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Use of an Optical Scanning Device to Monitor the Progress of Noninvasive Treatments for Chest Wall Deformity: A Pilot Study

  • Kelly, Robert E. Jr.;Obermeyer, Robert J.;Kuhn, M. Ann;Frantz, Frazier W.;Obeid, Mohammad F.;Kidane, Nahom;McKenzie, Frederic D.
    • Journal of Chest Surgery
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    • v.51 no.6
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    • pp.390-394
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    • 2018
  • Background: The nonsurgical treatment of chest wall deformity by a vacuum bell or external brace is gradual, with correction taking place over months. Monitoring the progress of nonsurgical treatment of chest wall deformity has relied on the ancient methods of measuring the depth of the excavatum and the protrusion of the carinatum. Patients, who are often adolescent, may become discouraged and abandon treatment. Methods: Optical scanning was utilized before and after the intervention to assess the effectiveness of treatment. The device measured the change in chest shape at each visit. In this pilot study, patients were included if they were willing to undergo scanning before and after treatment. Both surgical and nonsurgical treatment results were assessed. Results: Scanning was successful in 7 patients. Optical scanning allowed a visually clear, precise assessment of treatment, whether by operation, vacuum bell (for pectus excavatum), or external compression brace (for pectus carinatum). Millimeter-scale differences were identified and presented graphically to patients and families. Conclusion: Optical scanning with the digital subtraction of images obtained months apart allows a comparison of chest shape before and after treatment. For nonsurgical, gradual methods, this allows the patient to more easily appreciate progress. We speculate that this will increase adherence to these methods in adolescent patients.

Should Cerebral Angiography Be Avoided within Three Hours after Subarachnoid Hemorrhage?

  • An, Hong;Park, Jaechan;Kang, Dong-Hun;Son, Wonsoo;Lee, Young-Sup;Kwak, Youngseok;Ohk, Boram
    • Journal of Korean Neurosurgical Society
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    • v.62 no.5
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    • pp.526-535
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    • 2019
  • Objective : While the risk of aneurysmal rebleeding induced by catheter cerebral angiography is a serious concern and can delay angiography for a few hours after a subarachnoid hemorrhage (SAH), current angiographic technology and techniques have been much improved. Therefore, this study investigated the risk of aneurysmal rebleeding when using a recent angiographic technique immediately after SAH. Methods : Patients with acute SAH underwent immediate catheter angiography on admission. A four-vessel examination was conducted using a biplane digital subtraction angiography (DSA) system that applied a low injection rate and small volume of a diluted contrast, along with appropriate control of hypertension. Intra-angiographic aneurysmal rebleeding was diagnosed in cases of extravasation of the contrast medium during angiography or increased intracranial bleeding evident in flat-panel detector computed tomography scans. Results : In-hospital recurrent hemorrhages before definitive treatment to obliterate the ruptured aneurysm occurred in 11 of 266 patients (4.1%). Following a univariate analysis, a multivariate analysis using a logistic regression analysis revealed that modified Fisher grade 4 was a statistically significant risk factor for an in-hospital recurrent hemorrhage (p=0.032). Cerebral angiography after SAH was performed on 88 patients ${\leq}3$ hours, 74 patients between 3-6 hours, and 104 patients >6 hours. None of the time intervals showed any cases of intra-angiographic rebleeding. Moreover, even though the DSA ${\leq}3$ hours group included more patients with a poor clinical grade and modified Fisher grade 4, no case of aneurysmal rebleeding occurred during erebral angiography. Conclusion : Despite the high risk of aneurysmal rebleeding within a few hours after SAH, emergency cerebral angiography after SAH can be acceptable without increasing the risk of intra-angiographic rebleeding when using current angiographic techniques and equipment.

Noise Removal using Gaussian Distribution and Standard Deviation in AWGN Environment (AWGN 환경에서 가우시안 분포와 표준편차를 이용한 잡음 제거)

  • Cheon, Bong-Won;Kim, Nam-Ho
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.6
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    • pp.675-681
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    • 2019
  • Noise removal is a pre-requisite procedure in image processing, and various methods have been studied depending on the type of noise and the environment of the image. However, for image processing with high-frequency components, conventional additive white Gaussian noise (AWGN) removal techniques are rather lacking in performance because of the blurring phenomenon induced thereby. In this paper, we propose an algorithm to minimize the blurring in AWGN removal processes. The proposed algorithm sets the high-frequency and the low-frequency component filters, respectively, depending on the pixel properties in the mask, consequently calculating the output of each filter with the addition or subtraction of the input image to the reference. The final output image is obtained by adding the weighted data calculated using the standard deviations and the Gaussian distribution with the output of the two filters. The proposed algorithm shows improved AWGN removal performance compared to the existing method, which was verified by simulation.

Four-Year Experience Using an Advanced Interdisciplinary Hybrid Operating Room : Potentials in Treatment of Cerebrovascular Disease

  • Jeon, Hong Jun;Lee, Jong Young;Cho, Byung-Moon;Yoon, Dae Young;Oh, Sae-Moon
    • Journal of Korean Neurosurgical Society
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    • v.62 no.1
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    • pp.35-45
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    • 2019
  • Objective : To describe our experiences with a fully equipped high-end digital subtraction angiography (DSA) system within a hybrid operating room (OR). Methods : A single-plane DSA system with 3-dimensional rotational angiography, cone-beam computed tomography (CBCT), and real-time navigation software was used in our hybrid OR. Between April 2014 and January 2018, 191 sessions of cerebrovascular procedures were performed in our hybrid OR. After the retrospective review of all cases, the procedures were categorized into three subcategorical procedures : combined endovascular and surgical procedure, complementary rescue procedure during intervention and surgery, and frameless stereotaxic operation. Results : Forty-nine of 191 procedures were performed using hybrid techniques. Four cases of blood blister aneurysms and a ruptured posterior inferior cerebellar artery aneurysm were treated using bypass surgery and endovascular trapping. Eight cases of ruptured aneurysm with intracranial hemorrhage (ICH) were treated by partial embolization and surgical clipping. Six cases of ruptured arteriovenous malformation with ICH were treated by Onyx embolization of nidus and subsequent surgical removal of nidus and ICH. Two (5.4%) of the 37 cases of pre-mature rupture during clipping were secured by endovascular coil embolization. In one (0.8%) complicated case of 103 intra-arterial thrombectomy procedures, emergency surgical embolectomy with bypass surgery was performed. In 27 cases of ICH, frameless stereotaxic hematoma aspiration was performed using $XperGuide^{(R)}$ system (Philips Medical Systems, Best, the Netherlands). All procedures were performed in single sessions without any procedural complications. Conclusion : Hybrid OR with a fully equipped DSA system could provide precise and safe treatment strategies for cerebrovascular diseases. Especially, we could suggest a strategy to cope flexibly in complex lesions or unexpected situations in hybrid OR. CBCT with real-time navigation software could augment the usefulness of hybrid OR.

An Analysis on the Contents of Fractional Operations in CCSSM-CA and its Textbooks (CCSSM-CA와 미국 교과서에 제시된 분수의 연산 내용 분석)

  • Lee, Dae Hyun
    • Education of Primary School Mathematics
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    • v.22 no.2
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    • pp.129-147
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    • 2019
  • Because of the various concepts and meanings of fractions and the difficulty of learning, studies to improve the teaching methods of fraction have been carried out. Particularly, because there are various methods of teaching depending on the type of fractions or the models or methods used for problem solving in fraction operations, many researches have been implemented. In this study, I analyzed the fractional operations of CCSSM-CA and its U.S. textbooks. It was CCSSM-CA revised and presented in California and the textbooks of Houghton Mifflin Harcourt Publishing Co., which reflect the content and direction of CCSSM-CA. As a result of the analysis, although the grades presented in CCSSM-CA and Korean textbooks were consistent in the addition and subtraction of fractions, there are the features of expressing fractions by the sum of fractions with the same denominator or unit fraction and the evaluation of the appropriateness of the answer. In the multiplication and division of fractions, there is a difference in the presentation according to the grades. There are the features of the comparison the results of products based on the number of factor, presenting the division including the unit fractions at first, and suggesting the solving of division problems using various ways.

The study of development on CFT(Cognitive Function Test) in mild cognitive impairment (경도인지장애 대상자의 인지기능평가도구(CFT) 개발 연구)

  • Lee, Seon-Myeong;Ju, Eun-U;Song, Jin-Seok;Park, Sin-Jun;Kim, Heon-Mo;Jeong, Eun-Seung;Im, Chae-Ho;Son, Seong-Min;Ha, Hye-Jeong
    • Journal of Korean Clinical Health Science
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    • v.8 no.2
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    • pp.1426-1435
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    • 2020
  • Objective: This study aims to develop CFT, a screening test for dementia that can be conducted on patients with mild cognitive impairment or early dementia. Methods: This study was conducted on therapists working at occupational therapy hospital in Gyeongsangnam-do. The data collection period is two months from July to September 2020, and the research participants were briefed on the purpose, significance, and anonymity of the research in consideration of ethical issues. A total of 33 copies of the data were finally analyzed, excluding those containing insufficient answers and errors, by distributing 40 copies of the data. SPSS Data Access pack 8.0 was used for data analysis, Cronbach's α value was evaluated for internal consistency reliability of each item, and Pearson Correlation coeffient between the lower scales of the assessment tool was measured. Results: The Cronbach's α value of the CFT was shown as .892 and the reliability of the assessment paper was shown to be quite high. The Cronbach's α value for each item in the cognitive assessment tool was the highest at .899 in the subtraction item, with exercise control (mook Chi Pa) at 888, visual memory, plus .887. The correlation of each item of cognitive assessment tools was found to be most correlated with the number of sustained concentrates and word2 to .934; in the stop word-numeric item and visual memory to be .85; and in the addition to the auditory memory item .739. Conclusion: Therefore, this study developed cognitive evaluation tools that can distinguish the diversity and cognitive level of screening tests and clarify standards, which are different from the existing dementia screening tools in Korea. Furthermore, the cognitive assessment tools of this study can be verified by applying them to patients with mild cognitive impairment and early dementia, and the criteria for generalization can be established.

Design of Efficient NTT-based Polynomial Multiplier (NTT 기반의 효율적인 다항식 곱셈기 설계)

  • Lee, SeungHo;Lee, DongChan;Kim, Yongmin
    • Journal of IKEEE
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    • v.25 no.1
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    • pp.88-94
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    • 2021
  • Public-key cryptographic algorithms such as RSA and ECC, which are currently in use, have used mathematical problems that would take a long time to calculate with current computers for encryption. But those algorithms can be easily broken by the Shor algorithm using the quantum computer. Lattice-based cryptography is proposed as new public-key encryption for the post-quantum era. This cryptographic algorithm is performed in the Polynomial Ring, and polynomial multiplication requires the most processing time. Therefore, a hardware model module is needed to calculate polynomial multiplication faster. Number Theoretic Transform, which called NTT, is the FFT performed in the finite field. The logic verification was performed using HDL, and the proposed design at the transistor level using Hspice was compared and analyzed to see how much improvement in delay time and power consumption was achieved. In the proposed design, the average delay was improved by 30% and the power consumption was reduced by more than 8%.

The alternative Method to Finish Modular Exponentiation and Point Multiplication Processes

  • Somsuk, Kritsanapong
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.7
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    • pp.2610-2630
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    • 2021
  • The aim of this paper is to propose the alternative algorithm to finish the process in public key cryptography. In general, the proposed method can be selected to finish both of modular exponentiation and point multiplication. Although this method is not the best method in all cases, it may be the most efficient method when the condition responds well to this approach. Assuming that the binary system of the exponent or the multiplier is considered and it is divided into groups, the binary system is in excellent condition when the number of groups is small. Each group is generated from a number of 0 that is adjacent to each other. The main idea behind the proposed method is to convert the exponent or the multiplier as the subtraction between two integers. For these integers, it is impossible that the bit which is equal to 1 will be assigned in the same position. The experiment is split into two sections. The first section is an experiment to examine the modular exponentiation. The results demonstrate that the cost of completing the modular multiplication is decreased if the number of groups is very small. In tables 7 - 9, four modular multiplications are required when there is one group, although number of bits which are equal to 0 in each table is different. The second component is the experiment to examine the point multiplication process in Elliptic Curves Cryptography. The findings demonstrate that if the number of groups is small, the costs to compute point additions are low. In tables 10 - 12, assigning one group is appeared, number of point addition is one when the multiplier of a point is an even number. However, three-point additions are required when the multiplier is an odd number. As a result, the proposed method is an alternative way that should be used when the number of groups is minimal in order to save the costs.

A Fast Method for Computing Multiplcative Inverses in GF(2$^{m}$ ) Using Normal Bases

  • 장용희;권용진
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.13 no.2
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    • pp.127-132
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    • 2003
  • Cryptosystems have received very much attention in recent years as importance of information security is increased. Most of Cryptosystems are defined over finite or Galois fields GF($2^m$) . In particular, the finite field GF($2^m$) is mainly used in public-key cryptosystems. These cryptosystems are constructed over finite field arithmetics, such as addition, subtraction, multiplication, and multiplicative inversion defined over GF($2^m$) . Hence, to implement these cryptosystems efficiently, it is important to carry out these operations defined over GF($2^m$) fast. Among these operations, since multiplicative inversion is much more time-consuming than other operations, it has become the object of lots of investigation. Recently, many methods for computing multiplicative inverses at hi호 speed has been proposed. These methods are based on format's theorem, and reduce the number of required multiplication using normal bases over GF($2^m$) . The method proposed by Itoh and Tsujii[2] among these methods reduced the required number of times of multiplication to O( log m) Also, some methods which improved the Itoh and Tsujii's method were proposed, but these methods have some problems such as complicated decomposition processes. In practical applications, m is frequently selected as a power of 2. In this parer, we propose a fast method for computing multiplicative inverses in GF($2^m$) , where m = ($2^n$) . Our method requires fewer ultiplications than the Itoh and Tsujii's method, and the decomposition process is simpler than other proposed methods.

Does the palatal vault form have an influence on the scan time and accuracy of intraoral scans of completely edentulous arches? An in-vitro study

  • Osman, Reham;Alharbi, Nawal
    • The Journal of Advanced Prosthodontics
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    • v.14 no.5
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    • pp.294-304
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    • 2022
  • PURPOSE. The purpose of this study was to evaluate the influence of different palatal vault configurations on the accuracy and scan speed of intraoral scans (IO) of completely edentulous arches. MATERIALS AND METHODS. Three different virtual models of a completely edentulous maxillary arch with different palatal vault heights- Cl I moderate (U-shaped), Cl II deep (steep) and Cl III shallow (flat)-were digitally designed using CAD software (Meshmixer; Autodesk, USA) and 3D-printed using SLA-based 3D-printer (XFAB; DWS, Italy) (n = 30; 10 specimens per group). Each model was scanned using intraoral scanner (Trios 3; 3ShapeTM, Denmark). Scanning time was recorded for all samples. Scanning accuracy (trueness and precision) were evaluated using digital subtraction technique using Geomagic Control X v2020 (Geomagic; 3DSystems, USA). One-way analysis of variance (ANOVA) test was used to detect differences in scanning time, trueness and precision among the test groups. Statistical significance was set at α = .05. RESULTS. The scan process could not be completed for Class II group and manufacturer's recommended technique had to be modified. ANOVA revealed no statistically significant difference in trueness and precision values among the test groups (P=.959 and P=.658, respectively). Deep palatal vault (Cl II) showed significantly longer scan time compared to Cl I and III. CONCLUSION. The selection of scan protocol in complex cases such as deep palatal vault is of utmost importance. The modified, adopted longer path scan protocol of deep vault cases resulted in increased scan time when compared to the other two groups.