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Intracorporeal Esophagojejunostomy Using a Circular or a Linear Stapler in Totally Laparoscopic Total Gastrectomy: a Propensity-Matched Analysis

  • Kang, So Hyun;Cho, Yo-Seok;Min, Sa-Hong;Park, Young Suk;Ahn, Sang-Hoon;Park, Do Joong;Kim, Hyung-Ho
    • Journal of Gastric Cancer
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    • v.19 no.2
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    • pp.193-201
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    • 2019
  • Purpose: There is no consensus on the optimal method for intracorporeal esophagojejunostomy (EJ) in laparoscopic total gastrectomy (LTG). This study aims to compare 2 established methods of EJ anastomosis in LTG. Materials and Methods: A total of 314 patients diagnosed with gastric cancer that underwent LTG in the period from January 2013 to October 2016 were enrolled in the study. In 254 patients, the circular stapler with purse-string "Lap-Jack" method was used, and in the other 60 patients the linear stapling method was used for EJ anastomosis. After propensity score matching, 58 were matched 1:1, and retrospective data for patient characteristics, surgical outcome, and post-operative complications was reviewed. Results: The 2 groups showed no significant difference in age, body mass index, or other clinicopathological characteristics. After propensity score matching analysis, the linear group had shorter operating time than the circular group ($200.3{\pm}62.0$ vs. $244.0{\pm}65.5$, $P{\leq}0.001$). Early postoperative complications in the circular and linear groups occurred in 12 (20.7%) and 15 (25.9%, P=0.660) patients, respectively. EJ leakage occurred in 3 (5.2%) patients from each group, with 1 patient from each group needing intervention of Clavien-Dindo grade III or more. Late complications were observed in 3 (5.1%) patients from the linear group only, including 1 EJ anastomosis stricture, but there was no statistical significance. Conclusions: Both circular and linear stapling techniques are feasible and safe in performing intracorporeal EJ anastomosis during LTG. The linear group had shorter operative time, but there was no difference in anastomosis complications.

Characteristics of Electrical Properties, Ozone Generation and Decomposition of Volatile Organic Compounds by Nonthermal Plasma Reactor Packed with SBT Ferroelectric (SBT 강유전체 충전층 저온 플라즈마 반응기의 전기적 특성, 오존생성 및 휘발성유기화합물의 분해)

  • Eo, Joon;Kim, Il Won;Park, Jin Do;Lee, Joo Young;Lee, Hak Sung
    • Applied Chemistry for Engineering
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    • v.22 no.3
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    • pp.249-254
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    • 2011
  • A nonthermal plasma reactor in conjunction with a tubular type with a ferroelectric (high-dielectric ceramic) pellet layer was designed and constructed. $SrBiTaO_9$ (SBT) pellets with 2.0 mm in diameter were held within the tube arrangement by two metal mesh electrodes (20 mm separation) connected to a high-voltage AC power supply. The dielectric constant of SBT pellets was 150 at room temperature and 500 at curie temperature ($335^{\circ}C$). The generation rate of ozone in the plasma reactor almost linearly increased with increasing applied voltage. In the case of the plasma reactor packed with SBT pellets the generation rate of ozone sharply increased at the applied voltage more than 20 kV. The ozone generation rate at the negative corona discharge was higher than that of the positive corona discharge. However, the destruction efficiency of toluene and methylene chloride was not increased in proportion to ozone concentration.

Predicting the potential distribution of the subalpine broad-leaved tree species, Betula ermanii Cham. under climate change in South Korea

  • Shin, Sookyung;Dang, Ji-Hee;Kim, Jung-Hyun;Han, Jeong Eun
    • Journal of Species Research
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    • v.10 no.3
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    • pp.246-254
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    • 2021
  • Subalpine and alpine ecosystems are especially vulnerable to temperature increases. Betula ermanii Cham. (Betulaceae) is a dominant broad-leaved tree species in the subalpine zone and is designated as a 'Climate-sensitive Biological Indicator Species' in South Korea. This study aimed to predict the potential distribution of B. ermanii under current and future climate conditions in South Korea using the MaxEnt model. The species distribution models showed an excellent fit (AUC=0.99). Among the climatic variables, the most critical factors shaping B. ermanii distribution were identified as the maximum temperature of warmest month (Bio5; 64.8%) and annual mean temperature (Bio1; 20.3%). Current potential habitats were predicted in the Baekdudaegan mountain range and Mt. Hallasan, and the area of suitable habitat was 1531.52 km2, covering 1.57% of the Korean Peninsula. With global warming, future climate scenarios have predicted a decrease in the suitable habitats for B. ermanii. Under RCP8.5-2070s, in particular, habitat with high potential was predicted only in several small areas in Gangwon-do, and the total area suitable for the species decreased by up to 97.3% compared to the current range. We conclude that the dominant factor affecting the distribution of B. ermanii is temperature and that future temperature rises will increase the vulnerability of this species.

The Effects of Social Activities and Living Arrangements on Cognitive Functions in Middle-aged and Elderly Adults: A Panel Study Using the 2006-2018 Korean Longitudinal Study of Aging

  • Choi, Yoon-Jung;Hong, Yun-Chul;Do, Young-Kyung
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.6
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    • pp.395-403
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    • 2021
  • Objectives: Previous studies have shown that participation in social activities (SA) can prevent cognitive decline (CD) and that living arrangements (LA) can affect cognitive function. This study aimed to evaluate the effects of SA and LA on CD, as well as their interactions, using longitudinal data. Methods: Data were used from the 2006-2018 Korean Longitudinal Study for Aging, which followed 10 254 adults older than 45 years over a 12-year period. CD was defined as a ≥4-point score decrease in the Mini-Mental Status Exam over 2 years. We developed an extended Cox proportional hazards model for time-dependent covariates to estimate the hazard ratio (HR) of CD in 4 groups: (1) socially active and living with others, (2) socially active and living alone, (3) socially inactive and living with others (SILO), and (4) socially inactive and living alone (SILA). The model was stratified by gender and adjusted for important confounders. Results: The HR of CD was significantly higher in the SILO group in men (HR,1.36; 95% confidence interval [CI], 1.08 to 1.78) and in the SILA group in women (HR, 1.72; 95% CI, 1.08 to 2.75). However, the interaction term for gender was not significant. Conclusions: Among socially inactive elderly adults, the HR of CD was elevated in men who lived with others and in women who lived alone, although the interaction term for gender was not significant. Socially inactive men who live with others and socially inactive women who live alone are particularly encouraged to participate in SA to prevent CD.

Design and performance study of fabry-perot filter based on DBR for a non-dispersive infrared carbon dioxide sensor (비분산적외선 CO2 센서를 위한 DBR기반의 패브리 페로-필터 설계 및 성능 연구)

  • Do, Nam Gon;Lee, Junyeop;Jung, Dong Geon;Kong, Seong Ho;Jung, Daewoong
    • Journal of Sensor Science and Technology
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    • v.30 no.4
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    • pp.250-254
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    • 2021
  • A highly sensitive and selective non-dispersive infrared (NDIR) carbon dioxide gas sensor requires achieving high transmittance and narrow full width at half maximum (FWHM), which depends on the interface of the optical filter for precise measurement of carbon dioxide concentration. This paper presents the design, simulation, and fabrication of a Fabry-Perot filter based on a distributed Bragg reflector (DBR) for a low-cost NDIR carbon dioxide sensor. The Fabry-Perot filter consists of upper and lower DBR pairs, which comprise multilayered stacks of alternating high- and low-index thin films, and a cavity layer for the resonance of incident light. As the number of DBR pairs inside the reflector increases, the FWHM of the transmitted light becomes narrower, but the transmittance of light decreases substantially. Therefore, it is essential to analyze the relationship between the FWHM and transmittance according to the number of DBR pairs. The DBR is made of silicon and silicon dioxide by RF magnetron sputtering on a glass wafer. After the optimal conditions based on simulation results were realized, the DBR exhibited a light transmittance of 38.5% at 4.26 ㎛ and an FWHM of 158 nm. The improved results substantiate the advantages of the low-cost and minimized process compared to expensive commercial filters.

Study of Electronic Hardware Integrated Failure Rate: Considering Physics of Failure Rate and Radiation Failures Rate (물리 고장률과 방사선 고장률을 반영한 전자 하드웨어 통합 고장률 분석 연구)

  • Dong-min Lee;Chang-hyeon Kim;Kyung-min Park;Jong-whoa Na
    • Journal of Advanced Navigation Technology
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    • v.28 no.2
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    • pp.216-224
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    • 2024
  • This paper presents a method for analyzing the reliability of hardware electronic equipment, taking into account failures caused by radiation. Traditional reliability analysis primarily focuses on the wear out failure rate and often neglects the impact of radiation failure rates. We calculate the wear out failure rate through physics of failure analysis, while the radiation failure rate is semi-empirically estimated using the Verilog Fault Injection tool. Our approach aims to ensure reliability early in the development process, potentially reducing development time and costs by identifying circuit vulnerabilities in advance. As an illustrative example, we conducted a reliability analysis on the ISCAS85 circuit. Our results demonstrate the effectiveness of our method compared to traditional reliability analysis tools. This thorough analysis is crucial for ensuring the reliability of FPGAs in environments with high radiation exposure, such as in aviation and space applications.

Analysis of the Correlation of Job Satisfaction to Turnover Among Dental Hygienists in the Region of J (J지역 치과위생사의 직무만족과 이직의 상관관계 분석)

  • Ju, On-Ju;Kim, Kyeong-Seon;Lee, Hyun-Ok
    • Journal of dental hygiene science
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    • v.7 no.4
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    • pp.251-256
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    • 2007
  • The purpose of this study was to examine what induced dental hygienists to take up another employment and whether their job satisfaction had anything to do with it in an attempt to help curtail their turnover rate. The subjects in this study were approximately 200 dental hygienists who worked in dental institutions. A survey was conducted from July 24 through September 24, 2006, by using structured, self-administered questionnaires. For data analysis, SPSS 11.5 program was employed to see if their turnover experience was linked to their general characteristics, why they took up another employment, how long they wanted to do that and how their job satisfaction was related to that. The findings of the study were as follows: 1. In regard to turnover experience by age, marital status and career, those who had ever changed their employment accounted for 36.2 percent of the age group from 24 to 26, 83.0 percent of the unmarried ones and 50.0 percent of those whose career was less than one to three years (p < 0.001). By monthly mean income, 50.0 percent of the dental hygienists whose monthly mean income ranged from 1.0 to 1.29 million won had that experience(p < 0.05). The gap between these groups and the others was statistically significant. 2. As for the reason of turnover, working environments were cited most often(28.1%), followed by possibilities(18.0%), relationship with supervisors and colleagues(12.4%), and compensation(4.5%). 3. Concerning a preferred new workplace, 66.2 percent of the dental hygienists who worked in dentist's offices hoped to be newly hired by public dental clinics(p < 0.001). By education, 64.3 percent of the college-educated dental hygienists wanted to work at public dental clinics as well(p < 0.01). 4. The change of employment was under the greatest influence of the possibilities of workplace, followed by workload, pay and relationship with colleagues. All the factors had a negative impact on their turnover. Those who were less satisfied sought new employment more often, and job satisfaction made a statistically significant difference to that. The job satisfaction factors made a prediction of their turnover intention ($R^2=.254$).

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Seasonal Investigation of Natural Organic Matters from Yeongsan River Basin by Fluorescence Spectroscopy (영산강 수계 자연유기물질의 계절별 형광특성 연구)

  • Lee, Dong-Jin;Chon, Kang-Min;Jung, Soo-Jung;Kim, Sang-Don;Lee, Kyung-Hee;Hwang, Tae-Hee;Hwang, Dong-Jin;Lim, Byung-Jin;Cho, Jae-Weon
    • Korean Journal of Ecology and Environment
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    • v.45 no.1
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    • pp.42-51
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    • 2012
  • This study investigated the characteristics of natural organic matter (NOM) with general water characteristics (pH, DO, electrical conductivity, BOD, COD, TN, TP, Chl-$a$, DOC, $UV_{254}$, SUVA) and the 3D fluorescence excitation-emission matrix (FEEM) in the Yeongsan River basin. FEEM was used to classify protein-like and fulvic & humiclike substances with fluorescence intensity in the matrix of excitation and emission wavelength. The concentration of BOD, COD, TN, electrical conductivity and DOC in the region of Gwangju city (Gwangju sewage treatment plant: GJS, Gwangjucheon: GJC, Gwangju 2: GJ2) was relatively higher than the upper reaches and lower reaches of the Yeongsan River basin. SUVA in most sites was lower than 3 L $mg^{-1}\;m^{-1}$ as the hydrophilic substances, except Damyang (DY) in the upper reaches of Yeongsan river was higher than 3 L $mg^{-1}\;m^{-1}$ as the hydrophobic substances during winter and autumn. In the FEEM investigation the fulvic and humic substances were found in most sites, and in sites regarding Gwangju city (GJS, GJC, GJ2) during winter and GJC in summer, protein-like substances were found. The trend of fluorescence intensities from the upper reaches to the lower reaches in most sites corresponded to that regarding the concentration of water characteristics (BOD, COD, TN, DOC). That is why the region of Gwangju city (GJS, GJC, GJ2) was relatively higher. This results were an equivalent trend to those of fluorescence index (FI) in most sites, and the higher FIs in the sites of Gwangju city indicate more microbial-derived substances due to enormous effluent organic matters (EfOM) from huge Gwangju sewage treatment plants.

Health Law and Adult Guardianship System (성년후견제도와 정신보건법상 환자의 동의권에 관한 연구)

  • Moon, Sang hyuk
    • The Korean Society of Law and Medicine
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    • v.16 no.1
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    • pp.221-254
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    • 2015
  • The amendment of the Korea Civil Code will take place July 1, 2013. One of the most import issues related to adult guardianship system is a part. Though more than 100 new provisions, the revised Civil Code fundamentally reformed the guardianship system to establish a system to meet the diverse and complex needs of those who need a guardian and ensure due process. The new adult guardianship system intended to respect dignity and human right of mentally incapacitated adults, to guaranee their autunomy and to minimize the public interventions for assisting them. The new guardianship system for vulnerable adult has three kinds of legal guardianship system (adult guardianship, limited guardianship and specific guardianship). Mental patients forced the hospitalization of the mental health code and will be treated as an agreement incapable person. In principle an agreement incapable person has capacity of consent. The consent of the mental patients are admitted first. It is advisable to medical care only by the consent of the guardian when the the mental patient do not agree ability. If the mental patient do not agree with the mentally ill, but there should be a supervisory capacity for a guardianship of the couple guardian supervision. In conclusion, it not lost the capacity to consent to inpatient mental illness called. Therefore, we must discuss in detail the scope of the agreement for the mental patients. Mental Health Act amendments are necessary in accordance with the amended Civil Code.

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Determination of Biodegradation Rate on BPMC and Chlorothalonil (BPMC와 Chlorothalonil의 생분해율의 측정)

  • 민경진;차춘근
    • Journal of Food Hygiene and Safety
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    • v.14 no.3
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    • pp.249-254
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    • 1999
  • The present study was performed to investigate biodegradation rate of BPMC(2-sec-butylphenyl methyl carbamate) and chlorothalonil. In the biodegradation test of two pesticides by the modified river die-away method from June 17 to August 22, 1998, the biodegradation rate constants and half-life were determined in Nakdong(A) and Kumho River(B). Bio- degradation rate of BPMC was 27% in A sampling point, 40% in B sampling point after 7 days. Biodegradation rate constants and half-life of BPMC were 0.0460 and 15.1 days in A sampling point, 0.0749 and 9.3 days in B sampling point, respectively. Biodegradation rate of chlorothalonil was 100% in A and B sampling points after 7 days. Biodegradation rate constants and half-life of chlorothalonil were 0.1416 and 4.9 hours in A sampling point, 0.1803 and 3.8 hours in B sampling point, respectively. Biodegradation rate of chlorothalonil was faster than that of BPMC. Correlation analysis between biodegradation rate constants of pesticides and water quality(DO, BOD, SS, ABS, $NH_3-N\;and\;NO_3-N$) showed significant correlation with BOD, SS and $NH_3-N$. Furthermore, regression analysis with BOD, SS and $NH_3-N$ as independent variable and biodegradation rate constant as independent variable showed a significant linear equation. These results suggested that BPMC and chlorothalonil were mainly degraded by biodegradation, and the difference in biodegradation of two pesticides was due to difference of water quality.

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