• Journal of Gastric Cancer
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• 제23권3호
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• pp.451-461
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• 2023

Purpose: Endoscopic submucosal dissection (ESD) is an effective treatment for early gastrointestinal neoplasms. However, this is a time-consuming procedure requiring various devices. This study aimed to evaluate the efficacy and safety of the ClearCut^TM Knife H-type, which is an integrated needle-tipped and insulated-tipped (IT) knife. Materials and Methods: Between July 2020 and September 2021, 99 patients with gastric epithelial neoplasms scheduled for ESD at three tertiary care hospitals were randomly assigned to H-knife (ClearCut^TM Knife H-type) or IT-knife (conventional IT knife) groups. Procedure times, therapeutic outcomes, and adverse events were analyzed. Results: A total of 98 patients (50 in the H-knife group and 48 in the IT-knife group) were analyzed. The median total procedure time was 11.9 minutes (range, 4.4-47.2 minutes) in the H-knife group and 12.7 minutes (range, 5.2-137.7 minutes) in the IT-knife group (P=0.209). Unlike the IT-knife group, which required additional devices in all cases, no additional devices were used in the H-knife group (P<0.001). En-bloc resection was performed for all lesions in both groups. The incidence of adverse events was not significantly different between groups (4.0% in the H-knife group vs. 8.3% in the IT-knife group; P=0.431). Conclusions: The newly developed hybrid device, the ClearCut^TM Knife H-type, had comparable efficacy to the conventional IT knife for gastric ESD.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2001년도 ICCAS
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• pp.53.5-53
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• 2001

In continuous galvanizing process at steel making plant, coating weight on the surface of strip that pass through air knife is controlled by the pressure at the chamber of air knife and the gap between the nozzle of air knife and strip. The pressure can be easily measured and controlled. But it is difficult to measure the distance between Air knife nozzle and strip, and also difficult to decide how much distance air knife move. Because, the gap between nozzle and strip varies with the height of air knife, intermesh of stabilizing roll and welding of strips that have different thickness. In this research, we developed a gap sensor that can measure the relative distance between Air knife nozzle and strip. And several tests are performed to find optimal condition for application at real plant. We performed test in which the possibility of the sensor to apply ...

• 한국식품저장유통학회지
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• 제19권2호
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• pp.173-177
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• 2012

신선절단 사과와 엽채류의 품질에 절단방법이 미치는 영향을 구명하기 위하여, 사과는 sharp knife나 dull knife로 절단하고, 양배추와 결구상추는 hand나 knife cutting 및 knife로 샐러드용 크기나 채썰기로 절단하고 각 절단품의 품질특성을 비교 조사하였다. 신선절단 사과의 갈변도와 과육경도는 dull knife보다 sharp knife로 절단한 경우에 유의적으로 낮고 높게 유지되었다. 반면에 신선절단 사과의 가용성 고형분 함량과 pH는 절단용 칼날의 날카로움에 따른 유의적인 차이를 보이지 않았다. 신선절단 양배추와 결구상추의 갈변도는 hand cutting보다 knife cutting에서, 샐러드용 크기보다 세절인 채썰기한 경우에서 유의적으로 낮은 수준을 나타내었다. 이로써, 신선절단품 제조시 조직손상을 크게 하는 절단방법이 사과의 갈변과 연화를, 양배추와 결구상추의 갈변을 촉진시키는 것으로 확인되었고, 고품질 제품을 위해 조직손상을 최소화할 수 있는 기술이 적용되어야 할 것으로 판단된다.

• Journal of Trauma and Injury
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• 제37권1호
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• pp.1-5
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• 2024

The aim of this paper was to review the biomechanics of knife injuries, including those that occur during stabbing rampages. In knife stab attacks, axial force and energy were found to be 1,885 N and 69 J, respectively. The mean velocity of a stabbing motion has been reported to range from 5 to 10 m/sec, with knife motions occurring between 0.62 and 1.07 seconds. This speed appears to surpass the defensive capabilities of unarmed, ordinarily trained law enforcement officers. Therefore, it is advisable to maintain a minimum distance of more than an arm's length from an individual visibly armed with a knife. In training for knife defense, particularly in preparation for close-quarter knife attacks, this timing should be kept in mind. Self-inflicted stab wounds exhibited a higher proportion of wounds to the neck and abdomen than assault wounds. Injuries from assault wounds presented a higher Injury Severity Score, but more procedures were performed on self-inflicted stab wounds. Wound characteristics are not different between nonsuicidal self-injury and suicidal self-wrist cutting injuries. Consequently, trauma surgeons cannot determine a patient's suicidal intent based solely on the characteristics of the wound. In Korea, percent of usage of lethal weapon is increasing. In violence as well as murders, the most frequently used weapon is knife. In the crimes using knife, 4.8% of victims are killed. Therefore, the provision of prehospital care by an emergency medical technician is crucial.

• Journal of Korean Neurosurgical Society
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• 제64권1호
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• pp.13-22
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• 2021

Objective : High precision and accuracy are expected in gamma knife radiosurgery treatment. Because of the requirement of clinically applying complex radiation and dose gradients together with a rapid radiation decline, a dedicated quality assurance program is required to maintain the radiation dosimetry and geometric accuracy and to reduce all associated risk factors. This study investigates the validity of Leksell Gamma plan (LGP)10.1.1 system of 5th generation Gamma Knife Perfexion as modified variable ellipsoid modeling technique (VEMT) method. Methods : To verify LGP10.1.1 system, we compare the treatment plan program system of the Gamma Knife Perfexion, that is, the LGP, with the calculated value of the proposed modified VEMT program. To verify a modified VEMT method, we compare the distributions of the dose of Gamma Knife Perfexion measured by Gafchromic EBT3 and EBT-XD films. For verification, the center of an 80 mm radius solid water phantom is placed in the center of all sectors positioned at 16 mm, 4 mm and 8 mm; that is, the dose distribution is similar to the method used in the x, y, and z directions by the VEMT. The dose distribution in the axial direction is compared and analyzed based on Full-Width-of-Half-Maximum (FWHM) evaluation. Results : The dose profile distribution was evaluated by FWHM, and it showed an average difference of 0.104 mm for the LGP value and 0.130 mm for the EBT-XD film. Conclusion : The modified VEMT yielded consistent results in the two processes. The use of the modified VEMT as a verification tool can enable the system to stably test and operate the Gamma Knife Perfexion treatment planning system.

• 한국소성가공학회:학술대회논문집
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• 한국소성가공학회 2009년도 추계학술대회 논문집
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• pp.319-322
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• 2009

Roll bending process has been used for manufacturing the pipes. However, it is not suitable process for the thick pipes. Knife press forming is acceptable process for the thick pipes. Recently, the knife press forming process using brake bending press have been performed. In this study, the estimation on formability of knife press forming process for the thick pipes is carried out. From the results, it is ensured that the thick pipes could be obtained by the knife press forming process.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2006년도 제33회 추계학술대회 발표논문집
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• pp.119-119
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• 2006

• 대한골관절종양학회지
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• 제11권1호
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• pp.17-24
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• 2005

의학의 발달과 더불어 종양에 대한 국소치료는 광범위근치술(extended radical surgery) 로부터 기능보존술(function preserving surgery)로 발달하고 이것은 다시 최소침습술(minimal-invasive surgery)로 발전하여 왔다. 그러나 최근 들어서는 기술의 혁신적인 진보로 비침습적수술법(non-invasive surgery)이 개발되어 감마나이프(gamma knife), 사이버나이프(cyber knife), 및 하이푸나이프(HIFU knife) 등이 출현하게 되었다. 본 논문에서는 이들 중 하이푸나이프를 이용한 체외강력집속초음파치료(extracorporeal high intensity focused ultrasound therapy)에 대하여 발달사, 치료기 구조 및 치료과정, 조직학적 변화와 기전, 임상적용, 장단점 및 전망 등을 살펴보고자 한다.

• Clinical Endoscopy
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• 제55권6호
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• pp.767-774
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• 2022

Background/Aims: Few studies have compared the performances of endoscopic knives. This study aimed to compare the therapeutic outcomes of a novel core knife and the conventional IT knife 2 for endoscopic submucosal dissection (ESD) of gastric mucosal lesions. Methods: This prospective, non-inferiority trial included patients diagnosed with gastric adenoma or early-stage adenocarcinoma at Keimyung University Dongsan Hospital between June and November 2020. The patients were randomly assigned to either the core knife or the IT knife 2 group. The operators and assistants scored the knives' grip convenience and cutting abilities. Results: A total of 39 patients were enrolled (core knife group, 20 patients; IT knife 2 group, 19 patients). There were no significant between-group differences in operator-assessed grip convenience (9.600 vs. 9.526, p=0.753), cutting ability (9.600 vs. 9.105, p=0.158), or assistant-assessed grip convenience (9.500 vs. 9.368, p=0.574). Conclusions: The core knife achieved therapeutic outcomes that were comparable to those of the IT knife 2 for ESD of gastric mucosal lesions.

• 동력기계공학회지
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• 제20권4호
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• pp.5-11
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• 2016

This study analyzed the damage to a slitting knife after cutting steel sheets. Damages to the structure were observed and wear tests were conducted. In addition, the degradation on the damaged and undamaged parts was compared with a micro Vickers hardness test. Weibull statistical analysis was carried out in order to evaluate the reliability of the micro Vickers hardness measured data. Spalling of the edge portion occurred by degradation during use over a long period. Rough parts in the specimens were caused by damage because the slitting knife was used for 1 year. The friction coefficient and wear loss at the damaged parts of the knife edge were slightly larger from shock due to repetitive cutting operation. The micro Vickers hardness followed a two-parameter Weibull probability distribution.