• Title/Summary/Keyword: CST

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Cavernous sinus thrombosis following dental extraction: a rare case report and forgotten entity

  • Aggarwal, Karun;Rastogi, Sanjay;Joshi, Atul;Kumar, Ashish;Chaurasia, Archana;Prakash, Rajat
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.5
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    • pp.351-355
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    • 2017
  • Prior to the advent of efficacious antimicrobial agents, the mortality rate from cavernous sinus thrombosis (CST) was effectively 100%. There have been very few reports of CST associated with tooth extraction. A 40-year-old female presented to the emergency room with swelling over the right side of the face and history of extraction in the upper right region by an unregistered dental practitioner. The patient presented with diplopia, periorbital ecchymosis, and chemosis of the right eye. A computed tomography scan revealed venous dilatation of the right superior ophthalmic vein. The patient was immediately treated with incision and drainage, intravenous antibiotics, and heparin (low molecular weight). Unfortunately, the patient died two days after surgery due to complications from the disease. CST is a rare disease with a high mortality rate. Therefore, dental health education in rural areas, legal action against unregistered dental practitioners, early diagnosis, and aggressive antibiotic treatment can prevent future mortality resulting from CST.

Recovery of an Injured Corticospinal Tract in a Patient With Infarction on the Corona Radiata

  • Lee, Sook;Lim, Hyoung-Won;Yeo, Sang-Seok
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.78-80
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    • 2015
  • Purpose: Many studies have attempted to elucidate the motor recovery mechanisms of stroke. In the current study, we report on a patient with infarction who showed recovery of an injured corticospinal tract (CST), using diffusion tensor imaging (DTI). Methods: A 20-year-old male presented with severe paralysis of the left extremities following an infarction in the right corona radiate and basal ganglia. The patient showed good motor recovery as much as being able to manipulate object using his left hand and could walk independently on stairs at 9 months after onset. Results: At 1 month after onset, the right CST showed decreased fiber volume due to the partial injury at the level of the corona radiate, and no (motor evoked potential) MEP was evoked from the right hemisphere. By contrast, the results at 9 months showed increased fiber volume of the right CST and the amplitude of MEP had improved to normal range on TMS. Conclusion: These results suggest that the severely injured right CST and MEP amplitude had been recovered during 9 months. Therefore, this result has important implications for brain plasticity and brain rehabilitation in patients with infarction.

A Numerical Study of the Performance of a Contoured Shock Tube for Needle-free Drug Delivery

  • Rasel, Md. Alim Iftekhar;Kim, Heuy Dong
    • Journal of the Korean Society of Visualization
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    • v.10 no.2
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    • pp.32-38
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    • 2012
  • In recent years a unique drug delivery system named as the transdermal drug delivery system has been developed which can deliver drug particles to the human skin without using any external needle. The solid drug particles are accelerated by means of high speed gas flow through a shock tube imparting enough momentum so that particles can penetrate through the outer layer of the skin. Different systems have been tried and tested in order to make it more convenient for clinical use. One of them is the contoured shock tube system (CST). The contoured shock tube consists of a classical shock tube connected with a correctly expanded supersonic nozzle. A set of bursting membrane are placed upstream of the nozzle section which retains the drug particle as well as initiates the gas flow (act as a diaphragm in a shock tube). The key feature of the CST system is it can deliver particles with a controllable velocity and spatial distribution. The flow dynamics of the contoured shock tube is analyzed numerically using computational fluid dynamics (CFD). To validate the numerical approach pressure histories in different sections on the CST are compared with the experimental results. The key features of the flow field have been studied and analyzed in details. To investigate the performance of the CST system flow behavior through the shock tube under different operating conditions are also observed.

Mini-Review of Studies Reporting the Repeatability and Reproducibility of Diffusion Tensor Imaging

  • Seo, Jeong Pyo;Kwon, Young Hyeon;Jang, Sung Ho
    • Investigative Magnetic Resonance Imaging
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    • v.23 no.1
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    • pp.26-33
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    • 2019
  • Purpose: Diffusion tensor imaging (DTI) data must be analyzed by an analyzer after data processing. Hence, the analyzed data of DTI might depend on the analyzer, making it a major limitation. This paper reviewed previous DTI studies reporting the repeatability and reproducibility of data from the corticospinal tract (CST), one of the most actively researched neural tracts on this topic. Materials and Methods: Relevant studies published between January 1990 and December 2018 were identified by searching PubMed, Google Scholar, and MEDLINE electronic databases using the following keywords: DTI, diffusion tensor tractography, reliability, repeatability, reproducibility, and CST. As a result, 15 studies were selected. Results: Measurements of the CSTs using region of interest methods on 2-dimensional DTI images generally showed excellent repeatability and reproducibility of more than 0.8 but high variability (0.29 to 1.00) between studies. In contrast, measurements of the CST using the 3-dimensional DTT method not only revealed excellent repeatability and reproducibility of more than 0.9 but also low variability (repeatability, 0.88 to 1.00; reproducibility, 0.82 to 0.99) between studies. Conclusion: Both 2-dimensional DTI and 3-dimensional DTT methods appeared to be reliable for measuring the CST but the 3-dimensional DTT method appeared to be more reliable.

A Comparative Study of Dewatering Aid for Digested Sludge by using A Starfish and A Shell (불가사리와 조개껍질을 개량제로 이용한 소화슬러지의 탈수 증진 비교)

  • Lee, Jae-Kwang;Yoo, Dae-Hyun;Lee, Myeon-Ju;Kang, Ho
    • Resources Recycling
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    • v.13 no.3
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    • pp.12-18
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    • 2004
  • A study on the enhancement of the dewaterability of sewage sludge was carried out by using the sea waste materials as a dewatering aid. It was made from a starfish and a shell by heating at $105∼700 ^{\circ}C$ and centrifuge and belt press were used as a mechanical dewatering process. The moisture content of sludge cake was reduced by 15∼22% (w/w) after addition of the dewatering aid at the dose of 1∼8 g/100mL of digested sludge. CST (capillary suction time) was measured to evaluate the effect of dewatering aid on sludge dewatering properties. CST was reduced after addition of a shell while increased after addition of a starfish. Enhancement of dewaterability after addition of a shell was better than that of a starfish. The heating temperature effect of the dewatering aid on dewaterability was not clear.

Therapeutic Efficacy and Safety of Prolonged Macrolide, Corticosteroid, Doxycycline, and Levofloxacin against Macrolide-Unresponsive Mycoplasma pneumoniae Pneumonia in Children

  • Ha, Seok Gyun;Oh, Kyung Jin;Ko, Kwang-Pil;Sun, Yong Han;Ryoo, Eell;Tchah, Hann;Jeon, In Sang;Kim, Hyo Jeong;Ahn, Jung Min;Cho, Hye-Kyung
    • Journal of Korean Medical Science
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    • v.33 no.43
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    • pp.268.1-268.11
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    • 2018
  • Background: We aimed to compare the therapeutic efficacy of prolonged macrolide (PMC), corticosteroids (CST), doxycycline (DXC), and levofloxacin (LFX) against macrolide-unresponsive Mycoplasma pneumoniae (MP) pneumonia in children and to evaluate the safety of the secondary treatment agents. Methods: We retrospectively analyzed the data of patients with MP pneumonia hospitalized between January 2015 and April 2017. Macrolide-unresponsiveness was clinically defined with a persistent fever of ${\geq}38.0^{\circ}C$ at ${\geq}72$ hours after macrolide treatment. The cases were divided into four groups: PMC, CST, DXC, and LFX. We compared the time to defervescence (TTD) after secondary treatment and the TTD after initial macrolide treatment in each group with adjustment using propensity score-matching analysis. Results: Among 1,165 cases of MP pneumonia, 190 (16.3%) were unresponsive to macrolides. The proportion of patients who achieved defervescence within 48 hours in CST, DXC, and LFX groups were 96.9% (31/33), 85.7% (12/14), and 83.3% (5/6), respectively. The TTD after initial macrolide treatment did not differ between PMC and CST groups (5.1 vs. 4.2 days, P = 0.085), PMC and DXC groups (4.9 vs. 5.7 days, P = 0.453), and PMC and LFX groups (4.4 vs. 5.0 days, P = 0.283). No side effects were observed in the CST, DXC, and LFX groups. Conclusion: The change to secondary treatment did not show better efficacy compared to PMC in children with macrolide-unresponsive MP pneumonia. Further studies are needed to guide appropriate treatment in children with MP pneumonia.

Clinical Features and Associated Factors of Macrolide-Unresponsive Mycoplasma pneumonia and Efficacy Comparison Between Doxycycline, Tosufloxacin and Corticostreoid as a Second-Line Treatment (마크로라이드 불응성 마이코플라즈마 폐렴의 임상 양상 및 연관 인자와 2차 치료제로서 doxycycline, tosufloxacin 및 corticosteroid의 효능 비교)

  • Han Byeol Kang;Youngmin Ahn;Byung Wook Eun;Seungman Park
    • Pediatric Infection and Vaccine
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    • v.31 no.1
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    • pp.37-45
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    • 2024
  • Purpose: This study aimed to examine the clinical features and determinants of macrolide-unresponsive Mycoplasma pneumoniae pneumonia (MUMP) and to assess the differences in the time to fever resolution between doxycycline (DXC), tosufloxacin (TFX) and corticosteroid (CST) as second-line treatment. Methods: We retrospectively analyzed the medical records of patients under the age of 18 who were admitted to Nowon Eulji University Hospital between July 2018 and February 2020, diagnosed with mycoplasma pneumonia. Macrolide resistance was confirmed by detecting point mutations in the 23S rRNA gene. MUMP was clinically defined by persistent fever (≥38.0℃) lasting for 72 hours or more after the initiation of macrolide treatment. In cases of MUMP, patients were treated with an addition of CST, or the initial macrolide was replaced either DXC or TFX. Results: Out of 157 cases of mycoplasma pneumonia, 83 cases (52.9%) did not respond to macrolides. Patients with MUMP exhibited significantly higher C-reactive protein (CRP) levels (3.2±3.0 vs. 2.4±2.2 mg/dL, P=0.047), more frequent lobar/segmental infiltrations or pleural effusions (56.6% vs. 27.0%, P<0.001; 6.0% vs. 0.0%, P=0.032), and a higher prevalence of 23S rRNA gene mutations (96.4% vs. 64.6%, P<0.001) when compared to those with macrolide-susceptible M. pneumoniae pneumonia. In terms of second-line treatment, 15 patients (18.1%) responded to CST, 30 (36.1%) to DXC, and 38 (45.8%) to TFX. The time to defervescence (TTD) after initiation second-line treatment was significantly shorter in the CST group compared to the DXC (10.3±12.7 vs. 19.4±17.2 hours, P=0.003) and TFX groups (10.3±12.7 vs. 25.0±20.1 hours, P=0.043), with no significant difference observed between the DXC and TFX groups (19.4±17.2 vs. 25.0±20.1 hours, P=0.262). Conclusions: High CRP levels, the presence of positive 23S rRNA gene mutation, lobar or segmental lung infiltration, and pleural effusion observed in chest X-ray findings were significant factors associated with macrolide unresponsiveness. In this study, CST demonstrated a shorter TTD compared to DXC or TFX. Further, larger-scale prospective studies are needed to determine the optimal second-line treatment for MUMP.

Implementation of the Client Viewer Supporting Multiple Channels Using Full HD H.264 Surveillance Cameras (Full HD H.264 카메라를 이용한 감시 시스템의 다채널 Client Viewer 구현)

  • Kim, Kyu-Seok;Ji, Mi-Kyong;Kim, Cheon-Seog
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2010.07a
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    • pp.356-359
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    • 2010
  • CCTV(closed-circuit television) 시스템은 현재 도로 교통감시, 아파트 방범, 차량 번호판 인식 등 많은 분야에서 사용되고 있다. 사용되는 여러 분야에서 실제 물체와 감시 영상의 오차를 줄이기 위해 좀 더 향상된 화질의 영상을 필요로 하고 있다. 디지털 카메라가 보편화 되고 또한 급속한 영상 압축 기술의 발전으로 인해 고화질의 영상을 지원하는 카메라가 빠르게 출시되고 있다. 현재 보편화된 영상 압축 기술 중 가장 뛰어난 성능을 발휘하는 H.264를 지원 하는 카메라를 사용한 CCTV 감시 시스템이 늘고 있는 것이 현실이다. 본 논문에서는 H.264를 이용하여 고화질의 영상을 지원하는 여러 카메라를 동시에 원격으로 감시할 수 있는 Client Viewer 를 구현 하였다. 구현한 Client Viewer 는 실시간 재생 기능 및 녹화 기능을 지원 하며 녹화된 영상을 검색하고 재생하는 DVR 기능도 지원한다.

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Comparison of the Dewatering Characteristic Using Specific Resistance and Capillary Suction Time of Digested Sewage Sludge by Ultrasonic Treatment (초음파로 처리된 소화슬러지의 비저항계수 (SRF)와 모세관흡입시간(CST)을 이용한 탈수특성 비교)

  • Na, Seung-Min;Park, Ji-Ho;Kim, Young-Uk;Khim, Jee-Hyeong
    • Proceedings of the KAIS Fall Conference
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    • 2007.05a
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    • pp.287-290
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    • 2007
  • We investigated the effect of ultrasound on the dewaterability of sewage sludge. Because, dewatering and disposal of waste sludge is a major economical factor in the operation of wastewater treatment plants. Capillary Suction Time(CST) and Specific Resistance to Filtration (SRF) were used to evaluate the sludge dewatering behaviors. From the results of the experiment, it was found that ultrasonic treatment can improve the dewaterability. We discovered that CST and SRF were highly related, according to the correlation coefficient($R^{2}$).

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CST를 적용한 하수슬러지 탈수특성에 관한 연구

  • Gu, Bong-Heon;Lee, Chang-Su;Jeon, Bong-Jun;Park, Seung-Cheol
    • Proceedings of the Korean Environmental Sciences Society Conference
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    • 2005.05a
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    • pp.356-359
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    • 2005
  • 하수를 처리하는 공정에서 해마다 슬러지의 발생량은 증가하고 있으며, 이를 효과적으로 처리하는 것이 매우 중요하다. 따라서, 본 연구는 경제적이면서도 측정이 간편한CST(Cap-illary Suction Time)을 통해 슬러지 의 탈수성 과 적 정 주입량을 산출하는 방법을 연구하였다. 이를 위하여 본 실험의 대상인 도시 하수슬러지에 대하여 함수율 및 pH변화, 무기 및 유기 응집제의 주입량 변화, 그리고 응집제 투입 후 침전된 응집제량을 조사하여 탈수성을 조사하였다. 슬러지의 함수율을 97%, 98%, 99%로 했을 때, CST는 99%일 때가 가장 적은 값으로 나타났다 응집제 주입 후 침전된 슬러지의 생성량은 응집제가 증가됨에 따라 증가하다가, 최적 주입량보다 더 많은 응집제를 주입할 경우에는 그 양이 감소했다. 이는 형성된 응집물의 구조적 특성의 변화를 나타내고 있음을 알 수 있다. 위와 같은 실험 결과를 통해 CST는 수분이내(< Smin)에 슬러지의 탈수성을 신속하게 측정할 수 있는 방법이며 비교적 정확하게 측정할 수 있음을 알 수 있다. 뿐만 아니라 응집제의 최적 주입량 및 응집물의 구조적 특성을 평가하는 데에도 유용하게 사용할 수 있다.

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