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Descending Thoracic Aorto-bifemoral Artery Bypass Grafting in a Leriche's Syndrome (Leriche's 증후군에서 흉부하행대동맥-양측 대퇴동맥 우회술)

  • Chung, Jae Ho;Son, Ho Sung;Yi, Eun Jue;Son, Kuk Hui;Kang, Moon Chul;Lee, Sung-Ho
    • Journal of Chest Surgery
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    • v.42 no.1
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    • pp.104-106
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    • 2009
  • Extra-anatomic graft bypass is frequently performed instead of standard infrarenal aorto-iliac reconstruction in patients with Leriche syndrome in whom the thrombus extends to the level of the renal arteries. However, many different surgical options are still being attempted due to the unsatisfying long-term graft patency. We performed a descending thoracic aorto-bifemoral bypass graft with 14 and 14-7-7 mm artificial vessels through a posterolateral thoracotomy, a median laparotomy, and a longitudinal inguinal incision in a 48-year-old male who suffered from claudication with Leriche syndrome. After surgery, the patient recovered well and was discharged. The patient walked well without any symptoms during the 6 month follow-up period in the outpatient department. We have concluded that descending thoracic aorto-bifemoral bypass grafting could be considered as an alternative method for patients with Leriche syndrome in whom standard infrarenal aorto-iliac reconstruction is unsuitable.

Surgical Resection of Renal Cell Carcinoma Extended to the Inferior Vena Cava Using Pump Driven Veno-venous Bypass (정맥-정맥간 우회술을 이용하여 하대정맥까지 확장된 콩팥세포암종의 수술적 치료 1예)

  • Park Han Gyu;Choi Chang Woo;Lee Jae Wook;Her Keun;Shin Hwa Kyun;Won Yong Soon
    • Journal of Chest Surgery
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    • v.39 no.1 s.258
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    • pp.72-75
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    • 2006
  • In a 40 year-old man who has complained of epigastric pain and dyspnea for 10 days including melena for 1 month, abdominal ultrasonography and computerized tomography revealed a large, solid mass in the right kidney and thrombus of inferior vena cava (IVC) that extended to the cavoatrial junction. Renal cell carcinoma was performed by percutaneous needle biopsy. IVC thromboembolectomy was performed using centrifugal pump driven venovenous bypass without cardiac arrest and cardiopulmonary bypass (CPB).

A Study on Traceback by WAS Bypass Access Query Information of DataBase (DBMS WAS 우회접속의 쿼리정보 역추적 연구)

  • Baek, Jong-Il;Park, Dea-Woo
    • Journal of the Korea Society of Computer and Information
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    • v.14 no.12
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    • pp.181-190
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    • 2009
  • DBMS access that used high speed internet web service through WAS is increasing. Need application of DB security technology for 3-Tier about DBMS by unspecified majority and access about roundabout way connection and competence control. If do roundabout way connection to DBMS through WAS, DBMS server stores WAS's information that is user who do not store roundabout way connection user's IP information, and connects to verge system. To DBMS in this investigation roundabout way connection through WAS do curie information that know chasing station security thanks recording and Forensic data study. Store session about user and query information that do login through web constructing MetaDB in communication route, and to DBMS server log storing done query information time stamp query because do comparison mapping actuality user discriminate. Apply making Rule after Pattern analysis receiving log by elevation method of security authoritativeness, and develop Module and keep in the data storing place through collection and compression of information. Kept information can minimize false positives of station chase through control of analysis and policy base administration module that utilize intelligence style DBMS security client.

Clinical Results of 100 Cases of Coronary Artery Bypass Grafting without Cardiopulmonary Bypass (심폐바이패스 없이 시행한 관상동맥 우회술 100예의 임상적 고찰)

  • 방정희;우종수
    • Journal of Chest Surgery
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    • v.37 no.4
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    • pp.322-327
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    • 2004
  • Coronary artery bypass grafting on the beating heart is no longer a new methods for any cardiac surgeon. We evaluated the application of the off-pump coronary artery bypass procedure relative to safety and efficiency as measured by postoperative complication and operative mortality. Material and Method: We used our retrospective database to compare the patients having off-pump coronary surgery (n=100) with those having on-pump coronary surgery (n=100) between June, 1999 and August, 2002. Patients whom underwent associated valvular or aortic aneurysmal operation were excluded. Result: Neither groups showed any differences in the patient's risk factors and extent of coronary disease. Off-pump CABG group did not have significantly less mean operation time (295$\pm$73 min vs 323$\pm$83 min, p=ns) and mean hospital day (15.34$\pm$6.02 day vs 13.80$\pm$4.95 day, p=ns). However, off-pump CABG group had significantly shorter mean ventilation time (17.3$\pm$11.27 hour vs 24.98$\pm$16.1 hour, p<0.05). No patients were converted to on-pump CABG in off-pump CABG. Intraoperative hemodynamic instability in off-pump CABG were 6 cases, of whom 2 cases were in lateral wall approach and 4 cases in right coronary anastomosis. Postoperative mortality was 1 case in off-pump CABG and 2 cases in on-pump CABG. Intra-aortic ballon pump (IABP) was applied in 1 case with off-pump CABG and in 2 cases with on-pump CABG. No patients presented postoperative cerebral infarction & stroke in off-pump CABG but 2 patients in on-pump CABG. Postoperative arrhythmia presented in 4 cases with off-pump CABG and in 6 cases with on-pump CABG. Acute renal failure (ARF) was complicated in 3 cases with off-pump CABG and in 2 cases with on-pump CABG. Conclusion: This study documented the immediate safety and efficiency of the off-pump CABG procedure.

A Study on countermeasures against Mobile Application's SSL Pinning bypass (모바일 애플리케이션의 SSL Pinning 우회에 대한 대응방안 연구)

  • Shin, Sang-Gil;Kim, Mun-Hyeon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2017.04a
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    • pp.270-272
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    • 2017
  • 스마트폰 애플리케이션의 종류가 다양해지고 사용 빈도수가 높아지는 만큼 정보보안에 대한 중요성도 나날이 증가하고 있다. 최근 기업, 금융기관들은 스마트폰 애플리케이션 서비스에서 사용자와 서버 간 통신 시 MITM공격에 대비하기 위해 SSL Pinning 기술을 사용하고 있는데 본 연구에서는 이를 우회할 수 있는 방법을 소개하고 시연하며, 이에 대한 대응방안을 소개한다.

A Study of Indirect Attack Method with Interlocked Proxy Server in Foreign Country (해외에서 Proxy Server를 연동한 우회적인 공격기법 연구)

  • Lee, Bo-Man;Park, Dea-Woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2011.05a
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    • pp.432-435
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    • 2011
  • Hacking 공격자에 대한 수사실무에서는 Proxy Server를 연동한 해외에서의 우회공격에 대한 기법과 기술을 알아야 MAC address 또는 Real IP에 대한 역추적이 가능하다. 즉 Proxy Server를 여러 번 거치면서 자신의 Real IP를 숨기고 ARP Spoofing 기법을 사용하여 MAC address를 속이기 때문이다. 본 논문에서는 해외에서의 해킹 공격자들이 어떻게 공격자의 Real IP를 숨기고, ARP Spoofing 기법을 응용하여 공격을 시도하는 기법과 기술을 연구한다. 또한 Proxy Server를 통한 우회공격에서 ARP Spoofing 공격을 보안하는 방법을 연구한다. 본 논문 연구가 해외로 부터의 Hacking과 방어를 위한 기술 발전에 기여 할 것 이다.

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Trend and Issue Dynamic Analysis for Malware (악성코드 동적분석 동향)

  • Hwang, Ho;Moon, Daesung;Kim, Ikkun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2015.04a
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    • pp.418-420
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    • 2015
  • 인터넷이 발전하면서 사이버 공격이 증가하고 있으며, 사이버 공격에 사용되는 악성코드도 점차 지능화 되고 있다. 악성코드 탐지에는 정적분석을 통해 악성코드의 특정패턴을 비교하는 시그니처 기반 접근법이 널리 사용되고 있으며, 높은 탐지율과 빠른 탐지속도를 보인다. 그러나 알려지지 않은 신종 악성코드(0-day)와 실행압축, 난독화 둥에 의한 변종 악성코드를 분석하기에 한계가 있다. 더욱이 악성코드의 정적분석은 많은 노력과 시간이 소모되는 작업이며, 최근 악성코드들은 대부분 정적분석 우회기술이 적용되어 대량으로 유포되는 실정이다. 그러므로 악성코드를 직접 실행시켜 발생되는 이벤트들을 수집하여 의미를 분석하는 동적분석이 활발하게 연구되고 있다. 본 논문에서는 악성코드에 적용된 동적분석 우회기술에 관하여 기술하고 나아가 동적분석 우회기술이 적용된 악성코드를 탐지하기 위한 방법에 관한 기술동향을 소개한다.

A Study on Multipath routing protocol considering the alternative path in Ad hoc Network (Mobile Ad-hoc 환경에서 다중경로 라우팅을 위한 안정성 기반의 라우팅 경로 설정에 관한 연구)

  • Lee, Jaemin;Jung, Seohyun;Chae, Kangsuk;Jung, Souhwan
    • Proceedings of the Korea Information Processing Society Conference
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    • 2011.11a
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    • pp.651-653
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    • 2011
  • 본 논문에서는 모바일 노드들의 움직임이 심한 MANET 환경에서의 데이터의 전송을 안정적이고 신뢰성있게 하기 위한 방법을 제시하고자 한다. 우회경로가 적은 경우보다 우회경로가 많이 확보되었을 때 상호간의 통신이 더욱 안정적이나, 기존 연구에서는 이러한 고려가 충분히 되어있지 않고, 경로 설정 당시 알고리즘에 의해 최적화된 경로라고 판단된 경로만 기억해 놓기때문에 경로 손실이 되었을 때에 우회경로가 존재 함에도 불구하고 패킷 전송을 실패하게 된다. 본 논문에서는 확률에 기반한 안정도를 측정하고 MANET 환경에서 패킷전달 가능성이 높은 다중경로 라우팅 프로토콜 아이디어를 제시한다.

Comparison of Femoropopliteal Bypass and Superficial Femoral Artery Stenting for Treating Femoral Artery Occlusive Disease (대퇴동맥 폐색증에서 대퇴동맥-슬와동맥 우회술과 대퇴동맥 스텐트 삽입술의 비교)

  • Lee, Gun;Lim, Chang-Young;Kim, Man Deuk;Lee, Hyeon-Jae
    • Journal of Chest Surgery
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    • v.42 no.1
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    • pp.53-58
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    • 2009
  • Background: The goal of this study was to compare the patency and complications of femoropopliteal bypass with superficial femoral artery stenting for patients with atherosclerotic superficial femoral artery occlusive disease. Material and Method: Between July 2005 and July 2008, we reviewed 29 femoropopliteal bypass procedures (24 patients) with prosthetic grafts (the bypass group) and 19 superficial femoral artery stentings (15 patients) with nitinol stent (the stent group). There were 35 male patients (89.7%) and the mean age of the patients was 69.2 years (range: 48~84). The number of patients who had DM, hypertension and a smoking history was 25 patients (64.1%), 17 patients (43.6%) and 30 patients (76.9%), respectively. 23 (59.0%) patients had skin ulceration or tissue gangrene at admission. Result: There were 27 cases (93.0%) of TASC C&D lesion in the bypass group and 16 cases (84.2%) of TASC A&B lesion in the stent group. There were significant differences for the indications for a procedure between the two groups (p<0.01). The primary patency rates at 6 months, 12 months and 24 months were 91.9%, 79.7% and 79.7% for the bypass group and 93.3%, 86.2% and 86.2% for the stent group, respectively. There were no statistical difference between the two groups (p=0.48). Conclusion: There were no significant differences in the outcome between two groups. TASC C&D lesion and failed intervention therapy should be treated with femoropopliteal bypass surgery, and TASC A&B lesion and the high-risk patients should be treated with femoral artery stent insertion.

A Study on the Intermediate Channel Assignment based on Channel Status in High-rate WPAN (HR-WPAN에서 채널 상태에 따른 우회 채널 할당에 관한 연구)

  • Lee Jung-Yun;Lee Kyung-Jin;Song Wang-Cheol
    • Proceedings of the Korea Contents Association Conference
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    • 2005.11a
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    • pp.354-358
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    • 2005
  • High-rate WPAN doesn't define the time slot assignment scheduling method of CAT So, there has been many studies regarding time slot assignment scheduling of CAT. However, present studies involve demerits about not applying various types of errors in air interface or having a starvation of a specific DEV. In this paper, we propose algorithms about supplying the intermediate channel assignment in order to avoid these demerits.

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