• Annals of Coloproctology
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• v.34 no.6
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• pp.306-311
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• 2018

Purpose: Hartmann operation is widely recognized as a useful procedure, especially in emergencies involving the rectosigmoid colon. One of the surgeon's foremost concerns after Hartmann operation is future colostomy reversal, as colostomy reversal after a Hartmann procedure is associated with relatively high morbidity and mortality. Laparoscopic surgical techniques continue to prove useful for an ever-increasing variety of indications. We analyzed the outcomes of laparoscopic Hartmann colostomy reversals at our center. Methods: We retrospectively analyzed the hospital records of 170 patients who had undergone Hartmann operation between January 2010 and June 2017 at Wonkwang University Hospital. Among 68 Hartmann colostomy reversals, we evaluated and compared the outcomes of 3 groups of patients: 29 patients in the open colostomy reversal group (OG) who had undergone laparotomies for Hartmann reversals, 19 patients in the conversion group (CG) whose laparoscopic procedures had required conversion to a laparotomy, and 20 patients in the laparoscopy group (LG). Results: The overall reversal rate for Hartmann colostomies was 40.5% during this time period. The duration of hospital stay was significantly shorter among LG patients ($10.15{\pm}2.94days$) than among OG patients ($16{\pm}9.5days$). The overall complication rate among OG patients was higher than that among LG patients (adjusted odds ratio, 8.78; P = 0.01). The most common complication was postoperative ileus (19.1%). Conclusion: If no contraindications to laparoscopy exist, surgeons should favor a laparoscopic reversal of Hartmann operation over an open reversal.

• International Journal of Aeronautical and Space Sciences
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• v.16 no.2
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• pp.123-136
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• 2015

The present study numerically investigates the effect of shield on the flow characteristics of Hartmann whistle. The flow characteristics of un-shielded Hartmann whistle are compared with whistles of different shield heights 15 mm, 17 mm, 20 mm, 25 mm and 30 mm. The comparison of Mach number contours and transient velocity vectors of shielded Hartmann whistles with un-shielded ones for the same conditions reveal that the presence of shield causes the exiting jet to stick to the wall of the shield without causing spill-over around the cavity inlet, thus sustaining the shock oscillation as seen in the unshielded Hartmann whistle, which has intense flow/shock oscillation and spill-over around the cavity mouth. The velocity vectors indicate jet regurgitance in shielded whistles showing inflow and outflow phases like un-shielded ones with different regurgitant phases. The sinusoidal variation of mass flow rate at the cavity inlet in un-shielded Hartmann whistle indicates jet regurgitance as the primary operating mode with large flow diversion around the cavity mouth whereas the non-sinusoidal behavior in shielded ones represent that the jet regurgitance is not the dominant operating mode. Thus, this paper sufficiently demonstrates the effect of shield in modifying the flow/shock oscillations in the vicinity of the cavity mouth.

• Korean Journal of Optics and Photonics
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• v.17 no.5
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• pp.383-390
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• 2006

The SharkHartmann wavefront sensors are the most popular devices to measure wavefront in the field of adaptive optics. The Shack-Hartmann sensors measure the centroids of spot irradiance distribution formed by each corresponding micro-lens. The centroids are linearly proportional to the local mean slopes of the wavefront defined within the corresponding sub-aperture. The wavefront is then reconstructed from the evaluated local mean slopes. The uncertainty of the Shack-Hartmann sensor is caused by various factors including the detector noise, the limited size of the detector, the magnitude and profile of spot irradiance distribution, etc. This paper investigates the noise propagation in two major centroid evaluation algorithms through computer simulation; 1st order moments of the irradiance algorithms i.e. center of gravity algorithm, and correlation algorithm. First, the center of gravity algorithm is shown to have relatively large dependence on the magnitudes of noises and the shape & size of irradiance sidelobes, whose effects are also shown to be minimized by optimal thresholding. Second, the correlation algorithm is shown to be robust over those effects, while its measurement accuracy is vulnerable to the size variation of the reference spot. The investigation is finally confirmed by experimental measurements of defocus wavefront aberrations using a Shack-Hartmann sensor using those two algorithms.

• Proceedings of the Optical Society of Korea Conference
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• 2005.02a
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• pp.132-133
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• 2005

• Transactions of the Society of Information Storage Systems
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• v.3 no.3
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• pp.135-138
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• 2007

Using a Shack-Hartmann sensor and sub-wavelength sized pinhole point source, we develope an optical testing system that measures the wavefront error of high numerical aperture and small sized optical components. The subwavelength sized pinhole generates perfect spherical waves with large diffraction angle and this makes possible to test high numerical aperture optics. The Shack-Hartmann sensor reconstructs the wavefront and calculates the aberrations. We make a home-made reference plane wave source which generates nearly perfect plane waves and the calibration with this plane source gives the overall uncertainty of the optical testing system 0.010 $\lambda$ rms.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.29 no.5 s.236
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• pp.726-733
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• 2005

A spherical surface referenced Shack-Hartmann method is studied for inspecting machining accuracy of large concave mirror This method is so strong to the vibration environment for using as an on-machine inspection system during polishing process of large optics comparing with the interferometry. The measuring uncertainty of the system is shown as less than p-v 150 m. On-machine measured surface profile data with this method is used for feed back control of the polishing time or depth to improve the surface profile accuracy of large concave mirror. Also, the spherical surface referenced Shack-Hartmann method is useful for measuring aspheric such as parabolic or hyperbolic surface profile, comparing that the interferomehy needs a special null lens, which is to be a reference and difficult to fabricate.

• Proceedings of the Optical Society of Korea Conference
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• 2001.08a
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• pp.218-219
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• 2001

• Proceedings of the Optical Society of Korea Conference
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• 2002.11a
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• pp.202-203
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• 2002

• 한국정보디스플레이학회:학술대회논문집
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• 2005.07a
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• pp.528-530
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• 2005

In this paper, we present a new and practical method for achieving real-time wavefront measurement, dramatically increasing the resolution, dynamic range of Shack-Hartmann wavefront sensor and improving the wavefront reconstruction quality. In proposal method, a liquid crystal display panel (LCD) for the generation of an array of Fresnel microlenses is use instead of the static microlens array of the conventional Shack-Hartmann type sensor. An off-axis holographic microlens array is designed instead of the normal microlens array to increase the effective array and then the dynamic range. The focus properties of the off-axis lens are studied.

• Proceedings of the Optical Society of Korea Conference
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• 2003.07a
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• pp.156-157
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• 2003

적응광학(AO； adaptive optics) 시스템의 중요한 구성요소인 파면측정 장치(wavefront sensor)는 변형거울(deformable mirror)과 제어용 컴퓨터에 연결되어 파면보정을 실시간으로 처리할 수 있도록 파면의 왜곡정보를 제공한다. 제작된 Shack-Hartmann 파면측정 장치는 배열렌즈(array lens), 빔 축소 광학계, CCD 카메라 등으로 구성되어있는데, 측정된 파면의 정보는 영상처리 보드가 내장된 제어용 컴퓨터를 사용하여 분석한 뒤 실시간으로 보정장치를 구동할 수 있도록 설계되었다. (중략)