• Journal of Korean Neurosurgical Society
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• v.30 no.6
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• pp.717-723
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• 2001

Objective : Subarachnoid hemorrhage(SAH) is still one of the most serious disease with high morbidity and mortality in the neurosurgical field. Clipping of the aneurysmal neck is the gold standard of the surgical treatment of aneurysmal SAH. The purpose of this study was to investigate the role of the postoperative angiography and to assess the risk factors related to the incomplete clipping. Materials and Methods : From July 1995 to June 1998, the pre- and postoperative angiography were performed in 50 patients among total 81 patients who have underwent the aneurysmal surgery. We reviewed the various contributing factors including age, sex, Hunt-Hess grade, Fisher grade and the premature rupture of aneurysm during operation retrospectively. Careful evaluation of pre- and postoperative angiography focusing on the size, shape, and remnant neck of the aneurysms and vasospasm was performed. According to the angiographic findings, the patients were divided into two groups ; a complete clipping group and an incomplete clipping group. The data were analyzed by using unpaired independent sample t test after F-test to compare the significance between two groups. Results : Incomplete clipping of aneurysms was found in 6(12%) patients through the evaluation of postoperative angiography. Among them, three cases were located on the middle cerebral artery territory. Whereas the patient age, sex, Hunt-Hess grade, and Fisher grade were not significant(p>0.05), an intraoperative premature rupture had a statistical significance(p<0.05). A severe vasospasm occurred in 24(48%) cases and one patient with anterior communicating aneurysm was reoperated due to residual sac. Conclusion : According to our experience, the surgeons' judgement is the most reliable factor in deciding the postoperative angiography. During the aneurysmal surgery, the premature rupture always disturbs a complete clipping of aneurysms. Therefore, the temporary clipping of parent arteries is considered essential for a successful clipping. We believe that the postoperative angiography has a role in decreasing the re-bleeding risk due to clip migration and an inaccurate clipping only in the selected cases.

• Journal of Korean Neurosurgical Society
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• v.61 no.2
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• pp.212-218
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• 2018

Objective : Surgical clipping of the cerebral aenurysm is considered as a standard therapy with endovascular coil embolization. The surgical clipping is known to be superior to the endovascular coil embolization in terms of recurrent rate. However, a recurrent aneurysm which is initially treated by surgical clipping is difficult to handle. The purpose of this study was to research the management of the recurrent cerebral aneurysm after a surgical clipping and how to overcome them. Methods : From January 1996 to December 2015, medical records and radiologic findings of 14 patients with recurrent aneurysm after surgical clipping were reviewed retrospectively. Detailed case-by-case analysis was performed based on preoperative, postoperative and follow-up radiologic examinations and operative findings. All clinical variables including age, sex, aneurysm size and location, type and number of applied clips, prognosis, and time to recurrence are evaluated. All patients are classified by causes of the recurrence. Possible risk factors that could contribute to those causes and overcoming ways are comprehensively discussed. Results : All recurrent aneurysms after surgical clipping were 14 of 2364 (0.5%). Three cases were males and 11 cases were females. Mean age was 52.3. At first treatment, nine cases were ruptured aneurysms, four cases were unruptured aneurysms, and one case was unknown. Locations of recurrent aneurysm were determined; anterior communicating artery (A-com) (n=7), posterior communicating artery (P-com) (n=3), middle cerebral artery (n=2), anterior cerebral artery (n=1) and basilar artery (n=1). As treatment of the recurrence, 11 cases were treated by surgical clipping and three cases were treated by endovascular coil embolization. Three cases of all 14 cases occurred in a month after the initial treatment. Eleven cases occurred after a longer interval, and three of them occurred after 15 years. By analyzing radiographs and operative findings, several main causes of the recurrent cerebral aneurysm were found. One case was incomplete clipping, five cases were clip slippage, and eight cases were fragility of vessel wall near the clip edge. Conclusion : This study revealed main causes of the recurrent aneurysm and contributing risk factors to be controlled. To manage those risk factors and ultimately prevent the recurrent aneurysm, neurosurgeons have to be careful in the technical aspect during surgery for a complete clipping without a slippage. Even in a perfect surgery, an aneurysm may recur at the clip site due to a hemodynamic change over years. Therefore, all patients must be followed up by imaging for a long period of time.

• KOREAN JOURNAL OF CROP SCIENCE
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• v.32 no.1
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• pp.78-85
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• 1987

In order for Paldanghomil (winter rye) to be investigated if its grain yield is able to be produced after clipping just before winter season for forage utilization this experiment was carried out under the four sowing dates of four locations in Korea (Chunchon, Suwon, Hwasung and Chungju). In rye clipping plot earlier sowing showed taller plant height, more number of tillers/㎡ and higher forage yield before winter season, indicating the highest forage yield (1803 kg/10a) in Chunchon by sowing of September II. Forage yield of rye before winter season was mainly influenced by plant height and number of tillers/㎡, showing more effect of plant height. Rye plants were more or less affected on winter damages, late heading and short culm by clipping before winter season. Analysis of variance indicated that only number of spikes/㎡ among grain yield components showed the high significance according to the clipping method, and that there showed little variation for other yield components due to the sowing date and clipping method. There showed more grain yield in non-clipping rather than that of clipping plot, indicating the difference of 46kg/10a. This was resulted from short culm and severe winter damages caused by clipping before winter season. Of the grain yield components, number of spikes/㎡ was greatly influenced for grain yield by analysis of stepwise regression. Therefore, grain yield of rye was able to produce after forage utilization before winter season due to the appropriate crop and soil managements, by resulting from the little variation in grain yield between clipping or non-clipping plots and from the higher grain yield by the early sowing.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2007.10a
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• pp.340-343
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• 2007

OFDM (Orthogonal Frequency Division Multiplexing) system is robust to frequency selective fading and narrowband interference in high-speed data communications. However, an OFDM signal consists of a number of independently modulated subcarriers, which can give a large PAPR (peak-to-Average Power Ratio) when added up coherently. In this paper, we propose a new PAPR reduction method using Adaptive Sine Soft Clipping (ASS Clipping) to solve the PAPR problem. The proposed method reduce the PAPR and out-of-band spectrum by cutting down high frequency components. From computer simulation results, we analyze the PSD (Power Spectral Density) and BER (Bit Error Rate) performance as well as PAPR reduction performance when the ASS Clipping method is applied to OFDM system.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.34 no.11C
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• pp.1076-1084
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• 2009

We propose an ATI (Adaptive Tone Injection) scheme based on clipping noise for PAPR (Peak-to-Average Power Ratio) reduction of OFDM (Orthogonal Frequency Division Multiplexing) signals. The proposed scheme is composed of three steps: clipping, tone selection, and TI procedures. In the first step, the peak samples in the IFFT (Inverse Fast Fourier Transform) outputs are scaled down by clipping. In the second step, the sub-carrier position where the power of the clipping noise is the maximum, is selected. Finally, the generic TI procedure is performed. Simulation results show that the proposed scheme does not require all the possible combinations of the original TI procedures, while maintaining the PAPR reduction performance.

• Journal of Korean Neurosurgical Society
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• v.43 no.1
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• pp.21-25
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• 2008

Objective : Both endovascular coil embolization and microsurgical clipping are now firmly established as treatment options for the management of cerebral aneurysms. Moreover, they are sometimes used as complementary approaches each other. This study retrospectively analyzed our experience with endovascular and microsurgical procedures as complementary approaches in treating a single aneurysm. Methods : Nineteen patients with intracranial aneurysm were managed with both endovascular and microsurgical treatments. All of the aneurysms were located in the anterior circulation. Eighteen patients presented with SAH, and 14 aneurysms had diameters of less than 10 mm, and five had diameters of 10-25 mm. Results : Thirteen of the 19 patients were initially treated with endovascular coil embolization, followed by microsurgical management. Of the 13 patients, 9 patients had intraprocedural complications during coil embolization (intraprocedural rupture, coil protrusion, coil migration), rebleeding with regrowth of aneurysm in two patients, residual sac in one patient, and coil compaction in one patient. Six patients who had undergone microsurgical clipping were followed by coil embolization because of a residual aneurysm sac in four patients, and regrowth in two patients. Conclusion : In intracranial aneurysms involving procedural endovascular complications or incomplete coil embolization and failed microsurgical clipping, because of anatomical and/or technical difficulties, the combined and complementary therapy with endovascular coiling and microsurgical clipping are valuable in providing the best outcome.

• Journal of Korean Neurosurgical Society
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• v.60 no.2
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• pp.250-256
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• 2017

Objective : Cases of a ruptured pericallosal artery aneurysm with a high risk of intraoperative premature rupture and technical difficulties for proximal vascular control require a technique for the early and safe establishment of proximal vascular control. Methods : A combined pterional or subfrontal approach exposes the bilateral A1 segments or the origin of the ipsilateral A2 segment of the anterior cerebral artery (ACA) for proximal vascular control. Proximal control far from the ruptured aneurysm facilitates tentative clipping of the rupture point of the aneurysm without a catastrophic premature rupture. The proximal control is then switched to the pericallosal artery just proximal to the aneurysm and its intermittent clipping facilitates complete aneurysm dissection and neck clipping. Results : Three such cases are reported : a ruptured pericallosal artery aneurysm with a contained leak of the contrast from the proximal side of the aneurysm, a low-lying ruptured pericallosal artery aneurysm with irregularities on its proximal wall, and a multilobulated ruptured pericallosal artery aneurysm with the parasagittal bridging veins hindering surgical access to the proximal parent artery. In each case, the proposed combined pterional-interhemispheric or subfrontal-interhemispheric approach was successfully performed to establish proximal vascular control far from the ruptured aneurysm and facilitated aneurysm clipping via the interhemispheric approach. Conclusion : When using an anterior interhemispheric approach for a ruptured pericallosal artery aneurysm with a high risk of premature rupture, a pterional or subfrontal approach can be combined to establish early proximal vascular control at the bilateral A1 segments or the origin of the A2 segment.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.26 no.12B
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• pp.1637-1647
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• 2001

Multi-Code CDMA (MC-CDMA) can not only be integrated easily with a conventional system, but also achieve good spectral efficiency and high processing gain. However, it suffers from high value of peak-to-average power ratio (PAPR). In this paper, we propose the Multi-Phase CDMA (MP-CDMA) system that can provide variable rate service and is not susceptible to the non-linear characteristics of amplifier. The clipping is introduced between at the output of multi-code modulator and at the input of MPSK modulator in order to improve the performance of MPSK chip demodulator and reduce the system complexity, The system performances are compared for the different Number of codes and different clipping levels, respectively. The optimum clipping level is also evaluated for the different number of codes in both, AWGN and frequency flat fading channel.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.40 no.8
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• pp.1492-1499
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• 2015

In this paper, we propose a clipping method for LDPC coded FH BFSK system over partial-band jamming channel. We apply the erasure insertion technique, which had been studied much earlier, now to LDPC codes and discuss its performance degradation region. By using clipping technique, the performance degradation can be removed. Finally, we discuss the erasure insertion and clipping techniques for various jamming conditions.

• Plant Resources
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• v.7 no.3
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• pp.206-210
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• 2004

In order to find out the optimum harvest (dipping) date combined with sowing date on yield and nutrient quality of forage rye which is suitable at the Southern part of Korea, Paldanghomil variety was grown Sep. 2001 to May 2002 at Sunchon National University, and yield and nutrient quality of plant were observed. As harvest date and sowing date were delayed, the plant length was longest, number of leaves per plant was increased in the time of May 20 clipping. Fresh yield was the heaviest in the time of May 20 clipping and Oct. l0 sowing, and the most dry matter yield was the heaviest in the time of May 20 clipping and Oct. 10 sowing. Content of crude protein was the highest and that of crude fiber such as NDF, ADF, hemicellulose, cellulose and lignin were the lowest in the late time of clipping and sowing. Further more IVDMD was high and dry matter yield and digestible dry matter yield were the highest in the time of May 20 dipping and Oct. 10 sowing. Judging from the results reported above, at optimum harvest (dipping) date combined with sowing date for yield and nutrient quality of forage rye seemed to be the time of May 20 clipping and Oct. 10 sowing.