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Is central pancreatectomy an effective alternative to distal pancreatectomy for low-grade pancreatic neck and body tumors: A 20-year single-center propensity score-matched case-control study

  • Ashish Kumar Bansal;Bheerappa Nagari;Phani Kumar Nekarakanti;Amith Kumar Pakkala;Venu Madhav Thumma;Surya Ramachandra Varma Gunturi;Madhur Pardasani
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.27 no.1
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    • pp.87-94
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    • 2023
  • Backgrounds/Aims: Central pancreatectomy (CP) is associated with a higher rate of postoperative pancreatic fistula (POPF), and it is less preferred over distal pancreatectomy (DP). We compared the short- and long-term outcomes between CP and DP for low-grade pancreatic neck and body tumors. Methods: This was a propensity score-matched case-control study of patients who underwent either CP or DP for low-grade pancreatic neck and body tumors from 2003 to 2020 in a tertiary care unit in southern India. Patients with a tumor >10 cm or a distal residual stump length of <4 cm were excluded. Demographics, clinical profile, intraoperative and postoperative parameters, and the long-term postoperative outcomes for exocrine and endocrine insufficiency, weight gain, and the 36-Item Short Form Survey (SF-36) quality of life questionnaire were compared. Results: Eighty-eight patients (CP: n=37 [cases], DP: n=51 [control]) were included in the unmatched group after excluding 21 patients (meeting exclusion criteria). After matching, both groups had 37 patients. The clinical and demographic profiles were comparable between the two groups. Blood loss and POPF rates were significantly higher in the CP group. However, Clavien-Dindo grades of complications were similar between the two groups (p = 0.27). At a median follow-up of 38 months (range = 187 months), exocrine sufficiency was similar between the two groups. Endocrine sufficiency, weight gain, SF-36 pain control score, and general health score were significantly better in the CP group. Conclusions: Despite equivalent clinically significant morbidities, long-term outcomes are better after CP compared to DP in low-grade pancreatic body tumors.

Curvature stroke modeling for the recognition of on-line cursive korean characters (온라인 흘림체 한글 인식을 위한 곡률획 모델링 기법)

  • 전병환;김무영;김창수;박강령;김재희
    • Journal of the Korean Institute of Telematics and Electronics B
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    • v.33B no.11
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    • pp.140-149
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    • 1996
  • Cursive characters are written on an economical principle to reduce the motion of a pen in the limit of distinction between characters. That is, the pen is not lifted up to move for writing a next stroke, the pen is not moved at all, or connected two strokes chance their shapes to a similar and simple shape which is easy to be written. For these reasons, strokes and korean alphabets are not only easy to be changed, but also difficult to be splitted. In this paper, we propose a curvature stroke modeling method for splitting and matching by using a structural primitive. A curvature stroke is defined as a substroke which does not change its curvanture. Input strokes handwritten in a cursive style are splitted into a sequence of curvature strokes by segmenting the points which change the direction of rotation, which occur a sudden change of direction, and which occur an excessive rotation Each reference of korean alphabets is handwritten in a printed style and is saved as a sequence of curvature strikes which is generated by splitting process. And merging process is used to generate various sequences of curvature strikes for matching. Here, it is also considered that imaginary strokes can be written or omitted. By using a curvature stroke as a unit of recognition, redundant splitting points in input characters are effectively reduced and exact matching is possible by generating a reference curvature stroke, which consists of the parts of adjacent two korean alphasbets, even when the connecting points between korean alphabets are not splitted. The results showed 83.6% as recognition rate of the first candidate and 0.99sec./character (CPU clock:66MHz) as processing time.

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Exploratory Case Study for Key Successful Factors of Producy Service System (Product-Service System(PSS) 성공과 실패요인에 관한 탐색적 사례 연구)

  • Park, A-Rum;Jin, Dong-Su;Lee, Kyoung-Jun
    • Journal of Intelligence and Information Systems
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    • v.17 no.4
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    • pp.255-277
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    • 2011
  • Product Service System(PSS), which is an integrated combination of product and service, provides new value to customer and makes companies sustainable as well. The objective of this paper draws Critical Successful Factors(CSF) of PSS through multiple case study. First, we review various concepts and types in PSS and Platform business literature currently available on this topic. Second, after investigating various cases with the characteristics of PSS and platform business, we select four cases of 'iPod of Apple', 'Kindle of Amazon', 'Zune of Microsoft', and 'e-book reader of Sony'. Then, the four cases are categorized as successful and failed cases according to criteria of case selection and PSS classification. We consider two methodologies for the case selection, i.e., 'Strategies for the Selection of Samples and Cases' proposed by Bent(2006) and the seven case selection procedures proposed by Jason and John(2008). For case selection, 'Stratified sample and Paradigmatic cases' is adopted as one of several options for sampling. Then, we use the seven case selection procedures such as 'typical', 'diverse', 'extreme', 'deviant', 'influential', 'most-similar', and 'mostdifferent' and among them only three procedures of 'diverse', 'most?similar', and 'most-different' are applied for the case selection. For PSS classification, the eight PSS types, suggested by Tukker(2004), of 'product related', 'advice and consulancy', 'product lease', 'product renting/sharing', 'product pooling', 'activity management', 'pay per service unit', 'functional result' are utilized. We categorize the four selected cases as a product oriented group because the cases not only sell a product, but also offer service needed during the use phase of the product. Then, we analyze the four cases by using cross-case pattern that Eisenhardt(1991) suggested. Eisenhardt(1991) argued that three processes are required for avoiding reaching premature or even false conclusion. The fist step includes selecting categories of dimensions and finding within-group similarities coupled with intergroup difference. In the second process, pairs of cases are selected and listed. The second step forces researchers to find the subtle similarities and differences between cases. The third process is to divide the data by data source. The result of cross-case pattern indicates that the similarities of iPod and Kindle as successful cases are convenient user interface, successful plarform strategy, and rich contents. The differences between the successful cases are that, wheares iPod has been recognized as the culture code, Kindle has implemented a low price as its main strategy. Meanwhile, the similarities of Zune and PRS series as failed cases are lack of sufficient applications and contents. The differences between the failed cases are that, wheares Zune adopted an undifferentiated strategy, PRS series conducted high-price strategy. From the analysis of the cases, we generate three hypotheses. The first hypothesis assumes that a successful PSS system requires convenient user interface. The second hypothesis assumes that a successful PSS system requires a reciprocal(win/win) business model. The third hypothesis assumes that a successful PSS system requires sufficient quantities of applications and contents. To verify the hypotheses, we uses the cross-matching (or pattern matching) methodology. The methodology matches three key words (user interface, reciprocal business model, contents) of the hypotheses to the previous papers related to PSS, digital contents, and Information System (IS). Finally, this paper suggests the three implications from analyzed results. A successful PSS system needs to provide differentiated value for customers such as convenient user interface, e.g., the simple design of iTunes (iPod) and the provision of connection to Kindle Store without any charge. A successful PSS system also requires a mutually benefitable business model as Apple and Amazon implement a policy that provides a reasonable proft sharing for third party. A successful PSS system requires sufficient quantities of applications and contents.

The Effect of Repeated Firing on the Color Difference of a Metal-Ceramic System with Different Porcelain Powder (다른 특성을 가지는 도재가 반복소성에 따라 색조변화에 미치는 영향)

  • Hwang, Jae-Sun
    • Journal of Technologic Dentistry
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    • v.31 no.1
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    • pp.23-36
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    • 2009
  • The goal of esthetic restoration is to achieve morphologic, optical, and biologic acceptance. Creation of a natural looking ceramic restoration, which blends harmoniously with surrounding dentition, is not always achieved. A successful color match is an important aspect of any esthetic dental restoration. Since natural enamel has inherent translucency, it is important that ceramic restorations reproduce the translucency and color of the natural teeth. However, the final color match of porcelain crowns to adjacent natural dentition remains some problem. Difficulties related to color matching arise from the structural differences that exist between metal ceramic crowns and natural teeth, the limited range of available ceramic shades, inadequate shade guides, different types of metal alloys, repeated firing, the condensation technique, and varying compositions of ceramic materials. Many factors contribute to the esthetic success of dental restoration: optical properties such as color and its elements of hue, value, and chroma; translucency and opacity; light transmission and scattering; and metamerism and fluorescence. The purpose of this study was to determine the color changes of metal-ceramic system with different veneering porcelain powder after repeated firing. The objectives of this in vitro study were to measure the lightness($L^*$), chromaticity($a^*$), chromaticity($b^*$), chroma($C^*$), hue(h), reflectance(%), color difference(${\Delta}E$). The following conclusions were obtained: 1. An increase in the number of firings resulted in decrease in lightness($L^*$) but increase in chromacticity($a^*$) with all porcelain. After the second sintering resulted in decrease in chromacticity($b^*$) with opaque-dentin porcelain and dentin porcelain but in increase with enamel porcelain and translucency porcelain. And after the second sintering resulted in decrease in chroma($C^*$) with opaque-dentin porcelain and dentin porcelain, but on the whole side in decrease with enamel porcelain and translucency porcelain. 2. After the second firing, a increase in the number of firings resulted in decrease reflectance(%) in all wavelength. 3. There were noticeable color differences(${\Delta}E$) between first sintering and multiple firings(dentin porcelain: 5.29~8.15, opaque-dentin porcelain: 4.83~8.2, enamel porcelain: 8.93~13.15, translucency porcelain: 9.37~12.91), but the color difference(${\Delta}E$) after second sintering were down to 4.87 in all porcelain. 4. Given the NBS Criteria, a 'trace' was not found this study but a 'slight' was found 2-3, 3-5 in dentin porcelain, 2-3 in opaque-dentin porcelain, 3-5, 5-10 in enamel porcelain and translucency porcelain, a 'noticeable' was 2-5, 3-10, 5-10 in dentin porcelain and opaque-dentin porcelain, 2-3, 2-5, 3-10 in enamel porcelain 2-3, 3-10 in translucency porcelain, an 'appreciable' was 1-2, 1-3, 2-10 in dentin porcelain 1-2, 1-3, 2-10, 3-10 in opaque-dentin porcelain, 2-10 in enamel porcelain, 2-5, 2-10 in translucency porcelain, a 'much' was 1-5, 1-10 in dentin porcelain and opaque-dentin porcelain, 1-2, 1-3, 1-5 in enamel porcelain 1-2, 1-3, 1-5, 1-10 in translucency porcelain, a 'very much' was 1-10 in enamel porcelain.

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Development of Information Technology Infrastructures through Construction of Big Data Platform for Road Driving Environment Analysis (도로 주행환경 분석을 위한 빅데이터 플랫폼 구축 정보기술 인프라 개발)

  • Jung, In-taek;Chong, Kyu-soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.669-678
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    • 2018
  • This study developed information technology infrastructures for building a driving environment analysis platform using various big data, such as vehicle sensing data, public data, etc. First, a small platform server with a parallel structure for big data distribution processing was developed with H/W technology. Next, programs for big data collection/storage, processing/analysis, and information visualization were developed with S/W technology. The collection S/W was developed as a collection interface using Kafka, Flume, and Sqoop. The storage S/W was developed to be divided into a Hadoop distributed file system and Cassandra DB according to the utilization of data. Processing S/W was developed for spatial unit matching and time interval interpolation/aggregation of the collected data by applying the grid index method. An analysis S/W was developed as an analytical tool based on the Zeppelin notebook for the application and evaluation of a development algorithm. Finally, Information Visualization S/W was developed as a Web GIS engine program for providing various driving environment information and visualization. As a result of the performance evaluation, the number of executors, the optimal memory capacity, and number of cores for the development server were derived, and the computation performance was superior to that of the other cloud computing.

Development of a Method for Calculating the Allowable Storage Capacity of Rivers by Using Drone Images (드론 영상을 이용한 하천의 구간별 허용 저수량 산정 방법 개발)

  • Kim, Han-Gyeol;Kim, Jae-In;Yoon, Sung-Joo;Kim, Taejung
    • Korean Journal of Remote Sensing
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    • v.34 no.2_1
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    • pp.203-211
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    • 2018
  • Dam discharge is carried out for the management of rivers and area around rivers due to rainy season or drought. Dam discharge should be based on an accurate understanding of the flow rate that can be accommodated in the river. Therefore, understanding the allowable storage capacity of river is an important factor in the management of the environment around the river. However, the methods using water level meters and images, which are currently used to determine the allowable flow rate of rivers, show limitations in terms of accuracy and efficiency. In order to solve these problems, this paper proposes a method to automatically calculate the allowable storage capacity of river based on the images taken by drone. In the first step, we create a 3D model of the river by using the drone images. This generation process consists of tiepoint extraction, image orientation, and image matching. In the second step, the allowable storage capacity is calculated by cross section analysis of the river using the generated river 3D model and the road and river layers in the target area. In this step, we determine the maximum water level of the river, extract the cross-sectional profile along the river, and use the 3D model to calculate the allowable storage capacity for the area. To prove our method, we used Bukhan river's data and as a result, the allowable storage volume was automatically extracted. It is expected that the proposed method will be useful for real - time management of rivers and surrounding areas and 3D models using drone.

A Study on a Ku-Band High Power and High Efficiency Radial Combiner (Ku 대역 고출력 고효율 Radial Combiner에 대한 연구)

  • Yun, Song-Hyun;Kim, Si-Ok;Lee, Su Hyun;Lim, Byeong-Ok;Lee, Bok-Hyung;Jeon, Yong-Kyu;Kim, Hyun-Kyu;Yoo, Young-Geun
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.28 no.5
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    • pp.400-409
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    • 2017
  • We have studied a combiner that can withstand high power while minimizing insertion loss in high frequency band. In particularly, because the output power that can be output per unit elements is much lower in the Ku band and above than in the low frequency band, it is necessary to combine many semiconductor elements in order to make a high power SSPA. A planar combiner such as a microstrip, as the number of elements to be combined increases, the insertion loss increases proportionally, resulting in a reduction in the overall system efficiency and an increase heating value also. The planar combiner also have some problems due to the low power handling rate. To improve these problems, we proposed a Cavity Radial Combiner. A Ku band 16-way Cavity Radial Combiner was fabricated and measured. As a result, it was tested 14dB return loss and over 94.5 % output combining efficiency in design band.

Youth Unemployment and Labor Policy in Contemporary Japan (일본 노동시장의 변화와 정책대응)

  • Hiroo, Kamiya
    • Journal of the Economic Geographical Society of Korea
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    • v.9 no.3
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    • pp.396-409
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    • 2006
  • In this paper, first I try to sketch the changing Japanese labor market after 1990s, and then examine the so-called "Job $Caf{\acute{e}}$ program" in detail, which was initiated in 2004 by central and local governments to help young people fine suitable jobs, and finally investigate the possible direction for future labor policy as an important tool for revitalize the local economy. Latter half of 1990s witnessed the high unemployment rate among the population aged twenties in Japan, and the number of 'shinsotsu-mugyo', i.e. population not at work after completing high school or university, NEET (not in employment, education or training) and 'freeters' have grown rapidly. "Job $Caf{\acute{e}}$ program" was initiated as a public response to the increased youth unemployment, aiming at assisting young people's transition from education to career. In the Job $Caf{\acute{e}}$ program, job information service by MHLW, information service for high school students and university students by MEXT, placement service of career internship by METI are integrated into one service, and are provided by local government initiative, therefore named as "one stop service of employment". Although it is highly appreciated for one stop service, the Job cafe program has criticized for paying too much attention to the performance of projects, such as the number of users, and the number of successful job matching. At the final section of the paper, more practical spatial unit for executing effective regional plan on local employment and more empirical research on job search behavior are discussed.

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Surveillance Evaluation of the National Cancer Registry in Sabah, Malaysia

  • Jeffree, Saffree Mohammad;Mihat, Omar;Lukman, Khamisah Awang;Ibrahim, Mohd Yusof;Kamaludin, Fadzilah;Hassan, Mohd Rohaizat;Kaur, Nirmal;Myint, Than
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3123-3129
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    • 2016
  • Background: Cancer is the fourth leading cause of death in Sabah Malaysia with a reported age-standardized incidence rate was 104.9 per 100,000 in 2007. The incidence rate depends on non-mandatory notification in the registry. Under-reporting will provide the false picture of cancer control program effectiveness. The present study was to evaluate the performance of the cancer registry system in terms of representativeness, data quality, simplicity, acceptability and timeliness and provision of recommendations for improvement. Materials and Methods: The evaluation was conducted among key informants in the National Cancer Registry (NCR) and reporting facilities from Feb-May 2012 and was based on US CDC guidelines. Representativeness was assessed by matching cancer case in the Health Information System (HIS) and state pathology records with those in NCR. Data quality was measured through case finding and re-abstracting of medical records by independent auditors. The re-abstracting portion comprised 15 data items. Self-administered questionnaires were used to assess simplicity and acceptability. Timeliness was measured from date of diagnosis to date of notification received and data dissemination. Results: Of 4613 cancer cases reported in HIS, 83.3% were matched with cancer registry. In the state pathology centre, 99.8% was notified to registry. Duplication of notification was 3%. Data completeness calculated for 104 samples was 63.4%. Registrars perceived simplicity in coding diagnosis as moderate. Notification process was moderately acceptable. Median duration of interval 1 was 5.7 months. Conclusions: The performances of registry's attributes are fairly positive in terms of simplicity, case reporting sensitivity, and predictive value positive. It is moderately acceptable, data completeness and inflexible. The usefulness of registry is the area of concern to achieve registry objectives. Timeliness of reporting is within international standard, whereas timeliness to data dissemination was longer up to 4 years. Integration between existing HIS and national registration department will improve data quality.

Characteristics and Status of Commercial System for Utilizing MMS in Geospatial Information Construction (공간정보 구축 분야의 모바일 매핑 시스템 활용을 위한 상용 시스템의 특징 및 현황 조사)

  • Park, Joon-Kyu;Um, Dae-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.36-41
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    • 2017
  • The mobile mapping system first introduced at Ohio State University in 1991 is being developed in various forms as sensor technology develops. The mobile mapping system can acquire geospatial information around amoving object quickly using the information gathered using the position and attitude information of the moving object and the data from various sensors. The mobile mapping system can rapidly acquire large amounts of Geospatial information and MMS provides maximum productivity in the same measurement methods as existing GNSS and total stations. Currently, a variety of systems are being launched, mainly by foreign companies, and they are applied to the construction of geospatial information. On the other hand, the application of domestic technology development or production is insufficient. This paper provides basic data for the introduction of a mobile mapping system to geospatial information related business by conducting the status survey and feature analysis of a commercialized system focusing on the ground-based mobile mapping system. The research identified the current status and characteristics of high-priced, low-priced, indoor, and handheld mobile mapping systems based on vehicles and suggest that the recent system development trends are moving toward lowering the unit prices. The mobile mapping system is currently being developed as a platform for the application of geospatial information construction and the launch of low-cost models. The development of data processing technologies, such as automatic matching and the launch of low-cost models, are forming a basis for the application of mobile mapping systems in the field of geospatial information construction.