• Journal of Cerebrovascular and Endovascular Neurosurgery
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• v.26 no.2
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• pp.141-151
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• 2024

Objective: Double microcatheter technique (dMC) can be the alternative to Single microcatheter technique (sMC) for challenging cases, but there is lack of studies comparing dMC to sMC especifically for small ruptured aneurysms. Our objective was to compare the safety and efficacy of dMC to sMC in treating small (≤5 mm) and tiny (≤3 mm) ruptured aneurysms. Methods: This study focused on 91 out of 280 patients who had ruptured aneurysms and underwent either single or double microcatheter coil embolization. These patients were treated with either single or double microcatheter coil embolization. We divided the patients into two groups based on the procedural method and evaluated clinical features and outcomes. Subgroup analyses were conducted specifically for tiny aneurysms, comparing the two methods, and within the dMC group, we also examined whether the aneurysm was tiny or not. In addition, univariate logistic regression analysis was performed to assess the impact of coil packing density. Results: The mean values for most outcome measures in the dMC group were higher than those in the sMC group, but these differences did not reach statistical significance (coil packing density, 45.739% vs. 39.943%; procedural complication, 4.17% vs. 11.94%; recanalization, 8.3% vs. 10.45%; discharge discharge modified Rankin Scale (mRS), 1.83 vs. 1.97). The comparison between tiny aneurysms and other sizes within the dMC group did not reveal any significant differences in terms of worse outcomes or increased risk. The only factor that significantly influenced coil packing density in the univariate logistic regression analysis was the size of the aneurysm (OR 0.309, 95% CI 0.169-0.566, p=0.000). Conclusions: The dMC proved to be a safe and viable alternative to the sMC for treating small ruptured aneurysms in challenging cases.

• Advances in pediatric surgery
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• v.4 no.2
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• pp.156-162
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• 1998

Choledochal cyst is rare in the western countries, but common in oriental countries. Complicatioins include ascending cholangitis, recurrent pancreatities, progressive biliary cirrhosis, portal hypertension, stone formation and later malignant transformation. Bile peritonitis secondary to rupture is one of the rarest complications, with an incidence of 1.8 % to 18 %. The anomalous arrangement of the pancreatobiliary ductal system with a long common channel may cause inflammation leading to perforation of the cyst. The authors found 4 cases (14.2 %) of bile peritonitis among 28 cases of choledochal cyst treated from Jan. 1983 to Jan. 1998. The patients ages ranged from 6 months to 3 years and three were female. The perforation sites were located on the common bile duct at its junction with the cystic duct in 2 cases, the distal cyst wall in 1 case and the left hepatic duct at its junction with cyst in 1 case. The types of choledochal cysts by Todani's classification were Type IVa in 3 cases and type I in 1 case. By the new Komi's classification utilizing operative cholangiogram there were 2 cases of Type Ia, 1 case of type IIb and 1 case of type III. One stage cyst excision and hepaticojejunostomy(Roux-en Y type) was done in 3 cases, and two staged operation in 1 case. All patients had an uneventful course postoperatively. The average day of discharge was 9.8th postoperatively. In conclusion, primary excision of the choledochal cyst and biliary reconstruction is a safe and effective treatment of ruptured choledochal cyst in infants.

• Journal of Korean Society for Geospatial Information Science
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• v.22 no.4
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• pp.165-173
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• 2014

Open-pit mining method, is safe relatively work as compared with underground mining. And high yield, low production cost, has the advantage that it can provide a lot of production. But deforestation, tailings and slag deposition, mineral debris, dust, water, noise, land subsidence, sediment runoff discharge, I have internalized environmental disaster predisposing factors, such as landslides. Thus, it may be noted, also by typical environmental regulations. We try to deal with the changes in open pit terrain and environment related issues. Then, use the recovery period and the open pit mine and ecology off the gun, environment-friendly development of accurate monitoring methods, systems of this development is required. The use of open platforms and open source GIS tools have been developed during this period, it needs to develop spatial information environment monitoring system open pit mine construction.

• Proceedings of the Korea Water Resources Association Conference
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• 2006.05a
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• pp.45-50
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• 2006

About 50% of the population and 75% of the properties concentrate on the flood plain in Japan. The rivers have intimate relationship with our lives. Those conditions have been seen after modern river improvement projects that began about a century ago. The technology which was introduced from foreign countries was improved in conformity with geographical features and the climate condition of our nation, and has redeveloped as a Japanese original technology. In 1940's, Japan had serious natural disasters that were caused by large- scale typhoons. Those typhoons wiped out everything completely. Even though the government realized the importance of flood control and management after those natural disasters, civil work still aimed to economic development. Those construction works have become the one of factors for concentrating population and degrading natural environment in urban areas. Deterioration of river environment has become serious issue in urban development and main cause of pollution. The approaches for environmental restorations which were started about 30 years ago aimed to harmonize with nature environment and cities and human lives. There have been going on many projects called 'river environmental improvement projects', the 'nature friendly river works' and 'natural restoration projects.' The society has tried to find a way to live in harmony with nature. As for societies symbiotic with habitats will form the safe country in the history and the spectacle. Such as the symbiotic of the river or the basin where discharge, water quality, nature, the history, landscape, the local society and also for culture were built in is achieved. Examples of working, applied to restoration technologies and the one to describe the mechanism construction are been shown in the paper. Furthermore, write for an international spread of the river technology of Japan to attempt.

• Clinical and Experimental Pediatrics
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• v.61 no.8
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• pp.253-257
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• 2018

Purpose: Child safety seats (CSS) are critical for the protection of children, in case of motor vehicle accidents. Although the national legislation mandates that all newborns must be placed in an appropriately installed CSS during transportation, people often do not perceive the importance of CSS and do not use it as recommended. The purpose of this survey was to understand the use of CSS for the safe transport of newborns from hospital to home. Methods: We interviewed parents of newborn infants, using a structured questionnaire, at the time of their discharge from Cheil General Hospital & Women's Health Care Center, between May 2014 and July 2014. Results: A total of 403 participants were interviewed. The rate of CSS use was only 14.9%. Overall, 76.4% of the families interviewed were not aware about the recommendations on CSS use for newborns when travelling in a car. The provision of education on using CSS significantly influenced their rate of use. Parents who were educated about mounting the CSS in a car used it more as compared with others (25.7% vs. 12.2%) (P=0.002). Furthermore, if parents had heard about the importance or necessity of CSS, they used it more than others did (19.5% vs. 10.6%, P=0.032). Conclusion: Despite the legal regulation, most parents transport their newborn infants without a CSS while traveling from hospital to their home. The rate of CSS use was influenced by parental education and their knowledge about its necessity. Education programs for parents must be reinforced to increase the CSS use.

• The Journal of Internal Korean Medicine
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• v.22 no.4
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• pp.633-638
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• 2001

Objective : Stroke is the most frequent cause of death in Korea. Because it remains severe disablities disturbing normal life, it is important to carry out intervention preventing from progression of condition in patients with acute ischemic stroke within therapeutic time window. Thus early thrombolysis is beneficial for patients with acute ischemic stroke. However its therapeutic efficacy is not known in combination with oriental medical therapy. In this study, we investigated the safety and the clinical effect of continous intravenous urokinase therapy and oriental medical therapy. Methods : Twenty eight patients with acute onset of ischemic stroke no later than three days received continous infusion of urokinase and oriental medical therapy. We estimated the subjects's neurological deficit and functional status with National institute of Neurologic Disorders and Stroke Scale(NIHSS) and Europian Stroke Scale (ESS) prior to therapy, on day 3, 7, 14 after the starting urokinase therapy and on day at discharge. Results: After day 7, the scores of NIHSS and ESS were improved significantly. There are no differences in therapeutic effects of the interval between onset of stroke and initiation of therapy. Complication were noted in four(14%) patients, but these are not fatal complication and make no neurological deficiency. Conclusion : The results of these investment suggest that continuous intravenous urokinase with oriental medical therapy could be a safe and effective intervention to prevent from progression in acute ischemic stroke. But this findings should be confirmed in multicenter double blind controlled trial.

• Proceedings of the Safety Management and Science Conference
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• 2009.04a
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• pp.79-91
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• 2009

The government separated and established the industrial safety and health law from the Labor Standard law since 1981 to promote the labor's working environment and to improve the conditions of laborers. The government made a lot of effort to discharge the industrial safety and health law by continuous revision of the law thereafter. it is, however, difficult to establish clear-cut lines of authority and responsibility due to the fact that the substantial application of the industrial safety and health law is adapted by enterprise's autonomous management. There are frequent industrial disasters on the small and medium enterprises which have financial difficulty and it means this causes much more social cost. Finally, for the improvement of laborer's safety, health and working environment in the small and medium enterprises we need to raise the effectiveness of the industrial safety and health law through enhancing a government-office's administration and surveillance with the changing mind of a business proprietor. On this paper, we research on the actual condition of the administration, inspection and regulation of safety and health by means of the industrial safety and health law. Thereafter we analyze how much the Korea Occupational Safety & Health Agency and vicarious businesses of safety & health management help. we used the survey method to gather data from 380 laborers directly and analysed the data by SPSS v17.0.

• Journal of IKEEE
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• v.23 no.4
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• pp.1328-1336
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• 2019

To maintain the safe and optimal performance of batteries, accurate estimation of state of charge (SOC) is critical. In this paper, Long short-term memory network (LSTM) based on the artificial intelligence algorithm is applied to address the problem of the conventional coulomb-counting method. Different discharge cycles are concatenated to form the dataset for training and verification. In oder to improve the quality of input data for learning, preprocessing was performed. In addition, we compared learning ability and SOC estimation performance according to the structure of LSTM model and hyperparameter setup. The trained model was verified with a UDDS profile and achieved estimated accuracy of RMSE 0.82% and MAX 2.54%.

• Journal of the Korean housing association
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• v.22 no.4
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• pp.103-112
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• 2011

The purpose of this study was to determine the incomplete aspects of the government pilot project 'Livable City Making' Also, the study was conducted to consider a plan that residents will satisfy for the realization of the project. The study used a case study and a survey method in research process. For the case study, two projects in Busan that have similar planning were chosen. The contents of the survey included the residents' interest in their housing area, their recognition and opinions of the pilot project, their satisfaction about the environmental alterations, and their thought about conditions of sustainable housing. The main results of this study were as follows. First, the residents were satisfied with the alteration of the street space and the provision of green and open spaces. Meanwhile they revealed that the preservation of the natural environment and the vitalization of community are insufficient. Second, they also believed that the construction of the pedestrian streets, the provision of parking lots, and the remodeling of the deteriorated buildings are incomplete. Third, the residents believed that the following provisions need to be made for successful sustainable housing waste discharge needs to be minimized, facilities need to be used for saving energy, opportunities for employment need to be provided within their housing areas, and safe street spaces and comfortable traffic systems need to be provided.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.8
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• pp.3411-3413
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• 2014

Background: Cytology for breast lesions is a safe, rapid and cost-effective with a high specificity and sensitivity. Objective: To determine the cytomorphologic patterns of breast lesions identified among a group of Sudanese patients. Materials and Methods: This study included 759 patients undergoing either a fine needle aspiration FNA, nipple discharge (ND) smears or breast skin scraping (SS) at a cytology clinic in Khartoum. Clinical and demographic data were reviewed. Stained smears were categorized into: inadequate sample, normal breast, benign lesion, suspicious, or malignant neoplasm. Results: Of the 759 cases, 734 (96.71%) were FNA, 18 (2.37%) ND and 7 cases (0.92%) SS. For 28 cases, FNA was done under ultrasound guidance. Females were 720 (94.86%). Benign lesions were 423 (55.75%) and 248 (32.67%) were malignant and 77 (10.14%) of smears were normal without any detected abnormality. Ten (1.31%) cases were suspicious for malignancy, and only one case (0.13%) was reported as inadequate. Most lesions were observed among the age group 30 years and above. Conclusions: Most patients investigated have benign lesions, one third of cytological smears were malignant. FNAC is a useful tool for investigating breast lesions in limited-resource settings.