• Title/Summary/Keyword: Long Gap

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Gastric Tube Replacement in Esophageal Atresia (선천성 식도 폐쇄에서 위관을 이용한 식도 치환술의 성적)

  • Lim, Chang-Sup;Kim, Hyun-Young;Park, Kwi-Won;Jung, Sung-Eun;Lee, Seong-Cheol;Kim, Woo-Ki
    • Advances in pediatric surgery
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    • v.10 no.2
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    • pp.92-98
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    • 2004
  • The history of esophageal replacement in infants or children is the history of development of various kinds of alternative conduits such as stomach, colon, and small bowel. The gastric tube has been the most widely used conduit. From January 1988 to May 2003, 23 esophageal replacements with gastric tube were performed at the Department of Pediatric Surgery, Seoul National University Childrens Hospital. Statistical analysis was performed using Windows SPSS11.0 Pearson exact test. There were Gross type A(n=10), type B(n=1), type C(n=11), type D(n=1). Ten patients who had long gap esophageal atresia (type A-8, type B-1, type C-1) and 13 patients (type A 2, type C-10, type D-1) who had stenosis, leakage, recurred tracheoesophageal fistula, and esophagocutaneous fistula after previous corrective operations, had esophageal replacement with gastric tube. Mean follow-up periods were 4 year 2 months (7 months-15 year 1 month). There were postoperative complications including GERD in 16 (69.6 %), leakages in 7 (30.4 %), diverticulum at anastomosis in 2 (8.7 %), anastomosis site stenosis in 4 (17.3 %), and distal stenosis of the gastric tube in 1 (4.3 %). There was no statistical significance between operation types and postoperative leakage and gastroesophageal reflux. In conclusion, esophageal replacement with gastric tube may be a useful surgical option in esophageal atresia with long gap and esophageal atresia complicated by previous corrective operation.

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Long-Range Surface-Plasmons Excited on Double-Layered Metal Waveguides (이중-금속 장거리 표면-플라즈몬 도파로)

  • Joo, Yang-Hyun;Jung, Myong-Jin;Song, Seok-Ho
    • Korean Journal of Optics and Photonics
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    • v.19 no.1
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    • pp.73-79
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    • 2008
  • We propose a novel metal-waveguide structure for sustaining long-range surface-plasmon-polaritons (LRSPP). The LRSPP waveguides are composed basically of two asymmetric metal layers: a very thin, finite-width metal strip on top of a metal slab with a dielectric gap in between them. Mode cut-off of LRSPPs excited on the double-metal waveguides is characterized by consistently investigating their dispersion relations and mode profiles. We also confirm experimentally the existence of low-loss, well-confined LRSPP modes by measuring far-field outputs emerging from an edge of the asymmetric double-metal waveguides. In the experiment, we have fabricated several types of SPP waveguide devices including straight lines, S-bend, and Y-branch consisting of gold strips (20 nm-thick, $5{\mu}m$-wide). Overall propagation loss of the proposed double-metal waveguides is quite comparable to that of single metal-strip waveguides, in addition the mode sizes can be tuned by increasing the core-insulator gap between the metal layers to get a higher coupling efficiency with a single-mode fiber in telecom wavelength. The proposed LRSPP waveguides may open up realization of SPP-waveguide sensors or nonlinear SPP-devices by replacing the core-insulator with a bio-fluid or a nonlinear medium.

Esophageal Reconstruction with Gastric Pull-up in a Premature Infant with Type B Esophageal Atresia

  • Han, Young Mi;Lee, Narae;Byun, Shin Yun;Kim, Soo-Hong;Cho, Yong-Hoon;Kim, Hae-Young
    • Neonatal Medicine
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    • v.25 no.4
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    • pp.186-190
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    • 2018
  • Esophageal atresia (EA) with proximal tracheoesophageal fistula (TEF; gross type B) is a rare defect. Although most patients have long-gap EA, there are still no established surgical guidelines. A premature male infant with symmetric intrauterine growth retardation (birth weight, 1,616 g) was born at 35 weeks and 5 days of gestation. The initial diagnosis was pure EA (gross type A) based on failure to pass an orogastric tube and the absence of stomach gas. A "feed and grow" approach was implemented, with gastrostomy performed on postnatal day 2. A fistula was detected during bronchoscopy for recurrent pneumonia; thus, we confirmed type B EA and performed TEF excision and cervical end esophagostomy. As the infant's stomach volume was insufficient for bolus feeding after reaching a body weight of 2.5 kg, continuous tube feeding was provided through a gastrojejunal tube. On the basis of these findings, esophageal reconstruction with gastric pull-up was performed on postnatal day 141 (infant weight, 4.7 kg), and he was discharged 21 days postoperatively. At 12 months after birth, there was no catch-up growth; however, he is currently receiving a baby food diet without any complications. In patients with EA, bronchoscopy is useful for confirming TEF, whereas for those with long-gap EA with a small stomach volume, esophageal reconstruction with gastric pull-up after continuous feeding through a gastrojejunal tube is worth considering.

A Study on the Roles of Library for Community Residents Life-Long Learning (지역사회주민의 평생학습을 위한 도서관의 역할에 관한 연구)

  • Kim, Young-Joon
    • Journal of the Korean Society for Library and Information Science
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    • v.40 no.1
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    • pp.217-239
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    • 2006
  • 21st century is a knowledge and information society. Keeping pace with this global environment change. people demand various roles from a library First, they demand to play a role of an 'Information Connector' rather than a traditional role of a 'Book Container'. Second, they demand to be the place of the social integration for a solution to the information and learning gap and the place for a life-long learning for HRD(Human Resources Development) by the community unit. In addition, not only introducing a system of 'Deputy Prime Minister and Minister of Education & HRD' for national HRD and 'Five-Day Week' but the advent of 'an Aging Society' demand a change of a library. This study researches roles of a library inseparably related to such new paradigms in the life-long learning society as the knowledge. information, five-day week. aging and HRD, and shows the right direction of a library to pursue in the future.

Preliminary Study on the Coordination of the Repair works' items of the Long Term Repair Plan in Apartment Housing (공동주택 장기수선계획 수립기준 항목 조정에 관한 기초 연구)

  • Lee, Kang-Hee
    • Journal of the Korean housing association
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    • v.27 no.4
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    • pp.13-22
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    • 2016
  • The long term plan for apartment housing has a important role to make a decision making whether a repair work should be done or not. But, items for repair works are so various that field workers could not understand the context or plan the repair cost and time. These difficulties are drawn from the number of repair items, duplicated application and meaning, new material application and technology time-gap. Therefore, it needs to change or coordinate the repair items to improve the repair condition, reflecting the current material level or repair technologies. In this paper, it aimed at coordination of the repair items through the repair recording sheet which was surveyed in 22 metropolitan areas of Seoul, conducted between 2011 and 2014. The surveyed data are classified into six categories such as building exterior, building interior and so on, according to long term repair plan and the number of data are 1,918. It analyzed the appearing word for repair-concerned and compared the existing items of the long term plan. Items of building exterior are proposed as roof, exterior wall and painting. Building interior has a little meaning to propose the repair items. The water supply facilities are proper to keep the existing repair items. Items of the outdoor facilities could not need a sign board, drainage root and PVC sheath. Through this study, we can coordinate the repair items in apartment and provide the repair item and cost level.

Low Temperature Preparation and Photocatalytic Activity of TiO{2-x}Nx (TiO{2-x}Nx의 저온제조 및 광화학적 특성)

  • Jung, Dong-Woon
    • Journal of the Korean Chemical Society
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    • v.54 no.1
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    • pp.120-124
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    • 2010
  • $TiO_2$ and N-substituted $TiO_{2-x}N_x$ were synthesized by using precipitation method. $TiO_{2-x}N_x$ compound absorbed whole UV light as well as long wavelength of visible light (400 - 700 nm) because of the change of band gap from 3.2 eV to 1.77 eV. Results obtained revealed that $TiO_{2-x}N_x$ showed higher activity than pure $TiO_2$ or P-25 for visible-photocatalytic degradation of 1,4-dichlorobenzene.

Static Structural Analysis on the Mechanical behavior of the KALIMER Fuel Assembly Duct

  • Kim, Kyung-Gun;Lee, Byoung-Oon;Woan Hwang;Kim, Young ll;Kim, Yong su
    • Nuclear Engineering and Technology
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    • v.33 no.3
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    • pp.298-306
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    • 2001
  • As fuel burnup proceeds, thermal gradients, differential swelling, and inter-assembly loading may induce assembly duct bowing. Since duct bowing affects the reactivity, such as long or short term power-reactivity-decrement variations, handling problem, caused by top end deflection of the bowed assembly duct, and the integrity of the assembly duct itself. Assembly duct bowing were first observed at EBR-ll in 1965, and then several designs of assembly ducts and core restraint system were used to accommodate this problem. In this study, NUBOW-2D KMOD was used to analyze the bowing behavior of the assembly duct under the KALIMER(Korea Advanced Liquid MEtal Reactor) core restraint system conditions. The mechanical behavior of assembly ducts related to several design parameters are evaluated. ACLP(Above Core Load Pad) positions, the gap distance between the ducts, and the gap distance between the duct and restraint ring were selected as the sensitivity parameter for the evaluation of duct deflection.

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Air-water Countercurrent Flow Limitation in Narrow Rectangular Channels (협소 사각유로에서 공기-물 대향류 유동한계)

  • Kim, Byong-Joo
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.19 no.6
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    • pp.441-446
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    • 2007
  • An experimental study on the countercurrent two-phase flow in narrow rectangular channels has been peformed. Countercurrent flow limitation (CCFL) was investigated using air and water in 760mm long, 100mm wide, vertical test sections with 1 and 3mm channel gaps. Tests were systematically performed with downward liquid superficial velocities and upward gas velocities covering 0 to 0.125 and 0 to 3.5m/s ranges, respectively. As the gap width of rectangular channel increased the CCFL water superficial velocity decreased for the given air superficial velocity. Slight increase of the air superficial velocity resulted in the abrupt decrease of water velocity when $j_g=2{\sim}4m/s$. The critical superficial velocity of air, at which the downward flow of water was no longer allowed, also decreased with the increase of gap width. The experimental results were compared with the previous correlations, which were mainly for round tubes, and the qualitative trends were found to be partially acceptable. However the quantitative discrepancies were hardly neglected. New correlation of CCFL was developed and showed good agreement with the experimental data.

Relationship between Climate Factors and Relative Growth of Pinus rigida and Castanea crenata in the Cheongju Area of Chungbuk (충북 청주지역 리기다소나무와 밤나무의 상대 생장률과 기후인자와의 관계)

  • Kim, Kee Dae
    • Journal of Environmental Science International
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    • v.26 no.5
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    • pp.585-590
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    • 2017
  • The Diameter at Breast Height (DBH) provides information about the volume growth of a tree. In this study, we estimated the relative growth rates of Castanea crenata and Pinus rigida as 4.07% and 3.73%, respectively. Although the difference was low, we demonstrated that the growth rate of C. crenata is slightly faster than that of P. rigida. After calculating the relative growth rate for each section, we found that the relative growth of C. crenata decreased with time. However, the relative growth rate of P. rigida showed an overall increase. The gap widths of both species showed an increasing trend. However, the gradient of the two species was different. The gradient of C. crenata was approximately 12.0, but that of P. rigida was approximately 4.7. This means that the volume growth of C. crenata was faster than that of P. rigida during 4 years. However, this was relatively a short period for measuring the volume growth pattern, and we believe that additional useful information can be obtained by conducting long-term ecological monitoring. Results of canonical correspondence analysis showed that among the climate variables, temperature was significantly related to the gap widths for both species.

A Fuzzy PID Control of Robot for Pipes Inspection (관로 검사로봇 자세의 퍼지 PID제어)

  • Kim, Do-Uk;Yang, Hae-Won;Yun, Ji-Seop
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.49 no.8
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    • pp.473-480
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    • 2000
  • A fuzzy PID controller is proposed for the posture control of a two DOF robot vehicle inspecting the defects of the inner wall of sewage pipes. The main difficulty in controlling these kinds of vehicles lies in that the center of two mobile shafts does not coincide with the weight center of the vehicle due to its long and wide shape. In this case the previous controller, based on the assumption that the gap between these centers are small, can not guarantee satisfactory transient response characteristics. In this paper, this gap is included in the mathematical modelling of the robot kinematics, and in order to compensate the unsatisfactory transient response characteristics, the fuzzy PID controller is proposed. This controller tunes the PID control gains with respect to the current state of the errors between the reference and the current postures. A series of simulations has been performed to investigate the tracking performance of the proposed controller for the lane changing path and the robustness to the external disturbance. The simulation results show that the proposed controller has a satisfactory tracking performance in the transient state as compared with that of the backstepping control given in reference.

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