• Title/Summary/Keyword: post-operation

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Treatment of Benign Bone Tumor with Xenograft (이종골 이식을 이용한 양성 골 종양 치료)

  • Kim, Han-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.1 no.2
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    • pp.189-193
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    • 1995
  • The authors reviewed 49 cases(48 patients) of benign bone tumor who had surgical treatment with xenograft at department of orthopedic surgery, Seoul National University Hospital from May, 1980 to May, 1994. Materials consist of 21 males and 27 females. The mean age at operation was 20.1 years(range : 4 -55 years) and the mean follow up period was 25.4 months(range : 7 - 85 months). We did xenograft only in 34 cases and xenograft mixed with autograft in 15 cases(14 cases, from ilium, 1 case from femur). The used materials for xenograft were $Lubboc^{(R)}$ in 29 cases, $Surgibone^{(R)}$ in 17 cases and $Pyrost^{(R)}$ in 3 cases. The average durations when bony union was achieved in radiograph were 13.8 weeks in whole cases, 12.5 weeks(range : 8 - 24 weeks) in $Lubboc^{(R)}$ graft cases and 15.7 weeks(range : 6 - 24 weeks) in $Surgibone^{(R)}$ graft cases. The tumor recurred in 4 cases, 1 case was recurred giant cell tumor at distal femur treated with mixed auto and $Lubboc^{(R)}$ graft and 2 cases were large cystic lesions at the proximal humerus diagnosed as simple bone cyst and at distal tibia diagnosed as fibrous dysplasia treated with $Surgibone^{(R)}$ graft and 1 case was aneurysmal bone cyst of the proximal tibia treated with $Lubboc^{(R)}$ graft. Wound infection occurred in 1 case. More transfusion was done in the cases that the lesion was larger than 5cm, the lesions were in the ilium or femur and the cases that were treated with mixed with autograft. This study implies that benign bone tumor is successfully treqated with curettage and xenograft or xenograft mixed with autograft. And also this method will reduce morbidity of donor site, intraoperative bleeding and post-transfusion complications.

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Long-term Results of Surgical Treatment of Craniopharyngioma : Experience with 100 Adult Patients (성인 두개인두종 연속 100예의 장기 치료 성적)

  • Bang, Jae Seung;Jung, Hee-Won;Kim, Dong Gyu;Gwak, Ho-Shin;Paek, Sun Ha;Chung, Young Seob;Hong, Seung-Koan
    • Journal of Korean Neurosurgical Society
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    • v.30 no.4
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    • pp.472-478
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    • 2001
  • Objectives : The authors present a retrospective analysis of 100 consecutive adult patients harboring craniopharyngiomas who underwent microsurgical resection between 1981 and 1999 to assess the long-term outcome of surgical treatment and to determine the most optimal management strategy. Methods : The extent of surgical removal was divided into four categories ; GTR(gross total removal), RSTR(radical subtotal removal), STR(subtotal removal),and PR(partial removal). The median follow-up period was 50 months(4-198). CT scan and/or MR imaging and hormonal status were evaluated to the last follow-up. Results : Visual disturbance was the most common presentation, which was improved in 42 cases and aggravated in 19 cases following the operation. Hypopituitarism was detected in 56 patients preoperatively, 82 during the immediate postoperative period, and 76 at the last follow-up. Improvement of pituitary function was not observed in any of these patients. Twenty of 100 patients showed recurrence at the mean of 27 months(3 to 196). The median progression-free survival(PFS) time of all patients was 145 months and 5-year PFS rate was 74%. Five-year PFS rate of GTR or RSTR group(71%) was significantly higher than that of STR or PR group(30%)(p=0.01). Postoperative radiation therapy significantly prolonged the PFS from 94 months in non-radiation group to 182 months(p=0.002). However, there was no statistical difference in number of patients who required hormonal replacement therapy between radiation and non-radiation group. Conclusion : Visual disturbance can be improved by early diagnosis and surgical decompression. GTR or RSTR in selected patients is considered a proper surgical strategy. Post-operative radiation therapy for residual tumors must be considered, although the ideal timing of radiation therapy is to be determined.

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A Study on Lightweight Block Cryptographic Algorithm Applicable to IoT Environment (IoT 환경에 적용 가능한 경량화 블록 암호알고리즘에 관한 연구)

  • Lee, Seon-Keun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.1-7
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    • 2018
  • The IoT environment provides an infinite variety of services using many different devices and networks. The development of the IoT environment is directly proportional to the level of security that can be provided. In some ways, lightweight cryptography is suitable for IoT environments, because it provides security, higher throughput, low power consumption and compactness. However, it has the limitation that it must form a new cryptosystem and be used within a limited resource range. Therefore, it is not the best solution for the IoT environment that requires diversification. Therefore, in order to overcome these disadvantages, this paper proposes a method suitable for the IoT environment, while using the existing block cipher algorithm, viz. the lightweight cipher algorithm, and keeping the existing system (viz. the sensing part and the server) almost unchanged. The proposed BCL architecture can perform encryption for various sensor devices in existing wire/wireless USNs (using) lightweight encryption. The proposed BCL architecture includes a pre/post-processing part in the existing block cipher algorithm, which allows various scattered devices to operate in a daisy chain network environment. This characteristic is optimal for the information security of distributed sensor systems and does not affect the neighboring network environment, even if hacking and cracking occur. Therefore, the BCL architecture proposed in the IoT environment can provide an optimal solution for the diversified IoT environment, because the existing block cryptographic algorithm, viz. the lightweight cryptographic algorithm, can be used.

Primary Carcinoma of the Lung with Emphasis on Alveolar Cell Carcinoma (폐암 치험 73례: Alveolar cell carcinoma 를 중심으로)

  • Sohn, Kwang-Hyun;Lee, Nam-Soo;Ko, Il-Hyang
    • Journal of Chest Surgery
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    • v.12 no.4
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    • pp.324-335
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    • 1979
  • During the period of 4 years from August 1975 to August 1979 one hundred and forty seven cases of lung cancer were seen at Paik Foundation Hospital in Seoul, Korea. Among these 147 cases, 104 patients had primary carcinoma of the lung and the remainder was metastatic carcinoma to the lung. Among these 104 primary carcinoma patients, 73 cases were proven histologically as primary carcinoma of the lung. There were three cases of alveolar cell carcinoma [Table 1 ]. This clinical observation is based on those 73 cases including three case reports of the alveolar cell carcinoma. 1. Peak incidence was observed in the 5th decade of life. Male to female ratio was 2 to 1 [Fig. 1]. 2. Pathological classifications were as follows: epidermoid carcinoma, 24 cases [32.9%]; undifferentiated carcinoma, 20 cases [27.4%]; adenocarcinoma, 15 cases [20.5%]; bronchioloalveolar carcinoma [5.5%] and positive cytology, 10 cases [13.7%] [Fig. 2]. 3. Evidence of inoperability was observed in 55 patients [75% of the 73 cases] [Table 3]. 4. Among those 73 cases, operability was evaluated in 18 patients or 25%. One patient refused operation and 17 patients [23.6%] were explored. In 11 [15%] out of 17 patients, thoracotomies were performed. Six cases were pneumonectomies and 5 cases were lobectomies or bilobectomies [Fig. 3]. 5. First case of alveolar cell carcinoma was a 46 year-old housewife complaining of cough and hemoptysis for one year. The plain chest X-ray and bronchogram showed characteristic pictures as Figures 4 and 5. A pneumonectomy was carried out. Histologically, a beautiful alveolar carcinoma consisted of the characteristic tall columnar epithelial cells, which were lining the alveolar spaces as seen in Figures 6, 7, 8, and 20. 6. In the second case of 41 year old male, predominant clinical feature was single, well defined mass in the right lower lobe [Fig. 10 and 11] on chest X-ray. Bilobectomized specimen showed fragile, soft and hard tissue containing mucoid secretions and focal yellowish necrosis with pigmentation on cut surface [Fig. 12]. Slides showed tumor cells lined up along the alveolar septa with papillary projections [Fig. 13 and 14]. 7. Third case of alveolar cell carcinoma was a 50-year-old housewife with hemoptysis. An outstanding clinical picture was a round to lobulated mass in the right upper lobe [Fig. 16]. She is living now, 2 years and 1 month post-operatively, but has arrived at terminal stage with military nodular disseminations to the contralateral lung [Fig. 19].

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A Study on Establishment and Connection of Intelligent Security Integrated Platform Elements for Real-Time Crime Response (실시간 범죄대응을 위한 지능형 방범 통합 플랫폼 요소 설정 및 연계방안 연구)

  • Choi, Woo-Chul;Na, Joon-Yeop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.8-15
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    • 2018
  • This article investigates intelligent security integrated platform for real-time crime response and preventive crime prevention. This study analyzed intelligent crime prevention platform elements by analyzing crime prevention system/platform research, intelligent crime prevention research, and case study of municipality integrated operation center crime prevention system. Through this, we developed a practical intelligent security platform, and suggested a linkage with existing municipalities and smart city integrated platform system considering scalability. This enables CCTV monitoring, which is used only for existing post processing, to cope with real-time crime. It is expected that it will be able to solve the incidents in golden-time by grasping the precise position of the complainant not only in the outdoor but also indoors. It is also possible to provide citizen-centered crime-prevention social safety net information sharing service by enhancing citizen participation as well as improving control efficiency. The intelligent security platform has advantages that it is easy to spread the municipality because it is developed considering existing municipal system, smart city integration platform, and linkage and expansion with other security services.

A Case of Orthognathic Surgery in Congenital Alveolar-Palatal cleft patient (구순 및 구개열을 가진 상악 후퇴증 환자의 교정-외과적 치험 1례)

  • Park, Jae-Hyun;Lee, Myung-Jin;Lee, Chang-Kon;Kim, Jong-Sub;Chin, Byung-Rho;Lee, Hee-Kyung
    • Journal of Yeungnam Medical Science
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    • v.9 no.1
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    • pp.189-196
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    • 1992
  • Pre-surgical and post-surgical change in adult cleft lip and palate patient following Le Fort I advancement osteotomy combined with bone graft was evaluated clinically and cephalometically. We obtained a successful function and esthetic improvement. The bone graft of alveolo-palatal clefts provides a stable bone support to the adjacent teeth of the cleft area, and well union of adjacent bone tissue, the closure of oronasal fistula and improvement of speech problem. Le Fort I osteotomy following the ostectomy of nasal septum for advancement of the maxilla was obtained relative improvement of esthetics and functional occlusion. 1. The orthodontic correction was required before and after surgery. 2. In this case, there was a limited range of anterior advancement of the Premaxillary-segment due to the scar tissue. 3. After 8 months of operation, we could show the new bone deposition on the cleft site in dental radiograph and then the prosthetic treatement to the missing teeth was done.

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Improvement of the Trauma Care Process by Implementation of a Computerized Physician Order Entry-Based Trauma Team Approach

  • Lee, Ji-hwan;Lee, Jin-hee;You, Je-sung;Chung, Sung-phil;Kim, Hyun-jong;Cho, Jun-ho;Kim, Min-joung;Chung, Hyun-soo
    • Quality Improvement in Health Care
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    • v.21 no.2
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    • pp.12-24
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    • 2015
  • Purpose: The need for the rapid evaluation and treatment of emergency department patients with major trauma is essential. A computerized physician order entry (CPOE) system can improve communication and provide immediate access to information with the goal of reducing ED time delays. The aim of this study was to report on the operation of a trauma CPOE program and demonstrate its usefulness by comparing time intervals from ED arrival to various evaluation steps before and after implementation of the program. Methods: This was a before-and-after observational study from a single emergency department at an academic center. The CPOE program was implemented for 6 months and compared with the data collected from the pre-CPOE implementation period. The efficacy of the program was assessed by comparing the time difference before and after CPOE implementation based on the following factors: total boarding time in ED, door-to-disposition decision time, door-to-blood-test report time, door-to-X-ray time, door-to-CT time, and door-to-transfusion time. Results: Over a period of 6 months, the CPOE was activated for a total of 17 patients. Total boarding time was reduced significantly after implementation [median, 641.5 minutes (IQR, 367.3-859.3) versus289.0 minutes (IQR, 140.0-508.0) for pre-CPOE vs. post-CPOE, respectively, p< 0.05). Time intervals for all evaluation steps were reduced after implementation of the program. The improvements in the door-to-blood-test and door-to-CT times were both statistically significant. Conclusion: This study demonstrated that a standard CPOE system can be successfully implemented and can reduce ED time delays in managing trauma patients.

A Case of Wilms Tumor with Thrombi which Invaded the Right Ventricule (종양색전이 우심실까지 침범한 Wilms 종양 1례)

  • Uhm, Ji Hyun;Won, Sung Chul;Lyu, Chuhl Joo;Yang, Chang Hyun;Kim, Byung Soo;Hwang, Eui Ho;Park, Young Hwan;Seo, Chang Ok
    • Clinical and Experimental Pediatrics
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    • v.45 no.3
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    • pp.390-394
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    • 2002
  • Wilms tumor is the second most common malignant retroperitoneal tumor. Inferior vena cava and right atrial involvement is found in about 4-10% and 0.5-3% of cases, respectively. But, right ventricular involvement has not been reported. We experienced a case of Wilms tumor with right ventricular invasion in a 2 year-old male who presented intermittent hematuria and abdominal pain. Computed tomogram and echocardiogram showed a homogeneous mass extended to right ventricle via inferior vena cava. He received pre-operative chemotherapy followed by operation, radiation therapy including heart, and post-operative chemotherapy.

Development of Software Correlator for KJJVC (한일공동VLBI상관기를 위한 소프트웨어 상관기의 개발)

  • Yeom, J.H.;Oh, S.J.;Roh, D.G.;Kang, Y.W.;Park, S.Y.;Lee, C.H.;Chung, H.S.
    • Journal of Astronomy and Space Sciences
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    • v.26 no.4
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    • pp.567-588
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    • 2009
  • Korea-Japan Joint VLBI Correlator (KJJVC) is being developed by collaborating KASI (Korea Astronomy and Space Science Institute), Korea, and NAOJ(National Observatory of Japan), Japan. In early 2010, KJJVC will work in normal operation. In this study, we developed the software correlator which is based on VCS (VLBI Correlation Subsystem) hardware specification as the core component of KJJVC. The main specification of software correlator is 8 Gbps, 8192 output channels, and 262,144-points FFT (Fast Fourier Transform) function same as VCS. And the functional algorithm which is same as specification of VCS and arithmetic register are adopted in this software correlator. To verify the performance of developed software correlator, the correlation experiments were carried out using the spectral line and continuum sources which were observed by VERA (VLBI Exploration of Radio Astrometry), NAOJ. And the experimental results were compared to the output of Mitaka FX correlator by referring spectrum shape, phase rate, and fringe detection and so on. Through the experimental results, we confirmed that the correlation results of software correlator are the same as Mitaka FX correlator and verified the effectiveness of it. In future, we expect that the developed software correlator will be the possible software correlator of KVN (Korean VLBI Network) with KJJVC by introducing the correlation post-processing and modifying the user interface as like GUI (Graphic User Interface).

Transformation and Future Prospect in the U.S. Census: Focusing on 2000 Census Experience and 2010 Census Plans (미국 센서스의 변화와 향후 전망: 2000년의 경험과 2010년의 계획을 중심으로)

  • Jun, Kwang-Hee
    • Korea journal of population studies
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    • v.31 no.2
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    • pp.101-132
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    • 2008
  • This paper discusses transformation of the US population census since 1990 and its future prospects by mentioning the 2000 census experience and the 2010 census plans. First, it examines the recommendations written for the 2000 census by the Committee on National Statistics, National Research Council, such as introduction of statistical estimation, response rate improvement, long form improvement, adjustment in differential undercount by race/ethnicity, alternative census methods, collection of small-area statistics in non-census years, and census frame enhancement, and describes how the US Supreme Court decision of 1998 led the Census Bureau to fail in conducting the US version of One Number Census which uses statistical estimation by matching actual enumerations from the Census main survey and post-enumeration survey. Second, it examines one key element of the 2010 U. S. census, say, the separation of long form from short form and describes the main features of American Community Survey, a rolling census which replaces long-form component of the traditional US "Decennial Census" Another element is MAF/TIGER Enhancement Program which aims to improve enumeration accuracy in the traditional short-form census and help the Census Bureau introduce a mobile computer system as part of high-tech census operation. In this paper, it is pointed out that the separation of long form from short form is not an accidental one which results from the US Supreme Court decision, but the Census Bureau at this time in 2008 worries about the accuracy of enumeration because it has failed to develop a mobile computer system and will have to canvass 115 million households by paper and pencil by hiring 600 thousand temporary census workers.