• Title/Summary/Keyword: Apertures

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Intracorporeal Esophagojejunostomy during Reduced-port Totally Robotic Gastrectomy for Proximal Gastric Cancer: a Novel Application of the Single-Site® Plus 2-port System

  • Choi, Seohee;Son, Taeil;Song, Jeong Ho;Lee, Sejin;Cho, Minah;Kim, Yoo Min;Kim, Hyoung-Il;Hyung, Woo Jin
    • Journal of Gastric Cancer
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    • v.21 no.2
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    • pp.132-141
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    • 2021
  • Purpose: Intracorporeal esophagojejunostomy during reduced-port gastrectomy for proximal gastric cancer is a technically challenging technique. No study has yet reported a robotic technique for anastomosis. Therefore, to address this gap, we describe our reduced-port technique and the short-term outcomes of intracorporeal esophagojejunostomy. Materials and Methods: We conducted a retrospective review of patients who underwent a totally robotic reduced-port total or proximal gastrectomy between August 2016 and March 2020. We used an infra-umbilical Single-Site® port with two additional ports on both sides of the abdomen. To transect the esophagus, a 45-mm endolinear stapler was inserted via the right abdominal port. The common channel of the esophagojejunostomy was created between the apertures in the esophagus and proximal jejunum using a 45-mm linear stapler. The entry hole was closed with a 45-mm linear stapler or robot-sewn continuous suture. All anastomoses were performed without the aid of an assistant or placement of stay sutures. Results: Among the 40 patients, there were no conversions to open, laparoscopic, or conventional 5-port robotic surgery. The median operation time and blood loss were 254 min and 50 mL, respectively. The median number of retrieved lymph nodes was 40.5. The median time to first flatus, soft diet intake, and length of hospital stay were 3, 5, and 7 days, respectively. Three (7.5%) major complications, including two anastomosis-related complications and a case of small bowel obstruction, were treated with an endoscopic procedure and re-operation, respectively. No mortality occurred during the study period. Conclusions: Intracorporeal esophagojejunostomy during reduced-port gastrectomy can be safely performed and is feasible with acceptable surgical outcomes.

The Correlation Between RMR and Deformation Modulus by Rock masses using Pressuremeter (공내재하시험을 이용한 암종별 변형계수와 RMR의 상관성)

  • Ahn, Taebong
    • Journal of the Korean GEO-environmental Society
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    • v.12 no.1
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    • pp.5-12
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    • 2011
  • In this study, correlation between measured deformation modulus using pressuremeter and RMR value conducted in 10 sites is analyzed, and applicability of the conventional empirical formulas to the rock masses in Korea are analyzed, It is found that if RMR is below 40, the correlation between deformation modulus and RMR accords Kim Gyo-won's formula and Aydan, Serafim and Pereira's one well, but if the RMR exceeds 40, the correlation was lower than those from the formula. Such results may be attribute to the fact that during classification of RMR, scores are weighed relatively more in joint conditions and apertures than such highly correlational items as uniaxial compression strength or RQD, and RMR would not be evaluated qualitatively due to different weathering degrees and rock mass types as well as engineers' personal errors. Sandstone among sedimentary rocks are quite well accord with suggested equation, but correlation of other rocks are due to large variance. In this study, correlation expressions of various rocks are proposed as the function of exponential based on the field test data.

The Study on New Radiating Structure with Multi-Layered Two-Dimensional Metallic Disk Array for Shaping flat-Topped Element Pattern (구형 빔 패턴 형성을 위한 다층 이차원 원형 도체 배열을 갖는 새로운 방사 구조에 대한 연구)

  • 엄순영;스코벨레프;전순익;최재익;박한규
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.13 no.7
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    • pp.667-678
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    • 2002
  • In this paper, a new radiating structure with a multi-layered two-dimensional metallic disk array was proposed for shaping the flat-topped element pattern. It is an infinite periodic planar array structure with metallic disks finitely stacked above the radiating circular waveguide apertures. The theoretical analysis was in detail performed using rigid full-wave analysis, and was based on modal representations for the fields in the partial regions of the array structure and for the currents on the metallic disks. The final system of linear algebraic equations was derived using the orthogonal property of vector wave functions, mode-matching method, boundary conditions and Galerkin's method, and also their unknown modal coefficients needed for calculation of the array characteristics were determined by Gauss elimination method. The application of the algorithm was demonstrated in an array design for shaping the flat-topped element patterns of $\pm$20$^{\circ}$ beam width in Ka-band. The optimal design parameters normalized by a wavelength for general applications are presented, which are obtained through optimization process on the basis of simulation and design experience. A Ka-band experimental breadboard with symmetric nineteen elements was fabricated to compare simulation results with experimental results. The metallic disks array structure stacked above the radiating circular waveguide apertures was realized using ion-beam deposition method on thin polymer films. It was shown that the calculated and measured element patterns of the breadboard were in very close agreement within the beam scanning range. The result analysis for side lobe and grating lobe was done, and also a blindness phenomenon was discussed, which may cause by multi-layered metallic disk structure at the broadside. Input VSWR of the breadboard was less than 1.14, and its gains measured at 29.0 GHz. 29.5 GHz and 30 GHz were 10.2 dB, 10.0 dB and 10.7 dB, respectively. The experimental and simulation results showed that the proposed multi-layered metallic disk array structure could shape the efficient flat-topped element pattern.

Time-Efficient SE(Shielding Effectiveness) Prediction Method for Electrically Large Cavity (전기적으로 큰 공진기의 시간효율적인 차단 효율 계산법)

  • Han, Jun-Yong;Jung, In-Hwan;Lee, Jae-Wook;Lee, Young-Seung;Park, Seung-Keun;Cho, Choon-Sik
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.24 no.3
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    • pp.337-347
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    • 2013
  • It is generally well-known that the inevitable high power electromagnetic wave affects the malfunction and disorder of electronic equipments and serious damages in electronic communication systems. Hence, it is necessary to take measures against high power electromagnetic(HPEM) wave for protecting electronic devices as well as human resources. The topological analysis based on Baum-Liu-Tesche(BLT) equation simplifying the moving path of electromagnetic and the observation points and Power Balance Method(PWB) employing statistical electromagnetic analysis are introduced to analyze relatively electrically large cavity with little time consumption. In addition to the PWB method, full wave results for cylindrical cavity with apertures and incident plane wave are presented for comparison with time-consumption rate according to the cavity size.

SURGICAL REPAIR OF COMPLETE BONY BILATERAL CHOANAL ATRESIA VIA TRANSPALATAL APPROACH (완전 골성 양측성 후비공 폐쇄 환자의 구개부를 통한 외과적 치험례)

  • Kim, Kyoung-Won;Cho, Yong-Seok;Yang, Soo-Nam
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.2
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    • pp.133-138
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    • 1998
  • Choanal atresia may be membrane or bony, unilateral or bilateral. Approximately 90% of the choanal atresia are bony type. Unilateral choanal atresia often eludes the diagnosis because of the absence of subjective symptoms in the neonatal period. However, bilateral choanal atresia presents at birth with cyclic respiratory distress aggravated by feedings. So complete bilateral choanal atresia is considered as a neonatal emergency. Examinations for the diagnosis of chonal atresia include 1) attempt at passing a rubber catheter or probe through the patient s nose, 2) mirror examination of the nasopharynx, 3) digital examination of the nasopharynx, 4) X-ray examination after installation of radiopaque materal into the nasal cavity. But, computed tomography has become accepted method for evaluation of choanal atresia. Surgical repair of choanal atresia is accomplished via transnasal or transpalatal approach. Advantages of the transpalatal approach are improved exposure and the preservation of mucosal flap along the newly formed apertures. On the other hand, the transpalatal approach carries the risk of injury to the greater palatine neurovascular complex, and requires longer operative time. After careful physical and radiographic examinations, we accomplished the surgical repair of the complete bony bilateral choanal atresia via transpalatal approach without complications.

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A Study on Manufacturing Method of High Performance Smart EMW Absorber with Heat Radiating Function and Its Prospects (방열 기능형 고성능 스마트 전파흡수체 제조 방법 개발 및 전망)

  • Kim, Dong Il;Jeon, Yong Bok
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.26 no.10
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    • pp.841-850
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    • 2015
  • With the rapid progress of electronics and radio communication technology, human enjoys greater freedom in information communication. However, EMW(Electro-Magnetic Wave) environments have become more complicate and difficult to control. Thus, international organizations, such as the American National Standard Institution(ANSI), Federal Communications Commission(FCC), the Comite Internationale Special des Perturbations Radio Electrique(CISPR), etc, have provided standard for controlling the EM wave environments and for the countermeasure of the electromagnetic compatibility(EMC). In this paper, fabrication of the smart EMW absorber which has heat radiating function and high performance absorption abilities were suggested. Furthermore, we prospected future smart EMW absorbers. The designed smart EMW absorber is fabricated following process. Firstly, we applied high temperature heat treated to a mixture of Iron-oxide($Fe_2O_3$) and ceramics. Secondly, we applied low temperature heat treated to the mixture of heat treated material and a carbon material. Lastly, we made apertures on the absorber. The designed smart EM wave absorber has the absorption ability of more than 20 dB from 2 GHz to 2.45 GHz band, respectively. Thus, it is respected that these results can be applied as various EMC devices in electronic, communication, and controlling systems.

The Changes of Aperture Variation and Hydraulic Conductivity for Compression Variability (압력에 따른 균열 간극변화와 수리전도도 변화 관찰)

  • 채병곤;이철우;정교철;김용제
    • Journal of Soil and Groundwater Environment
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    • v.8 no.4
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    • pp.1-11
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    • 2003
  • In order to measure aperture variation dependent on normal stress and to characterize on relationship between aperture variation and hydraulic conductivity this study measured apertures of rock fractures under a high resolution confocal laser scanning microscope (CLSM) with application of five stages of uniaxial normal stresses. From this method the response of aperture can be continuously characterized on one specimen by different loads of normal stress. The results of measurements showed a rough geometry of fracture bearing non-uniform aperture. They also revealed different values of aperture variations according to the load stages on each position along a fracture due to the fracture roughness. Laboratory permeability tests were also conducted to evaluate the changes of permeability coefficients related to the aperture variations by different loads. The results of permeability tests revealed that the hydraulic conductivity was not reduced at a fixed rate with increase of normal load. Moreover, the rates of aperture variations did not match to those of hydraulic conductivity. The hydraulic conductivity calculated in this study did not follow the cubic law, representing that the parallel plate model is not suitable to express the fracture geometry corresponding to the results of aperture measurements under the CLSM.

Defining the hydraulic excavation damaged zone considering hydraulic aperture change (수리적 간극변화를 고려한 수리적 굴착손상영역의 정의에 관한 연구)

  • Park, Jong-Sung;Ryu, Chang-Ha;Lee, Chung-In;Ryu, Dong-Woo
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.9 no.2
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    • pp.133-141
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    • 2007
  • The excavation damaged zone (EDZ) is an area around an excavation where in situ rock mass properties, stress condition, displacement, groundwater flow conditions have been altered due to the processes induced by the excavation. Various studies have been carried out on EDZ, but most studies have focused on the mechanical bahavior of EDZ by in situ experiment. Even though the EDZ could potentially form a high permeable pathway of groundwater flow, only a few studies were performed on the analysis of groundwater flow in EDZ. In this study, the 'hydraulic EDZ' was defined as the rock zone adjacent to the excavation where the hydraulic aperture has been changed due to the excavation by using H-M coupling analysis. Fundamental principles of distinct element method (DEM) were used in the analysis. In the same groundwater level, the behavior of hydraulic aperture near the cavern was analyzed for different stress ratios, initial apertures, fracture angles and fracture spacings by using a two-dimensional DEM program. We evaluate the excavation induced hydraulic aperture change. Using the results of the study, hydraulic EDZ was defined as an elliptical shape model perpendicular to the joint.

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Performance of Beam Extractions for the KSTAR Neutral Beam Injector

  • Chang, D.H.;Jeong, S.H.;Kim, T.S.;Lee, K.W.;In, S.R.;Jin, J.T.;Chang, D.S.;Oh, B.H.;Bae, Y.S.;Kim, J.S.;Cho, W.;Park, H.T.;Park, Y.M.;Yang, H.L.
    • Proceedings of the Korean Vacuum Society Conference
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    • 2011.02a
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    • pp.240-240
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    • 2011
  • The first neutral beam injector (NBI-1) has been developed for the Korea Superconducting Tokamak Advanced Research (KSTAR) tokamak. A first long pulse ion source (LPIS-1) has been installed on the NBI-1 for an auxiliary heating and current drive of KSTAR core plasmas. Performance of ion and neutral beam extractions in the LPIS-1 was investigated initially on the KSTAR NBI-1 system, prior to the neutral beam injection into the main plasmas. The ion source consists of a JAEA magnetic bucket plasma generator with multi-pole cusp fields and a set of KAERI prototype-III tetrode accelerators with circular apertures. The inner volume of plasma generator and accelerator column in the LPIS-1 is approximately 123 liters. Final design requirements for the ion source were a 120 kV/ 65 A deuterium beam and a 300 s pulse length. The extraction of ion beams was initiated by the formation of arc plasmas in the LPIS-1, called as an arc-beam extraction method. A stable ion beam extraction of LPIS-1 has been achieved up to an 100 kV/42 A for a 4 s pulse length and an 80 kV/25 A for a 14 s pulse length. Optimum beam perveance of 1.21 microperv has been found at an accelerating voltage of 80 kV. Neutralization efficiency has been measured by using a water flow calorimetry (WFC) method of calorimeter and an operation of bending magnet. The full-energy species of ion beams have been detected by using the diagnostic method of optical multichannel analyzer (OMA). An arc efficiency of the LPIS was 0.6~1.1 A/kW depending on the operating conditions of arc discharge.

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Objective Aperture Effects for the Quantitative Analysis in Electron Tomography (전자토모그래피의 정량적 분석에서 대물렌즈 조리개의 영향)

  • Kim, Jin-Gyu;Lee, Sang-Hee;Kweon, Hee-Seok;Jeong, Jong-Man;Jeong, Won-Gu;Lee, Su-Jeong;Jou, Hyeong-Tae;Kim, Youn-Joong
    • Applied Microscopy
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    • v.38 no.4
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    • pp.285-291
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    • 2008
  • We have evaluated the effects of experimental factors on transmitted electron beam intensities for quantitative analysis in electron tomography. For the correct application of Beer's law in electron tomography, the transmitted beam intensity should reflect the net effect of mass properties on beam path. So, the any other effects of the objective aperture and the specimen holder on beam path should be removed. The cut-off effects of objective aperture were examined using Quanti-foil holey carbon film and a transmission electron microscope operated at 120 kV. The transmitted beam intensities with $30{\mu}m$ objective aperture dropped about 16.7% compared to electron beam intensities without the objective aperture. Also, the additional losses of about 14.2% at high tilt angles were occurred by cut-off effects of the objective apertures. For the precise quantitative analysis in electron tomography, the effect of the objective aperture on transmitted electron beam intensities should be considered. It is desirable that 2-D tilt series images are obtained without the objective aperture for correct application of Bee's law.