• 제목/요약/키워드: diversion

검색결과 341건 처리시간 0.023초

Variability of Platelet Reactivity on Antiplatelet Therapy in Neurointervention Procedure

  • Yi, Ho Jun;Hwang, Gyojun;Lee, Byoung Hun
    • Journal of Korean Neurosurgical Society
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    • 제62권1호
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    • pp.3-9
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    • 2019
  • As more intracranial aneurysms and other cerebrovascular pathologies are treated with neurointervention procedure, thromboembolic events that frequently lead to serious neurological deficit or fatal outcomes are increasing. In order to prevent the thromboembolic events, antiplatelet therapy is used in most procedures including coil embolization, stenting, and flow diversion. However, because of variable individual pharmacodynamics responses to antiplatelet drugs, especially clopidogrel, it is difficult for clinicians to select the adequate antiplatelet regimen and its optimal dose. This article reviews the neurointervention literature related to antiplatelet therapy and suggests a strategy for tailoring antiplatelet therapy in individual patients undergoing neurointervention based on the results of platelet function testing.

방사능 관련 일본산 수산물 수입 분쟁에 관한 SPS 협정 분석 (A Critical Analysis of the SPS Dispute over the Import Ban on Japanese Radioactive Seafood)

  • 윤정현;임송수
    • 무역학회지
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    • 제44권4호
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    • pp.19-34
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    • 2019
  • This study investigates the WTO dispute over Japanese fishery products originated from Fukushima and another seven prefectures. Being subject to an import ban and additional radioactive test requirements, Japan complained that the Korean government's trade measures are inconsistent with the principles of the Agreement on Sanitary and Phytosanitary Measures. This paper considered the contrasting judicial decisions made by the Panel and Appellate Body and analyzed the debates with respect to their trade-discriminatory effects (Article 2.4), the relevance of appropriate level of protection (Article 5.6) and the precautionary approaches (Article 5.7). Consistent with the final rulings, this paper identifies the need for a broaden understanding of regional conditions and qualitative aspects of protection in risk analysis. Findings also suggest that Korea has diverted its fishery imports from Japan to other countries, while Japan has created export diversion from Korea to other destinations.

Narratological diversion coupled with moral vagueness in Conrad's Heart of Darkness

  • Lee, Seogkwang
    • 영미문화
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    • 제14권1호
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    • pp.117-139
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    • 2014
  • This paper examines the moral vagueness penetrating Heart of Darkness. It views that the inarticulate moral presentation in the book is caused by the way in which the author distracts Marlow throughout his journey to Congo and ultimately to Kurtz, and puts him in a distance from what the real Cong is. Also Conrad's peculiar narrative style leads the readers' view astray Marlow describes what he sees and delivers the impression he gains in the journey but all he gets seems to be merely hazy and nebulous the readers are left with suspicion about his reliability on what he conveys to them. The effect is, because of the meagre tangibility on what Marlow experiences, he does not seem to get a clear grip on his moral rumination on what Congo can emit and what Kurtz ended up with, which allows the novel to defy a moral absoluteness. The moral awakening Marlow has gone through remains obscure. The readers are simply invited to work out what Marlow is up to.

Permanent Surgical Treatment for Posthemorrhagic Hydrocephalus in Preterm Infants

  • Atsuko Harada
    • Journal of Korean Neurosurgical Society
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    • 제66권3호
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    • pp.281-288
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    • 2023
  • While the standard management for posthemorrhagic hydrocephalus (PHH) has not been determined, many patients initially receive temporary treatment such as a ventricular drainage, a ventricular reservoir, or a ventriculosubgaleal shunt. Subsequently, approximately 15% of patients with PHH will require permanent cerebrospinal fluid diversion. Shunt placement is most commonly performed for PHH as permanent treatment. However, shunting still has high complication rates. Since the development of the neuroendoscopic technique has progressed, and indication has been expanded, endoscopic third ventriculostomy with or without choroid plexus cauterization has performed more frequently in recent years in patients with PHH. In this paper, the permanent treatment for PHH will be reviewed based on the latest evidence.

Multiclass Music Classification Approach Based on Genre and Emotion

  • Jonghwa Kim
    • International Journal of Internet, Broadcasting and Communication
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    • 제16권3호
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    • pp.27-32
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    • 2024
  • Reliable and fine-grained musical metadata are required for efficient search of rapidly increasing music files. In particular, since the primary motive for listening to music is its emotional effect, diversion, and the memories it awakens, emotion classification along with genre classification of music is crucial. In this paper, as an initial approach towards a "ground-truth" dataset for music emotion and genre classification, we elaborately generated a music corpus through labeling of a large number of ordinary people. In order to verify the suitability of the dataset through the classification results, we extracted features according to MPEG-7 audio standard and applied different machine learning models based on statistics and deep neural network to automatically classify the dataset. By using standard hyperparameter setting, we reached an accuracy of 93% for genre classification and 80% for emotion classification, and believe that our dataset can be used as a meaningful comparative dataset in this research field.

Treatment of a posterior cerebral artery aneurysm in the context of complex cardio-cerebrovascular variations using the Tubridge flow diverter

  • Adam A. Dmytriw;Sahibjot Grewal;Nicole M. Cancelliere;Aman B. Patel;Vitor Mendes Pereira;Xiaolu Ren
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • 제26권1호
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    • pp.65-70
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    • 2024
  • We present a case of intracranial aneurysm located in the P1 segment of left posterior cerebral artery in the context of tetralogy of Fallot. Complex variations included right aortic arch with abnormal branching. Also, the bilateral vertebral arteries were absent, with a type I persistent proatlantal intersegmental artery of the left side. The aneurysm was treated with endovascular intervention with a Tubridge flow diverter and was noted to be completely cured on 6-month follow-up. We discuss the many considerations in this patient including developmental and modern-era treatment.

러브파와 레일리파의 분산특성을 이용한 동시역산해석(I) - 동시역산해석기법의 구성 - (Joint Diversion Analysis Using the Dispersion Characteristics of Love Wave and Rayleigh Wave (I) - Constitution of Joint Diversion Analysis Technique -)

  • 이일화;조성호
    • 한국지반공학회논문집
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    • 제21권4호
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    • pp.145-154
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    • 2005
  • 러브파와 레일리파는 표면파로서 각 파가 가지는 분산특성을 활용하여 지반의 강성주상도를 파악할 수 있는 특징을 가지고 있다. 이 중 러브파는 한 방향에 대한 응력-변위만 고려하면 되기 때문에 수치적 모델링이 간단하다. 전파시에는 이론적으로 체적파의 영향 및 밀도의 변화가 없어 각 각의 물성치를 갖는 다층구조지반에서 적용성이 높다고 할 수 있다. 이러한 장점을 활용하여 최종적으로는 단파장에 유리한 러브파와 장파장에 유리한 레일리파의 분산정보를 같이 이용하여 동시역산해석을 할 수 있는 기법을 제안하고자 한다. 해석기법은 크게 3가지로 구성되는데, 러브파와 레일리파의 정모델링 해석을 위해 전달행렬법의 구성, 대상 지반의 시스템 결정을 위한 민감도행렬의 구성 그리고 역산해석기법인 Damped Least Square Solution (DLSS)이다. 동시역산의 방법은 민감도행렬을 구성할 때 레일리파와 러브파의 분산정보가 동시에 사용되며, 계산된 민감도행렬을 역산해석하여 지반의 전단파 주상도를 반복적으로 계산하게 된다. 동시역산해석의 목적은 각 파의 주파수 기여도가 다른 점을 활용함으로서 역산결과의 정확도와 수렴도를 향상하고자 함이다.

시화호의 수환경 진단과 수질회복 평가 (Diagnosis of Water Environment and Assessment of Water Quality Restoration in Lake Shihwa)

  • 김동섭;고석구
    • 한국수자원학회논문집
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    • 제33권5호
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    • pp.551-559
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    • 2000
  • 서해안의 신도시 및 산업단지 근교에 위치한 인공 시화호에서 유입지천 부근의 상류쿠터 최하류의 수문부근까지 3~8개 지점에서 1994년~1999년에 걸쳐 수환경 오인을 매월 1~2회 조사하였다. 환경요인은 연평균 $COD_{Mn}$, 엽록소 $\alpha$, 총질소, 총인농도 및 투명도가 각각 5.2~15.1mg/L, $7.3~148.1\;\mu\textrm{g}$/L, 1.50~4.48 mgN/L, 0.055~0.281 mgP/L 및 0.5~1.4 m로서 중영양단계에서 과영양단계까지의 수질을 보였다. 시화호가 조성된 1994년부터 1997년 3월 이전까지의 수질은 외부 또는 내부의 저층으로부터 부하되는 오염물질이 지속적으로 호소내에 축적되어 극도로 악화되었다. 수질오염은 연중 식물플랑크톤이 대발생하는 생물학적 현상으로 뚜렷하게 나타났다. 반면에 1997년 3월부터 1999년까지는 다양한 수질개선대책의 시행으로 빠른 속도의 수질회복이 관찰되었고, 1999년의 수질은 담수화 초기의 수질로 회복된 것으로 조사되었다. 시화호의 수질회복은 1997년 7월부터 시행한 해수유통에 의해 가장 큰 효과를 보였고, 1997년 3월부터 운영한 반월공단 및 시화공장의 차집수로에 의한 유입부하량 저감으로 수질회복효과를 더욱 향상시킨 것으로 평가되었다.

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파노라마 방사선사진상의 위험 징후와 하악 제3 대구치 발치 후 하치조신경 손상 (INFERIOR ALVEOLAR NERVE INJURY FOLLOWING REMOVAL OF MANDIBULAR THIRD MOLAR AND PANORAMIC RADIOLOGICAL RISK SIGN)

  • 이용인;김창수;홍종락;이준휘;신창훈;표성운
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제30권2호
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    • pp.165-171
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    • 2008
  • The aim of this study was to evaluate the incidence of panoramic radiological risk signs related with mandibular third molar extraction, and the relationship between these risk signs and inferior alveolar nerve (IAN) injury after tooth extraction. Cases were defined as 1000 mandibular third molars extracted by surgical approach at Samsung Medical Center during the period from March 2001 to December 2006. Seven radiological risk signs were assessed on the panoramic radiogram by three expert oral surgeons. Clinical demographic data and severity of IAN injury were examined on medical records. Bivariate analyses were completed to assess the relationship between radiological risk signs and IAN injury. The radiological risk signs showed in 381 cases(38.1%). The incidence of each radiological risk signs were; interruption of IAN white line, 152 cases(15.2%); deflected roots, 141 cases(14.1%); darkening root, 119 cases(11.9%); diversion of IAN, 57 cases(5.7%) ; IAN narrowing, 37 cases(3.7%); root narrowing, 17 cases(1.7%); dark and bifid apex, 10 cases(1.0%). The incidence of IAN injury in cases with risk signs were: in the case of any sign, 3.6%; interruption of IAN white line, 2.6%; deflected roots 5.7%; darkening root. 3.4%; diversion of IAN, 5.7%; IAN narrowing, 3.7%; root narrowing, 5.9%; dark and bifid apex, 0%. No IAN injury was showed in 619 cases without risk sign (p<0.05). In conclusion, the presence of panoramic risk signs was associated with an increased risk for IAN injury during mandibular third molar extraction, whereas the absence of risk signs was associated with a minimal risk of nerve injury.

돌발상황하의 교통망 통행시간 예측모형 (A Travel Time Prediction Model under Incidents)

  • 장원재
    • 대한교통학회지
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    • 제29권1호
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    • pp.71-79
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    • 2011
  • 전통적으로 동적 교통망 모형들은 실시간 교통운영 문제를 위한 도구로 인식되어 왔다. 이와 같은 모형들을 활용하는 방안 중 하나는 예측통행시간을 생성하는 것이다. 예측통행시간 정보는 통행자들이 혼잡한 지역에서 덜 혼잡한 지역으로 경로를 전환할 수 있도록 해 주는데 이는 교통망의 용량을 효과적으로 활용하게 한다. 이러한 접근 방법은 돌발상황이 발생했을 때 매우 효과적일 것으로 예상된다. 이 때 고려해야 할 사항은 통행시간정보가 미래 통행여건 자체에 영향을 준다는 점이다. 이로 인해 예기치 못한 과잉반응(over-reaction)을 야기할 수 있으며 예측정보의 신뢰도를 떨어뜨리는 요인으로 작용할 수도 있다. 본 연구에서는 돌발상황 발생 시를 대상으로 교통망 차원의 통행시간 예측모형을 제시한다. 이 모형에서는 모든 운전자가 개인 차내 단말기를 통해 상세한 교통정보를 이용할 수 있으며 이러한 정보를 바탕으로 경로선택에 관한 의사결정을 할 수 있다고 가정하였다. 경로기반(route-based)의 확률론적 변등부등식(stochastic variational inequality)을 통행시간예측의 기본모형으로 사용하였으며 운전자의 경로전환의사를 반영하기 위해 경로전환함수를 적용하였다. 컴퓨터 프로그램과 간단한 교통망 분석을 통해 제안된 모형의 특성을 살펴보았다.