• Title/Summary/Keyword: Delta index

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Long-term Functional and Patient-reported Outcomes Between Intra-corporeal Delta-shaped Gastroduodenostomy and Gastrojejunostomy After Laparoscopic Distal Gastrectomy

  • Sin Hye Park ;Hong Man Yoon ;Keun Won Ryu ;Young-Woo Kim ;Mira Han;Bang Wool Eom
    • Journal of Gastric Cancer
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    • v.23 no.4
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    • pp.561-573
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    • 2023
  • Purpose: This study aimed to compare the long-term functional and patient-reported outcomes between intra-corporeal delta-shaped gastroduodenostomy and gastrojejunostomy after laparoscopic distal gastrectomy for gastric cancer. Materials and Methods: We retrospectively reviewed clinicopathological data from 616 patients who had undergone laparoscopic distal gastrectomy for stage I gastric cancer between January 2015 and September 2020. Among them, 232 patients who had undergone delta-shaped anastomosis and another 232 who had undergone Billroth II anastomosis were matched using propensity scores. Confounding variables included age, sex, body mass index, physical status classification, tumor location, and T classification. Postoperative complications, nutritional outcomes, endoscopic findings, and quality of life (QoL) were compared between the 2 groups. Results: No significant differences in postoperative complications or nutritional parameters between the two groups were observed. Annual endoscopic findings revealed more residual food and less bile reflux in the delta group (P<0.001) than in the Billroth II group. Changes of QoL were significantly different regarding emotional function, insomnia, diarrhea, reflux symptoms, and dry mouth (P=0.007, P=0.002, P=0.013, P=0.001, and P=0.03, respectively). Among them, the delta group had worse insomnia, reflux symptoms, and dry mouth within three months postoperatively. Conclusions: Long-term nutritional outcomes and QoL were comparable between the delta and Billroth II groups. However, more residual food and worse short-term QoL regarding insomnia, reflux symptoms, and dry mouth were observed in the delta group. Longer fasting time before endoscopic evaluation and short-term symptom management would have been helpful for the delta group.

A Development of Embankment Stability Evaluation Method on Soft Foundation (연약지반상의 흙쌓기 안정관리 기법 개발)

  • Kim, Jeong-Seon;Chang, Yong-Chai;Park, Sung-Su
    • Journal of the Korean Geotechnical Society
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    • v.29 no.9
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    • pp.43-54
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    • 2013
  • This study proposed a new embankment stability control method to analyze the measurement data on the slope activities of the soft ground, using the Stability Control Index (SCI) obtained from the p-q stress paths. In order to validate this new technique, the data from triaxial compression tests (CU) and field measurement were compared. SCI is calculated from the current path of the effective stress points ($p^{\prime}=p-{\Delta}u$) using the relative position between the Total Stress Path $p_{max}$ and the point of $k_f$ line $p_f$. From this result, the point of effective stress $p^{\prime}(=p-{\Delta}u)$ will have access to the point $p_f$ of $k_f$ line when the pore water pressure occurs or the point of total stress pass $p^{\prime}_{max}$ when the pore pressure dissipates. Thus, the Stability Control Index (SCI) can evaluate quantitatively the safety of embankment from the relative position of the effective stress path.

Measurement of a refractive index and thickness of silicon-dioxide thin film on LCD glass substrate using a variable angle ellipsometry (가변 입사각 타원 해석법을 사용한 유리기판위의 이산화규소박막의 굴절율 및 두께 측정)

  • Pang, H. Y.;Kim, H. J.;Kim, S. Y.;Kim, B. I.
    • Korean Journal of Optics and Photonics
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    • v.8 no.1
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    • pp.31-36
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    • 1997
  • We measured refractive indices and thicknesses of SiO$_2$ thin films that have been plated on LCD glass substrate for the purpose of preventing the out-diffusion of sodium ions. The best experimental condition to determine refractive index and thickness of SiO$_2$ thin film by using ellipsometry is searched for, where ⅰ) the film thickness is increased uniformly by 20 $\AA$ from 0 $\AA$ to the period thickness while the angle of incidence is fixed and ⅱ) the angle of incidence is increased uniformly by 1$^{\circ}$ from 45$^{\circ}$ to 70$^{\circ}$ while the film thickness is fixed. We estimated the errors in determining the refractive index and thickness by comparing the measurement error of $\Delta$ and Ψ with the calculated one. The ellipsometric constants of SiO$_2$ thin film on LCD glass substrate are measured at several angle of incidence around the Brewster angle, which is the best angle if the experimental error of ellipsometer is not sensitive to the incident angle. Also the best fit refractive index and thickness of SiO$_2$ thin film to these ellipsometric constants measured at several angle of incidenc eas well as the best fit ones to the SE data are obtained using regressional analysis.

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Estimation of Undrained Shear Strength Using Piezocone Test (피에조 콘 시험을 이용한 점성토의 비배수 강도 추정)

  • 박용원;구남실;이상익
    • Journal of the Korean Geotechnical Society
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    • v.19 no.6
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    • pp.169-179
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    • 2003
  • Undrained shear strength of clay deposit is one of the most important properties in the design of geotechnical structures. The use of piezocone test is rapidly growing due to its merit that can measure the in-situ undrained shear strength continuously with less error. The reliability of the shear strength from piezocone test depends upon the cone factor applied. Many researchers have suggested different ranges of values for the factors. This study performs to find out the validity of the suggested values in Korea and their charateristics related to the mechanical properties of clay. Piezocone tests were performed at the site of pilot project of ground improvement at Yangsan-Mulgeum Gyeongnam to investigate the charateristics of piezocone factors. The piezocone fators$(N_{kt}, N_{ke}, N_{\Delta u})$ based on the undrained shear strength from quick triaxial compression test are generally within the suggested range. And there appears considerable relations between undrained shear strength and $(N_{kt}, N_{ke}, N_{\Delta u})$ and between preconsolidation pressure and $(N_{kt}, N_{ke})$, while plasticity index, rigidity index and friction ratio do not show any relations with cone factors. The results also reveal that factor $(N_{\Delta u})$ shows higher reliability than factors $(N_{kt} and N_{ke})$, which show smaller standard deviation, breadth of change and scattering.

The Residential Segregation in Metropolitan Cities and Correlation with Large Apartment Complexes in Korea (국내 대도시의 주거지 분리 추이와 대규모 아파트단지와의 상관분석)

  • Park, Young Min;Kim, Jong Gu
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.40 no.6
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    • pp.633-641
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    • 2020
  • Residential complexes offer a sense of community and convenience, but making closed and privated space have been criticized.Closed urban spaces have issues encouraging residential segregation.large apartment complexes over 1,000 households,the most poular housing type in Korea, seems to make urban space more closed and privated than ever before. Our study puts forward and tests the hypothesis that large apartment complexes with over 1,000 households are linked to residential segregation. First of all, we examined the degree of residential segregation of metropolitan cities in Korea over a nine-year period (2011-2019). The dissimilarity index and the delta index were used for determining the extent of residential segregation. Next, we tested our hypothesis by Spearman's rank correlation analysis. Spearman's rank correlation analysis was performed on the residential segregation index per administrative division ("dong") and the number of large apartment complexes per administrative division ("dong").

The comparison between normal and cerebral infarction subject;using Transcranial Doppler (경두개 도플러(TCD)를 이용한 정상군과 뇌경색군의 상호비교연구)

  • Choi, Jae-Young;Lee, Dong-Won;Jeong, Sung-Hyun;Lee, Won-Chul
    • The Journal of Internal Korean Medicine
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    • v.19 no.1
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    • pp.157-167
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    • 1998
  • Background and Purpose : Cerebrovascular reactivity(CVR) can be estimated by measuring the change of cerebral blood flow that occurs during vasostimulation. To estimate the cerebrovascular reactivity, we investigated the change of flow velocity of the middle cerebral artery(MCA) during hyperventilation and hypoventilation with the transcranial doppler. So we studied whether the CVR measured by this method could show a significant difference between the normal and the cerebral infarction subjects and whether the CVR may decrease with age in normal subjects. Methods : Using transcranial doppler, we measured the mean velocity(Vm), the pulsatility index(P.I.) at the resting state, the end of breath-holding and the end of hyperventilation in 36 normal and 10 cerebral infarction subjects, so we calculated the percentile change of mean velocity(%${\Delta}$Vm) and P.I.(%${\Delta}$P.I.) after the vasostimulation. We estimated the change of Vm, P.I., %${\Delta}$Vm and %${\Delta}$P.I. by the age group and compared those parameters between the age-matched normal control and cerebral infarction subjects. Results : The Vm in MCA significantly decreased with age(p<0.05), but there was no significant difference in Vm and P.I. between normal and cerebral infarction subjects. The %${\Delta}$Vm and %${\Delta}$P.I. in response to hyperventilation significantly decreased with age in MCA and there was significant difference in $%{\Delta}Vm$ of MCA after breath-holding between the normal and cerebral infarction subjects. Conclusion : The breath-holding and hyperventilation tests could be non-invasive and useful methods in estimation of the cerebrovascular reactivity and could be applied in the basal and follow-up evaluation of the cerebrovascular reserve of the ischemic stroke patients.

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Effect of Grating Structures and Mirror Positions on Characteristics of 1.55$\mu\textrm{m}$ DFB Lasers (1.55 $\mu\textrm{m}$ DFB 레이저의 특성에 미치는 Grating구조와 Mirror 위치의 영향)

  • Kwon, Kee-Young
    • Journal of the Korean Institute of Telematics and Electronics A
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    • v.31A no.9
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    • pp.128-138
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    • 1994
  • In 1.55.mu.m DFB lasers with two non-AR mirrors, I have analyzed the effect of the sturctures of indes and/or gain gratings and mirror positions on the threshold gains, the lasing frequencies, and the beam profiles in longitudinal direction of lasers. I have obtained the optimum condition of static characteristics that ${\Delta}{\Omega}$(the phase difference betweeen index grating and gain grating is 3${\pi}$/4, $({\kappa}L)_{i}$=4~6 in case of $({\kappa}L)_{i}$=0.9 and $({\kappa}L)_{i}$=3~5 in case of $({\kappa}L)_{i}$=0.7. The modal selectivity and intensity uniformity of this optimum condition are 2~2.5 times better than those of the gain-coupled DFB lasers ${\Delta}{\Omega}$=0). The gain-coupled DFB lasers${\Delta}{\Omega}$=0) have 10$^{10) times better modal selectivity and intensity uniformity than the loss-coupled DFB lasers(TEX>${\Delta}{\Omega}$=${\pi}$).

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Field-induced refractive index variations in GaAs/AlGaAs multiple quantum well waveguide modulator

  • Cho, Wook-Rae;Park, Seung-Han;Kim, Ung;Park, Kyung-Hyun
    • Journal of the Optical Society of Korea
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    • v.1 no.1
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    • pp.48-51
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    • 1997
  • A quantum well electroabsorption waveguide modulator utilizing a field-induced refractive index change was designed and fabricated. The on/off ratios of the device were investigated as a function of wavelength over the spectral range of 850 nm to 910 nm for the various reverse biases. The field-induced refractive index variations associated with quantum-confined Stark effect was theoretically obtained based on the measured on/off ratios. The resulting maximum refractive index change(${\DELTA}n) of ~7.5 {\times} 10^{-4}$ at -8 V was estimated.

The Effect of the Varieties and Particle Size on the Properties of Rice Flour (품종 및 입자크기가 쌀가루의 특성에 미치는 영향)

  • Kum, Jun-Seok;Lee, Hyun-Yu
    • Korean Journal of Food Science and Technology
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    • v.31 no.6
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    • pp.1542-1548
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    • 1999
  • Seven rice varieties(Suweonjo, Suweon232, BG276-5, IR44, IR41999-139, Suweon230 and Yongjubyeo) were used to study the effect of particle size on the physicochemical properties(proximate analysis, color values, amylogram, water absorption index and water solubility index) of rice flours. Suweonjo had the highest amylose content (27.07%) and Yongjubyeo had the lowest one (17.17%). Suweonjo had the highest protein content (11.36%) and IR44 had the lowest one (6.75%). Protein content of rice flours prepared in a pin mill was decreased as particle size of rice flours decreased. L value of rice flour was increased as particle size of rice flours decreased while b value and ${\Delta}E$ value decreased. Maximum viscosity, cold paste viscosity, breakdown, total setback in amylogram properties were increased as particle size of rice flours decreased while initial paste temperature decreased. Water absorption index (WAI) and water solubility index (WSI) were increased as particle size of rice flour decreased.

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A Study on the Effect of Delta-V Based on Vehicle Damages and Injuries Subjected by Rear-End Collisions (후미추돌사고의 유효충돌속도가 차량손상 및 승차자 상해에 미치는 영향에 관한 연구)

  • Kang, Sung-Mo;Ahn, Byung-Joon
    • Journal of the Korean Society of Safety
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    • v.23 no.2
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    • pp.72-80
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    • 2008
  • In a case of an automobile collision, vehicle damage and injury of the driver and the passenger occur. The scale of the collision which is effected by the extent of vehicle damage and the injury of the passenger, depends on the delta-V. Based on the photograph interpretation o the actual case of accidents in the Seoul and the Incheon area, this study measured the depth of crush and calculated the delta-V. Through verifying the correlation of the depth of crush and the change of velocity, relative equation was evaluated and compared with the prior study results to prove that they are almost identical. Thus, the depth of crush can be used as an index of the degree of impact, which can be utilized as the change of velocity to evaluate the level of injury done to the passengers. However, the period of hospitalization and diagnostics claimed by the injured proves to have no correlation with the delta-V and the extent of vehicle damage, this is due to the non-objective way of diagnosis and the anamnesis of the injured. This study established the absolute limit harmlessness and the choosing limit harmlessness, allowing the appraisal for Yes or No of the injury or the harmlessness based on the prior studies. Moreover, utilizing the relative equation formed between the depth of crush and the delta-V, each case of collision was compared and evaluated in comparison to the limit harmlessness to prove that the 90.4% of the so-called 'claiming-to-be-injured' were exaggerating or fabricating.