• Title/Summary/Keyword: clipping

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The Effectiveness of Lumbar Cerebrospinal Fluid Drainage to Reduce the Cerebral Vasospasm after Surgical Clipping for Aneurysmal Subarachnoid Hemorrhage

  • Park, Soojeong;Yang, Narae;Seo, Euikyo
    • Journal of Korean Neurosurgical Society
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    • v.57 no.3
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    • pp.167-173
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    • 2015
  • Objective : Removal of blood from subarachnoid space with a lumbar drainage (LD) may decrease development of cerebral vasospasm. We evaluated the effectiveness of a LD for a clinical vasospasm and outcomes after clipping of aneurysmal subarachnoid hemorrhage (SAH). Methods : Between July 2008 and July 2013, 234 patients were included in this study. The LD group consisted of 126 patients, 108 patients in the non LD group. We investigated outcomes as follow : 1) clinical vasospasm, 2) angioplasty, 3) cerebral infarction, 4) Glasgow outcome scale (GOS) score at discharge, 5) GOS score at 6-month follow-up, and 6) mortality. Results : Clinical vasospasm occurred in 19% of the LD group and 42% of the non LD group (p<0.001). Angioplasty was performed in 17% of the LD group and 38% of the non LD group (p=0.001). Cerebral infarctions were detected in 29% and 54% of each group respectively (p<0.001). The proportion of GOS score 5 at 6 month follow-up in the LD group was 69%, and it was 58% in the non LD group (p=0.001). Mortality rate showed 5% and 10% in each group respectively. But, there was no difference in shunt between the two groups. Conclusion : LD after aneurysmal SAH shows marked reduction of clinical vasospasm and need for angioplasty. With this technique we have shown favorable GOS score at 6 month follow-up.

A Reduction Scheme of Impulse and Clipping Noises Based on Compressed Sensing for OFDM Communication Systems (직교주파수분할다중화 통신 시스템을 위한 압축 센싱 기반 임펄스 잡음 및 클리핑 잡음 감쇄 기법)

  • Seo, Young-Hun;Choi, Byoung-Jo
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.41 no.12
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    • pp.1739-1741
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    • 2016
  • A compressive sensing based iterative scheme for reducing both the impulsive noise as well as the clipping noise is proposed for OFDM-based communication systems. Nonlinear blanking using adaptive thresholds is used in the 1st stage followed by two consecutive compressive sensing based detection with the aid of decision feedback for reducing the BER gradually. Our simulation results revealed an SNR gain of 4.5dB at the BER of $10^{-5}$.

Application of Thermography in Thoroughbred Horses (말에서 체열찰영술의 적용에 관한 연구)

  • 양영진;조길재;손원근;남치주
    • Journal of Veterinary Clinics
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    • v.19 no.2
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    • pp.139-146
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    • 2002
  • The purpose of this study was to construct fundamental information for the usefulness and effects of thermography in Thoroughbred horses. total 10 horses were examined to determine a normal thermal pattern before and after sedation in lower limbs and ophthalmic area, and to investigate the effects of thermography during 42 days after induced wound and arthritis. In normal horses, the range of temperature difference(${\Delta}T$) of symmetry site in lower limbs was 0.20 to $0.68^{\circ}C$ on pre-sedation, which was simillar to that of post sedation, 0.17 to $0.74^{\circ}C$, and eyeball area was 0.34 to $0.68^{\circ}C$. Thermographically, the warmest area in normal limbs were coronary band of frontal view and the region between heel bulbs of back view. And temperature difference(${\Delta}T$) after clipping in left forelimb was increased 1 to $3^{\circ}C$ more than before clipping. However, there was no significant change of the temperature difference and degree of clinical signs by the process of inflammation healing during the experiment period in the all groups. These results suggest that the thermography was especially helpful in following clinical course of a disease because the thermal pattern will return to normal with declining clinical signs and healing of the lesion.

Growth Response of Bentgrass to Polymer Coated Urea (Bentgrass 생육에 미치는 Polymer Coated Urea의 효과)

  • ;;N.E.Cheistans
    • Asian Journal of Turfgrass Science
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    • v.11 no.2
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    • pp.97-104
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    • 1997
  • The objective of this study was to observe the differences in growth of creeping bentgrass turf to 'polymer coated urea fertilizer' and 'uncoated urea fertilizer', and to analyze durability of fertilizer effect with the 'polymer coated urea'. The experiment was initiated on June 3, 1996, at the Iowa State University Horticulture Research Station, north of Ames, Iowa. The experiment was conducted on an area of 'Penneagle' Creeping bentgrass(Agrostis palustris) maintained at fair-'way mowing height (1.3cm). The study was repeated at the same arrangement beginning on July 25, 1996. Visual quality data, clipping fresh and dry weight, and nitrogen(N) content in the clippings were taken weekly. Quality of the turf increased with increasing N rate. While quality ratings were higher for turf receiving polymer coated urea than for turf receiving uncoated urea at several times following treatment, but not significant. Fresh and dry clipping weights were quite variable during the trial. Visual quality rating and clipping yields improved with increasing rates of N but these differences were not statically significant between polymer coated and uncoated urea treatment. The durability of fertilizer efficiency in polymer coated urea was not last longer compare with uncoated urea from two weeks after treatment. Higher rates of N application increased the concentration of N in tissue but no significant differences between turf plots receiving polymer coated and uncoated urea. Key words: Polymer coated urea, Creeping bentgrass, Fertilizer, Turfgrass.

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Endoscopic clipping in non-variceal upper gastrointestinal bleeding treatment

  • Giuseppe Galloro;Angelo Zullo;Gaetano Luglio;Alessia Chini;Donato Alessandro Telesca;Rosa Maione;Matteo Pollastro;Giovanni Domenico De Palma;Raffaele Manta
    • Clinical Endoscopy
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    • v.55 no.3
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    • pp.339-346
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    • 2022
  • Since the earliest reports, advanced clipping systems have been developed, and it is possible to choose among many models with different structural and technical features. The main drawback of through-the-scope clips is their small size, which allows the compression of limited amounts of tissue needed for large-size vessel treatment. Therefore, the over-the-scope clip system was realized, allowing a larger and stronger mechanical compression of large tissue areas, with excellent results in achieving a definitive hemostasis in difficult cases. Many studies have analyzed the indications and efficacy of two-pronged endoclips and have shown good results for initial and permanent hemostasis. The aim of this review was to provide updated information on indications, positioning techniques, and results of clip application for endoscopic treatment of upper gastrointestinal non-variceal bleeding lesions.

Comparison of Intraoperative Somatosensory Evoked Potential(SSEP) Monitoring During Aneurysm Surgery : ACA Aneurysms vs MCA Aneurysms (전대뇌동맥과 중대뇌동맥 동맥류 수술시 체성감각유발전위의 모니터링의 비교, 분석)

  • Choi, Kwang Yeong;Kim, Gook Ki;Lim, Young Jin;Kim, Tae Sung;Leem, Won;Rhee, Bong Arm
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.281-288
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    • 2001
  • Objectives : The purpose of this study is to evaluate the usefulness of SSEP monitoring during intracranial aneurysm surgery and compare the characteristics of wave change in relation to neurologic changes between ACA aneurysms and MCA aneurysms. Methods : During recent three years(between January 1997 and November 1999), intraoperative SSEP monitoring had been done in 63 operations for intracranial aneurysms. We had monitored the median nerve SSEP during surgery for aneurysms of MCA and the posterior tibial nerve SSEP for aneurysms of ACoA or ACA. A more than 50% reduction of any cortical SEP response was considered to be a significant SEP change, compared to its baseline value before the start of surgery. Changes in the SEPs were categorized as follows : Type IA, no significant amplitude changes without temporary clipping ; Type IB, no significant amplitude changes with temporary clipping ; Type II, significant changes with temporary clipping and complete return to control amplitude ; Type III, significant changes with temporary clipping and incomplete return to control amplitude ; Type IV, significant changes with temporary clipping and more decreased amplitude changes. Results : Among the 63 intraoperative monitoring, there were 37 cases of ACA aneurysms(An), and 26 of MCA An. The temporary proximal arterial occlusion during surgery were performed in 31(83.8%)cases of ACA An, 22(84.6%) of MCA An. Seven of the 31 ACA An(22.6%) and ten of the 22 MCA An(45.5%) had significant changes. The type were as follows : 4 patients with type II and 3 with type III in the ACA An ; 3 patients with type II and 3 with type III and 4 with type IV in the MCA An. In both group type II changes had no new postoperative neurological deficit. All 6 patients with type III had new neurological deficits ; However, One case in the ACA An and two cases in the MCA An. had transient neurologic deficit and improved markedly over the next two months. All 4 type IV changes in the MCA An. had permanant neurologic deficits. Two out of 30 cases(6.7%) in the ACA An. and one out of 16 cases(6.3%) in the MCA An. without significant amplitude change had new neurologic deficit postoperatively. Conclusion : Based on this study, Intraoperative SSEP monitoring during aneurysm surgery would provide useful information for detecting cerebral ischemia. SSEP response during surgery for MCA An. is more sensitive than ACA An. Otherwise, there were no meaningful difference in rate of false negativity.

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Synchronization of Flowering for Hybrid Com Seed Production by Clipping Young Plants Clear Polyethylene Mulching and Planting Date (옥수수 교잡종채종에 있어 유식물절단 비닐피복 및 파종기에 의한 자식계통 개화기조절)

  • Kang, Y.K.;Park, K.Y.;Ham, Y.S.
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.28 no.4
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    • pp.481-487
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    • 1983
  • The need to synchronize flowering in two lines of different maturities is frequently encountered in hybrid com (Zea mays L.) seed production. To establish the methods for synchrony of flowering in parent lines of different maturities be effects of clipping at 4 and 6-leaf stages of growth and two levels, clear polyethylene mulching and five different planting dates on flowering date growth and seed yield of two dent com inbred lines of different maturities were evaluated Clipping just above the shoot-apex delayed pollen sheeding 6 to 9days and silking 5 to 13 days but reduced stand and seed yield 30 to 70% and 67 to 81%. respectively. Clipping 5cm above the shoot apex delayed flowering 1 to 4 days without stand reduction but reduced yield 3 to 29%. Laterclipping was slightly more effective for delaying flowering than earlier clipping but reduced stand more severely when clipped just above the shoot apex. Under clear polyethylene film mulching, flowering of two lines was 13 to 15 days earlier and seed yield of B68 (late line) was significantly increased. As planting was delayed from April 18 to June 13, the number of days from planting to flowering of two lines decreased due to increase in air temperature. However, growing degree days (GDD) from planting to flowering of each lines was similar regardless planting dates indicating that GDD can be satisfactoryly used for choosing the planting dates of parent lines of different maturities. Seed yields of two lines were decreased with delaying planting dates.

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Performance Evaluation of Eureka 147 DAB System with Signal Distortion Techniques (Signal Distortion Techniques을 적용한 Eureka 147 DAB 시스템의 성능평가)

  • 정영호;박소라;이수인;김환우
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2001.11b
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    • pp.71-76
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    • 2001
  • OFDM(Orthogonal Frequency Division Multiplexing)의 단점인 높은 PAPR(Peak-to-Average Power Ratio)을 개선하기 위한 방법 중에서 SDT(Signal Distortion Technique)는 전송시스템의 규격 및 수신기의 변경 없이도 적용 가능한 이점이 있다. 본 논문에서는 SDT에 속하는 clipping과 peak windowing 기법을 Eureka 147 DAB(Digital Audio Broadcasting) 시스템에 적용하여 얻은 BER 및 PSD 성능결과를 토대로 PAPR 개선 정도에 따른 시스템의 요구 $Es/N_0$ 및 out-of-band의 PSD 열화 정도를 분석하였다. Hamming windowing을 적용한 경우, PAPR 4㏈에서 clipping에 비해 요구 $Es/N_0$는 비슷한 열화정도가 나타났으나, out-of-band의 PSD는 5dB 정도 개선되는 성능을 보였다.

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Spinal Subdural Hematoma : A Complication of Intracranial Surgery

  • Kim, Tae-Wan;Heo, Wean;Park, Hwa-Seung;Rhee, Dong-Youl
    • Journal of Korean Neurosurgical Society
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    • v.39 no.1
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    • pp.68-71
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    • 2006
  • Spinal subdural hematoma[SSDH] is rare disease. Furthermore, it rarely occurs as a complication of intracranial surgery. There are few case reports which describing SSDH after craniotomy. Although the exact pathogenetic mechanism is obscure, some investigators propose that downward migration of intracranial hematoma by the effect of gravity is one of the cause of SSDH, and which is commonly suggested. But others propose that cerebrospinal fluid[CSF] hypotension is an another possible mechanism In this paper, we report two cases of SSDH after clipping of an aneurysmal neck.