• Journal of Chest Surgery
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• v.42 no.6
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• pp.757-762
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• 2009

Background: Compression of the left common iliac vein by the overriding common iliac artery is frequently combined with acute deep vein thrombosis in patients with May-Thurner Syndrome. We evaluate the results of treatment with thrombolysis and thrombectomy followed by stenting in 34 patients with May-Thurner Syndrome combined with lower extremity deep venous thrombosis. Material and Method: The authors retrospectively reviewed the records of 34 patients (mean age: $65{\pm}14$ year old) who had undergone stent insertion for acute deep vein thrombosis that was caused by May-Thurner syndrome. After thrombectomy and thrombolysis, insertion of a wall stent and balloon angioplasty were performed to relieve the compression of the left common iliac vein. Urokinase at a rate of 80,000 to 120,000 U/hour was infused into the thrombosed vein via a multi-side hole thrombolysis catheter. A retrieval inferior vena cava (IVC) filter was placed to protect against pulmonary embolism in 30 patients (88%). Oral anticoagulation with warfarin was maintained for 3 months, and follow-up Multi Detector Computerized Tomography (MDCT) angiography was done at the date of the patients' hospital discharge and at the 6 months follow-up. Result: The symptoms of deep venous thrombosis disappeared in two patients (4%), and there was clinical improvement within 48 hours in twenty eight patients (82%), but there was no improvement in four patients (8%). The MDCT angiography at discharge showed no thrombus in 9 patients (26%) and partial thrombus in 21 (62%), whereas the follow-up MDCT at $6.4{\pm}5.5$ months (32 patients) revealed no thrombus in 23 patients (72%), and partial thrombus in 9 patients (26%). Two patients (6%) had recurrence of DVT, so they underwent retreatment. Conclusion: Stent insertion with catheter-directed thrombolysis and thrombectomy is an effective treatment for May-Thurner syndrome combined with acute deep vein thrombosis in the lower extremity.

• The Korean Journal of Nuclear Medicine Technology
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• v.18 no.1
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• pp.49-61
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• 2014

Purpose: With the aging of the population, the attack rate of osteoporotic vertebral compression fracture is in the increasing trend, and percutaneous vertebroplasty (PVP) is the most commonly performed standardized treatment. Although there is a research report of the excellence of usefulness of the SPECT/CT examination in terns of the exact diagnosis before and after the procedure, the bone cement material used in the procedure influences the image quality by forming an artifact in the CT image. Therefore, the objective of the research lies on evaluating the effect the bone cement gives to a SPECT/CT image. Materials and Methods: The images were acquired by inserting a model cement to each cylinder, after setting the background (3.6 kBq/mL), hot cylinder (29.6 kBq/mL) and cold cylinder (water) to the NEMA-1994 phantom. It was reconstructed with Astonish (Iterative: 4 Subset: 16), and non attenuation correction (NAC), attenuation correction (AC+SC-) and attenuation and scatter correction (AC+SC+) were used for the CT correction method. The mean count by each correction method and the count change ratio by the existence of the cement material were compared and the contrast recovery coefficient (CRC) was obtained. Additionally, the bone/soft tissue ratio (B/S ratio) was obtained after measuring the mean count of the 4 places including the soft tissue(spine erector muscle) after dividing the vertebral body into fracture region, normal region and cement by selecting the 20 patients those have performed PVP from the 107 patients diagnosed of compression fracture. Results: The mean count by the existence of a cement material showed the rate of increase of 12.4%, 6.5%, 1.5% at the hot cylinder of the phantom by NAC, AC+SC- and AC+SC+ when cement existed, 75.2%, 85.4%, 102.9% at the cold cylinder, 13.6%, 18.2%, 9.1% at the background, 33.1%, 41.4%, 63.5% at the fracture region of the clinical image, 53.1%, 61.6%, 67.7% at the normal region and 10.0%, 4.7%, 3.6% at the soft tissue. Meanwhile, a relative count reduction could be verified at the cement adjacent part at the inside of the cylinder, and the phantom image on the lesion and the count increase ratio of the clinical image showed a contrary phase. CRC implying the contrast ratio and B/S ratio was improved in the order of NAC, AC+SC-, AC+SC+, and was constant without a big change in the cold cylinder of the phantom. AC+SC- for the quantitative count, and AC+SC+ for the contrast ratio was analyzed to be the highest. Conclusion: It is considered to be useful in a clinical diagnosis if the application of AC+SC+ that improves the contrast ratio is combined, as it increases the noise count of the soft tissue and the scatter region as well along with the effect of the bone cement in contrast to the fact that the use of AC+SC- in the spine SPECT/CT examination of a PVP performed patient drastically increases the image count and enables a high density of image of the lesion(fracture).

• The Journal of Engineering Geology
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• v.19 no.4
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• pp.433-439
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• 2009

The compressed packer device is designed to improve the underground contamination prevention facilities of ground water wells. As for the device, the installation is simple because of the safety lock device and the compression of the casing are simple the installation is simple. There is no leakage of ground water because the pressure resistance with $4.5\;kg/cm^2$ makes it equipped with the watertightness The single casing is installed and the reaming for grouting is possible with 300 mm excavation so that installation cost can be saved. Silicon rubber is used for the compressed packer so that the extension rate is 590%. In terms of environmental pollution, it is an environmental friendly product which does not contain harmful ingredients such as Pb, Cd, and phenol. below the standard or undetectable level Furthermore, the installation costs are 35 to 62% or lower than the conventional grouting construction method and are 87% or lower than the expansion packer construction method, the new environmental technology No.47 Also, the device is designed to meet the relevant regulations such as Rules on Preserving the Ground Water Quality, The Standard on Jeju Island Ground Water Development and Facility Installation and Management, and The Plan and Guideline on Operating and Managing the Small-Scale Tap Water Facilities of Ministry of Environment and Ministry of Food, Agriculture, Forestry and Fisheries.

• Journal of the Korean GEO-environmental Society
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• v.13 no.7
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• pp.19-29
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• 2012

For foundation of Port structure, it is essential geotechnical understanding about feature of ground and the geologic formation which is different to terrestrial ground. What is most important is the understanding of soft ground clay, which is much softer than terrestrial ground. To build foundation of a port structure which is mainly gravity based on the special geographical circumstance that is on the sea, the improvement method of foundation should be applied according to soft clay ground features. Therefore, in this study, the behaviors of improved materials with strength were analyzed on the soft clay foundation where suppose to be located the foundation of port structure. The laboratory model test has been conducted in 2 cases with unconfined compression strength of improved materials, 25kPa and 125kPa. Cement, water, and in-situ soft clay were combined at a fixed rate and made a shape of 5cm diameter ${\times}$ 70cm height column. Improved materials were located with replacement ratio(11%, 35% and 61%) in 38cm diameter ${\times}$ 80cm height cylinder. Finally, the stress distribution ratio on the improved materials and clay, settlement was analyzed by applying a load of 10kPa, 30kPa, and 50kPa.

• Journal of the Korean GEO-environmental Society
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• v.11 no.9
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• pp.27-38
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• 2010

A series of model test as well as numerical analysis by FEM was performed to investigate lateral earth pressure acting on a buried pipe in soft ground undergoing horizontal soil movement. A model test apparatus was manufactured so as to simulate horizontal soil movement in model soft ground, in which a model rigid buried pipe was installed. The velocity of soil deformation could be controlled as wanted during testing. The model test was performed on buried pipes with various diameters and shapes to investigate major factors affected the lateral earth pressure. The result of model tests showed that the larger lateral earth pressure acted on the buried pipes under the faster velocity of soil movement. The result of numerical analysis, which was performed under immediate loading condition, showed a similar behavior with the result of model tests under 0.3mm/min to 1.0mm/min velocity of soil deformation. Most of model tests showed the soil deformation-lateral load behavior, in which the first yielding load developed at small soil deformation and elastic behavior was observed by the yielding load. Then, lateral load was kept constant by the second yielding load, in which plastic behavior was observed between the first yielding load and the second yielding one. Beyond the second yielding load, the compression behavior zone was observed. When the velocity was too fast, however, the lateral load was increased with soil deformation beyond the first yielding load without showing the second yielding load. The buried pipes with the larger diameter was subjected to the larger lateral load and the larger increasing rate of lateral load. At small soil deformation, the influence of diameter and shape of buried pipes on lateral load was small. However, when soil deformation was increased considerably, the influence became more and more.

• Journal of the Institute of Electronics and Information Engineers
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• v.52 no.5
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• pp.155-164
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• 2015

This paper describes a design and implementation of CABAC decoder, which would handle HEVC syntax elements in adaptively pipelined-parallel computation manner. Even though CABAC offers the high compression rate, it is limited in decoding performance due to context-based sequential computation, and strong data dependency between context models, as well as decoding procedure bin by bin. In order to enhance the decoding computation of HEVC CABAC, the flag-type syntax elements are adaptively pipelined by precomputing consecutive flag-type ones; and multi-bin syntax elements are decoded by processing bins in parallel up to three. Further, in order to accelerate Binary Arithmetic Decoder by reducing the critical path delay, the update and renormalization of context modeling are precomputed parallel for the cases of LPS as well as MPS, and then the context modeling renewal is selected by the precedent decoding result. It is simulated that the new HEVC CABAC architecture could achieve the max. performance of 1.01 bins/cycle, which is two times faster with respect to the conventional approach. In ASIC design with 65nm library, the CABAC architecture would handle 224 Mbins/sec, which could decode QFHD HEVC video data in real time.

• Journal of the Institute of Electronics Engineers of Korea SP
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• v.47 no.6
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• pp.48-56
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• 2010

Recently, we need to dramatically speed up real-time video encoding and decoding on mobile devices because complexity of video CODEC is significantly increasing along with the demand for multimedia service of high-quality and high-definition videos by users. A variety of research is conducted for parallelism of video processing using newly developed multi-core platforms. In this paper, we propose a method of parallelism based on slice partition of video compression CODEC. We propose a novel concept of a parallel slice for parallelism and propose a new coding order to be adequate to the parallel slice which keeps high coding efficiency. To minimize synchronization time of multiple parallel slices, we also propose a synchronization method to determinate whether the parallel slice could be independently decoded or not. Experimental results shows that we achieved 27.5% (40.7%) speed-up by parallelism with bit-rate increase of 3.4% (2.7%) for CIF sequences (720p sequences) by implementing the proposed algorithm on the H.264/AVC.

• Journal of the Korean GEO-environmental Society
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• v.16 no.1
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• pp.45-53
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• 2015

This study has obtained Soil Water Retention Curve (SWRC) of the unsaturated soil from the volumetric pressure plate extractor test and the triaxial compression tests was also conducted. By using the rainfall data measured in the site the seepage analysis of unsteady flow was performed with the program of SEEP/W in Geostudio 2007 and stability of the slope was analyzed with SLOPE/W program. Results of analyses show that shear strength of the unsaturated soil increases with the increase of matric suction. And it was also found that the net volumetric stress and the apparent cohesion increased with the matric suction. The seepage analysis of rainfall represents that the increasing rate of negative pore pressure at the zone of large negative pore pressure is appeared to be high even though lower rainfall intensity, but this tendency declines with ground depth. The stability analysis of slope was carried out for the actual plane of failure with the data representing the field condition. The factor of safety thus calculated was about unity (1.0) or just below, which means that the adopted method of analysis is in good agreement with the field condition.

• Journal of Trauma and Injury
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• v.29 no.4
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• pp.204-208
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• 2016

For an orthopaedic surgeon, the critical decisions to either amputate or salvage a limb with severe crushing injury with progressive ischemic change due to arterial rupture or occlusion can become a clinical dilemma at the Emergency Department (ED). And reperfusion injury is one of the fetal complications after vascular reconstruction. The authors present a case which was able to save patient's life by rapid vessel ligation at bedside to prevent severe reperfusion injury. A 43-year-old male patient with no pre-existing medical conditions was transported by helicopter to Level I trauma center from incident scene. Initial result of extended focused assessment with sonography for trauma (eFAST) was negative. The trauma series X-rays at the trauma bay of ED showed a multiple contiguous rib fractures with hemothorax and his pelvic radiograph revealed a complex pelvic trauma of an Anterior Posterior Compression (APC) Type II. Lower extremity computed tomography showed a discontinuity in common femoral artery at the fracture site and no distal run off. Surgical finding revealed a complete rupture of common femoral artery and vein around the fracture site. But due to the age aspect of the patient, the operating team decided a vascular repair rather than amputation even if the anticipated reperfusion time was 7 hours from the onset of trauma. Only two hours after the reperfusion, the patient was in a state of shock when his arterial blood gas analysis (ABGA) showed a drop of pH from 7.32 to 7.18. An imminent bedside procedure of aseptic opening the surgical site and clamping the anastomosis site was taken place rather than undergoing a surgery of amputation because of ultimately unstable vital sign. The authors would like to emphasize the importance of rapid decision making and prompt vessel ligation which supply blood flow to the ischemic limb to increase the survival rate in case of profound reperfusion injury.

• Science of Emotion and Sensibility
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• v.20 no.3
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• pp.97-108
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• 2017

The purpose of this study was to propose a product planning and design direction for smart fitness wear that will improve the impact of personal training based on researching the requirements of smart fitness wear and its acceptance level, as well as the functional demand. The study conducted in-depth interviews with professional fitness trainers and derived five categories and thirteen keywords by analyzing the categorical data analysis using the interview data. In addition, we surveyed general consumers to measure the acceptance level of smart fitness wear and the functional demand for product development. The results revealed that the difference in the acceptance level of smart fitness wear generally depended on the characteristics related to exercise involvement and exercise-related culture rather than on the demographic characteristics. With regard to the difference in the functional demand of smart fitness wear, the results showed that professional trainers focused on the scientific improvement of the effect of exercise while general consumers focused on the function that considers the sustainability of exercise. Based on the results, we proposed product planning and design directions such as 'mounting of heart rate sensing, muscle activity sensing, motion angle or posture sensing, and motion sensing', 'development of concepts and contents for expert line, ordinary line', 'compression wear design', and 'differentiation of product development according to exercise areas'.