• Journal of Yeungnam Medical Science
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• v.35 no.2
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• pp.179-186
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• 2018

Background: To evaluate the success rate of balloon dilation and the factors possibly influencing the outcomes of balloon dilation for the ureteric strictured portion of ureteroureterostomy (UUS) site in patients with post-gynecologic surgeries. Methods: A single institution data base was screened for the patients who received balloon dilation for a treatment of ureteral stricture diagnosed after gynecologic surgery. Overall 114 patients underwent primary intra-operative UUS due to ureteral injury during gynecologic surgery. Among them, 102 patients received balloon dilation, and their medical records were retrospectively reviewed. Success of balloon dilation was defined as the condition that requires no further clinical interventions after 6 months from balloon dilation. Results: The ureter injury rate of women treated with open radical abdominal hysterectomy was highest (32 cases, 31.4%). 60 patients (60.8%) showed successful outcomes regarding dilation. All patients underwent technically successful dilation with a full expansion of balloon during the procedure, but 40 patients (39.2%) were clinically unsuccessful as they showed a recurrence of ureteral stricture on the previous balloon dilation site after the first dilation procedure. Univariate logistic regression analyses showed that stricture length >2 cm was a significant predictor of successful dilation (odds ratio, 0.751; 95% confidence interval, 0.634-0.901; p-value, 0.030), but it failed to achieve independent predictor status in multivariate analysis. Conclusion: Balloon dilation can an effective alternative treatment option for strictured portion of the primary UUS in post-gynecologic surgery patients when its length is <2 cm.

• Korean Journal of Social Welfare
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• v.47
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• pp.34-70
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• 2001

Little empirical study has been conducted concerning family resilience of family of children with disabilities. The purpose of this study is to examine the variables that may influence the level of family resilience and family resilience level of family of children with disabilities. This study used the sampled of 363 family of children with disabilities selected from 17 community rehabilitation centers. The measurement of family resilience composed of the base of Walsh(1998)'s theory. And using confirmatory factor analysis, it was confirmed that the scale has three factor such as belief system, organizational pattern and communication process. This study showed that using 5 points scale, mean of belief system is 3.62. And mean of organizational pattern is 3.38 and mean of communication process is 3.73. In identifying predictor of the family resilience, this study used variables from the following aspects: perspective of disability of children, intra-aspect of family, extra-aspect of family. Using Regression analysis, it was found that attitude of family of disability and spouse relationship influenced all sub-aspect of family resilience. Specially, helping of professional influenced belief system, accept of disability influenced organizational pattern. And positive expectation of family of disability influenced communication process. This finding give us significant practical implications for social work intervention & the direction of future research in family resilience.

• Proceedings of the Korea Information Processing Society Conference
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• 2012.11a
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• pp.668-671
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• 2012

본 논문에서는 차세대 비디오 압축 표준인 HEVC(High Efficiency Video Coding) 복호기의 연산량과 하드웨어 면적을 감소시키기 위하여 화면내 예측 하드웨어 구조를 제안한다. 제안하는 하드웨어 구조는 공통 수식에 대한 연산을 공유하는 공유 연산기를 사용하여 연산량 및 연산기 개수를 감소시키고, $4{\times}4$ PU와 $64{\times}64$ PU의 필터링 수행 여부에 대한 연산을 수행하지 않고 나머지 PU에 대해서는 LUT를 이용하여 연산을 수행하기 때문에 연산량 및 연산 시간을 감소시킨다. 또한 하나의 공통 연산기만을 사용하여 예측 픽셀을 생성하기 때문에 하드웨어 면적이 감소한다. 제안하는 구조를 TSMC 0.18um 공정을 이용하여 합성한 결과 최대 동작 주파수는 100MHz이고, 게이트 수는 140,697이다. $4{\times}4$ PU를 기준으로 제안하는 구조의 처리 사이클 수는 11 사이클로 기존 구조 대비 54% 감소하였고, 16개 참조 픽셀의 필터링 처리를 기준으로 제안하는 구조의 덧셈 연산기 개수는 37개로 표준 draft 6에 비해 22.9% 감소하였다.

• Journal of the Institute of Electronics Engineers of Korea SP
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• v.48 no.1
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• pp.90-102
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• 2011

Recently, the grade of users using wireless communication services which transmits and re-transmits to the signal via the broadcasting satellite have a variety. However the ships not preparing of H.264 standard devices should not received the realtime data because the broadcasting stations have transmitted the compressed video data through the satellite communication. Therefore this paper proposes H.264 to MPEG-2 transcoding for the ships using MPEG-2 devices. Proposed method improves a speed and object quality in H.264 to MPEG-2 transcoding by analysis features of macroblock modes in H.264. In the Intra mode of P-frame, it proposes new method by computing coincidence proportion after comparing of Intra mode methods of H.264 and MPEG-2. In the Inter mode, it proposes a PMV(predictive motion vector) considering movement of motion vectors in H.264 decoder. we reuses a PMV directly as like the final MV in MPEG-2 encoder and refinements the MV after coincidence ratio comparing of variable motion vectors of H.264 and these of MPEG-2. The experimental results from proposed method show a considerable reduction in processing time, as much as 70% and 67% respectively, with a small objective quality reduction in PSNR.

• Radiation Oncology Journal
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• v.32 no.1
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• pp.31-42
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• 2014

Purpose: To evaluate the usefulness of positron emission tomography/computed tomography (PET/CT) for field modification during radiotherapy in esophageal cancer. Materials and Methods: We conducted a retrospective study on 33 patients that underwent chemoradiotherapy (CRT). Pathologic findings were squamous cell carcinoma in 32 patients and adenocarcinoma in 1 patient. All patients underwent PET/CT scans before and during CRT (after receiving 40 Gy and before a 20 Gy boost dose). Response evaluation was determined by PET/CT using metabolic tumor volume (MTV), total glycolytic activity (TGA), MTV ratio (rMTV) and TGA ratio (rTGA), or determined by CT. rMTV and rTGA were reduction ratio of MTV and TGA between before and during CRT, respectively. Results: Significant decreases in MTV ($MTV_{2.5}$: mean 70.09%, p < 0.001) and TGA ($TGAV_{2.5}$: mean 79.08%, p < 0.001) were found between before and during CRT. Median $rMTV_{2.5}$ was 0.299 (range, 0 to 0.98) and median $rTGAV_{2.5}$ was 0.209 (range, 0 to 0.92). During CRT, PET/CT detected newly developed distant metastasis in 1 patient, and this resulted in a treatment strategy change. At a median 4 months (range, 0 to 12 months) after completion of CRT, 8 patients (24.2%) achieved clinically complete response, 11 (33.3%) partial response, 5 (15.2%) stable disease, and 9 (27.3%) disease progression. $SUV_{max}$ (p = 0.029), $rMTV_{50%}$ (p = 0.016), $rMTV_{75%}$ (p = 0.023) on intra-treatment PET were found to correlate with complete clinical response. Conclusion: PET/CT during CRT can provide additional information useful for radiotherapy planning and offer the potential for tumor response evaluation during CRT. $rMTV_{50%}$ during CRT was found to be a useful predictor of clinical response.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.15
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• pp.6407-6412
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• 2015

Purpose: To predict prostatic carcinoma using a logistic regression model on prebiopsy peripheral blood samples. Materials and Methods: Data of a total of 873 patients who consulted Urology Outpatient Clinics of Fatih Sultan Mehmet Training and Research Hospital between February 2008 and April 2014 scheduled for prostate biopsy were screened retrospectively. PSA levels, prostate volumes, prebiopsy whole blood cell counts, neutrophil and platelet counts, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), biopsy results and Gleason scores in patients who had established diagnosis of prostate cancer (PCa) were evaluated. Results: This study was performed on a total of 873 cases, with an age range 48-76 years, divided into three groups as for biopsy results. with diagnoses of benign prostatic hyperplasia (BPH) (n=304, 34.8 %), PCa (n=265, 30.4 %) and histological prostatitis (n=304; 34.8 %). Intra- and intergroup comparative evaluations were performed. White blood cell and neutrophil counts in the histological prostatitis group were significantly higher than those of the BPH and PCa groups (p=0.001; p=0.004; p<0.01). A statistically significant intergroup difference was found for PLR (p=0.041; p<0.05) but not lymphocyte count (p>0.05). According to pairwise comparisons, PLR were significantly higher in the PCa group relative to BPH group (p=0.018, p<0.05, respectively). Though not statistically significant, higher PLR in cases with PCa in comparison with the prostatitis group was remarkable (p=0.067, and p>0.05, respectively). Conclusions: Meta-analyses showed that in patients with PSA levels over 4 ng/ml, positive predictive value of PSA is only 25 percent. Therefore, novel markers which can both detect clinically significant prostate cancer, and also prevent unnecessary biopsies are needed. Relevant to this issue in addition to PSA density, velocity, and PCA3, various markers have been analyzed. In the present study, PLR were found to be the additional predictor of prostatic carcinoma.

• Journal of Chest Surgery
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• v.26 no.2
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• pp.141-147
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• 1993

A total of 40 patients having a diagnosis of atherosclerotic coronary arterial disease were analysed on the operative outcomes according to variables as follows: 1) preoperative risk factors such as age, sex, CCS (Canadian Cardiovascular Society) functional class, type of angina, number of diseased vessel, presence of left main coronary artery stenosis, previous history of habitual smoking and presence of other medical diseases (diabetes mellitus, essential hypertension), 2) preoperative management such as intravenous infusion of nitroglycerine, preoperative IABP (intra-aortic balloon pump) support and whether the operation was scheduled as emergency or not, 3) intraoperative variables such as infusion method and composition of cardioplegic solutions, number of distal anastomosis, use of internal mammary artery, total cardiopulmonary bypass time and total cross clamp time. Complications included operative death in 12.5％, perioperative myocardial infarction in 25.0％ and perioperative arrhythmia in 17.5％. Nineteen perioperative variables were analyzed to identify risk factors for these end points. For operative death, presence of left main coronary artery stenosis (p = 0.056) and cardiopulmonary bypass time (p = 0.029) were significant in the univariate analysis, but presence of left main coronary artery lesion (p = 0.011, $\chi$$^2$= 6.45) and abscence of preoperative of IABP support (p = 0.069, $\chi$$^2$ = 3.30) were independent predictor in multivariate analysis (stepwise linear logistic regression).

• Journal of the Institute of Electronics Engineers of Korea SD
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• v.46 no.7
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• pp.47-52
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• 2009

H.264 video coding standard is widely used due to the high compression rate and quality. The motion compensation is the most time-consuming and complex unit in the H.264 decoder. The performance of the motion compensation is determined by the calculation of pixel interpolation and management of the reference pixels. The reference pixels read from external memory using efficient memory management for data reuse is necessary along with the high performance interpolators. We propose the architecture of a motion compensation unit for H.264 decoders. It is composed of 2-dimensional circular register files, a motion vector predictor and high performance interpolators with low complexity. The 2-dimensional circular register files reuse reference pixel data as much as possible, and feed reference pixel data to interpolators without any latency and complex logic circuits. We design a motion compensation unit and a intra-prediction unit and integrate them into a prediction unit and verify the operation and the performance.

• Journal of the Korea Society of Computer and Information
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• v.5 no.3
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• pp.29-32
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• 2000

Layered video coding schemes allow the video information to be transmitted in multiple video bitstreams to achieve scalability. they are attractive in theory for two reasons. First, they naturally allow for heterogeneity in networks and receivers in terms of client processing capability and network bandwidth. Second, they correspond to optimal utilization of available bandwidth when several video qualify levels are desired. In this paper we propose a scalable video codec architectures with motion estimation, which is suitable for real-time audio and video communication over packet networks. The coding algorithm is compatible with ITU-T recommendation H.263+ and includes various techniques to reduce complexity. Fast motion estimation is Performed at the H.263-compatible base layer and used at higher layers, and perceptual macroblock skipping is performed at all layers before motion estimation. Error propagation from packet loss is avoided by Periodically rebuilding a valid Predictor in Intra mode at each layer.

• Journal of Gynecologic Oncology
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• v.29 no.6
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• pp.100.1-100.13
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• 2018

Objective: To investigate survival outcomes in endometrioid endometrial cancer (EEC) patients with single vs. multiple positive pelvic lymph nodes. Methods: We performed a retrospective evaluation of all consecutive patients with histologically proven International Federation of Gynecology and Obstetrics (FIGO) stage IIIC1 EEC who underwent primary surgical treatment between 2004 and 2014 at seven Italian gynecologic oncology referral centers. Patients with pre- or intra-operative evidence of extra-uterine disease (including the presence of bulky nodes) and patients with stage IIIC2 disease were excluded, in order to obtain a homogeneous population. Results: Overall 140 patients met the inclusion criteria. The presence of >1 metastatic pelvic node was significantly associated with an increased risk of recurrence and mortality, compared to only 1 metastatic node, at both univariate (recurrence: hazard ratio [HR]=2.19; 95% confidence interval [CI]=1.2-3.99; p=0.01; mortality: HR=2.8; 95% CI=1.24-6.29; p=0.01) and multivariable analysis (recurrence: HR=1.91; 95% CI=1.02-3.56; p=0.04; mortality: HR=2.62; 95% CI=1.13-6.05; p=0.02) and it was the only independent predictor of prognosis in this subset of patients. Disease-free survival (DFS) and disease-specific survival (DSS) were significantly longer in patients with only 1 metastatic node compared to those with more than 1 metastatic node (p=0.008 and 0.009, respectively). Conclusion: The presence of multiple metastatic nodes in stage IIIC1 EEC represents an independent predictor of worse survival, compared to only one positive node. Our data suggest that EEC patients may be categorized according to the number of positive nodes.