• Title/Summary/Keyword: upper set

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Short-Term Outcomes of Laparoscopic Proximal Gastrectomy With Double-Tract Reconstruction Versus Laparoscopic Total Gastrectomy for Upper Early Gastric Cancer: A KLASS 05 Randomized Clinical Trial

  • Hwang, Sun-Hwi;Park, Do Joong;Kim, Hyung-Ho;Hyung, Woo Jin;Hur, Hoon;Yang, Han-Kwang;Lee, Hyuk-Joon;Kim, Hyoung-Il;Kong, Seong-Ho;Kim, Young Woo;Lee, Han Hong;Kim, Beom Su;Park, Young-Kyu;Lee, Young-Joon;Ahn, Sang-Hoon;Lee, In-Seob;Suh, Yun-Suhk;Park, Ji-Ho;Ahn, Soyeon;Han, Sang-Uk
    • Journal of Gastric Cancer
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    • v.22 no.2
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    • pp.94-106
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    • 2022
  • Purpose: Laparoscopic proximal gastrectomy with double-tract reconstruction (LPG-DTR) is a function-preserving procedure performed for treating upper early gastric cancer (EGC). However, few studies have compared the outcomes of LPG-DTR with those of laparoscopic total gastrectomy (LTG). This study aimed at comparing the short-term outcomes of LPG-DTR between LTG and upper EGC. Materials and Methods: For upper-third EGC, a multicenter, prospective, randomized trial was performed to compare those who underwent LPG-DTR with those who underwent LTG. Short-term outcomes, including clinicopathologic results, morbidity, mortality, and postoperative courses, were evaluated using a full analysis set based on the intention-to-treat principle and the per-protocol set. Results: Of the patients, 138 who fulfilled the criteria were randomized to each group. One patient in the LPG-DTR group withdrew consent. Sixty-eight patients underwent LPG-DTR and 69 underwent LTG. The operative time (LPG-DTR=219.4 minutes; LTG=201.8 minutes; P=0.085), estimated blood loss (LPG-DTR=76.0 mL; LTG=66.1 mL; P=0.413), and the morbidity rate (LPG-DTR=23.5%; LTG=17.4%; P=0.373) between the groups were not significantly different. No mortality occurred in either of the study groups. Two weeks post operation, the Visick scores for postprandial symptoms, including reflux symptoms, were not significantly different between the groups (P=0.749). Laboratory findings on postoperative day 5 were not significantly different between the groups. Conclusions: The short-term outcomes of LPG-DTR for upper EGC were comparable to those of LTG.

A Comparative Study Wooden Stupa of Korea, Japan and China(I) - Focused on the Corner Bracket Set - (한.중.일 목조 불탑의 비교론적 고찰(I) - 귀공포를 중심으로 -)

  • Cheon, Deuk-Youm;Yang, Tae-Hyeon;Lee, Jae-Yeon
    • Journal of architectural history
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    • v.21 no.2
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    • pp.7-20
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    • 2012
  • As the corner of wooden pagoda forms the roof by closely bordering left and right eaves on the various purlins and angle rafters, it is designed for every face to be recognized as front whose structure system increases load to bear proportionally. The corner of wooden pagoda is inseparable with the corner bracket set as it becomes stable thanks to the corner bracket set structurally and load burden under restrained structure makes the corner bracket set really important. Accordingly, this study could figure out some facts by analyzing corner bracket sets of Palsangjeon of Beobjusa Temple in Korea, Seokgatap of Bulgungsa Temple in China and Ojungtap of Beobryungsa Temple in Japan which were constructed with pure wooden structure. This study demonstrated that corner bracket set played a pivotal role in keeping balance of concentrated load of corner (corner of opening) in each floor that contributed to the stability of wooden pagoda structurally despite multiple duplications of floors and also figured out the outfit of corner bracket set was subject to the floor type and the cross section of Gongpo installed on top of Pyeongju. Wooden pagodas in 3 countries were two floor types of octagon and square, and employed different connection method between upper and lower floors. The difference between floor and duplication method determines the method of corner, but even different methods were sufficient to have entirety in every side by completing dynamic principle of corner bracket set even though old method had to solve the problem of concentrated load and it also confirms that it was essential Gongpo to prevent any deformation of corner.

CHARACTERIZATIONS OF PARTITION LATTICES

  • Yoon, Young-Jin
    • Bulletin of the Korean Mathematical Society
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    • v.31 no.2
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    • pp.237-242
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    • 1994
  • One of the most well-known geometric lattices is a partition lattice. Every upper interval of a partition lattice is a partition lattice. The whitney numbers of a partition lattices are the Stirling numbers, and the characteristic polynomial is a falling factorial. The set of partitions with a single non-trivial block containing a fixed element is a Boolean sublattice of modular elements, so the partition lattice is supersolvable in the sense of Stanley [6]. In this paper, we rephrase four results due to Heller[1] and Murty [4] in terms of matroids and give several characterizations of partition lattices. Our notation and terminology follow those in [8,9]. To clarify our terminology, let G, be a finte geometric lattice. If S is the set of points (or rank-one flats) in G, the lattice structure of G induces the structure of a (combinatorial) geometry, also denoted by G, on S. The size vertical bar G vertical bar of the geometry G is the number of points in G. Let T be subset of S. The deletion of T from G is the geometry on the point set S/T obtained by restricting G to the subset S/T. The contraction G/T of G by T is the geometry induced by the geometric lattice [cl(T), over ^1] on the set S' of all flats in G covering cl(T). (Here, cl(T) is the closure of T, and over ^ 1 is the maximum of the lattice G.) Thus, by definition, the contraction of a geometry is always a geometry. A geometry which can be obtained from G by deletions and contractions is called a minor of G.

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Lumbar stabilization exercises using the sling system (슬링(sling) 시스템을 이용한 요부 안정화 운동)

  • Kim, Suhn-Yeop;Kwon, Jae-Hoak
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.7 no.2
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    • pp.23-39
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    • 2001
  • Dysfunction of the anterior and dorsal muscles of the trunk have been studied in relation to low back pain of many years. Many muscles of the trunk are capable of contributing to the stabilization and protection of the lumbar spine, recent evidence has suggested that transversus abdominis may be critically involved and has been the focus of rehabilitation. The delay in onset of contraction of trunk muscles associated with movement of the upper or lower limb in patients with low back pain indicates a significant deficit in the automatic motor command for control of disturbance to the spine. The function of transversus abdominis has been largely ignored in the evaluation of spinal stabilization and protection. The most essential stabilizing muscles for the lumbar column are the transversus abdominis and the multifidus. Sling exercise therapy(SET) concept consists of a system of diagnosis and treatment. The system of diagnosis involves testing the muscle's tolerance through progressive loading in open and close kinetic chains. The SET system contains elements such as relaxation, increasing the range of movement, traction, training the stabilizing musculature, sensorimotor exercises, training in open and close kinetic chains, dynamic training of the mobilizing musculature, cardiovasc+ular exercises, group exercise, personal exercise at home. Sensorimotor training is an essential element of the SET concept. The emphasis is on closed kinetic chain exercises on an unstable surface, thereby achieving optimum stimulation of the sensorimotor apparatus.

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Skinfold Thickness and Arm Circumference of Korean Breast Fed and Formula Fed Infants from 1 to 3 Postpartum Months (모유영양아와 인공영양아의 피하지방 및 상완위의 성장발육 상태-영아의 피하지방 및 상완위 발육상태-)

  • 최경숙;최혜미;구재옥;임경숙;김주혜;김숙배
    • Journal of the East Asian Society of Dietary Life
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    • v.7 no.1
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    • pp.87-95
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    • 1997
  • One- to three-month-old infants (n=232) were compared their upper arm cumference and skinfold thickness(triceps, subscapular) by feeding methods in cross-sectional study. There were two groups : breast-fed(BF) and formula-fed groups(FF). As reported previously, weight, length, head and chest circumferences of these infants were good, and overall growth status was not significantly different by feeding methods, but weight, weight velocity and chest circumference of formula-fed infants were higher than breast-feds at 3month, significantly. Hear, the triceps skinfold thickness of infants at 1, 2, and 3 postpartum months were 7.4, 9.5 and 10.5 mm, respectively. The triceps skinfold thickness of breast-fed infants were higher than formula-feds at 1 and 2 postpartum month, but at 3 month that of formula-fed infants was greater than breast-fed infants, insignificantly. The subscapular skinfold thickness of infants were 6.4, 9.2 and 10.6 mm at 1 to 3 postpartum months, respectively. The upper arm circumference of infants were 11.7, 13.4, 14.3cm, and the arm muscle diameter were 34.5,39.3 and 41.7cm at one to three postpartum months, respectively. The upper arm circumference of male infants was higher than females at 2, 3 postpartum months. Overall, there were no signifiant differences between feeding methods in triceps and subscapular skinfold thickness, upper arm circumference and arm muscle diameter. But 3-month-old formula-fed male infant showed bigger significantly in arm circumference than the breast-feds. From this survey, long-term survey on growth and body composition of large scales might be necessary to determine the effect of feeding methods of infants after 3 months and to set proper body composition standard for infant.

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Degrees of Freedom of Y Channel with Single-Antenna Users: Transmission Scheme and Beamforming Optimization

  • Long, Wei;Gao, Hui;Lv, Tiejun;Yuen, Chau
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.8 no.12
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    • pp.4305-4323
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    • 2014
  • In this paper, we investigate the degrees of freedom (DOF) of the Y channel consisting of three single-antenna users and a two-antenna common access relay, where each user intends to exchange independent messages with the other two users with the assistance of the relay. We show that the DOF of this particular scenario is 1.5. In order to prove this result, we firstly derive a DOF upper bound based on cut-set bound by allowing cooperation among users, which shows that the total DOF is upper bounded by 1.5. Then we propose a novel transmission scheme based on asymmetric signal space alignment (ASSA) to demonstrate the achievability of the upper bound. Theoretical evaluation and numerical results confirm that the upper bound can be achieved by utilizing ASSA, which also proves the optimality of the ASSA-based scheme in terms of DOF. Combining the upper bound and achievability, we conclude that the exact DOF is 1.5. Moreover, we present a novel iterative joint beamforming optimization (I-JBO) algorithm to further improve the sum rate. Numerical simulations have been provided to demonstrate the convergence speed and performance advantage of the I-JBO algorithm.

A Study on the Influence of a supporting structure on the Seismic Response of a Roof Structure (하부구조가 지붕구조의 지진응답에 미치는 영향에 관한 연구)

  • Jung, Chan-Woo;Kang, Joo-Won
    • Journal of Korean Association for Spatial Structures
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    • v.7 no.2 s.24
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    • pp.63-74
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    • 2007
  • Large spatial structures consist of roof structure and its supporting structure. Authors simply call the supporting structure "lower parts" and roof structure "upper parts". To study the influence of an lower part on the seismic response of the upper part of a structure as a first step, authors substitute the upper part and the lower part of the structure to a single degree of freedom system individually, and set up a new 2 DOF structural model connected by them. It is clarified that the mass ratio and the period ratio of an upper part to a lower part are important parameters to find the amplification or reduction of the seismic response of an upper part.

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Lower Body Analyses and Pattern Development of Slim-fit Jeans for Upper Grade Elementary School Girls (학령 후기 여아의 하반신 체형 분석과 슬림핏 청바지 패턴 개발)

  • Kim, Hea Suk;Lee, Jeong Yim
    • Fashion & Textile Research Journal
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    • v.23 no.4
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    • pp.491-503
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    • 2021
  • The purpose of this study is to develop a slim-fit jeans pattern that is suitable for the lower body of upper grade elementary school girls, who are beginning to show gender differences in body shape. Four age groups of two years each were considered for girls 7 to 14 years old. The mean and standard deviation of body measurements were calculated for each age group to analyze body shape variation, and hence the body characteristics of upper grade elementary school girls were identified. The high-frequency measurements of stature-waist circumference and waist circumference-hip circumference combinations were analyzed. In order to determine the size of each part of the jeans pattern and derive the drafting formula, the pattern sizes of brand A jeans, which had received a high score in the evaluation for ready-to-wear jeans(Kim & Lee, 2020), were used as the base criteria. In addition, the body sizes observed and calculated in the study were applied. Additionally, the requirements for better fit of ready-to-wear jeans, found in the survey on jeans wearing conditions and size dissatisfaction(Kim & Lee, 2019), were taken into consideration. Based on this research, a model set of jeans was prepared with the pattern developed and its fit evaluation was conducted. Thus, a slim-fit jeans pattern suitable for the lower body of upper grade elementary school girls was finalized. The pattern proposed in this study has excellent appearance and motion functionality, and is expected to contribute to reduce the fit dissatisfaction.

Analysis of Body Composition and Functional Physical Performance in Urban-Dwelling Elderly Women with or without Obesity (도시 거주 여성 노인의 비만 유무에 따른 신체구성, 상⋅하지 근력 및 신체활동 능력 분석)

  • Choi, Seung-Jun
    • PNF and Movement
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    • v.19 no.3
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    • pp.331-340
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    • 2021
  • Purpose: The purpose of this study was to investigate the differences in body composition, upper and lower limb muscle strength, and functional physical ability in urban-dwelling elderly women with or without obesity. Methods: All study participants were assigned to the normal weight group (n=8, BMI<25) and the obesity group (n=7, BMI>25) based on their obesity rate. Anthropometric measurement was conducted and body composition was measured. For the upper and lower limb strength, grip strength and maximal isometric knee extension and flexion were evaluated by a dynamometer. The senior fitness test was performed to measure functional ability. Data analysis was conducted by the independent t-test and the alpha level was set at 0.05. Results: The waist, hips, and thighs of obese elderly women were thicker than those of normal-weight elderly women. This physical difference resulted from body fat mass, not muscle mass. Despite a similar level of limb muscle mass between the two groups, the upper limb grip strength was higher (24.00% for left, 19.95% for right) in the normal-weight women than the obese women (p<0.05), but otherwise there was no difference in maximal knee flexion or extension isometric strength. Functional physical ability showed no difference in a 30-second chair sit and stand test and a six-minute walk test, but a 30-second arm-curl (11.00% for left, 14.81% for right), back stretch (8.54cm for left, 8.99cm for right), chair sit and reach (9.22cm for left, 6.24cm for right), and 2.44 meter round trip walk (0.62 sec, 9.39%) were faster in performance for normal-weight elderly women than obese elderly women (p<0.05). Conclusion: Taken together, despite similar levels of upper and lower extremity muscle mass, normal-weight elderly women showed higher performance in upper limb strength, flexibility, and agility than obese elderly women, but there was no difference in lower extremity functional muscle strength and cardiopulmonary endurance.

Effects of Applying Intensity on Muscle Activity and Muscle Hardness of Upper Trapezius Muscle in Adult Males applying Transcutaneous Electrical Nerve Stimulation (경피적전기신경자극 적용 시 적용강도가 성인남성의 위등세모근의 근활성도와 근경도에 미치는 영향)

  • Kim, Chung-Yoo;Bae, Won-Sik;Cha, Young-Joo
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.1
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    • pp.129-136
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    • 2022
  • Purpose : The purpose of this study was to investigate the effect of applying intensity on the muscle activity and muscle hardness of the upper trapezius muscle in adult males when TENS (transcutaneous electrical nerve stimulation) was applied. In addition, this study intends to prepare the scientific basic data of TENS for the purpose of relaxation based on the experimental results. Methods : Eighty-seven healthy adult males participated in the experiment, and they were randomly divided into an experimental group and a control group. All subjects in this study were healthy subjects without musculoskeletal or nervous system damage. All subjects were subjects who voluntarily consented to the purpose and method of the experiment. All subjects were provided with a load by typing for 20 minutes, and muscle activity and muscle hardness of the upper trapezius muscle were measured immediately. Afterwards, TENS was given to each groups for 15 minutes, and the experimental group received stimulation at the motor threshold level, and the control group received a placebo stimulation. After stimulation, muscle activity and muscle hardness of the upper trapezius muscle were measured in the same method. The measured data were compared between groups through an independent t-test and dependent t-test. The statistical significance level was set at .05. Results : The application of TENS statistically significantly decreased the muscle activity and muscle hardness of the trapezius muscle in the experimental group, and the results showed a significant difference from the control group. Conclusion : Application of TENS significantly decreased the muscle activity and muscle stiffness of the upper trapezius muscle. The application of TENS of applying intensity that induces muscle contraction may induce relaxation by reducing the muscle activity and muscle hardness of the trapezius muscle.