• Title/Summary/Keyword: PED

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The Long Term Outcome of Percutaneous Endoscopic Discectomy (요추간 수핵탈출증에서 경피적 내시경 수핵절제술의 장기 임상 결과)

  • Kim, Gi Hyune;Lee, Sung Lak;Cho, Jae Hoon;Kang, Dong Gee;Kim, Sang Chul
    • Journal of Korean Neurosurgical Society
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    • v.30 no.2
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    • pp.150-155
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    • 2001
  • Between January 1995 and May 1998, 177 patients with proven lumbar disc herniation were treated by microdiscectomy or by percutaneous endoscopic discectomy(PED). Among them, 43(24.2%) patients underwent PED and were followed for long term outcome. We included only those patients who were followed up more than 13 months. Three patients who did not improved immediately after PED and underwent microdiscectomy were excluded for this study. Of remaining 40 patients, there were 22 men and 18 women who ranged in age from 23 to 68 years (mean 38.1 years). The disc herniations were located at L1-2(1), L2-3(1), L3-4(1), L4-5(26) and L5-S1(11). Three patients were treated by biportal approach. The mean follow up period was 34.7 months(range 13-47 months). Overall, excellent and good results were achieved in 12(30%) and 19(47.5%) patients, and fair and poor results in 7(17.5%) and 2(5%) patients, respectively. Thirty-eight(95%) patients returned to their previous works and the mean duration was 5.7 months. Thirty-three(82.5%) patients answered that they would recommend this procedure to others. There was no complication except for one patient who suffered from discitis. The indication of PED is restricted to contained or small subligamentous lumbar disc herniation without stenosis, spondylolisthesis and sequestration. PED can be performed under local anesthesia and tissue trauma, risk of epidural scarring, hospitalization time and postoperative morbidity are minimal. The result of the present study justify the assumption that PED can be a surgical alternative for patients suitable for its indications.

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Inadvertent Complication of a Pipeline Embolization Device for Treatment with Vertebral Artery Dissecting Aneurysm : Distal Tip Fracture of Delivery Wire

  • Park, Jung Soo;Kwak, Hyo Sung;Lee, Jong Myong
    • Journal of Korean Neurosurgical Society
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    • v.59 no.5
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    • pp.521-524
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    • 2016
  • Use of the Pipeline embolization device (PED) has increased based on studies about its safety and effectiveness, and new reports that describe perior postprocedural complications are now emerging. We report a rare periprocedural device-related complication that occurred during endovascular treatment with the pipeline embolization device for a dissecting aneurysm on the vertebral artery. A 55-year old woman was admitted due to left medullary infarction, and angiography showed a fusiform dilatation in the left vertebral artery that was suspicious for dissecting aneurysm. Endovascular treatment with PED was planned. Under general anesthesia, the procedure was performed without significant problems and a PED was deployed in an appropriate position. However, in the final step of the procedure, the distal tip of the PED delivery wire became engaged within a small branch of the posterior cerebral artery and fractured. Fortunately, imaging studies after the procedure revealed neither hemorrhagic nor ischemic stroke, and the patient recovered without neurological morbidities except initial symptoms.

Immunohistochemical study of causative agents for the porcine viral diarrhea disease on newborn piglets in Cheju (제주지역 양돈장에서 발생한 자돈 설사형 바이러스의 면역조직화학적 확인)

  • 강완철;김진회;안미정;강종철
    • Korean Journal of Veterinary Service
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    • v.23 no.3
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    • pp.301-306
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    • 2000
  • In an outbreak of acute porcine diarrhea in newborn piglets, an etiological study was carried out using piglets submitted in Cheju Province Institute for Livestock Promotion(Cheju Veterinary Service for the disease diagnosis). Sixteen piglets(2-7 days old) were collected from 4 farms during outbreaks of diarrhea disease(from January to April 2000). Specimens were taken after necropsy and examined by immunohistochemistry using of monoclonal antibodies for porcine epidemic diarrhea(PED) virus, transmissible gastroenteritis(TGE) virus, and porcine rotavirus. Immunohistochemistry showed that PED virus antigens, but both TGE virus and rota virus antigens not, were localized in the some epithelial cells of the intestines of 14 animals among 16 piglets examined. PEB virus antigens were mainly detected in the cytoplasm of enterocytes. Infected cells, which were most abundant in the villous epithelial cells of the jejunum and ileum, were uncommon in the crypt, epithelial cells, the lamina propria and Peyer's patches of piglets examined. The results suggest that PED virus is one of the most prevailing agents in an outbreak of fatal diarrhea in newborn piglets on Cheju island and PED virus was need to further study to prevent this disease.

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Epidemiology of Hyperbilirubinemia in a Quaternary Pediatric Emergency Department over a Three-Year Period

  • Timmons, Zebulon;Timmons, Jaci;Conrad, Christina;Miloh, Tamir
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.4
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    • pp.297-305
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    • 2018
  • Purpose: There is a lack of scholarly reports on pediatric emergency department (PED) exposure to hyperbilirubinemia. We aimed to describe the epidemiology of hyperbilirubinemia in patients presenting to a PED over a three-year period. Methods: This was a retrospective cohort study, completed at an urban quaternary academic PED. Patients were included if they presented to the PED from 2010 to 2012, were 0 to 18 years in age, and had an elevated serum bilirubin for age. A chart review was completed to determine the incidence of hyperbilirubinemia, etiology, diagnostic work up and prognosis. The data set was stratified into four age ranges. Results: We identified 1,534 visits where a patient was found to have hyperbilirubinemia (0.8% of all visits). In 47.7% of patients hyperbilirubinemia was determined to have arisen from an identifiable pathologic etiology (0.38% of all visits). First-time diagnosis of pathologic hyperbilirubinemia occurred in 14% of hyperbilirubinemia visits (0.11% of all visits). There were varying etiologies of hyperbilirubinemia across age groups but a male predominance in all (55.0%). 15 patients went on to have a liver transplant and 20 patients died. First-time pathologic hyperbilirubinemia patients had a mortality rate of 0.95% for their initial hospitalization. Conclusion: Hyperbilirubinemia was not a common presentation to the PED and a minority of cases were pathologic in etiology. The etiologies of hyperbilirubinemia varied across each of our study age groups. A new discovery of pathologic hyperbilirubinemia and progression to liver transplant or death during the initial presentation was extremely rare.

Development of Prototype Electronic Dosimeter using the Silicon PIN Diode Detector (실리콘 PIN 다이오드 검출기를 이용한 전자선량계 개발)

  • Lee, B.J.;Kim, B.H.;Chang, S.Y.;Kim, J.S.
    • Journal of Radiation Protection and Research
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    • v.25 no.4
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    • pp.197-205
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    • 2000
  • A prototype electronic dosimeter(PED) adopting a silicon PIN diode detector as a radiation detector has been developed, manufactured and test-evaluated. A radiation signal processing circuit has been electronically tested and then the radiation detection characteristics of this PED has been performance-tested by using a reference photon radiation field. As a result in a electronic performance test, radiation signals from a detector were well observed in the signal processing circuit. The radiation detection sensitivity of this PED after several test-irradiations to $^{137}Cs$ gamma radiation source appeared to be 1.85 cps/$Gy{\cdot}h^{-1}$ with 19.3% of the coefficient of variation, which satisfied the performance criteria for the active personnel radiation monitor. Further improvement of the electronic circuit and operating program will enable the PED to be used in personal monitoring purpose.

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Diagnostic reference levels in intraoral dental radiography in Korea

  • Kim, Eun-Kyung;Han, Won-Jeong;Choi, Jin-Woo;Jung, Yun-Hoa;Yoon, Suk-Ja;Lee, Jae-Seo
    • Imaging Science in Dentistry
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    • v.42 no.4
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    • pp.237-242
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    • 2012
  • Purpose: The objectives of this study were to survey the radiographic exposure parameters, to measure the patient doses for intraoral dental radiography nationwide, and thus to establish the diagnostic reference levels (DRLs) in intraoral dental X-ray examination in Korea. Materials and Methods: One hundred two intraoral dental radiographic machines from all regions of South Korea were selected for this study. Radiographic exposure parameters, size of hospital, type of image receptor system, installation duration of machine, and type of dental X-ray machine were documented. Patient entrance doses (PED) and dose-area products (DAP) were measured three times at the end of the exit cone of the X-ray unit with a DAP meter (DIAMENTOR M4-KDK, PTW, Freiburg, Germany) for adult mandibular molar intraoral dental radiography, and corrections were made for room temperature and pressure. Measured PED and DAP were averaged and compared according to the size of hospital, type of image receptor system, installation duration, and type of dental X-ray machine. Results: The mean exposure parameters were 62.6 kVp, 7.9 mA, and 0.5 second for adult mandibular molar intraoral dental radiography. The mean patient dose was 2.11 mGy (PED) and 59.4 $mGycm^2$ (DAP) and the third quartile one 3.07 mGy (PED) and 87.4 $mGycm^2$ (DAP). Doses at university dental hospitals were lower than those at dental clinics (p<0.05). Doses of digital radiography (DR) type were lower than those of film-based type (p<0.05). Conclusion: We recommend 3.1 mGy (PED), 87.4 $mGycm^2$ (DAP) as the DRLs in adult mandibular molar intraoral dental radiography in Korea.

Protective Effects of Ig Y against Diarrhea in Suckling Piglets

  • Wen Jin;Han, Jeong-hee;Kwang Jeong
    • Proceedings of the Korean Society of Veterinary Pathology Conference
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    • 2003.10a
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    • pp.43-43
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    • 2003
  • Porcine epidemic diarrhea (PED), transmissible gastroenteritis (TGE) are an acute viral enteritis. colibacillosis by E coli is a microbial enteritic disease in suckling piglets[1]. These infectious intestinal diarrheal diseases cause severe diarrhea to suckling piglets, so that lead to enormous economical loss in swine-product industries. Ig-Top (AD Biotech, Korea) is a immunomodulator with IgY the specific yolk-antibody for PED, TGE and E. coli and oligosaccharide. The purpose of this study was to investigate protective effects against PED virus, TGE virus E.coli and in suckling piglets by oral administration of the Ig-Top. (omitted)

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Requirements Analysis for Use of Portable Electronic Devices on Board (휴대용 전자기기 기내 사용에 대한 기준 분석)

  • Jung, Eunyoung;Jin, Youngkwon;Kim, Seungkyem
    • Journal of Aerospace System Engineering
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    • v.4 no.2
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    • pp.32-37
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    • 2010
  • Use of wireless portable devices, like mobile phones, PDAs and Laptops is explosively increasing. Used in the aircraft, these PEDs can introduce EMI problem to aircraft Com/Nav systems. This paper addresses some foreign research result on interference caused by PEDs which are used onboard and policy of Japan and USA to limit use of PED on board.

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Rheological Aspect of the Plastic Energy Dissipation

  • Kim, Myung-Ho
    • Proceedings of the Korean Society of Rheology Conference
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    • 2003.05a
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    • pp.93-98
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    • 2003
  • In this paper, the main emphasis and focus will be to study and illuminate the nature of Plastic Energy Dissipation (PED) in variety of polymers. This PED term represents the heat generated during the irreversible deformation of a polymer solid. A series of experiments for various polymers have been conducted in direct measurement method and indirect evaluation method - the incremental strain stress relaxation ((ISSR) method. The experimental evidence to relate the stress relaxation and the sensible temperature rise were revealed by the series of direct method experiments.

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A History for the Specification on International Pressure Equipment Code & Standard: SIPECS ('국제 압력기기 기술기준 시방서'의 제정경위)

  • 김남하
    • JOURNAL OF ELECTRICAL WORLD
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    • s.277
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    • pp.42-48
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    • 2000
  • 미국과 유럽은 세계무역기구(WTO)의 무역에 대한 기술장벽(TBT)에 관한 협정 발효 후 TBT 협정과 조화될 수 있도록 관련 법규와 기술기준의 제정 및 개정에 전력을 기울이고 있다. 보일러 및 압력용기와 관련해서는 유럽이 먼저 압력기기(Pressure Equipment)라고 명칭을 통일하고 1997년 7월 9일 European Pressure Equipment Directive(유럽의 압력기기고시 : PED)를 공포하여 그 주도권 행사에 나섰다. 이에 당황한 미국이 일본과 공조하여 PED에 대한 대응책이며 대안으로 ''국제 압력기기 기술기준 시방서''라는 명칭으로 대부분 미국의 기술기준을 준용하고 있는 우리나라로서는 아주 민감한 사항이다. 그것의 제정경위를 요약 정리함으로써 우리의 대처방안 설정에 도움이 되었으면 한다.

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