• Title/Summary/Keyword: Terminal procedure

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The Use of Colonic Conduit in the Management of Benign Esophageal Stricture (양성식도협착에 대한 결장을 이용한 식도성형술)

  • 임승균
    • Journal of Chest Surgery
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    • v.15 no.2
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    • pp.188-193
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    • 1982
  • Between 1967 and 1980, a total of 99 patients with a benign stricture of esophagus, resulting from a chemical burn, underwent a reconstructive procedure in which various segments of colon were used to bridge the gap between the cervical esophagus and the stomach. There were 42 males and 57 females and most were in their twenties and thirties. The most frequent site of the stricture was upper 1/3 of the thoracic esophagus [48.5%] and the next most common site was the low cervical esophagus [23.2%]. In 89 cases, the right colon with or without the terminal ileum was used as the conduit in an isoperistaltic manner and in 10, the left colon was used in an antiperistaltic position, because the right colon was not suitable as the conduit. There was a higher incidence of regurgitation [90% vs 0%], leakage at cervical anastomosis [80% vs 27%] and stenosis at anastomotic site [70% vs 15%] in an antiperistaltic left colon anastomosis, as compared to isoperistaltic right colon anastomosis. This was felt to be due to the orad peristaltic motion of the transplanted colon which acted as a functional obstruction distal to the esophagocolic suture line, resulting in breakdown of the anastomosis, leakage and eventual stenosis at the site of anastomosis. In conclusion, colon is useful and effective conduit as an esophageal substitute. Either the right or the left colon can be used for this purpose, provided that it is placed in an isoperistaltic position to minimize some of the complications listed above.

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Rapid and Efficient Molecular Cloning of Rat Liver Full-length LDH A-cDNA (효율높은 cloning system을 통한 Rat Liver 전장 낙산탈수소효소 A-cDNA의 제조 및 분리동정)

  • 노옥경;배석철;이승기
    • YAKHAK HOEJI
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    • v.31 no.2
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    • pp.116-125
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    • 1987
  • It is still difficult and time consuming to obtain cDNA sequences that contain the entire nucleotide sequence of the corresponding mRNA. A rapid and high efficient cloning method to obtain full-length cDNA segments is thus developed. The cloning procedure described here consists of the construction of oligo(dT)-tailed vector primer using pWR34 plasmid, polyadenylation of mRNA-cDNA heteroduplex using terminal deoxytransferase, and replacement of MRNA strand with DNA by RNase H and DNA polymerase I. The restriction endonuclease analysis shows that the size of inserted-cDNA is in the range of 1.5~4.0 kb long suggesting that most of cloned cDNA are full-length or nearly full-length cDNA. The plasmid-DNA recombinants obtained were 4$\times$$10^5$~$10^{6}$ per $\mu\textrm{g}$ of rat liver poly (A$^+$)mRNA, which is 4 to 10 fold higher cloning efficiency in comparison to the presently used methods for full-length cDNA cloning. The results indicate that the described cloning system is much simpler, less time consuming, and very efficient cloning method to construct a cDNA library.

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Stereotaxic Neurotomy of the Ganglion Impar in the Management of Perineal Pain -A case report- (회음부통증 환자를 위한 Ganglion Impar의 정위적 신경절제술 -증례 보고-)

  • Shin, Keun-Man;Kim, Jin-Soo;Cho, Yong-Roew;Lim, So-Young;Hong, Soon-Yong;Choi, Young-Ryong
    • The Korean Journal of Pain
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    • v.9 no.2
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    • pp.415-418
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    • 1996
  • The first reported the neural blockade of ganglion impar for pain control of perineal pain in 1990 by Plancarte and his fellows. they used 6ml of 10 percent phenol. but the point of issues, same as other neurolytics, are that it is impossible to check and control its spreading, so it might be possible to destruct the coccygeal plexus and sacral nerve, and also it has only short action time. Because of these problems, it could be very dangerous to attempt this procedure especially not for relieving the pain on cancer terminal patient, but for the sympathectomy of ganglion impar on the other purpose. We used the RF generator which had the control ability to point out the destructive lesion accurately. inserted We made the small burr hole on the sacrum near the sacrococcygeal junction directly, through the hole, and performed thermocoagulation to the ganglion impar.

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A study on Determination Method of (N-2-hydroxy-ethyl)valine(HEV) in Hemoglobin Adducts for Biological Monitoring of Ethylene Oxide Exposure

  • Lee, Jin-Heon;Shin, Ho-Shang;Ahn, Hye-Sil
    • Proceedings of the Korean Environmental Health Society Conference
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    • 2005.06a
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    • pp.337-340
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    • 2005
  • Ethylene oxide is a genotoxic carcinogen with widespread uses as industrial chemical intermediate and gaseous sterilant. 2-hydroxyethylated N-terminal valine in Hb is a good biomarker for biological monitoring of ethylene oxide exposure, because of its stability. We studied the determination method of (N-2-hydroxy-ethyl)valine in hemoglobin adduct by using GC/MS. PFPITC and TBMS were used as appropriate derivatives. Ethylene oxide formed Hb adducts as (N-2-hydroxy-ethyl)valine(HEV) in mouse with ethylene oxide inhalation exposure. Standard HEV can be synthesized with 2-amino-ethanol and 2-bromo-3-methylbutyric acid. GC/MS can measured them after derivatization with pentafluorophenylisothiocianate(PFPITC) and N-(tertiary butyl dimethylsiiyl)-N-methyl-trifluoroacetamide(TBDMS-TFA) by using Edman procedure. Concentrations of Hb adduct were proportionally increased with exposure levels. They were 230${\pm}$35(nmol g$^{-1}$ globin) and 410${\pm}$72(nmol $g^{-1}$ globin) at 200ppm and 400ppm ethylene oxide inhalation exposure, respectively.

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Trajectory Optimization and Guidance for Terminal Velocity Constrained Missiles (종말 속도벡터 구속조건을 갖는 유도탄의 궤적최적화 및 유도)

  • Ryoo, Chang-Kyung;Tahk, Min-Jea;Kim, Jong-Han
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.32 no.6
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    • pp.72-80
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    • 2004
  • In this paper, the design procedure of a guidance algorithm in the boosting phase of missiles with free-flight after thrust cut-off is introduced. The purpose of the guidance is to achieve a required velocity vector at the thrust cut-off. Trajectory optimizations for four cost functions are performed to investigate implementable trajectories in the pitch plane. It is observed from the optimization results that high angle of attack maneuver in the beginning of the flight are required to satisfy the constraints. The proposed guidance algorithm consists of the pitch program to produce open-loop pitch attitude command and the yaw attitude command generator to nullify the velocity to go. The pitch program utilizes the pitch attitude histories obtained from the trajectory optimization.

A Study on Design of Location Service Protocol using SDL in the IMT-2000 System (SDL을 이용한 IMT-2000 시스템에서의 위치 서비스 프로토콜 설계에 관한 연구)

  • 노철우;김동회;노문환
    • The Journal of the Korea Contents Association
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    • v.3 no.3
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    • pp.74-84
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    • 2003
  • The Location Service (LCS) feature which provides the terminal UE’s geographical location information has been important issues in IMT-2000 system. The existing location positioning methods are classified into the cell ID based, OTDOA, and network assisted GPS. In this paper, a new hybrid location positioning method which combine three of these methods is proposed. Then the LCS protocol is developed under SDL (Specification and Description Language) development environment after designing a new LCS system architecture and behavior. This protocol design covers the LCS functional model and signaling procedure, system architecture, primitive and data structure, and process SDL diagrams.

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A Process Management Framework for Design and Manufacturing Activities in a Distributed Environment (분산 환경하의 설계 및 제조활동을 위한 프로세스관리기법 연구)

  • Park, Hwa-Kyu;Kim, Hyun;Oh, Chi-Jae;Jung, Moon-Jung
    • The Journal of Society for e-Business Studies
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    • v.2 no.1
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    • pp.21-37
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    • 1997
  • As the complexity in design and manufacturing activities of distributed virtual enterprises rapidly increases, the issue of process management becomes more critical to shorten the time-to-market, reduce the manufacturing cost and improve the product quality. This paper proposes a unified framework to manage design and manufacturing processes in a distributed environment. We present a methodology which utilizes process flow graphs to depict the hierarchical structure of workflows and process grammars to represent various design processes and design tools. To implement the proposed concept, we develop a process management system which mainly consists of a cockpit and manager programs, and we finally address a preliminary implementation procedure based on the Object Modeling Technique. Since the proposed framework can be a formal approach to the process management by providing formalism, parallelism, reusability, and flexibility, it can be effectively applied to further application domains of distributed virtual enterprises.

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Numerical Analysis of Aerodynamics Characteristics of Two Dimensional Airfoil Section with Elastic Flap (탄성 플랩을 갖는 2차원 날개 단면 공력 특성 전산해석)

  • Won, Chang-Hee;Lee, Joo-Yong;Lee, Sungsu
    • Transactions of the KSME C: Technology and Education
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    • v.2 no.1
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    • pp.39-46
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    • 2014
  • This study presents computational analysis of aerodynamic characteristics of two-dimensional airfoil sections with elastic flap attached at the trailing edge. EDISON_CFD was utilized to simulate the incompressible turbulent flow around the foil and MIDAS_IT was employed to estimate the deflection of the flap under the pressure loading. Using iterative procedure, the terminal deflection was estimated and the resulting lift-drag ratio indicates that the favorable effect of the flap is expected within certain amount of angle of attack.

WLP and New System Packaging Technologies

  • WAKABAYASHI Takeshi
    • Proceedings of the International Microelectronics And Packaging Society Conference
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    • 2003.11a
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    • pp.53-58
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    • 2003
  • The Wafer Level Packaging is one of the most important technologies in the semiconductor industry today. Its primary advantages are its small form factor and low cost potential for manufacturing including test procedure. The CASIO's WLP samples, application example and the structure are shown in Fig.1, 2&3. There are dielectric layer , under bump metal, re-distribution layer, copper post , encapsulation material and terminal solder .The key technologies are 'Electroplating thick copper process' and 'Unique wafer encapsulation process'. These are very effective in getting electrical and mechanical advantages of package. (Fig. 4). CASIO and CMK are developing a new System Packaging technology called the Embedded Wafer Level Package (EWLP) together. The active components (semiconductor chip) in the WLP structure are embedded into the Printed Wiring Board during their manufacturing process. This new technical approach has many advantages that can respond to requirements for future mobile products. The unique feature of this EWLP technology is that it doesn't contain any solder interconnection inside. In addition to improved electrical performance, EWLP can enable the improvement of module reliability. (Fig.5) The CASIO's WLP Technology will become the effective solution of 'KGD problem in System Packaging'. (Fig. 6) The EWLP sample shown in Fig.7 including three chips in the WLP form has almost same structure wi_th SoC's. Also, this module technology are suitable for RF and Analog system applications. (Fig. 8)

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Compromised Network Design Model for the Strategic Alliance of Service Centers and Consolidation Terminals in Express Courier Services (택배 영업소 및 화물터미널의 전략적 제휴를 위한 절충적 네트워크 설계에 관한 연구)

  • Chung, Ki-Ho;Ko, Hyun-Jeung;Ko, Chang-Seong
    • Journal of Korean Institute of Industrial Engineers
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    • v.37 no.4
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    • pp.304-310
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    • 2011
  • The express courier business in Korea has been recognized as one of promising business sectors with the annual growth rate of over 10 percent since 2001. As such many domestic and foreign companies have been established and are fiercely competing to extend their own market share. The severe competition has forced them to focus on achieving cost competitiveness and high level of customer service. Small and medium-sized enterprises( SMEs) with relatively poor network infrastructure in particular are facing tougher challenges to cost reduction and efficiency improvement in their logistics networks. Strategic alliances among SMEs may be an effective way to cope with these challenges. Therefore this study proposes an integer programming model for compromised network design and its solution procedure based on maxmin and maxsum criteria for strategic alliances. The applicability and efficiency of the proposed model are demonstrated through an illustrative numerical example.