• Journal of Chest Surgery
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• v.45 no.4
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• pp.246-250
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• 2012

Background: Although it is rare for the fracture itself to become a life threatening injury in patients suffering from rib fracture, the lives of these patients are occasionally threatened by other associated injuries. Especially, early discovery of patients with rib fracture and intra-abdominal organ injury is extremely important to the prognosis. This study analyzed the link between rib fracture and intra-abdominal injury to achieve improved treatment. Materials and Methods: Among trauma patients that had visited the hospital emergency room from January 2007 to December 2009, a retrospective study was conducted on 453 patients suffering from rib fracture due to blunt trauma. Rib fracture was classified according to location (left, right, and bilateral), and according to level (upper rib fracture [1-2nd rib], middle rib fracture [3-8th rib], and lower rib fracture [9-12th rib]). The researched data was statistically compared and analyzed to investigate the correlation between the location, level, and number of rib fracture and intra-abdominal organ injury. Results: Motor vehicle injury was found to be the most common mechanism of injury with 208 cases (46%). Associated injuries accompanied with rib fracture were generated in 276 cases (61%). Intra-abdominal organ injury was discovered in 97 cases (21%). Liver injury was the most common intra-abdominal injury associated with rib fracture with 39 cases (40%), followed by spleen injury, with 23 cases (23%). Intra-abdominal injury according to level of rib fracture was presented as upper rib fracture in 11 cases (11%), middle rib fracture in 31 cases (32%), and lower rib fracture in 55 cases (57%), thus verifying that intra-abdominal injuries were commonly accompanied in lower rib fractures (p=0.03). In particular, significant increase of intra-abdominal injury was presented in fractures below the 8th rib (p=0.03). The number of intra-abdominal injuries requiring emergency operations was significantly higher in patients with more than 6 rib fractures (p=0.04). Conclusion: Intra-abdominal organ injury is more common in patients with lower rib fracture, especially fractures below the 8th rib. Intra-abdominal organ injuries generated in multiple rib fracture patients with more than 6 fractures significantly higher severity. These cases must be thoroughly inspected and carefully observed as there is possibility of emergency operation.

• The Korean Journal of Pain
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• v.30 no.2
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• pp.134-141
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• 2017

Background: Postoperative pain is a common, distressing symptom following arthroscopic knee surgery. The aim of this study was to compare the potential analgesic effect of dexmedetomidine after intrathecal versus intra-articular administration following arthroscopic knee surgery. Methods: Ninety patients undergoing unilateral elective arthroscopic knee surgery were randomly assigned into three groups in a double-blind placebo controlled study. The intrathecal dexmedetomidine group (IT) received an intrathecal block with intrathecal dexmedetomidine, the intra-articular group (IA) received an intrathecal block and intra-articular dexmedetomidine, and the control group received an intrathecal block and intra-articular saline. The primary outcome of our study was postoperative pain as assessed by the visual analogue scale of pain (VAS). Secondary outcomes included the effect of dexmedetomidine on total postoperative analgesic use and time to the first analgesic request, hemodynamics, sedation, postoperative nausea and vomiting, patient satisfaction, and postoperative C-reactive protein (CRP) levels. Results: Dexmedetomidine administration decreased pain scores for 4 h in both the intrathecal and intra-articular groups, compared to only 2 h in the control patient group. Furthermore, there was a significant reduction in pain scores for 6 h in the intra-articular group. The time to the first postoperative analgesia request was longer in the intra-articular group compared to the intrathecal and control groups. The total meperidine requirement was significantly lower in the intra-articular and intrathecal groups than in the control group. Conclusions: Both intrathecal and intra-articular dexmedetomidine enhanced postoperative analgesia after arthroscopic knee surgery. Less total meperidine was required with intra-articular administration to extend postoperative analgesia to 6 h with hemodynamic stability.

• The KIPS Transactions:PartC
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• v.16C no.2
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• pp.245-256
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• 2009

Pastry overlay network is one of structured P2Ps using DHT(Distributed Hash Table). To reduce the number of messages among nodes, Rosary and LAR have been proposed by exploiting spatial locality and caching, respectively, in the Pastry. Rosary consists of Inter-Pastry and Intra-Pastry. A root node is assigned as a representative in each Intra-Pastry and it has the responsibility of Inter-Pastry and Intra-Pastry routing. Therefore, Rosary has several disadvantages; 1) low fault tolerance in case of root node failure 2) routing hop count increases because of the use of root nodes compared to the existing structured P2Ps, and 3) the communication load is concentrated in some specific areas. LAR has inefficient problems in that caching is not distributed among nodes in Intra-Pastry and caching is used by only nodes in the Intra-Pastry. In this paper, we propose an improved Pastry called Doughnut to overcome the above problems of Rosary and LAR. By dividing nodes with the local characteristics, the Doughnut consists of Inter-Pastry and Intra-Pastry, and all nodes have the responsibility of Inter-Pastry and Intra-Pastry routing. This results in that all nodes perform the role of the existing root node. This solves the problems of the reducing of fault-tolerance, the increasing of routing hop count, and the not-distributed communication load. Also Doughnut can use cache effectively because it guarantees the even cache distribution in local(Intra-Pastry) and the cache contents in local can be used in the other local. The proposed algorithm is implemented using simulator and the experimental results show the effectiveness of the proposed method compared to the existing method.

• Journal of Korean Biological Nursing Science
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• v.19 no.3
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• pp.123-130
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• 2017

Purpose: This study aimed to identify factors influencing intra-operative core body temperature (CBT), and to develop a predictive model for intra-operative CBT in laparoscopic abdominal surgery. Methods: The prospective observational study involved 161 subjects, whose age, weight, and height were collected. The basal pre-operative CBT, pre-operative blood pressure, and heartbeat were measured. CBT was measured 1 hour and 2 hours after pneumoperitoneum. Results: Explanatory factors of intra-operative hypothermia (< $36^{\circ}C$) were weight (${\beta}=.361$, p< .001) and pre-operative CBT (${\beta}=.280$, p= .001) 1 hour after pneumoperitoneum (Adjusted $R^2=.198$, F= 7.56, p< .001). Weight was (${\beta}=.423$, p< .001) and pre-operative CBT was (${\beta}=.206$, p= .011) 2 hours after pneumoperitoneum (Adjusted $R^2=.177$, F= 5.93, p< .001). The researchers developed a predictive model for intra-operative CBT ($^{\circ}C$) by observing intra-operative CBT, body weight, and pre-operative CBT. The predictive model revealed that intra-operative CBT was positively correlated with body weight and pre-operative CBT. Conclusion: Influence of weight on intra-operative hypothermia increased over time from 1 hour to 2 hours after pneumoperitoneum, whereas influence of pre-operative CBT on intraoperative hypothermia decreased over time from 1 hour to 2 hours after pneumoperitoneum. The research recommends pre-warming for laparoscopic surgical patients to guard against intra-operative hypothermia.

• Journal of KIISE:Computing Practices and Letters
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• v.15 no.4
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• pp.280-283
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• 2009

To improve coding performance of scalable video coding which is an emerging video coding standard as an extension of H.264/AVC, SVC uses not only intra prediction and inter prediction but inter-layer prediction. This causes a problem that computational complexity is increased. In this paper, we propose an efficient intra prediction mode decision method in spatial enhancement layer to reduce the computational complexity. The proposed method selects Inra_BL mode using RD cost of Intra_BL in advance. After that, intra mode is decided by only comparing DC modes. Experimental results show that the proposed method reduces 59% of the computation complexity of intra prediction coding, while the degradation in video quality is negligible.

• Archives of Plastic Surgery
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• v.37 no.1
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• pp.22-25
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• 2010

Purpose: As patients who take immediate breast reconstructions with TRAM flap have increased, concomitant or delayed other elective intra-abdominal operations in these patients also have increased. There are few reports of concomitant or delayed intra-abdominal operation in TRAM flap patients. We report our experiences and outcomes of these operations which is safe and feasible. Methods: We reviewed the charts and postoperative follow-up results of 11 patients among 471 consecutive patients who took immediate breast reconstruction with TRAM flap from December of 2002 to September of 2006. Four patients took concomitant intra-abdominal operation and 7 patients took delayed intra-abdominal operation between 1 to 52 months after TRAM flap Results: There were no significant postoperative abdominal and systemic complications. One patient who took concomitant intra-abdominal operation presented partial skin necrosis of abdomen, but recovered completely with conservative treatments. Two patients took transfusion in peri-operative periods. Conclusion: Concomitant or delayed intra-abdominal operation in immediate breast reconstruction with TRAM flap could be performed safely and feasibly when it is necessary. Furthermore, it could be helpful to patients and surgeons.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.30 no.12C
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• pp.1144-1152
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• 2005

Intra prediction coding is one of the many coding-efficiency oriented tools of H.264/AVC, but it requires high computational complexity. Many fast intra coding algorithms have been proposed to reduce the computational complexity of intra prediction. While most of them have been focused on the mode decision methods themselves, we propose a fast algorithm in which new intra modes are substituted for the conventional intra modes so that the number of intra modes can be reduced. The simulation results show that the proposed method could reduce the encoding time of the overall sequence by $49\%$ without any noticeable degradation of the coding efficiency.

• Journal of Korea Multimedia Society
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• v.11 no.8
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• pp.1082-1092
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• 2008

In wireless sensor networks, clustering protocol such as LEACH is an efficient method to increase whole networks lifetime. However, this protocol result in high energy consumption at the cluster head node. Hence, this protocol must changes the cluster formation and cluster head node in each round to prolong the network lifetime. But this method also causes a high amount of energy consumption during the set-up process of cluster formation. In order to improve energy efficiency, in this paper, we propose a new cluster formation algorithm. In this algorithm, we define a intra cluster as the sensor nodes within close proximity of each other. In a intra cluster, a node senses and transmits data at a time on the round-robin basis. In a view of whole network, intra cluster is treated as one node. During the setup phase of a round, intra clusters are formed first and then they are re-clustered(network cluster) by choosing cluster-heads(intra clusters). In the intra cluster with a cluster-head, every member node plays the role of cluster-head on the round-robin basis. Hence, we can lengthen periodic round by a factor of intra cluster size. Also, in the steady-state phase, a node in each intra cluster senses and transmits data to its cluster-head of network cluster on the round-robin basis. As a result of analysis and comparison, our scheme reduces energy consumption of nodes, and improve the efficiency of communications in sensor networks compared with current clustering methods.

• Journal of the Economic Geographical Society of Korea
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• v.12 no.4
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• pp.406-420
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• 2009

European economic integration and geographical enlargement brought change in the intra-european trade flow and a trade structure. The first, an european enlargement contributes to the increase in intra-european trade, but its effect relatively becomes smaller successive enlargement. The second, the intra-industry trade increases in the intra-european trade according as an european economic integration and enlargement make possible the economy of scale. In the intra-industry trade, the horizontal intra-industry trade decreases and the vertical intra-industry trade increases. The third, the Western Europe's trade is generally an intra-industry trade, the trade of Southern Europe, Central and Eastern Europe is an inter-industry trade. But the South Europe's trade and Central and Eastern Europe's trade change from the inter-industry trade to the intra-industry trade.

• ETRI Journal
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• v.31 no.5
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• pp.610-612
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• 2009

We present intra-mixture prediction (IMP) mode for intra prediction and an enhanced estimation method for most probable mode (MPM). IMP mode supports more flexibility in intra prediction by mixing $4{\times}4$ blocks and $8{\times}8$ blocks in one macroblock, while the enhanced MPM estimation extends the number of referenced neighboring blocks and efficiently uses their prediction modes depending on their positions. Simulation results show that the combination of both proposed methods provides a bit reduction in the Bj${\phi}$ntegaard delta bitrate by an average of 2.56% compared to H.264/AVC.