• Journal of Yeungnam Medical Science
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• 제35권2호
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• pp.179-186
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• 2018

Background: To evaluate the success rate of balloon dilation and the factors possibly influencing the outcomes of balloon dilation for the ureteric strictured portion of ureteroureterostomy (UUS) site in patients with post-gynecologic surgeries. Methods: A single institution data base was screened for the patients who received balloon dilation for a treatment of ureteral stricture diagnosed after gynecologic surgery. Overall 114 patients underwent primary intra-operative UUS due to ureteral injury during gynecologic surgery. Among them, 102 patients received balloon dilation, and their medical records were retrospectively reviewed. Success of balloon dilation was defined as the condition that requires no further clinical interventions after 6 months from balloon dilation. Results: The ureter injury rate of women treated with open radical abdominal hysterectomy was highest (32 cases, 31.4%). 60 patients (60.8%) showed successful outcomes regarding dilation. All patients underwent technically successful dilation with a full expansion of balloon during the procedure, but 40 patients (39.2%) were clinically unsuccessful as they showed a recurrence of ureteral stricture on the previous balloon dilation site after the first dilation procedure. Univariate logistic regression analyses showed that stricture length >2 cm was a significant predictor of successful dilation (odds ratio, 0.751; 95% confidence interval, 0.634-0.901; p-value, 0.030), but it failed to achieve independent predictor status in multivariate analysis. Conclusion: Balloon dilation can an effective alternative treatment option for strictured portion of the primary UUS in post-gynecologic surgery patients when its length is <2 cm.

• 한국사회복지학
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• 제47권
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• pp.34-70
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• 2001

Little empirical study has been conducted concerning family resilience of family of children with disabilities. The purpose of this study is to examine the variables that may influence the level of family resilience and family resilience level of family of children with disabilities. This study used the sampled of 363 family of children with disabilities selected from 17 community rehabilitation centers. The measurement of family resilience composed of the base of Walsh(1998)'s theory. And using confirmatory factor analysis, it was confirmed that the scale has three factor such as belief system, organizational pattern and communication process. This study showed that using 5 points scale, mean of belief system is 3.62. And mean of organizational pattern is 3.38 and mean of communication process is 3.73. In identifying predictor of the family resilience, this study used variables from the following aspects: perspective of disability of children, intra-aspect of family, extra-aspect of family. Using Regression analysis, it was found that attitude of family of disability and spouse relationship influenced all sub-aspect of family resilience. Specially, helping of professional influenced belief system, accept of disability influenced organizational pattern. And positive expectation of family of disability influenced communication process. This finding give us significant practical implications for social work intervention & the direction of future research in family resilience.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2012년도 추계학술발표대회
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• pp.668-671
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• 2012

본 논문에서는 차세대 비디오 압축 표준인 HEVC(High Efficiency Video Coding) 복호기의 연산량과 하드웨어 면적을 감소시키기 위하여 화면내 예측 하드웨어 구조를 제안한다. 제안하는 하드웨어 구조는 공통 수식에 대한 연산을 공유하는 공유 연산기를 사용하여 연산량 및 연산기 개수를 감소시키고, $4{\times}4$ PU와 $64{\times}64$ PU의 필터링 수행 여부에 대한 연산을 수행하지 않고 나머지 PU에 대해서는 LUT를 이용하여 연산을 수행하기 때문에 연산량 및 연산 시간을 감소시킨다. 또한 하나의 공통 연산기만을 사용하여 예측 픽셀을 생성하기 때문에 하드웨어 면적이 감소한다. 제안하는 구조를 TSMC 0.18um 공정을 이용하여 합성한 결과 최대 동작 주파수는 100MHz이고, 게이트 수는 140,697이다. $4{\times}4$ PU를 기준으로 제안하는 구조의 처리 사이클 수는 11 사이클로 기존 구조 대비 54% 감소하였고, 16개 참조 픽셀의 필터링 처리를 기준으로 제안하는 구조의 덧셈 연산기 개수는 37개로 표준 draft 6에 비해 22.9% 감소하였다.

• 대한전자공학회논문지SP
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• 제48권1호
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• pp.90-102
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• 2011

현재 위성방송을 통해 신호를 전송 또는 재전송하는 무선통신서비스를 이용하는 시청자 층은 다양하다. 하지만 방송국은 H.264표준으로 압축된 동영상들을 위성통신을 통하여 전송하기 때문에 H.264표준 디바이스를 갖추지 않는 선박은 실시간으로 데이터를 전송받지 못하는 단점을 가지고 있다. 따라서 본 논문에서는 기존 MPEG-2 표준 디바이스를 사용하고 있는 선박을 위하여 H.264 to MPEG-2 트랜스코딩 방법을 제안한다. 제안한 방법은 H.264 표준의 매크로블록모드의 특성을 분석하여 H.264 to MPEG-2 transcoding의 계산시간 및 화질을 개선한다. 첫째 H.264와 MPEG-2표준의 INTRA 모드 방법이 상이하므로 새로운 방법을 제안한다. 둘째 매크로블록모드가 INTER 모드인 경우에는 H.264표준의 가변블록 안에 존재하는 움직임 벡터의 방향성을 고려하여 새로운 예측움직임벡터 (PMV: predictor motion vector)를 제안한다. 이때 최종움직임벡터는 예측움직임벡터를 그대로 사용하거나, H.264표준의 매크로블록내에 존재하는 가변블록들의 움직임벡터들과 MPEG-2부호기(baseline)의 움직임벡터의 일치율을 비교하여 최종적으로 움직임벡터를 예측할 범위(window size)를 결정한다. 실험결과, 제안한 트랜스코딩방법의 PSNR은 MPEG-2 FSBMA와 거의 일치하고, 트랜스코딩에 필요한 계산시간은 평균적으로 각각 70% 또는 67% 감소하였다.

• Radiation Oncology Journal
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• 제32권1호
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• pp.31-42
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• 2014

Purpose: To evaluate the usefulness of positron emission tomography/computed tomography (PET/CT) for field modification during radiotherapy in esophageal cancer. Materials and Methods: We conducted a retrospective study on 33 patients that underwent chemoradiotherapy (CRT). Pathologic findings were squamous cell carcinoma in 32 patients and adenocarcinoma in 1 patient. All patients underwent PET/CT scans before and during CRT (after receiving 40 Gy and before a 20 Gy boost dose). Response evaluation was determined by PET/CT using metabolic tumor volume (MTV), total glycolytic activity (TGA), MTV ratio (rMTV) and TGA ratio (rTGA), or determined by CT. rMTV and rTGA were reduction ratio of MTV and TGA between before and during CRT, respectively. Results: Significant decreases in MTV ($MTV_{2.5}$: mean 70.09%, p < 0.001) and TGA ($TGAV_{2.5}$: mean 79.08%, p < 0.001) were found between before and during CRT. Median $rMTV_{2.5}$ was 0.299 (range, 0 to 0.98) and median $rTGAV_{2.5}$ was 0.209 (range, 0 to 0.92). During CRT, PET/CT detected newly developed distant metastasis in 1 patient, and this resulted in a treatment strategy change. At a median 4 months (range, 0 to 12 months) after completion of CRT, 8 patients (24.2%) achieved clinically complete response, 11 (33.3%) partial response, 5 (15.2%) stable disease, and 9 (27.3%) disease progression. $SUV_{max}$ (p = 0.029), $rMTV_{50%}$ (p = 0.016), $rMTV_{75%}$ (p = 0.023) on intra-treatment PET were found to correlate with complete clinical response. Conclusion: PET/CT during CRT can provide additional information useful for radiotherapy planning and offer the potential for tumor response evaluation during CRT. $rMTV_{50%}$ during CRT was found to be a useful predictor of clinical response.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6407-6412
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• 2015

Purpose: To predict prostatic carcinoma using a logistic regression model on prebiopsy peripheral blood samples. Materials and Methods: Data of a total of 873 patients who consulted Urology Outpatient Clinics of Fatih Sultan Mehmet Training and Research Hospital between February 2008 and April 2014 scheduled for prostate biopsy were screened retrospectively. PSA levels, prostate volumes, prebiopsy whole blood cell counts, neutrophil and platelet counts, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), biopsy results and Gleason scores in patients who had established diagnosis of prostate cancer (PCa) were evaluated. Results: This study was performed on a total of 873 cases, with an age range 48-76 years, divided into three groups as for biopsy results. with diagnoses of benign prostatic hyperplasia (BPH) (n=304, 34.8 %), PCa (n=265, 30.4 %) and histological prostatitis (n=304; 34.8 %). Intra- and intergroup comparative evaluations were performed. White blood cell and neutrophil counts in the histological prostatitis group were significantly higher than those of the BPH and PCa groups (p=0.001; p=0.004; p<0.01). A statistically significant intergroup difference was found for PLR (p=0.041; p<0.05) but not lymphocyte count (p>0.05). According to pairwise comparisons, PLR were significantly higher in the PCa group relative to BPH group (p=0.018, p<0.05, respectively). Though not statistically significant, higher PLR in cases with PCa in comparison with the prostatitis group was remarkable (p=0.067, and p>0.05, respectively). Conclusions: Meta-analyses showed that in patients with PSA levels over 4 ng/ml, positive predictive value of PSA is only 25 percent. Therefore, novel markers which can both detect clinically significant prostate cancer, and also prevent unnecessary biopsies are needed. Relevant to this issue in addition to PSA density, velocity, and PCA3, various markers have been analyzed. In the present study, PLR were found to be the additional predictor of prostatic carcinoma.

• Journal of Chest Surgery
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• 제26권2호
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• pp.141-147
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• 1993

A total of 40 patients having a diagnosis of atherosclerotic coronary arterial disease were analysed on the operative outcomes according to variables as follows: 1) preoperative risk factors such as age, sex, CCS (Canadian Cardiovascular Society) functional class, type of angina, number of diseased vessel, presence of left main coronary artery stenosis, previous history of habitual smoking and presence of other medical diseases (diabetes mellitus, essential hypertension), 2) preoperative management such as intravenous infusion of nitroglycerine, preoperative IABP (intra-aortic balloon pump) support and whether the operation was scheduled as emergency or not, 3) intraoperative variables such as infusion method and composition of cardioplegic solutions, number of distal anastomosis, use of internal mammary artery, total cardiopulmonary bypass time and total cross clamp time. Complications included operative death in 12.5％, perioperative myocardial infarction in 25.0％ and perioperative arrhythmia in 17.5％. Nineteen perioperative variables were analyzed to identify risk factors for these end points. For operative death, presence of left main coronary artery stenosis (p = 0.056) and cardiopulmonary bypass time (p = 0.029) were significant in the univariate analysis, but presence of left main coronary artery lesion (p = 0.011, $\chi$$^2$= 6.45) and abscence of preoperative of IABP support (p = 0.069, $\chi$$^2$ = 3.30) were independent predictor in multivariate analysis (stepwise linear logistic regression).

• 대한전자공학회논문지SD
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• 제46권7호
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• pp.47-52
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• 2009

H.264 영상 압축 표준은 높은 압축률과 화질로 널리 이용되고 있다. 이러한 H.264 복호기에서 움직임 보상기는 가장 연산 시간이 오래 걸리고 복잡한 유닛이다. 이러한 움직임 보상기의 성능은 보간 연산기와 참조 픽셀을 외부에서 읽어 오는 동작의 효율성에 의해 결정된다. 따라서 고성능 보간 연산기를 설계하고 참조 메모리와 데이터의 관리를 통해 데이터 재활용을 늘려 외부 메모리 접근 횟수를 줄이는 것이 필요하다. 본 논문에서는 2 차원 회전 레지스터 파일과 움직임 벡터 예측기, 그리고 저복잡도 고성능의 보간 연산기를 이용한 효율적인 움직임 보상기 구조를 제안한다. 2 차원 회전 레지스터는 참조 메모리에서 읽어 온 픽셀 데이터를 보관하면서 보간 연산기에 필요한 픽셀 데이터를 신속하게 공급하고 재활용될 데이터를 효과적으로 처리할 수 있는 기능을 가지고 있다. 제안된 구조에 따라 움직임 보상기를 설계하고 인트라 예측기와 통합하여 예측 연산기를 구현하여 동작과 성능을 검증하였다.

• 한국컴퓨터정보학회논문지
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• 제5권3호
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• pp.29-32
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• 2000

계층화 비디오 코딩은 확장성을 갖기 위해 다중 비디오 스트림 안에 비디오 정보가 전송되도록 한다. 계층화 코딩 구조는 두 가지 면에서 이론상의 장점을 갖는다. 첫째, 클라이언트 프로세싱 능력과 네트워크 대역폭 면에서 네트워크와 수신자의 이질성을 허락한다. 둘째. 여러단계의 비디오 화질이 요구될 때 이용가능한 대역폭에 맞출수 있다. 본 논문에서 우리는 움직임 보상을 이용한 확장가능한 비디오 코덱 구조를 제시한다. 이것은 패킷 네트워크 상에서 실시간 오디오, 비디오 통신에 적합하다. 코딩 알고리즘은 ITU-T 추천 H.263+에 맞추면서 복잡도를 감소시키기 위한 기법들을 제시한다 빠른 움직임 검출은 H.263 베이스 레이어에서 이루어지고 상위계층에서 이용된다. 시각적 성질에 따른 매크로 블록 배제는 움직임 검출에 앞서서 모든 계층에서 이루어진다. 패킷 손실로 인한 에러확산은 주기적으로 각 계층에서 프레임 안에 인트라 블록단위의 행렬을 도입함으로써 차단되어질 수 있다.

• Journal of Gynecologic Oncology
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• 제29권6호
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• pp.100.1-100.13
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• 2018

Objective: To investigate survival outcomes in endometrioid endometrial cancer (EEC) patients with single vs. multiple positive pelvic lymph nodes. Methods: We performed a retrospective evaluation of all consecutive patients with histologically proven International Federation of Gynecology and Obstetrics (FIGO) stage IIIC1 EEC who underwent primary surgical treatment between 2004 and 2014 at seven Italian gynecologic oncology referral centers. Patients with pre- or intra-operative evidence of extra-uterine disease (including the presence of bulky nodes) and patients with stage IIIC2 disease were excluded, in order to obtain a homogeneous population. Results: Overall 140 patients met the inclusion criteria. The presence of >1 metastatic pelvic node was significantly associated with an increased risk of recurrence and mortality, compared to only 1 metastatic node, at both univariate (recurrence: hazard ratio [HR]=2.19; 95% confidence interval [CI]=1.2-3.99; p=0.01; mortality: HR=2.8; 95% CI=1.24-6.29; p=0.01) and multivariable analysis (recurrence: HR=1.91; 95% CI=1.02-3.56; p=0.04; mortality: HR=2.62; 95% CI=1.13-6.05; p=0.02) and it was the only independent predictor of prognosis in this subset of patients. Disease-free survival (DFS) and disease-specific survival (DSS) were significantly longer in patients with only 1 metastatic node compared to those with more than 1 metastatic node (p=0.008 and 0.009, respectively). Conclusion: The presence of multiple metastatic nodes in stage IIIC1 EEC represents an independent predictor of worse survival, compared to only one positive node. Our data suggest that EEC patients may be categorized according to the number of positive nodes.