• Title/Summary/Keyword: Down grade

Search Result 184, Processing Time 0.026 seconds

Delayed Diagnosis of Cerebral Infarction after Complete Occlusion of ICA due to Blunt Head Trauma: A Case of Report (두부둔상 후 내경동맥손상으로 인한 뇌경색의 지연진단: 증례보고)

  • Yun, Jung-Ho;Ko, Jung Ho;Cho, Chun-Sung
    • Journal of Trauma and Injury
    • /
    • v.28 no.3
    • /
    • pp.190-194
    • /
    • 2015
  • Blunt cerebrovascular injury is defined as a vertebral or carotid arterial structural wall injury resulting from nonpenetrating trauma. Complete traumatic internal carotid artery occlusion is very rare condition accounting for 0.08~0.4 0f all trauma patients and believed to be associated with the greatest risk of ischemic stroke reported in 50~90% in a few small series. A 55-year-male was admitted with drowsy mentality and severe headache after a fall down accident. Brain computed tomography showed a subdural hematoma at the both frontal area with a fracture of the occipital skull bone. Two days after admission, he suddenly complained with a right side hemiparesis of motor grade 2. Brain magnetic resonance diffusion demonstrated multiple high flow signal changes from the left frontal and parietal lesion. Computed tomographic angiogram (CTA) revealed absence of the left ICA flow. Trans femoral cerebral angiography (TFCA) showed complete occlusion of the left internal carotid artery (ICA) at ophthalmic segment in the left ICA angiogram and flows on the left whole hemispheric lesions through the anterior communicating artery in the right ICA angiogram. We decided to conduct close observations as a treatment for the patient because of acute subdural hematoma and sufficient contralateral cerebral flow by perfusion SPECT scan. Two weeks after the accident, he was treated with heparin anticoagulation within INR 2~4 ranges. He recovered as the motor grade 4 without another neurologic deficit after 3 months.

  • PDF

The Trend of Water Quality Variations and Correlation between COD & Chl-a Concentration for the Juam Reservoir (주암호의 수질변화 및 COD 및 Chl-a 농도의 상관관계 분석)

  • Yang, Hyung-Jae;Kim, Byung-Ik
    • Journal of Korean Society of Environmental Engineers
    • /
    • v.28 no.12
    • /
    • pp.1331-1336
    • /
    • 2006
  • The Juam reservoir, hydrological investigations on the catchment environment and pollutants inflow have been carried out simultaneously. The average COD in 1992 observed in Juam reservoir was 2.3 mg/L, and reached to 2.72 mg/L in 2005 that is increased 0.23 mg/L for 13 years. Following this trend, the water duality is expected to deteriorate down to the second-grade water quality exceeding the 3 mg/L limit in 2010. The concentration exceeding the value of 46.5 $mg/m^3$ will not guarantee the water quality better than $2^{nd}$ grade drinking water resource since correlative between COD and chl-a is y=0.0732x+2.5953 its $r^2=0.8141$. This result will help control the algal growth in the future by taking into account the expected value as a monitoring target.

Comparisons of Students's Associations with and Learning Objectives Statements on Illustrations of Science Textbooks Before and After the Lessons - Focusing on the Earth and Space Units of the 5th Grade in 2007 Science Curriculum - (수업 전과 후에 나타나는 학생들의 과학 교과서 삽화에 대한 연상과 학습목표 진술 비교 - 2007 개정 5학년 과학 지구와 우주 영역 -)

  • Shin, Myeong-Kyeong;Song, Tea-Hun
    • Journal of Korean Elementary Science Education
    • /
    • v.32 no.4
    • /
    • pp.545-556
    • /
    • 2013
  • The purpose of this research was to enhance the understanding of scientific thinking of $5^{th}$ graders of elementary school through conducting investigative analyses on the students' associations with regard to illustrations on science textbooks and to provide basic data that are needed for the teachers teaching science in classrooms to reorganize textbook illustrations suitable to the realities of science contents and realms. In order to achieve the research purposes, subject $5^{th}$ grade students were asked to write down what they associated with the illustrations on the matter part of the $5^{th}$ science textbooks of elementary school: among 14 illustrations, a half of them were after lessons and other half from before lessons. The types of students' learning goal statements according to Bloom's taxonomy of educational objectives were compared with the learning objectives provided in teachers' guide. The differences between before and after lessons in associated words which students used responding to given illustrations were investigated. Students' responses were analyzed in terms of how their associations were consistent with what their preference of learning objectives would be as well. Students variables including their achievement levels and gender were used as group variables in order to locate their effects on differences in their associations before and after the lessons. It was found that students manipulated the given illustrations more variously with more explanations before the lessons than after. After the lessons students tended to describe the illustrations more homogeneously and made theirs stick on the given direction by the textbooks. The implications for how school teaching affected to students' perception was made.

Teaching and Learning on the Computational Estimation Using Role Play in an Actual Life Problem Situation - Centered on the 3rd Grade - (역할극 중심의 실생활 문제 상황의 어림학습 지도에 관한 연구 - 초등 3학년을 중심으로 -)

  • Kim, Young-Lang;Park, Young-Hee
    • Journal of Educational Research in Mathematics
    • /
    • v.16 no.4
    • /
    • pp.273-295
    • /
    • 2006
  • It is the purpose of this study to help computational estimation study to settle down in effective teaching method through analysis how students are understanding computational estimation and what occurs using computational estimation in actual life problem situations. I set 3 cases to accomplish these purposes. (1) How students are understanding computational estimation? (2) How students' computational estimation ability is in applying actual life problem situation? (3) What is students' different attitudes in an actual life problem situation before studying computational estimation and after? To accomplish tile purpose, I chose 6 third grade students and taught 'Computational estimation using actual life problem situation' and analyzed students computational estimation processing. Then I arranged the computational estimation processing in an actual life problem situation and differences between the before and tile after. As a result, I obtained the followings. (1) Need of estimation: Every students could recognize the need of estimation with experiencing an actual life problem situation. (2) Choosing the order of decimals: Students could choose appropriate order of decimals according to an actual life problem situations. (3) Using strategy: They usually use rounding strategy and quite often use special number and compatible number strategy.

  • PDF

The Clinical Study on 80 Cases of Low Back Pain Patients (요통환자 80례에 대한 임상적 고찰)

  • Jeon, Seong-Ha;Ryu, Heon-Sik;Chang, Byoung-Son;Kim, Su-Hyun;Park, Hoi-Jin
    • Journal of Acupuncture Research
    • /
    • v.24 no.2
    • /
    • pp.155-167
    • /
    • 2007
  • Objectives : This study was performed to evaluate the general distribution and the efficacy of oriental medical treatment for low back pain. Methods: We have selected of the moxa bucket moxibustion. We make a comparative study of the thermodynamic characteristics of moxa bucket moxibustion. We examined combustion times, temperatures, temperature gradients in each period during a combustion of moxa bucket moxibustion made by oak wood. Results : The 80 cases of low back pain patients was analyzed according to the distribution of sex, age, the period of disease, contributing factor, the patient-condition on admission, the symptom on admission, the duration of admission, the reading of the X-ray and the treatment efficacy was evaluated respectively. 1. Female was more than male in the ratio of 1:1.2, and thirties and seventies 25% the most, the acutest phase 46.3% the most, reason unknown 33.8% the most, Grade III 50% the most, L.B.P. only 51.3% the most, the day of 6-10 30% the most, compression Fx 30% the most. 2. In the total treatment result, the good was 51.3%, the excellent 22.5%, the fair 17.5%, the poor 8.8% in order. About 'the effective rate'(the percentage of positive effective treatment cases) of each distribution, the fifties 100% the most, the acutest phase 97.3% the most, the slip down, weight lifting, overuse 100% the most respectively, Grade III 97.5% the most, L.B.P. only 95.1% the most, the day of 11-15 100% the most, HN.P. 93.3% the most. Conclusions : We have known the efficacy of oriental medical treatment for L.B.P. was good and early treatment was better than late treatment and main cause of L.B.P. was degenerative change.

  • PDF

Effects on the Tissue Reaction Using GI Cement in the Maxillary Grade II Furcation in the Beagle Dogs (성견 상악 치근 이개부 병소에 Glass Ionomer Cement 충전 시 조직 반응에 관한 연구)

  • Lee, Yong-Gon;Chung, Chin-Hyung;Lim, Sung-Bin
    • Journal of Periodontal and Implant Science
    • /
    • v.30 no.4
    • /
    • pp.793-803
    • /
    • 2000
  • Procedures for treatment of molar furcation invasion defects range from open flap debridement, apically repositioned flap surgery, hemisection, tunneling or extraction, to regenerative therapies using bone grafting or guided tissue regenerative therapy, or a combination of both. Several clinical evaluations using regenerative techniques have reported the potential for osseous repair of treated furcation invasions. Regenerative treatment of maxillary molars are more difficult due to the multiple root anatomy and multiple furcation entrances therefore, purpose of this study was to evaluated histologically self-curing glass-ionomer cement and light-curing glass-ionomer cement as a barrier in the treatment of a bi-furcated maxillary premolar. Five adult beagle dogs were used in this experiment. With intrasulcular and crestal incision, mucoperiosteal flap was elevated. Following decortication with 1/2 high speed round bur, degree II furcation defect was made on maxillary third(P3), forth(P4) and fifth(P5) premolar. 2 month later experimental group were self-curing glassionomer cement and light-curing glassionomer cement. After 4, 8 weeks, the animals were sacrificed by vascular perfusion. Tissue block was excised including the tooth and prepared for light microscope with Gomori's trichrome staining. Results were as follows. 1. In all experiment group, there were not epithelial down growth and glass ionomer cement were encapsulated connective tissue. 2. In 4 weeks experiment I group slighly infiltrated inflammatory cells but not disturb the new bone or new cementum formation. 3. In 8 weeks, experiment groups I, II were encapsulated fine connective tissue. 4. Therefore glass-ionomer cement filling to the grade III maxillary furcations with multiple root anatomy and multiple furcation entrances were possible clinical methods and this technique is useful method for Maxillary furcation involvement.

  • PDF

Efficient Construction of Large Scale Grade of Services Steiner Tree Using Space Locality and Polynomial-Time Approximation Scheme (공간 지역성과 PTAS를 활용한 대형 GOSST의 효과적 구성)

  • Kim, In-Bum
    • Journal of the Korea Society of Computer and Information
    • /
    • v.16 no.11
    • /
    • pp.153-161
    • /
    • 2011
  • As the problem of GOSST building belongs to NP compete domain, heuristics for the problem ask for immense amount execution time and computations in large scale inputs. In this paper, we propose an efficient mechanism for GOSST construction using space locality PTAS. For 40,000 input nodes with maximum weight 100, the proposed space locality PTAS GOSST with 16 unit areas can reduce about 4.00% of connection cost and 89.26% of execution time less than weighted minimum spanning tree method. Though the proposed method increases 0.03% of connection cost more, but cuts down 96.39% of execution time less than approximate GOSST method (SGOSST) without PTAS. Therefore the proposed space locality PTAS GOSST mechanism can work moderately well to many useful applications where a greate number of weighted inputs should be connected in short time with approximate minimum connection cost.

Analyses of Seasonal Water Quality of The Anyang Stream (안양천의 계절별 수질분석)

  • Han, Jung-Geun;Lee, Yang-Kyu;Nam, Jung-Man
    • Journal of the Korean Society of Environmental Restoration Technology
    • /
    • v.7 no.4
    • /
    • pp.52-60
    • /
    • 2004
  • In order to analysis of the water pollution of the Anyang stream(one of the biggest branch streams of the Han River) and its main tributaries, the geological and topographical and rainfall features in its basin were investigated. To do this, the water samples were collected 23 points of the upper, mid and down of Anyang stream and its tributaries and were analyzed based on the chemical methods, Korean Biotic Index(KBI) and Saprobien systems. The Anyang stream basin has a characteristic of topographical torrential heavy rainfall like a typical rainfall feature in Korea. The concentration and the outflow rate of rainfall is very different in seasonal, and water pollution in dry season is especially severe. After 1997, although the water quality status of stream has been improved gradually, the concentration of T-N and SS at the upstream is increased due to the deficiency of facility used for collecting wastewater released from industrial factories, livestock farms and residential areas. The mainstream of the Anyang stream is classified into the 5th grade water as polysaprobic water area according to Saprobien system and the biotic index is over 2.5 in overall. Most of tributaries have 1~3 grade water limit with ${\alpha}$- and ${\beta}$-mesosaprobic except the upper and mid streams of Samsung tributary, in which pollution status is the lowest part. Though Sambong tributary is ${\alpha}$-mesosaproboic, biotic index is low because of the appearance of abundant benthos animals in farming and fishing villages.

Assessment of the Naktong River Pollution after Phenol Spillage from the Kumi Industrial Estates II, Korea (페놀오염사건 이후의 낙동강수 오염평가)

  • Kim, Doo-Hie;Jang, Bong-Ki;Hong, Sung-Chul;Moon, Hyo-Jung;Lee, Duck-Hee;Oh, Hae-Ju
    • Journal of Preventive Medicine and Public Health
    • /
    • v.26 no.2 s.42
    • /
    • pp.268-281
    • /
    • 1993
  • The aquatic quality of the Naktong river after two or three months in June, 1991 with phenol spillage from a electrical factory in Kumi was investigated. The samples were collected at six sites of the Naktong river basin and Kachang and Kongsan lakes. Phenol was not detected from all water samples. Turbidity was very much increased to the down stream in the Naktong river. The BOD and COD values exceeded the 2nd grade(3mg/l) of the Korean standard quality of Environmenal Water Act at the all sampling sites of the Naktong river. Especially, the value of COD at Kaejin (12.5mg/l) was poorly classified as to the 5th grade of water class for the environmental quality standards. Organophosphorous pesticides such as parathion, malathion, fenitrothion and diazinon were investigated but not detected. Diazinon was only detected at the Ilsan bridge(1.42ppb), Okkye stream(6.95ppb), Waekwan bridge(0.32ppb), Gangjung reservior(0.13ppb), Kaejin (0.05ppb). Of the carbamates such as carbanyl, isoprocarb and cabofuran, the carbofuran was detected all sites except tap water, and Kachang and Kongsan lakes. The content of heavy metals such as Cd, Pb, Zn, Fe, Mn, Hg were not exceeding for drinking water standards at the all sampling region, but only mecury was detected from Okkye stream(0.018ppb) and Kaejin (0.09ppb). In the regions of Kachang and Kongsan lakes, the content of heavy meatals were lower than that of reservior of Naktong river.

  • PDF

Distinguishing Aroma Profile of Highly-Marbled Beef according to Quality Grade using Electronic Nose Sensors Data and Chemometrics Approach

  • Utama, Dicky Tri;Jang, Aera;Kim, Gur Yoo;Kang, Sun-Moon;Lee, Sung Ki
    • Food Science of Animal Resources
    • /
    • v.42 no.2
    • /
    • pp.240-251
    • /
    • 2022
  • Fat deposition in animal muscles differs according to the genetics and muscle anatomical locations. Moreover, different fat to lean muscle ratios (quality grade, QG) might contribute to aroma development in highly marbled beef. Scientific evidence is required to determine whether the abundance of aroma volatiles is positively correlated with the amount of fat in highly marbled beef. Therefore, this study aims to investigate the effect of QG on beef aroma profile using electronic nose data and a chemometric approach. An electronic nose with metal oxide semiconductors was used, and discrimination was performed using multivariate analysis, including principal component analysis and hierarchical clustering. The M. longissimus lumborum (striploin) of QG 1++, 1+, 1, and 2 of Hanwoo steers (n=6), finished under identical feeding systems on similar farms, were used. In contrast to the proportion of monounsaturated fatty acids (MUFAs), the abundance of volatile compounds and the proportion of polyunsaturated fatty acids (PUFAs) decreased as the QG increased. The aroma profile of striploin from carcasses of different QGs was well-discriminated. QG1++ was close to QG1+, while QG1 and QG2 were within a cluster. In conclusion, aroma development in beef is strongly influenced by fat deposition, particularly the fat-to-lean muscle ratio with regard to the proportion of PUFA. As MUFA slows down the oxidation and release of volatile compounds, leaner beef containing a higher proportion of PUFA produces more volatile compounds than beef with a higher amount of intramuscular fat.