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검색결과 326건 처리시간 0.022초

Transaxillary Subpectoral Placement of Cardiac Implantable Electronic Devices in Young Female Patients

  • Oh, Joo Hyun;Kim, Chae Min;Song, Seung Yong;Uhm, Jae Sun;Lew, Dae Hyun;Lee, Dong Won
    • Archives of Plastic Surgery
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    • 제44권1호
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    • pp.34-41
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    • 2017
  • Background The current indications of cardiac implantable electronic devices (CIEDs) have expanded to include young patients with serious cardiac risk factors, but CIED placement has the disadvantage of involving unsightly scarring and bulging of the chest wall. A collaborative team of cardiologists and plastic surgeons developed a technique for the subpectoral placement of CIEDs in young female patients via a transaxillary approach. Methods From July 2012 to December 2015, subpectoral CIED placement via an axillary incision was performed in 10 young female patients, with a mean age of 25.9 years and mean body mass index of $20.1kg/m^2$. In the supine position, with the patient's shoulder abducted, an approximately 5-cm linear incision was made along one of the deepest axillary creases. The submuscular plane was identified at the lateral border of the pectoralis major, and the dissection continued over the clavipectoral fascia until the subpectoral pocket could securely receive a pulse generator. Slight upward dissection also exposed an entrance to the subclavian vein, allowing the cardiology team to gain access to the vein. One patient with dilated cardiomyopathy underwent augmentation mammoplasty and CIED insertion simultaneously. Results One case of late-onset device infection occurred. All patients were highly satisfied with the results and reported that they would recommend the procedure to others. Conclusions With superior aesthetic outcomes compared to conventional methods, the subpectoral placement of CIEDs via a transaxillary approach is an effective, single-incision method to hide operative scarring and minimize bulging of the device, and is particularly beneficial for young female or lean patients.

Study on the Antibiotic Effect of Casual Shoe Usage Leather (Casual Shoe용 피혁의 항균성에 관한 연구)

  • Shin, Soo-Beom;Min, Byung-Wook;Heo, Jong-Soo;Kim, Won-Ju
    • Applied Biological Chemistry
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    • 제44권4호
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    • pp.257-261
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    • 2001
  • Leather (skin & hide) is a body organ, comprising 3 to 5% of the animals weight. The cross-section of a leather is composed of two major divisions: the epidermis or grain layer and the corium or split layer. The leather is naturally covered with bacteria and fungi, because it is a particularly rich source of a wide variety of microorganisms. Stains or coatings of different colours occur in patches or over large areas, depending on the type of mould spore infestation. We examined the antibiotic effect of leather after washing. Upon applying equal fungicide, antibiotic effects increased as follows: grain layer>middle layer>flesh layer. Antibiotic effect decreased with increasing frequency of washing. Decrease in antibiotic effect was lower in OITZ fungicide than in TCMTB and CMK fungicides. Sulfated fatliquor showed higher antibiotic effect than phosphated fatliquor.

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An Attribute-Based Naming Architecture for Wireless Sensor Networks (무선 센서 네트워크를 위한 속성 기반 네이밍 구조)

  • Jung, Eui-Hyun
    • Journal of the Korea Society of Computer and Information
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    • 제12권4호
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    • pp.95-102
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    • 2007
  • Recently, a lot of researchers focus on the sensor middleware that hide the complexity of application developments and provide the abstraction of functions to upper application layer. Although there we several factors to design sensor middleware, the attribute-based naming is considered to be an essential factor among them. However, most existing researches were not designed to reflect the characteristics of sensor networks and have the limitation of attribute-based query extension. This study adopts the concept of Virtual Counterpart to suggest the structure there attribute-based naming is supported by virtual sensor nodes of the middleware on the sink node. Unlike traditional data-centric middleware in which individual sensor nodes process attribute-based query, virtual sensor nodes mapped to physical sensor nodes are running on the middleware of the sink node and process attribute-based query as a proxy of the physical sensor. This approach enables attribute-based naming independent of physical infrastructure and easy extensibility.

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What Caused Acute Methanol Poisoning and What is the Countermeasure? (급성메탄올중독사고, 왜 발생했으며, 그 대책은 무엇인가?)

  • Park, Jungsun;Kim, Yangho;Kim, Soo Geun;Park, Jong-shik;Han, Boyoung;Chung, Eun Kyo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • 제26권4호
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    • pp.389-395
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    • 2016
  • Objectives: Acute methanol poisonings known to be typical occupational diseases occurring in developing countries broke out in sub-contract manufacturers in the early 2016. The present paper attempted to identify underlying causes which hide under apparent findings, and suggest alternative policies to prevent recurrence of similar intoxication Methods: We evaluated occupational health and safety characteristics of workers in micro-enterprises similar to workplaces with methanol poisoning by in depth-interview of employers, workers, and labor inspectors, and literature review. Results: The common findings of workplaces with methanol poisoning were addressed; First, the victims were illegal agency workers. Second, the workplaces were sub-contract micro-manufacturers with less than 5 employees. Investigators found that local ventilations did not work, while most of workers did not wear any proper personal respiratory protective equipment in the workplace. In addition, periodic environmental monitoring and medical check-ups were not done. However, these apparent findings do not appear to be root causes of methanol poisoning. Our in depth-analysis clarified a root cause; micro-enterprises with less than 5 employees are exempted with essential regulations of OSH Act, and employers do not know about OSH Act. Conclusions: We suggest occupational health policies to prevent recurrence of similar intoxication; First, government should introduce programs so that all employers should know about employers' responsibilities in OSH Act from the start of business. Second, even manufacturers with less than 5 employees should not be exempted with essential regulations of OSH Act. Finally, employers should take responsibilities for health and safety of all the workers including agency workers working in workplaces.

Prediction-based Reversible Data Hiding Using Empirical Histograms in Images

  • Weng, Chi-Yao;Wang, Shiuh-Jeng;Liu, Jonathan;Goyal, Dushyant
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제6권4호
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    • pp.1248-1266
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    • 2012
  • This paper presents a multilevel reversible data hiding method based on histogram shifting which can recover the original image losslessly after the hidden data has been extracted from the stego-image. The method of prediction is adopted in our proposed scheme and prediction errors are produced to explore the similarity of neighboring pixels. In this article, we propose two different predictors to generate the prediction errors, where the prediction is carried out using the center prediction method and the JPEG-LS median edge predictor (MED) to exploit the correlation among the neighboring pixels. Instead of the original image, these prediction errors are used to hide the secret information. Moreover, we also present an improved method to search for peak and zero pairs and also talk about the analogy of the same to improve the histogram shifting method for huge embedding capacity and high peak signal-to-noise ratio (PSNR). In the one-level hiding, our method keeps image qualities larger than 53 dB and the ratio of embedding capacity has 0.43 bpp (bit per pixel). Besides, the concept with multiple layer embedding procedure is applied for obtaining high capacity, and the performance is demonstrated in the experimental results. From our experimental results and analytical reasoning, it shows that the proposed scheme has higher PSNR and high data embedding capacity than that of other reversible data hiding methods presented in the literature.

A qualitative analysis on therapeutic factors in group counseling based on family sculpture technique (질석 분석을 통한 가족조각 기법 집단상담의 상담효과 요인)

  • 김수연;심혜숙
    • Journal of Families and Better Life
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    • 제19권5호
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    • pp.239-258
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    • 2001
  • The purposes of this study are first, to develop the group counseling program based on Satir’s family sculpture technique, second to investigate the therapeutic factors of Satir’s family sculpture in group counseling. To perform this study, 8 session of time limited(3 hours) group counseling were carried out. There were 12 participants in this group. The major findings were as follows: 1) the rank order fro therapeutic factors were university, group cohesiveness, instillation of hope, family reenactment, self-understanding and altruism. 2) through the family sculpture technique, group participants saw their communication patterns. They found out that use communication patterns to hide their low self-esteem. They learned the alternative communication style. 3) the participants developed the sense of self-disclosure, empathy and trust in the group. Self disclosure, empathy and trust facilitated a deeper level of therapeutic group interaction. 4) in observing their group members do their family sculpture, participants found out that every family has some problem that the family conflict is universal thing, 5) the participants had opportunity to share their feelings that were hidden deep inside Intensive emotions following self disclosure led to catharsis, 6) the participants developed a good feeling toward their group and it led to group cohesiveness. 7) through the family sculpture technique, the participants gained a better understanding on their role and position within their families 8) through the family sculpture technique, they gained a better understanding of their family. They found their family members’ psychological positions and unfinished emotional businesses and thus they could restructure their family sculptures. 9) the participants had the opportunity to feel what it is like to become parents themselves, They became to see their parents as individuals. 10) the participants acted out what they wanted to do but could not do in the past. They saw the possibility of change and development in themselves.

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A Steganography Method Improving Image Quality and Minimizing Image Degradation (영상의 화질 개선과 열화측정 시간을 최소화하는 스테가노그라피 방법)

  • Choi, YongSoo;Kim, JangHwan
    • Journal of Digital Contents Society
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    • 제17권5호
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    • pp.433-439
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    • 2016
  • In this paper, we propose a optimized steganography how to improve the image degradation of the existing data hiding techniques. This method operates in the compressed domain(JPEG) of an image. Most of the current information concealment methods generally change the coefficients to hide information. And several methods have tried to improve the performance of a typical steganography method such as F5 including a matrix encoding. Those papers achieved the object of reducing the distortion which is generated as hiding data in coefficients of compressed domain. In the proposed paper we analyzed the effect of the quantization table for hiding the data in the compressed domain. As a result, it found that can decrease the distortion that occur in the application of steganography techniques. This paper provides a little (Maximum: approximately 6.5%) further improved results in terms of image quality in a data hiding on compressed domain. Developed algorithm help improve the data hiding performance of compressed image other than the JPEG.

Readmission Rate: Experience in USA, Canada and UK (미국, 캐나다, 영국의 재입원율 활용 현황)

  • Lee, Sang-Ah;Ju, Yeong-Jun;Shin, Jae-Yong;Park, Eun-Cheol;Lee, Hoo-Yeon
    • Quality Improvement in Health Care
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    • 제22권1호
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    • pp.29-37
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    • 2016
  • Readmission which reflects capacity to manage patients and general level of medical services has been known for one of the causes of medical expenditure due to inefficient service. Compared to disease-specific readmission, hospital wide readmission (HWR) is relatively easy to understand, and has merit to get over limitation of collateral medical services assessment; therefore, a growing interest in development and usage of readmission indicator as quality of care indicator focusing on all-disease is detected. In this study, we investigate current state of risk standardized readmission rate indicator used in the United States, the United Kingdom, and Canada, and examine the considerations when using readmission rate as quality indicator in Korea. Differences in risk-adjustment methods were showed among countries. The United States do not control race not to hide socio-demographic factors on readmission. Canada shows differentiation compared to other countries about reflecting community factors. All three-countries utilize readmission rate as monitoring quality of care rather than incentives or penalty due to the fact that readmission rate could not represent the whole quality of hospital and has a limitation at controlling socio-economic factors. Therefore, for usage readmission rate as quality indicator in Korea, preparing readmission classification standard for Korean medical environment and additional methods for acquiring information by using discharge summary is need. Moreover, continued discussion with clinical specialists is needed for obtain clinical reliability and validity.

Analysis of Distortion Effect of Resistivity Data Due to 3D Geometry of Fill Dam (필댐의 3차원 기하 효과에 따른 전기비저항 왜곡 효과 분석)

  • Oh, Seok-Hoon;Kim, Hyoung-Soo
    • Journal of the Korean Geophysical Society
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    • 제8권4호
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    • pp.211-214
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    • 2005
  • Low resistivity zone is observed at the lower part of a CFRD (Concrete Face Rockfill Dam). Generally, CFRD tends not to have any saturated zone within the body, but the result of resistivity survey shows that it is possible for the dam to be saturated under 20m depth with water. The level of reservoir was under 10 m from the crest. We suspect that this result may come from the wrong 2D inversion process ignoring the 3D geometry of dams. For the analysis of possibility of distortion by different geometry, we perform the 3D forward modeling for the dam and apply the 2D inversion process. And then we check the point of traditional interpretation of resistivity data. By the analysis, it is found that the result of 2D inversion process of 3D geometry of dams, seems to have deep relation with the reservoir level, and the complex 3D structure hide some internal electrical anomaly of dams from resistivity information.

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A Multimedia Data Security System Based on MPEG Using The Specific of Wireless Device (무선 이동 단말기의 특성을 이용한 MPEG 기반의 멀티미디어 데이터 보안 시스템)

  • Lee, Jong-Kap;Seong, Hong-Seok;Won, Young-Jin;Lee, Jong-Sung;Lim, Seung-Ha;Lim, Young-Hwan
    • 전자공학회논문지 IE
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    • 제46권2호
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    • pp.22-32
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    • 2009
  • In this article, the protection system on wireless mobile communication circumstance for the information providers and the users is recommended. Because of its usefulness and convenience, the users of the wireless mobile communication are growing explosively. However, the function of protecting data systems is not secured enough so, personal information may disclose to the outside, regardless of one's intention. Therefore, the contents protection system, which can provide information to the user or hide it depending on user's identity, is suggested. If so, the providers and the users can trust each other for interchanging information, also the users may safely use contents menu whatever they want by doing simple certification process.