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Suprahilar Control of Glissonean Pedicle in the Open Anatomic Liver Resections: A Single Centre Experience

  • Aleksandar Karamarkovic;Milos Bracanovic;Bojan Jovanovic;Sanja Tomanovic Vujadinovic
    • Journal of Digestive Cancer Research
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    • v.4 no.2
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    • pp.113-121
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    • 2016
  • Background: We evaluated technique of hepatic resections using suprahilar-extrafascial dissection of Glissonean pedicle with vascular stapling device for pedicle transection with intent to minimize operative time and blood loss. Methods: We analyzed the clinical records of 326 patients who underwent anatomic liver resection by suprahilar-extrafascial pedicle isolation with vascular stapling division technique. Results: The minor liver resections were associated with significantly shorter surgery duration (105.1±21.1 vs. 225.6±75.6) and transection time (40.1±14.5 vs. 96.3±55.2) than major hepatectomies (p<0.0001 for all). The mean blood loss was 350.8±100.5 mL in minor resection and 485.4±250.2 mL in major resection (p=0.001). The mean blood transfusion requirement was 400.8±109.5 mL for minor resections and 550.9±100.0 mL for major hepatectomy (p=0.072). There was no significant difference in morbidity and mortality between groups (p=0.980; p=0.945). Major as well as minor liver resection were oncology superior with no significant difference in the 5-year overall survival rates. Conclusion: Suprahilar-extrafascial dissection of Glissonean pedicle represents an effective and safe technique of liver resection. Presented approach allows early and easy ischemic delineation of appropriate liver territory to be removed with selective inflow vascular control. It is not time consuming and it is very useful in re-resection, as well as oncological reasonable.

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Implementation and Design of Wideband IFIU using Aperture Open Loop Resonator and Reversed Phase Technique (역 위상 기법과 Aperture를 갖는 개방형 루프 공진기를 사용한 광대역 IF 모듈 설계 및 제작)

  • 김영완
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.41 no.11
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    • pp.17-23
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    • 2004
  • The implementation and design of the wideband IFIU using aperture open loop resonator and reversed phase technique to reduce the local oscillator leakage signal was represented in this paper. The local oscillator leakage signal is generated in stage of frequency conversion, especially in frequency conversion of fully digital modulation signal close to DC signal. The leakage signal and spurious signals, which have effects on adjacent channel or in-band channel as interference signals, were reduced below -60 dBc for 45 Mbps and 155 Mbps IF interface units. The group delay for both IFIUs shows low ripple characteristics of 15 ns and 8 ns, respectively. Also, the amplitude ripple characteristic in 150 MHz bandwidth with L-band center frequency satisfies the required specification of 2 dB. The implemented IFIU provides the required specifications for wideband satellite communication system.

Design of North Seoul Dream Forest Based on Traditional Village Design Methods (전통마을 배치기법에 따른 북서울꿈의숲 설계)

  • Choi, Shin-Hyun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.37 no.6
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    • pp.66-72
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    • 2010
  • Seoul City planned "Dreamland" to be in harmony with the huge woods and park. It is located in the life zone in the northern region of Seoul as part of an extensive park development plan that the municipal government has promoted. The space configuration technique of the aesthetics of "Empty" rather than "Full" gives the potentiality to cope with the uncertain changes in the city. Furthermore, the traditional element of the mountain landscape of Seoul was introduced and appropriated as the axis of the landscape for landscape configuration. In that configuration, the images of tree, sky, wind, water and soil are elegantly unfolded like a landscape painting. The purpose was to create a dominant landmark in the city landscape with the figures of Korean mountains and hills which were differentiated from architectural landmarks in the western cities by making nature, which was excluded from the urbanization plans up to now, an important subject for consideration. As a result, this study madethe space in a park including existing yards and streets in a city have the traditional hierarchy by applying the facility arrangement technique and elements extracted from Korean space types and traditional landscape concepts. Moreover, the North Seoul Dream Forest was designed by pursuing diversity and potentiality in the experience of space using a large open field in a city.

Grid Acceleration Structure for Efficiently Tracing the Secondary Rays in Dynamic Scenes on Mobile Platforms (모바일 환경에서의 동적 장면의 효율적인 이차 광선 추적을 위한 격자 가속 구조)

  • Seo, Woong;Choi, Byeongjun;Ihm, Insung
    • Journal of KIISE
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    • v.44 no.6
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    • pp.573-580
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    • 2017
  • Despite the recent remarkable advances in the computing power of mobile devices, the heat and battery problems still restrict their performances, particularly compared to PCs. Therefore, in the application of the ray-tracing technique for high-quality rendering, the consideration of a method that traces only the secondary rays while the effects of the primary rays are generated through rasterization-based OpenGL ES rendering is worthwhile. Given that most of the rendering time is for the secondary-ray processing in such a method, a new volume-grid technique for dynamic scenes that enhances the tracing performance of the secondary rays with a low coherence is proposed here. The proposed method attempts to model all of the possible spatial secondary rays in a fixed number of sampling rays, thereby alleviating the visitation problem regarding all of the cells along the ray in a uniform grid. Also, a hybrid rendering pipeline that speeds up the overall rendering performance by exploiting the mobile-device CPU and GPU is presented.

A Development of Simulation System for 3D Path Planning of UUV (무인잠수정의 3차원 경로계획을 위한 시뮬레이션 시스템 개발)

  • Shin, Seoung-Chul;Seon, Hwi-Joon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2010.10a
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    • pp.701-704
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    • 2010
  • In studying an autonomous navigation technique of UUV(Unmaned Underwater Vehicle), one of the many fundamental techniques is to plan a 3D path to complete the mission via realtime information received by sonar showing landscapes and obstacles. The simulation system is necessary to verify the algorithm in researching and developing 3D path planning of UUV. It is because 3D path planning of UUV should consider guide control, the dynamics, ocean environment, and search sonar models on the basis of obstacle avoidance technique. The simulation system developed in this paper visualizes the UUV's movement of avoiding obstacles, arriving at the goal position via waypoints by using C++ and OpenGL. Plus, it enables the user to setup the various underwater environment and obstacles by a user interface. It also provides a generalization that can verify path planning algorithm of UUV studied in any developing environment.

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FPGA Design of Open-Loop Frame Prediction Processor for Scalable Video Coding (스케일러블 비디오 코딩을 위한 Open-Loop 프레임 예측 프로세서의 FPGA 설계)

  • Seo Young-Ho
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.31 no.5C
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    • pp.534-539
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    • 2006
  • In this paper, we propose a new frame prediction filtering technique and a hardware(H/W) architecture for scalable video coding. We try to evaluate MCTF(motion compensated temporal filtering) and hierarchical B-picture which are a technique for eliminate correlation between video frames. Since the techniques correspond to non-causal system in time, these have fundamental defects which are long latency time and large size of frame buffer. We propose a new architecture to be efficiently implemented by reconfiguring non-causal system to causal system. We use the property of a repetitive arithmetic and propose a new frame prediction filtering cell(FPFC). By expanding FPFC we reconfigure the whole arithmetic architecture. After the operational sequence of arithmetic is analyzed in detail and the causality is imposed to implement in hardware, the unit cell is optimized. A new FPFC kernel was organized as simple as possible by repeatedly arranging the unit cells and a FPFC processor is realized for scalable video coding.

Design of a Broad Band-pass Filter with Stubs for Harmonics Suppression using the FSCS (FSCS를 이용한 고조파가 억제된 광대역 스터브 대역통과 여파기의 설계)

  • Choi, Young-Gu;Kim, Bok-Ki
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.45 no.1
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    • pp.103-109
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    • 2008
  • In this papaer, a new type of ${\lambda}_g/4$ short stub band pass filter and ${\lambda}_g/2$ open stub band pass filter are purposed. Both are designed using FSCS technique for harmonic suppression. The proposed filters that used FSCS technique and a broadband stop filter is integrated to band pass filter to suppress the harmonics. The BSF are also placed between stubs so that the size is larger than prevent as compared to conventional one. The propose filters have center frequency of 5.8 GHz, bandwidth of 50% and harmonics suppressin is 120% has in bandwith. The measurement results in the case of ${\lambda}_g/4$ short stub filter, insertion loss of 0.5 dB, return loss of 14 dB are achieved and in the case of ${\lambda}_g/2$ open stub filter, loss of 0.8 dB, return loss of 14.4 dB are achieved. The simulation results and the measurement results are almost the same.

Analysis of the Digital Phase Tracking Technique for Fiber-Optic Gyroscope (광섬유 자이로스코프의 위상추적 신호처리 분석)

  • Yeh, Y.H.;Cho, S.M.;Kim, J.H.
    • Journal of Sensor Science and Technology
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    • v.6 no.2
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    • pp.95-105
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    • 1997
  • A new open-loop signal processing technique of digital phase tracking is known to have a Potential to solve the problems in the open-loop processor such as limited dynamic range, dependence on the optical intensity fluctuations, and dependence on gain fluctuations of signal path. But new problems with digital phase tracking must be solved before it can be a useful signal processing method. In this paper, barriers to the success of the digital phase tracking such as harmonics content, phase difference, amplitude variations of the phase modulation(PM) signal, bandwidth limit of the signal path, and the implementation of the mixer, are pointed out and their effects on the performance of the signal processor are analyzed to calculate the requirements of the signal processor for $1{\mu}rad$-grade FOG.

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Minimally Invasive Multi-Level Posterior Lumbar Interbody Fusion Using a Percutaneously Inserted Spinal Fixation System : Technical Tips, Surgical Outcomes

  • Kim, Hyeun-Sung;Park, Keun-Ho;Ju, Chag-Il;Kim, Seok-Won;Lee, Seung-Myung;Shin, Ho
    • Journal of Korean Neurosurgical Society
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    • v.50 no.5
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    • pp.441-445
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    • 2011
  • Objective : There are technical limitations of multi-level posterior pedicle screw fixation performed by the percutaneous technique. The purpose of this study was to describe the surgical technique and outcome of minimally invasive multi-level posterior lumbar interbody fusion (PLIF) and to determine its efficacy. Methods : Forty-two patients who underwent mini-open PLIF using the percutaneous screw fixation system were studied. The mean age of the patients was 59.1 (range, 23 to 78 years). Two levels were involved in 32 cases and three levels in 10 cases. The clinical outcome was assessed using the visual analog scale (VAS) and Low Back Outcome Score (LBOS). Achievement of radiological fusion, intra-operative blood loss, the midline surgical scar and procedure related complications were also analyzed. Results : The mean follow-up period was 25.3 months. The mean LBOS prior to surgery was 34.5, which was improved to 49.1 at the final follow up. The mean pain score (VAS) prior to surgery was 7.5 and it was decreased to 2.9 at the last follow up. The mean estimated blood loss was 238 mL (140-350) for the two level procedures and 387 mL (278-458) for three levels. The midline surgical scar was 6.27 cm for two levels and 8.25 cm for three level procedures. Complications included two cases of asymptomatic medial penetration of the pedicle border. However, there were no signs of neurological deterioration or fusion failure. Conclusion : Multi-level, minimally invasive PLIF can be performed effectively using the percutaneous transpedicular screw fixation system. It can be an alternative to the traditional open procedures.

Thoracoscopic Anterior Release of the Spine in Total en Bloc Spondylectomy for Primary Thoracic Spinal Tumor -A case report- (원발성 흉추종양에 대한 전 척추 일괄 절제술 시 흉강경을 이용한 척추 전방 박리술 -1예 보고-)

  • Cho Deog Gon;Rhyu Kee Won;Kang Yong Koo;Cho Kyu Do;Jo Min Seop;Wang Young Pil
    • Journal of Chest Surgery
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    • v.39 no.1 s.258
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    • pp.80-84
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    • 2006
  • A combined anterolateral and posterior approach with thoracotomy has been recommended as the traditional surgical approach for the tumors of the thoracic spine. Recently, because of the morbidity associated with open thoracotomy, the thoracoscopically assisted surgical technique was introduced successfully in thoracic spinal surgery. Herein, we report a combined surgical technique for giant cell tumor of the thoracic spine (T10) consisting of bilateral thoracoscopic anterior release of the spine followed by a posterior on bloc spondylectomy and reconstruction by orthopedic surgeons. The thoracoscopic spinal surgery is safe and effective alternative for other open thoracotomic procedures in the approach to the anterior thoracic spine, avoiding the disadvantage inherent to thoracotomy.