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Laparoscopic Distal Gastrectomy in a Patient with Situs Inversus Totalis: A Case Report

  • Min, Sa-Hong;Lee, Chang-Min;Jung, Heon-Jin;Lee, Kyung-Goo;Suh, Yun-Suhk;Shin, Chung-Il;Kim, Hyung-Ho;Yang, Han-Kwang
    • Journal of Gastric Cancer
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    • v.13 no.4
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    • pp.266-272
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    • 2013
  • We report our experience with two cases of situs inversus totalis, both involving patients diagnosed with gastric cancer. These were a 52-year-old male with a preoperative staging of cT1bN0M0 and a 68-year-old male with a staging of cT2N0M0, both of whom underwent surgery. The former was found to have vascular anomalies in the preoperative computed tomography, so we performed a computed tomography angiography with three-dimensional reconstruction. Laparoscopy-assisted distal gastrectomy with Billroth I anastomosis was performed with D1+ lymph node dissection, and a small laparotomy was made for extracorporeal anastomosis. In contrast, the latter case showed no vascular anomalies in the preoperative computed tomography, and totally laparoscopic distal gastrectomy with delta anastomosis was performed with D1+ lymph node dissection. There were no intraoperative problems in either patient and they were discharged without postoperative complications. Histopathological examination revealed a poorly differentiated adenocarcinoma (pT2N0M0) and a well-differentiated adenocarcinoma (pT1aN0M0), respectively.

Triple-Step Period Search for Pulsating Variable Stars

  • Zi, Woong-Bae;Kim, Jin-Ah;Kang, Hyuk-Mo;Chang, Seo-Won;Yi, Hahn;Shin, Min-Su;Byun, Yong-Ik
    • The Bulletin of The Korean Astronomical Society
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    • v.38 no.2
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    • pp.80-80
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    • 2013
  • 대규모 광도곡선 자료에서 다양한 주기변광성들의 정확한 주기를 효율적으로 검출하는 실험을 시도하였다. 실험을 위해 OGLE-III 맥동 변광성(RR Lyrae, Delta Scuti, Cepheid) 목록 중, I 필터로 관측된 총 31,324개의 광도 곡선을 사용하였다. 이 실험에 사용한 주기분석 알고리즘 MS_Period(Multi-Step period searching method)는 주기를 놓치지 않기 위해 두 가지 다른 방법(Multi Polynomial function, Phase Dispersion)으로 후보 주기를 구하고 정밀주기를 도출하기 위해 후보 주기 주변부를 Spline fitting을 통해 재탐색하는 방법이다. 기존의 MS_Period 방식은 주기 탐색 간격(dP/P)이 일정하였으나, 우리는 탐색 주기 구간을 나누고 짧은 주기에서는 작은 간격으로, 긴 주기에서는 보다 넓은 간격으로 주기를 탐색하는 과정을 추가하였다. 그 결과 98% 이상의 별에서 OGLE-III와 거의 일치하는 주기를 얻었으며, 긴 주기에서의 불필요한 정밀 탐색을 회피함으로써 분석시간도 단축되었다. 주기 결정이 어려운 경우들은 주로 1) periodogram에서 실제 주기가 아닌 1일 근처에서 noise보다 큰 peak가 보이는 경우, 2) 하나의 별에 대해 여러 주기가 비슷한 Phase diagram을 보이고, periodogram에서도 비슷한 peak를 갖는 경우, 3) OGLE-III의 주기와 전혀 다른 주기만 찾은 경우, 4) OGLE-III에서 제시하지 않은 혼합된 주기의 존재가 의심되는 경우인 것을 확인하였고, 각 사례들의 특징을 살펴보았다.

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Anomalous Behavior of the Ethyl Group in the Aminolysis of S-Phenyl Acetate with Benzylamine in Acetonitrile

  • Lee, Ik-Choon;Lee, Hai-Whang;Lee, Byung-Choon;Choi, Jin-Heui
    • Bulletin of the Korean Chemical Society
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    • v.23 no.2
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    • pp.201-204
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    • 2002
  • The rates of the aminolysis of S-phenyl substituted-acetate series $(RC(=O)SC_6H_4Z$, with R=Me, Et, i-Pr, t-Bu and Bn) with benzylamines $(XC_6H_4CH_2NH_2)$ are not correlated simply with the Taft's polar $({\sigma}^{\ast})$ and/or steric effect constants $(E_s)$ of the substituents due to abnormally enhanced rate of the substrate with R=Et. Furthermore, the cross-interaction constant, ${\rho}x_z$ , is the largest with R=Et. These anomalous behaviors can only be explained by invoking the vicinal bond $({\sigma})$-antibond $({\sigma}^{\ast})$ charge transfer interaction between C-$C{\alpha}$ and C-S bonds. In the tetrahedral zwitterionic intermediate, $T^{\pm}$ , formed with R=Et the vicinal ${\sigma}_{c-c}-{\sigma}^{\ast}_{c-s}$ delocalization is the strongest with an optimum antiperiplanar arrangement and a narrow energy gap, ${\Delta}{\varepsilon}={\varepsilon}_{{\sigma}^{\ast}}-{\varepsilon}_{\sigma}$. Due to this charge transfer interaction, the stability of the intermediate increases (with the concomitant increase in the equilibrium constant K (= $k_a/k_{-a}$)) and also the leaving ability of the thiophenolate leaving group increases (and hence $k_b$ increases) so that the overall rate, $k_n\;=\;Kk_b$, is strongly enhanced. Theoretical support is provided by the natural bond orbital (NBO) analyses at the B3LYP/6-31+$G^{\ast}$ level. The anomaly exhibited by R=Et attests to the stepwise reaction mechanism in which the leaving group departure is rate limiting.

Effect of pH in 3.5% NaCl aqueous solution and ferrite grain size on corrosion fatigue fracture of dual phase steel (複合組織鋼의 부식피로파괴에 미치는 3.5% NaCl水溶液의 pH와 母相粒徑의 效果)

  • 오세욱;강호민
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.11 no.6
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    • pp.867-876
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    • 1987
  • Corrosion fatigue fracture with change in the grain size of M.E.F. dual phase steel is investigated in 3.5% NaCI aqueous solution at pH 2, 4, 6, 9, and 11. Generally speaking, decrease in corrosion fatigue life is strongly dependent on decrease in pH and slightly on the grain size. For the B material with the big grain size, the fatigue life is small due to its large reduction ratio of corrosion fatigue life. The influence of grain size on the reduction ratio of corrosion fatigue life is large at pH 11-6. Whi9le at pH 4-2 the reduction ratio of corrosion fatigue life only depends on the corrosion effect. The larger grain size and the lass pH result in the greater influence on corrosion fatigue crack propagation rate. As pH decreases, the plateau portion in the crack propagation rate curves of the B material are distinct. Crack propagation rate curves become slow down at high .DELTA.K range because crack closure effect by minute corrosion products inside crack causes the oxidation corrosion action less effective for a certain period of time. In A material with small grain size, fatigue life is increased in proportion with increase of martensite intergranular which brings forth restraining the crack propagation decreases crack propagation rate. Corrosion pit which is created in the surface of specimen is found at pH 6,4 and 2 which is noticeable and the unevenness of the surface of the specimen becomes severe as pH decreases. The unevenness of corrosion fatigue fracture surface is severe as the effect of pH increases i.e. as pH decreases. In proportion with increase in the grain size and decrease in pH, the aspect of brittle fracture becomes evident.

Analgesic Action Mechanism of DA-5018, a New Capsaicin Derivative : Relationship to Opiate :Receptors and Prostanoids (새로운 캅사이신 유도체 DA-5018의 진통활성 기전연구: Opiate 수용체 및 :Prostanoid와의 상관성)

  • 손미원;손문호;배은주;김순희;김원배;양중의
    • Biomolecules & Therapeutics
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    • v.5 no.1
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    • pp.87-93
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    • 1997
  • DA-5018, a new capsaicin derivative, showed potent analgesic effect comparable to that of morphine in various experimental acute pain models. in this study, whether the analgesic mechanism of DA-5018 is related to opiate receptors or prostanoids was investigated. The affinity of DA-5018 for opiate receptor was determined by receptor binding assay. The Ki values of DA-5018 for nonspecific and specific $\mu$, $textsc{k}$, $\delta$-opiate receptor was 299$\pm$8.88, 735$\pm$215, 2930$\pm$ 163, 1550$\pm$813 nM, respectively and DA-5018 exhibited lower affinity than morphine. DA-5018 (10-"~3$\times$10-′M) inhibited electrically-evoked contractions of the guinea ply ileum and rat vas deferens, and these inhibition was not antagonized by naloxone(10 nM), an opiate receptor antagonist. Antagonism of analgesic effect of 7A-5018 by naloxone was examined by tail pinch test. Analgesic action of DA-5018(0.1 ~2 mg/kg, 5.c.) was not antagonized by naloxone(1 mg/rg, i.p.). These results indicate that pharmacological action of DA-5018 is not related with opiate receptor. Cyclooxygenase and 5-lipoxygenase activities in rat peritoneal neutrophil treated with A23187 and arachidonic acid were measured by radioimmunoassay. DA-5018 stimulated the cyclooxygenase activity and the concentration show-ing the two fold increase of activity was 124$\mu$M. DA-5018 slightly inhibited 5-lipoxygenase activity and these results together indicate that analgesic action of 3A-5018 is not mediated through inhibition of cyclooxy genase or lipoxygenase. These results suggest that the analgesic effect of DA-5018 is not due to blocking opiate receptor or to inhibiting the synthesis of prostanoids in the arachidonic acid metabolism pathway.

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Quantitative Assessment of the Fastening Condition and the Crack Size with Using Piezoceramic(PZT) Sensors (압전소자를 이용한 볼트토크 및 크랙의 정량적평가에 관한 연구)

  • Hong, Dong-Pyo;Hong, Yong;Wang, Gao-Ping;Han, Byeong-Hee;Kim, Young-Moon
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2006.11a
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    • pp.603-606
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    • 2006
  • We present a study on the development of a practical and quantitative technique for the assessment of the structural health condition with using piezoceramic(PZT) sensors. The electro-impedance-based technique with the PZT patches is very sensitive for evaluation of the incipient and small damage in a high frequency range, and however the commonly traditional modal analysis method is effective only for considerably larger damages in low frequency range. The paper presents the technique in detecting and characterizing real-time damage on the specimen that is an aluminum plate fastened with bolts and nuts by different torques and as well a plate with a crack. By using the special arrangement of the PZT sensors, the required longitudinal wave is generated through the specimen. A large number of experiments are conducted and the different conditions of the specimens, i.e. the location and extent of loosening bolts, and the plate with a crack are simulated. respectively. Since fixing and loosening the loosened bolt is controlled by a torque wrench, we can control exactly the experiment of the different torques. Compared with the simulated healthy condition, we can find whether or not there is a damage in the specimen with using an impedance analyzer with the PZT sensors. Several indices are discussed and used for assessing the different simulated damages. As for the location of bolt loosening, the RMSD is found to be the most appropriate index for numerical assessment and as well the RMSD shows strongly linear relationship for assessing the extent of the bolt loosening, and the frequency peak shift ${\Delta}F$ is used to assess the cracked plate. The possibility of repeatability of the pristine condition signatures is also presented and the appropriate frequency range and interval are uniquely selected through large numbers of experiments.

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High-$J_c$ $GdBa_2Cu_3O_y$ films on $BaHfO_3$ buffered IBAD MgO template ($BaHfO_3$ 완충층을 사용한 IBAD MgO 기판 위에 제조된 고임계전류밀도의 $GdBa_2Cu_3O_y$ 박막)

  • Ko, K.P.;Lee, J.W.;Ko, R.K.;Moon, S.H.;Oh, S.S.;Yoo, S.I.
    • Progress in Superconductivity and Cryogenics
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    • v.13 no.1
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    • pp.6-11
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    • 2011
  • The $BaHfO_3$ (BHO) buffer layer on the IBAD MgO template was turned to be effective for a successful fabrication of $GdBa_2Cu_3O_{7-{\delta}}$ (GdBCO) films with high critical current density ($J_c$). Both the BHO buffer layers and GdBCO films were prepared by pulsed laser deposition (PLD). The effects of the PLD conditions, including substrate temperature ($T_s$), oxygen partial pressure ($PO_2$), and deposition time on the in-plane texture, surface roughness, and microstructures of the BHO buffer layers on the IBAD MgO template were systematically studied for processing optimization. The c-axis oriented growth of BHO layers was insensitive to the deposition temperature and the film thickness, while the in-plane texture and surface roughness of those were improved with increasing $T_s$ from 700 to $800^{\circ}C$. On the optimally processed BHO buffer layer, the highest $J_c$ value (77 K, self-field) of 3.68 $MA/cm^2$ could be obtained from GdBCO film deposited at $780^{\circ}C$, representing that BHO is a strong candidate for the buffer layer on the IBAD MgO template.

Analysis of Aging Insulation Characteristics of 3.3[kV] Class Induction Motor with AC Breakdown Test (절연파괴시험법을 이용한 3.3[kV] 유도전동기의 절연물 열화특성 분석)

  • Lee, Ju;Kim, Hyun-Il;Kim, Youn-Hyun;Son, Yeoung-Gyu
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.21 no.10
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    • pp.141-149
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    • 2007
  • This paper introduce to improve the reliability of the expected service life and the insulation condition evaluation of the high voltage induction motors by assessing, comparing and analyzing the correlation between the dielectric properties of the off-line insulation diagnostic test and dielectric strength on the insulation breakdown test. The insulation diagnostic tests include insulation resistance, polarization index(P.I.), dissipation factor($tan{\delta}$), maximum partial discharges($Q_{max}$) and AC breakdown test. This study evaluated the correlation between insulation diagnostic test and AC breakdown test for stator winding of high voltage induction motor. On the basis of these test results, we expect that this study can be used for effectively assessing the results of insulation diagnostic tests for similar class induction motors in service at industrial field.

A Study on the Effect of Shot Velocity by Shot Peening on fatigue Crack Growth Property for Marine Structural Steel (해양구조용강의 피로크랙진전특성에 미치는 쇼트피닝 투사속도의 영향)

  • 박경동;노영석
    • Journal of Ocean Engineering and Technology
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    • v.17 no.2
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    • pp.47-53
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    • 2003
  • The development of new materials with light weight and high strength has become vital to the machinery, aircraft and auto industries. However, there are a lot of problems with developing such materials that require such expensive tools, as well as a great deal of time and effort. Therefore, the improvement of fatigue life through, the adoption of residual stress, is the main focus. The compressive residual stress was imposed on the surface according to each shot velocity(1800, 2200, 2600, 3000rpm) based on Shot-peening, which is the method of improving fatigue life and strength. By using the methose mentioned above, we arrived at the following conclusions; 1. The fatigue crack growth rate(da/dN) of the Shot-peened material was lower than that of the Un-peened material. In stage I, $\Delta$K$_{th}$, the threshold stress intensity factor, of the shot-peen processed material is high in critical parts, unlike the Un-peened material. Also m, fatigue crack growth exponent and number of cycle of the Shot-peened material was higher than of the Un-peened material. That is concluded from effect of da/dN. 2. Fatigue life shows more improvement in the Shot-peened material than in the Un-peened material. Compressive residual stress of the surface on the Shot-peen processed operate resistance force of fatigue crack propagation.

Analysis of a.c. Characteristics in ZnO-Bi2O3-Mn3O4 Varistor Using Dielectric Functions (유전함수를 이용한 ZnO-Bi2O3-Mn3O4 바리스터의 a.c. 특성 분석)

  • Hong, Youn-Woo;Shin, Hyo-Soon;Yeo, Dong-Hun;Kim, Jin-Ho
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.23 no.12
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    • pp.936-941
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    • 2010
  • In this study, we have investigated the effects of Mn dopant on the bulk trap levels and grain boundary characteristics of $Bi_2O_3$-based ZnO (ZB) varistor using admittance spectroscopy and dielectric functions (such as $Z^*,\;Y^*,\;M^*,\;\varepsilon^*$, and $tan\delta$). Admittance spectra and dielectric functions show two bulk traps of $Zn_i^{..}$ (0.20 eV) and $V^{\bullet}_o$ (0.29~0.33 eV) in ZnO-$Bi_2O_3-Mn_3O_4$ (ZBM). The barrier of grain boundaries in ZBM could be electrochemically single type. However, its thermal stability was slightly disturbed by ambient oxygen because the apparent activation energy of grain boundaries was changed from 0.79 eV at lower temperature to 1.08 eV at higher temperature. The grain boundary capacitance $C_{gb}$ was decreased slightly with temperature as 1.3~1.8 nF but resistance $R_{gb}$ decreased exponentially. The relaxation time distribution can result from the heterogeneity of the barriers constituting the varistor. It is revealed that Mn dopant in ZB reduced the heterogeneity of the barrier in grain boundaries and stabilized the barrier against the ambient temperature.