• Journal of Korean Neurosurgical Society
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• v.63 no.6
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• pp.834-840
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• 2020

Objective : Carotid endarterectomy (CEA) is an effective surgical procedure for treating symptomatic or asymptomatic patients with carotid stenosis. Many neurosurgeons use a shunt to reduce perioperative ischemic complications. However, the use of shunting is still controversial, and the shunt procedure can cause several complications. In our institution, we used two types of modified arteriotomy suture techniques instead of using a shunt. Methods : In technique 1, to prevent ischemic complications, we sutured a third of the arteriotomy site from both ends after removing the plaque. Afterward, the unsutured middle third was isolated from the arterial lumen by placing a curved Satinsky clamp. And then, we opened all the clamped carotid arteries before finishing the suture. In technique 2, we sutured the arteriotomy site at the common carotid artery (CCA). We then placed a curved Satinsky clamp crossing from the sutured site to the carotid bifurcation, isolating the unsutured site at the internal carotid artery (ICA). After placing the Satinsky clamp, the CCA and external carotid artery (ECA) were opened to allow blood flow from CCA to ECA. By opening the ECA, ECA collateral flow via ECA-ICA anastomoses could help to reduce cerebral ischemia. Results : The modified suture methods can reduce the cerebral ischemia directly (technique 1) or via using collaterals (technique 2). The modified arteriotomy suture techniques are simple, safe, and applicable to almost all cases of CEA. Conclusion : Two modified arteriotomy suture techniques could reduce perioperative ischemic complications by reducing the cerebral ischemic time.

• Journal of the Korean Statistical Society
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• v.34 no.2
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• pp.153-160
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• 2005

In this paper, modified second order slope rotatable designs are introduced and modified slope rotatable central composite designs (SRCCD) are constructed for $2 {\le} v {\le} 17$ (v: the number of factors). Further, it can be shown for certain values of 'v', the modified SRCCD can be viewed as SRCCD constructed as with the technique of augmentation of second order rotatable design (SORD) using central composite design to SRCCD. These designs are useful in parts to estimate responses and slopes with spherical variance functions.

• The Journal of Advanced Prosthodontics
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• v.3 no.1
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• pp.33-36
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• 2011

In process of fabrication of a fixed partial denture, dies are trimmed to expose margins of the preparations. The need for the soft tissue cast is quite evident as the soft tissue emergence profile that surrounds the prepared tooth is destroyed in the process of fabrication. This article describes a modified technique to fabricate the soft tissue cast for the conventional fixed partial denture. The impression made with the polyvinylsiloxane was first poured to prepare the die cast. After retrieval of the cast, the same impression was poured second time with the resin based resilient material to cover the facial and proximal gingival areas. The remaining portion of the impression was poured with the gypsum material. This technique does not require additional clinical appointment, second impression procedure, technique sensitive manipulations with impression, or cumbersome laboratory procedures. The simplicity of this technique facilitates and justifies its routine use in fabrication of the fixed partial denture.

• Journal of Chest Surgery
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• v.33 no.10
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• pp.806-811
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• 2000

Background : The authors have modified the method of Ravitch technique. Material and Method ; This technique was applied to 6 patients out of 18 patients who underwent corrective surgery from May 1987 to July 1999. The technique is quite different from that of Ravitch. We did not divide the intercostal muscle bundles from the laterals of sternum and the Akin's struts were placed retrosternally crossing the chest horizontally to prevent flail motion during immediate post-operative period and retraction of the sternum afterwards. Anterior sternal osteotomy instead of the posterior one was performed for the latest 3 cases which made operative procedure more simple and easy. The struts were removed one year later. Result : Compared to the hospital stay of the patients who received standard Ravitch method that of the six cases who received our modification was definitely shortened from 13.1 days to 8.3 days(p<0.0000). Flail motion was not noted in any patient and chest wall stability was obtained more easily with this technique. Conclusion : Our modification is recommendable for correction of funnel chest in regards to shorter operation time better chest wall stability shorter hospital stay and less complication.

• ETRI Journal
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• v.40 no.5
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• pp.677-686
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• 2018

A novel data hiding technique based on modified histogram shifting that incorporates multi-bit secret data hiding is proposed. The proposed technique divides the image pixel values into embeddable and nonembeddable pixel values. Embeddable pixel values are those that are within a specified limit interval surrounding the peak value of an image. The limit interval is calculated from the number of secret bits to be embedded into each embeddable pixel value. The embedded secret bits can be perfectly extracted from the stego image at the receiver side without any overhead bits. From the simulation, it is found that the proposed technique produces a better quality stego image compared to other data hiding techniques, for the same embedding rate. Since the proposed technique only embeds the secret bits in a limited number of pixel values, the change in the visual quality of the stego image is negligible when compared to other data hiding techniques.

• Proceedings of the Computational Structural Engineering Institute Conference
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• 2007.04a
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• pp.481-486
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• 2007

The Zienkiewicz-Zhu(Z/Z) error estimate is slightly modified for the hierarchical p-refinement, and is then applied to L-shaped plates subjected to bending to demonstrate its effectiveness. An adaptive procedure in finite element analysis is presented by p-refinement of meshes in conjunction with a posteriori error estimator that is based on the superconvergent patch recovery(SPR) technique. The modified Z/Z error estimate p-refinement is different from the conventional approach because the high order shape functions based on integrals of Legendre polynomials are used to interpolate displacements within an element, on the other hand, the same order of basis function based on Pascal's triangle tree is also used to interpolate recovered stresses. The least-square method is used to fit a polynomial to the stresses computed at the sampling points. The strategy of finding a nearly optimal distribution of polynomial degrees on a fixed finite element mesh is discussed such that a particular element has to be refined automatically to obtain an acceptable level of accuracy by increasing p-levels non-uniformly or selectively. It is noted that the error decreases rapidly with an increase in the number of degrees of freedom and the sequences of p-distributions obtained by the proposed error indicator closely follow the optimal trajectory.

• Journal of Magnetics
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• v.21 no.1
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• pp.148-152
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• 2016

The main goal was to evaluate effectiveness of a modified TSE sequence compared with DIR (double inversion recovery) sequence in acquisition of fast flow brain vessel images using signal void effect. 32 healthy volunteers (10 men and 22 women; mean age of 31 years; ranging between 28-43 years) who underwent black blood DIR sequence (group A) and the modified TSE sequence (group B) were enrolled in our study. Signal to Noise Ratio (SNR) and Contrast to Noise Ratio (CNR) of the internal carotid arteries' lumen were compared in T1 and T2 weighted images for both group A and B. The images obtained from group B showed lower SNR values in internal carotid artery than the group A in both of the T1 and T2 weighted images (11.49% and 13.66% respectively). While the CNR values were higher in the group B than the group A in both of the T1 and T2 weighted images (8.69% and 7.55 % respectively). The qualitative score of all categories were not significantly different between the two groups. Furthermore approximately 49% of the total scan time was reduced from group B. Our study is to shorten the scanning time and minimize the inconveniences of the patients in acquisition of the black blood images of brain by using the signal void effect in the modified TSE technique while keeping the diagnostic value of the test.

• Journal of the Society of Naval Architects of Korea
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• v.36 no.4
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• pp.28-36
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• 1999

An efficient inverse design method based on the MGM(Modified Garabedian-McFadden) method has been developed. The 2-D Navier-Stokes equations are solved for obtaining the surface pressure distributions and coupled with the MGM method to perform the inverse design. The MGM method is a residual-correction technique, in which the residuals are the difference between the desired and the computed pressure distribution. The developed code was applied to several airfoil shapes and the propeller. It has been found that they are well converged to their targeting shapes.

• Current Optics and Photonics
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• v.2 no.5
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• pp.431-435
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• 2018

A modified setup of a CMD technique for high power coherent beam combining was presented to address an issue of low damage threshold of electro-optic modulators. The feasibility of the modified setup was demonstrated by combining eight fiber beams, and it was successfully performed with ${\lambda}/44$ of residual phase error and 100 Hz of control bandwidth. It is expected that the modified CMD setup facilitates ultra-high power coherent beam combination without a limitation caused by the low damage threshold of electro-optic modulators.

• Advances in nano research
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• v.13 no.4
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• pp.393-406
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• 2022

In the present article, functionally graded small-scaled plates based on modified strain gradient theory (MSGT) are studied for analyzing the nonlinear bending and post-buckling responses. Von-Karman's assumptions are applied to incorporate geometric nonlinearity and the first-order shear deformation theory is used to model the plates. Modified strain gradient theory includes three length scale parameters and is reduced to the modified couple stress theory (MCST) and the classical theory (CT) if two or all three length scale parameters become zero, respectively. The Ritz method with Legendre polynomials are used to approximate the unknown displacement fields. The solution is found by the minimization of the total potential energy and the well-known Newton-Raphson technique is used to solve the nonlinear system of equations. In addition, numerical results for the functionally graded small-scaled plates are obtained and the effects of different boundary conditions, material gradient index, thickness to length scale parameter and length to thickness ratio of the plates on nonlinear bending and post-buckling responses are investigated and discussed.