• Title/Summary/Keyword: Leak rate

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A Study on Anastomotic Complications after Esophagectomy for Cancer of the Esophagus : A Comparison of Neck and Chest Anastomosis (식도암 수술후 문합부 합병증에 관한 연구 - 경부문합과 흉부문합 간의 비교-)

  • 이형렬;김진희
    • Journal of Chest Surgery
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    • v.32 no.9
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    • pp.799-805
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    • 1999
  • Background: Leakage, stricture formation, and tumor recurrence at the anastomotic site are serious problems after esophagectomy for cancer of the esophagus or cardia. The prevalence of these postoperative complications may be affected by whether an anastomosis is made in the neck or in the chest, therefore a comparison was made between anastomoses made at these two sites. Material and Method: Between 1987 and 1998, 36 patients with cancer of the esophagus underwent transthoracic esophagectomy with cervical(NA, n=20) or thoracic anastomosis(CA, n=16). The tumors were staged postoperatively(stage IIA, n=13; s tage IIB, n=7; stage III, n=16) and were located in the middle thoracic(n=22) or lower thoracic esophagus and cardia(n=14). Result: The overall operative mortality was 8.3%(5% for NA group, 12.5% for CA group). The anastomotic leak rate for the NA group was 15.0% and 12.5% for the CA group. The anastomotic leak rate differed according to the manual(27.3%) or stapled(8.0%) techniques(p < 0.05). The median proximal resection margins in the NA and CA groups were 9.6 cm and 5.8 cm, and the corresponding rates of anastomotic tumor recurrence were 5.3% and 28.6%(p < 0.05). The prevalence of benign stricture formation (defined as moderate/severe dysphagia) was higher in the NA group(36.8%) than in the CA group(21.4%). When an anastomosis was made by the stapled technique, smaller size of the staple increased the prevalence of stricture formation - 41.7% with 25-mm staple and 9.1% with 28-mm staple(p < 0.05). Conclusion: Wider resection margin could decrease the anastomotic tumor recurrence, and the stapled technique could decrease the anastomotic leak. The prevalence of benign stricture was higher in the cervical anastomosis but the anastomotic leak and smaller size(25-mm) of the staple should be considered as risk factors.

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Report on Extended Leak-Off Test Conducted During Drilling Large Diameter Borehole (국내 대구경 시추공 굴진 중 Extended Leak-Off Test 수행 사례 보고)

  • Jo, Yeonguk;Song, Yoonho;Park, Sehyeok;Kim, Myung Sun;Park, In-Hwa;Lee, Changhyun
    • Tunnel and Underground Space
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    • v.32 no.5
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    • pp.285-297
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    • 2022
  • We report results of Extended Leak-Off Test (XLOT) conducted in a large diameter borehole, which is drilled for installation of deep borehole geophysical monitoring system to monitor micro-earthquakes and fault behavior of major fault zones in the southeastern Korean Peninsula. The borehole was planned to secure a final diameter of 200 mm (or more) at a depth of ~1 km, with 12" diameter wellbore to intermediate depths, and 7-7/8" (~200 mm) to the bottom hole depth. We drilled first the 12" borehole to approximately 504 m deep and installed American Petroleum Institute standard 8-5/8" casing, then annulus between the casing and bedrock was fully cemented. XLOT was carried out for several purposes such as confirming casing and cementing integrity, measuring rock stress states. To that end, we drilled additional 4 m long open hole interval to directly inject water and pressurize into the rock mass using the upper API casings. During the XLOT, flow rates and interval pressures were recorded in real time. Based on the logs we tried to analyze hydraulic conductivity of the test interval.

The characteristics in flow type of helical trim to unclear valve (원자력 밸브용 헬리컬트림의 유동 타입에 따른 특성)

  • Lee, Deok-Gu;Kim, Young-Bum;Yoon, In-Sik;Hwang, Ji-Hyuck;Kwon, Gap-Ju
    • Proceedings of the KSME Conference
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    • 2007.05b
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    • pp.3074-3079
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    • 2007
  • The conventional control valves have been used at the locations occurring high differential pressure and high temperature which causes cavitation, flashing, severe vibration due to abrupt flow change, and sudden pressure drop. Previous studies concerning control valves focused to prevent damage of valve trim due to the internal leak and low flow rate. The newly designed helical trim of control valve has been installed at the location of high pressure change and high temperature in a power plant, and operated for evaluation. It is confirmed that the new control valve developed in this study generates flow characteristics in comparison with previous helical trim of control valves.

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Development of a Housing Component for an Auto-compressor Using Vacuum Ladling Die Casting (진공급탕식 다이캐스팅법을 이용한 자동차 콤프레서용 하우징 부품 개발)

  • Lee, H.S.;Park, J.S.
    • Transactions of Materials Processing
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    • v.21 no.3
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    • pp.195-201
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    • 2012
  • A vacuum ladling die casting system is suggested as a means to obtain a high vacuum level. A high vacuum of 17.8 mmHg is obtained by sealing the inner space of the mould. The sample product is a rear-head housing for an auto-compressor, and the die-casting with 6-cavities was conducted. The flow analysis shows that the filling speed during vacuum ladling is faster than for a non-vacuum system. The air holes in the sample product were too small to be seen with the naked eye in X-ray films. Density tests show that the high vacuum ladling system reduces the internal porosity as much as 57.8% when compared to the non-vacuum system. A defective rate of only 0.17% was found from leak testing. The results of this research prove that the high vacuum die-casting process is useful for manufacturing of aluminium components under high internal pressure.

Welding of Stainless Steel to Copper for UHV Component Application (초고진공용 부품 적용을 위한 스테인리스 스틸과 구리의 용접)

  • 흥만수;김경렬;박종도;김영찬;정진화
    • Proceedings of the KWS Conference
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    • v.43
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    • pp.243-245
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    • 2004
  • 가속기의 저장링 및 빔라인에는 방사광을 차단 혹은 일부 통과 둥의 목적으로 Photon Absorber와 같은 진공 부품이 사용되고 있으며, 이는 일반적으로 구리와 스테인리스 스틸 등의 이종재료를 브레이징 공정을 이용하여 제작함으로써 부품이 구조적 건성의 확보와 더불어 진공환경 및 수밀을 유지하고 있다. 그러나, Photon Absorber는 사용 용도에 따라 구조적 형상이 서로 다르기 때문에 브레이징 공정을 적용하는 경우, 상대적으로 제품 생산가격의 상승, 유지보수 및 제작불량에 따른 공정 제어의 어려움이 나타나고 있다. 본 연구에서는 스테인리스 스틸 (STS 304)과 구리(OFHC Copper)의 이종금속에 접합에 GTAW 용접 공정 기술을 적용하여 제반 용접공정에 따른 용접부 성능 및 진공 특성 등을 검토하였다. 용접봉 (ER CuSi-A)을 직접 사용하여 이종 재료의 시험편에 GTAW 용접을 적용한 결과, 진공 누설율은 $1{\times}10^{-10}\;Torr{\cdot}l/s$ 이하를 얻을 수 있었으며, 용접 접합부의 인장강도 210 MPa로써 구리 모재와 유사한 기계적 특성을 나타내었다.

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Durability of the Low Profile Ionescu-Shiley Valve in Aortic Position (이오네스큐 단고형 대동맥판의 내구성)

  • 김종환
    • Journal of Chest Surgery
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    • v.25 no.10
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    • pp.1041-1047
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    • 1992
  • The consecutive 35 patients underwent isolated aortic valve replacement with the low-profile model of the Ionescu-Shiley pericardial xenograft valve from 1984 to 1991. Operative mortality was 2.9%, and early survivors were followed up for a total 136.1 patient-years[Mean$\pm$SD, 4.00$\pm$2.14 years]. The linearized late mortality was 2.204% /pt-yr. Three patients required rereplacement of the valve with overall valve failure rate of 2.204% /pt-yr: two for endocarditis and one for paravalvular leak. There was no case of primary tissue failure. The linearized annual rates of complication were: thromboembolism 0.735% /pt-yr, bleeding 0.735%pt-yr, and endocarditis 2.204% /pt-yr. The actuarial survival at 8 years of follow-up was 90.4$\pm$5.3%, and the probabilities of freedom from thromboembolism and from rereplacement were 95.6$\pm$4.4% and 88.2$\pm$6.7% at 8 years respectively. Although the low profile Ionescu-Shiley pericardial valve provided favorable clinical performance comparable with the standard model up to 8 years, it needs prolonged follow-up to assess the pattern of its durability.

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The Characteristic Investigation on Narrow-gap TIG Weld Joint of Heavy wall Austenitic Stainless Steel Pipe (오스테나이트계 SS 배관의 협개선 TIG 용접부 특성 조사)

  • Shim, Deog-Nam;Jung, In-Cheol
    • Proceedings of the KSME Conference
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    • 2003.04a
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    • pp.670-677
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    • 2003
  • Although Gas Tungsten Arc Welding (GTAW or TIG welding) is considered as high quality and precision welding process, it also has demerit of low melting rate. Narrow-gap TIG welding which has narrow joint width reduces the groove volume remarkably, so it could be shorten the welding time and decrease the overall shrinkage in heavy wall pipe welding. Generally Narrow-gap TIG welding is used as orbital welding process, it is important to select the optimum conditions for the automatic control welding This paper looks at the application and metallurgical properties on Narrow-gap TIG welding joint of heavy wall large austenitic stainless steel pipe to determine the deposition efficiency, the resultant shrinkage and fracture toughness. The fracture toughness depends slightly on the welding heat input.

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Three Regional Lymph Node Dissection in Thoracic Esophageal Cancer Surgery (흉부식도암 수술에서의 3영역 림프절 적출술)

  • 박재길
    • Journal of Chest Surgery
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    • v.28 no.10
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    • pp.954-962
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    • 1995
  • Extended lymph node dissection, which includes dissection of the cervical and superior mediastinal nodes[three-field dissection , has been performed to improve the long-term survival since 1982 in Japan. Recently, the 5-year survival rate after three-field dissection has been reported to be better than 40%. During the period, from April to June, 1995, 4 patients among 7 operable esophageal cancer patients underwent subtotal esophagectomy with systematic dissection of regional lymph nodes including superior mediastinal and cervical lymph nodes at St. Mary`s Hospital. The esophagogastric anastomoses were made in the neck and the ascending routes of gastric tube were posterior mediastinal route. The cancer stage of them were stage IIA & IIB and it was possible to operate on a curability II & III basis. The numbers of resected lymph nodes with the three field dissection were 40-55. Postoperative complications were transient recurrent laryngeal nerve paralysis and atelectasis in 2 patients respectively but there was no anastomotic leak nor stenosis.

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The Effects of Extrahepatic Cholestasis on Serum $\alpha$-D-Mannosidase Isozyme Activities in Ethanol Intoxicated Rats

  • Si-Woo Bae;Chun-Sik Kwak;Chong-Guk Yoon
    • Biomedical Science Letters
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    • v.8 no.4
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    • pp.203-209
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    • 2002
  • Serum $\alpha$-D-mannosidase isozyme activities were measured in rats with ethanol intoxication combined with extrahepatic cholestasis induced by common bile duct ligation for the manifestation of the biochemical background of drinking hazards under the hepatobiliary disease. When chronic ethanol intoxication was combine with extraheparlc cholestasis, the activities of the rat's serum cytosolic, Iysosomal and Golgi $\alpha$-D-mannosidase isozymes increased at a more significant rate than those of the cholestasis alone. However, when acute ethanol intoxication was combined with extrahepatic cholestasis, the activities of the above isozymes were seen in the cholestasis alone. The results suggested that the elevated activities of these isozymes in chronic ethanol intoxication with cholestasis rather than in cholestasis alone were indications of increased hepatic damages, which caused these isozymes to leak into the blood in great quantity. Accordingly, the resulting data supported the fact that alcoholic drinks were enzymologically harmful to the hepatobiliary disease.

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파쇄 폐타이어를 이용한 반응벽체에 관한 연구: 폐타이어 내의 MTBE(Methyl tertiary Butyl Ether) 흡착 중심

  • 박상현;이재영
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 2003.04a
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    • pp.176-179
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    • 2003
  • Fuel oxygenates, such as Methyl tertiary Butyl Ether (MTBE) is additive in gasoline used to reduce air pollution. Gasoline components and fuel additives can leak form underground storage tanks. MTBE is far more water soluble than gasoline hydrocarbons like BTEX then it travels at essentially the same velocity as groundwater. MTBE in drinking water causes taste and odor problems. Therefore, the purpose of the this study is to examine the ability of ground rubber to sorb MTBE form water. The study consisted of running both batch and column tests to determine the sorption capacity and the flow through utilization efficiency of ground rubber. The result of Column test indicate that ground tire rubber has on the 36% utilization rate. Finally, it is clear that ground rubber present an attractive and relatively inexpensive sorption medium for a MTBE. The Author thought that to determine the economic costs of ground rubber utilization, the cost to sorb a given mass of contaminant by ground rubber will have to be compared to currently accepted sorption media.

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