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Single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy: a technical review

  • Yuki Tanisaka;Masafumi Mizuide;Akashi Fujita;Rie Shiomi;Takahiro Shin;Kei Sugimoto;Shomei Ryozawa
    • Clinical Endoscopy
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    • v.56 no.6
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    • pp.716-725
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    • 2023
  • Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy is technically challenging. For example, scope insertion, selective cannulation, and intended procedures, such as stone extraction or stent placement, can be difficult. Single-balloon enteroscopy (SBE)-assisted ERCP has been used to effectively and safely address these technical issues in clinical practice. However, the small working channel limits its therapeutic potential. To address this shortcoming, a short-type SBE (short SBE) with a working length of 152 cm and a channel of 3.2 mm diameter has recently been introduced. Short SBE facilitates the use of larger accessories to complete certain procedures, such as stone extraction or self-expandable metallic stent placement. Despite the development in the SBE endoscope, various steps have to be overcome to successfully perform such procedure. To improve success, the challenging factors of each procedure must be identified. At the same time, endoscopists need to be mindful of adverse events, such as perforation, which can arise due to adhesions specific to the surgically altered anatomy. This review discussed technical tips regarding SBE-assisted ERCP in patients with surgically altered anatomy to increase success and reduce the risk of adverse events associated with ERCP.

Multicore Real-Time Scheduling to Reduce Inter-Thread Cache Interferences

  • Ding, Yiqiang;Zhang, Wei
    • Journal of Computing Science and Engineering
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    • v.7 no.1
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    • pp.67-80
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    • 2013
  • The worst-case execution time (WCET) of each real-time task in multicore processors with shared caches can be significantly affected by inter-thread cache interferences. The worst-case inter-thread cache interferences are dependent on how tasks are scheduled to run on different cores. Therefore, there is a circular dependence between real-time task scheduling, the worst-case inter-thread cache interferences, and WCET in multicore processors, which is not the case for single-core processors. To address this challenging problem, we present an offline real-time scheduling approach for multicore processors by considering the worst-case inter-thread interferences on shared L2 caches. Our scheduling approach uses a greedy heuristic to generate safe schedules while minimizing the worst-case inter-thread shared L2 cache interferences and WCET. The experimental results demonstrate that the proposed approach can reduce the utilization of the resulting schedule by about 12% on average compared to the cyclic multicore scheduling approaches in our theoretical model. Our evaluation indicates that the enhanced scheduling approach is more likely to generate feasible and safe schedules with stricter timing constraints in multicore real-time systems.

Rapid detection and Quantification of Fish Killing Dinoflagellate Cochlodinium polykrikoides (Dinophyceae) in Environmental Samples Using Real-time PCR

  • Park, Tae-Gyu;Kang, Yang-Soon;Seo, Mi-Kyung;Kim, Chang-Hoon;Park, Young-Tae
    • Fisheries and Aquatic Sciences
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    • v.11 no.4
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    • pp.205-208
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    • 2008
  • The mixotrophic dinoflagellate Cochlodinium polykrikoides was reported to be linked to major fish kills in Korea and Japan since the 1990s. Rapid and sensitive detection of microalgae has been problematic because morphological identification of dinoflagellates requires light microscopic and scanning electron microscopic observations that are time consuming and laborious compared to real-time PCR. To address this issue, a real-time PCR probe targeting the ITS2 rRNA gene was used for rapid detection and quantification of C. polykrikoides. PCR inhibitors in water column samples were removed by dilution of template DNA for elimination of false-negative reactions. A strong association between cell quantification using real-time PCR and microscopic counts suggests that the real-time PCR assay is an alternative method for cell estimation of C. polykrikoides in environment samples.

FACTORS ACOUNTING FOR ACTIVITY-TIME AND PROJECT-TIME UNCERTAINITIES IN BORED PILES CONSTRUCTION PLANNING: CASE STUDY ON A BUIDLING PROJECT IN HONG KONG

  • Stephen K.K. Cheng;Ming Lu;Hongqin Fan
    • International conference on construction engineering and project management
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    • 2009.05a
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    • pp.747-753
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    • 2009
  • Planning the construction for a system of bored piles in building foundation engineering is (1) to predict the time duration required to complete all the bored piles with due consideration of relevant engineering factors and site constraints; then (2) to predict the total project time generally by aggregating the predicted working duration for construction of each bored pile. The duration for construction of an individual bored pile results from analyzing various working sequences and different activity duration (such as predrilling, excavation, steelfixing, air-lifting, and concreting, etc.), which is informed by experiences and site records of previous projects. However, determining the project duration for constructing many bored piles on one site is much more complicated than adding up the time duration for individual piles. In practice, project schedules are often found to be unrealistic and incorrect during the construction stage. This is because construction planning is not based on a exhaustive and comprehensive evaluation of site factors, such as site layout plan, site constraints, quality control, environmental control, safety control and logical relationships between different trades. In this paper, we identify those factors based on a foundation engineering site in Hong Kong with ninety-seven bored piles and address their effects on uncertainties in activity time and project time.

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On Energy-Optimal Voltage Scheduling for Fixed-Priority Hard Real-Time Systems (고정 우선순위 경성 실시간 시스템에 대한 최적의 전압 스케줄링)

  • 윤한샘;김지홍
    • Journal of KIISE:Computer Systems and Theory
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    • v.31 no.10
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    • pp.562-574
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    • 2004
  • We address the problem of energy-optimal voltage scheduling for fixed-priority hard real-time systems. First, we prove that the problem is NP-hard. Then, we present a fully polynomial time approximation scheme (FPTAS) for the problem. for any $\varepsilon$>0, the proposed approximation scheme computes a voltage schedule whose energy consumption is at most (1+$\varepsilon$) times that of the optimal voltage schedule. Furthermore, the running time of the proposed approximation scheme is bounded by a polynomial function of the number of input jobs and 1/$\varepsilon$. Experimental results show that the approximation scheme finds more efficient voltage schedules faster than the best existing heuristic.

Determining Appropriate Production Conditions in Cellular Manufacturing Systems (셀생산(生産)의 효율적(效率的)인 운용(運用)을 위한 시뮤레이션 연구(硏究))

  • Song, Sang-Jae;Choi, Jung-Hee
    • Journal of Korean Institute of Industrial Engineers
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    • v.19 no.2
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    • pp.23-34
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    • 1993
  • Although there are numerous studies that address the problem of optimal machine grouping and part family classification for cellular manufacturing, little research has been reported that studies the conditions where cellular manufacturing is appropriate. This paper, in order to evaluate and compare the job shop with the GT cellular shop, the performance of those shops were simulated by using SIMAN. We tested the effect of independent variables including changes of product demands, intercell flow level, group setup time, processing time variability, variety of material handling systems, and job properties (ratio of processing time and material handling time). And also performance measures (dependent variables), such as machine utilization, mean flow time, average waiting time, and throughput rate, are discussed. Job shop model and GT cellular shop written in SIMAN simulation language were used in this study. These systems have sixteen machines which are aggregated as five machine stations using the macro feature of SIMAN. The results of this research help to better understand the effect of production factors on the performance of cellular manufacturing systems and to identify some of the necessary conditions required to make these systems perform better than traditional job shops. Therefore, this research represents one more step towards the characterization of shops which may benefit from cellular manufacturing.

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Methodologies of Duty Cycle Application in Weapon System Reliability Prediction (무기체계 신뢰도 예측시 임무주기 적용 방안에 대한 연구)

  • Yun, Hui-Sung;Jeong, Da-Un;Lee, Eun-Hak;Kang, Tae-Won;Lee, Seung-Hun;Hur, Man-Og
    • Journal of Applied Reliability
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    • v.11 no.4
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    • pp.433-445
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    • 2011
  • Duty cycle is determined as the ratio of operating time to total time. Duty cycle in reliability prediction is one of the significant factors to be considered. In duty cycle application, non-operating time failure rate has been easily ignored even though the failure rate in non-operating period has not been proved to be small enough. Ignorance of non-operating time failure rate can result in over-estimated system reliability calculation. Furthermore, utilization of duty cycle in reliability prediction has not been evaluated in its effectiveness. In order to address these problems, two reliability models, such as MIL-HDBK-217F and RIAC-HDBK-217Plus, were used to analyze non-operating time failure rate. This research has proved that applying duty cycle in 217F model is not reasonable by the quantitative comparison and analysis.

Reliable Gossip Zone for Real-Time Communications in Wireless Sensor Networks

  • Li, Bijun;Kim, Ki-Il
    • Journal of information and communication convergence engineering
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    • v.9 no.2
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    • pp.244-250
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    • 2011
  • Gossip is a well-known protocol which was proposed to implement broadcast service with a high reliability in an arbitrarily connected network of sensor nodes. The probabilistic techniques employed in gossip have been used to address many challenges which are caused by flooding in wireless sensor networks (WSNs). However, very little work has yet been done on real-time wireless sensor networks which require not only highly reliable packets reception but also strict time constraint of each packet. Moreover, the unique energy constraining feature of sensor makes existing solutions unsuitable. Combined with unreliable links, redundant messages overhead in real-time wireless sensor networks is a new challenging issue. In this paper, we introduce a Reliable Gossip Zone, a novel fine-tailored mechanism for real-time wireless sensor networks with unreliable wireless links and low packet redundancy. The key idea is the proposed forwarding probability algorithm, which makes forwarding decisions after the realtime flooding zone is set. Evaluation shows that as an oracle broadcast service design, our mechanism achieves significantly less message overhead than traditional flooding and gossip protocols.

Cyclic Executive for Autonomous Driving with Real-Time Smart Cruise Control (순환실행체제를 이용한 무인 자율주행 실시간 스마트 크루즈 컨트롤)

  • Lee, Jaemyoun;Kang, Kyungtae;Noh, Dong Kun
    • Journal of the Korea Society of Computer and Information
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    • v.19 no.1
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    • pp.1-8
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    • 2014
  • In recent years, much attention has been paid to the development of intelligent vehicles that integrate automotive technology into the information technology, with the aim of improving user friendliness and stability. The representative function is a autonomous driving and a cruise control. In designing such vehicles, it is critical to address the real-time issues (i.e., real-time vehicle control and timely response). However, previous research excluded the real-time scheduling. We develop a model car with unmanned cruise control, design the real-time scheduler using cyclic executive to easily adapt the model car, and provide some insight into potential solutions based on various experiments.

An Adaptive Buffering Method for Practical HTTP Live Streaming on Smart OTT STBs

  • Kim, Hyun-Sik;Kim, Inki;Han, Kyungsik;Kim, Donghyun;Seo, Jong-Soo;Kang, Mingoo
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.10 no.3
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    • pp.1416-1428
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    • 2016
  • In this paper, we address the channel zapping time problem of video streaming services based on HTTP Live Streaming (HLS) on smart Over-The-Top Set-Top Boxes (OTT STBs). Experimental analysis of the channel zapping time, show that smart OTT STBs inevitably suffer from the accumulated zapping time through channel change request, Internet Group Management Protocol (IGMP) leave/join, synchronization delay, video buffer delay, and STB processing delay when providing HLS services. As a practical solution for the zapping time reduction, an adaptive buffering method is proposed. The proposed method exploits two adaptive buffers added to the basic HLS player. These two adaptive buffers are responsible for constantly buffering previous and next channels relative to the current channel. Implementation and test results show that a stable zapping time less than one second can be achieved even under diverse video bitrate changes and varying network conditions by the proposed adaptive buffering method.