• 제목/요약/키워드: Dilation

검색결과 588건 처리시간 0.026초

Retrograde balloon dilation as a therapeutic option for post-gynecologic surgery ureteral stricture followed by ureteroureterostomy: a comparative study regarding stricture length

  • Lim, Geon Woo;Yu, Young Dong;Choi, Kyung Hwa;Rhee, Seung Ryeol;Park, Dong Soo;Hong, Young Kwon
    • Journal of Yeungnam Medical Science
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    • 제35권2호
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    • pp.179-186
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    • 2018
  • Background: To evaluate the success rate of balloon dilation and the factors possibly influencing the outcomes of balloon dilation for the ureteric strictured portion of ureteroureterostomy (UUS) site in patients with post-gynecologic surgeries. Methods: A single institution data base was screened for the patients who received balloon dilation for a treatment of ureteral stricture diagnosed after gynecologic surgery. Overall 114 patients underwent primary intra-operative UUS due to ureteral injury during gynecologic surgery. Among them, 102 patients received balloon dilation, and their medical records were retrospectively reviewed. Success of balloon dilation was defined as the condition that requires no further clinical interventions after 6 months from balloon dilation. Results: The ureter injury rate of women treated with open radical abdominal hysterectomy was highest (32 cases, 31.4%). 60 patients (60.8%) showed successful outcomes regarding dilation. All patients underwent technically successful dilation with a full expansion of balloon during the procedure, but 40 patients (39.2%) were clinically unsuccessful as they showed a recurrence of ureteral stricture on the previous balloon dilation site after the first dilation procedure. Univariate logistic regression analyses showed that stricture length >2 cm was a significant predictor of successful dilation (odds ratio, 0.751; 95% confidence interval, 0.634-0.901; p-value, 0.030), but it failed to achieve independent predictor status in multivariate analysis. Conclusion: Balloon dilation can an effective alternative treatment option for strictured portion of the primary UUS in post-gynecologic surgery patients when its length is <2 cm.

Collapse analysis of shallow tunnel subjected to seepage in layered soils considering joined effects of settlement and dilation

  • Yang, X.L.;Zhang, R.
    • Geomechanics and Engineering
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    • 제13권2호
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    • pp.217-235
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    • 2017
  • The stability prediction of shallow buried tunnels is one of the most difficult tasks in civil engineering. The aim of this work is to predict the state of collapse in shallow tunnel in layered soils by employing non-associated flow rule and nonlinear failure criterion within the framework of upper bound theorem. Particular emphasis is first given to consider the effects of dilation on the collapse mechanism of shallow tunnel. Furthermore, the seepage forces and surface settlement are considered to analyze the influence of different dilation coefficients on the collapse shape. Two different curve functions which describe two different soil layers are obtained by virtual work equations under the variational principle. The distinct characteristics of falling blocks up and down the water level are discussed in the present work. According to the numerical results, the potential collapse range decreases with the increase of the dilation coefficient. In layered soils, both of the single layer's dilation coefficient and two layers' dilation coefficients increase, the range of the potential collapse block reduces.

최소-Dilation 신장 트리 찾기의 NP-hard 증명 (Computing a Minimum-Dilation Spanning Tree is NP-hard)

  • 정지원;;이미라
    • 한국정보과학회:학술대회논문집
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    • 한국정보과학회 2006년도 가을 학술발표논문집 Vol.33 No.2 (A)
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    • pp.494-499
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    • 2006
  • Given a set S of n points in the plane, a minimum-dilation spanning tree of S is a tree with vertex set S of smallest possible dilation. We show that given a set S of n points and a dilation $\delta$ > 1, it is NP-hard to determine whether a spanning tree of S with dilation at most $\delta$ exists.

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Risk factors for recurrent stenosis after balloon dilation for benign hepaticojejunostomy anastomotic stricture

  • Takafumi Mie;Takashi Sasaki;Takeshi Okamoto;Tsuyoshi Takeda;Chinatsu Mori;Yuto Yamada;Takaaki Furukawa;Akiyoshi Kasuga;Masato Matsuyama;Masato Ozaka;Naoki Sasahira
    • Clinical Endoscopy
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    • 제57권2호
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    • pp.253-262
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    • 2024
  • Background/Aims: Hepaticojejunostomy anastomotic stricture (HJAS) is a feared adverse event associated with hepatopancreatobiliary surgery. Although balloon dilation for benign HJAS during endoscopic retrograde cholangiopancreatography with balloon-assisted enteroscopy has been reported to be useful, the treatment strategy remains controversial. Therefore, we evaluated the outcomes and risk factors of recurrent stenosis after balloon dilation alone for benign HJAS. Methods: We retrospectively analyzed consecutive patients who underwent balloon-assisted enteroscopy-endoscopic retrograde cholangiopancreatography for benign HJAS at our institution between July 2014 and December 2020. Results: Forty-six patients were included, 16 of whom had recurrent HJAS after balloon dilation. The patency rates at 1 and 2 years after balloon dilation were 76.8% and 64.2%, respectively. Presence of a residual balloon notch during balloon dilation was an independent predictor of recurrence (hazard ratio, 2.80; 95% confidence interval, 1.01-7.78; p=0.048), whereas HJAS within postoperative 1 year tended to be associated with recurrence (hazard ratio, 2.43; 95% confidence interval, 0.85-6.89; p=0.096). The patency rates in patients without a residual balloon notch were 82.1% and 73.1% after 1 and 2 years, respectively. Conclusions: Balloon dilation alone may be a viable option for patients with benign HJAS without residual balloon notches on fluoroscopy.

비혈관성 관강 장기의 양성 협착 질환의 방사성동위원소 치료 (Radioisotope Treatment for Benign Strictures of Non-vascular Luminal Organs)

  • 신지훈
    • Nuclear Medicine and Molecular Imaging
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    • 제40권2호
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    • pp.106-112
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    • 2006
  • Tissue hyperplasia is one of the most frequently encountered complications when self-expanding metallic stents are placed in benign non-vascular luminal organ strictures, thus causing restenosis of the lumen. The investigators postulated that ionizing irradiation could be applied to prevent restenosis caused by tissue hyperplasia in non-vascular luminal organs as it reduced coronary or peripheral arterial narrowing successfully. The authors combined $\beta$-irradiation using $^{188}Re-MAG_3$ solution with balloon dilation for animal and clinical studies because this new treatment approach had the advantages such as low penetration depth of $\beta$-ray, self-centering irradiation, and mechanical effect of balloon dilation over using $\gamma$-irradiation with afterloading devices in this article, the concept and mechanism of radioisotope balloon dilation, and animal and clinical studies using radioisotope balloon dilation are reviewed.

무기억 균일 신호원에 대한 수리 형태론적인 불림과 등가 시스템의 통계적 비교 (Statistical comparison of morphological dilation with its equivalent linear shift-invariant system:case of memoryless uniform soruces)

  • 김주명;최상신;최태영
    • 전자공학회논문지S
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    • 제34S권2호
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    • pp.79-93
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    • 1997
  • This paper presents a linear shift-invariant system euqivalent to morphological dilation for a memoryless uniform source in the sense of the power spectral density function, and comares it with dialtion. This equivalent LSI system is found through spectral decomposition and, for dilation and with windwo size L, it is shown to be a finite impulse response filter composed of L-1 delays, L multipliers and three adders. Th ecoefficients of the equivalent systems are tabulated. The comparisons of dilation and its equivalent LSI system show that probability density functions of the output sequences of the two systems are quite different. In particular, the probability density functon from dilation of an independent and identically distributed uniform source over the unit interval (0, 1) shows heavy probability in around 1, while that from the equivalent LSI system shows probability concentration around themean vlaue and symmetricity about it. This difference is due to the fact that dilation is a non-linear process while the equivalent system is linear and shift-ivariant. In the case that dikation is fabored over LSI filters in subjective perforance tests, one of the factors can be traced to this difference in the probability distribution.

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성문하 협착 소아 환자에 대한 내시경적 기도 확장 시술 후 치료 실패 위험 요인 분석 (Risk Factor Analysis of Endoscopic Dilation Procedure for the Management of Subglottic Stenosis in Pediatric Patients)

  • 박민혜;최나연;송복현;정한신;손영익;정만기
    • 대한후두음성언어의학회지
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    • 제31권1호
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    • pp.19-26
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    • 2020
  • Background and Objective Endoscopic airway dilation is the primary treatment for pediatric subglottic stenosis (SGS) due to its feasibility and non-invasiveness. The aim of this study is to evaluate the risk factors for the failure of endoscopic airway dilation in pediatric patients with SGS. Materials and Methods This study reviewed medical records of 38 pediatric patients had endoscopic dilation from a single and tertiary referral center, retrospectively. The success of the endoscopic dilation procedure was defined as no dyspneic symptom without tracheostomy or laryngotracheal reconstruction. Demographic profiles, underlying disease, and Myer-Cotton SGS severity grade were recorded. Success rates and risk factors for the failure of treatment were analyzed. Results The SGS patients with severity grade I was most common. After mean 1.8 numbers of procedures, there were 23 patients (60.5%) in the success group and 15 patients (39.5%) in the failure group. Age, sex, underlying diseases, and SGS severity grade were not significantly different between two groups. In patients who had multiple endoscopic procedures, the failure group showed SGS deteriorated after procedures in 66.7%, compared to 11.1% of the success group. In multivariable analysis, a long-term intubation (≥1 month) was identified as an independent risk factor for failure of endoscopic dilation procedure. Conclusion Although endoscopic dilation procedure is safe and effective for the management, repetitive endoscopic dilation may not give clinical benefit in patient with long-term intubation. Other airway procedures must be considered in those group of patients.

허혈성 승모판막 폐쇄부전의 생체역학적 특성 분석: 비대칭적 유두근 변위와 판륜 확장의 영향 (Evaluation of the Biomechanical Characteristics of Ischemic Mitral Regurgitation: Effects of Asymmetric Papillary Muscle Displacement and Annular Dilation)

  • 홍우재;김형건
    • 한국가시화정보학회지
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    • 제16권2호
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    • pp.31-37
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    • 2018
  • Ischemic mitral regurgitation (IMR) is the primary mitral valve (MV) pathology in the aftermath of myocardial infarction as a consequence of regional left ventricular (LV) remodeling. We investigated the effect of asymmetric papillary muscle (PM) displacement and annular dilation on IMR development. Virtual MV modeling was performed to create a normal human MV. Asymmetric PM displacement, asymmetric annular dilation, and the combination of these two pathologic characteristics were modeled. Dynamic finite element evaluation of MV function was performed across the complete cardiac cycle for the normal and three different IMR MV models. While the normal MV demonstrated complete leaflet coaptation, each pathologic MV model clearly revealed deteriorated leaflet coaptation and abnormal stress distributions. The pathologic MV model having both asymmetric PM displacement and annular dilation showed the worst leaflet malcoaptation. Simulation-based biomechanical evaluation of post-ischemic LV remodeling provides an excellent tool to better understand the pathophysiologic mechanism of IMR development.

Fast Algorithms for Binary Dilation and Erosion Using Run-Length Encoding

  • Kim, Wook-Joong;Kim, Seong-Dae;Kim, Kyu-Heon
    • ETRI Journal
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    • 제27권6호
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    • pp.814-817
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    • 2005
  • Fast binary dilation and erosion algorithms using run-length encoding (RLE) are proposed. RLE is an alternative way of representing a binary image using a run, which is a sequence of '1' pixels. First, we derive the run-based representation of dilation and erosion and then present the full steps of the proposed algorithms in detail.

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Two-Dimensional Probability Functions of Morphological Dilation and Erosion of a Memoryless Source

  • Sangsin Na;Park, Tae-Young
    • Journal of Electrical Engineering and information Science
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    • 제1권1호
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    • pp.151-155
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    • 1996
  • This paper derives the two-dimensional probability distribution and density functions of morphological dilation and erosion of a one-dimensional memoryless source and reports numerical results for a uniform source, thus providing methodology for joint distributions for other morphological operations. The joint density functions expressed in closed forms contain the Dirac delta functions due to the joint discontinuity within the dilation and erosion. They also exhibit symmetry between these two morphological density functions of dilated and/or eroded sources, in the computation of other higher moments thereof, and in multidimensional quantization.

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