• 제목/요약/키워드: Patch Management

검색결과 183건 처리시간 0.023초

Surgical Repair of Ventricular Septal Defect after Myocardial Infarction: A Single Center Experience during 22 Years

  • Park, Sung Jun;Kim, Joon Bum;Jung, Sung-Ho;Choo, Suk Jung;Chung, Cheol Hyun;Lee, Jae Won
    • Journal of Chest Surgery
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    • 제46권6호
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    • pp.433-438
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    • 2013
  • Background: Surgical repair of post-infarct ventricular septal defect (VSD) is considered one of the most challenging procedures having high surgical mortality. This study aimed to evaluate the outcomes of the surgical repair of post-infarct VSD. Methods: From May 1991 to July 2012, 34 patients (mean age, $67.1{\pm}7.9$ years) underwent surgical repair of post-infarct VSD. A retrospective review of clinical and surgical data was performed. Results: VSD repair involved the infarct exclusion technique using a patch in all patients. For coronary revascularization, 12 patients (35.3%) underwent concomitant coronary artery bypass graft, 3 patients (8.8%) underwent preoperative percutaneous coronary intervention, and 9 patients (26.5%) underwent both of these procedures. The early mortality rate was 20.6%. Six patients (17.6%) required reoperation due to residual shunt or newly developed VSD. During follow-up (median, 4.8 years; range, 0 to 18.4 years), late death occurred in nine patients. Overall, the 5-year and 10-year survival rates were $54.4%{\pm}8.8%$ and $44.3%{\pm}8.9%$, respectively. According to a Cox regression analysis, preoperative cardiogenic shock (p=0.069) and prolonged cardiopulmonary bypass time (p=0.008) were independent predictors of mortality. Conclusion: The early surgical outcome of post-infarct VSD was acceptable considering the high-risk nature of the disease. The long-term outcome, however, was still dismal, necessitating comprehensive optimal management through close follow-up.

해시를 활용한 사이버킬체인 기반의 사물인터넷 보안 정책 (Cyber KillChain Based Security Policy Utilizing Hash for Internet of Things)

  • 정소원;최유림;이일구
    • 디지털융복합연구
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    • 제16권9호
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    • pp.179-185
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    • 2018
  • 4차 산업 혁명의 정보통신기술 산업 분야의 새로운 성장 동력으로 주목받는 사물인터넷 기술은 단순한 보안 기술을 넘어 신뢰성이 필요하다. 이러한 신뢰성은 IoT 제품의 기획 및 설계 단계부터 고려되어 제품을 개발하고 평가하며 사용하는 모두가 보안성을 측정하고 신뢰할 수 있는 시스템이 구축되어야 한다. 사용되는 IoT 기기 수의 급격한 증가와 사용 생명주기의 증가는 소프트웨어 패치와 업데이트 및 관리의 어려움으로 인한 보안 취약성 증가로 이어진다. 본 논문에서는 IoT 산업 분야의 기술적 정책적 동향을 분석하고 이를 통해 IoT 기기의 보안성과 확장성의 한계점을 분석한다. 이러한 한계점을 보완하기 위해 블록체인의 요소 기술인 해시를 활용해 소프트웨어의 무결성을 자동 검증하는 방법을 제안한다. 해시를 활용한 소프트웨어 무결성 자동 검증 방법으로 사물인터넷의 보안성과 확장성을 강화하고, 제안하는 보안 기술 적용을 위한 정책적 솔루션을 제시한다.

도농통합형 도시에 있어서 생물서식처 공간특성에 관한 연구(II) - 천안시 성환읍의 토지이용변화추이와 녹지구조변화를 중심으로 - (A Study on the Biotope's Characters of the Mixed Rural City(II) - The Analysis of Change in Land Uses and Forest Structure of Sunghwan in Chonan City using Remote Sensing -)

  • 이진희;방광자;김훈희
    • 한국환경복원기술학회지
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    • 제2권1호
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    • pp.38-47
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    • 1999
  • The mixed rural city is adjusting to change by urbanization. The recent landcover change in mixed rural city is an important factor that changes structure and function of regional ecosystem. Landscape ecology is an integrated ecology widely available for environmental science such as nature conservation and sustainable land-use planning. As the concern about environmental quality rises, many studies are trying to create and conservate for biotop. The creation of biotop is related to the plan and management of the effective landuse because the important factor to change the structure and function of ecological area in the country. This study was carried out to establish the foundation of the landuse plan to analyze the change of landuse and to plan the scheme in creating biotop and landuse. We used the approach of ecological landscape and using landscape indices with RS(Remote Sensing) and GIS(Geographic Information System) technology, spatio-temporal variations of areas and distribution of forest patches were examined in the Sunghwan in Chonan from 1985 to 1996. A result of this study showed that the area of forest and paddy decreased by urban sprawl. The size of patch in the forest and agriculture had been smaller and irregular form, heterogeneity of size of forest and agriculture patches within sub-basin was increased, pattern of forest and agriculture patches decreased the corridor and network from 1985 to 1996.

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Enhancing Box Sign : Enhancement Pattern of Acute Osteoprotic Compression Fracture

  • Kim, Choong-Hyo;Park, Jae-Hyo;Chung, Sang-Ki;Kim, Ki-Jeong;Bang, Jae-Seung;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • 제46권6호
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    • pp.528-531
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    • 2009
  • Objective : Although gadolinium enhancement of compression fractures is well known, the enhancement pattern of the acute stage of a fracture is not completely understood. Here, we investigated the enhancement pattern of acute vertebral compression fractures (VCFs). Methods : We conducted a retrospective study of patients with acute osteoporotic VCFs admitted to hospital between January 2004 and December 2005. The demographic details, stage of the fracture, management data, and results were analyzed. There were nine men and 22 women, and the mean age was 71 years (range, 53-92 years). According to the onset of pain, patients were divided into the following four groups : Group I (less than 3 days), Group II (4-7 days), Group III (8-14 days), and Group IV (14-30 days). Results : All patients had central low-signal intensity of the nonenhancing part of vertebral bodies on T1 images. Enhancing box sign (EBS) was seen 7 days of VCF development. After 7 days of onset (Groups III and IV), patch or Kummell's enhancements occurred. EBS has been statistically correlated with stage of compression fracture (Pearson's correlation = -0.774). However, EBS had no statistically significant correlation with prognosis in our study (Pearson's correlation = 0.059). Conclusion : EBS represents a characteristic sign 7 days of VCF development.

농업경영체 등록정보를 활용한 밭 경작지의 공간적 파편화 특성 분석 (Spatial Fragmentation Analysis of Upland Fields Using Farm Manager Registration Information)

  • 이지민;유승환;오윤경
    • 한국농공학회논문집
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    • 제60권2호
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    • pp.13-24
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    • 2018
  • As food consumption pattern changes (reduced rice consumption and increased consumption of fresh vegetables), managing upland fields became a greater priority. However, the agricultural infrastructure projects have been focused on rice farming, and the infrastructure level to support dry fields cultivation is insufficient. The purpose of this study was to spatial distribution analysis of these dry fields with farm manager registration information. Using FRAGSTATS, we analyzed landscape indices (TA/CA, NP, PD, LSI, LPI, PLADJ, COHESION, CONNECT, AI) of farmlands in which farmers in 13 regions (Si or Gun) cultivated dry-field crops. As results of this analysis, the total area of the fields in Naju-si, Hampyeong-gun and Suncheon-si were found to be wider, but the average area of a patch in Youngam-gun, Hampyeong-gun and Jangseong-gun were wider than other regions. On average, each farmer had farmlands containing of 1.7~2.4 patches and cultivated crops in fields of 0.2~0.5 ha. Farmlands of Hampyeong-gun, Youngam-gun, Naju-si showed high values in adjacency indices, however the farmlands of Suncheon and Gwangyang showed fragmented distribution with low values in adjacency indices. These results of fragmentation analysis of farmlands could be used when we establish the plan of an agricultural infrastructure project or select places for a collaborative agricultural management business promotion project.

생태계 서비스 기능평가를 위한 중분류 토지피복지도 산림지역 경계설정 개선 방안 (Improvement of Forest Boundary in Landcover Classification Map(Level-II) for Functional Assessment of Ecosystem Services)

  • 전성우;김재욱;김유훈;정휘철;이우균;김준순
    • 한국환경복원기술학회지
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    • 제18권1호
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    • pp.127-133
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    • 2015
  • Interests in ecosystem services have increased and a number of attempts to perform a quantitative valuation on them have been undertaken. To classify the ecosystem types landcover classification maps are generally used. However, some forest types on landcover classification maps have a number of errors. The purpose of this study is to verify the forest types on the landcover map by using a variety of field survey data and to suggest an improved method for forest type classifications. Forest types are compared by overlaying the landcover classification map with the 4th forest type map, and then they are verified by using National Forest Inventory, 3rd National Ecosystem Survey and field survey data. Misclassifications of forest types are found on the forest on the forest type map and farm and other grassland on the landcover map. Some errors of forest types occur at Daegu, Busan and Ulsan metropolitan cities and Gangwon province. The results of accuracy in comprehensive classification show that deciduous forest is 76.1%; coniferous forest is 54.0%; and mixed forest is 22.2%. In order to increase the classification accuracy of forest types a number of remote sensing images during various time periods should be used and the survey period of NFI and the National Forest Inventory and National Ecosystem Survey should be consistent. Also, examining areas with wide forest patch should be prioritized during the field survey in order to decrease any errors.

Expansion of an invasive species, Ailanthus altissima, at a regional scale in Japan

  • Chuman, Misaki;Kurokochi, Hiroyuki;Saito, Yoko;Ide, Yuji
    • Journal of Ecology and Environment
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    • 제38권1호
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    • pp.47-56
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    • 2015
  • Ailanthus altissima, which is recognized as an invasive tree in the Western world, has been widely observed in Japan. To investigate how A. altissima expanded within-population and to new populations within a region, 446 A. altissima trees were sampled from three separate sites (A, B, and C) including 35 distantly positioned patches, with three chloroplast DNA markers and nine nuclear microsatellite markers. We detected 2, 2, and 3 chloroplast haplotypes in sites A, B, and C, respectively. In addition, 271, 40, and 41 nuclear genotypes were detected in sites A, B, and C, respectively. The clonal richness value was 0.85, 0.78, and 0.53 in sites A, B, and C, respectively. Most trees with the same genotypes were distributed in the same patch, indicating that range expansion by asexual reproduction was limited to a maximum of 45 meters. According to autocorrelation analysis, the extent of nonrandom spatial genetic structure was approximately 0-2 km in sites A and C. KINGROUP analyses showed that 812, 74, and 111 nuclear genotype pairs were detected to have kinship in sites A, B, and C, respectively. Most nuclear genotype pairs were detected within the same patches or sites. These results indicate that the number of A. altissima trees gradually increased from seeds, some of which were produced by trees within sites, meaning that this species could regenerate naturally. This shows the need for the future management of A. altissima as an invasive species in Japan.

An open Scheduling Framework for QoS resource management in the Internet of Things

  • Jing, Weipeng;Miao, Qiucheng;Chen, Guangsheng
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제12권9호
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    • pp.4103-4121
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    • 2018
  • Quality of Service (QoS) awareness is recognized as a key point for the success of Internet of Things (IOT).Realizing the full potential of the Internet of Things requires, a real-time task scheduling algorithm must be designed to meet the QoS need. In order to schedule tasks with diverse QoS requirements in cloud environment efficiently, we propose a task scheduling strategy based on dynamic priority and load balancing (DPLB) in this paper. The dynamic priority consisted of task value density and the urgency of the task execution, the priority is increased over time to insure that each task can be implemented in time. The scheduling decision variable is composed of time attractiveness considered earliest completion time (ECT) and load brightness considered load status information which by obtain from each virtual machine by topic-based publish/subscribe mechanism. Then sorting tasks by priority and first schedule the task with highest priority to the virtual machine in feasible VMs group which satisfy the QoS requirements of task with maximal. Finally, after this patch tasks are scheduled over, the task migration manager will start work to reduce the load balancing degree.The experimental results show that, compared with the Min-Min, Max-Min, WRR, GAs, and HBB-LB algorithm, the DPLB is more effective, it reduces the Makespan, balances the load of VMs, augments the success completed ratio of tasks before deadline and raises the profit of cloud service per second.

한국산 꼬리명주나비의 메타개체군 동태 (Metapopulation Dynamics of the Oriental Long-tailed Swallow Sericinus montela (Lepidoptera: Papilionidae) in Korea)

  • 김도성;권용정
    • 한국응용곤충학회지
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    • 제49권4호
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    • pp.289-297
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    • 2010
  • 세계적으로 인간 활동 따른 서식지의 소실과 단절은 생물다양성을 떨어뜨리는 주요원인이며 서식지의 소형화와 세분화는 개체군의 크기를 감소시키고 있다. 본 연구는 꼬리명주나비를 표지-방사-재포획법(MRR 방법)을 이용하여 메타개체군 동태를 파악하였다. 그 결과 2,749 개체(암컷-2295, 수컷-454)가 포획되었으며 이중 343개체(12.8%)가 재포획되었다. 포획된 암수 비율에서는 수컷이 주를 이루는 것으로 나타났다. Jolly-Seber의 방법으로 일일메타개체군의 크기, 생존율, 추가율, 사망률을 추정하였다. 저자들은 보전생물학자들에게 단절된 경관에서 국지적 메타개체군의 관리와 보전을 강조하고자 하며, 특히 한국산 꼬리명주나비의 경우 지속적인 서식지 보전이 필요하다.

유리공장이식편을 이용한 합병된 부식성 식도협착의 재건술 (Jejunal Free Graft for Complicated Corrosive Esophageal Stricture)

  • 이호석;이성수;심영목
    • Journal of Chest Surgery
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    • 제38권6호
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    • pp.445-449
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    • 2005
  • 부식성 식도협착의 재건수술시 대장의 혈액순환이 나쁜 경우 또는 대장치환술 후 허혈성 부전이 나타난 경우 가장 적합한 재건장기로는 유리공장이식편을 들 수 있다. 복잡하게 합병된 부식성식도협착 환자에서 유리공장이식편을 이용하여 식도재건술을 시행한 4예를 보고하고자 한다. 일차식도재건술로서 4예 중 3예는 대장치환술을, 1예는 장천공에 의한 복막염으로 Whipple's 술식 및 공장루설치술을 받았다. 1예는 인두대장문합부의에 유리공장첩포 이식을, 2예는 대장이식편 부전 부위에 유리공장이식편 치환을 받았다. 1예는 대장의 일부와 유리공장이식편을 이용하여 인두공장대장공장문합술을 시행하였다. 수술 후 문합부위 누출로 인한 재수술이 1예 있었다. 장기추적 관찰상 모두 연하곤란이 없었다. 여러 가지 원인으로 인하여 합병된 식도재건술이 필요하여 유리공장이식편을 사용했던 경우 만족할 술 후 이환율과 연하기능을 보였다.