• Title/Summary/Keyword: 우회전

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Pacing Wire Removal Via a Right Atriotomy: A Patient with Infected Permanent Pacemaker and Who Previously Underwent CABG - A case report - (개심술을 통한 심박동기 와이어의 제거: 관상동맥 치환술을 받은 환자에서 심박동기 삽입 후 발생한 국소 감염의 치료 - 1예 보고 -)

  • Kim, Yun-Seok;Song, Hyun;Ryu, Yang-Gi;Jung, Sung-Ho
    • Journal of Chest Surgery
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    • v.42 no.2
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    • pp.256-258
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    • 2009
  • A 63-year-old man who had a permanent pacemaker placed 17 years ago presented to us with local inflammatory signs on his chest. The skin was opened to remove the permanent pacemaker. However, the pacing wire was not easily removed. So, the permanent pacemaker was removed from the chest with leaving the remnant wire inside. However, the local infection recurred because of the remnant wire. Right thoracotomy was performed and cardiopulmonary bypass was started. After total circulatory arrest, the right atrium was opened and the wire was completely removed.

Development of a Web-based Calculus module using Mathematica (Mathematica를 이용한 웹기반 미적분 모듈의 개발)

  • Jun, Youngcook
    • The Journal of Korean Association of Computer Education
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    • v.4 no.2
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    • pp.105-114
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    • 2001
  • This paper illustrates a calculus module which generates step-by-step solutions using J/Link that connects Java and Mathematica. Such a module provides intermediate and low level students with a practical environment where they can easily follow the solution paths on their own paces. The extra feature of this module depicts graphical images for a given function and its differentiated result to enhance the visual understandings of calculus concepts. Mathematica as a mathematical expert system that provides systematic mathematical knowledge to students with step-by-step solutions will be possibly extended to the tutorial or CMI development. The proposed module is implemented in a Java servlet that links to Mathematica FrontEnd. This approach results in adopting font systems to express two dimensional mathematical expressions in web documents as an alternative typesetting tool.

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A Study on the Efficiency of Multi-Legged Intersection Through Sensitivity Analysis (Based on the Four or Five Legged Intersection) (민감도 분석을 통한 다지교차로의 효용성 분석 연구 (4지.5지 교차로를 중심으로))

  • 박창수;김정위
    • Journal of Korean Society of Transportation
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    • v.20 no.5
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    • pp.217-230
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    • 2002
  • 본 연구는 민감도 분석을 통한 다지교차로의 효용성 분석 연구로 신호교차로, Roundabout, 그리고 Modern Roundabout의 특성을 고찰하고 교통류의 특성에 따른 민감도 분석을 통한 교차로 형태를 검토하는 것에 그 목적을 두고 있다. 이를 위해, 첫째, 신호교차로와 Roundabout의 특성과 사례를 고찰하였다. 둘째, 4지교차로와 5지교차로의 교통류 특성별로 교통량을 산정하여, TSIS Tool을 이용한 분석을 통해 교통류 특성별 신호 교차로와 Round about의 민감도를 비교하였다. 셋째, 민감도 비교를 통한 교통류 특성별 효율적인 교차로 형태를 도출하였다. 4지교차로의 경우, 첫째, 일반적으로 V/C비의 변화에 대해 V/C비가 0.7이하일 때는 Roundabout가 V/C비가 0.7을 초과할 때는 신호교차로가 효율적인 것으로 나타났다. 둘째, V/C비별 회전교통량의 변화와 회전교통량 변화별 V/C비 변화에서도 V/C비의 변화의 분석결과와 비슷한 양상을 보였다. 5지교차로의 경우, 첫째, 4지교차로와는 달리 전반적으로 신호교차로 보다는 Roundabout가 더 효율적인 교차로 형태로 나타났다. 둘째, V/C비별 회전교통량의 변화와 회전교통량 변화별 V/C비 변화에서는 V/C비가 0.8을 초과하고 우회전교통량비가 30%∼40%인 경우에 신호교차로가 조금 더 효율적인 것으로 나타났다.

Eight-Direction Anchor system and Location-based Shortest Relay in Wireless Sensor Networks with Mobile Sinks (센서 네트워크에서 모바일 싱크를 위한 8방향 앵커 시스템과 위치기반 최단거리 전송 프로토콜)

  • Jeon, Hyeon-Jae;Choo, Hyun-Seung
    • Proceedings of the Korea Information Processing Society Conference
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    • 2008.05a
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    • pp.667-670
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    • 2008
  • 센서노드는 무선 센서네트워크를 통해서 감지한 정보를 싱크에게 전송한다. 최근 휴대 무선장비의 이용률 증가로 센서네트워크에서 데이터를 수집하는 싱크를 휴대 무선장비로 대체하여 이동성을 보장하는 연구가 활발히 진행된다. 즉, 싱크가 이동성을 가짐으로써 센서노드가 감지한 정보를 전달하는 방법이 중요한 문제로 부각되고 있다. 따라서 모바일 싱크의 위치를 효율적으로 알리고, 다중 소스노드에서 다중 싱크로 정보를 전달하는 것이 필요하다. 특히, 고정된 싱크에서 사용하던 데이터 전송경로는 모바일 싱크 환경에서 더 이상 효율적이지 못하다. 본 논문에서는 소스노드의 위치정보를 제공하기 위한 서버로서 8방향 앵커시스템(Eight-Direction Anchor system: EDA)을 제안한다. EDA는 센서네트워크의 가장자리에 위치한 센서노드의 편중된 에너지 소모를 막고, 전체 센서노드를 균형적으로 사용함으로써 균등한 에너지 소모를 보장한다. 또한, 모바일 싱크가 소스노드로부터 데이터를 연속적으로 받기위해서 위치기반 최단거리 전송(Location-based Shortest Relay: LSR) 프로토콜을 제안한다. LSR은 소스노드에서 싱크로의 우회하는 경로를 막고, 최소 지연경로를 통하여 연속적인 데이터 전송을 보장한다. 실험결과를 통해서 제안 프로토콜은 효율적인 위치서비스의 제공뿐만 아니라, 다중 소스와 다중 모바일 싱크 환경에서 평균 데이터 전송 비용절감 효과를 얻을 수 있음을 보인다.

Modified File Title Normalization Techniques for Copyright Protection (저작권 보호를 위한 변형된 파일 제목 정규화 기법)

  • Hwang, Chan Woong;Ha, Ji Hee;Lee, Tea Jin
    • Convergence Security Journal
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    • v.19 no.4
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    • pp.133-142
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    • 2019
  • Although torrents and P2P sites or web hard are frequently used by users simply because they can be easily downloaded freely or at low prices, domestic torrent and P2P sites or web hard are very sensitive to copyright. Techniques have been researched and applied. Among these, title and string comparison method filtering techniques that block the number of cases such as file titles or combinations of key words are blocked by changing the title and spacing. Bypass is easy through. In order to detect and block illegal works for copyright protection, a technique for normalizing modified file titles is essential. In this paper, we compared the detection rate by searching before and after normalizing the modified file title of illegal works and normalizing the file title. Before the normalization, the detection rate was 77.72%, which was unfortunate while the detection rate was 90.23% after the normalization. In the future, it is expected that better handling of nonsense terms, such as common date and quality display, will yield better results.

Right Coronary Artery to Left Ventricular Fistula with a Giant Right Coronary Artery Aneurysm - A case report - (거대 우관상 동맥류를 동반한 우관상 동맥에서 좌심실로 유출되는 관상 동맥루 - 1예 보고 -)

  • Kang, Joon-Kyu;Huh, Jae-Hak;Chang, Ji-Min;Song, Cheol-Min
    • Journal of Chest Surgery
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    • v.43 no.3
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    • pp.296-299
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    • 2010
  • A right coronary artery to left ventricular fistula with a giant right coronary artery aneurysm is a very rare condition. This requires surgical treatment because of the possibility of rupture of aneurysm, heart failure and infective endocarditis. A 47 years old male patient with dyspnea on exertion for 3 months was diagnosed as having a right coronary artery to left ventricular fistula with a giant right coronary artery aneurysm according to the CT and coronary artery angiography. We resected the aneurysm and performed a coronary artery bypass graft.

Analysis of the Driving & Loading Pattern of the Construction Waste Collecting Trucks Using IoT On-Board Truck Scale System (IoT 자중계 시스템을 활용한 건설폐기물 수집·운반 차량의 운행 및 적재패턴 분석)

  • Kim, Jong Woo;Jung, Young Woo
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.19 no.6
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    • pp.74-87
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    • 2020
  • Overloaded trucks are the main source that threatens road safety and directly affects the reduction of pavement life. The On-board truck scale is the only equipment that could prevent overloading by measuring and adjusting the loading weight before driving. Legislation is needed to encourage its installation so that the driver can prevent overloading. In this study, an on-board truck scale system was installed on 30 dump trucks for transporting construction waste, such as soil and aggregates, which are major loads of 36.55% for overloading, and the trucks were monitored remotely. The overload prevention effect was analyzed by comparing driving data for 1 month before distribution of the weight display app that can recognize the weight to the driver and 1 month after distribution. After installation, overloading could be 6.1% reduced, and the transportation efficiency could be increased by checking the weight provided from the On-board truck scale system.

Mitral Valve Reconstruction in Mitral Insufficiency : Intermediate-Term Results (승모판 폐쇄부전증에서 승모판 재건술의 중기평가)

  • 김석기;김경화;김공수;조중구;신동근
    • Journal of Chest Surgery
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    • v.35 no.10
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    • pp.705-711
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    • 2002
  • The advantages of mitral valve reconstruction have been well established and so mitral valve reconstruction is now considered as the procedure of choice to correct mitral valve disease. This is the report of intermediate-term results of 38 cases that performed mitral valve reconstruction for valve insufficiency(the total number of mitral valve reconstruction were 49 cases, but 11 cases that performed mitral valve replacement due to incomplete reconstruction were excluded). Material and Method : From March 1991 to March 2001, 38 patients underwent mitral valve repair due to mitral valve regurgitation with or without stenosis. Mean age was 47.6$\pm$14.7 years(range 15 to 70 years) : 11 were men and 27 were women. The causes of mitral valve regurgitation were degenerative in 14, rheumatic in 21, infective in 2 and the other was congenital. Result : According to the Carpentier's pathologic classification of mitral valve regurgitation, 3 were type 1 , 16 were type II and 19 were type III. Surgical procedures were annuloplasty 15, commissurotomy 19, leaflet resection and annular plication 9, chordae shortening 11, chordae transfer 5, new chordae formation 2, papillary muscle splitting 2 and vegetectomy 2. These procedures were combined in most patients. There were 2 early death and the causes of death were respiratory failure, renal failure and sepsis. There was no late death. Valve replacement was done in 6 patients after repair due to valve insufficiency or stenosis 3 weeks, 1, 3, 51, 69, 84months later respectively. These patients have been followed up from 1 to 116 months(mean 43.0 months). The mean functional class(NYHA) was 2.36 pre-operatively and improved to 1.70. Conclusion : In most cases of mitral valve regurgitation, mitral valve reconstruction when technically feasible is effective operation that can achieve stable functional results and low surgical and late mortality.

Off Pump Total Arterial Myocardial Revascularization (동맥 도관만을 이용하여 체외심폐순환 없이 시행한 관상동맥우회술)

  • Youn Young Nam;Lee Kyo Joon;Lee Gy Jong;Joo Hyun Chul;Lim Sang Hyun;Kim Seung Ho;Kwak Young Lan;Yoo Kyung Jong
    • Journal of Chest Surgery
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    • v.38 no.5 s.250
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    • pp.349-356
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    • 2005
  • Background: Arterial conduits using in coronary artery bypass grafting (CABG) have been known a great long term patency rates, and improved short and long term clinical outcomes. It has been reported that Off pump CABG has better clinical results than CABG using cardiopulmonary bypass. To evaluate the advantage of arterial conduits over venous conduits and to avoid the adverse effects of cardiopulmonary bypass, we performed total arterial Off pump CABG. Material and Method: From January 2001 to October 2004, Off pump CABG using only arterial conduits was performed on 325 patients with a mean age of $59.3\pm11.9$ years ($36\~83$). Mean ejection fraction was $55.4\pm14.0\%\;(15\~86).$ Angiography showed left main disease or triple-vessel disease in $81.9\%$ of the patients. Indications of using arterial conduits was stenosis $\ge50\%$ of left anterior descending artery, stenosis $\ge80\%$ of branches of left circumflex artery, and stenosis $\ge90\%$ of right coronary artery and its branches. Multi-slice computed tomography was performed on 194 patients to evaluate the short term patency rates. Result: A total of 928 distal anastomoses were performed and the average anastomoses per a patient were $2.86\pm0.78$. There was 1 operative mortality. Postoperative complications were mediastinitis in 6 patients ($1.8\%$), renal failure in 4 patients ($1.2\%$), perioperative myocardial infarction in 3 patients ($0.9\%$), reoperation for bleeding in 3 patients ($0.9\%$). There was no postoperative stroke. Patency rate of arterial conduits was $99.3\%$ (581/585). There were 4 stenoses or competitive flows in 2 radial arteries and 2 right internal mammary arteries. Conclusion: Total arterial Off pump CABG appears to be safe, showing a low surgical mortality and morbidity and excellent short term patency rates of arterial conduits.

Surgical Treatment of Peripheral Artery Occlusive Disease (말초동맥 폐쇄질환에 대한 외과적 고찰)

  • 김해균;윤용한;이두연;문동석;이택연;홍윤주
    • Journal of Chest Surgery
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    • v.31 no.3
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    • pp.262-265
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    • 1998
  • A retrospective analysis was performed on the 72 cases of peripheral artery occlusive disease treated at Yonsei Medical School Yongdong Severance Hospital, from March 1, 1990, through July 31, 1992, focusing on the operative procedures, surgical results and perioperative complications. The etiologic causes of vascular obstruction were atherosclerosis in 28 cases, Buerger's disease in 31, traumatic orgin in 7, operative complications in 4, and malignancy and arteritis in one case each. Treatment modalities, actually performed include bypass graft.(27), infusion of PGE1 (23), Embolectomy (16), Sympathectomy (4) and end-to-end anastomosis (2). There were 21 satisfactory cases and 9 unsatisfactory cases of atherosclerotive occlusive disease, defining the operative outcome as“satisfactory”if the obstructive symptoms disappeared completely and “unsatisfactory”if they did not. The patients of TAO induced Buerger's disease with preoperative Foutain class III or IV were surgically converted to class 0 in 14 cases, class I in 12 and class II in 3.

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