• Title/Summary/Keyword: 비폐색

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Intraaneurysmal Blood Flow Changes for the Different Coil Locations (코일 위치에 따른 동맥류 내부 혈류유동의 변화)

  • 이계한;정우원
    • Journal of Biomedical Engineering Research
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    • v.25 no.4
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    • pp.295-300
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    • 2004
  • Coil embolization technique has been used recently to treat cerebral aneurysms. When a giant or a multilobular aneurysm are treated by roils, filling an aneurysm sac completely with coils is difficult and partial blocking of an aneurysm sac is inevitable. Blood flow characteristics, which nay affect the embolization process of an aneurysm sac, are changed by the locations of coils for the Partially blocked aneurysms. Blood flow fields are also influenced by the geometry of a parent vessel. In order to suggest the coil locations effective for aneurysm embolization, the blood flow fields of lateral aneurysm models were analyzed for the different coil locations and parent vessel geometries. Three dimensional pulsatile flow fields are analyzed by numerical methods considering non-Newtonian viscosity characteristics of blood. Flow rate into the aneurysm sac (inflow rate) and wall shear stress, which are suspected as flow dynamic factors influencing aneurysm embolization, are also calculated. Inflow rates were smaller and the low wall shear stress zones were larger in the neck blocked models compared to the dome blocked models. Smaller inflow and larger low wall shear stress zones in the distal neck blocked model imply that the distal neck should be the effective coil locations for aneurysm embolization.

Estimation of Bearing Capacity for Open-ended Pile in Sands Considering Soil Plugging (I) -Development of New Design Equation- (사질토지반에서 폐색효과를 고려한 개단말뚝의 지지력 산정 (I) - 새로운 지지력 산정식의 개발-)

  • 백규호
    • Journal of the Korean Geotechnical Society
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    • v.18 no.4
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    • pp.189-197
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    • 2002
  • The bearing capacity of open-ended piles is affected by the degree of soil plugging, which is quantified by the incremental filling ratio, IFR. There is not at present a design criterion for open-ended piles that explicitly considers the effect of IFR on pile load capacity. In order to investigate this effect, model pile load tests using a calibration chamber were conducted on instrumented open-ended piles. The results of these tests show that the IFR can be estimated from the plug length ratio PLR, which is defined as the ratio of soil plug length to pile penetration depth. The unit base and shaft resistances decrease with increasing IFR. Based on the results of the model pile tests, new design equations for calculating base load capacity and shaft load capacity of open-ended piles are proposed.

The Effectiveness of Spiral Computed Tomography as a Diagnostic Tool in Pulmonary Embolism(Comparison of Spiral CT with Ventilation-Perfusion Scan) (폐색전증 진단의 도구로서의 Spiral Computed Tomography의 유용성(폐환기관류주사와의 비교))

  • Koh, Jae-Hyun;Oh, Eun-Young;Park, Jung-Ho;Park, Sang-Joon;Yun, Jung-Hwan;Park, Jung-Woong;Suh, Gee-Young;Chung, Man-Pyo;Lee, Kyung-Soo;Kwon, O-Jung;Rhee, Chong-H.
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.4
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    • pp.564-573
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    • 1999
  • Background: With variable symptoms and nonspecific radiographic appearances, pulmonary embolism (PE) is a frequent and often undiagnosed cause of mortality and morbidity. The Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED) study suggested that the majority of patients undergoing ventilation-perfusion (V-Q) scan would require additional studies to establish or to exclude the diagnosis of PE. Pulmonary angiography has been regarded as gold standard for diagnosis of PE. However, it is an invasive procedure that may be associated with significant notable morbidity and mortality. Thus, availability of an accurate, noninvasive screening examination is highly desirable. Method: From October 1994 to February 1997, twenty patients (male 13, female 7, range 23-91 years, median 58 years) who were suspected as pulmonary embolism on the basis of clinical evidence and underwent the spiral volumetric computed tomography (spiral CT), were studied retrospectively to evaluate the effectiveness of spiral CT as a diagnostic tool in PE. Results: PE could be excluded with spiral CT in 4 patients ; diagnoses of these patients were lung cancer, pneumonia with lung abscess, bilateral pleural effusion due to congestive heart failure, nonspecific pulmonary abnormality retrospectively. One patient who disclosed high probability in V/Q scan, could be diagnosed as pneumonia with lung abscess and underlying emphysema with spiral CT. Among 4 patients who showed intermediate and low probability in V/Q scan, 3 patients could be confirmed as PE with spiral CT. Spiral CT was helpful in 3 patients, in whom V/Q scan could not be performed due to other reasons (e.g. night time, mechanical ventilation) to confirm the diagnosis of PE. Spiral CT could demonstrate embolus above lobar artery level in 11 patients, and up to segmental artery level in 5 patients. Conclusion: This study demonstrated that spiral CT could allow accurate demonstration of thrombotic clots in centrally localized embolism. Spiral CT could be effective, specific, noninvasive and useful diagnostic screening modality for the diagnosis of pulmonary embolism.

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Assessment of Two Clinical Prediction Models for a Pulmonary Embolism in Patients with a Suspected Pulmonary Embolism (폐색전증이 의심된 환자에서 두 가지 폐색전증 진단 예측 모형의 평가)

  • Park, Jae Seok;Choi, Won-Il;Min, Bo Ram;Park, Jie Hae;Chae, Jin Nyeong;Jeon, Young June;Yu, Ho Jung;Kim, Ji-Young;Kim, Gyoung-Ju;Ko, Sung-Min
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.4
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    • pp.266-271
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    • 2008
  • Background: Estimation of the probability of a patient having an acute pulmonary embolism (PE) for patients with a suspected PE are well established in North America and Europe. However, an assessment of the prediction rules for a PE has not been clearly defined in Korea. The aim of this study is to assess the prediction rules for patients with a suspected PE in Korea. Methods: We performed a retrospective study of 210 inpatients or patients that visited the emergency ward with a suspected PE where computed tomography pulmonary angiography was performed at a single institution between January 2005 and March 2007. Simplified Wells rules and revised Geneva rules were used to estimate the clinical probability of a PE based on information from medical records. Results: Of the 210 patients with a suspected PE, 49 (19.5%) patients had an actual diagnosis of a PE. The proportion of patients classified by Wells rules and the Geneva rules had a low probability of 1% and 21%, an intermediate probability of 62.5% and 76.2%, and a high probability of 33.8% and 2.8%, respectively. The prevalence of PE patients with a low, intermediate and high probability categorized by the Wells rules and Geneva rules was 100% and 4.5% in the low range, 18.2% and 22.5% in the intermediate range, and 19.7% and 50% in the high range, respectively. Receiver operating characteristic curve analysis showed that the revised Geneva rules had a higher accuracy than the Wells rules in terms of detecting PE. Concordance between the two prediction rules was poor ($\kappa$ coefficient=0.06). Conclusion: In the present study, the two prediction rules had a different predictive accuracy for pulmonary embolisms. Applying the revised Geneva rules to inpatients and emergency ward patients suspected of having PE may allow a more effective diagnostic process than the use of the Wells rules.

One Case of Nasal Surgery in Obstructive Sleep Apnea Syndrome (비강수술로 호전된 폐쇄성 수면무호흡증후군 1 례)

  • Choi, Ji-Ho;Lee, Heung-Man;Kwon, Soon-Young;Lee, Sang-Hag;Shin, Chol;Lee, Seung-Hoon
    • Sleep Medicine and Psychophysiology
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    • v.12 no.1
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    • pp.64-67
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    • 2005
  • Obstructive sleep apnea syndrome(OSAS) is a common disease in the field of otorhinolaryngology and is characterized by repeated upper airway occlusions occurring during sleep. OSAS can occur due to various etiologies of the nasal, oral, pharyngeal and laryngeal airway in adults. Nasal obstruction can be caused by septal deviation, nasal polyps, concha bullosa, choanal atresia, neoplasms, foreign body, postoperative/post-traumatic synechiae, various rhinitis and so on. There are various kinds of surgical treatment of OSAS including nasal surgery, LAUP, UPPP, surgery of tongue base, tracheostomy and so on, but the effect of nasal surgery on snoring and OSAS is controversial. The authors report the case of a patient who had experienced nasal obstruction, moderate snoring and OSAS and who improved after septoplasty and turbinoplasty.

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Separable Median-Max Filter for Disparity Refinement (시차 정제를 위한 분리형 중앙-최댓값 필터)

  • Choi, Cheol-Ho;Ha, Jiseok;Moon, Byungin
    • Annual Conference of KIPS
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    • 2022.05a
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    • pp.712-714
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    • 2022
  • 스테레오 정합을 통해 산출되는 초기 시차 영상의 정합 정확도는 고주파 및 잡음 성분에 의해 감소될 수 있다. 또한, 폐색 및 질감이 없는 영역에서 잘못된 정합 결과가 산출됨으로 인해 정합 정확도가 감소될 수 있다. 정합 정확도를 향상시키기 위해 시차 정제에 관한 선행 연구들이 수행되었지만 정제 과정을 통한 정합 정확도 성능과 처리 속도간 트레이드-오프가 존재한다. 이에 본 논문에서는 종래 시차 정제 방법 대비 향상된 처리 속도와 함께 높은 시차 정제 성능을 갖는 분리형 중앙-최댓값 필터를 제안한다. 제안하는 방법의 정제 성능 및 평균 처리 시간을 객관적으로 평가하기 위해 KITTI 2015 stereo benchmark 데이터셋을 사용하였다. 제안하는 방법의 평균 오차율은 비폐색 및 폐색 조건에서 종래 방법 대비 각각 최소 25.61% 및 23.68% 감소되었다. 또한, 제안하는 방법의 처리 속도는 종래 방법 대비 최소 13.29% 향상되었다. 따라서 제안하는 방법은 빠른 처리 속도 및 높은 정확도 성능을 요구하는 스테레오 비전 시스템에 활용될 수 있다.

Clogging Phenomenon and Drainage Capacity of Tunnel Filters (터널필터재의 폐색현상과 배수성능 평가)

  • 이인모;유승헌;박광준;이석원;김홍택
    • Journal of the Korean Geotechnical Society
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    • v.15 no.5
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    • pp.3-18
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    • 1999
  • The geotextile filter, which is installed between the ground and the lining and used as a tunnel drainage system, should have sufficient groundwater drainage capacity so that water pressure does not act on the lining. The clogging may have a serious effect on the long term behaviour of geotextile filters. Two typical weathered residual soils in Korea, Shinnae-dong soil and Poi-dong soil, were chosen to investigate the in-plane flow characteristics of the soils with varying degree of compressive stresses applied on the geotextiles and with various conditions of hydraulic gradient. The Shinnae-dong soil is a relatively coarse material classified as'SW-SM'; on the other hand, the Poi-dong soil is much finer and is classified as'SC'. Based on the comparison of the $O_{95}$ of geotextile to the $D_{15}$ of residual soils, existing clogging criteria were reviewed, and a tentative clogging criterion for the in-plane flow of the residual soil through filters was proposed. The Shinnae-dong soil showed noticeable clogging phenomenon, while the clogging of the Poi-dong soil was not so serious. The Poi-dong soil seemed to be hindered in particle transport by its cohesiveness.

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Surgical Treatment for Chronic Peptic Ulcer with Gastric Outlet Obstruction (만성 소화성 궤양에 합병된 위출구 폐색의 수술적 치료)

  • Lee, Jei Hee;Yang, Shi Joon;Jeon, Young Woong;Park, Sei Hyeog;Kim, Jong Heung;Park, Jong Min
    • Journal of Gastric Cancer
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    • v.8 no.3
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    • pp.160-165
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    • 2008
  • Purpose: With the introduction of H. pylori eradication and proton pump inhibitor, the operative treatments for the acute or chronic complications of peptic ulcer, such as perforation, bleeding and stricture, have decreased. Also owing to the development of non-operative treatment such as interventional endoscopic treatment, the surgical approach to the acute complications, like perforation and bleeding, has diminished. The non-operative treatments for the stricture and obstruction of chronic peptic ulcer in part related to discontinuation of medication have not been satisfactory. We analyzed the clinical outcomes of the patients who underwent operative treatment for outlet obstruction with peptic ulcer. Materials of Methods: From January 1994 to December 2007, we reviewed 31 patients who had been operated on at the National Medical Center for peptic ulcer obstruction. We excluded the cases of adhesive obstructions that were caused by a former ulcer operation and also the cases of obstructions found during emergency operations for treating perforation and bleeding. We classified the surgical treatment group into the bypass operation group and the surgical resection group. We evaluated the effects of the operations by the Visick score. The recurrences were confirmed only by the endoscopic observation of peptic ulcer. Results: The number of patients in the bypass operation group was 6 (19.4%) and that of resection group was 25 (80.6%). The mean age was 57.5 (25~81) years. The number of male patients was 29 (93.5%) and the number of females was 2 (6.5%). The mean symptom duration was 29.6 months. There were 19 smokers (61.3%), 6 NSAID users (19.4%) and 7 H. pylori positive patients (22.6%). Two patients underwent endoscopic balloon dilatation with no success. The locations of lesion were the stomach, the duodenum and both in 9, 20 and 2 cases, respectively. There were operative complications in 13 cases (41.9%), recurrent ulcers in 2 cases (6.5%), and reoperations in 4 cases. The mean Visick score was 1.8 (1~4). There were no statistically significant clinicopathologic differences between the bypass operation group and the resection group. The two groups had 1 case each of recurrence. Although the bypass group had a greater complication rate (83.3%) than the resection group (32%), this was not statistically meaningful (P=0.175). The mean Visick score was 3.0 in the bypass group and 1.6 in the resection group, so the resection group was better (P=0.001). Conclusion: For a case of chronic peptic ulcer with outlet obstruction, even though it has been reported that endoscopic balloon dilatation worked well, surgery is still regarded as an important treatment. If you consider the patients' satisfaction and the difficulty of diagnosing malignant ulcers, surgical resection should be recommended more often than a bypass operation.

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The Development of Integration Electronic Block System for Maintenance Efficiency on Railway Wayside Signalling System (철도 선로변 신호설비 유지보수 효율화를 위한 집중형 전자폐색제어장치 개발)

  • Baek, Jong-Hyen;Jo, Hyun-Jeong;Kim, Yong-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.9
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    • pp.4171-4176
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    • 2012
  • The conventional block systems for railway signaling currently in operation in Korea have not been electrified or integrated and therefore there have been difficulties in terms of construction and maintenance. Two independent systems have been installed for ABS and LEU of ATP system (for speeded-up lines), although they deal with the same signaling information at the same location in order to control the trains. In these conventional ABS and LEU, a number of duplicate modules are installed in each device including lamp detection units and power supply units and it results increased manufacturing costs and maintenance efforts. This paper deals with the prototype development of integrated electronic block system with CPU-based digital control methods in order to overcome the limitations of the conventional ABS. The suggested system is the integration of the conventional ABS with LEU of ATP and it is also applicable for the non-ATP sections as well.