• Title/Summary/Keyword: Interposition

검색결과 162건 처리시간 0.022초

Information Retrieval: A Communication Process in the 21st Century Library

  • Umeozor, Susan Nnadozie
    • International Journal of Knowledge Content Development & Technology
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    • 제10권2호
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    • pp.7-18
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    • 2020
  • Communication is a process involving a group of interrelated elements working together for the purpose of information transfer. This paper discusses information retrieval as a communication process in the 21st century library. The difficulties associated with access to recorded knowledge through bibliographic control devices have been exacerbated by the interposition of additional encoding processes in the library and further decoding by the users. In addition, the innovation of internet/web has revolutionized the means and mode of communication process in the library by flooding information seekers with information and creating an illusion of self-sufficiency in many users. With these changes in information seeking behaviour and pattern, a cybernetic approach to information retrieval has emerged emphasizing adaptive control mechanisms and feedback processes. This paper argues that libraries should strive to continuously remain relevant by keeping abreast with changes in the behavior of information users. To this end, this paper proposes apomediatic-cybernetic model of communication, which illustrates information retrieval processes for the 21st-century library.

경부식도 재건을 위한 유리 공장 이식술 (Free jejunal graft for cervical esophageal reconstruction)

  • 오상준;김창호
    • Journal of Chest Surgery
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    • 제24권5호
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    • pp.515-521
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    • 1991
  • Since Carrel in 1907 reported transfer of a free jejunal segment in dog, reconstruction of the cervical esophagus and hypopharynx has been accomplished successfully with free jejunal transplantation using microvascular technique. Free jejunal graft is useful in cases of failed colonic interpositions. Three patients with benign esophageal stricture had undergone reconstruction with right colon interposition. Because of necrosis and stricture of the interposed colon, in each case the defect was reconstructed with a free jejunal graft by using microvascular technique. The postoperative course in two patients was uncomplicated, and they were able to eat general diet. Graft necrosis occurred in one patient, but she is waiting for a reoperation.

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양성 식도 협착의 외과적 치료 (Surgical Treatment of Benign Esophageal Stricture)

  • 박창권
    • Journal of Chest Surgery
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    • 제23권1호
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    • pp.107-114
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    • 1990
  • During a ten-year period from August, 1978 to September, 1989 45 patients with benign esophageal stricture were surgically evaluated. The results are as follows; l. Out of 45 patients, there were 26 males and 19 females ranging from 2 to 70 years of age with a mean of 31.9 years. 2. The most common cause of benign esophageal stricture was corrosive burn due to caustic agents[40 cases, 88.9 %]. Corrosive agents were 15 cases of lye, 22 cases of acid and 3 cases of other agents. Other causes were two cases of esophageal web and each one case of previous surgical result, inflammation and idiopathic mediastinal fibrosis respectively. 3. The most frequent stricture site was whole esophagus as 21 cases[46.7 %] and the next was lower a third thoracic esophagus[10 cases, 25.0%]. 4. In 33 of total 45 cases, colon interposition with right colon was performed without resection of the strictured esophagus except one case which was complicated esophageal cancer. Other procedures were 4 cases esophagogastrostomy with segmental resection, 2 cases of plastic repair and so on. 5. Major postoperative complications which were needed for secondary operation were 5 cases[11.1 %]. [2 cases of stenosis, ileus and ulcer bleeding respectively] Overall mortality rate was 4.4 %.

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식도암의 임상적 고찰 (Surgical Treatment of Esophageal Cancer)

  • 최진호
    • Journal of Chest Surgery
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    • 제28권3호
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    • pp.287-292
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    • 1995
  • From March 1989 to June 1994, 24 casesof esophageal cancer were treated surgically. Among 24, male was 22 cases, female was 2 cases, and the age ranged from 46 to 75, the mean was 59.8. Symptoms were dysphagia[86.9% , weight loss[65.2% and retrosternal pain or discomfort[47.8% . The tumor was located cervical esophagus in two, upper esophagus in three, middle esophagus in 12 and lower esophagus in 7. Among 24 patients, 22 were curative resection, partial esophagectomy with esophagogastrostomy[18 cases or colon interposition [3 cases , with total esophagectomy with musculocutaneous flap[1 case , with feeding jejunostomy or gastrostomy in two cases.Postoperative complications revealed 10 patients[45.4% , as followed ; pleural effusion and pneumonia in 5, passage disturbance in 4, empyema and wound infection in 3, esophagopleural fistula and sepsis in 2, anastomotic site leakage and respiratory failure in each 1. The operative mortality was 13.6 % [3/22 and causes of death were respiratory failure in 1 case and sepsis in 2 cases.During follow-up work, 8 cases died during follow-up period, mean survival time was 15.2 months in curative resection group. One year survival rate was 55.3% in resected group. Also, cancer recurrence revealed in 1 cases.

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Traumatic Popliteal Artery Pseudoaneurysm Developed during a Soccer Game

  • Lee, Seock-Yeol;Lee, Seung-Jin;Lee, Chol-Sae
    • Journal of Chest Surgery
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    • 제44권4호
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    • pp.298-300
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    • 2011
  • A 38-year-old male was admitted to our hospital due to painful swelling of his right popliteal fossa. He had been kicked in his right popliteal fossa during a soccer game about three weeks earlier. Computerized tomographic angiography of the lower extremity demonstrated a 4-cm-wide, 3-cm-long aneurysmal change of the popliteal artery. He underwent aneurysmectomy and graft interposition using a great saphenous vein graft. Pathologic findings of the resected specimen were consistent with those of a pseudoaneurysm.

대동맥 축착증 -2례 보고- (Coarctation of the aorta: report of 2 cases)

  • 김병주;이홍균
    • Journal of Chest Surgery
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    • 제17권3호
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    • pp.448-455
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    • 1984
  • Coarctation of the Aorta is a congenital constriction of aorta of varying degree, usually located at or near the aortic ismuth with frequent associations of other cardiac anomalies. Various modes of surgical corrections, such as resection and end-to-end anastomosis, graft interposition, angioplasty using prosthetic patch or subclavian flap have been used according to the status of coarctation and age of the patient. We have experienced two cases of surgically treated coarctation of the aorta, one of which was preductal coarctation with hypoplastic aortic arch and ventricular septal defect in a 4 year old boy, and the other case was juxtaductal type with aortic regurgitation. Subclavian flap angioplasty with additional pulmonary artery banding procedure was done in the first case and wedge resection with end-to-end anastomosis and aortic valve replacement [St. Jude valve, 23mm] 20 days later of first operation in the other case. The first case developed massive tarry stool on 3rd POD, probably due to mesenteric arteritis with resultant bowl ecrosis, and expired the next day. Recovery was uneventful with the second case.

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신뢰성 있는 커널 컴포넌트를 이용한 마이크로커널 기반 시스템 콜 인터포지션 기법 (Microkernel-based System Call Interposition Mechanism using Reliable Kernel Component)

  • 김영필;유혁
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2003년도 추계학술발표논문집 (상)
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    • pp.463-466
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    • 2003
  • 시스템 콜 인터포지션 메커니즘은 침입 탐지 및 접근 제어와 같은 시스템 보안 기능을 강화하기 위해서 사용하는 방법이다. 현재까지 알려진 시스템 콜 인터포지션의 구현 방법은 크게 라이브러리 기반, 커널 기반 그리고 유저레벨 프로세스 기반의 접근방식이 있다. 기존의 방식들은 대부분 범용적인 모노리틱커널에 적용되어 사용되고 있으며, 최근에 보안 운영체제로 개발되고 있는 마이크로커널 방식의 시스템에서는 적합하지 않다. 본 논문에서는 기존에 연구되었던 시스템 콜 인터포지션 방법들을 소개하고 마이크로커널 기반의 시스템 콜 인터포지션을 위한 메커니즘과 기반이 되는 커널 컴포넌트들을 안전하게 관리하는 방법을 제안하고 있다. 제안된 메커니즘은 마이크로커널 위에 모니터 서버를 두고, IPC가 수행될 때 특정 시스템 콜을 비동기 IPC를 이용하여 감시하는 방식을 취하고 있다.

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식도암의 임상적 고찰 [III] (Cancer of the Esophagus and Cardia [III]: A Clinical Review of 55 cases)

  • 이강식
    • Journal of Chest Surgery
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    • 제23권5호
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    • pp.922-928
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    • 1990
  • Treatment of patients with esophageal carcinoma remains disappointing. Fewer than 20% *of patients with esophageal carcinoma treated with curative intent by surgery and radiation therapy will be alive at 5 years. Fifty five patients underwent treatment for carcinoma of the esophagus and cardia which retrospective clinical study done between January 1983, and December, 1989 in Department of Thoracic and Cardiovascular Surgery, National Medical Center, Seoul, Korea. There were 48 men. 7 women and the mean age was 56.2 years[range, 38 to 78 years]. The most frequent preoperative findings included dysphagia[46 cases], weight loss[33 cases] and substernal pain[19 cases]. 19 cases[34.5%] were underwent resectional surgery, which was total esophagectomy with esophagogastrostomy[ 5 cases], with colon interposition[3 cases], lower esophagectomy with esophagogastrostomy [10 cases], with total gastrectomy and esophagojejunostomy [1 case]. The operative mortality was 15.8%[3/19] and causes of death were respiratory failure in 2 cases, and 1 case of sepsis. Palliative procedures, such as feeding gastrostomy and jejunostomy[14 cases], bypass surgery without resection[ 4 cases], radiation therapy[ 3 cases] were done.

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3개월 이하 영아의 대동맥 축착증 수술치료에 대한 임상연구 (Correction of Coarctation in Infants Less than Age 3 Months)

  • 신제균;송명근
    • Journal of Chest Surgery
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    • 제23권6호
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    • pp.1139-1145
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    • 1990
  • Seven infants less than age 3 months underwent patch aortoplasty and tube graft bypass for relief of coarctation of aorta. All had intractable congestive heart failure, despite aggressive medical therapy Each infant had other cardiac anomalies including patent ductus arteriosus, ventricular septal defect, atrial septal defect and congenital mitral stenosis. All patients underwent closure of the ductus arteriosus and patch angioplasty of the aorta to produce a luminal diameter of at least 15mm or tube graft interposition utilizing the Gortex tube graft diameter larger than 10mm. In 5 patients who had ventricular defect, they underwent pulmonary arterial banding. &ere was one hospital death 17 days after operation secondary to the hydronephrosis and renal failure. Hospitalization was less than 10 days after operation except one case. In 3 patients who had associated VSD, open heart surgery[VSD closure+PA debanding]was done without difficulty. Surgical repair of critical coarctation of the aorta in infants can safely be offered despite the poor preoperative condition and presence of other cardiac anomalies.

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복부 대동맥류의 외과적 치료 (Surgical Treatment of the Abdominal Aortic Aneurysm)

  • 이강식
    • Journal of Chest Surgery
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    • 제23권5호
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    • pp.976-986
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    • 1990
  • We experienced 12 patients with the abdominal aortic aneurysm during last 31 years [Dec. 1958 \ulcornerSep. 1989]. Among them, 10 patients were reviewed. They were all male. The age ranged from 34 to 80 years with the mean age of 59.4 years. The etiology of the aneurysm was atherosclerotic in 8, mycotic in 1, and aortitis in 1. The location of the aneurysm was infrarenal in 8, and suprarenal in 2 cases. Aneurysmectomy and Dacron Y-graft interposition in 8 cases, and lease with Teflon Y-graft were made. In another 1 case, long thoracoabdominal bypass surgery was made. The operative mortality was 30%[3cases]. The postoperative complications were respiratory complications[3cases], acute renal failure[2cases], bleeding[lease], mechanical ileus[ lease], and peritonitis[lease].

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