• Journal of Gastric Cancer
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• 제22권1호
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• pp.35-46
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• 2022

Background: The correlation between hospital volume and postoperative outcomes has led to the centralization of complex procedures in several countries. However, the results reported in relation to gastric cancer (GC) are contradictory. This study aimed to analyze GC surgical volumes and 30-day postoperative mortality in Italy and to provide a simulation for modeling centralization of GC resections based on district case volumes. Methods: A national registry was used to identify all GC resections, record mortality rates, and track the national in-border GC resection health travel. Hospitals were grouped according to caseload. Centralization of all GC procedures performed within the same district was modeled. The outcome measures were a minimal volume of 25 GC resections/year and the 30-day postoperative mortality. Results: In 2018, 5,873 GC resections were performed in 498 Italian hospitals (mean resections per hospital per year: 11.8); the postoperative mortality rate (5.51%) was tracked from 2016-2018. GC resection health travel ranged from 2% to 50.5%, with a significant (P<0.001) difference between northern and central/southern Italy. The mean mortality rate was 7.7% in hospitals performing one to 3 GC resections per year, compared with 4.7% in those with >17 GC resections/year (P≤0.01). Most Italian districts achieved 25 procedures/year after centralization; however, 66.3% of GC cases in southern Italy vs. 42.2% in central and 52.7% in the northern regions (P<0.001) required reallocation. Conclusion: Postoperative mortality after GC resection correlated with hospital volume. Despite health travel, most Italian districts can reach a high-volume threshold, but discrepancies in mortality rates are alarming.Trial RegistrationResearch Registry Identifierresearchregistry6869

• 대한토목학회논문집
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• 제39권2호
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• pp.247-256
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• 2019

본 연구에서는 홍수모델링을 위해 삼각격자와 사각격자를 포함하는 혼합격자의 적용이 가능한 2차원 Godunov형 유한체적모형을 이용하여 격자형상과 해상도에 따른 홍수위, 홍수범람범위, 모형의 계산시간을 비교 분석하였다. 연구유역은 2000년 10월 29일부터 11월 19일까지 22일 동안 홍수가 발생한 영국의 Upton-upon Severn 유역이다. 홍수 모델링을 위해 고해상도 LiDAR (Light Detection And Ranging)를 이용하여 지형자료를 구축하였으며, 격자유형 및 해상도에 따른 2차원 홍수모델링 결과는 홍수기간 동안 촬영된 4개의 ASAR (Airborne Synthetic Aperture Radar) 영상자료와 비교하였다. 본 연구는 동일한 지형과 경계조건을 사용하더라도, 격자의 형상과 해상도에 따라 홍수위와 범람범위가 큰 차이를 가질 수 있음을 보여주었으며, 2차원 홍수모델링의 목적과 상황에 맞는 적절한 격자유형과 해상도의 선택이 필요함을 보여준다.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2005년도 ICCAS
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• pp.2402-2406
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• 2005

A collision query determines the intersection between given objects, and is used in computer-aided design and manufacturing, animation and simulation systems, and physically-based modeling. Bounding volume hierarchies are one of the simplest and most widely used data structures for performing collision detection on complex models. In this paper, we present hierarchy of oriented rounded bounding volume for fast proximity queries. Designing hierarchies of new bounding volumes, we use to combine multiple bounding volume types in a single hierarchy. The new bounding volume corresponds to geometric shape composed of a core primitive shape grown outward by some offset such as the Minkowski sum of rectangular box and a sphere shape. In the experiment of parallel close proximity, a number of benchmarks to measure the performance of the new bounding box and compare to that of other bounding volumes.

• 한국복합재료학회:학술대회논문집
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• 한국복합재료학회 2001년도 추계학술발표대회 논문집
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• pp.144-148
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• 2001

A proper estimation of the mechanical properties for composites has been required for better design/selection of constituents for composite materials. Present investigation shows the simulation results for ceramic reinforced metal matrix composite under uniaxial transverse tensile loading. The resulting transverse mean stress with the transverse mean strain was described for composites as a function of the volume fraction with two different types of interfacial bonding: (1)strongly bonded interface, and (2)no bonded interface. A two-dimensional finite element modeling and analysis were conducted based on the unit-cell concept with an assumption of a regular square arrangement of the reinforcement within the composite. The mean stress was generally increased with the ceramic volume fraction for composite with strong interface bonding. The micromechanics concept combined with finite element modeling for composite can be used in order to predict the transverse properties of composites with a priori known properties of constituents.

• 대한기계학회논문집A
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• 제25권1호
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• pp.25-31
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• 2001

The theoretical modeling to predict the modulus of elasticity by the shape memory effect of dispersed particles in a metal matrix composite was studied. The modeling approach is based on the Eshelbys equivalent inclusion method and Mori-Tanakas mean field theory. The calculation was performed on the TiNi particle dispersed Al metal matrix composites(PDMMC) with varying volume fractions and prestrains of the particle. It was found that the prestrain has no effect on the Yonugs modulus of PDMMC but the volume fraction does affects it. This approach has an advantage of definite control of Youngs modulus in PDMMCs.

• 융복합기술연구소 논문집
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• 제4권2호
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• pp.1-9
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• 2014

This paper examines feature-based reconstruction algorithm using feature-based modeling and based on topology optimization technology, which aims to achieve a minimal volume weight and to satisfy user-defined constraints such as stress, deformation related conditions. The finite element model after topology optimization allows us to remove some region of a solid model for predefined volume requirement. The stress or deformation distribution resulted from finite element analysis enables us to add some material to the solid model for a robust structure. For this purpose, we propose a feature-based redesign algorithm which inserts negative features to the solid model for material removal and positive features for material addition, and we introduce a bisection method which searches an optimal structure by iteratively applying the feature-based redesign algorithm. Several examples are considered to illustrate the proposed algorithms and to demonstrate the effectiveness of the present approach.

• Computers and Concrete
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• 제19권3호
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• pp.325-331
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• 2017

In this study, vibration and stability of concrete pipes reinforced with carbon nanotubes (CNTs) conveying fluid are presented. Due to the existence of CNTs, the structure is subjected to magnetic field. The radial fore induced with fluid is calculated using Navier-Stokes equations. Characteristics of the equivalent composite are determined using Mori-Tanaka model. The concrete pipe is simulated with classical cylindrical shell model. Employing energy method and Hamilton's principal, the motion equations are derived. Frequency and critical fluid velocity of structure are obtained analytically based on Navier method for simply supported boundary conditions at both ends of the pipe. The effects of fluid, volume percent of CNTs, magnetic field and geometrical parameters are shown on the frequency and critical fluid velocity of system. Results show that with increasing volume percent of CNTs, the frequency and critical fluid velocity of concrete pipe are increased.

• 한국시뮬레이션학회:학술대회논문집
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• 한국시뮬레이션학회 2004년도 춘계학술대회 논문집
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• pp.109-117
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• 2004

In this paper, we consider the aortic sinus baroreceptor, which is the most representative baroreceptor sensing the variance of pressure in the cardiovascular system, and propose heart activity control model to observe the effect of delay time in heart period and stroke volume under the regulation of baroreflex in the aortic sinus. The proposed heart activity baroreflex regulation model contains electric circuit sub-model. We constituted the time delay sub-model to observe sensitivity of heart activity baroreflex regulation model by using the variable value to represent the control signal transmission time from the output of baroreflex regulation model to efferent nerve through central nervous system. The simulation object of this model is to observe variability of the cardiovascular system by variable value in time delay sub-model. As simulation results, we observe three patterns of the cardiovascular system variability by the time delay, First, if the time delay over 2.5 second, aortic pressure and stroke volume and heart rate is observed nonperiodically and observed. Finally, if time delay under 0.1 second, then heart rate and aortic pressure-heart rate trajectory is maintained in stable state.

• Computers and Concrete
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• 제5권3호
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• pp.175-194
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• 2008

Increasingly numerical (finite element) modeling of concrete hinges on our ability to develop a representative volume element with all its heterogeneity properly discretized. Yet, despite all the sophistication of the ensuing numerical models, the initial discretization has been for the most part simplistic. Whenever the heterogeneity of the concrete is to be accounted for, a mesh is often manually crafted through the arbitrary inclusion of the particles (aggregates and/or voids) in an ad-hoc manner. This paper develops a mathematical strategy to precisely address this limitation. Algorithms for the random generation and placement of elliptical (2D) or ellipsoid (3D) inclusions, with possibly radiating cracks, in a virtual concrete model are presented. Collision detection algorithms are extensively used.

• 대한수의학회지
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• 제47권2호
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• pp.259-263
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• 2007

The choice of input distribution in quantitative risk assessments modeling is of great importance to get unbiased overall estimates, although it is difficult to characterize them in situations where data available are too sparse or small. The present study is particularly concerned with accommodation of uncertainties commonly encountered in the practice of modeling. The authors applied parametric and non-parametric bootstrap simulation methods which consist of re-sampling with replacement, in together with the classical Student-t statistics based on the normal distribution. The implications of these methods were demonstrated through an empirical analysis of trade volume from the amount of chicken and pork meat imported to Korea during the period of 1998-2005. The results of bootstrap method were comparable to the classical techniques, indicating that bootstrap can be an alternative approach in a specific context of trade volume. We also illustrated on what extent the bias corrected and accelerated non-parametric bootstrap method produces different estimate of interest, as compared by non-parametric bootstrap method.