• Title/Summary/Keyword: 가역성

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A Case of Posterior Reversible Encephalopathy Syndrome during Cyclosporine Therapy in a Child with Steroid Resistant Nephrotic Syndrome (스테로이드 저항성 신증후군 환아에서 사이클로스포린 투여 중 발생한 후두엽 가역성 뇌병증 증후군 1례)

  • Jeong, Min-Hee;Lee, Joo-Hoon;Yum, Mi-Sun;Ko, Tae-Sung;Park, Young-Seo
    • Childhood Kidney Diseases
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    • v.11 no.1
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    • pp.92-99
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    • 2007
  • The posterior reversible encephalopathy syndrome(PRES) is characterized clinically by a combination of acute or subacute confusion, lethargy, visual disturbance, and seizures. PRES has been described in various clinical settings, including severe hypertension, chemotherapy, eclampsia, and seizure. We report a case of a 7-year-old girl who had taken cyclosporine for steroid resistant nephrotic syndrome. Twenty one days after the cyclosporine therapy, she was admitted due to generalized tonic clonic seizure and headache. Her blood pressure was 170/90 mmHg. Magnetic resonance(MR) imaging showed necrotic/cystic lesions involving the bilateral parieto-occipital region. After discontinuation of cyclosporine, and control of blood pressure, she had no more seizure and headache. The follow-up MR examination which was performed 6 months later showed the decreased extent of the lesion.

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Difference of Time Course of Functional Recovery after Revascularization According to Preoperative Reversibility of Perfusion Impairment in Ischemic Myocardial Dysfunction (허혈성 심근 기능장애에서 술전 관류결손의 가역성에 따른 재관류 시술 이후 심근 기능회복 양상의 시간적 차이)

  • Paeng, Jin-Chul;Lee, Dong-Soo;Kim, Ki-Bong;Kim, Yu-Kyeong;Yeo, Jeong-Seok;Chung, June-Key;Lee, Myung-Chul
    • The Korean Journal of Nuclear Medicine
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    • v.35 no.6
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    • pp.364-370
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    • 2001
  • Purpose: In the revascuarization of ischemic dysfunctional myocardium, stunned myocardium was reported to recover function earlier than hibernating myocardium. It was also suggested that stunning and hibernation could be discriminated by reversibility of perfusion impairment on myocardial SPECT. In this study, we investigated the time course of functional recover after CABG according to reversibility of perfusion impairment. Materials and Methods: In 92 patients with coronary artery disease, Tl-201 rest/dipyridamole stress Tc-99m-MIBI gated SPECT was performed before, 3 months after, and 17 months after CABG. Using a 20-segment model, segmental perfusion and systolic thickening were automatically quantified. Perfusion-impaired segments with abnormal thickening were classified by reversibility into reversible (REV) and irreversible (IRREV) groups. The proportions of function-recovered segments were compared between groups and also between 3 months and 17 months in each group. Results: A total of 129 segments were Included In the analysis, and 76 were REV and 53 were IRREV. At 3 months after CABG, 61 segments (80%) in REV group showed functional recovery while 28 segments (53%) in IRREV group did (p<0.001). However, at 17 months after CABG, 60 segments (79%) in REV group and 37 segments (70%) un IRREV group showed functional recovery (p=n.s.). When comparing 3 months and 17 months in each group, REV group showed no difference, while IRREV group showed significant further improvement (p<0.05). Conclusion: In viable myocardium with ischemic myocardial dysfunction, the segments with reversible perfusion impairment recover function earlier after revascularization than irreversible segments.

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Study on the Development and Properties of Ceramics Restoration Purpose Urethane resin with Excellent Reversibility (가역성이 우수한 도자기 복원용 Urethane resin의 개발 및 물성에 대한 연구)

  • Oh, Seung Jun;Park, Gi Jung;Wi, Koang Chul
    • Journal of Conservation Science
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    • v.31 no.1
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    • pp.37-46
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    • 2015
  • In the case of adhesives & restoration agents currently being used for the preservation treatment of ceramics and earthenware, epoxy type, cellulose type and cellulose type are mainly being used. However, they are showing various problems such as re-detachment from severe contraction, color change from yellowing, work inconvenience of staining on tools and hand during usage and irreversibility. For the purpose of solving the issues of yellowing and irreversibility of epoxy resin being used to restore ceramics, urethane synthetic resin with low yellowing excellent reversibility has been developed in this study. The adhesive strength of urethane resin that has been developed has excellent properties with 2.07MPa for undiluted solution, which is 1.5 times higher than that of existing material EPO-$TEK301^{(R)}$ 1.21MPa. The result of workability measurement showed that the wear rate of urethane resin (in Talc 50wt%) was 1.09%, which was somewhat higher than that of existing material Quick $Wood^{(R)}$ (1.02%). In addition, its wear rate is two times higher than that of $EPO-TEK301^{(R)}$ (0.41%) and $L30^{(R)}$ (0.39%), thereby showing an advantage in its forming process compared to existing materials. As for the advantage of urethane resin of reversibility experiment, 12 hours after acetone, ethyl alcohol deposition, urethane resin and filler talc were dissolved 100% while showing powdering phenomenon. Compared to 0% reversibility of existing epoxy resin, it has much superior reversibility. The result of UV rays experiment to evaluate its durability showed that ${\Delta}E^*ab$ color change value based on undiluted solution of urethane resin was 2.76 before & after UV rays exposure, which was a decrease by about 7-20 times compared to that of existing resin, thereby minimizing the issue of heterogeneity.

Clinical and Radiological Analysis of Reversible Posterior Leukoencephalopathy Syndrome in Children (소아에서 가역성 후두부 백질 뇌증 증후군의 임상적, 방사선학적 특성에 대한 고찰)

  • Lim, Hae-Ri;Seo, Hye-Eun;Kwon, Sun-Hak
    • Clinical and Experimental Pediatrics
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    • v.50 no.9
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    • pp.901-904
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    • 2007
  • Purpose : Reversible posterior leukoencephalopathy syndrome is a complex disorder with characteristic clinical and radiologic findings that mainly involve the white/gray matter of the parieto-occipital lobes. The purpose of this study was to determine its clinical and radiological characteristics. Methods : A total of 15 pateints were involved in the study. Their medical records and radiological features of brain MRI were retrospectively reviewed and analyzed. Results : Fifteen pateints were involved. (9 males and 5 females). The patients' ages ranged from 2-20 years (mean age : 10 years). The brain MRI revealed fairly symmetric areas of increased T2 signal involving both white and gray matter of parieto-occipital regions. The condition seemed to be associated with cyclosporin A and steroid therapy or a variety of other conditions in which blood pressure rises acutely. Conclusion : Reversible posterior leukoencephalopathy syndrome is a complicated neurological condition, but a better understanding of this complex syndrome may obviate unnecessary investigations and lead to prompt and appropriate management of the associated problems.

Reversible Watermarking based Video Contents Management and Control technique using Biological Organism Model (생물학적 유기체 모델을 이용한 가역 워터마킹 기반 비디오 콘텐츠 관리 및 제어 기법)

  • Jang, Bong-Joo;Lee, Suk-Hwan;Kwon, Ki-Ryong
    • Journal of Korea Multimedia Society
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    • v.16 no.7
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    • pp.841-851
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    • 2013
  • The infectious information hiding system(IIHS) is proposed for secure distribution of high quality video contents by applying optimized watermark embedding and detection algorithms to video codecs. And the watermark as infectious information is transmitted while target video is displayed or edited by codecs. This paper proposes a fast and effective reversible watermarking and infectious information generation for IIHS. Our reversible watermarking scheme enables video decoder to control video quality and watermark strength actively for by adding control code and expiration date with the watermark. Also, we designed our scheme with low computational complexity to satisfy it's real-time processing in a video codec, and to prevent time or frame delay during watermark detection and video restoration, we embedded one watermark and one side information within a macro-block. Experimental results verify that our scheme satisfy real-time watermark embedding and detection and watermark error is 0% after reversible watermark detection. Finally, we conform that the quality of restored video contens is almost same with compressed video without watermarking algorithm.

5th Graders' Logical Development through Learning Division with Decimals (5학년 아동의 소수 나눗셈 원리 이해에 관한 연구)

  • Lee, Jong-Euk
    • School Mathematics
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    • v.9 no.1
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    • pp.99-117
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    • 2007
  • In this paper it is discussed how children develop their logical reasoning beyond difficulties in the process of making sense of division with decimals in the classroom setting. When we consider the gap between mathematics at elementary and secondary levels, and given the logical nature of mathematics at the latter levels, it can be seen as important that the aspects of children's logical development in the upper grades in elementary school should be clarified. This study focuses on the teaching and learning of division with decimals in a 5th grade classroom, because it is well known to be difficult for children to understand the meaning of division with decimals. It is suggested that children begin to conceive division as the relationship between the equivalent expressions at the hypothetical-deductive level detached from the concrete one, and that children's explanation based on a reversibility of reciprocity are effective in overcoming the difficulties related to division with decimals. It enables children to conceive multiplication and division as a system of operations.

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Myocardial viability in acute myocardial infarction: Cardiac MR imaging vs T1 - 201 myocardiac spect

  • 김혜선;박충기;박동우;김용수;김영선;최요원;전석철;서흥석;함창곡
    • Proceedings of the KSMRM Conference
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    • 2002.11a
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    • pp.134-134
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    • 2002
  • 목적: 심근경색의 가역성 여부 판단시 cardiac MR imaging(CMRI)와 myocardial SPECT의 정확성을 비교하기 위하여 대상 및 방법: 흉통을 주소로 내원한 환자 중 CMRI와 SPECT를 시행한 17를 대상으로 역행적으로 조사하였다. CMRI는 double and triple inversion recovery image(IR)에서 심벽의 고신호강도, 2D-FIESTA에서 심기능 분석을 조사하였다. 이어 gadopentetate를 주입하여 확산스캔에서 확산결손을 조사하였다. 연속하여 gadopentetate를 더 주입 후 5분 후 지연심근강조영상을 얻어 지연조영증강 유무와 미세혈류 폐쇄를 조사하였다. SPECT는 아데노신으로 stress 스캔을 얻은 후 T1-201을 재주사 후 rest 스캔하여 확산결손과 재분배를 조사하여 가역성을 판단하였다.

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Stimuli-responsive Smart Surface with Reversibly Switchable Wettability (자극 응답성 초발수-초친수 표면 특성 제어 기술)

  • Lim, Ka Hyun;Rho, Yoo Jin;Lim, Ho Sun
    • Prospectives of Industrial Chemistry
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    • v.24 no.6
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    • pp.3-18
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    • 2021
  • 가역적인 표면 젖음성의 제어가 가능한 스마트 표면은 첨단 센서, 기능성 멤브레인 등 여러 산업분야에 적용될 수 있는 계면제어 기술로써 많은 관심을 받을 것으로 기대된다. 표면의 젖음성은 표면의 화학적 구조와 기하학적 입체 구조에 의해 영향을 받는 데, 특히 외부자극에 의해 소재 물성을 가변시킬 수 있는 스마트 고분자 소재를 나노구조가 제어된 표면에 도입함으로써 표면의 젖음성을 초발수에서 초친수로 가역적으로 전환시킬 수 있는 스마트 표면을 효과적으로 구현할 수 있다. 자극 응답성 스마트 소재는 인가하는 외부자극에 따라 물리적 자극(빛, 온도, 전기, 자기)과 화학적 자극(pH, 용매, 이온)으로 구분할 수 있으며, 이를 복합적으로 적용한 이중/다중 유발 자극에 반응하는 소재가 있다. 본 기고문에서는 외부자극에 응답하는 자극응답성 고분자를 나노 구조 표면에 도입하여 초발수에서 초친수로의 가역적인 젖음성 변화가 가능한 고기능성 스마트 표면의 최근 연구 동향과 미래 전망에 대해 소개하고자 한다. 이런 다양한 외부자극을 이용한 표면 특성의 가역적 제어 기술을 통해 물-오일의 분리, 바이오센서, 약물 전달, 소프트로보틱스와 같은 스마트 소재의 잠재적 발전 가능성 또한 엿볼 수 있을 것으로 기대된다.

Interpretation of Bronchodilator Response in Patients with Obstructive Airway Disease (폐쇄성 기도 질환자에서 기관지 확장제 반응에 대한 평가)

  • Choi, Hee-Jin;Kim, Ki-Bum;Cho, Young-Bock;Cho, Ihn-Ho;Chung, Jin-Hong;Lee, Kwan-Ho;Lee, Hyun-Woo
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.3
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    • pp.332-341
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    • 1995
  • Background: Measurement of bronchodilator response is necessary to establish reversibility of airflow obstruction that was helpful to estimate the diagnosis, treatment, and prognosis in obstructive airway disease. An useful index should be able to detect the bronchodilator response more sensitively not related with degree of airflow obstruction and also be independent of initial $FEV_1$. Method: Sensitivities of bronchodilator response in each group classified by degree of airflow obstruction in $FEV_1$, FVC, $FEF_{25\sim75%}$, Isovolume $FEF_{25\sim75%}$, sGaw were studied and correlation coefficients were calculated between initial $FEV_1$ and reversibilities expressed as absolute, %initial, % predicted, %possible in $FEV_1$. Result: Sensitivities of bronchodilator response were 61.5% in FVC, Isovolume $FEF_{25\sim75%}$ and sGaw, in severe group, and 56.3% in Isovolume $FEF_{25\sim75%}$ and sGaw, in moderate group, and 62.5% in $FEV_1$ and sGaw and 50.0% in FVC and Isovolume $FEF_{25\sim75%}$, in mild group, and 60.0% in sGaw and 58.0% in Isovolume $FEF_{25\sim75%}$ in total patients. Correlation coefficients between initial $FEV_1$(L) and absolute, % initial, % predicted, % possible were 0.15, -0.22(p<0.05), 0.02, 0.24(p<0.05) and correlation coefficients between initial $FEV_1$(% predicted) and absolute, % initial, % predicted, %possible were 0.06, -0.28(p<0.05), 0.08, 0.39(p<0.05). Conclusion: Volume related parameters were more sensitive index not related with degree of airway obstruction and the change in $FEV_1$ expressed as % predicted was the least dependent on initial $FEV_1$ and reversibilities, expressed as % initial or as % possible(predicted minus initial $FEV_1$)were correlated with initial $FEV_1$.

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