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Leiomyosarcoma of Small Intestine -Two cases report with literatural review- (소장의 원발성 평활근육종 2예)

  • Chung, Yong-Sik;Suh, Bo-Yang;Kwun, Koing-Bo;Lee, Tae-Sook
    • Journal of Yeungnam Medical Science
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    • v.2 no.1
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    • pp.281-286
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    • 1985
  • Small bowel malignancy consists 1~2 % of overall gastrointestinal tract cancer and leiomyosarcomas of small intestine are 10~20% of small bowel malignancy. Small bowel leiomyosarcomas are rare in incidence and have no specific symptoms, signs or definite radiologic findings, so it is not easy to diagnose at early stage of disease. They are found occasionally by unknown origined gastrointestinal bleeding, abdominal pain, intestinal obstruction, perforation and palpable mass, and diagnosed mostly by operation. Recently annual case reports are increasing trend in Korea. We experienced two cases of small bowel leiomyosarcoma which was diagnosed finally by pathologic findings, so we report them With literatural review.

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Prediction of Blast Vibration in Quarry Using Machine Learning Models (머신러닝 모델을 이용한 석산 개발 발파진동 예측)

  • Jung, Dahee;Choi, Yosoon
    • Tunnel and Underground Space
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    • v.31 no.6
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    • pp.508-519
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    • 2021
  • In this study, a model was developed to predict the peak particle velocity (PPV) that affects people and the surrounding environment during blasting. Four machine learning models using the k-nearest neighbors (kNN), classification and regression tree (CART), support vector regression (SVR), and particle swarm optimization (PSO)-SVR algorithms were developed and compared with each other to predict the PPV. Mt. Yogmang located in Changwon-si, Gyeongsangnam-do was selected as a study area, and 1048 blasting data were acquired to train the machine learning models. The blasting data consisted of hole length, burden, spacing, maximum charge per delay, powder factor, number of holes, ratio of emulsion, monitoring distance and PPV. To evaluate the performance of the trained models, the mean absolute error (MAE), mean square error (MSE), and root mean square error (RMSE) were used. The PSO-SVR model showed superior performance with MAE, MSE and RMSE of 0.0348, 0.0021 and 0.0458, respectively. Finally, a method was proposed to predict the degree of influence on the surrounding environment using the developed machine learning models.

Ischemic Enterocolitis in Children (소아에서 발생한 허혈성 소장결장염)

  • Lee, Byung-Ky;Park, Jae-Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.10 no.2
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    • pp.138-146
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    • 2007
  • Purpose: Ischemic enterocolitis (IEC) is the total or partial infarction of the intestine in the absence of occlusion of a major mesenteric blood vessel. The purpose of this study was to evaluate the clinical features of IEC in children. Methods: A clinical analysis of 6 patients with IEC who were admitted to the Department of Pediatrics at Pusan National University Hospital, between 1996 and 2005 was conducted retrospectively. Patients were diagnosed with IEC based on clinical characteristics, including radiologic, endoscopic, histopathologic, and intraoperative findings. Results: Four boys and 2 girls between the age of 6 weeks and 6 years were included in this study. Most of the patients were born at term and had a birth weight that was appropriate for their gestational age. The major symptoms of IEC observed included hematochezia or hematemesis (5 cases), vomiting, diarrhea, abdominal pain or irritability (4 cases), as well as abdominal distension and fever (3 cases). IEC occurred in thecolon in 5 cases (2 descending colon, 1 descending and sigmoid colon, 1 sigmoid colon, 1 whole colon) and the duodenal bulb and gastric antrum in 1 case each. The type of the lesions observed includedulcera, which were found in 3 cases, perforation, which was pbserved in 2 cases, necrotic patches, which were observed in 2 cases, stricture, which was observedin 1 cases, and massive membranous desquamation of the epithelium, which was observed in 1 case. Two of the patients received surgical treatment and the remaining four were treated conservatively. None of the patients died. Conclusion: The presentation of IEC varies, and the findings of this study will be helpful in managing patients with IEC.

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A Case Study on the Boring-Hole Blasting for Offering of the Ground Vibration Source (지진동 Source 제공을 위한 심부 시추공발파 기술사례)

  • 조영곤;김희도;조준호
    • Tunnel and Underground Space
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    • v.13 no.3
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    • pp.187-195
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    • 2003
  • This case study which is to make 2-Dimension earth's crust structures clearly is about the great boring-hole blasting to provide ground vibration source of the reflected wave research on the Korean Peninsula earth's crust structures research. For this study we've done blasting twice-500 ㎏/charge per delay, 1,000 ㎏/charge per delay, and the specifications of blasting are the following - dia.: 300 ㎜, boring-depth : 100m, besides, we used the explosives and electric detonators which have sufficient detonating velocity and very excellent safety, capacity of detonating, accurate delay time. We charged explosives into steel pipe with bulk type to avoid dead pressure by ground water. And then we tested about pipe airtight and blasting to certificate which has no problem by using on this study. In the results, we succeeded each blasting in Seosan, Youngdong. For the Peak Sum Vector(PSV) around the blasting at the main points, its real measured PSV is higher 180 % than estimated PSV with USBM. In this study we can't to be analysis of vibration velocity, but to be key providing vibration source.

Low Noise Breaker (저소음 브레이커 개발)

  • 김정태;전오성;윤병옥;이영화
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 1995.04a
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    • pp.213-216
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    • 1995
  • 공사장의 건설기계 소음은 저주파 에너지를 많이 가지고 있기 때문에, 일단 소음이 발생되면 그 전파가 멀리까지 감쇄없이 진행하는 물리적 특징을 가지고 있으며 현실적으로 흡음재처리를 통한 소음방지효과는 저조한 실정이다. 특히, 선진국에서는 건설기계 등의 엄격한 소음 인증제도 실시로 인해 국내 일부 건설장비 생산제품이 외국에서 요구하는 소음규제치를 초과하기 때문에 저소음, 저진동 건설기계 설계 기술의 발전이 없으면, 향후 수출여건이 점차 어려워지고 있다. 이와같은 주변여건의 변화로 인해 건설기계를 생산하는 입체에서는 공사장 소음과 같은 저주파 에너지에 의해 지배 받는 소음문제를 효과적으로 저감시키기 위한 건설기계의 저소음, 저진동 설계의 필요성을 심각하게 인식하고 있는 실정이다. 건설기계중, 소음이 문제시되는 기계로는 지반정지공사, 기초공사, 콘크리트공사, 포장공사, 파괴 및 해체공사와 기타등 6가지가 있다. 이중에서 환경연구원의 연구결과에 따르면, 항타기, 브레이커 및 착암기가 높은 소음도를 나타내고 있다. 가장 높은 소음을 배출하고 있는 항타기는 기초 공사에 쓰이는 것으로써 지반 천공후 H빔을 싣는 디젤 항타기의 경우, 소음도가 107dBA를 보여주고 있다. 이 값은 기계로부터 7m 떨어진 거리에서 측정된 값이다. 또, 파괴 및 해제공사에 쓰이는 브레이커는 98dBA의 소음도를 보여주고 있다. 착암기는 작용원리에 따라 91-96dBA의 소음을 배출하고 있다. 본 연구에서는 건설기계중 소음이 높아 문제시 되고 있는 유압 브레이커의 저소음 설계기술개발에 관한 내용이다. 저소음 브레이커의 개발을 위해 소음에너지의 전달경로를 검토하고, 현실성있는 소음방지 대책을 제시하였다. 연구결과, 브레이커의 설계개량을 통해, 10dB의 소음저감효과를 볼 수 있어 만족스러운 결과를 도출할 수 있었다.타를 처리하기에는 부적절한 방법임이 널리 알려진 사실이다[3]. 최근에 Ben Mrad와 Fassois[4]는 신호에 잡음이 존재하여도 이를 잘 처리할 수 있는 확률적(stochastic) 방법을 개발하여 기존의 결정적 방법들과 그 결과를 비교하였다. 그러나, 개발된 방법은 응답 신호에 백색잡음(white noise)이 섞이는 특수한 경우에만 사용할 수 있게 만들어져서 이 방법의 실질적인 적용에는 어려움이 있다. 본 연구에서는 기존의 방법들의 단점을 극복할 수 있는 새로운 회귀적 모우드 변수 규명 방법을 개발하였다. 이는 Fassois와 Lee가 ARMAX모델의 계수를 효율적으로 추정하기 위하여 개발한 뱉치방법인 Suboptimum Maximum Likelihood 방법[5]를 기초로 하여 개발하였다. 개발된 방법의 장점은 응답 신호에 유색잡음이 존재하여도 모우드 변수들을 항상 정확하게 구할 수 있으며, 또한 알고리즘의 안정성이 보장된 것이다.. 여기서는 실험실 수준의 평 판모델을 제작하고 실제 현장에서 이루어질 수 있는 진동제어 구조물에 대 한 동적실험 및 FRS를 수행하는 과정과 동일하게 따름으로써 실제 발생할 수 있는 오차나 error를 실험실내의 차원에서 파악하여 진동원을 있는 구조 물에 대한 진동제어기술을 보유하고자 한다. 이용한 해마의 부피측정은 해마경화증 환자의 진단에 있어 육안적인 MR 진단이 어려운 제한된 경우에만 실제적 도움을 줄 수 있는 보조적인 방법으로 생각된다.ofile whereas relaxivity at high field is not affected by τS. On the other hand, the change in τV does not affect low field profile but strongly in fluences on both inflection

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Estimating the Area of Damage Caused by Gas Pipeline Leakage in Subway Construction Zones (지하철역 공사지역 도시가스 배관 누출로 인한 피해면적 산정)

  • Yang, Yong-Ho;Lee, Jae-Wook;Kong, Ha-Sung
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.2
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    • pp.419-427
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    • 2024
  • This study assessed the potential impact of gas leakage resulting from accidental damage to buried urban gas pipelines during perforating operation near subway construction sites. The risk of explosions due to ignition sources such as static electricity, arising from gas infiltrating the subway construction site through storm sewers and sewage pipes, was evaluated using the ALOHA program. The results of the threat zone calculation, which input various parameters of urban gas pipelines such as length, diameter, and pressure, indicated that the flammable area within the vapor cloud extended from 1.2 to 1.4 km (red zone), the blast area ranged from 0.8 to 1.0 km (yellow zone), and the jet fire extended from 45 to 61 m (red zone). This study demonstrates that within the flammable area of the vapor cloud, a specific combination of concentration and conditions can increase flammability. The blast area may experience explosions with a pressure of 1.0 psi, sufficient to break glass windows. In the event of a jet fire, high temperatures and intense radiant heat exposure lead to rapid fire propagation in densely populated areas, posing a high risk of casualties. The findings are presented in terms of the sphere of influence and threat zone ranges.

Ascariasis Presenting as Hematoma in the Sigmoid Mesocolon: A Case Report (구불창자간막 혈종으로 발현한 회충증: 증례 보고)

  • Ji-Eun Kim;Kyung Eun Bae;Hyun-Jung Kim;Byung-Noe Bae;Ji Hae Lee;Mi-Jin Kang;Ji-Young Kim;Jae Hyung Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.1013-1018
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    • 2020
  • Ascariasis is an intestinal disease caused by Ascaris lumbricoides. Most patients with ascariasis are asymptomatic; however, the presence of many larvae in the bowel can cause gastrointestinal complications, such as intestinal obstruction, obstructive jaundice, cholangitis, cholecystitis, and pancreatitis. Herein, we report a case of ascariasis presenting as hematoma and active bleeding in the sigmoid mesocolon of a 74-year-old man on computed tomography (CT). Sigmoid colon perforation was also detected on follow-up CT. Laparoscopic low anterior resection was performed; there was a large hematoma in the sigmoid mesocolon. Roundworms were microscopically identified in the mesenteric adipose tissue. The clinical and CT findings of this unusual presentation of ascariasis revealed serial complications during parasite migration from the intestinal lumen to the peritoneal cavity.

Clinical Features of Symptomatic Meckel's Diverticulum (증후성 멕켈 게실의 임상적 고찰)

  • Lee, Young Ah;Seo, Ji Hyun;Youn, Hee Sang;Lee, Gyeong Hun;Kim, Jae Young;Choi, Gwang Hae;Choi, Byung Ho;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.9 no.2
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    • pp.193-199
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    • 2006
  • Purpose: The proper diagnosis of Meckel's diverticulum (MD) is difficult and delayed because of the variety of clinical manifestations. We reviewed clinical characteristics of symptomatic MD to facilitate early detection. Methods: We analyzed retrospectively the clinical manifestations, diagnostic tools, histopathological findings, and operative findings in 58 patients with symptomatic MD. Results: The male to female ratio was 2.8 : 1. The most common symptom of MD was bleeding. Others symptoms included: vomiting, abdominal pain, irritability, abdominal distension and fever in the order of frequency. The clinical manifestations of symptomatic MD were lower gastrointestinal bleeding, intestinal obstruction, perforation, diverticulitis and hemoperitoneum, in the order of frequency. The causes of intestinal obstruction were intussusception, internal hernia, band, volvulus, invagination, in the order of frequency. Seventy five percent of patient with MD were diagnosed prior to 5 years of age. The most frequently used diagnostic tool was the Meckel's scan. The diverticulum was located 2 cm to 120 cm proximal to the ileocecal valve. The length of the diverticulum ranged from 1 cm to 10 cm and 94% were less than 5 cm. The most common ectopic tissue found in the MD was gastric mucosa. Ileal resection was more frequently performed than diverticulectomy. Conclusion: In cases of unexplained gastrointestinal bleeding, obstruction and repeated intussusception, the meckel's scan, ultrasound and computed tomography shoud be considered to rule out MD, and if clinically necessary, an exploratory laparotomy when needed.

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Jangdo(Small Ornamental Knives) manufacturing process and restoration research using Odong Inlay application (오동상감(烏銅象嵌)기법을 활용한 장도(粧刀)의 제작기술 및 복원연구)

  • Yun, Yong Hyun;Cho, Nam Chul;Jeong, Yeong Sang;Jang, Chu Nam
    • Korean Journal of Heritage: History & Science
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    • v.49 no.2
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    • pp.172-189
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    • 2016
  • In this research, literature research on the Odong material, mixture ratio, casting method and casting facility was conducted on contemporary documents, such as Cheongong Geamul. Also, a long sword was produced using the Odong inlay technique. The sword reproduction steps were as follows; Odong alloying, silver soldering alloying, Odong plate and Silver plate production, hilt and sheath production, metal frame and decorative elements, such as a Dugup (metal frame), production, Odong inlay assembly and final assembly. For the Odong alloy production, the mixture ratio of the true Odong, which has copper and gold ratio of 20:1, was used. This is traditional ratio for high quality product according to $17^{th}$ century metallurgy instruction manual. The silver soldering alloy was produced with silver and brass(Cu 7 : Zn 3) ratio of 5:1 for inlay purpose and 5:2 ratio for simple welding purpose. The true Odong alloy laminated with silver plate was used to produce hilt and sheath. The alloy went through annealing and forging steps to make it into 0.6 mm thick plate and its backing layer, which is a silver plate, had the matching thickness. After the two plates were adhered, the laminated plate went through annealing, forging, engraving, silver inlaying, shaping, silver welding, finishing and polishing steps. During the Odong colouring process, its red surface turns black by induced corrosion and different hues can be achieved depending on its quality. To accomplish the silver inlay Odong techniques, a Hanji saturated with thirty day old urine is wrapped around a hilt and sheath material, then it is left at warm room temperature for two to three hours. The Odong's surface will turn black when silver inlay remains unchanged. Various scientific analysis were conducted to study composition of recreated Odong panel, silver soldering, silver plate and the colouring agent on Odong's surface. The recreated Odong had average out at Cu 95.57 wt% Au 4.16wt% and Cu 98.04 wt% Au 1.95wt%, when documented ratio in the old record is Cu 95wt% and Au 5wt%. The recreated Odong was prone to surface breakage during manufacturing process unlike material made with composition ratio written in the old record. On the silver plate of the silver and Odong laminate, 100wt% Ag was detected and between the two layers Cu, Ag and Au were detected. This proves that the adhesion between the two layers was successfully achieved. The silver soldering had varied composition of Ag depending on the location. This shows uneven composition of the silver welding. A large quantities of S, that was not initially present, was detected on the surface of the black Odong. This indicates that presence of S has influence on Odong colour. Additional study on the chromaticity, additional chemical compounds and its restoration are needed for the further understanding of the origin of Odong colour. The result of Odong alloy testing and recreation, Odong silver inlay long sword production, scientific analysis of the Odong black colouring agent will form an important foundation of knowledge for conservation of Odong artifact.

Clinical Significance of Repeated Delayed Air Reduction in Unsuccessful Initial Reduction of Intussusception (초기 정복에 실패한 장중첩증 환자에서 반복 지연 정복술의 임상적 의의)

  • Shin, Song-Heui;Rho, Young-Il;Park, Young-Bong;Moon, Kyung-Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.2
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    • pp.175-180
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    • 2001
  • Purpose: The advantages of air reduction are the ease of performing the procedure, reduced radiation time and lower morbidity rate if perforation occurs. But, patients who fail air reduction undergo a laparotomy at which 10% have spontaneously reduced. The first enema decreases the edema and venous congestion of bowel wall, thus repeated reduction may succeed. The aim of this study is to evaluate the efficacy of delayed repeated pneumatic reduction of intussusception in patients with failure of an initial attempt. Methods: Between January 1998 and December 1999, 21 patients with proven intussusception received repeated delayed reduction 1 to 3 hours following the first failed attempt. These patients were in stable condition and did not have peritonitis, shock or toxic sign. Results: Before reduction, the patients had symptoms and signs for 6 to 48 hours (median 24 hr). The interval from the first reduction to the repeated was 1 to 3 hours (median 2.2 hr). The success rate of repeated reductions was 76.2% (16 of 21 patients), and 23.8% (5 of 21 patients) required surgery. Four of 5 patients requiring surgery were manually reduced and 1 spontaneously reduced in the operating room. Conclusion: We recommended a repeated reduction in patients with intussusception who are in stable clinical condition after an unsuccessful initial reduction attempt.

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