• Title/Summary/Keyword: Lead block

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Fluoroscopic Radiation Exposure during Percutaneous Kyphoplasty

  • Choi, Hyun-Chul
    • Journal of Korean Neurosurgical Society
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    • v.49 no.1
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    • pp.37-42
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    • 2011
  • Objective: The author measured levels of fluoroscopic radiation exposure to the surgeon's body based on the different beam directions during kyphoplasty. Methods: This is an observational study. A series of 84 patients (96 vertebral bodies) were treated with kyphoplasty over one year. The patients were divided into four groups based on the horizontal and vertical directions of the X-Ray beams. We measured radiation exposure with the seven dosimetry badges which were worn by the surgeon in each group (total of 28 badges). Twenty-four procedures were measured in each group. Cumulative dose and dose rates were compared between groups. Results: Fluoroscopic radiation is received by the operator in real-time for approximately 50% (half) of the operation time. Thyroid protectors and lead aprons can block radiation almost completely. The largest dose was received in the chest irrespective of beam directions. The lowest level of radiation were received when X-ray tube was away from the surgeon and beneath the bed (dose rate of head, neck, chest, abdomen and knee: 0.2986, 0.2828, 0.9711, 0.8977, 0.8168 mSv, respectively). The radiation differences between each group were approximately 2.7-10 folds. Conclusion: When fluoroscopic guided-KP is performed, the X-Ray tube should be positioned on the opposite side of the operator and below the table, otherwise the received radiation to the surgeon's body would be 2.7-10 times higher than such condition.

Spinal Epidural Hematoma after Pain Control Procedure

  • Nam, Kyoung-Hyup;Choi, Chang-Hwa;Yang, Moon-Seok;Kang, Dong-Wan
    • Journal of Korean Neurosurgical Society
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    • v.48 no.3
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    • pp.281-284
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    • 2010
  • Spinal epidural hematoma is a rare complication associated with pain control procedures such as facet block, acupuncture, epidural injection, etc. Although it is an uncommon cause of acute myelopathy, and it may require surgical evacuation. We report four patients with epidural hematoma developed after pain control procedures. Two procedures were facet joint blocks and the others were epidural blocks. Pain was the predominant initial symptom in these patients while two patients presented with post-procedural neurological deficits. Surgical evacuation of the hematoma was performed in two patients while in remaining two patients, surgery was initially recommended but not performed since symptoms were progressively improved. Three patients showed near complete recovery except for one patient who recovered with residual deficits. Although, spinal epidural hematoma is a rare condition, it can lead to serious complications like spinal cord compression. Therefore, it is important to be cautious while performing spinal pain control procedure to avoid such complications. Surgical treatment is an effective option to resolve the spinal epidural hematoma.

The New Smart Power Modules for up to 1kW Motor Drive Application

  • Kwon, Tae-Sung;Yong, Sung-Il
    • Journal of Power Electronics
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    • v.9 no.3
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    • pp.464-471
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    • 2009
  • This paper introduces a new Motion-$SPM^{TM}$ (Smart Power Modules) module in Single In-line Package (SIP), which is a fully optimized intelligent integrated IGBT inverter module for up to 1kW low power motor drive applications. This module offers a sophisticated, integrated solution and tremendous design flexibility. It also takes advantage of pliability for the arrangement of heat-sink due to two types of lead forms. It comes to be realized by employing non-punch-through (NPT) IGBT with a fast recovery diode and highly integrated building block, which features built-in HVICs and a gate driver that offers more simplicity and compactness leading to reduced costs and high reliability of the entire system. This module also provides technical advantages such as the optimized cost effective thermal performances through IMS (Insulated Metal Substrate), the high latch immunity. This paper provides an overall description of the Motion-$SPM^{TM}$ in SIP as well as actual application issues such as electrical characteristics, thermal performance, circuit configurations and power ratings.

Di-acetyl-nor-aporphines: Novel molecules and a novel mechanism to inhibit melanogenesis

  • Lintner, Karl;Peschard, Olivier;Leroux, Richard;Mondon, Philippe;Lamy, Francois
    • Proceedings of the SCSK Conference
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    • 2003.09a
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    • pp.268-284
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    • 2003
  • Nor-aporphine derivatives have been discovered which interfere with the flux of Calcium into and out of the cell interior. It has been shown that adrenergic antagonists that block the Calcium exchange lead to an inhibition of Protein kinase C activity, thus blocking tyrosinase activation. Di-acetyl-dimethoxy-methyl-nor-aporphine is a semi-synthetic molecule of natural origin with very high potency. On B16 melanocytes as well as in normal human melanocytes the decrease in melanin synthesis reaches -50% at a level of 40 ppm in the culture medium. On a molar concentration basis, this is 50 to 70 times stronger than Kojic acid inhibition. Yet, the cell viability is not affected. Reversibility studies show that after washing out of the active compound, melanogenesis returns to normal levels. Possible mechanisms of the activity are discussed. Tests carried out on SkinEthic(R) three-dimensional models of the epidermis and in vivo clinical studies on Asian population confirm the strong inhibition of melanogenesis. Safety evaluation of these molecules, on the other hand, demonstrates good skin tolerance and absence of toxicity.

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A Study on the Ethical Issues and Sharing Behavior of User's Information in the Era of Big Data

  • Lee, Myung-Suk
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.10
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    • pp.43-48
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    • 2016
  • This study is to examine how big data collects user's information and is used; the status quo of exposures of user's information, and various measures of self-control by the user. This study is also to look their ethical issues and discuss problems of privacy concerning big data. As a way for users to self-control their information, they need to check the log-in state of web portal sites and set up their account so that customized advertisement and location information cannot be tracked. When posting a blog, the value of posting should be controlled. When becoming a member of a web site, users must check the access terms before agreement and beware of chained agreements and/or membership joins in order to control the exposure of their personal information. To prevent information abuse through big data through which user's information is collected and analyzed, all users must have the right to control, block or allow personal information. For an individual to have the right to control over his information, users must understand the concept of user's information and practice ethics accompanied by newly given roles in the Internet space, which will lead to the establishment of the sound and mature information society on the Internet.

Efficient Management of PCM-based Swap Systems with a Small Page Size

  • Park, Yunjoo;Bahn, Hyokyung
    • JSTS:Journal of Semiconductor Technology and Science
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    • v.15 no.5
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    • pp.476-484
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    • 2015
  • Due to the recent advances in non-volatile memory technologies such as PCM, a new memory hierarchy of computer systems is expected to appear. In this paper, we explore the performance of PCM-based swap systems and discuss how this system can be managed efficiently. Specifically, we introduce three management techniques. First, we show that the page fault handling time can be reduced by attaching PCM on DIMM slots, thereby eliminating the software stack overhead of block I/O and the context switch time. Second, we show that it is effective to reduce the page size and turn off the read-ahead option under the PCM swap system where the page fault handling time is sufficiently small. Third, we show that the performance is not degraded even with a small DRAM memory under a PCM swap device; this leads to the reduction of DRAM's energy consumption significantly compared to HDD-based swap systems. We expect that the result of this paper will lead to the transition of the legacy swap system structure of "large memory - slow swap" to a new paradigm of "small memory - fast swap."

A fast full search algorithm for multiple reference image motion estimation (다중 참조 영상 움직임 추정을 위한 고속 전역탐색법)

  • Kang Hyun-Soo;Park Seong-Mo
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.43 no.1 s.307
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    • pp.1-8
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    • 2006
  • This paper presents a fast full search algorithm for motion estimation applicable to multiple reference images. The proposed method is an extended version of the rate constrained successive elimination algorithm (RSEA) for multiple reference frame applications. We will show that motion estimation for the reference images temporally preceding the first reference image can be less intensive in computation compared with that for the first reference image. for computational reduction, we will drive a new condition to lead the smaller number of candidate blocks for the best matched block. Simulation results explain that our method reduces computation complexity although it has the same quality as RSEA.

A Study on the Right of Light Impact at Adjacent Residential Area by High-rise Residential Commercial Complex Building (상업지역내 고층건물의 인접주거 지역 일조권 영향에 관한 연구)

  • Lee, Sang-Hwa;Lee, Kyoo-Seock
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.12 no.2
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    • pp.10-18
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    • 2009
  • In order to determine the violation of right of light impact at adjacent residential area by high-rise building, analysis on the right of light for high-rise residential commercial complex building block at Gahngnam-ku, Seoul, Korea was carried out using Google Sketchup Pro. After the analysis th sunshine duration of B apartment decreased from 5 hours 16 minutes 3 hours 48 minutes by I hour 42 minutes after construction. It shows that the total sunshine duration is less than the Seoul City Government Standard which is more than 4 hours a day, or more than 2 consecutive hours. Lowering the heights of apartments by 54m would increase the total sunshine duration which would meet the Seoul City Government Standard by four hours seven minutes. Problems that rna lead to the violation on the right of light in the adjacent area should be discussed in advance and minimized by analyzing the right of light among buildings and structures which are scheduled to be constructed on the site during construction penni! process when high-rise building is proposed.

Effect Inosiplex on Cellular and Humoral Immune Response (Inosiplex가 세포성(細胞性) 및 체액성면역반응(體液性免疫反應)에 미치는 영향(影響))

  • Ha, Tai-You;Lee, Hern-Ku
    • The Journal of the Korean Society for Microbiology
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    • v.16 no.1
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    • pp.57-64
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    • 1981
  • The clinical need for agents to modify immune response in the treatment of viral infection has lead to an increased interest in cellular and biochemical mechanisms regulating the immune response and to the development of a variety of biological and chemical substance with immunomodulatory activity. Inosiplex has shown antiviral activity in tissue culture, animal models and huamn studies through augmentation of immune response. However, the effect of inosiplex on immune response in animal has not been extensively analyzed, and the effect of inosiplex on immune response has been paradoxical depending on the time of administration of inosiplex in relation to that of antigen. Therefore, this study was undertaken to assess the effect of inosiplex on the immune response to sheep red blood cells(SRBC) in normal and viral infected mice. Inosiplex increased cellular immune response and plaque forming lymphocyte response to SRBC, decreased the recovery of S. typhimurium from infected mice spleen, and restored the depressed cellular immune response by measle and newcastle disease virus infections. All of the above results were observed only when inosiplex was given after immunization but did not when given before immunization. These results indicate that inosiplex stimulate the efferent are of immune response and may even block the afferent are, and suggest that inosiplex is a very promising drug in therapy of many viral infections.

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Spinal Cord Stimulation for Intractable Visceral Pain due to Chronic Pancreatitis

  • Kim, Jin-Kyung;Hong, Seok-Ho;Kim, Myung-Hwan;Lee, Jung-Kyo
    • Journal of Korean Neurosurgical Society
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    • v.46 no.2
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    • pp.165-167
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    • 2009
  • Pain caused by chronic pancreatitis is medically intractable and resistant to conventional interventional or surgical treatment. We report a case of spinal cord stimulation (SCS) for intractable pain due to chronic pancreatitis. The patient had a history of nonalcoholic chronic pancreatitis and multiple emergency room visits as well as repeated hospitalization including multiple nerve block and morphine injection for 3 years. We implanted surgical lead at T6-8 level on this patient after successful trial of percutaneous electrode. The patient experienced a decreased visual analog scale (VAS) scores for pain intensity and amount of opioid intake. The patient was followed for more than 14 months with good outcome and no further hospitalization. From our clinical case, spinal cord stimulation on intractable pain due to chronic pancreatitis revealed moderate pain control outcome. We suggest that SCS is an effective, noninvasive treatment option for abdominal visceral pain. Further studies and long term follow-up are needed to fully understand the effect of SCS on abdominal visceral pain.