Kim, Ka-Ram;Choi, Jai-Koo;Hur, Gi-Yeun;Ko, Jang-Hyu;Seo, Dong-Kook;Lee, Jong-Wook;Jang, Young-Chul
Archives of Plastic Surgery
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v.38
no.6
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pp.798-802
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2011
Purpose: A wart is caused by epidermal infection with the human papilloma virus. Although wart naturally disappears in some cases, it require treatment because of pain, aesthetic problem, and the possibility of malignant change. Conventional non-surgical treatment cannot be a fundamental solution for the pain and has such disadvantages as frequent recurrence and difficulties in achieving a satisfactory outcome. A surgical procedure was performed on patients with wart and the procedure had a good outcome. Methods: We investigated the gender, age, lesion site, mean treatment duration, and presence or absence of recurrence in 21 patients with a wart within the period of January 2007 to July 2011. For local lesions, primary closure, including subcuticular suture after the excision, was performed. If the defect size was too big to do primary closure, we performed rotation flap. For wide multiple lesions, a split thickness skin graft was performed. Results: Among the 21 patients, 12 patients were male and 9 patients were female, and their mean age was 42 years (SD=17.38, range: 11~75 years). The lesion site was the foot in 10 patients, the hand in 8 patients, the face in 2 patients, and the scalp in 1 patient. The mean treatment duration was 13.5 days (SD=4.36, range: 6~15 days) for the primary closure or rotation flap, and 18.5 days (SD=2.12, range: 17~20 days) for the skin graft. 20 patients were cured without recurrence. No recurrence was observed in the patients who underwent primary closure or rotation flap. One of the two patients who underwent a skin graft of their wart that had covered their entire palm had local recurrence in part of her finger tips. Conclusion: We performed surgical procedure on recalcitrant wart. As a results, we can treat it with short treatment duration, low recurrence rate and less scarring and get high patient satisfaction.
Although intrathoracic liver in association with a congenital diaphragmatic hernia has been well documented, the finding of intrathoracic ectopic liver tissue in the presence of an intact diaphragm is an extremely rare congenital anomaly. We have experienced a case of intrathoracic ectopic liver without any diaphragmatic hernia. A 37-year-old woman was admitted for the treatment of an incidentally detected right lung mass, A chest computed tomography scan revealed a right lower lobe lung mass close to the diaphragm, and this was suspicious for bronchial carcinoid tumor. Upon surgery, 2 round solid masses $3.5{\times}3.5 cm$ and a $2.0{\times}2.0 cm$ in size were noted, with their bottoms attached to the diaphragm dome. The masses were completely resected. Histologically, they were confirmed to be intrathoracic ectopic livers. The patient had an uncomplicated postoperative course.
The purposes of this study were to 1) examine the dietary patterns of fatty acids and the fatty acid composition in serum, 2) determine selenium (Se) concentrations, and 3) investigate how serum fatty acid compositon affects serum levels of Se in Korean elementary school children. The subjects consisted of 168 school children(82 boys & 86 girls) belonging to 1st through 6th grades, and their dietary assessment was evaluated. The serum fatty acid composition was analyzed by GLC, and the ICP/MS method was employed to measure serum Se concentration. Total average intake of PUFA, MUFA and SFA were 10.5g, 12.7g, 11.2g respectively. Total average dietary P/M/S ratio was 1.10/1.18/1.0. The average intake of $\omega$3 fatty acids and $\omega$6 fatty acids were 1.33g, 9.19g, respectively. The $\omega$6/$\omega$3ratio was 14.2 which is higher than the recommended range. In serum fatty acid composition, PUFA, MUFA, SFA were 40.6%, 28.1% and 31.6% respectively. The average $\omega$3 fatty acid composition was 3.80%, and the mean value of $\omega$6 series was 36.8%. The M/S ratio of girls was significantly higher than boy's in fatty acids intake and in serum composition. Mean Se concentration of total subjects was 416.7ug/l and it was significantly higher in the lower grades(1st-3rd)than in the upper grades(4th~6th, p<0.05). Although the mean serum Se concentration was negatively correlated with PUFA composition in total boys and girls, it was not significant. Serum Se concentration was negatively correlated with P/S ratio and C24:1 concentration(p<0.05). In addition, serum composition of $\omega$6 PUFA and C24:1 showed negative correlations with serum Se in only lower grades girl(1st~3rd), and further studies are needed to clarify in these phenomena. In conclusion, the mean serum Se concentration was significantly lower in upper grades (4th~6th)than in lower grades(1st~3rd) of elementary school children and was negatively correlated with P/S ratio of serum fatty acids. More detailed studies on relationship between Se and fatty acids are required.
The Journal of Korean Institute of Communications and Information Sciences
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v.29
no.11A
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pp.1263-1270
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2004
A low-power 64-point FFT/IFFT processor core is designed, which is an essential block in OFDM-based wireless LAM modems. The radix-2/418 DIF (Decimation-ln-Frequency) FFT algorithm is implemented using R2SDF (Radix-2 Single-path Delay Feedback) structure. Some design techniques for low-power implementation are considered from algorithm level to circuit level. Based on the analysis on infernal data flow, some unnecessary switching activities have been eliminated to minimize power dissipation. In circuit level, constant multipliers and complex-number multiplier in data-path are designed using truncation structure to reduce gate counts and power dissipation. The 64-point FFT/IFFT core designed in Verilog-HDL has about 28,100 gates, and timing simulation results using gate-level netlist with extracted SDF data show that it can safely operate up to 50-MHz@2.5-V, resulting that a 64-point FFT/IFFT can be computed every 1.3-${\mu}\textrm{s}$. The functionality of the core was fully verified by FPGA implementation using various test vectors. The average SQNR of over 50-dB is achieved, and the average power consumption is about 69.3-mW with 50-MHz@2.5-V.
Snoop protocol is one of the efficient schemes to compensate TCP packet loss and enhance TCP throughput in wired-cum-wireless networks. However, Snoop protocol has a problem: it cannot perform local retransmission efficiently under the bursty-error prone wireless link. To solve this problem, SACK-Aware-Snoop and SNACK mechanism have been proposed. These approaches improve the performance by using SACK option field between base station and mobile host. However in the wireless channel with high packet loss rate, SACK-Aware-Snoop and SNACK mechanism do not work well because of two reason: (a) end-to-end performance is degraded because duplicate ACKs themself can be lost in the presence of bursty error, (b) energy of mobile device and bandwidth utilization in the wireless link are wasted unnecessarily because of SACK option field in the wireless link. In this paper, we propose a new local retransmission scheme based on Cross-layer approach, called Cross-layer Snoop(C-Snoop) protocol, to solve the limitation of previous localized link layer schemes. C-Snoop protocol includes caching lost TCP data and performing local retransmission based on a few policies dealing with MAC-layer's timeout and local retransmission timeout. From the simulation result, we could see more improved TCP throughput and energy efficiency than previous mechanisms.
The Journal of The Korea Institute of Intelligent Transport Systems
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v.8
no.4
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pp.53-64
/
2009
Inter-vehicular communication that propagates information without infrastructures has drawn a lot of interest. However, it is difficult to apply conventional ad-hoc routing protocols directly in inter-vehicular communication due to frequent changes in the network topology caused by high mobility of the vehicles. MMFP(Multi-hop MAC Forwarding) is a unicast forwarding protocol that transport packets based on the reachability information instead of path selection or position information. However, delivering public safety messages informing road conditions such as collision, obstacles and fog through inter-vehicular communication requires broadcast rather than unicast since these messages contain information valuable to most drivers within a close proximity. Flooding is one of the simplest methods for multi-hop broadcast, but it suffers from reduced packet delivery-ratio and high transmission delay due to an excessive number of duplicated packets. This paper presents two multi-hop broadcast protocols for inter-vehicular communication that extend the MMFP. UMHB(Unreliable Multi-Hop Broadcast) mitigates the duplicated packets of MMFP by limiting the number of nodes to rebroadcast packets. UMHB, however, still suffers from low delivery ratio. RMHB(Reliable Multi-Hop Broadcast) uses acknowledgement and retransmission in order to improve the reliability of UMHB at the cost of increase in transmission delay, which we show through simulation is within an acceptable range for collision avoidance application.
Through the examination of hospitalized patient's records, this study purports to determine. the extent to which nursing record behaviors meet general expectations held for nursing records and the differences in nursing record behavior in relation to different nursing categories, period of recording and hospitals with different management patterns. Nursing record behaviors of 802 patient's records in four hospitals in Seoul were examined. by use of a check list, which was prepared by the author as an instrument for the study. Data obtained from this examination were processed into percentage values for percentage. test and chi-square test in order to determine their significance. Results are as follows; 1. Records pertaining to treatment ranked highest among all care categories in their extent of coverage, averaging 65.6 percent. 2. Of the treatment category records, records of medication led others at 94.3 percent. followed by records of test and collection of specimens at 59.9 percent. diet at 58.8 percent and treatment at 41.0 percent. 3. Records in the category of physical assessment and care averaged 44.1 percent, the second highest next to treatment category records, 4. Of the records in the category of physical assessment and care, records in vital signs. placed first at 98.9 percent, followed by sleep at 76.2 percent, body weight at 74.7 percent, symptoms and signs at 69.3 percent, rest at 44.5 percent, hygiene at 39.7 percent, activities and participation at 16.9 percent, positions at 10.3 percent, level of consciousness at 9.8 percent and physiological dysfunction at 1.1 percent in that order. 5. Records in the category of psychological assessment and care averaged 3.2 percent, the lowest of the -three major categories. 6. Of the records in the category of psychological assessment and care, records on emotional responses ranked top at 10.5 percent, followed by self-concern at 2.1 percent, adjustment at 2.0 percent, family, occupational and social relations at 0.7 percent and preferences. and interest at 0.5 percent in that order. 7. Records in relation to the category of specific conditions were found in 9.1 percent of the total records. 8. Of the records in the category of specific conditions, consultation and transfer records, stood first at 25.0 percent, followed by precautionary measurements at 1.4 percent and isolation at 0.9 percent 9. A great difference in nursing record behavior was observed between the first week of hospitalization and the last week, with the first week's recordings much higher than the last week in the categories of treatment and specific conditions (p<0.01). and of physical assessment and care (p <0.05). 10. A big difference was also observed among the hospitals (p<0.01). 11. A big difference was also observed between the government-run hospitals and the private hospitals in the categories of physical assessment and care and specific conditions in the first week of hospitalization (P<0.05l), and in the category of psychological assessment and care in the last week (P<0.05). 12. Between the hospitals established with foreign aid and the other hospitals, the difference in nursing record behavior was significant only in the category of physical assessment and care both in the first week and the last week (P<0.01). 13. The average nursing record behavior in all care categories stood at 45.1 percent in the extent of its coverage in relation to the general expectations.
Journal of the Korea Institute of Information and Communication Engineering
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v.14
no.6
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pp.1493-1504
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2010
The localization service which provides the location information of mobile user, is one of important service provided by sensor network. Many methods to obtain the location information of mobile user have been proposed. However, these methods were developed for only one mobile user so that it is hard to extend for multiple mobile users. If multiple mobile users start the localization process concurrently, there could be interference of beacon or ultrasound that each mobile user transmits. In the paper, we propose LME, the localization technique for multiple mobile nodes in mobile wireless sensor networks. In LME, collision of localization between sensor nodes is prevented by forcing the mobile node to get the permission of localization from anchor nodes. For this, we use CTS packet type for localization initiation by mobile node and RTS packet type for localization grant by anchor node. NTS packet type is uevento reject localization by anchor node for interference avoidance.nghe experimental result shows that the number of interference between nodes are increased in proportion to the number of mobile nodes and LME provides efficient localization.
Kang Do-kyun;Park Jae-min;Han Il-Yong;Jun Hee-jae;Yoon Young-chul;Hwang Yun-ho;Cho Kwang-hyun;Lee Yang-haeng
Journal of Chest Surgery
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v.38
no.11
s.256
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pp.799-802
/
2005
Langerhans cell histiocytosis (LCH) involves disorders previously referred as 'histiocytosis X' (including eosinophilic granuloma, Letterer-Siwe, and Hand-Schuller syndrome). Its clinical patterns are various and it is a basically benign tumoral condition but with a strong tendency toward dissemination and destruction. Its natural history is unpredictable. But, in solitary bone lesion, wide resection with tumor-free margin is required in order to provide the best chance for a cure. In the majority of patients LCH is a osteolytic lesion with a predilection for calvarium and is rarely seen in the skull base and the femur. LCM of rib, especially if solitary, is relatively rare. We report two rare cases of solitary LCH developed in the rib, which were successfully treated by surgical resection.
Journal of agricultural medicine and community health
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v.18
no.2
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pp.105-119
/
1993
The purpose of this study was to evaluate the program for the control of acute respiratory infections(ARI) in children in a Korean rural area(Yonchon county). Evaluating the program, we focused on the pattern of prescription and appropriateness of antibiotics prescribed by the health personnel who had participated in the ARI Control Program. It was implemented at the primary health care setting in rural area, such as district hospital, health subcenters, and health posts. During six-months programme monitoring period, medical records were reviewed and collected data were analysed by the pediatrician, research coordinator of this study. The baseline data were collected from medical records of the same period(six months) of one year before the implementation of the ARI programme. The study results were as follow : 1. Common cold was the most prevalent disease(78.7%. 594 cases) among the all ARI cases (755 cases). The less frequent cases were bronchitis(11.9%), acute pharyngitis(5.2%), and pneumonia(1.8%). 2. Significant reduction in the use of antibiotics was observed after the programme implementation. Ninety three(15.7%) of 594 common cold cases were received antibiotics compared with 282(35.2%) of 802 in the baseline period. In the cases of bronchitis and acute pharyngitis, the reduction rates were 15.1% and 23.2% respectively compared to the baseline period. 3. Mean duration of antibiotics prescription was 1.81-1.75 days, similar to the baseline data. 4. The appropriateness rate of antibiotics prescriptions were 84.3%(common cold), 35.6% (bronchitis) and 28.2%(acute pharyngitis). In the case of pneumonia, the antibiotics prescription was compatible to the criteria developed. 5. Pediatrician prescribed antibiotics more appropriately for all cases than general practitioners in health sub-center, and nurse practitioners in health posts. 6. Antibiotics therapy was shown to be of no effect in the treatment of the all ARI cases. At the 5 and 10 days check-up of common cold cases after visits, proportion of improved patients were 58.3% in the antibiotics-used group and 51.4% in the control group. In the other cases of ARI, the patterns of response were similar to common cold. None of the differences in outcome between the antibiotics-used and control group was statistically significant. This ARI programme may have substantial a substantial impact on antibiotics use at the public health institutions(district hospital, health subcenters, health posts) which are of major domain for primary health care in Korean rural areas.
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