• Title/Summary/Keyword: IVC

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Initial assessment of hemorrhagic shock by trauma computed tomography measurement of the inferior vena cava in blunt trauma patients

  • Lee, Gun Ho;Choi, Jeong Woo
    • Journal of Trauma and Injury
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    • v.35 no.3
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    • pp.181-188
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    • 2022
  • Purpose: Inferior vena cava (IVC) collapse is related to hypovolemia. Sonography has been used to measure the IVC diameter, but there is variation depending on the skill of the operator and it is difficult to obtain accurate measurements in patients who have a large amount of intestinal gas or are obese. As a modality to obtain accurate measurements, we measured the diameters of the IVC and aorta on trauma computed tomography scans and investigated the correlation between the IVC to aorta ratio and the shock index in blunt trauma patients. Methods: We retrospectively analyzed the medical records of 588 trauma patients who were transferred to the regional trauma center (level 1) of Wonkang University Hospital from March 2020 to February 2021. We included trauma patients 18 years or older who met the trauma activation criteria and underwent trauma computed tomography scans with intravenous contrast within 40 minutes of admission. The shock index was calculated from vital signs before trauma computed tomography scan, and measurements of the anteroposterior diameter of the IVC (AP), the transverse diameter of the IVC (T), and aorta were made 10 mm above the right renal vein in the venous phase. Results: Overall, 271 patients were included in this study, of whom 150 had a shock index ≤0.7 and 121 had a shock index >0.7. The T to AP ratio and AP to aorta ratio were significantly different between groups. Cutoffs were identified for the T to AP ratio and AP to aorta ratio (2.37 and 0.62, respectively) that produced clinically useful sensitivity and specificity for predicting a shock index >0.7, demonstrating moderate accuracy (T to AP ratio: area under the curve, 0.71; sensitivity, 59%; specificity, 87% and AP to aorta ratio: area under the curve, 0.70; sensitivity, 55%; specificity, 91%). Conclusions: The T to AP ratio and AP to aorta ratio are useful for predicting hemorrhagic shock in trauma patients.

Effect of Glycine and Various Osmolarities of Culture Medium on In Vitro Development of Parthenogenesis and Somatic Cell Nuclear Transfer Embryos in Pigs

  • Lee, Joohyeong;Lee, Yongjin;Jung, Hae Hong;Lee, Seung Tae;Lee, Geun-Shik;Lee, Eunsong
    • Journal of Embryo Transfer
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    • v.33 no.4
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    • pp.221-228
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    • 2018
  • The osmolarity of a medium that is commonly used for in vitro culture (IVC) of oocytes and embryos is lower than that of oviductal fluid in pigs. In vivo oocytes and embryos can resist high osmolarities to some extent due to the presence of organic osmolytes such as glycine and alanine. These amino acids act as a protective shield to maintain the shape and viability in high osmotic environments. The aim of this study was to determine the effects of glycine or/and alanine in medium with two different osmolarities (280 and 320 mOsm) during IVC on embryonic development after parthenogenesis (PA) and somatic cell nuclear transfer (SCNT) in pigs. To this end, IVC was divided into two stages; the 0-2 and 3-7 days of IVC. In each stage, embryos were cultured in medium with 280, 320, or 360 mOsm and their combinations with or without glycine or/and alanine according to the experimental design. Treatment groups were termed as, for example, "T(osmolarity of a medium used in 0-2 days of IVC)-(osmolarity of a medium used in 3-7 days of IVC)" T280-280 was served as control. When PA embryos were cultured in medium with various osmolarities, T320-280 showed a significantly higher blastocyst formation (29.0%) than control (22.2%) and T360-360 groups (6.9%). Glycine treatment in T320-280 significantly increased blastocyst formation (50.4%) compared to T320-280 only (36.5%) while no synergistic was observed after treatment with glycine and alanine together in T320-280 (45.7%). In contrast to PA embryonic development, the stimulating effect by the culture in T320-280 was not observed in SCNT blastocyst development (27.6% and 23.7% in T280-280 and T320-280, respectively) whereas the number of inner cell mass cells was significantly increased in T320-280 (6.1 cells vs. 9.6 cells). Glycine treatment significantly improved blastocyst formation of SCNT embryos in both T280-280 (27.6% vs. 38.0%) and T320-280 (23.7% vs. 35.3%). Our results demonstrate that IVC in T320-280 and treatment with glycine improves blastocyst formation of PA and SCNT embryos in pigs.

Banked Vena Caval Homograft Replacement of the Inferior Vena Cava for Primary Leiomyocsarcoma

  • Lim, Jae Hong;Sohn, Suk Ho;Sung, Yong Won;Moon, Hyeon Jong;Choi, Jae-Sung;Oh, Se Jin
    • Journal of Chest Surgery
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    • v.47 no.5
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    • pp.473-477
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    • 2014
  • Primary leiomyosarcoma of the inferior vena cava (IVC) is a rare malignant tumor. Herein, we report the case of a 52-year-old male patient who had postprandial abdominal distension and right upper quadrant abdominal pain. The abdominal computed tomography (CT) angiogram showed an IVC mass extending from the infrahepatic to the suprarenal inferior vena cava. The radiologic findings were suggestive of an IVC leiomyosarcoma. Surgical resection and reconstruction with a cryopreserved homograft were performed. The follow-up abdominal CT angiogram revealed the patient to be disease-free 6 months after surgery with patency of the IVC and renal vein.

Relationship between the Aboveground Vegetation Structure and Fine Roots of the Topsoil in the Burnt Forest Areas, Korea (산화적지에서 지상부 식생구조와 표토에 분포하는 세근의 관계)

  • Lee, Kyu-Song;Park, Sang-Deog
    • The Korean Journal of Ecology
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    • v.28 no.3
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    • pp.149-156
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    • 2005
  • This study was conducted to elucidate the relationship between the aboveground vegetation structure and fine roots of the topsoil (<15m), and thereafter to obtain the regression models for the estimation of the fine roots of the topsoil using the aboveground vegetation values in the burned forest areas, Korea. The FRT (fine roots of the top soil) as well as the aboveground vegetation structure showed spatial variation in the earlier successional stages after forest fire. The fine roots (<2 mm) of the topsoil in the earlier successional stages than the first 3 year after forest fire showed the range from 3 to 166 g $DM/m^2$. The FRT in the naturally regenerated sites and planted sites after forest fire was closely correlated with the vegetation indices, especially lvc, representing the development status of the aboveground vegetation. The FRT in the terrace seeding work sites after forest fire was closely correlated with year elapsed after terrace seeding work. The FRT in the terrace seeding work sites showed the much higher values because of the vigorous growth of grass species than the other sites. In the naturally regenerated sites, the FRT showed the parabola form according to the increment of aboveground vegetation value (Ivc). Although the aboveground vegetation value (Ivc) showed a tendency to increase logarithmically during the secondary succession after forest fire, the estimated fine roots of the topsoil was depicted the parabola form showing the gradual increment until the first 15 years and slight decrease thereafter. Decrease of FRT in the later successional stage showing the high vegetation value may be caused by increment of the woody species contribution to the vegetation value (Ivc). Our results represented that the aboveground vegetation value (Ivc) can be used to the estimation of the fine roots of the topsoil in burned forest areas.

Calving Production from Hanwoo (Korean Cattle) IVM/IVF/IVC Blastocysts: Direct Transfer of Vitrified and Quick One-Step Diluted Hanwoo Blastocysts

  • Park, Sae-Young;Kim, Deok-Im;Tae, Jin-Cheol;Kim, Deok-Im;Park, Sae-Young;Kim, Eun-Young;Lee, Won-Don;Park, Sepill;Lim, Jin-Ho
    • Proceedings of the KSAR Conference
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    • 2004.06a
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    • pp.201-201
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    • 2004
  • In this study we examined whether vitrified Hanwoo (Korean cattle) IVM/IVF/IVC blastocysts can survive in vitro/in vivo by a quick one-step dilution method and these embryos result in live births. Blastocysts produced in vitro were vitrified by serial exposure to glycerol (G) and/or ethylene glycol (EG) mixtures of 10% (v/v) G for 5 min, 10% G plus 20% EG (v/v) for 5 min, and 25% G plus 25% EG (v/v) for 30 see. (omitted)

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Non-Reference P Frame Coding in Multiple Reference Frames of Internet Video Coding (IVC 의 다중참조 프레임에서의 비참조 P 프레임 부호화 기법)

  • Kim, Dong-Hyun;Kim, Jae-Gon
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2014.06a
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    • pp.262-263
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    • 2014
  • 현재 MPEG 에서 Royalty-Free 비디오 코덱인 Type-1 표준으로 진행중인 IVC(Internet Video Coding)에서는 저지연 모드(LD: Low-Delay) 부호화 구조에서 비참조 P 프레임 부호화 기법을 적응적으로 사용하여 부호화 이득을 얻고 있다. 비참조 P 프레임 기법은 P 프레임의 타입을 지정하여 고정된 부호화 구조의 비참조 P 프레임을 적용하고 있으나, ITM(IVC Test Model) 9.0 에 구현된 부호화 구조는 다중참조 프레임(MRF: Multiple Reference Frame)을 사용할 때 시간적 예측 거리가 먼 참조 프레임을 먼저 예측하는 단점이 있다. 본 논문에서는 다중참조 프레임에서 기존의 P 프레임 타입 설정을 변경하여 비참조 P 프레임의 부호화 구조를 개선하였다. 실험결과 제안 기법은 시퀀스에 따른 큰 성능 저하 없이 기존 기법 대비 0.6% 정도의 추가적인 비트율 감소로 얻음으로써 비참조 P 프레임 기법이 ITM 9.0 대비 7.9% 정도의 비트율 감소를 얻음을 확인하였다.

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Surgical Correction of Intrahepatic Inferior Vena Cava Obstruction (간내 하공정맥 폐색증의 수술요법)

  • 이정렬
    • Journal of Chest Surgery
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    • v.18 no.1
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    • pp.128-139
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    • 1985
  • Seven patients [six women and one man] with obstruction of hepatic portion of inferior vena cava was operated on, from May, 1969 to January, 1985. Of seven patients, six were undergone corrective operation for IVC obstruction and another one was not operated because of far advanced liver cirrhosis. The occlusions were found at or close to the level of diaphragm and they were membranous or diffuse with or without thrombi. Most of their symptoms were referable to either inferior vena caval or hepatic venous obstruction and onset of the symptoms was usually gradual, beginning between the age of their thirties and forties. Most of the patients showed marked elevation of peripheral venous pressure of lower extremity [29-40 cm H2O] preoperatively, which decreased significantly after corrective operation [17-30 cm H2O]. Venous catheterization for pressure study and venography were essential for confirming the diagnosis. Of six cases, in which corrective operations were done, Transatrial membranotomy with or without IVC dilatation were performed in five cases [case 1, 2, 3, 5, 6], using cardiopulmonary bypass and in another one case, bypass operation between IVC, distal to obstruction, and RA was done using Dacron tube graft under the thoracoabdominal incision. All survived and their conditions were improved.

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Performance Improvement of Low Delay P-Frame for Internet Video Coding (IVC 를 위한 저지연 P 프레임의 부호화 성능 개선 기법)

  • Kim, Dong-Hyun;Kim, Jae-Gon
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2013.06a
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    • pp.405-406
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    • 2013
  • 현재 MPEG 에서 표준화 중인 IVC(Internet Video Coding)에서는 저지연 모드 부호화 구조에서 비참조 P 프레임 부호화 기법을 선택적으로 사용하여 2% 비트율 이득을 얻고 있다. 기존의 비참조 P 프레임 기법은 움직임 벡터(MV)의 크기를 이용하여 적응적으로 고정된 부호화 구조의 비참조 P 프레임을 적용하고 있으나 시퀀스에 따라서 오히려 부호화 성능이 크게 떨어지는 단점이 있다. 본 논문에서는 IVC 시험모델(ITM4.0)에 채택되어 있는 적응적 비참조 P 프레임 부호화 성능을 개선하기 위하여 기존의 고정된 비참조 P 프레임의 구조를 변경하는 기법과 MV 와 함께 프레임별 발생 비트량을 함께 사용하는 기법을 제시한다. 실험결과 제안된 기법은 시퀀스에 따른 큰 성능 저하 없이 ITM4.0 대비 3.0% 정도의 비트율 감소를 얻음을 확인하였다.

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Duodenal Perforation Caused by an Inferior Vena Cava Filter

  • Bae, Mi-Ju;Chung, Sung-Woon;Lee, Chung-Won;Kim, Sang-Pil;Song, Seung-Hwan
    • Journal of Chest Surgery
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    • v.45 no.1
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    • pp.69-71
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    • 2012
  • The inferior vena cava (IVC) filter is known as an effective and safe method for preventing fatal pulmonary thromboembolism in patients with deep vein thrombosis. Usually, the remaining IVC filters are asymptomatic and do not cause clinical problems. We report a case of duodenal perforation caused by a remaining IVC filter.

An Efficient Intra Prediction Scheme for Internet Video Coding (IVC를 위한 효율적인 인트라 예측 부호화)

  • Kim, Dong-Hyun;Kim, Jin-soo;Kim, Jae-Gon
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2013.11a
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    • pp.157-158
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    • 2013
  • 현재 MPEG에서 무료(Royalty-Free) 비디오 코덱으로 표준화 중인 IVC(Internet Video Coding)에서는 인트라 부호화를 위하여 DC 모드의 한 가지 예측 모드만 사용하고 있다. 이러한 기존의 인트라 부호화 기법은 부호화 모드를 시그널링할 필요가 없고 부호화 시간이 빠른 장점이 있지만 인트라 예측의 정확도가 많이 떨어짐에 따라 부호화 효율이 저하된다. 본 논문에서는 IVC의 인트라 부호화 성능 향상을 위하여 4 가지 예측 모드를 지원한다. 즉, 공간적 상관성을 고려하여 평활화된 참조화소 값을 사용하는 평활화된 다중모드 인트라 부호화 기법을 제안한다. 실험결과 제안된 기법은 All-Intra 부호화 구조에서 기존의 ITM 6.0 대비 7.4% 정도의 비트율 감소를 얻음을 확인하였다.

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