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Pulmonary Resections Using Bronchoplastic Procedures (기관지 성형술을 이용한 폐엽 절제술)

  • Kim, Ju-Hyeon;Seong, Suk-Hwan
    • Journal of Chest Surgery
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    • v.25 no.6
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    • pp.616-620
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    • 1992
  • A sleeve lobectomy is an appropriate operative procedure in patients with endobronchial neoplasms of low-grade malignancies in the proximal airways and for a small but significant number of patients with carcinoma. Here, we present eleven cases of sleeve lobectomy which were performed from 1984 to the August of 1991 in the Department of Thoracic Surgery of Seoul National University Hospital. The sex distribution was 6 males and 5 females in the age range from twenty to sixty seven, with an average of 44.9 years. The pathologic diagnoses were 7 cases of pulmonary malignancies: carcinoid in two, mucoepidermoid carcinoma in two, adenoid cystic carcinoma in one, adenocarcinoma in one, and squamous carcinoma in one. Other diagnoses were two cases of tuberculous bronchial strictures and two cases of benign tumors: one case of pesudolymphoma and one case of neurilemmoma. The procedures consisted of five right upper sleeve lobectomies [Fig. 1], four left upper sleeve lovectomies [Fig. 2], one left lower sleeve lobectomy[Fig. 3], and one right middle and lower lobetomy [Fig. 4]. All except one had a normal preoperative pulmonary function. The case which had a poor pulmonary function was a 66-year-old female adenocarcinoma patient. She seemed to be very intolerable to pneumonectomy [predicted FEV1=0.60L]. Therefore, she had a right sleeve upper lobectomy and experienced smooth postoperative course without any pulmonary problems. All cases had good postoperative results and no postoperative complications.

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Design of Systolic Multipliers in GF(2$^{m}$ ) Using an Irreducible All One Polynomial (기약 All One Polynomial을 이용한 유한체 GF(2$^{m}$ )상의 시스톨릭 곱셈기 설계)

  • Gwon, Sun Hak;Kim, Chang Hun;Hong, Chun Pyo
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.29 no.8C
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    • pp.1047-1054
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    • 2004
  • In this paper, we present two systolic arrays for computing multiplications in CF(2$\^$m/) generated by an irreducible all one polynomial (AOP). The proposed two systolic mays have parallel-in parallel-out structure. The first systolic multiplier has area complexity of O(㎡) and time complexity of O(1). In other words, the multiplier consists of m(m+1)/2 identical cells and produces multiplication results at a rate of one every 1 clock cycle, after an initial delay of m/2+1 cycles. Compared with the previously proposed related multiplier using AOP, our design has 12 percent reduced hardware complexity and 50 percent reduced computation delay time. The other systolic multiplier, designed for cryptographic applications, has area complexity of O(m) and time complexity of O(m), i.e., it is composed of m+1 identical cells and produces multiplication results at a rate of one every m/2+1 clock cycles. Compared with other linear systolic multipliers, we find that our design has at least 43 percent reduced hardware complexity, 83 percent reduced computation delay time, and has twice higher throughput rate Furthermore, since the proposed two architectures have a high regularity and modularity, they are well suited to VLSI implementations. Therefore, when the proposed architectures are used for GF(2$\^$m/) applications, one can achieve maximum throughput performance with least hardware requirements.

Early and late Complications after Arterial Switch Operation for Transposition of the Great Srteries -7 Year Experience- (대혈관 전위증에 동맥치환술 후의 합豆증)

  • 안재호
    • Journal of Chest Surgery
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    • v.27 no.9
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    • pp.746-751
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    • 1994
  • We reviewed our entire experience of 44 consecutive patients undergoing the arterial switch operation [ASO] for transposition of the great arteries [TGA] since March 1985.There were 28 patients with simple TGA[group I] and 16 with associated ventricular septal defect[VSD] [Group II] There were five hospital deaths[11.4%, 5/44], two related to single right coronary artery anatomy. There have been no late deaths. For group I hospital mortality was 14.3%[4/28], and for group II this was 6.25%[1/16]. Mean follow-up was 3.3 years[range 1 month to 8 years] and was completed for all patients. Actuarial survival at 7 years for hospital survivors was 85 $\pm$ 3.2 % in group I and 94 $\pm$ 3.5% in groupII. One patient has mild asymptomatic left ventricular outflow tract obstruction, and five patients [12.8 %,5/ 39] have right ventricular outflow tract gradients[RVOTO] exceeding 25 mmHg; only one patient has required reoperation for RVOTO. Mild neoaortic regurgitation is present in one patient. All survivors are currently in NYHA class I without medicalion, and all are in sinus rhythm. The ASO is associated with low operative risk and excellent medium-term outcome in most subsets of patients undergoing this operation. With more experience, improved results can be expected also in those patients currently at higher risk.

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A Performance Improvement Scheme for a Wireless Internet Proxy Server Cluster (무선 인터넷 프록시 서버 클러스터 성능 개선)

  • Kwak, Hu-Keun;Chung, Kyu-Sik
    • Journal of KIISE:Information Networking
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    • v.32 no.3
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    • pp.415-426
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    • 2005
  • Wireless internet, which becomes a hot social issue, has limitations due to the following characteristics, as different from wired internet. It has low bandwidth, frequent disconnection, low computing power, and small screen in user terminal. Also, it has technical issues to Improve in terms of user mobility, network protocol, security, and etc. Wireless internet server should be scalable to handle a large scale traffic due to rapidly growing users. In this paper, wireless internet proxy server clusters are used for the wireless Internet because their caching, distillation, and clustering functions are helpful to overcome the above limitations and needs. TranSend was proposed as a clustering based wireless internet proxy server but it has disadvantages; 1) its scalability is difficult to achieve because there is no systematic way to do it and 2) its structure is complex because of the inefficient communication structure among modules. In our former research, we proposed the All-in-one structure which can be scalable in a systematic way but it also has disadvantages; 1) data sharing among cache servers is not allowed and 2) its communication structure among modules is complex. In this paper, we proposed its improved scheme which has an efficient communication structure among modules and allows data to be shared among cache servers. We performed experiments using 16 PCs and experimental results show 54.86$\%$ and 4.70$\%$ performance improvement of the proposed system compared to TranSend and All-in-one system respectively Due to data sharing amount cache servers, the proposed scheme has an advantage of keeping a fixed size of the total cache memory regardless of cache server numbers. On the contrary, in All-in-one, the total cache memory size increases proportional to the number of cache servers since each cache server should keep all cache data, respectively.

Congenital Bronchoesophageal Fistula in Adult -Report of Three Cases- (성인의 선천성 식도기관지루 3례 보고)

  • Lee, Yong-Hun;Choe, Pil-Jo;U, Jong-Su
    • Journal of Chest Surgery
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    • v.28 no.5
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    • pp.525-529
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    • 1995
  • We have experienced three cases of congenital bronchoesophageal fistula which is rare and usually has an insidious clinical course. The patients included a thirty year old man and thirty six, thirty eight year old women respectively. Bronchiectatsis was found in all three cases, and bronchoesophageal fistula was found in one case preoperatively by esophagography and esophagoscopy, and other two cases operative field. The fistula was found between right lower esophagus and right lower lobe in all cases and esophageal diverticulum in one case. So they belonged to type I[1 case , II[2 cases of Braimbridge and Keith`s classification of congenital bronchoesophageal fistula . The fistulectomy was performed in all cases and concomitant lobectomy [2 cases and bilobectomy [1 case were done. There were toxic hepatitis in two cases and prolonged air leakage in one case postoperatively. They were discharged on recovered state and have continued to do well.

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Microscopic Observation of Moso bamboo(Phyllostachys pubescens Mazel) with Various Ages (맹종죽의 죽령별 조직 현미경적 관찰)

  • Yoon, Seung-Lak
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.42 no.2
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    • pp.27-34
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    • 2010
  • To obtain the basic information for the use of bamboo, the anatomical characteristics of moso bamboo shoots, and 20-day-old, 60-day-old, one-year-old, and two-year-old moso bamboo were observed by using polarizing microscope. The cross section showed that the bamboo shoots consists of the early stage of cell formation, atactostele, parenchyma, and bundle sheath was formed in 20-day-old moso bamboo, and all cells completely formed in 60-day-old moso bamboo. The tissues in one-year-old moso bamboo appeared to be completely matured. On the tangential surface, no atactostele was observed in the bamboo shoot, but metaxylem, parenchyma, and bundle sheath were found. atactostele and parenchyma appeared to be formed between 20 and 60 days. All tissues and cells were totally formed and the cell wall of parenchyma were completely matured after one year. The metaxylem in bamboo shoots was observed to have pits, which means that it could be the tissues first formed of all bamboo cells.

Design Alteration of a All in One PC for the Improved Stability (일체형 컴퓨터의 구조 안정화를 위한 설계 개선)

  • Kim, Dong Wook;Ro, Seung Hoon;Kim, Geon Hyeong;Yang, Yong Jun
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.12 no.6
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    • pp.109-116
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    • 2013
  • Vibrations are generally recognized as the biggest concern in maintaining part' longevity of an All-in-one PC. The vibrations in PCs originate from excitation sources such as the HDD and the cooling fan. In this study, the vibrations from these sources were investigated in order to analyze the individual effects of the parameters on the structural vibrations of the PC; further, we attempted to establish design alterations that could successfully suppress vibrations, in order to achieve improved stability and part' longevity. The results show that relatively simple design alterations can substantially improve the stability of PCs.

Clinical Experience of Atrial Myxoma (심장점액종의 외과적 치료)

  • 라찬영
    • Journal of Chest Surgery
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    • v.22 no.5
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    • pp.781-787
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    • 1989
  • Seven patients [six cases of left atrial myxoma, one case of right atrial myxoma] from 24 to 66 years of age [4 male and 3 female, mean age 48 years] underwent excision of atrial myxoma between 1982 and 1989 at Keimyung University Dongsan Medical Center. All patients presented with congestive heart failure, six with cardiac murmur, three with syncope, two with sinus tachycardia, one each with sinus arrhythmia, atrial fibrillation, pleural effusion, peripheral embolization. Symptoms were present from 1 month to 8 years before operation [mean 28 months], All tumors originated from atrial septum and pedunculated. The myxomas were successfully removed in all patients, either shaving them from atrial septum [n=3] or by excising a portion at normal atrial septum with tumor [n=4]. One case was replaced mitral valve with carbomedics-31mm due to severe mitral regurgitation. Follow up is current. No recurrent myxoma has been identified clinically or by echocardiography. In this series, excellent results were obtained by simple excision of the tumor, with or without a margin of normal atrial septum.

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Sclerotherapy of Peritoneal Inclusion Cysts: Preliminary Results in Seven Patients

  • Jun Yong Jeong;Seung Hyup Kim
    • Korean Journal of Radiology
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    • v.2 no.3
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    • pp.164-170
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    • 2001
  • Objective: To evaluate the technical feasibility and the clinical effectiveness of sclerotherapy for the treatment of peritoneal inclusion cysts (PICs). Materials and Methods: Between June 1996 and February 2001, eight PICs in seven female patients aged 28-43 (mean, 36) years were instilled with sclerosant (povidone-iodine in three, ethanol in three, both povidone-iodine and ethanol in one). All seven patients subsequently experienced less abdominal pain. After drainage via an 8.5-Fr pigtail catheter inserted in the PICs (transabdominally in six cases, transvaginally in one), sclerosant equivalent in volume to about one-third that of drained fluid was introduced daily until the drained volume was less than 5ml. Follow-up by means of clinical procedures and ultrasound was performed every three months, at which time the success rate, possible complications and recurrence were determined. Results: Sclerotherapy was technically successful in all seven patients, though immediately after the procedure, minor complications were noted in three patients (mild pain in two, mild fever in one). During the follow-up of 4-60 (mean, 24.7) months, sclerotherapy proved successful and without long-term complications in all seven patients: lower abdominal pain disappeared and the diameter of the cysts decreased more than 50%, with complete regression in four cases. During the follow-up period there was no recurrence. Conclusion: Sclerotherapy following catheter insertion is technically feasible and effective for the treatment of PICs.

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Arthroscopic Posterior Capsular Shaft for Traumatic Recurrent Unidirectional Posterior Subluxation of the Shoulder (외상으로 인한 재발성 단방향 견관절 후방 아탈구의 관절경을 이용한 후방낭 이동술)

  • Kim, Seung-Ho;Ha, Kwon-Ick;Yoo, Jae-Chul;Lee, Yong-Seuk;Lee, Hui-Dong
    • Clinics in Shoulder and Elbow
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    • v.6 no.1
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    • pp.55-66
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    • 2003
  • Background: The purpose of this study was to evaluated results of arthroscopic treatment of the traumatic recurrent unidirectional posterior subluxation. Materials and Methods: We treated twenty-seven patients who had traumatic recurrent unidirectional posterior subluxation of the shoulder by arthroscopic labral repair and posterior capsular shift and prospectively evaluated for a mean of thirty-nine months (range,24 to 85 months). Patients who had posteroinferior instability, multidirectional instability, atraumatic onset, or revision cases were excluded. There were twenty-five male and two female patients with the mean age of twenty-one years (range, 14 to 33 years). All patients were involved in sports activity. All had a significant traumatic event prior to the onset of the instability. Stability, motion, three objective measurement (UCLA, ASES, and Rowe scores) and two subjective measurements (pain and function visual analogue scale) were evaluated. Results: The most common finding in magnetic resonance image-arthrogram was separation of the posteroinferior labrum without displacement in 9 patients, In arthroscopic examination, all patients had one or more lesions in the posterior inferior labrum and capsule. The most common finding was incomplete stripping of the posterior inferior labrum (18 patients). The posteroinferior capsule subjectively appeared to be stretched in twenty-two patients. At follow-up, all patients had improved shoulder function and scores(p < 0.01). All patients had stable shoulder by subjectivel and objectivel measurements, except one patient who had recurrent subluxation. All but one patient with postoperative recurrence were able to return to their prior sports activity with little or no limitation. Twenty-four patients were graded as having more than 90% of shoulder function. Their were twenty-one excellent, five good, and one fair UCLA. scores. Pain sore improved from 4.5 to 0.2 point(p : 0.0001). Mean loss internal rotation was one vertebral level. None had operative complications. Conclusion: In conclusion, treatment outcomes of the traumatic unidirectional recurrent posterior subluxation are consistently reliable with respect to the stability, pain relief, and functional restoration by the arthroscopic posterior capsular shift procedure.