정율의 범위는 61.6~8l% 였고 6일 후 배발달율(배반포율)은 11~22%로 개체간의 유의성이 있었다. Spearman ranking correlation에서 체외수정율은 첨체상태검사와는 0.45, HOST와는 0.43로서 유의성이 인정되지 않았다. 또한 수태율은 첨체상태검사와 0.89, acrosin activity와 0.86, HOST와 0.86, 체외수정과 0.51로서 유의적으로 높은 상관관계를 나타내었다. 본 결과에서 종모돈의 기능검사와 체외수정결과로 개체간의 수정능력의 차이를 알 수 있었으나 수정란의 발달율이나 수태율을 예측할 수 있을 만큼의 상관성은 얻지 못했다. 정자검사에 있어서 일반성상 검사외에 정자기능 검사의 추가 실시가 종모돈 정자의 정확한 수정능력을 예측하는데 필요할 것이다.llus kawachii등으로 담금하여 제조한 술 시료 11종류를 대상으로 하여 쓴맛, 미묘한 맛, 떫은 맛, 신맛, 좋은 맛의 정도를 5단계로 나누어 관능검사를 실시한 다음 자료를 Duncan's multiple range test로 분석한 결과 전체적으로 좋은 맛에 대한 기호도는 Aspergillus sp. SH-607 시료와 Aspergillus sp. SH-412, Rhizopus sp. SH-606, Aspergillus sp. SH-613, Rhizopus sp. SH-654, Aspergillus sp. SH-696 Aspergillus kawachii 시료가 유의성 있게 좋은 맛을 나타내 기호도가 높았으며 맛과 기호도가 가장 좋았던 것은 Aspergillus sp. SH-607 시료로 나타났다.\varepsilon}}$는 268.20 $m^2$/day, $T_{ηη}$는 28.75 $m^2$/day이고 주 텐서방향은 N7.55$^{\circ}$E이며 BH-5호공에서의 $T_{{\varepsilon}{\varepsilon}}$는 168.40 $m^2$/day, $T_{ηη}$는 66.80 $m^2$/day이고 주 텐서방향은 N76.59$^{\circ}$E로 나타났다. 이처럼 연구지역에서의 각각의 공에 대한 투수량계수텐서는 서로 다르게 나타났으며 이에 따른 주 텐서방향도 서로 다름을 알 수 있다.. Targeting a 10% recycling rate for municipal waste in 2001. EPA plans to research and develop new recycling techniques, expand t

• Journal of Chest Surgery
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• v.31 no.2
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• pp.118-124
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• 1998

Minimally invasive coronary artery bypass grafting without using cardiopulmonary bypass (CPB) is a recently accepted modality of myocardial revascularization prcedures which is particularly suitable to the patients with lesions in the left anterior descending(LAD) and the right coronary arteries. Of the consecutive 35 patients of coronary artery bypass grafting performed at Sejong General Hospital from March to August 1996, six patients underwent minimally invasive coronary artery bypass grafting without CPB. All had stenotic lesions of the LAD more than 90%. Bypass grafting of the LAD was approached through midline sternotomy in one, through ministernotomy in two, and through limited left anterior thoracotomy in three patients, respectively. The internal mammary arteries were prepared without the use of thoracoscope. The mobilized mammary arteries were connected directly to the LAD in 5 patients, and the anastomosis required interposition of a segment of the radial artery in the remaining one. The diagonal branch was revascularized with the saphenous vein graft at the same time in one patient. No blood transfusion was necessary in 2 patients, and average blood required during surgery was 800ml in 4 patients. All patients were extubated from 4 to 14 hours(mean 9 hours) after operation. Early postoperative coronary angiography in 5 patients between 7 and 10 days after surgery has proved full patency of the grafts. With these limited clinical experiences, the clinical results demonstrated that minimally invasive coronary artery bypass grafting without CPB is an useful procedure especially in patients with isolated lesion in the proximal LAD.