• Title/Summary/Keyword: 부분 폐색

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Effects of the Dosing Regimen of Tissue-type Plasminogen Activator on Blood Coagulation System in Experimental Pulmonary Embolism (실험적 폐색전증에서 조직형플라스미노겐활성체의 투여방법이 혈액응고기전에 미치는 영향)

  • Chung, Hee-Soon;Kim, Ho-Joong;Shim, Young-Soo
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.5
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    • pp.474-482
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    • 1993
  • Background: As a physiologic plasminogen activator, tissue-type plasminogen activator (t-PA) could induce effective thrombolysis in massive pulmonary embolism, without the risk of systemic hemorrhage. However, therapeutic doses of t-PA has been associated with systemic lytic state, and fibrin selectivity may be influenced by the dosing regimen of t-PA. To investigate the effects of duration of t-PA infusion on blood coagulation system, we performed this study. Method: In a canine model of pulmonary embolism, which was induced by injection of autologous blood clots, we administered equal doses of t-PA (1 mg/kg) over 15 minutes in $t-PA_{15}$ group, over 180 minutes in $t-PA_{180}$ group, and only saline in control group. Then serial blood samplings were made to check complete blood count, prothrombin time, activated partial thromboplastin time, thrombin time, fibrin, plasminogen, ${\alpha}_2$-antiplasmin, coagulation factor V and VIII, and fibrin(ogen) degradation products. Results: 1) In all 3 groups, complete blood count showed same changes. Hemoglobin, hematocrit and platelet count decreased, but WBC count increased. 2) Prothrombin time, activated partial thromboplastin time, and thrombin time were prolonged during 15-60 minutes after t-PA administration in $t-PA_{15}$ group, and from 30 minutes through 180 minutes after administration in $t-PA_{180}$ gorup. 3) Fibrin, ${\alpha}_2$-antiplasmin, and cogulation factor V and VIII decreased in both $t-PA_{15}$ and $t-PA_{180}$ group, but returned to basal levels earlier in $t-PA_{15}$ group. 4) Fibrin(ogen) degradation products increased after pulmonary embolism in all groups, and further increased in both $t-PA_{15}$ and $t-PA_{180}$ groups after t-PA infusion. But more pronounced increment was noted in $t-PA_{180}$ gorup. Conclusion: In pulmonary embolism, the shorter (15 minutes) infusion of t-PA would have less risk of systemic hemorrhage than the longer (180 minutes) infusion when the doses is equal. And, this suggests that manipulating the duration of t-PA infusion can reduce the risk of major bleeding.

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Behavior of H-Type Steel Pile Under Axial Lond in Cohesionless Soils (사질토 지반에서 H-형 강말뚝의 축방향 거동)

  • Hong Sa-Myun;Lee Yeong-Saeng
    • Journal of the Korean Geotechnical Society
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    • v.21 no.8
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    • pp.5-12
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    • 2005
  • In early days, to analyze the behavior of single pile under axial load, many assumptions were made and field tests were performed. But in recent days, the development of computers led the use of the numerical analysis resulting in more realistic and correct results. The numerical methods are classified into Load Transfer Method and Elastic Solid Approach. In this study a numerical program applying t-z model to Load Transfer Method suggested by Coyle & Reese was developed. And another finite difference program using matrix based on this load transfer was developed. As a result, it is found that the values of the F.D.M. were similar to the values measured in-situ.

Bilateral Persistent Sciatic Arteries Complicated with Aneurysmal Dilatation and Thrombotic Occlusion: A Case Report (동맥류와 혈전성 폐색이 동반된 양측 잔류좌골동맥: 증례 보고)

  • Seo Jin Jang;Yoonhee Han;Jae Hyun Kwon
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1517-1522
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    • 2020
  • Persistent sciatic artery (PSA), a rare congenital vascular anomaly, increases susceptibility to aneurysms and accounts for 40-61% of the cases. Here, we describe a case of PSA in a 70-yearold man with a history of alcoholic liver cirrhosis. Bilateral complete PSAs were detected incidentally on computed tomography angiography during evaluation for spontaneous intramuscular bleeding in the thigh due to cirrhosis-related coagulopathy. Selective angiography of the left PSA revealed aneurysmal dilatation and thrombotic occlusion of the PSA, which was partially removed with aspiration thrombectomy. Intramuscular bleeding was succesfully managed with empirical embolization of the deep femoral artery.

Object Segmentation Algorithm Using Disparity-Adaptive Diffusion (변이 적응 확산을 이용한 물체 분할 알고리즘)

  • 김은지;남기곤;이상찬
    • Proceedings of the Korea Institute of Convergence Signal Processing
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    • 2001.06a
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    • pp.249-252
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    • 2001
  • 본 논문에서는 실제 물체 윤곽을 검출하기 위해 물체 분할 과정에서 변이(disparity) 정보를 이용한다. 스테레오 정합(stereo matching)으로 획득한 변이도에서 불연 속한 부분은 물체의 경계나 변이가 할당되지 않는 폐색 영역 일부분에서 나타날 수 있으므로, 변이 변화가 작 은 영상의 각 영역은 같은 물체의 일부분이라는 것은 직관적으로 명백하다. 분할 과정은 이러한 변이 정보를 적절하게 이용하고 확산망(diffusion network)을 이용하여 선택적인 확산을 수행한다. 추정된 변이도는 변이 변화가 작은 영역을 인식하기 위해 사용되고 그러한 영 역은 단일 물체의 일부분이거나 배경(background)이라고 간주하고 텍스쳐(texture)에 의한 에지(edge)글 등방성 확산으로 제거하는 과정을 거친다. 나머지 영상 영역에서, 비등방성 확산으로 변이의 변화와 밝기차의 변화를 고려하여 수행된다.

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A Study on Assessment of Fire Risk about Concentrated Area of Traditional Buildings in Korea - Focused on the Bukchon - (국내 한옥마을의 도시화재 위험성 평가 - 북촌한옥마을을 중심으로 -)

  • Kim, Bong-Chan;Kim, Dong-Eun;Lee, Ju-Hee;Kwon, Young-Jin
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2011.11a
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    • pp.258-261
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    • 2011
  • 본 연구는 일본의 도시화재 위험성 평가방법 중 도시방재 실무 핸드북의 재해위험도 판정을 사용하여 우리나라 북촌한옥마을의 가회동 31번지일대 및 11번지일대를 대상으로 도시화재위험성 평가를 수행한 것으로서, 그 결과 A B구역에서는 도로폐색과 피난곤란으로 도시화재위험성이 높은 것으로 나타났으며, C D구역에서는 목방건폐율 불연영역율 제외한 부분에서 낮은 위험도를 보였다.

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Trends of Full 3D Human Reconstruction Technology Based on Image (이미지 기반 완전 3D 인간 복원 기술 동향)

  • Song, Dae-Young;Lee, HeeKyung;Seo, Jeongil;Cho, Donghyeon
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2022.11a
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    • pp.106-108
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    • 2022
  • 이미지 기반 3D 형상 복원에 있어서, 이미지에 보이지 않는 폐색(Occlusion) 영역 부분에 대한 정보가 손실되므로 완전한 복원에 어려움이 있으며, 세밀한 텍스쳐(Texture) 표현이 이루어지지 않고 심한 평활화(Smoothing)나 고립된 노이즈 메쉬(Isolated Noise Mesh) 등 구조적 훼손이 발생한다. 주로 깊은 신경망을 이용하여, 음함수(Implicit Function) 기반 방법은 사전훈련이 완료된 보조 신경망들을 전면부에 배치하거나, Hourglass 등 임베딩(Embedding) 아키텍처를 추가하거나, 또는 표면 법선(Surface Normal)과 같은 환시(Hallucination)를 생성하여 신경망에 입력하기도 한다. 이 논문에서는, 인물의 이미지를 입력받아 색상, 머리카락 및 의상을 포함하는 완전 3D 인간 복원 기술들을 조망해본다.

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Object Contour Tracking Using Optimization of the Number of Snake Points in Stereoscopic Images (스테레오 동영상에서 스네이크 포인트 수의 최적화를 이용한 객체 윤곽 추적 알고리즘)

  • Kim Shin-Hyoung;Jang Jong-Whan
    • The KIPS Transactions:PartB
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    • v.13B no.3 s.106
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    • pp.239-244
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    • 2006
  • In this paper, we present a snake-based scheme for contour tracking of objects in stereo image sequences. We address the problem by managing the insertion of new points and deletion of unnecessary points to better describe and track the object's boundary. In particular, our method uses more points in highly curved parts of the contour, and fewer points in less curved parts. The proposed algorithm can successfully define the contour of the object, and can track the contour in complex images. Furthermore, we tested our algorithm in the presence of partial object occlusion. Performance of the proposed algorithm has been verified by simulation.

Cryosurgery for Malignant Endobronchial Tumor (악성 기관-기관지 종양에 대한 냉동 수술법)

  • Cho, Jong Ho;Kim, Kwang Taik;Lee, Sung Ho
    • Korean Journal of Bronchoesophagology
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    • v.18 no.1
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    • pp.5-8
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    • 2012
  • Cryosurgery is a safe method for palliation of endobronchial malignancies causing airway obstruction. Due to its simplicity and effectiveness for controlling bleeding, endobronchial cryosurgery is considered to be a good method that is clinically applicable to a malignant endobronchial tumor. In cases with stenosis caused by an endoluminal tumor, cryo-recanalization with a cryoprobe was immediately effective in most of the patients. A novel technique described by Hetzel in 2004 to achieve rapid recanalization of central airway obstruction with endobronchial cryoprobe. Cryorecanalization technique is feasible and offers many advantages in the interventional therapy of malignant intraluminal tumors of the respiratory tract.

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Effect of Zusanli (ST36) Electroacupuncture Stimulation on Delayed Gastric Emptying in Rats with Partial Pyloric Obstruction (족삼이혈(足三里穴) 전침 자극이 유문부 부분폐색이 된 흰 주의 위(胃) 배출능에 미치는 효능)

  • Hong, In-A;Yoon, Sang-Hyub
    • The Journal of Internal Korean Medicine
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    • v.30 no.1
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    • pp.1-8
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    • 2009
  • Objective : The aims of this study were to observe how body weight and gastric morphology were changed and whether gastric emptying was impaired in rats with partial pyloric obstruction. and to evaluate whether electroacupuncture was able to restore delayed gastric emptying. Methods : Partial pyloric obstruction was induced by wrapping a nonabsorbable rubber ring around the 1st portion of the duodenum for 2 weeks. Body gain and morphologic changes of stomach were investigated and compared with normal intact rats. Gastric emptying was measured by numbering expelled glass of beads in rats. Rats were divided into 4 groups(non-acupuncture, manual acupuncture. 3Hz-electroacupuncture. 60Hz-electroacupuncture). Stimulus intensity in two electroacupuncture groups was 1.2 times of pain threshold. Results : Partial pyloric obstruction produced a significant loss of body weight and induced a significant increase of gastric surface area. The 60Hz electroacupuncture-stimulated group significantly restored the delayed gastric emptying compared to the other groups of rats with partial pyloric obstruction. Conclusion : 60Hz electroacupuncture stimulation on Zusanli(ST36) showed significant restoration of delayed gastric emptying in rats with partial pyloric obstruction.

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Clinical Features of Symptomatic Meckel's Diverticulum (증후성 멕켈 게실의 임상적 고찰)

  • Lee, Young Ah;Seo, Ji Hyun;Youn, Hee Sang;Lee, Gyeong Hun;Kim, Jae Young;Choi, Gwang Hae;Choi, Byung Ho;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.9 no.2
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    • pp.193-199
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    • 2006
  • Purpose: The proper diagnosis of Meckel's diverticulum (MD) is difficult and delayed because of the variety of clinical manifestations. We reviewed clinical characteristics of symptomatic MD to facilitate early detection. Methods: We analyzed retrospectively the clinical manifestations, diagnostic tools, histopathological findings, and operative findings in 58 patients with symptomatic MD. Results: The male to female ratio was 2.8 : 1. The most common symptom of MD was bleeding. Others symptoms included: vomiting, abdominal pain, irritability, abdominal distension and fever in the order of frequency. The clinical manifestations of symptomatic MD were lower gastrointestinal bleeding, intestinal obstruction, perforation, diverticulitis and hemoperitoneum, in the order of frequency. The causes of intestinal obstruction were intussusception, internal hernia, band, volvulus, invagination, in the order of frequency. Seventy five percent of patient with MD were diagnosed prior to 5 years of age. The most frequently used diagnostic tool was the Meckel's scan. The diverticulum was located 2 cm to 120 cm proximal to the ileocecal valve. The length of the diverticulum ranged from 1 cm to 10 cm and 94% were less than 5 cm. The most common ectopic tissue found in the MD was gastric mucosa. Ileal resection was more frequently performed than diverticulectomy. Conclusion: In cases of unexplained gastrointestinal bleeding, obstruction and repeated intussusception, the meckel's scan, ultrasound and computed tomography shoud be considered to rule out MD, and if clinically necessary, an exploratory laparotomy when needed.

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