• Title/Summary/Keyword: enlargement

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Small Aortic Annulus in Aortic Valve Replacement; Comparison between Aortic Annular Enlargement Group and Patient-prosthesis Mismatch Group (협소한 대동맥판륜 환자에서의 대동맥판막 치환술; 대동맥판륜 확장술군과 환자-인공판막 부조화군의 비교)

  • Kim, Jae-Hyun;Oh, Sam-Sae;Yie, Kil-Soo;Shin, Sung-Ho;Baek, Man-Jong;Na, Chan-Young
    • Journal of Chest Surgery
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    • v.40 no.3 s.272
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    • pp.200-208
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    • 2007
  • Background: The effect of patient-prosthesis mismatch (PPM) on the clinical outcome following aortic valve replacement (AVR) remains controversial. This study compared the surgical outcomes of AVR between patients with a patient-prosthesis mismatch and those having undergone an aortic annular enlargement. Material and Method: Six hundred and twenty seven adult patients, who underwent AVR with stented bioprosthetic or mechanical valves, between January 1996 and February 2006, were evaluated. PPM was defined as an indexed effective orifice area (iEOA) ${\leq}0.85cm^2/m^2$, and Severe if the iEOA${\leq}0.65cm^2/m^2$ PPM was present in 103 (16.4%, PPM group) patients, and severe in 11 (1.8%, SPPM group). During the period of the study, 21 patients underwent an AVR with annular enlargement (AE group). Result: The mean iEOA of the AE group was larger than that of the PPM group ($0.95\;vs.\;0.76cm^2/m^2,\;p=0.00$). The AE group had longer CPB, ACC and operation times than the PPM group, and showed a tendency toward higher operative mortality (14.3% vs. 2.9%, p=0.06). The SPPM group had higher AV pressure gradients (peak/mean) than the AE group (72/45 mmHg vs. 38/25 mmHg, p=0.02/0.06) and suffered more AV related events (AV reoperation or severe aortic stenosis)(45.5% vs. 9.5%, p=0.03). LV masses were not regressed in the patients who experienced an AV related event. Conclusion: During AVR in patients with a small aortic annulus, annular enlargement should be carefully applied taking into account the high risk of operative mortality due to annular enlargement and co-morbidities of patients. Aortic annular enlargement; however, should be considered as an alternative method in patients expected to have a severe PPM after an AVR.

Effect of the Gibberellin Treatment on Enlargement and Mature Promotion in 'Niitaka' Pear (Pyrus pyryfolia L.) (지베렐린이 '신고'배의 비대와 성숙촉진에 미치는 영향)

  • Kim, Jong-Gook;Lee, Chang-Hoo
    • Journal of agriculture & life science
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    • v.43 no.2
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    • pp.23-30
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    • 2009
  • The object of this study was to evaluate the effect of the gibberellin treatment on fruit enlargement and ripening promotion in 'Niitaka' pear(Pyms pynfolia). Fruit weight was similar between $GA_{4+7}$ treatments and the gibberellin-paste control, but fairly increased of fruit weight compared to non-treatment Most effective time for $GA_{4+7}$ treatment to increase diameter and length was on 35 and 40 days after full bloom, respectively. Shape index was similar in all treatments. Fruit enlargement at the period of early growth, $GA_{4+7}$ 2.4% treatment was remarkably effective than $GA_{3}+GA_{4+7}$ 2.7% treatment or non-treatment However at the period of maturity, $GA_{4+7}$ 2.4% treatment and $GA_{3}+GA_{4+7}$ 2.7% treatment showed little differences in fruit enlargement and coloring. In maturing promotion effect, young fruit treated with $GA_{3}+GA_{4+7}$ showed similar fruit coloring to ethephon treatment on 35 days after full bloom, and both of those treatments promoted fruit coloring than non- treatment about 6 days. $GA_{3}+GA_{4+7}$ treatments resulted higher solid content and decreased acidity than non-treatment However, there was no differences in fruit hardness comparing to non-treatment As a result, gibberellin was most effective in fruit enlargement, so as all $GA_{3}+GA_{4+7}$ treatments were more effective on fruit enlargement than ethephon treatment or non-treatment Specifically, when $GA_{3}+GA_{4+7}$ was treated 35days after full bloom of flower, the diameter, the length and the shape of fruit index were best, and fruit coloring was good as well.

Work Improvement by Computerizing the Process of Shielding Block Production (차폐블록 제작과정의 전산화를 통한 업무개선)

  • Kang, Dong Hyuk;Jeong, Do Hyeong;Kang, Dong Yoon;Jeon, Young Gung;Hwang, Jae Woong
    • The Journal of Korean Society for Radiation Therapy
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    • v.25 no.1
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    • pp.87-90
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    • 2013
  • Purpose: Introducing CR (Computed Radiography) system created a process of printing therapy irradiation images and converting the degree of enlargement. This is to increase job efficiency and contribute to work improvement using a computerized method with home grown software to simplify this process, work efficiency. Materials and Methods: Microsoft EXCEL (ver. 2007) and VISUAL BASIC (ver. 6.0) have been used to make the software. A window for each shield block was designed to enter patients' treatment information. Distances on the digital images were measured, the measured data were entered to the Excel program to calculate the degree of enlargement, and printouts were produced to manufacture shield blocks. Results: By computerizing the existing method with this program, the degree of enlargement can easily be calculated and patients' treatment information can be entered into the printouts by using macro function. As a result, errors in calculation which may occur during the process of production or errors that the treatment information may be delivered wrongly can be reduced. In addition, with the simplification of the conversion process of the degree of enlargement, no copy machine was needed, which resulted in the reduction of use of paper. Conclusion: Works have been improved by computerizing the process of block production and applying it to practice which would simplify the existing method. This software can apply to and improve the actual conditions of each hospital in various ways using various features of EXCEL and VISUAL BASIC which has already been proven and used widely.

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Fundamental study on enlargement method of existing subway tunnel during operation for sidetrack construction (부본선 건설을 위한 기존 지하철 터널의 운영 중 확폭 방안에 대한 기초연구)

  • Lee, Hyobum;Koh, Sung-Yil;Jun, Jonghun;Yoon, Hee Taek;Yi, Na Hyun;Choi, Hangseok
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.22 no.1
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    • pp.59-76
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    • 2020
  • As a continuous increase in demand for the transportation infrastructure in the metropolitan area, the renovation of existing metropolitan and urban railway lines for the rapid transport system requires the construction of sidetrack that can operate local and express trains simultaneously. However, the construction of sidetrack after stopping the operation of the existing subway line causes a lot of economic losses, therefore it is essential to study the tunnel enlargement scheme during the operation of the existing subway tunnel. Accordingly, in this paper, basic research on the enlargement plan of the existing subway tunnel was carried out for the renovation of the existing subway line. In order to investigate the method for the sidetrack construction, the Government Complex Gwacheon station on the Gwacheon line of subway line 4 was selected as a virtual research station. Subsequently, four construction plans including tunnel cross-sectional plan for each section were reviewed and constructability and economic feasibility were compared. Finally, the stability assessment was conducted for the selected construction plan which was considered to be relatively unstable by 3-D full numerical analysis considering the sidetrack construction process.

Attention-induced expansion in visual space (주의에 의한 시각 공간 확장)

  • 유명현;박정선;정찬섭
    • Korean Journal of Cognitive Science
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    • v.10 no.3
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    • pp.51-66
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    • 1999
  • Selective attention induces perceptual distortions. ranging from repulsion of objects located near the attended area(Suzuki & Cavanagh. 1997) to magnification of the u unattended objects (Tsal & Shalev. 1996). Two hypothetical mechanisms have been p postulated: a shift of receptive fields' positions away from the locus of attention(receptive-field-recruitment hypothesis) or the enlargement of perceived space around the a attended location(space-enlargement hypothesis). The present study distinguished between these hypotheses by investigating the spatial and temporal properties of attention-induced d distortions. Perceptual judgements on vernier alignment. line tilt. line length were used to measure attention-induced changes in perception. Attention was induced exogenously(by blinking a specific set of dots around the test stimuli} or endogenously(by instructing the subject to selectively attend the dots). After inducing attention. the test stimuli were briefly flashed. A staircase method was used to measure the attentional effect. A vertical line was perceived as repelled from the locus of attention. and a line segment appeared longer when attention was given to its vicinity. The effects decreased as the distance between the locus of attention or the time between the onset of attention and the stimulus presentation increased. The results imply that the space-enlargement hypothesis provides a better explanation for the attention-induced changes in perception than the receptive-field-recruitment hypothesis.

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Effect of Water Stress on Yield and Quality of Ligusticum chuanxiong Hort. (토양수분(土壤水分)이 토천궁(土川芎)의 수량(收量) 및 품질(品質)에 미치는 영향(影響))

  • Kim, Chung-Guk;Kang, Byeung-Hoa;Kim, Sok-Dong;Lee, Sang-Bok
    • Korean Journal of Medicinal Crop Science
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    • v.5 no.1
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    • pp.1-6
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    • 1997
  • The experiment was conducted to investigate the effect of water stress on yield and quality of Ligusticum chuanxiong Hort. The water stress treatment was imposed artificially on seedling, flowering and rhizome enlargement stage of the plant. The root yield rate decreased to 19.1%, 18.2% and by the water stress treatment at rhizome enlargement, seedling and flowering stage, respectively. Portion of the products having commercial quality grade (above 20g of rhizome weight) was 93.4% at control plot, while it was 85%, 81.7% and 78.3% when stressed for water at seedling, flowering and root enlargement stage, respectively. Content of extract was the higher in the order of control, water stressed at rhizome enlargement, flowering and the seedling stage. Postive correlationship was found between yield of rhizome and rootlet yield or economic production ratio, and between dry weight of stem and rootlet yield.

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A Seach for Methods of Development of Marine Leisure Sport through the SWOT Analysis (SWOT분석을 통한 해양레저스포츠 발전 방안 모색)

  • Suh, Dong-Hwan;Kang, Myung-Goo;Lee, Sheng-Yen
    • Journal of Digital Convergence
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    • v.15 no.1
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    • pp.537-546
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    • 2017
  • This study is for a search for methods of development of marine leisure sports. As worldwide trend of marine leisure sports is developing rapidly and people more concern about their quality of life and leisure in Korea, the ear of marine leisure sports should be coming in Korea soon. This study is for a search for methods of development though the SWOT analysis. The results of the study are as below. First, the Strength of enlargement of the base in Korea are elation of concern of government and local governments, expanding local event of marine leisure sports with existing facilities and various programs. Second, the weakness of enlargement of the base in Korea are lack of awareness of marine leisure sports, frequent accident occurrence and lack of experts of marine leisure sports. Third, the Opportunity of enlargement of the base in Korea are more budget due to elation of concern of government and local governments and more preference of people in Korea. Fourth, the Threaten of enlargement of the base in Korea are low efficiency of high cost investment construction from government and local governments, huge fee of using facilities due to high cost investment construction and requiring treatment improvement of instructors of leisure sports facilities.

TRANSPORTATION OF CURVED CANAL AFTER CANAL ENLARGEMENT ACCORDING TO FILING INSTRUMENTS (만곡근관의 확대시 기구에 따른 형태변화에 관한 연구)

  • Lee, Seok-Jong;Shin, Young-Guen;Hwang, Ho-Keel
    • Restorative Dentistry and Endodontics
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    • v.24 no.3
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    • pp.503-510
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    • 1999
  • The purpose of this study was to evaluate the amount of transportation of original canal, zip formation, permanent deformation and fracture of instruments after canal enlargement. In this study, the 60 resin blocks that have curved canals were randomly divided into 3 experimental groups with 20 teeth each according to instrument types and filling methods for canal enlargement. The curved canals of each experimental groups were enlarged to No 40 ISO size with the K-flexo stainless steel file (Group 1), Engine-driven Ni-Ti Profile new series(Group 2) and Engine-driven Ni-Ti Quantec 2000 series(Group 3) according to the manufacturer's recommendation. Pre- and postoperative X-rays were taken at same position and the films were scanned and the canal images were traced to determine the canal curvature according to the method of Schneider. The amount of reduction in canal curvature were calculated between pre- and postoperative X-rays. In addition to zip formation, permanent deformation and fracture of instruments were examined after canal enlargement. The results were as follows : 1. All experimental groups showed some loss of canal curvature after instrumentation. There was a significant change in curvature between before and after instrumentation in each group(p<0.001). 2. Engine-driven Ni-Ti instrumentations resulted in an average loss of curvature of 2.36 degrees for Profile new series, 3.43 degrees for Quantec series, and hand instrumentation showed an average loss of curvature of 6.48 degrees for K-flexo file. There was a statistical significant difference between hand instrumentation and engine-driven Ni-Ti instrumentations(p<0.05). But there was no statistical difference between Profile new series and Quantec series. 3. There were many apical zip formations in group 1(Hand instrumentation). But there were no apical zip formations in group 2,3(Engine-driven Ni-Ti instrumentation). 4. The instrument deformation occured 9 cases in group 1(K-flexo file), 2 cases in group 2(Profile new series) and 3 cases in group 3(Quantec) after instrumentation. And the instrument fracture occured 1 case in each group. The results showed that the engine-driven Ni-Ti instruments, if we use carefully according to manufacturer's recommendations, can be use effectively for instrumenting the curved root canals in case of the MAF was over size 40.

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A Method for Selecting the Subwindows of Pseudomedian Filter for Digital Image Enlargement (디지털 영상 확대를 위한 Pseudomedian 필터의 부윈도우 설정 방법)

  • Kwak, No-Yoon;Kwon, Byong-Heon;Hwang, Byong-Won
    • Journal of the Korean Institute of Telematics and Electronics S
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    • v.36S no.9
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    • pp.91-102
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    • 1999
  • It is known that the digital image enlargement technique which only uses spatially neighbored pixels information in a still image can increase the size of the image but the practical enhancement of resolution is small because the frequency bandwidth of the image is basically limited. To solve this problem, this paper proposes the digital image enlargement technique that improves the reconstruction of the edge components by selectively transposing the direction of the subwindows of pseudomedian filter according to the distribution of neighbored pixels to the interpolation point. The pseudomedian filter has the better performance in aspect of the reconstruction of edge information when the pixel values masked by two subwindows parallel to the interpolation point are very similar and the pixel values masked by another subwindow that is orthogonal to the above two subwindows are similar to each other. In this paper, the computer simulation for digital image enlargement was performed with consideration of these characteristics when selecting the subwindows of pseudomedina filter. Based on this simulation result, the performance of the proposed method was analysed and its effectiveness was assessed. According to the proposed method, visual artifacts that result from using the limited samples can be effectively suppressed, and most characteristics and shapes of the original image can be preserved as well.

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Behavior and pillar stability of enlarged existing parallel tunnels (기존 병설터널의 확폭에 따른 터널 거동 및 필라 안정성 분석)

  • Lee, Myeong-Han;Kim, Bumjoo;Jang, Yeon-Soo;Yun, Ji-Nam;Park, Hyun-Gon
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.15 no.5
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    • pp.537-546
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    • 2013
  • Traffic congestion in existing tunnels has increased due to increased traffic volume and enlarged vehicles. Enlarging existing tunnels has advantages over constructing new tunnels by reducing land purchasing costs as well as minimizing natural environment destruction. In fact, many overseas projects for enlarging existing tunnels have been reported. Thus, it appears that the demand on enlarging existing tunnels continues to rise in Korea in near future. Nonetheless, the studies related to the enlarged tunnels have been relatively rare since there have been few tunnel enlargement projects in Korea. In the present study, the tunnel behavior and the stability of rock pillar when enlarging existing parallel tunnels were investigated by performing FE analysis and using existing theory and empirical relationships. Four different enlarging cases, depending on the enlargement types and directions, were examined in the study. According to the results, for the tunnels with the same pillar width after enlarged, the uni-laterally enlarged tunnel indicated 5 to 20% higher crown settlement compared to the bi-laterally enlarged tunnel, and for the tunnel with the narrowest pillar, the highest shotcrete stress was observed. Also, the strength/stress ratio for rock pillar was more than 1.0 for all four enlargement cases, and the Matsuda's method was found to give higher strength/stress ratio by about 50% compared to the Peck's method.