• Title/Summary/Keyword: Manipulation

Search Result 2,315, Processing Time 0.034 seconds

The hybrid perventricular closure of apical muscular ventricular septal defect with Amplatzer duct occluder

  • Kim, Soo Jin;Huh, June;Song, Jin Young;Yang, Ji-Hyuk;Jun, Tae-Gook;Kang, I-Seok
    • Clinical and Experimental Pediatrics
    • /
    • v.56 no.4
    • /
    • pp.176-181
    • /
    • 2013
  • Purpose: Apical muscular ventricular septal defects (MVSDs), especially in small infants, can be difficult to manage using surgical and percutaneous closure. An intraoperative perventricular procedure is a good option for closing apical MVSDs in small children with or without associated cardiac anomalies. We evaluated the results of hybrid perventricular closure of apical MVSDs performed using an Amplatzer duct occluder (ADO). Methods: We retrospectively reviewed the medical records of 5 patients who underwent hybrid perventricular closure of MVSDs with ADOs, from March 2006 to May 2011. The median patient age at the time of the procedure was 12 months (range, 25 days to 25 months), and the median body weight was 9.1 kg (range, 4.3 to 15 kg). Two patients had multiple ventricular septal defects (VSDs; additional perimembranous VSD in 1 patient and multiple MVSDs in the other) and 3 patients had associated cardiac anomalies; complete transposition of the great arteries in 1 patient and an atrial septal defect in 2 patients. All the procedures were performed on beating hearts, exception in 1 case. The ADO selected for the aortic side was at least 1 to 2 mm larger than the largest VSD in the left ventricle side. Results: The procedure was successful in all patients and each device was well positioned. During the median follow-up of 2.4 years, a small residual VSD was noted in 2 patients who had multiple VSDs and no leakage was seen in the other 3 patients. Conclusion: Perventricular closure of MVSD with an ADO is a good option for patients with apical MVSD. However, careful manipulation is important, especially in the case of small infants.

Surgical Experience of the Ruptured Distal Anterior Cerebral Artery Aneurysms

  • Lee, Jong-Young;Kim, Moon-Kyu;Cho, Byung-Moon;Park, Se-Hyuck;Oh, Sae-Moon
    • Journal of Korean Neurosurgical Society
    • /
    • v.42 no.4
    • /
    • pp.281-285
    • /
    • 2007
  • Objective : Distal anterior cerebral artery (DACA) aneurysms are fragile and known to have high risks for intraoperative premature rupture and a relatively high associated morbidity. To improve surgical outcomes of DACA aneurysms, we reviewed our surgical strategy and its results postoperatively. Methods : A total of 845 patients with ruptured cerebral aneurysms were operated in our hospital from January 1991 to December 2005. Twenty-three of 845 patients had ruptured DACA aneurysms which were operated on according to our surgical strategy. Our surgical strategy was as follows; early surgery, appropriate releasing of CSF, appropriate surgical approach, using neuronavigating system, securing the bridging veins, using temporary clipping and/or tentative clipping, meticulous manipulation of aneurysm, and using micro-Doppler flow probe. Twenty of 23 patients who had complete medical records were studied retrospectively. We observed the postoperative radiographic findings and checked Glasgow Outcome Scale score sixth months after the operation. Results : Nineteen DACA aneurysms were clipped through a unilateral interhemispheric approach and one DACA aneurysm was clipped through a pterional approach. Postoperative radiographic findings revealed complete clipping of aneurysmal neck without stenosis or occlusion of parent arteries. In two patients, a residual neck of aneurysm was visualized. Seventeen patients showed good recovery, one patient resulted in moderate disability, while 2 patients died. Conclusion : With our surgical strategy it was possible to achieve acceptable surgical morbidity and mortality rates in patients with DACA aneurysms. Appropriate use of tentative clipping, temporary clipping and neuro-navigating systems can give great help for safe approach and clipping of DACA aneurysm.

The Usefulness of Electromagnetic Neuronavigation in the Pediatric Neuroendoscopic Surgery

  • Choi, Ki Young;Seo, Bo Ra;Kim, Jae Hyoo;Kim, Soo Han;Kim, Tae Sun;Lee, Jung Kil
    • Journal of Korean Neurosurgical Society
    • /
    • v.53 no.3
    • /
    • pp.161-166
    • /
    • 2013
  • Objective : Neuroendoscopy is applied to various intracranial pathologic conditions. But this technique needs informations for the anatomy, critically. Neuronavigation makes the operation more safe, exact and lesser invasive procedures. But classical neuronavigation systems with rigid pinning fixations were difficult to apply to pediatric populations because of their thin and immature skull. Electromagnetic neuronavigation has used in the very young patients because it does not need rigid pinning fixations. The usefulness of electromagnetic neuronavigation is described through our experiences of neuroendoscopy for pediatric groups and reviews for several literatures. Methods : Between January 2007 and July 2011, nine pediatric patients were managed with endoscopic surgery using electromagnetic neuronavigation (AxiEM, Medtronics, USA). The patients were 4.0 years of mean age (4 months-12 years) and consisted of 8 boys and 1 girl. Totally, 11 endoscopic procedures were performed. The cases involving surgical outcomes were reviewed. Results : The goal of surgery was achieved successfully at the time of surgery, as confirmed by postoperative imaging. In 2 patients, each patient underwent re-operations due to the aggravation of the previous lesion. And one had transient mild third nerve palsy due to intraoperative manipulation and the others had no surgery related complication. Conclusion : By using electromagnetic neuronavigation, neuroendoscopy was found to be a safe and effective technique. In conclusion, electromagnetic neuronavigation is a useful adjunct to neuroendoscopy in very young pediatric patients and an alternative to classical optical neuronavigation.

A Study on the Analysis of the Present Conditions of Robot-typed Mechanic Games and Development Methods (로봇형 메카닉 게임 현황 분석 및 발전 방안에 관한 연구)

  • Ryu Seuc-Ho;Kyung Byung-Pyo;Kim Tae-Yul
    • Journal of Game and Entertainment
    • /
    • v.2 no.1
    • /
    • pp.1-7
    • /
    • 2006
  • While numerous On off-line and mobile games have been released in our domestic game market annually, the release of mechanic games in our domestic game market is merely a minority. The marketability of robot-typed mechanic game among our domestic game markets has net been widened. What are the reasons that the robot-typed mechanic game in our domestic games has not been expanded in terms of its users? The purpose of this study is to figure out the reasons why there have been few demands and manufactures of robot-typed mechanic games in domestic market. This study investigate the present conditions of robot-typed mechanic games released domestically and internationally and the reasons for game users' avoiding them through the ranking of sale and popularity. In addition, it analyze three biggest causes such as the absence of planning capability, cultural exclusivism against robots and difficulties in manipulation. Lastly, the study investigate the necessity and importance of robot-typed mechanic games in domestic markets.

  • PDF

A Research on the character of selecting acupoints in Jangjinyopyeon(藏珍要編) (『장진요편(藏珍要編)』의 선혈특성(選穴特性)에 관한 연구)

  • Kim, Do-Hoon;Baik, You-Sang
    • Journal of Korean Medical classics
    • /
    • v.26 no.4
    • /
    • pp.291-304
    • /
    • 2013
  • Objective : Jangjinyopyeon(藏珍要編, JJYP) was published in 1894. The purpose of the research is to know the character of JJYP, and to know JJYP inherited the tradition of Chosun(朝鮮) acupuncture which put emphasis on diagnosis and cure of Jangbu(臟腑) through meridian system. Method : First, identify the bibliographic information of the Mimeograph version of Original JJYP. After then, count and classify the provision by selected acupoints. Analyzed the result in succession. Conclusion : From the research of the mimeograph version of Original JJYP, come to following conclusion. 1. The pen name of author is Songgye(松溪), which means the region of his origin. 2. JJYP used 49 acupoints in total. It covers all regular meridian system except the regular Meridian of Hand Soeum[手少陰心經] for heart organ would never be injured in Neijing(內經) 3. JJYP suggested Eight Confluent points[八脈交會穴] as major acupoints in the end of book. But actually they were selected as the acupoints of belonging Jangbu(臟腑) and various symtoms. 4. Oegwan(外關) and Sameumgyo(三陰交) were maximum frequency in selecting of all acupoints, which means JJYP value controling and covering whole body. 5. Generally, Reinforcing and reducing manipulations concentrated one way, but Hugye(後谿) used each manipulation equally, which means JJYP regards tonification or purgation highly in Hugye(後谿). 6. Most acupoints of high frequency were Nak-point[絡穴], Won-point[原穴], Hap-point[合穴], which supposed to be directly connected to Jangbu(臟腑). So, we can see JJYP continue the tradition of Chosun acupuncture which put emphasis on Jang image[藏象] of meridian.

Fragile Watermarking for Image Authentication and Detecting Image Modification (영상 인증과 변형 검출을 위한 Fragile 워터마킹)

  • Woo, Chan-Il;Jeon, Se-Gil
    • Journal of Advanced Navigation Technology
    • /
    • v.13 no.3
    • /
    • pp.459-465
    • /
    • 2009
  • Digital watermarking is a technique to insert a visually imperceptible information into an image so that the information can be extracted for the purposes of ownership verification or authentication. And watermarking techniques can be classified as either fragile or robust. Robust watermarks are useful for copyright and ownership assertion purposes. They cannot be easily removed and should resist common image manipulation procedures such as rotation, scaling, cropping, etc. On the other hand, fragile watermarks are easily corrupted by any image processing procedure, it can detect any change to an image as well as localizing the areas that have been changed. In this paper, we propose a fragile watermarking algorithm using a special hierarchical structure for integrity verification of image and detection of manipulated location. In the proposed method, the image to be watermarked is divided into blocks in a multi-level hierarchy and calculating block digital signatures in this hierarchy. The proposed method thwarts the cut-and-paste attack and the experimental results to demonstrate the effectiveness of the proposed method.

  • PDF

Surgical Experience of Transsphenoidal-Supradiaphragmatic Intradural Approach to Presellar and Suprasellar Lesions

  • Park, Min-Woo;Kim, Jae-Min;Kim, Jae-Hoon;Bak, Koang-Hum;Kim, Choong-Hyun;Jeong, Jin-Hyeok
    • Journal of Korean Neurosurgical Society
    • /
    • v.39 no.5
    • /
    • pp.329-334
    • /
    • 2006
  • Objective : In selected cases, the transsphenoidal approach[TSA] can be extended anteriorly to the tuberculum sellae, chiasmatic sulcus, and planum sphenoidale to obtain direct exposure of the suprasellar cisterns and its contents. We applied this modification of the TSA to various lesions of the presellar and suprasellar areas. We evaluate our clinical experience of this technique and review the related literature. Methods : From 1999 to 2004, we used the transsphenoidal supradiaphragmatic intradural approachs[TSIAs] in 9 patients who had various lesions at the pre- and suprasellar regions. Concomitant presellar extension of the bone window was performed with the sublabial or transnasal transseptal transphenoidal techniques. After removal of the lesions, sellar or anterior cranial floor was repaired with silicone plate substitute. Results : The TSIAs have been applied in the following cases : four tuberculum sellae meningiomas, two craniopharyngiomas, two Rathke's cleft cysts, and one non-functioning macroadenoma. The complications were one case of visual acuity decrease and one cerebrospinal fluid rhinorrhea. Conclusion : The TSIA is easily applicable through a minor modification of the standard TSA. It is suitable for removing lesions located in the presellar and suprasellar area adjacent to the pituitary stalk with minimal brain manipulation and decreased morbidity.

Applying Genomic Sequence Alignment Methodology for Source Codes Plagiarism Detection (유전체 서열의 정렬 기법을 이용한 소스 코드 표절 검사)

  • 강은미;황미녕;조환규
    • Journal of KIISE:Computing Practices and Letters
    • /
    • v.9 no.3
    • /
    • pp.352-367
    • /
    • 2003
  • The syntactic and semantic characteristics of a computer program can be represented by the keywords sequence extracted from the source code. Therefore the similarity and the difference between two programs can be clearly figured out by comparing the keyword sequences obtained from the given programs. Various methods for measuring the similarity of two different sequences have been intensively studied already in bioinformatics on biological genetic sequence manipulation. In this paper, we propose a new method for measuring the similarity of two different programs and detecting the partial plagiarism by exploiting the sequence alignment techniques. In order to evaluate the performance of the proposed method, we experimented with the actual Program codes submitted by 70 students attending a Data Structure course )tow 2001. The experimental results show that the proposed method is more effective and powerful than the fingerprint method which is the most commonly used for the Plagiarism detection.

An Optimization Strategy for Vector Spatial Data Transmission onover the Internet (인터넷을 통한 벡터 공간 데이타의 효율적 전송을 위한 최적화 기법)

  • Liang Chen;Chung-Ho Lee;Hae-Young Bae
    • Journal of KIISE:Databases
    • /
    • v.30 no.3
    • /
    • pp.273-285
    • /
    • 2003
  • Generally, vector spatial data, with richer information than raster spatial data enabledata, enables a mere flexible and effective manipulation of the data sets. However, one of challenges against the publication of vector spatial information on the Internet is the efficient transmission of the big and complex vector spatial datadata, which is both large and complex, across the narrow-bandwidth of the Internet. This paper proposes a new transmission method, namely, the Scale-Dependent Transmission method, with the purpose of improving the efficiency of vector spatial data transmission on the narrow-bandwidthacross the Internet. Simply put, its nam idea is “Transmit what can be seen””. Scale is regarded as a factor naturally associated with spatial features so that not all features are visible to users at a certain scale. With the aid of the Wavelet-Wavelet-based Map Generalization Algorithm, the proposed method filters out invisible features from spatial objects according to the display scale and then to transmit onlytransmits only the visible features as athe final answer for an individual operation. Experiments show that the response times ofan individual operation has been reducedoperations were substantially by the usage of reduced when using the proposed method.

A Secure Multiagent Engine Based on Public Key Infrastructure (공개키 기반 구조 기반의 보안 다중 에이전트 엔진)

  • 장혜진
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.3 no.4
    • /
    • pp.313-318
    • /
    • 2002
  • The Integration of agent technology and security technology is needed to many application areas like electronic commerce. This paper suggests a model of extended multi-agent engine which supports privacy, integrity, authentication and non-repudiation on agent communication. Each agent which is developed with the agent engine is composed of agent engine layer and agent application layer. We describe and use the concepts self-to-self messages, secure communication channel, and distinction of KQML messages in agent application layer and messages in agent engine layer. The suggested agent engine provides an agent communication language which is extended to enable secure communication between agents without any modifications or restrictions to content layer and message layer of KQML. Also, in the model of our multi-agent engine, secure communication is expressed and processed transparently on the agent communication language.

  • PDF