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Short-Term Outcomes of Transanal One-Stage Pull-Through Procedure for Hirschsprung's Disease (Hirschsprung 병에서 Transanal One-Stage Pull-Through 술식의 단기 성적)

  • Son, Gyung-Mo;Kim, Hae-Young
    • Advances in pediatric surgery
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    • v.7 no.2
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    • pp.130-136
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    • 2001
  • The aim of this study was to evaluate the short-term outcomes of the trans anal one-stage pull-through procedure(TOP) in Hirschsprung's disease. Eight patients aged 3 weeks to 8 months with Hirschsprung's disease underwent this procedure. A rectal mucosectomy was performed from just proximal to dentate line to the level of peritoneal reflexion, where muscle layer was incised circumferentially. Rectosigmoid was mobilized out through the anus, and full-thickness frozen biopsy was taken for confirmation of ganglionic cells. After the rectal muscular cuff was divided longitudinally in the posterior aspect, aganglionic bowel was removed and ganglionic colon was anastomozed to the anus. The mean operating time was 161 minutes, and the mean hospital stay after operation was 3.8 days. Five patients had three to four bowel movement per day without other therapy at mean postoperative 39.2 days. Although long-term follow-up will be required, the TOP might be the new alternative surgical procedure for Hirschsprung's disease.

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Short- and long-term analyses of composite beams with partial interaction stiffened by a longitudinal plate

  • Ranzi, Gianluca
    • Steel and Composite Structures
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    • v.6 no.3
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    • pp.237-255
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    • 2006
  • This paper presents a novel analytical formulation for the analysis of composite beams with partial shear interaction stiffened by a bolted longitudinal plate accounting for time effects, such as creep and shrinkage. The model is derived by means of the principle of virtual work using a displacement-based formulation. The particularity of this approach is that the partial interaction behaviour is assumed to exist between the top slab and the joist as well as between the joist and the bolted longitudinal stiffening plate, therefore leading to a three-layered structural representation. For this purpose, a novel finite element is derived and presented. Its accuracy is validated based on short-and long-term analyses for the particular cases of full shear interaction and partial shear interaction of two layers for which solutions in closed form are available in the literature. A parametric study is carried out considering different stiffening arrangements to investigate the influence on the short-and long-term behaviour of the composite beam of the shear connection stiffness between the concrete slab and the steel joist, the stiffness of the plate-to-beam connection, the properties of the longitudinal plate and the concrete properties. The values of the deflection obtained from the finite element simulations are compared against those calculated using the effective flexural rigidity in accordance with EC5 guidelines for the behaviour of elastic multi-layered beams with flexible connection and it is shown how the latter well predicts the structural response. The proposed numerical examples highlight the ease of use of the proposed approach in determining the effectiveness of different retrofitting solutions at service conditions.

Bayesian Estimation for the Multiple Regression with Censored Data : Mutivariate Normal Error Terms

  • Yoon, Yong-Hwa
    • Journal of the Korean Data and Information Science Society
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    • v.9 no.2
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    • pp.165-172
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    • 1998
  • This paper considers a linear regression model with censored data where each error term follows a multivariate normal distribution. In this paper we consider the diffuse prior distribution for parameters of the linear regression model. With censored data we derive the full conditional densities for parameters of a multiple regression model in order to obtain the marginal posterior densities of the relevant parameters through the Gibbs Sampler, which was proposed by Geman and Geman(1984) and utilized by Gelfand and Smith(1990) with statistical viewpoint.

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Estimating Parameters in Muitivariate Normal Mixtures

  • Ahn, Sung-Mahn;Baik, Sung-Wook
    • Communications for Statistical Applications and Methods
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    • v.18 no.3
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    • pp.357-365
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    • 2011
  • This paper investigates a penalized likelihood method for estimating the parameter of normal mixtures in multivariate settings with full covariance matrices. The proposed model estimates the number of components through the addition of a penalty term to the usual likelihood function and the construction of a penalized likelihood function. We prove the consistency of the estimator and present the simulation results on the multi-dimensional nor-mal mixtures up to the 8-dimension.

Congenital Esophageal Atresia and Tracheoesophageal Fistula - A Case Report - (선천성 식도폐쇄 및 기관식도루: 1례 보)

  • 권우석
    • Journal of Chest Surgery
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    • v.20 no.3
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    • pp.619-623
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    • 1987
  • We experienced a surgical case of esophageal atresia and tracheoesophageal fistula combined with imperforated anus, tracheal bronchus in a one day baby. A vacuum delivered full term baby, weighing 4.1 Kg showed grunting respiration, repeated regurgitation and distended abdomen after birth. Esophagogram revealed markedly dilated proximal esophagus as blind pouch and also noted displaced type of tracheal bronchus of right upper lobe by incidental bronchogram. Surgical correction with Haight anastomosis was performed successfully on the second day.

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Improving Power Efficiency for Color OLED Display using Color Difference Algorithm

  • Lin, Chih-Lung;Chou, Kuan-Wen;Tsai, Tsung-Ting
    • 한국정보디스플레이학회:학술대회논문집
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    • 2008.10a
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    • pp.1222-1225
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    • 2008
  • The power efficiency of a full-color OLED display decreases with long-term operation because of the material characteristics. The lifetime of the OLED display also decreases as the power efficiency declines. Therefore, this work provides a novel color difference algorithm to improve the power consumption and extend the OLED lifetime.

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Evaluation of the Influence of a Convective Term Caused by Various Finite Difference Schemes in General Curvature Coordinate (일반곡선 좌표계 사용시 대류항의 차분스킴에 의한 영향 평가)

  • 이연원
    • Journal of Advanced Marine Engineering and Technology
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    • v.18 no.3
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    • pp.94-101
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    • 1994
  • To develope the new simulator for the analysis of fluid flow information, the influence of various convective difference schemes were evaluated. General curvilinear coordinate system with nonorthogonal grids was adopted for the successful analysis of various complex geometries. Computation results show that if we can not obtain full grid numbers within available computational environment, we need to use higher order finite difference schemes to keep the prediction accuracy.

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Priority Areas for National Health Care Quality Evaluation in Korea (의료의 질 평가 우선순위 설정)

  • Shin, Suk-Youn;Park, Choon-Seon;Kim, Sun-Min;Kim, Nam-Soon;Lee, Sang-Il
    • Health Policy and Management
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    • v.19 no.3
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    • pp.1-26
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    • 2009
  • Objectives : To identify target areas and set priorities among those areas identified for national quality evaluation. Methods : Target areas were identified from: i) analysis of the national health insurance claims data, mortality and prevalence data ii) various group surveys, including representatives from 22 medical specialty associations, 19 physician associations, QI staffs in hospital, civil organizations, and commissioners of Health Insurance Review and Assessment Service(HIRA) ⅲ) literature reviews and RAM(RAND/UCLA appropriateness method). The priority areas for national quality evaluation represented the full spectrum of health care and the entire life span. The criteria for selecting the priority areas were impact, improvability, and measurability. The priority areas were divided into three categories : short-term, mid-term, long-term. Results: Based on the group surveys and the data analysis, 46 candidates were selected as quality evaluation priority areas. 13 areas were selected as having a short-term priority areas: tuberculosis, community acquired pneumonia, stroke, ischaemic heart disease, diabetes, hypertension, chronic lower respiratory disease(asthma, chronic obstructive pulmonary disease), intensive care unit, emergency room, nosocomial infection, use of antibiotics, multiple medication and renal failure. This results suggested that we need to enlarge the target priority areas to the chronic diseases in short-term. Conclusions: The priority areas identified from the study will assist healthcare quality associated institutions as well as HIRA in selecting quality evaluation areas. It is required to develope and implement strategies for improving the quality of care within the next 5 years.