• Journal of Korean Neurosurgical Society
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• 제48권1호
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• pp.53-58
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• 2010

Objective : The purpose of this study was to review the safety and durability of aneurysms treated with stent-assisted coiling of ruptured anterior communicating artery aneurysms with small parent vessels (< 2.0 mm). Methods : Retrospective review of all ruptured aneurysm treated with stent assisted endovascular coiling between March 2005 and March 2009 at our institution was conducted. We report 11 cases of the Neuroform stent placement into cerebral vessels measuring less than 2.0 mm in diameter (range, 1.3-1.9 mm) in anterior cerebral artery. Clinical follow-up ranged from 3 to 12 months and imaging follow-up was performed with cerebral angiography at 6 months and 12 months after discharge. Results : Complete occlusion was achieved in 10 patients, and a remnant neck was evident in one. No stent displacement or no dislodgement occurred during stent placement. There was no evidence of thromboembolic complication, arterial dissection and spasm during procedure. We performed follow-up angiography in all patients at 6 months and/or 12 months from the first procedure. The follow-up angiographic data showed successfully results except one in-stent stenosis case. All patients improved clinical performances except one patient with severe vasospasm who showed poor clinical condition initially. Conclusion : We have safely and successfully treated 11 vessels smaller than 2.0 mm in diameter with self-expanding stents with good short and intermediate term results. More clinical data with longer follow-ups are needed to establish the role of stent-assisted coiling in ruptured aneurysms with small parent vessels.

• 한국환경과학회:학술대회논문집
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• 한국환경과학회 2003년도 International Symposium on Clean Environment
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• pp.5-10
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• 2003

This paper explores not only emerging scientific problems but also the difficulties communicating air quality issues into an increasingly sensitive the public and policy arena. The public understanding and trust in air pollution information and indices may be very different to the notions of validity or accuracy that are important for a scientist. We operate in a world where openness requires us to reveal both the difficulties and disagreements in our understanding of the polluted atmosphere. Yet this can be confusing and increase complexity in situations where clear political and social decisions are required. I am going to examine these issues, starting with questions of what substances we regard as pollutants and the difficulties of getting the correct balance of concern given the broadening the base of chemicals emitted to the environment. There are also questions of exposure particularly in terms of vulnerable populations, who may spend large amounts of time indoors, where air is rarely monitored. In contemporary society there are pollution problems that extend far beyond urban areas and we have to consider regional issues such as windblown dusts, smoke from forest fires along with issues of the emission of green house gases and ozone depleting substances. Finally I will discuss the issues of communicating with a concerned public and sceptical politicians and the troubling interface between technological and sociological control. Such complexity is often missed in a maze of seemingly stronger political and social needs.

• Journal of Korean Neurosurgical Society
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• 제45권4호
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• pp.260-263
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• 2009

Internal carotid artery (ICA) trapping can be used for treating intracranial giant aneurysm, blood blister-like aneurysms and ICA rupture during the surgery. We present a novel ICA trapping technique which can be used with insufficient collaterals flow via anterior communicating artery (AcoA) and posterior communicating artery (PcoA). A patient was admitted with severe headache and the cerebral angiography demonstrated a typical blood blister-like aneurysm at the contralateral side of PcoA. For trapping the aneurysm, the first clip was placed at the ICA just proximal to the aneurysm whereas the distal clip was placed obliquely proximal to the origin of the PcoA to preserve blood flow from the PcoA to the distal ICA. The patient was completely recovered with good collaterals filling to the right ICA territories via AcoA and PcoA. This technique may be an effective treatment option for trapping the aneurysm, especially when the PcoA preservation is mandatory.

• Clinical Endoscopy
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• 제56권2호
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• pp.143-154
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• 2023

Advanced malignant hilar biliary obstruction (MHBO) with inaccessible papilla poses a significant challenge to endoscopists, as drainage of multiple liver segments may be warranted. Transpapillary drainage may not be feasible in patients with surgically altered anatomy, duodenal stenosis, prior duodenal self-expanding metal stent, and after initial transpapillary drainage, but require re-intervention for draining separated liver segments. Endoscopic ultrasound-guided biliary drainage (EUS-BD) and percutaneous trans-hepatic biliary drainage are the feasible options in this scenario. The major advantages of EUS-BD over percutaneous trans-hepatic biliary drainage include a reduction in patient discomfort and internal drainage away from the tumor, thus reducing the possibility of tissue or tumor ingrowth. With innovations, EUS-BD is helpful not only for bilateral communicating MHBO but also for non-communicating systems with bridging hilar stents or isolated right intra-hepatic duct drainage by hepatico-duodenostomy. EUS-guided multi-stent drainage with specially designed cannulas and guidewires has become a reality. A combined approach with endoscopic retrograde cholangiopancreatography for re-intervention, interventional radiology, and intraductal tumor ablative therapies has been reported. Stent migration and bile leakage can be minimized with proper stent selection and technique, and stent blocks can be managed with EUS-guided interventions in a majority of cases. Future comparative studies are required to establish the role of EUS-guided interventions in MHBO as rescue or primary therapy.

• Archives of Reconstructive Microsurgery
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• 제22권1호
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• pp.38-41
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• 2013

A 31-year-old female patient presented with a skin and soft tissue defect measuring $8{\times}6cm$ in size with exposure of the extensor hallucis longus tendon and the first metatarsal bone after metatarsal lengthening for brachymetatarsia. The defect was covered with a distally based dorsalis pedis flap based on the distal communicating branch of the dorsalis pedis artery. Secondary defect was covered by a split thickness skin graft. There was congestion of the flap tip after the operation; however, it was resolved using medical leeches and anti-coagulants. No necrosis or infection was encountered and the contour of the flap was satisfactory. There was no donor site morbidity. Reverse dorsalis pedis flap has not been commonly used due to the anatomical variation and uncertainty, which is different from the reverse radial forearm flap. However, when faced with the challenge of a moderate soft tissue defect of the distal forefoot, we believe that the reverse dorsalis pedis flap offers a good option with various advantages.

• 복식
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• 제51권1호
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• pp.5-20
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• 2001

The purpose of this study suggest the fashion of communication for 21th century fashion. Especially, Memphis fashion have the possibility of communicating through objects. The results of this study are as follows : First, Memphis idea is to make design into a sophisticated, conscious instrument of communication. As the Memphis fashion points out : design is an extraordinary tool for communicating because its intrinsic characteristic is the fact that it is used and distributed anyway, even without communicating anything. The Memphis fashion is trying to connect design and industry to the broader culture within which fashion moves. Second, Using different materials provides not only new structural Possibilities. but - above all - new semantic and metaphoric possibilities, order modes of communication, another language, and even a change of direction, broadening of perspective, appropriation and digestion of new values and the concomitant rejection of traditional structures that renewal always Involves. The memphis fashion works on the fabric of contemporaneity (lurex yarn, latex, chrome metal and steel) and contemporaneity means computers, electronics, a new awareness of the body. mass exercise and tourism. Third, color in Memphis has never been an ideological vehicle. As with decoration it is born tilth the design, forming an integral part of the structure. It alters the objects molecules. It works as a mass, as an intrinsic feature of a certain form and volume. The Memphis fashion was realized the introduction of ultramodern science into such experimental and creative implementation as optical motive, brilliancy of colour of electronic medium in audition to metallic fabric and high technical synthetic fiber. A color tilth pop culture connotations that weaver between technological allusions and Mcdonald's.

• Journal of Korean Neurosurgical Society
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• 제40권6호
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• pp.455-458
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• 2006

The incidence of blindness after aneurysm surgery is very rare. We experienced a case of unilateral blindness after internal carotid artery[ICA] aneurysm wrapping. A 43-year-old male immediately developed ipsilateral ocular pain and visual loss in his left eye after the treatment of a lateral ICA aneurysm by wrapping with muscle pieces. He had also multiple aneurysms, which were multilobulated anterior communicating artery [A-com], middle cerebral artery[MCA] and posterior communicating artery [P-com] aneurysms. Coilings were done for a part of A-com artery aneurysm and P-com artery aneurysm on admission. The remaining A-com artery aneurysm was clipped and ICA aneurysm was wrapped with temporal muscle piece. A retrobulbar optic neuropathy might have resulted from either direct injury or damage to small dural vessels of the posterior optic nerve. Actually, the optico-carotid space was tight and the optic nerve was compressed by swollen muscle piece. Despite releasing of compression of the optic nerve on second day, his visual loss was irreversible.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2011년도 춘계학술발표대회
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• pp.844-847
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• 2011

Wireless mesh network (WMN) is a type of mobile ad-hoc network consists of wireless router, mobile clients and gateway which connects the network with the Internet. To provide security in the network it is required to encrypt the message sent among the communicating nodes in such way so that only legitimate user can retrieve the original data. Several security mechanisms have been proposed so far to enhance the security of WMN. However, there still exists a need for a comprehensive mechanism to prevent attacks in data communication. Considering the characteristic of mesh network, in this paper we proposed a public key cryptography based security architecture to establish a secure key agreement among communicating nodes in mesh network. The proposed security architecture consists of two major sections: client data protection and network data protection. Client data protection deals with the mutual authentication between the client and the access router and provide client to access router encryption for data confidentiality using standard IEEE 802.11i protocol. On the other hand, network data protection ensures encrypted routing and data transfer in the multi hop backbone network. For the network data protection, we used the pre-distributed public key to form a secure backbone infrastructure.

• 경영정보학연구
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• 제5권2호
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• pp.151-168
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• 2003

A knowledge portal is an integrated gateway for accessing relevant knowledge, collaborating and communicating with other users, and also linking internal applications which is becoming crucial in the age of information abundance. Research and development is a typical knowledge-intensive activity. However, knowledge management support in R&D has been minimal in most research organizations. In this paper, a knowledge portal is designed to support team-based researches in science and technology for searching and browsing knowledge, and also communicating with other team members, coordinating research project and collaborating with other researchers. Automating knowledge acquisition from various knowledge sources, knowledge categorization by applying text categorization method, and knowledge recommendation can help to relieve management effort and increase the efficiency of knowledge management processes. A prototype system based on the suggested model is also presented.

• 한국산업융합학회 논문집
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• 제23권1호
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• pp.41-48
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• 2020

Currently, the industry uses MODBUS communication method using RS485 as a communication method used when constructing distributed equipment and networks. However, this method has a rather good transmission and reception distance, but has a disadvantage of being a half-duplex communication method. Therefore, there is a great need for a full-duplex communication method that can simultaneously transmit and receive two-wire communications. Therefore, in this paper, we propose a new communication hardware equipment that can implement full-duplex communication method by communication signal level to overcome the disadvantage of communication speed. The proposed communication hardware is a structure that can transmit and receive at the same time on the same communication line in two equipments communicating in a two-wire system. The characteristic of this communication hardware is that the transmitter generates two-level signal for data transmission, but the receiver generates three-level electric signal according to the status of the transmission data generated by the receiver. The data transmission signal information of the receiver is present at the same time. Therefore, the receiving side can analyze the received signal based on the information on the current transmission signal and can analyze the signal only in the two communicating devices, so it can be seen that the communication security is very excellent.