• Title/Summary/Keyword: First-onset

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Delayed Dural Arteriovenous Fistula after Microvascular Decompression for Hemifacial Spasm

  • Kim, Sung Han;Chang, Won Seok;Jung, Hyun Ho;Chang, Jin Woo
    • Journal of Korean Neurosurgical Society
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    • v.56 no.2
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    • pp.168-170
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    • 2014
  • Dural arteriovenous fistula (AVF) is very rare, acquired lesion that may present with intracranial hemorrhage or neurological deficits. The etiology is not completely understood but dural AVF often has been associated with thrombosis of the involved dural sinuses. To our knowledge, this is the first well documented intracranial hemorrhage case caused by dural AVF following microvascular decompression for hemifacial spasm. A 49-year-old male patient had left microvascular decompression of anterior inferior cerebellar artery via retrosigmoid suboccipital craniotomy. The patient was in good condition without any residual spasm or surgery-related complications. However, after 10 months, he suffered sudden onset of amnesia and dysarthria. Computed tomography and magnetic resonance imaging revealed the presence of dural AVF around the left transverse-sigmoid sinus. The dural AVF was treated with Onyx$^{(R)}$ (ev3) embolization. At the one-year follow up visit, there were no evidence of recurrence and morbidity related to dural AVF and its treatment. This case confirms that the acquired etiology of dural AVF may be associated with retrosigmoid suboccipital craniotomy for hemifacial spasm, even though it is an extremely consequence of this procedure.

A Study about the Pitch Stability of Exploratory Underwater Vehicles (해저탐사잠수정의 연직평면에서의 방향안정성에 관한 연구)

  • 윤점동
    • Journal of the Korean Institute of Navigation
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    • v.11 no.1
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    • pp.93-106
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    • 1987
  • Nowadays natural resources on shore have been almost exhausted all over the world and mankind is beginning searching for unexploited resources on the bed of deep-sea floor. In exploring mineral resources and etc. in the ground of sea-bed, a sumbersible craft is one of the most important tools. These days, the stage of the technique of building and operating an exploring submersible craft is almost alike that of building and operating an airplane in the first years of the nineteen-twenties. At the present time, the problems arising in building and operating a submersible craft can be divided into four parts as follows; 1. How to build a hull that can bear high pressure under deep sea level. 2. How to decide the necessary facilities to be put on it. 3. How to decide the scope of stabilities and maneuvering characteristics of it. 4. On what sea conditions, the devices of launching and recovering it should be designed on the mother-ship. In this paper treating one of the third problems the author made a mathematic formula that can be useful in deciding the scope of dynamic course stability on the vertical plane and actually calculated the onset speed of pitch instability of an exploring craft. With the above mentioned calculations the author demonstrated that the value of $Z_g$ and the speed of a submerged craft are the most important factors in decideing the scope of dynamic stability on the vertical plane.

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Juvenile idiopathic arthritis: Diagnosis and differential diagnosis

  • Kim, Ki-Hwan;Kim, Dong-Soo
    • Clinical and Experimental Pediatrics
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    • v.53 no.11
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    • pp.931-935
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    • 2010
  • Juvenile idiopathic arthritis (JIA) is comprised of a heterogeneous group of several disease subtypes that are characterized by the onset of arthritis before the age of 16 years and has symptoms lasting at least 6 weeks. The previous classification of JIA included seven different categories, whereas its current classification was compiled by the International League of the Association for Rheumatology, and replaced the previous terms of "juvenile chronic arthritis" and "juvenile rheumatoid arthritis," which were used in Europe or North America, respectively, with the single nomenclature of JIA. As mentioned above, JIA is defined as arthritis of unknown etiology that manifests itself before the age of 16 years and persists for at least 6 weeks, while excluding other known conditions. The clinical symptoms of JIA can be quite variable. Several symptoms that are characteristic of arthritis are not necessarily diagnostic of JIA and may have multiple etiologies that can be differentiated with careful examination of patient history. The disease may develop over days or sometimes weeks, thereby making the diagnosis difficult at the time of presentation. To make a clinical diagnosis of JIA, the first step is to exclude arthritis with known etiologies. Of note, late treatment due to excessive delay of diagnosis can cause severe damage to joints and other organs and impair skeletal maturation. Therefore, early detection of JIA is critical to ensure prompt treatment and to prevent long-term complications including the likelihood of disability in childhood.

Secondary Instability in the Wake of a Circular Cylinder (원주 후류에서의 2차적 불안정성)

  • KNAG S. J.;TANAHASHI M.;MIYAUCHI T.;LEE Y. H.
    • 한국전산유체공학회:학술대회논문집
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    • 2001.10a
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    • pp.84-90
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    • 2001
  • Secondary instability of flow past a circular cylinder is examined using direct numerical simulation at Reynolds number 220 and 250. The higher-order finite difference scheme is employed for the spatial distributions along with the second order Adams-Bashforth and the first order backward-Euler time integration. In x-y plane, the convection term is applied by the 5th order upwind scheme, and the pressure and viscosity terms are applied by the 4th order central difference. In spanwise, Navier-Stokes equation is distributed using Spectral Method. The critical Reynolds number for this instability is found to be about Re=190. The secondary instability leads re three-dimensionality with a spanwise wavelength about 4 cylinder diameters at onset (A-mode). Results of three-dimensional effect in wake of a circular cylinder are represented with spanwise and streamwise vorticity contours as Reynolds numbers.

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Practical stepwise approach to rhythm disturbances in congenital heart diseases

  • Huh, June
    • Clinical and Experimental Pediatrics
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    • v.53 no.6
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    • pp.680-687
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    • 2010
  • Patients with congenital heart diseases (CHD) are confronted with early- and late-onset complications, such as conduction disorders, arrhythmias, myocardial dysfunction, altered coronary flow, and ischemia, throughout their lifetime despite successful hemodynamic and/or anatomical correction. Rhythm disturbance is a well-known and increasingly frequent cause of morbidity and mortality in patients with CHD. Predisposing factors to rhythm disturbances include underlying cardiac defects, hemodynamic changes as part of the natural history, surgical repair and related scarring, and residual hemodynamic abnormalities. Acquired factors such as aging, hypertension, diabetes, obesity, and others may also contribute to arrhythmogenesis in CHD. The first step in evaluating arrhythmias in CHD is to understand the complex anatomy and to find predisposing factors and hemodynamic abnormalities. A practical stepwise approach can lead to diagnosis and prompt appropriate interventions. Electrophysiological assessment and management should be done with integrated care of the underlying heart defects and hemodynamic abnormalities. Catheter ablation and arrhythmia surgery have been increasingly applied, showing increasing success rates with technological advancement despite complicated arrhythmia circuits in complex anatomy and the difficulty of access. Correction of residual hemodynamic abnormalities may be critical in the treatment of arrhythmia in patients with CHD.

Condition assessment of steel shear walls with tapered links under various loadings

  • He, Liusheng;Kurata, Masahiro;Nakashima, Masayoshi
    • Earthquakes and Structures
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    • v.9 no.4
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    • pp.767-788
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    • 2015
  • A steel shear wall with double-tapered links and in-plane reference was developed for assisting the assessment of the structural condition of a building after an earthquake while maintaining the original role of the wall as a passive damper device. The double-tapered link subjected to in-plane shear deformation is designed to deform torsionally after the onset of local buckling and works as an indicator of the maximum shear deformation sustained by the shear wall during an earthquake. This paper first examines the effectiveness of double-tapered links in the assessment of the structural condition under various types of loading. A design procedure using a baseline incremental two-cycle loading protocol is verified numerically and experimentally. Meanwhile, in-plane reference links are introduced to double-tapered links and greatly enhance objectivity in the inspection of notable torsional deformation with the naked eye. Finally, a double-layer system, which consists of a layer with double-tapered links and a layer with rectangular links made of low-yield-point steel, is tested to demonstrate the feasibility of realizing both structural condition assessment and enhanced energy dissipation.

P-Waves and T-Wave Detection Algorithm in the ECG Signals Using Step-by-Step Baseline Alignment (단계별 기저선 정렬을 이용한 ECG 신호에서 P파와 T파 검출 알고리즘)

  • Kim, Jeong-Hong;Lee, SeungMin;Park, Kil-Houm
    • Journal of Korea Multimedia Society
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    • v.19 no.6
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    • pp.1034-1042
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    • 2016
  • The detection of P-waves and T-wave in the electrocardiogram signal analysis is an important issue. But the accuracy of the boundary detection algorithm is an insufficient level in the change of slow transition in the signal compared to the QRS complex. This study proposes an algorithm to detect P-wave and T-wave sequentially after determining local baseline using QRS complex. First, we detected the peak points based on local baseline and determined the onset and offset through the calculation of the area of the section. After modifying the baseline using detected waveform, we detected the other waveform in the same way and separated the P-wave and the T-wave based on the location. We used the PhysioNet QT database to evaluate the performances of the algorithm, and calculate the mean and the standard deviations. The experiment results show that standard deviations are under the tolerances accepted by expert physicians, and outperform the results obtained by the other algorithms.

A Study on Factor Analytical Methods and Procedures for PLS-SEM (Partial Least Squares Structural Equation Modeling)

  • YIM, Myung-Seong
    • The Journal of Industrial Distribution & Business
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    • v.10 no.5
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    • pp.7-20
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    • 2019
  • Purpose - This study provides appropriate procedures for EFA to help researchers conduct empirical studies by using PLS-SEM. Research design, data, and methodology - This study addresses the absolute and relative sample size criteria, sampling adequacy, factor extraction models, factor rotation methods, the criterion for the number of factors to retain, interpretation of results, and reporting information. Results - The factor analysis procedure for PLS-SEM consists of the following five stages. First, it is important to look at whether both the Bartlett test of sphericity and the KMO MSA meet the qualitative criteria. Second, PAF is a better choice of methodology. Third, an oblique technique is a suitable method for PLS-SEM. Fourth, a combined approach is strongly recommended to factor retention. PA should be used at the onset. Next, it is recommended using the K1 criterion. In addition, it is necessary to extract factors that increase the total variance explanatory power through the PVA-FS. Finally, it is appropriate to select an item with a factor loading into 0.5 or higher and a communality of 0.5. Conclusions - It is expected that the accurate factor analysis processed for PLS-SEM as previously presented will help us extract more precise factors of the structural model.

Magnetic $T_c$ Measurements of Composite Superconductors for a Standard Method (복합초전도체의 자기적 임계온도 측정의 표준화연구)

  • Lee K. W;Kim M. S;Kim D. H;Lee S. G
    • Progress in Superconductivity
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    • v.6 no.1
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    • pp.24-31
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    • 2004
  • Magnetic $T_{c}$ of composite superconductors has been studied for providing a standard method. Various magnetization-temperature curves of NbTi, $Nb_3$Sn and Bi-2223 wires were measured using a SQUID magnetometer. Magnetization-temperature curve of zero-field-cooled procedure showed larger values than fie Id-cooled procedure. To obtain higher resolution near the onset temperature, we employed a two-field-direction method which measures a magnetization-temperature curve of a specimen first in positive and then negative fields. Analytical comparison of the magnetic $T_{c}$, with the resistive T$_{c}$ was accomplished for three specimens. The magnetic $T_{c}$/ mettled showed more detailed information on superconducting state of a specimen than the resistive$T_{c}$/ method. We have also studied the field dependence of the magnetic $T_{c}$ from 5 Oe to 120 Oe, however, no significant difference on field strength was found in our three specimensns

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Traumatic Diaphragmatic Hernia: A Report of 3 Cases (외상성 횡격막 헤르니아: 3례 수술 보고)

  • 유세영
    • Journal of Chest Surgery
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    • v.2 no.1
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    • pp.59-64
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    • 1969
  • Three cases of traumatic diaphragmatic hernia were repaired in this department from June 1967 to Nov.1968. The first case, a 14 year old girl, was diagnosed as diaphragmatic hernia during the operation of the diffuse peritonitis from jejunaI perforation 3 days after the traffic accident at local clinic and she was transfered to this hospital after the closure of the perforated jejunum. Herniated stomach, transverse colon, spleen and left lobe of the liver were repositioned and the diaphragmatic rupture at the posterolateral portion of the left diaphragm was repaired with two layer sutures by transthoracic approach. The second case. a 26 year old man. was diagnosed immediately after the traffic accident at local clinic and transfered to this hospital 24 hours later. Herniated and distended stomach, transverse colon and jejunum were repositioned and the large diaphragmatic rupture, about 9 cm in length, from the posterolateral portion to the base of the pericardium was directly repaired with two layer sutures. The third case, a 26 year old man, who had a history of stab wound at left lower lateral chest two years ago,was admitted with the sudden onset of abdominal pain and vomiting. The diaphragmatic hernia was confirmed with barium enema. The herniated stomach and transverse colon through the defect, about 3.5 cm in diameter, at anterolateral portion of the left diaphragm, were repositioned and the defect was repaired with two layer sutures. All of the cases recovered uneventfully.

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