• Journal of Korean Neurosurgical Society
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• v.41 no.4
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• pp.236-240
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• 2007

Objective : The aim of this study is to analyze on the external ventricular drainage [EVD] related ventriculitis, especially on their risk factors, management, and prevention. Methods : From January 2003 to December 2005, a total of 174 EVD catheters were placed in 112 patients at our institution. Of these patients, EVD-related ventriculitis were developed in 15 cases. Clinical variables such as age, sex, prior clinical diagnosis, placement of EVD insertion, duration of EVD, total numbers of EVD per person, and outcome were analyzed in theses cases to verify the risk factors, causative agents and outcomes. Results : Fifteen cases of EVD related ventriculitis were noted presenting infection incidence of 13.39 % per patient and 8.62% per procedure. Of these, five patients died from sepsis, seven patients were recovered from infection but neurological complications remained and three patients were recovered without any complications. Microbes were obtained from cerebrospinal fluid only in six patients. Acinetobactoer baumanii was the most common pathogen in our study [4 cases]. Among the various risk factors, only the prior clinical diagnosis showed the statistical significance. Patients who underwent decompressive craniectomy after severe brain trauma showed unfavorable outcome because of possible contaminative environment compared with other cases. Conclusion : EVD is considered as a safe procedure with good control of intracranial pressure if meticulous care is provided for EVD procedure and maintenance. With regards to risk factors and prevention, the higher incidence and unfavorable outcome was seen especially in patients with severe head trauma. Thus, special attention is required in these clinical settings.

• Journal of Korean Clinical Nursing Research
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• v.22 no.3
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• pp.294-304
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• 2016

Purpose: This study was done to develop an evidence-based external ventricular drainage (EVD) nursing practice guideline in order to provide standardized nursing and prevent EVD related complications. Methods: We used the standardized methodology for nursing practice guideline adaptation developed by Korean Hospital Nurses Association for the guideline adaptation process in this study. Results: The newly developed EVD nursing practice guideline was adapted to the American Association of Neuroscience Nurses (AANN)'s clinical practice guideline which is 'Care of the patient undergoing intra-cranial pressure monitoring/external ventricular drainage of lumbar drainage.' There were 61 recommendations documented in the preliminary guideline all evaluated by 9 experts based on acceptability and applicability. The final practice guideline was composed of 3 domains with 57 recommendations. The three domains of nursing were the insertion, maintenance, and removal of the EVD. The number of recommendations in each domain was 8 in EVD insertions, 39 in EVD maintenance, and 10 in EVD removals. Of the 57 recommendations 3.5% were level 1, 31.5% were level 2, and 65% were level 3. Conclusion: The standardized practice guideline can improve nurses' performance and accuracy. It can also be used as the foundation for effective communication between all medical staff.

• Smart Structures and Systems
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• v.30 no.6
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• pp.627-637
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• 2022

Recent years, direct displacement-based design (DDBD) procedure is proposed for the design of un-bonded posttensioned (UPT) concrete wall systems. In the DDBD procedure, the determination of the equivalent viscous damping (EVD) ratio is critical since it would influence the strength demand of the UPT wall systems. Nevertheless, the influence of EVD ratio determination of the UPT wall systems were not thoroughly evaluated. This study was aimed to investigate the influence of different EVD ratio determinations on the DDBD procedure of UPT wall systems. Case study structures with four, twelve and twenty storeys have been designed with DDBD procedure considering different EVD ratio determinations. Nonlinear time history analysis was performed to validate the design results of those UPT wall systems. And the simulation results showed that the global responses of the case study structures were influenced by the EVD ratio determination.

• Journal of the Institute of Electronics and Information Engineers
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• v.53 no.6
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• pp.46-52
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• 2016

Quasi-Orthogonal STBC (QO-STBC) scheme is proposed conventionally achieving approximate full rate and full diversity in more than 3 transmit antenna and open-loop environmen.. But, conventional QO-STBC has disadvantage that performance degradation by interference terms of detection matrix and high decoding complexity. Recently, this interference cancellation scheme of low decoding complexity by multiplying specific rotation matrix is proposed. We propose more general interference cancellation scheme by using EVD(Eigenvalue Decompostion).

• Journal of Korean Neurosurgical Society
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• v.29 no.5
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• pp.644-649
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• 2000

Objective : Acute hydrocephalus can be caused by many pathologic conditions such as sub- arachnoid hemorrhage, intraventricular hemorrhage, inflammatory diseases. External ventricular drainage(EVD) through trephination of the skull is essential procedure for progressing or persistent symptomatic acute hydrocephalus. If the EVD can not be removed in short period, the chance of ventriculitis increases and periodic transposition of the draining catheter should be considered. Shunt procedure can not be performed in acute hemorrhage or infectious condition because of the risk of shunt malfunction or intra-abdominal spreading of the infection, respectively. The authors replaced EVD with continuous lumbar drainage(CLD) for the purpose of controlling acute hydrocephalus and preventing ventriculitis simultaneously, or treating ventriculitis more effectively in case of infection which had already broken out. CLD has many advantages over EVD, although, it can complicate disastrous downward brain herniation in patients with elevated intracranial pressure. The authors performed CLD with EVD maintained and then tested the possibility of the brain herniation with quite simple method. If the CLD was proven as safe through the test, EVD could be replaced with it without terrible herniation. Material and Method : Between September 1998 and April 1999, 10 patients underwent CLD in replacement of EVD. Among them, 5 were patients with aneurysmal subarachnoid hemorrhage, 2 were patients with thalamic hematoma and intraventricular hemorhage and 3 were patients with traumatic intracranial hemorrhage. Results : In eight of them the replacements were successfully done and one of them died on account of medical illness. In two of them the replacement could not be performed because of the risk of herniation and all expired owing to ventriculitis. Two patients required permanent shunt operation. Conclusion : This article provides a valuable alternative method of treatment for persistent symptomatic hydrocephalus which can not be managed with shunt operation immediately.

• Journal of Korean Neurosurgical Society
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• v.59 no.3
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• pp.322-324
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• 2016

To introduce a new device for catheter placement of an external ventricular drain (EVD) of cerebrospinal fluid (CSF). This device was composed of three portions, T-shaped main body, rectangular pillar having a central hole to insert a catheter and an arm pointing the tragus. The main body has a role to direct a ventricular catheter toward the right or left inner canthus and has a shallow longitudinal opening to connect the rectangular pillar. The arm pointing the tragus is controlled by back and forth movement and turn of the pillar attached to the main body. Between April 2012 and December 2014, 57 emergency EVDs were performed in 52 patients using this device in the operating room. Catheter tip located in the frontal horn in 52 (91.2%), 3rd ventricle in 2 (3.5%) and in the wall of the frontal horn of the lateral ventricle in 3 EVDs (5.2%). Small hemorrhage along to catheter tract occurred in 1 EVD. CSF was well drained through the all EVD catheters. The accuracy of the catheter position and direction using this device were 91% and 100%, respectively. This device for EVD guides to provide an accurate position of catheter tip safely and easily.

• Elastomers and Composites
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• v.34 no.4
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• pp.315-320
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• 1999

Surface modification of silicone rubber by low temperature plasma process was investigated to improve quality of silicone EVD tube by reducing tackiness and hydrophobicity. Treatment with nonpolymer-forming plasmas and thin film deposition with polymer-forming plasmas were tried. Tackiness could significantly be reduced, especially by thin film deposition. As a result, the tube became slippery and less vulnerable to contamination in laboratory environment. Inner as well as outer surface of the tube could be changed to be hydrophilic if the plasma contained oxygen. As a result, initial hydrodynamic resistance was reduced. The surface modification did not give any bad influence on mechanical properties of the silicone tube in most cases. Rather, some properties such as Young's modulus, ultimate tensile strength and elongation at break were improved.

• Journal of the Korean Ceramic Society
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• v.33 no.1
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• pp.25-34
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• 1996

Yttria stabilized zirconia (YSZ) thin films were prepared by the electrochemical vapor deposition (EVD) method on the porous Al2O3 substrates which were fabricated by different substrate thickness and porosity. Film growth rates decreased with increase on the substrate thickness and porosity and obeyed a parabolic rate law. Activa-tion energy calculated from the parabolic rate onstants was 69.9 kcal/mol. With increase on the deposition time, monoclinic phase was appeared and then disappeared. YSZ penetrated deeply into substrates when the EVD temperature decreased. Electrical conductivity of the films was 0.09 S/cm at 100$0^{\circ}C$ similar to the value of YSZ single crystal.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.17 no.6
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• pp.69-78
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• 2017

Shannon of the 5G smartphone and Fourier of the signal processing meet in the sampling theorem (2 times the highest frequency 1). In this paper, the initial Shannon Theorem finds the Shannon capacity at the point-to-point, but the 5G shows on the Relay channel that the technology has evolved into Multi Point MIMO. Fourier transforms are signal processing with fixed parameters. We analyzed the performance by proposing a 2N-1 multivariate Fourier-Jacket transform in the multimedia age. In this study, the authors tackle this signal processing complexity issue by proposing a Jacket-based fast method for reducing the precoding/decoding complexity in terms of time computation. Jacket transforms have shown to find applications in signal processing and coding theory. Jacket transforms are defined to be $n{\times}n$ matrices $A=(a_{jk})$ over a field F with the property $AA^{\dot{+}}=nl_n$, where $A^{\dot{+}}$ is the transpose matrix of the element-wise inverse of A, that is, $A^{\dot{+}}=(a^{-1}_{kj})$, which generalise Hadamard transforms and centre weighted Hadamard transforms. In particular, exploiting the Jacket transform properties, the authors propose a new eigenvalue decomposition (EVD) method with application in precoding and decoding of distributive multi-input multi-output channels in relay-based DF cooperative wireless networks in which the transmission is based on using single-symbol decodable space-time block codes. The authors show that the proposed Jacket-based method of EVD has significant reduction in its computational time as compared to the conventional-based EVD method. Performance in terms of computational time reduction is evaluated quantitatively through mathematical analysis and numerical results.

• Proceedings of the Safety Management and Science Conference
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• 2010.11a
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• pp.35-39
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• 2010

The research classifies three types of asymptotic tail distributions such as long(heavy, thick) tailed distribution, medium tailed distribution and short(light, thin) tailed distribution. The extreme value distributions(EVD) classified in this paper can be used in SPC(Statistical Process Control) control chart and reliability engineering.