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상부 조기 위암 환자의 복강경하 상부 위절제술 3례 경험
조규석,김형철,박경규,이문수,송옥평,임철완,신웅진,주종우,유기원 순천향의학연구소;Soonchunhyang Medical Research Institute 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Background : The reported incidence of early gastric cancer located in the upper portion of the stomach has been increasing with the recent advances in its diagnosis and screening. Recently, we have successfully performed laparoscopic assisted proximal gastrectomy and gastric tube reconstruction without pyloroplasty on three patients with early gastric carcinoma localized to the upper third of the stomach. We describe our modification of this procedure in this report. Method : After creating an surgical pneumoperitoneum, the stomach was mobilized using laparoscopic coagulating shears. Upper half of the greater curvature and three-quarters of the lesser curvature were then dissected along with regoinal D2 lymphadenectomy. This was followed by a 5 cm, longitudinal mini-laparotomy in the upper abdomen, and the construction of the exteriorized stomach with a gastric tube measuring 20 cm long and 4 cm wide. Reconstruction with an esophagogastrostomy was performed using a circular stapler. Result : No post-operative morbidity or mortality was observed in this small series of patients. The average operative time was 250 minutes (range 220-300 minutes), and the average blood loss was 150 ml (range 90-180 ml). The mean number of lymph nodes harvested during these laparoscopic proximal gastrectomies was 24 nodes (range 22-25 lymph nodes). The average postoperative hospital stays was 7.5 days (range 7-8 days). Conclusion : Our technique of laparoscopic assisted proximal gastrectomy and gastric tube reconstruction without phloroplasty offers a minimally invasive technique with the potential of impoving the post-operative quality of life patients with an early-stage proximal gastric cancer.
장문규,오석규 진주산업대학교 산업과학기술연구소 2007 산업과학기술연구소보 Vol.- No.14
SRM drive systems are designed to meet operating standards such as low cost, constant torque independent of rotor position, a desired operating speed range, high efficiency, and high performance. In applications using small motors, low cost and high performance with self-starting capabilities are highly desired. This paper discusses a novel two phase 4/2 SRM that has high performance characteristics with self-starting capability, low manufacturing cost with a two phase inverter and simple magnetic structure, and high efficiency. The principle of operation, analysis, and simulation for design are presented. The machine design is verified using finite element analysis (FEA) software. Analysis and simulation results are given to validate the two phase 4/2 SRM design.
열공형과 비열공형 피질하 혈관성 치매에서 위험인자의 차이에 관한 비교 연구
배희준,정지향,유경호,나덕렬,김상윤,최경규,양동원,손의주,이상도,김재우,박경원,김응규,이재홍,박미영,한일우,함동석,최문성,하충건,최성혜,이애영,이병철,한설희 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.2
Backgrounds and Objectives: Vascular dementia is a group of dementing disoders arising from various stroke syndrome. Among these. subcortical ischemic vascular dementia (SIVD) is regarded as a relatively distinct clinical entity. However, MRI patterns of SIVD are not homogenous. In some patients, lacunes are dominant, and in others, subcortical white matter changes are. This study was designed to compare risk factor profiles between SIVD with and without multiple lacunes. Methods: We divided 47 subjects (22 males, mean age. 68 years) recruited from VADAPET (Multicenter Trial For Evaluation Of The Changes In the PET Images Of Subcortical Vascular Dementia Patient) study into two groups one with more than 5 lacunes in deep gray matter (lacune group) and the other with 5 or less(non-lacune group) Clinical characteristics and laboratory findings of two groups were compared. Results: Nineteen of 47 patients (40%) belonged to the lacune group. The lacune and non-lacune groups d d not differ in the following variables: age, hypertension, diabetes mellitus, hyperlipidemia heart disease, history of stroke or TIA, history of trauma or major surgery, family history of hypertension stroke, or dementia, age at diagnosis of dementia, body mass index, white blood cell count, ESR, CRP, fibrinogen, hemoglobin A1C, total cholesterol. LDL cholesterol creatinine, proteinuria, glucosuria, and microhematuria. However, male sex, smoking alcohol. hemoglobin, and HDL cholesterol were possibly associated more with lacune group SIVD than with non-lacune group (p<0 1) Multivariate analyses revealed that smoking, hemoglobin, and HDL cholesterol were independent predictors of SIVD with multiple lacunes Conclusion: Our study suggests that SIVD with multiple lacunes may be significantly different in smoking habits hemoglobin, and HDL cholesterol from SIVD without multiple lacunes.
Mun Seok Gyu,최형우,이종민,임재현,하장호,Kang Min-Jung,Kim Eun-Joong,Kang Lifeng,정봉근 나노기술연구협의회 2020 Nano Convergence Vol.7 No.10
We developed the microfluidic co-culture platform to study photothermal therapy applications. We conjugated folic acid (FA) to target breast cancer cells using reduced graphene oxide (rGO)-based functional nanomaterials. To characterize the structure of rGO-based nanomaterials, we analyzed the molecular spectrum using UV–visible and Fourier-transform infrared spectroscopy (FT-IR). We demonstrated the effect of rGO-FA-based nanomaterials on photothermal therapy of breast cancer cells in the microfluidic co-culture platform. From the microfluidic co-culture platform with breast cancer cells and human umbilical vein endothelial cells (HUVECs), we observed that the viability of breast cancer cells treated with rGO-FA-based functional nanomaterials was significantly decreased after near-infrared (NIR) laser irradiation. Therefore, this microfluidic co-culture platform could be a potentially powerful tool for studying cancer cell targeting and photothermal therapy.
홍석호 ( Seok-ho Hong ),장문규 ( Mun-gyu Jang ),맹주완 ( Ju-wan Maeng ),박석천 ( Seok-cheon Park ) 한국정보처리학회 2013 한국정보처리학회 학술대회논문집 Vol.20 No.2
본 최근 등록금과 더불어 지속적으로 증가하고 있는 대학교재의 가격에 대하여 부담감을 줄이고 중고거래에 대한 피해를 방지하는 시스템이 필요성이 대두되었다. 따라서 본 논문에서는 JqueryMobile와 Mysql 및 네이버 API에 대해 조사 및 분석한 자료를 바탕으로 안드로이드 기반 대학교재 중고거래 시스템 설계하였다.
Cho Gyu-Seok,Choi Sang-Hyoun,Kim Kyo-Tae,Kim Kum-Bae,Kim Joo-Hee,Lee Soon-Sung,Heo Ye-Ji,Jang Won-Il,Mun Chi-Woong 한국물리학회 2020 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.76 No.11
In this study, we developed a Gd2O2S:Tb screen with a parylene-C-based antireflective (AR) layer and evaluated its optical and X-ray response properties; in particular, we focused on developing an AR coating layer to improve transmission efficiency. The phosphor screen with the parylene-C-based AR layer can be fabricated via screen printing and chemical vapor deposition. In particular, experimental results obtained using the AR layer showed improvements of 1.47% in luminescence intensity, as well as a lower full width at half maximum of 9.40, compared to the case without using the AR layer. We observed that the roughness of the AR layer was higher than that of the phosphor screen; the image resolution improved owing to the narrow distribution of the secondary photons resulting from forward scattering attributable mainly to Mie scattering. These results indicate that parylene-C is suitable for developing AR coating materials to improve exposure efficiency while maintaining resolution in radiography systems. Therefore, we believe that the number of photons would be further increased if the AR layer were utilized in commercial products.