• Title/Summary/Keyword: Digital option

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Fusiform Aneurysm on the Basilar Artery Trunk Treated with Intra-Aneurysmal Embolization with Parent Vessel Occlusion after Complete Preoperative Occlusion Test

  • Jung, Young-Jin;Kim, Min-Soo;Choi, Byung-Yon;Chang, Chul-Hoon
    • Journal of Korean Neurosurgical Society
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    • v.53 no.4
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    • pp.235-240
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    • 2013
  • Fusiform aneurysms on the basilar artery (BA) trunk are rare. The microsurgical management of these aneurysms is difficult because of their deep location, dense collection of vital cranial nerves, and perforating arteries to the brain stem. Endovascular treatment is relatively easier and safer compared with microsurgical treatment. Selective occlusion of the aneurysmal sac with preservation of the parent artery is the endovascular treatment of choice. But, some cases, particularly giant or fusiform aneurysms, are unsuitable for selective sac occlusion. Therefore, endovascular coiling of the aneurysm with parent vessel occlusion is an alternative treatment option. In this situation, it is important to determine whether a patient can tolerate parent vessel occlusion without developing neurological deficits. We report a rare case of fusiform aneurysms in the BA trunk. An 18-year-old female suffered a headache for 2 weeks. Computed tomography and magnetic resonance image revealed a fusiform aneurysm of the lower basilar artery trunk. Digital subtraction angiography revealed a $7.1{\times}11.0$ mm-sized fusiform aneurysm located between vertebrovasilar junction and the anterior inferior cerebellar arteries. We had good clinical result using endovascular coiling of unruptured fusiform aneurysm on the lower BA trunk with parent vessel occlusion after confirming the tolerance of the patient by balloon test occlusion with induced hypotension and accompanied by neurophysiologic monitoring, transcranial Doppler and single photon emission computed tomography. In this study, we discuss the importance of preoperative meticulous studies for avoidance of delayed neurological deficit in the patient with fusiform aneurysm on lower basilar trunk.

VMProtect Operation Principle Analysis and Automatic Deobfuscation Implementation (VMProtect 동작원리 분석 및 자동 역난독화 구현)

  • Bang, Cheol-ho;Suk, Jae Hyuk;Lee, Sang-jin
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.30 no.4
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    • pp.605-616
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    • 2020
  • Obfuscation technology delays the analysis of a program by modifying internal logic such as data structure and control flow while maintaining the program's functionality. However, the application of such obfuscation technology to malicious code frequently occurs to reduce the detection rate of malware in antivirus software. The obfuscation technology applied to protect software intellectual property is applied to the malicious code in reverse, which not only lowers the detection rate of the malicious code but also makes it difficult to analyze and thus makes it difficult to identify the functionality of the malicious code. The study of reverse obfuscation techniques that can be closely restored should also continue. This paper analyzes the characteristics of obfuscated code with the option of Pack the Output File and Import Protection among detailed obfuscation technologies provided by VMProtect 3.4.0, a popular tool among commercial obfuscation tools. We present a de-obfuscation algorithm.

Design and implementation of TELNET protocol supporting security functionalities (보안 기능을 지원하는 TELNET 프로토콜의 설계 및 구현)

  • Seong, Jeong-Ki;Seo, Hye-In;Kim, Eun-Gi
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.4
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    • pp.769-776
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    • 2016
  • TELNET is vulnerable to network attack because it was designed without considering security. SSL/TLS and SSH are used to solve this problem. However it needs additional secure protocol and has no backward compatibility with existing TELNET in this way. In this paper, we have suggested STELNET(Secured Telnet) which supports security functionalities internally so that has a backward compatibility. STELNET supports a backward compatibility with existing TELNET through option negotiation. On STELNET, A client authenticates server by a certificate or digital signature generated by using ECDSA. After server is authenticated, two hosts generate a session key by ECDH algorithm. And then by using the key, they encrypt data with AES and generate HMAC by using SHA-256. After then they transmit encrypted data and generated HMAC. In conclusion, STELNET which has a backward compatibility with existing TELNET defends MITM(Man-In-The-Middle) attack and supports security functionalities ensuring confidentiality and integrity of transmitted data.

Total joint reconstruction using computer-assisted surgery with stock prostheses for a patient with bilateral TMJ ankylosis

  • Rhee, Seung-Hyun;Baek, Seung-Hak;Park, Sang-Hun;Kim, Jong-Cheol;Jeong, Chun-Gi;Choi, Jin-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.41.1-41.6
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    • 2019
  • Backgrounds: The purpose of this study is to discuss the total joint reconstruction surgery for a patient with recurrent ankylosis in bilateral temporomandibular joints (TMJs) using three-dimensional (3D) virtual surgical planning, computer-aided manufacturing (CAD/CAM)-fabricated surgical guides, and stock TMJ prostheses. Case presentation: A 66-year-old female patient, who had a history of multiple TMJ surgeries, complained of severe difficulty in eating and trismus. The 3D virtual surgery was performed with a virtual surgery software (FACEGIDE, MegaGen implant, Daegu, South Korea). After confirmation of the location of the upper margin for resection of the root of the zygoma and the lower margin for resection of the ankylosed condyle, and the position of the fossa and condyle components of stock TMJ prosthesis (Biomet, Jacksonville, FL, USA), the surgical guides were fabricated with CAD/CAM technology. Under general anesthesia, osteotomy and placement of the stock TMJ prosthesis (Biomet) were carried out according to the surgical planning. At 2 months after the operation, the patient was able to open her mouth up to 30 mm without complication. Conclusion: For a patient who has recurrent ankylosis in bilateral TMJs, total joint reconstruction surgery using 3D virtual surgical planning, CAD/CAM-fabricated surgical guides, and stock TMJ prostheses may be an effective surgical treatment option.

IMPACT OF IMMEDIATE AND NON-IMMEDIATE PROVISIONALIZATION ON THE SOFT TISSUE ESTHETICS OF FINAL RESTORATIONS ON IMMEDIATELY PLACED IMPLANTS

  • Han, Chong-Hyun;Paik, Jeong-Won;Lee, Keun-Woo;Han, Dong-Hoo;Chung, Moon-Kyu;Kim, Sun-Jai
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.3
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    • pp.238-245
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    • 2008
  • STATEMENT OF PROBLEM: Interpoximal papilla could be re-established without immeidate support with a provisional resotration following an immdiate implant placement. PURPOSE: Successful esthetic outcomes were reported utilizing immediate provisionalization following immediate implant placements. The aim of this study was to evaluate the soft tissue esthetics around immediately placed single tooth implant restorations with or without immediate provisional restorations. METHODS: A total of ten patients, who had a hopeless maxillary anterior tooth, were enrolled in this study. Screw retained provisional restorations were delivered to the randomly chosen 5 patients (immediate provisionalization group) on the day of immediate implant placement and maintained for about 5 months. For the remaining five patients (non-immediate provisionalization group), healing abutments were delivered on the day of surgery, replaced with screw retained provisional restorations approximately 3 months afterwards, and the provisional restorations were maintained for about 3 months. Digital photographs were taken at the delivery of final restorations in order to assess following variables; mesial papilla, distal papilla, soft tissue level, soft tissue contour and facial soft tissue prominence. The variables were compared to those of the contralateral natural tooth and scored by prosthodontists, periodontists, orthodontists and dental students. RESULTS: The immediate provisionalization group marked significantly higher scores on the following variables; soft tissue level and facial soft tissue prominence. In evaluating each variable, there were no notable differences in opinion between four dentist groups. CONCLUSION: Immediate provisionalization can be a treatment option to achieve superior soft tissue esthetics around immediately placed single implant restorations rather than non-immediate provisionalization approaches.

Design of Smart Service based on Reverse-proxy for the Internet of Things (리버스 프록시 기반 IoT 서비스 도메인 설계)

  • Park, Jiye;Kang, Namhi
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.14 no.6
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    • pp.1-6
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    • 2014
  • The IoT (Internet of Things) is considered as a core technology to realize interconnected world. At this, companies composing ICT industry and standard organizations make efforts to accelerate it. IETF CoRE(Constrained RESTful Environment) working group standardized CoAP (Constrained Application Protocol) for the constrained device. CoAP has RESTful architecture and CoAP option is provided to use forward-proxy. The forward-proxy is used to translate protocol and perform requests on behalf of the client. However, communication between Internet based client and LLN(Low-power and Lossy Network) based CoAP server architecture has limitations to deploy real IoT service. In this architecture, problems like response delay, URI assignment and DoS attack can be occurred. To solve these problems, we propose the reverse-proxy based system. We consider both of static IoT and mobility IoT environments. Finally, our proposed system is expected to provide efficient IoT service.

Fingertip Reconstruction Using Free Toe Tissue Transfer Without Venous Anastomosis

  • Yoon, Won Young;Lee, Byung Il
    • Archives of Plastic Surgery
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    • v.39 no.5
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    • pp.546-550
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    • 2012
  • Background This study was designed to introduce the feasibility of toe tissue transfer without venous outflow for fingertip reconstruction. Methods Five cases of fingertip defects were treated successfully with this method. Four cases were traumatic fingertip defects, and one case was a hook-nail deformity. The lateral pulp of a great toe or medioinferior portion of a second toe was used as the donor site. An arterial pedicle was dissected only within the digit and anastomosis was performed within 2 cm around the defect margin. The digital nerve was repaired simultaneously. No additional dissection of the dorsal or volar pulp vein was performed in either the donor or recipient sites. Other surgical procedures were performed following conventional techniques. Postoperative venous congestion was monitored with pulp temperature, color, and degree of tissue oxygen saturation. Venous congestion was decompressed with a needle-puncture method intermittently, but did not require continuous external bleeding for salvage. Results Venous congestion was observed in all the flaps, but improved within 3 or 4 days postoperatively. The flap size was from $1.5{\times}1.5cm^2$ to $2.0{\times}3.0cm^2$. The mean surgical time was 2 hours and 20 minutes. A needle puncture was carried out every 2 hours during the first postoperative day, and then every 4 hours thereafter. The amount of blood loss during each puncture procedure was less than 0.2 mL. In the long-term follow-up, no flap atrophy was observed. Conclusions When used properly, the free toe tissue transfer without venous anastomosis method can be a treatment option for small defects on the fingertip area.

Implant-supported overdentures with different bar designs: A retrospective evaluation after 5-19 years of clinical function

  • Rinke, Sven;Rasing, Hajo;Gersdorff, Nikolaus;Buergers, Ralf;Roediger, Matthias
    • The Journal of Advanced Prosthodontics
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    • v.7 no.4
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    • pp.338-342
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    • 2015
  • PURPOSE. This retrospective study evaluated the outcome of implant-retained overdentures (IODs) after 5-19 years of clinical function. MATERIALS AND METHODS. A retrospective analysis of patient files was performed referring to 27 patients who received 36 IODs with 3 different bar designs (group A=prefabricated round bars, n=7; group B=one-piece anterior milled bars, n=20; and group C=two bilaterally placed milled bars, n=9) in the mandible (n=24) and/or in the maxilla (n=12). The analysis focused on the survival and success rates (according to Kaplan-Meier) of the implants and prostheses. Technical complication rates for each type of restoration were analyzed and compared via one-way ANOVA and the Chi-squared test. The prevalence of peri-implantitis (radiographic bone loss ${\geq}3.5mm$) was evaluated by digital analysis of panoramic radiographs taken postoperative (baseline) and after 5-19 years of clinical function (follow-up). RESULTS. The mean observational time was 7.3 years. The survival rates of the prostheses and implants were 100% and 97.7%, respectively. Technical complications occurred more frequently in group A (mean: 3.5 during observational time) than in the other two groups (B: 0.8; C: 1.0). However, this difference was not statistically significant (P=0.58). Peri-implantitis was diagnosed for 12.4% of the implants in 37% of the patients. CONCLUSION. Bar-retained IODs are an adequate treatment option for edentulous jaws. These restorations may exhibit high implant/prosthesis survival rates (>97%), and a limited incidence of technical complications after a mean observational period of >7 years. Nevertheless, peri-implantitis was identified as a frequent and serious biological complication for this type of reconstruction.

Simulator of Underwater Navigation

  • Waz, Mariusz
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • v.1
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    • pp.333-335
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    • 2006
  • Position of surface objects can be fixed in many ways. The most popular radionavigational systems, including satellite systems, make possible obtaining nearly continuous and very precise ship's position. However, under the water application of radionavigational systems is impossible. Underwater navigation requires other tools and solutions then these encountered in surface and air navigation. In underwater environment vehicles and submarines, operate that have to possess alternative navigational systems. Underwater vehicles, in order to perform their tasks require accurate information about their own, current position. At present, they are equipped with inertial navigational systems (INS). Accuracy of INS is very high but in relatively short periods. Position error is directly proportional to time of working of the system. The basic feature of INS is its autonomy and passivity. This characteristic mainly decides that INS is broadly used on submarines and other underwater vehicles. However, due to previously mentioned shortcoming i.e. gradually increasing position error, periodical calibration of the system is necessary. The simplest calibration method is surface or nearly surface application of GPS system. Another solution, which does not require interruption of performed task and emergence on the surface, is application of comparative navigation technique. Information about surrounding environment of the ship, obtained e.g. by means sonic depth finder or board sonar, and comparing it with accessible pattern can be used in order to fix ship's position. The article presents a structure and a description of working of underwater vehicle navigation system simulator. The simulator works on the basis of comparative navigation methods which exploit in turn digital images of echograms and sonograms. The additional option of the simulator is ability to robust estimation of measurements. One can do it in order to increase accuracy of position fixed with comparative navigation methods application. The simulator can be a basis to build future underwater navigation system.

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585-nm Pulsed Dye Laser Treatment of Vocal Polyp (585-nm Pulsed Dye LASER를 이용한 성대 폴립의 치료)

  • Choi, Hong-Shik;Lee, Kun-Wayn;Kim, Min-Ho;Kwon, Soon-Ho;Jeon, Ju-Hyun;Kim, Kwang-Moon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.18 no.1
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    • pp.44-50
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    • 2007
  • Background and Objectives: The 585-nm pulsed dye laser (PDL) has recently been adopted by otolaryngologists because of its epithelial-sparing properties. Many authors have reported the use of PDL for treatment of various vocal cord lesions. This purpose of this study is to examine the effectiveness of 585-nm PDL in the treatment of vocal polyp. Materials and Methods: Eight patients with vocal polyp were treated with 585-nm PDL from Sep. 2006 to Nov. 2006 in Yong-dong Sevrance hospital. 5 of them went through local anesthesia and 3 of them went through general anesthesia. In order to control laser fiber, flexible digital transnasal laryngoscope was applied under local anesthesia and general anesthesia using LMA, and micromanipulator was used under general anesthesia using endotracheal tube. The evaluations of vocal function was done at pre-and postoperation. Results: All patients improved in the perceptual evaluation of voice after PDL surgery. The aerodynamic study revealed that 5 of 8 patients showed improvement in maximal phonation time, and 6 of 8 showed improvement in mean airflow rate during phonation. The acoustic analysis revealed that all patients showed improvement in Jitter and Shimmer, and 7 of 8 showed improvement in noise to harmony ratio. Conclusion: This study demonstrates promising results in the efficacy of 585-nm PDL for the treatment of vocal polyps, and it illustrates a new option for vocal polyp treatment as well as the advantage of PDL surgery.

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