• 제목/요약/키워드: Communicating

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Rupture of De Novo Anterior Communicating Artery Aneurysm 8 Days after the Clipping of Ruptured Middle Cerebral Artery Aneurysm

  • Ha, Sung-Kon;Lim, Dong-Jun;Kim, Sang-Dae;Kim, Se-Hoon
    • Journal of Korean Neurosurgical Society
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    • v.54 no.3
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    • pp.236-238
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    • 2013
  • Rapidly developed de novo aneurysm is very rare. We present a rapidly developed and ruptured de novo anterior communicating aneurysm 8 days after the rupture of another aneurysm. This de novo aneurysm was not apparent in the initial 3-dimensional computed tomography and digital subtraction angiography. We reviewed the literature and discussed possible mechanisms for the development of this de novo aneurysm.

Internal Carotid Artery Aneurysms Arising from the Medial Wall of the Communicating Segment of the Internal Carotid Artery - Case Report - (교통동맥분절의 내측벽에서 기원한 내경동맥류 치험 2례 - 증례보고 -)

  • Lee, Jong-Won;Suk, Jong-Sik;Kwon, Jung-Taek;Min, Byung-Kook
    • Journal of Korean Neurosurgical Society
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    • v.29 no.10
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    • pp.1352-1356
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    • 2000
  • Aneurysms of the medial wall of the internal carotid artery(ICA) constitute a rare group of ICA aneurysms arising at locations other than at arterial division. Because these aneurysms usually have thin walls and wide necks associated with arteriosclerosis, neck clipping should be taken into special consideration. The authors report two cases of the aneurysm presented with subarachnoid hemorrhage, in which neck clippings ware performed with impunity.

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Process Algebra for Multiple Shared Resources (다중 공유 자원을 위한 프로세스 대수)

  • Yoo, Hee-Jun;Lee, Ki-Huen;Choi, Jin-Young
    • Journal of KIISE:Computer Systems and Theory
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    • v.27 no.3
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    • pp.337-344
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    • 2000
  • In this paper, we define a Process Algebra ACSMR(Algebra of Communicating Shared Multiple Resources) for system specification and verification using multiple resources. ACSMR extends a concept of multiple resources in ACSR that is a branch of formal methods based on process algebra. We'll show that two specification and verification examples. One is the specification of system behavior in multiprocessor using EDF(Earliest-Deadline-First) which is a scheduling algorithm of a real-time system. The other is the specification of describing timing analysis and resources restriction in a super scalar processor using multiple ports registers.

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Communication Bronchopulmonary Malformation (교통성 폐격리증 -1례 보고-)

  • 김종호
    • Journal of Chest Surgery
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    • v.28 no.12
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    • pp.1183-1187
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    • 1995
  • We have experienced a case of communicating bronchopulmonary malformation. A 35-year-old female patient was admitted for coughing with sputum. About eight years ago, she had treated for bronchiectasis with medication. Chest computed tomography revealed esophagopulmonary communication with upper esophageal dilatation and bronchiectasis of the left lower lobe. A about 3 mm diameteded abnormal feeding vessel from descending thoracic aorta to the left lower lobe was detected at operation. Division and closure of the communication between the esophagus and left lower lobe was performed. Communicating bronchopulmonary malformation is the rare form of pulmonary sequestion and chest computed tomography is one of the useful diagnostic methods for pulmonary sequestion.

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A Study on the Fashion Communicating of The East and The West (동서양(東西洋)의 패션 커뮤니케이션에 관(關)한 연구(硏究))

  • Chun, Hei-Jung
    • Journal of Fashion Business
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    • v.1 no.3
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    • pp.82-94
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    • 1997
  • The purpose of this study is to focus on the fashion communicating of the East and the west. For this purpose, the study will analyze the Visions of the East in Western Dress has long expressed an intense multiculturalism. This study is realized that clothing has served to consolidate more then to segregate. While never losing the characteristics of its place of origin, clothing has shown itself a reading assimilated object portability and ephemerality promote investigation, at the very least. Eastern ideas of textile, design, construction, and utility has been realized again as a positive contribution to the culture of the West. The East offers a larger concept in alternative to the Western propensity for tailoring. In giving primacy to the textile, Eastern dress emphasizes the flat terrain of cloth, the looping and Wrapping of the garment, and the integrity of the untailored textile. There values, antithetical to postmedieval Western dress, have offered a paradigm of dressing and dressmaking to the West that has been sporadically Influential, and notably so in our time.

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Community Pharmacists' Perception of Barriers to Pharmacy Work (약국업무시 고충에 관한 개국약국 약사의 인식에 관한 연구)

  • Kim, Hyun-Ah
    • Korean Journal of Clinical Pharmacy
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    • v.19 no.1
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    • pp.37-42
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    • 2009
  • The purpose of this study was to evaluate barriers to pharmacists' routine work in community setting. A survey was given to 281 pharmacists who enrolled in 16-week clinical pharmacy educating program in continuous education center for advanced pharmacy at Seoul National University. Three main questions that pharmacists were asked to answer were: (1) difficulties on dispensing prescription, (2) difficulties on communicating with doctors, (3) most difficult disease on patients counseling. The response rates for the survey were more than 60 % for each three questions (62.63 %, 63.7 %, and 64.41 %, respectively). The top three barriers to dispensing prescription were lack of professional knowledge about medications, prescription error and its solving ability and patient counseling. The top three barriers to communicating with doctors were lacking of opportunity to discuss about patients' medication due to unavailability of doctors, doctors' attitude using authoritative manner, and a pharmacist's lack of knowledge. The top 4 most difficult diseases on patients counseling were cardiovascular disorders, dermatologic disorders, endocrinologic disorders, and psychiatric disorders.

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Analysis of the Utility of Emoticons as a Communication Tool (커뮤니케이션 수단으로써 이모티콘이 가지는 효용성 분석)

  • Park, Chanik
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.13 no.2
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    • pp.71-76
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    • 2017
  • In this study, we learned about the emergence of on-line communications originating from peoseuteol Computer Communications, the limitations of online communication, and the definition, traits and development of emoticons that serve as complementary roles, such as emotion and status. After analyzing various literacture and references, it was found that the emoticons functioned as a function of communicating the visual language of the digital era and communicating more sensitively to emotional factors. In a multimedia environment, emoticons are developed at a more advanced stage as the users' own icons due to a stronger tendency to pursue particularity and uniqueness. It is expected that eomotions added with multimedia functions will be more popular and vary in type. However, although the diversification of emotions as a commercial tool is already actively progressing, there appears a reverse effect in which an excessive use of emoticons is considered insincere in online communications. In such a background, research should be conducted that can support a systematic and effective development of emoticons through visual research rather than producing multimedia emoticons indiscreetly.

Status of the Use and Assessment of Order-Communicating System(OCS) in Emergency Care Center (응급의료센터에서의 처방전달시스템(OCS) 사용 실태 및 평가)

  • Lee, Sam-Beom;Chung, Jun-Young;Do, Byung-Soo
    • Journal of Yeungnam Medical Science
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    • v.14 no.1
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    • pp.85-93
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    • 1997
  • Hospital information system has been widely used and increased recently for a variety of many aspects. And Order-Communicating system(OCS), as like as hospital information system, has been used in many medical care facilities, which is simple and easily accessible, useful system. Also then the use of OCS in emergency care center in YUMC has been introduced since 1996. 10, above 70% of availability is noticed at present and increasing in the use rate, is considered that it is very simple and accurate, time-saving, widely applicable system. So authors say that, after the use of OCS in emergency care center, interhospital exchange of the patient's information and also accomplishment of EMSS can be possible.

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Influence of Clinical and Anatomic Features on Treatment Decisions for Anterior Communicating Artery Aneurysms

  • Choi, Jae-Hyung;Kang, Myung-Jin;Huh, Jae-Taeck
    • Journal of Korean Neurosurgical Society
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    • v.50 no.2
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    • pp.81-88
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    • 2011
  • Objective : The purpose of this study was to analyze the clinical and anatomic features involved in determining treatment modalities for anterior communicating artery (AcoA) aneurysms. Methods : The authors retrospectively evaluated 112 AcoA aneurysms with pretreatment clinical features including age, Hunt and Hess grade, medical or neurological comorbidity, and anatomical features including aneurysm size, neck size, dome-to-neck ratio, vessel incorporation, multiple lobulation, and morphologic scoring system. Post-treatment clinical results were classified according to the Glasgow Outcome Scale, and anatomic results in coiled patients were classified according to the modified Raymond scale. Using multivariate logistic regression, the probabilities for decision making between surgical clipping and coil embolization were calculated. Results : Sixty-seven patients (60%) were treated with surgical clipping and 45 patients (40%) with endovascular coil embolization. The clinical factor significantly associated with treatment decision was age (${\geq}$65 vs. <65 years) and anatomical factors including aneurysm size (small or large vs. medium), dome-to-neck ratio (<2 vs. ${\geq}$2), presence of vessel incorporation, multiple lobulation, and morphologic score (${\geq}$2 vs. <2). In multivariate analysis, older patients (age, 65 years) had significantly higher odds of being treated with coil embolization relative to clipping (adjusted OR=3.78; 95% CI, 1.39-10.3; p=0.0093) and higher morphological score patients (${\geq}$2) had a higher tendency toward surgical clipping than endovascular coil embolization (OR=0.23; 95% CI, 0.16-0.93; p=0.0039). Conclusion : The optimal decision for treating AcoA aneurysms cannot be determined by any single clinical or anatomic characteristics. All clinical and morphological features need to be considered, and a collaborative neurovascular team approach to AcoA aneurysms is essential.

Clipping of the Anterior Communicating Artery Aneurysm without Sylvian Fissure Dissection

  • Yun, Ji-Kwang;Kang, Sung-Don;Kim, Joon-Moon
    • Journal of Korean Neurosurgical Society
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    • v.42 no.5
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    • pp.388-391
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    • 2007
  • Objective : The focus of aneurysm surgery is eliminating unnecessary operative manipulations and preparing the surgeon for any crises that might arise. With this concept in mind, we have tried resection of the gyrus rectus without routine sylvian fissure dissection in selected patients with anterior communicating artery (ACom) aneurysms, and compared these results with those from the conventional transsylvian approach. Methods : This retrospective study included 231 surgically treated patients with ACom aneurysms from March, 1997 to May, 2005. The patients were divided into two groups : Group A (96 with sylvian fissure dissection, March, 1997-December, 2000) and Group B (135 without sylvian fissure dissection, January, 2001-May, 2005). Overall surgical outcomes were compared, and operative times have been prospectively recorded since January, 04 to evaluate how this maneuver affected the length of surgical procedures. Results : All aneurysms were satisfactorily clipped, and there was no evidence of increased number of procedure-related retraction injuries in group B. Overall outcome was good in 186 (80.5%); 76 (79.2%) in group A, and 110 (815%) in group B ($x^2$ test, p=0.79). In good clinical grade of group A, good outcome was observed in 60 patients (89.6%) and in group B, 97 patients (94.2%) (Fisher's exact test, p=0.38) (Fig. 2). Conclusion : In this study, eliminating the step of sylvian fissure dissection by gentle lateral basal-frontal retraction to the side of the sylvian fissure did not increase morbidity and mortality. However, we do not intend to modify the standard approach to the ACom aneurysm that is familiar to and has been mastered by many others. Rather, we report our experience on the basis of our anatomic understanding of the technique and its results.