• Title/Summary/Keyword: Volume Loss

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Factors Affecting Blood Loss During Thoracoscopic Esophagectomy for Esophageal Carcinoma

  • Urabe, Masayuki;Ohkura, Yu;Haruta, Shusuke;Ueno, Masaki;Udagawa, Harushi
    • Journal of Chest Surgery
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    • v.54 no.6
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    • pp.466-472
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    • 2021
  • Background: Major intraoperative hemorrhage reportedly predicts unfavorable survival outcomes following surgical resection for esophageal carcinoma (EC). However, the factors predicting the amount of blood lost during thoracoscopic esophagectomy have yet to be sufficiently studied. We sought to identify risk factors for excessive blood loss during video-assisted thoracoscopic surgery (VATS) for EC. Methods: Using simple and multiple linear regression models, we performed retrospective analyses of the associations between clinicopathological/surgical factors and estimated hemorrhagic volume in 168 consecutive patients who underwent VATS-type esophagectomy for EC. Results: The median blood loss amount was 225 mL (interquartile range, 126-380 mL). Abdominal laparotomy (p<0.001), thoracic duct resection (p=0.014), and division of the azygos arch (p<0.001) were significantly related to high volumes of blood loss. Body mass index and operative duration, as continuous variables, were also correlated positively with blood loss volume in simple linear regression. The multiple linear regression analysis identified prolonged operative duration (p<0.001), open laparotomy approach (p=0.003), azygos arch division (p=0.005), and high body mass index (p=0.014) as independent predictors of higher hemorrhage amounts during VATS esophagectomy. Conclusion: As well as body mass index, operation-related factors such as operative duration, open laparotomy, and division of the azygos arch were independently predictive of estimated blood loss during VATS esophagectomy for EC. Laparoscopic abdominal procedures and azygos arch preservation might be minimally invasive options that would potentially reduce intraoperative hemorrhage, although oncological radicality remains an important consideration.

Fabrication and Characteristics of $Al_2O_{3p}$/AC8A Composites by Pressureless Infiltration Process (무가압함침법에 의한 $Al_2O_{3p}$/AC8A 복합재료의 제조 및 특성)

  • 김재동;고성위;정해용
    • Composites Research
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    • v.13 no.6
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    • pp.1-8
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    • 2000
  • The fabrication Process of $Al_2O_{3p}$/AC8A composites by pressureless infiltration technique and the effects of additive Mg content and volume fraction of particulate reinforcement on mechanical and wear properties were investigated. It was found that the bending strength decreased with increasing volume fraction of $Al_2O_{3p}$ particles. Whereas hardness increased with volume fraction of $Al_2O_{3p}$ particles. The decrement of strength in case of high volume fraction of $Al_2O_{3p}$ particles was attributed to high porosity level. In terms of additive Mg content, $Al_2O_{3p}$/AC8A composites containing around 5~7wt% of additive Mg indicated the highest strength, and hardness values increased with additive Mg contents. Wear resistance of AC8A alloy were improved by reinforcement of $Al_2O_{3p}$ particles especially at high sliding velocity. Wear property of $Al_2O_{3p}$/AC8A composites and AC8A alloy exhibited different aspects. $Al_2O_{3p}$/AC8A composites indicated more wear loss than AC8A alloy at slow velocity region. However a transition point of wear loss was found at middle velocity region which shows the minimum wear loss and wear loss at high velocity region exhibited almost same value as at slow velocity region, whereas wear loss of AC8A alloy almost linearly increased with sliding velocity. It was found that $Al_2O_{3p}$/AC8A composites containing $Al_2O_{3p}$ volume fraction of 20% exhibited abrasive wear surface regardless of sliding velocity and $Al_2O_{3p}$/AC8A composites containing $Al_2O_{3p}$ volume fraction of 40% showed slightly adhesive wear surface at low sliding velocity, and it progressed to severe wear as increasing the sliding velocity.

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Thermal Stratification and Heat Loss in Underground Thermal Storage Caverns with Different Aspect Ratios and Storage Volumes (지하 열저장 공동의 종횡비와 저장용량에 따른 열성층화 및 열손실)

  • Park, Dohyun;Ryu, Dong-Woo;Choi, Byung-Hee;Sunwoo, Choon;Han, Kong-Chang
    • Tunnel and Underground Space
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    • v.23 no.4
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    • pp.308-318
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    • 2013
  • Thermal stratification in heat stores is essential to improve the efficiency of energy storage systems and deliver more useful energy on demand. It is generally well known that the degree of thermal stratification in heat stores varies depending on the aspect ratio (the height-to-width ratio) and size of the stores. The present study aims to investigate the effect of the aspect ratio and storage volume of rock caverns for storing hot water on thermal stratification in the caverns and heat loss to the surroundings. Heat transfer simulations using a computational fluid dynamics code, FLUENT were performed at different aspect ratios and storage volumes of rock caverns. The variation of thermal stratification with respect to time was examined using an index to quantify the degree of stratification, and the heat loss to the surroundings was evaluated. The results of the numerical simulations demonstrated that the thermal stratification in rock caverns was improved by increasing the aspect ratio, but this effect was not remarkable beyond an aspect ratio of 3-4. When the storage volume of rock caverns was large, a higher thermal stratification was maintained for a relatively longer time compared to caverns with a small storage volume, but the difference in thermal stratification between the two cases tended to decrease as the aspect ratio became larger. In addition, the numerical results showed that the heat loss to the surrounding rock tended to increase with an increase in aspect ratio because the surface area of rock caverns increased as the aspect ratio became larger. The total heat loss from multiple small caverns with a reduced storage volume per cavern was larger compared to a single cavern with the same total storage volume as that of the multiple caverns.

Asymmetrical Volume Loss in Hippocampal Subfield During the Early Stages of Alzheimer Disease: A Cross Sectional Study

  • Kannappan, Balaji
    • Journal of Integrative Natural Science
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    • v.11 no.3
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    • pp.139-147
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    • 2018
  • Hippocampal atrophy is a well-established imaging biomarker of Alzheimer disease (AD). However, hippocampus is a non-homogenous structure with cytoarchitecturally and functionally distinct sub-regions or subfield, with each region performing distinct functions. Certain regions of the subfield have shown selective vulnerability to AD. Here, we are interested in studying the effects of normal aging and mild cognitive impairment on these sub-regional volumes. With a reliable automated segmentation technique, we segmented these subregions of the hippocampus in 101 cognitively normal (CN), 135 early mild cognitive impairment (EMCI), 67 late mild cognitive impairment (LMCI) and 48 AD subjects. Thereby, dividing the hippocampus into hippocampal tail (tail), subiculum (SUB), cornu ammonis 1 (CA1), hippocampal fissure (fissure), presubiculum (PSUB), parasubiculum (ParaSUB), molecular layer (ML), granule cells/molecular layer/dentate gyrus (GCMLDG), cornu ammonis 3(CA3), cornu ammonis 4(CA4), fimbria and hippocampal-amygdala transition area (HATA). In this cross sectional study of 351 ADNI subjects, no differences in terms of age, gender, and years of education were observed among the groups. Though, the groups had statistically significant differences (p < 0.05 after the multiple comparison correction) in the Mini-Mental State Examination (MMSE) scores. There was asymmetrical volume loss in the early stages of AD with the left hemisphere showing volume loss in regions that were unaffected in the right hemisphere. Bilateral parasubiculum, right cornu ammonis 1, 3 and 4, right fimbria and right HATA regions did not show any volume loss till the late MCI stages. Our findings suggest that the hippocampal subfield regions are selectively vulnerable to AD and also that these vulnerabilities are asymmetrical especially during the early stages of AD.

A study on numerical modeling method considering gap parameter and backfill grouting of the shield TBM tunnel (쉴드 TBM 터널의 gap parameter와 뒤채움재를 고려한 수치모델링 방법에 대한 연구)

  • You, Kwang-Ho;Kim, Young-Jin
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.19 no.5
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    • pp.799-812
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    • 2017
  • Backfill grouting and realistic convergence distribution were not properly considered in previous studies on 2D numerical analysis of a shield TBM tunnel. In this study, a modeling method was suggested to cope with this problem by considering a realistic convergence distribution and proper properties of backfill grouting. To this end, the influence of gap parameter and depth of rock cover on volume loss and composed of ground volume loss around tunnel excavation and surface volume loss were analyzed with a single layer of weathered soil. As a result, most of surface settlements were occurred immediately after excavation. Additional, as depth of rock cover and gap parameter increased, the influence range of surface settlement curves obtained from 2D numerical analyses became broader than a suggested theoretical equation. Therefore, it is inferred that gap parameter should be applied based on load distribution ratio and the property of backfill grouting properly considered for the estimation of the precise behavior of a shield TBM tunnel in 2D numerical analysis.

Durability evaluation depending on the insert size of conical Picks by the field test (삽입재 크기에 따른 코니컬 커터의 현장 내구성 평가 연구)

  • Choi, Soon-Wook
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.21 no.1
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    • pp.49-59
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    • 2019
  • In this study, the durability of conical pick cutter was compared and analyzed by pre- and post-test visual inspection, measurement of weight loss and wear volume through field test on two types of conical pick cutters applied to rotary drum cutter. In the visual inspection, it was found that only 9 inserts were lost in the slim type conical pick cutter. This result show that the thickness of the head cover surrounding a insert was important to maintain the insert during excavation. The weight loss and wear volume of the heavy type conical pick cutter were less than half that of the slim type. From these results, it can be confirmed that heavy type is more useful than slim type in hard rock. It should be noted that, when determining the wear loss of the conical pick cutter, the mutual comparison of the weight measurement and the wear volume measurement results may be different due to the unit weight of the material and the spalling caused by excavation.

Analysis of pile group behaviour to adjacent tunnelling considering ground reinforcement conditions with assessment of stability of superstructures

  • Young-Jin Jeon;Cheol-Ju Lee
    • Geomechanics and Engineering
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    • v.33 no.5
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    • pp.463-475
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    • 2023
  • Tunnel construction activity, conducted mainly in mountains and within urban centres, causes soil settlement, thus requiring the relevant management of slopes and structures as well as evaluations of risk and stability. Accordingly, in this study we performed a three-dimensional finite element analysis to examine the behaviour of piles and pile cap stability when a tunnel passes near the bottom of the foundation of a pile group connected by a pile cap. We examined the results via numerical analysis considering different conditions for reinforcement of the ground between the tunnel and the pile foundation. The numerical analysis assessed the angular distortion of the pile cap, pile settlement, axial force, shear stress, relative displacement, and volume loss due to tunnel excavation, and pile cap stability was evaluated based on Son and Cording's evaluation criterion for damage to adjacent structures. The pile located closest to the tunnel under the condition of no ground reinforcement exhibited pile head settlement approximately 70% greater than that of the pile located farthest from the tunnel under the condition of greatest ground reinforcement. Additionally, pile head settlement was greatest when the largest volume loss occurred, being approximately 18% greater than pile head settlement under the condition having the smallest volume loss. This paper closely examines the main factors influencing the behaviour of a pile group connected by a pile cap for three ground reinforcement conditions and presents an evaluation of pile cap stability.

A Study on Estimation of Loss Rate of Hydraulic Fills (준설토의 유실율 평가방법에 관한 연구)

  • 김홍택;노종구;김석열;강인규;김승욱;박재억
    • Proceedings of the Korean Geotechical Society Conference
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    • 2000.11a
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    • pp.185-192
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    • 2000
  • Recently, the hydraulic fill method is commonly used in many reclamation projects due to lack of fill materials. The method of hydraulic fill in reclamation is executed by transporting the mixture of water-soil particles into a reclaimed land through dredging pipes, then the dredged soil particles settle down in the water or flow over an out flow weir with the water. In the present study, practice each three method in order to suggest method of determining the loss rate of the dredged fills. The first sieve and hydrometer analysis were performed with the soil samples obtained before and after dredging and then apply theory of particle breakage, the second compare with the volume of dredged soil between at the dredging area and the target pond and the last compare with weight of dredged soil between before and after dredging at the dredging area and in the target pond for estimating the amount of soil particles residual at the reclaimed area and the loss of soil particles passed through the weir. In addition to compare with the loss ratio between as using Marsal's modified theory of particle breakage and measured weight and volume in the field.

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Physicochemical and Texture of Bread added Paecilomyces japonica according to Storage Period (동충하초 첨가식빵의 저장기간에 따른 이화학적. 텍스쳐 특성)

  • 박금순;김수진;박어진
    • Journal of the East Asian Society of Dietary Life
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    • v.11 no.6
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    • pp.485-497
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    • 2001
  • For a period of 5 days, the quality of breads with Paecilomyces japonica powder were investigated using chemical, sensory, and mechanical evaluations at $25^{\circ}C$. The result of analysis of chemical properties revealed that the pH value of dough was increased as the amount of Paecilomyces japonica powder increased, but volume of dough and baking loss rate were decreased. Breads with 1% and 2% Paecilomyces japonica powder showed a good overall preference in sensory evaluation. As storing time passed. moisture content, lightness, and redness were decreased in all breads, but yellowness increased. Hardness and gumminess of texture analysis were increased as storing time passed, but springiness decreased. Springiness of the mechanical properties was negatively correlated with pH value of dough and volume of bread, while was positively correlated with volume of dough and baking loss rate. In the analysis of correlation between sensory and mechanical properties showed that hardness of mechanical properties had negative correlation with softness, moistness, and springiness. Cohesiveness of mechanical properties had positive correlation with acceptability.

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Quality Characteristics of White pan bread with Led Ginseng powder (홍삼 분말을 첨가한 식빵의 품질특성)

  • Song, Seung-Heon;Shin, Gil-Man
    • Journal of the Korean Society of Food Culture
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    • v.31 no.3
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    • pp.220-225
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    • 2016
  • This study investigated properties of bread utilizing extracts of ginseng powder. Ginseng powder bread was baked. Addition of 1~3% of ginseng powder extract to wheat flour was carried out. Rheological properties, dough pH, dough volume, bread volume, water absorption capacity, baking loss, bread color, bread texture, and sensory evaluation were tested to examine properties of bread baked with extracts of ginseng powder. The results are as follows. The dough pH decreased gradually with increasing ginseng powder extract concentration. The bread volume, baking loss, and bread weight increased with increasing use of ginseng powder extract, and springiness and cohesiveness increased as red ginseng powder additive concentration increased. Lightness of the L decreased while a and b increased. In the sensory evaluation, ginseng powder with 1% ginseng powder extract was evaluated as the best for taste, texture, flavor, and overall acceptability.