• Title/Summary/Keyword: Cardinal

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Empyema Thoracis: 60 Cases Analysis (농흉의 임상적 고찰: 60례 보고)

  • Lee, In-Sung;Kim, Hyoung-Mook
    • Journal of Chest Surgery
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    • v.10 no.2
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    • pp.214-218
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    • 1977
  • There appears to be significant problems remained in the treatment of thoracic empyema inspire of the more potent broad spectrum antimicrobial agents available and improved surgical managements. Clinical analysis of 60 patients of thoracic empyema was done who received major and/or minor surgical intervention at the Dept. of Thoracic and Cardiovascular Surgery, Korea University Hospital in the period of 3 years from May 1973 to July 1976. Following was the results: 1. Male was predominent to female with the ratio of 2.16 to 1, and adult to infant was 2.75: 1. 2. Most frequent predisposing factors of thoracic empyema in infancy and childhood was pneumonia [38.3%], and in adult was pulmonary tuberculosis [36.7%]. 3. Cardinal symptoms were dyspnea, fever, chest pain and productive cough etc. 4. Positive result of bacteriological culture study was reported in 26. 7%, and among them, Staph. aureus [10%], Diplo. pneumonia [3.3%], Streptococcal group [1.7%], Pseu. aeruginosa [1.7%], Paracolon bacilli [1.7%] and others [8.3%] in respectively. No growth of pathologic organism was reported in 60.0%, and not requested in 13.3%. Among the negative group, tuberculosis was confirmed on pathological tissue slide in half and other half was not determined bacteriologically and pathologically. 5. Surgical treatment was performed to the almost all of the patients with closed thoracostomy [48.3%], empyemectomy [28.3%], empyemectomy with pulmonary resection [11.7%] and others [I1.6%] in respectively with favorable results. 6. Mortality rate was 8.3% [5 cases], each one with lung cancer, diabetes mellitus, respiratory insufficiency, sepsis and another, two months old infant with asphyxia.

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The application to the numerical model of two dimension for the examination of the high water level of cardinal points at the junction of the river (합류부 하천의 기점홍수위 검토를 위한 2차원 수치모형의 적용)

  • Park, Soo-Jin;Choi, Seung-Yun;Jung, Young-Duk;Baek, Kyung-Won;Choi, Han-Kuy
    • Proceedings of the Korea Water Resources Association Conference
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    • 2009.05a
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    • pp.837-842
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    • 2009
  • 북한강 수계는 여러 하천을 지류로 갖고 유하하고 있으며 하천의 크기 및 본류의 형상에 따라 다양한 방법으로 지류하천이 합류하고 있으나 기존의 지류하천 홍수위 산정방법은 일률적으로 본류의 계획홍수위를 기점홍수위으로 산정하여 계획하고 있다. 따라서 본 연구에는 다양한 지류하천에 대하여 2차원 수치해석을 이용 합류부 지점의 수면형을 해석함으로써 지류 하천의 기존 기점홍수위 적용방법의 적정성에 대하여 검증하였다. 연구방법은 11개 연구대상 지류 하천에 대하여 유입각, 본류와 지류의 유량비 및 하천폭, 본류의 하천 곡선방법에 대하여 수치해석결과를 비교하였다. 유입각에 따른 수위편차를 검토한 결과, 유입각 $90^{\circ}$이하인 지류하천에서 2차원 수치해석 값이 기존 기점홍수위보다 크게 산정되었다. 본류 하천과 지류 하천과의 유량비를 산정하여 수위편차를 검토한 결과 수치적인 경향은 확인할 수 없었다. 본류 하천과 지류 하천의 하폭비를 산정하여 수위편차를 비교한 결과 하폭비가 7이상인 경우 수위편차가 작고, 기존 기점홍수위보다 2차원 수치해석값이 작게 산정되었으며, 하폭비가 $3^{\sim}6$ 범위에서는 수위편차가 가장 크게 발생하는 것을 확인하였다. 본류 하천의 곡선반경을 수위편차와 비교한 결과 곡선반경이 550m이하인 만곡지점의 경우 수위편차가 크게 발생함을 확인할 수 있었다.

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A Case of Neuro-Behest's Disease: Comparison of Neurological Symptoms with PET, SPECT, and MRI Findings (신경 베체트병 1례: 신경학적 증상과 뇌 PET, SPECT, MRI 소견의 비교)

  • Kim, Jin-Wook;An, Min;Kim, So-Yon;Kim, Young-Jung;Cho, Min-Koo;Lee, Gwon-Jun;Lim, Sang-Moo;Hong, Sung-Woon;Choi, Chang-Woon
    • The Korean Journal of Nuclear Medicine
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    • v.32 no.6
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    • pp.534-541
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    • 1998
  • We describe a 27-year-old man who developed gait disturbance and dysarthria 2 years after the onset of cardinal symptoms of Behcet's disease. Positron emission tomography with $^{18}F$-fluorodeoxyglucose revealed severe hypometabolisrn in the cerebellum, in accordance with cerebellar symptoms and signs of the patient. However, single-photon emission tomography with $^{99m}Tc$-HMPAO and $^{99m}Tc$-ECD did not disclose significant perfusion abnormalities in the brain. Routine brain magnetic resonance imaging did not show signal abnormalities. The findings of imaging studies compared with neurological manifestations of the patient are discussed.

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Phenomenological Model to Re-proportion the Ambient Cured Geopolymer Compressed Blocks

  • Radhakrishna, Radhakrishna;Madhava, Tirupati Venu;Manjunath, G.S.;Venugopal, K.
    • International Journal of Concrete Structures and Materials
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    • v.7 no.3
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    • pp.193-202
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    • 2013
  • Geopolymer mortar compressed blocks were prepared using fly ash, ground granulated blast furnace slag, silica fume and metakaolin as binders and sand/quarry dust/pond ash as fine aggregate. Alkaline solution was used to activate the source materials for synthesizing the geopolymer mortar. Fresh mortar was used to obtain the compressed blocks. The strength development with reference to different parameters was studied. The different parameters considered were fineness of fly ash, binder components, type of fine aggregate, molarity of alkaline solution, age of specimen, fluid-to-binder ratio, binder-to-aggregate ratio, degree of saturation, etc. The compressed blocks were tested for compression at different ages. It was observed that some of the blocks attained considerable strength within 24 h under ambient conditions. The cardinal aim was to analyze the experimental data generated to formulate a phenomenological model to arrive at the combinations of the ingredients to produce geopolymer blocks to meet the strength development desired at the specified age. The strength data was analyzed within the framework of generalized Abrams' law. It was interesting to note that the law was applicable to the analysis of strength development of partially saturated compressed blocks when the degree of saturation was maintained constant. The validity of phenomenological model was examined with an independent set of experimental data. The blocks can replace the traditional masonry blocks with many advantages.

Pathogenesis and clinical manifestations of juvenile rheumatoid arthritis

  • Hahn, Youn-Soo;Kim, Joong-Gon
    • Clinical and Experimental Pediatrics
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    • v.53 no.11
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    • pp.921-930
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    • 2010
  • Juvenile rheumatoid arthritis (JRA) is the most common rheumatic childhood disease; its onset is before 16 years of age and it persists for at least 6 weeks. JRA encompasses a heterogeneous group of diseases that is classified according to 3 major presentations: oligoarthritis, polyarthritis, and systemic onset diseases. These presentations may originate from the same or different causes that involve interaction with specific immunogenetic predispositions, and result in heterogeneous clinical manifestations. An arthritic joint exhibits cardinal signs of joint inflammation, such as swelling, pain, heat, and loss of function; any joint can be arthritic, but large joints are more frequently affected. Extra-articular manifestations include high fever, skin rash, serositis, and uveitis. The first 2 types of JRA are regarded as T helper 1 (Th1) cell-mediated inflammatory disorders, mainly based on the abundance of activated Th1 cells in the inflamed synovium and the pathogenetic role of proinflammatory cytokines that are mainly produced by Th1 cell-stimulated monocytes. In contrast, the pathogenesis of systemic onset disease differs from that of other types of JRA in several respects, including the lack of association with human leukocyte antigen type and the absence of autoantibodies or autoreactive T cells. Although the precise mechanism that leads to JRA remains unclear, proinflammatory cytokines are thought to be responsible for at least part of the clinical symptoms in all JRA types. The effectiveness of biologic therapy in blocking the action of these cytokines in JRA patients provides strong evidence that they play a fundamental role in JRA inflammation.

Andrographolides and traditionally used Andrographis paniculata as potential adaptogens: Implications for therapeutic innovation

  • Thakur, Ajit Kumar;Chatterjee, Shyam Sunder;Kumar, Vikas
    • CELLMED
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    • v.4 no.3
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    • pp.15.1-15.14
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    • 2014
  • Andrographis paniculata (Burm. F.) Wall. Ex Nees (Family: Anthaceae) is a traditionally known Ayurvedic medicinal plant. Several well-controlled clinical trials conducted during recent years have consistently reconfirmed that Andrographis paniculata extracts are effective in suppressing cardinal symptoms of diverse inflammatory and infectious diseases. Despite extensive efforts though, many questions concerning bioactive constituents of such extracts and their modes of actions still remain unanswered. Amongst diverse diterpene lactones isolated to date from such extracts, andrographolide is often considered to be the major, representative, or bioactive secondary metabolite of the plant. Therefore, it has attracted considerable attention of several drug discovery laboratories as a lead molecule potentially useful for identifying structurally and functionally novel drug. Critical analysis of available preclinical and clinical information on Andrographis paniculata extracts and pure andrographolide strongly suggest that they are pharmacologically polyvalent and that they possess adaptogenic properties. Aim of this communication is to summarize and critically analyze such data, and to point out some possibilities for more rationally exploiting their adaptogenic properties for discovering novel therapeutic leads, or for obtaining pharmacologically better standardized phyto-pharmaceuticals.

Environmental Impact on the KEPCO 765-kV Double Circuit Transmission Line (한전 765 kV 2회선 송전선로의 전기환경장애 특성)

  • Lee, D.I;Sin, K.Y;Kim, J.B
    • The Transactions of the Korean Institute of Electrical Engineers C
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    • v.48 no.2
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    • pp.117-126
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    • 1999
  • The environmental impact of the KEPCO 765-kV transmission line was studied using a full scale test line in order to develop the design technology. Therefore this paper describes an environmental design summary of the audible noise, hum noise, wind noise, radio interference, TV interference and electric field measurement from the KEPRI 765-kV double circuit transmission test line with a bundle of $6-480mm^2$ conductors per phase. The analysis of the test results shows that 6-Rail and 6-Cardinal conductors bundle satisfy the audible noise criterion & TV interference under the stable rainy weather condition and the radio interference level under the fair weather. And the other items are also agreed with the design level criterion for KEPCO 765-kV transmission line.

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Survey on the Flora and Main Wild Mushroom in Tricholoma matsutake Producing Sites (송이 발생지(發生地)의 식생(植生)과 주요(主要) 야생(野生) 버섯 분포(分布) 조사(調査))

  • Na, Jong-Seong;Ryu, Jeong
    • The Korean Journal of Mycology
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    • v.20 no.2
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    • pp.144-148
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    • 1992
  • This experiment was carried out to investigate on the flora and cardinal wild mushroom in Tricholoma matsutake producing sites at the Namweon area. The results were as follows: Flora of Tricholoma matsutake producing sites were prevailed over at tree layer (Pinus densiflora S. et. Z.), shrub layer (Rhododendora mucronulatum TURCZ., Quercus serrata THUNB.) and herb layer (Carex humilis LEYSS.). Piedominant wild mushrooms were Boletaceae (Suillusplacidus Bon.) and Ramariaceae (Ramaria botrytis Fr.)

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T-Cell Dysfunction and Inhibitory Receptors in Hepatitis C Virus Infection

  • Lee, Jino;Suh, William I.;Shin, Eui-Cheol
    • IMMUNE NETWORK
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    • v.10 no.4
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    • pp.120-125
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    • 2010
  • Dysfunction of the virus-specific T cells is a cardinal feature in chronic persistent viral infections such as one caused by hepatitis C virus (HCV). In chronic HCV infection, virus-specific dysfunctional CD8 T cells often overexpress various inhibitory receptors. Programmed cell death 1 (PD-1) was the first among these inhibitory receptors that were identified to be overexpressed in functionally impaired T cells. The roles of other inhibitory receptors such as cytotoxic T lymphocyte-associated antigen-4 (CTLA-4) and T cell immunoglobulin and mucin domain-containing molecule 3 (Tim-3) have also been demonstrated in T-cell dysfunctions that occur in chronic HCV patients. Blocking these inhibitory receptors in vitro restores the functions of HCV-specific CD8 T cells and allows enhanced proliferation, cytolytic activity and cytokine production. Therefore, the blockade of the inhibitory receptors is considered as a novel strategy for the treatment of chronic HCV infection.

Case of the Oculomotor Nerve Palsy in Miller Fisher Syndrome (Miller Fisher 증후군의 동안신경마비에 대한 치험1례)

  • Du In Sun;Kim Jin Man;Hong Chul Hee;Seo Eun Sung;Park Min Chul;Kim Nam Kwen
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.3
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    • pp.842-844
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    • 2003
  • Miller Fisher syndrome is characterized by ophthalmoplegia, ataxia and areflexia and develops after respiratory tract viral infection. Other events are GI tract infection, vaccination, digitalis intoxication, insect bite and delivery. Diagnosis of Miller Fisher syndrome can be made with clinical history taking, cardinal symptoms and normal findings of CT or MRI. We have experienced a case of Miller Fisher syndrome and treated with herbal medicine, eletro-acupuncture at paralytic external ophthalmic muscles. We enforced electro-acupuncture for 10 minutes daily. We used the PG-306 electro-acupuncture products(Suzuki Iryoki Co. Japan) and applied the low consequence wave of 1-8Hz. In 3 months, all the main symptoms disappered and the patient improved in health. Based on this experience, herbal medicine and eletro-acupuncture can be applied to the Miller Fisher syndrome.