• Title/Summary/Keyword: portal

Search Result 2,062, Processing Time 0.175 seconds

A Case Report of the Mesocaval Shunt in the Failed Splenorenal Shunt (선천성 문정맥의 기형으로 인한 문맥압항진증에 시행한 Shunt 의 1례 보고)

  • 정성규
    • Journal of Chest Surgery
    • /
    • v.5 no.2
    • /
    • pp.107-112
    • /
    • 1972
  • Recently we experienced a case of the portal hypertension, extrahepatlc origin in the National Medical Center, Seoul. The case was a male aged 19 who was undergone the elective splenorenal shunt with splenectomy 9 years ago and emergency ligation of the coronary vein because of recurred variceal rupture 6 years later and had recurring esophageal varices with bleeding this time.At the age of 10 he had been occasionally suffering from nasal bleeding and visited to our Pediatric department, when there was encountered for the first time the splenomegaly, esophageal varices in the lower third esophagus on the esophagogram, and stenosis and kinking of the portal vein with rich collateral circulation on the splenoportography without hepatic functional impairment.The elective splenorenal shunt with splenectomy was undergone under the diagnosis of portal hypertension due to congenital anomaly of the portal vein and postoperatlvely no troubles had been obtained until postoperative 1st attack of massive hematemesis due to esophagenl variceal rupture recurred about 6 years later which was confirmed by control esophagogram and it was resulted by stenosis of previous anastomotic site of the splenorenal shunt.Then emergency ligation of the coronary vein was only made for bleeding control and no episodes of hematemesis had been encountered thereafter until April 1972 about 3 years after the 2nd operation, when hematemesis recurred again. In this time, recurring esophageal varices were noted in the lower third esophagus on the control esophagogram and he was employed side to end mesocaval shunt as the final step of portal decompression,and following results were obtained. 1] No postoperatlve troubles as leg edema or pain: Postoperatively leg elevation and elastic bandage on the both legs were employed until discharge. 2] During operation the portal pressure was 300 mm $H_2O$ and immediately lowered to 170 mm $H_2O$ after shunt.

  • PDF

Application of Deegree of Open Source Middleware to Geo-Portal Implementation (지오 포털 구축을 위한 공개 소스 미들웨어 Deegree의 적용)

  • Park, Yong-Jae;Lee, Ki-Won
    • Korean Journal of Remote Sensing
    • /
    • v.25 no.4
    • /
    • pp.367-374
    • /
    • 2009
  • Recently, new GIS applications such as gee portal and spatial data infrastructure are emerging. These are related to web computing techniques or methodologies based on web 2.0 paradigm, open API of portal, open source GIS, and international GIS standards which are independently on developing. The product of these applications can be realized in the linkage of those components. In this study, a case implementation concerning linkage with Google maps API and open source middleware named Deegree is carried out, and the results are discussed for open source uses in geo portal. Open source middleware supports various levels and types of OGC standards, so that it enables web publishing in the several web standard formats and data exchanges and interoperable uses between external database servers. Also the (unction extensions and the multi tier-based architecture within geo portal for specific purpose are possible.

Construction of Pilot System to Improve Search Quality in National Archives of Korea Portal and Effects Validation (국가기록포털 검색 품질 개선을 위한 파일럿 시스템 구축 및 실효성 검증)

  • Hyeon-Gi So;Gyung Rok Yeom;Hyo-Jung Oh
    • Journal of Korean Society of Archives and Records Management
    • /
    • v.23 no.2
    • /
    • pp.117-135
    • /
    • 2023
  • The National Archives of Korea (NAK) operates the NAK Portal as a record search system. However, user search satisfaction is too low, and the number of visitors to the portal is gradually decreasing. This study identifies the portal's issues, proposes feasible improvements, and constructs a pilot system to validate the solutions. The preliminary assessment revealed six major issues, such as poor search tool performance and the lack of consistency in search results. After clarifying the improvement measures, a pilot system was established and compared with the National Records Portal. The evaluation showed significant performance improvements in the pilot system, such as Precision, Recall, and Mean Reciprocal Rank (MRR).

An exploratory study on the factors influencing credibility of television news and portal news

  • Najin Jun
    • International Journal of Internet, Broadcasting and Communication
    • /
    • v.15 no.4
    • /
    • pp.31-43
    • /
    • 2023
  • News credibility is on a decline for many democratic countries. Among the countries, South Korea is currently witnessing one of the steepest declining curves. Since people obtain news from various media, for example, television and portals, news credibility can be measured for each of the media separately. Most often, television news credibility is much higher than portal news credibility because people tend to trust traditional media more than online ones. To understand the discrepancy between news credibility of the two media in specific relation to South Koreans' everyday news use and overall news credibility evaluation, this exploratory study examined how the factors that influence television news credibility and portal news credibility differ from each other by examining the relations of news credibility of the two media to credibility of news I use and of news in general. Drawing from previous research on partisan news use, it assumed that normative beliefs for television as a traditional medium work for television news credibility in the similar way as the mechanisms of selective exposure and bias perception do. It also assumed that the experiences dimension of news trust works for credibility of portal news and of news in general similarly. To verify these assumptions, a regression analysis was conducted from a sample of 58,936 South Koreans collected in 2022. As assumed, results revealed a greater relation between credibility of television news and of news I use, and between credibility of portal news and of news in general respectively. The findings suggest that measurement of credibility should be revised in the way that reflects media characteristics and the differing expectations held by news users.

Unconventional shunt surgery for non-cirrhotic portal hypertension in patients not suitable for proximal splenorenal shunt

  • Harilal, S L;Biju Pottakkat;Senthil Gnanasekaran;Kalayarasan Raja
    • Annals of Hepato-Biliary-Pancreatic Surgery
    • /
    • v.27 no.3
    • /
    • pp.264-270
    • /
    • 2023
  • Backgrounds/Aims: Proximal splenorenal shunt (PSRS) is a commonly performed procedure to decompress portal hypertension, in patients with refractory variceal bleed, especially in non-cirrhotic portal hypertension (NCPH). If conventional methods are hindered by any technical or pathological factors, alternative surgical techniques may be required. This study analyzes the effectiveness of various unconventional shunt surgeries performed for NCPH. Methods: A retrospective analysis of NCPH patients who underwent unconventional shunt surgeries during the period July 2011 to June 2022 was conducted. All patients were followed up for a minimum of 12 months with doppler study of the shunt to assess shunt patency, and upper gastrointestinal endoscopy to evaluate the regression of varices. Results: During the study period, 130 patients underwent shunt surgery; among these, 31 underwent unconventional shunts (splenoadrenal shunt [SAS], 12; interposition mesocaval shunt [iMCS], 8; interposition PSRS [iPSRS], 6; jejunal vein-cava shunt [JCS], 3; left gastroepiploic-renal shunt [LGERS], 2). The main indications for unconventional shunts were left renal vein aberration (SAS, 8/12), splenic vein narrowing (iMCS, 5/8), portalhypertensive vascular changes (iPSRS, 6/6), and portomesenteric thrombosis (JCS, 3/3). The median fall in portal pressure was more in SAS (12.1 mm Hg), and operative time more in JCS, 8.4 hours (range, 5-9 hours). During a median follow-up of 36 months (6-54 months), shunt thrombosis had been reported in all cases of LGERS, and less in SAS (3/12). Variceal regression rate was high in SAS, and least in LGERS. Hypersplenism had reversed in all patients, and 6/31 patients had a recurrent bleed. Conclusions: Unconventional shunt surgery is effective in patients unsuited for other shunts, especially PSRS, and it achieves the desired effects in a significant proportion of patients.

All-inside Arthroscopic Capsular Imbrication and Lateral Release in Patellofemoral Instability (Operative technique) (슬개대퇴관절 불안정성에서의 관절경적 All-inside 관절막 중첩술 및 외측 지대 유리술 (수술 술기))

  • Kim, Jae-Hwa;Cho, Duck-Yun;Yoon, Hyung-Ku;Kim, Jung-Ryul
    • Journal of the Korean Arthroscopy Society
    • /
    • v.10 no.1
    • /
    • pp.118-122
    • /
    • 2006
  • Purpose: We introduce a technique of all inside arthroscopic capsular imbrication and lateral release used to treat patellofemoral instability. Methods: With the arthroscope in the anteromedial portal for best viewing, the arthroscopic scissor is placed through superolateral portal for proximal to distal release. The release performed 5mm to 1cm from the edge of the patella. After completion of the procedure, with the arthroscope in anterolateral portal, we inserted 5mm cannula in superolateral portal and made working portal from superomedial portal. Medial reefing was performed with all inside technique by using curved needle of the spectrum suturing system and No. 1 monofilament PDS suture is passed through the superomedial portal percutaneously and retrieved through a superolateral portal. Conclusion: Several methods for arthroscopic patella realignment have been proposed, but they have consisted primarily of arthroscopically assisted techniques using a medial incision. We believe that our procedure is preferable to arthroscopically assisted methods commonly used, in that an incision is avoided and the vastus medialis obliqqus is not violated. Our technique is minimally invasive and is easy to control the tightness of the medial patellofemoral ligament (MPFL) under direct vision.

  • PDF

Network Capacity Design in the local Communication and Computer Network for Consumer Portal System (전력수용가포털을 위한 구내 통신 및 컴퓨터 네트워크 용량 설계)

  • Hong, Jun-Hee;Choi, Jung-In;Kim, Jin-Ho;Kim, Chang-Sub;Son, Sung-Young;Son, Kwang-Myung;Jang, Gil-Soo;Lee, Jea-Bok
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
    • /
    • v.21 no.10
    • /
    • pp.89-100
    • /
    • 2007
  • Consumer Portal is defined as "a combination of hardware and software that enables two-way communication between energy service provider(ESP, like KEPCO) and equipment within the consumer's premises". The portal provides both a physical link(between wires, radio waves, and other media) and a logical link(translating among language-like codes and etiquette-like protocols) between in-building and wide-area access networks. Thus, the consumer portal is an important, open public shared infrastructure in the future vision of energy services. In this paper, we describe a new methodology for local communication and computer network capacity design of consumer portal, and also presents capacity calculation method using a network system limitation factors. By the approach, we can check into the limitations of existing methods, and propose an improved data processing algorithm that can expand the maximum number of the networked end-use devices up to $30{\sim}40$ times. For validation, we applies the proposed methode to our real system design. Our contribution will help electrical power information network design.

Development of a Verification Tool in Radiation Treatment Setup (방사선치료 시 환자자세 확인을 위한 영상 분석 도구의 개발)

  • 조병철;강세권;한승희;박희철;박석원;오도훈;배훈식
    • Progress in Medical Physics
    • /
    • v.14 no.3
    • /
    • pp.196-202
    • /
    • 2003
  • In 3-dimensional conformal radiation therapy (3D-CRT) and intensity-modulated radiation therapy (IMRT), many studies on reducing setup error have been conducted in order to focus the irradiation on the tumors while sparing normal tissues as much as possible. As one of these efforts, we developed an image enhancement and registration tool for simulators and portal images that analyze setup errors in a quantitative manner. For setup verification, we used simulator (films and EC-L films (Kodak, USA) as portal images. In addition, digital-captured images during simulation, and digitally-reconstructed radiographs (DRR) can be used as reference images in the software, which is coded using IDL5.4 (Research Systems Inc., USA). To improve the poor contrast of portal images, histogram-equalization, and adaptive histogram equalization, CLAHE (contrast limited adaptive histogram equalization) was implemented in the software. For image registration between simulator and portal images, contours drawn on the simulator image were transferred into the portal image, and then aligned onto the same anatomical structures on the portal image. In conclusion, applying CLAHE considerably improved the contrast of portal images and also enabled the analysis of setup errors in a quantitative manner.

  • PDF

Studies of Alterations in Spleno-Hepatic Reflex in Portal Hypertensive Cats (간문맥 고혈압 고양이에서 비-간 교감신경성 반사의 변동에 대한 연구)

  • Song, Hwan-Kyu;Rhim, Byung-Yong;Kim, Chi-Dae;Hong, Ki-Whan
    • The Korean Journal of Pharmacology
    • /
    • v.23 no.1
    • /
    • pp.15-23
    • /
    • 1987
  • To elucidate the mechanism of splanchnic hyperemia associated with chronic portal hypertension, we have investigated the alteration in visceral reflexes in conjuction with circulatory hemodynamics in portal ligated portal hypertension in cats. When capsaicin, bradykinin and vasopressin were injected via splenic artery of sham cat, respectively, they caused not only reflex excitation of systemic arterial pressure, but also elevation of splenic venous pressure with unchanged heart rates. Simultaneously, they evoked the sympathetic efferent excitation of liver (spleno-hepatic reflex) as well as of spleen (spleno-splenic reflex). Similarly, capsaicin upon pledging on the liver surface evoked a significant increase in the pressor reflex with hepatic nerve excitation (hepato-hepatic reflex). After portal ligation, the splenic venous pressure was gradually elevated in association with decrease in systemic arterial pressure. However, the excitation of pressor reflex was enhanced on the and day, thereafter, being returned to the control, and the reflexly induced spleno-splenic, spleno-hepatic and hepato-hepatic sympathetic excitations were significantly diminished on the 8th day following portal vein ligation. In conclusion, it is suggested that sympathetic reflexes to spleen and liver are specifically intervened by the same central pathways and furthermore, the diminution of these viscero-visceral reflex excitations after portal ligation may be related to the intestinal hyperemia.

  • PDF

A Study on the Excavation of Tunnel Portal Zone Located at High Steep Slope (급경사 지형에 위치하고 있는 갱구부의 굴착 방안 연구)

  • Kim, Woo-Sung;Lee, Sang-Eun
    • Explosives and Blasting
    • /
    • v.26 no.2
    • /
    • pp.38-44
    • /
    • 2008
  • Recently, planning road construction in South Korea is focused on upgrading of the existing road by rerouting or restructuring. For this, roads under current construction in Korea go for more straight in its alignments and routing. Straight routing makes it all the more required to construct many mountain tunnels and bridges in Korea where mountains are so widely spread. Some portal of mountain tunnel is not rarely planed at high steep slope of mountain valley where it is not easy to secure working space for tunnel excavation. Reverse excavation is an alternative measure for excavation of tunnel portal at high steep slope. Construction in reverse excavation method has three important points requiring careful consideration: 1)planning of pilot tunnel in proper width, height, and length etc., 2)measure against the effect of one-side earth pressure to the direction of tunnel portal, 3)securing tunnel safety against shallow ground condition at portal zone. This paper intends to suggest applicable range of pilot tunnel for reverse excavation at the portal zone located at high steep slope, and shows result of study on the appropriateness of a reverse excavation by means of 3D numerical analysis. Result of 3D numerical analysis for reverse excavation at high steep slope shows that pilot tunneling will be applicable to start from the point $20{\sim}25m$ before the portal from inside the tunnel.