• Title/Summary/Keyword: ACA

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The Incidence and Clinical Significance of Fenestrations in the Horizontal Segment of the Anterior Cerebral Artery Detected by Conventional Angiography and Magnetic Resonance Angiography

  • Kim, Tae-Ho;Lee, Hyun-Koo;Rhee, Jong-Joo;Lee, Seung-Jun;Lee, Chae-Heuck;Kim, Myoung-Soo
    • Journal of Korean Neurosurgical Society
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    • v.40 no.2
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    • pp.74-78
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    • 2006
  • Objective : We examined the incidence of fenestration in the proximal segment of the anterior cerebral artery[ACA] and reviewed its clinical significance. Methods : Cerebral angiography was performed in 843 patients and magnetic resonance angiography[MRA] in 1,787; all patients had, or were suspected to have, cerebrovascular disease. We subsequently reviewed the angiography and MRA data. Results : Fourteen patients [six men and eight women, $35{\sim}81$ years of age, median age = 67 years] had proximal ACA fenestrations. Three of the 843 patients [0.36%] undergoing cerebral angiography had fenestrations of proximal ACA as did eleven of the 1,787 MRA patients [0.62%]. Seven fenestrations were located on the right side and seven fenestrations were located on the left side. The fenestrated ACA in one patient was associated with a saccular aneurysm at its proximal end. None of the 120 patients who underwent both conventional cerebral angiography and cranial MRA showed fenestration of proximal ACA. Conclusion : Although fenestration of ACA has little clinical significance, knowledge and recognition of this condition is important in the interpretation of cerebral images, especially during neurosurgical procedures.

A study on stroke patient's characteristics and damage (뇌혈관 손상환자의 특성 및 장애에 대한 연구)

  • Choi, Young-Deog
    • Journal of Korean Physical Therapy Science
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    • v.5 no.4
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    • pp.785-794
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    • 1998
  • We have made a survey of 40 patients in the university hospitals and oriental medical centers in Seoul from Sep. 1, 1997 to Mar. 1, 1998. We sampled 25 of them and the result shows that there were 12 MCA damaged patients(48%), 5 SAH(20%), 5 ACA(20%), 2 PCA (8%), 1 PCOA(4%). The number of MCA patients were the most. 1. As the cause of each disease, 4 of the 12 MCA damaged patients(33.35%) have infarction and cerebral hemorrhage, 2 of 5 SAH patients(40%) have cerebral hemorrhage and head injury, 3 ACA damaged patients have cerebral hemorrhage. 11 of 25 brain bloodvessel damaged patients(44%) were hemorrhage patients. 2. Rt. hemiparesis was the main symptom of 6 of 12 MCA damaged patients(50%) and 3 of 5 SAH patients(60%), and the main symptom of 3 of 5 ACA patients(60%) was Lt. hemiparesis. The main symptom of 13 of 25 brain bloodvessel damaged patients(52%) was Lt. hemiparesis 11 of them(44%) Rt. hemiparesis, and 1 of them(8.3%) Quadriplegia. 3. Language was the most well preserved function. 12 MCA damaged patients could understand language. 4. Retraction of shoulder girdle, among VIE flexor synergy, was the most frequent element because 9 of 12 MCA damaged patients had it. Among VIE flexor synergy, 5 SAH patient's most frequent synergy was Elbow flexion because all of them had it. All of 5 ACA damaged patients have shoulder girdle elevation, shoulder joint, hyperextension, abduction, and external rotation among VIE flexor synergy. 5. 7 of 12 MCA damaged patients(58.3%) were stereognosis handicapped patients, 3 of 5 SAH patients(60%) have handicap of position sense, light touch, and temperature, 3 of 5 ACA patients(60%) have position handicap. 13 of brain bloodvessel damaged patients(52%) have light touch handicap. 6. 8 of MCA damaged patients(66.7%) have facial palsy, 4 of SAH damaged patients(80%) have memory and action decline, and 3 of ACA damaged patients(60%) have action decline and facial palsy. The problem of Hemiplegia is very extensive from muscle weakness, atrophy, or deformation to psychical problems. Therefore physical therapists should have sufficient interest in psychological handicap as well as physical handicap as they deal with adult hemiplegia.

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Performance Evaluation of an Adaptive Collision Avoidance Algorithm for IEEE 802.15.4 (IEEE 802.15.4에서 적응적 충돌 회피 알고리즘의 성능분석)

  • Noh, Ki-Chul;Lee, Seung-Yeon;Shin, Youn-Soon;Ahn, Jong-Suk;Lee, Kang-Woo
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.36 no.3A
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    • pp.267-277
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    • 2011
  • Like other wireless network protocols, IEEE 802.15.4 adopts CA (Collision Avoidance)algorithm to avoid the early collision of a new packet by randomizing its first transmission time rather than its immediate delivery. The traditional CA scheme of IEEE 802.15.4, however, selects the random access time from the predetermined range without considering the degree of current congestion. It probably causes either a long delay to settle in the suitable range for the current network load or frequent clashes especially during the long lasting heavy traffic period. This paper proposes an ACA(Adaptive Collision Avoidance) algorithm adapting the initial backoff range to the undergoing collision variations. It also introduces a mathematical model to predict the performance of ACA algorithm added to IEEE 802.15.4. With only small deviations from corresponding simulations, our analytical model shows that ACA technique can improve the throughput of IEEE 802.15.4 by up-to 41% maximally in addition to shortening the packet delays.

Geometric influence of anterior cerebral artery rotation on the formation of anterior communicating artery aneurysm

  • Sokhoeun Heng;Sung Ho Lee;Jin Woo Bae;Young Hoon Choi;Dong Hyun Yoo;Kang Min Kim;Won-Sang Cho;Hyun-Seung Kang;Jeong Eun Kim
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.25 no.3
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    • pp.267-274
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    • 2023
  • Objective: Several particular morphological factors that contribute to the hemodynamics of the anterior communicating artery (ACoA) have been documented, but no study has investigated the role of the degree of anterior cerebral artery (ACA) rotation on the presence of ACoA aneurysms (ACoAAs). Methods: A retrospective study of an institutional aneurysm database was performed; patients with ruptured or nonruptured ACoAAs were selected. Two sex- and age-matched control groups were identified: control Group A (nonaneurysms) and control Group B (middle cerebral artery aneurysms). Measurements of ACA rotation degree were obtained by using a three-dimensional imaging tool. Results: From 2015 to 2020, 315 patients were identified: 105 in the ACoAA group, 105 in control Group A, and 105 in control Group B. The average age at the time of presentation was 64 years, and 52.4% were female. The ACA rotation degree of the ACoAA group was significantly higher than that of control Group A (p <0.01). The A1 ratio and the A1A2 ratio of the ACoAA group were greater than those of control Group A (p <0.01 and p <0.01, respectively). The ACA rotation degree correlated insignificantly with aneurysm size in ACoAA patients (p=0.78). The ACA rotation degree in the ACoAA group was also insignificantly different from that in control B (p=0.11). Conclusions: The degree of ACA rotation was greater in the ACoAA group than in the nonaneurysm group, and it may serve as an imaging marker for ACoAA.

Comparison of Cerebral Blood Flow between Patients with Metabolic Syndrome and Normal Group to Evaluate Diagnostic Value of Transcranial Doppler Ultrasound (대사증후군 환자군과 정상군의 뇌혈류 측정 비교를 통한 뇌졸중 위험인자에 대한 TCD의 진단적 가치 고찰)

  • Um, Eun-Jin;Park, Woo-Rham;Kim, Ju-Sung;Lee, Beom-Joon;Na, Byung-Jo
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.2
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    • pp.85-100
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    • 2010
  • Objectives: The purpose of this study was to evaluate diagnostic value of Transcranial Doppler Ultrasound about risk factor of stroke by comparing blood flow between patients with metabolic syndrome(MS group) and Normal group. Methods: 62 metabolic syndrome patients and 106 healthy adults were selected who had no cerebrovascular diseases, cardiovascular diseases and other systemic diseases. We measured the mean velocity(Vm), peak systolic velocity(Vs) and pulsatility index(PI) of MCA, ACA, PCA, VA, ICA in two groups using TCD. All subjects were divided by gender and age. Results: In comparing Ms group with normal group, Vm in the MCA, ACA, PCA, ICA and Vs in the MCA, ICA were lower in MS group. In all vessels, PI of MS group were higher than that of Normal group. In all vessels, Vm and Vs revealed negative correlation with age and PI revealed positive correlation with age. In 20-39 year olds, there was decrease in the Vs and Vm and increase of PI of MS group in comparison with normal group. There was significant difference in the Vm of PCA, ICA, Vs of MCA, PCA, ICA and PI of MCA, ACA. In 40-59 year olds, Vm in the MCA, ACA, ICA and Vs in the MCA, ACA were lower in MS group. PI in the MCA, ACA, PCA, ICA were higher in MS group. In 60-79 year olds, Vm of MCA, PCA, ICA was decreased in MS group than Normal group with no statistical signification. Vs in the MCA was lower and PI in the PCA was higher in MS group. In male, Vm of PCA and Vs of MCA were lower and PI of MCA, ACA, PCA, ICA were higher in MS group. In female, Vm of MCA, PCA, ICA and Vs of MCA, ICA were lower and PI of ACA, PCA, VA, ICA were higher in MS group. Conclusions: The significant difference in Vm, Vs, PI between MS group and normal group suggests hemodynamic disorder. Screening and prognosing high risk group can be done through TCD and this can be used to prevent stroke. More detailed study will be needed.

Peptide Synthesis with Polymer Bound Active Ester III. The Effect of Spacer Arm in Peptide Synthesis with 1-Phenyl-3-methyl-4-oximino pyrazole Resin (고분자에 결합된 활성 에스테르에 의한 펩티드합성 III. 1-페닐-3-메틸-4-옥시미노피라졸레진을 이용한 펩티드 합성에서 Spacer Arm의 효과)

  • Wang, Young;Lee, Yoon-Sik
    • Applied Chemistry for Engineering
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    • v.4 no.1
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    • pp.132-143
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    • 1993
  • Aminomethyl polystyrene resins were prepared either from chloromethyl-resin(Merrifield resin) or from direct amidoalkylation of polystyrene resin. Two kinds of aminomethlyl resin were lengthened with spacer arms via sequential coupling of five ${\varepsilon}$-aminocaproic acids(ACA) respectively. In case of the resin prepared from the Merrifield resin, the amounts of free amino group of the resin were reduced by 25~30% after each coupling of ACA. But the one from direct amidoalkylation showed 3~5% loss after each coupling of ACA. 4-Nitroso-5-aminopyrazole resin was made by reacting ACA spacer arm resin, which was made from direct amidoalkylated resin, with 5-phenyl-7-methylpyrazole [4,3-c][1,2,4]oxadiazin-3-one. Several polymeric active esters of N-blocked amino acids were prepared from the 4-nitroso-5-aminopyrazole bound resins. In anchoring step of the amino acid derivatives on the resin, no substantial effect of bulkiness was found. 4-Nitroso-5-aminopyrazole bound active ester resins were found to be very reactive in N-acylation, The resulting peptides were obtained with 90~95% yield and characterized by NMR and other physical methods.

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Adsorption Characteristics of Methylene Blue from Aqueous Solution According to Physical and Surface Properties of Activated Carbons (활성탄의 물리적 특성과 표면 특성에 따른 수중의 methylene blue의 흡착특성)

  • Kam, Sang-Kyu;You, Hae-Na;Lee, Min-Gyu
    • Journal of Environmental Science International
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    • v.23 no.11
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    • pp.1821-1826
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    • 2014
  • The adsorption characteristics of the methylene blue (MB) were studied using three activated carbons such as ACA and ACB with similar specific surface area (1,185 and $1,105m^2/g$), and ACC with relatively high specific surface area ($1,760m^2/g$). The surface chemical properties of these activated carbons were investigated by X-ray photoelectron spectroscopy (XPS). The results indicated that ACA had more functional groups (with phenol, carbonyl, and carboxyl etc.) than ACB (with carbonyl and carboxyl) and ACC (with carboxyl). The isotherm data were fitted well by Langmuir isotherm model. The adsorption capacities of ACA, ACB, and ACC for MB were 454.7 mg/g, 337.7 mg/g, and 414.0 mg/g, respectively. As phenol and carboxyl content of the surface on activated carbon increased, MB adsorption capacity was increased. Although ACA had a smaller specific surface area than ACC, the content of phenol and carboxyl group was abundant, so MB adsorption capacity was found to be higher than ACC.

Immobilization of Trigonopsis variabilis and Conversion of Cephalosporin C to 7$\beta$-(4-Caboxybutanamido)Cephalosporanic Acid (Trigonopsis variabilis의 고정화 및 Cephalosporin C로부터 7$\beta$-(4-Carbohybutanamido)Cephalosporanic Acid의 전환)

  • 김종균;임재윤
    • Microbiology and Biotechnology Letters
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    • v.22 no.3
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    • pp.296-303
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    • 1994
  • An immobilized Trigonopsis variabilis cells having an high activity of D-amino acid oxidase(DAO) was used to convert CPC into GL-7-ACA. The optimal pH of the reaction system was 8.0-8.5, and the optimal temperature was 40$\circ$C. When immobilized cell was used repeatedly in semi-batchwise reaction, the system retained 80% of the initial activity after used of 12 times for over 12 hours. The storage stability of the immobilized cell was maintained for 30 days at 4$\circ$C. The CPC concentration for the maximal reaction rate was about 30 mM and 40 mM for free and immobilized cells, respectively. Substrate inhibition of CPC concentration more than 50 mM was overcomed by 20~25% by immobilization. Pure oxygen supply into reaction system was most efficient in D-amino acid oxidase reaction. Continuous conversion to GL-7-ACA from CPC has been developed with an bioreactor system containing immobilized T variabilis cells. By opera- tion of the reactor for 5 hours, the average conversion yield of >80% and GL-7-ACA production of 40~45 mM per hour could be obtained.

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Ruptured Saccular Aneurysm Arising from Fenestrated Proximal Anterior Cerebral Artery : Case Report and Literature Review

  • Kwon, Woo-Keun;Park, Kyung-Jae;Park, Dong-Hyuk;Kang, Shin-Hyuk
    • Journal of Korean Neurosurgical Society
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    • v.53 no.5
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    • pp.293-296
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    • 2013
  • The aneurysm arising from fenestrated proximal anterior cerebral artery (ACA) is considered to be unique. The authors report a case of a 59-year-old woman who presented with a subarachnoid hemorrhage (SAH) secondary to a ruptured aneurysm originating from the fenestrated A1 segment of right ACA. The patient had another unruptured aneurysm which was located at the right middle cerebral artery bifurcation. She was successfully treated with surgical clipping for both aneurysms. From the previously existing literatures, we found 18 more cases (1983-2011) of aneurysms associated with fenestrated A1 segment. All cases represented saccular type of aneurysms, and 79% of the patients had SAH. There were three subtypes of the fenestrated A1 aneurysms depending on the anatomical location, relative to the fenestrated segment. The most common type was the aneurysms located on the proximal end of fenestrated artery (82%). Azygos ACA and hypoplastic A1 were frequently accompanied by the aneurysm (33% and 31%, respectively), and multiple aneurysms were shown in three cases (16%). Considering that fenestrated A1 segment is likely to develop an aneurysm, which has high risk of rupture, early management may benefit patients with aneurysms accompanied by fenestrated proximal ACA.

Hydrogen Production Through Catalytic Dehydrogenation of Decalin over Pt/C Catalyst Using Activated Carbon Aerogel

  • Lee, Gihoon;Kang, Ji Yeon;Jeong, Yeojin;Jung, Ji Chul
    • Korean Journal of Materials Research
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    • v.25 no.4
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    • pp.191-195
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    • 2015
  • To improve its textural properties as a support for platinum catalyst, carbon aerogel was chemically activated with KOH as a chemical agent. Carbon-supported platinum catalyst was subsequently prepared using the prepared carbon supports(carbon aerogel(CA), activated carbon aerogel(ACA), and commercial activated carbon(AC)) by an incipient wetness impregnation. The prepared carbon-supported platinum catalysts were applied to decalin dehydrogenation for hydrogen production. Both initial hydrogen evolution rate and total hydrogen evolution amount were increased in the order of Pt/CA < Pt/AC < Pt/ACA. This means that the chemical activation process served to improve the catalytic activity of carbon-supported platinum catalyst in this reaction. The high surface area and the well-developed mesoporous structure of activated carbon aerogel obtained from the activation process facilitated the high dispersion of platinum in the Pt/ACA catalyst. Therefore, it is concluded that the enhanced catalytic activity of Pt/ACA catalyst in decalin dehydrogenation was due to the high platinum surface area that originated from the high dispersion of platinum.