• Title/Summary/Keyword: Clipping time

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Microsurgical Experience with Supraorbital Keyhole Operations on Anterior Circulation Aneurysms

  • Park, Heung-Sik;Park, Sang-Kyu;Han, Young-Min
    • Journal of Korean Neurosurgical Society
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    • v.46 no.2
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    • pp.103-108
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    • 2009
  • Objective: Conventional pterional approach is a commonly used neurosurgical technique for the treatment of cerebral aneurysms. However, this technique requires more extensive brain exposure than other key hole approaches and is sometimes associated with surgical traumatization or cosmetic problems. The aim of this study was to compare the postoperative outcome between pterional and supraorbital keyhole approaches in the patients with anterior circulation aneurysms. Methods: The authors reviewed patients with anterior circulation aneurysms who underwent aneurysm clipping via pterional or supraorbital keyhole approach at a single institute over a period of 2 years. Ninety-eight patients harboring 108 aneurysms were included in this study. Various outcomes were recorded, which included clinical grade, cosmetic problems, patients' satisfaction and complications such as chewing discomfort, frontal muscle weakness, hyposmia, infection. Results: The supraorbital approach exhibited a shorter operation time compared with the pterional approach. Complications such as chewing discomfort occurred less frequently in the supraorbital approach group. Moreover, the cosmetic outcome was significantly better in the supraorbital group than in the pterional group. Conclusion: The supraorbital keyhole approach reduced intra- and postoperative complications, including chewing discomfort and cosmetic disturbances, compared with the conventional pterional approach.

Endoscopic management of giant colonic polyps: a retrospective Italian study

  • Paolo Quitadamo;Sara Isoldi;Germana De Nucci;Giulia Muzi;Flora Caruso
    • Clinical Endoscopy
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    • v.57 no.4
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    • pp.501-507
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    • 2024
  • Background/Aims: Polyps greater than 30 mm are classified as "giants". Their endoscopic removal represents a technical challenge. The choice of the endoscopic removal technique is important because it provides a resection sample for precise histopathological staging. This is pivotal for diagnostic, prognostic, and management purposes. Methods: From a retrospective analysis, we obtained a sample of 38 giant polyps. Eighteen polypectomies were performed using the epinephrine volume reduction (EVR) method, nine polypectomies utilized endo-looping or clipping methods, and 11 patients underwent surgery. Results: We obtained en bloc resection with the EVR method in all cases; histology confirmed the correct indication for endoscopic resection in all cases. Moreover, no early or delayed complications were observed, and no patient required hospitalization. Using endo-looping or clipping methods, we observed advanced histology in 1/9 (11.1%) cases, while another patient (1/9, 11.1%) had delayed bleeding. Among patients who underwent surgery, 5/11 (45.5%) were deemed overtreated and three had post-surgical complications. Conclusions: We propose EVR as an alternative technique for giant polyp resection due to its safety, effectiveness, cost-efficiency, and the advantage of avoiding the need to postpone polypectomy to a later time. Further prospective studies might help improve this experience and enhance the technique.

Variable Time-Scale Modification with Voiced/Unvoiced Decision (유/무성음 결정에 다른 가변적인 시간축 변환)

  • 손단영;김원구;윤대희;차일환
    • Journal of the Korean Institute of Telematics and Electronics B
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    • v.32B no.5
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    • pp.788-797
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    • 1995
  • In this paper, a variable time-scale modification using SOLA(Synchronized OverLap and Add) is proposed, which takes into consideration the different time-scaled characteristics of voiced and unvoiced speech, Generally, voiced speech is subject to higher variations in length during time-scale modification than unvoiced speech, but the conventional method performs time-scale modification at a uniform rate for all speech. For this purpose, voiced and unvoiced speech duration at various talking speeds were statistically analyzed. The sentences were then spoken at rates of 0.7, 1.3, 1.5 and 1.8 times normal speed. A clipping autocorrelation function was applied to each analysis frame to determine voiced and unvoiced speech to obtain respective variation rates. The results were used to perform variable time-scale modification to produce sentences at rates of 0.7, 1.3, 1.5, 1.8 times normal speed. To evaluate performance, a MOS test was conducted to compare the proposed voiced/unvoiced variable time-scale modification and the uniform SOLA method. Results indicate that the proposed method produces sentence quality superior to that of the conventional method.

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Obtaining Informed Consent Using Patient Specific 3D Printing Cerebral Aneurysm Model

  • Kim, Pil Soo;Choi, Chang Hwa;Han, In Ho;Lee, Jung Hwan;Choi, Hyuk Jin;Lee, Jae Il
    • Journal of Korean Neurosurgical Society
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    • v.62 no.4
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    • pp.398-404
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    • 2019
  • Objective : Recently, three-dimensional (3D) printed models of the intracranial vascular have served as useful tools in simulation and training for cerebral aneurysm clipping surgery. Precise and realistic 3D printed aneurysm models may improve patients' understanding of the 3D cerebral aneurysm structure. Therefore, we created patient-specific 3D printed aneurysm models as an educational and clinical tool for patients undergoing aneurysm clipping surgery. Herein, we describe how these 3D models can be created and the effects of applying them for patient education purpose. Methods : Twenty patients with unruptured intracranial aneurysm were randomly divided into two groups. We explained and received informed consent from patients in whom 3D printed models-(group I) or computed tomography angiography-(group II) was used to explain aneurysm clipping surgery. The 3D printed intracranial aneurysm models were created based on time-of-flight magnetic resonance angiography using a 3D printer with acrylonitrile-butadiene-styrene resin as the model material. After describing the model to the patients, they completed a questionnaire about their understanding and satisfaction with aneurysm clipping surgery. Results : The 3D printed models were successfully made, and they precisely replicated the actual intracranial aneurysm structure of the corresponding patients. The use of the 3D model was associated with a higher understanding and satisfaction of preoperative patient education and consultation. On a 5-point Likert scale, the average level of understanding was scored as 4.7 (range, 3.0-5.0) in group I. In group II, the average response was 2.5 (range, 2.0-3.0). Conclusion : The 3D printed models were accurate and useful for understanding the intracranial aneurysm structure. In this study, 3D printed intracranial aneurysm models were proven to be helpful in preoperative patient consultation.

A Preprocessing Approach to Improving the Quality of the Music Produced by the EVRC (EVRC 코덱으로 재생하는 음악의 품질을 개선하기 위한 전처리 기법)

  • 남영한;하태균;전윤호;김재수;박섭형
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.28 no.5C
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    • pp.476-485
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    • 2003
  • This paper proposers a preprocessing approach to improving the quality of the music produced by the EVRC(enhanced variable rate codec) which is one of the CDMA(Code Division Multiple Access) voice codecs. Since the EVRC is optimized only for speech signals, it can deteriorate the quality of the music passed through it. One of the problems with the EVRC-coded music is time-clipping, which usually occurs when subsequent frames are encoded at Rate l/8. Since the EVRC determines the bit rate for an input frame based on the long-term prediction gain, we increase the long-term prediction gain in order for the most of the frames to be encoded at Rate 1 or Rate 1/2. Experimental results show that the approach works well on music signals and the number of time-clipped frames is considerably reduced.

Variable Time-Scale Modification with Voiced/Unvoiced Decision (유/무성음 결정에 따른 가변적인 시간축 변환)

  • 손단영
    • Proceedings of the Acoustical Society of Korea Conference
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    • 1994.06c
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    • pp.111-115
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    • 1994
  • In this paper, a variable time-scale modification using SOLA is proposed, which takes into consideration the different time-scaled characteristics of voiced and unvoiced speech. The conventional method performs time-scale modifiction at a uniform rate for all speech. For this purpose, voiced and unvoiced speech duration at various taling speeds were statistically analyzed. A clipping autocorrelation functio was applied to each analysis frame to detemine voiced and unvoiced speech to obtain respective variation rates. The results were used to perform variable time-scale modification to evaluate performance, a MOS test was conducted to compare the proposed voiced/unvoiced variable time-scale modification and the uniform SOLA method. Results indicate that the proposed method produces sentence quality superior to that of the conventional method.

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An Enhanced Algorithm for the Generation of Artificial Acceleration Time History (인공 가속도 시간이력 작성을 위한 개선된 알고리즘)

  • 김종수
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 1998.10a
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    • pp.304-311
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    • 1998
  • An algorithm to enhance spectra matching of acceleration time history used in the seismic analysis of nuclear power plants(NPP) is proposed. The new scheme provides the solution on the highly fluctuating and over conservatism problems that happened in order to satisfy design spectrum enveloping criteria in the traditional method. To obtain optimized spectrum for a time history, a spectrum matching procedure that adapts a system identification technique is also developed. The algorithm also introduces maximum displacement control, baseline correction, clipping and raising of maximum peak of time history, and power spectral density (PSD) control of time history. It is verified through numerical examples that this new scheme can definitely generate acceleration time history, closely matching the target spectra and satisfying other stipulated requirements.

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Image Processing in Digital 'Takbon' and the Decipherment of Epigraphic Letters (영상신호처리에 의한 디지털 탁본화 문자 판독)

  • 황재호
    • Proceedings of the IEEK Conference
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    • 2003.11a
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    • pp.27-30
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    • 2003
  • In this paper a new approach of digitalized ‘Takbon’ is introduced. By image signal processing, the letters which were written on stones can be deciphered. Epigraphic letter is detected by digital image device, digital camera. The two dimensional digital image is preprocessed because of sensor noise and detective turbulence. Color image is transformed into grey level. The letter image is analyzed in time/frequency domain. By the resultant analysis data decisive functions are calculated. Signal Processing techniques, such as scaling, clipping, digital negative, high/low filter, morphology and so on, provide algorithms that can extract letter from stones.

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Factors Affecting Emergence and Tuber Formation of Lowland Perennial Weeds (다년생(多年生) 논 잡초(雜草)의 출아(出芽) 및 괴경생성(塊莖生成)에 미치는 제요인(諸要因))

  • Choi, C.D.;Kim, S.C.;Lee, S.K.
    • Korean Journal of Weed Science
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    • v.8 no.2
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    • pp.158-163
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    • 1988
  • Several factors affecting emergence and tuber formation of lowland perennial weeds were studied at the Yeongnam Crop Experiment Station in 1988. Period of tuber germination start to final tuber varied by species. Eleocharis kuroguwai and Sagittaria trifolia required longer than 10 days at $30^{\circ}C$ for this while Cyperus serotinus and S. pygmaea needed about 4 days. Application of gibberellic acid shortened this period while Uniconazole application delayed. E. kuroguwai and C. serotinus had ability to emerge under 20cm depth placement. However, S. trifolia could not emerge under 15cm depth. All species decreased their growth with increase in planting depth. E. kuroguwai had least correlated between dry matter production and tuber formation. Clipping of above ground part negatively related with tuber formation eventhough the effect of clipping time was differed by species. The most critical clipping time was 60 days after eremergence (DAE) for E. kuroguwai and 90 DAE for C. serotinus. Covering of colored polyethylene film was also related with tuber formation with varing effects. In general, the order of effectiveness for tuber formation were black. orange. blue and red. Application of Uniconazole and Pachlobutrazol effectively controlled the formation of tuber of E. kuroguwai and this effect enhanced by early application.

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The Growth and Thatch Accumulation of Kentucky Bluegrasses as Affected by Cutting Management. Varietal Differences under Removing Clipping Residues (예초관리에 따른 Kentucky bluegrass의 품종간의 생육과 Thatch 축적 I. 예초잔여물의 제거 하에서의 품종간의 차이)

  • 윤용범;이주삼
    • Asian Journal of Turfgrass Science
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    • v.6 no.1
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    • pp.29-37
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    • 1992
  • This experiment was carried out in order to study the changes of morphological characters of the growth and thatch accumulation in :3 varieties of Kentucky bluegrass under removing clipping residues as affected by cutting management. The varieties used were Park, Kenhiuc and Newport.The results obtained are as follows; 1. The dry weight of leaf. stem and number of tiller was highest at 22. June and lowest at 21. Aug in alt varieties. And then the dry weight of rhizome, root and thatch increased with growth progressed) Tabte 3). 2. The relationship of the dry weight of biological yield and number of tillers was quadratic ally increased in the growth stage of spring($R^2$= 0.982**), and linearlly increased in the growth stage of autumn(r 0.944*)(Fig. 1). :3. The dry weight of thatch increased as an exponentially equation in alt :3 varieties of Kentucky blue-grass(Fig. 2). Thatch increased rate(TIR) can used to estimate the specifying a quantity of thatch accumulation from the turf. Thatch increase rate equation as follows. where TH$_2$ is the dry weightof thatch at T$_2$ survey time and TH$_1$ is the dry weight of thatch at $TH_1$ is the dry weight of thatch at $T_1$ survey time. $TIR(mg/cm^2/day)=\frac{Ln\;TH_2 - Ln\; TH_1}{T_2 - T_1}$ 4. Correlation coefficients between the dry weight of thatch and leaf weight was -0.633(P>0.05), and number of tiller of tillers was -0.666(P>0.5), respectively. It means that thatch accumu-lation increased with growth depression of leaf and stem.

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