• Journal of Gastric Cancer
• /
• 제23권2호
• /
• pp.355-364
• /
• 2023

Background: There are no clear guidelines to determine whether to perform D1 or D1+ lymph node dissection in early gastric cancer (EGC). This study aimed to develop a nomogram for estimating the risk of extraperigastric lymph node metastasis (LNM). Materials and Methods: Between 2009 and 2019, a total of 4,482 patients with pathologically confirmed T1 disease at 6 affiliated hospitals were included in this study. The basic clinicopathological characteristics of the positive and negative extraperigastric LNM groups were compared. The possible risk factors were evaluated using univariate and multivariate analyses. Based on these results, a risk prediction model was developed. A nomogram predicting extraperigastric LNM was used for internal validation. Results: Multivariate analyses showed that tumor size (cut-off value 3.0 cm, odds ratio [OR]=1.886, P=0.030), tumor depth (OR=1.853 for tumors with sm2 and sm3 invasion, P=0.010), cross-sectional location (OR=0.490 for tumors located on the greater curvature, P=0.0303), differentiation (OR=0.584 for differentiated tumors, P=0.0070), and lymphovascular invasion (OR=11.125, P<0.001) are possible risk factors for extraperigastric LNM. An equation for estimating the risk of extraperigastric LNM was derived from these risk factors. The equation was internally validated by comparing the actual metastatic rate with the predicted rate, which showed good agreement. Conclusions: A nomogram for estimating the risk of extraperigastric LNM in EGC was successfully developed. Although there are some limitations to applying this model because it was developed based on pathological data, it can be optimally adapted for patients who require curative gastrectomy after endoscopic submucosal dissection.

• 생물환경조절학회지
• /
• 제26권3호
• /
• pp.215-220
• /
• 2017

접수 및 대목 줄기의 회전 절단으로 인한 접목 불량 발생 가능성에 대한 문제점을 해결하기 위하여 수학적 분석 및 고속카메라를 이용하여 실측한 결과 칼날 회전반경 50mm이고 줄기직경이 5mm 일 때, 깊이는 0.11mm인 것으로 계산되어 줄기부 곡면 절단에 따른 문제는 없을 것으로 사료된다. 또한 접목시스템에서 모종 줄기를 잡는 그립퍼의 최적 형상 설계를 위하여 실시한 모종 줄기 압축시험 결과 대목의 경우 0.8mm 이상, 접수의 경우 0.6mm 이상의 범위에서 줄기부를 압축 할 경우 이전 형상으로 완전히 복원되지 않는 것으로 조사되어 그립퍼 형상 설계 시 그럼퍼 간격 결정에서 고려해야 할 것으로 사료된다. 또한 접목시기인 토마토 모종의 경우 줄기의 휨이 평균 10도 전후 인 것으로 조사되어 접목불량이 발생할 가능성이 있으므로 이를 개선하기 위한 추가 연구가 필요할 것으로 사료된다. 최적핑거 형상 시험에서는 모서리핑거 형상이 핑거간 거리 조정을 통해 정확한 중앙점을 잡을 수 있는 것으로 조사되었다. 핑거간 거리는 접수와 대목에 대해 각각 2.5mm와 3.0mm로 설정하고 신축성 있는 재질을 이용하여 1mm 두께로 코팅을 하면 대부분의 모종 줄기를 상처없이 파지 할 수 있을 것으로 조사되었다.

• 패션비즈니스
• /
• 제13권4호
• /
• pp.137-153
• /
• 2009

Recently, young men have become more muscular as they become more interested in physical figure. However, most of these muscular men have fit problems regarding ready-made clothes. In view of this, this study aimed to develop a prototype jacket pattern for muscular men. For this study, five muscular men were selected to put on existing jacket pattern for wearing tests. The regression formula, in which muscular men body measures were adopted, was applied to unsuitable parts, especially the areas determined not to be appropriate in the evaluation of existing jacket pattern wearing tests. After the first and the second jacket pattern wearing tests, the final jacket pattern suitable for muscular men was developed. The results of the study were as follows: In order to make up for the problem of the loosening of the lapel area, due to the development of the chest muscle, the chest circumference line on the chest area of the pattern was cut to be 1.0cm wide; thus, the front length was modified with an increase. The wearing tests found that a wearers felt discomfort from the tight armhole area, so the armhole depth was set to be a little lower than that of ready-made clothes. A muscular men needs much more extra quantity in this area because the upper part of the back side is projected due to the greater development of the trapezius muscle and the deltoid than in average men. Hence, concerning the standard line for the length of the back interscye, ease of 1.0cm was added to the regression equation formula {(0.371${\times}$chest circumference+3.145)/2} in order to resolve the discomfort with the back area. Also, for the biacromion length, the upper arm protruded more than the shoulder point of the jacket because of the development of the deltoid and the upper arm muscle, and it was set to be wider than the actual shoulder. In order to solve the problem of discomfort from the narrow neck area during the wearing of a jacket owing to the development of the trapezius muscle, extra ease of 0.5cm was added to chest circumference/12-0.5cm in the existing jacket prototype to the width of back of the neck, and it was corrected to be chest circumference/12.

• 대한소아치과학회지
• /
• 제45권4호
• /
• pp.426-435
• /
• 2018

이 연구의 목적은 두 가지 형태의 레이저 형광원리를 이용한 우식 진단 기기(DD, DDpen)의 구치부 인접면 우식을 진단 하는 능력을 비교하고, 두 기기의 최적의 절단값을 확인하는 것이다. 이 연구에는 164개의 유구치 인접면과 438개의 영구치 구치부 인접면이 연구 대상에 포함되었다. 각 치면은 순서대로 두 가지 기기를 통한 검사를 시행하였고, 두 기기를 비교할 기준으로서 교익 방사선 사진 촬영을 시행하였다. 방사선 사진 촬영 결과는 우식의 깊이에 따라 유치열 3개의 군($pR_0$, $pR_1$, $pR_2$), 영구치열 4개의 군($PR_0$, $PR_1$, $PR_2$, $PR_3$)으로 분류하였다. 유치열에서 법랑질 우식과 상아질 우식의 AUC 값은 DD가 각각 0.851과 0.890으로 나타났고, DDpen은 각각 0.883과 0.917로 나타났다. 영구치열에서 법랑질 우식과 상아질 우식의 AUC 값은 DD가 각각 0.762과 0.886으로 나타났고, DDpen은 각각 0.828과 0.958로 나타났다. 유치열과 영구치열 모두 구치부 인접면 우식을 검사하는 데에는 DDpen이 DD보다 정확한 결과를 보였다. 하지만 유치열에 대해서는 DD도 인접면 우식 검사에 활용이 가능할 것으로 보인다.

• 자원환경지질
• /
• 제33권2호
• /
• pp.91-100
• /
• 2000

It has been more than ten years since Dukun mine was abandoned. Tailings of waste deposits and slime dumps in the abandoned Dukum mine have been left to be deserted for fifty years. The results of fifty years of neglecting are nothing short of major environmental problems. Slime dumps have been exposed to air and water in the mine over ten years and then soil profile has been formed well. Soil in the upper layer (A horizon) is the light gray color due to the leaching of cations. Soil in the lower layer (A2 horizon, 0.2∼0.3m)is tinted with reddish brown and yellowish brown color due to the development of iron oxides and iron hydroxides. Soil in the lower part of B horizon of (1.0∼3.0m) with the growth of copper and zinc oxides exposes to the bluish green, light blue, and dark gray. Ranging from 3m to 8m in depth, 85 samples were taken from 22 sampling sites with 50m intervals located on the slime dump area with hand auger and trench (open cut). As tailings was distributed, heavy metal elements extracted by the process of surface water and ground water move and disperse in to the hydrosphere. Waste dumps were distributed in and around the mine and water draining from those dumps be a potential source of contamination. Soils, thus, can be dispersed into downslope and downstream through wind and water by clastic movement. These materials may be deposited in another horizon if the water is withdrawn, or if the materials are precipitated as a result of differences in pH, or other conditions in deeper horizons. These were primarily associated with acid mine drainage. The characteristics and rate of release of acid mine drainage are influenced by various chemical and biological reactions at the source of acid generations. Prolonged extration of heavy metal elements has a detrimental effect on the agricultural land and residental area. Twenty soil samples were collected from the agricultural land in the area (0∼30 cm). Seventeen samples were also taken from the sediment in the stream running alongside the dumps. The dispersion patterns of heavy metal elements are as follows: The content of As ranged 2∼6 ppm in a horizon, 20∼125 ppm in B horizon with large amount of clay mineral is concentrated and the content of Cd ranged 1∼2 ppm in A horizon, 4∼22 ppm in B horizon. Like Cd, the content of As, Cu, Zn, Pb in B horizon is higher than that in A horizon (approximately 5∼100 times). When soil formation proceeds in stages, it is necessary to investicate the B horizon with the concentration of heavy metal and preventive measures will have to established.

• Journal of Korean Neurosurgical Society
• /
• 제64권4호
• /
• pp.575-584
• /
• 2021

Objective : Cervical expansive laminoplasty is an effective surgical method to address multilevel cervical spinal stenosis. During surgery, the spinous processes of C2 and C7 are usually preserved to keep the insertion points of the cervical musculature and nuchal ligament intact. In this regard, dome-like laminectomy (undercutting of C7 lamina) instead of laminoplasty is performed on C7 in selected cases. However, resection of the lamina can weaken the C7 lamina, and stress fractures may occur, but this complication has not been characterized in the literature. The objective of the present study was to investigate the incidence and risk factors for C7 laminar fracture after C7 dome-like laminectomy and its impact on clinical and radiological outcomes. Methods : Patients who underwent cervical open-door laminoplasty combined with C7 dome-like laminectomy (n=123) were classified according to the presence of C7 laminar fracture. Clinical parameters (neck/arm pain score and neck disability index) and radiologic parameters (C2-7 angle, C2-7 sagittal vertical axis, and C7-T1 angle) were compared between the groups preoperatively and at postoperatively at 3, 6, 12, and 24 months. Risk factors for complications were evaluated, and a formula estimating C7 fracture risk was suggested. Results : C7 lamina fracture occurred in 32/123 (26%) patients and occurred at the bilateral isthmus in 29 patients and at the spinolaminar junction in three patients. All fractures appeared on X-ray within 3 months postoperatively, but patients did not present any neurological deterioration. The fracture spontaneously healed in 27/32 (84%) patients at 1 year and in 29/32 (91%) at 2 years. During follow-up, clinical outcomes were not significantly different between the groups. However, patients with C7 fractures showed a more lordotic C2-7 angle and kyphotic C7-T1 angle than patients without C7 fractures. C7 fracture was significantly associated with the extent of bone removal. By incorporating significant factors, the probability of C7 laminar fracture could be assessed with the formula 'Risk score = 1.08 × depth (%) + 1.03 × length (%, of the posterior height of C7 vertebral body)', and a cut-off value of 167.9% demonstrated a sensitivity of 90.3% and a specificity of 65.1% (area under the curve, 0.81). Conclusion : C7 laminar fracture can occur after C7 dome-like laminectomy when a substantial amount of lamina is resected. Although C7 fractures may not cause deleterious clinical outcomes, they can lead to an unharmonized cervical curvature. The chance of C7 fracture should be discussed in the shared decision-making process.

• Steel and Composite Structures
• /
• 제34권5호
• /
• pp.681-698
• /
• 2020

The paper addresses contribution to the modeling and optimization of major machinability parameters (cutting force, surface roughness, and tool wear) in finish dry hard turning (FDHT) for machinability evaluation of hardened AISI grade die steel D₃ with PVD-TiN coated (Al₂O₃-TiCN) mixed ceramic tool insert. The turning trials are performed based on Taguchi's L₁₈ orthogonal array design of experiments for the development of regression model as well as adequate model prediction by considering tool approach angle, nose radius, cutting speed, feed rate, and depth of cut as major machining parameters. The models or correlations are developed by employing multiple regression analysis (MRA). In addition, statistical technique (response surface methodology) followed by computational approaches (genetic algorithm and particle swarm optimization) have been employed for multiple response optimization. Thereafter, the effectiveness of proposed three (RSM, GA, PSO) optimization techniques are evaluated by confirmation test and subsequently the best optimization results have been used for estimation of energy consumption which includes savings of carbon footprint towards green machining and for tool life estimation followed by cost analysis to justify the economic feasibility of PVD-TiN coated Al₂O₃+TiCN mixed ceramic tool in FDHT operation. Finally, estimation of energy savings, economic analysis, and sustainability assessment are performed by employing carbon footprint analysis, Gilbert approach, and Pugh matrix, respectively. Novelty aspects, the present work: (i) contributes to practical industrial application of finish hard turning for the shaft and die makers to select the optimum cutting conditions in a range of hardness of 45-60 HRC, (ii) demonstrates the replacement of expensive, time-consuming conventional cylindrical grinding process and proposes the alternative of costlier CBN tool by utilizing ceramic tool in hard turning processes considering technological, economical and ecological aspects, which are helpful and efficient from industrial point of view, (iii) provides environment friendliness, cleaner production for machining of hardened steels, (iv) helps to improve the desirable machinability characteristics, and (v) serves as a knowledge for the development of a common language for sustainable manufacturing in both research field and industrial practice.

• 대한기계학회논문집
• /
• 제16권6호
• /
• pp.1121-1140
• /
• 1992

본 연구에서는 부착형 칩절단구의 경사면 대신에 원고면으로 형성한 형태 칩 절단구를 고찰하고, 재래형과 비교하여 더 효과적인 칩절단구를 개발 실용화하고자 한 다. 가공법으로서는 연속칩의 처리가 가장 곤란한 선삭을, 공작물로서는 연속칩이 가장 잘 생성되는 SM 20 C의 연강을, 공구재료로서는 P계열의 초경합금을 써서 저속에 서 고속절삭속도까지 시험하였다.

• 한국산림과학회지
• /
• 제20권1호
• /
• pp.45-50
• /
• 1973

싸리류(類)에 대(對)한 선발된 우량개체 및 앞으로 육성(育成)될 신품종(新品種)에 대(對)하여 무성번식의 방법을 구명(究明)코져 조록싸리, 참싸리, 늦싸리, 싸리, 털근록싸리, 풀싸리를 공시재료로 하여 4월(月) 상순(上旬) 삽목직전 1년지(年枝)를 채취하여 삽수길이 15~20cm, 삽수굵기 3~4mm, 삽수상하단을 동일하게 타원형으로 조제하여 1,000배액의 "우수프론"으로 소독한 삽상길이 150cm의 모래상에 삽목하였으며 삽목후 해가림 관수를 하였다. 그 결과 교배에 의한 신품종 및 선발개체(選拔個體)에 대(對)한 무성번식이 가능함을 인정할 수 있었으며 아래와 같은 결과를 얻었다. 1. 싸리류(類)의 삽목발근율은 50.3~69% 로 품종간 차이를 인정할 수 있었으며 털조록싸리, 조록싸리의 발근율이 제일 높고 풀싸리가 제일 낮았다(유의 수준 1%). 2. 생육상황(生育狀況)은 조록싸리, 싸리가 좋았으며 풀싸리가 가장 불량했다. 3. 본당(本當) 뿌리수는 길이 5cm 이상만을 측정하였으며 털조록싸리가 6.4개로 제일 많고 풀싸리가 1.3개로 제일 적었다(유의수준 1%). 4. 본당(本當) 뿌리의 총연장은 털조록싸리 279.8cm, 조록싸리 200.1cm로 가장 길고 풀싸리는 41.1cm로 가장 짧았다(유의 수준 1%). 5. 본당(本當) 근류착생수는 직경 1mm 이상만을 조사하였으며 털조록싸리 34.4개, 조록싸리 27.1개로 제일 많고 풀싸리는 4.6개로 제일 적었다.

• Asian-Australasian Journal of Animal Sciences
• /
• 제13권5호
• /
• pp.580-586
• /
• 2000

Data collected between 1981 and 1991 at the Philippine Carabao Center at Central Luzon State University (PCC-CLSU) were used for the comparison of growth, milk yield and draughtability of Murrah-Philippine crossbred and Philippine native buffaloes. Body weights and body measurements were available at 3-month intervals from birth to 36 months of age for a total of 34 $Murrah{\times}Philippine$ native buffalo F1 crossbreds (CBB; 21 cows, 13 bulls) and 32 Philippine native buffaloes (PNB; 16 cows, 16 bulls). Lactation records were available for 14 CBB and 19 PNB cows. Data for draughtability under wet and dry ploughing conditions were available for 4 CBB and 4 PNB steers. The results indicate that crossbreds grow faster (0-9 months of age: cows $442{\pm}19$ vs. $301{\pm}21g/day$, bulls $305{\pm}23$ vs. $296{\pm}21g/day$; 9-36 months of age: cows $227{\pm}10$ vs. $147{\pm}12g/day$, bulls $282{\pm}13$ vs. $138{\pm}12g/day$), mature earlier and produce more milk (1st lactation: $1139{\pm}153$ vs. $450{\pm}112kg$; 2nd lactation: $1115{\pm}132$ vs. $488{\pm}136kg$) than native buffaloes, but have a poorer draughtability (wet ploughing; force as % of body weight $8.8{\pm}0.2$ vs. $12.2{\pm}0.6$; dry ploughing: cut depth $10.98{\pm}0.25$ vs. $11.92{\pm}0.13cm$, velocity $0.50{\pm}0.03$ vs. $0.60{\pm}0.02m/sec$, force as % of body weight $9.0{\pm}0.6$ vs. $11.3{\pm}0.7$). The correlation coefficients between body weight and body measurements at birth and at 3-month intervals indicate that heart girth has a relatively high correlation with body weight, especially in crossbreds. It is concluded that in Philippine smallholder farming systems in which meat and milk production are secondary to draught power, the native buffalo is preferable from the point of view of input needed to maintain the number of animals kept for a required draught force.