• Journal of Yeungnam Medical Science
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• v.15 no.2
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• pp.297-305
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• 1998

Recently, several alternatives have been attempted in the management of benign prostatic hyperplasia (BPH) to reduce morbidity of traditional transurethral resection of the prostate (TURP). Among new modalities, transurethral electrovaporization (TEVP) is considered as a promising alternative. To evaluate the safety and initial efficacy of JEVP using the roller loop electrode (ProSurg Inc. USA) on BPH patients, we compared the results of TEVP with those of TURP and visual laser ablation of the prostate (VLAP). In this study, a total of 115 patients with symptomatic BPH were underwent TEVP (n=17), TURP (n=59) or VLAP (n=39) since 1995. Before treatment, patients were evaluated with an International Prostate Symptom Score (IPSS) and the measurement of maximal uroflow rate (MFR) and postvoid residual urine (PVR). After treatment, the operative and hospital records were reviewed. The uroflowmetry and IPSS were re-evaluated 3-10 months after treatment. In clinical outcome of re-evaluation compared to the preoperative parameters, there was a clinically significant improvement in three procedures. TEVP resulted in 62% reduction in IPSS (TURP, 73% : VLAP, 69%), 84% improvement in MFR (TURP, 113% : VLAP, 91%), and 74% reduction in PVR (TURP, 88% : VLAP, 78%). TEVP had shorter duration of hospitalization and catheterization than the others. TEVP was associated with lower rates of treatment-related complication than TURP. In conclusions, TEVP is considered as a useful procedure to treat symptomatic BPH. And, the advantages of TEVP over TURP include excellent intraoperative hemostasis, lower morbidity, shorter hospital stay and simple technique. In addition the advantages over VLAP include lower cost, shorter duration of catheterization and early symptom improvement.

• Korean Journal of Radiology
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• v.20 no.6
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• pp.956-966
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• 2019

Objective: To characterize the changes in right ventricular (RV) volume, volume load, and function measured with cardiac computed tomography (CT) over the entire time course of tetralogy of Fallot (TOF). Materials and Methods: In 374 patients with TOF, the ventricular volume, ventricular function, and RV volume load were measured with cardiac CT preoperatively (stage 1), after palliative operation (stage 2), after total surgical repair (stage 3), or after pulmonary valve replacement (PVR) (stage 4). The CT-measured variables were compared among the four stages. After total surgical repair, the postoperative duration (POD) and the CT-measured variables were correlated with each other. In addition, the demographic and CT-measured variables in the early postoperative groups were compared with those in the late postoperative and the preoperative group. Results: Significantly different CT-based measures were found between stages 1 and 3 (indexed RV end-diastolic volume [EDV], 63.6 ± 15.2 mL/m² vs. 147.0 ± 38.5 mL/m² and indexed stroke volume (SV) difference, 7.7 ± 10.3 mL/m² vs. 32.2 ± 16.4 mL/m²; p < 0.001), and between stages 2 and 3 (indexed RV EDV, 72.4 ± 19.7 mL/m² vs. 147.0 ± 38.5 mL/m² and indexed SV difference, 5.7 ± 13.1 mL/m² vs. 32.2 ± 16.4 mL/m²; p < 0.001). After PVR, the effect of RV volume load (i.e., indexed SV difference) was reduced from 32.2 mL/m² to 1.7 mL/m². Positive (0.2 to 0.8) or negative (-0.2 to -0.4) correlations were found among the CT-based measures except between the RV ejection fraction (EF) and the RV volume load parameters. With increasing POD, an early rapid increase was followed by a slow increase and a plateau in the indexed ventricular volumes and the RV volume load parameters. Compared with the preoperative data, larger ventricular volumes and lower EFs were observed in the early postoperative period. Conclusion: Cardiac CT can be used to characterize RV volume, volume load, and function over the entire time course of TOF.

• Korean Circulation Journal
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• v.54 no.2
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• pp.63-75
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• 2024

Background and Objectives: Evidence regarding the efficacy and safety of intracardiac echocardiography (ICE) for guidance during transcatheter aortic valve replacement (TAVR) is limited. This study aimed to compare the clinical efficacy and safety of ICE versus transesophageal echocardiography (TEE) for guiding TAVR. Methods: This prospective cohort study included patients who underwent TAVR from August 18, 2015, to June 31, 2021. Eligible patients were stratified by echocardiographic modality (ICE or TEE) and anesthesia mode (monitored anesthesia care [MAC] or general anesthesia [GA]). Primary outcome was the 1-year composite of all-cause mortality, rehospitalization for cardiovascular cause, or stroke, according to the Valve Academic Research Consortium-3 (VARC-3) definition. Propensity score matching was performed, and study outcomes were analyzed for the matched cohorts. Results: Of the 359 eligible patients, 120 patients were matched for the ICE-MAC and TEEGA groups, respectively. The incidence of primary outcome was similar between matched groups (18.3% vs. 20.0%; adjusted hazard ratio, 0.94; 95% confidence interval [CI], 0.53-1.68; p=0.843). ICE-MAC and TEE-GA also had similar incidences of moderate-to-severe paravalvular regurgitation (PVR) (4.2% vs. 5.0%; adjusted odds ratio, 0.83; 95% CI, 0.23-2.82; p=0.758), new permanent pacemaker implantation, and VARC-3 types 2-4 bleeding. Conclusions: ICE was comparable to TEE for guidance during TAVR for the composite clinical efficacy outcome, with similar incidences of moderate-to-severe PVR, new permanent pacemaker implantation, and major bleeding. These results suggest that ICE could be a safe and effective alternative echocardiographic modality to TEE for guiding TAVR.

• Proceedings of the Korean Information Science Society Conference
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• 2006.06d
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• pp.325-327
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• 2006

H.264/AVC는 ITU-T H.264와 ISO/IEC 14496-10(MPEG-4 Part 10)으로 승인된 새로운 국제 비디오 압축 표준이다. H.264/AVC는 압축부호화 효율(이하 압축률)이 높으며 MPEG-2나 MPEG-4등에 비해 압축률이 2배 이상 향상되었으나 복잡도 또한 훨씬 증가하였다. 월등한 압축성능 때문에 방송 분야(DTV 등), 저장용 시스템 분야(PVR 등)에 많은 응용 분야들에 적용하기 위한 움직임이 있다. 그러나, 디코더로 구현하면 복잡도 증가하는 문제가 발생한다. HD급을 지원하기 위한 메모리 대역폭의 경우 MPEG-2 HD에 비해 H.264/AVC만의 복잡한 움직임 보상으로 인해 2배 이상이 요구된다. H.264/AVC 디코더는 두 개의 참조픽처를 이용하여 움직임 보상하는 B-픽처와 쌍예측 픽처가있다. 여기서, 참조픽처를 각각 하나씩만 사용하여 디코딩 하면 기존의 복잡도를 줄일 수 있다. 본 논문에서 제안하는 방법은 하나의 참조픽처 선택으로 H.264/AVC 소프트웨어 디코더에서 움직임 보상을 한다. 이로 인하여 복잡도와 메모리 대역폭이 감소하는 방법을 제안한다.

• IEMEK Journal of Embedded Systems and Applications
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• v.3 no.4
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• pp.229-234
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• 2008

The 'Anytime, Anywhere' services have been the biggest topic in the recent digital broadcasting research area. The related applications for the Anytime and Anywhere Services are as follows: the personalized broadcasting based on the PVR (Personal Video Recorder) for the Anytime Services, and the DMB (Digital Multimedia Broadcasting), the mobile devices supporting the wireless network and the Second TV and so on for the anywhere services. The personalized broadcasting has been researched on the one of the killer applications in the various broadcasting environment - the ground wave broadcasting, the satellite broadcasting, IPTV and CATV broadcasting suchlike. The applied contents of the personalized broadcasting have advanced from the main contents for the broadcasting to the interstitial contents like advertisements and coupons, the personalized interstitial broadcasting needs to develop the technology about the generation, storing and management of the interstitial metadata. but, the personalized broadcasting has the limitation that the TV environment is somewhat difficult to support the personalized broadcasting individually, because all family usually share the main TV at home. The Second TV is possible to solve the environmental limitation. This paper designs and develops the static set top box at home, the Second TV and their multimedia streaming techniques for the personalized broadcasting of the contents including the interstitial contents.

• Biomedical Science Letters
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• v.23 no.2
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• pp.89-95
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• 2017

Tuberculosis (TB), mainly disseminated by infection of the respiratory tract, remains an unsolved community health problem by Mycobacterium tuberculosis (MTB). However, because of the different susceptibility to MTB, people infected with MTB do not all develop TB. These differences of disease arise from individual genetic susceptibility as well as the property of the microorganisms itself. CD226, one of the genetic factors that influences TB, interact with its ligand PVR and ITGB2. It is induced various cellular responses that contribute multiple innate and adaptive responses. In a previous study, CD226 enhanced immune efficacy induced by Ag85A DNA vaccination that is secreted protein by MTB. The aim of this study was to investigate the association between six genetic polymorphisms of CD226 gene and TB status with Korean population. Our results show that two SNPs of CD226 were identified to associate with tuberculosis. The highest significant SNP was rs17081766 (OR=0.70, CI: 0.54~0.90, $P=5.4{\times}10^{-3}$). According to this study, polymorphisms of CD226 gene affect the outbreak of TB in MTB-infected patients. It is suggested that polymorphism of other genes also associated with immune responses results in susceptibility to TB. The results from this study suggest that not only the characteristics of the microorganism itself but also the genetic background of the individual may affect progression of TB in MTB-infected patients.

• Proceedings of the Korean Society of Broadcast Engineers Conference
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• 2004.11a
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• pp.155-158
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• 2004

고정된 위치에 있거나 이동중인 수신자들에게 고품질의 멀티미디어 콘텐트를 제공하기 위하여 지상파 DTV를 위시하여 디지털위성방송, 지상파 및 위성 DMB 등 다양한 방식의 방송 서비스들이 가까운 장래에 우리 생활의 일부분이 되리라고 예견되고 있다. 이러한 서비스들은 방송과 통신의 융합환경에 맞추어 맞춤형 방송의 형태로 이용될 것이며, 이는 텔레매틱스나 홈 네트워크 등과 같은 다른 정보 전달 체계와 결합하여 보다 고도화된 정보사회의 중심적인 역할을 할 수 있을 것이다. 본 논문은 방송 통신 융합 환경에서의 DTV의 주요한 한 가지 역할로서 DTV 기반의 흠 네트워크를 제안하고, 그러한 흠 네트워크에서 멀티미디어 콘텐트를 공유하기 위한 두 가지 방안에 대해서 논한다. 첫 번째 방안은 홈 서버 기능을 하는 DTV PVR에서 단 한번의 복호 과정과 스케일러블 코딩 과정을 통하여 가정 내의 모든 기기들이 실시간으로 방송 콘텐트를 공유하는 방법이고, 다른 한 가지 방안은 전체 방송시스템 비디오 부호화 규격을 스케일러블 부호화 기법을 적용한 단일 표준으로 통합하는 방안이다. 본 논문을 출발점으로 하여 이와 같은 논의가 활발하게 이루어지기를 기대한다.

• Journal of Broadcast Engineering
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• v.10 no.2
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• pp.202-209
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• 2005

In this paper, we propose a design of the metadata engine of the video recording system to minimize the retrieval time. For this purpose, the proposed metadata engine stores the XML metadata as a separated fragment and construct a hierarchical indexing scheme based on the contextual and structural properties of metadata. The hierarchical indexing scheme is consisted of a node index for basic searching and a group index for advanced searching. In this way our approach can minimize the number of indexes and thus the retrieval time. Our simulation results show that the response time of our proposed system is shorter than that of the previous works.

• Proceedings of the IEEK Conference
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• 2007.07a
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• pp.45-46
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• 2007

In order to go digital broadcasting in Korea, it is conducted various policies in the country which be expanded network, be increased digital broadcasting hours. And broadcasting stations in the country close down analog broadcasting until 2012. Moreover IPTV is a method of delivering broadcast television and on-demand, rich media content that uses an IP(Internet protocol network) as the medium. And an IP is regarded as a very favorable approach for the future "Medium for Digital TV". However It is not easy to replace the entire digital infrastructure. And there are some problems in the digital infrastructure for Digital TV(i.e. channel zapping delay). Moreover user require service. IPMG is to solve these problems. IPMG is digital converter that allows receive and transmit signal by using many kinds of medium for Digital TV. Moreover IPMG provides users a Network PVR service. In this paper we developing, manufacturing IPMG and analyze its performance.

• Journal of Microbiology and Biotechnology
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• v.18 no.7
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• pp.1227-1234
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• 2008

Pseudomonas aeruginosa is an opportunistic human pathogen that produces and secretes exopolysaccharides (EPS), in which cells are embedded to form a highly organized community structure called biofilm. Here, we characterized the role of cyclic diguanylate (c-di-GMP) and EPS (PEL) overproduction in the wspF mutant phenotypes of P. aeruginosa PA14 (wrinkly appearance, hyperadherence, impaired motilities, and reduced virulence in acute infections). We confirmed that the elevated c-di-GMP level plays a key role in all the wspF mutant phenotypes listed above, as assessed by ectopic expression of a c-di-GMP-degrading phophodiesterase (PvrR) in the wspF mutant. In contrast, PEL EPS, which is overproduced in the wspF mutant, was necessary for wrinkly appearance and hyperadherence, but not for the impaired flagellar motilities and the attenuated virulence of the wspF mutant. These results suggest that c-di-GMP affects flagellar motility and virulence, independently of EPS production and surface adherence of this bacterium.