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Effect of Cisternal Drainage on the Shunt Dependency Following Aneurysmal Subarachnoid Hemorrhage

  • Kim, Sung Hun;Chung, Pil-Wook;Won, Yu Sam;Kwon, Young Joon;Shin, Hyun Chul;Choi, Chun Sik
    • Journal of Korean Neurosurgical Society
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    • v.52 no.5
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    • pp.441-446
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    • 2012
  • Objective : Shunt-dependent chronic hydrocephalus (SDCH) is known to be a major complication associated with aneurysmal subarachnoid hemorrhage (aSAH). Old age is known to be one of numerous factors related to the development of SDCH. This study investigated whether postoperative cisternal drainage affects the incidence of SDCH and clinical outcome in elderly patients with aSAH. Methods : Fifty-nine patients participated in this study. All patients underwent aneurysmal clipping with cisternal cerebrospinal fluid (CSF) drainage. Clinical variables relevant to the study included age, sex, location of ruptured aneurysm, CT finding and clinical state on admission, clinical outcome, and CSF drainage. We first divided patients into two groups according to age (<70 years of age and ${\geq}70$ years of age) and compared the two groups. Secondly, we analyzed variables to find factors associated with SDCH in both groups (<70 years of age and ${\geq}70$ years of age). Results : Of 59 patients, SDCH was observed in 20 patients (33.9 %), who underwent shunt placement for treatment of hydrocephalus. Forty seven percent of cases of acute hydrocephalus developed SDCH. In the elderly group (${\geq}70$ years of age), the duration and amount of CSF drainage did not affect the development of chronic hydrocephalus. Conclusion : In elderly patients, although the incidence of SDCH was significantly higher, clinical outcome was acceptable. The duration and the amount of cisternal drainage did not seem to be related to subsequent development of chronic hydrocephalus within elderly patients aged 70 or older.

Hybrid TDMA and Binary CDMA System (TDMA와 Binary CDMA의 혼합 다중 접속 시스템)

  • 안호성;나성웅
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.29 no.5A
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    • pp.527-536
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    • 2004
  • A novel hybrid multiple access system, TD-BCDMA, where Binary CDMA that maintains a constant amplitude by clipping the summation of input signals multiplied by the orthogonal codes is transmitted over a TDMA frame structure, was Nosed. In every time slot of TDMA, binary CDMA modulated multiple channel signals are transmitted with the same waveform of TDMA. TD-BCDMA has all the advantages of TDMA. Flexible adjustment of the data transmission rate In demand is possible by adjusting the number of codes and time slots assigned to each user. This property was used to show an example of Ad Hoc network applications. To obtain a proper synchronization scheme for TD-BCDMA, the Receiver Operating Characteristics performance and the false alarm probability and false dismissal probability under various channel environment of two different schemes, a preamble scheme as in TDMA and a synchronization channel scheme as in CDMA were compared. It was proved that the preamble scheme is more practical and suitable than the synchronization channel scheme for the hybrid multiple access system.

Performance Improvement of Automatic Basal Cell Carcinoma Detection Using Half Hanning Window (Half Hanning 윈도우 전처리를 통한 기저 세포암 자동 검출 성능 개선)

  • Park, Aa-Ron;Baek, Seong-Joong;Min, So-Hee;You, Hong-Yoen;Kim, Jin-Young;Hong, Sung-Hoon
    • The Journal of the Korea Contents Association
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    • v.6 no.12
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    • pp.105-112
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    • 2006
  • In this study, we propose a simple preprocessing method for classification of basal cell carcinoma (BCC), which is one of the most common skin cancer. The preprocessing step consists of data clipping with a half Hanning window and dimension reduction with principal components analysis (PCA). The application of the half Hanning window deemphasizes the peak near $1650cm^{-1}$ and improves classification performance by lowering the false negative ratio. Classification results with various classifiers are presented to show the effectiveness of the proposed method. The classifiers include maximum a posteriori probability (MAP), k-nearest neighbor (KNN), probabilistic neural network (PNN), multilayer perceptron(MLP), support vector machine (SVM) and minimum squared error (MSE) classification. Classification results with KNN involving 216 spectra preprocessed with the proposed method gave 97.3% sensitivity, which is very promising results for automatic BCC detection.

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A Border Line-Based Pruning Scheme for Shortest Path Computations

  • Park, Jin-Kyu;Moon, Dae-Jin;Hwang, Een-Jun
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.4 no.5
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    • pp.939-955
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    • 2010
  • With the progress of IT and mobile positioning technologies, various types of location-based services (LBS) have been proposed and implemented. Finding a shortest path between two nodes is one of the most fundamental tasks in many LBS related applications. So far, there have been many research efforts on the shortest path finding problem. For instance, $A^*$ algorithm estimates neighboring nodes using a heuristic function and selects minimum cost node as the closest one to the destination. Pruning method, which is known to outperform the A* algorithm, improves its routing performance by avoiding unnecessary exploration in the search space. For pruning, shortest paths for all node pairs in a map need to be pre-computed, from which a shortest path container is generated for each edge. The container for an edge consists of all the destination nodes whose shortest path passes through the edge and possibly some unnecessary nodes. These containers are used during routing to prune unnecessary node visits. However, this method shows poor performance as the number of unnecessary nodes included in the container increases. In this paper, we focus on this problem and propose a new border line-based pruning scheme for path routing which can reduce the number of unnecessary node visits significantly. Through extensive experiments on randomly-generated, various complexity of maps, we empirically find out optimal number of border lines for clipping containers and compare its performance with other methods.

Comparison of sample preparation procedures of inductively coupled plasma to measure elements in dog's hair

  • Chun, Ju Lan;Bang, Han Tae;Ji, Sang Yun;Jeong, Jin Young;Kim, Minji;Kim, Byeonghyeon;Lee, Sung Dae;Lee, Yoo Kyung;Reddy, Kondreddy Eswar;Kim, Ki Hyun
    • Journal of Animal Science and Technology
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    • v.62 no.1
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    • pp.58-63
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    • 2020
  • The pre-treatment condition affects on the element analysis of inductively coupled plasma (ICP). In this study the pre-treatment condition of ICP has been studied to quantify elements in dog's hair. The hair samples were collected from twelve female Beagles by clipping them into 1 or 2 cm at the back neck. The qualitative and quantitative analysis of elements in hairs were performed by using ICP. By ICP nine elements were qualitatively detected and quantitatively analyzed (Ca, Cu, Fe, K, Mg, Na, P, Se, Zn). The measured amounts of elements were compared between 3 step and 2 step procedures which were with and without the acetone based washing step. The quantitative analysis showed that the concentrations of K, Na, P, and Se were significantly decreased in hair samples with acetone-based washing (p < 0.005 or 0.001) unlike those without the acetone-based washing. It implied that some minerals are lost by the acetone based washing during the sample preparation step. Therefore, the acetone based washing process is not suitable for quantifying elements in dog's hair. In addition, the results of qualitative and quantitative analysis were compared. Although there was a difference in absolute values of elemental contents in hair, the results of qualitative and quantitative analysis were significantly correlated each other. This finding suggested that the results of qualitative analysis can be used to monitor elemental contents in dog's hair.

Histogram Equalization based on Differential Compression for Image Contrast Enhancement (영상의 명암대비 향상을 위한 차별적 압축 방법 기반의 히스토그램 평활화)

  • Lee, Jae-Won;Hong, Sung-Hoon
    • Journal of Broadcast Engineering
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    • v.19 no.1
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    • pp.96-108
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    • 2014
  • In case of contrast of the image enhancement by using the conventional histogram equalization, over-enhancement, false contouring and distortion such as the details disappearance of the image occurs due to the excessive brightness change. Especially, these distortion appears when the brightness distribution is concentrated in a particular brightness level. In order to solve these problems, improved histogram equalization methods to transform the input histogram by clipping using threshold have been proposed, but contrast enhancement effect is reduced because it does not consider the characteristics of the input image's histogram to apply the same threshold for the entire histogram, and unnatural image is obtained because it does not retain the characteristics of the image. In this paper, to solve the problems of existing methods, we propose new equalization method that suppress excessive brightness changes by applying to the differential compression according to the histogram frequency, and maintain the characteristics of the input image. In addition, we propose a more effectively method to improve contrast by controlling the strength of the compression ratio depending on the characteristics of the input image.

Brain Injuries during Intraoperative Ventriculostomy in the Aneurysmal Subarachnoid Hemorrhage Patients

  • Moon, Hyung-Ho;Kim, Jae-Hoon;Kang, Hee-In;Moon, Byung-Gwan;Lee, Seung-Jin;Kim, Joo-Seung
    • Journal of Korean Neurosurgical Society
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    • v.46 no.3
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    • pp.215-220
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    • 2009
  • Objective : Intraoperative ventriculostomy is widely adopted to make the slack brain. However, there are few reports about hemorrhagic or parenchymal injuries after ventriculostomy. We tried to analyze and investigate the incidence of these complications in a consecutive series of patients with aneurysmal subarachnoid hemorrhage (SAH). Methods : From September 2006 to June 2007, 43 patients underwent surgical clipping for aneurysmal SAH at our hospital. Among 43 patients, we investigated hemorrhagic or parenchymal injuries after intraoperative ventriculostomy using postoperative computed tomographic scan in 26 patients. After standard pterional craniotomy, ventriculostomy catheter was inserted perpendicular to the cortical surface along the bisectional imaginary line from Paine's point. Results : Hemorrhagic injuries were detected in 12 of 26 patients (46.2%). Mean systolic blood pressure during anesthesia was with in statistically significant parameter related to hemorrhage (p=0.006). On the other hand, parenchymal injuries were detected in 11 of 26 patients (42.3%). Female and the amount of infused mannitol during anesthesia showed statistically significant parameters related to parenchymal injury (p=0.005, 0.04, respectively). However, there were no ventriculostomy-related severe complications. Conclusion : In our series, hemorrhagic or parenchymal injuries after intraoperative ventriculostomy occurred more commonly than previously reported series in aneurysmal SAH patients. Although the clinical outcomes of complications are generally favorable, neurosurgeon must keep in mind the frequent occurrence of brain injury after intraoperative ventriculostomy in the acute stage of aneurysmal SAH.

Morphological Characteristics of the Thalamoperforating Arteries

  • Park, Sukh-Que;Bae, Hack-Gun;Yoon, Seok-Mann;Shim, Jai-Joon;Yun, Il-Gyu;Choi, Soon-Kwan
    • Journal of Korean Neurosurgical Society
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    • v.47 no.1
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    • pp.36-41
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    • 2010
  • Objective: The aim of this study was to investigate the morphological characteristics of the thalamoperforating arteries that arise from the P1 segment of the posterior cerebral artery. Methods: Thalamoperforating arteries located in the interpeduncular fossa were dissected in 26 formalin-fixed human cadaver brains. We investigated the origin site of thalamoperforating arteries from the P1 segment, number and diameter. and variations in their origin. Results: Thalamoperforating arteries arose from the superior, posterior or posterosuperior surfaces of the P1 segment at the mean 1.93 mm (range, 0.41-4.71 mm) distance from the basilar apex and entered the brain through the posterior perforated substance. The average number was 3.6 (range 1-8) and mean diameter was 0.70 mm (range 0.24-1.18 mm). Thalamoperforating arteries could be classified into five different types according to their origin at the P1 segment: Type I (bilateral multiple), 38.5%; Type II (unilateral single, unilateral multiple), 26.9%; Type III (bilateral single), 19.2%; Type IV (unilateral single), 11.5%; Type V (unilateral multiple), 3.8%. In 15.4% of all specimens. thalamoperforating arteries arose from the only one side of P1 segment and were not noted in the other side. In such cases, the branches arising from the one side of P1 segment supplied the opposite side. Conclusion: Variations in the origin of the thalamoperforating arteries should be keep in mind to perform the surgical clipping, endovascular treatment or operation involving the interpeduncular fossa. In particular, unilateral single branch seems to be very risky and significant for surgical technique or endovascular treatment.

The Role of Lumbar Drainage to Prevent Shunt-Dependent Hydrocephalus after Coil Embolization for Aneurysmal Subarachnoid Hemorrhage in Good-Grade Patients

  • Yong, Cho-In;Hwang, Sung-Kyun;Kim, Sung-Hak
    • Journal of Korean Neurosurgical Society
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    • v.48 no.6
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    • pp.480-484
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    • 2010
  • Objective : To evaluate the role of lumbar drainage in the prevention of shunt-dependent hydrocephalus after treatment of ruptured intracranial aneurysms by coil embolization in good-grade patients. Methods : One-hundred-thirty consecutive patients with aneurysmal subarachnoid hemorrhage in good-grade patients (Hunt & Hess grades I-III), who were treated by coil embolization between August 2004 and April 2010 were retrospectively evaluated. Poor-grade patients (Hunt & Hess grades IV and V), a history of head trauma preceding the development of headache, negative angiograms, primary subarachnoid hemorrhage (SAH), and loss to follow-up were excluded from the study. We assessed the effects on lumbar drainage on the risk of shunt-dependent hydrocephalus related to coil embolization in patients with ruptured intracranial aneurysms. Results : One-hundred-twenty-six patients (96.9%) did not develop shunt-dependent hydrocephalus. The 2 patients (1.5%) who developed acute hydrocephalus treated with temporary external ventricular drainage did not require permanent shunt diversion. Overall, 4 patients (3.1%) required permanent shunt diversion; acute hydrocephalus developed in 2 patients (50%). There was no morbidity or mortality amongst the patients who underwent a permanent shunt procedure. Conclusion : Coil embolization of ruptured intracranial aneurysms may be associated with a lower risk for developing shunt-dependent hydrocephalus, possibly by active management of lumbar drainage, which may reflect less damage for cisternal anatomy than surgical clipping. Coil embolization might have an effect the long-term outcome and decision-making for ruptured intracranial aneurysms.

Melanotrichia in Poodles : Clinical and Histopathological Findings (푸들에서 발생한 melanotrichia: 임상적 그리고 조직병리학적 특징)

  • Kim Ha-jung;Park Chul;Jung Dong-in;Kim Ju-won;Kang Byeong-teck;Im Chae Yeong;Sur Jung-hwayang;Kim Chun-gun;Park Hee-myung
    • Journal of Veterinary Clinics
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    • v.22 no.2
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    • pp.153-156
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    • 2005
  • A 5-year-old, female Poodle and her daughter, 2-year-old, were referred to Konkuk University Veterinary Teaching Hospital (KVTH) due to discoloration of hair on dorsum, and generalized alopecia following clipping. Some papules and pustules are found on patch area. Complete blood counts and serum chemistry profiles were not remarkable. Trichogram revealed that melanin-granule was pigmented on hair bulb and shaft in affected area and no melanin pigmentation was noted in non-patch area. And skin biopsy showed mild epidermal hyperplasia and mild inflammation in dermis of the patch area. This case report indicates that melanotrichia can be occurred by postclipping inflammation. However, the mechanism of melanocyte proliferation and rates of melanogenesis in response to postclipping remains to be unclear in these cases.