• 제목/요약/키워드: First-onset

검색결과 708건 처리시간 0.027초

Onset of Slugging Criterion Based on Singular Point and Stability Analyses of Transient One-Dimensional Two-Phase Flow Equations of Two-Fluid Model

  • Sung, Chang-Kyung;Chun, Moon-Hyun
    • Nuclear Engineering and Technology
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    • 제28권3호
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    • pp.299-310
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    • 1996
  • A two-step approach has been used to obtain a new criterion for the onset of slug formation : (1) In the first step, a more general expression than the existing models for the onset of slug flow criterion has been derived from the analysis of singular points and neutral stability conditions of the transient one-dimensional two-phase flow equations of two-fluid model. (2) In the second step, introducing simplifications and incorporating a parameter into the general expression obtained in the first step to satisfy a number of physical conditions a priori specified, a new simple criterion for the onset of slug flow has been derived. Comparisons of the present model with existing models and experimental data show that the present model agrees very closely with Taitel & Dukler's model and experimental data in horizontal pipes. In an inclined pipe ($\theta$ =50$^{\circ}$), however, the difference between the predictions of the present model and those of existing models is appreciably large and the present model gives the best agreement with Ohnuki et al.'s data.

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급성기 안면마비 (Bell's palsy) 환자의 예후 및 치료율에 대한 임상고찰 80례 (The Clinical observation of acute Bell's palsy 80 Case)

  • 원재선;주경옥;조아름;김지현;김창환
    • 한방안이비인후피부과학회지
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    • 제23권2호
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    • pp.151-162
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    • 2010
  • Objective : Bell's palsy is common and has many clinic study. but bell's palsy prognosis is not enough specific. So this study was evaluated bell's palsy prognosis, treatment number, sequela of normal group and bad prognosis group. Methods : From June 2009 to June 2010, patients who visited Dong-seo Oriental Medicine ENT. A clinic study was done on patient who were diagnosed bell's palsy, onset 2weeks within when first visited OPD and treated 3 times over in Dong-seo Oriental Medicine Cental. To evaluate grade of paralysis, House-Brackman Scale was used. We classified treatment numbers of each HB-Scale group, normal gIVroup and bad prognosis group. Results : The distribution of Onset HB-Scale : Gr II 26.25%, Gr III 67.5%, Gr IV 6.25% Onset HB-Scale Gr II patients completely recover 100% Onset HB-Scale Gr III patients completely recover 64.8%, improved 27.8%, nothing change 7.4% Onset HB-Scale Gr IV patients completely recover 40%, improved 60% Onset HB-Scale Gr II & IV patients recovery percentage make no difference of normal group (Group A) and bad prognosis. Onset HB-Scale Gr III patients completely recover Group A 66.7%, Group B 52.9%, improved Group A 23.2%, Group 35.3%, noting change Group A 5.1%, Group B 11.8% Onset HB-Scale Gr II patients has no sequela. Onset HB-Scale Gr III & IV patients has tendency that they treat more times, more improving and less sequela probability Conclusion : Onset HB-Scale is the indicator of acute bell's palsy prognosis.

이어도 기상 관측 자료를 활용한 장마 시작일 분석 (Analysis for Onset of Changma Using Ieodo Ocean Research Station Data)

  • 오효은;하경자;심재설
    • 대기
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    • 제24권2호
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    • pp.189-196
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    • 2014
  • The definition of onset date of Changma is revisited in this study using a quality controlled Ieodo ocean research station data. The Ieodo station has great importance in terms of its southwest location from Korean Peninsula and, hence, makes it possible to predict Changma period in advance with less impact of continents. The onset date of Changma using the Ieodo station data is defined by the time that meridional wind direction changes and maintains from northerly to southerly, and then the zonal wind changes from easterly to westerly after first June. This definition comes from a recognition that the establishment and movement of the western North Pacific subtropical high (WNPSH) cause Changma through southwesterly flow. The onset data of Changma has been determined by large-scale dynamic-thermodynamic characteristics or various meteorological station data. However, even the definition based on circulation data at the Ieodo station has a potential for the improved prediction skill of the onset date of Changma. The differences between before and after Changma, defined as Ieodo station data, are also found in synoptic chart. The convective instability and conspicuous circulations, corresponding low-level southwesterly flow related to WNPSH and strong upper-level zonal wind, are represented during Changma.

Effects of syllable structure and prominence on the alignment and the scaling of the phrase-initial rising tone in Seoul Korean: A preliminary study

  • Kim, Sahyang
    • 말소리와 음성과학
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    • 제7권4호
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    • pp.139-145
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    • 2015
  • The present study investigates the effects of syllable structure and prosodic prominence on the patterns of tonal alignment and scaling of the phrase-initial rise in Seoul Korean. Two syllable structures (Onset (/#CVC.../ as in minsa) vs. No-onset (/#VC.../ as in insa)) and two prominence conditions (Focus vs. Neutral) were considered. Results showed that the alignment of the L and the H tones in the phrase-initial rise was affected by syllable structure but not by prominence. The time of L was before the vowel onset of the first syllable in the Onset condition (i.e., within the onset consonant) and it was after the vowel onset in the No-onset condition. The difference was attributable to the fact that the initial L was anchored at a fixed distance from the phrase boundary, which was about 30ms after the onset of the syllable in both cases. The time of H was also consistently observed about 20ms after the second vowel onset (i.e., /a/ in minsa/insa). Moreover, the rise time (the duration from the L to the H tones) was longer as the local syllable duration became longer due to different syllable structure and prominence conditions. Taken together, the results provide a support for the segmental anchoring hypothesis, which claims that both the beginning and the end of F0 movement are consistently aligned with segmental 'anchor' points with relatively high stability (Ladd et al., 1999). Results also showed that the scaling of the early rise was slightly influenced by syllable structure but not by prominence. The differences between the results of the current study and a previous study (Cho, 2011) are further discussed.

Cognitive impairment in childhood onset epilepsy: up-to-date information about its causes

  • Kim, Eun-Hee;Ko, Tae-Sung
    • Clinical and Experimental Pediatrics
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    • 제59권4호
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    • pp.155-164
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    • 2016
  • Cognitive impairment associated with childhood-onset epilepsy is an important consequence in the developing brain owing to its negative effects on neurodevelopmental and social outcomes. While the cause of cognitive impairment in epilepsy appears to be multifactorial, epilepsy-related factors such as type of epilepsy and underlying etiology, age at onset, frequency of seizures, duration of epilepsy, and its treatment are considered important. In recent studies, antecedent cognitive impairment before the first recognized seizure and microstructural and functional alteration of the brain at onset of epilepsy suggest the presence of a common neurobiological mechanism between epilepsy and cognitive comorbidity. However, the overall impact of cognitive comorbidity in children with epilepsy and the independent contribution of each of these factors to cognitive impairment have not been clearly delineated. This review article focuses on the significant contributors to cognitive impairment in children with epilepsy.

Genetic Basis of Early-onset Developmental and Epileptic Encephalopathies

  • Hwang, Su-Kyeong
    • Journal of Interdisciplinary Genomics
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    • 제3권1호
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    • pp.13-20
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    • 2021
  • Developmental and epileptic encephalopathies are the most devastating early-onset epilepsies, characterized by early-onset seizures that are often intractable, electroencephalographic abnormalities, developmental delay or regression, and various comorbidities. A large number of underlying genetic variants of developmental and epileptic encephalopathies have been identified over the past few decades. However, the most thorough sequencing studies leave 60-65% of patients without a molecular diagnosis. This review explores the genetic basis of developmental and epileptic encephalopathies that start within the first year of life, including Ohtahara syndrome, early myoclonic encephalopathy, epilepsy of infancy with migrating focal seizures, infantile spasms, and Dravet syndrome. The purpose of this review is to give an overview and encourage the clinicians to start considering genetic testing as an important investigation along with electroencephalogram for better understanding and management of developmental and epileptic encephalopathies.

중풍환자의 초발군과 재발군에 관한 임상적 고찰 (A Comparative Study between First Attack and Reattack Groups in C.V.A)

  • 박숙자;권정남;김영균
    • 대한한의학회지
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    • 제23권3호
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    • pp.119-133
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    • 2002
  • Objectives : This study was designed to investigate significant differences between the first attack and reattack groups to form fundamental data for decreasing recurrence and secondary prevention of stroke. Methods : I studied 204 patients admitted within 7 days of onset, after the diagnosis of stroke, in the Oriental Medical Hospital of Dongeui University from February to July in 2001.compared the reattack group with the first attack group for risk factors, clinical symptoms and progress, average mark and degree of improvement in Activity Index. Results : 1. Meaningful risk factors associated with the reattack group were male sex, a past history of hypertension and transient ischemic attack, and a family history of stroke. 2. The reattack group had conscious or cognitive disorder in early stage of onset, dysphagia, constipation, urinary incontinence, visual field defect in acute stage, high blood pressure and tachycardia in abnormalvital sign in acute stage, neuropsychosis, shoulder pain and rigidity, and pneumonia in complications more than the first attack group. 3. In Activity Index, the average mark of reattack group was lower than that of the first stroke group and improvement of the reattack group was delayed compared with the first attack group. Conclusions : The reattack group had more severe symptoms and clinical progress than the first attack group.

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Prevalence and Age, Gender and Geographical Area Distribution of Esophageal Squamous Cell Carcinomas in North China from 1985 to 2006

  • Feng, Xiao-Shan;Yang, Yan-Tong;Gao, She-Gan;Ru, Yi;Wang, Gong-Ping;Zhou, Bo;Wang, Yu-Feng;Zhang, Peng-Fei;Li, Pu-Yu;Liu, Yong-Xuan
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권5호
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    • pp.1981-1987
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    • 2014
  • Objective: To establish the prevalence and distribution profile of esophageal squamous cell carcinomas (ESCCs) over a 22-yr period in North China. Methods: Using endoscopy for primary diagnosis and histological analysis for the further confirmation, a total of 74,854 ESCC patients aged 20-89 between January 1985 and December 2006 were investigated to analyze the epidemiological profile including prevalence rates, distribution of age-of-onset, gender and geographical area of ESCC in Luoyang, the highest incidence area of North China. Results: A total of 4092 cases of ESCC were finally diagnosed among 74,854 patients who had their first endoscopies. The prevalence among males was higher than that among females (p<0.01), resulting in an overall male:female OR of 1.2 (95%CI, 1.2-1.3). The prevalence in rural areas was higher than in urban areas (p<0.01), resulting in an overall rural:urban OR of 2.6 (95%CI, 2.4-2.9). The rural:urban ORs and the 95% CI increased continuously from 2.6, 2.3-3.0 to 2.7, 2.2-3.3, respectively, for 4 consecutive periods during the 22-yr study period. Moreover, the median age of onset among females was higher than that among males (p<0.01). For both sexes and in both areas, the prevalence rates declined and the median age of onset rose for 4 consecutive periods in the 22-yrs time frame (p<0.01). Conculsions: These data reveal the epidemiological profile of ESCC in the area of North China, and suggest that urban areas and rural people account for a growing proportion of the ESCC patients although the prevalence of ESCC significantly declined and the median age-of-onset postponed over the 22-yrs period. Moreover, the prevalence status of ESCC in rural areas also underlines the need for public health initiatives aimed at reducing risk factors of this fatal disease.

The influence of task demands on the preparation of spoken word production: Evidence from Korean

  • Choi, Tae-Hwan;Oh, Sujin;Han, Jeong-Im
    • 말소리와 음성과학
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    • 제9권4호
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    • pp.1-7
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    • 2017
  • It was shown in speech production studies that the preparation unit of spoken word production is language particular, such as onset phonemes for English and Dutch, syllables for Mandarin Chinese, and morae for Japanese. However, there have been inconsistent results on whether the onset phoneme is a planning unit of spoken word production in Korean. In this study, two sets of experiments investigated possible influences of task demands on the phonological preparation in native Korean adults, namely, implicit priming and word naming with the form preparation paradigm. Only the word naming task, but not the implicit priming task, showed a significant onset priming effect, even though there were significant syllable priming effects in both tasks. Following the attentional theory ($O^{\prime}S{\acute{e}}aghdha$ & Frazer, 2014), these results suggest that task demands might play a role in the absence/presence of onset priming effects in Korean. Native Korean speakers could maintain their attention to the shared onset phonemes in word naming, which is not very demanding, while they have difficulties in allocating their attention to such units in a more cognitive-demanding implicit priming, even though both tasks involve accessing phonological codes. These findings demonstrate that there are cross-linguistic differences in the first selectable unit in preparation of spoken word production, but within a single language, the preparation unit might not be immutable.

미토콘드리아 질환에서 웨스트 증후군 환자의 경련 발생 연령에 따른 임상 양상 비교 (Age-Based Characteristics of West Syndrome in Patients with Mitochondrial Disease)

  • 최영하;백민성;나지훈;강훈철;이준수;김흥동;이영목
    • 대한소아신경학회지
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    • 제26권4호
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    • pp.197-204
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    • 2018
  • 목적: 미토콘드리아 질환은 산화적 인산화의 결함으로 인한 세포에너지의 부족으로 발생하는 이질적인 질환이다. 이 질환은 소아에서 대사질환의 중요한 원인이며 임상증상으로는 경련이 대표적이다. 웨스트 증후군은 영아기에 특징적으로 보이는 뇌전증 증후군이다. 우리는 미토콘드리아 질환에서 웨스트 증후군 환자의 임상 양상을 비교분석하였다. 방법: 본 연구는 2006년부터 2016년까지의 의무기록을 통해 후향적 연구를 진행하였다. 미토콘드리아 질환으로 진단 된 환자 중 웨스트 증후군으로 확인 된 54명의 소아를 대상으로 하였다. 환자군을 경련 발생 연령 6개월을 기준으로 조기 발병 그룹과 후기 발병 그룹으로 나누었고 이들의 임상 양상을 비교분석하였다. 결과: 첫 임상증상으로 경련을 보이는 경우가 조기 발병 그룹에서 90.9%, 후기 발병 그룹에서는 65% 였으며(P=0.046), 발달 지연은 조기 발병 그룹에서는 9.1%, 후기 발병 그룹에서는 35% 였다(P=0.023). 또한 조기 발병 그룹에서 젖산 혈증은 45%, 초기 MRI 이상 소견은 67.6%, 마지막 MRI 이상 소견은 94.1%에서 나타났고 후기 발병 그룹에서 젖산 혈증은 75%, 초기 MRI 이상 소견은 40%, 마지막 MRI 이상 소견은 90%에서 나타났다. 케톤생성 식이요법은 미토콘드리아 질환을 가진 웨스트 증후군 환자 31명에서 시행하였고 22명의 환자에서 경련 횟수가 50% 이상 감소하는 효과가 있었다. 결론: 미토콘드리아 질환에서 웨스트 증후군 환자들을 경련 발생연령을 기준으로 비교분석 했을 때 경련 관련 요인에 대해서는 큰 차이를 보이지 않았다. 하지만 미토콘드리아 질환 관련 요인과 MRI에 대해서는 일부 의미 있는 차이가 있었다. 또한 케톤생성 식이요법은 미토콘드리아 질환을 가진 웨스트 증후군 환자에서도 효과가 있었다.