• Journal of Gastric Cancer
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• v.2 no.1
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• pp.20-25
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• 2002

Purpose: Chylous ascites is an accumulation of lymphatic fluid within the peritoneal cavity due to trauma or to an obstruction on the lymphatic system. Postoperative chylous ascites is a rare complication of abdominal surgery. It is frequently reported after retroperitoneal dissections and results in high morbidity and mortality. However, there have been few report of such a complication following a radical gastrectomy. Therefore, we review the clinical analysis and treatment of chylous ascites based on our experience. Materials and Methods: From July 1992 to June 2001, we treated 13 cases of chylous ascites after operations for gastric cancer. We reviewed medical charts of those patients retrospectively. Results: The incidence of chylous ascites after operations for gastric cancer was $0.83\%$ (13/1552). The mean time from ingestion of a meal after the operation to the development of symptoms was 2 days (range: $1\∼6$ days). Conservative treatment by fasting, total parenteral nutrition (TPN), and repeated paracentesis was successful in all patients. The mean time from diagnosis to complete resolution was 25 days (range: $2\∼105$ days). Conclusion: Chylous ascites should be considered in any patient with a typical milky color of drainage who has recently undergone radical gastrectomy. Treatment with fasting, TPN, and repeated paracentesis usually is successful.

• Advances in pediatric surgery
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• v.4 no.1
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• pp.1-15
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• 1998

To evaluate the effectiveness of central venous catheters(CVCs) in children, 320 CVCs placed in 255 neonate and children over a 10-year period were analyzed retrospectively. CVC was placed by one pediatric surgeon for a total of 6, 116 patients days. Catheters were placed preoperatively for TPN or chemo in 223 cases. CVC was solely for TPN in 57 cases and for chemotherapy in 40. Local anesthesia was utilized in 71 cases, and the general anesthesia was administered in the remainder of the patients. The subclavian vein was catheterized(SCV) in 202 cases(82 infants and neonates), tunneled external jugular venotomy(EJV) was utilized in 38, tunneled internal jugular venotomy(UV) in 2, the facial venotomy(FV) was used in 3, and the umbilical vein was catheterized UVC) with vein transposition in 74 infants. In neonates, 72 UVCs were placed during laparotomy. SCV was increased with ages, from 3 kg of minimal body weight. The average catheter-periods over-all were 19.1 days, SCV 17 days, EJV 40, IJV 60 and UVC 14. Technical complications were; arterial puncture(6), puncture failure(5) and abnormal location(12) in SCV; insertion failure(3) in EJV; abnormal location in the portal vein(4) and the liver parenchyma(2) cystic fluid accumulations in UVC. Twelve migrations(3.8 %) out of position occurred; SCV(2), EJV(1) and UVC(9). There were 4 cases(1.2 %) of catheter obstruction and 11(3.4 %) of catheter infection(3 SCV, 2 EJV and 6 UVC). Rescue procedures were utilized with some success. There was one mortality(0.3 %) due to deep sedation in a 1.06 kg baby during placement of an EJV. The surgeon's experience, proper catheter selection and following safety rules are the most important factors for successful CVCs.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.36 no.4B
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• pp.354-361
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• 2011

Increasing interest and technological advances in smart home has led to active research on context-awareness service and prediction algorithms such as Bayesian Networks, Tree-Dimensional Structures and Genetic prediction algorithms. Context-awareness service presents that providing automatic customized service regarding individual user's pattern surely helps users improve the quality of life. However, it is difficult to implement context-awareness service because the problems are that handling coincidence with context information and exceptional cases have to consider. To overcome this problem, we proposes an Intelligent Sequential Matching Algorithm(ISMA), models context-awareness service using Timed Petri-net(TPN) which is petri-net to have time factor. The example scenario illustrates the effectiveness of the Timed Petri-net model and our proposed algorithm improves average 4~6% than traditional in the accuracy and reliability of prediction.

• Neonatal Medicine
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• v.18 no.1
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• pp.76-81
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• 2011

Purpose: The object of this study was to evaluate the efficacy of early total parenteral nutrition with early amino acid in extremely low birth weight infant (ELBWI). Methods: We retrospectively analyzed the medical records of all ELBWIs who were born and admitted to Samsung Medical Center from January 2003 to December 2003 and January 2009 to December 2009 and alive at the time of discharge. Data for nutritional status and morbidities were compared between period 1 (2003, n=22), in which parenteral nutritional support was started gradually over several days and period 2 (2009, n=38), in which parenteral nutrition with amino acid was started as soon as possible after birth. Results: Compared to period 1, birth weight and Apgar score were lower in period 2. The intake amount of glucose, amino acid and total calorie was higher and the level of blood urea nitrogen was increased more from 7th day to 14th day after birth in period 2 when compared than period 1. The weight gain velocity was faster at 7th and 14th postnatal day in period 2. There were no differences in the incidence of necrotizing enterocolitis, moderate to severe bronchopulmonary dysplasia, and severe intraventricular hemorrhage (${\geq}$ Gr III) between two periods but, the incidence of periventricular leukomalacia(PVL) was significantly lower in period 2. Conclusion: Early initiation of total parenteral nutrition with early amino acid in ELBWIs was beneficial at weight gain with lowering catabolism and increasing anabolism. And it could be related with reducing the incidence of PVL.

• Journal of Gastric Cancer
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• v.2 no.3
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• pp.127-132
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• 2002

1) 병원에 입원하는 환자들 중 상당수에서 어느정도의 여양실조가 있는 것으로 보고되므로 수술하기 위해 입원하는 환자에서 영양과 관계있는 측면에서 병력청취 및 이학적 검사상 약 6개월간 평소체중의 $10\%$ 이상 감소, 혈장단백(알부민,트란스페린) 저차, 총임파 구수감소 등이 있으면 철저한 영양평가를 시행하여 중등도 이상의 위험군에서는 술 전 약 $7\∼10$일간 영양지원을 하는 것이 약 $10\%$의 술 후 합병증을 줄이는 것으로 보고되나 이는 수술의 스트레스 정도, 술 후 영양섭취 지연의 기간 및 정도 및 수술의 응급여부에 의해 결정한다. 2) 영양지원이 결정되면 그 경로는 경장이 좋으며 그것이 안될 때 정맥영양을 시행한다. 3) 술 전 영양지원을 받지않은 중등도 이상의 영양실조 환자에서 술 후 조기 영양지원에 대한 연구에서는 TPNrns에서 대조군보다 오히려 약 $10\%$의 합병증 발생률이 높다. 4) 영양실조가 없는 환자에서도 술 후 약 7일 이상의 금식이 예상되면 TPN을 시행하는 것이 좋다.

• 제어로봇시스템학회:학술대회논문집
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• 1996.10b
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• pp.375-378
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• 1996

Robot control software is a hard real-time system that must output the planned trajectory points within an explicit short time period. In this paper, we present a design and implementation method for robot control software using commercial real-time operating systems, RTKemel 4.5. Therefore, various robot motions, efficient user interface, and system failure check are easily implemented by using multitasking function, intertask communication mechanism, and real-time runtime libraries of RTKernel. The performance analysis of commercial real-time operating system for robot control is presented based on Timed Petri net(TPN) and we can use these results to design an optimal system.

• Journal of the Korean Institute of Telematics and Electronics C
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• v.34C no.5
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• pp.9-18
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• 1997

The petri net is a graphic model which is adaptable in modeling a complex concurrent parallel ssystem, and it is widely used in the fields of industrial enginering, computer science, electric engineeringand chemistry. Recently, the net is applied to the communication protocol, and extended to represent complex systems. There are several extended petri nets named as TPN (timed petri net), SPN (stochastic petri net), FPN(fuzzy petri net) and TFPN(timed fuzzy petri net). Accodingly, this SPN (stochastic petri net), FPN (fuzzy petri net) and TFPN(timed fuzzy petri net). Accodingly, this paper proposes an advanced communication protocol modeling method using the fuzzy value of the transition and firing delay time as the arguments of the function. The proposed method can produce clearer firing rules, and it is supposed to be used to design and analyse communication protocols in great effection.

• Neonatal Medicine
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• v.15 no.2
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• pp.190-195
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• 2008

Cholelithiasis is rarely recognized in children, especially in infants. Hemolytic disorders, long-term total parenteral nutrition (TPN), congenital anomalies of the biliary tree leading to stasis of bile flow, congenital IgA-deficiency, furosemide treatment, and prolonged fasting have been reported as predisposing factors for cholelithiasis in childhood. Hemolytic disease of the newborn due to anti-E has rarely been reported as a risk factor for cholelithiasis. We report a case of gallbladder stones in a neonate associated with anti-E antibody hemolytic disease.

• Proceedings of the Korean Institute of Intelligent Systems Conference
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• 2000.05a
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• pp.264-267
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• 2000

The need for including time variables in various type of modeled Discrete Event Dynamic Systems(DEDSs) is apparent since the modeled systems are real time in nature. In the real world, almost all event is related to time. A Time Petri Net(TPN) is one of methods for model ins and analyzing of DEDSs with real time values. Two time values, ${\alpha}$$\sub$i/ and ${\beta}$$\sub$i/ are defined for each transition. In this paper, Ire present Fuzzy Transition Timed Petri Net(FTTPN) to determine the optimal transition firing time between ${\alpha}$$\sub$i/ and ${\beta}$$\sub$i/ using fuzzy theory. The traffic signal controller in an intersection is modeled and analyzed by FTTPN.

• The Transactions of the Korea Information Processing Society
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• v.6 no.7
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• pp.1817-1824
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• 1999

How to efficiently and optimally schedule iterative is one of the critical issues in FMC(Flexible Manufacturing Cell). In this paper, we apply transformation rules to find the solution of the scheduling problem in FMC. These kinds of rules have already been applied for the analysis of autonomous Petri nets. Here in, transformation is intended to preserve the existence of at least one optimal solution for the scheduling problem. Some transformations rules to reduced TPN's size without changed the initial characteristics are proposed and applied to analyze the scheduling problem of FMC.