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Surgical Outcomes Associated with Operable Gastric Cancer in a Tertiary Care Indian Hospital

  • Franklyn, Joshua;George, Sam V.;Yacob, Myla;Abraham, Vijay;Chandran, Sudhakar;Sebastian, Tunny;Samarasam, Inian
    • Journal of Gastric Cancer
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    • v.17 no.1
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    • pp.63-73
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    • 2017
  • Purpose: Data on operable gastric cancer from India is sparse. The purpose of this study was to investigate the clinical details, histopathological demographics, and 5-year overall survival (OS) and disease free survival (DFS) associated with operable, non-metastatic gastric cancer in a dedicated upper gastrointestinal (GI) surgical unit in India. Materials and Methods: Data for patients diagnosed with operable gastric cancer between January 2006 and December 2014 were retrospectively analyzed. Data were collected from electronic hospital records in addition to mail and telephonic interviews when possible. Results: A total of 427 patients were included. The tumor was located in the pyloro-antral region in 263 patients (61.7%). Subtotal gastrectomy was performed in 291 patients and total gastrectomy in 136 patients. Tumor stage classification revealed 43 patients (10.0%) with stage I, 40 patients (9.4%) with stage IIA, 59 patients (13.9%) with stage IIB, 76 patients (17.8%) with stage IIIA, 96 patients (22.5%) with stage IIIB, and 113 patients (26.4%) with stage IIIC disease. Follow-up data were available for 71.6% of the patients with a mean duration of 32.4 months. Five-year DFS and OS were 39% and 59%, respectively. Conclusions: Despite presenting at an advanced stage, the 5-year DFS and OS of patients with operable gastric cancer treated at a dedicated upper GI unit of a tertiary care center in India was good.

An Analysis of Call Demands of Two Squads In Kyonggi Provincial fire and Disaster Headquarters (경기도 소방재난본부에 소속된 두 구급대의 출동수요 분석)

  • Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.6 no.1
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    • pp.77-86
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    • 2002
  • The purposes of this research which was conducted by surveying lost/added unit hours reports, unit hour demand analysis worksheets from prehospital care reports of two squads in Kyonggi Provincial Fire and Disaster Headquarters for 20 weeks (January 1, 2002 - May 20, 2002) are to get Unit Hour Utilizations. Call Demands such as Unit Hour Demand, Simple Average Demand, High Average Demand, Peak Average Demand, the High Actual Demand. The conclusions from this analysis were summarized as follows: (1) By revealing Unit Hour Produced 3223.9, Call Volume 964, Unit Hour Utilization 0.299 at the Squad A and Unit Hour Produced 3328.4, Call Volume 901, Unit Hour Utilization 0.271 at the Squad B induced Korean Squads to chance identification, definition, direction of Unit Hour Utilization. (2) By revealing Simple Average Demand 7.4 on Monday Tuesday, High Average Demand 9.6 on Tuesday Friday. Peak Average Demand 11.5 on Tuesday, the High Actual Demand 12 on Tuesday Wednesday at the Squad A and Simple Average Demand 6.8 on Sunday, High Average Demand 10.4 on Monday, Peak Average Demand 11.5 on Monday, the High Actual Demand 13 on Monday at the Squad B enabled Korean Squads to utilize System Status Management. (3) The Maximum Calls per Unit Hour were 115 for 23:00~23:59, the Minimum Calls per Unit Hour were 46 for 05:00~05:49 in two squads. The Maximum Calls per Unit Hour were 7.4 on Tuesday Saturday, the Minimum Calls per Unit Hour were 6.1 on Thursday at the Squad A. The Maximum Calls per Unit Hour were 7.3 on Monday Saturday, the Minimum Calls per Unit Hour were 5.6 on Thursday at the Squad B. (4) Analyzing demand for EMTs in the optimum emergency medical service of Korea, we have been able to utilize this Unit Hour Utilization in company with the established estimation methods such as international comparisons or the number of ambulances for scientific reasonable estimation. (5) These Call Demands which were limited to the demand time in this study will make us expect some following studies including demand time, demand time, demand map for Strategic Deployment.

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Design of a Dispatch Unit & Operand Selection Unit for Improving the SIMT Based GP-GPU Instruction Performance (SIMT구조 GP-GPU의 명령어 처리 성능 향상을 위한 Dispatch Unit과 Operand Selection Unit설계)

  • Kwak, Jae Chang
    • Journal of IKEEE
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    • v.19 no.3
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    • pp.455-459
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    • 2015
  • This paper proposes a dispatch unit of GP-GPU with SIMT architecture to support the acceleration of general-purpose operation as well as graphics processing. If all the information of an operand used instructions issued from the warp scheduler is decoded, an unnecessary operand load occurs, resulting in register loads. To resolve this problem, this paper proposes a method that can reduce the operand load and the load on the resister by decoding only the information of the operand using a pre-decoding method. The operand information from the dispatch unit is passed to the operand selection unit with preventing register bank collisions. Thus the overall performance are improved. In the simulation test, the total clock cycles required by processing 10,000 arbitrary instructions issued from the wrap scheduler using ModelSim SE 10.0b are measured. It shows that the application of the dispatch unit equipped with the pre-decoding function proposed in this paper can make an improvement of about 12% in processing performance compared to the conventional method.

Analysis and Design of Low Pass Filter using Unit Cell based on CRLH Transmission Line

  • Yang, Lei;Yang, Doo-Yeong
    • International Journal of Contents
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    • v.8 no.3
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    • pp.100-104
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    • 2012
  • In this paper, a unit cell for low pass filter design by using composite right and left-handed transmission line in conductor-backed coplanar waveguide is proposed. The characteristics of the unit cell are analyzed in order to design a low pass filter in small sizes. By changing the sizes of the unit cell, the parameters of right-handed and left-handed immittance components are changed and the desired characteristics of the unit cell are achieved. The equivalent circuit of the unit cell is extracted and analyzed either. As a result, the simulation results of the unit cell and the equivalent circuit are almost identified. The movement and energy distributions of electromagnetic field are shown to confirm the property of the unit cell. In the end, a low pass filter is demonstrated by cascading three proposed unit cells, which shows cutoff frequency of 1.53GHz and deep attenuation from 2.23GHz to 4.49GHz lower than -50dB.

A Study on the Unit Spaces of Hospice Unit within a General Hospital (종합병원 호스피스 병동부 단위공간에 관한 연구)

  • Ha, Young-Chang;Lee, Teuk-Gu
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.7 no.2
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    • pp.37-45
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    • 2001
  • The hospice movement evolved as an alternative to hospitals as places to die. Recently, the palliative care for dying and hospice has been developed rapidly and placed itself as one of the medical systems. But the studies on hospice program and establishment method in Korea are few or no in comparison with developed countries. Hospice unit within a general hospital is more efficient hospice type than other terminal care establishments, therefor it will be developed rapidly. With this in mind, this study puts elements of architectural planning on the hospice unit for the space requirements. Also, It is investigated the architectural conditions of hospice unit within a general hospital, analyzed the unit space and spatial composition in hospice unit. The purpose of this study is to propose the fundamental data and unit space for architectural plan and design.

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Analysis on the Unit-Plans of Shinonome Canal Court Multi-dwellings Project in Japan (일본 공동주택 시노노메 캐널코트의 단위세대 주거평면 분석)

  • Suh, Kuee-Sook
    • Journal of the Korean housing association
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    • v.19 no.2
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    • pp.43-54
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    • 2008
  • The aim of the research is to find out the direction of unit-plans in multi-dwellings for the future society. Shinonome Canal Court where residents actually live now are the objects in this study, and the residential floor plan of unit-plans were analyzed to find out the typical types. The analysis was focused on the unit-plans of 5 blocks of Shinonome Canal Court. Space Syntax Theory was used as the analysis method. As the first stage of the analysis, justified graphs were made to find out the characters of unit-plans through the classification of the graphs. Contents of the analysis are as follows: Relationship between classified justified graphs and dimension according to node number. Relationship between classified justified graph patterns and unit-plans. Characters of unit-plans in each blocks. Shinonome Canal Court consists of mainly small scale unit-plans and 30unit-plans are classified. 1LDK, 2LDK, 1LDK+S, 1LDK+f are typical unit-plans which are mainly supplied in the complex. It is noted that the results of the analysis by node, justified graph pattern and dimension are the same. It also presents diverse unit-plans which shows a change in nLDK pattern or add f (foyer), AN (annex), S (service room), Fs (free space) to basic nLDK type. In summary, it demonstrates the possibility of creating new residental floor plans in multi-dwellings.

Multi-unit Level 3 probabilistic safety assessment: Approaches and their application to a six-unit nuclear power plant site

  • Kim, Sung-yeop;Jung, Yong Hun;Han, Sang Hoon;Han, Seok-Jung;Lim, Ho-Gon
    • Nuclear Engineering and Technology
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    • v.50 no.8
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    • pp.1246-1254
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    • 2018
  • The importance of performing Level 3 probabilistic safety assessments (PSA) along with a general interest in assessing multi-unit risk has been sharply increasing after the Fukushima Daiichi nuclear power plant (NPP) accident. However, relatively few studies on multi-unit Level 3 PSA have been performed to date, reflecting limited scenarios of multi-unit accidents with higher priority. The major difficulty to carry out a multi-unit Level 3 PSA lies in the exponentially increasing number of multi-unit accident combinations, as different source terms can be released from each NPP unit; indeed, building consequence models for the astronomical number of accident scenarios is simply impractical. In this study, a new approach has been developed that employs the look-up table method to cover every multi-unit accident scenario. Consequence results for each scenario can be found on the table, established with a practical amount of effort, and can be matched to the frequency of the scenario. Preliminary application to a six-unit NPP site was carried out, where it was found that the difference between full-coverage and cut-off cases could be considerably high and therefore influence the total risk. Additional studies should be performed to fine tune the details and overcome the limitations of the approach.

A Study on the Design of Upward and Downward Traverse Units in an Automatic Object Changer Unit to Establish a Flexible Production System (Part 1) (유연생산 시스템 구축을 위한 공작물 자동교환 유닛의 상하 이송 기구 설계에 관한 연구(파트 1))

  • Park, Hoo-Myung;Kang, Jin-Kab;Lee, Yong-Joong;Ha, Man-Kyung
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.7 no.2
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    • pp.45-51
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    • 2008
  • The objective of this study is to develop an automatic object changer unit to improve processing problems existed in the conventional horizontal machining center. In order to perform this objective, a upward and downward traverse unit in which a unit that consists of a motor and reducer, chain and sprocket wheel, and upper and lower base employed in an automatic object changer unit performs sliding contact motion in a frame was designed. To achieve this design, constraint conditions for the upward and downward traverse unit first designed. Then, an operation mechanism was designed and that was introduced as a sum of kinetic energy for the sprocket wheel and upper and lower base based on the moment of inertia, which is the kinetic energy of the converted upward and downward traverse unit in the side of the reducer. In addition, The work required to rotate the converted upward and downward traverse unit in the side of the reducer by one revolution can be calculated using the sum of work that is required in the sprocket wheel and upper and lower base that is a part of the upward and downward traverse unit. Furthermore, the converted equation of motion in the side of the motor can be introduced using the equation of motion using the converted upward and downward traverse unit in the side of the motor. Then, Then, a proper motor can be determined using predetermined specifications employed in the motor and several parameters in the upward and downward traverse unit in order to verify such predetermined specifications. Also, a design of a horizontal traverse unit that performs sliding motion on a upward and downward traverse unit and simulation that verifies the results of this design are required as a future study.

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compare the level of job stress, burn-out and job satisfaction between intensive care unit nurses and general unit nurses (중환자실간호사와 병동간호사의 직무스트레스, 소진 및 직무만족도 정도비교)

  • Oh, Eun-Wha;Yang, So-Myoung;Kim, So-Hyun;You, Ha-Na;Chin, Eun-Young;Kim, Yeo-Jin;Kim, Young-hee
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.22 no.1
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    • pp.27-36
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    • 2016
  • Purpose: The purpose of this study was to compare the level of job stress, burn-out and job satisfaction between intensive care unit nurses and general unit nurses. Methods: The subjects of this study were 100 intensive care unit nurses and 100 general unit nurses in university's hospitals. The data were collected using self-report questionnaires. The data were analyzed by descriptive statistics, -test, ANCOVA, t-test, ANOVA, and Pearson correlation coefficient by using the SPSS WIN 20.0 program. Results: There were significantly negative correlation in the score of job stress and job satisfaction in both groups of nurses. Job stress of intensive care unit nurses was significantly differences according to department satisfaction. Burn-out of intensive care unit nurses was significantly differences according to position, department satisfaction. Job satisfaction of intensive care nurses unit was significantly differences according to department satisfaction. Job stress of general unit nurses unit was significantly differences according to department satisfaction. Burn-out of general unit nurses was significantly differences according to clinical experience, position, department satisfaction. Job satisfaction of general unit nurses was significantly differences according to clinical experience, department satisfaction. Conclusions: The appropriate rewards for intensive care nurses and general unit nurses to decrease their job stress will be needed in hospital settings. In addition, a plan for systemic nurse training program is needed to provide high quality nursing education for each unit nurses effectively.

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Evaluation of Nutrient Balance for Development of Low-Pollution Layer Diets (저공해성 산란계 사료 개발을 위한 영양소 균형 평가)

  • 홍종욱;김인호;권오석;이상환;이승진
    • Proceedings of the KAIS Fall Conference
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    • 2000.10a
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    • pp.259-261
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    • 2000
  • 본 연구는 사료내 인분해효소 phytase을 첨가하여 곡류내 유기태인의 이용성을 최대화하고 인의 배설량을 최소화하므로서 저공해성 산란계 사료 개발에 기초자료로서 활용하는데 목적이 있다. 부화 후 64주령된 갈색 하이라인 24수(평균체중 1.9kg, 산란율 78.4%)를 공시하였다. 대조구는 옥수수-대두박 위주로 배합된 사료, 처리구는 대조구 사료에 각각 phytase를 200 unit/kg, 400 unit/kg 그리고 600 unit/kg 첨가한 구로서 4처리 3반복, 반복당 2수씩 완전임의 배치하였다. 건물과 질소 이용률을 보면 처리간의 차이는 보이지 않았다(P>0.05). 광물질 중 회분과 칼슘의 경우 phytase를 200 unit을 첨가한 구에서 가장 높은 이용률을 보였다(P<0.05). 인의 이용률은 phytase를 600 unit 첨가한 구가 57.64%로 다른 처리구보다 이용률이 높은 것으로 나타났다(P<0.05). 칼슘의 섭취량과 배설량을 고려한 결과 칼슘의 축적량은 phytase를 200 unit와 400 unit 첨가한 구가 대조구와 phytase를 600 unit 첨가한 구보다 높았다(P<0.05). 산란계에 대한 각각의 인의 섭취량을 보면 phytase를 600 unit 첨가한 구가 대조구, 200 unit 첨가한 구, 400 unit 첨가한 구보다 많은 양을 섭취하였으나(P<0.05), 인의 배설량에는 별다른 차이가 없었다(P>0.05). 그로 인해 인의 축적량 또한 phytase를 600 unit 첨가한 구가 다른 처리구에 비해 많이 축적되었다(P<0.05). 혈중 칼슘의 함량은 phytase를 400 unit 첨가한 구와 600 unit 첨가한 구, 대조구간에는 서로 유의적인 차이가 없었고, phytase를 200 unit 첨가한 구보다 그 함량이 높게 나타났다(P<0.05). 결론적으로 산란계 사료에 phytase를 첨가할 때 환경문제를 야기시킬 수 있는 인의 배설량을 감소시키고 값비싼 무기태 인의 일부를 대체하는데 크게 기여할 수 있으리라 사료된다.