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Abdominal Pain Due to Hem-o-lok Clip Migration after Laparoscopic Cholecystectomy (복강경 담낭절제술 후 헤모락 클립의 이동으로 발생한 복통 1예)

  • Rou, Woo Sun;Joo, Jong Seok;Kang, Sun Hyung;Moon, Hee Seok;Kim, Seok Hyun;Sung, Jae Kyu;Lee, Byung Seok;Lee, Eaum Seok
    • The Korean Journal of Gastroenterology
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    • v.72 no.6
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    • pp.313-317
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    • 2018
  • During laparoscopic cholecystectomy, a surgical clip is used to control the cystic duct and cystic artery. In the past, metallic clips were usually used, but over recent years, interest in the use of Hem-o-lok clips has increased. Surgical clip migration into the common bile duct (CBD) after laparoscopic cholecystectomy has rarely been reported and the majority of reported cases involved metallic clips. In this report, we describe the case of a 53-year-old woman who presented with abdominal pain caused by migration of a Hem-o-lok clip into the CBD. The patient had undergone laparoscopic cholecystectomy 10 months previously. Abdominal CT revealed an indistinct, minute, radiation-impermeable object in the distal CBD. The object was successfully removed by sphincterotomy via ERCP using a stone basket and was identified as a Hem-o-lok clip.

Development of Static Seal for a Liquid Rocket Engine (액체 로켓 엔진 스태틱 실 개발)

  • Jeon, Seong Min;Yoon, Suk-Hwan;Chung, Taegeum
    • Journal of Aerospace System Engineering
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    • v.16 no.4
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    • pp.53-59
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    • 2022
  • Static seals are used to seal high temperature gas and cryogenic fluid under high pressure, at interfaces between liquid rocket engine components such as combustion chamber, turbopump, gas generator, valves, etc. As thermal expansion and contraction at assembly interfaces cause undesirable leakage under cryogenic and high temperature environments, static seals applied for sealing of joint interfaces without relative motion should be designed properly. The additional function of rotation at the sealing face is also required for static seals, when the spherical flange is used for improvement of assembly at misalignment interfaces. In this study, structural analysis and leak tightness test of simulating test rig for several important interfaces are performed, to verify structural integrity of static seals.

A Case of Recurred Pseudomyxoma Peritonei Identified by Serially Elevated Serum CEA Levels after Cytoreductive Surgery and Intraperitoneal Chemotherapy (수술과 항암치료 후 종양표지자 검사의 상승으로 복막 가성점액종의 재발을 확인한 1례)

  • In Sub Han;Geun Am Song;Kwang Ha Kim;Bong Eun Lee;Dong Hoon Baek;Seong Jun Lee;Moon Won Lee;Sung Yong Han
    • Journal of Digestive Cancer Research
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    • v.4 no.1
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    • pp.32-35
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    • 2016
  • Pseudomyxoma peritonei (PMP) is a rare clinical syndrome characterized by profuse jelatinous materials in the abdominal cavity and pelvis with mucinous implants on the peritoneal surface. There are some studies for serum tumor markers, including carcinoembryonic antigen (CEA), carbohydrate antigen 19-9 (CA19-9) and carbohydrate antigen 125 (CA125), to assess the risk of recurrence following cytoreductive surgery and intraperitoneal chemotherapy. However, rare cases were reported about recurrence with increasing serum CEA levels. Herein, we report a case of recurrence of PMP according to serially elevated serum CEA.

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Calculation and Uncertainty Estimation of the Volume of Reverberation Chamber with Indeterminate Form (부정형 잔향실의 체적 산출과 체적 불착도 평가)

  • Suh, Jae-Gap;Suh, Sang-Joon
    • The Journal of the Acoustical Society of Korea
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    • v.26 no.8
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    • pp.375-380
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    • 2007
  • A reverberation chamber should be designed and constructed so as to satisfy its purposes and available space. However, it is somewhat difficult to meet the intended design requirements due to various errors from construction process. So, the post-construction measurement of its volume and surface areas is very essential to check the actual volume and volume uncertainty of a reverberation chamber These values should be carefully calculated and accurately estimated since they are used not only to evaluate the acoustic characteristics of building materials but also to calculate uncertainties for other acoustic characteristics. In this work, the method for the calculation and uncertainty estimation of the volume of a reverberation chamber is presented. To this end, the coordinates of all corners was measured with Total Station after construction. The results showed that the calculated volume of the measured reverberation chamber differs by 5 % from the design specification. The expanded volume uncertainty was also estimated to be about 2 % of the total calculated volume.

Need Assessment for Enlargement of Oriental Medical Care Service Room in Rural Community Health Center (농촌지역 보건소 한방진료실 확대설치 요구도 및 관련요인 - 일개 군 보건소 한방진료실 내소자를 대상으로 -)

  • Kim, Dae-Feel;Song, Mi-Sook;Song, Hyun-Jong
    • Journal of agricultural medicine and community health
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    • v.28 no.1
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    • pp.39-51
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    • 2003
  • Objectives: The oriental medical care has been getting popular in community health centers because of uniqueness, changing of disease patterns, and increasing of elderly population. From 1998, oriental medical doctors has been working in several rural community health centers for their military obligations. At this point of time, it is necessary to evaluate the oriental public health doctors system. This study was performed to investigate the utilization patterns, the degree of satisfactions, needs of oriental medical care service provided by community health center in a designated Gun area. This study focused on the need for extending over Myun area of community health center's oriental medical care services. Methods: Person-to-person interview survey method through a structured questionnaire was done by a personnel at a oriental medical care service room in a Gun community health center. The major statistical method used for the analysis were the t-test, ANOVA, and logistic analysis. Results: The total number of responded subjects in this study was 163 residents. Among these 65.0% were aged 61 or over, and only 13.5% recognized themselves were healthy. 73.7% of the respondents demanded establishment of more oriental medical care services provided by community health center to other Myun area. Factors affecting the need for enlargement of oriental medical care service room were education level, subjective awareness of access to community health center, and cost satisfaction of oriental medical service provided by community health center. Thus, a resident who had graduation of middle school achievement or above(OR=3.35), had a long way to center(OR=2.47), satisfied with oriental medical service cost(OR=2.78) had demonstrated increased chance of need by logistic regression analysis.

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도서관탐방 - 법률문화 발전에 기여하는 법원도서관의 부산고등법원도서실을 다녀와서

  • Park, Gyeong-A
    • KLA journal
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    • v.45 no.4 s.347
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    • pp.30-31
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    • 2004
  • 법원도서관은 재판사무를 지원하기 위하여 도서, 기타 도서관 자료 및 사법자료를 수집ㆍ정리ㆍ보존ㆍ편찬ㆍ발간하며, 도서관자료 및 사법자료에 관한 정보제공과 도서관 봉사의 역할을 수행하고 있는 전문도서관으로, 서울에 있는 법원도서관을 중심으로 각 지방법원, 사법연수원도서실 등 전국적으로 24개의 도서실에 총 22만권의 도서(이 중 19만권이 법률도서)를 소장하고 있다.

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교실, 강의실, 세미나실 및 연수원 전용 음향 시스템 개발

  • 김남택
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2002.11a
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    • pp.389-392
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    • 2002
  • 본 시스템은 각종 교육시설(각급학교, 세미나실, 연수원 및 문화센타등)에서의 음향확성 및 영상지원을 통한 교육내용의 질적향상과 더불어 운영자의 편의성과 효율성에 초점을 맞춰 당사의 연구소에서 개발한 전용 A/V 시스템으로서 실용신안 및 특허출원된 세계최초의 ORATOR SOUND SYSTEM입니다.

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샤워실의 바보

  • Korea Boiler Engineering Association
    • 보일러설비
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    • no.2 s.145
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    • pp.153-155
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    • 2006
  • 샤워실에 갑자기 물을 틀었더니 찬물이 나온다. 그렇다고 해서 수도꼭지를 더운 물 쪽으로 확 돌리면 이번엔 너무 뜨거운 물이 쏟아진다. 샤워실의 바보는 끝없이 뜨거운 물과 찬물을 번갈아가며 틀어대는 어리석은 사람을 말한다. 이 비유는 경제상황에 따라 이리저리 통화정책을 바꾸는 어리석음을 지적하기 위한것이다. 돈은 풀었다 조였다 하기보다는 경제규모의 확대에 따라 '꾸준히 안정적으로 확대공급' 하는 것이 가장 좋은 경기조절 정책이라고 통화론자 밀튼 프리드먼은 주장했다.

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파단전누설 설계를 위한 실배관 파괴저항시험

  • Seok, Chang-Seong
    • Journal of the KSME
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    • v.51 no.12
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    • pp.37-41
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    • 2011
  • 이 글에서는 원전배관의 안전설계 개념인 양단순간파단(DEGB: Double Ended Guillotine Break) 및 파단전누설(LBB: Leak Before Break)에 대해 설명하고, 파단전누설 설계를 위한 다양한 실배관 파과저항시험 방법 및 실배관 파괴저항시험의 필요성에 대해 소개하고자 한다.

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제조방법에 따른 명주실 현의 특성

  • 김영대;우순옥;정인모
    • Proceedings of the Korean Society of Sericultural Science Conference
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    • 2003.04a
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    • pp.58-58
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    • 2003
  • 전통 국악기인 가야금의 명주실 현의 제조방법을 개선하고자 시험을 수행한 결과는 다음과 같다. 가. 생사의 종류가 명주실 현에 미치는 영향을 구명하기 위하여 시험한 결과 생사종류에 따라서 강력과 신도의 차이가 컸으나 이 생사로 만든 명주실현은 강력과 신도의 차이는 줄어들어 생사종류에 따른 차이는 없었다. (중략)

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