• Title/Summary/Keyword: PIO

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Usefulness of External Monitoring Flap in the Buried Jejunal Free Flap (유리 공장 피판술 후 외부 감시 피판의 유용성)

  • Kim, Baek Kyu;Chang, Hak;Minn, Kyung Won;Hong, Joon Pio;Koh, Kyung Suck
    • Archives of Plastic Surgery
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    • v.34 no.4
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    • pp.432-435
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    • 2007
  • Purpose: The jejunal free flap has the shorter ischemic time than other flap and requires a laparotomy to harvest it. As the evaluation of the perfusion the buried flap is very important, the perfusion of the buried jejunal free flap requires monitoring for its salvage. We tried to improve the monitoring flap method in the jejunal free flap and examined its usefulness. Methods: From March 2002 to March 2006, the monitoring flap method was applied to 4 cases in 8 jejunal free flaps for the pharyngeal and cervical esophageal reconstructions. The distal part of the jejunal flap was exposed without suture fixation through cervical wound for monitoring its perfusion. The status of perfusion was judged by the color change of jejunal mucosa and mesentery. If necessary, pin prick test was performed. Doppler sonography was applied to mesenteric pedicle of the monitoring flap in case of suspicious abnormal circulation. Results: The monitoring flap shows no change in 3 cases, but the congestion happened in one case at the 12 hours after the operation. This congestion was caused by the twisting or kinking of the mesenteric pedicle of the monitoring flap. So, we fixed up the monitoring flap close to adjacent cervical skin for prevention of rotation. Finally, the main part of transferred jejunal flap was intact. Conclusion: The success of a jejunal free flap depends on close postoperative monitoring and early detection of vascular compromise. So, various monitoring methods have been tried, for instance, direct visualization using a fiberoptic pharyngoscope, through a Silastic window placed in the neck flap, or external surface monitoring with an Doppler sonography, use of a buried monitoring probe. But, all of the above have their own shortcomings of simplicity, non-invasiveness, reliability and etc. In our experience, monitoring flap can be a accurate and reliable method.

A MapReduce-Based Workflow BIG-Log Clustering Technique (맵리듀스기반 워크플로우 빅-로그 클러스터링 기법)

  • Jin, Min-Hyuck;Kim, Kwanghoon Pio
    • Journal of Internet Computing and Services
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    • v.20 no.1
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    • pp.87-96
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    • 2019
  • In this paper, we propose a MapReduce-supported clustering technique for collecting and classifying distributed workflow enactment event logs as a preprocessing tool. Especially, we would call the distributed workflow enactment event logs as Workflow BIG-Logs, because they are satisfied with as well as well-fitted to the 5V properties of BIG-Data like Volume, Velocity, Variety, Veracity and Value. The clustering technique we develop in this paper is intentionally devised for the preprocessing phase of a specific workflow process mining and analysis algorithm based upon the workflow BIG-Logs. In other words, It uses the Map-Reduce framework as a Workflow BIG-Logs processing platform, it supports the IEEE XES standard data format, and it is eventually dedicated for the preprocessing phase of the ${\rho}$-Algorithm that is a typical workflow process mining algorithm based on the structured information control nets. More precisely, The Workflow BIG-Logs can be classified into two types: of activity-based clustering patterns and performer-based clustering patterns, and we try to implement an activity-based clustering pattern algorithm based upon the Map-Reduce framework. Finally, we try to verify the proposed clustering technique by carrying out an experimental study on the workflow enactment event log dataset released by the BPI Challenges.

The Quality of Life after Lymphaticovenous Anastomosis in 118 Lower Limb Lymphedema Patients

  • Jin Geun Kwon;Yeongsong Kim;Min Young Jang;Hyunsuk Peter Suh;Changsik John Pak;Vaughan Keeley;Jae Yong Jeon;Joon Pio Hong
    • Archives of Plastic Surgery
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    • v.50 no.5
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    • pp.514-522
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    • 2023
  • Background This is a prospective study on 118 patients who underwent lymphaticovenous anastomosis (LVA) due to secondary lower limb lymphedema between January 2018 and October 2020 to evaluate patients' quality of life (QOL) using the Quality of Life Measure for Limb Lymphedema (LYMQoL) questionnaire. Methods The outcome measurement included the LYMQoL leg scoring system tool evaluating the function, appearance, symptom, mood, and overall outcome. In addition, correlation analysis was performed for three factors: based on International Society of Lymphology (ISL) stages, disease duration, and amount of volume reduction. Results The LYMQoL tool overall satisfaction score significantly increased at all intervals from 4.4 ± 0.2 preoperative to 6.5 ± 0.3 postoperative at 12 months (p < 0.001). Significant findings were seen for each domain scores compared preoperatively and at 12 months: function score (18.6 ± 0.5 to 15.4 ± 0.6), appearance score (17.8 ± 0.5 to 16.0 ± 0.6), symptom score (11.8 ± 0.3 to 8.9 ± 0.4), and mood score (14.5 ± 0.4 to 11.4 ± 0.5; p < 0.05). The correlation analysis between improvement of the overall score and the ISL stage (p = 0.610, correlation coefficient [r] = -0.047), disease duration (p = 0.659, r = -0.041), and amount of limb volume reduction (p = 0.454, r = -0.070) showed no statistical significance. Conclusion The QOL of secondary lower limb lymphedema patients was significantly improved after LVA regardless of the severity of disease, duration of disease, and amount of volume reduction after LVA. Understanding the patient-reported outcome measurement will help the surgeons to manage and guide the expectations of the patients.

A Predictive Bearing Anomaly Detection Model Using the SWT-SVD Preprocessing Algorithm (SWT-SVD 전처리 알고리즘을 적용한 예측적 베어링 이상탐지 모델)

  • So-hyang Bak;Kwanghoon Pio Kim
    • Journal of Internet Computing and Services
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    • v.25 no.1
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    • pp.109-121
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    • 2024
  • In various manufacturing processes such as textiles and automobiles, when equipment breaks down or stops, the machines do not work, which leads to time and financial losses for the company. Therefore, it is important to detect equipment abnormalities in advance so that equipment failures can be predicted and repaired before they occur. Most equipment failures are caused by bearing failures, which are essential parts of equipment, and detection bearing anomaly is the essence of PHM(Prognostics and Health Management) research. In this paper, we propose a preprocessing algorithm called SWT-SVD, which analyzes vibration signals from bearings and apply it to an anomaly transformer, one of the time series anomaly detection model networks, to implement bearing anomaly detection model. Vibration signals from the bearing manufacturing process contain noise due to the real-time generation of sensor values. To reduce noise in vibration signals, we use the Stationary Wavelet Transform to extract frequency components and perform preprocessing to extract meaningful features through the Singular Value Decomposition algorithm. For experimental validation of the proposed SWT-SVD preprocessing method in the bearing anomaly detection model, we utilize the PHM-2012-Challenge dataset provided by the IEEE PHM Conference. The experimental results demonstrate significant performance with an accuracy of 0.98 and an F1-Score of 0.97. Additionally, to substantiate performance improvement, we conduct a comparative analysis with previous studies, confirming that the proposed preprocessing method outperforms previous preprocessing methods in terms of performance.

Anti-oxidant and Anti-microbial Activities of Seungmakalgeuntang (복합처방인 승마갈근탕(升摩葛根湯)의 항산화 및 항균효과)

  • Lee, Jin-Young;Bae, Ho-Jung;Park, Tae-Soon;Kim, Tae-Wan;Moon, Doo-Hwan;Kwon, O-Jun;Son, Jun-Ho;Lee, Chang-Eon;Park, Gun-Hye;Kim, Han-Hyuk;An, Bong-Jeun
    • Journal of Applied Biological Chemistry
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    • v.53 no.1
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    • pp.13-20
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    • 2010
  • Biological activities such as anti-oxidative and anti-microbial of the Seungmakalgeuntang, a traditional prescription, were evaluated. The electron donating ability of water, ethanol, supercritical fluid and 1,3-butylene glycol extract of Seungmakalgeuntang showed more than 50% at a 100 ppm concentration. At a 1000 ppm concentration, the superoxide dismutase-like activities of ethanol and supercritical fluid extract of Seungmakalgeuntang showed less than 50%. xanthine oxidase inhibition effect of the supercritical fluid extract showed more than 70% at a 1,000 ppm concentration, which was higher than vitamin C. From the measurement on lipid oxidation, the $Fe^{2+}$ chelating abilities of the supercritical fluid extract of Seungmakalgeuntang was more than 60% at a 100 ppm concentration. Also the $Cu^{2+}$ chelating abilities of supercritical fluid extract Seungmkalgeuntang was showed more than 60% at a 500 ppm concentration. Clear zones formed by sample against the human skin-resident microflora such as Staphylococcus epidermidis, Staphylococcus aureus and Propionibacterium acne of ethanol and supercritical fluid extract of Seungmakalgeuntang showed the highest among all the extracts tested using a 4mg/disc. The minimum inhibitory concentration (MIC) against both S. epidermidis and S. aureus showed 2,500 ppm in the extract of the supercritical fluid.

Effects of Recombinant Human Epidermal Growth Factor (rhEGF) on Experimental Radiation-Induced Oral Mucositis in Rats (Rat의 방사선 조사성 구내염에 대한 Recombinant Human Epidermal Growth Factor (rhEGF)의 효과)

  • Jung Kwon-Il;Kim Sun-Hee;Moon Soo-Young;Kim Yeon-Wha;Hong Joon-Pio;Kim Hyun-Sook;Lee Sang-Wook
    • Radiation Oncology Journal
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    • v.24 no.1
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    • pp.67-76
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    • 2006
  • Purpose: Oral mucositis is a common toxicity of radiation or chemotherapy, which is used a treatment for head and neck cancer. We investigated effects of recombinant human epidermal growth factor (rhEGF) on radiation-induced oral mucositis in rat model. Materials and Methods: Spraque-Dawley rats (7 per group) exposed to a single dose of 25 Gy (day 0) on their head, except for one group, were randomly divided into un-treated, vehicle-treated, and two rhEGF-treated groups. Rats were topically applied with rhEGF (15 or $30{\mu}g/oral$ cavity/day) or vehicle to their oral mucosa. Survival rate of rats, weight changes, and food intakes were examined from day 0 to 18 after radiation. Histology study was performed from oral mucosa of rats at day 7 and 18 after radiation. Results: rhEGF-treated groups (15 or $30{\mu}g/oral$) showed all survival rate 33%, whereas un-treated and vehicle-treated groups showed all survival rate 0% at the end of experiment. rhEGF-treated groups statistically had less weight loss compared to vehicle-treated group from day 2 to 7 after radiation. Food intake of rats with rhEGF treatment turned to increase at day 14 after radiation. At 7 day after radiation, un-treated and vehicle-treated groups showed severe pseudomembraneous or ulcerative oral mucositis. On the other hand, rhEGF-treated groups had no more than cellular swelling and degeneration of epidermal cells in oral mucosa of rats. Conclusion: These results suggest that rhEGF has significantly positive effects on radiation-induced oral mucositis in rats. rhEGF display a therapeutic potential on a clinical level.