• Title/Summary/Keyword: One-stage operation

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A Case Report of Squamous Cell Lung Cancer Patient Treated with Allergen Removed Rhus Verniciflua Stokes Extract (알레젠 제거 옻나무 추출물 투여로 생존기간이 연장된 편평세포폐암 환자 1례)

  • Kim, Eun-Hee;Park, So-Jeong;Choi, Won-Cheol;Lee, Soo-Kyung
    • Journal of Korean Traditional Oncology
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    • v.16 no.2
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    • pp.35-41
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    • 2011
  • Background : Lung cancer is one of the most common malignancy in the world. Types of lung cancer are Non small cell lung cancer and small cell lung cancer. Subtypes of Non small cell lung cancer are adenocarcinoma, squamous cell carcinoma and large cell carcinoma. Knowing the type of lung cancer is important in determining both treatment and prognosis. Recently, due to newly developed anti-cancer drugs, squamous cell carcinoma has relatively poor prognosis than non-squamous cell carcinoma. Case : We report a squamous cell lung cancer case treated with allergen removed Rhus verniciflua Stokes (aRVS) extract. The patients initially diagnosed stage squamous cell lung carcinoma, but she refused recommended operation. She initiated aRVS extract monotherapy in October. 2006. The follow up Computed tomography in March. 2007, she diagnosed stable disease of tumor response on aRVS treatment. However, this case was lost to follow up for 6 months while she was treated with tomotherapy. In October 2007, she came back to our cancer center after diagnosed stage IV metastasized lung to lung, and aRVS monotherapy was restarted. She had survived 2 years after metastasis of squamous cell lung carcinoma. Conclusion : Allergen removed Rhus verniciflua Stokes(aRVS) sucessfully prolonged overall survival of a squamous cell lung cancer patient.

A study on influence of precipitation condition on rounding of AUC particles (AUC 침전조건이 둥근 AUC 입자 제조에 미치는 영향)

  • 김응호;정원명;박진호;유재형;최청송
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.8 no.3
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    • pp.454-462
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    • 1998
  • Mechanisms and conditions for rounding of AUC particles were examined during AUC precipitation. Rounding of AUC particle was possible only by external circulation using pump, not by internal circulation using agitator. The rate of AUC rounding $(dn_p/dt)$ was proporational to operation conditions such as magma density $(M_t:g-U/{\iota}l)$, turn over ratio $(T_o)$ and impeller tip velocity of pump (U); $ dn_p/dt{\propto}M_t{\cdot}T_o{\cdot}U^2$. The validity of this relationship was qualitatively confirmed by comparing the expermental results. Two rounding mechanisms were suggested. One is crack formation mechanism and the other etch-pit formation mechanism on the surface of AUC particle. It was found that the crack formation is more dominant at the initial stage and the etch-pit formation at the final stage of the AUC precipitation.

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Surface Hydrophilization of PVDF Membrane by Thermal Polymerization Lamination Process (열중합 Lamination 공정에 의한 PVDF 분리막의 표면 친수화)

  • Lee, Se-Min;Byun, Young-Jin;Kim, Jin-Ho;Kim, Sung Soo
    • Membrane Journal
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    • v.23 no.3
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    • pp.220-225
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    • 2013
  • Hydrophilic monomers were polymerized for lamination on polyvinylidene fluoride (PVDF) membrane surface for hydrophilization of the membranes. Hydrophilization reduced the contact angle from $95^{\circ}$ to $55^{\circ}$ and enhanced the water flux by 10 times while it reduced the bovine serum albumin (BSA) adsorption amount to 1/4 level. Thermal polymerization process was optimized by examining several operation parameters. Dimethyl oxobuthyl acrylamide (DOAA) showed the best effect due to its better hydrophilicity than others. Increase of amount of monomer enhanced the performance until the optimum concentration of 30 wt%, beyond which excess amount of monomer resulted in homopolymerization to deteriorate the performance. Azobis (isobutyronitrile)(AIBN) initiator has greater activation temperature range than benzoyl peroxide (BPO) and it showed better hydrophilation performance. Two stage lamination process, application of initiator followed by monomer addition, was more effective than one stage process, addition of initiator and monomer at once, which still reduced the contact angle but also reduced the water flux by pore blocking phenomena.

Problem-Based Learning in medical schools worldwide (국외 의과대학의 문제바탕학습 (Problem-Based Learning))

  • Shin, Hong-Im
    • Korean Medical Education Review
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    • v.10 no.1
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    • pp.35-42
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    • 2008
  • Purpose : Since PBL was first developed by Howard Barrows at McMaster, it has been adopted as one of the best teaching and learning methods in medical schools throughout the world. However, the educational superiority of PBL relative to traditional approaches is less clear. Given the somewhat extensive resources required for the operation of PBL curriculum, this gives reason for concern. The aim of this study is to review experiences of PBL in other medical schools and learn how to implement PBL in our school. Methods : This study was undertaken in two stages. In the first stage, PBL curricular examples in 7 medical schools (University of Pennsylvania, University of Melbourne, University of Maastricht, McMaster University, Flinders University, Harvard medical school. University of California at L.A.) were collected and summarized. In the second stage, a careful search for articles of journals published since 2000 regarding PBL group assessment, effectiveness of PBL and group facilitation skills was conducted. Results : PBL is generally introduced in a core curriculum in undergraduate medical education. Relating to small group assessment, the perception of students has been well developed. but the current PBL assessment tool needs to be revised, to develop thinking skills of students. The PBL graduates considered themselves as having much better interpersonal skills, better competencies in problem solving and self-directed learning than the non-PBL graduates. Tutors used various techniques to raise awareness, facilitate the group process and direct learning. Conclusions : The following three aspects can be regarded as important in this study. First, to implement PBL in our school more effectively, it might be considered, which curriculum content can be best learned with PBL. Second, to enhance students' thinking skills during PBL, a new assessment tool needs to be developed. Third, tutors' competencies are important to facilitate, group process, so it would be worthwhile including in staff development.

The Efficacy of Simultaneous Breast Reconstruction and Contralateral Balancing Procedures in Reducing the Need for Second Stage Operations

  • Smith, Mark L.;Clarke-Pearson, Emily M.;Vornovitsky, Michael;Dayan, Joseph H.;Samson, William;Sultan, Mark R.
    • Archives of Plastic Surgery
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    • v.41 no.5
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    • pp.535-541
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    • 2014
  • Background Patients having unilateral breast reconstruction often require a second stage procedure on the contralateral breast to improve symmetry. In order to provide immediate symmetry and minimize the frequency and extent of secondary procedures, we began performing simultaneous contralateral balancing operations at the time of initial reconstruction. This study examines the indications, safety, and efficacy of this approach. Methods One-hundred and two consecutive breast reconstructions with simultaneous contralateral balancing procedures were identified. Data included patient age, body mass index (BMI), type of reconstruction and balancing procedure, specimen weight, transfusion requirement, complications and additional surgery under anesthesia. Unpaired t-tests were used to compare BMI, specimen weight and need for non-autologous transfusion. Results Average patient age was 48 years. The majority had autologous tissue-only reconstructions (94%) and the rest prosthesis-based reconstructions (6%). Balancing procedures included reduction mammoplasty (50%), mastopexy (49%), and augmentation mammoplasty (1%). Average BMI was 27 and average reduction specimen was 340 grams. Non-autologous blood transfusion rate was 9%. There was no relationship between BMI or reduction specimen weight and need for transfusion. We performed secondary surgery in 24% of the autologous group and 100% of the prosthesis group. Revision rate for symmetry was 13% in the autologous group and 17% in the prosthesis group. Conclusions Performing balancing at the time of breast reconstruction is safe and most effective in autologous reconstructions, where 87% did not require a second operation for symmetry.

AN EXPERIMENTAL STUDY CN THE INFLUENCE OF FCRMCCRESOL TO THE HEALING PROCESS OF AMPUTATED PULP (Formocresol이 손상치수조직(損傷齒髓組織)의 치유(治癒)에 미치는 영향(影響)에 관(關)한 실험적(實驗的) 연구(硏究))

  • Kwon, Hyuk-Choon
    • Restorative Dentistry and Endodontics
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    • v.3 no.1
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    • pp.17-21
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    • 1977
  • After a vital pulpotomy in dogs' teeth, the responses of the remaining pulp tissue under calcium hydroxide and formocresol were studied histologically. The class I and V cavities were prepared on the teeth and the pulp was amputated. Calcium hydroxide and formocresol were placed over the amputated tissue and the cavities were sealed with zine oxide eugenol cement and zinc phosphate cement. Animals. were sacrifice after 1, 2, and 3 weeks following the operation. The teeth were decalcfied, sectioned and stained with hematoxylin and eosin. Microscopic examination reveals as follows; 1. Healing of the pulp at the amputation site did not occur in the pulps treated with formocresol. 2. At one week, a thin layer of darker staining tissues just below the necrotic zone was presented in the pulps treated with formocresol. In this stage the tissues beneath the darker staining layer were normal. 3. At two weeks, the cells of the palest staining layer were showed indistinct nucleus which suggested the karyolysis and the karyorrhexis in the pulps treated with formocoresol. As reached to the middle third of the pulp, the odontoblasts were scarcely evident or missed in this stage. 4. At three weeks, the necrotic zone was reached to the middle third of the pulp canal. The cells beneath the zone showed massive infiltration of inflammatory cells in the pulps treated with formocresol. 5. Dentin bridge in the control group was deposited below the necrotic zone from the two. weeks later. 6. Normal tissues were observed ill the apical third of all. the dental pulps in all case of calcium hydroxide and formocresol.

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High-speed Integer Operations in the Fuzzy Consequent Part and the Defuzzification Stage for Intelligent Systems (지능 시스템을 위한 퍼지 후건부 및 비퍼지화 단계의 고속 정수연산)

  • Lee Sang-Gu;Chae Sang-Won
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.43 no.2 s.308
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    • pp.52-62
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    • 2006
  • In a fuzzy control system to process fuzzy data in high-speed for intelligent systems, one of the important problems is the improvement of the execution speed in the fuzzy inference and defuzzification stages. Especially, it is more important to have high-speed operations in the consequent part and defuzzification stage. Therefore, in this paper, to improve the speedup of the fuzzy controllers for intelligent systems, we propose an integer line mapping algorithm using only integer addition to convert [0,1] real values in the fuzzy membership functions in the consequent part to integer grid pixels $(400{\times}30)$. This paper also shows a novel defuzzification algorithm without multiplications. Also we apply the proposed system to the truck backer-upper control system. As a result, this system shows a real-time very high speed fuzzy control as compared as the conventional methods. This system will be applied to the real-time high-speed intelligent systems such as robot arm control.

Clinical Evaluation and Prevention of Complications of Esophagojejunal Anastomotic Site after Total Gastrectomy (위 전절제술 후 식도 공장 문합부 합병증에 관한 연구)

  • Park, Ki-Ho;Jung, Soon-Jai
    • Journal of Gastric Cancer
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    • v.4 no.2
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    • pp.121-125
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    • 2004
  • Purpose: Esophagojejunal anastomotic complications after a total gastrectomy include leakage, stenosis, bleeding, and abscess formation. Especially, the mortality rate for esophagojejunal anastomotic leakage is $80\%$. Although these complications hare been reduced by the usage of the EEA stapler, they are still serious and depend on various factors: the surgeon's experience, the stage of disease, the extent of surgical intervention, the method of operation, and the patient. Some local factors, such as vascularization of the graft, traction on the anastomosis suture line, and local infections, have been implicated as contributing to these complications. Materials and Methods: During the period $1995\∼2003$, of the 850 gastrectomies for gastric carcinomas, 171 were intra-abdominal total gastrectomies. All of these 171 operations were performed by one surgeon using a routine D2 lymph-node dissection and a 25-mm EEA stapler on an antecolic end-to-side esophagojejunostomy. In the 77 cases a seromuscular reinforced suture at the esophagojejunostomy site was performed, and in 94 cases, a whole layer reinforced suture with absorbible materials was used. We evaluated the incidence of complications according to age, sex, stage of patients, and combined resection. Also, we compared the incidences of complications for seromuscular and whole layer reinforced sutures. Results: The complications are major leaks ($2.9\%$), minor leaks ($3.5\%$), stenosis, bleeding ($1.8\%$), and abscess formation formation ($1.8\%$). In the five cases of major leaks, there were four mortalities with operative methods. The other patients with stenosis, bleeding, and abscess formation were treated conservatively with success. The incidences of complications were not related with age, sex, stages, and combined resection. The incidences of complications for the whole layer reinforced suture group ($2.9\%$) were less than those for the seromuscular reinforced group ($8.8\%$, P=0.04). Conclusion: The most serious complication of esophagojejunal anastomosis is major leakage with an $80\%$ mortality. The other complications are stenosis, bleeding, and abscess formation, for which no mortalities occurred during this study. Whole layer suture of the esophagojejunal anastomotic site is an important method for preventing leakage.

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High Power Density and Low Cost Photovoltaic Power Conditioning System with Energy Storage System (에너지 저장장치를 갖는 고 전력밀도 및 저가격형 태양광 인버터 시스템)

  • Keum, Moon-Hwan;Jang, Du-Hee;Hong, Sung-Soo;Han, Sang-Kyoo;SaKong, Suk-Chin
    • The Transactions of the Korean Institute of Power Electronics
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    • v.16 no.6
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    • pp.587-593
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    • 2011
  • A new high power density and low cost Photovoltaic Power Conditioning System (PV PCS) with energy storage system is proposed. Its high power density and cost effectiveness can be achieved through the unification of the maximum power point tracker and battery charger/discharger. Despite of the reduced power stage, the proposed system can achieve the same performances of maximum power point tracking and battery charging/discharging as the conventional system. Moreover, the high voltage stress across the link-capacitor can be relieved through the series-connected link-capacitor with the battery. Therefore, a large number of series/parallel-connected link-capacitors can be reduced by 4-times. Especially, when the utility power failure happens, both photovoltaic and battery energies can be supplied to the load with only one power stage. Therefore, it features a simpler structure, less mass, lower cost, and fewer devices. Finally, to confirm the operation, validity, and features of the proposed system, theoretical analysis and experimental results from a single phase AC 220Vrms/1.5kW prototype are presented.

A 20 GHz Band 1 Watt MMIC Power Amplifier (20 GHz대 1 Watt 고출력증폭 MMIC의 설계 및 제작)

  • 임종식;김종욱;강성춘;남상욱
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.10 no.7
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    • pp.1044-1052
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    • 1999
  • A 2-stage 1 watt MMIC(Monolithic Microwave Integrated Circuits) HPA(High Power Amplifiers) at 20 GHz band has been designed and fabricated. The $0.15\mu\textrm{m}$ with the width of $400\mu\textrm{m}$for single device pHEMT technology was used for the fabrication of this MMIC HPA. Due to the series feedback technique from source to ground, bias circuits and stabilization circuits on the main microstrip line, the stability factors(Ks) are more than one at full frequency. The independent operation for each stage and excellent S11, S22 less than -20 dB have been obtained by using lange couplers. For beginning the easy design, linear S-parameters have been extracted from the nonlinear equivalent circuit in foundry library, and equivalent circuits of devices at in/output ports were calculated from this S-parameters. The measured performances, which are in well agreement with the predicted ones, showed the MMIC HPA in this paper has the minimum 15 dB of linear gain, -20 dB of reflection coefficients and 31 dBm of output power over 17~25 GHz.

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