• Title/Summary/Keyword: MD&A

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Prolonged oral sildenafil use-induced Mondor disease: a case report

  • Chung, Han Sol;Mun, You Ho
    • Journal of Yeungnam Medical Science
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    • v.39 no.3
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    • pp.262-265
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    • 2022
  • Penile Mondor disease (MD) is a palpable, painful, subcutaneous induration caused by superficial dorsal penile vein thrombosis. We report a case of penile MD that was suspected to be related to prolonged oral sildenafil use. A 46-year-old man visited our emergency department with sustained penile pain and swelling that began 7 hours after sexual intercourse. He had used oral sildenafil intermittently for 11 years and engaged in sexual intercourse the previous night after taking sildenafil. Examination revealed no evidence of intercourse-related trauma to the genital area or an increase in penile skin temperature. However, penile swelling and tenderness over the protruding dorsal penile vein were noted. A color Doppler ultrasound examination was performed immediately, which showed hyperechoic thrombosis in the right superficial dorsal penile vein that was dilated, with soft tissue swelling and no detectable flow signal in the thrombotic lesion. The patient was diagnosed as having penile MD. The patient was treated conservatively. Some reports have indicated the involvement of sildenafil in thrombogenesis. Physicians should be aware that prolonged oral sildenafil use may be associated with penile MD.

A Development of Detail Design Software for Conventional Catenary System (기존선 전차선로 상세설계 소프트웨어 개발)

  • Lee, Ki-Won;Kwon, Sam-Young;Cho, YongHyeon;Lee, Tae-Kwon;Lee, Kyung-Hoon
    • Proceedings of the KSR Conference
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    • 2008.06a
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    • pp.481-488
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    • 2008
  • A detail design of overhead catenary system can be divided into a pegging plan and a design of MD(mounting diagram). In the pegging plan, the mast location, staggering and tension length are determined in the longitudinal point of view according to track condition, location of substation and etc. In the MD, a transversal diagram including masts, all of wires, cantilever, foundation and etc. and materials used are shown. This study presents a development of a software to design the MD for a conventional catenary system automatically. In the program, thin walled steel pole, foundation, cantilever, all of wires and etc. are automatically drawn according to the input and catenary conditions. And materials used in the MD and the section can be also managed respectively in the program. This application of the program is developed using C# for input/calculating and using C++(ObjectARX) for drafting the MD, respectively.

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Selection and implementation of Standard Functional Blocks for Radio Library in multi-mode mobile device (멀티모드 단말기의 라디오 라이브러리를 위한 표준 기능 블록의 선정 및 구현)

  • Jung, Ildo;Choi, Sengwon
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.12 no.3
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    • pp.125-132
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    • 2016
  • The European Telecommunication Standards Institute (ETSI) Technical Committee (TC) Reconfigurable Radio Systems (RRS) is standardizing the multi-mode Mobile Device (MD). The configuration of multi-mode MD is determined by the downloaded mobile communication standard software. In this paper, we introduce the Radio Library concept for multi-mode MD which is one of the key components of RRS standard. This paper also introduces the Standard Functional Block which is a part of Radio Library. A method for selecting efficiency SFBs for multi-mode MD is presented and a Radio Library is generated based on the selected SFBs. This paper also shows sample Standard Functional Block Set which included in Radio Library. In order to verify the compatibility of the generated Radio Library which was made by C language, we implement the LTE Rel-10 and Wi-Fi(802.11b) to show the efficiency of generating a mobile communication standard software based on the Radio Library. Then using the Prograph Visual Programming MartenTM 1.6.4, we compiled our LTE Rel-10 and Wi-Fi(802.11b) source code.

Development of Multiple Beam Optical Tweezers

  • Lee Dong-Jin;LeBrun Thomas W.;Balijepalli Arvind;Gorman JasonJ.;Gagnon Cedric;Hong Dae-Hie;Chang Esthe rH.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.06a
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    • pp.1501-1506
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    • 2005
  • This paper presents the design of a multiple beam optical tweezers instrument used for manipulating micro/nano-sized components. The basic equations used in designing the optical tweezers are derived and the stable and time-sharing multiple beam optical tweezers are constructed with scanning mirrors. The laser beam passes through a series of optical components such as lenses, mirrors, and scanning mirrors, and overfills the entrance aperture of microscope objective, which gives a stable trap. By rotating the laser beam with the scanning mirror, the focal positions are translated in the specimen plane and multiple micro/nano-sized objects can be moved. The constructed optical tweezers is used to manipulate cells and liposomes simultaneously and to trap multiple nano-wires. The experiments prove that the developed optical tweezers can be a very versatile manipulation tool for studying gene therapy and nano device fabrication.

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Implementation of Key Generation Algorithm for User Authentication and Encryption (사용자 인증과 암호화를 위한 키 생성 알고리즘 구현)

  • Woo, Chan-Il;Jeon, Se-Gil
    • Journal of Advanced Navigation Technology
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    • v.11 no.1
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    • pp.93-98
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    • 2007
  • The importance of information security is increasing by the rapid development of the communication network. So, cryptosystems are used to solve these problems and securities of cryptosystems are dependent on keys. In this paper, we propose a key generation method which is based on cryptographically secure MD5 hash function. The basic structure of the MD5 hash function features is a repetitive structure which is processed in a block unit of 512 bits from inputs of limited length and generates a fixed output of 128 bits. The security of proposed method is based on the hash function and the proposed method can be also utilized for authentication algorithm or data encryption algorithm.

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Very Early-Onset Inflammatory Bowel Disease: A Challenging Field for Pediatric Gastroenterologists

  • Arai, Katsuhiro
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.5
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    • pp.411-422
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    • 2020
  • With the increasing number of children with inflammatory bowel disease (IBD), very early-onset IBD (VEO-IBD), defined as IBD that is diagnosed or that develops before 6 years of age, has become a field of innovation among pediatric gastroenterologists. Advances in genetic testing have enabled the diagnosis of IBD caused by gene mutations, also known as monogenic or Mendelian disorder-associated IBD (MD-IBD), with approximately 60 causative genes reported to date. The diagnosis of VEO-IBD requires endoscopic and histological evaluations. However, satisfactory small bowel imaging studies may not be feasible in this small population. Both genetic and immunological approaches are necessary for the diagnosis of MD-IBD, which can differ among countries according to the available resources. As a result of the use of targeted gene panels covered by the national health insurance and the nationwide research project investigating inborn errors of immunity, an efficient approach for the diagnosis of MD-IBD has been developed in Japan. Proper management of VEO-IBD by pediatric gastroenterologists constitutes a challenge. Some MD-IBDs can be curable by allogenic hematopoietic stem cell transplantation. With an understanding of the affected gene functions, targeted therapies are being developed. Social and psychological support systems for both children and their families should also be provided to improve their quality of life. Multidisciplinary team care would contribute to early diagnosis, proper therapeutic interventions, and improved quality of life in patients and their families.

Draft Genome Sequence of Mycobacterium abscessus Treated with a Fluoroquinolone in a Time-Dependent Manner

  • Du-Gyeong Han;Ji-A Jeong;Sung-Kyoung Lee;Seong-Han Kim;Se-Mi Jeon
    • Microbiology and Biotechnology Letters
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    • v.52 no.2
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    • pp.211-214
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    • 2024
  • This study aimed to confirm the induction of resistance to other drug classes by treating Mycobacterium abscessus with moxifloxacin, a fluoroquinolone used for treating nontuberculous mycobacteria infection, and to obtain genetic data for improving treatment. The reads were assembled and analyzed using reference strain sequence data, and the whole-genome and transcriptome sequences of four strains (MD2, MD4, MD6, and MD8) were reported. Antibiotic resistance was not induced by moxifloxacin treatment; however, transcriptomic analysis revealed that the expression of genes responding to stress was upregulated.

Clinical Features of Deep Neck Infections and Predisposing Factors for Mediastinal Extension

  • Kang, Shin-Kwang;Lee, Seok-Kee;Oh, Hyun-Kong;Kang, Min-Woong;Na, Myung-Hoon;Yu, Jae-Hyeon;Koo, Bon-Seok;Lim, Seung-Pyung
    • Journal of Chest Surgery
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    • v.45 no.3
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    • pp.171-176
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    • 2012
  • Background: Deep neck infections (DNI) can originate from infection in the potential spaces and fascial planes of the neck. DNI can be managed without surgery, but there are cases that need surgical treatment, especially in the case of mediastinal involvement. The aim of this study is to identify clinical features of DNI and analyze the predisposing factors for mediastinal extension. Materials and Methods: We reviewed medical records of 56 patients suffering from DNI who underwent cervical drainage only (CD group) and those who underwent cervical drainage combined with mediastinal drainage for descending necrotizing mediastinitis (MD group) from August 2003 to May 2009 and compared the clinical features of each group and the predisposing factors for mediastinal extension. Results: Forty-four out of the 56 patients underwent cervical drainage only (79%) and 12 patients needed both cervical and mediastinal drainage (21%). There were no differences between the two groups in gender (p=0.28), but the MD group was older than the CD group (CD group, $44.2{\pm}23.2$ years; MD group, $55.6{\pm}12.1$ years; p=0.03). The MD group had a higher rate of co-morbidity than the CD group (p=0.04). The CD group involved more than two spaces in 14 cases (32%) and retropharyngeal involvement in 12 cases (27%). The MD group involved more than two spaces in 11 cases (92%) and retropharyngeal involvement in 12 cases (100%). Organism identification took place in 28 cases (64%) of the CD group and 3 cases of (25%) the MD group (p=0.02). The mean hospital stay of the CD group was $21.5{\pm}15.9$ days and that of the MD group was $41.4{\pm}29.4$ days (p=0.04). Conclusion: The predisposing factors of mediastinal extension in DNI were older age, involvement of two or more spaces, especially including the retropharyngeal space, and more comorbidities. The MD group had a longer hospital stay, higher mortality, and more failure to identify causative organisms of causative organisms than the CD group.

Full-Endoscopic versus Minimally Invasive Lumbar Interbody Fusion for Lumbar Degenerative Diseases : A Systematic Review and Meta-Analysis

  • Son, Seong;Yoo, Byung Rhae;Lee, Sang Gu;Kim, Woo Kyung;Jung, Jong Myung
    • Journal of Korean Neurosurgical Society
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    • v.65 no.4
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    • pp.539-548
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    • 2022
  • Objective : Although full-endoscopic lumbar interbody fusion (Endo-LIF) has been tried as the latest alternative technique to minimally invasive transforaminal lumbar interobody fusion (MIS-TLIF) since mid-2010, the evidence is still lacking. We compared the clinical outcome and safety of Endo-LIF to MIS-TLIF for lumbar degenerative disease. Methods : We systematically searched electronic databases, including PubMed, EMBASE, and Cochrane Library to find literature comparing Endo-LIF to MIS-TLIF. The results retrieved were last updated on December 11, 2020. The perioperative outcome included the operation time, blood loss, complication, and hospital stay. The clinical outcomes included Visual analog scale (VAS) of low back pain and leg pain and Oswestry disability index (ODI), and the radiological outcome included pseudoarthosis rate with 12-month minimum follow-up. Results : Four retrospective observational studies and one prospective observational study comprising 423 patients (183 Endo-LIF and 241 MIS-TLIF) were included, and the pooled data analysis revealed low heterogeneity between studies in our review. Baseline characteristics including age and sex were not different between the two groups. Operation time was significantly longer in Endo-LIF (mean difference [MD], 23.220 minutes; 95% confidence interval [CI], 10.669-35.771; p=0.001). However, Endo-LIF resulted in less perioperative blood loss (MD, -144.710 mL; 95% CI, 247.941-41.478; p=0.023). Although VAS back pain at final (MD, -0.120; p=0.586), leg pain within 2 weeks (MD, 0.005; p=0.293), VAS leg pain at final (MD, 0.099; p=0.099), ODI at final (MD, 0.141; p=0.093) were not different, VAS back pain within 2 weeks was more favorable in the Endo-LIF (MD, -1.538; 95% CI, -2.044 to -1.032; p<0.001). On the other hand, no statistically significant group difference in complication rate (relative risk [RR], 0.709; p=0.774), hospital stay (MD, -2.399; p=0.151), and pseudoarthrosis rate (RR, 1.284; p=0.736) were found. Conclusion : Relative to MIS-TLIF, immediate outcomes were favorable in Endo-LIF in terms of blood loss and immediate VAS back pain, although complication rate, mid-term clinical outcomes, and fusion rate were not different. However, the challenges for Endo-LIF include longer operation time which means a difficult learning curve and limited surgical indication which means patient selection bias. Larger-scale, well-designed study with long-term follow-up and randomized controlled trials are needed to confirm and update the results of this systematic review.

An Efficient TCP Mechanism for Mobile IP Handoffs (Mobile IP 핸드오프를 위한 효율적인 TCP 방식)

  • Kwon, Jae-Woo;Park, Hee-Dong;Cho, You-Ze
    • Journal of KIISE:Information Networking
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    • v.29 no.5
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    • pp.501-509
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    • 2002
  • When using TCP over a mobile network, TCP responds to a handoff by invoking a congestion control algorithm, thereby resulting in a degraded end-to-end performance in a mobile network. In this paper, two schemes are proposed, TCP-MD and TCP-R. TCP-MD can detect the movement of s mobile host early on, whereas TCP-R can force the source to freeze data transmission during registration. The proposed schemes maintain end-to-end TCP semantics, making it possible to fully interoperate with the existing infrastructure. Only a small change is required in the mobile host, plus the implementation is simple because some Mobile IP messages are used to notify the handoff, eliminating the need for any additional messages. Simulations confirmed that the proposed schemes give an excellent performance under various environments.