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Effect of Supratentorial Stroke on Cerebellar Hemodynamic Parameters - Assessment by Dynamic Susceptibility Contrast MR Imaging (천막상부 뇌졸중에서 소뇌의 혈역학 변화 -Dynamic Susceptibility Contrast MR 영상을 이용한-)

  • Han, Si-Ryung;Kim, Bum-Soo;Guak, Tae-Ho;Choi, Young-Bin;Kim, Yeong-In
    • Annals of Clinical Neurophysiology
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    • v.4 no.1
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    • pp.38-43
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    • 2002
  • Background & Purpose : Dynamic susceptibility contrast MR imaging, one method of perfusion MRI, was developed to define cerebral hemodynamic status with good anatomical resolution. The authors investigated hemodynamic parameters using this imaging method, in an effort to identify hemodynamic changes on the remote crossed cerebellum of patients with a supratentorial infarct. Methods : Dynamic susceptibility contrast MR imaging was performed in 15 patients with only unilateral supratentorial infarcts. Imaging was obtained at the anatomic level of the cerebellum. rCBF, rCBV, MTT and TP were determined over both cerebellar hemispheres of interest. Results : The rCBF and rCBV values of the contralateral cerebellar hemisphere were significantly more decreased than those of the ipsilateral cerebellar hemisphere in 12 patients(p=0.028, 0.033). MTT and TP values of the contralateral and ipsilateral cerebellar hemispheres didn't reveal any differences(p=0.130, 0.121). Conclusions : The results of this work suggest that the region which are remote from the ischemic brain lesion shows no changes of MTT or TP but show decrease of rCBF and rCBV, mean to diaschisis, it also demonstrates that perfusion MRI is an easily available method to evaluate the hemodynamic status of the brain.

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Prevalence of Depression and its Correlations: a Cross-sectional Study in Thai Cancer Patients

  • Maneeton, Benchalak;Maneeton, Narong;Mahathep, Pojai
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.2039-2043
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    • 2012
  • Objectives: Depression is common in cancer patients. However, only limited evidence is available for Asian populations. The authors therefore examine the prevalence of depression in Thai patients with cancer. In addition, associated factors were determined. Methods: This cross-sectional study was conducted in cancer patients admitted to a university hospital during December 2006 - December 2007. The Patient Health Questionnaire (PHQ-9) was used to assess all cancer patients. Suicidal risk was assessed by using the Mini-International Neuropsychiatric Interview (MINI) in the module of suicidal risk assessment. Results: Of 108 cancer patients, 29.6 % were diagnosed with a depressive disorder (mild, 14.8 %; moderate, 5.6 %; severe, 9.3 %). However, only 25.0 % of these were recognized as being depressed by the primary physician. According to the MINI., 28.1 % of these depressed cancer patients had a moderate to severe level of suicidal risk. In addition, the findings suggest that increased risk of depression is significantly associated with increased pain score, lower number of cancer treatments (< 2 methods), increased educational duration (>13 years), increased age (> 50 years old) and being female. Conclusions: The prevalence of depression is high in Thai cancer patients. However, depressive disorder in those patients is frequently undiagnosed. It is associated with several factors including pain, a number of cancer treatments, education duration, age and sex. To improve quality of life, increase compliance with treatments and prevent of suicide, screening for depressive disorders in this patient group is strongly recommended.

MRI Diagnosis of the Tear Pattern of Menisci (반월상 연골판 파열 양상의 자기공명영상 진단)

  • Ahn, Jin Hwan;Ha, Chul Won;Ahn, Joong Mo;Kim, Sang Hyun
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.2
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    • pp.151-154
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    • 1998
  • In the diagnosis of the meniscal tear of the knee, the high accuracy of the MRI diagnosis is well-known, but the accuracy of the MRI in the diagnosis of the very pattern of the tear of menisci is not well-established. The purpose of this study is to give some informations to consider in the diagnosis and therapeutic planning of torn menisci. The authors performed a retrospective study comparing the MRI and arthroscopic findings of 141 knees which had undergone arthroscopic surgery from Mar. 1997 to Mar. 1998. The results are as follows. In the diagnosis of tear of the menisci, MRI had sensitivity of 91%, specificity of 96%, accuracy of 95%. The mismatch of the tear patterns of the menisci between MRI and arthroscopic findings was identified in 59%, especially high in flap tear(100%), complex tear(84%), peripheral tear(55%). In conclusion, MRI is very accurate in the diagnosis of the tear of menisci, but the tear patterns of the menisci cannot be accurately determined by MRI. In the cases of flap tears, complex tears and peripheral tears, it is more difficult to determine the tear patterns of the menisci by MRI. False-negative rate of MRI was especially high(44%) in the peripheral tear type. So, other clinical correlations should be made in determination of the presence of the tear in the diagnosis of peripheral tear of the menisci.

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Comparison and Analysis of Metadata Schema for Academic Paper Integrated DB (학술논문 통합 DB 구축을 위한 메타데이터 스키마 비교 분석)

  • Choi, Wonjun;Hwang, Hyekyong;Kim, Jeonghwan;Lee, Kangsandajeong;Lim, Seokjong
    • The Journal of the Korea Contents Association
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    • v.20 no.2
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    • pp.689-699
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    • 2020
  • The National Science and Technology Information Center (NDSL) database, which provides academic papers at home and abroad, collects, builds, and manages data collected from various sources. In this study, we analyzed the DB paper schema and DB metadata that are currently constructed and managed to derive an integrated DB schema that can manage the high-value-added papers and manage them efficiently by analyzing distributed DB papers. Also, the final academic information data items were determined through comparison and analysis using the Web of Science and SCOPUS schemas that are currently purchased and possessed. The academic information data items constructed and serviced through this study were summarized into seven papers, authors, abstracts, institutions, themes, journals, and references, and defined as core contents under construction. The integrated DB schema was created through this study, and the results of this study will be used as a basis for constructing the integrated DB collection of high quality academic papers and designing the integrated system.

Anterior Choroidal Artery Aneurysm Surgery : Ischemic Complications and Clinical Outcomes Revisited

  • Lee, Young-Sup;Park, Jaechan
    • Journal of Korean Neurosurgical Society
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    • v.54 no.2
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    • pp.86-92
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    • 2013
  • Objective : Surgical results for anterior choroidal artery (AChA) aneurysms have previously been reported as unsatisfactory due to inadvertent occlusion of the AChA, while the low incidence of AChA aneurysms hampers the accumulation of surgical experience. The authors reviewed their related surgical experience to document the ischemic complications and surgical outcomes. Methods : Identification of the AChA at its origin by rigorous visual scrutiny, careful microdissection, and meticulous clip placement to avoid the AChA origin are all crucial surgical maneuvers. A retrospective review of a surgical series of 62 consecutive cases of an AChA aneurysm between 2004 and 2012 was performed. Results : All patients, except for five (8.1%) with a small residual neck, showed complete aneurysm obliteration in postoperative angiographic evaluations. There was no incidence of procedure-related permanent AChA syndrome or oculomotor nerve palsy, while three (4.8%) patients suffered from transient AChA syndrome. The clinical outcomes [the 3-month modified Rankin Scale (mRS)] of the patients were related to their preoperative World Federation of Neurologic Surgeons (WFNS) grade. As regards the 3-month mRS, significant differences were found between patients with an unruptured aneurysm (WFNS grade 0; n=20), good-grade subarachnoid hemorrhage (WFNS grade 1-3; n=30), and poor-grade subarachnoid hemorrhage (WFNS grade 4-5; n=4). Conclusion : In surgical treatment of AChA aneurysms, a risk of AChA insufficiency can be minimized by taking every precaution to preserve the AChA patency and intraoperative monitoring. In addition, the surgical outcome is primarily determined by the preoperative clinical state.

EXAMINATION OF CALCULATION METHOD FOR THE FLEXURAL RIGIDITY OF CROP STALKS

  • Hirai, Yasumaru;Inoue, Eiji;Hashiguchi, Koichi;Kim, Young-Keun;Inaba, Shigeki;Tashiro, Katsumi
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2000.11b
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    • pp.287-294
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    • 2000
  • Calculation of the flexural rigidity value (EI) is indispensable for prescription of deflection characteristics of crop stalks in harvesting□Conventionally□EI has been determined by either average EI of the whole stalk or average EI of each stems divided into node through the calculation method of cantilever with homogeneous section□However□deflection characteristics of crop stalks caused by mechanical operation such as combine harvester were not exactly presumed by these conventional EI through the experiment by authors. Further, actual EI of a stalk changes in company with a change of moisture contents as time passes during the experiment. Finally, efficient calculation method for determining EI is needed in order to improve these problems. In this study, mechanical model based on actual structure of the crop stalk with variety sectional area was proposed. This mechanical model is calculated by the theory of cantilever with continuous stages. Therefore, improvement of both calculating accuracy on EI and efficiency of measuring system was tried. At first, this calculation method was applied to piano wire of which EI was recognized in advance. As a result, EI calculated from this new method coincided approximately with piano wire's EI. Next, applying to crop stalks as same as piano wire, relationship between loads acting on crop stalks and deflection values calculated by EI using this new calculation method was exactly presumed in comparison with conventional method. Further, measuring time of deflection test was greatly reduced. Finally, new calculation method of EI will be available for estimating mechanical characteristics of so many kinds of crop stalks in harvesting operation. Further, in this study, new deflection test using image-processing apparatus by computer will be introduced.

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Epidemiologic Investigation on an Outbreak of Salmonellosis in Yeongcheon-si, 2004 (2004년 영천시 D 초등학교에서 집단 발생한 살모넬라증)

  • Min, Young-Sun;Lee, Hwan-Seok;Lim, Hyun-Sul
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.4
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    • pp.457-464
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    • 2005
  • Objectives : An outbreak of salmonellosis occurred among the student s and staff of D primary school in Yeongcheon-si, 2004. This investigation was carried out to prevent any recurrence of this outbreak and to study the infection source and transmission of the salmonellosis. Methods : The authors conducted a questionnaire survey among 1,205 students and staff members from D primary school about the ingestion of the school lunch and drinking water, and the manifestation of their symptoms. The author examined rectal swabs, the tap water and microorganism cultures, and we also investigated the dining facility and water supply facility. Results : The diarrheal cases were defined as the confirmed cases or the persons who had diarrhea more than one time with symptoms such as fever, vomiting and tenesmus. The diarrheal attack rate was 28.0%. Ingestion of fried bean curd with egg had a significantly high association with the diarrheal attack rate (p<0.05), and the relative risk of the fried bean curd with egg was 10.68 (95% CI=3.88-29.41), as was determined by logistic regression analysis. The bacterial counts in the tap water of the food preparation room and toilet (first floor) exceeded the maximum permissible counts. S. Enteritidis bacteria were only cultured from the fried bean curd with egg of all the supplied foods on September 3, 2004. Conclusions : The major cause of salmonellosis was presumed to be the contaminated bean curd via contaminated tap water due to a water leak of a school water pipe. This contaminated bean curd was under prepared, which allowed the S. Enteritidis to survive and multiply prior to its ingestion.

Phenylpropanoids from Myristica fragrans Houtt (육두구(Myristica fragrans Houtt)로부터 Phenylpropanoid의 분리)

  • Song, Myoung-Chong;Ahn, Eun-Mi;Bang, Myun-Ho;Kim, Se-Young;Rho, Yeong-Deok;Kwon, Byuong-Mog;Lee, Hyun-Sun;Baek, Nam-In
    • Applied Biological Chemistry
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    • v.47 no.3
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    • pp.366-369
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    • 2004
  • Myristica fragrans Houtt were extracted in 80% aq. MeOH and solvent fractionated sing $CHCl_3$, EtOAc, n-BuOH and water, successively. The n-BuOH fraction gave three phenylpropanoids through application of silica gel column chromatographies. The chemical structures of the phenylpropanoids were determined by the interpretation of several spectral data, including NMR and MS as meso-dihydroguaiaretic acid (1), nectandrin B (2) and syringin methyl ether (3). Compound 1, which was first isolated from this plant by authors, showed inhibitory activities with $60.0{\pm}2.1%\;(100\;{\mu}g/ml),\;42.6{\pm}0.9%\;(140\;{\mu}g/ml)\;and\;12.2{\pm}0.2%\;(200\;{\mu}g/ml)$ on ACAT(acyl-CoA:Cholesterol Acyltransferase), chitin synthase III and HMG-CoA reductase (3-hydroxy-3-methylglutaryl coenzyme A reductase), respectively. Compound 3 showed inhibitory activities with $27.2{\pm}0.9%\;(100\;{\mu}g/ml),\;45.5{\pm}0.8%\;(200\;{\mu}g/ml)$ on ACAT and chitin synthase III.

The Effect of the Milk Yield and Performance Analysis of Robot Milking System (로봇 착유시스템의 착유성능 및 착유량에 미치는 영향)

  • Kim, W.;Lee, D.W.
    • Journal of Animal Environmental Science
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    • v.15 no.1
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    • pp.29-36
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    • 2009
  • The authors of this study have developed a robot milking system composed of a multi-articular manipulator, a teat-cup attachment system, and an image processing system. In order to verify the efficacy of this system, we have conducted a performance analysis and measurement experiment of milk yield, using dairy cattle. It was concluded that teat recognition using the image processing system, teat-cup attachment, and detachment system did not binder milking. The milking yield of the robot milking system was analyzed based on a lactation curve. As a result, it was determined that the use of a robot milking system had no significant effects on milking yields. The robot milking system described in this study is designed specifically with a focus on teat-cup attachment and detachment performance, as well as the effect of these factors on milking yield. In the future, in-depth studies regarding the washing of the teats prior to milking, teat massage, pre-treatment and post-treatment processes after milking, and disinfection processes shall be conducted, in order to render this system feasible for use in an actual milking parlor.

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WBS Development for Acquisition and Analysis of public Housing Productivity Data (공동주택 생산성 데이터 수집/분석을 위한 WBS 개발)

  • Kim, Jae-Woo;Kim, Yea-Sang;Kim, Young-Suk;Kim, Sang-Bum
    • Korean Journal of Construction Engineering and Management
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    • v.9 no.5
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    • pp.86-94
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    • 2008
  • Productivity is one of key management indexes for evaluating soundness of a manufacturing organization and its efficiency. In many aspects of productivity management in the construction industry, however, intuition of an experienced field manager still plays a greater role while productivity data is not utilized efficiently for the construction management purposes, because the collection and analysis of the productivity-related information are not systematic. Lack of systematic method in collecting and analyzing the productivity data results in such problems. The existing WBS should therefore be improved to solve them. The authors developed a new WBS for productivity data collection and analysis by following the research direction that was determined by literature reviews, overseas cases, and interviews with field engineers. The new breakdown structure was then evaluated for its feasibility as a productivity analysis framework. It is expected that the productivity data collected by the WBS will be used for OLAP and mining for future productivity forecast.