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홍성수,손상용,신호정,Long-Hai Cui,허훈,한상욱 대한위암학회 2016 Journal of gastric cancer Vol.16 No.4
Purpose: It is hypothesized that robotic gastrectomy may surpass laparoscopic gastrectomy after the operators acquire long-term experience and skills in the manipulation of robotic arms. This study aimed to evaluate the long-term learning curve of robotic distal gastrectomy (RDG) for gastric cancer compared with laparoscopic distal gastrectomy (LDG). Materials and Methods: From October 2008 to December 2015, patients who underwent LDG (n=809) were matched to patients who underwent RDG (n=232) at a 1:1 ratio, by using a propensity score matching method after stratification for the operative year. The surgical outcomes, such as trends of operative time, blood loss, and complication rate, were compared between the two groups. Results: The RDG group showed a longer operative time (171.3 minutes vs. 147.6 minutes, P<0.001) but less estimated blood loss (77.6 ml vs. 116.6 ml, P<0.001). The complication rate and postoperative recovery did not differ between the two groups. The RDG group showed a longer operative time and similar estimated blood loss compared with the LDG group after 5 years of experience (operative time: 159.2 minutes vs. 136.0 minutes in 2015, P=0.003; estimated blood loss: 72.9 ml vs. 78.1 ml in 2015, P=0.793). Conclusions: In terms of short-term surgical outcomes, RDG may not surpass LDG after a long-term experience with the technique.
Hong, Sung-Soo,Son, Sang-Yong,Shin, Ho-Jung,Cui, Long-Hai,Hur, Hoon,Han, Sang-Uk The Korean Gastric Cancer Association 2016 Journal of gastric cancer Vol.16 No.4
Purpose: It is hypothesized that robotic gastrectomy may surpass laparoscopic gastrectomy after the operators acquire long-term experience and skills in the manipulation of robotic arms. This study aimed to evaluate the long-term learning curve of robotic distal gastrectomy (RDG) for gastric cancer compared with laparoscopic distal gastrectomy (LDG). Materials and Methods: From October 2008 to December 2015, patients who underwent LDG (n=809) were matched to patients who underwent RDG (n=232) at a 1:1 ratio, by using a propensity score matching method after stratification for the operative year. The surgical outcomes, such as trends of operative time, blood loss, and complication rate, were compared between the two groups. Results: The RDG group showed a longer operative time (171.3 minutes vs. 147.6 minutes, P<0.001) but less estimated blood loss (77.6 ml vs. 116.6 ml, P<0.001). The complication rate and postoperative recovery did not differ between the two groups. The RDG group showed a longer operative time and similar estimated blood loss compared with the LDG group after 5 years of experience (operative time: 159.2 minutes vs. 136.0 minutes in 2015, P=0.003; estimated blood loss: 72.9 ml vs. 78.1 ml in 2015, P=0.793). Conclusions: In terms of short-term surgical outcomes, RDG may not surpass LDG after a long-term experience with the technique.
( Jing Wang ),( Wei Chen ),( Fang Wang ),( Dong Wu ),( Jia Ming Qian ),( Jun Ren Kang ),( Hai Long Li ),( En Ling Ma ) 한국임상영양학회 2015 Clinical Nutrition Research Vol.4 No.2
Mitochondrial neurogastrointestinal encephalopathy (MNGIE) is characterized by significant gastrointestinal dysmotility. Early and long-term nutritional therapy is highly recommended. We report a case of MNGIE in a patient who was undergoing longterm nutrition therapy. The patient was diagnosed with a serious symptom of fatty liver and hyperlipidemia complications, along with homozygous mutation of the thymidine phosphorylase (TYMP) gene (c.217G > A). To our knowledge, this is the first report of such a case. Herein, we describe preventive measures for the aforementioned complications and mitochondrial disease-specific nutritional therapy.
Numerical simulation of a shear-thinning fluid through packed spheres
Hai Long Liu,Jong Sin Moon,황욱렬 한국유변학회 2012 Korea-Australia rheology journal Vol.24 No.4
Flow behaviors of a non-Newtonian fluid in spherical microstructures have been studied by a direct numerical simulation. A shear-thinning (power-law) fluid through both regular and randomly packed spheres has been numerically investigated in a representative unit cell with the tri-periodic boundary condition, employing a rigorous three-dimensional finite-element scheme combined with fictitious-domain mortar-element methods. The present scheme has been validated for the classical spherical packing problems with literatures. The flow mobility of regular packing structures, including simple cubic (SC), body-centered cubic (BCC), face-centered cubic (FCC), as well as randomly packed spheres, has been investigated quantitatively by considering the amount of shear-thinning, the pressure gradient and the porosity as parameters. Furthermore, the mechanism leading to the main flow path in a highly shear-thinning fluid through randomly packed spheres has been discussed.
Transient filling simulations in unidirectional fibrous porous media
Hai Long Liu,황욱렬 한국유변학회 2009 Korea-Australia rheology journal Vol.21 No.1
The incomplete saturation and the void formation during the resin infiltration into fibrous porous media in the resin transfer molding process cause failure in the final product during its service. In order to better understand flow behavior during the filling process, a finite-element scheme for transient flow simulation across the micro-structured fibrous media is developed in the present work. A volume-of- fluid (VOF) method has been incorporated in the Eulerian frame to capture the evolution of flow front and the vertical periodic boundary condition has been combined to avoid unwanted wall effect. In the microscale simulation, we investigated the transient filling process in various fiber structures and discussed the mechanism leading to the flow fingering in the case of random fiber distribution. Effects of the filling pressure, the shear-thinning behavior of fluid and the volume fraction on the flow front have been investigated for both intra-tow and the inter-tow flows in dual-scale fiber tow models.
Spreading behaviors of high-viscous nanofluid droplets impact on solid surfaces
Hai Long Liu,Xuefeng Shen,RUI WANG,Yuanping Huo,Changfeng Li,Junfeng Wang 한국유변학회 2019 Korea-Australia rheology journal Vol.31 No.3
In this work, the impact dynamics of high-viscous nanofluid droplets onto a solid surface has been investigated experimentally by means of high-speed camera visualization technique. We dispersed various nanoparticles (multiwall carbon nanotube (MWCNT), nano-graphene, and nano-graphite powder) into highviscous base fluid (epoxy resin) to obtain the stable and homogenous nanofluids without surfactant additives. The well dispersed nanofluids show different degree of shear-thinning behaviors, and the shear-thinning properties of those fluids have been characterized by the power-law rheology model. The dynamic contact angle (DCA), transient dimensionless height, and transient contacting factor along with the spreading time under different Weber numbers (We) have been investigated. The results show that the nanofluid with a lower shear viscosity over the entire range of the shear rates results in larger variations of the contacting factor and the dimensionless height. The effect of surface wettability on droplet impact behaviors is more significant for the fluid with higher shear viscosity and less shear-thinning degree during the receding phase. The latter spreading and receding motions of the droplet with higher shear viscosity and shearthinning degree are suppressed significantly, regardless of the Weber numbers in current study. Finally, a model based on experimental data has been proposed to predict the maximum spreading factor of high-viscous droplet impact on solid surface.
Hai-Long Xing,Dong-Hai Li,Juan Li,Cai-Hong Zhang 제어·로봇·시스템학회 2016 International Journal of Control, Automation, and Vol.14 No.4
In this paper, the sliding mode dynamic disturbance decoupling tracking control method based on thelinear extended state observer (LESO) is proposed for a class of square multivariable nonlinear uncertain system. The model plant contains the known linear dynamics, the unknown nonlinear dynamics and the internal and externaldisturbances, and the various input-output pairs are interacted. The system states are not available for measurement. An improved LESO is developed. The leading feature which is different from the typical ESO lies in that itsextended state does not contain the known linear dynamics. The improved LESO can guarantee the error variablesto be uniformly ultimately bounded with respect to a ball whose radius is a function of design parameters. So thisball radius can be arbitrarily as small as desired by tuning design parameters. And we give a simple method by whichthe gain parameters of LESO can be computed easily. This estimation to the total disturbance of the original systemis introduced into the sliding mode control design to complete disturbance rejection and decoupling. Rigorousstability analysis shows that the system output can track the desired signal closely. Finally, a class of mass–spring–damper system is taken to make the numerical simulation analysis to illustrate the effectiveness of the proposedcontrol method.
Hai-Long Xing,Dong-Hai Li,Wen-Shan Cui 제어·로봇·시스템학회 2013 International Journal of Control, Automation, and Vol.11 No.4
The robust control problem for a class of mismatched uncertain parabolic distributed parameter systems is studied under conditions of the uncertain terms being norm-bounded. The proposed robust controller can guarantee the system states to be the uniform ultimate boundedness, and their bound can be arbitrarily small. And, the proposed control method is successfully applied to a typical diffusion-reaction process with uncertain terms.