• Journal of Chest Surgery
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• v.37 no.7
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• pp.553-558
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• 2004

Avoiding cardiopulmonary bypass (CPB) in coronary artery bypass grafting (CAB G) has been known to reduce early mortality and morbidity. Diabetes Mellitus is a significant risk factor for adverse early and late outcomes after CABG. We compared the clinical results of off-pump CABG versus on-pump CABG in diabetes patients. Material and Method: 682 patients (424 off-pump CABG and 258 on-pump CABG) underwent isolated coronary artery bypass grafting between January 2001 and June 2003. Data were collected 242 patient who had diabetes. Among them, 154 patients underwent off-pump CABG and 90 patients underwent on-pump CABG. We analyzed the preoperative risk factors and postoperative results between 2 groups. Result: Two groups did not show statistical differences in age, sex, coronary and operative risk factors. Operative time was significantly shorter in off-pump CABG, however, number of grafts was fewer in off-pump CABG. Postoperative inotropic usage was lower in off-pump CABG. Postoperative CK-MB level was lower in off-pump CABG, and ICU stay and ventilation time was significantly shorter in off-pump CABG. However, there was no statistical difference between 2 groups in operative mortality, reoperation rate, perioperative myocardial infarction, wound infection, renal failure, neurological complications and hospital stay. Conclusion: Off-pump CABG group showed less myocardial damage and early recovery. We concluded that off-pump CABG is the more reasonable technique in diabetes patients although two techniques showed good results. The long-term follow up and prospective study may be warranted.

• Journal of the Institute of Electronics and Information Engineers
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• v.52 no.10
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• pp.21-29
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• 2015

For higher reliability against component failures in railroad trains with many electronic sensors and actuators, a distributed control system with which all electronic components are connected via a network is being considered. This paper compares and analyzes various topologies of Ethernet network for a railroad train in the aspects of (1) failure recovery, (2) the number of ports per device, (3) the number of cable connections between vehicles, and (4) performance. Especially, the unique characteristic of a train system that the number of vehicles changes is considered through analysis. Various combinations of in- and inter-vehicle topologies are considered. In addition, we introduce a hybrid of star and daisy-chain topology for inter-vehicle connection when the maximum number of inter-vehicle connections is limited to reduce possible failures of inter-vehicle connections. Simulation results show performance comparison between different topology combinations; the hybrid topology is shown to enhance delay performance even with a highly limited number of inter-vehicle connections.

• Archives of Plastic Surgery
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• v.39 no.6
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• pp.649-654
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• 2012

Background Deep burns of the elbow lead to soft tissue necrosis and infection, with exposure of deep structures. Adequate wound coverage of this area requires thin, pliable, and durable tissue, while optimal functional recovery requires early coverage and functional rehabilitation. We have found 3 types of island flaps that provide reliable coverage for the elbow. Methods A retrospective study was performed on all patients who underwent flap coverage of an elbow defect at our hospital. The patients' data including age, sex, cause of injury, wound dimensions, timing of flap coverage, postoperative elbow motion, and complications were investigated. Results Between 2001 and 2012, 16 patients were treated at our hospital. The mean age was 53.3 years. Three kinds of flaps were performed: 9 latissimus dorsi flaps, 4 lateral arm flaps, and 4 radial forearm flaps. The average defect size was 183.5 $cm^2$ (range, 28 to 670 cm2). Wound coverage was performed at mean duration of 45.9 days (range, 14 to 91 days). The mean postoperative active elbow flexion was $98^{\circ}$ (range, $85^{\circ}$ to $115^{\circ}$). Partial flap failure occurred in 1 latissimus dorsi flap. Minor complications included partial flap loss (11.8%), hematoma (23.5%), seroma (35.3%), and wound infection (5.9%). Conclusions Flap selection for elbow reconstruction is determined by the defect size and the extent of the adjacent tissue injury. Elbow reconstruction using an island flap is a single-staged, reliable, and relatively simple procedure that permits initiation of early rehabilitation, thereby improving a patient's functional outcome.

• The Transactions of the Korea Information Processing Society
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• v.6 no.8
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• pp.2233-2244
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• 1999

It is essential to guarantee high reliability of embedded real-time systems since the failure of such systems may result in large financial damage or threaten human life. Though many researches have devoted to fault tolerant mechanisms, most of them are object-level fault tolerant mechanisms that can detect errors occurred in a single object and treat the errors in object-level. As embedded real-time systems become more complex and larger, there exist faults that cannot be detected by or tolerated with object-level fault tolerance. Hence, system-level fault tolerance is needed. System-level fault tolerance examines the status of a system whether the system is normal or not by analyzing the status of objects. When an error is detected it should be capable of locating the fault and performing an appropriate recovery and reconfiguration action. In this paper, we propose RobustRTO(Robust Real-Time Object) that provides object-level fault tolerance capability and RMO(Region Monitor real-time Object) that offers system-level fault tolerance capability. Then we show how highly dependable fault tolerant systems can be modeled by RobustRTO and RMO. The model is presented based on real-time objects.

• Clinics in Shoulder and Elbow
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• v.9 no.1
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• pp.89-95
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• 2006

Purpose: Arthroscopic repair of rotator cuff tears are many techniques that have been developed to improve the initial postoperative strength of the repair. There was a doubt that current arthroscopic cuff repairs using a single row of suture anchors reproduce insufficient area of the anatomic cuff insertion, and concerns about failure of fixation often lead surgeons to limit early motion. Newer technique of double-row repair in arthroscopic treatment may provide initial stronger fixation and more contact with bone at the repair site than single-row repair did. We studied the comparison between clinical outcomes of arthroscopic single- and double-row repair in cuff tears at 1year postoperatively. Materials and methods: We retrospectively analyzed 40 shoulders with single-row repair and 38 shoulders with double-row repair of full-thickness rotator cuff tears between May 2002 and October 2004. Out of total 78 shoulders, 42 (54%) were male patients and 36 (46%) were female patients and the mean age at surgery was 56 years. All patients were diagnosed by physical examination and MRI. At 1year' follow-up after operation, we evaluated with the ASES and the Constant scoring system, and measured muscle power of abduction, internal and external rotation of the affected shoulder then compared with each other. Results: Mean ASES scores and Constant scores in double-row repair group improved more than single-row repair group significantly at 1year postoperatively. Muscle power of abduction and internal rotation, especially abduction power, improved more significantly in double-row repair group than in single-row repair. Conclusion: Arthroscopic double-row repair for the full thickness rotator cuff tear may be a superior technique, which showed better clinical outcomes and restoration of muscle power compared with single-row repair at relatively short period of postoperative follow-up. Restoration of footprint close to normal anatomy by double-row repair seems to play an important role in the recovery of muscle strength.

• Korean Journal of Head & Neck Oncology
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• v.10 no.2
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• pp.218-224
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• 1994

Soft tissue sarcoma of the head and neck is not frequent neoplasm, accounting for less than 1% of all malignant neoplasm in the region. The histological varieties include osteogenic sarcoma, malignant fibrous histiocytoma, rhabdomyosarcoma, fibrosarcoma, tenosynovial sarcoma, angiosarcoma and chondrosarcoma. Rhabdomyosarcomas of the head and neck usually occur in children under the age of 10 years (over 70%) and rarely develop in adults over the age of 20 years. The prevalent sites of involvement include the orbit, nasal cavity, external ear, paranasal sinus and soft tissue of mouth and the primary location of tumor is considered to be one of the important prognostic factors. Before the 1960s, when surgical resection was the only method of treatment, the 5-year survival rate was less than 20%, but recently it has been greatly improved by the multimodality treatment, combining surgery with chemotherapy and radiation therapy. Here we treated a rhabdomyosarcoma woman with three cycles of high dose chemotherapy followed by radiation therapy. After the, completion of preoperative treatments, successful result of more than partial response was achieved. Three months later total maxillectomy and radical neck dissection was performed. There was no evidence of tumor infiltration in the resected tumor and regional lymphnodes but metastasized tumor cells in cervical lymphnodes were detected. Tumor cell infiltration was also found on the bone marrow biopsy to evaluate the pancytopenia which occurred during postoperative recovery. Two months later she died of secondary bone marrow failure. We think that this multimodality treatment combining pre-operative chemotherapy, radiotherapy and surgery might play an important role in curative resection and eyeball preservation in patients with rhabdomyosarcoma involving the eyeball.

• Journal of Embryo Transfer
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• v.27 no.4
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• pp.229-235
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• 2012

This research was investigated the relationship, in high-producing Holstein donor cows, between the number of the transferable embryos and the blood serum concentrations of Blood Urea Nitrogen (BUN), glucose and cholesterol, which affect the nutritional state of cows. CIDRs were inserted into the vaginas of twenty two heads of Holstein cows, regardless of estrous cycle. Superovulation was induced using folliclar stimulating hormone (FSH). For artificial insemination, donor cows were injected with $PGF_{2{\alpha}}$ and estrus was checked about 48 hours after the injection. Then they were treated with 4 straws of semen 3 times, with 12-hour intervals. Embryos were collected by a non-surgical method 7 days after the first artificial insemination. The total numbers of ova collected from 3 experimental groups whose blood BUN concentrations were <10 mg/dl, 11~18 mg/dl and ${\geq}19$ mg/dl were 8.9, 12.5 and 19.0, respectively; whereas the numbers of transferable embryos were 5.8 + 1.9, 7.9 + 2.8 and 5.2 + 1.4, respectively. When glucose concentration was <60 mg/dl, the total number of collected ova was 9.9, which was smaller than when the concentration was 60~70 mg/dl or ${\geq}70$ mg/dl. When glucose concentration was 60~70 mg/dl, the number of transferable embryos was 7.1 + 2.4, which was slightly larger than the numbers 6.4 + 2.1 and 6.1 + 1.7 that were obtained when the concentrations were <60 mg/dl and ${\geq}70$ mg/dl, respectively ; however, the differences were not significant (p>0.05). When cholesterol concentrations were <150 mg/dl, 150~200 mg/dl and ${\geq}200$ mg/dl, the total numbers of collected ova were 11.2, 11.3 and 8.6, respectively. Whereas the numbers of transferable embryos were 7.1 + 2.1, 7.3 + 1.9 and 5.6 + 1.3, respectively ; however, the differences were again not significant (p>0.05). The result of this research showed no significant difference in ovum recovery rate and the number of transferable embryos according to major metabolite concentrations in high-producing Holstein donor cows. However, it is considered that the failure of maintaining proper nutritional status would cause the fall in in vivo embryo productivity.

• The KIPS Transactions:PartD
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• v.10D no.6
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• pp.935-948
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• 2003

An online scaling method adds new nodes to the shared-nothing database cluster and makes tables be reorganized while the system is running. The objective is to share the workload with many nodes and increase the capacity of cluster systems. The existing online scaling method, however, has two problems. One is the degradation of response time and transactions throughput due to the additional overheads of data transfer and replica's condidtency. The other is and inefficient recovery mechanism in which the overall scaling transaction is aborted by a fault. These problems deteriorate the availability of shared-nothing database cluster. To avoid the additional overheads throughout the scaling period, our scalingmethod consists of twophases : a parallel data transfer phase and a combination phase. The parallel data transferred datausing reduces the size of data transfer by dividing the data into the number of replicas. The combination phase combines the transferred datausing resources of spare nodes. Also, our method reduces the possibility of failure throughout the scaling period and improves the availability of the database cluster.

• Journal of the Korea Society of Computer and Information
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• v.19 no.6
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• pp.109-117
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• 2014

A cold storage is a warehouse of a insulated building with cooling installations. It has many different types of cold rooms with temperatures below 0 degrees Celsius, and the sequential workflow such as receiving, picking and packing runs in that rooms. Recently, the cold storages have adopted RFID technology, and consequently, warehouse product management in them are becoming intelligent and network. However, information inconsistency in warehouses caused by physical and logical errors reduces reliability in the RFID cold storage management system and worsens their work efficiency. Therefore, it is necessary to develop an early detection system to identify errors. In this paper, we suggest a supervisory system detecting logical errors on business processes of the RFID cold storage. It is composed of a master supervisor and mobile supervisor. In the master supervisor, the manager can set the constraints conditions and get alerts, and in the mobile supervisor, the workers confirm and deal with these faults directly. The supervisory system improve reliability of the RFID cold storage management system by recognizing a failure to identify physically and logically using these constraint conditions. This paper shows that the supervisory system can reduce the average recovery time to improve reliability by decreasing the time for detecting and analyzing errors in the RFID cold storage management system.

• Journal of the Korea Institute of Information Security & Cryptology
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• v.24 no.5
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• pp.919-929
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• 2014

Recently, organizational efforts to adopt ISMS(Information Security Management System) have been increasingly mandated and demanded due to the rising threat and the heavier cost of security failure. However there is a serious gap between awareness and investment of information security in a company, hence it is very important for the company to control effectively a variety of information security threats within a tight budget. To phase the ISMS, this study suggests the priorities based on evaluating the Importance of 13 areas for the ISMS by the information security experts and then we attempt to see the difference between importance and investment through the assessment of the actual investment in each area. The research findings show that intrusion incident handling is most important and IT disaster recovery is the area that is invested the most. Then, information security areas with the considerable difference between priorities of importance and investment are cryptography control, information security policies, education and training on information security and personnel security. The study results are expected to be used in making a decision for the effective investment of information security when companies with a limited budget are considering to introduce ISMS or operating it.