• Title/Summary/Keyword: 위 마비

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AED System using Fuzzy Rules (퍼지규칙을 이용한 AED 시스템)

  • Lee, HeeTack;Hong, YouSik;Lee, SangSuk
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.13 no.4
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    • pp.215-220
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    • 2013
  • Recently, death number of heart attack in the world is increasing rapidly. Therefore, to solve these problem, it is trend that is making mandatory automatic defibrillator AED establishment to airport, school, at home. However, AED use in an emergency or equipment failure caused malfunctions if equipped with AED may even become obsolete. In this paper, in order to improve this problem, AED Simulator using the fuzzy simulation technique in comparison to existing methods Tilt ambient temperature conditions and in consideration of the conditions, self-diagnostics, error detection at the time to determine whether the development of intelligent simulation. Moreover, in this paper, it proved that fuzzy AED Simulation improved fault detection probability results 30% more than conventional method.

Results of Pharyngocolostomy in Intractable Caustic Pharyngeal Stricture (난치성 식도협착에서의 인두-대장 문합술의 결과)

  • 박충규;심영목;김진국;김관민
    • Journal of Chest Surgery
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    • v.32 no.6
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    • pp.561-566
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    • 1999
  • Background: It is not easy to surgically correct caustic pharyngeal strictures and a lot of effort is required to restore normal swallowing after the surgery. The authors reviewed the course in patients who underwent pharyngocolostomy. Material and Method: From August 1995 to March 1998, 6 patients with caustic stricture underwent esophageal reconstruction surgery. The time of injury to the replacement of the esophagus was from 3 months to 2 years and 4 months. The left colon was used in all patients. The surgical route was used under the sternum in 5 patients and through the esophageal hiatus in 1 patient. In the cervical anastomoses, the cervical pharyngocolic anastomosis was performed on the left pyriform sinus after a partial resection of the thyroid cartilage in 3 patients and on the posterolateral aspect of the inferior pharyngeal constrictor in 3 patients. Result: Postoperative complications consisted of a dysphagia in 3 patients and left vocal cord palsy in 1 patient. There was no cervical anastomotic stricture. Revisional procedures consisted of an esophageal dilation and free jejunal graft in 1 patient, supraglottic scar band resection in 1 patient, and colonic mucosal resection in 1 patient. Swallowing training was required in the 3 patients with dysphagia. Restoration of normal swallowing was obtained in all patients between the 9th and the 303rd day. Conclusion: Pharyngocolostomy is a satisfactory method of treatment for patients with intractable caustic stricture. Pharyngocolojejunostomy is an effective alternative for esophagocologastrostomy in cases where gastric outlets are involved.

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Transhiatal Esophagectomy in Cardia and Esophageal Cancer (위분문부 및 식도암 환자에서 경열공 식도절제술)

  • Choi Dong-Hui;Jung Kyoung-Won;Kim Dong-Heon
    • Journal of Gastric Cancer
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    • v.5 no.1
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    • pp.1-9
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    • 2005
  • Purpose: The debate is still on-going as to whether a transthoracic esophagectomy (TTE) or a transhiatal esophagectomy(THE) is the proper treatment for patients with cardia and esophageal cancers. This study tries to demonstrate and assess the efficacy and the validity of both surgeries. Materials and Methods: In a retrospective study, data from 52 cases of patients with esophageal and/or cardia cancer who received a surgical operation during the last decade were analyzed. Results: A TTE was done in 20 cases and a THE in 32 cases. The average times for the operations were 558.0 min for a TTE and 451.7 min for a THE (P>0.05). The estimated blood loss was 1,825.0 ml in a TTE and 1459.4 ml in a THE (P>0.05). The amounts of transfusion during the operations were 3.9 units in a TTE and 2.6 units in a THE (P<0.05). Post-operative complications occurred in 15 cases of TTE and 23 cases of THE. The average length of stay in the hospital was 25.6 days for a TTE and 20.6 days for a THE. The 5-year survival rate was $10\%$ for TTE patients and $28\%$ for THE patients (P>0.05). Conclusion: For most factors, including morbidity and mortality, there was no statistically significant difference between a TTE and a THE. However, a THE is expected to be more convenient, leading to a shorter operative duration, a shorter post-operative hospitalization and lesser amounts of hemorrhage and transfusion. Hence, the THE may be a more valid or efficient surgical method for those patients with cardia and esophagus cancer who require a resection of the esophagus. (J Korean Gastric Cancer Assoc 2005;5:1-9)

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Comfort Analysis of Mono-ski with Hydraulic Absorber (모노스키 유압 완충장치 특성에 따른 탑승 안락감 평가)

  • Cho, Hyeon-Seok;Park, Jin-Kook;Kim, Gyoo-Seok;Mun, Mu-Sung;Kim, Chang-Boo
    • Transactions of the KSME C: Technology and Education
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    • v.3 no.2
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    • pp.131-140
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    • 2015
  • The mono-ski for the paraplegia designed to skiing is formed as seat bucket on the sled. The impact force transferred by snow surface during skiing is absorbed by the leg joints of normal human, but it is transferred to the human body on the seat when using mono-ski. Most of commercially available mono-ski have absorbing device and link mechanism between seat and ski mount in order to complement it. In this study we developed the comfort evaluation model that could provide skiing simulation of mono-ski with hydraulic damper and analyzed vibrational acceleration occurred during skiing uneven surface. The evaluation method used in this study is the international standard BS6841. We evaluated comfort performance of mono-ski in accordance with nozzle adjustment of hydraulic damper.

SnSA Design and Embodiment for ESM of Small Scale Network (소규모 네트워크의 통합보안관제를 위한 SnSA 설계 및 구현)

  • 이동휘;신영준;김귀남
    • Convergence Security Journal
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    • v.3 no.2
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    • pp.85-97
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    • 2003
  • At the end of last January, 2003, a domestic top-level domain name server (DNS) shut down the server and it caused the wired and wireless internet services to be completely paralyzed in the aftermath of a virus attack incurring a various range of losses nationwide. The main reason of this event is the lack of our awareness of cyber security. In particular, in the small-scale network, there are few security administrators and no operating devices to protect information as well. Under this circumstance, using ESM center to service real-time security supervision and correspondence for network, it can be one option. However, due to the economic efficiency, most of security systems have been being developed focusing on the large-scale network first. Therefore, ESM centers which inspect security state of network concentrate on IDC or large-scale network services. This dissertation studies economical ESM service by designing exclusive SnSA for small-scale network for widespread use. Firstly, network invasion feeler function N_SnSA and host invasion feeler function H_SnSA are embodied to collect more informations in the small-scale network. Secondarily, the existing vulnerability is studied to find the solutions linked with a low cost to a Public center such as Kyonggi Univ ESM center.

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Factors Affecting the Upper Limb Function in Stroke Patients (뇌졸증 환자의 상지기능에 영향을 미치는 요인)

  • Bang, Yoo-Soon;Kim, Hee-Young;Lee, Moon-Kyu
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.202-210
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    • 2009
  • This study was carried out to identify the factors which correlated with upper limb function after stroke and to analyze the effect of related factors on upper limb function. The 100 stroke patients(MMSE-K>24) were participated. The upper limb function according to gender, hand dominance, stroke type, affected location, site of paralysis, speech disorder showed no significant difference, and show significant difference according to shoulder subluxation. The upper limb muscle strength(Manual Muscle Testing), proprioception, muscle tone(Modified Ashworth Scale), grip strength(Dynamometer), paint (Visual Analog Scale) showed significant correlations with upper limb function. These predictors explained 77.6% of the upper limb function and the most significant affecting factor of upper limb function was upper limb muscle strength. In conclusion, the upper limb muscle strengthening will be effective strategy to improving the upper limb function and considering the proprioception, muscle tone, grip strength, pain, subluxation will be helpful to develop the strategies.

A Case of Moyamoya Disease in a Child with Alagille Syndrome (Alagille 증후군 환아에서 발생한 Moyamoya병 1례)

  • Lim, Mi Rang;Lee, So Yaun;Kim, Deok Soo;Kim, Kyung Mo;Ko, Tae Sung
    • Clinical and Experimental Pediatrics
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    • v.46 no.1
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    • pp.86-90
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    • 2003
  • Alagille syndrome is a autosomal dominant disorder characterized by intrahepatic bile duct paucity and resultant chronic cholestasis in combination with cardiac(mainly peripheral pulmonary stenosis), skeletal, ocular, and facial abnormalities. In addition to the pulmonary stenosis, in large series, anecdotal reports of vascular lesions have concerned the renal artery, aorta, hepatic artery, carotid artery, celiac artery or subclavian artery. Theses diffuse vascular abnormalities, which appear to be a feature of Alagille syndrome, suggest Notch signaling pathway defects affect angiogenesis. The associations of Alagille syndrome with moyamoya disease, the chronic cerebrovascular occlusive disease, were reported and suggested as additional evidence of vasculopathy of Alagille syndrome. We report another 25 month-old Alagille syndrome girl who presented with acute left hemiparesis and was diagnosed with moyamoya disease through the cerebral angiographic study.

A Study on the Continuity Essential Function of Critical Infrastructure Protection System for Public Safety (공공안전을 위한 국가기반체계 보호제도의 핵심기능연속성에 관한 연구)

  • Kang, Heau-Jo
    • Journal of Digital Contents Society
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    • v.18 no.4
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    • pp.795-802
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    • 2017
  • If the function of the national infrastructure is suspended due to natural disasters and social disasters, the damage of the national infrastructure can be a serious threat to the national security as well as the life, body and property damage of the people. In this paper, we examine the domestic and overseas trends of the national system protection system and examine the domestic and overseas trends of the national system protection system. The detailed function of the essential function continuity, essential function, succession order, authority delegation, continuity facility, continuity communication, We examined the specific issues related to testing, education and training, transferring control and directing authority, analyzing the system related to the national infrastructure protection plan, and examined the specific problems and suggested an effective improvement plan for the critical infrastructure protection system.

A Study about Early Detection Techniques of Cyber Threats Based Honey-Net (허니넷 기반의 사이버위협 조기탐지기법 연구)

  • Lee, Dong-Hwi;Lee, Sang-Ho;J. Kim, Kui-Nam
    • Convergence Security Journal
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    • v.5 no.4
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    • pp.67-72
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    • 2005
  • The exponential increase of malicious and criminal activities in cyber space is posing serious threat which could destabilize the foundation of modern information society. In particular, unexpected network paralysis or break-down created by the spread of malicious traffic could cause confusion and disorder in a nationwide scale, and unless effective countermeasures against such unexpected attacks are formulated in time, this could develop into a catastrophic condition. In order to solve a same problem, this paper researched early detection techniques for only early warning of cyber threats with separate way the detection due to and existing security equipment from the large network. It researched the cyber example alert system which applies the module of based honeynet from the actual large network and this technique against the malignant traffic how many probably it will be able to dispose effectively from large network.

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Derivation of External Flood Hazard Curves for SOC Facilities under Climate Change (기후변화에 따른 SOC시설물의 외부침수 재해도 곡선 산정)

  • Kim, Beom Jin;Kim, Hyun Il;Han, Kun Yeun;Heo, Jun Haeng;Shin, Ju Young
    • Proceedings of the Korea Water Resources Association Conference
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    • 2018.05a
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    • pp.16-16
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    • 2018
  • 최근 국가시설물에서는 집중호우 등으로 인한 대상 부지 내의 홍수 발생 시 주요시설물에 기능 마비가 발생할 수 있고, 궁극적으로는 대규모 사고로 이어질 수 있기 때문에 외부침수에 대비할 수 있는 위험도 분석이 필요하다. 대상 부지에서의 외부침수의 원인으로서는 LIP(Local Intensive Precipitation)에 의한 홍수 발생조건, 인근에 댐, 제방 등이 위치한 경우 이들 시설물의 붕괴에 따른 홍수류의 원전 유입, 지진해일/폭풍해일에 의한 바다로부터의 홍수 유입 등이 대표적인 예이다. 따라서 대상 부지 및 그 SOC시설물의 안전도를 높은 수준에서 관리하기 위해서는 극한홍수가 유입될 때 침수심, 침수유속, 침수시간, 침수강도 등의 재해도를 분석하여야하고, 이들 SOC시설물의 취약도 평가를 실시하고 재해도와 취약도를 결합한 연계분석을 통하여 위험도를 재평가하여야 한다. 본 연구에서는 기후변화 시나리오에 대해서 LIP(극한강우) 조건을 빈도별 분석하였고, 기후변화에 의한 가능최대강우량(PMP)의 재포락을 실시하고, 이를 확률강우조건과 비교 검토하였다. 대상부지에서의 RCP4.5와 RCP8.5 조건하에서 발생빈도-지속시간-극한강우량과의 상관도를 제시하였다. 지형분석의 고도화 및 수문분석을 통한 LIP를 이용한 극한 홍수량의 산정을 실시하였고, 수리분석에 의한 극한홍수조건의 침수해석을 실시하였다. 침수해석을 통한 수리변량(침수심, 침수강도, 침수지속시간 등)을 산정하였고, 침수해석결과에 주요지점별 발생빈도-지속시간-침수위의 관계를 재해도로 제시하였다. 본 연구 결과 집중호우 조건하에서 국가 주요시설물에서의 침수심, 침수강도 등에 대한 새로운 재해도 곡선을 산정함으로써 중요한 SOC시설물의 내수 설계, 홍수 방지기능 설계, 홍수 방지 대책 및 절차의 고도화 및 홍수 저감 기능 평가에 기준이 될 것으로 판단된다.

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