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Self-expandable metallic stent-induced esophagorespiratory fistulas in patients with advanced esophageal cancer

  • Iatagan R. Josino;Bruno C. Martins;Andressa A. Machado;Gustavo R. de A. Lima;Martin A. C. Cordero;Amanda A. M. Pombo;Rubens A. A. Sallum;Ulysses Ribeiro Jr;Todd H. Baron;Fauze Maluf-Filho
    • Clinical Endoscopy
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    • v.56 no.6
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    • pp.761-768
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    • 2023
  • Background/Aims: Self-expandable metallic stents (SEMSs) are widely adopted for the palliation of dysphagia in patients with malignant esophageal strictures. An important adverse event is the development of SEMS-induced esophagorespiratory fistulas (SEMS-ERFs). This study aimed to assess the risk factors related to the development of SEMS-ERF after SEMS placement in patients with esophageal cancer. Methods: This retrospective study was performed at the Instituto do Cancer do Estado de São Paulo. All patients with malignant esophageal strictures who underwent esophageal SEMS placement between 2009 and 2019 were included in the study. Results: Of the 335 patients, 37 (11.0%) developed SEMS-ERF, with a median time of 129 days after SEMS placement. Stent flare of 28 mm (hazard ratio [HR], 2.05; 95% confidence interval [CI], 1.15-5.51; p=0.02) and post-stent chemotherapy (HR, 2.0; 95% CI, 1.01-4.00; p=0.05) were associated with an increased risk of developing SEMS-ERF, while lower-third tumors were a protective factor (HR, 0.5; 95% CI, 0.26-0.85; p=0.01). No difference was observed in overall survival. Conclusions: The incidence of SEMS-ERFs was 11%, with a median time of 129 days after SEMS placement. Post-stent chemotherapy and a 28 mm stent flare were associated with a higher risk of SEMS-ERF.

Performance Analysis of Massive MIMO Systems According to DoF (DoF에 따른 Massive MIMO 시스템의 성능 분석)

  • Kim, Yongok;Choi, Sooyong
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.40 no.11
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    • pp.2145-2147
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    • 2015
  • In this letter, we investigate the performance analysis of massive MIMO systems using MRT and ZF precodings according to the number of DoF. We analyze the ergodic received SINRs with MRT and ZF precodings as closed-forms over the number of DoF normalized by the number of antennas. In simulation results, we verify the analyzed results and observe that MRT precoding is better than ZF precoding in terms of the ergodic received SINR with a small number of DoF.

Distribution of five rare plants in Korea

  • Son, Sung-Won;Lee, Byung-Chun;Yang, Hyung-Ho;Seol, Ye-Joo
    • Korean Journal of Plant Taxonomy
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    • v.41 no.3
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    • pp.280-286
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    • 2011
  • The natural habitats and distribution of five rare plants were recently discovered in Korea. Salomonia oblongifolia DC., which grows in mountain wetlands, was found in Gijang-gun, Busan, Gokseong-gun, Jeollanam-do, and Shinan-gun, Jeollanam-do. Glaux maritima var. obtusifolia Fernald, which grows along the coast, was found in Yangyang-gun, Gangwon-do, Pohang-si, Gyeongsangbuk-do and Buk-gu, Ulsan. Tillaea aquatica L. and Limosella aquatica L., which was previously not known to be present in Korea, were discovered in Gijang-gun, Busan for the first time. Apocynum lancifolium Russanov, which has a narrow distribution range in Korea, was also found in Samcheok-si, Gangwon-do, Ansan-si, Gyeonggi-do, Siheung-si, Gyeonggi-do, Jung-gu, Incheon, Yeongdeok-gun, Gyeongsangbuk-do and Shinan-gun, Jeollanam-do.

A Study on the Origin and Structural Development of Do-po (도포 형태의 전래와 발전 양상에 관한 실증적 고찰)

  • 이은주
    • Journal of the Korean Society of Costume
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    • v.36
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    • pp.1-23
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    • 1998
  • The origin and structural development of Do-po have been studied with a consideration of the back piece of Do-po in this paper. This study found that Do-po was in this paper. This study found that Do-po was originally imported from China. This paper reports that an earlier record on Do-po is found in an epitaph(1564) than the record found in S njoSilnok(1607) which is conventionally known as the earliest record on Do-po. The structure of Do-po has been widely known as an“attachment of J n-sam”on slitted back piece of the outwear. However, this study shows that Do-po has been formed by inserting the gusset of the front piece into the back piece of the outwear Jik-nyung. This change can be considered as the economical and practical needs to save the cloth or by the aethetical need of simpler clothing. This study also classifies the shape of gussets largely into nine classes according to the temporal development in the shape of gussets.

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A DoF-Based Efficient Image Abstraction (피사계 심도를 고려한 효율적인 이미지 추상화)

  • Kim, Jong-Hyun
    • Journal of the Korea Computer Graphics Society
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    • v.24 no.5
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    • pp.1-10
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    • 2018
  • In this paper, we present a non-photorealistic rendering technique that automatically delivers a stylized abstraction of a photograph with DoF(Depth of field). Our approach is a new filtering method that efficiently classifies DoF regions using RGB channels and automatically adjusts the color abstraction and extracted line quality based on this classification. This DoF-based filtering is simple, fast, and easy to implement and significantly improves the abstraction performance in terms of feature enhancement and stylization.

Standardization Trend of 3DoF+ Video for Immersive Media (이머시브미디어를 3DoF+ 비디오 부호화 표준 동향)

  • Lee, G.S.;Jeong, J.Y.;Shin, H.C.;Seo, J.I.
    • Electronics and Telecommunications Trends
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    • v.34 no.6
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    • pp.156-163
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    • 2019
  • As a primitive immersive video technology, a three degrees of freedom (3DoF) $360^{\circ}$ video can currently render viewport images that are dependent on the rotational movements of the viewer. However, rendering a flat $360^{\circ}$ video, that is supporting head rotations only, may generate visual discomfort especially when objects close to the viewer are rendered. 3DoF+ enables head movements for a seated person adding horizontal, vertical, and depth translations. The 3DoF+ $360^{\circ}$ video is positioned between 3DoF and six degrees of freedom, which can realize the motion parallax with relatively simple virtual reality software in head-mounted displays. This article introduces the standardization trends for the 3DoF+ video in the MPEG-I visual group.

Paleoparasitological Surveys for Detection of Helminth Eggs in Archaeological Sites of Jeolla-do and Jeju-do

  • Kim, Myeong-Ju;Shin, Dong Hoon;Song, Mi-Jin;Song, Hye-Young;Seo, Min
    • Parasites, Hosts and Diseases
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    • v.51 no.4
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    • pp.489-492
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    • 2013
  • A paleoparasitological survey to detect helminth eggs was performed in archaeological sites of Jeolla-do and Jeju-do, the Republic of Korea. Total 593 soil samples were collected in 12 sites of Jeolla-do and 5 sites of Jeju-do from April to November 2011, and examined by the methods of Pike and coworkers. A total of 4 helminth eggs, 2 eggs each for Trichuris trichiura and Ascaris sp., were found in soil samples from 1 site, in Hyangyang-ri, Jangheung-eup, Jangheung-gun, Jeollanam-do. The egg-recovery layer was presumed to represent a 19th century farm, which fact suggested the use of human manures. This is the third archaeological discovery of parasite eggs in Jeolla-do. Additionally, no helminth eggs in archaeological sites of Jeju-do is an interesting problem to be solved in the further investigations.

Functional Safety and Model-Based Systems Engineering - focusing on ISO 26262/DO-178C (기능 안전과 모델기반 시스템엔지니어링 - ISO 26262/DO-178C 중심으로)

  • Park, Joongyong;Paek, Seung-Kil
    • Journal of the Korean Society of Systems Engineering
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    • v.13 no.1
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    • pp.57-65
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    • 2017
  • Recently, the ratio of electrical part and embedded software has grown in automotive industry. ISO 26262, 'Road Vehicles - Functional Safety', was published to guide development of automotive electrical and electronic part in 2011. This paper describes definition of functional safety and analyzes ISO 26262. The comparison of ISO 26262 and DO-178C is made, then difference between them is identified. DO-178C provides guidance for the production of software for airborne system and equipment. The core of DO-178C is a relatively minor update to the previous DO-178B, however, the big changes are captured in the supplemented documents such as DO-331, 'Model-Based Development and Verification Supplement to DO-178C and DO-278A'. Model-based design is important to develop automotive and aircraft meeting the guidelines of ISO 26262 and DO-178C. In this paper, the sample case of applying MBSE(Model-Based Systems Engineering) to AVCS(Active Vibration Control System) software development is discussed.

The outbreaks and surveillance of animal rabies in Gangwon-do

  • Shin Myung-Kyun;Shin Eun-Kyung;Chung Dong-Soo;Cheong Ki-Soo;Park Young-Nam;Choi Jee-Hee
    • Korean Journal of Veterinary Service
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    • v.27 no.4
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    • pp.335-343
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    • 2004
  • Although human rabies deaths are rare, the disease remains a public health problem in Korea. Here we report the outbreaks and surveillance of animal rabies in Gangwon-do. Animal rabies infections were identified in 119 animals from 1993 to 2003. The $78\%$ of all rabid animals were domestic species in Gangwon-do. Wild Korean raccoon dog (N. p. koreensis) continued to be the only reported rabid wildlife species. Outbreaks of rabies infections in Korean raccoon dogs are found in broad geographic regions across the northern Gangwon-do. The principal rabies hosts today are probably wild animals in Gangwon-do. The malaise, cerebral dysfunction, anxiety, confusion, agitation and abnormal behavior of the animals were the important symptoms of the disease. The Encephalitis, infiltration with lymphocytes and polymorphonuclear leukocytes and the inclusion bodies (Negri bodies) in neuronal cells were the specific histopathological signs. The results of indirect fluorescent antibody test (IFA) for animal rabies diagnosis were identical and the technique was useful to diagnose the disease. Preexposure vaccination is recommended for persons in high-risk groups, such as laboratory workers, veterinarians and certain animal handlers.