• Journal of Yeungnam Medical Science
• /
• v.7 no.2
• /
• pp.197-202
• /
• 1990

Mechanical obstruction of the common hepatic duct includes the following causes ; choledocholithiasis, sclerosis, cholangitis, pancreatic carcinoma, cholangiocarcinoma, postoperative stricture, primary hepatic duct carcinoma, enlarged cystic duct lymph nodes, and metastatic nodal involvement of the porta hepatis. Partial mechanical obstruction of the common hepatic duct caused by impaction of stones and inflammation surrounding the vicinity of the neck of the gallbladder had been reported on the "syndrome del conducto hepatico" in 1948 by Mirizzi. Nowadays, this disease was named by Mirizzi syndrome. Mirizzi syndrome is a rare entity of common hepatic duct obstruction that results from an inflammatory response secondary to a gallstone impacted in the cystic duct or neck of the gallbladder. It results from an almost parallel course and low insertion of the cystic duct into the common hepatic duct. In a varient of Mirizzi's syndrome, the cause of the common hepatic duct obstruction was a primary cystic duct carcinoma rather than gallstone disease. A 71-year-old man was admitted with a four-day history of right upper quadrant abdominal pain. Past medical history was unremarkable. On physical examination, the patient had a temperature of $38^{\circ}C$, icteric sclera and right upper quadrant tenderness. Pertinent laboratory findings included WBC 18,000/$cm^2$;albumin 2.6g/dl(normal 3.9-5.1) ; SGOT 183u/L(normal 0-50) ; SGPT167u/L(normal 0-65) ; bilirubin, 8.2mg/dl(normal 0-1) with the direct bilirubin, 4.4mg/dl(normal 0-0.4). Ultrasonography revealed a dilated extrahepatic biliary tree. ERCP showed that the superior margin was angular and more consistent with a calculus causing partial CHD obstruction(Mirizzi syndrome). At surgery a diseased gallbladder containing calculi was found. In addition, there was two calculi partially eroding through the proximal portion of the cystic duct and compressing the common hepatic duct. A cholecystectomy and excision of common bile duct was performed, with Roux-en-Y hepaticojejunostomy. The postoperative course was uneventful.

• Journal of Advanced Marine Engineering and Technology
• /
• v.37 no.5
• /
• pp.453-460
• /
• 2013

The surface roughness and heat transfer enhancement devices are known to increase the performance of a flat plate soar collector. This study includes the experiments on the effect of the several heat transfer enhancement devices inserted in duct to simulate the flat-plate solar collector. Experiment was basically at a constant heat flux on the upper duct wall. Inserted heat transfer enhancement devices are Chamfered rib $10^{\circ}$, Chamfered rib $20^{\circ}$, Rib & Groove and Rib & Dimple. Reynolds number is in the range of 2,300 to 22,000 which corresponds to turbulent regime. With the heat transfer enhancement devices, heat transfer would increase by the secondary flow and the increase of the heat transfer area. Pressure drop also increases with the insertion of the enhancement devices. Rib & Dimple model is the best in heat transfer enhancement, however, Chamfered rib $10^{\circ}$ model is the lowest in the pressure drop. Considering the heat transfer enhancement simultaneously with low pressure drop increase, performance factor was the best for the Chamfered rib $10^{\circ}$.

• Journal of the Institute of Electronics Engineers of Korea SD
• /
• v.39 no.9
• /
• pp.11-18
• /
• 2002

This paper presents a CPW phase shifter and shunt stub with air-bridge on a 10-${\mu}m$-thick oxidized porous silicon(OPS) substrate using surface micromachining. The line dimensions of the CPW phase shifter was designed with S-W-Sg = 100-30-400 ${\mu}m$. And the width and length of the air-bridge with "ㄷ“ shape were 100 ${\mu}m$ and 400-460-400 ${\mu}m$, respectively. In order to achieve low attenuation, stepped air-bridge CPW phase shift was proposed. The insertion loss of the stepped air-bridge CPW phase shift is more improved than that of no stepped air-bridge CPW phase shift. The measured phase characteristic of the fabricated CPW phase shifter is close to 180$^{\circ}$ over a very broad frequency range of 28 GHz. The measured working frequency of short-end series stub is 28.7 GHz and the return loss is - 20 dB. And the measured working frequency of short-end shunt stub is 28.9 GHz and the return loss is - 23 dB at midband. As a result, the pattering of stub in the center conductor of CPW lines can offer size reduction and lead to high density chip layouts.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.7 no.6
• /
• pp.1056-1063
• /
• 2006

Thermal evaporated 10 nm-Ni/l nm-Ir/(or polycrystalline)p-Si(100) and 10 nm-$Ni_{50}Co_{50}$/(or polycrystalline)p-Si(100) films were thermally annealed using rapid thermal annealing fur 40 sec at $300{\sim}1200^{\circ}C$. The annealed bilayer structure developed into Ni(Ir or Co)Si and resulting changes in sheet resistance, microstructure, phase and composition were investigated using a four-point probe, a scanning electron microscopy, a field ion beam, an X-ray diffractometer and an Auger electron spectroscope. The final thickness of Ir- and Co-inserted nickel silicides on single crystal silicon was approximately 20$\sim$40 nm and maintained its sheet resistance below 20 $\Omega$/sq. after the silicidation annealing at $1000^{\circ}C$. The ones on polysilicon had thickness of 20$\sim$55 nm and remained low resistance up to $850^{\circ}C$. A possible reason fur the improved thermal stability of the silicides formed on single crystal silicon substrate is the role of Ir and Co in preventing $NiSi_2$ transformation. Ir and Co also improved thermal stability of silicides formed on polysilicon substrate, but this enhancement was lessened due to the formation of high resistant phases and also a result of silicon mixing during high temperature diffusion. Ir-inserted nickel silicides showed surface roughness below 3 nm, which is appropriate for nano process. In conclusion, the proposed Ir- and Co- inserted nickel silicides may be superior over the conventional nickel monosilicides due to improved thermal stability.

• Journal of the Korean Vacuum Society
• /
• v.14 no.4
• /
• pp.207-214
• /
• 2005

This paper presents a channel structure for promising high performance pseudomorphic high electron mobility transistor(pHEMT) switching device for design and fabricating of microwave control circuits, such as switches, phase shifters, attenuators, limiters, for application in personal mobile communication systems. Using the designed epitaxial channel layer structure and ETRI's $0.5\mu$m pHEMT switch process, single pole double throw (SPDT) Tx/Rx monolithic microwave integrated circuit (MMIC) switch was fabricated for 2.4 GHz and 5 GHz band wireless local area network (WLAN) systems. The SPDT switch exhibits a low insertion loss of 0.849 dB, high isolation of 32.638 dB, return loss of 11.006 dB, power transfer capability of 25dBm, and 3rd order intercept point of 42dBm at frequency of 5.8GHz and control voltage of 0/-3V These performances are enough for an application to 5 GHz band WLAN systems.

• Journal of Hospice and Palliative Care
• /
• v.18 no.3
• /
• pp.179-187
• /
• 2015

For patients who are near the end of life, an inevitable step is discussion of a do-not-resuscitate (DNR) order, which involves patients, their family members and physicians. To discuss DNR orders, patients and family members should know the meaning of the order and cardiopulmonary resuscitation (CPR) which includes chest compression, defibrillation, medication to restart the heart, artificial ventilation, and tube insertion in the respiratory tract. And the following issues should be considered as well: patients' and their families' autonomy, futility of treatment, and the right for death with dignity. Terminal cancer patients should be informed of what futility of treatment is, such as a low survival rate of CPR, unacceptable quality of life after CPR, and an irremediable disease status. In Korea, two different law suits related to life supporting treatments had been filed, which in turn raised public interest in death with dignity. Since the 1980s, knowledge of and attitude toward DNR among physicians and the public have been improved. However, most patients are still alienated from the decision making process, and the decision is often made less than a week before death. Thus, the DNR discussion process should be improved. Early palliative care should be adopted more widely.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.13 no.2
• /
• pp.233-242
• /
• 2009

This paper intend to show the affect of the intra-prediction on the typical digital watermarking method and the fact that the watermarking method has very low effectiveness when it is performed for the intra-frames of H.264. The target watermarking method was the one for imperceptibility and robustness and was assumed to be performed during the intra-compression process by the H.264 technique. Also this method was assumed to insert watermark data and to extract it for certification if needed. The problem is that the resulting data from the re-engineering of the watermark insertion process to extract the watermark data is different from the one before. We experimentally showed that it stems from the intra-prediction itself. That is, we showed that the resulting image data from only compression without watermarking changes if it is re-compressed by the same conditions as the first compression and it is because the intra-prediction modes as well as the coefficient values change. Also, we applied one blind and one semi-blind watermarking methods to show that the typical attacks after watermarking makes this problem much more serious and lowers the effectiveness of the watermarking method dramatically. Therefore we concluded by considering the experimental data that a typical watermarking method which has been researched so far cannot guarantee the effectiveness of intra-frame watermarking and it is highly required to developed a new kind of methodologies.

• The Journal of the Acoustical Society of Korea
• /
• v.40 no.4
• /
• pp.320-329
• /
• 2021

In this paper, an empirical model of air bubble size to be applied to an air masker for reduction of underwater radiation noise is presented. The proposed model improves the divergence problem under the low-speed flow condition of the existing model derived using Rayleigh's jet instability model and simple continuity condition by introducing a jet flow velocity of air. The jet flow velocity of air is estimated using the bubble size where the liquid is quiescent. In a medium without flow, the size of the bubble is estimated by an empirical method where bubble formation regime is divided into a laminar-flow range, a transition range, and a turbulent-flow range based on the Reynolds number of the injected air. The proposed bubble size model is confirmed to be in good agreement with the Computational Fluid Dynamics (CFD) analysis result and the experimental results of the existing literature. Using the acoustic inversion method, the air bubble population is estimated from the insertion loss measured during the air injection experiment of the air- masker model in a large cavitation tunnel. The results of the experiments and the bubble size model are compared in the paper.

• Journal of the Korea Institute of Information Security & Cryptology
• /
• v.19 no.4
• /
• pp.125-135
• /
• 2009

Logs from various security system can reveal the attack trials for accessing private data without authorization. The logs can be a kind of confidence deriving factors that a certain IP address is involved in the trial. This paper presents a rule-based expert system for derivation of privacy violation confidence using various security systems. Generally, security manager analyzes and synthesizes the log information from various security systems about a certain IP address to find the relevance with privacy violation cases. The security managers' knowledge handling various log information can be transformed into rules for automation of the log analysis and synthesis. Especially, the coverage of log analysis for personal information leakage is not too broad when we compare with the analysis of various intrusion trials. Thus, the number of rules that we should author is relatively small. In this paper, we have derived correlation among logs from IDS, Firewall and Webserver in the view point of privacy protection and implemented a rule-based expert system based on the derived correlation. Consequently, we defined a method for calculating the score which represents the relevance between IP address and privacy violation. The UI(User Interface) expert system has a capability of managing the rule set such as insertion, deletion and update.

• Animal Bioscience
• /
• v.35 no.10
• /
• pp.1512-1523
• /
• 2022

Objective: The growth of pigs involves multiple regulatory mechanisms, and modern molecular breeding techniques can be used to understand the skeletal muscle growth and development to promote the selection process of pigs. This study aims to explore candidate lncRNAs and mRNAs related to skeletal muscle growth and development among Duroc pigs with different average daily gain (ADG). Methods: A total of 8 pigs were selected and divided into two groups: H group (high-ADG) and L group (low-ADG). And followed by whole transcriptome sequencing to identify differentially expressed (DE) lncRNAs and mRNAs. Results: In RNA-seq, 703 DE mRNAs (263 up-regulated and 440 down-regulated) and 74 DE lncRNAs (45 up-regulated and 29 down-regulated) were identified. In addition, 1,418 Transcription factors (TFs) were found. Compared with mRNAs, lncRNAs had fewer exons, shorter transcript length and open reading frame length. DE mRNAs and DE lncRNAs can form 417 lncRNA-mRNA pairs (antisense, cis and trans). DE mRNAs and target genes of lncRNAs were enriched in cellular processes, biological regulation, and regulation of biological processes. In addition, quantitative trait locus (QTL) analysis was used to detect the functions of DE mRNAs and lncRNAs, the most of DE mRNAs and target genes of lncRNAs were enriched in QTLs related to growth traits and skeletal muscle development. In single-nucleotide polymorphism/insertion-deletion (SNP/INDEL) analysis, 1,081,182 SNP and 131,721 INDEL were found, and transition was more than transversion. Over 60% of percentage were skipped exon events among alternative splicing events. Conclusion: The results showed that different ADG among Duroc pigs with the same diet maybe due to the DE mRNAs and DE lncRNAs related to skeletal muscle growth and development.