• Title/Summary/Keyword: Complete duplication

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A Cloacal Exstrophy Variant Associated with Hindgut Duplication (후장중복증을 동반한 변형 총배설강외반증)

  • Lee, Tae-Seok;Oh, Soo-Myung
    • Advances in pediatric surgery
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    • v.1 no.2
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    • pp.190-194
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    • 1995
  • Diphallus is a rare congenital anomaly and is frequently associated with duplication of the urinary tract and rectosigmoid, and commonly associated with vertebral anomalies. Remzi reported less than 100 cases of duplication of all or a portion of the penis, but about 10 cases of complete diphallus with exstrophy of cloaca was reported, and a case of complete diphallus associated with hindgut duplication was reported, and complete diphallus with displacement of bladder associated hindgut duplication and imperforate anus was not reported in Korea. We experienced a case of the complete diphallus associated with displacement of bladder, hindgut duplication, and imperforate anus as a variant of cloacal exstrophy. A review of published cases suggests that this may be the first example of a complete diphallus with displacement of bladder coexisting with the hindgut duplication and imperforate anus.

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Tubular Colonic Duplication Presenting as Rectovestibular Fistula

  • Karkera, Parag J.;Bendre, Pradnya;D'souza, Flavia;Ramchandra, Mukunda;Nage, Amol;Palse, Nitin
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.3
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    • pp.197-201
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    • 2015
  • Complete colonic duplication is a very rare congenital anomaly that may have different presentations according to its location and size. Complete colonic duplication can occur in about 15% of all gastrointestinal duplications. Double termination of tubular colonic duplication in the perineum is even more uncommon. We present a case of a Y-shaped tubular colonic duplication which presented with a rectovestibular fistula and a normal anus. Radiological evaluation and initial exploration for sigmoidostomy revealed duplicated colons with a common vascular supply. Endorectal mucosal resection of theduplicated distal segment till the colostomy site with division of the septum of the proximal segment and colostomy closure proved curative without compromise of the continence mechanism. Tubular colonic duplication should always be ruled out when a diagnosis of perineal canal is considered in cases of vestibular fistula alongwith a normal anus.

Bilateral Type III Postaxial Polydactyly: A Case Report (양측성 축뒤손가락과다증의 치험례)

  • Jo, Yong Woo;Lim, So Young;Mun, Goo Hyun;Hyon, Won Sok;Bang, Sa Ik;Oh, Kap Sung
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.773-776
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    • 2005
  • An unusual case is presented as bilateral, complete digital duplication of the hand in a 32-year-old man. Radiographic evaluation showed complete duplication of intact phalanges and metacarpal bones in both hands. Although polydactyly of the hand is reported to occur among approximately 1 in 1000 live births, most of these malformations are rudimentary skin tags. Complete postaxial polydactyly is uncommon; it occurs in approximately 0.014% of all live births. The main goal of the surgical treatment is to establish adequate function and appearance. This case reports the preoperative evaluation and management of bilateral postaxial type III duplication of the fingers.

Efficient Duplication Based Task Scheduling with Communication Cost in Heterogeneous Systems (이질 시스템에서 통신 시간을 고려한 효율적인 복제 기반 태스크 스케줄링)

  • Yoon, Wan-Oh;Baek, Jueng-Kuy;Shin, Kwang-Sik;Cheong, Jin-Ha;Choi, Sang-Bang
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.33 no.3C
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    • pp.219-233
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    • 2008
  • Optimal scheduling of parallel tasks with some precedence relationship, onto a parallel machine is known to be NP-complete. The complexity of the problem increases when task scheduling is to be done in a heterogeneous environment, where the processors in the network may not be identical and take different amounts of time to execute the same task. This paper introduces a Duplication based Task Scheduling with Communication Cost in Heterogeneous Systems (DTSC), which provides optimal results for applications represented by Directed Acyclic Graphs (DAGs), provided a simple set of conditions on task computation and network communication time could be satisfied. Results from an extensive simulation show significant performance improvement from the proposed techniques over the Task duplication-based scheduling Algorithm for Network of Heterogeneous systems(TANH) and General Dynamic Level(GDL) scheduling algorithm.

Clinical Characteristics of Ureteral Duplication in Children

  • Park, Min Ji;Baek, Hee Sun;Jang, Hae Min;Lee, Jun Nyung;Chung, Sung Kwang;Jeong, Shin Young;Lee, So Mi;Cho, Min Hyun
    • Childhood Kidney Diseases
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    • v.23 no.2
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    • pp.100-104
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    • 2019
  • Purpose: Ureteral duplication is a relatively common congenital urinary tract abnormality that can be associated with various clinical problems such as vesicoureteral reflux (VUR), hydronephrosis, and ectopic ureters. The purpose of this study was to analyze the clinical characteristics of pediatric patients with recently diagnosed ureteral duplication and to identify any differences from those described in previous reports. Methods: We retrospectively reviewed the clinical characteristics and course of pediatric patients who were diagnosed with ureteral duplication between January 2008 and June 2017. Results: A total of 32 pediatric patients were diagnosed with ureteral duplication during the study period. The male to female ratio was 1:2.2. Twenty-seven patients (84.4%) were first diagnosed with ureteral duplication at less than 3 months of age, and 26 (81.3%) were first diagnosed by prenatal ultrasonography. Four of the 32 patients were diagnosed with bilateral ureteral duplication, for a total of 36 occurrences of ureteral duplication. In 17 occurrences of complete ureteral duplication (47.2%), other urinary tract anomalies were also found; namely, ureterocele (7), VUR (11), and ectopic ureter (5). However, none of the patients with incomplete ureteral duplication had ureterocele or VUR. Conclusions: With the advent of routine prenatal ultrasound, ureteral duplication is being diagnosed earlier than was previously possible, enabling timely treatment of the various accompanying urinary tract anomalies. Multicenter studies are needed to establish guidelines for standardized evaluation and treatment of ureteral duplication.

Surgical Treatment of Esophageal Duplication (식도중복증 1례 보고)

  • Hur, Y.;Lee, K.S.;Kang, K.H.;Yu, H.S.;Suh, J.I.;Ma, S.D.
    • Journal of Chest Surgery
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    • v.21 no.4
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    • pp.787-792
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    • 1988
  • Esophageal duplication constitute about 10% of all the mediastinal tumor and relatively rare condition. We have experienced one case of esophageal duplication which was found 2 years previously by radiologic study of chest, as mediastinal mass, in 37 years old male. He had neither clinical manifestations nor physical findings leading to the surgical discovery of the duplication. During the last 2 years, the size k location of the mass were stationary in character. Operative therapy of complete excision performed without surgical complication. On microscopic study, the lining cell of inner wall of cyst. Noted pseudostratified ciliated columnar epithelium with smooth muscle.

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A Task Prioritizing Algorithm Optimized for Task Duplication Based Processor Allocation Method (태스크 복제 기반 프로세서 할당 방법에 최적화된 태스크 우선순위 결정 알고리즘)

  • Song, In-Seong;Yoon, Wan-Oh;Lee, Chang-Ho;Choi, Sang-Bang
    • Journal of Internet Computing and Services
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    • v.12 no.6
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    • pp.1-17
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    • 2011
  • The performance of DHCS depends on the algorithm which schedules input DAG. However, as the task scheduling problem in DHCS is an NP-complete problem, heuristic approach has to be made. Task scheduling algorithm consists of task prioritizing phase and processor allocation phase, and most of studies are considering both phases together. In this paper, we focus on task prioritizing phase and propose a WPD algorithm which is optimized for task duplication based processor allocation method. For an evaluation of the proposed WPD algorithm, we combined WPD algorithm with processor allocation phase of HMPID, HCPFD, HCT algorithms, which are using task duplication based processor allocation method. The results show that WPD algorithm makes a better use of task duplication than conventional task prioritizing methods and provides 9.58% better performance than HCPFD algorithm, 1.31% than HCT algorithm.

Intestinal duplication revealed by posterior reversible encephalopathy syndrome

  • Kerkeni, Yosra;Louati, Hela;Hamzaoui, Mourad
    • Clinical and Experimental Pediatrics
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    • v.61 no.4
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    • pp.132-134
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    • 2018
  • We report a unique case of intestinal duplication detected on posterior reversible encephalopathy syndrome (PRES) in a 13-year-old girl. She was admitted to the pediatric Emergency Department because of generalized seizures. Radiological assessment revealed a large, well-defined, thick-walled cystic lesion in the mid abdomen, suggestive of duplication cyst associated to a PRES. Exploration confirmed the diagnosis of ileal duplication cyst, and the mass was resected. The postoperative course was uneventful. Both hypertension and neurological dysfunction resolved after the mass resection. A follow-up brain magnetic resonance imaging was performed 9 months later and showed complete resolution of the cerebellar changes. Although extrinsic compression of the retroperitoneal structures has not been reported in the literature as a complication of duplication cyst, we strongly believe that this is the most logical and plausible hypothesis that would explain the pathogenesis of PRES in our patient.

A Case of Partial Inverted Duplication of Chromosome 7q (염색체 7번 장완의 부분적 역위 중복 1례)

  • Kim, Hyun Ji;Lee, So Young;Kim, Mi Young;Baek, Chung Sun;Kim, Won Duck;Lee, Dong Seok;Kim, Doo Kwun;Choi, Sung Min
    • Clinical and Experimental Pediatrics
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    • v.46 no.5
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    • pp.510-513
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    • 2003
  • Duplication of chromosome 7q has been reported as either partial or complete. Partial 7q duplication was first described by Carpentier in 1972. Pure partial duplication of the long arm of chromosome 7 is extremely rare and only 16 cases with a pure partial duplication of different 7q segment have been described in the literature. Pure partial duplication of the long arm of chromosome 7 is characterized by growth and developmental retardation, muscular hypotonia, distinct craniofacial dysmorphic features, a short neck and skeletal abnormalities. A 3 month-old male was referred to our department of Pediatrics because of dyspnea, hypotonia and delayed development. He shows growth and developmental delay, hypertelorism, a depressed nasal bridge, low set ears, a short neck and muscular hypotonia. Karyotype revealed 46, XY, dup(7)(q36q33) by GTC-banding. We report a case of a partial inverted duplication of chromosome 7q.

Two Cases of Duplicated Collecting System with Lower Pole Ureteropelvic Juncton Obstruction (하극 신우요관이행부 폐색을 동반한 중복요관 치험 2례)

  • Ko Woo Jin;Hong Chang Hee;Chang Soo Yeon;Han Sang Won
    • Childhood Kidney Diseases
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    • v.4 no.2
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    • pp.170-174
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    • 2000
  • Ureteropelvic junction obstruction and duplicated collecting system are common urologic anomalies in upper urinary system, but they seldom occur in combination. These obstruction can occur in both partial or complete duplicated collecting system. Complete duplication of the ureter may be asymptomatic or recognized when complications develop as a result of reflux into the lower pole ureter or obstruction of the upper pole with an ectopic ureterocele. It is difficult to choose an optimal therapy due to the high variability in function, degree of obsturction, damage and potential fir regeneration in growing kidney. We report our experience of successful surgical interventions in the ureteropelvic junction obstruction of the lower pole with complete duplicated collecting system.

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