• Title/Summary/Keyword: Dilation

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Retrograde balloon dilation as a therapeutic option for post-gynecologic surgery ureteral stricture followed by ureteroureterostomy: a comparative study regarding stricture length

  • Lim, Geon Woo;Yu, Young Dong;Choi, Kyung Hwa;Rhee, Seung Ryeol;Park, Dong Soo;Hong, Young Kwon
    • Journal of Yeungnam Medical Science
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    • v.35 no.2
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    • pp.179-186
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    • 2018
  • Background: To evaluate the success rate of balloon dilation and the factors possibly influencing the outcomes of balloon dilation for the ureteric strictured portion of ureteroureterostomy (UUS) site in patients with post-gynecologic surgeries. Methods: A single institution data base was screened for the patients who received balloon dilation for a treatment of ureteral stricture diagnosed after gynecologic surgery. Overall 114 patients underwent primary intra-operative UUS due to ureteral injury during gynecologic surgery. Among them, 102 patients received balloon dilation, and their medical records were retrospectively reviewed. Success of balloon dilation was defined as the condition that requires no further clinical interventions after 6 months from balloon dilation. Results: The ureter injury rate of women treated with open radical abdominal hysterectomy was highest (32 cases, 31.4%). 60 patients (60.8%) showed successful outcomes regarding dilation. All patients underwent technically successful dilation with a full expansion of balloon during the procedure, but 40 patients (39.2%) were clinically unsuccessful as they showed a recurrence of ureteral stricture on the previous balloon dilation site after the first dilation procedure. Univariate logistic regression analyses showed that stricture length >2 cm was a significant predictor of successful dilation (odds ratio, 0.751; 95% confidence interval, 0.634-0.901; p-value, 0.030), but it failed to achieve independent predictor status in multivariate analysis. Conclusion: Balloon dilation can an effective alternative treatment option for strictured portion of the primary UUS in post-gynecologic surgery patients when its length is <2 cm.

Collapse analysis of shallow tunnel subjected to seepage in layered soils considering joined effects of settlement and dilation

  • Yang, X.L.;Zhang, R.
    • Geomechanics and Engineering
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    • v.13 no.2
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    • pp.217-235
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    • 2017
  • The stability prediction of shallow buried tunnels is one of the most difficult tasks in civil engineering. The aim of this work is to predict the state of collapse in shallow tunnel in layered soils by employing non-associated flow rule and nonlinear failure criterion within the framework of upper bound theorem. Particular emphasis is first given to consider the effects of dilation on the collapse mechanism of shallow tunnel. Furthermore, the seepage forces and surface settlement are considered to analyze the influence of different dilation coefficients on the collapse shape. Two different curve functions which describe two different soil layers are obtained by virtual work equations under the variational principle. The distinct characteristics of falling blocks up and down the water level are discussed in the present work. According to the numerical results, the potential collapse range decreases with the increase of the dilation coefficient. In layered soils, both of the single layer's dilation coefficient and two layers' dilation coefficients increase, the range of the potential collapse block reduces.

Computing a Minimum-Dilation Spanning Tree is NP-hard (최소-Dilation 신장 트리 찾기의 NP-hard 증명)

  • Cheong, Otfried;Haverkort, Herman;Lee, Mi-Ra
    • Proceedings of the Korean Information Science Society Conference
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    • 2006.10a
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    • pp.494-499
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    • 2006
  • Given a set S of n points in the plane, a minimum-dilation spanning tree of S is a tree with vertex set S of smallest possible dilation. We show that given a set S of n points and a dilation $\delta$ > 1, it is NP-hard to determine whether a spanning tree of S with dilation at most $\delta$ exists.

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Radioisotope Treatment for Benign Strictures of Non-vascular Luminal Organs (비혈관성 관강 장기의 양성 협착 질환의 방사성동위원소 치료)

  • Shin, Ji-Hoon
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.2
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    • pp.106-112
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    • 2006
  • Tissue hyperplasia is one of the most frequently encountered complications when self-expanding metallic stents are placed in benign non-vascular luminal organ strictures, thus causing restenosis of the lumen. The investigators postulated that ionizing irradiation could be applied to prevent restenosis caused by tissue hyperplasia in non-vascular luminal organs as it reduced coronary or peripheral arterial narrowing successfully. The authors combined $\beta$-irradiation using $^{188}Re-MAG_3$ solution with balloon dilation for animal and clinical studies because this new treatment approach had the advantages such as low penetration depth of $\beta$-ray, self-centering irradiation, and mechanical effect of balloon dilation over using $\gamma$-irradiation with afterloading devices in this article, the concept and mechanism of radioisotope balloon dilation, and animal and clinical studies using radioisotope balloon dilation are reviewed.

Statistical comparison of morphological dilation with its equivalent linear shift-invariant system:case of memoryless uniform soruces (무기억 균일 신호원에 대한 수리 형태론적인 불림과 등가 시스템의 통계적 비교)

  • 김주명;최상신;최태영
    • Journal of the Korean Institute of Telematics and Electronics S
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    • v.34S no.2
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    • pp.79-93
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    • 1997
  • This paper presents a linear shift-invariant system euqivalent to morphological dilation for a memoryless uniform source in the sense of the power spectral density function, and comares it with dialtion. This equivalent LSI system is found through spectral decomposition and, for dilation and with windwo size L, it is shown to be a finite impulse response filter composed of L-1 delays, L multipliers and three adders. Th ecoefficients of the equivalent systems are tabulated. The comparisons of dilation and its equivalent LSI system show that probability density functions of the output sequences of the two systems are quite different. In particular, the probability density functon from dilation of an independent and identically distributed uniform source over the unit interval (0, 1) shows heavy probability in around 1, while that from the equivalent LSI system shows probability concentration around themean vlaue and symmetricity about it. This difference is due to the fact that dilation is a non-linear process while the equivalent system is linear and shift-ivariant. In the case that dikation is fabored over LSI filters in subjective perforance tests, one of the factors can be traced to this difference in the probability distribution.

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Risk Factor Analysis of Endoscopic Dilation Procedure for the Management of Subglottic Stenosis in Pediatric Patients (성문하 협착 소아 환자에 대한 내시경적 기도 확장 시술 후 치료 실패 위험 요인 분석)

  • Park, Min Hae;Choi, Nayeon;Song, Bok Hyun;Jeong, Han-Sin;Son, Young-Ik;Chung, Man Ki
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.31 no.1
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    • pp.19-26
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    • 2020
  • Background and Objective Endoscopic airway dilation is the primary treatment for pediatric subglottic stenosis (SGS) due to its feasibility and non-invasiveness. The aim of this study is to evaluate the risk factors for the failure of endoscopic airway dilation in pediatric patients with SGS. Materials and Methods This study reviewed medical records of 38 pediatric patients had endoscopic dilation from a single and tertiary referral center, retrospectively. The success of the endoscopic dilation procedure was defined as no dyspneic symptom without tracheostomy or laryngotracheal reconstruction. Demographic profiles, underlying disease, and Myer-Cotton SGS severity grade were recorded. Success rates and risk factors for the failure of treatment were analyzed. Results The SGS patients with severity grade I was most common. After mean 1.8 numbers of procedures, there were 23 patients (60.5%) in the success group and 15 patients (39.5%) in the failure group. Age, sex, underlying diseases, and SGS severity grade were not significantly different between two groups. In patients who had multiple endoscopic procedures, the failure group showed SGS deteriorated after procedures in 66.7%, compared to 11.1% of the success group. In multivariable analysis, a long-term intubation (≥1 month) was identified as an independent risk factor for failure of endoscopic dilation procedure. Conclusion Although endoscopic dilation procedure is safe and effective for the management, repetitive endoscopic dilation may not give clinical benefit in patient with long-term intubation. Other airway procedures must be considered in those group of patients.

Evaluation of the Biomechanical Characteristics of Ischemic Mitral Regurgitation: Effects of Asymmetric Papillary Muscle Displacement and Annular Dilation (허혈성 승모판막 폐쇄부전의 생체역학적 특성 분석: 비대칭적 유두근 변위와 판륜 확장의 영향)

  • Hong, Woojae;Kim, Hyunggun
    • Journal of the Korean Society of Visualization
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    • v.16 no.2
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    • pp.31-37
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    • 2018
  • Ischemic mitral regurgitation (IMR) is the primary mitral valve (MV) pathology in the aftermath of myocardial infarction as a consequence of regional left ventricular (LV) remodeling. We investigated the effect of asymmetric papillary muscle (PM) displacement and annular dilation on IMR development. Virtual MV modeling was performed to create a normal human MV. Asymmetric PM displacement, asymmetric annular dilation, and the combination of these two pathologic characteristics were modeled. Dynamic finite element evaluation of MV function was performed across the complete cardiac cycle for the normal and three different IMR MV models. While the normal MV demonstrated complete leaflet coaptation, each pathologic MV model clearly revealed deteriorated leaflet coaptation and abnormal stress distributions. The pathologic MV model having both asymmetric PM displacement and annular dilation showed the worst leaflet malcoaptation. Simulation-based biomechanical evaluation of post-ischemic LV remodeling provides an excellent tool to better understand the pathophysiologic mechanism of IMR development.

Fast Algorithms for Binary Dilation and Erosion Using Run-Length Encoding

  • Kim, Wook-Joong;Kim, Seong-Dae;Kim, Kyu-Heon
    • ETRI Journal
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    • v.27 no.6
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    • pp.814-817
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    • 2005
  • Fast binary dilation and erosion algorithms using run-length encoding (RLE) are proposed. RLE is an alternative way of representing a binary image using a run, which is a sequence of '1' pixels. First, we derive the run-based representation of dilation and erosion and then present the full steps of the proposed algorithms in detail.

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Two-Dimensional Probability Functions of Morphological Dilation and Erosion of a Memoryless Source

  • Sangsin Na;Park, Tae-Young
    • Journal of Electrical Engineering and information Science
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    • v.1 no.1
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    • pp.151-155
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    • 1996
  • This paper derives the two-dimensional probability distribution and density functions of morphological dilation and erosion of a one-dimensional memoryless source and reports numerical results for a uniform source, thus providing methodology for joint distributions for other morphological operations. The joint density functions expressed in closed forms contain the Dirac delta functions due to the joint discontinuity within the dilation and erosion. They also exhibit symmetry between these two morphological density functions of dilated and/or eroded sources, in the computation of other higher moments thereof, and in multidimensional quantization.

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NECESSARY CONDITION AND SUFFICIENT CONDITION FOR THE WAVELET FRAMES IN $L^2(R^n)$

  • Wu, Guochang;Zhang, Rui
    • Journal of applied mathematics & informatics
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    • v.28 no.5_6
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    • pp.1117-1130
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    • 2010
  • The main goal for this paper is consider the necessary conditions and sufficient conditions of wavelet frames in higher dimensions with an arbitrary expanding matrix dilation. At first, we give a necessary condition of wavelet frame in $L^2(R^n)$, which generalizes the univariate results of Shi from one dimension with an arbitrary real number a(a > 1) dilation to higher dimension with an arbitrary expansive matrix dilation. Secondly, we deduce a necessary condition for wavelet frames in $L^2(R^n)$ when the function $\psi$ satisfies some property of the decay. For the case n = 1, we obtain a corollary which has weaker condition comparing with existing result.